Archives for category: Science

I get many requests for donations in my email daily. Some come from the Committee to protect Medicare.

This was written by Dr. Rob Davidson, executive director of the Committee:

For the past three days, I’ve watched Amy Coney Barrett’s confirmation hearings in the Senate. As a doctor, it’s beyond bizarre to see a potential Supreme Court Justice say she’ll make decisions about health care based on Originalism — what she thinks people in the 1700s would have intended.

How different was medicine back then? 

The first vaccine wasn’t developed until 1799 (smallpox). Does Judge Barrett support Medicaid covering the routine immunization of kids against deadly diseases? Would she oppose Donald Trump providing a coronavirus vaccine to us, even though the founders would be confused? 

 1846 saw the first demonstration of anesthesia in the world. Should Medicare pay for anesthesia for hip replacements or heart bypasses, even though the constitution doesn’t mention anesthesia? 

 To Judge Barrett, would my evaluations of Medicare patients with chest pain be unconstitutional since EKG’s and X-rays weren’t used until 1895?  

This list goes on and on. Nearly every aspect of modern medicine was non-existent in the late 18th century. An “originalist” approach to the government funding of any type of health care today might deem all of them unconstitutional. 

This is personal for me. Amy Coney Barrett’s confirmation is all but certain to doom the Affordable Care Act and rip health care from over 20 million Americans, including over 8,000 people in my poor, red, rural Michigan county of 48,000. Is the ACA just the first step? Is Medicare next on the chopping block?

 If Amy Coney Barrett is confirmed, we need to be able to push twice as hard to reach voters in these final weeks to convey just how high the stakes are for health care. Can you chip in $5, $10, or more today to help us reach voters in swing states and save Medicare in these final 19 days? Click here to chip in now.If you’ve saved your payment information with ActBlue Express, your donation will process automatically:

Express Donate: $5 →Express Donate: $10 →Express Donate: $25 →Express Donate: $50 →Express Donate: $100 →Express Donate: Other → 

Thank you so much for your support,

 Dr. Rob Davidson
Executive Director of Committee to Protect Medicare

A reader who is a scientist wrote to ask why I posted the views of an economist about children and COVID instead of those of a medical researcher. She sent me this interview of Angela Rasmussen that appeared in Science Friday. Rasmussen is a professor at Columbia University’s Mailman School of Public Health.

In the interview, she says:

ANGELA RASMUSSEN: Well, teachers and parents should definitely not think that children are immune or more resistant to the virus. Just because they don’t develop a severe of disease [sic], that doesn’t mean that they can’t be infected and it doesn’t mean that they can’t bring the virus home with them to transmit to other people in their household. It also doesn’t mean that they would be incapable of transmitting it to faculty and staff in schools.

And in general, we– I think a lot of the discussion about schools has assumed that schools are an isolated bubble that is separate from the rest of the community, and they’re really not. If children are getting infected, whether outside of school or in school, those children are still part of the same community and they’re capable of spreading the virus within that community.

So we need to stop thinking of schools as a separate space or children as a special population of people who are less susceptible. We need to take the same precautions with preventing transmission in schools as we do within the rest of the community.

The full interview is worth reading.


John Thompson, historian and retired teacher in Oklahoma, reviews Alec MacGillis’ “School’s Out,” a book about the response of schools and teachers to the pandemic. My takeaway: It’s tough to write a book about a pandemic when it’s not over.

When I first read Alec MacGillis’ School’s Out, I worried that he reached conclusions that were too optimistic, but it made me hopeful. After all, it was a co-production by ProPublica and New Yorker, and MacGillis had listened to numerous top public health experts. Upon rereading, and following his links, I’ve reached a more discouraging appraisal. The published research he cites actually makes the case for more caution, and against MacGillis’ implicit call to reopen schools more quickly for in-person instruction.   

School’s Out touched all bases in reviewing recent research, but I’m afraid MacGillis didn’t focus enough on the experience of educators. In fact, after discussing recent research with a Baltimore teacher who he respected, he was surprised that she still opposed the reopening for in-person classes. To his credit, MacGillis presented her side of the story but he didn’t seem to understand why school environments would “snowball” the transmission effects. 

At first, MacGillis did an excellent job of personalizing the complexity of the threats that Covid brings to already-weakened high-poverty schools. He described a 12-year-old Baltimore student, Shemar, who he had tutored. MacGillis surveyed the technological problems which made it so much more difficult for online instruction to serve Shemar’s needs. Then he explained why technology shortcomings were only a part of the overall situation. Real solutions would require the education system to rebuild personal contacts with students like Shemar.

Also to his credit, rather than embrace the blame-game of the last generation, MacGillis wrote that Shemar’s teachers “worried about him but had a hard time reaching him, given his mother’s frequent changes of phone number. One time, his English teacher drove to his house and visited with him on the small front porch.” Moreover, MacGillis expressed regret that he had not been more helpful, “I checked on Shemar a couple of times during the spring, but, in hindsight, I was too willing to let the lockdown serve as an excuse to hunker down with my own kids, who were doing online learning at other Baltimore public schools.” 

This could have foreshadowed a recommendation for caution in the complicated task of restarting in-person instruction. Yes, he could have concluded, the most vulnerable children suffer the most under a virtual education system. If a rushed reopening occurs, however, and it fails, the poorest children of color would be damaged even more.

MacGillis mentioned areas where urban schools have less capacity than affluent American schools or high-performing systems across the world. For instance, a student who was more worried about his mother losing her job than logging in to remote learning made the common, correct prediction, “‘I don’t care if I fail. I’m 14, in seventh grade — I don’t think they’re going to fail me again.’ He was right.” MacGillis then made the more important observation about poor children of color:

Society’s attention to them has always been spotty, but they had at least been visible — one saw them on the way to school, in their blue or burgundy uniforms, or in the park and the playground afterward. Now they were behind closed doors, and so were we, with full license to turn inward. While we dutifully stayed home to flatten the curve, children like Shemar were invisible.

MacGillis then cited Christopher Morphew, the dean of the Johns Hopkins School of Education, when warning: 

“The failure to plan now, to spend the money now, is going to cost us in human resources, in violence, in other ways, for a long time,” he said. He estimated that the closure could result in 18 months of “summer melt,” the term for the educational regression caused by long breaks in schooling. “Eighteen months of summer melt when you’re already three grades behind is virtually impossible to come back from.”

However, I’m afraid that MacGillis failed to thoroughly consider why urban students like Shemar are so far behind. He recalled a great deal of 19thand 20th century education history, while ignoring the 21st century where trust was further undermined by corporate school reformers who imposed quick fixes that educators knew were doomed to fail.

Then, I worry that School’s Out was sidetracked by a simplistic account of the way that President Donald Trump and Secretary of Education Betsy DeVos undermined the efforts to safely reopen schools in the fall. In July, Trump proclaimed, “We’re very much going to put pressure on governors and everybody else to open the schools.” And the “instantaneous” result was, “Teachers who had been responsive to the idea of returning to the classroom suddenly regarded the prospect much more warily.”

The big problem, however, wasn’t teachers’ new fearfulness. The problem was the realities created by Trump, “governors and everybody else” who made it impossible to safely reopen many schools. For instance, a Brookings Institution study  “found that districts’ school opening decisions correlated much more strongly with levels of support for Trump in the 2016 election than with local coronavirus case levels.” That reality was bad enough. But, School’s Out didn’t to seem fully consider how much schools in urban areas which voted against Trump are poorer and, often, politically powerless.

MacGillis cited a list of affluent and private schools, and schools in nations that better handled the coronavirus and did what is takes to return to in-person learning. Even after repeatedly using the words community and “community spread,” MacGillis (and sometimes the public health experts he cited) ignored the ways that the reopening of bars, and the rest of the economy; the rush to return to in-person college classes, and football; and the often widespread refusal to even wear masks and respect social distancing made it unlikely that many schools could reopen safely. 

MacGillis even cites Texas, Florida and Georgia as hopeful examples, noting that case numbers have declined from their summer highs as schools reopen, but the New York Times lists Texas and Georgia as only having “some” reporting for school districts with reporting “planned” in Florida. Regardless, who would see those state’s tragedies as best public health practices and celebrate the way that infections haven’t gone all the way up to their most tragic levels?

In doing so, MacGillis seems to forget the timing of the political mandates and the publication dates of public health research.  Had the comprehensive efforts of March and April, that broke the infection curve in many American cities and European nations, and had federal resources not been cut back so quickly, educators could have prioritized in-person and/or hybrid  instruction in the fall, while also working on virtual systems that might be necessary if a “second wave” hit.   

By June, however, there was a major pushback by the Trump administration and pro-Trump governors against public health expertise. This was best illustrated three weeks into June when Trump spoke to an indoor crowd in Tulsa. But citing an op-ed in The New York Times on July 1, by Jennifer Nuzzo and Joshua Sharfstein, MacGillis explained, “Nuzzo had supported lockdowns to slow the spread of the coronavirus in the spring, but by the summer she was arguing that schools should plan to reopen in much of the country.”

Moreover, he added, “A number of experts were beginning to agree with Nuzzo and Sharfstein.” He also drew on Harvard’s Meira Levinson’s article in The New England Journal of Medicine laying out how to reopen primary schools, and Harvard’s Joseph Allen, who co-wrote a 62-page plan listing steps that schools could take to reduce transmission risk.

Being a retired teacher, with too many years of being a consumer of rushed Big Data hypotheses, I read the actual wording of these scholarly papers and connected the dots very differently than MacGillis. Nuzzo and Sharfstein may have disagreed with my synthesis of the evidence but, as they wrote, education decision-makers had to deal with the real world consequences of “the way states lifted social distancing restrictions imposed to fight the coronavirus sadly demonstrates our priorities. Officials let bars, restaurants and gyms open, despite warnings from public health experts that these environments pose the greatest risk for spreading the disease.”

I suspect the Times editor who drafted the Op-Ed’s title would have agreed with me about the key takeaway: “We Have to Focus on Opening Schools, Not Bars.” Yes, “Resuming classroom instruction is crucial. Infection control inside and outside classrooms can let it happen.” But, “political leaders seem to have paid scant attention to safely reopening schools,” and “the consequences of those backward priorities …  Covid-19 rampaging through states that reopened quickly — make it even more vital that we extensively prepare to reopen classrooms as safely as possible this fall.” 

But what would it take to do so?

In this political climate where increased funding, masks, and even social distancing were being repudiated in so many states, Nuzzo and Sharfstein argued, “Reopening businesses that pose a major risk of community spread should be a lower priority than reopening schools.” They called for building the capacity for “robust tracing, isolation and quarantining;” funding for “finding other buildings and space where they could expand;” in-school “bubbles” or “small groups of students who will learn, eat lunch and have recess together;” a system to protect “staff members who are older or have chronic medical conditions;” a “creative” transportation system; and improved online instruction systems.

Similarly, Meira Levinson’s article said, “Even under conditions of moderate transmission (<10 cases per 100,000 people), … we believe that primary schools should be recognized as essential services — and school personnel as essential workers — and that school reopening plans should be developed and financed accordingly.” But, it also said:

Any region experiencing moderate, high, or increasing levels of community transmission should do everything possible to lower transmission. The path to low transmission in other countries has included adherence to stringent community control measures — including closure of nonessential indoor work and recreational spaces. Such measures along with universal mask wearing must be implemented now in the United States if we are to bring case numbers down to safe levels for elementary schools to reopen this fall nationwide.

It thus offered little practical advice to those schools in states that rejected the wisdom of public health experts.  

And Joseph Allen’s position sounded like it was even more opposed to the caution of educators, but the disclaimer at the beginning of “Risk Reduction Strategies for Reopening Schools” said the guidelines were “intended to offer guidance regarding best practices regarding the general operations of buildings in an effort to reduce the risk of disease transmission.” The report:

Is in no way intended to override or supersede guidance from government and health organizations, including, without limitation, the Centers for Disease Control and Prevention, the World Health Organization, the United States Government, and or any States. The information contained herein reflects the available information at the time the report was created. User recognizes that details and information are changing daily.

In other words, in July, it would have been difficult, or impossible, for educators in many states and most urban districts to see the evidence that was “changing daily” as enough to justify in-person instruction by September. Then, on July 18, the New York Times reported that a massive study by South Korean experts found that “children younger than 10 transmit to others much less often than adults do, but the risk is not zero. And those between the ages of 10 and 19 can spread the virus at least as well as adults do.”

MacGillis cited researchers who “immediately found problems with the study’s conclusions, pointing out that the sample of children who had become sick was exceedingly small,” and “it was not clear whether older children had passed the virus to adults or had got it at the same time and shown symptoms earlier.” I also was reassured by their pushback. But then I followed MacGillis’ link to Alasdair Munro, a clinical research fellow in pediatric infectious diseases at University Hospital Southampton, and found it was a Twitter debate. I became more concerned that he was engaging in an academic debate, as opposed to evaluating what decision-makers need to know about the dangers of reopening and when did they need to know it in order to make plans and implement them.  

On Twitter, Munro criticized the Korean study saying that he had seen unpublished data to the contrary and that “it was a mistake to rush to use this study as high quality evidence that children are highly infectious (even more so than adults!) once they reach 10 years old.”  It wasn’t until August 10, however, that such evidence was reported. 

My reading of the debate was that Munro didn’t make the case for schools in high-transmission areas not taking the Korean study seriously when deciding whether to reopen. But, even if Munro made the case, he was doing so on the eve of the reopening dates proposed in many high-risk areas. How could educators implement plans, based on that continuing debate, in a few weeks?

Rather than get into the weeds of the Twitter exchange which School’s Out drew upon, I’ll just cite Munro’s latest positions. First, he argues “Careful reopening of schools in areas of low community prevalence with good, basic infection prevention measures can work.” And his summary of the evidence is: “If prevalence [is] high in the community, it will be high in schools and some will transmit; Isolated cases result in low transmission; and Infection prevention works.” But he never seems to touch the question of how prevention can work in schools in communities that won’t invest in it.

And that brings me back about what was excellent and what was misguided by School’s Out. MacGillis was eloquent about the disaster which is likely unfolding and which is most damaging our poorest children of color. He correctly concludes that huge numbers of disadvantaged students like Shemar need to get “out of the home and into school, every day.” But the battle against the isolation these children face is “on hold.” This is the tragic reality:

For the foreseeable future, Shemar would be spending his days as he had spent the spring and the summer: in a dark room, in front of a screen, with virtually no direct interaction with kids anywhere close to his own age. Sometimes the screen would hold Minecraft and Fortnite; sometimes, if he got the hang of the log-ins, it would hold Zoom.

And we must welcome the guidance of public health experts who are calling for holistic instruction, recognition of the effects of poverty, segregation, and trauma, and acknowledging that schools alone can’t overcome these interconnected challenges. We should be thankful that public health experts have done such a great job of laying out realistic advice and plans for reopening our schools. It’s not their fault that Trumpism undermined their contributions.

Moreover, our failure to reopen in a safe and timely manner will almost certainly prompt the flight of middle-class and affluent families from traditional public schools, resulting in the loss of per-student funding. MacGillis concludes with the prediction by Jon Hale, of the University of Illinois that “the consequences could be tragic. It will decimate the system for those who rely on it.”  In other words, the hard facts are even starker than acknowledged in School’s Out. We are heading for a disaster for many, many students. But, it would have been worse if our most vulnerable urban districts had given into pressure and rushed the return to in-person instruction. 

https://wordpress.com/block-editor/post/ateacherstale704189778.wordpress.com/33

Carol Burris interviewed teachers, students and administrators about their experiences returning to school. As you might expect, she encountered a range of reactions.

The Network for Public Education is following 37 districts in New York, Pennsylvania, and Connecticut that reopened — either hybrid or full time. Of the 23 districts that responded to our inquiry regarding remote learners, the average rate of students who opted to not attend in person was 21 percent. Percentages ranged from 6 percent of the school population to 50 percent. Larger percentages of students of color are associated with higher remote rates.




Superintendent Joe Roy said he has been carefully examining patterns among the 25 percent of students whose families chose remote learning in his district in Bethlehem, Pa.
For the most part, they are students from affluent families who have academic supports for learning at home, or conversely, are from the least affluent homes. The families of his district’s students of color, many of whom work in local warehouses, were hit harder by the pandemic and, therefore, are more reticent to send their children back to school.
Roy’s neighboring district, Allentown, where 86 percent of the students are Black or Latinx, decided to go all virtual after a parent survey showed a majority were not ready for in-person learning.

One middle school teacher with whom I spoke, who requested anonymity, said he hopes that the schools open soon. Technology for remote learning has been an issue he told me — from hardware to poor connections.
“We are losing kids,” he said. “Our kindergarten enrollment is much lower than it has been in previous years. Of a class of 19, maybe 17 of my students log on to my early morning class. When I meet them later in the day, 12 or fewer show up. A 6½-hour day on Zoom is brutal. Some are keeping their cameras off, and others don’t respond. Many of my students can’t work independently.”


The challenges of in-person learning


Over half of the 37 districts we are following now bring some or all students back full time. Those schools that are using hybrid typically split students into two small cohorts that share the same teacher. Some bring those cohorts back three days one week and two days the following week. Others bring the cohorts back only two days a week — on consecutive days or staggered days with a fifth day when all stay home.




Although those I spoke with are glad to be back, school is certainly not the same as before the pandemic.

My youngest grandchildren returned to in-person school for only two days last week, and they were ecstatic. The schools did everything that was required—masks, social distancing, hand washing. Who knew that children loved school so much?

The Select Sub-Committee on the Coronavirus Crisis (House of Representatives) released a devastating report on the Trump administration’s efforts to hide the seriousness of the pandemic from the public.

https://coronavirus.house.gov/sites/democrats.coronavirus.house.gov/files/10.2.20%20Political%20Interference%20Report%20%281%29.pdf

Since we first learned about the pandemic in mid-March, we have gotten mixed signals from the federal government. The president said it was a hoax, said it would magically disappear. He mocked mask-wearing. Mike Pence said it would be over by Memorial Day. The Centers for Disease Control (CDC) changed its guidelines, bending to the White House. Then Bob Woodward released interviews with the president, and it turns out he has known since January that COVID is deadly serious, and it is airborne.

Now Trump has COVID. Will his base start wearing masks? Will they stop demonstrating for their freedom to ignore public health regulations?

Steven Singer writes here about Trump’s illness and what it might mean for the schools.

He begins:

It had to happen eventually.

Donald Trump, the ultimate science denier, got bit in the butt by science.

He’s got Coronavirus, and is in Walter Reed National Medical Center fighting for his life.

Apparently the virus isn’t a hoax.

You don’t catch it by testing for it.

You don’t treat it with hydroxychloroquine.

It’s a global pandemic, and the only way to fight something like that is with rationality and logic.

You have to wear a face mask, dumb-ass.

You have to practice social distancing.

You can’t just reopen the economy and pretend that this won’t cost hundreds of thousands of lives.

You can’t steamroll over more than 200,000 Americans lost simply because most are elderly, poor and/or brown skinned. And they don’t matter to you…

Long before Trump went from being a clown to a contender, policymakers tried reforming our schools with only wishful thinking and a marketing plan.

High stakes testing, charter schools, voucher plans, value added measures, Teach for America – whether proposed by Democrats or Republicans, it is all nothing but science denial wrapped in a stock portfolio.

These are the ways Wall Street has cashed in on schools pretending to be saviors while hiding the reality of their vulture capitalism.

And Trump has been no different.

Except that his instrument – billionaire heiress Betsy DeVos – made it harder to deny.

She barely even tried to pretend to be anything other than what she is – an unimaginative opportunist dead set on destroying the public in public schools.

Now that her spray tanned master has – through inaction and ineptitude – unleashed a plague upon the nation, our students are suffering worse than ever.

Many schools are shuttered from sea to shining sea, their students forced to learn via the Internet.

Open the link and read it all.

The first set of guidelines from the Centers for Disease Control warned that schools needed to take safety precautions to protect students and staff before reopening. Then in July, Trump and DeVos insisted that schools should reopen in full, even as Trump and his allies blocked passage of appropriations that provided the resources needed by schools to reopen safely. Trump’s highest priority was getting the economy open by getting parents back to work.

I wrote last July that the Trump administration pressured the CDC to revise its guidelines, emphasizing the importance of reopening and downplaying the safety guidelines. Getting re-elected meant more to Trump than the health of our nation’s students.

The New York Times tells the story:

Top White House officials pressured the Centers for Disease Control and Prevention this summer to play down the risk of sending children back to school, a strikingly political intervention in one of the most sensitive public health debates of the pandemic, according to documents and interviews with current and former government officials.

As part of their behind-the-scenes effort, White House officials also tried to circumvent the C.D.C. in a search for alternate data showing that the pandemic was weakening and posed little danger to children.

The documents and interviews show how the White House spent weeks trying to press public health professionals to fall in line with President Trump’s election-year agenda of pushing to reopen schools and the economy as quickly as possible. The president and his team have remained defiant in their demand for schools to get back to normal, even as coronavirus cases have once again ticked up, in some cases linked to school and college reopenings.

The effort included Dr. Deborah L. Birx, the White House’s coronavirus response coordinator, and officials working for Vice President Mike Pence, who led the task force. It left officials at the C.D.C., long considered the world’s premier public health agency, alarmed at the degree of pressure from the White House.

One member of Mr. Pence’s staff said she was repeatedly asked by Marc Short, the vice president’s chief of staff, to get the C.D.C. to produce more reports and charts showing a decline in coronavirus cases among young people.

The staff member, Olivia Troye, one of Mr. Pence’s top aides on the task force, said she regretted being “complicit” in the effort. But she said she tried as much as possible to shield the C.D.C. from the White House pressure, which she saw as driven by the president’s determination to have schools open by the time voters cast ballots.

“You’re impacting people’s lives for whatever political agenda. You’re exchanging votes for lives, and I have a serious problem with that,” said Ms. Troye, who left the White House in August and has begun speaking out publicly against Mr. Trump.

According to Ms. Troye, Mr. Short dispatched other members of the vice president’s staff to circumvent the C.D.C. in search of data he thought might better support the White House’s position.

Scientific American endorsed a presidential candidate for the first time in its history. These are unprecedented times. Never has the need for unbiased, evidence-based decision-making been more urgent.

The editors wrote:

Scientific American has never endorsed a presidential candidate in its 175-year history. This year we are compelled to do so. We do not do this lightly.

The evidence and the science show that Donald Trump has badly damaged the U.S. and its people—because he rejects evidence and science. The most devastating example is his dishonest and inept response to the COVID-19 pandemic, which cost more than 190,000 Americans their lives by the middle of September. He has also attacked environmental protections, medical care, and the researchers and public science agencies that help this country prepare for its greatest challenges. That is why we urge you to vote for Joe Biden, who is offering fact-based plans to protect our health, our economy and the environment. These and other proposals he has put forth can set the country back on course for a safer, more prosperous and more equitable future.

The pandemic would strain any nation and system, but Trump’s rejection of evidence and public health measures have been catastrophic in the U.S. He was warned many times in January and February about the onrushing disease, yet he did not develop a national strategy to provide protective equipment, coronavirus testing or clear health guidelines. Testing people for the virus, and tracing those they may have infected, is how countries in Europe and Asia have gained control over their outbreaks, saved lives, and successfully reopened businesses and schools. But in the U.S., Trump claimed, falsely, that “anybody that wants a test can get a test.” That was untrue in March and remained untrue through the summer. Trump opposed $25 billion for increased testing and tracing that was in a pandemic relief bill as late as July. These lapses accelerated the spread of disease through the country—particularly in highly vulnerable communities that include people of color, where deaths climbed disproportionately to those in the rest of the population.

It wasn’t just a testing problem: if almost everyone in the U.S. wore masks in public, it could save about 66,000 lives by the beginning of December, according to projections from the University of Washington School of Medicine. Such a strategy would hurt no one. It would close no business. It would cost next to nothing. But Trump and his vice president flouted local mask rules, making it a point not to wear masks themselves in public appearances. Trump has openly supported people who ignored governors in Michigan and California and elsewhere as they tried to impose social distancing and restrict public activities to control the virus. He encouraged governors in Florida, Arizona and Texas who resisted these public health measures, saying in April—again, falsely—that “the worst days of the pandemic are behind us” and ignoring infectious disease experts who warned at the time of a dangerous rebound if safety measures were loosened.
And of course, the rebound came, with cases across the nation rising by 46 percent and deaths increasing by 21 percent in June. The states that followed Trump’s misguidance posted new daily highs and higher percentages of positive tests than those that did not. By early July several hospitals in Texas were full of COVID-19 patients. States had to close up again, at tremendous economic cost. About 31 percent of workers were laid off a second time, following the giant wave of unemployment—more than 30 million people and countless shuttered businesses—that had already decimated the country. At every stage, Trump has rejected the unmistakable lesson that controlling the disease, not downplaying it, is the path to economic reopening and recovery.

Trump repeatedly lied to the public about the deadly threat of the disease, saying it was not a serious concern and “this is like a flu​” when he knew it was more lethal and highly transmissible, according to his taped statements to journalist Bob Woodward. His lies encouraged people to engage in risky behavior, spreading the virus further, and have driven wedges between Americans who take the threat seriously and those who believe Trump’s falsehoods. The White House even produced a memo attacking the expertise of the nation’s leading infectious disease physician, Anthony Fauci, in a despicable attempt to sow further distrust.

Trump’s reaction to America’s worst public health crisis in a century has been to say “I don’t take responsibility at all.” Instead he blamed other countries and his White House predecessor, who left office three years before the pandemic began.

But Trump’s refusal to look at the evidence and act accordingly extends beyond the virus. He has repeatedly tried to get rid of the Affordable Care Act while offering no alternative; comprehensive medical insurance is essential to reduce illness. Trump has proposed billion-dollar cuts to the National Institutes of Health, the National Science Foundation, and the Centers for Disease Control and Prevention, agencies that increase our scientific knowledge and strengthen us for future challenges. Congress has countermanded his reductions. Yet he keeps trying, slashing programs that would ready us for future pandemics and withdrawing from the World Health Organization. These and other actions increase the risk that new diseases will surprise and devastate us again.

Trump also keeps pushing to eliminate health rules from the Environmental Protection Agency, putting people at more risk for heart and lung disease caused by pollution. He has replaced scientists on agency advisory boards with industry representatives. In his ongoing denial of reality, Trump has hobbled U.S. preparations for climate change, falsely claiming that it does not exist and pulling out of international agreements to mitigate it. The changing climate is already causing a rise in heat-related deaths and an increase in severe storms, wildfires and extreme flooding.

Joe Biden, in contrast, comes prepared with plans to control COVID-19, improve health care, reduce carbon emissions and restore the role of legitimate science in policy making. He solicits expertise and has turned that knowledge into solid policy proposals.

On COVID-19, he states correctly that “it is wrong to talk about ‘choosing’ between our public health and our economy…. If we don’t beat the virus, we will never get back to full economic strength.” Biden plans to ramp up a national testing board, a body that would have the authority to command both public and private resources to supply more tests and get them to all communities. He also wants to establish a Public Health Job Corps of 100,000 people, many of whom have been laid off during the pandemic crisis, to serve as contact tracers and in other health jobs. He will direct the Occupational Health and Safety Administration to enforce workplace safety standards to avoid the kind of deadly outbreaks that have occurred at meat-processing plants and nursing homes. While Trump threatened to withhold money from school districts that did not reopen, regardless of the danger from the virus, Biden wants to spend $34 billion to help schools conduct safe in-person instruction as well as remote learning.

Biden is getting advice on these public health issues from a group that includes David Kessler, epidemiologist, pediatrician and former U.S. Food and Drug Administration chief; Rebecca Katz, immunologist and global health security specialist at Georgetown University; and Ezekiel Emanuel, bioethicist at the University of Pennsylvania. It does not include physicians who believe in aliens and debunked virus therapies, one of whom Trump has called “very respected” and “spectacular.”

Biden has a family and caregiving initiative, recognizing this as key to a sustained public health and economic recovery. His plans include increased salaries for child care workers and construction of new facilities for children because the inability to afford quality care keeps workers out of the economy and places enormous strains on families.

On the environment and climate change, Biden wants to spend $2 trillion on an emissions-free power sector by 2035, build energy-efficient structures and vehicles, push solar and wind power, establish research agencies to develop safe nuclear power and carbon capture technologies, and more. The investment will produce two million jobs for U.S. workers, his campaign claims, and the climate plan will be partly paid by eliminating Trump’s corporate tax cuts. Historically disadvantaged communities in the U.S. will receive 40 percent of these energy and infrastructure benefits.
It is not certain how many of these and his other ambitions Biden will be able to accomplish; much depends on laws to be written and passed by Congress. But he is acutely aware that we must heed the abundant research showing ways to recover from our present crises and successfully cope with future challenges.
Although Trump and his allies have tried to create obstacles that prevent people from casting ballots safely in November, either by mail or in person, it is crucial that we surmount them and vote. It’s time to move Trump out and elect Biden, who has a record of following the data and being guided by science.

Editor’s Note (9/15/20): This article has been edited after its publication in the October 2020 issue of Scientific American to reflect recent reporting.

This article was originally published with the title “From Fear to Hope” in Scientific American 323, 4, 12-13 (October 2020)
doi:10.1038/scientificamerican1020-12

Amber Phillips explains in the Washington Post why Trump will continue holding indoor rallies to mostly maskless people, despite the warnings of public health officials.

The president held an indoor rally Sunday in Nevada and a large indoor event in Phoenix on Monday. More could be coming.

And reporting indicates that he thinks flouting public health advice is the right way to rally his base.

But that probably comes at the expense of picking up moderates. Polls show a majority of Americans support wearing masks and taking precautions against the virus. Not to mention hat this indoor-rally-practice creates the very real risk that the president is helping spread coronavirus in key swing states rather than slow it. But it’s what Trump wants, so it looks like it will continue. The Post’s Anne Gearan and Josh Dawsey report:

“Many around the president are acutely aware that a potential surge in coronavirus cases and deaths close to the election could be disastrous, according to campaign and White House aides, but they are mostly bowing to Trump’s desire to pack the house.”

In other words, he is endangering the lives of his most ardent supporters because he wants to impress them with his heroics. He is removed feom the crowd and is not in danger. They are in danger, not him. He doesn’t press the flesh. Their exhalations do not reach him. His friend Herman Cain died of coronavirus shortly after attending Trump’s rally in Tulsa. Coincidence? Tulsa exoerienced a surge in cases two weeks after the rally.

Trump may be a one-man super spreader.

Not a good look after 200,000 Americans have died.

But maybe this bravado impresses his MAGA base.

Folks, the federal government is in the hands of some very unstable people. The man in charge of communicating public information about the coronavirus at CDC is an unhinged Trump loyalist.

This story was in the New York Times:

WASHINGTON — The top communications official at the powerful cabinet department in charge of combating the coronavirus made outlandish and false accusations on Sunday that career government scientists were engaging in “sedition” in their handling of the pandemic and that left-wing hit squads were preparing for armed insurrection after the election.

Michael R. Caputo, the assistant secretary of public affairs at the Department of Health and Human Services, accused the Centers for Disease Control and Prevention of harboring a “resistance unit” determined to undermine President Trump, even if that opposition bolsters the Covid-19 death toll.

Mr. Caputo, who has faced intense criticism for leading efforts to warp C.D.C. weekly bulletins to fit Mr. Trump’s pandemic narrative, suggested that he personally could be in danger from opponents of the administration. “If you carry guns, buy ammunition, ladies and gentlemen, because it’s going to be hard to get,” he urged his followers.

He went further, saying his physical health was in question, and his “mental health has definitely failed.”

“I don’t like being alone in Washington,” Mr. Caputo said, describing “shadows on the ceiling in my apartment, there alone, shadows are so long.” He also said the mounting number of Covid-19 deaths was taking a toll on him, telling his viewers, “You are not waking up every morning and talking about dead Americans.” The United States has lost more than 194,200 people to the virus. Mr. Caputo urged people to attend Trump rallies, but only with masks.

To a certain extent, Mr. Caputo’s comments in a video he hosted live on his personal Facebook page were simply an amplified version of remarks that the president himself has made. Both men have singled out government scientists and health officials as disloyal, suggested that the election will not be fairly decided, and insinuated that left-wing groups are secretly plotting to incite violence across the United States.

But Mr. Caputo’s attacks were more direct, and they came from one of the officials most responsible for shaping communications around the coronavirus.

C.D.C. scientists “haven’t gotten out of their sweatpants except for meetings at coffee shops” to plot “how they’re going to attack Donald Trump next,” Mr. Caputo said. “There are scientists who work for this government who do not want America to get well, not until after Joe Biden is president.”

A longtime Trump loyalist with no background in health care, Mr. Caputo, 58, was appointed by the White House to his post in April, at a time when the president’s aides suspected the health secretary, Alex M. Azar II, of protecting his public image instead of Mr. Trump’s. Mr. Caputo coordinates the messaging of an 80,000-employee department that is at the center of the pandemic response, overseeing the Food and Drug Administration, the C.D.C. and the National Institutes of Health.

“Mr. Caputo is a critical, integral part of the president’s coronavirus response, leading on public messaging as Americans need public health information to defeat the Covid-19 pandemic,” the Department of Health and Human Services said in a statement.

Mr. Caputo’s Facebook comments were another sign of the administration’s deep antipathy and suspicion for its own scientific experts across the bureaucracy and the growing political pressure on those experts to toe a political line favorable to Mr. Trump.

This weekend, first Politico, then The New York Times and other news media organizations published accounts of how Mr. Caputo and a top aide had routinely worked to revise, delay or even scuttle the core health bulletins of the C.D.C. to paint the administration’s pandemic response in a more positive light. The C.D.C.’s Morbidity and Mortality Weekly Reports had previously been so thoroughly shielded from political interference that political appointees only saw them just before they were published.

Mr. Caputo’s 26-minute broadside on Facebook against scientists, the news media and Democrats was also another example of a senior administration official stoking public anxiety about the election and conspiracy theories about the “deep state” — the label Mr. Trump often attaches to the federal Civil Service bureaucracy.

Mr. Caputo predicted that the president would win re-election in November, but that his Democratic opponent, Joseph R. Biden Jr., would refuse to concede, leading to violence. “And when Donald Trump refuses to stand down at the inauguration, the shooting will begin,” he said. “The drills that you’ve seen are nothing.”

There were no obvious signs from administration officials on Monday that Mr. Caputo’s job was in danger. On the contrary, Mr. Trump again added his voice to the administration’s science denialism. As the president visited California to show solidarity with the fire-ravaged West, he challenged the established science of climate change, declaring, “It will start getting cooler.” He added: “Just watch. I don’t think science knows, actually.”

Mr. Caputo’s remarks also dovetailed in part with those of Roger J. Stone Jr., a longtime confidant of both Mr. Caputo and Mr. Trump. Mr. Stone, whose 40-month prison sentence for lying to Congress was commuted by the president in July, told the conspiracy website Infowars on Friday that Mr. Trump should consider declaring martial law if he lost re-election.

Grant Smith, a lawyer for Mr. Stone, was among the followers who had joined Mr. Caputo’s talk on Sunday. Mr. Caputo has 5,000 Facebook friends, and his video was viewed more than 850 times. He has now shut down his account.

Over all, his tone was deeply ominous: He warned, again without evidence, that “there are hit squads being trained all over this country” to mount armed opposition to a second term for Mr. Trump. “You understand that they’re going to have to kill me, and unfortunately, I think that’s where this is going,” Mr. Caputo added.

In a statement on Monday, Mr. Caputo told The Times: “Since joining the administration, my family and I have been continually threatened” and harassed by people who have later been prosecuted. “This weighs heavily on us, and we deeply appreciate the friendship and support of President Trump as we address these matters and keep our children safe.”

He insisted on Facebook that he would weather the controversies, saying, “I’m not going anywhere.” And he boasted of the importance of his role, stating that the president had personally put him in charge of a $250 million public service advertising campaign intended to help the United States return to normal.

The Department of Health and Human Services is trying to use that campaign to attract more minority volunteers for clinical trials of potential Covid-19 vaccines and to ask people who have recovered to donate their blood plasma to help other infected patients. Department officials have complained that congressional Democrats are obstructing the effort.

While Mr. Caputo characterized C.D.C. scientists in withering terms, he said the agency’s director, Dr. Robert R. Redfield, was “one of my closest friends in Washington,” adding, “He is such a good man.” Mr. Caputo is partly credited with helping choose Dr. Redfield’s new interim chief of staff.

Critics say Dr. Redfield has left the Atlanta-based agency open to so much political interference that career scientists are the verge of resigning. The agency was previously seen as mostly apolitical; its reports were internationally respected for their importance and expertise.

Mr. Caputo charged that scientists “deep in the bowels of the C.D.C.” walked “around like they are monks” and “holy men” but engaged in “rotten science.”

He fiercely defended his scientific adviser, Dr. Paul Alexander, who was heavily involved in the effort to reshape the C.D.C.’s Morbidity and Mortality Weekly Reports. Mr. Caputo described Dr. Alexander, an assistant professor at McMaster University in Canada, as “a genius.”

“To allow people to die so that you can replace the president” is a “grievous sin,” Mr. Caputo said. “And these people are all going to hell.”

A public relations specialist, Mr. Caputo has repeatedly claimed that his family and his business suffered hugely because of the investigation by the special counsel, Robert S. Mueller III, into Russian interference in the 2016 presidential election. Mr. Caputo was a minor figure in that inquiry, but he was of interest partly because he had once lived in Russia, had worked for Russian politicians and was contacted in 2016 by a Russian who claimed to have damaging information about Hillary Clinton.

Mr. Caputo referred that person to Mr. Stone and was never charged with any wrongdoing. Mr. Caputo later wrote a book and produced a documentary, both entitled “The Ukraine Hoax,” to undermine the case for Mr. Trump’s impeachment.

Mr. Caputo worked on Mr. Trump’s 2016 presidential campaign for a time but was passed over for a job early in the administration. He remained friendly with Dan Scavino, the former campaign aide who is now the deputy chief of staff for White House communications and played a role in reconnecting Mr. Trump and Mr. Caputo.

Some of Mr. Caputo’s most disturbing comments were centered on what he described as a left-wing plot to harm the administration’s supporters. He claimed baselessly that the killing of a Trump supporter in Portland, Ore., in August by an avowed supporter of the left-wing collective was merely a practice run for more violence.

“Remember the Trump supporter who was shot and killed?” Mr. Caputo said. “That was a drill.”

The man suspected in the shooting, Michael Forest Reinoehl, was shot dead this month by officers from a federally led fugitive task force in Washington State. He “went down fighting,” Mr. Caputo said. “Why? Because he couldn’t say what he had inside him.”