Category: Health Policy

Monday Wake Up Call – March 16, 2020

The Daily Escape:

Blue Lakes Trailhead, near Telluride, CO – August 2018 photo by Will Colebank. See 360° view here.

Remember last Monday? Since then, we’ve had a week of body blows to both the national psyche, and the economy. Thank God that the market was closed last week. Oh, wait a minute…it was open.

Please, Trumpheads: Try not to kill us while attempting to govern! The administration is literally making a pandemic worse by once again not thinking through their policies. From the WaPo:

“Airports around the country were thrown into chaos Saturday night as workers scrambled to roll out the Trump administration’s hastily arranged health screenings for travelers returning from Europe.

Scores of anxious passengers…encountered jam-packed terminals, long lines and hours of delays as they waited to be questioned by health authorities at some of the busiest travel hubs in the US.”

Q: How do you spread a virus faster?
A. Pack a bunch of people into an airport virus screening line for six or seven hours.

This dog’s breakfast was caused by the administration’s “enhanced entry screenings”, one of Trump’s travel restrictions aimed at slowing the spread of the coronavirus within the US. Passengers on flights from more than two dozen countries in Europe were routed through 13 US airports, where workers checked their medical histories, and examined them for symptoms.

What could go wrong?

Is it a surprise that there was no advance staff coordination to assure that people could get through a crowd of suspected Coronavirus carriers reasonably quickly? It’s similar to Trump’s 2017 chaotic implementation of the Muslim travel ban that triggered confusion and protests when travelers were detained, or sent back with almost no warning from US airports.

In some airports, the immigration line for US citizens was longer than the one for non-citizens. How can intelligent people not think any of this through? It’s clear from the long lines that there was zero planning for this policy’s implementation.

Trump has failed AGAIN.

It’s likely this clusterfuck will speed disease transmission rather than not having a travel ban at all. This is another example of “we’ve gotta do something”, and they settle on an action that exacerbates the problem!

Second, what kind of crazy, messed-up world do we live in where the most reliable information about the coronavirus comes from anyone but the government? Where Rep. Devin Nunes (R-CA) tells everybody to go out to a restaurant, when the NIH’s Dr. Anthony Fauci is saying just the opposite?

Or, take Republican candidate for the Nevada Clark County School District Board of Trustees, Katie Williams. Williams is a former Ms. Nevada who was recently stripped of her title for posting political content supporting Trump on social media. She also ventured into pandemic denial when she tweeted this reply to Alexandria Ocasio-Cortez:

“This is America, and I’ll do what I want” = “I’m too selfish to do anything that doesn’t benefit me.” Paul Campos puts his finger on the problem of 21st Century peak Republican asshole:

“The COVID-19 crisis is a classic collective action problem. Stopping it from overwhelming the nation’s health care system so that it causes hundreds of thousands or even millions of preventable deaths requires people to act as if society actually exists, and to recognize that the fact that they themselves may face a relatively low mortality risk is irrelevant to the much higher risk faced by the tens of millions of their fellow Americans.”

Expecting Americans in general, and Republicans in particular, to voluntarily engage in the kind of behavior that’s important for the greater good is not only unrealistic, it’s foolhardy.

Back to Williams: Can you imagine Nevada parents wanting one of the most selfish people in America on their kids’ school board?

Time to wake up America! As John Pavlovitz says:

The bill for MAGA has come due, Trump supporters.

It’s time to pay up.

The deferred invoice for you selling your souls is here….

This President didn’t create this virus,
but he ignored it,
denied it,
minimized it,
joked about it,
weaponized it,
politicized it,
exacerbated it.

To help you wake up, listen to King Crimson’s “Epitaph”, from their 2018 live album, “Radical Action”. The vocalist is Jakko Jakszyk:

Sample Lyric:

Confusion will be my epitaph
As I crawl a cracked and broken path
If we make it, we can all sit back and laugh
But I fear, tomorrow, I’ll be crying
Yes, I fear, tomorrow, I’ll be crying
Yes, I fear, tomorrow, I’ll be crying

Those who read the Wrongologist in email can view the video here.

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Sunday Cartoon Blogging – March 15, 2020

This news should hit America like a hammer:

We started seeing Coronavirus on the same day, but we diverged almost immediately. One country effectively managed the crisis, the other not so much. The South China Morning Post reports:

“With about 8,000 confirmed cases and more than 65 deaths, it was until recently the country with the most confirmed cases outside China – but South Korea has since emerged as a source of inspiration and hope for authorities around the world as they scramble to fight the pandemic…..

By carrying out up to 15,000 tests per day, health officials have been able to screen some 250,000 people – about one in every 200 South Koreans – since January.”

In South Korea, they text the results to you on the next day, and it’s free. We may never see either of those things become a reality.

America has tested a total of about 4,900 people (we think), since authorities are unable (unwilling?) to confirm the exact number of tests that have been carried out.

Seoul’s handling of the outbreak emphasizes transparency, and relies heavily on public cooperation in place of hardline measures such as lockdowns. But America is exceptional, right? Trump said this a few days ago:

“So much progress has already been made, especially when you compare it with other places.”

Rather than follow the lead of our ally, South Korea, Trump seems to have picked the North Korean approach of downplaying and cover ups. What a genius. On to cartoons.

The world we’re living in:

A strategy that isn’t working for us:

The supposed best system is failing us:

Lyin King will close in November:

Empty suit equals empty shelves:

Our new world:

Harvey’s heading to his new pen:

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Saturday’s (No) Soother – March 14, 2020

The Daily Escape:

Mt. Pavlov and Pavlov’s sister, the Aleutians, AK – Pavlov is the most active volcano in the US. Hat tip: Ottho H.

We’re crossing a threshold between what we knew about public health, toward an unseen future. There’s no certainty about what that future will look like. As important as it is to remove Trump, his incompetence has made his removal our second national priority. He’s made beating the Coronavirus our number one priority.

This has a domino effect: We don’t just have a national health emergency, but soon, a recession. So many things cancelled. So much commerce deferred, and for how long? Think about how many working people are/will be out of work due to postponements and cancellations, due to small companies closing. Due to illness of family and deaths of loved ones.

Widespread illness is showing the cracks in our health care delivery system: In early January, America was among the best-prepared nations for an epidemic. Our large number of ICU beds, plus our stockpiles of drugs and medical equipment, made us the envy of many nations.

And we took an early lead: On January 6, the CDC issued a Level 1 travel watch for China. On January 7, the CDC established a 2019-nCoV Incident Management group. On January 8, the CDC began alerting clinicians to watch for patients with respiratory symptoms and a history of travel to Wuhan. On January 17, the CDC issued an updated interim Health Alert Notice (HAN) Advisory to inform state and local health departments and health care providers about this outbreak. We began screening passengers on flights from Wuhan to five major US airports.

On January 31, Trump announced blocking of entry of Chinese nationals and mandatory quarantines on US citizens who returned from affected parts of China.

Since then, we’ve had inaction and mistakes by the FDA and CDC, including screwing up the provision of desperately needed tests. Even now the CDC and FDA say there’s an inadequate supply of reagents used in the tests, a bottleneck that should have been dealt with in January.

Organizations require strong leadership. That allows established process and procedures to rule in an emergency. That’s why we need good elected leaders in charge of the experts. Today, it’s the other way around. This is inexcusable.

Here’s a thought about one of the detestable people who helped bring us to this new threshold between where we were, and where we’re going: Sen. Susan Collins (R-ME). In 2009, she singlehandedly removed $870 million in pandemic funding from the economic stimulus package:

From Grunwald’s tweet:

“Collins also deleted the pandemic flu preparations as a nonstarter”

Stop saying that Sen. Collins is a reasonable Republican. She’s proven time and again she’s not. It’s possible that there may not be any reasonable Republicans left. Please donate to Collins’s opponent, Democrat Sara Gideon.

Finally, haven’t we had enough of the lying and purposeful misinformation spewed by Trump? Eric Boehlert has a great idea: The media and the rest of us should stop listening to Trump:

“The President of the United States is actively endangering the American public, and at what point does the press decide that dutifully broadcasting Trump’s misinformation is not in the nation’s best interest. At what point does the press unplug Trump for the good of the country?”

His forum should be restricted to only FOX news. There is no reason to have presidential debates, since no fact-checking organization, much less any citizen, can keep up with Trump’s lies and misstatements. Sure, the GOP will complain that Biden (or Sanders) are chickens, that they’re too old to match wits with Trump. But the truth is, Trump should be denied a forum when and wherever possible.

He hasn’t earned being normalized by the rest of us. And don’t say we should respect the office – he doesn’t.

We need only one point to prove this: Trump did not push to do aggressive Coronavirus testing because more testing might have led to more Coronavirus cases being discovered. Trump made it clear the lower the numbers on Coronavirus, the better for him and his re-election this fall.

That disqualifies him.

Here’s a little tune to help you through the weekend. It’s “Enjoy Yourself (it’s later than you think)” by Jools Holland, The Specials, Hozier, Rhiannon Giddens and others performed in 2015:

And it IS later than you think! Those who read the Wrongologist in email can view the video here.

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The Health Crisis Now Coincides With a Financial Crisis

The Daily Escape:

Sunrise, St. Augustine Beach, FL – March 2020 photo by Carl Gill

The WaPo reported that a Coronavirus-sparked oil war sent crude prices down on Sunday by 32.3%. That triggered a forced temporary halt of stock trading on Monday, when the S&P 500 index sank 7% shortly after the market’s opening.

This occurred on the 11thanniversary of the current bull market. But, as Greg McBride, chief financial analyst at Bankrate.com, wrote:

“The uncertain economic impact of coronavirus continues to grip markets, with stocks, commodities and interest rates all dropping sharply. Markets hate uncertainty and there is a ton of it currently in play.”

There is no question that there will be more angry Americans now that a health crisis coincides with a financial crisis. Who they focus their anger on remains to be seen. Trump took credit for each rise in the stock market, so will he take ownership now that it’s tanking?

He’s not a broadly popular president, and this will make him less popular, so fewer people will believe him when he tries to lay the blame on others.

The oil price plunge was triggered when Russia announced on Friday that it would no longer stay within the OPEC+ quotas after April 1st. Saudi Arabia then said it would slash prices for its customers in April. In addition, they hinted at increasing production from the current level of 9.7 million barrels per day to 10 million barrels per day.

This is the start of an oil price war between Saudi Arabia and Russia over market share. But the real target for both may just be the US shale oil sector. US banks and other investors have been fueling the shale oil sector’s growth with hundreds of billions of dollars of loans over the years. And the shale oil producers keep ramping up production, despite it being largely unprofitable. They continue to burn through cash.

Brian Sullivan at CNBC warns us: The US oil industry valued its oil reserves, as collateral for its loans, at $60 a barrel. Today’s price is now about $30/barrel.

By sending some of these shale-oil companies into bankruptcy, Saudi Arabia and Russia are hoping that new money will refuse to support the US shale oil sector. Then production in the US will decline and take some oversupply out of the oil market.

Their timing is impeccable. Oil demand is down due in part to the Coronavirus. Chinese manufacturers are producing less and airlines in particular have less need for jet fuel. If OPEC and Russia increase production, and assuming US production still increases while demand globally is in steep decline, then global markets will be awash in oil.

And what does an oil glut do for Iran, already fighting a severe Coronavirus outbreak, and needing higher oil prices for their own economy?

But no worries! We can count on the competent leadership in the White House. And if that doesn’t make you comfortable, you might ask yourself, “Is this 1929 all over again?”

Maybe not, but if it is, who will be our FDR? In the 1930s and 1940s, FDR spent money on America’s democratic infrastructure. That money gave jobs to people. He created a social safety net, and allowed industry to again flourish.

But in the past 30 years, all the money has gone to our industrial infrastructure and to the rich, through tax cuts and subsidies. The easy money party has helped to pump up both stock prices and asset prices, giving us an ever-growing income and wealth gap.

What happens to the health of the people and to the health of economy between now and November is going to be a huge political concern. There’s always a tension between the best health policy, and the best economic policy.

Trump wants economic policy to win out, but the primary beneficiary of that is industry and the rich.

We should remember that when leaders are seen to be incompetent and/or ARE truly incompetent, they try to divert the voters’ attention. What Trump attempts to do in order to divert our attention, is worthy of discussion.

As of today, the fuse is lit. It’s an election year, and we know that Trump won’t go away quietly.

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Trump’s Coronavirus Disinformation Campaign

The Daily Escape:

Mount St. Helen’s WA – July 2019 photo by NathanielMerz

The Coronavirus global tally as of Saturday March 7th is 105,612 cases with 3,562 deaths. Yesterday was the first day where we saw over 3,000 new cases in a single day since there was routine reporting of those levels in China a week or so ago.

That means the focus of new infections has shifted from China to the west. Wrongo saw a meme comparing flu deaths to Coronavirus deaths, saying that “54,000 people die from the flu each year and no one bats an eye, but people are freaking out over 3,500 coronavirus deaths”.

This is disinformation of the worst kind.

We’ve written about the differences between the flu and the Coronavirus: Coronavirus is at least 20 times as deadly as the flu, and is currently trending at 35 times as deadly. It is more contagious. This means that for 54k people to die from flu, 54 million people have to get the flu. But, for 54k people to die from Coronavirus, only between 1.8 million and 2.7 million people have to get sick.

This kind of disinformation is also spewing from the president. He has repeatedly downplayed concerns about Coronavirus. Just this week he:

  • Said he wanted to keep sick people on a cruise ship to fudge the numbers
  • Called the governor of Washington state, who has the most cases, “a snake”
  • Was preoccupied with his ratings on Fox
  • Said anyone can get tested, when they can’t

Meanwhile, the number of US cases have gone from 5 to 260 since he claimed it was all a hoax.

America can’t seem to get sufficient numbers of tests in the hands of health professionals. Connecticut, for example, has one examination kit that allows only 600 tests to be conducted. Do Trump & Pence realize that when you test fewer people, you do keep your number of confirmed cases low, but your death rate percentage is going to be higher?

The disinformation is reflected in polling. Reuters reports:

“Democrats are about twice as likely as Republicans to say the coronavirus poses an imminent threat to the United States, according to a Reuters/Ipsos poll conducted this week. And more Democrats than Republicans say they are taking steps to be prepared, including washing their hands more often or limiting their travel plans. Poll respondents who described themselves as Republicans and did not see the coronavirus as a threat said it still felt remote because cases had not been detected close to home and their friends and neighbors did not seem to be worried, either.”

Overall, about four of every 10 Democrats said they thought the new Coronavirus poses an imminent threat, compared to about two of every 10 Republicans. This is looking like a battle between the scientists working on the Coronavirus, and the political complacency of the right, who say that the virus is no big deal.

But this is a binary situation: One side or the other will turn out to be correct. The complacents assume that the number of cases will remain small (in the hundreds), so the number of deaths will also remain small. From Charles Hugh Smith:

“Given the scientific evidence that Covid-19 is highly contagious, let’s do a Pareto Distribution (80/20 rule) projection and estimate that 20% of the US population gets Covid-19. That’s 66 million people….higher than the 54 million who catch a flu virus in a “bad flu” season.”

Smith’s analysis paints a daunting picture: (emphasis by Wrongo)

“Using the lower CFR (case-fatality rate) rate, 2% of 66 million is 1.3 million, so if Covid-19 infects only 20% of the US populace, current data suggests 1.3 million people will die.”

That should be a reason for panic.

Some final points: If even just 5% of all cases required hospitalization/intensive care, that would equal about 3.3 million people. Thus, America will quickly run out of hospital intensive care bed capacity. Smith says that there are just 94,000 intensive care beds in the US. Once the number of patients needing hospitalization exceeds the number of ICU beds, the death rate can grow dramatically.

And today, using disinformation, the Trump administration is trying to deflect and minimize what the scientists are saying. Trump’s handling of the Coronavirus in America is dangerous, and needs to be stopped.

A final word from Brian Schatz, Senator from Hawaii, on Trump:

“Today is a three dimensional demonstration of the consequences of electing someone like this. He’s not lying about his wealth. He’s not lying about his polling. He’s not lying about his opponent or his ratings. He’s lying about a pandemic and the government response.”

If in another 2-3 months, the hospitals are overflowing and surrounded by armed guards to keep the uninsured out of the building, we’ll be riding in a shit storm of Trump’s incompetence.

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Is America Prepared For the Coronavirus?

The Daily Escape:

Coronavirus or not, it’s always business as usual – credit: Dave Note

The photo demonstrates why the coronavirus won’t be contained. 21st century humans will do what they want, when they want, and how they want. They’ll trust that their government will sort out the consequences.

We need to take a hard look at resilience, which is defined as the ability to recover quickly from illness, change, or misfortune. We talk about it for individuals, markets, governments, and society. In truth, it applies to every system on earth.

We had our first wake-up call about American resilience with 9/11, followed in 2005 by Hurricane Katrina. We watched the news, and saw that America was unable to snap back quickly, that we were powerless in the face of incomprehensible disaster.

There are still scars in New Orleans 15 years later.

We have ignored that the Covid-19 virus is at least as infectious, and possibly more than, the normal flu virus we see every year. But the mortality rate of Covid-19 is about 2%, or about 20 times as deadly as the normal flu, which has a mortality rate of around .1%.

Thus far in 2020, 19 million cases have been reported to the CDC, with 10,000 deaths and 180,000 hospitalized. Multiply 10,000 by 20, and that’s 200,000 deaths in the US, and following the flu model, perhaps 3,600,000 incremental hospitalizations.

We need to think about our resiliency. According to the American Hospital Association, there are 924,107 staffed beds in hospitals, down about 53,000 beds since 2000. Of the 2020 total, 792,417 are in community hospitals. The national occupancy rate for all of those beds is about 65%, based on the latest figures from 2017, so perhaps we have sufficient beds, assuming all hospital beds are equally capable.

Logistics will drive our resilience response. There is much to learn from the Chinese response. Wuhan didn’t have enough beds when the Covid-19 virus struck, and built two new hospitals in an attempt to have a place for all victims who needed to be in a hospital setting. They quickly had shortages of sterile gowns, masks and gloves. Then they had a shortage of health care professionals, and moved some professionals to Wuhan to deal with the explosion of cases.

They quarantined cities, something that we can’t do effectively without declaring martial law.

But, it gets more difficult. Covid-19 is a severe respiratory illness. Victims need the kinds of breathing therapies equipment that are usually in limited supply in each hospital. The NHS in England only has 15 available beds to treat the most severe respiratory failure in the entire country. They say they will struggle to cope if there are more than 28 patients who need them.

Testing is an issue, because without tests, we can’t be sure that the patient has the virus, and test kits are in very short supply. Iran reported on the BBC that it had just 14 test kits in the country at the time of the outbreak.

Live Science reports that in early February, the CDC sent testing kits to labs across the US, but a glitch in the kits made them unusable. Now, just five state health departments: California, Illinois, Nebraska, Nevada and Tennessee, as well as the CDC, have the ability to test for the virus. As of Feb. 26, just 445 people have been tested in the US, not including the travelers who returned on evacuation flights. In contrast, the WaPo reported that as of Feb. 25th, South Korea had tested more than 35,000 people for the virus.

How will America scale up?

We need tests that work, equipment to treat respiratory failure, hospital beds, sterile gowns and gloves, along with trained healthcare professionals. Where will they come from? These are the questions the media and politicians should be asking Mike Pence, the new Covid-19 Czar.

Don’t count on answers. The administration has already told the federal government that all communication to reporters and others, is to go through Pence. That’s even more dangerous, because there is no one who will tell Trump or Pence anything they don’t want to hear. And Pence is muzzling the scientists who really know what’s going on.

The economic consequences are even greater than the blood-letting in the stock market this week would lead you to believe. The health consequences are enormous.

What about the political consequences? We’re in the middle of a presidential election, so we’re bound to hear the right and left version of this story. Wrongo doesn’t want Democrats to try and exploit the government’s less-than-adequate efforts to contain the virus.

They should be rational. They should invite scientists to testify to break through the administration’s spin. They should pass a supplemental spending bill aimed at containing the crisis based on the scientists’ advice.

This is a time for good policy that will turn out to be good politics.

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Coronavirus in China Is Spreading Fast

The Daily Escape:

Sparhawk Mill, Yarmouth ME – photo by Benjamin Williamson

Should we be concerned about the new Chinese coronavirus? Given developments in the past few days, we need to focus on it. The CDC announced on Monday that a total of 110 people in 26 US states are under investigation for possible infection with it. But officials continue to believe the immediate health risk to the US public remains very low.

OTOH, the increasingly stringent measures taken in China to contain it sure make it look like Chinese officials are at least worried, if not yet panicked.

China is suffering from shortages of test kits and personnel to confirm that suspected cases are indeed the coronavirus. We know there are no special anti-viral medications that work, people can only rely on their own immunity.

The World Health Organization (WHO) has increased its estimate of global risk of the coronavirus from moderate to high. It’s now clear that this coronavirus is very contagious. The estimates of the reproduction rate (number of new infections caused by someone with the disease) is between 2.6 and 2.9. If that is true, the reproduction rate would be higher than for the 1917 Spanish flu, but lower than for measles, which is between 12 & 15. The reason is that it’s a large pathogen. From Foreign Policy:

“The coronavirus is a physically large virus—in relative terms…too big to survive or stay suspended in the air for hours or travel more than a few feet.”

So far, this coronavirus has a mortality rate of 2.2%: The latest data is 4524 confirmed cases, with 106 deaths. This observed level isn’t good, but it’s far lower than for SARS (9.6%), and is similar to the Spanish flu, which was 2.5%.

These are the reasons for the current freakout. Governments have started evacuating staff from Wuhan. CNN reports that:

“About 240 Americans being evacuated from Wuhan Wednesday morning local time…arriving in Ontario, California. About three dozen Wuhan-based US diplomats and their families are also expected to be on board…”

CNN mentions that Australia, France, Hong Kong, India, Japan, South Korea and the UK are also evacuating their government employees and families.

Won’t evacuations just be another way to spread the disease unless the evacuees are quarantined for the 14 day incubation period? So many practical questions.

It’s a little early to speculate, but the impacts can go well beyond just public health. We’ve already seen a one-day negative impact on Mr. Market, who momentarily panicked.

A pandemic would severely affect Chinese economic output. With public transportation halted, commerce grinds to a stop as people avoid public places and thousands of employees can no longer go to work. Who pays their wages while the city is locked down?

We know cities can’t truly be isolated for longer than a few days. And we know people can’t live without food, water, fuel, etc. and money to buy these essentials.

The realities leave officials with an impossible choice: Either truly isolate the city (which isn’t possible) for more than a few days, or allow the flow of goods required to sustain millions of city residents. The second option creates uncontrollable vectors for the virus to spread beyond the city as transport workers and those fleeing the lockdown illegally, move on to other cities.

How would America cope with this virus if it gained a foothold here?

We had that experience 100 years ago. One of Wrongo’s grandfathers died in the 1918 flu pandemic. Of the estimated 500 million people in the developed world to be infected, the recorded mortality rate was 50 million, with about 675,000 occurring in the US. The high mortality in healthy people, including those in the 20-40 year age group, was a unique feature of the 1918 pandemic.

Today, our elites would retreat to their country homes while demanding that their companies stay open. We’ve seen panic buying in Manhattan before blizzards that would only affect the city for two days. Logistics being what they are, local distribution centers absolutely do not have enough food to last through a prolonged shutdown. And Amazon won’t be delivering you toilet paper.

In times like these, it’s useful to remember that there is a never-ending attack being waged by the forces of privatization to take over America’s public health system, turning it into another monopoly profit center.

So far, we’ve held this effort at bay, but the lobbyists and the monied class keep working to convince Washington that this government system represents “waste, fraud and abuse”. The fight goes on.

Sadly, our leaders are immune to the coronavirus infections, because it is transmitted through the head (eyes, nose and mouth), and they generally have their heads up their asses.

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Sunday Cartoon Blogging – January 26, 2020

A few random thoughts on Sunday:

  • Where Wrongo comes from, “take her out” means go on a date, or…something else. It has nothing to do with job termination.
  • The impeachment seems to be helping Trump so far. According to a Washington Post-ABC News poll, Trump’s approval rating has climbed to match the highest of his presidency.
    • Axios reports that Trump’s net approval numbers improved in 31 states between September and December, according to Morning Consult data.
    • They improved by at least 5 points in Iowa, Utah, Maine, Montana and New Mexico.
    • An incumbent president with a growing economy and a low unemployment rate 6-12 months before the election can be tough to beat, even presidents who are bad at their jobs.
    • America twice elected Andrew Jackson. It elected Fillmore, Pierce, and Buchanan to consecutive terms. And we also did the same with Harding and Coolidge.
  • Are you following the Coronavirus outbreak in China? The number of confirmed cases in China stands at around 1,300. The virus has also been reported in Thailand, Vietnam, Singapore, Japan, South Korea, Taiwan, Nepal, Malaysia, France, the US and Australia. The death toll in China from the Coronavirus outbreak jumped on Saturday to 41.
    • We don’t know how deadly the virus is. These outbreaks can range from low-to-highly contagious, and from low-to-highly deadly. There isn’t enough data so far to know where to place this virus on either the contagion, or the deadly axis.
    • An amazing development is the rapid and powerful response by global public health agencies. Modern transportation allows diseases to spread globally. But modern communications and effective government agencies can react as fast.
    • This could radically change the severity of epidemics. Modern communication plus modern technology makes the global response far more effective than in the past.
    • This is a bit of evidence that, in some ways, countries are working together to build a better world.
    • From Fabius Maximus:

“Extreme libertarians tell us that governments can’t do anything right, and that we should “starve the beast.” Conservatives also hate the UN. Here we see an example of strong government agencies – national and international – providing a vital service.”

On to cartoons. On Saturday, the GOP began their defense of Trump:

Some say the Senate could be doing something else:

The GOP’s impeachment strategy moves on:

Trump and Mitch both want America to eat mystery meat:

Country before Party: such a quaint idea:

Some kids can’t wait for recess:

 

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More About The Virtue of Exciting Candidates

The Daily Escape:

Mt. Assiniboine, Provincial Park, BC, CN – 2019 photo by Talhanazeer. Assiniboine is the pyramid-shaped mountain on the left.

When Wrongo thinks about the Democratic primary candidates, he feels a bit like when he was a breeder of Havanese dogs: “Don’t get too attached to any one of them–we’re only keeping one.”

At the end of the day, we’ll only have one candidate. The question is which is the keeper?

Yesterday we asked: which candidate excited you? Judging by crowd sizes in Iowa, Sanders, Warren and Buttigieg have generated excitement, while Biden has not:

“Mr. Biden has a lot to prove here. I’ve attended some of his town halls and rallies, and they’ve been lackluster, his speeches dull and meandering, and his crowds comparatively small. I’ve been to memorial services that are more exciting. I certainly hope mine is.”

That quote is from Robert Leonard, the news director for the Iowa radio stations KNIA and KRLS. More from Leonard:

“Who is going to get an enthusiastic turnout caucus night? Bernie Sanders will. His support is strong. We’ll see if he can increase it….

Elizabeth Warren has fallen in the polls, but she will have a big turnout caucus night. Her on-the-ground organizing is terrific and her supporters unwavering…..

Pete Buttigieg will also have a big turnout. Watching his several-blocks-long parade of supporters file into the Liberty and Justice Dinner last fall in Des Moines gave me goose bumps…..”

Leonard finishes with this:

“On caucus night, given the soft support I see, if the weather is bad Mr. Biden’s supporters might not come out. It might also depend on what’s on TV….For the other candidates, if their supporters walked outside, slipped on the ice and broke a leg, they still would crawl through snow and ice to caucus.”

He’s alluding to the x-factor, the charisma, the excitement that a candidate creates in voters, and claims that in Iowa at least, Sanders, Warren, and Mayor Pete are showing some of that.

The first thing that most of us want is relief from the Trump assault. In the general election, that starts with telling people the damage assessment, and a plan of repair. The nominee has to say that our government and democracy are in tatters and need to be stitched back together. Constitutional checks and balances have been nearly destroyed by the Republicans.

Maybe we need Medicare for all, free college tuition, and the rest of the progressive agenda, but first, we need to triage our democracy.

To win the presidency, we need to take back Pennsylvania, Michigan and Wisconsin. Are the voters in those three critical swing states ready to sign on to rebuild our social safety net, reform health insurance, and raise taxes on the rich and corporations? Hell yes.

Trump’s 2020 plan is to pump up the Dow while keeping unemployment at historic lows. He’s done that with a $1.5 trillion tax cut without any plan to pay for it. He’ll tout his new “trade deal” with China. He’ll mock and belittle the Democrats and their nominee. Meanwhile, Trump has no health plan at all!

Mitch McConnell’s plan is to make sure Trump is acquitted at all costs, to continue packing the courts, and blocking any meaningful legislation coming out of the House.

What’s the Democratic Party’s 2020 plan? The proposals by the progressive Democratic candidates have merit. Their goals are the right ones for the country and the planet. But, those plans will take several administrations to fully implement. Few voters fully understand the details of how to pay for Medicare for all. Moreover, they absolutely are worried about having their private health insurance taken away. That’s what most Americans have, so that has to be a big concern for Democrats in 2020.

Which of the current flock of Democratic candidates have what it takes to unite and lead the Party to a 2020 victory? Which nominee will have coattails to swing the Senate, hold the House and add to the Party’s roster of statehouses?

The 2020 election will turn on whether individual voters see the Democratic Party’s nominee as a heroic savior of the country, or less of a leader than the execrable Trump.

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Which Democrat Nominee Excites You?

The Daily Escape:

Keyhole Arch, Pfeiffer Beach, Big Sur, CA – 2020 photo by jtmess. For a few weeks every winter, starting with the Winter Solstice, sunset lines up with the hole in Keyhole Arch.

Someone told Adlai Stevenson when he was running for president in 1952 (or ‘56): “Every thinking person in America will be voting for you.” Stevenson replied, “I’m afraid that won’t do—I need a majority.” (Via)

It’s time that Americans recognize that the most important global event in 2020 will be the US presidential election. The reason is blindingly obvious. It’s questionable if the world can be brought back from four more years of Donald Trump. That’s doubly true for the US. That means historic voter turn-out is required.

And if that’s the case, it’s important that the best person challenge Trump in November. Last night’s debate didn’t move us any closer to knowing who that should be. This, from Deborah Long is a useful take:

Three Democratic candidates for president walk into a bar.

The first one says, “I’m going to beat Donald Trump by re-starting the Bolshevik Revolution”.

The second one says, “I’m going to beat Donald Trump by breaking up the big banks and sticking it to the man.”

The third one says, “I’ll be in my trailer. Call me on the horn when they’re ready for my cameo in ‘The Way We Were’.

Her underlying point is that the current Democratic candidates show no unifying message. That partly explains why the top four are polling at close to the same numbers. Democrats need to answer the question: Who can deliver a knockout punch to Donald Trump, and repudiate what the Republican Party currently stands for?

Wrongo posted about Economic Dignity last spring. It’s from an article by Gene Sperling, Obama’s Director of the National Economic Council. His take is that the Fed and Congress should implement a full employment monetary and fiscal policy that enables tight labor markets.

Sperling says that implementing the idea of economic dignity would lead to higher wages, and give employers greater incentive to provide advanced training to their employees. And, high demand for labor would give more workers more of the “take this job and shove it” leverage that’s lacking today.

We’ll need more: America needs a return to what Paul Collier calls the “cornerstones of belonging”— family, workplace, and nation, all of which are threatened by today’s market-driven capitalism.

That’s a unifying message for Dems. Hidden behind that message is the idea that America has to return to the ethics of the New Deal. Joseph Stiglitz, Nobel laureate in economics, says: (parenthesis and emphasis by Wrongo)

“Over the past half-century, Chicago School economists, (including Milton Friedman) acting on the assumption that markets are generally competitive, narrowed the focus of competition policy solely to economic efficiency, rather than broader concerns about power and inequality. The irony is that this assumption became dominant in policymaking circles just when economists were beginning to reveal its flaws.”

Stiglitz says we’ll need new policies to better manage capitalism. That means:

  • Dealing with the inequities in health care
  • Paying workers more
  • Rebuilding public assets like roads
  • Passing higher taxes on corporate profits and the incomes of the wealthy

The unifying message is that Democrats will provide Americans with a legal and political framework that allows people to provide better opportunity for their families.

Better opportunity is something all of America wants to believe in.

So, if the Democrats want to win big enough to silence the GOP, the 2020 Democratic Party nominee for president must excite Americans by showing them a path to a better future for their families. Emphasis on the “excite”.

We’re not going to get there by marching with pitchforks. We’re not going to get there with Biden’s nostalgia. We’re going to get there by speaking directly to the needs of America’s families, workplaces and nation.

Not by continuing the tiresome, wonkish recitation of “my policy is slightly better than yours”.

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