Morning Briefing
Summaries of health policy coverage from major news organizations
Viewpoints: Coronavirus Hopefully Reminds Many That Government Is Not The Enemy; Our State, Local Governments Need More Help -- And Quickly
After the stock market collapsed in late 1929, many people in the United States lost their jobs. By 1932, one in four Americans was suffering from lack of food. President Hoover, enamored of the efficiency of the private market and suspicious of all foreign countries, raised tariffs and waited, confident that the market would recover and all would be well again. Government intervention, he warned, would plunge the country 鈥渋nto socialism and collectivism.鈥 The world seemed dark. With the COVID-19 crisis growing worse by the hour, the federal government鈥檚 colossal mishandling of it from the start 鈥 with faulty and too few tests and President Trump鈥檚 false claims that the virus was contained 鈥 may finally wake up our complacent country. (Susan Crawford, 3/14)
As we find ourselves in the midst of a terrifying pandemic 鈥 which already claimed the lives of thousands across the globe and severely crippled financial markets 鈥 members of Congress scramble to offer Americans some degree of economic relief.聽The "New York Times" listed all the ways in which House Speaker Nancy Pelosi hopes to stimulate an economy and help those who are most vulnerable to the spread of COVID-19: 鈥淭he legislation...will include enhanced unemployment benefits, free virus testing, aid for food assistance programs and federal funds for Medicaid. The package also ensures 14 days of paid sick leave, as well as tax credits to help small 鈥 and medium-size businesses fulfill that mandate.鈥 (Ana Kasparian, 3/15)
The coronavirus pandemic is now upon us, and data from other countries shows us clearly where we are headed. Every country affected by this crisis has handled it on a national basis. The United States has not. State and local governments alone simply do not have the capacity or resources to do what is necessary, and we don鈥檛 want a patchwork quilt of policies. (New York Gov. Andrew Cuomo, 3/15)
There is something we can do immediately that will dramatically help hospitals free up beds and medical equipment to help those suffering from covid-19. This proposal will save lives the minute that states and other authorities adopt it. We are in urgent need of emergency laws, or executive orders, in every state that temporarily relax the legal standard of medical malpractice. (Jeremy Samuel Faust, 3/15)
The coronavirus has transformed life as we know it. Levels of uncertainty are high, and Americans are looking to elected officials, particularly in the federal government, for leadership and direction now more than ever. This will no doubt be the greatest leadership test that Donald Trump will face as president. His handling of this crisis will not only define his legacy in the White House, but will also make or break his chances for reelection. (Douglas Schoen, 3/15)
When President Trump took office in 2017, the White House鈥檚 National Security Council Directorate for Global Health Security and Biodefense survived the transition intact. Its mission was the same as when I was asked to lead the office, established after the Ebola epidemic of 2014: to do everything possible within the vast powers and resources of the U.S. government to prepare for the next disease outbreak and prevent it from becoming an epidemic or pandemic. One year later, I was mystified when the White House dissolved the office, leaving the country less prepared for pandemics like covid-19. (Beth Cameron, 3/11)
President Trump says 1.4 million tests for the novel coronavirus will become available this week. That鈥檚 welcome news. But officials are about to make a mistake. The president said testing will be limited to people who believe they may be infected. 鈥淲e don鈥檛 want everybody taking this test, it鈥檚 totally unnecessary,鈥 he said. This would make sense if there were a cure. Without one, this strategy won鈥檛 curtail either the epidemic or the anxiety associated with it. We will continue to bleed billions of dollars in economic costs from disruption of normal life. (3/15)
House Speaker Nancy Pelosi on Friday night celebrated the coronavirus legislation that passed early Saturday as providing paid sick leave to American workers affected by the pandemic.She neglected to mention the fine print. In fact, the bill guarantees sick leave only to about 20 percent of workers. Big employers like McDonald鈥檚 and Amazon are not required to provide any paid sick leave, while companies with fewer than 50 employees can seek hardship exemptions from the Trump administration. (3/14)
In an effort to address the coronavirus crisis the House passed the Families First Coronavirus Response Act on Friday. The vote was bipartisan and President Trump is supportive. Among other things, the bill provides paid medical leave for the employees of small businesses (500 or fewer employees) impacted by the coronavirus, with the federal government reimbursing employers for those costs. Almost immediately, there was an adverse reaction from America鈥檚 small business community. Their concerns were understandable but, as it turns out, largely unwarranted. Because of the coronavirus, small businesses are suffering from dramatic sales declines, supply chain disruptions and vanishing cash flow. (Bernie Marcus and Andy Puzder, 3/16)
President Trump made his first public comments about the coronavirus on Jan. 22, in a television interview from Davos with CNBC鈥檚 Joe Kernen. The first American case had been announced the day before, and Kernen asked Trump, 鈥淎re there worries about a pandemic at this point?鈥 The president responded: 鈥淣o. Not at all. And we have it totally under control. It鈥檚 one person coming in from China, and we have it under control. It鈥檚 going to be just fine.鈥 (David Leonhardt, 3/15)
Like thousands of Americans and Europeans scrambling to get to the United States before the travel ban went into effect and flights were canceled, I flew back to the United States from Vienna on Friday. Arriving at Dulles International Airport via London, I encountered a case study in how to spread a pandemic. I had thought I was lucky to get one of the last seats home. And I was confident, because Dulles had been identified by the administration as one of the handful of U.S. airports equipped to test arriving passengers and admit or quarantine them accordingly, that I would find a rigorous protocol in place upon arrival. Obviously, the administration would not take such a momentous step without solid preparation. (Cheryl Benard, 3/15)
Well, I'm back. My month working in Paris came to a slightly premature end shortly after 2 a.m. Thursday (9 p.m. Wednesday in New York). I had heard President Donald Trump on CNN International, announcing that all folks coming from Europe would be barred entry into the US beginning midnight Friday, and quickly began to re-think my plans. (David A. Andelman, 3/16)
Infectious disease expert Michael Osterholm, who warned in 2005 that "time is running out to prepare for the next pandemic," said in a conversation with Peter Bergen that America faces a huge challenge: "We are worse off today than we were in 2017 because the health care system is stretched thinner now than ever. There is no excess capacity. And public health funding has been cut under this administration." (Richard Galant, 3/15)
Last week, while seeing a patient in the emergency department of Stanford Hospital, I witnessed the well-orchestrated commotion that follows a suspected case of coronavirus. Masked nurses, doctors, and janitors quickly isolated the patient and began disinfecting surfaces. A technician who had been in contact with the patient on transport nervously asked the staff, 鈥淗ow will I find out if they test positive? Who will tell me?鈥 Fear, contained only by the bounds of professionalism, coursed through the department as if by infusion. I felt it as a bystander, a medical student passing through the emergency department on my psychiatry rotation. The psych resident and I had come to see a man with auditory hallucinations. We rushed past the viral activity en route to our patient鈥檚 room. As I took in the scene, I thought, 鈥淪hould I be here?鈥 (Orly Nadell Farber, 3/14)
Paying $70 billion for unlimited use of a Covid-19 vaccine is much better than paying $7 trillion 鈥 about how much the US stock market has lost since Feb. 19. A little math can mean having a large arsenal of treatments and vaccines for the next coronavirus and avoiding death, hospitalizations, disruptions, and catastrophic economic losses. (Amitabh Chandra, 3/13)
As a doctor working in a Los Angeles public hospital, I don鈥檛 have the choice of telecommuting or working from home. My colleagues and I have a moral commitment to care for the sick and try to save lives. This is a profession we happily chose, knowing the risks involved, but we used to feel adequately protected. Today, with a raging global pandemic, we don鈥檛.In the hard-hit Italian region of Lombardy, 20% of the healthcare workers have been infected by COVID-19. Every time another one of them falls ill, that鈥檚 one fewer person to treat sick patients. (Erica Patel, 3/15)
The last major sporting event in North America was played last Thursday, one last spring baseball game wrapping up just in time for Major League Baseball's self-imposed 4 p.m. deadline. My parents 鈥 ignoring my pleas about social distancing (boomers!) 鈥 were at that game, between the St. Louis Cardinals and the Miami Marlins in Jupiter, Florida, drinking Bud Lights and eating hot dogs like everything was normal and fine. And my son and I watched the last pitch, a strikeout by Cardinals reliever Giovanny Gallegos, on television, miles away, knowing it'd be the last strikeout we'd be seeing for a while. Professional athletics is a billion-dollar global industry, but it has proved no match for the coronavirus pandemic. (Will Leitch, 3/16)