The recession risk

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Economists are growing more certain both the U.S. and the world are going to have a recession in 2020, Axios markets editor Dion Rabouin reports.

The big question: How bad will it be?

  • The answer depends on how quickly the outbreak can be contained and how fast people regain confidence to participate in activities they once enjoyed.

What’s happening: Economists and investment banks continue to write down their expectations for growth this year, as more economic activity is halted “until further notice.”

  • The shutdown of the NCAA’s annual March Madness basketball tournament and Austin’s South by Southwest festival are just two examples of mass gatherings that were expected to generate billions of dollars.
  • And that’s to say nothing of the millions of dollars that Chinese and European tourists would have spent, but who are temporarily banned or reluctant to come to the United States.

The bottom line: Businesses had pulled back on spending even before the year began, as a result of the U.S.-China trade war. That left consumer spending as the only thing holding up the economy, and the COVID-19 outbreak will kick that leg out from under us for an unknown period of time.

Go deeper: Listen to Dion discuss the risk of a recession with Dan Primack on the Pro Rata podcast.

 

 

 

Too much for the health care system to handle

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Illustration of a giant virus cell crushing a crumbling red cross.

A severe coronavirus could easily overwhelm the U.S. health care system, Axios health care editor Sam Baker writes.

Most pandemics put health care workers at particular risk, both to become infected and then to spread the infection.

  • Experts were sounding the alarm even before the first U.S. cases about limited supplies of masks and protective equipment.
  • If health care workers do get sick in large numbers, staffing shortages would make it all the harder to care for new patients.

Experts fear a shortage of ventilators and intensive-care beds, if the outbreak becomes severe.

  • The U.S. has roughly 46,500 beds designated for ICU use, but even in a moderate scenario, it’s projected that 200,000 people could need ICU treatment, according to a report from Johns Hopkins.
  • Yes, but: Many younger, healthier patients will likely be able to recover at home, leaving hospital capacity dedicated mainly to seniors and people with other health complications.

What we’re watching: The coronavirus also seems likely to expose structural gaps in the health care system.

  • Insurers have promised to make coronavirus testing available for free, and a handful of hospital systems have imposed temporary freezes in billing patients for coronavirus treatments.
  • But relying on individual acts of corporate benevolence won’t provide any blanket assurance that care will be affordable, especially to the poor or uninsured — and if people don’t get care because they’re afraid of the cost, rightly or not, that risks further spreading the infection.

Go deeper: Listen to Sam and Dan examine the health care issue.

 

 

 

 

What you need to know about the Coronavirus

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There’s a lot of confusion and misinformation swirling around the virus, so here are quick just-the-facts answers to your most urgent concerns, based on current knowledge: 

Q: What are the symptoms I should watch for?

  • Fever (88%) and dry cough (68%) are two of the most common symptoms, followed by fatigue, thick mucus coughed from lungs, shortness of breath, muscle and joint pain, sore throat, headache and chills.

Q. If I have those symptoms, should I go to my doctor or the hospital?

  • Right now, the CDC recommends you distance yourselves from others, including your family and your pets. If you can, designate a separate bedroom and bathroom for yourself.
  • Call your provider and tell them you suspect COVID-19. Remind them of any travel and if you are over 60 or have underlying conditions like diabetes or a heart condition.
  • Don’t share dishes/glasses with anyone; wash hands often; clean surfaces frequently. Stay hydrated.
  • The CDC does not recommended you go to the hospital unless you have shortness of breath, persistent chest pain, new confusion or strong lethargy, or a bluish tint to lips or face.
  • CDC’s hotline number for questions: 800-CDC-INFO (800-232-4636).

Q: Why is there a shortage of tests in the U.S.? When will we get them?

  • The CDC’s initial test for the virus was faulty. And, for reasons that remain unknown, the U.S. opted not to rely on the World Health Organization’s test while the CDC developed a new one. Red tape slowed down academic labs that wanted to quickly develop their own.
  • With both academic and commercial labs now pitching in, testing is becoming more widely available. But we’re still playing catch-up, and the virus has likely been spreading undetected in the meantime.

Q: What’s known about children and COVID-19?

  • Children, fortunately, rarely seem to experience severe complications from the coronavirus, but it’s not known whether children with underlying conditions may be at higher risk for severe illness.
  • It’s unclear what about children’s immune systems is protecting them.

Q: What stage is the outbreak in the U.S.?

  • The virus has now been confirmed in 49 states plus Washington, D.C., and Puerto Rico. However, due to the lack of testing, the level of infection in the U.S. beyond the currently confirmed 2,508 cases is unknown.
  • Scientists believe the number of infections doubles roughly every five to six days.
  • Some think the U.S. and the rest of Europe could follow Italy’s exponential trajectory arc, but this will depend on how effective school closings and event stoppages are at flattening the trajectory curve of the outbreak.

 

 

The pandemic shaping the future

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The world that emerges from the coronavirus pandemic will be fundamentally different, Axios Future correspondent Bryan Walsh writes.

  • Why it matters: This crisis may prove to be as significant as the 2008 financial meltdown or even 9/11.
  • So the choices that businesses and governments are making now will have enormous social and economic ramifications.

The intrigue: U.S. health and government officials are facing the epidemiological equivalent of the “fog of war,” worsened by a massive American failure to act on weeks of warnings as the virus spread in China.

  • The Trump administration declared a national emergency yesterday, seven weeks after the first U.S. case was announced by the Centers for Disease Control and Prevention.
  • By failing to rapidly scale up testing, U.S. officials have added an additional — and partly unnecessary — layer of uncertainty about how to respond.
  • Harvard epidemiologist Michael Mina calls it “the most daunting virus that we’ve contended with in half a century or more.”

Flashback: As recently as the 1918 influenza pandemic, scientists lacked the ability to rapidly respond to an infectious disease outbreak.

  • Today, scientists can sequence a virus in days, develop rapid tests that can determine infection before obvious symptoms, and use complex mathematical models to predict future spread.

What we’ll find out in coming days:

  • The actual fatality rate of the virus.
  • How contagious it is, and the precise role that children — who seem outwardly unaffected by the disease — may play in transmission.
  • If the outbreak will naturally slow down when the weather warms, as tends to happen with influenza.

What’s next: For now, distance becomes the first line of defense. Schools and companies are shifting online — with potential consequences.

  • If companies are able to function relatively well with a largely remote workforce, expect lower levels of business travel.
  • After decades of emphasizing the efficiency of supply chains — which often meant complex international linkages and just-in-time inventories — businesses will look to build resilient supply chains.

The bottom line: The mobility — of people, capital and products — that we’ve taken for granted may not outlast the virus.

 

 

 

 

Pelosi, Trump strike deal on coronavirus response package

Pelosi, Trump strike deal on coronavirus response package

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Speaker Nancy Pelosi (D-Calif.) and President Trump have struck a deal on a multibillion-dollar stimulus package aimed at assisting millions of Americans directly hurt by the coronavirus outbreak.

Pelosi announced the deal on Friday evening after days of roller-coaster negotiations that put the outcome in doubt, as the nation’s leaders raced to ease public anxiety and stabilize volatile markets. Trump said on Twitter that he looked forward to signing the legislation.

“I have directed the Secretary of the Treasury and the Secretary of Labor to issue regulations that will provide flexibility so that in no way will Small Businesses be hurt. I encourage all Republicans and Democrats to come together and VOTE YES!” Trump wrote in a series of tweets.

Just hours before the deal was announced, Trump said in a Rose Garden address that he wasn’t on board, suggesting a bipartisan deal was out of reach even as the number of cases in the U.S. approached 2,000.

And even after Pelosi’s announcement, there was widespread confusion across the Capitol about whether Trump had endorsed the package. Several GOP lawmakers said no agreement had been secured, and even House Majority Leader Steny Hoyer (D-Md.) suggested Friday evening that the talks were still in flux.

Yet Treasury Secretary Steven Mnuchin, who has been leading the negotiations with Pelosi, seemed to put the confusion to rest just before 8 p.m. when he told Fox Business that there was, in fact, a deal.

“We have an agreement that reflects what the president talked about in his speech the other night. He’s very focused on making sure that we can deal with the coronavirus,” he said.

The frantic, eleventh-hour talks that brought the sides together highlight the urgency facing leaders from both parties to take aggressive actions to contain the fast-moving virus, for reasons of both public health and national morale.

“As Members of Congress, we have a solemn and urgent responsibility to take strong, serious action to confront and control this crisis and to put Families First and stimulate the economy,” Pelosi wrote in a letter to Democratic members announcing the deal.

The deadly pandemic has roiled the stock market, upended small businesses and large industries alike, and cancelled major sporting and political events around the country. Millions of Americans could lose income — or their jobs entirely — due to mass public closures, work-from-home orders and the economic downturn sure to follow.

The agreement announced Friday aims to ease some of the economic stress by providing financial assistance to those most directly affected by the crisis, including unemployment and paid leave benefits. Perhaps more importantly, the deal aims to calm some of the public trepidation and market turmoil of recent weeks by demonstrating that Washington policymakers can put aside partisan differences and unite quickly behind an emergency response befitting — at least in rhetoric — the severity of the crisis.

On Friday, Pelosi and Mnuchin spoke no fewer than 13 times by phone as they neared an agreement, aides said.

To get there, they had to iron out a small handful of stubborn wrinkles that threatened to sink the entire package — disagreements that were finally resolved late Friday evening.

Republicans, for instance, had insisted on the inclusion of language, known as the Hyde Amendment, explicitly barring the use of federal funds for abortions. Democrats conceded and threw it in.

Republicans also balked at Democrats’ initial paid leave provision, which would have required employers to provide the benefit not only for the coronavirus, but for all future public health emergencies. The final compromise bill removed the permanent language, limiting the benefit to the current outbreak.

In addition, Republicans were concerned about the effects of the paid-leave expansion on small businesses. The final bill provides subsidies to businesses with 500 employees or fewer, Mnuchin said.

“Obviously, we expect the bigger corporations to pick up these costs,” he told Fox.

The deal comes on the heels of an initial $8.3 billion package, signed by Trump last week, that focused largely on the most immediate health concerns surrounding the crisis, including a  boost in the nation’s efforts to locate victims, treat them and stop the spread of the deadly epidemic.

The second round of relief focuses more squarely on mitigating the economic fallout of the coronavirus, giving priority to those most directly affected by the outbreak.

House lawmakers are now set to vote on the bipartisan package late Friday night, before heading home for a 10-day break. The Senate has canceled its recess plans for next week and will take up the House-passed measure then.

The fast-moving events reflect the heightened urgency facing lawmakers as they try to assess the scope of the coronavirus and contain its economic fallout around the country and the world.

Early in the week, House leaders signaled they would pass a Democratic bill on Thursday and then leave town for their pre-scheduled 10-day recess, pushing the bipartisan negotiations to the week of March 23.

But leaders sped up their timeline for talks amid a chaotic 48-hour stretch that saw broad changes in American society.

Trump put sharp restrictions on travel from parts of Europe. The NBA and NHL suspended their seasons. The NCAA nixed March Madness. Disneyland shuttered its doors. Officials closed the U.S. Capitol to the public after a Hill staffer tested positive. One of America’s most beloved actors, Tom Hanks, and his wife Rita Wilson, announced they had tested positive for the virus. And the Dow Jones Industrial Average plunged roughly 15 percent over the course of two days, including Thursday’s 2,300-point drop, which marked its worst day in more than 30 years.

Also on Thursday, lawmakers in both chambers had been briefed behind closed doors by public health experts and other administration officials leading the coronavirus response. Many lawmakers emerged from those meetings exasperated that, weeks after the first case was diagnosed in the U.S., test kits have been slow to be analyzed and the number of cases remains anyone’s guess.

“There’s too many basic numbers that they don’t have,” said a frustrated Rep. Pramila Jayapal (D-Wash.), who represents much of hard-hit Seattle. “Lab capacity. It doesn’t matter how many kits are out there; if you don’t have the lab capacity to process those tests, then it means nothing.”

The crush of calamities put pressure on leaders of both chambers to roll up their sleeves and secure an agreement, prodded by vulnerable lawmakers wary of facing voters in their districts without doing so first.

While House and Senate Republicans had objected to the Democrats’ initial bill, Trump’s support for the revised package is likely to convince many Republicans in both chambers to get on board.

Central to the package are provisions to provide paid sick leave for affected workers; bolster unemployment insurance for those who lose their jobs as a result of the crisis; expand federal food aid for low-income families and children; and ensure free coronavirus testing.

Pelosi said Friday that it’s the last provision that’s the most crucial.

“We can only defeat this outbreak if we have an accurate determination of its scale and scope, so that we can pursue the precise, science-based response that is necessary,” she said.

 

 

 

“Beyond containment”: sobering predictions for coronavirus spread

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As of today, over 132K cases of coronavirus, or COVID-19, have been diagnosed worldwide, with nearly 1,300 cases confirmed in the United States. As the number of American cases begins to grow, the New York Times detailed sobering “worst case” projections from the Centers of Disease Control (CDC). CDC scientists evaluated four different scenarios of how the virus could progress, based on virus characteristics, transmissibility and severity of illness, finding that between 160M and 214M Americans could be infected, and as many as 200K to 1.7M could die. The analysis also highlighted a potentially devastating gap in needed hospital capacity, estimating that 2.4M to 21M people could require hospitalization. If these patients were to surge into emergency departments over a short period of time, the nation’s hospitals, which operate only 925,000 staffed beds, could be overwhelmed.

News from Italy, now with over 15K coronavirus patients, shows that intensive care capacity is even more important than free hospital bedsReports from the country’s epicenter in Milan and surrounding regions paint a picture of “wartime” medicine, with exhibition centers turned into ICUs and doctors, facing a shortage of ventilators, forced to decide who lives and who dies. (Read these two Twitter feeds from Italian clinicians to understand the dire situation and stress on providers in their hospitals.) As we show in the graphic below, while the US has more ICU beds per capita than Italy and many other countries, we still fall short of the number of ventilators that could be needed at peak coronavirus infection rates, or even a severe flu pandemic.

As conditions worsened in Italy, the number of new cases diagnosed in China and South Korea dropped dramatically, suggesting that both have figured out a way to stop the spread of the virus (China’s new infection rate has slowed to just a few dozen cases diagnosed daily). Both countries have mounted a similar response to contain spread. In addition to essentially shutting down all gatherings and movement of people in affected areas, both implemented widespread testing of anyone with symptoms, and aggressive tracing and screening of anyone who may have had contact with an infected patient. (This week, South Korea was testing 15,000 patients per day, while the US had performed fewer than half that number of tests in total.) China’s and South Korea’s processes of managing patients have likely been even more critical to their success in curbing spread.

Both have established dedicated “fever centers” separate from hospitals to screen patients. Once patients are determined to have a fever, they are quarantined in mass units and separated from family, which continues if a patient is confirmed to have the virus. This is in stark contrast to Italy’s directive that infected patients and their contacts quarantine at home, which has been much less effective.

According to infectious disease and public health experts, the United States is at a turning point in working to stop the virus, with the country now past the hope of containing the virus, and the goal shifting to slowing spread. The US has been very slow to increase availability to testing, due to a host of reasons ranging from regulatory red tape and political indecision, to supply chain challenges. Efforts announced by the Trump administration today to ramp up testing, and establish dedicated testing centers separate from doctors’ offices and hospitals, are a step in the right direction. So are moves this week to cancel large gatherings, close schools, and encourage telework.

While government-enforced quarantine measures of the level proven effective in China and South Korea are unlikely to be palatable here, we must all embrace the difficult work of strict social distancing and changing how we work and interact with each other. This may be the key to ensuring we can control spread and slow the rate of infection so we can continue to provide the best care to all severely ill patients.

Confronting a national emergency over coronavirus

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President Trump declared a national emergency today, in response to the growing spread of coronavirus across the country. The administration had come under sharp criticism for its sluggish response to the coronavirus crisis, in particular the widespread shortage of tests. Dr. Antony Fauci, director of the National Institute of Health’s infectious disease branch, told Congress on Thursday that the government’s response on testing was “not really geared to what we need right now…That’s a failing. Let’s admit it.”

In response, the administration today announced a series of emergency steps to increase testing capacity, turning to private labs to support the effort. The emergency status frees up $50B in federal emergency funding. Trump also announced that the Health and Human Services (HHS) Secretary will be able to waive regulations around telemedicine licensing, critical access hospital bed requirements and length of stay, and other measures to provide hospitals with added flexibility. House Speaker Nancy Pelosi and Treasury Secretary Steven Mnuchin have negotiated a sweeping aid package that would strengthen safety net programs, and offer sick leave for American workers affected by the virus.

Meanwhile, the American economy likely entered a recession, as consumers continued to pull back on spending on airline travel, entertainment, and other discretionary areas, while financial markets experienced the worst one-day drop in more than 30 years. Many school districts and universities shut down and announced plans to convert to online instruction for the foreseeable future. Employers imposed broad travel restrictions on their employees, moved to teleworking where possible, and even began to lay off workers as demand for services cratered. Shoppers stocked up on staples, cleaning supplies, and (inexplicably) toilet paper, as shelves ran bare in many stores.

Epidemiologists and disease experts urged broad adoption of “social distancing”, restricting large gatherings and reducing the ability of the virus to spread person-to-person. The objective: “flattening the curve” of transmission, so that the healthcare delivery system does not become overwhelmed as the virus spreads exponentially.

 

 

 

 

The Impacts of the Coronavirus Pandemic

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As the coronavirus outbreak continues to spread, Brookings experts are working to keep the public and policymakers informed with nonpartisan, fact-based research and policy recommendations to address the crisis. Below, read a selection of their recent work, including proposals to offset an economic downturn and analyses on the impact on schools, industries, and key countries.

Brookings has also taken new measures to protect our staff, visitors, and the greater community. As we continue to analyze the impact of this global pandemic, you can find the latest work on our coronavirus topic page and stay connected with us via TwitterFacebook, and newsletters.

The economics of the crisis

A U.S. fiscal response. While we still don’t know exactly how the coronavirus outbreak will impact the economy, Jay Shambaugh explains how Congress can help reassure people that there will be support in the event of a downturn. In addition, Shambaugh joined Alan Blinder and David Wessel for a conversation on ways to limit economic harm.

Possible effects on the world economy. New research from Warwick McKibbin outlines seven scenarios for how COVID-19 could impact the global economy. McKibbin also joined the Dollar & Sense podcast to discuss how the epidemic compares to SARS and why it will cause complications for the recent U.S.-China trade deal.

Food security is economic security. To alleviate economic hardship and stimulate the U.S. economy during this time of uncertainty, Lauren Bauer and Diane Whitmore Schanzenbach call on Congress to provide additional resources for improving food security.

How the pandemic compares to the 2008 financial crisis. While there are significant differences between the crises, the Great Recession offers some important lessons for policymakers as they prepare an economic response to the coronavirus, Louise Sheiner discusses.

The oil price collapse. With oil prices plummeting in the wake of the pandemic, Morgan Bazilian and Samantha Gross assess the impacts on the U.S. economy and global energy markets.

The impact on education

How should schools prepare? This week, the Brown Center on Education Policy at Brookings hosted a discussion with health and education leaders on the many issues that may arise as schools decide to close. Watch the video here.

The critical gaps in school emergency preparedness. Many schools have some sort of plan to deal with natural disasters, armed violence, the flu, and other emergencies, but the vast majority have not planned for long school closures. Allison Anderson discusses how to protect students and teachers, while also continuing quality education.

The case for summer school and summer teacher pay. Studies of online learning suggest that students learn less in online environments than in the classroom. Douglas Harris highlights how summer school can prevent students from falling further behind.

The impact on China’s classrooms. Last month, Rebecca Winthrop spoke with Jin Chi, a former Brookings Echidna Global Scholar and professor at Beijing Normal University about the situation for China’s education community.

The international response

Italy’s coronavirus outbreak. Italy is the European country hardest hit by COVID-19. Giovanna De Maio explains why the situation will be a major stress test for Europe and Federica Saini Fasanotti outlines several lessons learned so far.

The effect on China-Japan relations. “The coronavirus has done what few observers thought possible: quell generations of China-Japan antagonism. And for the immediate future, both countries are now bound together in the same public health crisis,” write Cheng Li and Ryan McElveen.

COVID-19 may rewrite the Shinzo Abe era in Japan. The coronavirus crisis stands to deal a severe blow to the Japanese economy and has raised significant questions about the government’s ability to deal with a pandemic, Mireya Solís argues.

The virus is exposing populism’s limits. “Over the past decade, the world has grown more authoritarian, nationalistic, xenophobic, unilateralist, anti-establishment, and anti-expertise. The current state of politics and geopolitics has exacerbated, not stabilized, the crisis,” Thomas Wright and Kurt Campbell write.

What the crisis means for international relations. While the pandemic could strengthen nationalism and isolationism, it also has the potential to spur a new wave of international cooperation, Kemal Derviş and Sebastian Strauss contend.

To learn more about what the coronavirus crisis means for key countries and sectors, see this roundup of commentary from Brookings Foreign Policy experts.

 

 

This is the coronavirus math that has experts so worried: Running out of ventilators, hospital beds

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For weeks now, America’s leaders and its public have been obsessed with one set of numbers: How many people have died? How many confirmed cases? And in what states?

But to understand why experts are so alarmed and what may be coming next, the public needs to start paying attention to a whole other set of numbers: How many ventilators do we have in this country? How many hospital beds? How many doctors and nurses? And most importantly, how many sick people can they all treat at the same time?

Consider the ventilators

For those severely ill with a respiratory disease such as covid-19, ventilators are a matter of life or death because they allow patients to breathe when they cannot on their own.

In a report last month, the Center for Health Security at Johns Hopkins estimated America has a total of 160,000 ventilators available for patient care (with at least an additional 8,900 in the national stockpile).

planning study run by the federal government in 2005 estimated that if America were struck with a moderate pandemic like the 1957 influenza, the country would need more than 64,000 ventilators. If we were struck with a severe pandemic like the 1918 Spanish flu, we would need more than 740,000 ventilators — many times more than are available.

The math on hospital beds isn’t any better

The United States has roughly 2.8 hospital beds per 1,000 people. South Korea, which has seen success mitigating its large outbreak, has more than 12 hospital beds per 1,000 people. China, where hospitals in Hubei were quickly overrun, has 4.3 beds per 1,000 people. Italy, a developed country with a reasonably decent health system, has seen its hospitals overwhelmed and has 3.2 beds per 1,000 people.

The United States has an estimated 924,100 hospital beds, according to a 2018 American Hospital Association survey, but many are already occupied by patients at any one time. And the United States has 46,800 to 64,000 medical intensive-care unit (ICU) beds, according to the AHA. (There are an additional 51,000 ICU beds specialized for cardiology, pediatrics, neonatal, burn patients and others.)

A moderate pandemic would mean 1 million people needing hospitalization and 200,000 needing intensive care, according to a Johns Hopkins Center for Health Security report last month. A severe pandemic would mean 9.6 million hospitalizations and 2.9 million people needing intensive care.

Now, factor in how stretched-thin U.S. hospitals already are during a normal, coronavirus-free week handling usual illnesses: patients with cancer and chronic diseases, those walking in with blunt-force trauma, suicide attempts and assaults. It’s easy to see why experts are warning that if the pandemic spreads too widely, clinicians could be forced to ration care and choose which patients to save.

No one knows how bad it will be

This is where we need to say that no one knows how bad this is going to get. But, as many experts have pointed out, that is part of the problem.

“The problem with forecasting is you have to know where you are before you know where you’re going and because of the problems with testing, we’re only starting to know where we are,” said Caitlin Rivers, an epidemiologist at the Johns Hopkins Center for Health Security.

The speed at which the number of U.S. cases is rising hints we are headed in a bad direction.

But because so much is still unknown, exactly how bad could range widely. It will depend largely on two things: The number of Americans who end up getting infected and the virus’s still-unknown lethality (its case-fatality rate).

One forecast, developed by former CDC director Tom Frieden, found that infections and deaths in the United States could range widely. In a worst-case scenario, but one that is not implausible, half the U.S. population would get infected and more than 1 million people would die. But his model’s results varied widely from 327 deaths (best case) to 1,635,000 (worst case) over the next two or three years.

This is why experts have been yelling so much about testing, social distancing and hand washing

“Slowing it down matters because it prevents the health service becoming overburdened,” said Bill Hanage, an epidemiologist at the Harvard T.H. Chan School of Public Health. “We have a limited number of beds; we have a limited number of ventilators; we have a limited number of all the things that are part of supportive care that the most severely affected people will require.”

The sooner you interrupt the virus’s chain of transmission, experts say, the more you limit its climb toward exponential growth. It’s similar to the compounding interest behind all those mottos about invest when you’re young. Early action can have profound effects.

That math is also why so many health officials, epidemiologists and experts have expressed frustration, anger and alarm over how slowly America as a country has moved and is still moving to prepare for the virus and to blunt its spread.

 

 

 

 

 

White House to Walk Back 3 Policy Announcements

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The White House had to walk back three policy announcements from President Trump’s Oval Office announcement Wednesday that are causing more confusion than comfort during the coronavirus outbreak.

Why it matters: COVID-19 is already here in the U.S., and in some communities, it’s spreading rapidly. Trump’s travel restrictions won’t stop the infection in states where person-to-person spread is rampant.

 

1) Europe travel ban: Trump said Americans will be exempt “who have undergone appropriate screenings.”

  • His words caused people in Europe to buy tickets at premium prices back to the U.S. in a panic, per the Washington Post.
  • But it will only apply to foreign nationals who have been in the Schengen region of Europe within 14 days of arrival in the U.S. It does not apply to permanent U.S. residents, citizens or immediate family of citizens, per the Department of Homeland Security.

 

2) Health insurers: “Have agreed to waive all copayments for coronavirus treatments,” Trump said.

  • But insurers have agreed to wave copayments for testing, not treatment.

 

3) Trade: The White House walked back Trump’s statement that the travel restrictions “apply to the tremendous amount of trade and cargo, but various other things as we get approval.”

 

The big picture: Although Trump spent extra time making sure businesses knew he’d ease economic uncertainty, stocks fell more than 8% on Thursday morning and halted briefly for the second time this week.

  • What to watch: More mayors and governors are handling outbreaks by limiting mass gatherings of a certain size. In Seattle, that’s no more than 250 people. In San Francisco and Washington, D.C., it’s no more than 1,000.