Category: Corona Virus

Some senators had wanted to put a provision in the coronavirus bill to protect patients from surprise out-of-network billing either a broad clause or one specifically related to coronavirus care. Lobbyists for hospitals, physician staffing firms and air ambulances apparently helped ensure it stayed out of the final version. They played what a person familiar with the negotiations, who spoke on condition of anonymity, called the Covid card: How could you possibly ask us to deal with surprise billing when were trying to battle this pandemic?

Even without an E.R. visit, there are perilous billing risks. Not all hospitals and labs are capable of performing the test. And what if my in-network doctor sends my coronavirus test to an out-of-network lab? Before the pandemic, the Kaiser Health News-NPR Bill of the Month Project produced a feature about Alexa Kasdan, a New Yorker with a head cold, whose throat swab was sent to an out-of-network lab that billed more than $28,000 for testing.

Even patients who do not contract the coronavirus are at a higher risk of incurring a surprise medical bill during the current crisis, when an unrelated health emergency could land you in an unfamiliar, out-of-network hospital because your hospital is too full with Covid-19 patients.

The coronavirus bills passed so far and those on the table offer inadequate protection from a system primed to bill patients for all kinds of costs. The Families First Coronavirus Response Act, passed this month, says that the test and its related charges will be covered with no patient charge only to the extent that they are related to administering the test or evaluating whether a patient needs it.

That leaves hospital billers and coders wide berth. Mr. Cencini went to the E.R. to get a test, as he was instructed to do. When he called to protest his $1,622.52 for hospital charges (his insurers discounted rate from over $2,500 in the hospitals billed charges), a patient representative confirmed that the E.R. visit and other services performed would be eligible for cost-sharing (in his case, all of it, since hed not met his deductible).

This weekend he was notified that the physician charge from Emergency Care Services of New York was $1,166. Though covered by his insurance, he owes another $321 for that, bringing his out-of-pocket costs to nearly $2,000.

By the way, his test came back negative.

When he got off the phone with his insurer, his blood was at the boiling point, he told us. My retirement account is tanking and Im expected to pay for this?

The coronavirus aid package provides a stimulus payment of $1,200 per person for most adults. Thanks to the billing proclivities of the American health care system, that will not offset Mr. Cencinis medical bills.

Elisabeth Rosenthal, a former New York Times correspondent, is the editor in chief of Kaiser Health News, the author of An American Sickness: How Healthcare Became Big Business and How You Can Take It Back and a contributing Opinion writer. Emmarie Huetteman is a correspondent at Kaiser Health News.

The Times is committed to publishing a diversity of letters to the editor. Wed like to hear what you think about this or any of our articles. Here are some tips. And heres our email: letters@nytimes.com.

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He Got Tested for Coronavirus. Then Came the Flood of Medical Bills. - The New York Times

So what has happened? Well, several different things. From the Wuhan outbreak through somewhere in mid-February, the responses to the coronavirus did seem to correspond very roughly to theories of conservative and liberal psychology. Along with infectious-disease specialists, the people who seemed most alarmed by the virus included the inhabitants of Weird Right-Wing Twitter (a collection of mordant, mostly anonymous accounts interested in civilizational decline), various Silicon Valley eccentrics, plus original-MAGA figures like Mike Cernovich and Steve Bannon. (The radio host Michael Savage, often considered the most extreme of the rights talkers, was also an early alarmist.)

Meanwhile, liberal officialdom and its media appendages were more likely to play down the threat, out of fear of giving aid and comfort to sinophobia or populism. This period was the high-water mark of its just the flu reassurances in liberal outlets, of pious critiques of Donald Trumps travel restrictions, of deceptive public-health propaganda about how masks dont work, of lectures from the head of the World Health Organization about how the greatest enemy we face is not the virus itself; its the stigma that turns us against each other.

But then, somewhere in February, the dynamic shifted. As the disease spread and the debate went mainstream, liberal opinion mostly abandoned its anti-quarantine posture and swung toward a reasonable panic, while conservative opinion divided, with a large portion of the right following the lead of Trump himself, who spent crucial weeks trying to wish the crisis away. Where figures like Bannon and Cernovich manifested a conservatism attuned to external perils, figures like Rush Limbaugh and Sean Hannity manifested a conservatism of tribal denial, owning the libs by minimizing the coronavirus threat.

Now we are in a third phase, where Trump is (more or less, depending on the day) on board with a robust response and most conservatives have joined most liberals in alarm. Polls show a minimal partisan divide in support for social distancing and lockdowns, and some of that minimal divide is explained by the fact that rural areas are thus far less likely to face outbreaks. (You dont need a complicated theory of the ideological mind to explain why New Yorkers are more freaked out than Nebraskans.)

But even now, there remains a current of conservative opinion that wants to believe that all of this is overblown, that the experts are wrong about the likely death toll, that Trump should reopen everything as soon as possible, that the liberal media just wants to crash the American economy to take his presidency down.

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The Coronavirus and the Conservative Mind - The New York Times

michael barbaro

From The New York Times, Im Michael Barbaro. This is The Daily.

Today: As the pandemic quickly spreads across the U.S., hundreds of hospitals are now confronting their first serious cases of the coronavirus. Susan Dominus on the lessons from the first confirmed case in New Jersey.

Its Monday, March 30.

Sue, tell me how you first heard about James Cai.

Well, a few weeks ago I heard about this young guy, a 32-year-old physician assistant, who was the very first patient in all of New Jersey to test positive for Covid-19.

And so I reached out to him while he was still at the hospital. And I was sort of wondering, would it possibly be OK, could you maybe find some time to talk? And he said, sure, call me now. Im in isolation, in other words, and I have time.

Hello? [COUGHING]

Are you there?

Yes. [COUGHING]

OK.

And what was the story that he told you?

So James lives and works in New York City.

So my name is James Cai, and Im a physician assistant.

And his mother and grandfather live in New Jersey, and so he spends quite a bit of time there as well.

And I work as a primary care, urgent care and nursing home P.A.

He came to this country when he was about 16 from Shanghai. And hes married and has a 20-month-old daughter, whom he adores.

Why did you go into medicine in the first place? Why were you drawn to medicine?

Oh, because of my grandparents. They are doctors. My grandfather is an anesthesiologist in Shanghai. And when I was young, I always sick, so I always went to his hospital. So I had a good impression.

And as someone working in the medical field, was James expecting to interact with this epidemic, the coronavirus? Was he maybe even thinking he would end up treating coronavirus patients?

Well, he doesnt work in a hospital. And because he works in private practice, I think he probably imagined he might be working remotely with telemedicine.

I actually heard about coronavirus many months ago when China had outbreak. But I always followed the disease.

But because of the family background and because he does work in medicine, when news of the coronavirus did start coming out of Wuhan, he definitely understood how quickly the virus could spread. And he definitely understood that the only way to guarantee that you could survive this was by not getting it in the first place.

Around end of February, I started to pile up all the food, like canned foods, frozen vegetables, dumplings.

So soon after the coronavirus landed on the west coast, he and his family went to Costco and stocked up

Our family plan is to stay home for two months.

for like, two months worth of supplies.

Right. So they were going to avoid any meaningful exposure to the virus?

Yeah, if there was communal spread and it had become widespread, their plan was to shelter in place.

And well ahead of the rest of us.

Yeah, I think thats right.

So you werent sure at what point you would start doing that, but you felt youd know when it was time?

Yes.

But, you know, hes stocking up at the end of February. You know, people in the U.S. were still flying all over the country. Kids were going to school. Bloomberg was in the race for president. People were planning vacations and weddings and all sorts of conferences and events. And the same was true of James. So like everybody else, hes going about his life. And around this time, without really too much concern about his health, he went to a medical conference in Times Square.

So I changed diaper for my daughter and gave her morning milk. And I kissed my wife and to go to conference.

On the fourth day of the conference, Monday, March 2, he comes down with a cough. And he starts to realize hes actually getting sick.

I start to cough and a fever and tired.

So he leaves and texts his wife that hes going to go to New Jersey, where his mom has a house. His moms away. And he doesnt want to come home and get his wife and the baby sick.

Because of my daughter, when I went home, she always hugged me and kissed me. And she will catch it.

And whats running through his head at this moment? Is he thinking, I have a bad cough? I might have the flu? Is coronavirus even on his mind?

Not really. I mean, there had not been a single case in all of New Jersey. He thought he probably had the flu. By then, he was mostly feeling this bad cough. He had an elevated heart rate. His eyes were really runny. He had diarrhea. He was not feeling well at all. But he also was not alarmed. You know, he decided to go to one of those drop-in centers to get a flu test, because he wanted to be told he didnt have the flu so he could go home. So the doctor gives him a strep test and a flu test. They discuss whether he should get a coronavirus test, in fact, but the doctor didnt have one. So they moved on. And the results came back that although the strep and the flu tests were negative, his symptoms were consistent with something called a pulmonary embolism, which is a clot in your lung that can be fatal.

So this could potentially be even more serious than just a seasonal flu or

Yes. Certainly more serious than the flu.

So after, I went direct to the Hackensack emergency room.

So the doctor sends him to the E.R. at the Hackensack University Medical Center, which is not far from that doctors office.

And in the emergency room, they asked me questions. Asked me if I cough. I said, I do, I do have cough. I do have shortness of breath.

So as called for, the doctors do a CT scan. And after they do, they realize that, no, he does not have a pulmonary embolism. But that in fact, because of the symptoms hes having and the way his lungs look in the scan

They see a ground glass nodules. So this can be coronavirus.

he might actually have coronavirus.

And how do the doctors at this hospital react to that?

Well, at this point, they havent seen any coronavirus patients. So they dont seem to him terribly alarmed. That said, they do put him in a tiny isolation room, a windowless room on the floor of the emergency room. Thats where he spends the night, texting his friends and his wife and getting increasingly unnerved and feeling quite ill.

I was nervous. And at the same time, since Im in the hospital, Im going to check everything. Make sure Im OK and then I go home.

So then on Tuesday, March 3, which is the second day in the hospital

They decide to do a test on me. So the test takes about 24 hours or 48 hours.

they do a Covid-19 test. And they tell him hes going to have to wait a few days for the result, but he shouldnt worry, hes young and healthy. At the same time, hes wildly Googling symptoms for Covid-19 and realizing that he has almost every one of them.

I had maybe lied to myself, was like, trying to calm myself down. I dont have the Covid-19, I shouldnt have it.

And so, its day three for James in the hospital. Its Wednesday, March 4. Hes still waiting for the results in his tiny little room with a TV. And

[SOUND OF LOCAL NEWS THEME]

a local news report comes on.

We we begin tonight with breaking news regarding the coronavirus.

Yeah, that virus arriving in the Garden State tonight. Governor Phil Murphy announcing the first presumptive positive case of the virus right here in New Jersey.

And the news report says

A man in his thirties is hospitalized in Bergen County.

Theres a guy in his thirties in Bergen County, which is where he is, whos tested positive for coronavirus. Its the first case in New Jersey.

Governor Murphy saying

Theres even a tweet from the governor of New Jersey confirming it.

We take this situation very seriously and have been preparing for this for weeks. I urge residents to remain calm

And it occurs to James, they really might be talking about him.

And then I asked the doctor, saying, is this me? And the doctors saying, no, your test is not back yet.

And of course, he hasnt heard anything about the results of his test yet?

No, he has not heard anything.

Wow. So you found out from the news from the governor of New Jersey?

Yes. On TV. And I asked the doctor. The doctor say, the result is not back yet.

And then the next day, his doctors come to him and say, yes, you have tested positive. And he is the first person in New Jersey to have tested positive for Covid-19.

Right. And perhaps the first person in the history of the universe to find out he has a disease, not from his doctor, but from TV news.

Lets hope so.

And how does the hospital react in this moment?

So hes really scared. But the hospital is telling him that he really has nothing to worry about. Hes a 32-year-old guy. Hes got no preexisting conditions.

Even Dr. [INAUDIBLE] was telling me, oh youre so young. Its like a flu.

In fact, one doctor even told him

If its not because everybody is talking about corona, you can go home already.

You know, if it werent for all this attention about the coronavirus, youd be home right now, just getting better in the comfort of your own bedroom.

In other words, it would probably just self-resolve in somebody of his health?

That was definitely the expectation.

I mean, that day, I was so depressed.

I think he felt that as a medical professional, he actually he knew that he was quite vulnerable, that nobody was invulnerable. And there was this disconnect between his own concerns and their own insistence that he was overly anxious.

America is not ready.

It also dawns on him that he is the first person in this hospital to be treated for coronavirus.

I feel like, Im in real trouble. Why I come to this hospital? Because I feel they dont know how to treat this disease, and they dont have deep understanding about this disease.

Nobody there has any experience. Nobody there can make good predictions. Nobody there has institutional knowledge about what happens when this goes wrong or something unexpected happens. Hes the first person, and thats a very frightening position to be in.

Well be right back.

So Sue, James is newly diagnosed. Hes in isolation at this hospital in Hackensack, New Jersey. Hes been there for about four days. Physically, how is he doing at this point?

When you first got the results of the positive test, on a scale of 1 to 10, how bad did you feel physically? 10 being the worst?

I would say 10.

Wow.

He is feeling worse by the day.

Getting worse. So my heart is compensating, beating very fast.

He definitely has that cough. And he also is having real trouble breathing.

Its like Im in the water.

Tell me more about that.

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How Much Should the Public Know About Who Has the Coronavirus? - The New York Times

The casinos are deserted and thousands of hotel rooms are empty. But when Las Vegas, gripped by the coronavirus, needed space for a temporary homeless shelter, officials chose a location that does not have walls, or even a roof: an outdoor parking lot.

The City of Las Vegas and Clark County on Saturday opened the shelter, on the upper floor of a convention center parking lot, after the temporary closure of a 500-person homeless shelter run by Catholic Charities after a homeless man there tested positive for the coronavirus.

Medical students from Touro University, wearing protective gear, have been tasked with screening each homeless person for coronavirus symptoms before they enter the parking area, which has been partly covered with blue mats and closed off by metal barriers. The shelter will remain open until Friday, when the Catholic Charities shelter is expected to reopen, according to a joint statement by the city and county.

More than 6,500 Las Vegas residents lack permanent housing and nearly 70 percent of the citys homeless population sleeps outside, according to the Las Vegas government. With a nearby homeless shelter overflowing, officials decided to expand into the parking lot, at the Cashman Center convention complex about seven miles from the Las Vegas Strip.

More than 50 volunteers laid out 24,000 square feet of carpet for the homeless to use as sleeping mats, which have been spaced six feet apart to abide by social distancing protocols, said David Riggleman, a spokesman for the City of Las Vegas. The shelter also has portable toilets and washing stations.

It was a logistical heavy lift, said Mr. Riggleman, describing the effort, which was accomplished with essentially a days notice. That was a lot to pull together in a very short amount of time.

Officials chose to use the parking lot instead of the buildings at the convention complex to reserve the space indoors for possible hospital overflow, he said.

Still, the city has struggled to provide the temporary services while also addressing concerns about sanitation and the virus. Initially, officials had hoped to have the carpeting cleaned each day, but later found that the service provider was unable to adequately disinfect the material, Mr. Riggleman said, and so many are sleeping on concrete.

Las Vegas officials said they are concerned about the long-term financial impacts of the coronavirus shutdowns. Gov. Steve Sisolak of Nevada issued a 90-day moratorium on Sunday on all evictions and foreclosures in the state in an effort to stave off some of the most severe economic consequences.

But Mr. Riggleman said it was not clear whether that will be enough to prevent a rise in the citys homeless population.

We know were in for a rough road, Mr. Riggleman said.

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Las Vegas and Coronavirus: Homeless People Placed in a Parking Lot - The New York Times

Powells, a beloved bookstore chain in Portland, Ore., laid off more than 300 people in mid-March, temporarily closed its five storefronts and issued a dire warning for the years to come. When we do open our stores again, we expect the landscape of Oregon, and all of our abilities to spend money on books and gifts, will have changed dramatically, wrote Powells chief executive, Emily Powell. We see the path ahead more clearly: it is dark and scary.

While millions of Americans shelter at home, stores have been forced to close and lay off or furlough employees. The most vulnerable companies are those that failed to prepare for a future dominated by e-commerce.

Unfortunately, the federal $2 trillion coronavirus stimulus package does little to mitigate retailers woes, despite their executives pleas for relief, though the Federal Reserve is working to ensure that larger companies have continued access to credit markets. The aid plan gives tax relief for prior property improvements, and it establishes a $350 billion fund for small-business loans that could help those firms maintain payroll and rent, but little else.

Though the cracks in bricks-and-mortar retail began forming years ago, the widening coronavirus outbreak stands to hasten physical retails decline and strengthen the monopoly hold of Amazon and other online giants. Such a consolidation of power among just a few retailers threatens to leave consumers with higher prices and less choice.

During the pandemic, reliable delivery of essentials like milk, eggs, toilet paper and cleaning supplies has been a lifeline for those who are reluctant or unable to venture outside their homes Amazon-branded trucks have remained a familiar sight in residential neighborhoods. The competitive advantages of Amazons meticulously constructed worldwide logistics network, built to shuttle nearly every imaginable item to customers in as little as an hour, are especially evident in this crisis.

While many other traditional retailers are struggling with falling demand, Amazon has pledged to hire 100,000 temporary workers to keep up with it. Several other retail giants, including Walmart and Target, have kept pace with coronavirus quarantine demands by keeping physical stores open and leaning on their own delivery networks for grocery shipments and other necessary items. Walmart plans to hire 150,000 new workers.

After a surge in online orders after its physical stores closed, Powells is rehiring some of its workers, though the nationwide loss of some 3.3 million jobs in March spells darker times ahead for retailers.

While Amazon and Walmart deserve credit for preparing for a calamity such as the coronavirus pandemic, some of their ability to deliver during the crisis may come at the cost of employee protections.

Both companies are offering two weeks of paid leave to workers diagnosed with Covid-19, though some employees told The Atlantic that the policies are confusing. Walmart has been reluctant to give employees sufficient leave if they get sick or are fearful about coming to work.

At Amazon, white-collar employees were sent home while the companys army of pickers and packers have had to brave outbreaks in at least 21 facilities. Some 1,500 Amazon employees signed a petition this month seeking workplace improvements in the face of Covid-19. And attorneys general in 14 states and the District of Columbia sent a letter to Amazons chief executive, Jeff Bezos, urging him to loosen its sick leave policy.

A few workers at a Staten Island Amazon warehouse walked off the job Monday in protest, after one employee tested positive for coronavirus, prompting Amazon to fire one of the organizers. New York States attorney general said Monday she was investigating the dismissal.

Others were planning to skip work at the companys Whole Foods grocery stores Tuesday over its sick leave policies.

Contract drivers for those ubiquitous Amazon delivery vans say the frantic pace of the job requires them to forgo preventive measures like the use of gloves, sanitizers and masks, potentially imperiling customers and other drivers.

Consumers may be at a disadvantage, too. Because Amazon relies on smaller sellers for the majority of sales, price gouging remains a problem. And while prioritizing storage and delivery of products it deems essential during the pandemic such as household staples, medical supplies, and other high-demand products Amazon has also appeared to include its own branded devices in the essential category.

Though it may seem a lifetime ago, before the coronavirus struck, Amazon was in the throes of a congressional antitrust investigation and was a frequent target of elected officials who criticized it for its workplace conditions and for evading corporate taxes. To quell a steady drumbeat of criticism, Jay Carney, Amazons head of communications and policy, wrote a New York Times Op-Ed article in February extolling the companys $15-an-hour minimum wage and arguing that what we do can generate positive ripple effects across the country.

That may be true, but it can also compel competitors to adopt Amazons strong-arm business practices. Last month, a group of labor unions petitioned the Federal Trade Commission to open an inquiry into Amazons market power.

Even in less frantic times, Amazon has been criticized for its workplace culture and its heavy-handed tactics with sellers. Last year, The Wall Street Journal contended that Amazon may be losing control of its own marketplace, allowing dangerous counterfeits to appear on its virtual shelves that would never pass muster at traditional retailers. Both Walmart and Amazon have quashed unionization efforts.

Amazon and Walmart have offered critical delivery services during this crisis, but regulators and elected officials should not lose sight of the dangers of monopoly power falling into the hands of the fortunate few that survive the coronavirus fallout.

The Times is committed to publishing a diversity of letters to the editor. Wed like to hear what you think about this or any of our articles. Here are some tips. And heres our email: letters@nytimes.com.

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We Need Amazon During the Coronavirus. Thats a Problem. - The New York Times

On New Years Eve, Helen Branswell, a reporter at the science and medical news website Stat, was finishing an article about the development of an elusive Ebola vaccine when she got an inkling of her next big story.

Hopefully this is nothing out of the ordinary, she wrote on Twitter, adding a link to a report of an unexplained pneumonia in central China.

Two days later, she tweeted a South China Morning Post article about the outbreak and wrote, Not liking the look of this.

Stat published Ms. Branswells first article on the growing cluster of unexplained pneumonia cases on Jan. 4. There was some indication, she reported, of a new virus, and perhaps even a new coronavirus.

Stat, a digital publication in Boston founded in 2015, was early to a story that would dominate the news. In January, a month before the first confirmed case of unknown origin in the United States, the site published articles on the coronaviruss ability to be spread by asymptomatic carriers; how it could test President Trumps penchant for undermining established science; and the determination by experts that containing it may not be feasible.

We have realized this was big and have thrown a lot of resources at it, in Stat terms, Ms. Branswell said.

The site has attracted nearly 30 million unique visitors this year, which is four to five times its usual traffic, said Rick Berke, the executive editor, who oversees the editorial and business departments.

Part of the reason for the surge is that, like many other publications, Stat has placed its pandemic coverage outside its paywall. But with a staff of roughly 30 reporters and editors well versed in health and science, the site was well positioned to cover an epoch-defining story.

Were not seeing stories first because were smarter, faster or more savvy, said Jason Ukman, a managing editor. Its just because this is the world weve been plugged into the whole time. We were built for this.

Stat was started by the financier John W. Henry, the principal owner of the Boston Red Sox and the Liverpool Football Club. Before determining that Boston should have a site to cover the industries of its many hospitals, research labs and biotech start-ups, Mr. Henry bought The Boston Globe from The New York Times Company for $70 million in 2013.

Mr. Berke, formerly a reporter and an editor at The Times, came aboard as a co-founder. Another key member of the leadership team is Linda Henry, Mr. Henrys wife, the managing director.

This realization John had was that we need to tell the story of whats happening in life sciences, and that story needs to come from Boston, Ms. Henry said.

Mr. Berke hired a staff that included veterans of the beat like Sharon Begley, once a science columnist and an editor for Newsweek, and Ed Silverman, who had reported on the pharmaceutical industry for The Wall Street Journal in the belief that there was a demand for a news outlet dedicated to health and medicine.

There wasnt a site that aggressively, in a very ambitious way, covered these stories every day as their main focus, Mr. Berke said.

Stat is operated separately from The Globe, but the two split some back-office functions, occasionally run each others articles and share a headquarters on Exchange Place. The sites main source of revenue is subscriptions, starting at $35 a month with discounts available. Stat also publishes sponsored content in its newsletters and has started soliciting donations.

Before it attracted a wider readership through its pandemic coverage, Stat drew praise for its investigations of the marketing and prescribing of OxyContin; IBMs efforts to harness artificial intelligence to cure cancer, which, Stat found, fell short of the hype; and how groupthink may have stymied an Alzheimers cure.

With articles written in a straightforward style, Stat is meant for a general audience. But it wants to win over specialists, too readers like William Hanage, a professor of epidemiology at the Harvard School of Public Health, who praised the sites coverage as accessible yet still rigorous.

There is no single place on the internet that I would go to better update myself on the diversity of views that are out and circulating, he said.

Dr. Hanage added that Ms. Branswells reporting on the coronavirus had made her a godlike figure to people who are infectious-disease epidemiologists.

Ms. Branswell, who has published about 50 articles on the pandemic, was a health reporter at The Canadian Press before taking on the infectious-disease beat at Stat in 2015. In October, she profiled the World Health Organizations head of health emergencies, Mike Ryan.

Were not ready, Dr. Ryan told her. If we cant stop Ebola, what hope do we have of stopping Disease X?

These days, in her time away from work, Ms. Branswell reads mysteries and checks in on friends and family (remotely, of course). She also spends time on Twitter, where she serves up reliable information from experts in the field.

Helen used Twitter the exact same way with Ebola, with Zika, with SARS, Mr. Ukman said. Shes really, really good at communicating information about an infectious disease.

Ms. Branswell said the next frontier of testing would be serological to test not if subjects are carrying the virus but if they have already had it.

A nervous reporter asked: Are we going to get through this?

Its not going to be over soon, she said. And its going to be very painful. But yes. Well get through this.

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The Medical News Site That Saw the Coronavirus Coming Months Ago - The New York Times

But there was a voice of caution:

Not to rain on the parade, but P/F is also much more institutionally OK at MIT (all first year classes are P/F, to allow people to acclimate to college). So Im not saying its impossible to do, could be HUGE for the program, but also the institutional view on P/F is very different.

Another Chicago student brought up the problem of students who really did need the grades they expected to earn.

Some students might have low GPAs that theyre looking to increase, which they wouldnt be able to do under a P/F policy something to keep in mind.

A third student interjected that in these extraordinary times, professors might be more flexible than usual:

I strongly suspect it wont be hard to get Profs who just give wall to wall As in the spring ? Probably not in certain departments (we all know who Im talking about), but I genuinely think its likely most Professors are more willing to grade inflate everyone.

Tellingly, there is a precedent for that last students theory.

Patrick Healy, then a reporter with The Boston Globe and now the editor of the politics desk of The New York Times, wrote a story in 2001 recounting how some historians trace grade inflation at Harvard to the War in Vietnam.

Students realized they needed evidence to show they werent just messing around in college to avoid the draft, George Flynn, a historian and author of The Draft, 1940-1973, told Mr. Healy.

The war just set off inflation at Harvard, Henry Rosovsky, who joined the economics faculty in 1965, was quoted as saying. Professors gave higher grades to protect them.

In case you were wondering, N.Y.U. Law announced last Wednesday that it was adopting a Credit/Fail grading policy for all Spring 2020 semester courses. The announcement to students admitted that the policy could come at a cost to incentives and fairness, and urged everyone to try to mitigate those. The announcement read:

Where students are aware that they will receive the same credit for a course almost regardless of their performance, they may not invest significant effort in their work. This is particularly so when a health crisis places other demands on their time and attention. In adopting this shift in grading policy, the Law School faculty are counting on everyone in our community to encourage participation of students who might be disengaged.

The University of Chicago has yet to announce any changes.

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The Human Stories of the Coronavirus Pandemic - The New York Times

NHS staff are being gagged from speaking out about widespread shortages of personal protective equipment that they fear could risk their lives from the coronavirus, frontline medics claim.

Doctors and nurses are being warned by hospitals and other NHS bodies not to raise their concerns publicly, according to a dossier of evidence collated by the Doctors Association UK (DAUK).

Tactics being used to deter staff from voicing their unease include threatening emails, the possibility of disciplinary action and in two cases being sent home from work. Some doctors have been given a ticking-off after managers were irritated by material they had posted on social media.

Doctors across the frontlines are extremely concerned about the lack of personal protective equipment [PPE]. Many have told us they have tried to raise concerns through the proper channels but have been warned against taking these concerns further, said Dr Samantha Batt Rawden, DAUKs president.

At this time when we desperately need every single doctor on the frontline, some have had their careers threatened, and at least two doctors have been sent home from work. This is unacceptable. Doctors have a moral duty to make their concerns regarding Covid-19 public if these cannot be resolved locally, she added.

The NHS organisations involved appear to want to stop staff from highlighting the lack of facemasks, goggles, visors and gowns that has created huge alarm and fear at the frontline. Many health professionals are worried that they may contract the virus during the course of their work, especially if their PPE is inadequate, and pass it on to patients or their families.

In recent weeks staff have posted photographs on social media platforms such as Twitter and Instagram of makeshift PPE they have put together using materials such as bin bags.

For example, A&E staff at Southend hospital in Essex have been warned that they could face disciplinary action if they raise the issue of PPE publicly.

In a memo on 26 March they were told: The posting of inappropriate social media commentary or the posting of photographs of staff in uniform who are not complying with IPC [infection prevention and control] standards and social distancing requirements is unacceptable. Such behaviour will be considered under the disciplinary policy.

Now, perhaps more than ever, NHS staff are in the public eye and we have a responsibility to convey a professional image and to role model positive messages about social distancing. It would be very sad for moments of inappropriate or unprofessional behaviour to undermine the respect that we and our colleagues have from the public.

Ministers and NHS bosses have organised thousands of deliveries of millions of pieces of PPE to hospitals, GP surgeries and other healthcare settings in England over the last 10 days, often with army drivers bringing it. However, many staff still report ongoing shortages.

In other testimonies given to DAUK:

An intensive care doctor who voiced unease about facemasks was told by their hospital that if we hear of these concerns going outside these four walls your career and your position here will be untenable.

Another intensive care specialist was called into a meeting with their bosses and disciplined after raising concerns.

A GP working at Chase Farm hospital in London was sent home for voicing unease.

A consultant paediatrician in Yorkshire was told in an email from their hospital that their social media output was being monitored and they should be careful.

A GP who appealed to her community on social media for more supplies of PPE was then barred by her local NHS clinical commissioning group from speaking out. I was being warned I wasnt toeing the party line, she said.

Helen O Connor, an organiser with the GMB union, said: Just as it seemed that the widespread and dangerous culture of gagging clauses and suppressing the voices of NHS workers might be coming to an end it is now intensifying.

It is scandalous that hospital staff speaking out publicly face being sacked by ruthless NHS bosses who do not want failings in their leadership to be exposed. Suppression of information is not just a matter of democracy, it is now a major public health issue.

NHS England pointed out that staff were continuing to speak to the media about Covid-19.

An NHS spokesperson said: Once a major incidents occurs it is vital that the public receive fast, authoritative, open, clear and consistent information from their NHS, which is why, in line with longstanding emergency preparedness, resilience and response protocols, official communications are therefore always coordinated nationally.

But staff continue to speak in a personal, trade union or professional body capacity, and it is self-evident from print and broadcast media coverage throughout this incident that staff are able and do in fact speak freely.

The British Medical Association, the main doctors trade union, on Tuesday called on Robert Jenrick, the communities secretary, to clarify what NHS staff who felt they did not have the right PPE for dealing with Covid-19 patients should do, given his comment that we cannot and should not ask healthcare workers to be on the frontline without appropriate protective equipment.

More:

NHS staff 'gagged' over coronavirus shortages - The Guardian

For some time this pandemic will focus almost all of our attention. It is a tragedy that will play out differently in different parts of the world; the poor world will suffer more than the rich one. We will see it as a potential turning point, a portent, a sign that we should have cared more and prepared better. However, human progress was slowing before this pandemic began, and our world will continue to slow down for some time to come long after the pandemic has ended. I mean slowing down in almost every way that matters. Because the slowdown was itself slow, we had hardly noticed it. In fact, many people thought that we were still accelerating.

For older generations everything had changed so fast, but in fact that fast pace ended years ago. There is no normal for us to return to; the normality of economic growth is an illusion.

A century ago the pace of change was faster than it had ever been and would become faster again. During the Spanish global flu pandemic of 1918-19, carbon emissions fell by 14%. Industrial production and consumption slowed down dramatically. But then, just a year later when most of the sick had recovered, production and pollution rose by 16% in the year to 1920. Back then we were on the upswing. We were seeing ever faster population growth worldwide; back then a pandemic could not slow us down for long.

In 1918, influenza had a far greater effect on worldwide trends in industry, production and consumption than the first world war which was a war almost entirely confined to Europe. A century ago that worldwide influenza pandemic killed tens of millions of people, no one knows for sure how many. Yet today when we look back at demographic and economic trends, that last great pandemic appears as a small blip with few long-term consequences.

Over the past two centuries, the number of people alive in the world has doubled and doubled and doubled again; from 1 billion shortly before 1820, to 2 billion by 1926 and 4 in 1974; it will be 8 billion in 2023. But crucially the rise is slowing. As I write, our numbers are rising by 80 million people a year. Next year it will be by 79 million, the year after by 78 million. We are still growing in number as a species, but that growth has been slowing for more than half a century already.

We do not yet know what effect the current pandemic will have on worldwide demographics. But it is actually slightly more likely to increase future populations than decrease them. If the actions of governments, or at least of most governments, make people feel more insecure, economically and socially, then younger people may in the near future have more children than they would have had; and the pandemic will, counterintuitively, very slightly increase the total future population.

Security matters. In normal times this point has to be laboured because many readers of newspapers in affluent countries do not realise how precarious the safety net is for most people in the world. But today they are feeling as most people in poorer countries feel most days. Such insecurity played a part in the great acceleration in human population that began more than two centuries ago. It is worth looking back before looking forward.

In 1859 Charles Darwin wrote about the numerous recorded cases of the astonishingly rapid increase of various animals in a state of nature, when circumstances have been favourable to them during two or three following seasons. Darwin used examples ranging from minuscule seedlings to giant elephants; he discussed the very rare cases in nature when exponential population growth occurred in a species. Darwin had no way of knowing it, but he was writing just as his own species was about to have its favourable seasons.

The word slowdown was first used in the 1890s, with its meaning being to go forward more slowly. Our current belief systems economic, political and sociological are all built on assumptions of rapid future technological change and perpetual growth. Yet even since the 1930s, technological change has slowed; the rate of economic growth has slowed every decade after the 1950s; population growth similarly has slowed since before the 1970s; and since at least the 1990s we have started to behave more like our parents again. By the 2010s we (at least in the rich world) were no longer seeing each generation better-off than the one before.

The general slowdown we are living through is advantageous. Recognising this requires us to shift our fundamental view of change, innovation and discovery as unalloyed benefits. We need to stop expecting ceaseless technological revolutions. We need to worry about what mistakes we will make if we carry on assuming that slowdown is unlikely and new great shifts lie just around the corner.

The time has come to properly contemplate what will happen if things stay much the same as they are now, while the rate of change simply slows down.

An era is ending and this was obvious years before the pandemic arrived. The great acceleration that has occurred in recent generations created the culture in which we still live. It created our current expectation for a particular kind of progress. By us I mean the large majority of older people now living on Earth, those who have for the most part seen their health, housing and workplaces improve, those who had seen both absolute and relative poverty recede, but who now have a sense that their childrens generation will not be better off than they themselves are, those who are feeling a sense of let-down due to slowdown.

The alternative to slowdown is unimaginably bad. If we do not slow down, there is no escape from disaster far worse than a pandemic. We would wreck the planet we live on. Slowdown means we need not fear the nightmare scenario of worldwide famine depicted at the end of Paul and Anne Ehrlichs 1968 book The Population Bomb, in which they concluded of India that its people should be allowed to starve: Under the triage system [suggested by them] she [India] should receive no more food. This kind of brutal conclusion was rife in the recent past. Images of out-of-control acceleration became commonplace. That was just half a century ago, at the peak of human population acceleration.

Although now may not be the time to point it out, the frequency and severity of disaster are both falling. The great Chinese famine of 195861 was worse in its effect than any of the earlier terrible huge Indian famines, or the east Africa famine of the 1980s. But the flu pandemic of 40 years before that famine had been worse still in terms of millions of deaths.

Today almost everything is increasing at a slower pace. Prior to the 2020 pandemic, the four great exceptions were: university graduates enrolled worldwide, consumption of goods, carbon pollution and air flights. They have all suddenly slowed due to the pandemic. Before January of this year they all appeared to be rising exponentially and uncontrollably. Today it is even possible that worldwide temperature will not rise in 2020 in the way it rose in 2019, as a reaction to reduced pollution.

Outside brief periods of wartime and pandemic, the global rates of population growth have exceeded 1% every year since 1901. However, according to the latest UN estimates published in June 2019, they will now almost certainly fall below that level by 2023, then quickly drop to below 0.9% annual growth around the year 2027. Everything was slowing down already, everything will still slow down when the current crisis ends. But the slamming on of the brakes on the train we were travelling on might, at the very least, wake us out of our stupor.

Danny Dorling is the author of Slowdown: The End of the Great Acceleration and Why Its Good for the Planet, the Economy, and Our Lives, published 14 April (14.99, Yale).

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Coronavirus is a tragedy but it could be the wake-up call we need - The Guardian

Samuel Mangera at Kenyatta Universitys Arboretum in Nairobi. One of his messages to the coronavirus: We also cannot afford to pay you too much attention especially with a huge plague of locusts at hand. PTP Studios hide caption

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PTP Studios

I met Sir Lucky Samuel Mangera just days after the Kenyan government had begun shutting down flights and schools and asking people to stay at home. Kenya has reported 31 cases of COVID-19 and over the past two weeks, the government has been rolling out a more and more stringent lockdown, which now includes a curfew.

We met at a bar, past Nairobis industrial area. The bar was completely empty, but on the way there, I saw people paying little mind to the new restrictions: Men, women, children were out on the streets, buying and selling produce; they were boarding crowded buses and without the masks weve gotten so used to seeing on TV in other countries.

I wanted to meet Mangera after I read one of his Facebook posts. It was an open letter to the new coronavirus.

Dear Corona virus,

Welcome to Kenya. A few things you should know. Here we dont die of flu, dont be surprised if you fail to succeed. Usishangae [Dont be surprised], everything fails in Kenya.

The post pointed out the constant struggle of living in Kenya and the many ways Kenyans are let down by the government. It pointed out that when this new epidemic arrived here, there were already many other things Kenyans had to worry about from disease to traffic deaths. It is a sentiment Ive heard from other Kenyans and something I heard often in Democratic Republic of Congo when I was covering the second largest Ebola outbreak in history.

Kenya is not excited to host coronavirus, Mangera wrote. The locusts a historic infestation that experts warn could eat through much of Kenyas food got here first. We also cannot afford to pay you too much attention because we really really broke, he wrote.

I laughed at thatline.

I looked at Mangera sitting on the far side of the table. Hes a college student who writes poetry and makes films. Hes slim and waits for a reaction to his words with a mischievous grin. I tell him while his post is funny, its also really sad.

He nods in agreement. He said thats what he wanted to capture the humor you have to have to live in a place as tough as Kenya.

Honestly, Kenyans are hardcore people, he said. So I wanted to express how Kenyans are survivors in a comic way.

The thing is, out here you dont have to look far to find death. The roads are filled Proboxes, station wagons that zig-zag the country at high speeds, sagging with passengers and cargo. In Japan, the cars were recalled by the manufacturer for being dangerous.

Here in Kenya we survive by Probox, he said, because we dont have an alternative.

Mangeras open letter to coronavirus is full of bravado but also an admission of a deep vulnerability.

We are more likely to die of a cholera attack than to be killed by you. For us, every day is a run escape from death. We are the walking dead. Death is part of our lives the shadow that lingers over us from the time the umbilical cord is cut and buried behind the house to the time we fundraise for expensive arrangements to bury a no longer useful block of dead meat.

As we talked, one other customer walked into the empty bar. He opened a laptop and jumped on the phone. He told the person on the other end that hes worried. Kenyans live hand to mouth. How will they stay home? How will they survive this lockdown?

Mangera admitted that this is the first time he had been out of his house for days. He had a cough and he was terrified he might have CoVid-19. But in his writing, there is no fear.

Death can befall us anytime and we are not scared. It if comes, let it come. Why worry over what we cant control? Everything dies right? Even you corona will die!

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Kenyan Poet Writes Letters To Coronavirus That Are Sad, Funny ... And Hopeful : Goats and Soda - Getaka.co.in