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FOCUS: Vaccination Is Going Slowly Because Nobody Is in Charge Print
Written by <a href="index.php?option=com_comprofiler&task=userProfile&user=57778"><span class="small">Ashish K. Jha, The Washington Post</span></a>   
Sunday, 03 January 2021 11:46

Jha writes: "How did we get from 100 million promised doses to just a few million people vaccinated? It is a lesson in misunderstanding American federalism and a failure of national leadership."

Doctor giving a vaccine to a patient. (photo: INGIMAGE)
Doctor giving a vaccine to a patient. (photo: INGIMAGE)


Vaccination Is Going Slowly Because Nobody Is in Charge

By Ashish K. Jha, The Washington Post

03 January 21


We’ve known for months that vaccines were coming. Why weren’t we prepared to use them?

accine development for covid-19 has occurred at a remarkable pace, thanks in large part to the careful work of the scientific community, both in the United States and around the globe. Operation Warp Speed played a key role in accelerating the creation of vaccines without cutting corners, and producing millions of doses. As a result, the two vaccines that have been authorized by the Food and Drug Administration are safe and highly effective against the disease. That’s why we want them to reach people’s immune systems as quickly as possible — and why the current delays in getting people vaccinated are so disappointing.

Let’s start with a quick recap: As recently as early October, Health and Human Services Secretary Alex Azar said we’d have 100 million doses of vaccine by the end of 2020. One month later, that was reduced to 40 million doses. As recently as Dec. 21, Vice President Pence, the head of the White House coronavirus task force, said that we were on track to vaccinate 20 million Americans by Dec. 31. Unfortunately, 20 million doses haven’t even gotten to the states. The Centers for Disease Control and Prevention is reporting that we have vaccinated about 2.6 million people. Assuming the reporting lags by a few days, we might be at 3 or 4 million total.

This is striking. We’ve known for months that vaccines were coming. We know that vaccines only work when people get vaccinated. Every dose of vaccine not given risks more illness and potential death. The failure to vaccinate more quickly is tragic given that more than 3,000 Americans are dying of covid-19 every day. At the current rate, we will surpass 400,000 deaths by Inauguration Day.

Operation Warp Speed now says it aims to vaccinate all Americans by June. But we will not get there unless we understand what is happening and what we need to do to fix it.

How did we get from 100 million promised doses to just a few million people vaccinated? It is a lesson in misunderstanding American federalism and a failure of national leadership. The federal government and Operation Warp Speed saw their role as getting vaccines to the states, without considering what supports states would need to get vaccines to the people. The Trump administration is now blaming the slow rollout on states. This is political theater and obviously untrue. States undoubtedly have a critical role to play in vaccine distribution. But states alone can’t mount one of the largest vaccination efforts in recent history. Moreover, not all 50 states are failing.

What is happening at the state level? The responsibility of vaccine distribution has fallen on state health departments. These relatively poorly funded agencies have been managing the full pandemic response for months. They oversee testing, the data collection and reporting, providing public guidance, overseeing restrictions, and so much more. They are squeezed and stretched, and to make matters worse, their leaders are receiving death threats and other forms of harassment, prompting some to quit. These agencies are in no position to take on rapid deployment of a new vaccine without a lot more resources and help.

The Trump administration gave about $340 million in Cares Act funding to states, territories and other jurisdictions for vaccine preparedness. This was a tiny portion of the amount that states and the administration acknowledged was needed. As time for distribution got closer, the administration never pushed for more funding to states, leaving them largely lacking the financial resources needed. So these already strained public health departments across the country are finding themselves in a position to stand up rapid vaccination infrastructure with little support.

If this story line sounds familiar, it is. This is the same strategy the administration used for personal protective equipment for nurses and doctors, as well as for testing. And it was never going to work. It’s also a story that fits into a larger pattern: For years, our public health infrastructure has been starved of resources, and without both money and deep, prolonged investments in these institutions, expecting them to pull off every major challenge in the middle of a global pandemic is unrealistic.

What is actually needed for large-scale vaccinations? The current strategy allows for every clinic, hospital and pharmacy to be a vaccination site, which translates into tens of thousands, if not hundreds of thousands, of sites across the nation. It would be simpler and easier to take a more streamlined approach, with the federal government working with states to focus resources on a more limited number of sites, providing more direct logistical support to each instead of leaving them to fend for themselves. Among other things, this would mean ensuring that they had the physical infrastructure, the staffing and the IT infrastructure they need to proceed. For people who are not able to go to these sites (such as some nursing home residents), local pharmacies could deliver the shots. (West Virginia took this approach, becoming the first in the nation to offer vaccines to all nursing home residents.) Some states might choose a different approach, and the federal government could work with them.

Regardless of the particular approach, this sort of planning should have happened in October and November. The administration should have gone to Congress and gotten the money needed to set this up. That didn’t happen. Instead, the administration is blaming the states. Of course, once a blame culture is set, the finger-pointing continues: In Mississippi, the health chief says it’s not the state's job to ensure vaccines get into people's arms and he is now blaming front-line providers for the slow rollout.

What must happen now? It’s important to know that many states are taking real responsibility. A lot of overburdened public health agencies are still setting up vaccination sites. And Congress just allocated $7 billion in the latest covid relief bill for states to vaccinate people. The federal government should be working with states to figure out what they need — and use staffing from FEMA, the National Guard or other agencies to bolster state capacity or even take over responsibilities where states feel they need help. Getting these sites up and running quickly with vaccinations happening efficiently is of the essence.

There is hope now. President-elect Joe Biden is pledging action, recognizing and preparing to meet the huge operational challenge of vaccinating a nation with the urgency demanded by these times. After a slow ramp up, states will improve their processes. For all this pandemic has taught us and cost us, it has demonstrated again that we are the United States and, especially in crisis, an effective federal government is essential.

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Kelly Loeffler and David Perdue, Profiting Off Pandemic Pain, Are the Ugly Faces of GOP Corruption Print
Written by <a href="index.php?option=com_comprofiler&task=userProfile&user=57777"><span class="small">Margaret Carlson, The Daily Beast</span></a>   
Sunday, 03 January 2021 09:22

Carlson writes: "Would you vote for a senator who sold a stock likely to tank after getting a senators-only briefing on a coming pandemic? How about one who told you the pandemic was no big deal while buying shares in a company that sells body bags?"

Senators Kelly Loeffler and David Perdue at a campaign event in Milton, Georgia. (photo: Al Drago/Reuters)
Senators Kelly Loeffler and David Perdue at a campaign event in Milton, Georgia. (photo: Al Drago/Reuters)


Kelly Loeffler and David Perdue, Profiting Off Pandemic Pain, Are the Ugly Faces of GOP Corruption

By Margaret Carlson, The Daily Beast

03 January 21


Washington’s turned a blind eye to their self-dealing and alleged insider trading, but Georgians have not.

ould you vote for a senator who sold a stock likely to tank after getting a senators-only briefing on a coming pandemic? How about one who told you the pandemic was no big deal while buying shares in a company that sells body bags?

Both Republican incumbents in Georgia’s crucial runoffs, that will determine which party controls the U.S. Senate, were investigated this year for allegedly engaging in pandemic-related insider trading.

The two are the Senate’s wealthiest member, Kelly Loeffler, appointed in 2019 and running for a full term of her own, and its seventh wealthiest member, David Perdue, a businessman sued for wage theft and discrimination while losing $150 million in two years as CEO of Dollar General.

After the notorious briefing, Loeffler, who joined Trump in dismissing the pandemic, and her husband, who almost never trades to avoid conflict with his job as chair of the Intercontinental Stock Exchange, made 27 trades worth between $1.2 and $3.1 million that helped them weather the virus-triggered crash. On the same day, Perdue began accumulating $825,000 worth of stock in DuPont, a company that makes personal protective equipment and body bags, and sold an equal amount of other stocks in over a hundred other transactions. He’d already raised eyebrows when as a member of the Senate’s cybersecurity subcommittee, he promoted FireEye, a cybersecurity firm in which he held $250,000 worth of stock, a fraction of his 2,596 trades since joining the Senate. It makes you wonder when he has time to legislate and why Martha Stewart, who prepared the country to bake sourdough bread as a hedge against insanity, will be remembered for going to jail over one trade.

Bill Barr’s Justice Department and the Senate Ethics Committee, so-called, both ended their investigations into the suspiciously timed trades. The only investigation for insider trading that remains open just happens to be against a senator who’s retired.

But while Washington has turned a blind eye, Georgians have not. During the Republican primary, the candidate Trump backed, former Rep. Doug Collins, said he was “sickened” by Loeffler “profiting off the pain” of COVID victims. Whenever it comes up, Loeffler talks about her humble beginnings growing soybeans. In the general election, Perdue’s opponent, Democrat Jon Ossoff, got off the ground when he ripped through the accusations at their first debate and Perdue just stared ahead, speechless. Rather than endure that again, there’s been an empty podium at subsequent debates where Perdue would be if he could muster a defense.

On Monday, the final day of campaigning, President-elect Biden will try to help get Democrats Ossoff and Raphael Warnock over the top while President Trump, taking time from his exhausting schedule of golfing, pardoning his friends and pushing through the most federal executions since 1896, will try to un-depress turnout after two months of bitter complaints about how Georgia’s Republican officials supposedly allowed Biden to steal the election from him. The charge was supported by little more than a purported eyewitness found by Rudy Giuliani who was actually a temp who wiped down computer screens for one day at one polling place. Weeks of Trump telling voters the “system is rigged,” GOP strategist Frank Luntz told Fox, is having “a debilitating impact on whether his people will vote.” He’s right. Why bother if a gremlin named Roy Raffensberger—the Republican Secretary of State’s imaginary brother in Trump’s warped mind—is going to eat your ballot?

On New Year’s Eve in the pouring rain, early voters in Cobb County were standing in a line two football fields long telling reporters they would be staying for a long as it took to vote. It’s a race that will decide whether Mitch McConnell remains majority leader or lives out what’s likely his last term under the thumb of Chuck Schumer, and if the pandemic some profited from will finally be treated like the threat to the country it is.

Perdue and Leoffler got off for now. Of course they did. The legislation supposed to stop insider trading largely sets up disclosure rules that do little to stop inside trading since members of Congress are by definition insiders. That’s so obvious that uber-capitalist Republican Sen. John Cornyn said that the only way to deal with the problem is to prohibit members from trading stocks altogether.

Or to send those that game the system packing. Nothing gets a senator’s attention like a colleague paying a price for forgetting why he’s there.

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Deb Haaland on Climate, Native Rights and Biden: 'I'll Be Fierce for All of Us' Print
Written by <a href="index.php?option=com_comprofiler&task=userProfile&user=39883"><span class="small">Nina Lakhani, Guardian UK</span></a>   
Saturday, 02 January 2021 13:30

Lakhani writes: "Debra Haaland is making American history."

Rep. Deb Haaland, one of the first two Native American women elected to Congress, on the East Front of the Capitol on January 4, 2019. (photo: Tom Williams/CQ-Roll Call/Getty Images)
Rep. Deb Haaland, one of the first two Native American women elected to Congress, on the East Front of the Capitol on January 4, 2019. (photo: Tom Williams/CQ-Roll Call/Getty Images)


Deb Haaland on Climate, Native Rights and Biden: 'I'll Be Fierce for All of Us'

By Nina Lakhani, Guardian UK

02 January 21


The 60-year-old congresswoman will be the first Native American cabinet secretary next month when she takes over at interior

ebra Haaland is making American history.

The 60-year-old congresswoman from New Mexico will next month become the first Native American cabinet secretary in US history, when she takes responsibility for the country’s land and natural resources as head of the Department of the Interior under Joe Biden.

Haaland is a member of the Laguna Pueblo, one of 574 sovereign tribal nations located across 35 states. According to the 2010 census, 5.2 million people or about 2% of the US population identifies as American Indian or Alaskan Native – descendants of those who survived US government policies to kill, remove or assimilate indigenous peoples.

Come January it will also be Haaland’s job to uphold the government’s legally binding obligations to the tribes – treaty obligations which have been systematically violated with devastating consequences for life expectancy, political participation and economic opportunities in Indian Country.

In an interview days before her nomination, Haaland told the Guardian that as secretary of the interior she would “move climate change priorities, tribal consultation and a green economic recovery forward”.

It’s a big job with high expectations after four years of racist rhetoric and destructive environmental rollbacks by the Trump administration, which showed contempt for the climate or environment by green-lighting planet-heating fossil fuel projects on public and tribal lands with little regard for culturally and ecologically important sites.

“I’ll be fierce for all of us, for our planet, and all of our protected land,” said Haaland in her acceptance speech. “This moment is profound when we consider the fact that a former secretary of the interior once proclaimed it his goal to, quote, ‘civilize or exterminate’ us. I’m a living testament to the failure of that horrific ideology.”

Indigenous communities in the US, and globally, are disproportionately vulnerable to the impact of the climate crisis such as rising sea levels and droughts, and environmental hazards resulting from polluting industries. As secretary of the interior, Haaland will play a key role in undoing Trump’s rollbacks and will also be a key lieutenant in Biden’s new climate team.

This is not the first time Haaland has made history. In 2018, she became one of the first two Native women in Congress, alongside Sharice Davids of Kansas. In January, a record-breaking six Native Americans – four Democrats and two Republicans – will be sworn in.

Representation and diversity matter, according to Haaland, because life experiences shape political decisions. “We don’t need people who all have the same perspective, we need people from various parts of the country, who’ve been raised in different ways, who bring that history and culture with them, and employ what we’ve learnt from their parents and grandparents, and bring all of that to bear in the decisions that we make,” she told the Guardian.

It’s been a rocky road for Haaland who like a disproportionate number of Native Americans has experienced homelessness and relied on food stamps. She is also the product of racist policies such as the forced removal of thousands of Native children from their families between 1860 and 1978. At the age of eight, Haaland’s grandmother was sent to a Catholic boarding school for five years a hundred miles from home.

“There are a lot of people in this country who suffered historical trauma from that era. I carry that history with me, I’m a product of the assimilation policy of the United States. I feel very strongly that having this perspective is super important for the issues we bring to Congress.”

Haaland was elected to the House of Representatives in 2018 after campaigning under the slogan: “Congress has never heard a voice like mine.” Since then, she has introduced legislation that would establish a truth commission on Native American boarding schools and spearheaded two laws to combat the epidemic of missing and murdered indigenous women – crimes increasingly linked to transient extractive industry workers living in so-called man camps near or on tribal lands.

“Indigenous women have been missing and murdered since Europeans came to this continent in the late 1400s. Violence against women is a priority of mine. It’s not going to be fixed with just two pieces of legislation, but now it’s time to dig deeper and keep working,” she said.

Haaland will be the most senior Native American in the US government since the Republican Charles Curtis, a member of the Kaw nation situated in what is now Kansas, who served as vice-president to Herbert Hoover between 1929 and 1933.

She will be part of a government facing unprecedented complex and interconnected challenges including an out-of-control pandemic, global economic recession, spiralling hunger and the climate emergency.

Haaland’s track record working across partisan lines may also prove vital for Biden’s success, at a time when the country – and lawmakers – are deeply divided.

She said: “I’ve gotten more Republicans to sign on to my bills than any other Democrat. It’s important for all of us – county commissioners, governors and mayors, not just Congress – to make sure we’re working together for the greater good. We want to pass laws that will help people across the country, and we need to make sure these messages are getting out … I’m going to continue to reach across the aisle, to protect our environment and make sure that vulnerable communities have a say in what our country is doing moving forward.”

The Department of the Interior’s 70,000 or so staff oversee one-fifth of all the land in the US and 1.7bn acres of coastlines, as well as managing national parks, wildlife refuges and natural resources such as gas, oil and water.

A shift in priorities at the interior department could have major implications for global heating as about one-quarter of all US carbon emissions come from fossil fuels extracted on public lands, according to the US Geological Survey.

Earlier this year, Haaland sponsored a bill that would set a national goal of protecting 30% of US lands and oceans by 2030 – a plan since adopted by the Biden administration as a priority for his environmental agenda.

“Environmental injustice and economic injustice have taken a hold of so many communities, and they’ve had enough. They want us to pay attention and help them to succeed … As far as Indian Country is concerned, I want to make sure tribal leaders – and all marginalized communities – have a seat at the table.”

In stark contrast to Trump, Haaland believes that Biden will consult Native Americans – as the government is legally obliged to do. “I am confident that this president will pay attention to Indian Country, that’s why I believe so many [Native Americans] came out to vote, and helped him win Arizona and Wisconsin.”

Restoring protections eroded by Trump for Bears Ears and Grand Staircase-Escalante – national monuments in southern Utah which are sacred to Native Americans, is a priority for Haaland.

November’s elections took place after a summer of unprecedented protests demanding racial justice sparked by the death of George Floyd, a black man in Minneapolis who was killed by a white police officer kneeling on his neck for almost nine minutes.

Progressive Democrats, including Haaland and the so-called Squad – made up of congresswomen Alexandria Ocasio-Cortez, Ilhan Omar, Ayanna Pressley and Rashida Tlaib - elevated demands by protesters for radical structural changes to eradicate racial inequalities in health, housing, immigration, education, jobs and the environment.

“So many Native Americans joined the Black Lives Matter protests because Indian Country recognised that we are allies in the fight for environmental justice, economic justice and racial justice … These communities on the frontline deserve to have the resources to be able to lift themselves up,” Haaland said.

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We Came All This Way to Let Vaccines Go Bad in the Freezer? Print
Written by <a href="index.php?option=com_comprofiler&task=userProfile&user=43297"><span class="small">The New York Times Editorial Board</span></a>   
Saturday, 02 January 2021 13:29

Excerpt: "It's been two weeks since U.S. officials launched what ought to be the largest vaccination campaign in the nation's history. So far, things are going poorly."

A scientist works in the Moderna lab in Cambridge, Massachusetts, in February. (photo: David L. Ryan/Getty Images)
A scientist works in the Moderna lab in Cambridge, Massachusetts, in February. (photo: David L. Ryan/Getty Images)


We Came All This Way to Let Vaccines Go Bad in the Freezer?

By The New York Times Editorial Board

02 January 21


America did not sufficiently plan for how to get millions of people vaccinated.

t’s been two weeks since U.S. officials launched what ought to be the largest vaccination campaign in the nation’s history. So far, things are going poorly.

How poorly? Untold numbers of vaccine doses will expire before they can be injected into American arms, while communities around the country are reporting more corpses than their mortuaries can handle.

Operation Warp Speed has failed to come anywhere close to its original goal of vaccinating 20 million people against the coronavirus by the end of 2020. Of the 14 million vaccine doses that have been produced and delivered to hospitals and health departments across the country, just an estimated three million people have been vaccinated. The rest of the lifesaving doses, presumably, remain stored in deep freezers — where several million of them could well expire before they can be put to use.

READ MORE

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FOCUS: Americans, Looking for Bold Leadership, Need an Aspirational Agenda From Joe Biden Print
Written by <a href="index.php?option=com_comprofiler&task=userProfile&user=53457"><span class="small">Jesse Jackson, Chicago Sun Times</span></a>   
Saturday, 02 January 2021 12:46

Jackson writes: "As we turn to a new year, the spotlight shines on the new president and the new administration. Even as he assumes center stage in Washington, profound questions remain about Joe Biden's plans."

Joe Biden. (photo: Frank Franklin II/AP)
Joe Biden. (photo: Frank Franklin II/AP)


Americans, Looking for Bold Leadership, Need an Aspirational Agenda From Joe Biden

By Jesse Jackson, Chicago Sun Times

02 January 21


It is time for the president-elect to put his cards on the table.

s we turn to a new year, the spotlight shines on the new president and the new administration. Even as he assumes center stage in Washington, profound questions remain about Joe Biden’s plans.

His initial appointments have been solid, diverse, experienced and capable, drawn overwhelmingly from the established center of the party.

He has recognized that the nation faces crises of a scope similar to the Great Depression, calling for bold action. He has repeated his commitment to work across the aisle and seek bipartisan support, despite Republican legislators refusing even to recognize his victory. While recognizing the need for executive action, he has lectured civil rights leaders on the limits of his powers. As he prepares for what is likely to be a virtual inaugural, it is time for the president-elect to put his cards on the table.

What’s needed now is an aspirational agenda — an agenda that reveals the scope of action needed to meet the challenges we face, and that provides hope and galvanizes support. There are many sources to draw on. As Bernie Sanders said, Biden ran on the most progressive platform of any Democratic nominee in memory. The Poor People’s Campaign and the Congressional Progressive Caucus have put forth The People’s Agenda, providing a roadmap for the administration. Senators Bernie Sanders and Elizabeth Warren have detailed 100-day plans for the administration.

Biden ran largely by offering a return to sanity in contrast to the orange menace in the White House. Now it is time to speak to Americans about the scope of the crises he inherits and the first steps he will take to fulfill the promise that “help is on the way.”

COVID-19 and the pandemic-induced economic collapse pose the first test. The rescue package just passed by Congress is too small to provide much more than a temporary life raft that is already leaking air. Biden should announce clearly that the vaccines will be provided free to all, and that distribution will be based on need — the most vulnerable first — not on privilege, connections or wealth.

The economic rescue package will need to be bolstered and extended, but more importantly, Biden should lay out his plan to make this economy work for working people once more. That should begin with a bold plan for rebuilding our decrepit infrastructure. This imperative, which should have bipartisan support, was Trump’s greatest broken promise. A bold plan will create millions of jobs while addressing the climate crisis with a focus on energy efficiency and renewable energy. Biden should describe the program in bold strokes and summon the Congress to meet the challenge.

The promise of jobs in rebuilding America should be accompanied by a broad workers bill of rights to ensure workers share in the profits and productivity that they help to produce.

Begin with a call for a $15 minimum wage, a measure already passed by a supermajority of Florida voters, even as they voted to re-elect Donald Trump. Champion the Essential Workers Bill of Rights that guarantees a living wage, paid health care and sick leave, safety protections and more to essential workers. Call for a new era of worker organizing, providing both labor law reform legislation and executive orders to require federal contractors to respect the right of workers to organize and bargain collectively, while giving priority to those without an extreme gulf between CEO and worker pay.

This should be combined with a call for bold reforms to make health care a right, not a privilege. Call on Congress to lower the eligibility age for Medicare to 50, and to cover children up to 25. Empower bulk negotiation on drug prices across the board. Use executive authority to set reasonable prices for essential drugs.

To fulfill his promise to address structural racism in our society, Biden could begin by reviving and strengthening the U.S. Commission on Civil Rights to report on areas in dire need of reform. He could add to that a major initiative from the Department of Justice to negotiate reforms with police departments across the country. He could use his pardon power early to free those held on nonviolent drug offenses, particularly as marijuana becomes legal in more and more states. He can not only revive the protections for the DACA generation, but also launch immediately a review and reform of our immigration practices, even as he puts forth legislation for comprehensive immigration reform.

The election once more dramatized the need for democratic renewal. Biden should push Congress to strengthen the Voting Rights Act, end all secret money in politics, make registration automatic and roll back the various voter suppression tactics that so scar our politics. He should push to limit the role of big money in our politics, and to bolster the power of small donations. Biden should crack down on the real swamp — the bog of lobbyists and fixers, of compromised revolving door regulators and political appointees that corrupt our government for their own profit.

This list can go on, of course, but clarity of intent is more important than comprehensiveness.

Biden must make it clear that he has a mandate and plans to use it. That the crises we face demand bold action. And that he will drive the change. Americans are looking for bold leadership. Biden must provide that from day one.

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