Travesty of American Healthcare

Image may contain: text that says 'Gravel Institute @Gravellnstitute Number of citizens who lost health care coverage since the pandemic began: 14,600,000 United States 0 Australia 0 Belgium Canada o o Denmark 0 o Finland France 0 o 0 0 o Germany Italy Japan Norway South Korea Spain UK O'

It will be darkest before dawn

https://mailchi.mp/e38b070b8787/the-weekly-gist-december-18-2020?e=d1e747d2d8

It's Always Darkest Before The Dawn – Peter Scott

But first, we have a difficult period to get through. This week again saw record-breaking numbers of cases, hospitalizations, and deaths from COVID-19, with Thursday alone bringing more than 238,000 new cases—and a staggering 3,293 fatalities.

Nearly 115,000 Americans are currently hospitalized with COVID, a rise of 16 percent from just two weeks ago, and in many places a precarious capacity situation has turned perilous. Conditions have worsened precipitously in California, with only Tennessee, Oklahoma, and Rhode Island registering more daily COVID cases per 100,000 population than the Golden State, although cases are still on the rise across 80 percent of states and territories.

 Intensive care availability in Southern California hit zero, with ICU volume there expected to double or triple by this time next month. The same stresses are playing out in dozens of markets across the country, leading to a staffing sustainability crisis that can’t be solved through paying overtime, cancelling vacations or looking to travel nurses to fill the gaps in a now nationwide crisis. With the Christmas and New Year’s holidays still ahead, experts predict COVID cases won’t peak until sometime in mid-January, with a peak in hospitalizations and deaths following several weeks after.

Several states and cities tightened restrictions on gatherings and issued new stay-at-home orders, in an effort to keep new cases at a level that allows hospitals to manage through the next several weeks and maintain care quality and access for COVID and non-COVID patients alike. The coming weeks will require every American to take greater precautions than at any time during the course of this pandemic.

Cartoon – The Current Line

Northern CA News, Sports & Politics | The Sacramento Bee

Unemployment claims rose sharply last week as economic crisis grinds on

U.S. Unemployment Claims Rise Amid Coronavirus Surge - WSJ

Applications for jobless benefits resumed their upward march last week as the worsening pandemic continued to take a toll on the economy.

More than 947,000 workers filed new claims for state unemployment benefits last week, the Labor Department said Thursday. That was up nearly 229,000 from the week before, reversing a one-week dip that many economists attributed to the Thanksgiving holiday. Applications have now risen three times in the last four weeks, and are up nearly a quarter-million since the first week of November.

On a seasonally adjusted basis, the week’s figure was 853,000, an increase of 137,000.

Nearly 428,000 applied for Pandemic Unemployment Assistance, a federal program that covers freelancers, self-employed workers and others who don’t qualify for regular state benefits.

Unemployment filings have fallen greatly since last spring, when as many as six million people a week applied for state benefits. But progress had stalled even before the recent increases, and with Covid-19 cases soaring and states reimposing restrictions on consumers and businesses, economists fear that layoffs could surge again.

“It’s very clear the third wave of the pandemic is causing businesses to have to lay people off and consumers to cut back spending,” said Daniel Zhao, senior economist for the career site Glassdoor. “It seems like we’re in for a rough winter economically.”

Jobless claims rose in nearly every state last week. In California, where the state has imposed strict new limits on many businesses, applications jumped by 47,000, more than reversing the state’s Thanksgiving-week decline.

The monthly jobs report released on Friday showed that hiring slowed sharply in early November and that some of the sectors most exposed to the pandemic, like restaurants and retailers, cut jobs for the first time since the spring. More up-to-date data from private sources suggests that the slowdown has continued or deepened since the November survey was conducted.

Every month, we’re just seeing the pace of the recovery get slower and slower,” said AnnElizabeth Konkel, an economist with the job site Indeed. Now, she said, the question is, “Are we actually going to see it slide backward?”

Many economists say the recovery will continue to slow if the government does not provide more aid to households and businesses. After months of gridlock in Washington, prospects for a new round of federal help have grown in recent days, with congressional leaders from both parties signaling their openness to a compromise and the White House proposing its own $916 billion spending plan on Tuesday. But the two sides remain far apart on key issues.

The stakes are particularly high for jobless workers depending on federal programs that have expanded and extended unemployment benefits during the pandemic. Those programs expire later this month, potentially leaving millions of families with no income during what epidemiologists warn could be some of the pandemic’s worst months.

Cartoon – War on the Truth

Donald Trump's war on coronavirus is just his latest war on truth |  Jonathan Freedland | Opinion | The Guardian

Cartoon – Virus or a Hoax?

Beware conspiracy theories on coronavirus | Editorial - South Florida Sun  Sentinel - South Florida Sun-Sentinel

Cartoon – Do You Believe in Magic?

There's much blame for Florida teen's COVID death | COMMENTARY - Baltimore  Sun

2020, in 12 photographs

Dean Baquet, The Times’s executive editor, believes that 2020 will go down as a signature year in history, alongside years like 1968, 1945 and 1865. “It will long be remembered and studied as a time when more than 1.5 million people globally died during a pandemic, racial unrest gripped the world, and democracy itself faced extraordinary tests,” he writes.
Those words come from Dean’s introduction to The Times’s annual Year in Pictures feature. Here, my colleagues on The Morning and I have chosen a dozen of those pictures that we think best summarize 2020. But we obviously have room here for only a fraction of the year’s photographs — so I encourage you to check out the full selection.
As you do, ask yourself which pictures you would have selected if you had to pick only 12 to sum up 2020.
Early in the year, the virus hit Western Europe harder than any other place in the world. In March, a coronavirus patient was examined at his home in Cenate Sotto, Italy.
The pandemic forced people to find new ways to socialize. Circles painted on the grass at Domino Park in Brooklyn helped people spend time safely outdoors in May.
Donald Trump became only the fourth elected president in the last century not to win re-election, joining Herbert Hoover, Jimmy Carter and George H.W. Bush. Trump departed Air Force One in August after returning from a campaign rally.
Joe Biden struggled badly early in the Democratic primaries, only to rally to win the nomination and the presidency. He prayed at the Corinthian Baptist Church in Des Moines in January.
Climate change wrought destruction on the planet in multiple ways during 2020. In Azusa, Calif., a wildfire burned more than 4,200 acres during the most active wildfire year on record for the West Coast.
The killing of George Floyd in May inspired mass demonstrations against police brutality across the country. In Minneapolis, officers confronted protesters on May 31.
Protesters marched in New York in June as anger spread across the country.
Around the world, people spent far more time at home this year than usual. In São Paulo, Brazil, residents gathered at their windows in March to protest the government’s pandemic response.
The pandemic led to a sharp economic downturn in much of the world. In May, people lined up for food distribution at a church in Brooklyn.
More than 1.5 million people around the world have died from Covid complications. Mourners gathered in April at a cemetery in Brazil where workers were busy digging lines of open graves.
Amid illness, death and separation in 2020, people also experienced great joys — even if they sometimes required adaptation. In April, Precious Anderson, a Covid-19 patient, was shown her newborn baby for the first time with the help of a live video feed at a hospital in Brooklyn.

Again, you can find the full Year in Pictures here.

U.S. and Europe head in opposite coronavirus directions

https://www.axios.com/us-europe-coronavirus-lockdowns-d2bb7b6c-a1c4-4a30-a4a3-8f564775dd74.html

U.S. and Europe head in opposite directions on the coronavirus - Axios

While the U.S. continues to set records for new coronavirus cases, European countries have managed to turn their own terrifying spikes around.

The big picture: As some states in the U.S. crack down to head off the worst, the debate in countries like the U.K. and France has shifted to whether and how to lighten their own restrictions before the holidays.

  • America’s surge lagged two to three weeks behind Europe’s, with a similarly worrying trajectory. However, responses in U.S. states have been uneven and generally less severe than in most European countries.
  • Daily case counts are already rising significantly in most U.S. states, and they’re likely to tick up further following Thanksgiving gatherings around the country.

Much of Europe returned to some form of lockdown in the fall, but the restrictions tended to be less restrictive than in the spring. They certainly haven’t been in place as long.

  • Many countries closed bars and restaurants, and nearly all at least limited their opening hours. Social gatherings were also limited — in Germany’s case, to groups of up to five from a maximum of two households (children are exempted).
  • But schools have remained open across nearly all of the continent, and the disruption to economic activity, while highly significant, hasn’t been quite as severe (though many governments have faced anti-lockdown protests).

The fact that countries like Italy were able to bend the curve so quickly with partial lockdowns is encouraging, says Stephen Kissler, a researcher at Harvard who models the spread of diseases, including COVID-19.

  • “The evidence shows that these full lockdowns we underwent in the spring aren’t necessary now,” he says.
  • “We have so much more information now that we can respond a lot more quickly and in a more targeted manner — really just shutting down the types of activities that contribute most to the spread.”

Test positivity rates are falling significantly in many EU countries — another sign that the current wave is subsiding.

  • In Belgium, for example, the positivity rate fell from 21% to 8% over the past three weeks, with similar trends in France and the Netherlands.
  • The outlook is a bit darker in Central Europe. The Czech Republic still has a positivity rate of 21%, while Poland’s 49% rate is higher than every U.S. state but Idaho.

Reality check: Europe is far from out of the woods. Deaths and hospitalizations lag behind spikes in cases, and those numbers are falling much later and less sharply.

  • Italy recorded a record-high death toll on Thursday, three weeks after case numbers peaked.
  • And while the trajectory on cases is positive, public health experts fear a swift reversal if countries open up too quickly.

Governments in the U.K., France and elsewhere had promised the measures would be temporary and Christmas celebrations would still be possible. They’re now attempting a difficult balancing act with the virus still spreading rampantly.

  • The U.K. is introducing the “Christmas bubble,” which will allow up to three households to gather together over the Christmas period.
  • Spain is increasing the maximum gathering size from 6 to 10.
  • Germany plans to tighten restrictions through Dec. 20 and then allow groups of up to 10 to gather.

The bottom line: In Europe, those decisions are being made with cases on the decline and the outlook improving. That’s not the case in the U.S.