Trump, Head of Government, Leans Into Antigovernment Message

Trump, Head of Government, Leans Into Antigovernment Message

With his poll numbers fading after a rally-around-the-leader bump, the president is stoking protests against stay-at-home orders.

First he was the self-described “wartime president.” Then he trumpeted the “total” authority of the federal government. But in the past few days, President Trump has nurtured protests against state-issued stay-at-home orders aimed at curtailing the spread of the coronavirus.

Hurtling from one position to another is consistent with Mr. Trump’s approach to the presidency over the past three years. Even when external pressures and stresses appear to change the dynamics that the country is facing, Mr. Trump remains unbowed, altering his approach for a day or two, only to return to nursing grievances.

Not even the president’s re-election campaign can harness him: His team is often reactive to his moods and whims, trying but not always succeeding in steering him in a particular direction. Now, with Mr. Trump’s poll numbers falling after a rally-around-the-leader bump, he is road-testing a new turn on a familiar theme — veering into messages aimed at appealing to Americans whose lives have been disrupted by the legally enforceable stay-at-home orders.

Whether his latest theme will be effective for him is an open question: In an NBC/Wall Street Journal poll released on Sunday, just 36 percent of voters said they generally trusted what Mr. Trump says about the coronavirus.

But the president, who ran as an insurgent in 2016, is most comfortable raging against the machine of government, even when he is the one running the country. And while the coronavirus is in every state in the union, it is heavily affecting minority and low-income communities.

So when Mr. Trump on Friday tweeted “LIBERATE,” his all-capitalized exhortations against strict orders in specific states — including Michigan — were in keeping with how he ran in 2016: saying things that seem contradictory, like pledging to work with governors and then urging people to “liberate” their states, and leaving it to his audiences to hear what they want to hear in his words.

For instance, Mr. Trump did not take the opportunity to more forcefully encourage the protesters when he spoke with reporters on Friday.

“These are people expressing their views,” Mr. Trump said. “They seem to be very responsible people to me.” But he said he thought the protesters had been treated “rough.”

In a webcast with Students for Trump on Friday, a conservative activist and Trump ally, Charlie Kirk, echoed the message, encouraging a “peaceful rebellion against governors” in states like Michigan, according to ABC News.

On Fox News, where many of the opinion hosts are aligned with Mr. Trump and which he watches closely, there have also been discussions of such protests. And Mr. Trump has heard from conservative allies who have said they think he is straying from his base of supporters in recent weeks.

So far, the protests have been relatively small and scattershot, organized by conservative-leaning groups with some organic attendance. It remains to be seen if they will be durable.

But Mr. Trump’s show of affinity for such actions is in keeping with his fomenting of voter anger at the establishment in 2016, a key to his success then — and his fallback position during uncertain moments ever since.

In the case of the state-issued orders, Mr. Trump’s advisers say his criticism of certain places is appropriate.

Stephen Moore, a former adviser to Mr. Trump and an economist with FreedomWorks, an organization that promotes limited government, said he thought protesters ought to be wearing masks and protecting themselves. But, he added, “the people who are doing the protest, for the most part, these are the ‘deplorables,’ they’re largely Trump supporters, but not only Trump supporters.”

On Sunday, Mr. Trump again praised the protesters. “I have never seen so many American flags,” he said.

But Mr. Trump’s advisers are divided about the wisdom of encouraging the protests. At some of them, Gov. Gretchen Whitmer of Michigan, a Democrat, has been compared to Adolf Hitler. At least one protester had a sign featuring a swastika.

One adviser said privately that if someone were to be injured at the protests — or if anyone contracted the coronavirus at large events where people were not wearing masks — there would be potential political risk for the president.

But two other people close to the president, who asked for anonymity in order to speak candidly, said they thought the protests could be politically helpful to Mr. Trump, while acknowledging there might be public health risks.

One of those people said that in much of the country, where the numbers of coronavirus cases and deaths are not as high as in places like New York, New Jersey, California and Washington State, anger is growing over the economic losses that have come with the stringent social-distancing restrictions.

And some states are already preparing to restart their economies. Ohio, where Gov. Mike DeWine, a Republican, took early actions against the spread of the virus, is planning a staged reopening beginning on May 1.

Still, as Mr. Trump did throughout 2016, as when he said “torture works” and then walked back that statement a short time later, or when he advocated bombing the Middle East while denouncing lengthy foreign engagements, he has long taken various sides of the same issue.

Mobilizing anger and mistrust toward the government was a crucial factor for Mr. Trump in the last presidential election. And for many months he has been looking for ways to contrast himself with former Vice President Joseph R. Biden Jr., the presumptive Democratic presidential nominee and a Washington lifer.

The problem? Mr. Trump is now president, and disowning responsibility for his administration’s slow and problem-plagued response to the coronavirus could prove difficult. And protests can be an unpredictable factor, particularly at a moment of economic unrest.

Vice President Mike Pence, asked on NBC’s “Meet the Press” about the president’s tweets urging people to “liberate” states, demurred.

“The American people know that no one in America wants to reopen this country more than President Donald Trump,” Mr. Pence said, “and on Thursday the president directed us to lay out guidelines for when and how states could responsibly do that.”

“And in the president’s tweets and public statements, I can assure you, he’s going to continue to encourage governors to find ways to safely and responsibly let America go back to work,” he said.

With the political campaign halted, Mr. Trump’s advisers have seen an advantage in the frozen-in-time state of the race. Mr. Biden has struggled to fund-raise or even to get daily attention in the news cycle.

But Mr. Trump himself has seemed at sea, according to people close to him, uncertain of how to proceed. His approval numbers in his campaign polling have settled back to a level consistent with before the coronavirus, according to multiple people familiar with the data.

His campaign polling has shown that focusing on criticizing China, in contrast with Mr. Biden, moves voters toward Mr. Trump, according to a Republican who has seen it.

“Trump finally fired the first shot” with his more aggressive stance toward the Chinese government and its leader, Xi Jinping, said Stephen K. Bannon, Mr. Trump’s former chief strategist. “Xi is put on notice that the death, economic carnage and agony is his and his alone,” Mr. Bannon said. “Only question now: What is America’s president prepared to do about it?”

Mr. Trump’s campaign manager, Brad Parscale, has advocated messages that contrast Mr. Trump with Mr. Biden on a number of fronts, including China.

But inside and outside the White House, other advisers to Mr. Trump see an advantage in focusing attention on the presidency.

Kellyanne Conway, the White House counselor, has argued in West Wing discussions that there is a time to focus on China, but that for now, the president should embrace commander-in-chief moments amid the crisis.

Chris Christie, the former governor of New Jersey and a friend of Mr. Trump’s, said on ABC’s “This Week” that he did not think ads criticizing Mr. Biden on China were the right approach for now.

Ultimately, Mr. Trump’s advisers said, most of his team is aware that it can try to drive down Mr. Biden’s poll numbers, but that no matter what tactics it deploys now, the president’s future will most likely depend on whether the economy is improving in the fall and whether the virus’s spread has been mitigated. Those things will remain unknown for months.

“This is going to be a referendum,” Mr. Christie said, “on whether people think, when we get to October, whether or not he handled this crisis in a way that helped the American people, protected lives and moved us forward.”

 

 

 

 

Governors Reject Pence’s Claim on Virus Testing

Coronavirus and Reopening: Governors Say They Lack Tests as Trump ...

Democratic and Republican governors bristled at claims from the Trump administration that the supply of tests was adequate to move firmly toward reopening the country.

Governors facing growing pressure to revive economies decimated by the coronavirus said on Sunday that a shortage of tests was among the most significant hurdles in the way of lifting restrictions in their states.

“We are fighting a biological war,” Gov. Ralph Northam of Virginia said on “State of the Union” on CNN. “We have been asked as governors to fight that war without the supplies we need.”

In interviews on Sunday morning talk shows, Mr. Northam was among the governors who said they needed the swabs and reagents required for the test, and urged federal officials to help them get those supplies.

The governors bristled at claims from the Trump administration that the supply of tests was adequate. On NBC’s “Meet the Press,” Vice President Mike Pence said “there is a sufficient capacity of testing across the country today for any state in America” to go to the first of three phases that the administration says are needed for the country to emerge from the coronavirus shutdown.

Mr. Northam, a Democrat, called Mr. Pence’s claim “delusional.” In Michigan, Gov. Gretchen ​Whitmer, also a Democrat, said the state could perform “double or triple” the number of tests it is doing now “if we had the swabs or reagents.” ​Gov. Larry Hogan​ of Maryland, a Republican, said that it was “absolutely false” to claim that governors were not acting aggressively enough to pursue as much testing as possible.

“It’s not accurate to say there’s plenty of testing out there, and the governors should just get it done,” Mr. Hogan ​said​ on “State of the Union​.​”​ “That’s just not being straightforward.”

The conflicting messages come as the debate over how and when to reopen the economy has intensified. President Trump on Saturday expressed his confidence in the nation’s testing capability and said some governors have “gotten carried away,” while state officials said they feared moving too early could cause the virus to flare again.

“As tough as this moment is,” Ms. Whitmer said in an interview with CNN, “it would be devastating to have a second wave.”

In a news conference on Sunday evening, Mr. Trump expressed his confidence in the federal response, including his administration’s relationship with governors and the capacity for testing.

Mr. Trump said the administration was preparing to use the Defense Production Act to compel one U.S. facility to increase production of test swabs by over 20 million per month. The announcement came after he defended his response to the accusations that there was an insufficient amount of testing to justify reopening the economy any time soon.

“You’ll have so many swabs you won’t know what to do with them,” Mr. Trump said.

Officials at every level have faced increasingly competing pressures, balancing maintaining stay-at-home orders against the exasperation and economic toll they are producing. On Saturday and Sunday, modest protests took place in several cities across the country, where demonstrators flouted social distancing rules as they demanded that restrictions be relaxed.

Yet there was also a widespread sense that much of the public understood the governors’ concerns and shared them. Nearly 60 percent of American voters said they were worried that measures would be relaxed too soon, causing deaths to rise, according to a new poll from NBC News and The Wall Street Journal.

Officials in various states said they had started staging plans for reopening their economies and were working in concert with neighboring states in determining when to lift restrictions.

In South Carolina, Gov. Henry McMaster said that he had spoken with the governors of other southeastern states, including Florida and Tennessee. “Told them South Carolina was ready,” Mr. McMaster, a Republican, said on Twitter on Saturday.

On Sunday, governors from across the Northeast, including New York, New Jersey, Connecticut and Pennsylvania, said they were creating a regional council focused on restoring the economy and addressing unemployment.

Still, many governors, including Andrew M. Cuomo of New York and Philip D. Murphy of New Jersey, said that testing still needed to be ramped up considerably before moving forward, and that they needed federal help to do so.

There are currently about 150,000 diagnostic tests conducted each day, according to the Covid Tracking Project. Researchers at Harvard estimated last week that in order to ease restrictions, the nation needed to at least triple that pace of testing.

Dr. Deborah Birx, the coronavirus response coordinator for the White House, also pushed back against criticism that not enough people were being tested, saying that not every community required high levels of testing and that tens of thousands of test results were probably not being reported.

“We need to predict community by community the testing that is needed,” Dr. Birx said Sunday on CBS’s “Face the Nation​.” “Each will have a different testing need, and that’s what we’re calculating now.”

On the ABC program “This Week,” Dr. Birx said she thought statistics on testing were incomplete: “When you look at the number of cases that have been diagnosed, you realize that there’s probably 30,000 to 50,000 additional tests being done that aren’t being reported right now.”

Shortages of supplies have restricted the pace of testing, according to commercial laboratories. Dr. Birx said that a team at Walter Reed National Military Medical Center was calling hundreds of labs around the country to determine exactly what supplies they need “to turn on full capacity, which we believe will double the number of tests that are available for Americans.”

In the news conference on Saturday, Mr. Trump said the criticism of the administration was driven by Democrats. “Unfortunately, some partisan voices are trying to politicize the issue of testing,” he said.

Yet, Gov. Jay Inslee of Washington noted that governors from both parties had been among those voicing frustration over a lack of federal support with testing. He also criticized what he saw as a discordant message from Mr. Trump, which, he argued, undermined governors’ stay-at-home orders and inspired “people to ignore things that actually can save their lives.”

“These orders actually are the law of these states,” Mr. Inslee, a Democrat, said in an interview with “This Week.” He added: “And, again, these are not just Democrats. These are Republican-led states as well. To have an American president to encourage people to violate the law, I can’t remember any time during my time in America where we have seen such a thing.”

Now, with states transitioning away from addressing the peak of the pandemic, governors stand to face a difficult landscape to navigate.

Governors across the political spectrum have stepped into the spotlight during the coronavirus crisis, holding daily news briefings and going back and forth with the president. But if they drew praise for taking quick action to protect public health, taking responsibility for when and how to reopen could prove far more politically perilous, said Ray Scheppach, a public policy professor at the University of Virginia and a former longtime executive director of the National Governors Association.

“That is one of the reasons you’re seeing groups of governors and states get together,” he said, noting the alliances made by clusters of governors around the country.

“Doing something with the surrounding states does give you a certain amount of political cover,” both with constituents and the White House, Professor Scheppach said. “They don’t want to get pushed around by this president and they are stronger in a group.”

Having claimed responsibility for reopening the country, governors are now offering hesitant timelines. Offering no date for reopening may leave people feeling despondent at a time when “people need more certainty as opposed to less,” Professor Scheppach said. But being too firm comes with the risk of having to push out deadlines and test the public’s patience.

“You can do it once,” he said, as Mr. Cuomo and others have done. “But you begin to lose if you do that two or three times.”

Governors said they had become acutely aware of the dilemmas they face.

In his appearance on CNN, Mr. Hogan was shown footage of a long line winding around a supermarket in a Maryland suburb of Washington where free food was being handed out. The video was an unsettling avatar of the economic damage wrought by the virus. He said he shared in the frustration over the economy, but he also noted that his state had not yet reached its peak in cases.

“My goal is to try to get us open as quickly as we possibly can,” he said, “but in a safe way.”

 

 

 

Pro-gun activists using Facebook groups to push anti-quarantine protests

https://www.washingtonpost.com/technology/2020/04/19/pro-gun-activists-using-facebook-groups-push-anti-quarantine-protests/?fbclid=IwAR3FTssf8nkcPHuqyVFyxpT17Zd3PwRnL6xSxL-Njeou_AQ4osiGmUK5FyI&utm_campaign=wp_main&utm_medium=social&utm_source=facebook

Pro-gun activists using Facebook groups to push anti-quarantine ...

A trio of far-right, pro-gun provocateurs is behind some of the largest Facebook groups calling for anti-quarantine protests around the country, offering the latest illustration that some seemingly organic demonstrations are being engineered by a network of conservative activists.

The Facebook groups target Wisconsin, Ohio, Pennsylvania and New York, and they appear to be the work of Ben Dorr, the political director of a group called “Minnesota Gun Rights,” and his siblings, Christopher and Aaron. By Sunday, the groups had roughly 200,000 members combined, and they continued to expand quickly, days after President Trump endorsed such protests by suggesting citizens should “liberate” their states.

The online activity helps cement the impression that opposition to the restrictions is more widespread than polling suggests. Nearly 70 percent of Republicans said they supported a national stay-at-home order, according to a recent Quinnipiac poll. Ninety-five percent of Democrats backed such a measure in the survey.

Still, the Facebook groups have become digital hubs for the same sort of misinformation spouted in recent days at state capitol buildings — from comparing the virus to the flu to questioning the intentions of scientists working on a vaccine.

Public-health experts say stay-at-home orders are necessary to slow the spread of the new coronavirus, which has already killed more than 40,000 in the United States. The Trump administration last week outlined three phases for states to reopen safely — guidelines contradicted by the president when he urged citizens to rise up against the rules that heed the recommendations of his own public-health advisers.

“If people feel that way, you’re allowed to protest,” Trump said Sunday. “Some governors have gone too far, some of the things that happened are maybe not so appropriate.”

Facebook said Sunday it did not plan to take action to remove the groups or events, partly because states have not outlawed them. Organizers also have called for “drive-in” protests, in keeping with recommendations that people keep a short distance between each other. In other cases, involving protests planned for states like New Jersey and California, the company has removed that content, Facebook said.

“Unless government prohibits the event during this time, we allow it to be organized on Facebook. For this same reason, events that defy government’s guidance on social distancing aren’t allowed on Facebook,” said Andy Stone, a spokesman for the company.

None of the Dorr brothers responded to calls and emails on Sunday.

“Wisconsinites Against Excessive Quarantine” was created on Wednesday by Ben Dorr. His brother Christopher is the creator of “Pennsylvanians Against Excessive Quarantine,” as well as “Ohioans Against Excessive Quarantine.” A third brother, Aaron, is the creator of “New Yorkers Against Excessive Quarantine.”

The online coordination offered additional clues about how the protest activity is spreading nationwide, capturing the imagination of the president and of Fox News even though it represents the views of a small minority of Americans. Trump himself tied the protests to gun rights — a primary cause for the Dorr brothers — in telling Virginians that the Second Amendment was “under siege” as he urged them to liberate the state.

On the ground, pro-Trump figures — including some who act as surrogates for his campaign — as well as groups affiliated with prominent conservative donors have helped organize and promote the demonstrations.

Some of the most vehement protest activity, in Michigan, has been organized by the Michigan Conservative Coalition. Its founders are a Republican state lawmaker and his wife, Meshawn Maddock, who sits on the Trump campaign’s advisory board and is a prominent figure in the “Women for Trump” coalition. Jeanine Pirro, a Fox News host and avid Trump supporter, interviewed Maddock on her show Saturday, telling her, “Keep going. Thank you.”

Also promoting the demonstrations — including spending several hundred dollars to advertise the event on Facebook — was the Michigan Freedom Fund, which is headed by Greg McNeilly, a longtime adviser to the DeVos family. He served as campaign manager for Dick DeVos, the husband of Education Secretary Betsy DeVos, when he ran unsuccessfully for governor of Michigan in 2006.

The state’s Democratic governor, Gretchen Whitmer, who has become a target for Trump and his conservative allies, last week criticized the nonprofit, noting that it was “funded in large part by the DeVos family,” and saying it was “really inappropriate for a sitting member of the United States president’s cabinet to be waging political attacks on any governor, but obviously, on me here at home.”

McNeilly said the funds used to promote the event were “not dedicated program funds” but instead came from “our grassroots fundraising efforts,” and so had “nothing to do with any DeVos work.”

The Dorr brothers manage a slew of pro-gun groups across a wide range of states, from Iowa to Minnesota to New York, and seek primarily to discredit organizations like the National Rifle Association as being too compromising on gun safety. Minnesota Gun Rights, for which Ben Dorr serves as political director, describes itself as the state’s “no-compromise gun rights organization.”

In numerous states, they have bypassed rules requiring them to register as lobbyists by arguing that they are instead involved in “pro-gun grassroots mobilization,” as “Ohio Gun Owners,” whose board Chris Dorr directs, describes its work.

A now-retired state legislator in Iowa, who in 2017 sought to close a loophole allowing the brothers to skirt lobbying rules, said he was not surprised the Dorr brothers were involved in fomenting resistance to the public-health precautions.

“The brothers will do anything to fan the flames of a controversial issue, and maybe make a quick nickel,” said the former state legislator, Republican Clel Baudler.

Nearly 97,000 people had joined “Wisconsinites Against Excessive Quarantine” by Sunday afternoon, a Facebook group whose posts are visible only to members that asserted Gov. Tony Evers has been on a “power trip, controlling our lives, destroying our businesses” and “forcing us to hand over our freedoms and our livelihood!” In the group, some members speculated that Evers closed most state businesses and shuttered schools to appease pharmaceutical giants — not because of data showing the novel coronavirus is highly contagious and deadly, infecting more than 4,300 in the state and killing 220.

The group, along with Ben Dorr, created an event on Facebook for a “drive-in rally” at the capital next Friday that has attracted hundreds of pledged participants. They also seek to steer visitors to a website for the “Wisconsin Firearms Coalition,” where people can enter their names, email addresses and other contact information and share their views with the state’s governor. In doing so, they encourage visitors who are not “already a member of the Wisconsin Firearms Coalition” to “join us.” A page asking users to join the Minnesota group offered several rates for membership, from $35 to $1,000.

Another private Facebook group focused on Pennsylvania, gaining more than 63,000 members by Sunday. Many questioned the wisdom of wearing masks publicly, contrary to recommendations by state and federal officials, and linked to a similar website catering to Pennsylvania gun owners. Still another targeting New York had become a forum for roughly 23,000 members to question whether the coronavirus is really that bad — despite the fact New York City has become the epicenter of the U.S. outbreak.

“While seizing power at a breathtaking pace,” the group’s description began, “Andrew Cuomo is sending NY’s economy into a death spiral!”

 

 

 

Healthcare Front Line Workers Counter-protest in Denver

https://www.trendsmap.com/twitter/tweet/1251984156998975492

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🇯🇲Black🇭🇹Aziz🇳🇬aNANsi🇹🇹's tweet - "Health care workers ...

Scott Loy on Twitter: "Nurses blocking cars in Downtown Denver to ...

keyvan (کیوان) 🌹's tweet - "More below. Photos by Alyson McClaran ...

 

 

 

This says it all from a Nurse in Michigan

Image may contain: 1 person

“I am posting, for once, about something other than my dog.

I have seen 4 patients die, 5 get intubated, 2 re-intubated, witnessed family consent to make 2 more patients DNRs, sweat my butt off during CPR, titrated so many drips to no avail, watched vent settings increase to no avail. We are exhausted and at a total loss.

All of this in two shifts in a row.

Some of you people have never done EVERYTHING you could to save someone, and watched them die anyway, and it shows.

I would have no problem if you fools worried about your “freedom” all went out and got COVID. If only you could sign a form stating that you revoke your right to have medical treatment based on your cavalier antics and refusal to abide by CDC and medical professionals’ advice. If you were the only people who got infected during your escapades to protest tyranny, great. But that’s sadly not how this works.

You wanna complain because the garden aisle is closed? If you knew a thing about gardening, you’d know it’s too early to plant in Michigan. Your garden doesn’t matter. If killing your plants would bring back my patients, I would pillage the shit out of your “essential” garden beds.

Upset because you can’t go boating…in Michigan…in April…in the cold-ass water? You wanna tell my patient’s daughter (who was sobbing as she said goodbye to her father over the phone) about your first-world problems?

Upset because you can’t go to your cottage up north? Your cottage…your second property…used for leisure. My coworkers can’t even stay in their regular homes. Most have been staying in hotels and dorms, not able to see their spouses or babies.

All of these posts, petitions online to evade “tyranny”, it’s all such bullshit. I’m sorry you’re bored and have nothing to do but bitch and moan. You wanna pick up a couple hours for me? Yeah, didn’t think so. I wouldn’t trust most of you with patient care, anyway. Not just because of the selfish lack of humanity your posts exude, but because most of those posts and petitions are so riddled with misspellings and grammatical errors, that it makes me question your cognitive capacity.

Shoutout to my coworkers, the real MVPs.”

 

Blaming China Is a Dangerous Distraction

https://www.project-syndicate.org/commentary/trump-blaming-china-dangerous-distraction-by-jim-o-neill-2020-04?utm_source=Project+Syndicate+Newsletter&utm_campaign=5b31132e51-sunday_newsletter_19_04_2020&utm_medium=email&utm_term=0_73bad5b7d8-5b31132e51-105592221&mc_cid=5b31132e51&mc_eid=5f214075f8

Blaming China is a dangerous distraction - myRepublica - The New ...

Nobody denies that Chinese officials’ initial effort to cover up the coronavirus outbreak in Wuhan at the turn of the year was an appallingly misguided decision. But anyone who is still focusing on China’s failings instead of working toward a solution is essentially making the same mistake.

LONDON – As the COVID-19 crisis roars on, so have debates about China’s role in it. Based on what is known, it is clear that some Chinese officials made a major error in late December and early January, when they tried to prevent disclosures of the coronavirus outbreak in Wuhan, even silencing health-care workers who tried to sound the alarm. China’s leaders will have to live with these mistakes, even if they succeed in resolving the crisis and adopting adequate measures to prevent a future outbreak.

What is less clear is why other countries think it is in their interest to keep referring to China’s initial errors, rather than working toward solutions. For many governments, naming and shaming China appears to be a ploy to divert attention from their own lack of preparedness. Equally concerning is the growing criticism of the World Health Organization, not least by US President Donald Trump, who has attacked the organization for supposedly failing to hold the Chinese government to account. At a time when the top global priority should be to organize a comprehensive coordinated response to the dual health and economic crises unleashed by the coronavirus, this blame game is not just unhelpful but dangerous.

Globally and at the country level, we desperately need to do everything possible to accelerate the development of a safe and effective vaccine, while in the meantime stepping up collective efforts to deploy the diagnostic and therapeutic tools necessary to keep the health crisis under control. Given that there is no other global health organization with the capacity to confront the pandemic, the WHO will remain at the center of the response, whether certain political leaders like it or not.

Having dealt with the WHO to a modest degree during my time as chairman of the UK’s independent Review on Antimicrobial Resistance (AMR), I can say that it is similar to most large, bureaucratic international organizations. Like the International Monetary Fund, the World Bank, and the United Nations, it is not especially dynamic or inclined to think outside the box. But rather than sniping at these organizations from the sidelines, we should be working to improve them. In the current crisis, we should be doing everything we can to help both the WHO and the IMF to play an effective, leading role in the global response.

As I have  before, the IMF should expand the scope of its annual Article IV assessments to include national public-health systems, given that these are critical determinants in a country’s ability to prevent or at least manage a crisis like the one we are now experiencing. I have even raised this idea with IMF officials themselves, only to be told that such reporting falls outside their remit because they lack the relevant expertise.

That answer was not good enough then, and it definitely isn’t good enough now. If the IMF lacks the expertise to assess public-health systems, it should acquire it. As the COVID-19 crisis makes abundantly clear, there is no useful distinction to be made between health and finance. The two policy domains are deeply interconnected, and should be treated as such.

In thinking about an international response to today’s health and economic emergency, the obvious analogy is to the 2008 global financial crisis. Everyone knows that crisis started with an unsustainable US housing bubble, which had been fed by foreign savings, owing to the lack of domestic savings in the United States. When the bubble finally burst, many other countries sustained more harm than the US did, just as the COVID-19 pandemic has hit some countries much harder than it hit China.

And yet, not many countries around the world sought to single out the US for presiding over a massively destructive housing bubble, even though the scars from that previous crisis are still visible. On the contrary, many welcomed the US economy’s return to sustained growth in recent years, because a strong US economy benefits the rest of the world.2

So, rather than applying a double standard and fixating on China’s undoubtedly large errors, we would do better to consider what China can teach us. Specifically, we should be focused on better understanding the technologies and diagnostic techniques that China used to keep its (apparent) death toll so low compared to other countries, and to restart parts of its economy within weeks of the height of the outbreak.

And, for our own sakes, we also should be considering what policies China could adopt to put itself back on a path toward 6% annual growth, because the Chinese economy inevitably will play a significant role in the global recovery. If China’s post-pandemic growth model makes good on its leaders’ efforts in recent years to boost  and imports from the rest of the world, we will all be better off.

 

The Grim Truth About the “Swedish Model”

https://www.project-syndicate.org/commentary/swedish-coronavirus-no-lockdown-model-proves-lethal-by-hans-bergstrom-2020-04?utm_source=Project+Syndicate+Newsletter&utm_campaign=5b31132e51-sunday_newsletter_19_04_2020&utm_medium=email&utm_term=0_73bad5b7d8-5b31132e51-105592221&mc_cid=5b31132e51&mc_eid=5f214075f8

QOSHE - The Grim Truth About the “Swedish Model” - Hans Bergstrom

As the coronavirus pandemic has swept the planet, Sweden has stood out among Western democracies by pursuing a “low-scale” lockdown. Whether this approach speaks to a unique strength of Swedish society, as opposed to bad judgment, can be determined by comparing Sweden’s COVID-19 rate with its neighbors’.

STOCKHOLM – Does Sweden’s decision to spurn a national lockdown offer a distinct way to fight COVID-19 while maintaining an open society? The country’s unorthodox response to the coronavirus is popular at home and has won praise in some quarters abroad. But it also has contributed to one of the world’s highest COVID-19 death rates, exceeding that of the United States.

In Stockholm, bars and restaurants are filled with people enjoying the spring sun after a long, dark winter. Schools and gyms are open. Swedish officials have offered public-health advice but have imposed few sanctions. No official guidelines recommend that people wear masks.

During the pandemic’s early stages, the government and most commentators proudly embraced this “Swedish model,” claiming that it was built on Swedes’ uniquely high levels of “trust” in institutions and in one another. Prime Minister Stefan Löfven made a point of appealing to Swedes’ self-discipline, expecting them to act responsibly without requiring orders from authorities.

According to the World Values Survey, Swedes do tend to display a unique combination of trust in public institutions and extreme individualism. As sociologist Lars Trägårdh has put it, every Swede carries his own policeman on his shoulder.

But let’s not turn causality on its head. The government did not consciously design a Swedish model for confronting the pandemic based on trust in the population’s ingrained sense of civic responsibility. Rather, actions were shaped by bureaucrats and then defended after the fact as a testament to Swedish virtue.

In practice, the core task of managing the outbreak fell to a single man: state epidemiologist Anders Tegnell at the National Institute of Public Health. Tegnell approached the crisis with his own set of strong convictions about the virus, believing that it would not spread from China, and later, that it would be enough to trace individual cases coming from abroad. Hence, the thousands of Swedish families returning from late-February skiing in the Italian Alps were strongly advised to return to work and school if not visibly sick, even if family members were infected. Tegnell argued that there were no signs of community transmission in Sweden, and therefore no need for more general mitigation measures. Despite Italy’s experience, Swedish ski resorts remained open for vacationing and partying Stockholmers.

Between the lines, Tegnell indicated that eschewing draconian policies to stop the spread of the virus would enable Sweden gradually to achieve herd immunity. This strategy, he stressed, would be more sustainable for society.

Through it all, Sweden’s government remained passive. That partly reflects a unique feature of the country’s political system: a strong separation of powers between central government ministries and independent agencies. And, in “the fog of war,” it was also convenient for Löfven to let Tegnell’s agency take charge. Its seeming confidence in what it was doing enabled the government to offload responsibility during weeks of uncertainty. Moreover, Löfven likely wanted to demonstrate his trust in “science and facts,” by not – like US President Donald Trump – challenging his experts.

It should be noted, though, that the state epidemiologist’s policy choice has been strongly criticized by independent experts in Sweden. Some 22 of the country’s most prominent professors in infectious diseases and epidemiology published a commentary in Dagens Nyheter calling on Tegnell to resign and appealing to the government to take a different course of action.

By mid-March, and with wide community spread, Löfven was forced to take a more active role. Since then, the government has been playing catch-up. From March 29, it prohibited public gatherings of more than 50 people, down from 500, and added sanctions for noncompliance. Then, from April 1, it barred visits to nursing homes, after it had become clear that the virus had hit around half of Stockholm’s facilities for the elderly.

Sweden’s approach turned out to be misguided for at least three reasons. However virtuous Swedes may be, there will always be free riders in any society, and when it comes to a highly contagious disease, it doesn’t take many to cause major harm. Moreover, Swedish authorities only gradually became aware of the possibility of asymptomatic transmission, and that infected individuals are most contagious before they start showing symptoms. And, third, the composition of the Swedish population has changed.

After years of extremely high immigration from Africa and the Middle East, 25% of Sweden’s population – 2.6 million of a total population of 10.2 million – is of recent non-Swedish descent. The share is even higher in the Stockholm region. Immigrants from Somalia, Iraq, Syria, and Afghanistan are highly overrepresented among COVID-19 deaths. This has been attributed partly to a lack of information in immigrants’ languages. But a more important factor seems to be the housing density in some immigrant-heavy suburbs, enhanced by closer physical proximity between generations.

It is too soon for a full reckoning of the effects of the “Swedish model.” The COVID-19 death rate is nine times higher than in Finland, nearly five times higher than in Norway, and more than twice as high as in Denmark. To some degree, the numbers might reflect Sweden’s much larger immigrant population, but the stark disparities with its Nordic neighbors are nonetheless striking. Denmark, Norway, and Finland all imposed rigid lockdown policies early on, with strong, active political leadership.

Now that COVID-19 is running rampant through nursing homes and other communities, the Swedish government has had to backpedal. Others who may be tempted by the “Swedish model” should understand that a defining feature of it is a higher death toll.

 

 

Scattered protests push back on U.S. coronavirus stay-at-home orders

https://www.reuters.com/article/us-health-coronavirus-usa-protests/scattered-protests-push-back-on-us-coronavirus-stay-at-home-orders-idUSKBN21Y34A

Scattered protests push back on U.S. coronavirus stay-at-home ...

As sweeping stay-at-home orders in 42 U.S. states to combat the new coronavirus have shuttered businesses, disrupted lives and decimated the economy, some protesters have begun taking to the streets to urge governors to rethink the restrictions.

A few dozen protesters, many with young children, gathered in Virginia’s state capital of Richmond on Thursday in defiance of Democratic Governor Ralph Northam’s mandate, the latest in a series of demonstrations this week around the country.

The protests have taken on a partisan tone, often featuring supporters of President Donald Trump, and critiquing governors whose shelter-at-home directives are intended to slow the spread of a pandemic that has killed more than 31,000 across the United States.

On Wednesday, thousands of Michigan residents blocked traffic in Lansing, the state capital, while protesters in Kentucky disrupted Democratic Governor Andy Beshear’s afternoon news briefing on the pandemic, chanting “We want to work!”

States including Utah, North Carolina and Ohio also saw demonstrations this week, and more are planned for the coming days, including in Oregon, Idaho and Texas.

The United States has seen the highest death toll of any country in the pandemic, and public health officials have warned that a premature easing of social distancing orders could exacerbate it.

Trump has repeatedly said he wants to “reopen” the economy as soon as possible and has clashed with governors over whether he can overrule their stay-at-home orders.

In Michigan, where Democratic Governor Gretchen Whitmer has imposed some of the country’s toughest limits on travel and business, some protesters at “Operation Gridlock” wore campaign hats and waved signs supporting Trump.

Whitmer is considered a top contender to be the running mate of Democratic presidential nominee Joe Biden when he takes on Trump in November’s general election.

One of the organizers of the demonstration in Lansing, Meshawn Maddock, said she was frustrated that much of the media focused on a handful of protesters who gathered on the steps of the capitol, including militia group members and a man holding a Confederate flag who she said were not part of the rally.

She faulted Whitmer for dismissing the event as a partisan rally instead of engaging with the thousands of residents who Maddock said have legitimate questions about the governor’s stay-at-home order.

“When I’m fighting to (help) a guy who cleans pools or mows lawns, or a women who wants to sell her onion sets or geraniums, I don’t care whether they vote Republican, Democrat, or never vote at all,” Maddock said.

Maddock, 52, is among seven board members of the Republican-aligned Michigan Conservative Coalition who organized the protest. She is also a board member of the pro-Trump political action committee Women for Trump, but said the Trump campaign had no involvement in organizing the protest.

“The Trump campaign has given me no messaging,” she said. “All I know is that I care about Michigan. I’ve lived here my whole life and I want to help workers get back to work.”

She said she had received calls from people in Wisconsin, Pennsylvania, Virginia and other states asking for advice on planning similar protests.

The political wrangling over the COVID-19 crisis has begun to take on familiar partisan battle lines. Democratic strongholds in dense urban centers such as Seattle and Detroit have been hard hit by the virus, while more Republican-leaning rural communities are struggling with the shuttered economy but have seen fewer cases.

Kenny Clevenger, 30, a realtor in western Michigan’s Allegan County, where only 25 coronavirus cases have been identified, said the shutdown had put him out of business.

“Yes, this needs to be taken seriously, but it’s being taken advantage of,” Clevenger said. “People believe Democrats are attempting to use this to undermine the economy, once again just attacking the president.”

Increasingly, Republican state lawmakers, including some in Texas, Oklahoma and Wisconsin, have begun putting pressure on governors to reopen businesses. Pennsylvania’s Republican-led legislature passed a bill that would loosen restrictions, which Democratic Governor Tom Wolf was expected to veto.

Both Democratic and Republican governors have resisted calls to abandon distancing too quickly. On Thursday, five Democratic governors and two Republican governors in the Midwest, including Whitmer in Michigan, said they would coordinate efforts.

Stephen LaSpina, one of the organizers of a “Stand Up to End the Shutdown” protest set for April 20 at Pennsylvania’s capitol in Harrisburg said that its sole goal was to get the economy running again by May 1.

“We are really welcoming groups of all different backgrounds and demographics,” said LaSpina, who lives near Scranton, and like many others who work in retail, said he had personally been affected by the shutdown. “Anyone who has been impacted by this shutdown in a negative way is welcome and we want them to be heard regardless of their party affiliation.”

 

 

 

 

Social distancing won’t just save lives. It might be better for the economy in the long run.

https://www.vox.com/future-perfect/2020/3/31/21199874/coronavirus-spanish-flu-social-distancing

Spanish flu: How social distancing helped the economy in 1918 - Vox

A study of the 1918 Spanish flu pandemic finds that cities with stricter social distancing reaped economic benefits.

For much of the past month, some commentators have defended the effort to promote social distancing, including the near-shutdown of huge swaths of America’s economy, as the lesser of two evils: Yes, asking or forcing people to remain in their homes for as much of the day as possible will slow economic activity, the argument goes. But it’s worth it for the public health benefits of slowing the coronavirus’s spread.

This argument has, naturally, led to a backlash, explained here by my colleague Ezra Klein. Critics — including the president — have argued that the cure is worse than the disease, and mass death from coronavirus is a price we need to be willing to pay to keep the American economy from cratering.

Both these viewpoints obscure an important possibility: The social distancing regime may well be optimal not just from a public health point of view, but from an economic perspective as well.

Economists Sergio Correia, Stephan Luck, and Emil Verner released a working paper (not yet peer-reviewed) last week that makes this argument extremely persuasively. The three analyzed the 1918-1919 flu pandemic in the United States, as the closest (though still not identical) analogue to the current crisis. They compare cities in 1918-’19 that adopted quarantining and social isolation policies earlier to ones that adopted them later.

Their conclusion? “We find that cities that intervened earlier and more aggressively do not perform worse and, if anything, grow faster after the pandemic is over.”

The researchers refer to such social distancing policies as NPIs, or “non-pharmaceutical interventions,” essentially public health interventions not achieved through medication, like quarantines and school and business closures. The key to the paper is their observation that, in theory, NPIs can both decrease economic activity directly, by keeping people in certain jobs from going to work, and increase it indirectly, because it prevents large-scale deaths that would also have a negative impact on the economy.

“While NPIs lower economic activity, they can solve coordination problems associated with fighting disease transmission and mitigate the pandemic-related economic disruption,” they write. In other words, social distancing measures that save lives can also, in the end, soften the economic disruption of a pandemic.

The data here comes from a 2007 paper in the Journal of the American Medical Association, where a group of researchers chronicled what specific policies were put in place between September 8, 1918, and February 22, 1919, by 43 different cities. The most common NPI the JAMA researchers identified was a combination of school closures and bans on public gatherings; 34 of the 43 cities adopted this rule, for an average of four weeks.

Other cities eschewed these policies in favor of mandatory isolation and quarantine procedures: “Typically, individuals diagnosed with influenza were isolated in hospitals or makeshift facilities, while those suspected to have contact with an ill person (but who were not yet ill themselves) were quarantined in their homes with an official placard declaring that location to be under quarantine,” the JAMA authors write, detailing New York City’s approach.

Another 15 cities did both isolation/quarantines and school closures/public gathering bans.

The 2007 paper found a strong association between the number and duration of NPIs and pandemic deaths, with more and longer-lasting NPIs associated with a smaller death toll. Correia, Luck, and Verner, in their new paper, replicate this finding.

But they take it a step further. They study the impact of changes in mortality due to the 1918 pandemic on economic outcomes.

“The increase in mortality from the 1918 pandemic relative to 1917 mortality levels (416 per 100,000) implies a 23 percent fall in manufacturing employment, 1.5 percentage point reduction in manufacturing employment to population, and an 18 percent fall in output,” they conclude. In other words, a big outbreak spelled economic disaster for affected cities.

Then they combined this analysis with an analysis of the effects of NPI policies. They find that the introduction of social distancing policies is associated with more positive outcomes in terms of manufacturing employment and output. Cities with faster introductions of these policies (one standard deviation faster, to be technical) had 4 percent higher employment after the pandemic had passed; ones with longer durations had 6 percent higher employment after the disaster.

The takeaway is clear: These policies not only led to better health outcomes, they in turn led to better economic outcomes. Pandemics are very bad for the economy, and stopping them is good for the economy.

A few notes of caution

It’s important to always approach this kind of study with a degree of skepticism. The 1918 pandemic was not a planned experiment, so researchers’ ability to determine the degree to which the pandemic, or the policies adopted in response to it, affected economic outcomes is always going to be somewhat limited.

The researchers acknowledge that their biggest limitation is the non-randomness of policy adoption by cities. Presumably cities with strict responses to the pandemic were different from cities with laxer responses in ways that went beyond this one incident. Maybe the stricter cities had better public health infrastructure to begin with, for instance, which could exaggerate the estimated effect of social distancing interventions.

The authors argue that because the second and most fatal wave of the 1918 pandemic spread mostly from east to west, geographically, these kinds of dynamics weren’t at play. “Given the timing of the influenza wave, cities that were affected later appeared to have implemented NPIs sooner as they were able to learn from cities that were affected in the early stages of the pandemic,” they note.

The best explanation of differences in policies, then, is how far a city is from the East Coast of the US. They control for a big factor that might affect Western states more (the boom and bust of the agricultural industry as World War I drew to a close) and find few other observable differences between Western cities with strong policies and Eastern policies with weak ones. But the notion that these cities are comparable is a key part of the paper’s research design, and one worth digging into as the paper goes through peer review and revisions.

The economy isn’t everything

The message that there isn’t a trade-off between saving lives and saving the economy is reassuring. If there were such a trade-off, the debate over coronavirus response would be in the realm of pure values: How much money should we be willing to forsake to save a human life? That’s a thorny choice, and finding that we don’t actually have to make it — as this paper suggests — is comforting.

It’s worth emphasizing, though, that if we did have to make that choice, it would still be an easy decision. The lives saved would be worth more.

In another recent white paper, UChicago’s Michael Greenstone and Vishan Nigam estimate the social value of social distancing policies, relative to a baseline where we endure an untrammeled pandemic. To simulate the two scenarios, they rely on the influential Imperial College London model of the coronavirus pandemic — a paper that found that an uncontrolled spread of coronavirus would kill 2.2 million Americans.

Then they throw in an oft-used tool of cost-benefit economic analysis: the value of a statistical life (VSL). Popularized by Vanderbilt economist Kip Viscusi, VSL involves putting a dollar value on a human life by estimating the implicit value that people in a given society place on continuing to live based on their willingness to pay for services that reduce their risk of dying.

Usually, this involves a “revealed preferences” approach. A 2018 paper by Viscusi, for example, used, among other data sources, Bureau of Labor Statistics Census of Fatal Occupational Injuries to measure how much more, in practice, US workers demand to be paid to take jobs that carry a higher risk of death.

Greenstone and Nigam allow VSL to vary with age — understandably, older people are less willing to pay to reduce their odds of death than younger people — but set the average VSL for an American age 18 and over to $11.5 million.

Based on the Imperial College projection that social distancing would save about 1.76 million lives over the next six months, Greenstone and Nigam estimate that the economic value of the policy is $7.9 trillion, larger than the entire US federal budget and greater than a third of GDP. The value is about $60,000 per US household. Even if the Imperial College model is off by 60 percent and the no-social-distancing scenario is less deadly than anticipated, the aggregate benefits are still $3.6 trillion. And this is likely an underestimate that ignores other costs of a large-scale outbreak to society; it focuses solely on mortality benefits.

VSL is sometimes attacked from the left as craven, a reductio ad absurdum of economistic reasoning trampling over everything, including the value of human life itself. But coronavirus helps illustrate how VSL can work in the opposite direction. Human life is so valuable in these terms that social distancing would have to force a 33 percent drop in US GDP before you could start to plausibly argue that the cure is worse than the disease.

That social distancing likely won’t cause a reduction in GDP relative to a scenario where there’s a multimillion-person death toll, as indicated by the 1918 flu paper, makes the case for distancing policies that much stronger.