Tag Archives: public health

Playing With Fire in a House Filled With Gas: Trump Places Stock Markets and Profits above People

Friends of Padre Steve’s World,

Bottom Line Up Front: As of this moment there have been 381,699 cases of COVID-19 worldwide, with a total of 16,558 deaths. 262,657 of the cases are still active, of the closed cases 102,489 have recovered and as mentioned 16,558 have died for a 14% death rate.

I know that I am beginning to sound like a broken record, but the response of the Trump Administration to it has been abysmal, despite the warnings of U.S. Intelligence Agencies that the pandemic was coming, the administration did nothing. The President made light of it, said that it would have little impact, and played the part of Denier in Chief for two months, but then the stock markets crashed, and all of a sudden the President decided it was no longer fake news and ordered Vice President Pence to head up the effort to contain the virus and its effects. To his credit Pence did. try, and some policy changes began to occur, but to tell the truth, it was too little too late. The Virus had been spreading in the United States for weeks before Pence even received the mission. As a result the virus spread to tens of thousands of people, many who didn’t or don’t know that they are even infected, who in turn spread the virus without realizing they are doing so.

Because I have worked in ICUs and ERs in major civilian and military hospitals in two past pandemics; AIDS during its most deadly period the early to mid-1990s before effective drugs were developed to help infected people live somewhat normal lives. The in 2009 I was in a different Medical Center dealing with H1N1. As such I have been following the COVID-19 infection numbers and death rates with interest since it first came on the scene, but much more so when the first case appeared in Washington in mid-January. Now for the last month I have been watching the progress of the virus by following the data supplied by the CDC, Johns Hopkins, WHO, and this website https://www.worldometers.info/coronavirus/ .  It tends to be updated more frequently than the other sites, mostly because it is relying on updates as they are released by countries, and in the case of the United States, the states, the District of Columbia, and U.S. Territories.  It is one of the sites mentioned in DOD and Navy message traffic to use in getting solid data and updates about COVID 19.

In the United States  https://www.worldometers.info/coronavirus/country/us/ there have 46,145 total reported infections with deaths. Currently 40,185 of these cases are active. 670 cases are closed and of that number 295 have recovered and been discharged, but 582 have died, giving us a 72% mortality rate. The biggest issue has been the delay in testing and unavailability of test kits. Likewise we are now facing an acute shortage of ICU beds and ventilators, as well as severe shortages of PPE for health workers and first responders, which would include police, fire, and EMS. Likewise there is a critical shortage regular hospital beds and places to put them because our system of managed care does not deem surge capacity important.

These numbers change multiple times a day depending on when countries, or in the case of the U.S. our states and territories report their daily data. The disturbing item to me is that with the exception of China, South Korea, and Japan and a few other Asian countries that instituted draconian measures to flatten the infection curve, the virus is showing exponential growth in the United States and western Europe. The reason it hasn’t exploded in many underdeveloped Second and Third World countries is that it was most likely late getting there because they are out of the way and do not get the kind of visitor, tourist, and business traffic that Western Europe and the United States have. Likewise they do not have the test kits or adequate medical care to document the spread. However, once it takes hold it will become a killing machine, wiping out millions in those unfortunate countries, and probably leading to more refugees, infections, and deaths.

Two weeks (March 8th)  ago the United States reported 541 infections and 22 deaths. By March 18th there were 9,259 cases and 150 deaths. Four days later we are at 46,182 cases and 582 deaths, a death rate of 66%, well over the worldwide percentage. But expect this to fall to somewhat  closer to the world average. However, that being said, statistics at the beginning of a season do not necessarily reflect those at the end of the season.

Since the virus is often spread through people who are asymptomatic, and many people refuse to self-isolate or in public violate the six foot buffer zone, I recommend that any person who reads this article practices an abundance of caution for two reason; first two protect themselves, and then, just in case they are infected but are asymptotic, protect themselves and others from getting the virus. This should be the case anytime they leave their homes to do necessary shopping, or go to a medical appointment. Anyone who goes out should not only observe the measures issued by the CDC, but go further. Personnel and their families should wear some kind of surgical, or other mask to reduce the possibility of transmission protecting them, and in case they are asymptomatic anyone they come in contact. These can be hard to find but there are a number of groups or individuals making relatively effective face masks, which though not to the N-95 standard would give them a modicum of protection. Some of the designs and patterns are online. Likewise I recommend that when leaving home that personnel wear vinyl disposable gloves, carry some kind of hand sanitizer (if you can get it) , wash your hands after every physical contact with a probably contaminated surface, and care antiseptic wipes in your car to wipe down the steering wheel, door handles, and gas pumps.

Call this an abundance of caution on my part, but the virus knows no borders, races, religions, rank or status.

However, yesterday and today, after occasionally acting the part of a real President, Trump went back to his baseline. He blamed everyone but himself, and 8 days into a 15 day campaign to try to stop the virus by social distancing and shutting down businesses, he threatened to revere a key public health decision because the “economic costs might be higher than the virus itself.”  In his news conference comments he tried to make his threat sound a little more humane by suggesting that isolated people were more prone to suicide, would outnumber the people infected and killed by the virus. While I know that social isolation can be a killer, its effects can be mitigated by people that care. However, if people go back to work, stores and restaurants are opened just as the virus is hitting stride the infection and death rate will make those of the past few days look like peanuts. Millions will be infected, and many of them will die, and the the economy will collapse like a house of cards. Not just because of the effects of the virus, but because the business leaders, stock holders, and even his cult followers will abandon him because they will finally realize that they mean nothing to him.

So, because I am tired I wish you a good night.

Peace,

Padre Steve+

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Thumbs Down: McCain, Collins, and Murkowski send ACA Repeal to the Dust Bin 

Friends of Padre Steve’s World,

It was an eventful week. In addition to the President’s tweet about baring transgender persons from the military, an action which blindsided the Pentagon leadership and caused a lot of consternation in the military and the GOP, a hyper-political address to the Boy Scouts, another North Korean ballistic missile test, a Congressional vote in favor of more sanctions against Russia, and the end of the attempt by Trump and the GOP leadership the scuttle the Affordable Care Act, more popularity known as Obamacare. 


The end of the GOP Congress’s attempt to repeal the Affordable Health Care came to an appropriate end last night at the hands of Senators John McCain, Susan Collins, and Lisa Murkowski who joined with ever Democrat in the Senate to place the repeal attempts in the dustbin of fail legislation. 

After seven years of ranting and raving, failed votes and shear legislative incompetence the efforts of Mitch McConnell, Paul Ryan, and President Trump demonstrated that hubris, coupled with incompetence is no way to go through life. Ignoring polls which said less than 20% of Americans were in favor of their various legislative proposals; against the advice every major medical association, the insurance industry, the AARP, and even veterans organizations the GOP leadership goaded by President Trump who blatantly ignored his own campaign promises to make healthcare more affordable and available, pressed ahead. 

A good number of GOP Senators voiced concern, but only McCain, Murkowski, and Collins held the line. A number of Senators voted for the doomed act hoping that if it passed the House would do nothing with it, reject it, or send it back. 

McCain stole the show by coming back from Arizona after surgery which revealed that he is suffering from a deadly form of brain cancer, the same type that ended the life of Teddy Kennedy, to cast the final and deciding vote Thursday night. His action, which followed an ovation to welcome him back was dramatic. As the last Senator to vote he walked up to the clerk of the Senate under the glowering face and folded arms of majority leader McConnell, voted no and for dramatic effect turned his thumb down. It was possibly the crowning moment of McCain’s Senate career. I think that he must have relished it. He came back and voted to allow the GOP repeal efforts to come to the floor, and then voted against every one of them. He could have ended things by voting not to allow the vote to go forward, but it seemed that he savored the opportunity to torpedo Trump who had on numerous occasions during the campaign disparaged McCain’s military service, including his years in a North Vietnamese prison camp at a time the President was using ever deferment and excuse that he could to avoid serving in the military. 

In light of his cancer diagnosis this may be one of his last acts in the Senate, I hope not because I think we still need him, but I am a realist and know how devastating this cancer can be. 

But McCain’s dramatic comeback would have been impossible had not Senators Collins and Murkowski held the line, braving physical and political threats from various Republicans and Trump supporters and not wavering in the face of tremendous opposition. 

So the ill-advised, moronic, and badly botched GOP effort to destroy the ACA failed. President Trump appears not to be deterred and will probably do whatever he can to destroy the ACA even as the GOP Senate leadership begins to work with Democrats on a more bipartisan attempt to improve the ACA. 

It was a humiliating end to seven years of bluster to repeal the ACA without any serious effort to come up with something better, especially since the ACA had its origins in the Heritage Foundation and its trial run in Romneycare. It was a Republican proposal put into place by Demcrats alone because Mitch McConnell and othe GOP leaders decided on the day that President Obama was inaugurated to do all they could to make his presidency a failure and him a one-term president. 

Now, no-matter what President Trump says or does, the GOP needs to decided to work with Democrats. This is not about the President’s ego and need to win at all costs. It is about so much more. Healthcare is one of the largest sectors of the economy, public health is a strategic concern that impacts national security. The health and well-being of people impacts every part of our economy and the future of our country. It cannot be left to ideologues bent on destroying our health care system for next quarter’s profits and tax write offs. 

So anyway, until tomorrow,

Peace

Padre Steve+

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Filed under healthcare, Political Commentary