Comments by "wily wascal" (@wilywascal2024) on "Hillary Clinton: The facts don't support that assessment" video.
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Trump Surgeon General: "Four months since this pandemic began, and we've stopped telling people just how very, very few Americans we've tested, we're still not elucidating any real coherent strategy for dealing with COVID-19. Instead of testing the American public to get a handle on this pandemic, confine outbreaks, gain more time, and protect the American people, especially those Americans at high-risk--such as the young, the elderly, those sick or with conditions--we are using the American people as guinea pigs, tracking where they start dying after the epidemic has already taken firm root in their communities! Just remember...DON'T PANIC!!!"
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Why America is so vulnerable to coronavirus
Ryan Cooper
All over the world, governments are scrambling to defend their citizenry from COVID-19, the disease caused by the outbreak of novel coronavirus. So far it seems levels of success have varied; countries like Italy and Iran have struggled so far, while Vietnam and Taiwan have seemingly put forth an efficient and effective response.
The United States, where a major outbreak is clearly developing, however, is in a class by itself. America's atrociously inadequate welfare state makes it by far the most vulnerable rich country to a viral pandemic, and the vicious, right-wing ideology of the Republican Party has wrecked the government's ability to manage crises of any kind.
The national health care system is of course the most important tool for any country trying to fight off an epidemic — all citizens need to be able to get tested, receive treatment, or be quarantined if necessary. If and when a vaccine is developed, the system needs to distribute it to everyone as fast as possible. That means handing it out for free in locations across the country, and perhaps making
The American health care system fails at every one of these tasks. Nearly 30 million Americans are uninsured, and a further 44 million are underinsured — meaning they will likely hesitate to go to the doctor if they start developing COVID-19 symptoms. This problem is seriously exacerbated by the rampant predatory profiteering that infects every corner of the health care system. Indeed, responsible citizens who have gone in for tests have already started getting slammed with multi-thousand dollar bills. A father and daughter who were evacuated from China and then forcibly quarantined for several days (luckily they were not infected) went home to find $3,918 in bills.
If you are working-class person with a $10,000 deductible (not at all uncommon), going to the doctor simply because you have flu-like symptoms (which is how most cases of COVID-19 are experienced) could very easily send you into bankruptcy. If infected, millions of Americans are likely going to take their chances — and keep spreading the virus.
Indeed, U.S. health care is not only by far the worst system among rich countries, it is much worse than that of many middle-income or poorer countries when it comes to confronting a fast-moving epidemic. Distributing a vaccine is not that difficult of a task — World Health Organization workers managed it with smallpox even in desperately poor African countries in the 1970s. You just round up everyone, and give out the shot. But that will be a heavy lift indeed with a health care system geared above all to price-gouge sick people out of as much money as possible. While in theory the government could stand up a one-time free (or cheap) vaccination program, the administration has already ruled that out. "We can’t control that price because we need the private sector to invest," said HHS Secretary Alex Azar. That very likely means an eyewateringly-expensive vaccine that tens of millions can't get — we've seen what rapacious pharma companies do with insulin. (Speaking of vaccines, as Ryan Grim points out at The Intercept, Joe Biden voted against a Bernie Sanders amendment to force drug companies to provide drugs funded by public research at a reasonable price.)
It's worth pointing out again that if we had Medicare-for-all, these concerns would vanish at a stroke. People experiencing symptoms would feel free to seek medical care without worrying about breaking the bank, and a vaccine could be distributed by the government through hospitals and clinics at no cost to patients.
But there are still further problems. The United States is one of only a handful of countries (almost all of them desperately poor) with no national sick leave program, which means many workers who come down with COVID-19 will be forced to choose between starving or spreading the disease. Food service workers are especially unlikely to have sick leave from their employers, and are generally not paid well either. So-called "gig economy" companies naturally provide no sick leave either. In China, food delivery services have been critical for feeding cities under lockdown, but in America they are likely to become just another vector of infection.
Finally, there is conservative ideology. As I have written, the Trump administration — under the influence of conservative fanatics like Mick "The Knife" Mulvaney — has deliberately devastated the government's pandemic response capacity. He's cut key personnel, slashed funding, and made sure thousands more Americans have been thrown off their insurance. And while Trump is certainly the most incompetent president in American history, his style of government is not at all out of keeping with typical Republican rule. As Thomas Frank writes in his book The Wrecking Crew, for decades GOP rule has meant rampant corruption and disastrous incompetence. When a Republican is in the White House, unqualified cronies end up in charge of federal emergency management, and American cities and towns end up ruined. Even today, the Trump regime is doing its level best to kick as many people off their health insurance as possible — the Supreme Court just announced it would hear the latest Republican attempt to destroy the Affordable Care Act through judicial rule-by-decree.
The conservative movement has served like a bath of hydrofluoric acid on the quality, competence, and basic decency of American institutions. Republicans have all but posted up signs everywhere saying "epidemics welcome here." So now they are resorting to the only thing they know how to do really well — lying, concocting conspiracy theories and blaming Democrats and the media for any bad news. It does not bode well.
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The American workplace isn't ready for an epidemic. Many Americans have no insurance, many others can ill-afford deductibles, still more can't afford to take off work when not feeling well; more than a third of jobs don't offer sick days, and even where available, they may have been already used, or employees try saving them for more serious illness--all making us extremely vulnerable to epidemics such as COVID-19. Many jobs in America involve low-paying work in the service industry, where employees are in constant contact with, and exposed to, a huge swath of the public on a daily basis. These folks typically don't get sick days or insurance benefits, and can ill-afford to miss any work because of loss of money and the threat of losing their job. Many are ill-educated, and may not pay sufficient heed to health warnings, further exacerbating the spread of the epidemic facing us all.
In plausible worst-case-scenarios given the pattern of the outbreak thus far, the country could experience acute shortages not just in ventilators but also health workers to operate them and care for patients; hospital beds; and masks and other protective equipment. Trump administration facing increasing criticism for not using these many weeks after learning of COVID-19 to prepare increased hospital capacity, stockpile medications, obtain adequate amounts of respirators and other equipment that will be vitally needed in the U.S.
“Even during mild flu pandemics, most of our I.C.U.s are filled to the brim with severely ill patients on mechanical ventilation,” said Dr. Eric Toner, a senior scholar at the Johns Hopkins Center for Health Security and an expert on health care preparedness. “I hope and pray Covid-19 turns out to be a moderate pandemic, but if not, we’re in serious trouble,” he said.
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Despite knowing of the emergence of COVID-19 in November, and it threat to world health shortly thereafter, Trump did virtually nothing to prepare for the inevitable coming health crisis of a pandemic. Trump administration has had MONTHS to get its act together, yet public health system and hospital networks are NOT prepared for the kind of outbreaks seen in China, South Korea and Italy. We do NOT have the respirators and ventilators needed for the expected numbers. We do NOT have enough oxygen equipment and medications stockpiled. We do NOT have enough medical personnel to handle the expected numbers. We do NOT have enough medical facilities for those kinds of numbers. We do NOT yet even have the training programs in place to handle this epidemic for either health professionals or the public. There should have been a massive national mobilization by our Federal government started months ago to begin preparation of needed medical equipment, supplies, and drugs. Instead, Trump has peddled delusions and denials of the realities, wasting weeks, which will result in the senseless, unforgivable loss of more American lives due directly to his gross ignorance and incompetence.
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The highly-coveted Top Prize for our contestants today is an all-funeral-expenses-paid romantic getaway for two aboard the magnificent Corona Queen, taking you for an exclusive extended cruise, to a secluded stay on the exotic, remote, tropical Isle of Covid-19, where the fun is SUPER-contagious, and you will luxuriously bask in fabulous face masks and rejuvenating oxygen respirators, with the wonderful scent of disinfectant surrounding you! Sure to be a lifetime experience for some lucky few! Just remember--the couple that dies together, stays together!
BONUS: Providing accompanying entertainment is Chief Jester Roberts and the entire Trump comedy team, featuring the Clown Commander, for laughs and coughs! There just ain't no cure, for them ocean cruise blues! Bon voyage!
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Trump Has Sabotaged America’s Coronavirus Response
by Laura Garrett
In 2018, the Trump administration fired the government’s entire pandemic response chain of command, including the White House management infrastructure. In numerous phone calls and emails with key agencies across the U.S. government, the only consistent response I encountered was distressed confusion.
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White House efforts included reducing $15 billion in national health spending and cutting the global disease-fighting operational budgets of the CDC, NSC, DHS, and HHS. And the government’s $30 million Complex Crises Fund was eliminated.
In May 2018, Trump ordered the NSC’s entire global health security unit shut down, calling for reassignment of Rear Adm. Timothy Ziemer and dissolution of his team inside the agency. The month before, then-White House National Security Advisor John Bolton pressured Ziemer’s DHS counterpart, Tom Bossert, to resign along with his team. Neither the NSC nor DHS epidemic teams have been replaced. The global health section of the CDC was so drastically cut in 2018 that much of its staff was laid off and the number of countries it was working in was reduced from 49 to merely 10. Meanwhile, throughout 2018, the U.S. Agency for International Development and its director, Mark Green, came repeatedly under fire from both the White House and Secretary of State Mike Pompeo. And though Congress has so far managed to block Trump administration plans to cut the U.S. Public Health Service Commissioned Corps by 40 percent, the disease-fighting cadres have steadily eroded as retiring officers go unreplaced.
Public health advocates have been ringing alarm bells to no avail.
Ronald Klain, who directed U.S. efforts on Ebola, has been warning for two years that the United States was in grave danger should a pandemic emerge. In 2017 and 2018, the philanthropist billionaire Bill Gates met repeatedly with Bolton and his predecessor, H.R. McMaster, warning that ongoing cuts to the global health disease infrastructure would render the United States vulnerable to, as he put it, the “significant probability of a large and lethal modern-day pandemic occurring in our lifetimes.” And an independent, bipartisan panel formed by the Center for Strategic and International Studies concluded that lack of preparedness was so acute in the Trump administration that the “United States must either pay now and gain protection and security or wait for the next epidemic and pay a much greater price in human and economic costs.”
https://foreignpolicy.com/2020/01/31/coronavirus-china-trump-united-states-public-health-emergency-response/
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