Showing posts with label Health Care. Show all posts
Showing posts with label Health Care. Show all posts

Monday, December 20, 2021

'Dark Winter' at the White House: Just 41 Percent Approve the Way Joe Biden's Handling Job as President (VIDEO)

What a surprise. I mean, with all the Franklin Roosevelt-style leadership Biden's been providing, who would've guessed?

Look, Americans should be worried about this president's dark matter at least as much as his prophesied dark winter. (*Eye-roll.*)

At PBS, "Biden’s approval dips to new low as independents sour on his leadership":


As President Joe Biden heads into the end of the year, he’s facing a sour reality: The number of Americans who approve of his performance has hit a new low. Just 41 percent of Americans approve of the job he has been doing as president, according to a new PBS NewsHour/NPR/Marist poll. Support among independents alone dropped eight points in a week.

Overall, more than half – 55 percent – of Americans disapprove of Biden’s performance, including 44 percent who strongly disapprove. His disapproval ratings have jumped 20 points since he took office, reaching a record high this month. The number who strongly disapprove jumped 6 points since a Marist poll conducted just one week earlier...

Sunday, July 25, 2021

Vaccine Refusal

Here comes the New York Time to argue that the Delta virus, or the Alpha or Omega, or whatever, is gonna put us all back in lockdown. I'll still be teaching online this fall semester, and in total it'll be about 20 months online if indeed my college goes back on campus with in-person in Spring 2022. 

See, "The Delta Variant Is the Symptom of a Bigger Threat: Vaccine Refusal":

Public health experts have fruitlessly warned for months that the virus — any version of it — would resurge if the country did not vaccinate enough of the population quickly enough. Bill Hanage, an epidemiologist at the Harvard T.H. Chan School of Public Health, predicted in January that Florida might have a rough summer. Now one in five new infections nationwide is in Florida.

True, the speed and ferocity with which the Delta variant is tearing through Asia, Europe, Africa and now North America has taken many experts by surprise. It now accounts for about 83 percent of the infections in the United States.

But Delta is by no means the wickedest variant out there. Gamma and Lambda are waiting in the wings, and who knows what frightful versions are already flourishing undetected in the far corners of the world, perhaps even here in America.

Every infected person, anywhere in the world, offers the coronavirus another opportunity to morph into a new variant. The more infections there are globally, the more likely new variants will arise.

The United States will be vulnerable to every one of them until it can immunize millions of people who now refuse to get the vaccine, are still persuadable but hesitant, or have not yet gained access. The unvaccinated will set the country on fire over and over again.

 

Patients Show Remorse After Not Getting Vaccinated (VIDEO)

At ABC News 7 Los Angeles:



Saturday, July 24, 2021

Large Protests in France Over Covid Restrictions (VIDEO)

This is the second weekend in a row for these protests.

At NYT, "Large Covid-related protests hit France, Italy and Australia":

Over 160,000 demonstrators took to the streets in France on Saturday to protest the government’s Covid-19 health pass policy, with brief clashes between largely unmasked protesters and police officers in Paris followed by wafts of tear gas that were reminiscent of the Yellow Vest turmoil of several years ago....

In France, presenting the health pass — paper or digital proof of being fully vaccinated, a recent negative test or recent Covid-19 recovery — is mandatory to attend large events in stadiums and concert halls, and to enter the country’s cultural venues, including cinemas, museums and theaters...
Health passes?

Gawd, what a nightmare.

Still more.


All-Out Attacks on the Vaccinated

It's not just this Leana Wen (former head of Planned Parenthood) who's demonizing vaccinating folks, making them pay for the sins of the unvaccinated. I'm seeing all kind of idiots make this same argument. 

Pfft. No doubt Dr. Wen is perhaps the biggest stooge on CNN.

Via Melissa Mackenzie, who is a medical doctor: 



Friday, July 23, 2021

Florida's Covid Hospitalization Rate at Highest Point Since the Pandemic Started

It's Patricia Mazzei, at the New York Times, "Some Florida Hospitals Have More Covid Patients Than Ever Before":

MIAMI — A month ago, the number of Covid-19 patients admitted at two University of Florida hospitals in Jacksonville was down to 14. Now more than 140 people are hospitalized with the coronavirus, a tenfold increase over five weeks — and the highest number of Covid-19 patients this system has seen during the pandemic.

Debra Wells, 65, was among those admitted to one of the hospitals this month when what she thought was a cold grew worse and worse until she could not breathe. “I said, ‘Lord, I feel like I’m dying,’” she recalled.

Like most of the patients who hospital officials say they are admitting in Jacksonville and other fast-filling medical facilities in pockets around the country, Ms. Wells was unvaccinated. She had worried, she said, that the shots were not safe.

“I was misinformed,” Ms. Wells said this week, after a five-day hospital stay. “I wasn’t ready, and I was scared.”

A national uptick in coronavirus cases has led, in sudden and concerning fashion, to a steep rise in hospitalizations in some spots around the country where people have been slower to get vaccinated, a predicament experts hoped might be avoided because the people contracting the infection tend to be younger and healthier.

Nationally, hospitalizations remain relatively low, nowhere near earlier peaks of the pandemic. But in some regions with lagging vaccination rates and rising virus cases — such as northeastern Florida, southwestern Missouri and southern Nevada — the highly contagious Delta variant has flooded intensive care units and Covid-19 wards that, not long ago, had seen their patient counts shrink.

Covid-19 hospitalizations are trending upward in 45 states. While levels remain well below previous peaks, health care centers in parts of the Midwest, West and South are strained.

At the two hospitals in Jacksonville, the number of Covid-19 patients is higher than last summer, when the coronavirus slammed Florida, and higher than over the winter, when the virus surged to devastating levels across the nation.

“It’s very frustrating,” said Dr. Leon L. Haley Jr., the chief executive of UF Health Jacksonville. “Each day we continue to go up. There’s no sense of when things are going to curtail themselves. People are stretched thin.”

The situation is worrying across northeastern Florida...

Still more.

 

Wednesday, July 21, 2021

New Covid Cases Surging in California

And cases in Los Angeles shot up 240% month over month.

I was up in Burbank shopping on Sunday, and I forgot L.A. County reimposed the mask mandate. I stepped into the Barnes and Noble up there and the woman at the counter wouldn't help me without a mask. I'm darn lucky I had a couple in the car, but damn I had to huff it back out the the parking garage to retrieve one. The O.C., so far, ain't going with a new mandate, and thank the Lord for that, sheesh.

At the Los Angeles Times, "California coronavirus hospitalizations hit highest point in months as Delta spreads":


A spate of new coronavirus infections is striking California’s healthcare system, pushing COVID-19 hospitalizations to levels not seen since early spring — lending new urgency to efforts to tamp down transmission as a growing number of counties urge residents to wear masks indoors.

Statewide, the number of coronavirus patients in the hospital more than doubled in the last month, and the numbers have accelerated further in the last two weeks.

Even with the recent increase, though, the state’s healthcare system is nowhere near as swamped as it was during the fall-and-winter surge. And many health experts are confident that California will never see numbers on that scale again, given how many residents are vaccinated.

But with the continued spread of the highly infectious Delta variant, which officials fear could mushroom in communities with lower inoculation rates, the next few weeks are key in determining how potent the pandemic’s latest punch may be.

The recent increases confirm that nearly everyone falling seriously ill from COVID-19 at this point is unvaccinated.

“This is a pandemic of the unvaccinated. And so, if you care about getting back to normalcy once and for all, please get vaccinated,” Gov. Gavin Newsom told reporters Tuesday.

Still, L.A. County Health Services Director Dr. Christina Ghaly said Tuesday that “the individual consequences of a choice not to get vaccinated can be dire for that person and his or her family and friends.”

Ghaly said seeing a continued stream of COVID-19 patients, the vast majority of whom are unvaccinated, triggers a range of emotions in healthcare workers who have long been on the front lines of the pandemic: frustration, sadness and “some level of disbelief that, after all of the pain and suffering that we’ve all seen … there’s still people who either don’t believe it or don’t believe that it can affect them.”

The highest-risk Californians — notably the elderly — have been vaccinated at high rates. But the numbers drop off for younger segments of the population, and children under the age of 12 still aren’t eligible to be vaccinated.

“I think sometimes the mentality is that people think, ‘Well, I’m not going to get that sick. I’m going to be OK. I’m not going to die from COVID; I’m young; I’m healthy,’ ” Ghaly said. “And I can tell you, hopefully that’s the case, but that’s not necessarily the case.”

From June 22 to July 6, the daily number of COVID-19 patients hospitalized in California increased from 978 to 1,228, a nearly 26% bump, state data show...

Still more


Friday, July 16, 2021

Africa's Covid Crisis

Well, maybe they're waiting for Bill Gates or Bono to come to the rescue? *Shrug.*

At the New York Times, "Africa’s Covid Crisis Deepens, but Vaccines Are Still Far Off."



Friday, June 4, 2021

Critical Race Theory Rapidly Destroying American Health Care

A great, great piece from Katie Herzog, at Bari Weiss's Substack, "What Happens When Doctors Can't Tell the Truth?":

People Are Afraid to Speak Honestly

They meet once a month on Zoom: a dozen doctors from around the country with distinguished careers in different specialities. They vary in ethnicity, age and sexual orientation. Some work for the best hospitals in the U.S. or teach at top medical schools. Others are dedicated to serving the most vulnerable populations in their communities.

The meetings are largely a support group. The members share their concerns about what’s going on in their hospitals and universities, and strategize about what to do. What is happening, they say, is the rapid spread of a deeply illiberal ideology in the country’s most important medical institutions.

This dogma goes by many imperfect names — wokeness, social justice, critical race theory, anti-racism — but whatever it’s called, the doctors say this ideology is stifling critical thinking and dissent in the name of progress. They say that it’s turning students against their teachers and patients and racializing even the smallest interpersonal interactions. Most concerning, they insist that it is threatening the foundations of patient care, of research, and of medicine itself.

These aren’t secret bigots who long for the “good old days” that were bad for so many. They are largely politically progressive, and they are the first to say that there are inequities in medicine that must be addressed. Sometimes it’s overt racism from colleagues or patients, but more often the problem is deeper, baked into the very systems clinicians use to determine treatment.

“There’s a calculator that people have used for decades that predicts the likelihood of having a successful vaginal delivery after you've had a cesarean,” one obstetrician in the Northeast told me. “You put in the age of the person, how much they weigh, and their race. And if they’re black, it calculates that they are less likely to have successful vaginal delivery. That means clinicians are more likely to counsel black patients to get c-sections, a surgery they might not actually need.”

There’s no biological reason for race to be a factor here, which is why the calculator just changed this year. But this is an example of how system-wide bias can harm black mothers, who are two to three times more likely to die in childbirth than white women even when you control for factors like income and education, which often make racial disparities disappear.

But while this obstetrician and others see the problems endemic in their field, they’re also alarmed by the dogma currently spreading throughout medical schools and hospitals.

I’ve heard from doctors who’ve been reported to their departments for criticizing residents for being late. (It was seen by their trainees as an act of racism.) I’ve heard from doctors who’ve stopped giving trainees honest feedback for fear of retaliation. I’ve spoken to those who have seen clinicians and residents refuse to treat patients based on their race or their perceived conservative politics.

Some of these doctors say that there is a “purge” underway in the world of American medicine: question the current orthodoxy and you will be pushed out. They are so worried about the dangers of speaking out about their concerns that they will not let me identify them except by the region of the country where they work.

“People are afraid to speak honestly,” said a doctor who immigrated to the U.S. from the Soviet Union. “It’s like back to the USSR, where you could only speak to the ones you trust.” If the authorities found out, you could lose your job, your status, you could go to jail or worse. The fear here is not dissimilar.

When doctors do speak out, shared another, “the reaction is savage. And you better be tenured and you better have very thick skin.”

“We’re afraid of what's happening to other people happening to us,” a doctor on the West Coast told me. “We are seeing people being fired. We are seeing people's reputations being sullied. There are members of our group who say, ‘I will be asked to leave a board. I will endanger the work of the nonprofit that I lead if this comes out.’ People are at risk of being totally marginalized and having to leave their institutions.”

While the hyper focus on identity is seen by many proponents of social justice ideology as a necessary corrective to America’s past sins, some people working in medicine are deeply concerned by what “justice” and “equity” actually look like in practice.

“The intellectual foundation for this movement is the Marxist view of the world, but stripped of economics and replaced with race determinism,” one psychologist explained. “Because you have a huge group of people, mostly people of color, who have been underserved, it was inevitable that this model was going to be applied to the world of medicine. And it has been.”

Whole Areas of Research Are Off-Limits

“Wokeness feels like an existential threat,” a doctor from the Northwest said. “In health care, innovation depends on open, objective inquiry into complex problems, but that’s now undermined by this simplistic and racialized worldview where racism is seen as the cause of all disparities, despite robust data showing it’s not that simple.”

“Whole research areas are off-limits,” he said, adding that some of what is being published in the nation’s top journals is “shoddy as hell.”

Here, he was referring in part to a study published last year in the Proceedings Of The National Academy Of Sciences. The study was covered all over the news, with headlines like “Black Newborns More Likely to Die When Looked After by White Doctors” (CNN), “The Lack of Black Doctors is Killing Black Babies” (Fortune), and “Black Babies More Likely to Survive when Cared for by Black Doctors” (The Guardian).

Despite these breathless headlines, the study was so methodologically flawed that, according to several of the doctors I spoke with, it’s impossible to extrapolate any conclusions about how the race of the treating doctor impacts patient outcomes at all. And yet very few people were willing to publicly criticize it. As Vinay Prasad, a clinician and a professor at the University of California San Francisco, put it on Twitter: “I am aware of dozens of people who agree with my assessment of this paper and are scared to comment.”

“It’s some of the most shoddy, methodologically flawed research we’ve ever seen published in these journals,” the doctor in the Zoom meeting said, “with sensational conclusions that seem totally unjustified from the results of the study.”

“It’s frustrating because we all know how hard it is to get good, sound research published,” he added. “So do those rules and quality standards no longer apply to this topic, or to these authors, or for a certain time period?”

At the same time that the bar appears to be lower for articles and studies that push an anti-racist agenda, the consequences for questioning or criticizing that agenda can be high.

Just ask Norman Wang. Last year, the University of Pittsburgh cardiologist was demoted by his department after he published a paper in the Journal of the American Heart Association (JAHA) analyzing and criticizing diversity initiatives in cardiology. Looking at 50 years of data, Wang argued that affirmative action and other diversity initiatives have failed to both meaningfully increase the percentage of black and Hispanic clinicians in his field or to improve patient outcomes. Rather than admitting, hiring and promoting clinicians based on their race, he argued for race-neutral policies in medicine.

“Long-term academic solutions and excellence should not be sacrificed for short-term demographic optics,” Wang wrote. “Ultimately, all who aspire to a profession in medicine and cardiology must be assessed as individuals on the basis of their personal merits, not their racial and ethnic identities.”

At first, there was little response. But four months after it was published, screenshots of the paper began circulating on Twitter and others in the field began accusing Wang of racism. Sharonne Hayes, a cardiologist at the Mayo Clinic, implored colleagues to “rise up.” “The fact that this is published in ‘our’ journal should both enrage & activate all of us,” she wrote, adding the hashtag #RetractRacists.

Soon after, Barry London, the editor in chief of JAHA, issued an apology and the journal retracted the work over Wang’s objection. London cited no specific errors in Wang’s paper in his statement, just that publishing it was antithetical to his and the journal’s values. Retraction, in a case like this, is exceedingly rare: When papers are retracted, it’s generally because of the data or the study has been discredited. A search of the journal’s website and the Retraction Database found records of just two retractions in JAHA: Wang’s paper and a 2019 paper that erroneously linked heart attacks to vaping.

After the outcry, the American Heart Association (AHA), which publishes the journal, issued a statement denouncing Wang’s paper and promising an investigation. In a tweet, the organization said it “does NOT represent AHA values. JAHA is editorially independent but that’s no excuse. We’ll investigate. We’ll do better. We’re invested in helping to build a diverse health care and research community.”

As the criticism mounted, Wang was removed from his position as the director of a fellowship program in clinical cardiac electrophysiology at University of Pittsburgh Medical Center and was prohibited from making any contact with students. His boss reportedly told him that his classroom was “inherently unsafe” due to the views he expressed.

Wang is now suing both the AHA and the University of Pittsburgh for defamation and violating his First Amendment rights. To the doctors on the Zoom call, his case was a stark warning of what can happen when one questions policies like affirmative action, which, according to recent polling, is opposed by nearly two-thirds of Americans, including majorities of blacks, Hispanics, and Asians.

“I’m into efforts to make medicine more diverse,” a doctor from the Zoom group said. “But what’s gone off the rails here is that there is an intolerance of people that have another point of view. And that's going to hurt us all.”

JAHA isn’t the only journal issuing apologies. In February, the Journal of the American Medical Association (JAMA) released a podcast hosted by surgeon and then-deputy journal editor Edward Livingston, who questioned the value of the hyper focus on race in medicine as well as the idea that medicine is systemically racist.

“Personally, I think taking racism out of the conversation will help,” Livingston said at one point. “Many of us are offended by the concept that we are racist.”

It’s possible Livingston’s comments would have gone unnoticed but JAMA promoted the podcast on Twitter with the tone-deaf text: “No physician is racist, so how can there be structural racism in health care?”

Even more than in the case of Norman Wang, this tweet, and the podcast it promoted, led to a massive uproar. A number of researchers vowed to boycott the journal, and a petition condemning JAMA has received over 9,000 signatures. In response to the backlash, JAMA quickly deleted the episode, promised to investigate, and asked Livingston to resign from his job. He did.

If you try to access the podcast today, you find an apology in its place from JAMA editor-in-chief Howard Bauchner, who called Livingston’s statements, “inaccurate, offensive, hurtful and inconsistent with the standards of JAMA.” Bauchner was also suspended by JAMA pending an independent investigation. This Tuesday, JAMA announced that Bauchner officially stepped down. In a statement, he said he is “profoundly disappointed in myself for the lapses that led to the publishing of the tweet and podcast. Although I did not write or even see the tweet, or create the podcast, as editor in chief, I am ultimately responsible for them.”

Shortly after this announcement, the New York Times reported that “JAMA’s reckoning” led to a backlash from some JAMA members, who wrote in a letter to the organization that “there is a general feeling that the firing of the editors involved in the podcast was perhaps precipitous, possibly a blot on free speech and also possibly an example of reverse discrimination.” Bauchner’s last day at JAMA is June 30...

Keep reading.

 

Tuesday, April 6, 2021

Now THIS Is Some Big Pandemic News

It's at Gallup, "Americans' Worry About Catching COVID-19 Drops to Record Low."

Obviously this is monumental news, and it's especially big because this data goes against practically everything the elites in D.C. and virtually all the "blue states" are telling everyone --- which means, of course, they're lying. 

The only thing more they needed at the report here is a breakdown by party identity, because while the huge overall majority reports little to no worry about catching the "'rona," no doubt idiot leftist Dems are swallowing everything that comes out of the D.C. swamp (and the stupid so-called progressive "blue state" capitals, with their idiot governors, and Cuomo, Newsom, and Whitmer come to mind), and, naturally, these "woke" Democrats love their masks and social distancing, and are ready to keep up with this crap until mid-century, if not later. 

No need to quote the whole thing (just read it at the link above), although I'll post the conclusion here:

Americans have become substantially less worried about contracting COVID-19 as a growing proportion of adults have been fully vaccinated and as satisfaction with the vaccine rollout has improved. These shifts have occurred while coronavirus infection rates have fallen substantially from highs reached in January of this year. Optimism about the COVID-19 situation has also spiked to a record high. Gallup previously observed a meaningful relationship between Americans' perceptions of the coronavirus situation and changes in reported numbers of daily new cases.

After the March survey was conducted, infection rates began to rise again. This may be at least partially connected to the decrease in reported strict social distancing by Americans at a time when more contagious variants of the virus are spreading. Public health experts see the U.S. now in a race to get large numbers of Americans vaccinated before those variants spread further. The outcome of that race will determine the future course of infections in the U.S. and will likely determine whether Americans show continued increasing optimism about the COVID-19 situation or a course correction in their attitudes.

So, if you do decide to "RTWT," the graphs at the peace are real nice. 

UPDATE: Idiot me spoke too soon without checking on the tables (rather than the graphs), although, despite that, I'm not much wrong: Still half of all Democrats surveyed reported being being "worried" about catching the virus; although Dems are more likely to see things as "getting better," but that's an artifact, no doubt, of having the "Harris-Biden" administration in power, and these still stupid "woke" Dems are more likely to be "swallowing down" all the new "regime's" lies and propaganda --- so, I guess I wasn't too off in my estimations, despite the absence of a couple of more detailed graphs.

Mea culpa! Mea culpa, lol! 


Tuesday, February 9, 2021

Dying of Covid at L.A.'s Martin Luther King Jr. Community Hospital

The MLK hospital in Los Angeles was featured in an astonishing set of articles at the Los Angeles Times way back in 2004. I've never forgotten these stories. In fact, one thing I've never forgotten is that I hoped to God I never ended up getting treated there. 

I know this might sound "racist," but MLK-LA at the time was an "all-black"-run health care facility. I don't know, but are black medical professionals less proficient than health professionals of other races or ethnicities? Of course, asking these kind of questions is verboten in the current climate, but I'm just a lowly blogger, so who cares?

In any case, I'm coming back to MLK-LA in light of the New York Times' report out yesterday, "Dying of Covid in a ‘Separate and Unequal’ L.A. Hospital." (And especially notice how it's the status of "separate and unequal" that's apparently the main explanation for why so many people die there. I don't know, maybe it's not just those "systemic" factors that have left the hospital in the lower tier of hospitals in Los Angeles? Just spit-balling, but it's always worth using your critical thinking skills when addressing such topics.)

At NYT:

Inside an overwhelmed facility in the worst-hit part of California, where the patriarchs of two immigrant families were taken when they fell sick.

LOS ANGELES — Over the New Year’s holiday, the grown children of two immigrant families called 911 to report that their fathers were having difficulty breathing. The men, born in Mexico and living three miles from each other in the United States, both had diabetes and high blood pressure. They both worked low-wage, essential jobs — one a minibus driver, the other a cook. And they both hadn’t realized how sick they were.

Three weeks later, the men — Emilio Virgen, 63, and Gabriel Flores, 50 — both died from Covid-19. Their stories were hauntingly familiar at Martin Luther King Jr. Community Hospital, by size the hardest-hit hospital in the hardest-hit county in the state now leading the nation in cases and on the brink of surpassing New York with the highest death toll. In the intensive care unit on Jan. 21, Mr. Virgen became No. 207 on the hospital’s list of Covid-19 fatalities; Mr. Flores, just down the hall, became No. 208.

The New York Times spent more than a week inside the hospital, during a period when nearly a quarter of all Covid inpatients there were dying, despite advances in knowledge of the disease. It was an outcome that approached that of some New York hospitals last spring, when the city was the epicenter of the coronavirus pandemic. That rise coincided with a surge of cases in Southern California, a doubling of the mortality rate in Los Angeles hospitals over all and the spread of a new local strain that may be more transmissible than the more prevalent one.

Eight out of ten of those who died at M.L.K. hospital were Hispanic, a group with the highest Covid-19 death rates in Los Angeles County, followed by Black residents. County data also showed that the most impoverished Los Angeles residents, many of them around the hospital in South Los Angeles, are dying of the disease at four times the rate of the wealthiest.

Michelle Goldson, an I.C.U. nurse who cared for both Mr. Virgen and Mr. Flores, said many patients had a “distrust of the health care system, distrust of doctors” and came in only when desperately ill. Severe cases, she said, weren’t limited to older people. “Everybody’s dying here,” she said. As she headed home one recent evening, she waved at a 27-year-old patient who was sitting up eating dinner. When she returned the next morning, he was dead. “What kind of virus is this?” she asked.

Right now, it is one that is merciless in dense, low-income neighborhoods like those where Mr. Virgen and Mr. Flores lived. Relatives similarly described them as hardworking and upbeat, determined to provide for their families. Mr. Virgen raised four children who all went to college, and stubbornly nurtured scrawny mango and lemon trees. Mr. Flores was proud that his oldest son, a Dreamer who had been slipped into the country as a toddler, had graduated from the Los Angeles police academy.

For M.L.K.’s chief executive, Dr. Elaine Batchlor, the inequities in disease and death from Covid reflect those long present in the community. Patients come from what she termed a “medical desert,” with chronic shortages of primary care doctors and other health services.

In the best of times, her small institution cannot match what many other hospitals offer, from caring for preemies to major heart attack victims. Now, amid the pandemic, the hospital can’t test experimental therapies, can’t draw on a large pool of specialized staff in a surge and can’t offer last-chance care on an external lung machine.

During the peak, M.L.K. treated more Covid patients than some Los Angeles hospitals three to four times its size. While Dr. Batchlor emphasizes that her institution has learned to be nimble, she also says it has been overwhelmed. She has pleaded with the governor for help, tried to shame other institutions into accepting transfers of patients and spoken out about the failings of American health care.

“We’ve created a separate and unequal hospital system and a separate and unequal funding system for low-income communities,” she said in an interview. “And now with Covid, we’re seeing the disproportionate impact.”

Keep reading.

Whatever the cause of all this medical heartbreak, it's definitely hitting hardest those "marginalized" communities leftists are always blathering about.


Friday, February 5, 2021

The 'Primal Scream' of Working Moms Trying to Handle At-Home Teaching Amid the Pandemic

 At NYT (with the usual disclaimers), "“I wish I had the energy to scream. All my energy just goes into getting through every day, until I can go to sleep. I have three kids, all in virtual schools since March, and work full time. And it just feels like failing, every day, at everything I do. And I just want to change, want to be by myself for one minute. I don’t know how to keep doing this. But there isn’t really another option”:

“I cannot remember the last time I did not worry, I did not spend my day worrying about so much stuff. Every day is something different. I just want to wake up and go through my day and not worry, and not wonder, and not know what the future holds. Because this right here sucks. And I’m sick of it. I’m so sick of this.”

“There is just so much talking. Talking all the time. All day long. Words. Words. Words. So much talking. I just, I need no more talking. No more words. I need no more. No more. So much talking. I just need silence. Please. Silence.”

“I love my kids. I love my family. But we are together all of the time. Like, I never appreciated teachers and school as much as I did now. I don’t want to be my child’s teacher. I am not doing good with this. But, all things considered, things are cool. Somebody else rear my children, please. I miss going out. I miss being drunk. I miss dancing.”


Saturday, January 16, 2021

Folks Can't Leave the Bay Area Fast Enough

Yeah, and it's bad all over this once-Golden State.

At NYT, "They Can’t Leave the Bay Area Fast Enough":

SAN FRANCISCO — The Bay Area struck a hard bargain with its tech workers.

Rent was astronomical. Taxes were high. Your neighbors didn’t like you. If you lived in San Francisco, you might have commuted an hour south to your job at Apple or Google or Facebook. Or if your office was in the city, maybe it was in a neighborhood with too much street crime, open drug use and $5 coffees.

But it was worth it. Living in the epicenter of a boom that was changing the world was what mattered. The city gave its workers a choice of interesting jobs and a chance at the brass ring.

That is, until the pandemic. Remote work offered a chance at residing for a few months in towns where life felt easier. Tech workers and their bosses realized they might not need all the perks and after-work schmooze events. But maybe they needed elbow room and a yard for the new puppy. A place to put the Peloton. A top public school.

They fled. They fled to tropical beach towns. They fled to more affordable places like Georgia. They fled to states without income taxes like Texas and Florida.

That’s where the story of the Bay Area’s latest tech era is ending for a growing crowd of tech workers and their companies. They have suddenly movable jobs and money in the bank — money that will go plenty further somewhere else.

But where? The No. 1 pick for people leaving San Francisco is Austin, Texas, with other winners including Seattle, New York and Chicago, according to moveBuddha, a site that compiles data on moving. Some cities have even set up recruiting programs to lure them to new homes. Miami’s mayor has even been inviting tech people to move there in his Twitter posts.

I talked to more than two dozen tech executives and workers who have left San Francisco for other parts of the country over the last year, like a young entrepreneur who moved home to Georgia and another who has created a community in Puerto Rico. Here are some of their stories...

RTWT.

 

Friday, January 1, 2021

'Coronasomnia'

I've had this. 

I still have it, lol.

At ABC News 7 Los Angeles:


Wednesday, December 30, 2020

'And it's just sometimes an excruciatingly heightened awareness of being, loving being alive..."

Caitlin Flanagan wrote "I Thought Stage IV Cancer Was Bad Enough" at the Atlantic in June. Not many people, myself included, know her story. It's riveting. 

Well, she did a podcast with Sully, and this short segment is so existential. She's such a graceful woman. It's really inspiring:

Thursday, December 24, 2020

The Chinese Communist Party Fail

Following-up from previously, "How the U.S. Misread Xi Jinping."

See Cai Xia, at Foreign Affairs, "The Party That Failed: An Insider Breaks With Beijing":

When Xi Jinping came to power in 2012, I was full of hope for China. As a professor at the prestigious school that educates top leaders in the Chinese Communist Party, I knew enough about history to conclude that it was past time for China to open up its political system. After a decade of stagnation, the CCP needed reform more than ever, and Xi, who had hinted at his proclivity for change, seemed like the man to lead it.

By then, I was midway through a decades-long process of grappling with China’s official ideology, even as I was responsible for indoctrinating officials in it. Once a fervent Marxist, I had parted ways with Marxism and increasingly looked to Western thought for answers to China’s problems. Once a proud defender of official policy, I had begun to make the case for liberalization. Once a loyal member of the CCP, I was secretly harboring doubts about the sincerity of its beliefs and its concern for the Chinese people.

So I should not have been surprised when it turned out that Xi was no reformer. Over the course of his tenure, the regime has degenerated further into a political oligarchy bent on holding on to power through brutality and ruthlessness. It has grown even more repressive and dictatorial. A personality cult now surrounds Xi, who has tightened the party’s grip on ideology and eliminated what little space there was for political speech and civil society. People who haven’t lived in mainland China for the past eight years can hardly understand how brutal the regime has become, how many quiet tragedies it has authored. After speaking out against the system, I learned it was no longer safe for me to live in China.

THE EDUCATION OF A COMMUNIST

I was born into a Communist military family. In 1928, at the beginning of the Chinese Civil War, my maternal grandfather joined a peasant uprising led by Mao Zedong. When the Communists and the Nationalists put hostilities on hold during World War II, my parents and much of my mother’s family fought against the Japanese invaders in armies led by the CCP.

After the Communists’ victory, in 1949, life was good for a revolutionary family such as ours. My father commanded a People’s Liberation Army unit near Nanjing, and my mother ran an office in that city’s government. My parents forbade my two sisters and me from taking advantage of the privileges of their offices, lest we become “spoiled bourgeois ladies.” We could not ride in our father’s official car, and his security guards never ran family errands. Still, I benefited from my parents’ status and never suffered the privations that so many Chinese did in the Mao years. I knew nothing of the tens of millions of people who starved to death during the Great Leap Forward.

All I could see was socialism’s bright future. My family’s bookshelves were stocked with Marxist titles such as The Selected Works of Stalin and Required Reading for Cadres. As a teenager, I turned to these books for extracurricular reading. Whenever I opened them, I was filled with reverence. Even though I could not grasp the complexity of their arguments, my mission was clear: I must love the motherland, inherit my parents’ revolutionary legacy, and build a communist society free of exploitation. I was a true believer.

I gained a more sophisticated understanding of communist thought after joining the People’s Liberation Army in 1969, at age 17. With the Cultural Revolution in full swing, Mao required everyone to read six works by Karl Marx and Friedrich Engels, including The Communist Manifesto. One utopian passage from that book left a lasting impression on me: “In place of the old bourgeois society, with its classes and class antagonisms, we shall have an association, in which the free development of each is the condition for the free development of all.” Although I didn’t really understand the concept of freedom at that point, those words stuck in my head.

The People’s Liberation Army assigned me to a military medical school. My job was to manage its library, which happened to carry Chinese translations of “reactionary” works, mostly Western literature and political philosophy. Distinguished by their gray covers, these books were restricted to regime insiders for the purpose of familiarizing themselves with China’s ideological opponents, but in secret, I read them, too. I was most impressed by The Rise and Fall of the Third Reich, by the American journalist William Shirer, and a collection of Soviet fiction. There was a world of ideas outside of the Marxist classics, I realized. But I still believed that Marxism was the only truth.

I left the military in 1978 and got a job in the party-run trade union of a state-owned fertilizer factory on the outskirts of the city of Suzhou. By then, Mao was dead and the Cultural Revolution was over. His successor, Deng Xiaoping, was ushering in a period of reform and opening, and as part of this effort, he was recruiting a new generation of reform-minded cadres who could run the party in the future. Each local party organization had to choose a few members to serve in this group, and the Suzhou party organization picked me. I was sent to a two-year program at the Suzhou Municipal Party School, where my fellow students and I studied Marxist theory and the history of the CCP. We also received some training in the Chinese classics, a subject we had missed on account of the disruption of education during the Cultural Revolution.

I plowed through Das Kapital twice and learned the ins and outs of Marxist theory. What appealed to me most were Marx’s ideas about labor and value—namely, that capitalists accrue wealth by taking advantage of workers. I was also impressed by Marx’s philosophical approach, dialectical materialism, which allowed him to see capitalism’s political, legal, cultural, and moral systems as built on a foundation of economic exploitation...

Still more at that top link.

 

How the U.S. Misread Xi Jinping

More blockbuster reporting from the Wall Street Journal, "How the U.S. Misread China’s Xi: Hoping for a Globalist, It Got an Autocrat":

BEIJING—In the two years before Xi Jinping became China’s leader in 2012, U.S. officials tried to size him up through a series of face-to-face meetings.

During talks in China in 2011, Mr. Xi, then vice president, asked about civilian control of the U.S. military, shared his thoughts on uprisings in the Middle East and spoke, unprompted, about his father, a renowned revolutionary. When he visited the U.S. in 2012, he was relaxed and affable, chatting with students and posing for pictures with Magic Johnson at a Los Angeles Lakers basketball game.

The U.S. officials’ conclusion: Although Mr. Xi was far more confident and forthright than Hu Jintao, the stiff and scripted leader he would succeed, he likely shared his commitment to stable ties with Washington and closer integration with the U.S.-led global order. Some even hoped Mr. Xi would kick-start stalled economic reforms.

It was one of the biggest strategic miscalculations of the post-Cold War era.

In the eight subsequent years, Mr. Xi has pursued an expansive, hypernationalistic vision of China’s future, displaying a desire for control and a talent for political maneuvering. Drawing comparisons to Mao Zedong, he has crushed critics and potential rivals, revitalized the Communist Party and even scrapped presidential term limits so he can, if he chooses, rule for life.

Promising a “China Dream” of national renewal, he has mobilized China’s military to enforce territorial claims, forced up to a million Chinese Muslims into internment camps and curbed political freedoms in Hong Kong.

Now, with Covid-19 under control in China but still widespread across the U.S., he is promoting his self-styled, tech-enhanced update of Marxism as a superior alternative to free-market democracy—a “China solution” to global problems.

“It was clear he was not going to be a second Hu Jintao,” said Danny Russel, who as a senior Obama administration official attended several meetings with Mr. Xi, including in 2011 and 2012. “What I underestimated about Xi Jinping was his tolerance for risk.”

Mr. Xi’s swift reversal of more than three decades of apparent movement toward collective leadership and a less intrusive party has surprised both U.S. officials and much of the Chinese elite. In hindsight, though, the roots of his approach are visible in key episodes of his life.

They include his father’s purge from the top party leadership, his teenage years in a Chinese village, his induction into the military and his exposure to nationalist and “new left” undercurrents in the party elite.

Mr. Xi’s autocratic turn also was catalyzed by a 2012 political scandal that upset the balance of power among the party elite and emboldened advocates of stronger, centralized leadership. It gave Mr. Xi the justification he needed to sideline rivals, rebuild the party and revamp its ideology.

Today China follows a new political doctrine known as “Xi Jinping Thought,” which combines many attributes of different 20th-century authoritarians. It reasserts the party’s Leninist role as the dominant force in all areas, including private business. It revives Maoist methods of mass mobilization, uses digital surveillance to replicate Stalin’s totalitarian social controls and embraces a more muscular nationalism based on ethnicity that makes fewer allowances for minorities or residents of Taiwan and Hong Kong.

Above all, Xi Jinping Thought aims to grant Mr. Xi the legitimacy to remain in power and continue his quest to make China a rich, truly global power by 2049, the centenary of Mao’s victory.

Mr. Xi has been a popular leader, bolstered in part by positive coverage in state media. Under his leadership, China has posted robust economic growth and eradicated extreme poverty, as well as curbing Covid-19 within its borders. The nation’s growing international stature also has become a source of national pride.

“His goal is to make the whole world see China as a great power, and him as a key figure in making it great,” said Xiao Gongqin, a leading figure among scholars who advocate so-called enlightened autocracy in China. “At heart, he’s a nationalist.”

Mr. Xiao, based in Shanghai, counts himself a supporter. But like many in China’s elite, he said he worries Mr. Xi “lacks a spirit of compromise. That’s his shortcoming….And there is no mechanism to correct him.”

China’s government press office declined to comment, but arranged interviews with two professors at the Central Party School, the party’s top think tank and training academy.

Both said Mr. Xi hadn’t abandoned collective leadership, but declined to predict whether he would retire in 2022, when his current term is scheduled to end. They described Xi Jinping Thought as “21st-Century Marxism,” saying his political thinking was shaped, in part, by his experiences in his youth.

“When he was young, his life was a little tortuous, but these twists and turns made comrade Xi Jinping what he is today,” said Han Qingxiang, one of the professors, who has conducted a study session on Marxism for top leaders...
RTWT.


Tuesday, December 22, 2020

Death and Denial in California's Central Valley

This is an interesting piece, sympathetic to both sides, although definitely a leftist New Yorker take. 

Here, "As the Vaccine Arrives, Death and Denial Rage in a California Coronavirus Epicenter: In the San Joaquin Valley, medical professionals fear that many in the public still fail to grasp the dangers of COVID-19":

The San Joaquin Valley is an emerald gash shaped like a fist in the middle of the state. It abuts the Sierra Nevada mountains and drinks in the rivers that zag from the foothills. Looked upon from an airplane cabin window at thirty thousand feet, the valley appears as a medley of pixels in every shade of green; irrigated fields collide at improbable angles. On the ground, viewed from a speeding car on Highway 99, it’s a blur of corduroy—rows of garlic, tomatoes, and fruit trees sprouting from the rich, dark loam. The San Joaquin Valley is California’s bread basket, the source of the state’s bounty, the source of much of the country’s bounty. Even the names of towns that dot this verdant blanket sound fecund: Chowchilla, Planada, Ripon.

These townships orbit midsize cities with populations exceeding three hundred thousand—Fresno, Bakersfield, Stockton—but the region is mostly rural and agricultural. Its demographics reflect that. Of the more than four million people in the valley, many are migrant workers. A hundred and twelve thousand are believed to be undocumented. At the same time, the region skews further right politically than most of California. In the 2020 Presidential election, half of the valley’s eight counties voted for Donald Trump; in the four counties that went for Joe Biden, the Democrat won by margins far narrower than that by which he won the state as a whole.

The coronavirus exacerbates the valley’s long existing divisions and pain points, says Nancy Burke, a public-health professor at the University of California, Merced. “The health indicators rival the poorest parts of Appalachia,” she told me. The counties in San Joaquin Valley “rank among the lowest in California in terms of health outcomes, as well as determinants of health, [such as] social and economic factors.” Forty-one per cent of rural residents in the region are covered by Medi-Cal, the state health insurance that is available to Californians living below the federal poverty line. So, although the region produces much of the nation’s food supply, Burke explained, the people here suffer some of the highest rates of food insecurity in the state...

More.

 

Monday, December 21, 2020

How China Censored Everything

It's real. 

At NYT, "No ‘Negative’ News: How China Censored the Coronavirus":

In the early hours of Feb. 7, China’s powerful internet censors experienced an unfamiliar and deeply unsettling sensation. They felt they were losing control.

The news was spreading quickly that Li Wenliang, a doctor who had warned about a strange new viral outbreak only to be threatened by the police and accused of peddling rumors, had died of Covid-19. Grief and fury coursed through social media. To people at home and abroad, Dr. Li’s death showed the terrible cost of the Chinese government’s instinct to suppress inconvenient information.

Yet China’s censors decided to double down. Warning of the “unprecedented challenge” Dr. Li’s passing had posed and the “butterfly effect” it may have set off, officials got to work suppressing the inconvenient news and reclaiming the narrative, according to confidential directives sent to local propaganda workers and news outlets.

They ordered news websites not to issue push notifications alerting readers to his death. They told social platforms to gradually remove his name from trending topics pages. And they activated legions of fake online commenters to flood social sites with distracting chatter, stressing the need for discretion: “As commenters fight to guide public opinion, they must conceal their identity, avoid crude patriotism and sarcastic praise, and be sleek and silent in achieving results.”

The orders were among thousands of secret government directives and other documents that were reviewed by The New York Times and ProPublica. They lay bare in extraordinary detail the systems that helped the Chinese authorities shape online opinion during the pandemic.

At a time when digital media is deepening social divides in Western democracies, China is manipulating online discourse to enforce the Communist Party’s consensus. To stage-manage what appeared on the Chinese internet early this year, the authorities issued strict commands on the content and tone of news coverage, directed paid trolls to inundate social media with party-line blather and deployed security forces to muzzle unsanctioned voices.

Though China makes no secret of its belief in rigid internet controls, the documents convey just how much behind-the-scenes effort is involved in maintaining a tight grip. It takes an enormous bureaucracy, armies of people, specialized technology made by private contractors, the constant monitoring of digital news outlets and social media platforms — and, presumably, lots of money.

It is much more than simply flipping a switch to block certain unwelcome ideas, images or pieces of news.

China’s curbs on information about the outbreak started in early January, before the novel coronavirus had even been identified definitively, the documents show. When infections started spreading rapidly a few weeks later, the authorities clamped down on anything that cast China’s response in too “negative” a light.

The United States and other countries have for months accused China of trying to hide the extent of the outbreak in its early stages. It may never be clear whether a freer flow of information from China would have prevented the outbreak from morphing into a raging global health calamity. But the documents indicate that Chinese officials tried to steer the narrative not only to prevent panic and debunk damaging falsehoods domestically. They also wanted to make the virus look less severe — and the authorities more capable — as the rest of the world was watching.

The documents include more than 3,200 directives and 1,800 memos and other files from the offices of the country’s internet regulator, the Cyberspace Administration of China, in the eastern city of Hangzhou. They also include internal files and computer code from a Chinese company, Urun Big Data Services, that makes software used by local governments to monitor internet discussion and manage armies of online commenters.

The documents were shared with The Times and ProPublica by a hacker group that calls itself C.C.P. Unmasked, referring to the Chinese Communist Party. The Times and ProPublica independently verified the authenticity of many of the documents, some of which had been obtained separately by China Digital Times, a website that tracks Chinese internet controls.

The C.A.C. and Urun did not respond to requests for comment.

“China has a politically weaponized system of censorship; it is refined, organized, coordinated and supported by the state’s resources,” said Xiao Qiang, a research scientist at the School of Information at the University of California, Berkeley, and the founder of China Digital Times. “It’s not just for deleting something. They also have a powerful apparatus to construct a narrative and aim it at any target with huge scale.”

“This is a huge thing,” he added. “No other country has that.”

Still more.