Florida Lets Measles Run Free

The Daily Escape:

Highland Lighthouse, North Truro, Cape Cod, MA – February 2024 photo by Barbra A. Bentley

Let’s take a break this Saturday from a) Russia’s infiltration of the Republican Party and b) the growing realization that unless House Speaker Mike Johnson Johnsonless whips his members into shape before March 1st, we’ll have a government shutdown. Instead let’s focus today on Measles.

You are a witness the continued collapse in US public health standards since Florida’s Surgeon General has said its ok for unvaccinated kids to attend public school even though there are measles outbreaks. From KFF News:

“With a brief memo, Florida Surgeon General Joseph Ladapo has subverted a public health standard that’s long kept measles outbreaks under control. On Feb. 20, as measles spread through Manatee Bay Elementary in South Florida, Ladapo sent parents a letter granting them permission to send unvaccinated children to school amid the outbreak.”

More:

“The Department of Health ‘is deferring to parents or guardians to make decisions about school attendance,’ wrote Ladapo, who was appointed to head the agency by Florida Gov. Ron DeSantis, whose name is listed above Ladapo’s in the letterhead.”

With his brief memo, Ladapo has subverted a public health standard that’s long kept measles outbreaks under control. This is where you wind up after decades of indoctrination of libertarianism and neoliberalism, where “freedom” becomes anarchy, a rejection of the ability of the state to impose restrictions, even in the name of public safety.

Everyone in America knows that measles is highly contagious, that it kills, and can do lasting damage. More from KFF:

“Most people who aren’t protected by a vaccine will get measles if they’re exposed to the virus. This vulnerable group includes children whose parents don’t get them vaccinated, infants too young for the vaccine, those who can’t be vaccinated for medical reasons…”

The CDC advises that unvaccinated students stay home from school for three weeks after exposure. About 1 in 5 people with measles end up hospitalized, 1 in 10 develop ear infections that can lead to permanent hearing loss, and about 1 in 1,000 die from respiratory and neurological complications. They reported that in 2023, childhood immunization rates had hit a 10-year low.

Worse, only about a quarter of Florida’s counties had reached the 95% threshold at which communities are considered protected against measles outbreaks, according to data posted by the Florida Department of Health in 2022.

Rebekah Jones, a data scientist who was removed from her post at Florida’s health department in 2020, over a rift regarding Coronavirus data, said:

“I think this is the predictable outcome of turning fringe, anti-vaccine rhetoric into a defining trait of the Florida government,”

A strategy of letting measles spread (which can wipe out your body’s immunity memory) while Covid is still pin-balling its way around the country? Sounds legit.

The way that things are going with public health in the US, it’s only a matter of time until the health departments of other western countries start issuing travel health notices for their citizens wanting to visit the US, advising them of the diseases that are being left to run free, particularly in Florida.

From The Nation:

“In 2022, Georgetown University political scientist Donald Moynihan wrote a piece on how to undermine the administrative state….No country becomes a world power without a capable public service.”

Perhaps the corollary, as stated by The Nation’s Gregg Gonsalves is this:

“No country becomes healthy without a capable public health system.”

That describes America today. More from The Nation:

“We did terribly on Covid…part of the reason was that our fundamentals were weak, but our politics are also set up to undermine public health….This has implications well beyond…the pandemic. It’s about how we expect to survive and thrive in America….This is a disaster in slow motion, and we’re watching it unfold as bystanders.”

There you have it: another thing to lose sleep over, and the election is still 7+ months away. Will there be enough infant deaths to generate sufficient outrage to roll this decision back?

Highly doubtful.

Wrongo is leaving you with that thought and is segueing into our Saturday Soother, where we take a break from doom scrolling and spend a few stolen moments alone with our thoughts. Here on the Fields of Wrong, there is still snow on the ground. So while we hope that spring is just around the corner, there’s little evidence to support it.

To help you relax, grab a seat by a south-facing window and watch and listen to Samuel Barber’s “Adagio for Strings”, played here by the Vienna Philharmonic, and conducted by Gustavo Dudamel. Dudamel is scheduled to become music director of the New York Philharmonic in 2026. This performance was a part of the annual free Vienna Summer Night Concert in 2019.

This is the fourth time Wrongo has featured this composition, although you are seeing this particular version for the first time.

Barber finished the Adagio in 1936. In January 1938, Barber sent an orchestrated version of the Adagio for Strings to Arturo Toscanini. The conductor returned the score without comment, which annoyed Barber. Toscanini later sent word that he was planning to perform the piece and had returned it simply because he had already memorized it!

It was performed for the first time by Toscanini in November, 1938. Here, it is conducted by Gustavo Dudamel in 2019, like Toscanini did, without a score:

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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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Monday Wake Up Call – What’s Next Edition

The Daily Escape:

Chamisa plants near Abiquiu, NM – photo by zuzofthewolves

(Publishing of daily COVID-19 data is on hold while Wrongo tries to understand inconsistencies in the data)

Trump isn’t wrong to begin thinking about what comes next. At some point, we will again poke our heads out of our burrows, and feel the warmth of sunlight. We’ll attempt to resume the life we had before the virus struck. There are two risks in this: First, will we be back in the swing of things too soon? And second, what should we demand be different, given what the nation has experienced?

In Trump’s view the answer is simple. He wants most people back to work in time to have a robust economy come Election Day. He’s targeted May 1st as the start date for his governor buddies to begin revitalizing the economy.

Once again, the Trump administration is showing itself to be utterly incapable of dealing with this crisis.

He’s moving the country to re-open, despite warnings from public health officials and from most state governors. Here’s a germane comment on Wrongo’s Saturday’s column by long-time blog reader Terry McKenna:

“We really know so little. To begin with, we don’t know how the virus spreads. We are learning but that’s all. In the beginning, we guessed wrong that it was not spread by healthy (asymptomatic) persons. Doctors disagree over the size of the droplets that carry the virus. So we are almost like we were before we had the germ theory where all we can do it isolate.

Also “test” is a simplistic word. Which test? We need a test that tells a clinician that someone had the virus in his system, and a test with a fast result is essential. But a negative test means little, especially in a healthy (asymptomatic) person, because in the absence of a vaccine, that person could be infected next week or next month. So we need a test of antibodies – but even still, we don’t know how long immunity lasts.

And then we have the notion that the president can order the country back to work. Even if a business reopens, who will come? And yes, I know someone will, but imagine the NY Mets having their opening day May 15. Will anyone show up? And if they do, will we see a spike in sickness a few weeks later?

We need time for the science to do its work. We may get lucky, viruses do became less virulent over time (sometimes to re-emerge with vigor).”

A partial re-opening of those portions of the economy that are now shuttered is a risk both to the workers, and to the returning customers. Terry is right to ask if we’ll see a spike in sickness a few weeks later, and if we do, what will be Trump’s plan then?

Broadening out our view, many are starting to think about what needs to be different post-pandemic. As we emerge from this crisis, we have a rare opportunity to focus on change: Do we want a Star Trek, or Blade Runner future? A utopian, or a dystopian one?

As Viet Thanh Nguyen said in the NYT:

“Our real enemy is not the virus but our response to the virus — a response that has been degraded and deformed by the structural inequalities of our society.”

We have a once-in-a-generation opportunity to rebuild for tomorrow. Or will we just prop up the economic and political process that has given us today’s problems? As an example, if we don’t want sick and contagious people trying to go to work, America must have paid sick leave.

During the lead up to passing the CARES Act, Democrats in Congress recognized this, but at the behest of business lobbies, the Act exempted 80% of all workers, including all those working at firms with over 500 employees AND those working at firms with under 50 employees!

Here’s an illuminating chart:

And in America, add $600 for four months for 20% of our workers. This is post-Reagan America. Assistance to the poor and working class is given grudgingly, and with strings attached. The rich and corporations are showered in subsidies since they are too virtuous and important to let fail. MAGA really means “Make Americans Grovel Again”.

What has to die after Covid-19 is the myth that America is the best country on earth. We’re not as healthy as we thought we were. The symptoms — racial and economic inequality, callousness and selfishness, have been covered up by our unquestioned acceptance of American Exceptionalism.

We’ve lost our right to that view, despite the many, many small acts of heroism every day by health workers and all the “essential” hourly workers who face becoming infected every day.

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Can the Economy Endure a Two-Month Shutdown?

The Daily Escape:

Cannon Beach, OR – 2020 photo by franks28

The short answer to the question above is no, not without outright financial support for individuals by the government. That support if it comes, is likely to be too little, too late.

But the Fed tried something. On Sunday, it announced that it slashed its federal funds rate by a full percentage point, to a target range between 0% and 0.25%. In addition, they launched a new Quantitative Easing program for another $700 billion.

Investors threw up all over the Fed’s Sunday moves, because we’re looking at a “demand shock”, the state-enforced loss of consumer sales,something that can’t be stimulated away. The S&P futures immediately plunged 5% to hit its downside limit. That made for an interesting Monday, with the Dow ending down nearly 3,000 points, or another 13%. In the past month, the market has lost nearly a third of its value.

All these efforts to provide stability actually showed the market that our leaders have no idea what they’re doing. It’s the exact opposite of inspiring confidence.

Did the Fed panic? Fed Chair Jay Powell lowered rates right after Trump said he had the authority to remove Powell. That makes it seem, true or not, like the Fed is now in Trump’s pocket. No confidence-builder there.

Looking through a wider lens, Mr. Market has decided that the Fed is pushing on a string. Rates were already so low that there was little gain from the interest rate reduction, and little else that the Fed could do. Mostly, the Fed signaled that it is very frightened about the prospect of a global recession.

In addition, the market understood that the stimulus bill working its way through the House and Senate is inadequate to the task ahead. For one thing, Pelosi’s bill promises paid sick leave, but as written it only covers about 20% of all workers.

Again through that wide-angle lens, the growing COVID-19 business lockdown strategy will have an economic impact similar to a natural disaster, like a hurricane, but played out over a longer time frame. FEMA has found that 40% of businesses close in a natural disaster. And of the businesses that reopen, only 29% survive the after the following two years.

Since our economy is 70% services, many industries facing the lockdown, like tourism, casinos, restaurants, and hotels, will soon be in meltdown mode. The Fed has no answer to a massive drop in consumer spending, only the president and Congress can solve that.

We know that 40% of Americans don’t have enough cash on hand or room on a credit card to handle a $400 emergency. Many service industry workers will be hit with either cutbacks in their hours, or outright job losses. Without financial assistance, we’ll quickly see defaults on rent or mortgages, and delinquencies on credit cards and car payments.

So the Fed creates some more money. But just like in 2008, rather than distributing it to every citizen, they’re giving it to the banks. Somehow, all that money is going to people who already have plenty, while those who need it get nada.

Why is the answer always to give more to the supposed “job creators” when we get basically nothing in return? Why not just send a check to the actual people who need it?

Finally, what will this interest rate cut do for the economy?

  • Are restaurants going to start hiring workers that can’t actually come to work just because loans are cheap?
  • Are workers not collecting a paycheck going to go out and buy a new car/TV/house because interest rates dropped a bit?
  • Are banks going to lend cheap money to airlines, restaurants, and cruise lines when we have no idea how long this will last?

Every company on the planet has simultaneously realized that it is in an existential cash-flow crisis due to COVID-19. The big and smart companies already have drawn down their unused loan facilities to ride through the slowdown.

The slower and the smaller firms are staring at an economic nuclear-winter scenario where their revenue plunges for months, and they can’t pay their staff, or make their fixed payments.

The speed and comprehensiveness of the lockdowns, and their drastic impact make what’s going to happen very clear. Our leaders are in a fog of denial. They don’t see that much of what was the traditional mode of operating our system is crumbling.

During the 2008 financial crisis, we learned that events can move too quickly for anyone to intervene and limit the damage. Our business environment’s drive for highly efficient systems, from just-in-time inventory sourcing to reducing the number of hospital beds per capita, have created fragile systems that are now being stress-tested.

We may be learning, to our collective detriment, that all of these systems along with our leaders, have failed us.

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Monday Wake Up Call – March 9, 2020

The Daily Escape:

Zion NP sunset from Watchman Overlook, UT – 2019 photo by kaushik612

Random thoughts on Monday:

Many of us have a tough time waking up on the first Monday after Daylight Savings Time kicks in. It’s more a case of “spring forward, fall flat”. Isn’t it ridiculous that a period that’s around for only 4.5 months out of 12 months is called “Standard Time“?

Who thinks that a 70-year-old (Trump) going on TV and telling a bunch of other 70-year-olds (Fox News viewers) that the Coronavirus is no big deal because it only kills old people, is a winning message?

Wrongo would like to think Trump can’t bullshit his way through an epidemic (“The tests are perfect!”). But GW Bush managed to bullshit his way through years of war in Iraq, including refusing to let us see lots of American body bags flown back to Dover AFB on TV.

The latest body bags now contain virus victims, and we’re seeing them up close and personal. Maybe that will matter to Americans who still think Trump is doing a helluva job.

You should read this article from The Atlantic on our botched test kits. South Korea has tested 200,000+ people, but The Atlantic could only confirm 1,895 tests in the US.

The region of Lombardy in Italy has enacted a forced quarantine for around 16 million residents. A doctor in Lombardy Italy reports that 9% of cases require hospital admittance. Recall that yesterday, Wrongo said that even a 5% admittance rate would overwhelm America’s ICU bed capacity.

Your virus coping strategy may be different than this one, since you follow the news:

The AP is telling us that the White House overruled the CDC, who wanted to recommend that elderly and physically fragile Americans be advised not to fly on commercial airlines because of the Coronavirus. The administration has since suggested certain people should consider not traveling, but they have stopped short of the stronger guidance sought by the CDC.

We learned that an attendee at last week’s Conservative Political Action Conference (CPAC), which Trump also attended, has tested positive for Coronavirus. Trump and Pence spoke at the gathering, which took place two weeks ago. Secretary of State Pompeo, Health and Human Services Secretary Azar, and newly-appointed White House chief of staff Mark Meadows also attended.

This is hilarious. Will they believe their own stories, or what?

Trump’s plan is simple. Offload the crisis to Pence. Run a bus over him if it goes wrong. Take credit if it goes right. There are no steps after that.

Finally, to banish the grogginess of your first “spring ahead” work day, take a moment and watch this video panorama of the Mars landscape. It was taken between Nov. 24 and Dec. 1, 2019. It’s composed of more than 1,000 images carefully assembled over the ensuing months, and contains nearly 1.8 billion pixels of Martian landscape that look surprisingly sharp and clear:

Think how far we’ve come in our ~200,000 years of Homo sapiens existence: Our ancestors were fascinated by the bright orbs above, and here we are, seeing the geographic features of another planet in mind-boggling detail from our home/office on a magical screen thingy.

We take this all for granted, but we’ve come a very long way in Wrongo’s lifetime. Mars looks so familiar, yet at the same time, so alien. It’s hard to fathom that we’re looking at another planet.

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

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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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