Fauci at center of conservative storm

Fauci at center of conservative storm

Health Official condemns Senator Ron Johnson's false equivalency ...

Criticism of Anthony Fauci from the right has picked up in recent days, with some conservatives calling for Trump to dump the infectious disease expert after he made comments about how imposing social distancing rules earlier could have slowed the spread of the novel coronavirus in the United States.

Fauci has become a national name with his regular presence at the daily coronavirus task force briefings and in other media appearances, and poll numbers show he’s trusted by a majority of Americans. It would set off a political storm if Trump were to sideline him in the middle of a pandemic.

Yet the criticism of Fauci by two conservative lawmakers in a Saturday op-ed and Trump’s own retweet of a conservative’s call to “#FireFauci” were unmistakable signs that the public health official is coming under pressure from some on the right to be loyal to the president. 

Tensions between Fauci and Trump have been evident at times in recent weeks. The doctor put his head in his hand at one March briefing where the president quipped about the “Deep State Department,” and Trump stepped in at a briefing this month before Fauci could give his opinion on hydroxychloroquine.

The president had publicly praised Fauci as “extraordinary” and dismissed speculation about a rift between the two, joking on Friday that Fauci is so popular he could run against Rep. Alexandria Ocasio-Cortez (D-N.Y.) and “win easily.” For the most part Fauci has seemed to successfully walk the line between contradicting Trump without outright criticizing him. 

But Trump’s tweet on Sunday marked a shift and coincided with a fresh groundswell of conservative push-back toward the doctor as Trump comes under intense criticism for his slow response to the virus.

Some of the more pointed criticism of Fauci came after he said on CNN Sunday that more lives could have been saved if stay-at-home measures were implemented earlier than mid-March.

The comments irked Trump allies who viewed them as revisionist history given how Fauci’s own public statements evolved throughout January and February as scientists learned more about the virus and it spread through the U.S.

Jason Miller, a former Trump adviser who now hosts a radio show focused on the pandemic, said Fauci must be careful with how he talks about the crisis, but also described “finger pointing” as media chatter seeking to pull the administration apart.

“This talk of potential removal from the team is unnecessary media chatter trying to draw a divide where one doesn’t exist,” Miller said.

“I think what this is about is about the accuracy with which Dr. Fauci is communicating with both the president and the American people,” he added. “It’s critical as the lead scientist and health expert advising the president on the coronavirus pandemic that he be spot on with his details. I think the recent finger pointing and revisionist history whether intentional or accidental doesn’t help anybody.”

One source close to the administration said, while some inside would like to see Fauci gone, most recognize there is more value to keeping him on.

“I don’t sense there’s a monolithic view,” the person said. “There are some who dislike him and want him out of the [administration] but I think most recognize it’s better for him to be in the tent than outside of it.” 

Fauci’s CNN remarks followed a New York Times article detailing how Trump ignored early warnings about the virus and initially resisted recommendations to implement social distancing recommendations, reporting that Trump has dismissed as “fake.”

One of Trump’s many tweets Sunday night defending his response quoted a former GOP congressional candidate who said it was “time to #FireFauci,” citing his Feb. 29 comments that there was not yet a need for Americans to alter their day-to-day lives.

Fauci has been clear that his realm of expertise is public health, and he has suggested at times that social distancing guidelines will be needed for weeks or months to limit the spread of the virus.

Others inside and outside the administration are advocating that it take steps to open up the economy soon, and emphasizing that health experts can’t be the only voices involved in the decision.

“Anthony Fauci should be deferring to the President when answering questions about timing of economic reopening,” Fox News host Laura Ingraham tweeted on Sunday.

Reps. Andy Biggs (R-Ariz.) and Ken Buck (R-Colo.) penned an op-ed in the Washington Examiner over the weekend arguing that Fauci should not be a primary voice speaking on the coronavirus outbreak after the public health official late last month described social distancing as an “inconvenient” from societal and economic standpoint.

The criticism of Fauci comes amid a concerted effort among Trump and his supporters to shift blame away from the White House for its handling of the coronavirus, which has infected more than 557,000 people in the U.S. and killed more than 22,000 in the country. The president has at various points blamed governors for failing to prepare for the pandemic, deflected criticism toward the World Health Organization (WHO) and accused Democrats of using impeachment as a distraction.

Fauci, director of the National Institute of Allergy and Infectious Diseases since 1984, has been a ubiquitous presence during the coronavirus outbreak, appearing on political talk shows, sports podcasts and Instagram live chats.

He has emerged as something of a beacon for liberals in particular for his willingness to gently correct Trump on matters like a timetable for a vaccine and the efficacy of hydroxychloroquine, an anti-malaria drug the president has touted as a potential treatment for the coronavirus.

But his prominence has made him a target of criticism, so much so that he was given added security at the end of March.

One feature of Trump’s presidency has been his distrust of long-time government officials, particularly those who have served in previous administrations. Another has been Trump’s tendency to tire of aides and advisers who garner more of a spotlight than he does, putting Fauci in a precarious position even at a time when his expertise is most relevant.

Trump would have difficulty firing Fauci, who is not a political appointee, without cause. Attempting to do so would cause a firestorm among even some Republicans who have urged the president to listen to his health experts.

But one former administration official suggested Fauci could see his influence reduced. The official likened it to the way Health and Human Services (HHS) Secretary Alex Azar has been diminished after he warned Trump in January and February about the threat of a pandemic but was dismissed as too alarmist.

“What happens when somebody repeatedly tells the president something he doesn’t want to hear?” said the former administration official, who requested anonymity to speak candidly. “He won’t fire [Fauci], but he’ll just sideline him.”

But doing so could risk damaging public confidence in the administration’s response to the virus. 

Monmouth University poll released last week found that 35 percent of Americans named Fauci when asked who they trust the most among public officials who discuss the outbreak on television, whereas 20 percent named Trump. 

“Regardless of the issue, [Trump is] not always his most disciplined messenger,” said GOP strategist Doug Heye. “The more that he’s able to rely on the expertise of scientists, the more credibility that it gives him in this entire process.”

 

 

 

 

Trump retweeted a threat to fire Fauci after he said the US’s slow response to COVID-19 has cost lives

https://www.businessinsider.com/trump-retweets-threat-fire-fauci-2020-4

Coronavirus: Trump retweets call to fire Dr Fauci who said US ...

  • On Sunday, President Trump retweeted a call to fire Dr. Anthony Fauci to his 76.8 million followers.
  • Earlier in the day, Fauci had told CNN that “no one is going to deny” that lives could’ve been saved if the US had implemented containment measures earlier in the novel coronavirus outbreak.
  • A week ago, at a White House briefing, Trump stopped Fauci from weighing in on using hydroxychloroquine, a malaria drug, for people with COVID-19, the illness caused by the coronavirus.
  • It’s unclear whether his retweet was more than a vague threat, but Trump has fired several government officials over the past few weeks.

President Donald Trump on Sunday retweeted a call to fire Dr. Anthony Fauci, the US government’s top infectious-disease expert who has so far lasted six presidential administrations, to his 76.8 million followers.

The Trump administration has been in damage-control mode over the slow response to dealing with the coronavirus outbreak. Fauci, who has been the director of the National Institute of Allergy and Infectious Diseases since 1984, helping to tackle AIDS, Zika, and Ebola outbreaks, is one of the top experts on the White House’s coronavirus task force.

The tweet, written by DeAnna Lorraine, a Republican who ran for Congress in California, said: “Fauci is now saying that had Trump listened to the medical experts earlier he could’ve saved more lives. Fauci was telling people on February 29th that there was nothing to worry about and it posed no threat to the US public at large. Time to #FireFauci.”

It’s been about two months since the US’s first coronavirus case was reported. According to data from Johns Hopkins University, as of Sunday night more than 22,000 people had died from the virus in the US and more than 555,300 had been infected.

A week ago, during a White House briefing, Trump stopped Fauci from telling reporters what he thought about using hydroxychloroquine, a antimalaria drug, for people with COVID-19, the illness caused by the virus. Trump has been vocal about his support for the drug — though it is not approved for treating COVID-19 — repeatedly saying, “What do you have to lose?”

It’s unclear whether Trump’s retweet was more than a vague threat, but he has fired several government officials in the past few weeks.

Five days ago, he got rid of Glenn Fine, the acting inspector general at the Department of Defense, who had been tasked with overseeing the implementation of the $2 trillion coronavirus stimulus package. On April 3, he fired Michael Atkinson, the intelligence community inspector general who alerted Congress about the whistleblower complaint that accused Trump of soliciting election interference from Ukraine.

Fauci had spoken to CNN earlier on Sunday, and he was quoted in a New York Times report on Saturday that outlined recommendations he backed on February 21.

The Times reported that — in stark contrast to Lorraine’s tweet — Fauci, along with the Trump administration’s other top public-health experts, said on February 21 that the administration needed to announce aggressive social-distancing policies, even at the cost of disrupting normal life and the US economy.

On Sunday, Fauci said on CNN’s “State of the Union” that “no one is going to deny” that lives could have been saved if the US had implemented containment measures earlier in the novel coronavirus outbreak.

Fauci suggested that fewer people would have died if the Trump administration had announced isolation measures in February instead of in mid-March after warnings from public-health officials.

“As I’ve said many times, we look at it from a pure health standpoint,” he said. “We make a recommendation. Often, the recommendation is taken. Sometimes it’s not. But it is what it is. We are where we are right now.”

 

 

 

 

The Costly Toll of Not Shutting Down Spring Break Earlier

https://www.yahoo.com/news/costly-toll-not-shutting-down-161107861.html

The Costly Toll of Florida Not Shutting Down Spring Break During ...

You could find Beatriz Diaz at this spring’s Winter Party Festival in Miami Beach, giving out hand sanitizer.

It was early March. She knew the coronavirus was beginning to make its way around the world, but she figured if she kept her hands clean and avoided sweaty people, she would be safe.

“I was thinking, ‘OK, well, hold on, the government did not cancel it, so it should be fine,’” she said.

Within days, reports started popping up on Facebook about a DJ and several partygoers who were suddenly terribly ill. By the end of the month, two people who attended the festival had died.

As of last week, 38 people had reported that they were symptomatic or had tested positive for the coronavirus in the weeks following the event, according to the organizer, the National LGBTQ Task Force. Diaz was among them.

Weeks before Florida ordered people to stay at home, the coronavirus was well into its insidious spread in the state, infecting residents and visitors who days earlier had danced at beach parties and reveled in theme parks. Only now, as people have gotten sick and recovered from — or succumbed to — COVID-19, the disease caused by the coronavirus, has the costly toll of keeping Florida open during the spring break season started to become apparent.

Gov. Ron DeSantis, a Republican, has blamed travelers from New York, Europe and other places for seeding the virus in the state. But the reverse was also true: People got sick in Florida and took the infection back home.

The exact number of people who returned from leisure trips to Florida with the coronavirus may never be known. Cases as far away as California and Massachusetts have been linked to the Winter Party Festival, a beachside dance party and fundraiser for the LGBTQ community held March 4-10. Another California man died after going to Orlando for a conference and then to a packed Disney World. Two people went to Disney and later got relatives sick in Florida and Georgia.

Slow action by Florida’s governor left local leaders scrambling to make their own closure decisions during one of the busiest and most profitable times of the year for a state with an $86 billion tourism economy. The result was that rules were often in conflict, with one city canceling a major event while a neighboring city allowed another event to continue.

The governor, who did not order people to stay home until April 1, has said the state supported local governments that ordered event cancellations and beach closures but that it was not his role to step in first.

“Let’s have tailored approaches, surgical approaches, that are going to work best for those regions,” DeSantis said at a news conference March 24. “These blunt measures — you wouldn’t want to do them on a community where the virus hasn’t spread.”

With little testing available, local officials made decisions blindly. Data that suggested looming trouble, such as rising fever readings from internet-connected thermometers, were ignored, a spokeswoman for Kinsa Health, the company that produces the thermometers, has said.

Only later did the effects become apparent.

Florida has confirmed more than 17,500 coronavirus cases and nearly 400 deaths, with the epidemic still expanding in the state.

A video by data analytics and visualization company Tectonix showed how cellphones that were on one Fort Lauderdale beach at the beginning of March spread across the country — up the Eastern Seaboard and further West — over the next two weeks.

“At the time, there was still this debate: Should we close public beaches? Should we shut down these big public events?” said Mike DiMarco, the company’s chief marketing officer. “When you actually see it visually on a map like that, it brings a ton of awareness to what that really looks like.”

The first festivalgoer to die was Israel Carrera, a 40-year-old Lyft and Uber driver who spent several days in the hospital in Miami Beach before his death March 26. His boyfriend, who also attended, got mildly sick and is now making plans to deliver Carrera’s ashes to his surviving family in Cuba.

Ron Rich, a 65-year-old festival volunteer, died over the weekend of March 28.

The decision to hold the festival five weeks ago came at a different point in the crisis, before a single person had tested positive in Miami-Dade County, said Rea Carey, executive director of the National LGBTQ Task Force. The event ended the day before the World Health Organization declared the virus a pandemic.

“It points to what we didn’t know at the time,” she said. “If we had had the information that is available now, the information that has become available after Winter Party as this pandemic has played out, we would have made a different decision.”

Photos of the festival show hundreds of people crammed in front of a stage under neon lights, dancing, hugging and practicing little social distancing.

Diaz, 42, got a fever March 15. The next day her girlfriend was also sick. By the time Diaz was confirmed positive for COVID-19, she had been grocery shopping, gone to the pharmacy and spent time with her employer’s 80-year-old father and 14-year-old daughter.

“I understand that was my choice to be there; I take full responsibility for that,” Diaz, who lives in Wilton Manors, Florida, said of the Winter Party Festival, which drew about 5,500 people and has been a fixture in the LGBTQ community for more than 25 years.

“I am really upset for the way it was handled,” she said.

Loc Nguyen, a software developer, felt exhausted from the time he returned home to Los Angeles from the festival March 9. He went to work the next day but had to call in sick after that, feeling shortness of breath and such terrible shivers that he wrapped himself in three winter jackets to go to the doctor.

“You’re coughing and gasping for air,” Nguyen said. “You are scared. You can’t breathe.”

His friend who went to the festival with him also tested positive. A third friend got sick but was unable to get a test.

Nguyen knew the risk of attending but said he did not want to lose the money he had spent on tickets. He did not blame organizers for holding the festival and pointed to mixed messages from local officials.

“If one city closes and one city is open, it’s not consistent,” he said. “And therefore you can’t stop this pandemic.”

On March 6, the city of Miami, which is separate from Miami Beach, canceled the Ultra Music Festival, a marquee electronic dance music event that draws tens of thousands of people. Other local leaders criticized the action as too drastic: The Centers for Disease Control and Prevention was not yet recommending mass closures. Florida announced its first confirmed coronavirus case March 1, but it was in the Tampa area.

“We should live our lives normally,” with public health safeguards in place, Mayor Carlos Gimenez of Miami-Dade County said March 5.

By March 12, he had reversed course and canceled the Miami Open tennis tournament and the county youth fair. The fairgrounds now house a field hospital.

“We did what we thought — and I’m sure all cities did what they thought — was the right thing to do at the right time,” Gimenez said last week. “It’s called novel coronavirus for a reason. We don’t really know how it acts.”

Mayor Francis Suarez of Miami, one of the first elected officials in the country to test positive for the coronavirus, said other jurisdictions’ decisions to keep events going proved costly.

“That ended up as a national embarrassment, when you saw what happened with the spring breakers and what happened unfortunately, tragically, with the music festival,” he said, referring to the Winter Party.

Further north, near Orlando, people streamed into the six Disney World theme parks before they closed March 15. Courtney Sheard recalled that the weather was beautiful and that a new ride at Hollywood Studios, Mickey & Minnie’s Runaway Railway, was especially crowded.

After she got back home to Naples, Florida, on March 12, she awoke with a terrible headache and a sore throat. Her 3-year-old daughter, Journey, ran a fever and vomited.

By the time she received a positive test result, Sheard, 30, had been around her sister, her sister’s children, a friend, her parents, beachgoers and diners at a Bonefish Grill.

When Sheard learned that Jeffrey Ghazarian, 34, had died March 19 in California after visiting the theme park, she figured that the coronavirus had been circulating in Disney while he, and then she, were there.

“Think of all the people from around the world, from around the country, that were in Disney and then went home,” she said.

Officials at Walt Disney World did not respond to a request for comment.

Mayor Jerry Demings of Orange County, home to Orlando, said local officials had insufficient guidance to act consistently to slow the spread.

“We were left to our own devices to come up with strategies ourselves because of the lack of direction from the federal government and governor’s office,” he said.

Nicholas Hickman started feeling ill three or four days after returning home to Ringgold, Georgia, on March 11. He had spent five days at Disney with friends who were on spring break. They were also celebrating Hickman’s 20th birthday.

Back home, Hickman came down with a fever, chills and chest pains but struggled to get tested because no one else in his county had received a coronavirus diagnosis.

Hickman has since recovered, but only after getting his mother, and likely his father, sick. He does not blame Disney for his infection.

“If we would have been told not to go to Disney and just avoid going, we would not have gone,” he said. “There’s no way we would have gone.”

 

 

 

 

Fauci: US could have ‘saved lives’ if social-distancing restrictions were enforced earlier

https://thehill.com/homenews/administration/492411-fauci-us-could-have-saved-lives-if-social-distancing-restrictions

Top doc Fauci admits lives could have been saved if US had shut ...

Anthony Fauci, the U.S. government’s top infectious disease expert, said Sunday that the U.S. would have saved lives had the country enforced firm social-distancing requirements as early as February, but noted that those recommendations were met with pushback at the time.

Speaking on CNN’s “State of The Union,” Fauci addressed a New York Times report that said he and other health experts concluded on Feb. 21 that the Trump administration would need to issue aggressive mitigation measures in order to slow the spread of COVID-19, the disease caused by the novel coronavirus. 

“As I have said many times, we look at it from a pure health standpoint,” Fauci said. “We make a recommendation. Often, the recommendation is taken. Sometimes, it’s not. It is what it is. We are where we are right now.”

Fauci added that “you could logically say, that if you had a process that was ongoing, and you started mitigation earlier, you could have saved lives.”

“Obviously, no one is going to deny that. But what goes into those kinds of decisions is complicated,” he said. “I mean, obviously, if we had, right from the very beginning, shut everything down, it may have been a little bit different. But there was a lot of pushback about shutting things down back then.”

The National Security Council reportedly received intelligence reports in January warning that the COVID-19 outbreak would spread to the U.S. By the third week of February, Dr. Robert Kadlec, the top disaster response official at the Health and Human Services Department (HHS), convened a meeting on whether officials should lock down the country to prevent an outbreak. The group determined that mitigation measures such as school and business closures were necessary despite the devastating economic implications, The Times noted.

The White House issued social-distancing guidelines, including recommendations against gatherings of more than 10 people, in mid-March. President Trump later that month extended those guidelines through the end of April.

The U.S. has reported more than 530,000 confirmed COVID-19 cases and roughly 20,600 deaths caused by it as of Sunday morning, according to a Johns Hopkins University database. 

Asked whether the statistics were a direct cause of the late start on mitigation measures, Fauci said that “it isn’t as simple as that.” While earlier mitigation efforts would have had an impact, Fauci noted that “where we are right now is the result of a number of factors,” including the size of the country and the heterogeneity of the country.

“I think it’s a little bit unfair to compare us to South Korea, where they had an outbreak in Daegu, and they had the capability of immediately, essentially, shutting it off completely in a way that we may not have been able to do in this country,” he said. “So, obviously it would have been nice if we had a better head start, but I don’t think you could say that we are where we are right now because of one factor.”

The Trump administration has faced continued scrutiny over its handling of the outbreak, as state and federal officials raise alarms over testing and medical equipment shortages.

The president on Feb. 28 predicted that the disease would disappear like a “miracle.” Asked about those comments last week, Trump said that “the cases really didn’t build up for a while” and that he was trying to avoid stirring panic. 

 

 

 

 

Trump suggests doctors complain about lack of coronavirus equipment in order to get on TV

https://www.yahoo.com/news/trump-suggests-doctors-complain-lack-141500695.html

PPE Shortage Endangering Health Workers Worldwide - GineersNow

Donald Trump has implied doctors and elected officials say they do not have enough personal protective equipment (PPE) and other materials to get on television amid the coronavirus crisis.

The US president had a row with Jim Acosta, CNN’s chief White House correspondent, over the shortage of PPE, which includes essential gear such as hand sanitiser, gloves, aprons, and face masks, during his coronavirus press briefing.

Acosta said: “We hear from a lot of people who see these briefings as sort of ‘happy talk’ briefings. And some of the officials don’t paint as rosy a picture of what is happening around the country. If you look at some of these questions – do we have enough masks? No. Do we have enough tests? No. Do we have enough PPE? No.”

Mr Trump interjected: “Why would you say that? The answer is yes. I think the answer is yes.”

Acosta referred to doctors and other medical officials who have vented their frustrations about the dearth of essential equipment on CNN.

The president hit back: “A lot of it is fake news.”

Acosta said: “Doctors and medical officers come on our air and say ‘we don’t have enough tests, we don’t have enough masks’.”

Mr Trump chipped in: “Well yeah, depending on your air they are always going to say that because otherwise, you are not going to put them on.”

The spat comes as doctors and healthcare workers across America are battling against a shortage of face masks which safeguard them against coronavirus – sparking fears doctors will not be able to provide life-saving care if they fall ill.

America has become the first country in the world to record more than 2,000 people dying from coronavirus in one day alone, according to Johns Hopkins University figures.

People who contract coronavirus in the US are at greater risk than those in the UK or Canada due to America not having a national health service.

Americans are at risk of running up bills for coronavirus treatment which force them to fork out tens of thousands of dollars. The situation is exacerbated by the fact many have lost their healthcare insurance due to job losses linked to the pandemic.

 

 

 

Cartoon – Reality Check

Cartoon, April 9 | Cartoons | themountaineer.com

Timeline: How the U.S. fell behind on the coronavirus

https://www.axios.com/coronavirus-timeline-trump-administration-testing-c0858c03-5679-410b-baa4-dba048956bbf.html

Behind the Curve | Netflix

Early missteps allowed the new coronavirus to spread throughout the U.S for weeks before state and local officials implemented strict lockdowns designed to keep the pandemic from spinning further out of control.

Why it matters: The U.S. missed the boat on the kind of swift, early response that would have been most effective, and has been scrambling to catch up ever since. This timeline, compiled from official sources as well as media reports, shows how that all-important time was lost.

Dec. 31, 2019: China reports the novel coronavirus to the World Health Organization.

Jan. 6: The Centers for Disease Control and Prevention issued a travel notice for Wuhan, China.

Jan. 15: The first U.S. case is confirmed, in a man who traveled from Wuhan.

Jan. 17: The World Health Organization publishes a protocol for manufacturing coronavirus tests.

  • The Centers for Disease Control and Prevention opts to develop its own test instead of using the WHO’s.

Jan. 30: The WHO declares global health emergency.

Jan. 31: The Trump Administration suspended entry into the U.S. for most foreign nationals who had traveled to China in the past 14 days.

Feb. 5: The CDC begins shipping its diagnostic tests to state and local health agencies.

Feb. 8: Labs report problems with the CDC’s tests.

Feb. 24: President Trump tweets: “The Coronavirus is very much under control in the USA. We are in contact with everyone and all relevant countries. CDC & World Health have been working hard and very smart. Stock Market starting to look very good to me!”

Feb. 29: Washington state reports the first COVID-19 death in the U.S.

  • The Food and Drug Administration allows academic labs to develop and begin testing coronavirus testing kits while reviewing pending applications.
  • The WHO reports 86,604 coronavirus cases worldwide.

March 5: LabCorp and Quest Diagnostics launch coronavirus test for commercial use.

March 9: Trump tweets: “So last year 37,000 Americans died from the common Flu. It averages between 27,000 and 70,000 per year. Nothing is shut down, life & the economy go on. At this moment there are 546 confirmed cases of CoronaVirus, with 22 deaths. Think about that!”

  • The WHO reports 114,381 coronavirus cases worldwide.

March 13: Trump declares a national emergency, freeing up $50 billion in federal funds for states and territories.

March 15: 33 states and the District of Columbia closed public schools, according to Education Week. This included the New York City school system, the largest in the country.

March 16: Trump advises Americans to self-isolate for 15 days.

March 19: Trump signed into law an emergency coronavirus relief package for paid sick leave and free testing.

March 23: 9 states had stay-at-home orders.

  • Washington, Oregon, California, Louisiana, Illinois, Ohio, New York, Massachusetts and New Jersey.

March 26: The U.S. now leads world in coronavirus cases.

  • 12 more states issue stay-at-home orders, totaling 21: Idaho, Colorado, New Mexico, Michigan, Wisconsin, Kentucky, Indiana, West Virginia, Hawaii, Connecticut, Vermont and Delaware

March 29: Trump extends social distancing measures to April 30.

March 30: Nine more states issue stay-at-home orders, bringing the total to 30.

  • Governors say testing is still lacking in many states.

March 31: Trump warns of the potential for 100,000 to 240,000 deaths.

April 6: Twelve more states issue stay-at-home orders, bringing the total to 42.

 

 

South Korea is winning the fight against covid-19. The U.S. is failing.

https://www.washingtonpost.com/outlook/2020/04/10/south-korea-is-winning-fight-against-covid-19-us-is-failing/?fbclid=IwAR0Fizr7BiOZgPxJVjHpHcuetAnn_UcamZDfmY16V4_RG3xV52rOXryIepk&utm_campaign=wp_main&utm_medium=social&utm_source=facebook

Confucianism Isn't Helping South Korea Beat the Coronavirus

South Korea’s blueprint for victory.

As the coronavirus spreads rapidly around the world, killing thousands and leaving governments scrambling to deal with the fallout, one country has repeatedly drawn praise for its efficiency in dealing with it: South Korea. After the first cases appeared, the South Korean government ramped up testing at a speed almost unimaginable in the United States. Its swift response slowed the spread of the virus and saved thousands of lives. As of April 8, South Korea had suffered 200 deaths due to the virus (4 per 1 million of population) and the number of new cases has slowed, while the United States had suffered 13,000 deaths (39 per 1 million population) with new cases continuing to grow quickly.

How did this happen? For many it is baffling that a relatively small Asian country could succeed where much of the rest of the world tragically failed. Was it South Korea’s experience dealing with another respiratory epidemic illness, Middle East respiratory syndrome, in 2015? Its excellent and affordable health-care system? Its cultural values? Mask-wearing? Some of these factors doubtless accelerated South Korea’s rapid deployment of testing stations and its subsequent efforts to identify and treat patients.

But the efficient South Korean response also hinged on two historically rooted factors: the close cooperation between the state and the private sector, and the South Korean public’s willing and almost enthusiastic embrace of a large-scale medical intervention. The origins of both of these phenomena lie in the South Korean experience of rapid industrialization and nation-building during the Cold War.

After the first cases of covid-19 were reported in South Korea on Jan. 20, the government recognized the need for prompt and comprehensive action. According to Reuters, South Korean Health Ministry officials called a meeting with representatives from medical companies in January when only four cases of the virus had been confirmed. The health officials told the executives that the country needed to have tests ready in short order, and they promised rapid approval by the Korea Centers for Disease Control and Prevention. In scarcely one week, the government had approved a test kit developed by Kogene Biotech and would soon fast-track the approval of test kits developed by several other companies.

The endeavor was so successful that by March, 47 countries were seeking to import South Korean test kits. Compared with President Trump, who has squabbled with 3M and General Motors over the production of masks and ventilators, the government and private sector worked together seamlessly in South Korea. Companies responded quickly to the state’s demands while receiving strong government support.

The private companies’ swift response to an urgent government fiat followed a pattern of state-private sector partnership in the service of the nation that was pioneered by South Korea’s authoritarian ruler Park Chung Hee during the 1960s. When Park seized power in a military coup in 1961, South Korea was among the poorest countries in the world and, from the perspective of many U.S. officials who often called it a “rat hole,” it was hopeless. But Park was driven by an all-consuming determination to achieve double-digit economic growth rates and raise living standards in his impoverished country.

Although Park received much advice from the United States during his 19 years in power, the model of development he came up with did not emulate the American style of free-market capitalism at all. It bound South Korean conglomerates closely to the state, offering them special incentives if they followed state guidance and performed. During the 1960s, Park recognized that to achieve an economic takeoff, he needed to dramatically increase exports. His government made low-interest loans available to companies that were willing to test their mettle exporting textiles, wigs and other light-manufactured goods abroad. Those that succeeded were rewarded with even greater largesse from the state.

This development model had a dark side, of course. The cozy ties between the state and businesses facilitated corruption, strengthened Park’s grip on power and heightened repression. But from a purely economic standpoint, it worked. Exports increased, Korean firms captured a growing share of international markets, and per capita income rose.

Park never strayed far from his military roots. The managerial techniques and soldierly discipline he had learned in his years as an officer informed his approach to development. American aid officials were impressed by how his presentations seemed to come “straight out of the U.S. military briefing manuals.” South Korea’s rapid response to the coronavirus has contained echoes of this military ethos, although the country shifted to more democratic governance in the 1980s and 1990s. “We acted like an army,” one infectious-disease specialist in Korea told Reuters.

Cold War nation-building in South Korea brought not only state-led economic development, but also new kinds of government-led medical interventionsAs historian John P. DiMoia has explained, during the 1950s, many South Koreans were still unfamiliar with Western medicine and did not initially welcome official health programs. This began to change under Park Chung Hee’s rule. The South Korean leader launched public health campaigns that fundamentally changed both the medical profession and the public’s attitude toward it. New professional standards were demanded of doctors and their support staff, while the public was encouraged — and at times coerced — to participate in family planning and other state-organized health interventions.

The swift rollout of coronavirus testing was not South Korea’s first large-scale effort to combat an infectious organism. During the 1960s, according to DiMoia, one of the biggest medical problems plaguing South Korea was parasite infestation. The Park government made a concerted effort to eradicate parasites through a national testing program that targeted elementary school students. For nearly two decades, collecting of stool samples for analysis was a routine part of life for South Korean children. The children that learned — at times grudgingly — to accept government testing for parasites during the 1970s and 1980s are now the adults who willingly line up to be tested for the coronavirus.

Today, the Moon Jae-in government’s response to the virus has not been without flaws and criticism. The South Korean media has blamed him for not moving quickly enough to ban Chinese tourists when the virus began spreading rapidly. Others have criticized the high degree of state surveillance that accompanied the rollout of testing. The government would have had far more difficulty carrying out contact tracing if it could not have closely followed the movement of its citizens through their smartphones and credit cards.

Here, too, there are faint echoes of South Korea’s authoritarian past, which was too often marked by the close monitoring of students, intellectuals and other dissidents by military regimes.

But Moon, who was imprisoned during the 1970s for protesting Park Chung Hee’s authoritarian rule, has been careful to keep his policies within the confines of democratic accountability. Conservative U.S. commentators who claim South Korea has succeeded because it is not a democracy have it wrong. In fact, South Korea has avoided the draconian lockdowns and travel restrictions imposed by the Communist Party of China. Through the use of technology and data, South Korean has been able to keep businesses open to a greater extent than most parts of the United States.

South Korea’s impressive management of the coronavirus only strengthens its rapidly growing cultural influence around the world, which is abundantly clear in the widespread popularity of K-pop and the unprecedented success of the Korean film “Parasite” at the Academy Awards.

The Moon government’s deft handling of a global pandemic that has taken on nightmarish proportions elsewhere has drawn praise from health experts and policymakers worldwide, with many citing it as a model. “Let’s not follow Italy, let’s follow South Korea,” Sen. Mitt Romney (R-Utah) said recently when talking about how the United States should deal with its own swiftly escalating crisis.

Unfortunately, it is too late for the United States to emulate South Korea and avert thousands of deaths. But we could learn from its example, by encouraging better public-private partnerships in manufacturing needed medical equipment and protective gear and by encouraging Americans to embrace public health initiatives, including widespread testing, to save lives.

 

 

 

Inside the epic White House fight over hydroxychloroquine

https://www.axios.com/coronavirus-hydroxychloroquine-white-house-01306286-0bbc-4042-9bfe-890413c6220d.html

Huge fight breaks out among White House coronavirus task force ...

The White House coronavirus task force had its biggest fight yet on Saturday, pitting economic adviser Peter Navarro against infectious disease expert Anthony Fauci. At issue: How enthusiastically should the White House tout the prospects of an antimalarial drug to fight COVID-19?

Behind the scenes: This drama erupted into an epic Situation Room showdown. Trump’s coronavirus task force gathered in the White House Situation Room on Saturday at about 1:30pm, according to four sources familiar with the conversation. Vice President Mike Pence sat at the head of the table.

  • Numerous government officials were at the table, including Fauci, coronavirus response coordinator Deborah Birx, Jared Kushner, acting Homeland Security Secretary Chad Wolf, and Commissioner of Food and Drugs Stephen Hahn.
  • Behind them sat staff, including Peter Navarro, tapped by Trump to compel private companies to meet the government’s coronavirus needs under the Defense Production Act.

Toward the end of the meeting, Hahn began a discussion of the malaria drug hydroxychloroquine, which Trump believes could be a “game-changer” against the coronavirus.

  • Hahn gave an update about the drug and what he was seeing in different trials and real-world results.
  • Then Navarro got up. He brought over a stack of folders and dropped them on the table. People started passing them around.
  • “And the first words out of his mouth are that the studies that he’s seen, I believe they’re mostly overseas, show ‘clear therapeutic efficacy,'” said a source familiar with the conversation. “Those are the exact words out of his mouth.”

Navarro’s comments set off a heated exchange about how the Trump administration and the president ought to talk about the malaria drug, which Fauci and other public health officials stress is unproven to combat COVID-19.

  • Fauci pushed back against Navarro, saying that there was only anecdotal evidence that hydroxychloroquine works against the coronavirus.
  • Researchers have said studies out of France and China are inadequate because they did not include control groups.
  • Fauci and others have said much more data is needed to prove that hydroxychloroquine is effective against the coronavirus.
  • As part of his role, Navarro has been trying to source hydroxychloroquine from around the world. He’s also been trying to ensure that there are enough domestic production capabilities inside the U.S.

Fauci’s mention of anecdotal evidence “just set Peter off,” said one of the sources. Navarro pointed to the pile of folders on the desk, which included printouts of studies on hydroxychloroquine from around the world.

  • Navarro said to Fauci, “That’s science, not anecdote,” said another of the sources.

Navarro started raising his voice, and at one point accused Fauci of objecting to Trump’s travel restrictions, saying, “You were the one who early on objected to the travel restrictions with China,” saying that travel restrictions don’t work. (Navarro was one of the earliest to push the China travel ban.)

  • Fauci looked confused, according to a source in the room. After Trump imposed the travel restrictions, Fauci has publicly praised the president’s restriction on travel from China.
  • Pence was trying to moderate the heated discussion. “It was pretty clear that everyone was just trying to get Peter to sit down and stop being so confrontational,” said one of the sources.
  • Eventually, Kushner turned to Navarro and said, “Peter, take yes for an answer,” because most everyone agreed, by that time, it was important to surge the supply of the drug to hot zones.
  • The principals agreed that the administration’s public stance should be that the decision to use the drug is between doctors and patients.
  • Trump ended up announcing at his press conference that he had 29 million doses of hydroxychloroquine in the Strategic National Stockpile.

Between the lines: “There has never been a confrontation in the task force meetings like the one yesterday,” said a source familiar with the argument. “People speak up and there’s robust debate, but there’s never been a confrontation. Yesterday was the first confrontation.”

  • In response to a request for comment on Axios’ reporting, Katie Miller, a spokesperson for the vice president, said: “We don’t comment on meetings in the Situation Room.”

The bottom line: The way to discuss the drug’s potential has become a fraught issue within the Trump administration.

  • Most members of the task force support a cautious approach to discussing the drug until it’s proven.
  • Navarro, on the other hand, is convinced based on his reading that the drug works against the coronavirus and speaks about it enthusiastically.
  • Some of Trump’s favorite TV hosts, including Fox’s Sean Hannity, and friends including Rudy Giuliani, have also been touting the malaria drug for the coronavirus. Trump has made no secret who he sides with.
  • “What do you have to lose? Take it,” the president said in a White House briefing on Saturday. “I really think they should take it. But it’s their choice. And it’s their doctor’s choice or the doctors in the hospital. But hydroxychloroquine. Try it, if you’d like.”