Category: Health Policy

Saturday Soother – September 18, 2021

The Daily Escape:

Great Sand Dune NP – photo by Rick Randall

A disturbing story from Kaiser Health News (KHN):

“Republican legislators in more than half of US states, spurred on by voters angry about lockdowns and mask mandates, are taking away the powers state and local officials use to protect the public against infectious diseases.”

KHN found that at least 26 states pushed through laws that permanently weaken government authority to protect public health. The actions varied but included these:

  • In 16 states, legislators have limited the power of public health officials to order mask mandates, quarantines, or isolation. In some cases, they gave themselves or local elected politicians the authority to prevent the spread of infectious disease.
  • At least 17 states passed laws banning Covid vaccine mandates or made it easier to get around vaccine requirements.
  • At least 9 states have new laws banning or limiting mask mandates. Executive orders or a court ruling limit mask requirements in five more.

Here’s a map showing where these assaults on public health are happening:

Draft legislation created by the American Legislative Exchange Council, restricting the emergency powers of governors and other officials, has inspired dozens of state-level bills, according to KHN. In some states, governors can no longer institute mask mandates or close businesses, and their executive orders can be overturned by legislators.

This toxic stew has led at least 303 public health leaders to retire, resign or be fired since the pandemic began. That means 1 in 5 Americans have lost a local health leader during the pandemic, when many hospitals are full, and people are still dying in large numbers.

This is America in 2021: It’s vitally important to the freedom of True Americans™ that the government be prevented from doing anything to help or protect them, except for cutting taxes.

We live in a dysfunctional democracy, and that seems to be the way we like it. No evil deity could have done better at setting us up to fail.

There are two big ideas that are colliding in the weakening of state-level public health and the subsequent loss of public health officials. One is the doctrine of federalism, our system of government in which the same territory is controlled by two levels of government. The US Constitution has established a system of “dual sovereignty,” under which the States have surrendered some of their powers to the federal government, but also retained sovereignty in others.

These 26 states are using federalism, asserting their power over federal regulations and processes that are designed to keep people safe. It’s unclear what the federal government can do to reverse these actions.

The second big idea is: what are the foundational goals of government? The safety, health and longevity of our people should be the primary metrics for good governance. The decline in the quality of our governance shows clearly in the American people’s decline in both health and longevity.

Public health as a function has been in decline for decades. This attack on public health is the latest step in the systematic effort to discredit the profession, to box it in. Few in public health have direct power; most are working on social/environmental research, information sharing, and creating best practices in regulation of product and worker safety.

Our dysfunctional democracy got that way by catering to corporations and wealthy donors. Politicians are disinvested in the American people; they have disinvested from creating what should be a fair sharing of social gains.

This makes them anti-public health. To the extent they have any interest, it’s in public health’s policing powers, like the bounty hunter policy that’s been enacted in Texas.

But, today’s Saturday, and it’s a legal requirement for this column to help readers find a few moments to leave the clash of cultures behind and relax for at least a few minutes. Leaves are starting to fall on the fields of Wrong, and next week marks the end of summer. We’ve placed a few mums around the yard, and Wrongo got around to calling the shop that’s fixing his snowblower for an update.

To help you relax, grab a seat near a window and listen to Karl Davydov’s Opus 20, No. 2 “At the Fountain”. Davydov was a Russian cellist described by Tchaikovsky as the “czar of cellists”. Here, “At the Fountain” is played by cellist Jérémy Garbarg, accompanied by Samuel Parent, on piano.  Recorded at the Vuitton Foundation in December 2018:

In 1870, Count Wilhorsky, a Russian patron of the arts, presented Davydov with a 1712 Stradivarius cello. This cello is now known as the Davydov Stradivarius. It was owned by the great cellist Jacqueline du Pré until her death and is currently on loan to cellist Yo-Yo Ma.

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Americans Die Earlier Than Europeans

The Daily Escape:

The Barber Pole, Vermillion Cliffs National Monument, AZ – May 2021 photo by Dave Coppedge

Derek Thompson in The Atlantic says that America has a death problem:

“According to a new working paper released by the National Bureau of Economic Research, Americans now die earlier than their European counterparts, no matter what age you’re looking at.”

Covid deaths are excluded from the study.

Before the 1990s, average life expectancy in the US was not much different than it was in Germany, the United Kingdom, or France. But since the 1990s, American life spans leveled off, and then fell behind those in similarly wealthy European countries.

We started hearing about America’s declining longevity when Anne Case’s and Angus Deaton’s 2015 study showed that White mortality in the US was rising. They called the new trend “deaths of despair”, caused by increased deaths by suicide, drug overdose and liver disease associated with alcohol.

Now, the bad trend has spread to all Americans:

“Compared with Europeans, American babies are more likely to die before they turn 5, American teens are more likely to die before they turn 20, and American adults are more likely to die before they turn 65. At every age, living in the United States carries a higher risk of mortality.”

The study collected data on American life spans by ethnicity and by income at the county level, and compared the data to those of European countries, locality by locality, allowing for direct comparisons. It explodes the myth about America having the best medical outcomes.

More from Thompson:

“Americans are more likely to kill one another with guns, in large part because Americans have more guns than residents of other countries do. Americans die more from car accidents, not because our fatality rate per mile driven is unusually high but because we simply drive so much more than people in other countries.”

Americans also have higher rates of death from infectious disease and pregnancy complications. And all of this is over and above our terrible Covid death rate.

One reason for the differences in mortality is that unlike Europe, America doesn’t have a robust public health system. These systems are at their core, a multidisciplinary delivery of services in our towns and cities that work to solve health problems before they require hospitalizations.

The US public health system has significant gaps in capability and delivery. It is both fragmented, and weak politically. The politicization of public health in the Covid crisis has caused some local public health officials to quit or retire. Some have been physically threatened just for doing their jobs. Approximately 1 in 6 public health officials have left their jobs in the past 18 months.

By contrast, our European peers have robust public health service delivery in most locations.

The researchers found some significant findings. First, Europe’s mortality rates do not vary much between rich and poor communities. Residents of the poorest parts of France live about as long as people in the rich areas around Paris. From the study:

“Health improvements among infants, children, and youth have been disseminated within European countries in a way that includes even the poorest areas…”

Second, White Americans living in the richest 5% of counties still die earlier than Europeans in low-poverty areas:

“It says something negative about the overall health system of the US that even after we grouped counties by poverty and looked at the richest 10th percentile, and even the richest fifth percentile, we still saw this longevity gap between Americans and Europeans…”

The study also shows that Europeans in impoverished areas seem to live longer than Black or White Americans in the richest 10% of counties.

Third, America has a surprising US longevity success story: In the three decades before Covid, average life spans for Black Americans surged, in rich and poor areas, and across all ages. As a result, the Black-White life-expectancy gap decreased by almost half, from seven years to 3.6 years.

The study credits the Medicaid expansion in the 1990s, which covered pregnant women and children and likely improved Black Americans’ access to medical treatments. The expansion of the earned-income tax credit and other financial assistance have gradually reduced poverty. Air pollution reduction is also a factor. Black Americans have been more likely than White Americans to live in more-polluted areas, but air pollution has declined more than 70% percent since the 1970s, according to the EPA.

Let’s give the last word to Derek Thompson: (emphasis by Wrongo)

“For decades, US politicians on the right have resisted calls for income redistribution and universal insurance under the theory that inequality was a fair price to pay for freedom. But now we know that the price of inequality is paid in early death—for Americans of all races, ages, and income levels. With or without a pandemic, when it comes to keeping Americans alive, we really are all in this together.”

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Back-to-School Brings Increased Covid Threat to Kids

The Daily Escape:

Sunset and sunflowers, central UT – August 2021 photo by Jon Hafen

Schools are back in session and once again, it’s in person, after a confusing on-or-off, virtual or physical experience last year. Almost 5 million children have been diagnosed with COVID-19 since the pandemic began.

The American Academy of Pediatrics (AAP) reports that about 204,000 kids tested positive for Covid last week. And for the week ending August 26, children accounted for 22.4% of reported weekly cases. Covid cases are rising nearly everywhere in America, and our schools aren’t exempt. From USA Today:

“At least 1,000 schools across 35 states have closed for in-person learning because of COVID-19 since the beginning of the school year, according to Burbio, a New York-based data service that is tracking K-12 school reopening trends.”

This increasing number of school closures comes amid a battle over mask mandates in schools and the surge in pediatric Covid cases. Did it occur to you that the people bitching about mask mandates and refusing to get the vaccine are THE SAME ONES who are up to a million about exiting Afghanistan?

Republicans are saying that Biden has botched the Covid response. But we know that many Republican governors are actively pursuing policies that are increasing infections. Some of them are preventing schools from adopting mask policies. Dr. Eric Feigl Ding, an epidemiologist, tweeted this:

Moreover, the CDC says that hospitalization rates were 10 times higher among unvaccinated than among fully vaccinated adolescents, and increased 4 times as fast in August in states with low vs. high vaccination rates:

Would Republican politicians willingly sabotage their state’s Covid vaccine program for political gain? Before you say, “that’s ridiculous”, look at this note sent to people in Manatee County FL:

This was put out by a local MAGA group, whose leaders have been trained by national organizers on how to disrupt school board meetings.

Wrongo thinks that masks are a convenient target of opportunity for America’s angry and outraged. Being an angry, outraged White person pays big political dividends. Chances are that if you’re an angry American, you’re White and middle class. You are backed by an enormous right-wing media ecosystem that’s egging you on. You are part of a political party ready to overturn our current system of government on your behalf.

Many in law enforcement will police you selectively. You can disrupt school board meetings, scream at children in masks, and probably not even get your ass thrown out of the meeting. The maskholes are ascendant.

And so, America’s war with ourselves continues.

The CDC’s masking recommendation for vaccinated adults changes with local transmission rates. If high, all people should mask indoors. If low, there’s no need. But the CDC hasn’t set similar metrics for children and masks in schools.

So, should kids under 12 stay masked until they have an approved vaccine? What if that takes years? What if it’s approved soon, but only 35% of them get vaccinated, just like among the 12–15-year-olds who have had access to vaccines for months?

It’s possible that even by the end of the school year, most children will still be unvaccinated. Should the masks come off then, or remain in place indefinitely? Any school board that sets a mask mandate should also be setting in place a mask off plan. Otherwise, their angry and distrustful citizens will gain even more power.

Consider that in the UK, the government doesn’t require masks for children in schools. It isn’t clear whether they will advise that kids should get vaccinated. Britain has experts just like we do, and they’re looking at the same scientific data. They care about children’s health the same way we do, and yet, they have come to different policy decisions.

Should we, as the UK does, accept that there will be more cases in children, recognizing that disease severity for the vast majority of kids is low? Should we accept that there will be a not-insignificant number of Covid-related deaths among our kids, along with some who have long-term health compromises, and move our focus to vaccinating, not masking our kids?

At this point, the people who are anti-vaccine, anti-mask and/or who deny the deadly seriousness of Covid have demonstrated that they cannot be reasoned with. They love that they can be ignorant assholes, while still having plenty of political muscle.

Time and energy are as limited as ICU beds. Time and energy should be reserved for people who have at least some common sense and common decency, not wasted on the angry and outraged.

OK, but what about the kids?

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Saturday Soother – August 21, 2021

The Daily Escape:

Portage Glacier, outside Whittier, AK – August 2021 photo by nowake

Yesterday, Wrongo finished Michael Lewis’s book “The Premonition”, that tells the story of our failure to contain COVID-19. It is told through the eyes of a cast of compelling characters, including a California public health officer, a couple of idiosyncratic MDs who are White House advisers and a brilliant academic scientist whose lab revolutionized the identification of viral pathogens.

We learn how the pandemic exploited the gaps in the public health system of the world’s most advanced country that Lewis shows to be fragmented and weak politically. Moreover, he shows that the CDC’s response was almost inert when it came to reports from the states that were seeing the first Covid cases.

Early on, the CDC basically had two positions on the pandemic. First, that it wasn’t a big deal, it was overblown. And later, they made a quick pivot when it started spreading in the US. That change came far too late to contain the spread of the virus.

Lewis says little in The Premonition about the US official pandemic response. The organization that comes off the worst is the CDC and its leadership. The White House and Trump are mentioned in passing. Dr. Fauci is mentioned only a few times, while Deborah Birx is entirely absent. The White House COVID task force is seldom mentioned.

The book’s takeaway is mostly about how we have built organizations that are excellent for studying “what happened” and publishing papers about past problems. But are incapable of real time response in a true public health emergency. This is because the top CDC job has been a political appointee since the Carter administration. Lewis told NPR how the institutional failure at the CDC came about:

“The brave ones have all got their heads chopped off. So, it’s sort of institutionalized a cowardice that we’re going to need to face up to so that this business of punishing people who are doing their damnedest to try to save us from ourselves has got to stop.”

The characters in Lewis’s book have fascinating life stories: A thirteen-year-old girl’s school science project on how airborne pathogens spread, morphs with her scientist father’s help, into an important model of how Covid spreads.

A California public-health officer uses her skills and experience to see what the CDC misses and reveals important truths about our public health system. An informal group of doctors, nicknamed the Wolverines, have the skills needed to fight the pandemic: brilliant backgrounds, world-class labs, prior experience with the bird and swine flus  ̶  everything except official permission to implement their findings on behalf of the American people.

One series of facts that floored Wrongo was how important children are to spreading a virus in our population. These insights started with the kid’s model mentioned above. From pages 90-91:

“…there were more than 100,000 K-12 [public] schools in the country, with 50 million children in them. Twenty-five million ride a bus to school….There were 70,000 buses in the entire US public transportation system, but 500,000 school buses. On an average day, school buses carried twice as many people as the entire US public transportation system.”

Moreover, school bus aisles are narrower than normal buses, and better for spreading disease. They observed that when kids stand at the bus stop, they crowd together, unlike adults who give each other personal space. In the halls at school, kids also crowd together. The conclusion was that kids’ different sense of personal space has a key role in the spread of viral disease. More:

“…each elementary school child spent the day in a space with a radius of just 3.5 feet, which when they reached high school, expanded to four.”

The discoverer of this insight is one of the Wolverines, Carter Mecher, an MD who worked at the Atlanta VA hospital system. His conclusion?

“I couldn’t have designed a better system for transmitting disease than our school system”

Wrongo didn’t know that school closure was the most effective strategy to contain the spread of Covid before reading this book. We all know that few families wanted their kids to stay home from school. We know how politicized the issue of school closure became, even in states where it was mandated. There are 130,930 schools in America, all individually and locally managed. And it’s impossible to enforce a mandate on them from afar.

Between a weak public health system, an ossified CDC, and an inability to control the disease transmission in the 130k+ schools in America, Lewis’s book is a devastating look at our ability to deal with Covid and with whatever the next pandemic brings.

With Afghanistan, the delta variant and a looming hurricane hitting the northeast this weekend, it will be difficult to settle down for a Saturday Soother. But let’s give it a try.

Take a seat by a window and listen to “The Last Rose of Summer” by Leroy Anderson. It is part of his Irish Suite, and was arranged in 1947:

This is as beautiful to watch as to listen to.

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Sunday Cartoon Blogging – August 15, 2021

Sorry there wasn’t a Saturday Soother this week. Instead of writing for you, Wrongo and Ms. Right went to an outdoor concert at New Jersey’s PNC Arts Center. It’s an outdoor amphitheater that seats about 7,000, with lawn seating for maybe another 10,000.

Very few people wore masks, but NJ doesn’t require masking at outdoor venues. And they didn’t check for vaccine cards. Will the show we saw become a super-spreader event? Let’s hope not.

The 2021 summer concert season has seen conflict over masking and vaccination requirements. With the spread of the Delta variant, a loose consensus has taken shape. Starting in October, fans must provide proof of vaccination, or a negative test at most venues. Some venues and artists already insist on them.

But the decision process is complex. States like NJ have a say, and so do the artists. Live Nation and AEG Presents, the two global companies that dominate the concert business, have each announced that, by October, most venues and festivals they control in the US will require vaccinations or negative tests for entry.

We all need think about our personal response to seeing concerts in light of this from Fortune:

“In short: There is now mounting evidence that mRNA-based vaccines such as Pfizer’s and Moderna’s lose potency over time and especially against the Delta variant, and that the Pfizer vaccine’s efficacy drop is significantly more dramatic.

More: (emphasis by Wrongo)

“…discouraging new research from the Mayo Clinic forced investors to question how long the Pfizer vaccine remains effective at preventing coronavirus infections and protecting those who are vaccinated from getting sick with a Delta variant case. Pfizer’s shot may be significantly less effective than Moderna’s against breakthrough infections (42% efficacy for Pfizer/BioNTech versus 76% for Moderna), according to the data…”

The Mayo Clinic study, which hasn’t been peer-reviewed, noted that between January and July, Moderna’s jab was 86% effective at preventing infection, while Pfizer’s was 76% effective. But for the month of July alone, those numbers fell to 76% for Moderna and 42% for Pfizer. Researchers observed similar drops for the Pfizer shot outside of Minnesota in states with high COVID counts such as Florida.

If this trend holds true in peer-reviewed research, public health officials, drugmakers and medical institutions will have to rethink their approach to fighting the Delta variant. In fact, we may need to think carefully about how we will live if Covid becomes endemic.

The good news is that for now, if you are vaccinated but infected, you probably won’t need hospitalization, and you most likely won’t die. The bad news is you won’t know you’re infected until symptoms set in, meaning you can still spread the virus to anyone you meet.

Do the world a favor. Wear a mask. On to cartoons.

The race that never ends:

Opposition to basic safety will literally be the death of us:

One way to get school kids masked up:

One way to convince the vaccine hesitant:

New Census worries GOP:

DC has wrong priority for infrastructure:

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Sunday Cartoon Blogging – August 8, 2021

The Commonwealth Fund’s August 4 report says that the US health care system ranked dead last among 11 wealthy countries, despite spending the highest percentage of GDP (17%) on health care.

The report considered 71 performance measures in five categories: access to care, the care process, administrative efficiency, health care equity and health care outcomes. The countries analyzed in the report include Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the US.

America ranked last on access to care, administrative efficiency, equity, and health care outcomes. We performed well in rates of mammography screening and influenza vaccination for older Americans, as well as the percentage of adults who talked with their physician about nutrition, smoking and alcohol use. But we had the highest infant mortality rate and lowest life expectancy at age 60, compared with all the other countries.

Eric Schneider, the lead author and senior vice president for policy and research at the Commonwealth Fund:

“The US has two health care systems. For Americans with the means and insurance to have a regular doctor…reported experiences with their day-to-day care are relatively good, but for those who lack access, the consequences are stark.”

Our poor performance is nothing new. The US has been in last place in all seven of these studies that the Commonwealth Fund has released since 2004. This is another failure of our political system. Our politicians talk but never act.

On to cartoons. There were lots of Cuomo cartoons, little on Covid, the Olympics or infrastructure this week.

Someone should tell Cuomo the “I Grope Everybody” defense is a terrible defense. A good rule in life is not to touch people you’re not supposed to be touching. Keep your hands to yourself:

Gov. DeSantis explains Florida man’s definition of how to end Covid hesitancy:

The GOP also predicted Sharia law in America, the end of Christmas and death panels:

Remember when Obama wore a tan suit and Republicans went nuts? This week, Biden wore a tan suit to announce the big jobs increase. It was also Obama’s birthday week. It’s an obvious attempt to troll conservatives:

The summer of our discontent:

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Saturday Soother – August 7, 2021

The Daily Escape:

Badlands NP, SD – photo by Nik Eviston

Random end-of-the-week thoughts about Covid. First, from ABC News:

“Seventy percent of US adults ages 18 and older, or roughly 180.7 million Americans, have received at least one vaccine dose, the U.S. Centers for Disease Control and Prevention reported.”

It’s difficult to get 70% of the American people to agree on anything, but given today’s Delta variant, somehow that doesn’t seem to be nearly enough. We’re down to a hardcore 30% who for all sorts of reasons, arrive at the same conclusion: They’re not getting vaccinated. Some may get vaccinated later, some will never get the shots.

That 30% is not only stopping the rest of us from getting on with a semi-normal life, but they’re also placing the country in grave risk.

Second, it’s always good to remember that the pharmaceutical companies are in the game to make profits. Earlier this week, Pfizer/BioNTech and Moderna raised prices on their vaccines. Apparently, the European Union now has to pay 25% more than it was paying for the Pfizer vaccine, and 10% more for Moderna’s. Their costs didn’t go up, but their market power has increased. Pfizer has already raised its financial  estimates, telling investors it will generate $33 billion in revenues this year from selling the vaccine.

It’s important to note that neither firm is making enough doses to vaccinate the world. They’re focused on production for rich countries. In general, there isn’t enough vaccine supply. And this makes it much harder to bring the pandemic under control, since poorer countries just can’t get the vaccines they want.

Third, Florida’s Republican Gov. Ron DeSantis said recently that immigrants are causing the spread of the Delta variant of Covid. This map from the USA Today refutes his nonsense:

High test positivity is happening nearly everywhere in America. On parts of the southern border where illegal immigration is heavy, the risk is lower than anywhere in Florida.

Finally, From the Morning Brew:

“What does Covid-19 vaccine developer Sarah Gilbert have in common with Beyoncé and Marilyn Monroe? They all have Barbie dolls in their likenesses. Toy company Mattel debuted Barbie dolls modeled after six female health workers fighting on the front lines during the pandemic.”

Here’s Mattel’s lineup of Covid new role model dolls:

Over the decades, Mattel had been criticized for its unrealistic portrait of womanhood with its original Barbie, a white, blonde, who although turning 60 in 2019, still has that impossible physique. Mattel now offers dolls with careers such as firefighter, doctor, and astronaut, and in a range of skin tones.

These six women all have had important roles in fighting the pandemic, so that’s something new. Also, sales of Barbie dolls last year hit a six-year high.

On Sunday, Wrongo and Ms. Right are attending a new musical, held in an outdoor tent, at the indispensable Goodspeed Opera House in East Haddam, CT. Goodspeed, like theaters everywhere are feeling their way forward in a time of increased infections, and we’re happy to support them.

But today is the start of the weekend, and that means it’s time for our Saturday Soother, a few minutes to disengage from the media cacophony, and focus inwardly. It’s a short few moments in which we search for repair and renewal.

To help with that search, grab a seat outdoors if possible, and listen on your wireless headphones to Claude Debussy’s “Nuages” (‘Clouds’) from his “Three Nocturnes”, with the Philadelphia Orchestra conducted by Leopold Stokowski. Debussy finished writing the piece in 1899. Stokowski recorded the first two of Debussy’s Nocturnes in 1937. Here is “Nuages”, a musical impression of slow-moving clouds, taken from his 1950 recording, re-engineered to produce a better sound, and reissued on a Cala CD:

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Sunday Cartoon Blogging – August 1, 2021

Ars Technica reported that on Wednesday, the USDA released a survey of the wild deer population in four states that found large numbers of the animals have been exposed to the virus that causes Covid. The study shows that the antibodies ranged from a low of 7% of the samples in Illinois to a high of 60% in Michigan. Overall, a third of the deer tested had antibodies against SARS-CoV-2, the virus that causes Covid.

This means that there’s a very large population of wild animals in North America that may serve as a reservoir for the virus, even if we manage to contain its spread among the human population.

Why check deer? The USDA is studying a variety of species to identify which may serve as hosts for the virus, and like mink, deer show evidence of wide-scale infection. It’s possible that these numbers came from a rare transmission by humans to deer, followed by extensive spread within the deer population.

Scientists think that understanding how the transmission took place is critical to determining whether the existence of a large viral reservoir in deer poses a threat to humans. But the truly bad news is that deer are notoriously anti-vaxx. On to cartoons.

It’s not just deer, it’s the sheep, but Charles Darwin approves:

This is why the job is so difficult:

GOP thinks that the Capital Cops who testified in Congress were weaklings:

New disclosures about Trump and the election make it harder for the GOP to hold the line:

Conservatives ought to walk the talk against Biles. Gotta love that right-wing crop top:

Biles gets the important medal:

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Saturday Soother – July 31, 2021

The Daily Escape:

Rain on the way, Factory Butte, UT – May 2021 photo by armitage2112

It was a big week for political news, but the most explosive story of the week concerned Covid and the delta variant. On Friday, the WaPo reported that a scientific analysis of a Covid outbreak in Provincetown on Cape Cod, MA, showed that 74% of the people who became infected had been fully vaccinated.

Also, the infected but vaccinated people had received all the approved vaccines: Pfizer-BioNTech, Moderna and Johnson & Johnson.

Worse, the study found that vaccinated individuals carried as much virus in their noses as unvaccinated individuals, and that vaccinated people could spread the virus to each other. As of Thursday, 882 people were tied to the Provincetown outbreak. Among those living in Massachusetts, 74% of them were fully immunized. Officials said the vast majority also reported symptoms. But just seven people were hospitalized.

Also, officials tested specimens from 133 people and found the delta variant in 90% of them.

On Thursday, another WaPo story about a CDC internal document estimated that 35,000 vaccinated people a week in the US are having symptomatic breakthrough infections. This is out of a vaccinated population of more than 162 million Americans. That internal CDC document also reported that the delta variant is as transmissible as chickenpox.

So, it looks like it’s time once again to recalibrate our thinking about Covid.

The CDC report says that there’s evidence that vaccinated people can also spread the more transmissible delta variant, right along with the unvaccinated. That both groups can spread the virus is likely the key factor in the current summer surge of infections.

There’s a whole lot of finger pointing going on over this. The right is blaming the CDC for being inconsistent, and the Republicans in Congress are trying to make the possible instituting of a vaccine mandate along with re-instituting a mask mandate, into another political issue.

What House Minority Leader Kevin McCarthy (R-CA) fails (purposely) to understand is that since the virus is changing, our response needs to also change. This variant is much more contagious than the original variants. We should all be working to defeat the virus, not trying to score political points on each other. And McCarthy is vaccinated, although 65 GOP members of the House are not.

Republican Congressman Roger Marshall (KS) is an MD. He said on PBS yesterday that masks do absolutely nothing to prevent the spread of disease. And he’s a Republican OBGYN, so he should know, right?

Nobody in the world, much less in the CDC, knew exactly how virulent these Covid variants would be. Epidemiologists hoped that people would get quickly vaccinated and help end the unchecked spread of the virus. That didn’t happen, in large part because right-wing media has actively stoked the culture wars, while GOP politicians run alongside, hoping to take control of the House in the 2022 mid-terms.

Once again, this means we’re dealing with a bad faith crowd that will scream about any contradictions. You’re not allowed to change your mind. You’re not allowed to admit you were wrong. You’re not allowed to accommodate new evidence.

Borrowing from driving your car, your mask is your seat belt. Your vaccination is your airbag.

On to the weekend and our Saturday Soother. We’re seeing an invasion of Japanese beetles on the fields of Wrong. Ms. Right went to the Agway and bought one of those old-fashioned beetle traps, a long green plastic bag topped by a lure with the scent of roses. It has captured a very satisfying number of beetles, but it’s difficult to say what percentage have not fallen victim to Ms. Right’s lures.

Friday marked the return of the summer session of the BBC Proms in London, after an 18+ month absence due to Covid. Friday night led off with Ralph Vaughan Williams’s “Serenade to Music”. It premiered at the Royal Albert Hall in 1938. Williams also wrote the piece for 16 vocal soloists and orchestra in 1938. He adapted the text from a discussion about music in Act V, Scene 1 of Shakespeare’s “The Merchant of Venice”.

Vaughan Williams later arranged the piece into versions for chorus and orchestra and for solo violin and orchestra. Since Wrongo doesn’t appreciate the operatic singing of Shakespeare, this is the orchestral version, played by the Northern Sinfonia of England, conducted by Richard Hickox. The violinist is Bradley Creswick:

The video includes wonderfully atmospheric paintings by the Victorian era artist John Atkinson Grimshaw.

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Monday Wake Up Call – July 12, 2021

The Daily Escape:

Old Orchard Beach, ME – June 2021 photo by Eric Storm Photo

America has a growing vaccination gap. In one part of America, dominated by states that Biden won in November, most adults got their shots and daily life is rapidly returning to normal. But in the other, states that are overwhelmingly Trump country, fewer adults are vaccinated. The chart below from NPR breaks down the distance between us politically. Many blue states have vaccinated more than 70% of their populations, while no red state has vaccinated even 65% of theirs:

This shows the huge political divide we have around Covid. The top 22 states (including DC) with the highest adult vaccination rates all went to Joe Biden in the 2020 presidential election. And surveys have shown Trump supporters are the least likely to say they have been vaccinated or plan to be.

Alternatively, some of the least vaccinated states are the most pro-Trump. Trump won 17 of the 18 states with the lowest adult vaccination rates. Demographically, these states have higher proportions of Whites without college degrees, while a Gallup poll found that 57% of Republicans say the pandemic is over, compared with just 4% of Democrats.

At CPAC (the Conservative Political Action Conference) held last weekend in Dallas, TX, this anti-Covid vaccine ideology was on display. When the nihilistic shithead Alex Berenson noted that the government is falling short of its Covid vaccine goals, the crowd applauded. Their hypocrisy is breathtaking: When the vaccine first came out, Republicans wanted to call it the “Trump Vaccine”. But since he lost, they want nothing to do with it.

If you’re actively trying to stop a program that saves lives, and you’re doing it purely for political self-interest, what should you be called? We’re talking about lives that could potentially be saved or lost right now, not something that’s simply a projection: We’re talking about 200 Americans dying a day, every day, right now.

And these are the supposed “pro-life” people, the people who would never support a Democrat, because they care so much about “life”. The data, and the “pro-life” people’s actions at events like CPAC show that “life” isn’t really the point.

Time to wake up America! With Covid, Europe is always only a few weeks ahead of us. Here’s the growth in infections there:

Cases in these countries are spiking due to the delta variant, and it’s already here. Experts think it accounts for more than 50% of US Covid cases, and we are likely to see similar spike in cases.

It has already partially learned to evade our Covid vaccines, at least to some degree. But the fear is that the next variant might be able to outsmart the vaccine, causing deadly problems even for parts of the country that have high vaccination rates.

These GOP political grifters who whip up anti-vaccination sentiment could bring about another pandemic. While the current variants are relatively susceptible to the vaccines. the more the virus spreads, the more opportunities there are for a vaccine-resistant variant to take hold.

Thanks Republicans. To help America wake up, listen to The Foxymorons 2015 tune, “Spinning On A Needle”. Just the name “Foxymorons” sounds like it should be required for all Republicans.

It should make you want to listen regardless of what they sound like:

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