When 45 visited the CDC to reassure the nation that he was firmly in command of the response to the covid19 epidemic, he wore a red Make America Great campaign cap. Even though we’ve become inured to a multitude of his breaches of protocol, this was still striking. Rather than a chief executive rallying his nation to fight an invisible foe, we were watching a partisan campaign rally, the rest of us be damned. The RealityTVPresident was being transparent; he thinks governing is campaigning. He started officially running for re-election on Inauguration Day and every decision he’s made in office has been with an eye toward staying. Now that we’re in the thick of election season, having survived the sham Impeachment trial has unleashed his inner Music Man full throttle. So he filled the airwaves with falsehoods directly contradicted by administration officials because that’s how he rolls. Why not, it’s been working for him, at least as far as he can tell.
He also demonstrated why he is incapable of taking charge of this emergency. Standing in a CDC lab, surrounded by infectious disease experts, he gave the then current number of covid19 cases he’d gotten from the “Great Fox News”, his words. He’s so embedded in that fantasy, that he can’t turn to the scientists surrounding him who have the actual data. One wonders where he thinks Trump/FoxNews got their information, or is he willing to concede that they often make stuff up to favor him. The RealityTVPresident is so distrustful of nonpartisan objective expertise that he has nowhere to turn. Undaunted, he believes that he inherited his scientific knowledge from an uncle who taught at MIT. Just that assertion screams his scientific ignorance, and yet he went on to say that he really “gets this stuff”, so he seems to feel perfectly equipped to manage covid19 without additional guidance.
One other disturbing development in the increasingly frequent interactions he’s having with the mainstream media is the solicitous praise for the Donald that drips from his subordinates’ remarks, reminiscent of the televised Cabinet meetings in the past. It rings of Kim Jong Un.
That goes a long way toward explaining why the US response has been so sluggish. It lacks forethought and vision. Trump likes to point to his ban on Chinese travelers early as a master stroke. That was right down his alley; it’s an emergency extension of his overall approach to immigration ala Stephen Miller. America is for Americans and no foreigner belongs here. The policy was supposed to buy some time to rev up our preparedness. The administration dithered away the time and has been lying about it ever since. After all, the first cases in China were reported in November.
Completely predictably, covid19 arrived from other sources because none of the ABCs of epidemic response were being followed. There’s no doubt that the public health officials were trying to get the ear of our reigning stable genius, but his entourage of partisan yesmen don’t have any real experience or expertise in managing infectious disease outbreaks. Their big picture is narrowly defined in the contours of Trump/FoxNews. Given their Keep America Isolated proclivities, they skipped the first step, coordination with other countries. The way to keep infectious diseases from our shores is to help address them where they are. Tick, tock. . .
Even more disastrous was the America First move to insist on a US test rather than use the German test supplied by the WHO. In a typical ‘it’s everybody else’s fault’ statement, National Security Advisor Robert O’brien blamed the Chinese for the delay in releasing the viral sequencing data. Yet another big fat lie. How were the Germans able to act so quickly? The Chinese released the data on the day after they finalized it. Chinese scientists are no fools; they know that the rest of the world could help them figure out a treatment or vaccine. Not so with Americans bent on going it alone. Tick, tock. . .
However, one advantage of testing done only through the CDC while it struggled to produce a lab test that other labs could use was that it allowed 45 to claim that we were safe while covid19 ravaged the world. What you don’t know comes back to bite you in the ass.
State run healthcare systems can be very efficient. They can act rapidly and easily assess the extent of the problem. They can develop sites to screen and house patients who must be quarantined and treated without regard for payment status. South Korea is testing 10,000 people a day in drive thru sites. The Chinese built a large hospital complex in 2 weeks. Here in the US, everything’s scattershot. We’re at the mercy of a hopefully well prepared government, like Barack Obama with Ebola and H1N1 flu or George Bush with SARS. Instead, we’re now at the mercy of whatever commercial enterprise sees profit in the undertaking and decides to jump in. With lab tests, there is an additional step of FDA approval before the product can be used commercially, in other words billed for.
Despite the task force announcement that insurance companies and Medicare/Medicaid will cover it, the trick is to make sure that the uninsured can get tested without breaking the bank, given that it will come with an expensive ER visit and a battery of other diagnostic tests and procedures. Right now the most common experience is that a patient gets the ER visit but can’t get a lab test; big bill, no result! VP Pence refused to answer a question from the press about the uninsured, another indication that the administration’s concern tends toward the monied. Dr Fauci bluntly testified before a Congressional committee that the US can’t institute drive thru testing or broad testing across the population. “Do I think we should be. Yes.” It was never part of their vision so it was simply not possible. It would require a complete philosophical reorientation of a system firmly entrenched in free enterprise.
According to the New York Times The Daily postcast, it was a research lab at University of Washington that stumbled upon the first known US case of community transmission. The lab developed its own test which did not have clearance from the FDA to report results outside of their study. However, they felt compelled to notify the health department with their first positive which they estimated indicated that the virus had been in the community for as long as two weeks. Thus it was not the protective apparatus of the government that detected this first case but those pesky scientists.
Agent Orange is focused on the numbers: the Dow Jones primarily and then the covid19 case count. His take on the docking of a cruise ship off San Francisco with several virus infected passengers was like a third quarter football score, “I like the numbers where they are; I don’t need to have the numbers double because of one ship that wasn’t our fault. And it wasn’t the fault of the people on the ship either.” Note, he’s talking about his numbers, not grandmothers and fathers, sisters and brothers. Fault and blame are his high priority. Like many a slave master, he was counting something, just not people. The man has no soul.
Keep America Isolated hamstrung the covid19 response: failure to coordinate globally before the virus arrived; insistence on making a US test; limited screening without testing; shuttering the borders while sending Americans out to infect the world.
And apparently keeping the numbers down has been the government’s mission. As the CDC was forced to expand the criteria for who should be tested and the number of cases mounted, the CDC stopped reporting. They are no longer updating their website daily with the number of cases; they will not release the number of tests done. The agency says that it can no longer monitor testing or cases which are being done at the local level, a departure for the role that the agency has always played in disease outbreaks. If it could get data on Zika testing and cases from South America, it would seem it could manage here at home. Instead it reflects an HHS policy to camouflage the extent of the disease and the response as part of partisan politics. That policy reflects a fear among federal officials of enraging El Presidente.
Ironically, the president, VP and conservative politicians who gathered at CPAC have been exposed. 45 has continued to mingle with them, even riding on Air Force One with Matt Gaites. He and the new chief of staff have chosen to self quarantine, but not the commander in chief. He’s continued to shake hands at appearances and has refused to get tested. He has at least deferred rallies for now. In the intervening days, 45’s exposures have expanded; an aide to the Brazilian president who now has tested positive dined at Mar-o-lago with 45. The Australian Minister of Home Affairs Peter Dutton who later met with Ivanka, Bill Barr and Kelleyanne Conway also tested positive and they meet frequently with the president. The Mayor of Miami who also met with the Brazilian aide is positive as well. These incidents continue to raise the specter of the disease spreading widely in the West Wing and Mar-o-lago where there are a lot of old rich people at highest risk for serious infection.
Some estimates are that 70-80% of people will become infected, so the multiple interactions within the GOP caucus members suggests that many will be affected. Given their ages, one or two of them will probably get pretty sick. In the meantime, they’re spreading it to staff and ancillary personnel across the capital. Certainly, a role modelling president would volunteer to be tested and follow recommendations of public health officials. It’s a national security issue; if he became seriously ill, it affects the country’s leadership such as it is. If he doesn’t become ill, he could show that the disease course is short-lived and mild.
But our president could do neither. A positive test would destroy him. In his mind, it would demonstrate some personal failure; he would have to lie about it, not usually a problem but refusing a test means that a positive can’t leak to the press. Still, it seems improbable that the presidential physician is not monitoring him for symptoms and insisting on testing. Of course, the virus is being shed long before symptoms develop so to abstain from testing is to spread the epidemic. El Presidente is not one to respond to insistence, even from his closest advisors. There should be a law, but if we’ve learned anything from 45, it is that much presidential tradition is embedded in the idea that the office holder places his allegiance to the country at the forefront, fixing the oath to uphold the Constitution in his heart. No one could have anticipated that people would elect a president without a heart who would use the Constitution as a stepping stone to absolute rule. Through negligence, covid19 could bring down a man who believes he’s impervious.
Eventually, the doctors prevailed and 45 announced that he had been tested. The press corp was being checked for symptoms before the last press conference and 45 conceded that staff was also being monitored. It’s probably too late, but at least they’ll have access to the best medical care. We can all speculate the odds that the report of his negative test result is factual; the question has to be asked given his history.
In his Oval Office speech, Trump blundered through a series of mistruths and misstatements of his own policy initiatives that bear his uniquely xenophobic lens. The MAWAPresident has a limited bag of tricks which make his responses fairly predictable, something that he never wants to be. It was important to 45 to characterize covid19 as a foreign virus even though viruses have no nationality. He then linked the foreign invader to clusters of US cases seeded from Europe except that never happened. Voila! His announcement of a travel ban for all Europeans entering the country. He’s used this logic before, i.e the Latinx are taking your jobs, so they must be kept out and thrown out. All Muslims are terrorists, so they must be kept out and thrown out.
It turns out, the MAWAPresident got a little carried away in his address, overstating his ban a bit. This marked another presidential first; the first Oval office address where the president misrepresented his own policies, not extemporaneously but from prepared remarks from a teleprompter. Actually, the policy applies only to non-US citizens who have travelled to 26 countries, excluding the UK and Ireland. Why those two? Trump was making a political statement to support the two countries with strong borders as a result of Brexit. Apparently, he’s unaware that nothing has changed in the UK except the vote to leave. The contours of an agreement are being negotiated while the borders remain as open as ever. That rates a demerit on geography, current affairs and international relations. There was no communication with European allies beforehand; they literally heard it on the TV, another demerit.
A more cynical interpretation of the UK exemption is that Trump owns golf courses there so he’s protecting reservations. Given his allegiance to his properties, that couldn’t have been far from his mind. His exception flies in the face of Britain’s second highest number of reported cases in Europe outside Italy, so the ban is not about the disease burden or the threat of transmission here.
Active duty and DOD civilians can no longer travel to or within most of Europe and any Level 3 regions, but not including South Korea, a hotter spot than Europe. Perhaps coincidentally, Trump also has properties in Seoul and two other cities. The military will scale back their exercises as well. We’ve crossed the frontier to a heightened national security threat.
Dreaming that he was striking out at trade with the EU, he announced that European imports would also be banned, an assertion he had to immediately retract; that would have really sent the markets down the toilet.
Nowhere in the address was there mention of resolution of the testing debacle, in part because he began with congratulating himself on mounting the best covid19 response on the globe, an obvious figment of his imagination. To then shift to fixing a problem he refused to acknowledge was impossible.
The speech served to divert attention from both the inadequate federal response and the expanding number of infections. It was simply an excuse to insult allies in the context of a health crisis, not an attempt to control viral spread. A ban on non-citizens coming from the same location as citizens who are allowed to travel is just prejudice; it has no benefit in preventing spread of a virus that doesn’t check IDs. All the recurrent Trumpian themes are here: the targeting of non-citizens, the partisan play to the base, segregating his attempts at governance to his slice of the electorate, self-aggrandizing monetary gain and his head buried in a reality of his own making.
A ban on non-citizens coming from the same location as US citizens who are allowed to travel is just prejudice; it has no benefit in preventing spread of a virus that doesn’t check IDs.
While 45 would like to pretend that covid19 is coming from abroad, we have more than enough to share here. Pro Basketball players, politicians and actors are popping up positive all over the place. One wonders if their wealth had something to do with their testing priority. There is no restriction on American travel; apparently we are free to carry it around the world. He’s president of the US, not the world; he feels no fealty to anything outside our borders.
And it’s not only US citizens let loose on Europe. Some commentators have suggested that the UK and Ireland may experience an additional screening burden as residents from other EU zone countries try to find more freedom of movement. It’s not that they don’t have a significant number of cases, including Britain’s health minister. At the same time, Trump’s misinformation sent thousands of Americans to European airports desperate to book often pricey tickets home. Large crowds pressed closely together was dangerous for all including airport personnel. If it’s not 45’s shore, it’s not his problem.
The folly of the original policy has been reversed so the ban now includes the UK and Ireland. But the change came without detailed coordination with customs in airports so that returning passengers were crammed into long corridors leading to customs booths, delayed further by screening protocols. This is another example of a royal edict style of governance that doesn’t coordinate with other federal agencies or local officials. They just don’t grasp the details of complicated operations; the “deep state” bureaucracy is a necessary component of efficient operation. The cogs that make the wheels turn can’t be spurned without consequences. But the blame game continued with federal authorities blaming airport managers for cramming hordes of people into viral incubators. And yet, local officials have been forced to react to surprise shifts in policy without any prior notification. It seems a perfect set up; when someone doesn’t know what they’re doing, they can’t anticipate the outcomes, but they can always find someone else to blame.
In the meantime, can screening of returning US citizens impact viral spread without adequate testing. It should be clear by now that patients are infectious before they develop symptoms, perhaps for 10 days, an unusually long time as viruses go. The Chinese let no suspected person tested pass go; they went immediately to an area awaiting test results and quarantine if positive. Here, after screening, will the person be allowed to travel through crowded areas on the way home to self-isolate before the 4 hours to 2 days it will take to get a test result. That screening protocol is a sieve, not sealed containment.
The Oval office speech followed an announcement of economic interventions by Trump before he had discussed it with Congressional leaders. Fresh off surviving impeachment, he forgot that there is a legislative process independent of his whims. Moscow Mitch pushed back, representing that Congress wasn’t a rubber stamping Duma. Like a toddler mid temper tantrum, Trump met only with GOP leaders and is refusing to speak to Speaker of the House Pelosi, sending Treasury Secretary Mnuchin to negotiate instead. It’s difficult to imagine that Pelosi won’t be driving a hard bargain. Once again, he’s governing MAWAland, not the United States. Free testing, paid sick leave and support directed at covid19 victims are high on the Democratic agenda, trying to improve conditions that support testing, social distancing and self quarantines. The GOP’s focus arises from their trickle down economic orientation: give money and tax breaks to businesses.
A proposed payroll tax deferral for both employer and employee contributions does nothing for people not working, or those working in the gig economy and the self employed. Democrats wanted to sunset any payroll tax exemption while the GOP wanted them to be permanent, essentially eliminating the source of funding for Social Security and Medicare. Characteristically, forced childbirth advocates desire to include Hyde amendment language that excludes the use of federal funds for abortion was a temporary stumbling block, although how it figures into sick leave or covid19 testing is obscure. It was just propaganda dressing Trump could use with evangelicals. The GOP opposes expansion of Medicaid on principle, so the use of Medicaid to cover testing and diagnosis of viral infection was a stumbling block in negotiations as well.
Pelosi can pass a House bill comfortably, but contrary to McConnell’s minor assertion of independence, GOP Senators are waiting for the BullyPresident to issue his royal approval, hoping he might point the way toward that lofty goal. He is still so pissed about Impeachment that beyond not talking to the House Speaker, he has to be dragged tooth and nail into compromise. But he is being boxed in by public criticism outside his cheering squad of his covid19 response, so he must wedge his best deal for his corporate cronies into relief for the populace he purports to represent.
For his part, Trump is all about economic support of industry: the cruise, travel and airline industries, with a sop to small businesses in the form of loans. He’s hoping that his meet and greets with business leaders and government subsidies/tax breaks will buoy Wall Street. He’s nudged the Fed into dropping the interest rate and the treasury to dump short term money into the market. None of that can counterbalance the ineptitude of the federal response and Agent Orange’s management of the crisis and his evident fuzzy understanding of what should be done. Thank God Fauci is everywhere cleaning up the mess. And then there is the slowdown in the global economy as one country after another hunkers down.
In an economy driven by consumer purchasing of services, just the losses from a few large cancelled events are staggering: $8 million for March Madness, Final Four $100+million, South by Southwest $355 million and Frozen Four (hockey) $10 million. That’s just the cost to the cities without considering the airlines, restaurants and their employees, Uber and cab drivers and the retail spending of those workers. Add in the cancellation of the NFL, NHL NBA seasons and the vendors who work those events. The economic uncertainty lies in how long this state of affairs will last and how many financial supplements will be created.
The RealityTVPresident seemed hell bent on modelling anti-hygienic practices during his make-up press conference in the Rose Garden. He shook hands with the 15 people packed shoulder to shoulder behind him; he caressed the microphone where others subsequently spoke, keeping in mind that he often spits when he speaks; there was no hand sanitizer in sight. The president touched his face as did others in the group. At least, no one seemed to be coughing. “These are all the things that the public should avoid” would have been a great banner crawling across the screen. It speaks to the lackadaisical concern with which the president seems to be taking the whole affair.
His message was the puffery of theater. He declared a state of emergency so that he’ll have billions of dollars at his disposal to deal with the crisis in the usual way he greases corporate palms. He’s talking to private industry to expand testing and big pharma. Slyly, he indicated he hasn’t gotten what he wants out of Pelosi to pass an economic relief package and negotiations would continue. Of course, Pelosi has the votes for whatever she wants, so she doesn’t have to play ball except for her desire to have a bipartisan.
45 did mention that the problem with testing was NOT HIS FAULT. He’s not a buck stops here kind of guy. He has previously shifted the blame for his halting response somehow to Barack. Who else; it always scores well with the base and Trump/FoxNews pundits. In an administration consumed with dismantling federal regulations, certainly they would have scanned the FDA for potential obstacles as covid19 ravaged China. And yet, when confronted with a question about dismantling the Obama’s Office of Global Pandemic Response from the NSC, Trump denied that he knew anything about it. The chief executive who claims to control every action of his subordinates, he lamely referred questions to John Bolton. Perhaps it’s detailed in that book he can’t publish, at least until Trump is out of office.
Governors, state and local health departments have jumped into the breach. The state to state approach punishes those who live in conservative penny pinching states who favor handouts to businesses over the suffering of individuals. They have systematically underfunded public health resources for years.
We have to be thankful that governors, state and local health departments have jumped into the breach. They’ve shut down events and schools. They’ve contracted with labs to do their own drive thru covid19 testing; New York is selling its own hand sanitizer, albeit made with prison labor. By-in-large, public health has been underfunded for some time and states will need federal relief for their expenditures when the government dropped the ball. They will also need some economic support for lost revenues from business struggling with social distancing. The problem with a primarily state to state approach is that it punishes those who live in conservative penny pinching states who have little empathy for the suffering of individuals. They’re more sympathetic to hand-outs for businesses. The disparities in infection and death rates between states that expanded Medicaid under Obamacare and those who didn’t would make an interesting study when the epidemic resolves.
In sum, the Dow Jones is down into bear market territory, professional and college sports have been cancelled, the cruise industry is on hiatus, Broadway lights went dark and all the associated food and service industry workers are winding down to closure. Colleges and schools are closing, concerts, theater and any large gatherings are being canceled or audiences themselves are asking for ticket refunds and not attending. All of the effective public health interventions have come from the state and local officials or private businesses.
The US service economy is grinding to a halt for who knows how long. Covid19 testing is still woefully inadequate, unavailable to most. Even as the administration continues to claim more kits are available, local and state officials complain that reagents are missing or the tests are not all functional. For now, the CDC, state labs and the government have made the number of tests unknowable. But we know that even Iran and Vietnam are testing more regularly than the US. These facts in addition to the slowdown in the global economy and the lag in resumption of Chinese production are good reasons for Wall Street to be tanking.
All but the most devoted Trumpophants can see that not only is the PiedPiperPresident lying, he clearly has no idea what’s happening or what to do. Good thing he has Pence to blame when it comes crashing down. But life will become more uncomfortable; as production and distribution slows, shortages will last longer. Hopefully the first run of hoarders will stay home to give others a chance. Why so much toilet paper? If 45 is lucky, the vagaries of covid19 will not totally disrupt life in the US for longer than the 5 months it has taken China through dragonian measures to control the disease. That will give El Presidente the fall to convince his MAWA Nation that he should remain on his throne even though he doesn’t have the nation’s interests at heart and has no commitment to protect it.
March 16, 1995 Mississippi legislature finally ratifies the 13th Amendment abolishing slavery 130 years after it rejected it in 1865.