The Commentariat -- Oct. 16, 2014
Internal links, illustration, defunct video & related text removed.
They kind of blew me off. -- Dr. Sean Kaufman, when he warned the CDC that its Ebola control protocol was too lax
... Donald McNeil of the New York Times: "Many American hospitals have improperly trained their staffs to deal with Ebola patients because they were following federal guidelines that were too lax, infection control experts said on Wednesday. Federal health officials effectively acknowledged the problems with their procedures for protecting health care workers by abruptly changing them. At 8 p.m. Tuesday, the Centers for Disease Control and Prevention issued stricter guidelines for American hospitals with Ebola patients. They are now closer to the procedures of Doctors Without Borders, which has decades of experience in fighting Ebola in Africa. Sean G. Kaufman, who oversaw infection control at Emory University Hospital while it treated Dr. Kent Brantly and Nancy Writebol, the first two American Ebola patients, called the earlier C.D.C. guidelines 'absolutely irresponsible and dead wrong.'” ...
... Katie Zezima of the Washington Post: "President Obama [said] Wednesday that the dangers of a widespread Ebola outbreak in the United States are 'extraordinarily low,' pointing to his own contact with medical personnel treating a patient infected with the virus":
... Michael Shear of the New York Times: "After a two-hour meeting of cabinet-level officials who are in charge of the government's response to the virus, Mr. Obama promised that a review of the recent Ebola cases in Dallas would determine what went wrong that allowed two nurses to be infected. With a video link to Dr. Thomas R. Frieden, the head of the Centers for Disease Control, the president said he had ordered health officials to determine, 'How we are going to make sure that something like this isn't repeated.'" ...
... Manny Fernandez & Jack Healy of the New York Times: "A second nurse at a hospital [in Dallas] tested positive for Ebola on Wednesday, the third case of disease confirmed in Dallas in the span of 15 days and the first to heighten fears far beyond the city. The nurse, Amber Joy Vinson, 29, took a flight earlier this week from Ohio to Texas, a trip that federal health officials said should not have been taken.... The C.D.C. asked all 132 passengers on Frontier Flight 1143 to call a C.D.C. hotline.... Officials said Ms. Vinson ... was to be transferred Wednesday to Emory University Hospital in Atlanta, one of four hospitals in the United States that have special high-containment units for isolating patients with dangerous infectious diseases." This story has been updated....
... Oh My. Here's an Update of Interest. Mark Berman, et al., of the Washington Post: "Before she boarded that flight..., Amber Joy Vinson, 29, informed the Centers for Disease Control and Prevention that she was running a temperature of 99.5 degrees, a federal official told The Washington Post. That was below the 100.4-degree threshold in CDC guidelines for screening travelers who have been in Ebola-affected countries, and which triggers a secondary screening. The CDC did not prohibit Vinson from traveling on the plane back to Dallas, said the official, who spoke on the condition of anonymity because of the sensitive nature of the issue." ...
... CW: In both cases in which nurses contracted Ebola at the Dallas hospital, Dr. Thomas Friedan, director of the CDC, first played "blame the victim" before admitting the Ebola victim was not at fault. In the earlier case, he accused the nurse (or hospital??) of some unknown "breach of protocol." I do believe Dr. Friedan needs to have a check-up for Infallible God Syndrome, a psychological condition common among medical doctors. ...
... Sabrina Tavernise of the New York Times: Dr. Thomas Friedan "has become the face of the Obama administration's flawed response to Ebola in the United States, and on Thursday he is likely to face withering questions about his record during a congressional hearing." ...
... Katie Zavadski of New York: "Local Dallas reporter Lauren Zakalik tweeted that CDC officials told her there is a 'do not board' list that will evolve to cover potentially exposed people." ...
... Dianna Hunt of the Dallas Morning News: "Health care workers treating Thomas Eric Duncan in a hospital isolation unit didn't wear protective hazardous-material suits for two days until tests confirmed the Liberian man had Ebola -- a delay that potentially exposed perhaps dozens of hospital workers to the virus, according to medical records." ...
... Geoffrey Mohan, et al., of the Los Angeles Times: "Nurses at a Texas hospital where a Liberian man died of Ebola described a confused and chaotic response to his arrival in the emergency room, alleging in a statement Tuesday that he languished for hours in a room with other patients and that hospital authorities resisted isolating him.... In addition, they said, the nurses tending him had flimsy protective gear and no proper training from hospital administrators in handling such a patient." ...
... Alan Zarembo of the Los Angeles Times: "The nation's largest union of registered nurses Wednesday called on President Obama to mandate uniform standards at U.S. hospitals to protect healthcare workers from the Ebola virus. 'Not one more patient, nurse or healthcare worker should be put at risk due to a lack of healthcare facility preparedness,' National Nurses United wrote in a letter to the president. 'The United States should be setting the example on how to contain and eradicate the Ebola virus.'" ...
... Steve M.: "I'm amused ... to see this union and its officers being quoted favorably by outraged conservatives at Right Wing News, CNS News, Free Republic, and other sites on the right. Do these righties know anything about their new favorite whistleblowers? [The union's co-president Deborah] Burger advocates single-payer and opposes the Keystone pipeline, as does [union director RoseAnn] DeMoro. They also advocate a Robin Hood Tax on Wall Street financial transactions. In a Washington Post op-ed published Monday, DeMoro tied our Ebola problems to the private, for-profit nature of our health care system." ...
... Ed Kilgore: "... it's hard to avoid noting that Texas -- the very sovereign State of Texas, I should clarify, where the federal government is generally not welcome -- was at a loss in dealing with a single Ebola case until the feds stepped in (per a WaPo tick-tock on the Dallas situation) [linked yesterday in the Commentariat]. ...
... Benedict Carey of the New York Times: "As health officials scramble to explain how two nurses in Dallas became infected with Ebola, psychologists are increasingly concerned about another kind of contagion, whose symptoms range from heightened anxiety to avoidance of public places to full-blown hysteria." ...
... Joe Coscarelli of New York: "Fox News conscience Shepard Smith brought a rare moment of sanity to the network this afternoon when he shut down a colleague's report that there was a 'widespread panic across the country' over Ebola. 'Oh my God, Doug, I appreciate it, but I think we both know there's no widespread panic across the country,' Smith said. 'And I think we also know that if there's a widespread panic, it's not based in fact and it's not based in reason.'" ...
... Here's Smith talking sense about Ebola to Foxbots. His advice: "Get a flu shot." Flu, & associated pneumonia, killed 52,000 Americans last year:
... THEN There's Fox "News"'s Medical Expert & Obama Shrink Keith Ablow. Caitlin MacNeal of TPM: "Dr. Keith Ablow, a member of the Fox News Medical A-Team, on Tuesday said that Obama won't protect Americans from Ebola because 'his affinities' are with Africa, not the U.S. 'He's their leader.' 'He has it in for us as disappointing people. People who've been a scourge on the face of the Earth," Ablow said on Fox News Radio's The John Gibson show. 'In his mind, if only unconsciously, he's thinking, "Really? We're going to prevent folks suffering with illnesses from coming across the border flying into our airports when we have visited a plague of colonialism that has devastated much of the world, on the world? What is the fairness in that?'"... He also compared Obama to Osama Bin Laden and Saddam Hussein while claiming that Americans elected Obama because he hates the U.S." ...
... CW: Here's my question: Would Fox "News" allow this guy go on the air while he was wearing his Klan hood? What exactly is the network's journalistic threshold? See also Akhilleus's comment/rant in yesterday's thread. ...
... Brendan Nyhan in the New York Times: "... public concerns are likely to increase about whether the United States health care system can properly respond to an outbreak [of Ebola]. Data from surveys suggest, however, that those views -- like so many others -- are being shaped by people's partisan affilations as much as by news about the outbreak itself."
Michael Schmidt of the New York Times: "In his first major policy speech as director of the F.B.I., James B. Comey on Thursday plans to ... say that encryption technologies used on ... devices, like the new iPhone, have become so sophisticated that crimes will go unsolved because law enforcement officers will not be able to get information from them, according to a senior F.B.I. official who provided a preview of the speech."
Linda Greenhouse: "In the space of eight days, the [Supreme Court] justices managed to touch on American society's hottest of hot-button issues
... Erik Eckholm of the New York Times: "A day after the Supreme Court blocked a Texas law that had forced abortion clinics to close, some of the shuttered facilities prepared to reopen, pleased at the reprieve but mindful that the legal fight was far from over. Tuesday's order increased the chances, legal experts said, of a major face-off in the Supreme Court over a crucial question: What restrictions add up to an 'undue burden' on a woman's right to abortion?"
W. J. Hennigan of the Los Angeles Times: "The Pentagon has finally given a name to the international military effort against Islamic State militants: 'Operation Inherent Resolve.'” ...
... CW: Can we expect the same people who came up with "Operation Inherent Resolve" to defeat ISIS? Or anybody? Were they going for esoteric? Seriously, what percentage of American knows what "inherent" means? Prior to the Pentagon's settling on this brilliant handle, Paul Waldman suggested "Operation Pulverizing Power" or "Operation Glittering Justice." I myself prefer acronymical names, so something like Operation Bombs Away Motherfuckin' Assholes would be both inherently inspirational AND easy to remember. Also, it would make John McCain even crazier.
November Elections
Dana Milbank: "Republicans are so confident of anti-Obama sentiments that they aren’t making an effort to present an alternative agenda, the way they did with 1994’s 'Contract With America' or 2010’s 'Pledge to America.' The Republican National Committee drafted only vaguely worded 'principles' '“Our Constitution should be preserved, valued and honored')."
Greg Sargent: "... a total of six GOP Senate candidates [are] injecting Ebola into their races." ...
... Paul Waldman: "It's not your Senator's job to stop Ebola."
Alaska & South Dakota. Tim Egan: "... the fact that all the money and manipulations of the Koch brothers could be undone by a handful of native voters living in some of the poorest and most remote parts of the land is a tribute to our teetering democracy.... In Alaska and South Dakota, where the native vote could be the only thing that stands in the way of a Republican-controlled Senate."
Arkansas. Michael Winter of USA Today: "In a ruling that could affect a key U.S. Senate race, the Arkansas Supreme Court on Wednesday declared the state's voter-identification law unconstitutional. The unanimous decision, which upheld a lower court, came just days before early balloting begins Monday for the Nov. 4 election. The justices ruled that Act 595, which required voters to show government-issued photo identification, 'imposes a requirement that falls outside' the four qualifications outlined in the state constitution: A voter must be a U.S. citizen, an Arkansas resident, 18 years old and registered to vote."
Colorado. Lynn Bartels of the Denver Post: "Ebola emerged Wednesday night as a new issue in Colorado's U.S. Senate debate with Democrat Mark Udall and Republican Cory Gardner, but much of their hour-long exchange focused on familiar themes. The two exchanged jabs for nearly an hour in 9News' studio as moderators Kyle Clark and Brandon Rittiman pushed the candidates to answer questions on everything from climate change to reproductive rights to health-care reform." ...
... In case you think Gardner might be right, this FactCheck.org article -- written way back in mid-August, giving Gardner literally months to come up with a better story or renounce the House bill -- debunks his ludicrous claim that the House personhood bill is merely a pro-life "statement." Lori Robertson of FactCheck.org: "... the wording of these [personhood] measures could be interpreted to mean hormonal forms of birth control, including the pill and intrauterine devices, would be outlawed. Other non-hormonal forms, such as condoms, wouldn’t be affected, but oral contraception (the pill) is the most popular form of birth control among U.S. women." Also via Sargent.
Florida. "Fangate"! Adam Smith of the Tampa Bay Times & Mark Caputo of the Miami Herald: "In the weirdest start of a gubernatorial debate, Florida Gov. Rick Scott initially refused to take the stage Wednesday night because Democrat Charlie Crist insisted on using a fan to keep him cool. The Republican governor finally emerged at least six minutes late as flummoxed moderators struggled on live TV to figure out what to do with a bemused Crist standing solo on stage at Broward College. 'Are we really going to debate about a fan? Or are we going to talk about education and the environment and the future of our state?' Crist asked. 'I mean, really.'"
... Sean Sullivan of the Washington Post: "A Crist adviser posted a picture of the rules Crist signed on Twitter. They seem to indicate that a fan was allowed.... Later, the Scott campaign seemed to concede: a fan was fine by them after all." ...
... Charles Pierce: "It is now the conventional wisdom that Scott blew up his campaign with this stunt.... The visual was quite simply the most bizarre image to come out of a debate since Ned Coll waved a rubber rat at Edmund Muskie in 1972.... If you hung around and watched the rest of the debate, you fully understand now why the people of Florida are gagging on having to make a choice between either one of these jamokes." ...
... Betty Cracker of Balloon Juice posts the candidates' closing remarks. Scott's word salad is hard to watch. "You can go to C-SPAN and watch any random clip of Scott speaking last night, and it will be just as cringe-inducing." CW Note to Gov. Ricky: No voter gives a whip about your your "mom's watching from heaven."
Idaho. Jeff Singer of Daily Kos: Idaho's Gov. Butch Otter (R) is running only three points ahead of his ConservaDem opponent A. J. Balukoff, according to a PPP poll, forcing the Republican Governors Association to drop money into a race that most assumed would be an easy victory for Otter. Singer explains why there's a good chance Otter's numbers will improve.
Kentucky. Amy Chozick of the New York Times: "Hillary Rodham Clinton campaigned on Wednesday in Louisville, Ky., with Alison Lundergan Grimes, right, the Democratic candidate who is trying to unseat Senator Mitch McConnell....." ...
... Glenn Kessler of the Washington Post on Mitch McConnell's pretense that Kynect is "just a Website": "If he wants to rip out Obamacare 'root and branch,' then he has to explain what he would plant in the health-insurance garden instead. Otherwise his assurances on the future have little credibility."
Maine. The bigger issue right now is whether or not this individual had the proper papers. -- Gov. Paul LePage (RTP-Maine), on a person who tested negative for Ebola at a Maine hospital ...
... Portland Press Herald Editors: "Unbelievably, the governor used a potential public health crisis to point fingers at Maine’s largely African refugee and immigrant population. He’s encouraging scapegoating of those who are different, but he hasn’t bothered to point out that while the Ebola outbreak 'is strictly in West Africa' – as a Maine Med official has told the Portland Press Herald – most of the Africans in Maine are from the eastern part of the massive continent.... By making insinuations about whether the Maine Med patient was in the U.S. legally, the governor also has blatantly overstepped ethical boundaries. What’s more, it’s bad health policy to imply that a trip to the hospital for much-needed emergency care could result in being closely questioned about one’s immigration status." ...
... Linda Kintsler of the New Republic: "... thanks to the continued split between Maine Independents and Democrats, looks like it might very well result in the re-election of Republican Paul LePage, America’s craziest governor. Recent polls have the Democratic candidate, Congressman Michael Michaud, maintaining a thin lead over LePage, 40 percent to 38 percent, with the Independent, Eliot Cutler, trailing well behind at 15 percent. (Others have Michaud and Culter polling slightly higher.)... LePage, who should never have had a second shot at the governorship, now actually has a decent shot at winning. And he knows it, because this is how he got elected the first time around." ...
... If Maine is so proud of the "independence" of its voters, but the effect is to elect the wrong guys because reasonable people split their votes between or among the better candidates, there are easy & sensible solutions. Ian Millhiser of Think Progress: "In Louisiana, for example, all of the candidates run together in a 'jungle primary,' and then the top two candidates compete in a run-off if neither one wins a majority. Another system, known as 'instant runoff voting,' allows voters to rank their choices. Under this system, losing candidates are eliminated and their votes are redistributed to the voter’s next choice until one candidate emerges with a majority of the votes." CW: To me, the "instant runoff" seems preferable: the state doesn't have to foot the expense of two elections, & voters don't have to go to the polls twice.
FINALLY, why can't state-level debates be more like presidential debates? Via Daily Kos:
News Ledes
New York Times: "The chief clinical officer of the Texas hospital system that treated a Liberian Ebola patient apologized for what he said were mistakes made by the hospital in Dallas in the original diagnosis of Ebola and in providing inaccurate information. The remarks, part of prepared testimony for a congressional hearing later Thursday...." ...
... Hartford Courant: "Officials say Yale-New Haven Hospital expects to receive test results in the next 24 hours on a patient who recently traveled to Liberia and was admitted Wednesday night with a fever. The patient is one of two Yale University students who returned home last week after spending a month in Liberia researching the Ebola outbreak, according to the New Haven mayor's office." Thanks to P. D. Pepe for the lead. ...
... New York Times: "Officials at school districts in Texas and Ohio shut schools on Thursday after they learned that two students traveled on the Cleveland-to-Dallas flight with Amber Joy Vinson, a nurse infected with Ebola, and that an employee may have later flown on the same plane."