Total

Apr 13th, 2020 4:58 pm | By

OMG Trump is trending.



It’s total

Apr 13th, 2020 4:53 pm | By

He is saying, over and over and over again, that he has absolute and total power. In those words. In the face of journalists saying no actually he doesn’t. He just keeps shouting them down and saying yes he does. It’s scary.

https://twitter.com/atrupar/status/1249837004101222403



Trump’s ego holds a press briefing

Apr 13th, 2020 4:25 pm | By

Unbelievable.

That is terrifying on so many levels.



Nothing without His approval

Apr 13th, 2020 4:01 pm | By

Oh, is that a fact. States can’t do anything without the approval of the president of the United States – according to Donald Dimwit.

He’s apparently doing the craziest press briefing rally yet, including playing a campaign video.



Siri, re-open America

Apr 13th, 2020 2:16 pm | By

It’s fine. It’s fine. I’m sure it will be fine.

Fox News White House correspondent John Roberts reported on Monday that President Donald Trump will soon announce a council to re-open the U.S. economy amid the coronavirus pandemic, a plan that was quickly ripped apart on Twitter.

Is Fox News Trump’s press secretary now? Because if not why is Fox News announcing such things instead of a press secretary or other member of Trump’s administration?

The current members of the council to “re-open America” include Mark Meadows, Ivanka Trump, Jared Kushner, Steven Mnuchin, Larry Kudlow, Robert Lighthizer, and Wilbur Ross, none of whom are experts in medicine, science, or public health.

Also, Ivanka Trump and Jared Kushner aren’t experts in anything. They’re just crooks, who work for their crook relatives.

Ross, on Jan. 30, said that the pandemic would bring jobs back to the U.S. And on March 6, Kudlow said the virus was “contained.” Those two men, along with the commander-in-chief’s daughter and son-in-law, will comprise a majority of the group charged with what Trump himself has termed the “most important decision” of his presidency — the call to determine when America will reopen.

But here’s the good news: they won’t actually decide anything, they’ll just do whatever Trump screams at them to do.



The Council to what what what?

Apr 13th, 2020 1:58 pm | By

They’re doing what now?

What do they need a “council” for? Trump just said it’s his to decide, all by himself, with his magic absolute powers.

But if they do need a council…oh never mind, it’s too obvious to bother saying.

There’s always a tweet.



Promises

Apr 13th, 2020 11:11 am | By

NPR reminds us that Trump declared a national emergency a month ago on March 13.

In a Rose Garden address, flanked by leaders from giant retailers and medical testing companies, he promised a mobilization of public and private resources to attack the coronavirus.

“We’ve been working very hard on this. We’ve made tremendous progress,” Trump said. “When you compare what we’ve done to other areas of the world, it’s pretty incredible.”

But very little of what he promised actually happened.

NPR’s Investigations Team dug into each of the claims made from the podium that day. And rather than a sweeping national campaign of screening, drive-through sample collection and lab testing, it found a smattering of small pilot projects and aborted efforts.

In some cases, no action was taken at all. Target did not formally partner with the federal government, for example.

The remarks in the Rose Garden highlighted the Trump administration’s strategic approach: a preference for public-private partnerships. But as the White House defined what those private companies were going to do, in many cases it promised more than they could pull off.

It’s like socialism turned inside out. Say the capitalists will do the heavy lifting, then look fixedly in the opposite direction while the capitalists do no lifting at all.

Drive-through testing? Nope. Walmart opened two, Walgreens opened two, CVS opened four. Not quite enough to do the job.

The president also welcomed Bruce Greenstein, an executive vice president of the LHC Group, to the microphone.

Greenstein’s organization primarily provides in-home health care, and he pledged that it would be helping with testing “for Americans that can’t get to a test site or live in rural areas far away from a retail establishment.”

NPR called more than 20 LHC sites in 12 states, and none of them is doing in-home testing one month following the Rose Garden address. Employees at the LHC sites said they lacked both testing kits and the training to administer kits.

So Trump gave them a nice free ad, and they’ve paid us back with…bupkis.

There’s much more.



Let it be fully understood

Apr 13th, 2020 10:58 am | By

Trump is bullshitting about his Absolute Power to do whatever he feels like doing, again.

It’s not the news media, it’s just reality. He can say “Let it be understood…” all he wants, but that doesn’t make the thing he wants us to understand true. Let it be understood that Donald Trump of Queens is a bumbling blowhard.

It isn’t. He’s not the Universal Boss. He thinks he is, he wants to be, but he isn’t.

Yeahbut who ya gonna believe, the Constitution or Donald Trump?



All we ask is the right to redefine everything

Apr 13th, 2020 10:06 am | By

Now there’s an argument for you. Trans woman Gemma Stone has always leaned Labour but there’s just one problem: all this here transphobia.

A number of transphobes retain their membership despite using the hashtag #ExpelMe to ask to be expelled for transphobia. Many of them support hate groups which almost exclusively push for trans exclusionary policies. While Keir Starmer himself refused to sign a pledge condemning these groups stating he doesn’t want the issue to become a “political football”, two of his fellow contenders in the Labour leadership race did.

The fourth contender who didn’t sign, Emily Thornberry, spoke out in support of trans rights after the event, but said we should be careful about calling things hate groups. Whereas I do agree with the sentiment, I don’t think there’s any difficulty in applying “hate group” to organisations who invariably espouse what many trans people like me perceive as hatred.

There it is: the top class argument. Yes, we should be careful about calling things hate groups, but first we have to stipulate that “hate group” means any organization that espouses what we perceive as hatred. That’s careful enough, surely, and not at all circular.

It doesn’t take much to look at some websites or social media and see they are single-issue lobby groups and nothing else. We are being told to tolerate intolerance just because they themselves say they aren’t bigoted when they clearly are.

A compelling point. All we have to do is look, and we see what I see. They say they aren’t bigoted but THEY CLEARLY ARE I tell you. What more do you want?

Meanwhile, the hate groups themselves are becoming more and more emboldened. This, of course, results in more and more harassment and abuse of trans people online. Every day that politicians dither on the issue, trans people, like me, are forced to face bigotry down on our own.

I wonder if Gemma Stone is aware of abuse of women online and off.

Starmer is right that the issue shouldn’t become a political football but has seemingly failed to understand that the political dithering is itself what’s making it a political football. We need strong and robust support for the human rights of trans people, we need to put the bigots back in their box and tell them they won’t be tolerated.

But what human rights? What are the human rights of trans people that need strong and robust support? Do trans people not already have the human rights that other humans have? There is no “human right” to force other people to accept your counter-factual claims about yourself. That’s not a human right and never can be, because it would make a hash of everyone else’s human rights.

They need to be told they don’t have reasonable concerns because right now the lack of clearly and pointedly telling them “no” is leaving them the open window to assume a “yes” is still on the table somewhere. They need to know it isn’t. Otherwise they’ll just keep coming and trans people will continue to be degraded, abused and harassed. Labour is no place for transphobia. Say it.

Telling them “no” in reply to what? What specifically is Gemma Stone talking about? Why can’t he say?



Abuse of power much?

Apr 13th, 2020 8:31 am | By

Of course. Petulant baby who somehow got his hands on all the power has now turned his baleful glare on Fauci. Of course he has.

President Trump retweeted a call to fire his top infectious disease specialist Anthony S. Fauci on Sunday evening, amid mounting criticism of the federal response to the coronavirus pandemic.

Donald Trump isn’t qualified to do Fauci’s laundry, let alone to tell him what to do about a metastasizing pandemic.

The call, with the hashtag “FireFauci” came from a former Republican congressional candidate, DeAnna Lorraine, who amassed 1.8 percent of the vote in an open primary challenge to House Speaker Nancy Pelosi (D-Calif.) this year.

If Trump had been on the Titanic he would have gone around knocking holes in all the lifeboats.

It followed an interview with National Institutes of Allergy and Infectious Diseases chief on CNN’s “State of the Union,” in which Fauci said a stronger early response by the administration to the outbreak “could have saved lives,” but also characterized the decision to implement social distancing guidelines as “complicated.”

“Obviously, it would have been nice if we had a better head start, but I don’t think you could say that we are where we are right now because of one factor,” Fauci said on CNN Sunday. “It’s very complicated.”

That’s the scientific mindset talking, as opposed to the mindset that shouts “Fire Fauci!” in the midst of a metastasizing pandemic.

Fauci also confirmed a New York Times story saying that he and other experts had wanted to begin social and physical distancing measures as early as February.

Gee, how scandalous.

Fauci, known for his candor but also his diplomacy, has implicitly and explicitly taken issue with Trump on several occasions. Trump demonstrated his apparently increasing irritation last week when he stepped in to stop Fauci from answering a question about the effectiveness of hydroxychloroquine, an unproven drug the president has been touting for treatment of covid-19, the disease caused by the novel coronavirus. Fauci has also been skeptical of Trump’s rush to set a date for lightening up on mitigation efforts to get the economy moving as the 2020 election approaches.

And President Brainrot can’t be putting up with that.

DeAnna Lorraine, the Pelosi challenger who got Trump going, opined in another tweet that she has “seriously heard enough of the experts’ for now” on how to stem the novel coronavirus.

Ha! Seriously. That’s enough of the god damn experts on how to stem a pandemic, it’s time to listen to the frauds and denialists and above all the narcissistic incompetent political hacks.

Sunday’s measured comments by Fauci, which did not mention Trump or explicitly criticize the administration and were elicited by questioning by CNN’s Jake Tapper, led a flurry of right-wing commentators to rebuke him. Some reports have indicated that the president has been calling advisers seeking their opinions on Fauci’s performance in recent days.

Naturally. On the one hand you have the survival of millions of people and on the other you have Donald Trump’s political future. It’s obvious which is more important.



#BloodOnHisHandsHannity

Apr 12th, 2020 4:36 pm | By

Media Matters reported recently:

Fox News host Sean Hannity has stood out among the network’s many misinformers about the coronavirus pandemic. From encouraging viewers to try unproven treatments to downplaying the lethality of coronavirus compared to other diseases to defending President Donald Trump’s mishandling of the pandemic, Hannity has downplayed coronavirus dozens of times on his Fox and radio programs over the past month.

Why? The virus doesn’t distinguish between left and right, so what’s the motivation for a Fox News hack to tell lies about it? I suppose it must be the fact that Trump has made such a dog’s breakfast of dealing with it. Great: so to defend a lying murderous hack, another hack with a huge audience puts people’s lives at risk on his tv show. Is this a sick country or what.

Fox’s coverage of the coronavirus pandemic has been abysmal — and dangerous. Fox Business fired prime-time host Trish Regan less than a month after she ranted that Trump’s opponents were using the disease as “yet another attempt to impeach the president.” Tucker Carlson has become the face of the network’s racist attempt to rebrand coronavirus as the “Chinese” or “Wuhan” virus in some twisted effort to deflect attention from Trump’s mishandling of the pandemic. Fox’s news anchors and medical commentators have also contributed to the network’s spread of misinformation. And Hannity, who has at least twice interviewed the president about the coronavirus and even appeared in a Fox News public service announcement on the issue, has downplayed the severity of the coronavirus pandemic in numerous ways.

And all for what? To flatter an ignorant rich wannabe-dictator. That’s some life goal right there.

On March 9, Hannity suggested that young, healthy Americans have no reason to fear coronavirus and claimed people were faking concern about it to “bludgeon Trump with this new hoax,” echoing a comment Trump had made at a rally in late February. Two days later on his radio program, Hannity promoted a conspiracy theory about the “deep state” allegedly using coronavirus to manipulate the public. But these are just two of the most egregious things Hannity has said about coronavirus; taken as a whole, his commentary falls into six discernible themes: peddling unproven treatments, comparing COVID-19 to other illnesses or focusing on other ways people can die, defending Trump’s response to the pandemic, blaming the media and journalists, downplaying supply shortages, and attacking local and congressional responses.

All for Trump. The virus isn’t a Democrat, the virus doesn’t vote for universal health insurance or a higher minimum wage, the virus doesn’t pass gun control laws or try to do something about climate change – yet Hannity coddles it and defends it and gives it boxes of chocolate, all for Trump. There isn’t even a political reason any more, it’s just some giant Be More Shitty campaign.

Media Matters provides a long long list of examples.

Get sick and die for Trump, it’s the patriotic thing to do!



This racially disproportionate rate of death

Apr 12th, 2020 11:45 am | By

Another way the US is not a developed country:

Across the city of New Orleans and throughout the state of Louisiana, in America’s deep south, similar scenes of mourning have played out among hundreds of African American families. Louisiana is among the states hardest-hit by Covid-19, with 755 deaths marking one of the highest per-capita death rates in the country. Seventy per cent of those who have died here are black, despite African Americans making up only 32% of the state population.

This racially disproportionate rate of death has begun to emerge among other states in the deep south, America’s poorest region, where a nexus of intergenerational poverty, a greater prevalence of underlying health conditions, and less access to healthcare are certain to have more pronounced consequences for the black community as the virus proliferates.

Black people in the South and in the rest of the country have been systematically and deliberately kept in that intergenerational poverty since their ancestors were dragged here in chains. Poor people are treated like shit in this country. That’s not “developed.”

“The south has the perfect storm of characteristics to just be a tragic region in terms of the Covid outbreak,” said Thomas LaVeist, dean of public health and tropical medicine at Tulane University.

… The “perfect storm” LaVeist refers to, brews over a region that has almost unanimously – bar Louisiana – declined to expand Medicaid benefits offered by Barack Obama’s signature healthcare legislation, the Affordable Care Act, which would enable millions of low-income southerners access to health insurance.

We treat poor people like shit here.



Smart people and instinct

Apr 12th, 2020 11:05 am | By

The drunk child in a bear suit thinks he, and he alone, gets to shout “OPEN IT UP!!” and we all have to obey.

On Saturday night, Trump said a decision to open up the economy was one he alone would make, and would be “the biggest” of his presidency. He has targeted 1 May as the date when the country may begin a return to normalcy, and in a tweet on Sunday morning cited a drop in hospitalisations as “a very good sign”.

He’s wrong on his facts though. The decision is not his alone to make, and in fact it’s not his to make at all. He’s permanently confused about this, with his talk of having “the absolute right” to do things he has no such absolute right to do. It’s a tad embarrassing that he’s never bothered to learn a damn thing about this job he’s pretending to do.

Dr Anthony Fauci, the nation’s leading infectious diseases expert, stressed any such move should come only when it was safe and as a gradual process. He also warned of the danger of a resurgence of Covid-19 cases later in the year if things reopened too soon.

“If you just say, ‘OK, it’s whatever, 1 May, click, turn the switch on,’ obviously, if you do it in an all-or-none way, there’s an extraordinary risk of there being a rebound,” he told CNN’s State of the Union. “That could be a real problem. And everybody knows that.”

Well not quite everybody knows that. Trump doesn’t know that.

“When one starts to relax some of those restrictions, we know that there will be people who will be getting infected. That is just reality. The critical issue is to be able to, in real time, identify, isolate and contact trace.

“Obviously, New York, [which] is going through a terrible ordeal, is going to be very different from Arkansas, and very different maybe from some places on the west coast, like Washington state, which have been successfully able to prevent that big spike. I think it’s going to have to be something that is not one size fits all.”

We’ve been able to prevent that big spike? Good on us.

Trump’s Sunday tweet appeared to indicate he was still keen to reopen the country sooner than later, having told Fox News on Saturday night he would seek advice from “very smart people”. Last week, Trump announced he would establish a bipartisan “Opening Our Country Council”.

Nonsense. He seeks advice from very agree-with-trump people. He wouldn’t know a very smart person from a potato on a sunny afternoon.

“A lot of very smart people, a lot of professionals, doctors and business leaders are a lot of things that go into a decision like that,” he said. “And it’s going to be based on a lot of facts and a lot of instinct also. Whether we like it or not, there is a certain instinct to it.”

See? That’s not a smart-people thing to say. That’s a dumb-people assertion. That’s his escape clause. “We’re going to ask some rich guys what they think and then we’re going to do whatever I want us to do, and that will be instinct.”



Blotting the copybook

Apr 12th, 2020 10:37 am | By

Least surprising news ever:

Donald Trump’s response to the coronavirus pandemic, which he once dismissed as a hoax, has been fiercely criticised at home as woefully inadequate to the point of irresponsibility.

Yet also thanks largely to Trump, a parallel disaster is unfolding across the world: the ruination of America’s reputation as a safe, trustworthy, competent international leader and partner.

Of course, but that long predates the pandemic. It dates from his candidacy. The fact that an ignorant malevolent clown like him could get one of the major party nominations spelled doom for America’s reputation as a safe, trustworthy, competent international leader and partner. (Mind you, decades of warmongering and bullying and human rights abuses didn’t help either.)

Since taking office in 2017, Trump has insulted America’s friends, undermined multilateral alliances and chosen confrontation over cooperation. Sanctions, embargoes and boycotts aimed at China, Iran and Europe have been globally divisive.

Plus…you know…all the rest of it. The children in cages, the children dying on the floors of those cages, the Nazi rallies, the lies, the corruption, the cruelty, the vulgarity, the complete tinyness of it all – it adds up.

Trump’s ineptitude and dishonesty in handling the pandemic, which has left foreign observers as well as Americans gasping in disbelief, is proving a bridge too far.

The furious reaction in Germany after 200,000 protective masks destined for Berlin mysteriously went missing in Thailand and were allegedly redirected to the US is a case in point. There is no solid proof Trump approved the heist. But it’s the sort of thing he would do – or so people believe.

It’s the sort of thing he would do, and it’s not the sort of thing an underling would do in the absence of his orders or approval.

Trump’s surreal televised Covid-19 briefings are further undermining respect for US leadership. Trump regularly propagates false or misleading information, bets on hunches, argues with reporters and contradicts scientific and medical experts.

All that but also he just displays his hopeless incompetence, recklessness, self-adoration, bad manners – the whole cocktail of chaotic grotesque not how this is supposed to go clownishness. It’s impossible to overstate how shockingly wrong it all looks. It’s as if an angry drunk toddler on meth in a bear suit were at that podium. Yes, oddly enough, that does make us look bad.

To a watching world, the absence of a fair, affordable US healthcare system, the cut-throat contest between American states for scarce medical supplies, the disproportionate death toll among ethnic minorities, chaotic social distancing rules, and a lack of centralised coordination are reminiscent of a poor, developing country, not the most powerful, influential nation on earth.

Indeed, but this too has been true all along, or most of it has. We’re very much an anomaly among “developed” nations; some argue that we shouldn’t even be classified as a developed nation. Mass poverty and grotesque wealth for a few do not combine to make a developed nation.



Any way you cut it, this is going to be bad

Apr 11th, 2020 4:10 pm | By

The Times has a big piece on Trump’s failure to act on the virus promptly.

“Any way you cut it, this is going to be bad,” a senior medical adviser at the Department of Veterans Affairs, Dr. Carter Mecher, wrote on the night of Jan. 28, in an email to a group of public health experts scattered around the government and universities. “The projected size of the outbreak already seems hard to believe.”

A week after the first coronavirus case had been identified in the United States, and six long weeks before President Trump finally took aggressive action to confront the danger the nation was facing — a pandemic that is now forecast to take tens of thousands of American lives — Dr. Mecher was urging the upper ranks of the nation’s public health bureaucracy to wake up and prepare for the possibility of far more drastic action.

Six weeks. The end of January, all of February, early March.

Unfolding as it did in the wake of his impeachment by the House and in the midst of his Senate trial, Mr. Trump’s response was colored by his suspicion of and disdain for what he viewed as the “Deep State” — the very people in his government whose expertise and long experience might have guided him more quickly toward steps that would slow the virus, and likely save lives.

“Deep State” is code for people who actually know something, as opposed to random gangsters like Trump who know nothing except how to abuse and exploit people. It would be nice if people who know something about pandemics had some influence when there’s a pandemic forming.

Despite Mr. Trump’s denial weeks later, he was told at the time about a Jan. 29 memo produced by his trade adviser, Peter Navarro, laying out in striking detail the potential risks of a coronavirus pandemic: as many as half a million deaths and trillions of dollars in economic losses.

The health and human services secretary, Alex M. Azar II, directly warned Mr. Trump of the possibility of a pandemic during a call on Jan. 30, the second warning he delivered to the president about the virus in two weeks. The president, who was on Air Force One while traveling for appearances in the Midwest, responded that Mr. Azar was being alarmist.

But how would he know that? How would he know Azar was being alarmist as opposed to telling an alarming truth? He wouldn’t. He just didn’t want to hear it, but he couldn’t say “I just don’t want to hear it,” so he said the meaningless thing about being “alarmist.” It’s like being on a plane that’s nosediving toward the ground and calling it “alarmist” to get agitated.

When Mr. Trump finally agreed in mid-March to recommend social distancing across the country, effectively bringing much of the economy to a halt, he seemed shellshocked and deflated to some of his closest associates. One described him as “subdued” and “baffled” by how the crisis had played out. An economy that he had wagered his re-election on was suddenly in shambles.

He only regained his swagger, the associate said, from conducting his daily White House briefings, at which he often seeks to rewrite the history of the past several months. He declared at one point that he “felt it was a pandemic long before it was called a pandemic,” and insisted at another that he had to be a “cheerleader for the country,” as if that explained why he failed to prepare the public for what was coming.

Of course. That’s his happy place – on camera, the center of attention, flapping his mouth and hands while spouting bullshit and lies. That’s where he feels like a big deal, and he doesn’t care about anything else.

There was a plan toward the end of February to persuade Trump that strong measures were needed, but it went awry thanks to Trump’s stupidity.

Mr. Trump was walking up the steps of Air Force One to head home from India on Feb. 25 when Dr. Nancy Messonnier, the director of the National Center for Immunization and Respiratory Diseases, publicly issued the blunt warning they had all agreed was necessary.

But Dr. Messonnier had jumped the gun. They had not told the president yet, much less gotten his consent.

See first they had to flatter him and kiss his buttocks and give him seven scoops of ice cream.

On the 18-hour plane ride home, Mr. Trump fumed as he watched the stock market crash after Dr. Messonnier’s comments. Furious, he called Mr. Azar when he landed at around 6 a.m. on Feb. 26, raging that Dr. Messonnier had scared people unnecessarily. Already on thin ice with the president over a variety of issues and having overseen the failure to quickly produce an effective and widely available test, Mr. Azar would soon find his authority reduced.

Notice there’s no mention of Trump asking if it was true, just that he raged at the consequences of mentioning it. So if there are nukes on the way and somebody says so and it’s time to head for the shelters, the right thing to do is rage and scream rather than heading for the shelters.

The meeting that evening with Mr. Trump to advocate social distancing was canceled, replaced by a news conference in which the president announced that the White House response would be put under the command of Vice President Mike Pence.

And that was the end of any possibility of doing the right thing.

The push to convince Mr. Trump of the need for more assertive action stalled. With Mr. Pence and his staff in charge, the focus was clear: no more alarmist messages. Statements and media appearances by health officials like Dr. Fauci and Dr. Redfield would be coordinated through Mr. Pence’s office. It would be more than three weeks before Mr. Trump would announce serious social distancing efforts, a lost period during which the spread of the virus accelerated rapidly.

Three weeks. Some number of people are dead because of those three weeks.

Over nearly three weeks from Feb. 26 to March 16, the number of confirmed coronavirus cases in the United States grew from 15 to 4,226. Since then, nearly half a million Americans have tested positive for the virus and authorities say hundreds of thousands more are likely infected.

Because Donnie had a tantrum on the plane. Thus our lives are determined.



Guest post: Ethically, morally and legally monstrous

Apr 11th, 2020 2:48 pm | By

Originally a comment by Claire on For observation.

This is horrifying. Ethically, morally and legally monstrous.

Concern is mounting after a doctor at a Texas nursing home started giving the anti-malarial drug hydroxychloroquine to dozens of elderly patients diagnosed with COVID-19 and tracking the outcomes in what he’s calling an “observational study.”

This is not how observational studies work. Any clinical trial, including observational studies, must have a clearly written protocol approved by the relevant IRB. Patient recruitment is done using an IRB-approved consent form. Fully informed consent is legally required. If a patient is unable to consent, they must have a legal proxy to consent for them. Patients or their proxies must be assured that they do not have to consent and that their standard of care will not be adversely affected by that refusal.

Not to do this is a crime, even with competent adults. With what the USG calls a “vulnerable population”, the standards are even stricter in terms of how you consent and treat patients.

I run several clinical studies and I can bore you for hours about trying to construct protocols that satisfy the IRB that the research is ethical, appropriate and safe. This report makes me so angry. He thought he could blow off the reporters by claiming he is running a research study. He is not. In some jurisdictions, this could be considered assault.

In some cases, he did not discuss prescribing the tablets with anyone at all before doing so. He said it is common for physicians to prescribe new medications to patients without explicit consent from the patient or family members. “It’s not required,” he said.

This is a flat out lie. Doctors have the latitude to administer drugs or treatments unconsented only in the case of an emergency when the time needed to obtain consent would endanger the patient. Otherwise, patients have the right to refuse treatment, even when that refusal may result in death or disability. The only thing doctors can do in that situation is advise and ensure the patient fully understands the potential outcomes of all the choices before them.

This is why cancer patients can decide not to continue radio- or chemotherapy. It’s how relatives of a person in a coma from which they are unlikely to recover can decide to withdraw the life support.

Whether or not he is prosecuted (or pardoned), the relatives can sue the ass off the company running the nursing home.



Score

Apr 11th, 2020 11:46 am | By

We’re number one!

The US has suffered more confirmed coronavirus deaths than any other country and on Saturday was poised to soon reach 19,000 Covid-19 fatalities, new data indicated.

This is all the more impressive when you remember we don’t have more people that any other country – we’re far behind China and India.

By Saturday afternoon, Johns Hopkins University’s tally of US Covid-19 fatalities was at 18,860. Italy followed with 18,849. The US was also the first country to report 2,000 deaths in a single day, with 2,108 people dying in the previous 24 hours….

Also on Saturday, the New York Times published a devastating report chronicling Donald Trump’s repeated failures over several months to take the coronavirus crisis seriously, and how the president’s suspicion of the so-called Deep State “colored” his response even as the death toll began to soar.

In short, we’re a failed state.

“The shortcomings of Mr Trump’s performance have played out with remarkable transparency as part of his daily effort to dominate television screens and the national conversation,” the Times reported, referring to the president’s rambling and falsehood-ridden press briefings from the White House, which even Republican allies believe are hurting his popularity.

And hurting everything else even more.



Save the cruise industry, not the postal service

Apr 11th, 2020 11:14 am | By

One good thing about the virus though: it could give Trump the chance to kill the postal service and thus make voting by mail impossible, which would improve his chances of stealing another election.

Though the novel coronavirus has Americans more reliant on package delivery than ever—including for prescription medications—it has put the future of the U.S. Postal Service in danger. Not distant, far-in-the-future danger, but could-stop-operating-in-June danger. And the Trump administration, which wants to bail out foreign-flagged cruise lines, is saying the postal service is on its own.

“I spoke with the Postmaster General again today,” Rep. Gerry Connolly tweeted Thursday afternoon. “She could not have been more clear: The Postal Service will collapse without urgent intervention, and it will happen soon. We’ve pleaded with the White House to help. @realDonaldTrump personally directed his staff not to do so.”

Why is the novel coronavirus crisis such an immediate, life-or-death crisis for USPS, a part of the federal government that is actually written into the Constitution? Mail volume is already down by nearly a third and could be down by half by the end of June. But the origin of the crisis comes from Congress—specifically from a congressional mandate for the USPS to prepay its retiree health obligations decades into the future and from congressional blocks on the postal service doing things like online bill-paying, money transfer services, postal banking, copy and fax services, phone cards, notary public services, and hunting and fishing licenses. There are so many things that post offices, which are located in nearly every community in the nation, could do that would help Americans out by providing affordable services they need, and at the same time the USPS would be strengthened. But Congress won’t allow it. 

And now in the current crisis, Congress would have passed a bill including at least part of what the USPS needs to survive—but Donald Trump wasn’t having it, in part because he’s angry that the postal service doesn’t charge enough to deliver packages for Amazon, which was founded by Jeff Bezos, who owns The Washington Post, which has published stories Trump didn’t like.

You know what else Trump doesn’t like? Voting by mail.



For observation

Apr 11th, 2020 11:05 am | By

Oh good, human drug testing without consent at a nursing home, that’s not reminiscent of the Nazis at all.

Concern is mounting after a doctor at a Texas nursing home started giving the anti-malarial drug hydroxychloroquine to dozens of elderly patients diagnosed with COVID-19 and tracking the outcomes in what he’s calling an “observational study.”

Coolio, can we give untested drugs to him in an observational study?

The Food and Drug Administration has not approved the drug for the treatment of COVID-19. The U.S. National Institutes of Health is currently tracking clinical trials of the drug. Additionally, the University of Minnesota is undertaking a trial and Columbia University is as well. Results are not expected for weeks or months.

But that’s too long, so let’s just let doctors do “observational studies” on the occupants of their very own nursing homes.

The controversial decision to administer hydroxychloroquine at The Resort at Texas City over the last few days was made by Robin Armstrong, a physician and medical director of the nursing home.

“It’s actually going well. People are getting better,” Armstrong told NPR, adding that after just a handful of days, some of the 39 patients on the medication are showing signs of improvement.

And he knows that’s because of the hydroxychloroquine via special doctors-only Insight.

But scientists argue that relying on observational, uncontrolled evidence can be misleading and that the only way to truly prove a drug is working is through carefully controlled clinical trials. And, contrary to Armstrong’s assertion that hydroxychloroquine “has virtually no side effects,” it is known to have serious negative health impacts. That is why so many in the medical community worry about prescribing it without such proof.

Armstrong admits it is difficult to quantify how much of his elderly patients’ improvement is due to the malaria drug or how they would have fared without it. Nor can he explain why other patients are not responding to the tablet doses, though he notes many are only halfway through the five-day cycle.

“To be clear, no one is worse than when they started,” he said emphatically. “From my perspective it’s irresponsible to sit back and do nothing. The alternative would have been much much worse.”

So if it’s better to do something than to do nothing, what about giving them Plumber’s Helper? Or motor oil? Or Roundup?

In total, 87 people at The Resort tested positive — 56 of 135 residents as well as 31 staffers. One patient has since died.

Armstrong said he was alarmed by the test results last week and immediately began making calls to track down a source for the medicine, which is in short supply.

That’s when his political connections proved useful.

Armstrong, who is a prominent GOP activist, called Republican Lt. Gov. Dan Patrick. He says Patrick reached out to Texas state Sen. Bryan Hughes, also a Republican, who knew someone on the board of the New Jersey-based company Amneal Pharmaceuticals. The company, which makes and distributes the drug, has donated more than a million tablets nationwide, including to the states of Texas and Louisiana.

In the trade I believe that’s called not donations but free samples.

“The people who are on it were getting sicker but were not so sick that they had to go the hospital,” Armstrong explained.

He acknowledged that some families were not aware their relatives were put on the drug, saying that “for the most part,” he consulted with each nursing home resident prior to giving them on the tablets.

While the “overwhelming majority of them are awake and alert and can actually have a conversation,” Armstrong said some suffer from middle stages of dementia. In some cases, he did not discuss prescribing the tablets with anyone at all before doing so. He said it is common for physicians to prescribe new medications to patients without explicit consent from the patient or family members. “It’s not required,” he said.

And people in the middle stages of dementia make such awesome experiment subjects.

Armstrong denies he was swayed by politics or Trump’s championing of the malaria drug in his decision to implement it at the nursing home before it has been proven safe and effective against COVID-19.

Really? But then what did make him decide to “implement” it? It can’t have been glowing endorsements in medical journals, because there aren’t any. It can’t have been straight news that reports it working, because there isn’t any. So what was it then?

The most recent comprehensive inspection of the facility by Texas Health and Human Services occurred on July 25, 2019, according to a spokesperson.

At the time, the nursing home was cited for 14 violations of state standards. Among them, the report shows:

The facility did not properly care for residents needing special services, including: injections, colostomy, ureterostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care and prostheses.

The facility did not store, cook and give out food in a safe and clean way.

The facility was not designed, built, equipped or well-kept to protect the health and safety of residents, workers and the public.

Other than that



You often see women in films doing it

Apr 10th, 2020 3:05 pm | By

Via Beth Rep:

Image may contain: possible text that says 'r/MtF u/thunderxfog 15m Jana 16, not on hrt yet :/ A little tip on how to feel more feminine when taking a shower I always washed my hair looking down, so recently I tried doing it like you often see women in films doing it, looking upwards. I discovered that doing this gives me some euphoria, can't promise it works for everyone though. Vote 1 Share Award'

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