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Month: March 2020

Trump’s “Deconstruction of the Administrative State” has led us into catastrophe

In February of 2017, in the very early days of the Trump administration, Steve Bannon, then the White House strategic adviser, appeared at the annual gathering of the Conservative Political Action Committee and described the new administration’s three “lines of thought.” The first had to do with sovereignty or “America First.” The second was what he called “economic nationalism” ( Trump’s trade war). And the third he called “the deconstruction of the administrative state.”

At the time it was assumed that this meant deregulation, a long-held goal of the conservative movement, by another name. And in fact the Trump administration has taken a wrecking ball to environmental and workplace regulation, mostly under the radar. Even the coronavirus pandemic has been used as an opportunity to drastically reduce regulations on pollution.

But whatever Bannon may have thought, “deconstruction of the administrative state” wasn’t part of any ideological “line of thought,” because Donald Trump doesn’t think that way. What it really meant was the degradation and delegitimization of the nonpolitical career officials who run the federal government on a daily basis. This had nothing to do with some theoretical commitment to small government. It was all about a commitment to Donald Trump.

These officials, whether in the intelligence community, the Department of Justice, the Pentagon, the EPA, Homeland Security or the State Department, are all tasked with seeing that rules, norms, regulations and laws are followed and impartial facts and data are produced so the government and the private sector can make rational decisions. They had to be marginalized in order to protect this inept, impulsive, narcissistic president, who had no understanding of how government works and no knowledge of what his job entailed.

Trump’s allies have been relentless in their mission. The turnover in the first three years of this administration has been staggering. When agency heads weren’t forced to leave because of blatant corruption they were pushed out ignominiously for anything from perceived personal slights to jealousy over too much positive attention from the press to differences over his reckless policy decisions. And he has most often decided not to name permanent replacements but to leave “acting” heads in charge, ostensibly because he likes the flexibility. The truth is that he has taken to placing unqualified cronies in important jobs who probably couldn’t get Senate approval, and leaving a large number of jobs unfilled.

This has left the Justice Department in a state of near-mutiny under the leadership of top Trump henchman Bill Barr, while the intelligence community tries to avoid telling Trump anything he doesn’t want to hear and the State Department is staffed by people who have no idea what American foreign policy is from one day to the next. But I think most Americans assumed that the workings of the federal public health agencies would be beneath the notice of the president and would therefore hum along without much interference. That turns out to be wrong too, and for obvious reasons. The agencies are interlocking, and if one is being undermined they all are.

The New York Times recently reported that Trump’s propensity for hiring loyalists without experience and leaving many positions unfilled has made the response to the coronavirus pandemic erratic and incompetent at all levels of government. At Homeland Security, 20 senior positions are either vacant or filled by acting officials, including acting secretary Chad Wolf, who appeared completely clueless in a recent Senate hearing. Workers in the Department of Veterans Affairs had to order medical supplies from Amazon because their leaders are so inexperienced in disasters they didn’t plan ahead for patients at VA hospitals during the pandemic.

And if you’re wondering what went wrong at the Centers for Disease Control and Prevention, ProPublica reported on Thursday that from the beginning that agency was in total chaos trying to deal with the pandemic, a crisis that is specifically in its wheelhouse. It wasn’t just that the tests they developed didn’t work or that they inexplicably refused to use the test German scientists had developed for the World Health Organization. The agency was failing at its most basic function.:

On Feb. 13, the U.S. Centers for Disease Control and Prevention sent out an email with what the author described as an “URGENT” call for help. The agency was struggling with one of its most important duties: keeping track of Americans suspected of having the novel coronavirus. It had “an ongoing issue” with organizing — and sometimes flat-out losing — forms sent by local agencies about people thought to be infected. The email listed job postings for people who could track or retrieve this paperwork.

Trump has insisted over and over again that no one could have predicted that something like this, which of course is complete nonsense. The Obama administration had set up a pandemic team within the National Security Council, which ran potential scenarios for the incoming administration in January of 2017 as part of a legally required transition exercise. Roughly two-thirds of the Trump representatives who attended that meeting are no longer serving in the administration anyway, another example of how the huge turnover has contributed to the botched response. In any case, former national security adviser John Bolton disbanded the team when he joined the White House, so there is hardly anyone around who would have benefited from those briefings anyway.

But according to Politico, the Obama folks left a “playbook” behind that outlined everything the new administration needed to know to begin the coordination of the various agencies and distribution of materials as well as other helpful guidance. Apparently, that guidance was thrown onto a shelf somewhere, and has been gathering dust ever since.

None of that is surprising. When Trump was asked at one of his White House coronavirus campaign rallies if he’d called any of the former presidents for advice, he replied that he thinks he’s doing an incredible job and said, “I don’t think I’m going to learn much.”

On Thursday, he blamed the Obama administration for his own lack of preparation, garnering this response:

Trump’s habit from the beginning has been to fire anyone who follows the law or science if he feels that threatens him in any way. So this Washington Post story about the “cadre of right-wing news sites” who are agitating for the firing of National Institute of Allergy and Infectious Diseases chief Dr. Anthony Fauci is all too predictable, considering Trump’s track record. They object to Fauci’s insistence that the data and the course of the virus must determine when the guidelines for social distancing can be lifted. Why? Because he is “an agent of the ‘deep state’ that Trump has vowed to dismantle.” Of course.

And so the administrative state continues to be deconstructed, one dead American at a time.

My Salon column reprinted with permission

Sociopaths use their leverage

Sound military strategy requires dispersal of leadership and redundant levels of command. The goal during the Cold War was to prevent a decapitation strike against command and control centers from wiping out the country’s ability to retaliate and maintain a functioning government. Dr. Strangelove‘s mad general made use of that feature to launch an attack on the Soviet Union and trigger nuclear Armageddon.

The U.S. government finds itself in a national crisis and decapitated without a shot fired. The “mad general” at the center of this deadly satire sits in the Oval Office. Having centralized most command and control in himself, the country is fighting a war against a viral pandemic with no national coordination and command in disarray. All major decisions go through the president. And the president is a sociopath.*

Negotiating tactic No. 5 from Donald Trump’s “The Art of the Deal” is “Use your leverage.” Over a thousand Americans are dead from COVID-19. Tens of thousands are sick. Many more will be, not just in major cities but in the countryside as under-supplied hospitals reach capacity. States and municipalities across the country are desperate for federal assistance. That’s a lot of leverage. Trump has them right where he wants them.

The Defense Production Act (DPA) exists to enable the government “to expedite and expand the supply of resources from the U.S. industrial base to support military, energy, space, and homeland security programs.” Among other authorities, the law enables the president to “ensure timely procurement of resources to save lives and property under emergency conditions.”

Our acting president refuses to use it with thousands sick and dying on his watch. He is leaving it to private industry to voluntarily produce what medical supplies they think are needed to fight the plague and then let states bid against each other for them. No national command and control. No coordination. Trump wants them to work it out on their own. It’s pandemic Thunderdome.

Always thinking himself the smartest guy in the room, Trump isn’t even sure states really need what they are begging for:

If state leaders want his help, they’ll need to kiss his ring, Bess Levin writes at Vanity Fair:

On the off chance it was previously unclear or existed in a gray area for some people, the coronavirus crisis has confirmed, beyond a shadow of a doubt, that Donald Trump is a complete and total sociopath. Last week, in response to a softball question about what he would say to the millions of Americans who are scared of the deadly virus sweeping the nation, Trump told a reporter, “I say that you’re a terrible reporter.” On Sunday, after taking the pandemic semi-seriously for about a week, he started pushing to “open” the country by Easter, arguing that the economy is more important that actual lives. And during a virtual town hall with Fox News on Tuesday, he appeared to suggest he’s willing to let thousands of New Yorkers die because Governor Andrew Cuomo hasn’t sufficiently sucked up to him.

Expensive surplus

The New York Times on Thursday revealed that the White House was considering a $1 billion joint venture between General Motors and Ventec Life Systems to produce 80,000 ventilators for the nation’s hospitals but had second thoughts.

Presidential son-in-law Jared Kushner, the president’s son-in-law and a senior White House aide are tasked with addressing the country’s ventilator gap:

At the center of the discussion about how to ramp up the production of ventilators is Jared Kushner, the president’s son-in-law and a senior White House aide, who has told people that he was called in two weeks ago by Vice President Mike Pence to produce more coronavirus test kits and who has now turned his attention to ventilators.

He has been directing officials at FEMA in the effort. Two officials said the suggestion to wait on the General Motors offer came from Col. Patrick Work, who is working at FEMA. Some government officials expressed concern about the possibility of ordering too many ventilators, leaving them with an expensive surplus.

The Senate just passed a $2.2 trillion emergency aid package. Now emergency production of medical supplies in short supply is being held up over worries of an equipment surplus. The country spent at least half a trillion bailing out Wall Street after the financial crisis. The U.S. abandoned over $1 billion in military equipment in Vietnam, $7 billion in equipment in Afghanistan, lost track of over a billion dollars‘ worth of weapons in Iraq in addition to losing nearly $9 billion in $100 bills shipped in on pallets by the ton. Jared is holding up delivery of life-saving equipment over worries about leftovers.

Gilding the funeral lily

With no command and control at the top, Americans across the country are scrounging medical supplies in nail salons, factories, warehouses, and church basements. The Washington Post reports a trove of 1.5 million expired N95 masks belonging to the U.S. Customs and Border Protection were just located in a government warehouse in Indiana. The Department of Homeland Security will offer them to the Transportation Security Administration rather than to hospitals or the Federal Emergency Management Agency (FEMA).

The head stone mason at Washington’s National Cathedral remembered there were some masks stored down in the church’s crypts. He located 5,000 N95 respirator masks.

Asleep at the switch? Headless chicken? Decapitation is certainly a suitable metaphor for the acting president’s pathetic response to this crisis. The con man who has bullshitted his way through his life is doing the same amidst a national tragedy. Americans are dying.

*I am not a psychiatrist. Nor have I personally examined the President (borrowed from Al Franken).

● ● ● ● ● ● ● ●

For The Win, 3rd Edition is ready for download. Request a copy of my free countywide election mechanics guide at ForTheWin.us. This is what winning looks like.
Note: The pandemic will upend standard field tactics in 2020. If enough promising “improvisations” come my way by June, perhaps I can issue a COVID-19 supplement.

Maybe if those blue states were just a little bit nicer to you-know-who

Meanwhile, over on Fox they’re having a ball:

Pardoned felon D’Souza:

And also remember that a few weeks ago, Jennifer Rubin, the Never Trumper, and others were all putting out the idea that there was so much misinformation being put out by the president, and by Fox News, that we would see spreads of the coronavirus in the red states — Republicans would die. But in fact, interestingly, these spreads are mainly in the blue states.

And what I find kind of interesting is you have these blue state governors and mayors, and they are trying — they’re criticizing Trump, but they also have the outstretched hand. They want Trump to intervene. The same guy that they’ve been calling a racist and a fascist for four years, and now they want the racist and the fascist to step in and help them out. You’d think that if a racist and fascist was the guy they needed, they’d prefer to go it alone.

He seems nice.

I can’t imagine why anyone would think Trump and his Fox henchmen are fascists. It’s not as if they’re hinting that massive numbers of people in the country should die if they disagree with the president or anything. They would never do that …

Here are some highlights of today’s Coronavirus Campaign Rally:

https://twitter.com/JamesKosur/status/1243347836508540928

There’s more, but I just don’t have any more energy to document it. I’m pretty sure that’s a feature not a bug of these odious daily rituals.

There’s no joy in saying, “I told you so!” to a corpse @spockosbrain

Soon we will have data on states that did NOT keep people apart and did NOT issue stay at home orders. I will share that data with a plea for people to act appropriately. Here’s what I will do and not do when it comes:

I WILL NOT gloat that Fox News watchers died. The network they followed featured Trump’s “hunches” instead of pandemic experts.

I WILL NOT cheer when people in Red States get sick. Even those who voted for Trump and kept supporting him.

What will I do? Keep pleading for them to listen to healthcare experts.

I want them to change their actions in order to save their lives. If they don’t, they might get sick and die. Part of that change is for them to understand that what Trump is saying and doing has made the situation worse.

Will they stop supporting him and change? Yes. Some will. I will welcome them to a community who believes in science. But some won’t.

If I’m wrong and they are right how will they respond? By mocking me. “See? I told you it wasn’t that big of a deal. I didn’t social distance and I’m fine! You lot destroyed the economy for nothing!”

I’m not sorry I tried to save their lives. I’m glad that they were lucky because of their remoteness or other circumstances that prevented them from getting sick. Maybe the actions that I took in my city and state early prevented them in their location from getting sick. That’s the prevention paradox.

If they are wrong and I’m right they will expect me to act the same way towards them as they they would. But I won’t. Why? Because I don’t care about “winning” the argument they set up. I care about saving lives. I can logically prove I was right but it’s a hollow victory, especially if the people who I’m arguing with are no longer alive to concede.  My human side knows the sadness of being right on this topic.

There’s no joy in saying, “I told you so” to a corpse.

Meanwhile, in Bizarroworld, Trump is Churchill, Roosevelt and Lincoln all rolled into one

Daniel Henninger of The Wall Street Journal is vacationing in Bizarroworld where the drugs and the cocktails are obviously free:

No national leader plans to be in a position like this—not Roosevelt, Lincoln or Churchill. Mr. Trump will emerge from this crisis either as just another president or a president who led his entire country through a great battle. 

There are some other options aren’t there? In which he is remembered as the most incompetent leader in world history? As the dumbest president ever who refused to listen to the vast number of experts who warned him to prepare for a global pandemic? As the world’s greatest narcissist who only cared about his own political and financial fortune while thousands of dead bodies piled up around him? As the most delusional head of government in history who went before the people and tried to sell them snake oil cures and happy talk instead of the truth in the middle of a catastrophic public health crisis?

I suspect all of those options are more likely than Trump being “just another” or a “Great President.” In fact, there really is no question. He’s already all of those things.

Some will say, from experience, that asking Mr. Trump to rise to presidential greatness is quixotic. He’ll never adjust no matter the circumstance. And yes, on Tuesday he was in a cat fight over ventilators with New York’s Democratic governor, Andrew Cuomo.

Ironically, Mr. Trump’s path to presidential greatness may begin by doing something small but desired by virtually all Americans: Separate himself from the pettiness of our politics.

Ironically? Oh my God. Her really is in Bizarroworld.

He goes before the public every day and claims the Democrats and the press are trying to destroy him with “fake news.” He says they are pumping up the crisis to undermine him. Despite saying over and over again that he has nearly unfettered power under Article II of the constitution he is refusing to use the power he does have to efficiently marshall industry to coordinate and distribute the medical supplies necessary he is pretending that it’s all going great even as people are dying for lack of them.

The idea that he has the capability of changing is ridiculous. He is failing on every level. He has always failed on every level.

Here’s a Wall Street Journal Bizarroworld vacation video:

“Instead of reassuring the country, Trump wants the country to reassure him”

I know you know this but I thought this piece from The Week about the Trump Daily Coronavirus Campaign Rally was really well put:

If you’ve watched President Trump’s daily press briefings about the coronavirus outbreak, you’ve learned how little you’ve learned. Every time he talks about the pandemic, he tells us more about his narcissism than he does about the pandemic.

Trump began holding press briefings when he could no longer hold rallies, and for the same reason: He needs praise like he needs oxygen, and these briefings, like his campaign rallies, are his oxygen tank. Public health is not the point. They are about what Trump wants to hear, not what we need to know.

When he talks about the pandemic, he’s vague, misleading, and self-congratulatory, often at the same time. “We have a lot of things happening, a lot of very positive things,” Trump said while discussing things.

He prefers to discuss things that have nothing to do with the pandemic, such as his “very popular” wife and “Sleepy Joe Biden.” While he has not called for the coronavirus to be locked up, he said, “We’re building a wall.” His logorrhea occasionally takes him into the unchartered territories of pseudo-empathy and complete sentences, as when he said, “Life is fragile” and “The whole concept of death is terrible.”

Also terrible is the credit Trump isn’t getting. More than anything, he wants to be commended. On Sunday, he complained that “nobody said thank you” after he donated part of his presidential salary to fighting the coronavirus. He donated $100,000, which is $30,000 less than what he spent on silencing a porn star.

Trump boasts of the job he’s supposed to be doing (“a phenomenal job“) and cites people without proper names as confirmation. “Many doctors — and I’ve read many, many doctors — they can’t believe the great job that we’ve done,” he claimed. He said governors are “loving what we’re doing,” “were thanking us for the job we did,” and “were very complimentary.” Asked if he sold any stocks before the epidemic, Trump compared himself to George Washington, “a rich man” who “ran the presidency and he also ran his business.”

Even when Trump is not talking about himself, he talks about himself. A reporter asked if he regretted his handling of the crisis. “I’m not interested in myself,” said Trump, putative author of eight books whose titles begin with “Trump,” about himself.

When not praising himself, Trump vilifies those who fail to praise him as much as he does. He denounced “fake news” and “dishonest journalists.” He reprimanded NBC News correspondent Peter Alexander for asking “a very nasty question” and told him, “You’re a terrible reporter.” He called The Washington Post and Wall Street Journal “very dishonest media sources.” Last week, he said he wanted to “get rid of about another 75-80 percent of you. I’ll just have two or three that I like in this room.” The president is holding press conferences in a pandemic to say he wants to get rid of the press.

It’s no wonder why he feels this way. Unlike at his rallies, where thousands of fans shout his name, the audience at his coronavirus briefings consists of reporters asking questions about the health and safety of Americans, all but one of whom are not him.

Instead of reassuring the country, Trump wants the country to reassure him.

Last week, his friend Lou Dobbs gave him a farrago of praise, adulation, and exaltation. On Twitter, Dobbs asked people to “grade President Trump’s leadership in the nation’s fight against the Wuhan Virus.” The three options were “superb,” “great,” and “very good.” Two days later, Dobbs self-quarantined after one of his staffers contracted the coronavirus, which suggests that Trump’s leadership has been very good, not superb or great.

Republicans have criticized Democrats for politicizing the pandemic. Yet, at his press briefings, Trump’s sycophants, not health experts, do most of the talking, and most of their talking consists of praise for the president. They thank him for the opportunity to praise him. At Sunday’s press briefing, the president’s trade adviser Peter Navarro began his remarks by saying, “Thank you, sir. Thank you, Mr. President.” He concluded by saying, “I salute you, sir.”

Meanwhile, Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases and a member of the White House coronavirus task force, was not present at Sunday’s or Monday’s briefing. Fauci is an expert in infectious diseases, not assuaging Trump’s ego. The more you know about something, the less Trump trusts you.

These are not press briefings. They are praise briefings.

Indeed they are. And his cult is delivering it.

A plan for that

Look at that terrifying trajectory. America first. Thanks Trumpie.

Meanwhile, Senator Elizabeth Warren is doing what she does best. She’s figuring out how to fix problems. This particular plan is about the single most important thing the US can do right now to quell the outbreak after social distancing: testing, testing, testing.

Congress is close to finishing its third legislative package to assist in the coronavirus response. It’s imperative that as soon as this package is complete, we immediately turn to dramatically increasing our coronavirus testing capacity, which will help us address both the health and economic impacts of this crisis.

I’ve outlined some ideas to consider as we move toward this long overdue goal.

Widespread diagnostic testing is necessary to control coronavirus — as we’ve seen, countries that instituted widespread testing early on have thus far stemmed the spread of COVID-19 and aided their economies by getting healthy people back to work. South Korea, for example, developed an expansive testing system. As a result, it has been able to track, isolate, and quarantine infected people without shuttering its cities or forcing its citizens to stay inside.

It’s no secret that the U.S. missed its chance to control COVID-19 through early testing. The Trump Administration profoundly mishandled its coronavirus response, leaving public health officials without diagnostic tests in the early days of the pandemic. Public and private labs are racing to catch up: in recent days, the FDA approved its first point-of-care diagnostic test, while commercial behemoths like Roche, LabCorps, and Quest have launched their own diagnostics. Academic labs in Massachusetts are joining the fight, too. But states still don’t have diagnostics they need — forcing many to ration their tests and forego aggressive efforts to contain the virus. Meanwhile, without tests, medical workers and first responders that have been exposed to the virus, but that have not actually contracted it, cannot be tested — causing shortages of medical workers when exposed individuals are forced to quarantine.

President Trump says he wants to prematurely send people back to work, but the government cannot demand that workers report for duty without first guaranteeing their safety. Public health experts have made clear we need to maintain protections like social distancing until the testing and supply shortage is addressed. We need more tests to know who is safe to go back to work and not spread the virus to people around them. Exposing more people to the virus and causing them to be hospitalized or die from COVID-19 is a moral failure as well as an economic one.

Congress must take additional steps to get our public labs and companies the resources they need to ramp up production, and fast. To test at scale, we need more medical supplies. We need more lab capacity — and laboratory materials. And, we need more people.

Congress must force the President to utilize the Defense Production Act (DPA) to spur the development and allocation of tests, the raw materials necessary to produce those tests, and the protective equipment necessary for health care professionals to administer them. The Trump Administration recently said it would use the DPA to make 60,000 test kits, and the legislative package just passed by the Senate allocates $1 billion for COVID-19 DPA purchases. But the President has been unconscionably slow to utilize his DPA authorities. That is why Congress must ensure that he utilizes these new funds, follows through in his commitment, and builds on it. A country of nearly 330 million people needs more than 60,000 tests. And in order to produce and conduct tests, scientists also need things like cotton swabs, chemical reagents, and RNA extraction kits — all materials that are in shortage as labs produce more tests. To administer COVID-19 diagnostics, frontline workers must have access to protective equipment — like masks and gloves — to keep them safe from infection. Those materials are also in shortage, putting health care workers at huge risk and forcing medical facilities to forego mass testing in order to conserve supplies. The Administration must use the DPA to produce these materials, too, and to ensure that they get to states that need them.

If the President won’t fully-utilize the DPA on his own to produce these critical supplies, I’ve signed onto a bill from Senator Tammy Baldwin (D-Wisc.) that Congress could pass tomorrow to require the Trump Administration to act. And Congress can ensure that the President, beyond the $1 billion allocated yesterday, has the funds he needs to do so.

Congress can also put aside more designated funding for specific priorities that would break the testing logjam.

First, Congress should immediately develop a dedicated coronavirus test fund to issue guaranteed contracts to public and private diagnostic manufacturers, keeping them solvent as they boost capacity. We must also provide grants to public health labs and doctors’ offices — which are often strapped for cash — so that they can purchase testing equipment. Congress has provided entities like the National Institutes of Health and the Biomedical Advance Research and Development Authority with supplemental funding to support public and private sector development of COVID-19 vaccines, therapeutics, diagnostics, and preparedness needs, but testing must compete with other priorities funded by these dollars and Congress has yet to establish a fund solely dedicated to diagnostics for COVID-19. As Congress funds diagnostics, it should prioritize both RNA tests, which can help immediately identify infected people, and antibody tests, which can tell us who is immune to the virus and can head back into their communities.

Next, Congress should take immediate steps to boost the number of medical workers able to perform diagnostic tests. It should provide the Public Health Service Commissioned Corps with the funds to hire and train temporary workers to administer tests. In addition to hiring doctors, nurses, and public health professionals, it should hire workers who can receive on-the-job training to complete tasks that don’t require medical degrees. The government should prioritize the hiring of people temporarily out of work due to COVID-19.

Finally, Congress must increase diagnostic testing transparency. The Department of Health and Human Services (HHS) should be required to report the demographic information of individuals tested for COVID-19 to make sure resources are being distributed equitably. And Congress should force private and public manufacturers to provide daily updates to HHS on their testing capacity, raw materials, and other resources — ensuring that our federal response is based on an accurate, up-to-date understanding of our testing resources. Our federal response has been dogged by consistent confusion over our national testing capacity — including the number of people tested and their locations. Without this information, it’s impossible to know whether resources are going to the people who need them most, or whether we are leaving rural, underserved, or minority communities behind in our response.

As Congress takes these steps to boost capacity, it must continue to make sure that COVID-19 tests and treatment are free and accessible to everyone in America — no matter their income-level, race, or zip code.

These problems are real — but they are not insurmountable. Congress can take action right now to alleviate them. To turn the tide of this pandemic, we need information. We need diagnostics. And we need Congress to immediately step up and help provide them.

Trump was out there praising himself to high heaven for his magnificent testing regime yesterday. Well, it’s been miserably inadequate. Despite what Trump says, the fact that we’ve now done more tests that South Korea means nothing:

Based on the available data and the population of each country, 1 in 142 South Koreans and 1 in every 786 Americans have been tested for the coronavirus.

Jennifer Horney, founding director of the University of Delaware’s epidemiology program, told CNN that epidemiologists generally use rates only like tests per capita to make comparisons.

“I think the important clarification is that we should be considering the number of cases per 1 million population and considering a rate of people tested and not the absolute numbers,” Horney said. “The absolute number of tests is not very meaningful.”

Dr. Trump blithely dismissed a question from the press yesterday about whether or not we should be aiming to test everyone. He’s already done so much testing — more testing than anyone could have imagined a leader could do — that there will be no need for any more. By Easter he’ll have personally concocted a cure in the White House kitchen.

A disgrace in the richest country in the world

Because this administration refused to listen to the experts and decided they didn’t need to prepare we are now letting people die for lack of protective gear for medical personnel:

Hospitals on the front lines of the pandemic are engaged in a heated private debate over a calculation few have encountered in their lifetimes — how to weigh the “save at all costs” approach to resuscitating a dying patient against the real danger of exposing doctors and nurses to the contagion of coronavirus.

The conversations are driven by the realization that the risk to staff amid dwindling stores of protective equipment — such as masks, gowns and gloves — may be too great to justify the conventional response when a patient “codes,” and their heart or breathing stops.

Northwestern Memorial Hospital in Chicago has been discussing a do-not-resuscitate policy for infected patients, regardless of the wishes of the patient or their family members — a wrenching decision to prioritize the lives of the many over the one.AD

Richard Wunderink, one of Northwestern’s intensive-care medical directors, said hospital administrators would have to ask Illinois Gov. J.B. Pritzker for help in clarifying state law and whether it permits the policy shift.

“It’s a major concern for everyone,” he said. “This is something about which we have had lots of communication with families, and I think they are very aware of the grave circumstances.”

This is just … unbelievable. And it didn’t have to happen:

“Is there sufficient personal protective equipment for healthcare workers who are providing medical care?” the playbook instructs its readers, as one early decision that officials should address when facing a potential pandemic. “If YES: What are the triggers to signal exhaustion of supplies? Are additional supplies available? If NO: Should the Strategic National Stockpile release PPE to states?”

The strategies are among hundreds of tactics and key policy decisions laid out in a 69-page National Security Council playbook on fighting pandemics, which POLITICO is detailing for the first time. Other recommendations include that the government move swiftly to fully detect potential outbreaks, secure supplemental funding and consider invoking the Defense Production Act — all steps in which the Trump administration lagged behind the timeline laid out in the playbook.

“Each section of this playbook includes specific questions that should be asked and decisions that should be made at multiple levels” within the national security apparatus, the playbook urges, repeatedly advising officials to question the numbers on viral spread, ensure appropriate diagnostic capacity and check on the U.S. stockpile of emergency resources.

The playbook also stresses the significant responsibility facing the White House to contain risks of potential pandemics, a stark contrast with the Trump administration’s delays in deploying an all-of-government response and President Donald Trump’s recent signals that he might roll back public health recommendations.

“The U.S. government will use all powers at its disposal to prevent, slow or mitigate the spread of an emerging infectious disease threat,” according to the playbook’s built-in “assumptions” about fighting future threats. “The American public will look to the U.S. government for action when multi-state or other significant events occur.”

The guide further calls for a “unified message” on the federal response, in order to best manage the American public’s questions and concerns. “Early coordination of risk communications through a single federal spokesperson is critical,” the playbook urges. However, the U.S. response to coronavirus has featured a rotating cast of spokespeople and conflicting messages; Trump already is discussing loosening government recommendations on coronavirus in order to “open” the economy by Easter, despite the objections of public health advisers.

The NSC devised the guide — officially called the Playbook for Early Response to High-Consequence Emerging Infectious Disease Threats and Biological Incidents, but known colloquially as “the pandemic playbook” — across 2016. The project was driven by career civil servants as well as political appointees, aware that global leaders had initially fumbled their response to the 2014-2015 spread of Ebola and wanting to be sure that the next response to an epidemic was better handled.

The Trump administration was briefed on the playbook’s existence in 2017, said four former officials, but two cautioned that it never went through a full, National Security Council-led interagency process to be approved as Trump administration strategy. Tom Bossert, who was then Trump’s homeland security adviser, expressed enthusiasm about its potential as part of the administration’s broader strategy to fight pandemics, two former officials said.

Trump’s only real method of decision-making when he came into office was to ignore or reverse anything the previous administration did. He was so unprepared and unfit that he didn’t know anything else to do.

Now we are in a crisis and he is totally at sea. And Americans are dying.

Perversity explained

America’s can-do myth is meeting coronavirus reality. The U.S. is winning in terms of how fast the epidemic is progressing, outpacing the spread in countries across the planet. In California and in New York, cases are doubling every three to four days. Heck of a job, Trumpie.

The Week summarizes:

The U.S. passed 1,000 deaths from the COVID-19 coronavirus on Wednesday, hitting 1,046 deaths by Thursday morning, according to a running count kept by Johns Hopkins University. Nearly a third of those deaths were in New York City, where health officials reported a jump from 199 deaths on Wednesday morning to 280 deaths by 6 p.m. The U.S. has about 69,200 confirmed cases of COVID-19, making it No. 3 after China and Italy. Spain overtook China in registered COVID-19 deaths, 3,647, while Italy is reporting 7,503 deaths. Overall, there are more than 480,000 confirmed cases worldwide, 21,600 deaths, and 115,850 patients who recovered. Nearly a third of the world’s population is in lockdown to slow the virus’ spread.

On Capitol Hill, the U.S. Senate unanimously passed a $2.2 trillion relief package that now heads for the House where it is expected to pass this morning. But as Digby observed, we were not going to see this package passed without some grandstanding by Republicans.

Sens. Tim Scott and Lindsey Graham of South Carolina, Ben Sasse of Nebraska, and Rick Scott of Florida held a press conference to show they were irked at the idea of paying some workers more in unemployment than their jobs ordinarily underpay them.

The group said in a statement, “If the federal government accidentally incentivizes layoffs, we risk life-threatening shortages in sectors where doctors, nurses, and pharmacists are trying to care for the sick, and where growers and grocers, truckers and cooks are trying to get food to families’ tables.”

Nurses and doctors are coming out of retirement to put their lives on the line to save others. This elite crew seems not to have gotten that memo.

Graham told reporters, “If you make $15 dollars an hour working in South Carolina — a lot of people do — this bill will pay $23 an hour not to work, and I think that’s perverse incentive.”

Graham’s statements suggest he thinks people who quit their jobs can draw unemployment. He might know that if he’d had a private-sector job for any length of time since leaving college. But Graham’s worried that people unable to buy food and pay rent with the economy in a black hole might cheat the system.

“Lots of the important industries in America have median wages that are lower than what would happen under the unemployment benefits portion of this bill,” Sasse explained. “And so we don’t want to accelerate the severing of that employee-employer relationship.”

Translation: Propping up large corporations that spent the last decade boosting executive pay and buying back stock rather than paying down debt is one thing. Nothing perverse about that. But disrupting the power dynamic that keeps hourly workers dependent on their paymasters is entirely unacceptable. Why, workers might be incentivized to stay home during the pandemic as states have ordered and as medical experts have recommended!

Even amidst a pandemic, these leopards cannot change their spots any more than the acting president can behave like a well-adjusted adult.

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For The Win, 3rd Edition is ready for download. Request a copy of my free countywide election mechanics guide at ForTheWin.us. This is what winning looks like.
Note: The pandemic will upend standard field tactics in 2020. If enough promising “improvisations” come my way by June, perhaps I can issue a COVID-19 supplement.