Category: Government

Andrew Cuomo Explains Slow New York Rollout of Vaccines: “It’s Bureaucracy”

(p. A1) ALBANY, N.Y. — New York, the onetime center of the pandemic, faced a growing crisis on Monday [Jan. 4, 2021] over the lagging pace of coronavirus vaccinations, as deaths continue to rise in the second wave and Gov. Andrew M. Cuomo came under mounting pressure to overhaul the process.

. . .

(p. A5) The state has had a deliberate approach in distributing the vaccine; until Monday, the vaccinations were almost exclusively given to health care workers, group home residents, and those living and working at nursing homes.

That cautious approach was also evident in the state’s initial guidance to determine which health care employees should be prioritized for vaccines; the state had advised clinics and other facilities to rank employees through a matrix that takes into account age, comorbidities, occupation and the section of the facility where the person works.

. . .

Mr. Cuomo rejected any notion that his administration was at fault for not distributing more vaccines, asserting that the problem was a local issue, and urging Mr. de Blasio and other leaders who oversee public hospital systems to take “personal responsibility” for their performance.

“They have to move the vaccine,” the governor said in Albany. “And they have to move the vaccine faster.”

. . .

“There is no one cause,” he said, noting that he had spoken to dozens of hospitals about the issue.

He did suggest, however, that management was at fault in some cases, saying that there was a lack of “urgency” in certain hospital systems.

“It’s bureaucracy,” he said.

For the full story, see:

Jesse McKinley, Luis Ferré-Sadurní and Emma G. Fitzsimmons. “New York Lags In Vaccinations While Toll Rises.” The New York Times (Tuesday, January 5, 2021): A1 & A5.

(Note: ellipses, and bracketed date, added.)

(Note: the online version of the story has the date Jan. 4, 2021, and has the title “New Variant Detected in New York Amid Growing Crisis Over Vaccine Rollout.”)

Operation Warp Speed Developed “Vaccines and Therapies in Record-Breaking Time”

(p. A10) . . . , Mr. Trump could have been the hero of this pandemic. Operation Warp Speed, which his administration announced in May [2020], appears on track to deliver vaccines and therapies in record-breaking time. The United States may well become the first country to bring the virus to heel through pharmaceutical prowess.

For the full story, see:

Donald G. McNeil Jr. “Long, Dark Winter Looms Before U.S. Gets Vaccines.” The New York Times (Tuesday, December 1, 2020): A1 & A10.

(Note: ellipsis, and bracketed year, added.)

(Note: the online version of the story was updated Dec. 24, 2020, and has the title “The Long Darkness Before Dawn.”)

Speed of Development of Vaccine “One of Mr. Trump’s Proudest Accomplishments”

(p. A1) It is a paradox of the pandemic: Helping speed the development of a coronavirus vaccine may be one of Mr. Trump’s proudest accomplishments, but at least in the early stages of the vaccine rollout, there is evidence that a substantial number of his supporters say they do not want to get it.

. . .

(p. A5) For the most part, public opinion has been swinging in favor of vaccination. Seventy-one percent of Americans are willing to be vaccinated, up from 63 percent in September [2020], according to a survey released this week by the Kaiser Family Foundation.

. . .

Experts say that vaccine hesitancy may diminish over time if people see friends and relatives getting vaccinated without incident. Sheri Simms, 62, a retired businesswoman in Northeast Texas who describes herself as a “moderate conservative” supporter of the president, said that while she did not intend to get vaccinated now, that could change.

“As more information comes out, and things appear to work better, then I will weigh the risks of the vaccine against the risk of the coronavirus and make a judgment,” she said.

For the full story, see:

Sheryl Gay Stolberg. “Trump Pushed for a Vaccine, but His Fans Balk.” The New York Times (Saturday, December 19, 2020): A1 & A5.

(Note: ellipses, and bracketed year, added.)

(Note: the online version of the story was updated Jan. 4, 2021, and has the title “Trump Claims Credit for Vaccines. Some of His Backers Don’t Want to Take Them.”)

“We Are the People. Who Are You?”

(p. A16) A Tel Aviv University sociologist named Nissim Mizrachi who spent years studying those voters and grappling with their rejection of liberalism thought he understood why.

The problem was not, he said, as some liberals contend, that Jews of Mediterranean origin, or Mizrahim, were confused about what was best for them. They weren’t suffering from Stockholm syndrome or “false consciousness.”

What liberals failed to see, the professor asserted, was that working-class Mizrahim were consciously spurning liberalism for a reason: what they see as the endgame of the liberal worldview is not a world they wish to inhabit.

“It’s really hard for liberals to imagine that their message, their vision itself, poses a threat to the core identity of other people,” Professor Mizrachi, 58, said in an interview.

His description of liberalism’s blind spots, published in the newspaper Haaretz a year ago, shook the Israeli left like an ideological bunker-busting bomb, and could hold lessons for another deeply polarized society in the West.

. . .

“You keep ridiculing us and presenting us as undemocratic and dangerous,” he said, articulating the non-liberal view. “But we are the people. Who are you?’”

. . .

“This is the lesson maybe for you,” Professor Mizrachi said. “OK, you won the election, fine. But don’t forget that red America is still there.”

For the full story, see:

David M. Halbfinger. “Explaining Right-Wing Politics in America, via the Middle East.” The New York Times (Saturday, December 19, 2020): A16.

(Note: ellipses added.)

(Note: the online version of the story was updated Dec. 23, 2020, and has the title “To Understand Red-State America, He Urges a Look at Red-State Israel.”)

“Celebrities Have Access to Better Care Than Ordinary People”

As the passages quoted below suggest, Trump’s friends may have had access to drugs that not everyone had access to. But it also should be acknowledged that Trump was pushing for Covid-19 drugs to be available sooner and with fewer restrictions.

(p. A25) Both the Regeneron and Eli Lilly therapies are meant for people who are at risk of getting sick enough with Covid to be hospitalized, not those who are hospitalized already. The emergency use authorization for the Regeneron treatment specifically says that it is “not authorized” for “adults or pediatric patients who are hospitalized due to Covid-19.”

A physician with experience administering the new monoclonal antibodies, who didn’t want to use his name because he’s not authorized by his hospital to speak publicly, said giving them to Giuliani “appears to be an inappropriate use outside the guidelines of the E.U.A. for a very scarce resource.” Very scarce indeed: According to the Department of Health and Human Services, as of Wednesday the entire country had about 77,000 total doses of the Regeneron cocktail and almost 260,000 doses of Eli Lilly’s monoclonal antibody treatment. That’s less than you’d need to treat everyone who’d tested positive in just the previous two days.

Right now, the criteria for distributing these drugs can be murky. Robert Klitzman, co-founder of the Center for Bioethics at Columbia, said that the federal government allocates doses to states, states allocate them to hospitals and hospitals then decide which patients among those most at risk will get treated. Some states have developed guidelines for monoclonal antibody treatment, “but my understanding is that most states have not yet done that,” Klitzman said.

Hospitals try to come up with ethical triage frameworks, but Klitzman told me there are often workarounds for V.I.P.s. He said it helps to know someone on the hospital’s board. Such bodies typically include wealthy philanthropists. Often, he said, when these millionaires and billionaires ask hospital administrators for special treatment for a friend, “hospitals do it.”

Why? “Hospitals have huge financial problems, especially at the moment with Covid,” he said. They’ve had to shut down profitable elective surgeries and treat many people without insurance. More than ever, he said, they “need money that is given philanthropically from potential donors.”

In other words, Giuliani was right: Celebrities have access to better care than ordinary people. “When someone is in the public eye, or if someone is a potential donor, or has already been a donor to a hospital, then there’s folks in the hospital hierarchy, in the administration, who are keenly aware if they’re coming in, if they’re present, if they need something,” said Shoa Clarke, a cardiologist and professor at Stanford University School of Medicine. Covid, which is leading to rationing of medical resources, only magnifies this longstanding inequality.

For the full commentary, see:

Michelle Goldberg. “Why Trump Cronies Get Covid Meds.” The New York Times (Saturday, December 12, 2020): A25.

(Note: the online version of the commentary has the date Dec. 10, 2020, and has the title “Covid Meds Are Scarce, but Not for Trump Cronies.” The passage quoted above includes several sentences, and a couple of words, that appear in the online, but not in the print, version of the commentary.)

Why Canadian Regulators Approved Vaccine Quicker: “We’re Just Better”

(p. A8) OTTAWA — Canada on Wednesday become only the second Western country to approve a coronavirus vaccine, a week after Britain did so and a day before U.S. regulators will meet to consider taking that step, opening the possibility that Canadians will start being inoculated next week.

. . .

“It’s a testament to the work of regulators internationally,” said Dr. Supriya Sharma, the chief medical adviser at Health Canada, the regulator. “It’s an exceptional day for Canada.”

The go-ahead means that Canadians could receive the vaccine — which requires two doses, weeks apart — before Americans do, though Pfizer is based in the United States. That is likely to aggravate President Trump, who has demanded faster action by the F.D.A. and was angry that Britain, which began inoculating people on Tuesday, [Dec. 28, 2020] had acted before the United States.

. . .

When asked why her group was able to approve the vaccine ahead of the F.D.A. in the United States, Dr. Sharma said, apparently jokingly, “we’re just better.”

For the full story, see:

Ian Austen. “Canada Approves Covid Vaccine, Becoming 2nd in West to Reach Milestone.” The New York Times (Thursday, December 10, 2020): A8.

(Note: ellipses, and bracketed date, added.)

(Note: the online version of the story was updated Jan. 7, 2021, and has the title “Canada Approves Vaccine and Could Start Shots Next Week.”)

Members of the Elite Exempt Themselves from Rules They Impose on the Hoi Polloi

(p. 12) SAN FRANCISCO — It was an intimate meal in a wood-paneled, private dining room in one of California’s most exclusive restaurants. No one around the table wore masks, not the lobbyists, not even the governor.

Photos that surfaced this week of a dinner at the French Laundry, a temple of haute cuisine in Napa Valley where some prix fixe meals go for $450 per person, have sparked outrage in a state where Democratic leaders have repeatedly admonished residents to be extra vigilant amid the biggest spike in infections since the pandemic began.

. . .

The photos of the gathering, taken by a diner at a nearby table and shared with a local television station, also showed the chief executive for the California Medical Association and the organization’s top lobbyist.

. . .

In a 2019 review of the French Laundry and two other Napa restaurants, the New York Times critic Tejal Rao described being “overwhelmed by the opulence” and feeling as if transported onto a “spaceship for the 1 percent, now orbiting a burning planet.” Mr. Newsom said in October that his children, who attend private school, returned to in-person classes even as most of the state struggles with remote learning.

“Newsom and the first partner eschewed state public health guidelines to dine with friends at a time when the governor has asked families to scale back Thanksgiving plans,” wrote the Sacramento Bee editorial board on Friday. It added, “If the governor can eat out with friends — and if his children can attend their expensive school — why must everyone else sacrifice?”

For the full story, see:

Thomas Fuller. “Officials’ Lavish Meal Out Spurs Outrage Among Californians.” The New York Times, First Section (Sunday, November 22, 2020): 12.

(Note: ellipses added.)

(Note: the online version of the story has the date Nov. 18, 2020, and has the title “For California Governor the Coronavirus Message Is Do as I Say, Not as I Dine.” The online version says that the title of the New York print version was “California Governor Calls” and appeared on Thursday, Nov. 19, 2020. The title of my National print version was “Officials’ Lavish Meal Out Spurs Outrage Among Californians” and appeared on Sunday, November 22, 2020.)

Censored Chinese Liberals Admire Trump’s “No-Filter Approach to Free Speech”

(p. A27) People like the Hong Kong-based media tycoon Jimmy Lai think a return of the Washington consensus would be a mistake. A fervent supporter of the pro-democracy movement in Hong Kong, Mr. Lai is also a staunch Trump supporter.

“Biden will try to make progress through trade-offs, but that hasn’t worked in the past,” Mr. Lai told me by phone recently. “Trump has succeeded by playing hardball.”

Mr. Lai pointed out, for example, that Mr. Trump had dramatically increased weapons sales to Taiwan, a self-governing island off China’s coast that China claims as its own, a move that could help deter an attack from the mainland. Past U.S. administrations had tiptoed around weapons sales for fear of angering Beijing, arguably weakening Taiwan’s defenses in the process.

Yet these diplomatic issues are secondary to what really interests many Chinese liberal intellectuals: the American culture wars, in which some see a reflection of the debates about the limits of free speech in China. Given how robust public discussion is in the United States, the comparison may seem overdrawn. But it speaks to the intensity with which many Chinese thinkers want Western liberal democracies to remain free.

The issue of political correctness in particular fascinates them, with many seeing in it uncomfortable echoes of their own experiences in a society where speech is severely constrained. They perceive Mr. Trump as embodying the sort of no-filter approach to free speech that they dream of, while viewing American liberalism as having strayed from its core values.

For the full commentary, see:

Ian Johnson. “Why Chinese Liberals Like Trump.” The New York Times (Friday, November 20, 2020): A27.

(Note: the online version of the commentary has the date Nov. 18, 2020, and has the title “Why Do Chinese Liberals Embrace American Conservatives?”)

In Primary Debates, Biden and Harris Led Democratic Presidential Candidates in Use of “Filler Phrases”

(p. A6) Here’s the deal: Presidential candidates issue plenty of pointed barbs in debates, but they use a lot of filler language, too.

Phrases such as “let’s be clear” and “the end of the day,” buy the speaker time to collect themselves, think ahead and formulate an answer. Among the Democratic contenders, the fact is, Vice President Joe Biden utters them most frequently (and “the fact is” has been his most-used phrase).

The Wall Street Journal identified 23 commonly used three-, four- and five-word phrases and their variations spoken by candidates during the four Democratic presidential debates and tracked the number of times they were said.

Mr. Biden used almost six filler phrases for every 1,000 words he spoke, the highest rate among the Democrats still running and far above their average of 2.6.

Asked about the findings, Biden spokesman TJ Ducklo said, “The fact of the matter is that poll after poll has shown that Joe Biden is the candidate who will defeat” President Trump.

. . .

After Mr. Biden, who racked up 77 instances of the phrases in the debates, the next highest totals belonged to Sens. Kamala Harris and Bernie Sanders.

For the full story, see:

Lindsay Huth and Lakshmi Ketineni. “The Fact Is, Candidates Use a lot of Filler Phrases.” The Wall Street Journal (Wednesday, November 20, 2019): A6.

(Note: ellipsis added.)

(Note: the online version of the story has the same date as the print version, and has the title “The Fact Is, Democratic Candidates Use a lot of Filler Phrases.”)

Dictator Rawlings Transformed Ghana from Dictatorship to Democracy

I heard a plausible plenary lecture a few years ago at an APEE meeting where the African speaker argued that African autocrats would never voluntarily give up power, because doing so would mean they would trade personal riches for personal poverty. It was a sad but plausible argument, though one that makes Jerry Rawlings’s life especially intriguing.

(p. A22) Jerry Rawlings, a former Ghanaian Air Force officer who led two military coups before steering his country toward democracy with an authoritarian hand, died on Thursday in the nation’s capital, Accra.

. . .

By the time he left office voluntarily 22 years later, he had served two presidential terms brought about by free elections and had established Ghana as a rare democratic example on the continent. Today, peaceful handovers of power are routine in the country, hardly the case with the country’s neighbors.

Mr. Rawlings’ contradictory legacy — brutal beginnings, uncompromising military rule, then free elections — underscores the difficult path to democratic governance still faced by many African nations. But in Ghana at least, where Mr. Rawlings is regarded as something of a founding father after the country’s difficult first steps, democracy is an assumption.

Given Ghana’s first experiences of him, that outcome would not have been predicted. He appeared at first to have all the makings of one of the continent’s classic military autocrats.

For the full obituary, see:

Adam Nossiter. “Jerry Rawlings, Strongman Turned Statesman Who Steered Ghana to Democracy, Dies at 73.” The New York Times (Friday, November 13, 2020): A22.

(Note: ellipsis added.)

(Note: the online version of the obituary has the date Nov. 12, 2020, and has the title “Jerry Rawlings, From Coup-Plotter to Ghanaian Statesman, Dies at 73.”)

“When I Knew More Thank Hayek” AIER YouTube Video

The American Institute for Economic Research (AIER) premiered on Mon., Jan. 4, 2020, a neat YouTube video they created based on a shortened version of my article “When I Knew More Than Hayek.” [Hayek, Covid & The Use of Knowledge in Society | Kate Wand via @youtube] #Hayek #localknowledge