California, Oregon and Washington announce western states pact
gov.ca.gov
gov.ca.gov
Edit: Massachusetts has also joined this pact as well (I thought it was surprising that it hadn't when I first read the news).
You can roughly see where you would expect these to form on this map. https://en.wikipedia.org/wiki/Megaregions_of_the_United_Stat...
"We've agreed that we will use metrics...we are still deciding what these metrics will be."
I thought the Stay Home, Stay Healthy order (in Washington state) wasn't unreasonable and wasn't just political babble, but I don't really know what to make of this piece. Anyone want to try to explain it like I'm five?
The US governmental system has a long history of injecting bureaucratic nonsense that takes on a life of its own and ends up with outcomes like "teaching to the test" instead of being a net benefit.
I would feel differently if this were an announcement of a joint task force for sharing data to help each state make the best decisions possible. But this sounds to me like it will just make it harder for each state to make a decision on their own and that it probably doesn't really add any value. And that concerns me.
I have the same beef with Mayor Breed in San Francisco, who has otherwise shown standout leadership. She's publicly worried that people will let their guard done by assuming things are under control. Rather than worry about people's feelings and opinions, she should be setting expectations exactly as I described above.
Listen to Newsome's news conference today and the answer he gave to a reporter about his reaction to Trump's announcement that the decision to re-open the economy is his (Trump's) alone. It's a masterpiece.
Has this actually occurred?
I know NY asked for way more ventilators than they got, but as I understood it they were giving them out "just in time" rather than up front in case they were needed more elsewhere.
https://www.metrotimes.com/news-hits/archives/2020/03/28/aft...
We seem to be doing just fine here without the Federal Government. In fact we've sent 400 ventilators back to the national stockpile and we also returned the Army hospital that was established at Safeco Field back because we didn't need the capacity. Trump did eventually authorize FEMA to pay for the National Guard response here.
https://www.nytimes.com/2020/04/06/us/politics/coronavirus-f...
https://www.firehouse.com/safety-health/ppe/news/21133559/fe...
https://talkingpointsmemo.com/edblog/fema-denies-involvement...
I hate to be a conspiracy theorist, but this smells real bad to me. The reports of confiscations are coming from democratic states, not republican states. And it seems like republican lobbyists are getting into the game of distributing PPE:
https://talkingpointsmemo.com/news/bob-livingston-group-mike...
What it seems to me is happening is a coordinated yet amateurish attempt to restrict the PPE flow to/within democratic states, while allowing the free flow of PPE in republican states. This allows some lobbyists to make money off of it, as well as sticking a finger in the eye of dem leaders (and dying people/healthcare workers in dem states).
On the other hand, does the fire department for a town of 27,000 people really need 30,000 gowns, or could those be put to better use elsewhere?
Florida, where President Trump moved his residence to and who's governor he enjoys a special relationship with, has had greater success than other states in requesting and receiving allocations from the federal stockpile: https://www.washingtonpost.com/national/health-science/despe...
Have you used Internet or watched American TV in last five years?
Anyone else is, of course, free to say whatever they want. (For the time being.)
I mean, I guess if your ambition is to hold office for decades, then you might be concerned. But the downside seems minimal to me. (But then, I'm neither in politics nor in Massachusetts, so what do I know?)
Pardon, English being my 2nd language, would it be a confederation or a union?
https://fallout.fandom.com/wiki/United_States_of_America#Com...
This (along with the NE pact) is probably a big "no, you're not" to Trump.
““”
Asked whether the collaboration among the states was a rebuke to the President Trump, who has said the decision about businesses reopening was his to make, Gov. Philip D. Murphy of New Jersey said only that he was focused on making decisions based on facts and science, and he reiterated that an economic recovery was inextricable from a public health recovery.
Gov. Tom Wolf of Pennsylvania echoed Mr. Murphy’s comments in responding to a similar question.
“The sequence,” Mr. Wolf said, “is you’ve got to get people healthy first, and then you can reopen the economy.”
Interviewed later on CNN, Mr. Cuomo was more pointed in his remarks on who bears responsibility for restoring life to something like normal.
Trump administration officials, the governor said, could have enacted a nationwide shutdown to stem the spread of the virus.
“They didn’t,” he said. “They said we’re going to leave it to the states. Now all of a sudden when it comes time to open the economy, now it’s back to the federal government’s responsibility?”
“””
* Nursing homes, long-term care facilities, etc. will get some priority and focus.
* Socioeconomically-disadvantaged communities are taking indirect impacts from mitigation measures, and they will also get some priority and focus.
* We will not return to anything resembling normal until we have a way to efficiently test, track, and isolate at scale.
He was complaining to me the other day that Oregon's requirement that you are not allowed to pump your own gas is an obvious COVID transmission vector.
To get gas in Oregon, he follows these steps:
1.) pull up to gas station 2.) Roll down window to hand attendant (who isn't wearing a mask, nor is required to) his debit card. 3.) Get card back from attendant. 4.) Sanitize the debit card 5.) Sanitize his hands 6.) Hope that the attendant is washing his hands, and that he didn't breathe COVID onto him through the open window.
Not saying this isn't a great, noble effort.
Just saying that, in some aspects, these states aren't doing a good job on obvious things within their own borders.
Why the hell is Oregon still doing this, and not requiring masks from gas attendants anyway? Maybe it is required, but my brother told me he has yet to have an attendant wearing a mask, so possibly not enforced???
I would say "Definitely yes."
https://katu.com/news/local/initiative-looks-to-limit-number...
https://www.koin.com/oregon-2/oregon-loosens-self-service-re...
Have they further loosened it since late March?
"Effective immediately, gas stations will be allowed to let drivers pump their own gas if they meet any of the following requirements:
The owner (of the gas station) retains documentation that there are no employees available to work as an attendant, including documentation for absences and employee hiring and retention efforts; The owner is subject to State Fire Marshal audit and has posted safety signs for how to safely operate a fuel pump; and The hours of operation under this subsection do not exceed 10 consecutive hours. “During this unprecedented time of state emergency, we need to ensure that critical supply lines for fuels and other basic services remain uninterrupted,” said State Fire Marshal Jim Walker.
Additionally, active stations must abide by the Fire Marshal’s latest guidelines:
Prepare, implement and enforce social distancing policies consistent with guidance from the Oregon Health Authority, Require an attendant to be on duty to supervise self-service refueling consistent with the social distancing policies and help mitigate the spread of COVID-19 through sanitization measures, and Designate an employee at each station to implement and enforce the social distancing policies."
The above doesn't seem like it's actually self-service unless the owner has certain issues. My brother just told me he isn't seeing self-service at his area, and wasn't notified it was an option.
It seems nonplussed has two, almost contradictory definitions:
1. (of a person) surprised and confused so much that they are unsure how to react.
2. (of a person) not disconcerted; unperturbed.
The latter is an "informal" definition. This seems to be the process by which the word awful switched from meaning awe-inspiring to the opposite.
unsure about what to say, think, or do : perplexed
chiefly US : not bothered, surprised, or impressed by something
I'm an American. "Not impressed" is the closest thing I am seeing to what I was trying to convey. Unmoved might be a good substitute word in this case.
I quoted definitions from Google's search snippet.
Trump has been downplaying the seriousness of the disaster since January. He contradicts the statements of his own staff in the same press conference as the staff speaks. He exuberantly proclaims the effectiveness of "treatments" that haven't been studied in any serious way. All this is to say that we can't trust any decision he makes.
Contrast this with the way the Western governors have handled this. Inslee was one of the first governors to announce any kind of Social Distancing rules. And he followed Illinois in issuing a statewide Stay Home order that is probably the most restrictive such order in the states. There's a lot of evidence on the Washington DOH website that this is working and the spread of the disease is under control.
The fact is that Trump's response is mostly to bury the problem and apply wishful thinking when he can't bury the problem. The governors in this union are taking a facts-based approach to solving the problem that has largely been successful. And so it's a really bad idea to do anything that Trump advises the country to do because he has a track record of making really bad decisions throughout this crisis.
> President Trump tweeted Monday that the "decision to open up the states" following shutdown measures taken to stop the spread of the coronavirus lies with him, not governors.
https://www.axios.com/trump-coronavirus-reopening-governors-...
CNN: "Experts say travel restrictions the Trump administration put in place to stop the novel coronavirus from spreading could have unintended consequences that undermine that effort." (https://www.cnn.com/2020/02/07/health/coronavirus-travel-ban...)
The Atlantic: "Guiding Trump’s response is a hardheaded nationalism... Critics from WHO and elsewhere have said the bans are unnecessary and could generate a racist backlash against Chinese people." (https://www.theatlantic.com/politics/archive/2020/02/trump-r...)
And finally, thankfully, it is illegal to refuse an American citizen entry to the United States.
> Quarantining is a fancy word for arrest, with zero cause.
I just don't know what to do with statements like these. If you truly believe that there is never any grounds for a health-related quarantine, then I don't think you're going to be able to have a productive discussion on this with most people here; your fundamental beliefs are just too far outside the norm (and outside reality, but that's another issue).
Quarantine in America is not new. https://www.lawfareblog.com/long-history-coercive-health-res...
There is probable cause. You probably have the virus. Spreading it around is negligent manslaughter. This court sentences you to two weeks in a hotel.
Under section 361 of the Public Health Service Act (42 U.S. Code § 264), the U.S. Secretary of Health and Human Services is authorized to take measures to prevent the entry and spread of communicable diseases from foreign countries into the United States and between states.
CDC’s Role
Under 42 Code of Federal Regulations parts 70 and 71, CDC is authorized to detain, medically examine, and release persons arriving into the United States and traveling between states who are suspected of carrying these communicable diseases.
As part of its federal authority, CDC routinely monitors persons arriving at U.S. land border crossings and passengers and crew arriving at U.S. ports of entry for signs or symptoms of communicable diseases.
When alerted about an ill passenger or crew member by the pilot of a plane or captain of a ship, CDC may detain passengers and crew as necessary to investigate whether the cause of the illness on board is a communicable disease.
State, Local, and Tribal Law
States have police power functions to protect the health, safety, and welfare of persons within their borders. To control the spread of disease within their borders, states have laws to enforce the use of isolation and quarantine. In some states, local health authorities implement state law. In most states, breaking a quarantine order is a criminal misdemeanor.
> Although Democratic leaders and Democratic presidential candidates have been highly critical of Trump’s response to the coronavirus, we couldn’t find any examples of them directly and clearly criticizing the travel restrictions.
[0]: https://www.factcheck.org/2020/03/the-facts-on-trumps-travel...
There was a coordinated effort by some jouralists to smear Trump as xenophobic and racist for what he was trying to do. Today they're saying he didn't do enough. There were many stories that were essentially down playing the virus and dog whistling to readers about Trump being a racist/xenophobic for his early actions.
Edit: added video showing the media downplaying COVID-19 at late as March 3rd [3].
[0]https://www.washingtonpost.com/outlook/2020/01/31/how-our-br...
[1]https://www.washingtonpost.com/outlook/2020/02/03/why-we-sho...
[2]https://www.nytimes.com/2020/02/18/world/europe/coronavirus-...
[3]https://www.youtube.com/watch?time_continue=1&v=wVDPVBZF2Xg&...
https://www.nytimes.com/2020/02/05/opinion/china-travel-coro... (2/5/20)
And even then, the criticism was of the form:
> Valid arguments may exist for shutting down the world to travelers originating in China — and shutting down China to the world — as a reasonable public health response. But the World Health Organization explicitly did not advise that any restriction of trade or travel was necessary when it declared a Public Health Emergency of International Concern last week, and it still doesn’t. Instead, it has called for exit screening in international airports and domestic hubs in China.
What Trump did get a lot of flack on was travel banning countries like Nigeria at the same time, completely unrelated to the coronavirus:
https://www.nytimes.com/2020/02/04/opinion/trump-travel-ban-...
Trump and his supporters have made up much of this narrative on their own without any actual action on the left, e.g. see:
https://www.politifact.com/factchecks/2020/mar/27/donald-tru...
To my understanding the ban only stopped direct flights from China. In other words flights to china were still able to travel everywhere else in the World and then from those layovers the Chinese were still able to fly into the US indirectly.
The virus made its way to US anyway and when it got out of hand the healthcare system was overwhelmed, the economy shutdown, supply chains broke down, we reached essentially 20% unemployment overnight...so I am not sure how his decision saved lives, it seems to me, his travel ban only delayed the virus...so assuming the travel ban wasn't put in place it seems to me the virus would have just been on our radar sooner and we would have done the same poor reactive responses. In other words, from the time of the ban in January to Trumps "15 days to slow the spread" how many test kits were ordered? How many N95 masks were ordered? How many ventilators? How much PPE? What did Trump do to prepare for the virus and save lives beyond travel bans, because it seems our healthcare systems were not prepared/supplied nor was FEMA prepared and mobilized until March.
Can you explain how his ban saved lives as opposed to delayed the virus?
I think they flipped the fuckit bit.
So there's a lot of pressure to reopen but no political cover to do so. I think the entire point of this pact is to provide that cover.
Even when reopening is clearly the right thing to do nobody will want to personally take the fall. It's the reason the US has a high incarceration rate, nobody wants to be the one to release a ton of people from jail even if it's the right thing to do.
Do you have any actual data for this?
You're aware that even programs on reduced budgets can offer a reduced set of services, and prioritize the ones with most impact? (i.e. most lifesaving potential). And that their work will be far easier if there are fewer total sick people in the system? Have you balanced the effects of that versus letting the virus run amok so that the tax receipts aren't impacted?
That's why I'm asking for numbers. Otherwise "a bad economy will kill more people" is a fuzzy assertion that sounds "cool" and "contrarian" but has no actual substance.
Here are my numbers btw:
"Our finding that all-cause mortality decreased during the Great Recession is consistent with previous studies. Some categories of cause-specific mortality, notably cardiovascular disease, also follow this pattern, and are more pronounced for certain gender and age groups. Our study also suggests that the recent recession contributed to the growth in deaths from overdoses of prescription drugs in working-age adults in metropolitan areas. Additional research investigating the mechanisms underlying the health consequences of macroeconomic conditions is warranted."[1]
In the last big recession, deaths due to certain causes went up but overall mortality decreased. So what you're saying definitively did not happen in the only other comparable situation.
I'm not saying that, but I could have been more clear.
The Great Recession is not a great comparison to a continued lockdown scenario, unemployment peaked at 10% while current reports are putting us already at ~14% and rising. The recession reduced demand but didn't wipe out sectors, nor did it cascade nearly as fast. Heart attacks and traffic fatalities will go down as the studies show.
I don't think I'm being contrarian, these pacts were setup to provide the political cover necessary for those qualified to make the call. My prediction is CA/OR/WA reopen on roughly the same schedule as everyone else, with just slight stricter restrictions. Such as quarantining the sick, isolating the high-risk, and other measures to bring the CFR down.
It's truly a great system.
I'm curious if these recently announced state pacts will be challenged in court. But legal or illegal, it doesn't excuse the poor job of federal management.
It also sounds like [2] things are rather flexible in what approval is and when it is obtained. It's plausible that they expect to ask for approval, or rely on it being unlikely that congress explicitly disapproves, or perhaps they expect to obtain approval in the future.
[note: I've linked to a point in the opinion discussing Congressional approval]
1: https://scholar.google.com/scholar_case?case=103881997639573...
2: https://www.gsgp.org/media/1313/understanding_interstate_com...
OTOH, pacts like the popular vote compact signed by some states in the past few years is almost certainly unconstitutional.
Why would that be the case? Electors are not bound by any particular (federal) rules in how they cast their votes. If we look at the popular vote compact as a friendly handshake agreement (to which electors are not legally bound), they are free to fulfill the handshake agreement and vote along with the national popular vote.
Of course, if a signatory decides last-minute to betray that agreement, there perhaps would be no legal remedy.
https://en.wikipedia.org/wiki/Interstate_compact
In Virgina v Tennessee, in 1893, the Supreme Court allows states to make compacts in all matters reserved to the states and the enforcement of which does not encumber federal rights.
And for the most part, at the consent of Congress, states keep armies and air forces (and many keep navies) as guaranteed by the second amendment.
I mean, Trump is calling himself a "Wartime President"[1]. And the virus technically is on American soil....
[1]: https://www.nytimes.com/2020/03/22/us/politics/coronavirus-t...
It'd be nice to think that the largest pandemic of the last century would allow for this, but given the current supreme court bench I guess I wouldn't really bet on it
In other cases where the Federal government does have jurisdiction, such as interstate treaties regarding shared resource rights, the Federal government can delegate the issue to a group of affected States to sort out amongst themselves e.g. the Colorado River Compact of 1922.
We have a federal government that has the power to take action. Republicans are stopping that from happening and so some states are choosing to fix it for themselves.
You get what you vote for.
"No State shall, without the Consent of Congress, lay any Duty of Tonnage, keep Troops, or Ships of War in time of Peace, enter into any Agreement or Compact with another State, or with a foreign Power, or engage in War, unless actually invaded, or in such imminent Danger as will not admit of delay."
This scares me a bit. This agreement seems innocuous at first, but the constitution expressly forbids these (and all) kinds of agreements between states for a reason. A small pact like this today could tomorrow become leverage for secessionism or otherwise a power struggle with the federal government.
It seems to me that it states “with another State”, as in a capital S State or a member State of the United States. Then explicitly calls out as another option, “or with a foreign power”.
Furthermore, the title of Article I, Section 10 of the US Constitution is “Powers Prohibited of States”.
Of note: "Not all compacts between states require explicit Congressional approval – the 1893 Supreme Court decision in Virginia v. Tennessee affirmed that only those agreements which would increase the power of states at the expense of the federal government required it."
I'm not claiming that this pact is formally one of these "interstate compacts", but your maximalist reading of that article forbidding "all kinds of agreements" seems to be incorrect.
I think we are on a tipping point. Government directive or no, people are coming out of isolation. I don't think the local authorities have much choice at this point. Either they make some clear changes and/or issue timetables, or they risk loosing any control. These are Canadians, a people with national healthcare and a general respect for government authority. When this attitude hits America, a country that prides itself on individualism, things may move from lockdown to "what lockdown?" in a matter of days.
Everybody is too busy to help, and helping rescue others puts the rescuers at risk of Covid.
There is a horse farm near my house. They are curtailing riding as much as possible specifically because they know that riding horses can be dangerous, especially for kids. They don't want any trips to hospital right now.
These Stay At Home “orders” are pointless because there is no enforcement. They might as well be called Stay At Home suggestions.
And I definitely promise you that my news organization will have no bias or slant, and will only report facts.
We are participants in the most creative and powerful world economy of all time. Regardless of geographical location, cultures are generally more unified and geared toward working together than ever. Markets have shown an impressive amount of resilience in the face of unprecedented fear messaging. People are ready to work hard; in fact they're wearing themselves out by working harder than they have before in many cases.
This is exactly the kind of action we need right now.
I guess you could reasonably say that groups with different political allegiances should just split up. But what's weird about that to me is it's basically like the states' rights platform, sans Constitution.
not to mention the suicide by fentanyl in a subsequent economic recession/depression.
Any aware of such an analysis?
However, we have pretty good estimates on how many people will die if we don't shelter and isolate, and I think that trumps what would inevitably be some very vague guesses as to how many people might die as side effects of sheltering and isolation.
And regardless, many of those potential deaths could be preventable with the right focus on mental health and financial support during and after the lockdown. (Not saying we do have the right focus; I expect we definitely don't. But that's not a reason to give up on isolation.)
This is a fantastic point/rebuttal and has helped shift my perspective somewhat. We can do things about tomorrow's suicides, heart attacks and diabetes later, though not too too much later.
https://www.pandemiceconomist.com/2020/04/costs-and-benefits... TL;DR (copied directly from the post):
With these values, if a lockdown of two years or less will stop the COVID-19 pandemic, it is a good idea. With the current research into treatments and vaccines and the development of testing and tracing strategies, I believe that there will be a medical or public health way to stop the pandemic in less than two years. Notably, the net benefit of a decision to initiate or sustain lockdown goes up over time, because the time remaining until medical countermeasures are available keeps going down.
Covid mainly kills older people, so you can’t use an “average” value of a life when calculating costs. I would also expect some discussion on the effects upon the economy of the death of a lot of retirees.
Disclaimer: I’m not an economist.
The pandemic is eroding the idea that sickness and poverty are moral failings. It that sticks the benefits will be huge.
Oh, and there has been the first month without a school shooting since 2002. Another epidemic controlled by staying at home.
What's the end game here?
If you slow the spread, and then reopen, it'll spread again. Nothing will have changed, you'll just have delayed it a bit.
> Ensuring an ability to care for those who may become sick with COVID-19 and other conditions. This will require adequate hospital surge capacity and supplies of personal protective equipment.
Delaying it is the point, it ensures we have enough hospital capacity and PPE to handle the inevitable burst of cases when reopening. This is what people mean when they say "flatten the curve". If we simply open whenever and aren't prepared we'll have a massive spike in cases that exceeds hospital capacity, vs the current situation where the case growth is slower and hospitals are less burdened.
At one end of the spectrum you have (mythically) infinite hospital capacity and staffing, testing capacity, and contact tracing ability. In that world, you reopen everything, and let people go about their lives.
At current capacity, we need to slow things down. If we can increase capacity enough in the coming weeks and months, we'll need to slow things down much less.
Hospitals have actually, counter-intuitively, seen a reduction in usage. The number of hospitalizations has been far lower than expected (~20% of IHME's modeled values) and when combined with the fact that non-COVID patients have been avoiding hospitals (even for serious emergencies like heart attacks and strokes!), many are reporting entire wards being completely unused according to reports from medical professionals on Twitter, Facebook, and r/medicine.
Also, 150,000 test results are coming in every day. That's 5x the per-capita testing rate of South Korea (~5,000 tests per day) and while we certainly can and should increase testing dramatically, the US is actually doing pretty well on testing relative to global numbers.
So far they have done 500000 tests, but they got started early, and controlled their outbreak much better. In recent news the US just bought 600000 tests from South Korea.
“The South Korean companies behind the kits are now churning out enough to test at least 135,000 people per day. The stabilizing situation at home has enabled these firms to export more of this extra capacity.”
Criticize the state/federal model though you might for how it sometimes dilutes the ability to get things done in a unified way, at least in times of national or federal-level dysfunction, the people who can step in locally to provide some guidance and coordination are able to do so, and not actually be stymied or prevented from doing so by some authoritarian framework.
Imagine instead if we lived in a country with more organized / powerful central control, but was both authoritative and incompetent. We would be really fucked.
My first read: CTRL-F for "test" to see if there's any new statement on serological testing. Nothing.
This is all we want right now. This is the first priority, and whatever is second is somewhat distant.
Not having widespread serological testing to understand the prevalence in our communities really gives a feeling of being in a third-world country.
It's awesome that Drs. Bhattacharya and Bendavid have pushed the Stanford study forward (hopefully we have results this week). But seriously, there's no excuse for not having already done a round of random testing in every city, several times.
And yet our leaders aren't even talking about it. Where's the will to do this obvious first priority?
Let’s just say it’s very much bad for your neighborhood of states to have that kind of situation. Closing borders or having diplomatic disasters isn’t worth it. It’s better to reach a common decision.
Regardless, this can be seen as a shot in the arm toward Casacadia because it is a demonstration of cross-state regional cooperation that would be necessary to further an independence movement.
For those unfamiliar, Cascadia is an independence movement around the NW bioregion of the United States: https://en.wikipedia.org/wiki/Cascadia_(independence_movemen...
Edit to add more info:
While many Pacific NW folks are not familiar with Cascadia as an independence movement, fans of the Portland, Oregon soccer (football) team Portland Timbers often carry or fly the Cascadia independence movement's flag during games. Shown on the right side of this giant tifo:
https://www.theguardian.com/football/blog/2012/jun/28/portla...
* https://en.wikipedia.org/wiki/Cascadia_subduction_zone
(...sorry)
Nt Rly though.
If only we had some sort of united group of all the States, where the response could be coordinated and centralized for maximum effectiveness.
This is kind of like that, but you could die.
Legally, is this possible in the US?
In Australia for example each state has closed or is controlling their borders with each other, and this seems to largely be a decision for each state (I don't think there's a federal law either way). I could imagine some states choosing to open up while others remain closed. Or if two states made big sacrifices but got the issue under control, while the others lagged behind, those two could open borders between themselves while remaining closed outside.
What in the US is legal has changed radically in the last three years.
Great question.
The Constitution is very clear that ultimate authority about Interstate Commerce belongs to Congress. States cannot bar travel from other states.
HOWEVER there is legislation enabling states to impose quarantines on people coming from other states. https://www.nytimes.com/2020/04/10/travel/coronavirus-us-tra... has information about such quarantine rules currently in place.
So stop travel, no. Make it difficult, we're going to see a lot of that.
We do, however by design that body does not have authoritarian control over things like 'shelter at home' regulations.
> Under section 361 of the Public Health Service Act (42 U.S. Code § 264), the U.S. Secretary of Health and Human Services is authorized to take measures to prevent the entry and spread of communicable diseases from foreign countries into the United States and between states.
Nothing stops them from encouraging states, either. (We did this with speed limits, as an example. Want Federal highway funds? Play ball with the Feds.) Florida's Governor justified not issuing a stay-at-home order based on the White House not having asked him to.
https://www.tampabay.com/news/health/2020/03/31/ron-desantis...
Perhaps through "encouragement" but that still leaves a lot of unanswered questions.
If that centralized and coordinated leadership is incompetent and/or corrupt, there is no Plan B.
I'm arguing letting the central federal government handle everything.
Centralization requires buy-in, and after at some point it becomes clear that sitting around waiting for other states to play ball can be equally disastrous.
In realpolitik terms, I doubt the federal government can stop this. What are they going to do? Send the army to force states to accept potentially infected people? That's basically an order to go kill your countrymen. I'd hope, given such an order, much of the military would defect.
The unwillingness to call for a nationwide lockdown is also a big one that has angered a lot of governors. And just today Trump tweeted that he has the authority to end lockdowns, which is a blatant lie.
So yeah, the response hasn't been great.
This is as opposed to ordering one of the several companies in the US who already make medical ventilators to simply make more ventilators.
https://www.denverpost.com/2020/04/04/coronavirus-colorado-p...
https://www.denverpost.com/2020/04/08/colorado-coronavirus-v...
https://www.theguardian.com/us-news/2020/mar/27/trump-ventil...
There is a concrete example of the Federal government seizing PPE, Ventilators ordered by the states. Then only giving them 20% of what they ordered.
Its basically legal theft.
Early in office, Trump got rid of the department created by Obama to respond to pandemics.
Early in this epidemic, we bungled getting testing out. Got it out in broken form. Had to get it out again. All the while we turned down an effective test advocated by the WHO. And when testing existed, had rules that tested so little that they missed the existence of community spread until it was well established.
Blocked private labs from developing and conducting tests. (Community spread was demonstrated by one who broke the federal rules. The reaction of the Trump administration was to come down on them for having conducted unauthorized tests.)
Well after it was clear that this was a pandemic that was not under control, Trump was spinning a narrative of this being no big deal.
Failed to declare a federal emergency and social distancing restrictions at a national level. Which caused a patchwork of inconsistent responses at the state level. California was in lockdown while COVID-19 was happily spreading among tourists on crowded Florida beaches.
I could go on. But right now the USA has 1/4 of all deaths worldwide from COVID-19. We are stilly dying faster, and didn't get there by accident.
The USA shipped out tests after other countries, and with a faulty reagent that caused false positives. Causing labs that should have been able to do their own tests to have to ship samples to an overwhelmed CDC. See https://www.technologyreview.com/2020/03/05/905484/why-the-c... for verification.
The CDC promised new tests, but they took weeks to arrive. In the meantime federal bureaucracy roadblocked the development of independent tests. Finally the Seattle Flu study went and ahead and tested...only to find that COVID-19 had community spread for several weeks in that testing vacuum. You can verify that at https://www.nytimes.com/2020/03/10/us/coronavirus-testing-de....
As far as disbanding the Pandemic team, it's not really true, there was a shuffling of who was in charge of it. It was finally transferred to the Vice President.
Let's go for a fuller version: https://www.reuters.com/article/uk-factcheck-trump-fired-pan...
Long story short, a number of people were let go, what was left was moved around in the bureaucracy, the political leadership left in charge claims that it still works, but the people left and other politicians claim that it was hamstrung.
Given that the US response has been so weak, it it questionable whether it operated at all effectively.
As far as I can tell, the FDA approved an emergency policy to Help Expedite the Availability of Diagnostics on Feb 19th.
Yes, at which point they created a bureaucratic nightmare for the approval process. As the NY Times article outlines, the lab that actually found community spread was NOT able to get through the approval process.
The US probably has more contact with China due to trade/travel than most other countries. I don't believe the numbers from China, they are sure to be way higher than they report.
Yes, the USA has a lot of travel. You are far from alone in not believing China. However there is no reason to believe that they are lying about having effectively shut down the virus. (Even the social distancing we are doing here seems to be working, and China was a lot more extreme.)
I don't think the Federal Government really has the ability to shut down a states beaches that aren't Federally managed.
Never underestimate the reach of the Commerce Clause. The President's ability to declare quarantines and apply them to whomever for whatever reason is extreme.
I don't know the limits for sure. But I doubt that he would have had less ability to act than various governors have had.
1. Ignored the pandemic response playbook. This document was prepared after the SARS outbreak and contained all the lesson s learned.
2. Reckless public statements. Calling the virus "no worse than a flu" and "a hoax" certainly caused people to not take it seriously and helped it to spread. Pushing the hrdroxocloriquine study before the research was conclusive has gotten people killed.
3. Depriving states of essential resources. Massachusetts not only had their request for masks denied, but also paid for their own masks only to have them seized for the "federal stockpile". In the end the governor had to get masks smuggled in on the New England Patriots private jet.
4. When New York projected it would run out of ventilators in 6 days, their request was denied on the grounds that Trump felt 30k ventilators was too big a number.
5. The emergency production act (or whatever it's called) could have been invoked at any time to address the ppe shortage. Afaik it hasn't been.
[1] https://www.npr.org/2020/04/13/832797592/a-month-after-emerg...
The US federal government waited until mid-March to order N95 respirators: https://apnews.com/090600c299a8cf07f5b44d92534856bc
Other governments acted much more quickly, for example Australia started doing so on February 7: https://www.thelancet.com/journals/lanres/article/PIIS2213-2...
The US government, in particular Trump, is responsible for this delayed response.
May be its posturing or may be its not.
I think the interests of White House and Governors are more in line than not.
Time will tell.
We do! It's called the United States government. I'll be letting the president know you're interested in him taking over and using his own ideas, instead of this one you seem to be particularly fond of.
Or, if that idea is slightly terrifying for you, perhaps it's a better idea that the states are handling this themselves. Your state conglomeration thing can always decide to use the National Guard to prevent outside travelers.
Europe, a group of many independent states, trying different approaches to a common problem, with an over-arching bureaucracy to coordinate between them... and the US approach sounds crazy to you?
Edit: not endorsing parent comment
I enjoy that you are making this point from the username "anoncareer0212"
The National Guard serves a dual role. Most of the time, it’s under the control of individual states, with the state governor acting as commander in chief. However, the president can activate the National Guard and place it under federal control. When this occurs, guard units are used to supplement the regular Army, bolstering its forces with additional combat units. [1]
It's almost like the constitution was written to enable these things to happen, and prevent a corrupt and/or inept leader from forcing a one-size-fits-all solution on the nation!
See: https://en.wikipedia.org/wiki/Freedom_of_movement_under_Unit...
States cannot discriminate against people from other states on the sole reason that they are from some other state.
Now... (I believe) they could use the National Guard to do wellness checks to make sure people don't have a fever, and potentially get them to quarantine, but it would have to be applied without regard to what state their license says. Though, the legality of forcing quarantine varies by state.
We're talking about forcibly keeping everyone in the country out of church. It's pretty disturbing to give that power to government, even temporarily. How long before it gets applied to other situations after the pandemic dies down?
What's to stop the president in 2030 from saying: "We're facing an epidemic of terrorism by [whoever] so we're keeping them from gathering in public."
Or: "There's an epidemic of [some crime] that uses the internet. We need to control it."
https://news.ycombinator.com/item?id=22828354
Today it is pandemic resolution. I fear that tomorrow, it might be economic ties, lockstep voting at the federal level, and National Guard drills, deployments, and contingency planning, where the West Coast slowly splits away from the rest of the country, with other states teaming up and following suit.
This isn't the end, and it's the only appropriate response to a federal government that cannot or will not execute on behalf of all states. It is, however, a reflection of the true state of our Union, and a sign of things to come if we don't reconcile our national identity.
I'm saddened, but not surprised, that a step like this was necessary given the circumstances.
Why fear? This is my dream!
The Senate is irreparably broken. There is no conceivable way that it can become more fairly representative of the people without a breakup of the United States. The smaller less populous states aren't going to just give up their outsized power voluntarily.
California is suffering the most due to the Senate's structural unfairness, and it has the most to gain from succession. I hope it happens in my lifetime.
You're talking nuclear missiles or chemical weapons fired against San Francisco, Los Angeles, or Seattle from land-based silos in the Dakotas, or mutinies aboard our SSBNs, or Russian troops landing en masse in South Carolina to offer foreign assistance. It will mean the Balkanization of the country, where California has to station permanent garrisons in the Sierra Nevada mountains to ward off invasions from Texas or Mexico. You're not talking about a 40% drop in GDP this quarter, you're talking about famine and starvation, and complete international irrelevance after the dust settles. If only tens of millions of Americans die, that probably counts as a win.
"We are not enemies, but friends. We must not be enemies. Though passion may have strained, it must not break our bonds of affection. The mystic chords of memory will swell when again touched, as surely they will be, by the better angels of our nature."
Maybe the half life of radioactive isotopes is acceptable enough to relax habitation restrictions in a short enough period of time. People do currently live within the restricted zone of Chernobyl, they just have shortened lifespans, but they are functioning properly. You can probably garrison troops after nuking an area six months after doing so, as long as you cycle them out on a regular basis.
Maybe white-collar service workers are less valuable than blue-collar laborers, especially if they're already demoralized. You can torture a blue-collar worker to create output, albeit slower and lower quality and with Byzantine faults. You can't torture an asset management consultant to give you a high ROI. The brain doesn't work like that. So at that point he or she is just another mouth to feed and you can get rid of him or her. Extrapolate to an entire city.
Maybe it's just pure hatred. Most cities are highly Democratic and liberal, which today apparently labels someone as less than yourself, as someone less than human.
You begin your comment with this thesis, but without explanation.
I think secession, in my lifetime, is likely. I think civil war is vanishingly unlikely.
We remember Lincoln as an emancipator, but his words and actions don't support that. He was an advocate of institutional racism and drove away the people who actually wanted to end slavery, whether in peace or by war. He spent much more time discussing and devising his plan to deport and colonize all black people than he ever did working to end slavery.
I believe that our country missed a great opportunity to take an actual abolitionist position, which was being articulately and powerfully communicated by plenty of leaders who worked in better faith than the government ultimately did. I also believe that this missed opportunity is a substantial part of the reason that we still endure slavery today under the guise of a criminal justice system.
This is pretty unlikely, if only because the fallout from nuclear weapons launched at the West Coast will blow back over the rest of the country, including over the regions that launch the missiles themselves. There's a reason short-range and battlefield nukes were never used in anger and it has nothing to do with morals.
The rest of your point stands. From a global perspective, a break-up of the U.S. is a very bad thing. Aside from the potential civil war here, it also means open-season on any countries that are basically U.S. protectorates (Taiwan, Japan, Israel, and much of Europe are toast); it hands global leadership over to China; it means financial chaos; and it could result in famines and food instability throughout the world (the U.S. is a major food exporter).
Not to mention, hatred is irrational anyways. At this stage, we're talking about an organization that will reduce its own negotiating lever on the world stage in order to subjugate innocent civilians, which we've already seen take place at various points in Syria and the Soviet Union. I would expect political commissars taking over the nuclear command authority to turn the keys, not USAF or USN personnel.
The West Coast is abundant in natural resources, provides good natural port access to the Pacific and Pacific nations, and provides a direct conduit to Alaska and its oil fields. The prospects of invasion depend on a cost benefit analysis.
Maybe cross-border drug traffic increases exponentially without DEA and Border Patrol, and you want to secure a region bent on escalating retaliation. Might also be an opportunity if half the population is too coked out to put up a fight. This was the First Opium War in China and the Century of Humiliation.
Maybe too many Americans are fleeing desperate circumstances into Mexico, and Mexico wants to stop refugee outflows while playing the hero bit. This was Vietnam + Cambodia during the Khmer Rouge.
Maybe global warming causes a chain of collapse towards underfunded and overextended governments in South America, and Mexico is itself invaded from the south and is running north. The collapse of Venezuela is a rehearsal of sorts.
The Federalist Papers contain examples out the wazoo of a "country" turning on itself, as warnings against disunion. Highly encourage reading them.
Quite frankly, it doesn't need to make sense. It needs to be possible.
Someone needs to secede so the rest of us can divest our tens of trillions of national debt.
There are conceivable ways that things can be fixed - constitutional convention.
https://en.wikipedia.org/wiki/Partition_and_secession_in_Cal...
This is untrue. We could simply add more Senators by admitting more states into the Union. Kinda like we did with Alaska and Hawaii.
Millions of citizens in DC are without Senatorial representation not to mention Puerto Rico, Costa Rica, Guam or many other "protectorates".
It can be done without dissolution of the US. It requires a simple majority vote in the Senate and House and Presidential approval.
Not to mention retirement funds which are going to be obliterated, but that's a somewhat separate issue from the budget.
That seems pretty far-fetched.
Much more likely (and welcome) would be a sort of "legal coup", where the states that still have functioning governments band together in the task of reshaping the federal government through voting and legislative power.
We're certainly approaching a breaking point in the dysfunction of the federal government and its inability to do its job and serve a society; something has got to give. But I still think any kind of civil war scenario remains far, far out of the question.
I think the situation we're in right now is pretty much a "legal coup" by a motivated minority. It'll be a slog to get back to representative democracy.
I read "The Black Swan" by Nassim Taleb recently, and he mentioned how his home country of Lebanon went from diverse paradise to all-out civil war in six weeks, or 1.5 months. About the same time as "just a flu" to today.
For all our sakes, I hope to God I'm wrong and I hope to God you're right.
When Trump threaten to "shutdown" travel between the North East States, people had to tell him that he did not have the authority to do that.
I hope I am overreacting, but my parameters for what I used to consider normal and possible have been shifted significantly and there seems to have formed a great open space of terrible possibility to be filled.
If there is a reasonable expectation of that happening in the next couple of weeks, then ok. If this is just "hope", then we should end the lockdown and let the flu run its course, like every year.
The overall mortality rate is about 2%, which may be unavoidable in the US even with social distancing, since I don't see any way for the US to emulate S. Korea's testing and tracing success.
Does anybody have any logical reason for thinking that the US can copy S. Korea?
Does the US have any way to do up to 600 million tests per week and see the result in an hour?