Showing posts with label Trump and medicine. Show all posts
Showing posts with label Trump and medicine. Show all posts

Thursday, May 7, 2020

"Our country has to go back to being our country again. You have people that are not going to stand for this and I understand them very well..."

Said President Trump in his interview with ABC's David Muir — transcript, video.

Muir was trying to get Trump to talk about how the reopening would work — whether the results would be monitored and the restrictions reimposed if transmission/hospitalization/death rates go up. Trump continued:
... and we are going to put out little embers and little fires and maybe some big fires, but we still have to go back to work.
Muir wanted Trump to speak in the same terms as Governor Cuomo, who'd said — this is Muir's paraphrase — "you just have to be ready to turn the valve off for a time if you see a spike."

But Trump's reaction to hearing Cuomo's name was to remind us that Cuomo had praised him. Trump said: "Governor Cuomo last week said, the president and the federal government have done a phenomenal job. He said that, a phenomenal job."

That's Trump's strategy in dealing with these difficult questions, to get right on the message that his administration has done a great job. Every question is understood first as a prompt to bang us on the head again with that message. He ignored the whole point of the question, which is about how the reopening will be done. Why couldn't he address Cuomo's idea and agree with it or reject it?

Here's Cuomo speaking on May 4th. Trump acted as though he wasn't familiar with this, but I don't believe that. It's so cogent and sensible that it's very disappointing to hear Trump professing unawareness of it and Muir letting him off the hook. Cuomo:
As long as your rate of transmission is manageable and low, then reopen your businesses and reopen the businesses in phases, so you’re increasing that activity level while you’re watching the rate of transmission. Rate of transmission goes up, stop the reopening, close the valve, close the valve right away. So reopen businesses, do it in phases and watch that rate of transmission. If it gets over 1.1 stop everything immediately. That’s where the other countries wound up. They started to reopen. They exceeded the 1.1, it became an outbreak again. They had to slow down. Rather than starting and stopping, you’d rather have a controlled start so you don’t have to stop, right? And that’s what you learn from the other countries. You reopen too fast then you have to stop and nobody wants to have gone through all of this. And then start just to stop again. Well, how does that happen? First of all, it’s not going to happen statewide. This state has different regions, which are in much different situations than other regions in this state. And rather than wait for the whole state to be ready reopen on a regional basis. If upstate has to wait for downstate to be ready, they’re going to be waiting a long time. So analyze the situation on a regional basis. Okay? And you look at a region on four measures, the number of new infections, your healthcare capacity. If the infections goes too high you overwhelm your health system.... [G]uidelines from the CDC... say a region has to have at least 14 days of decline in total hospitalizations and death on a three day rolling average... This is telling you that you are basically at a plateau level that you can actually start to reopen. Then you’re watching the rate of infection and the spread of the infection....

Tuesday, May 5, 2020

"President Trump said on Tuesday that the White House’s coronavirus task force would be shut down and replaced with 'something in a different form'..."

"... as the country moved into what he called Phase 2 of a response to a pandemic that has killed nearly 70,000 Americans. 'We will have something in a different form,' Mr. Trump told reporters as he toured a Honeywell mask manufacturing plant in Arizona, where he wore safety goggles but no mask... 'I think we are looking at Phase 2, and we’re looking at other phases,' Mr. Trump said after he was asked whether it was a good idea to shut down the task force while the virus was still spreading through the country. He said that Dr. Deborah L. Birx, the virus response coordinator for the task force, and other top public officials would still be involved in the efforts to address the pandemic after the task force disbanded. 'They will be, and so will other doctors, and so will other experts in the field,' he said, adding, 'We are bringing our country back.'... The task force’s demise would only intensify questions about whether the administration is adequately organized to address the complex, life-or-death decisions related to the virus and give adequate voice to scientists and public health experts in making policy.... It was not clear exactly what might replace the task force. A group led by Jared Kushner, Mr. Trump’s son-in-law and senior adviser, has been functioning as something of a shadow task force. That group is likely to continue working..."

The NYT reports.

Tuesday, April 28, 2020

"If an American president loses more Americans over the course of six weeks than died in the entirety of the Vietnam War, does he deserve to be reelected?"

That was the last question at yesterday's Task Force press briefing. Transcript. The reporter was Olivia Nuzzi of New York Magazine.

Here's the response it provoked from Trump:
So yeah, we’ve lost a lot of people, but if you look at what original projections were, 2.2 million, we’re probably heading to 60 thousand, 70 thousand. It’s far too many. One person is too many for this. And I think we’ve made a lot of really good decisions. The big decision was closing the border or doing the ban, people coming in from China. Obviously other than American citizens which had to come in. Can’t say you can’t come back to your country. I think we’ve made a lot of good decisions. I think that Mike Pence and the task force have done a fantastic job. I think that everybody working on the ventilators, you see what we’ve done there, have done unbelievable. The press doesn’t talk about ventilators anymore. They just don’t want to talk about them and that’s okay. But the reason they don’t want to talk… That was a subject that nobody would get off of. They don’t want to talk about them. We’re in the same position on testing. We are lapping the world on testing and the world is coming to us. As I said, they’re coming to us saying, “What are you doing? How do you do it?” We’re helping them. So, no, I think we’ve done a great job and one person, I will say this, one person is too many. Thank you all very much. Thank you. Thank you.
That was a good, moderate answer, never mentioning the election, only taking the cue to discuss the basis for thinking that he is deserving. Importantly, he resisted the temptation to speculate about whether his opponent would have done better. Who knows what Joe Biden would have done in the same circumstances?

But that's the comparison. That's what I think about when I hear the question, and I'm going to assume that President Biden also would have lost more Americans over the course of six weeks than died in the entirety of the Vietnam War. If losses to a sudden contagious disease are the test of whether a candidate deserves our vote, then we'd just be voting based on which person happened actually to be President at the time the disease hit.

I suppose many people like to think a different President would have done better. Theoretically, things could have been done better. Our dream President would have done better. But would Joe Biden have done better? Anyone who answers yes is, I suspect, someone who was already going to vote for Biden for some other reason.

Anyway, Trump got the question he got, and he didn't get bogged down in the kind of speculation that I'm blogging about here. He just made the pitch that he's done a good enough job — which is, in Trumpspeak, "a fantastic job."

Sunday, April 26, 2020

A day after his inflammatory, incoherent disinfectant-injection remarks, Trump announces that his long press briefings are not worth his time and effort.

Saturday, March 21, 2020

"If it were up to me, and it's not, I would stop putting those briefings on live TV. Not out of spite but because it's misinformation."

"If the president does end up saying anything true, you can run it as tape but if he keeps lying like this every day on stuff this important, all of us should stop broadcasting it. Honestly, it's gonna cost lives."

Said Rachel Maddow — to whom it is not up, who can safely indulge in that figure of speech — quoted in "MSNBC's Maddow wants Trump kept off TV, blasts 'fairytale' news briefings" (Fox News).

That's being made a thing of on Twitter I see, and I really don't care. Do you?

"President Trump has taken historic, aggressive measures to protect the health, wealth and safety of the American people — and did so, while the media and Democrats chose to only focus on the stupid politics of a sham illegitimate impeachment."

"It’s more than disgusting, despicable and disgraceful for cowardly unnamed sources to attempt to rewrite history — it’s a clear threat to this great country."

Said a White House spokesman statement, quoted in The Washington Post, which sought a response for its article, "U.S. intelligence reports from January and February warned about a likely pandemic." From the article, published last night:
The intelligence reports didn’t predict when the virus might land on U.S. shores or recommend particular steps that public health officials should take.... But they did track the spread of the virus in China, and later in other countries, and warned that Chinese officials appeared to be minimizing the severity of the outbreak....

But despite that constant flow of reporting, Trump continued publicly and privately to play down the threat the virus posed to Americans. Lawmakers, too, did not grapple with the virus in earnest until this month....
To be fair, "lawmakers" were very preoccupied with the impeachment of the President.
Inside the White House, Trump’s advisers struggled to get him to take the virus seriously, according to multiple officials with knowledge of meetings among those advisers and with the president. [Health and Human Services Secretary Alex] Azar couldn’t get through to Trump to speak with him about the virus until Jan. 18, according to two senior administration officials....

On Jan. 27, White House aides huddled with then-acting chief of staff Mick Mulvaney in his office, trying to get senior officials to pay more attention to the virus, according to people briefed on the meeting Mulvaney then began convening more regular meetings....
Just so you know the timeline: Trump was caught up in an impeachment trial and was not acquitted until February 5th. He had the obligation to perform all his duties as President while dealing with the impeachment, but it sounds as though the White House was working on the virus throughout January, whether Trump did personal meetings with Azar or not.

WaPo quotes some of Trump's early public statements about the virus, and, indeed, he did express optimism. He's still doing optimism. How that correlates to serious protective action for us is another matter.

And here's a WaPo article from January 21st, 11 days before the aquittal: "Trump administration announces mandatory quarantines in response to coronavirus."
The White House declared a “public health emergency” and — beginning on Sunday at 5 p.m. — will bar non-U.S. citizens who recently visited China from entering the United States, subject to a few exemptions.... Health and Human Services Secretary Alex Azar also said the Trump administration would quarantine any Americans who had visited China’s Hubei province, where the disease originated, within the past 14 days....

President Trump so far has remained uncharacteristically muted on the coronavirus and praised China’s extraordinary response to the growing outbreak. On Wednesday, he tweeted photos of his Situation Room briefing and said his administration was working closely with China to contain the outbreak....
That happened at a time when the World Health Organization was recommending that there be no travel restrictions.

Friday, March 20, 2020

"President Trump on Thursday exaggerated the potential of drugs available to treat the new coronavirus..."

"... including an experimental antiviral treatment and decades-old malaria remedies that hint of promise but so far show limited evidence of healing the sick. No drug has been approved to treat the new coronavirus, and doctors around the world have been desperately administering an array of medicines in search of something to help patients, especially those who are severely ill. The malaria drugs, chloroquine and hydroxychloroquine, are among the remedies that have been tried in several countries.... Doctors in China, South Korea and France have reported that the treatments seem to help. But those efforts have not involved the kind of large, carefully controlled studies that would provide the global medical community the proof that these drugs work on a significant scale. In a White House briefing Thursday, Mr. Trump said the anti-malaria drugs had shown 'tremendous promise.'.... The drugs’ potential has been highlighted during broadcasts on one of Mr. Trump’s favorite news channels, Fox News, where hosts like Laura Ingraham, Tucker Carlson and Jeanine Pirro have trumpeted the possibility of a real treatment...."

The NYT reports.

Wednesday, March 18, 2020

"I want all Americans to understand: we are at war with an invisible enemy, but that enemy is no match for the spirit and resolve of the American people..."

"...It cannot overcome the dedication of our doctors, nurses, and scientists — and it cannot beat the LOVE, PATRIOTISM, and DETERMINATION of our citizens. Strong and United, WE WILL PREVAIL!"

A Trump tweet, from within the last minute.

ALSO:

Did Biden clinch the nomination yesterday? I don't know, and I don't really care.

He has the nomination, and following the primaries feels pointless now. Everyone seems to be backing away from the idiotic political conflict that had become a national way of life. It's time for Bernie Sanders (and Tulsi Gabbard) to end their candidacy and embrace Joe Biden as their party's nominee. It is also the case that Donald Trump is the GOP nominee.

Let's acknowledge what we already know, call off the conventions, and wait until after Labor Day to resume political campaigning. Labor Day is, traditionally, the beginning of the presidential campaign, and it would be a gesture toward sanity and reality to reinstitute that tradition.

Until then, we ought to all work together. Those who hold positions of power within government ought to demonstrate what it means to do the work of government, not politics. Democratic governors and legislators are cooperating with the Trump administration, and we ought to respect and encourage that — and reject efforts to make this the continuing political struggle over who will have power when January 2021 rolls around.

We have the leaders we have this year, and concentrating on changes so far in the future is tasteless and counterproductive.