healthcare

Rights


Reading time – 4:11; Viewing time – 6:20  .  .  .

There are small mobs clogging our streets, attacking our state capitol buildings and protesting inside those buildings with menacing assault rifles in their hands. They are carrying Confederate flags and Nazi flags and they’re egged on by the President of the United States. They are yelling and frothing and spitting – no face masks. They are demanding their rights, dammit. What’s theirs is theirs. No stinking governor or healthcare professional can tell them what to do.

Others are protesting less pugnaciously, like the Cleveland barbershop owner who’s shop is in financial peril, who needs to provide for his family and wants his workers to have paying jobs so they can care for themselves and their families, too. He has a right to earn a living, he tells us. And he, like the violence threatening protesters, is willing to risk contracting coronavirus in pursuit of financial stability and personal independence. It’s impossible to argue with the barber’s motivation or his willingness to take that risk. Except for one thing, which I hereby offer first to the swaggering, gun-carrying protesters, and then to all self-quarantine protesters.

The right to own firearms has been expanded greatly from its original intent, greased by the lubrication of the NRA’s millions of lobbying and campaign contribution dollars. What is true concurrently with Second Amendment rights is that while you may have the right to bear arms, I have a right to not get shot by your guns, whether they’re concealed or menacingly brandished. Your right stops at the tip of my nose. And, silly me, I think my right to safety and staying alive supersedes your right to own killing machines.

It works the same way in dealing with this worldwide pandemic. Your right to get out and protest – even with your AR-15 in your hands – or open your barbershop or any other shop seems clear, and your willingness to risk illness and even death in pursuit of whatever it is you’re pursuing is your decision to make. Where your right stops is at that same tip of my nose: I have a right to not be infected by you and that supersedes your right to ignore the dire health warnings that are all around. I have a right to not get sick and die of the coronavirus that you contracted during your protests and that you could pass along to me. It doesn’t matter whether you took that risk of illness solely because of your financial needs or because you were having yet another temper tantrum against authority. Either way, you’re unfairly putting me at risk.

I feel for that barbershop owner. But while he may clear-headedly embrace the risk of contracting coronavirus by opening his shop too soon so that he can feed his children, when he’s in an ICU with a breathing tube down his throat and then dies, exactly who is going to feed his kids?

I’d rather not have to admit that I don’t feel for the gun toting protesters, but there it is. Right now I can’t find room in my heart for those who threaten others so they can feel powerful for a few moments.

My heart instead is focused on the front line troops, the doctors, nurses, ambulance drivers and EMTs and the people who clean and disinfect our hospitals and clinics so that they’re ready to care for us, as well as the restaurant workers bringing your takeout to the curb for you, the delivery people and grocery store staffs who bravely show up and work so that we can get the things we need. All of them are risking their lives for the rest of us, risking even for the angry, gun-toting protesters who at last show up at our hospitals with coronavirus drowning their lungs. That’s why all those front line troops are in my heart. And the people who are suffering financial deprivations due to this pandemic, like that barbershop owner, are in my heart, as well. That doesn’t leave much room for the threatening AR-15 mobs.

For both groups of protesters my message is simple: There are hundreds of millions of Americans who don’t want to be infected by you or by others whom you infect and who unknowingly pass it along. Those who have survived the disease don’t want to learn that you’re setting it up for others to suffer the way they suffered. And if the dead could talk, they’d say, “Your selfishness is going to kill my family and my friends.”

So, grow up. This is not all about you. And you don’t get to wave the red, white and blue until you learn to behave as a patriot.

The Greatest Generation suffered rationing, 405,000 deaths, about 8 times that number of injuries and far more deprivations. All we’re being asked to do is to stay home for a while. Have we become so soft that we can’t do even that? Have we become so self-centered that we can’t sacrifice for others? If the answer to those questions is “yes,” then it’s long past time to drop the self-congratulatory platitudes and our certainties about exceptionalism and do a national gut check and recommit.

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Follow up report

In a recent post, Potpourri v11.0 – The “How Can We Be This Stupid?” Edition, a reader lamented that a lot of the money from the Payroll Protection Program intended for small business operators had instead gone to large corporations. Turns out he was right and The Washington Post reported on that.

The money from the Payroll Protection Program was supposed to provide money to small businesses to enable them to retain their employees, to pay them, even as our economy is “shut down” due to this pandemic. Instead, more than $1 billion went to large public companies. The result: “After the first pool of [money] ran dry, [that left] more than 80 percent of applicants without funding,” WaPo reported. This happened even as the CEOs of some of the large companies that received money from the Program are being paid millions of dollars.

It’s truly astonishing that in a time of national crisis the greed machine of the already wealthy keeps spinning along. Download a PDF of the WaPo article here, or read it online here.

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Ed. note: We need to spread the word so that we make a critical difference, so

  1. Pass this along to three people, encouraging them to subscribe (IT’S A FREEBIE!).
  2. Engage in the Comments section below to help us all to be better informed.

Thanks!

The Fine Print:

  1. Writings quoted or linked from my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
  2. Sometimes I change my opinions because I’ve learned more about an issue. So, educate me. That’s what the Comments section is for.
  3. Errors in fact, grammar, spelling and punctuation are all embarrassingly mine. Glad to have your corrections. Refreshing when someone wants to get the facts right, eh?
  4. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

JA

 


Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

Here’s Why We Don’t Do Widespread Testing


Reading time – 3:50; Viewing time – 5:28  .  .  .

We continue to bumble along, seemingly unable to develop a reliable test to use in large quantities throughout the country to fight this awful disease. It isn’t because we don’t have access to the needed resources. Here and here are reports on testing options that have been available for months.

In contrast to our stumbling, Germany has the lowest death rate from coronavirus anywhere and it’s hard to understand why we don’t use what has been proven to be the best available testing technology and practices.  Here’s an excerpt from a report by The New York Times on how Germany is achieving relative success:

In mid-January, long before most Germans had given the virus much thought, Charité hospital in Berlin had already developed a test and posted the formula online.

By the time Germany recorded its first case of Covid-19 in February, laboratories across the country had built up a stock of test kits.

“The reason why we in Germany have so few deaths at the moment compared to the number of infected can be largely explained by the fact that we are doing an extremely large number of lab diagnoses,” said Dr. Christian Drosten, chief virologist at Charité, whose team developed the first test.

By now, Germany is conducting around 350,000 coronavirus tests a week, far more than any other European country. Early and widespread testing has allowed the authorities to slow the spread of the pandemic by isolating known cases while they are infectious. It has also enabled lifesaving treatment to be administered in a more timely way.

To test in the U.S. at a rate comparable to that of Germany we would have to do a minimum of 1.4 million tests every week, but we don’t have a sufficient supply of test kits even for as little as 10 days; then we’re out of kits. Further, the reliability of our tests has been suspect, although claims are being made that some are now reliable. Nevertheless, our ineptitude exists and continues in spite of three facts:

  1. The World Health Organization had test kits available for our use months ago, but for unexplained reasons, our government refused to use them and relied instead on a CDC test that proved to be faulty.
  2. The formula for the reliable test that Germany is using was posted online in January and was available for everyone to use, as were other kits, but we refused those, too.
  3. President Nero invoked the Defense Protection Act and could have forced many manufacturers and labs to ramp up to produce as many  millions of tests as we need. BUT HE HASN’T DONE THAT.

On May 5 Trump made things worse by having Vice President Pence announce that he is disbanding the coronavirus task force by the end of the month. He essentially said that he is giving up without firing a shot. We would be left to suffer and many to die due to a complete lack of coherent leadership.

One day later, and in typical Trump flip-flopping fashion, he reversed that. He had been stung by the very negative public response to his disbanding decision, so he announced that now the task force will continue. But we’re left exactly the same as before, wondering if Trump and his team of incompetents will ever actually do something to help the people. Here’s why they haven’t and why they won’t.

If Trump were to take clear, decisive action, like organizing massive, national testing, he would be putting a stake in the ground, making himself accountable for results. If the results don’t turn out to be good – and it’s obvious that outcomes from this coronavirus are dreadful and will only become worse – Trump’s culpability would be on display for all to see. But Trump never accepts responsibility for anything unless he can claim victory, so once again he’s set things up for him to skate,

and he’s doing nothing.

 

Click me for the story

You can depend upon Trump to continue to do nothing to fight this killer disease. You can depend upon him to continue to blame others when things go wrong. You can depend upon him to care nothing about the suffering and dying that is all around. You can depend upon him to focus solely on what’s good for Trump.

Turns out that’s a multiple whammy.

The lack of a robust testing protocol is why we don’t have accurate, targeted quarantines to prevent the spread of the disease. Lacking that testing information is why we’re all quarantined and why the disease continues to spread and why millions are out of work and out of money. And that financial nightmare for millions of Americans is why we are in a financial depression from which it will take years to recover. And that financial depression is why we will be at far greater risk from international bad actors for a long time.

In other words, our human carnage catastrophe, our economic peril and our future foreign vulnerabilities are largely self-inflicted injuries that are due to the cowardice, ineptitude and total self-focus of Donald Trump.

That is why we don’t do widespread testing to control coronavirus and protect the people.

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If you’d like to learn about the kind of leadership we truly need, my pal John Calia recently penned a post that provides that clarity. Read it here.

And watch this ad from The Lincoln Project. The message from these traditional conservatives has Trump apoplectic, so instead of focusing on our  dire national circumstances, he’s using his presidential time to rage tweet. Decide for yourself if someone telling truths he doesn’t like is justification for him abandoning his post.

NOTE – be sure to click the SKIP ADS button on the right side of the YouTube video.

Click me

Looking for a way to make a difference? Check out the One Minute Activist list right here. Not in the Chicago area? Just substitute organizations in your area as appropriate and go make a difference. Yes, today.

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Ed. note: We need to spread the word so that we make a critical difference, so

  1. Pass this along to three people, encouraging them to subscribe (IT’S A FREEBIE!).
  2. Engage in the Comments section below to help us all to be better informed.

Thanks!

The Fine Print:

  1. Writings quoted or linked from my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
  2. Sometimes I change my opinions because I’ve learned more about an issue. So, educate me. That’s what the Comments section is for.
  3. Errors in fact, grammar, spelling and punctuation are all embarrassingly mine. Glad to have your corrections.
  4. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

JA


Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

I Know You See It, Too


April 30, 2020

Reading time – 3:23  .  .  .

The population of the United States makes up approximately 4% of the of the total world population. Yet we have managed to have 32.3% of all coronavirus cases and 26.7% of all coronavirus deaths on the planet. Even if all the illness and deaths in the  New York tri-state region are removed from the totals, the U.S. is still disproportionately sicker and possesses disproportionately more occupied body bags than any other nation. The math is right. The outcomes are not. (Ref: this post)

How has the richest country in the world, with first rate medical capabilities in healthcare delivery, research, development and the rest managed to perform like a failed nation with pitiful resources? That is the question that will be explored extensively over the next few years. If we are very lucky, the answers will give guidance for how to deal with the next pandemics, which are coming. If we can avoid our current self-defeating behavior, perhaps we’ll even follow that guidance.

Actually, we’ve done that. It happened following the Ebola epidemic ten years ago. President Obama established a standing group of 3 teams for the sole purpose of ensuring that we would be ready for the next pandemic. Wise move. Likely a life-saving move. But in his continuing quest to remove any trace of President Obama, President Trump disbanded those teams and fired all the team members he could.

So, the answer to the question about how we could be performing like a failed nation with pitiful resources is that we have a self-focused executive, devoid of the orientation and skills needed for leadership in a crisis. Everyone who is observing what’s going on knows it. We are left with little national leadership that is anything more than political posturing. Many of our state governments are similarly focused on political gain and they’re putting millions of Americans at greater risk in the process. It’s worse than no leadership at all, because it’s counter-productive.

I want to be wrong in my belief that this early “reopening” of our economy will produce a huge spike of illness with terrible consequences for us. I want to be wrong that the partisan cowardice driving these early “reopening” decisions is going to lead to a shortage of body bags very soon. I don’t think I’ll get my wish and be wrong.

Before the Civil War, escaped slaves would hide in safe houses along the Underground Railroad. They might spend a long time in a dirt hole beneath a cabin to avoid capture and there might be little or no food. Anne Frank spent 2 years in an unheated attic to avoid the Nazis. There are innumerable examples of people having to “hole up” for long periods of time, often in dreadful conditions, yet they did what they needed to do.

In contrast, we are being asked to stay at home with Netlix, home pizza delivery, video games, online school instruction and more. Honestly, it’s just a few inconveniences for most of us. We can wear our big boy and big girl pants a while longer.

On the other hand, for those who have lost their income and have no buffer, it’s a problem. A really big problem. Answer for yourself what you’d do to make sure your children don’t go hungry. You might be willing to risk your life working in a pork processing plant or a nursing home. Our federal and state governments have done a little to help these people, but no long term solution has been offered. That makes the future look particularly bleak for those hit hardest by our need to hunker down and many of the most pandemically dangerous places to work aren’t doing enough to provide protection for these workers.

Our government hasn’t figured out how to lead and deliver the healthcare protections we need, like extensive, universal testing, so:

  1. What are the chances the geniuses in DC can figure out how to keep our children fed?
  2. What are the chances they can figure out how we can stop being the world’s biggest pandemic loser?

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Ed. note: We need to spread the word so that we make a critical difference, so

  1. Pass this along to three people, encouraging them to subscribe (IT’S A FREEBIE!).
  2. Engage in the Comments section below to help us all to be better informed.

Thanks!

The Fine Print:

  1. Writings quoted or linked from my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
  2. Sometimes I change my opinions because I’ve learned more about an issue. So, educate me. That’s what the Comments section is for.
  3. Errors in fact, grammar, spelling and punctuation are all embarrassingly mine. Glad to have your corrections. Refreshing when someone wants to get the facts right, eh?
  4. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

JA


Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

American Death Rates For Your Consideration


Reading time – 2:14  .  .  .

There continue to be comparisons made between the seasonal flu and COVID-19, with the apparent goal of decreasing our perception of the danger of this pandemic. After all, we suffer thousands of deaths every year from the seasonal flu and we don’t shut down the country. To put this into perspective, I did some research to compare various high body count episodes of our history, which resulted in the chart below. Decide for yourself what you should do in this pandemic.

Sources:

    • War stats: https://en.wikipedia.org/wiki/United_States_military_casualties_of_war
    • *CDC, as reported at https://www.health.com/condition/cold-flu-sinus/how-many-people-die-of-the-flu-every-year and
      https://www.statnews.com/2020/04/09/its-difficult-to-grasp-the-projected-deaths-from-covid-19-heres-how-they-compare-to-other-causes-of-death/
    • **With no social distancing, masks or other protective gear, testing or extensive use of disinfectants and hand washing.
    • #CDC at https://www.cdc.gov/flu/pandemic-resources/1918-pandemic-h1n1.html

Some comments are in order.

  1. The war deaths per year are skewed because there were vastly different rates of deaths depending on the year. For example, for the first 7 or 8 years of the Vietnam War there were relatively few deaths, while there were many thousands per year following that. The same issue of variation applies to the Iraq and Afghanistan wars.
  2. Deaths from seasonal flu depend on the strain of influenza and other factors, so the number of annual deaths varies greatly.
  3. The total deaths from the 1918 Spanish Flu is a CDC estimate.
  4. The actual annual deaths per year from COVID-19 is yet to be determined because we’re only 3 months into the pandemic in the U.S. and only 4 months into the calendar year. Experts believe the rate of illness and death will decrease in the warmer months and may increase substantially in the coming fall and winter months. In other words, we may bend the curve in summer, but that won’t eliminate the threat. Consequently, the actual deaths per year may turn out to be substantially different from that shown. Or this calculated number of deaths per year might prove to be frightfully accurate.
  5. Not shown is the death rate, which is approximately 0.6% for seasonal flu and 6% for COVID-19. That is to say, 6 people of every 100 who contract COVID-19 will die. As more cases are identified due to expanded testing, that calculated rate will decrease due to the method used to determine the rate – simple division.
  6. Disease transmission rates were not found, so they are not included. However, the medical professionals have consistently said that COVID-19 transfers from human to human with remarkable and perilous efficiency.
  7. Many experts have said that the strongest predictors of both contracting and succumbing to COVID-19 are, 1. underlying or existing conditions, like heart disease, diabetes, cancer and other infirmities, and, 2. a weakened immune system. A primary cause of a weakened immune system is lifestyle choices, including food choices, exercise, smoking, stress, etc. Translation: Make better lifestyle choices and you’ll have a much better chance of surviving this pandemic.
  8. For more on our COVID-19 testing efforts, have a look at this from STAT. Looks like we’ll be ramping up our testing capabilities soon to the point that we may have 1/3 to 1/2 of the capacity we need. Maybe.
  9. We Americans love to set records, so this should be a time of celebration, because we passed not one but two landmark numbers: 1. We now have over 1 million cases of COVID-19, and 2. We now have more Americans dead from COVID-19 than the number of names on the somber black granite Vietnam War Memorial on the Mall in DC. We’re number one.
  10. Leonard Pitts’ article, I Will Not Die of Stupid is a must-read. And if you like parodies, click here.

Like I said: Decide for yourself what you should do.

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Ed. note: We need to spread the word so that we make a critical difference, so

    1. Pass this along to three people, encouraging them to subscribe (IT’S A FREEBIE!).
    2. Engage in the Comments section below to help us all to be better informed.

Thanks!

The Fine Print:

    1. Writings quoted or linked from my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
    2. Sometimes I change my opinions because I’ve learned more about an issue. So, educate me. That’s what the Comments section is for.
    3. Errors in fact, grammar, spelling and punctuation are all embarrassingly mine. Glad to have your corrections. Refreshing when someone wants to get the facts right, eh?
    4. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

JA

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Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

Coronavirus For Dummies


Reading time – 3:41; Viewing time – 5:30  .  .  .

Imagine that in your town nobody has smoke detectors. The only way the fire department knows to come out and battle a fire is when they can see flames shooting through a roof. But when another house goes up in flames somewhere else in town and the flames are shooting through that roof, the firefighters have to divide their forces to battle the second blaze. Then houses catch fire on either side of both houses that were already aflame, because fire is very contagious. Then those fires spread to even more houses and the firefighters are soon stretched beyond their limits.

There was no early warning of any of these fires because there are no smoke detectors anywhere in the entire town. Yet with quick notice of a small fire from a smoke alarm in the kitchens of those first two houses, all those houses could have been saved. In fact, most would never have even become warm. Too bad nobody anticipated the obvious need and purchased and installed smoke detectors.

So it is with coronavirus. We don’t have the test kits, the immunological version of smoke detectors, so the fire of COVID-19 continues to spread, our people are falling victim to this deadly disease, we’re running out of places to store the body bags and our healthcare workers are stretched beyond their limits.

On April 16 Dr. Birx was once again on the president’s nightly circus sideshow and she smiled and happily told America that we have over a million test kits. Three days later on Meet The Press Vice President Pence proudly proclaimed that we have over 2 million test kits. But go to any hospital or doctor’s office and ask them if they have test kits for their patients and you’ll find out that they don’t have any or they have only a very few to ration for special circumstances.

Even if it’s true that we have two million test kits, they aren’t where they’re needed, and there are way too few of them to test sufficiently in order to protect 330,000,000 Americans. Indeed, in a report published last week by the Edmond J. Safra Center for Ethics at Harvard University they wrote,

“We estimate that steady-state testing levels that would permit replacing collective stay-at-home orders as the main tool for disease control with a testing—tracing-and-warning—supported-isolation, or TTSI, methodology will eventually need to reach a capacity to test 2 to 6% of the population per day, or between 5 and 20 million people per day.“[emphasis mine]

Please stop complaining about stay-at-home.

Simple math tells us that Vice President Pence’s proud declaration of our having 2 million test kits means that the total number of kits available in the entire country is enough to meet our national needs for between 2 – 9.6 hours. Then we’ll be out of testing capacity completely. We’ll be left solely with stay-at-home as our only prevention tool, except for those states where their governors refuse even that and, back to the metaphor, they instead encourage playing with matches.

You can read a most accessible review of the Harvard report here or download the full report here. The key point is the difference between what is actually needed in order to protect us and the pitiful efforts of our federal government.

The brother of a dear friend was in a memory care facility. He had some underlying health issues as well, so when he became infected with coronavirus, it only took a few days for him to waste away and then die alone. There had been no visitors allowed in the facility for weeks, so he must have been infected by a member of the staff. We may never learn who was carrying the virus that killed him because no tests were or are available to identify carriers, so the infecting goes on to yet others to become sick and perhaps to die.

So, I say with dripping, angry sarcasm, “Thanks a lot, Mr. President, for your intentional refusal to make coronavirus testing our national priority and available everywhere, rejecting the very thing all the experts have insisted for months was mandatory if we were to curb this pandemic. We might have been able short circuit the spread of this awful disease and spare my friend’s brother’s life had you done your job.”

Mixing metaphors, Russian roulette virus dodging is all we’re left with because of the failure of our national leadership. This has already sickened additional hundreds of thousands of Americans and killed more of us, infected by others who don’t know they’re carriers. But they would know if there were robust testing protocols in place. We would all be safer, but we aren’t safer.

This is what happens when those we count on to promote the welfare of all of us instead put on a daily circus sideshow, complete with monkeys in suits doing tricks and a magician spouting lies to distract us. This is what happens when a president abdicates his responsibilities to the American people in favor of blaming others and wailing about imagined grievances, most of which have nothing to do with our critical national need. This is what happens, back to the metaphor, as our houses burn to the ground and the president refuses to make smoke detectors available and even waits for weeks to send out the fire trucks, all this as my friend’s brother died alone.

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Ed. note: We need to spread the word so that we make a critical difference, so

  1. Pass this along to three people, encouraging them to subscribe (IT’S A FREEBIE!).
  2. Engage in the Comments section below to help us all to be better informed.

Thanks!

The Fine Print:

  1. Writings quoted or linked from my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
  2. Sometimes I change my opinions because I’ve learned more about an issue. So, educate me. That’s what the Comments section is for.
  3. Errors in fact, grammar, spelling and punctuation are all embarrassingly mine. Glad to have your corrections. Refreshing when someone wants to get the facts right, eh?
  4. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

JA


Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

Royal Leadership


Reading time – 2:53  .  .  .

It’s so difficult seeing the President of the United States bumbling us to death.

First he ignored the experts because, as in all things, he believes that he knows better than any of them. That caused two months of delay in taking action to minimize the spread and impact of this highly contagious and deadly disease. Then he lied to us over and over, claiming there is minimal risk from COVID-19, as though his words would make things so. Then he blew off our governors who knew they would be facing healthcare disasters in just a short time and he let us know that he would favor states and governors who had been “nice” to him. He made no mention of our sick and dying people. That’s Trump leadership.

Compare that to the leadership offered to the children of Britain during the darkest days of the Battle of Britain. Princess Elizabeth was 14 years old in 1940, when she provided a clear, caring radio message, offering understanding and hope to the children of those besieged islands. Listen to her here and imagine receiving her message in that world gone mad.

She is now 93-year-old Queen Elizabeth, the same person who spoke to and comforted children back in that awful time. On Sunday she was once again called upon to bring her calm resolve to offer reassurance and hope to all the world, a place that has once again gone mad. Listen to her here and imagine you’re a front line healthcare worker or you’re quarantined at home as a loved one lies on a gurney in the hallway of a vastly overcrowded hospital ER. This is what you need to hear. This is what great leadership looks and sounds like.

One of the most difficult parts of this pandemic is a sense of helplessness; it feels like there’s nothing we can do to make things better. Sitting passively in our homes is frustrating, in part because we are human beings, so we are wired to solve problems, to fix what’s broken. So, if there weren’t enough anxiety already driven by this life threatening disease, our anxiety is amped up by seeing no way to contribute to a solution. But there are things we can do.

Many people are sewing face masks. Just try to buy 1/4″ elastic and you’ll find it out of stock everywhere because so many people have purchased it to make masks at home to donate to our heroes who risk their lives for us. And yes, that includes the healthcare workers, as well as the cleaning and maintenance workers in the hospitals and clinics. And it includes workers in the grocery stores who keep showing up so you can get food – and yes, TP, also. And it includes the people who deliver your online purchases so you don’t have to go out and risk exposure. Some people have figured out ways to construct full face shields and are delivering them to hospitals by the thousands. And there are more ways to help.

Contact the Red Cross and make an appointment to donate blood. They will soon be desperate for it, so let’s head that off at the pass. The earliest I could get an appointment to donate was April 26. I’ll be  there and I’ll be looking for you to lend the inside of your elbow, too.

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Ed. note: We need to spread the word so that we make a critical difference, so

  1. Pass this along to three people, encouraging them to subscribe (IT’S A FREEBIE!).
  2. Engage in the Comments section below to help us all to be better informed.

Thanks!

The Fine Print:

  1. Writings quoted or linked from my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
  2. Sometimes I change my opinions because I’ve learned more about an issue. So, educate me. That’s what the Comments section is for.
  3. Errors in fact, grammar, spelling and punctuation are all embarrassingly mine. Glad to have your corrections.
  4. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

JA


Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

Fact Checking And What It Means


Reading time – 3:51  .  .  .

In his presser of March 19 Donald Trump said things that are factually untrue. Sad to say, they have enormous impact. For example,

From STAT:

Trump ”  .  .  .  said a new drug for Covid-19, yet to be proved safe and effective, was now ‘approved or very close to approved.’ Another, also not approved for coronavirus, would be ‘available almost immediately,’ in part because using it is ‘not going to kill anybody.’

“Then, minutes later, the commissioner of the Food and Drug Administration, Stephen Hahn, took the dais in the White House briefing room and delicately walked back each one of Trump’s statements.”

So much for treatments for our COVID-19 sufferers.

Trump announced from that same podium that millions of hospital masks are on the way. When asked for specifics he barked, “We aren’t a shipping clerk.” He’s probably right about his mean-spirited shipping clerk blurt, because hospitals and clinics aren’t receiving shipments of masks. And they aren’t just running out of masks, they’re begging people to sew masks for them at home. Because of that, our healthcare workers are at heightened risk of becoming hospital patients themselves. So much for millions of hospital masks on the way. That’s the kind of harmful impact Trump’s lies have in this crisis.

Here’s the big one: He said that we knew nothing about COVID-19 until very recently because the Chinese hid the information.

FACT: The Chinese did hide information, which is why we didn’t hear about it in November 2019.

FACT: A World Health Organization epidemiologist sent warnings about COVID-19 on January 9; the CDC got the word out on January 6; the Canadians announced the coming of this pandemic in December 2019.

Everyone knew this was coming.

The result of this administration and President Fantasyland ignoring the international warnings and all the data is that WE ARE TWO MONTHS BEHIND IN TAKING ACTION. Whatever we’re doing in March could have been done in January and hospitals would have masks by now, and doctors might even have test kits.*

Well in advance of the arrival of this disease we knew plenty and increasingly knew more about it. We knew it was potentially deadly, that it spread from person to person in much the same manner as the flu and that if we didn’t take strong, positive action that very bad things would happen. And we knew that we had to protect our healthcare workers or it would become a double whammy of them becoming yet more sick people and fewer healthcare workers available to provide care.

We knew that significant respiratory ailments were part of the symptom package of this disease, so we knew we would need way more masks, respirators, ventilators, oxygen generating equipment and hospital beds. And we would need hundreds of millions of test kits. But as late as last Friday we were still getting magical thinking from President Fantasyland that this disease would suddenly, magically disappear. And the fictions keep on coming.

We’ve had the data from China and South Korea for a month and a half and from Italy since February. We know how this disease is passed, how fast this virus spreads and we know what these countries have done to tame it and the effects those actions have had. We’re not flying blind, except for the willful ignorance of this President and our federal government. And it’s not just the White House making things worse.

The House passed a bill on March 14 to help people affected by this disease with both cost coverage for testing (if the test kits ever show up) and for treatment (if that ever arrives) and economic help to offset reduced incomes. The Senate knew this bill was on the way, but Mitch McConnell put the Senate in recess so they couldn’t even have a look at it until 4 days later. In other words, they wasted half a week in protecting Americans.

The result of all of that is that thousands of people are infected and some will die who might never have contracted the disease at all, had we taken proper precautions early on.

Trump has spent his life in self-promotion and is using COVID-19 to do more of that. He is now calling himself a “wartime president,” perhaps for the cachet he think it bestows upon him. He always deflects and blames others, so he’s calling this a “foreign virus” and the “Chinese virus,” which are handy names to use so that people blame the Chinese and not him for the rapid spread of this disease.

Indeed, he always invokes an enemy, like caravans and Muslims and the press and immigrants and Democrats and Nancy Pelosi and more. That keeps his followers from focusing on his ineptitude and culpability and engenders undeserved sympathy. And now all his victim-hood, flights of fancy, finger pointing, magical thinking, and outright lying are producing only four things:  a more devastated economy; more fear; more sick Americans; and more dead Americans.

One of the key reasons people voted for Trump in 2016 is that he wasn’t a politician. This was at a time when the Congressional approval rating was just 13% (it’s only 21% now). We’d had it, or, in Bernie-speak, we were sick and tired of politics as usual. So, we brought in a circus barker. And we sure didn’t get a politician.

A politician would have known to get in front of this disease before it became a pandemic that would destroy political careers. In the process of covering his own ass, a politician in charge during this crisis would have covered ours.

But no such luck for us. We’re stuck with brainless magical thinking and quarantining ourselves, with millions laid off and disaster at the doorstep of every hospital in the country.

So, if this sounds like an angry post, you damn well know why.

P.S. #1: 20 – 25% of Americans don’t trust experts. What do you suppose that will mean for our national fight for heath measures to stop COVID-19 when these people are fed a continuous stream of hateful, anti-expert lies by the President?

P.S. #2: Click here to watch the Trump version of P.T. Barnum’s Greatest Freak Show On Earth.

* P.S. #3:

Q. Why doesn’t President Trump order the construction and supply of massive numbers of COVID-19 test kits?

A. Because we’d find out how dramatically worse our situation is, how many more people are sick and his numbers won’t look good. Always remember: It’s all about Trump looking good. The hell with sick people and their needs.

————————————


Ed. note: We need to spread the word so that we make a critical difference, so

  1. Pass this along to three people, encouraging them to subscribe (IT’S A FREEBIE!).
  2. Engage in the Comments section below to help us all to be better informed.

Thanks!

The Fine Print:

  1. Writings quoted or linked from my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
  2. Sometimes I change my opinions because I’ve learned more about an issue. So, educate me. That’s what the Comments section is for.
  3. Errors in fact, grammar, spelling and punctuation are all embarrassingly mine. Glad to have your corrections.
  4. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

JA


Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

Destiny


Reading time – 2:46  .  .  .

President Trump has not just bungled facts, spewed false happy talk and continued to lie his way through his presidency and this pandemic. He has also made clear that he is not responsible for anything that’s happening if he thinks it might make him look bad.

He told us that he’s not responsible for our total lack of preparedness for COVID-19 or for its reach or for the severity of its impact, this in the face of his having completely disbanded our Pandemic Response Team and cut funding for the CDC in 2018. The people he canned are the very people who made up the very team that could have minimized our suffering due to COVID-19, had they been in place and had they proper funding and authority. Of course, the President would also have had to listen to them, follow their advice and not say stupid stuff. There was never much of a chance of any of that happening.

So, here’s a little snark from last Sunday’s post, in case you missed it. It is not offered because of the snark; it is offered because this is our reality.

[youtube=http://www.youtube.com/watch?v=BIjZae-hSiU&w=300]

As Granny struggles in her hospital bed, gasping for just a little more air from her respirator for her pneumonia-soaked lungs, her MAGA hat wearing family is gathered around her. They know this is the end and they weep for their love of her and for their looming loss. Suddenly, the lights go blue-black, the walls begin to shake, and the ceiling speakers boom in Darth Vader’s voice: “It is your des-ti-ny.” And they tremble in their horror and their fear, because all at once they realize that this is what they chose.*

It didn’t have to be this way for Granny, but we made it this way. We made this our destiny.

Last Friday the President bragged about non-existent tests for COVID-19 and about drive-thru testing sites that are nothing but fantasy. He has no plans to enlist the Army Corps of Engineers to transform buildings to meet the enormous hospital capacity we’ll need in just a couple of weeks. There’s no action to re-purpose unused manufacturing capacity to build the ventilators, hospital protective gear or anything else that is already in desperately short supply. The result of this ineptitude is that more people will die for lack of testing and care.

The differentiator that is invisible to Trump is that this isn’t a reality TV show, a make believe land where he can make up stuff and it becomes so, where everyone goes out for drinks after the taping. This isn’t a Hollywood movie where murdered characters get up after doing a scene and go home at the end of the day. This is real life and death and the people who will die from this virus will never go out for drinks or ever go home again because they will stay dead. Worse, more will die because of Trump’s ineptitude and dishonesty, including Granny.

This pandemic is completely over the head of this President and this time it isn’t a little thing like a trillion dollar gift to his rich pals. This time it is life or death for countless Americans. He is incompetent to discharge the duties of his office, including protecting the citizens of this country.

Back to the Star Wars metaphor:

Both Darth Vader and the evil Emperor told Luke Skywalker that joining with them was his destiny. With just the force of his will he refused both of them and that destiny and eventually set things right throughout the galaxy. We can do that. We can refuse the destiny of so many Americans gasping their last breaths due to COVID-19. We can lead our country and the world to set things right.

It’s about our choices as a nation and the consequences our choices bring. We can make our own des-ti-ny. That’s always been the American way.

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Finally, the people of Italy are just ahead of us in dealing with this killer disease. Here is a video message from them that you’re sure to want to watch .

Second finally, Mike Pence proudly claimed on Monday that we have a million COVID-19 test kits out right now. Great – perhaps that’s true. Only 319 million to go.

Really finally, it’s St. Patrick’s Day. Large gatherings are prohibited, so drink a Guinness in your kitchen and be your own parade.

* The legal thing: The Empire Strikes Back (from which this clip is taken) and all other movies are copyrighted material. I pay royalties to be allowed to use movie clips legally both here and in my leadership keynotes and workshops. Just thought you might like to know.

————————————


Ed. note: We need to spread the word so that we make a critical difference, so

  1. Pass this along to three people, encouraging them to subscribe (IT’S A FREEBIE!).
  2. Engage in the Comments section below to help us all to be better informed.

Thanks!

The Fine Print:

  1. Writings quoted or linked from my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
  2. Sometimes I change my opinions because I’ve learned more about an issue. So, educate me. That’s what the Comments section is for.
  3. Errors in fact, grammar, spelling and punctuation are all embarrassingly mine. Glad to have your corrections.
  4. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

JA


Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

Consequences


Reading time – 3:55  .  .  .

Caution: There’s just a little bit of snark at the very end. Please practice safe snark.

We’re still in the early stages of the COVID-19 pandemic, although if they were able to speak for themselves the over 5,800 people who have died of the illness might describe this stage a bit differently. Nevertheless, all healthcare professionals have made it clear that this is going to get far worse before it gets better. What you need to know is where we are and how we got here. That will be instructive for knowing where we must go.

To become clear about where we are with this disease you can view a regularly updated global tracker at the Johns Hopkins CSSE site. The acceleration of the numbers is most alarming, as we’re seeing a doubling of cases every six days. Click here for a most useful analogy that explains that.

As for how we got here, start with this: we knew about this virus as far back as December 2019 – a quarter of a year ago. The epidemiologists were clear at that time that this was going to be a very big problem and advised immediate preparation; however, their cautionary recommendations were ignored. Perhaps as bad, had we taken their advice, there would have been a huge obstacle to overcome in order for anything helpful to happen. Here’s why.

President Donald Trump fired the U.S. Pandemic Response Team in 2018, calling it a cost cutting measure. I don’t buy it.

The Pandemic Response Team had been instituted by President Obama following the successful battle against the Ebola virus in 2014. It included sub-teams at the CDC, the Defense Department and at the National Security Agency so that we would be ready in all those areas when – not if – the next pandemic arrived. Based on so many other episodes of Trump, in his boundless insecurity, deleting Obama’s programs regardless of their value to the nation, my belief about his motivation to disband this critical unit is that it was yet another effort to erase everything bearing Obama’s name.*

Regardless, the professionals were removed. Those firings left us with no immediate expertise or mechanisms to deal with a new pandemic. None. And Trump accepts no responsibility for that. Further, “Trump also cut [overall] funding for the CDC, forcing the CDC to cancel its efforts to help countries prevent infectious-disease threats from becoming epidemics .  .  .  Among the countries abandoned? China.”

COVID-19 was first identified in Wuhan City, China. Had we helped to mitigate its spread then, world conditions might be far better right now.

This story gets worse, as you know, because we still don’t have one tenth of one percent of the testing capability we need. The CDC’s kit was fouled by a bad reagent, making it essentially useless. Our commercial labs are still ramping up and we haven’t sourced test kits from abroad. The resources we do have are not just insufficient in quantity, but are also slow and cumbersome. There are other proven options ready to go now, including a machine made in Germany that can produce accurate results in 1 hour instead of 4 hours or even a day or two. However, the FDA is bumbling through authorization to use these machines. Here’s a link to a full report on how this COVID-19 testing ineptitude happened.

The truth is that we don’t know how many people in America have the virus because we are unable to test any but extreme cases due to our lack of test kits. That’s an impediment to our knowing who needs to be quarantined so they don’t infect others, where the virus is spreading, the extent of its impact, where to deploy resources like ventilators, protective gear for hospital staff, oxygen generation equipment, surgical masks and so much more.

During Trump’s Oval Office talk on March 11 he told us, “Testing and testing capabilities are expanding rapidly, day by day. We are moving very quickly.” None of that was true. That is a key problem, not just because of our inability to know what’s going on, but because as Trump continues to spew happy talk and magical thinking, he isn’t firmly addressing our very real challenges or providing the leadership we need. Almost as bad, he contradicts the experts who, unlike Trump, are knowledgeable. That leaves all the rest of us not knowing what to believe. That’s a potent way to spread fear.

In my day job I deliver keynotes and workshops on great leadership and I know when I don’t see it.

The point of all of this is not to pen yet another diatribe about our incompetent President. Rather, it is to illustrate how we got to where we are. We must be clear about what can happen when we aren’t careful in our political choices, because this pandemic, which could have been minimized, is in the process of killing hundreds, thousands or even millions of Americans who could have been protected had we been prepared.

Elections do have consequences and what’s happening right now is one of them.

It didn’t have to be this way.**

Links to Resources

There is a cost to getting people tested and to help those who need treatment. Watch the entire clip – ALL THE WAY TO THE END – of Rep. Katie Porter (D-CA) making sure we’ll get what we’ll need.

Advice For the Public – World Health Organization – WHO

Nine Charts that Explain the Corona Virus Pandemic – Vox

CoronaVIrus (COVID-2019) – What You Should Know – Centers for Disease Control and Prevention (CDC)

Download and read this. It is a PDF format of an email received yesterday from a local shop and contains the comments of four doctors, two of them in Italy. It is long – please read all of it.

Beware of those who poo-poo the threat of COVID-19, claiming far more people die annually from the flu and other terrible things. Every year the flu starts with small numbers; that’s how it was with the terrible Spanish influenza epidemic of 1918; it was the same for Bubonic Plague, which eventually killed 25% of the people in Europe. The disease number comparisons are meaningless until it’s all over. Right now we can’t even see to when this corona virus will be over. Worse, these comparisons can lull people into carelessness. Ignore them.

Fun Facts

We’re already running out of respirators and, as mentioned, the patient load doubles every six days.

It is expected that between 75 – 150 million Americans will contract COVID-19 and 15-20% of those affected will require hospitalization. That’s between 11,250,000 and 30,000,000 hospital patients, nearly all of whom will need to stay a while. Those numbers don’t include patients suffering from other maladies requiring hospitalization.

There are 924,107 staffed hospital beds in the U.S.

Do the math.

——————————-

Finally, stay well and don’t do medically foolish stuff. Help your family, friends and neighbors, the old lady across the street – and do it carefully. We’re all in this together. Because Hillary Clinton was right: It takes a village. And we are that village.

  • *President Trump has repeatedly insisted that he’s not to blame for our medically threatening conditions. His having disbanded the Pandemic Response Team puts the lie to his words.
  • ** “This way” – As Granny struggles in her hospital bed, gasping for just a little more air from her respirator for her pneumonia-soaked lungs, her MAGA hat wearing family is gathered around her. They know this is the end and they weep for their love of her and for their looming loss. Then the walls shake, as the ceiling speakers boom in Darth Vader’s voice: “It is your des-ti-ny.” And they tremble in their horror and their fear, because all at once they realize that this is what they chose.

————————————


Ed. note: We need to spread the word so that we make a critical difference, so

  1. Pass this along to three people, encouraging them to subscribe (IT’S A FREEBIE!).
  2. Engage in the Comments section below to help us all to be better informed.

Thanks!

The Fine Print:

  1. Writings quoted or linked from my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
  2. Sometimes I change my opinions because I’ve learned more about an issue. So, educate me. That’s what the Comments section is for.
  3. Errors in fact, grammar, spelling and punctuation are all embarrassingly mine. Glad to have your corrections.
  4. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

JA


Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

What Are We Missing?


Reading time – 3:20  .  .  .

The daily outrages and incessant infantile furies create a barrier to focusing on important but non-urgent issues. Indeed, this post is being written just 10 days after the weekend massacres in El Paso and Dayton. This is during the ongoing intransigence of Senate Majority Leader Mitch McConnell. On full display are his dual betrayals of, 1. refusing to bring legislation to the floor of the Senate for a vote to defend against foreign invasion of our democracy, and, 2. refusal to bring any gun safety legislation to a vote. Happening at the same time is the President’s lying and misleading about both issues. But his behavior is so consistent that it’s hardly worth a yawn. Still, he’s the president, so his narcissism-on-display does suck up our national focus.

We have to make time to shine a light on the important but non-urgent issues. These things beg for answers, so let’s look at one as a placeholder for all: our gargantuan healthcare complex and changes we don’t notice.

STAT, the daily briefing from The Boston Globe focusing on healthcare related issues, reported on August 12,

“A new report from UnitedHealth Group finds that hospital prices increasing at current rates could end up costing $250 billion over the next decade. The report says that prices set by hospitals for services  — and not physician salaries or how much hospital services get used — are what’s driving up patients’ spending. Between 2013 and 2017, for instance, hospital prices increased by 19% while the cost of physician services increased by half that amount.”

To put that into perspective, healthcare accounted for 17.9% of GDP in 2017 and inflated 3.9% that year to a total of $3.5 trillion, or $10,739 per person. We spend a crazy amount of money battling injury and disease and this report says the cost to do that is getting far worse.

The un-examined tidbit that seems like a throwaway in this report is that over that same 4-year period the cost of physician services increased by almost 10%. Did we receive 10% greater value? Why should we pay the extra 10%?

Silly question. We pay it because healthcare isn’t like deciding which car to buy or whether now is a good time to install an energy efficient furnace. There isn’t a marketplace of cost competitive choices for doctors and when you need healthcare you need it now, regardless of your ability to pay.

That’s compounded by most of us getting a major portion of the cost of our healthcare from a third party – an insurance company – so we may only see the co-pay and be ignorant of the true cost. The result is that doctors and hospitals can charge what they want. There will be some moderation of the cost as the insurance companies arm wrestle with doctor and hospital office managers over their invoices, but that’s pretty much it.

We are so accustomed to the price of healthcare going up, reflected in our insurance premiums that may right now be getting deducted from your paycheck, that we don’t even squawk any more. Millions are so accustomed to the ever-escalating cost system that they won’t even look at alternative ways to fund our healthcare or ameliorate its cost.

Extending our willful blindness about our pockets being picked begs an answer to how many other ways we’ve allowed ourselves to become numb, as others eat away at our financial well being. That stuff is bankrupting us, so the question begging for an answer is, “What are we missing?”

Bonus Section

In that same edition of STAT they report,

“President Trump announced late last month a plan to import drugs from Canada to help lower Americans’ prescription costs, and Canadians are not happy about it.”

Just think for a moment about the multiple crazies of this. First, most of those drugs are made in the U.S. and exported to Canada at substantially reduced cost, where they are sold for somewhat more sane prices to consumers. Trump wants to create a massive importation of those same drugs back into the U.S., thus effectively swatting at symptoms and refusing to deal with the root cause. And it’s worse than that.

The predictable Canadian backlash to this vacuum-headed idea is driven by shortages of drugs in Canada. Reports STAT,

“You are coming as Americans to poach our drug supply, and I don’t have any polite words for that,” said Amir Attaran, a professor at the University of Ottawa. Read more here.

This is just another of Donald Trump’s strategy-vacant ideas without any thought to consequence to others, especially to our strong ally and second biggest trading partner.

————————————

Ed. Note: I don’t want money or your signature on a petition. I want you to spread the word so that we make a critical difference. So,

YOUR ACTION STEPS:

  1. Pass this along to three people, encouraging them to subscribe (IT’S A FREEBIE!).
  2. Engage in the Comments section below to help us all to be better informed.

Thanks!

NOTES:

    1. Writings quoted or linked to my posts reflect a point I want to make, at least in part. That does not mean that I endorse or agree with everything in such writings, so don’t bug me about it.
    2. Errors in fact, grammar, spelling or punctuation are all embarrassingly mine. Glad to have your corrections.
    3. Responsibility for the content of these posts is unequivocally, totally, unavoidably mine.

JA


Copyright 2025 by Jack Altschuler
Reproduction and sharing are encouraged, providing proper attribution is given.

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