The U.S. Is Relying On Other Countries’ Data To Make Its Booster Shot Decisions

“Israeli presenters provided slide after slide showing the power of booster shots. But not all of the FDA advisors were convinced. “What they’re seeing in Israel is not necessarily what we’re seeing here in the U.S.,” said Dr. Archana Chatterjee, dean of Chicago Medical School and member of the advisory committee, during the meeting. In an interview with FiveThirtyEight, she explained that Israel’s data is “interesting and very compelling,” but that Israel differs from the U.S. on key characteristics: Namely, a higher share of the Israeli population is inoculated, and a larger proportion of breakthrough cases in Israel led to hospitalization prior to the booster shot rollout. As a result, she said, Israel had a clear need for additional shots to bump up immunity. In the U.S., meanwhile, the vaccines were still highly protective against severe COVID-19 disease and death.

Chatterjee said that her eventual votes — in favor of booster shots — were not based on data from Israel. Still, the Israeli scientists’ very presence at the meeting demonstrated the shortcomings of the U.S. health system. If the U.S. doesn’t comprehensively track its own data, it has to rely on other countries to tell it how to keep Americans safe. Meanwhile, without clear evidence that they can refer to in making their own COVID-19 decisions, many Americans have been confused about whether they are eligible for — or even need — a booster shot.

Israel has a universal health care system for all citizens and permanent residents. So does the U.K., another country that the U.S. looks to for COVID-19 data. Beyond the health care benefits that such policies provide to residents, universal health care has a clear advantage for data scientists seeking to answer medical questions. When every person in the country is plugged into the same health care system, it’s very easy to standardize your data.”

“In the U.S., vaccine research is far more complicated. Rather than one singular, standardized system housing health care data, 50 different states have their own systems, along with hundreds of local health departments and thousands of hospitals. “In the U.S., everything is incredibly fragmented,” said Zoë McLaren, a health economist at the University of Maryland Baltimore County. “And so you get a very fragmented view of what’s going on in the country.””

“Without a unified dataset allowing U.S. researchers to analyze how well the vaccines are working, policymakers are left with limited information to make crucial decisions, such as determining who should be first in line for a booster shot.”

Why White Voters With Racist Views Often Still Support Black Republicans

“when Ben Carson made a bid to become the GOP’s first African American presidential nominee. Support for Carson was positively correlated with the belief that Black Americans have too much influence on U.S. politics”

“whites who thought African Americans have “far too much” influence preferred Carson to Clinton by 45 points.
Again, much of that relationship is down to partisanship — Republicans are more likely to hold prejudiced views and also more likely to support a Republican candidate. But that’s the point: For many white GOP voters, anti-Black views don’t seem to get in the way of supporting a Black Republican.”

“Carson received more favorable evaluations among the sizable minority (40 percent) of overtly prejudiced whites who agreed with the racist stereotype that “most African Americans are more violent than most whites.” This group rated Carson significantly more favorably on a 0-100 scale than the white moderate Republican presidential candidate, Jeb Bush (52 to 39, respectively). Then-candidate Donald Trump was the only politician in the survey who was rated higher than Carson among overtly prejudiced whites.”

“The sharp negative relationship between support for Obama and the endorsement of anti-Black stereotypes is consistent with several studies showing that prejudice was an unusually strong predictor of opposition to Obama from the 2008 election through the end of his presidency. These patterns also fit well with other political science research showing that racially prejudiced whites tend to be more opposed to Black Democrats than to white Democrats.”

“Given the racialized nature of the two-party system in the United States, most Black political candidates are Democrats who embrace liberal positions on issues of race and justice. When asked whether they would support such a candidate, research shows that racially prejudiced white voters worry that these candidates will represent the interests of Black Americans, both because of a shared African American identity and because Democrats are perceived as the party more supportive of Black interests. So, it makes sense that racially resentful white Americans oppose candidates like Obama, as his racial identity and partisanship signaled to voters that he was more supportive of Black interests than prior presidents.

Put another way: Racially prejudiced white voters are not opposed to Black candidates simply because they are Black, but because they believe that most Black candidates will fight for “those people” and not “people like us.”

Black Republicans, on the other hand, are perceived differently by racially prejudiced white Americans. Their embrace of the Republican Party and its conservative ideology help assure racially prejudiced whites that, unlike Black Democrats, they are not in the business of carrying water for their own racial group.”

“voting for Black Republicans may also be especially appealing to racially prejudiced whites because it assuages concerns of being seen as racist by enabling them to say, in essence, “I can’t be racist! I voted for a Black candidate!” Psychologists call this “moral credentialing,” and there’s even some evidence that voters who expressed support for Obama shortly after the 2008 election felt more justified in favoring white Americans over Black Americans. Electing a Black Republican like Sears, who railed against critical race theory during the run-up to the election and supports voting restrictions that adversely affect racial minorities, is similarly used as a symbolic shield by the entire party from inevitable charges of championing racist policies. As we mentioned earlier, conservative media outlets and politicians are already weaponizing her victory against anyone who would dare suggest so.”

Josh Hawley Wants to Make the Supply Chain Crisis Permanent

“In an op-ed for The New York Times published Friday, Hawley uses the temporary supply chain problems as an excuse to push for a permanent expansion of federal power over the affairs of private businesses. We must “fundamentally restructure our country’s trade policy,” Hawley demands, and that means injecting both the Pentagon and Commerce Department bureaucrats into companies’ purchasing decisions. Under the terms of a bill that Hawley is proposing, any product determined to be “critical for our national security and essential for the protection of our industrial base” would have to have at least 50 percent of its value made in the United States.

Why is it necessary for the government to get significantly more involved in the system of global trade that’s allowed Americans to enjoy unparalleled prosperity in recent years? Because “the global pandemic has exposed this system for what it is—a failure,” Hawley writes.

One must assume that if the lights in his home went out due to a storm, Hawley would respond by declaring electricity to be a mistake and demanding that the government require homes to be lit with candles and gas lamps. After all, what is the electrical grid but a complicated supply chain that leaves Americans woefully dependent on production and distribution systems (power plants, substations, and lines) that they do not fully control? Better to produce your own lighting, right? If that means you have to live without television or the internet, well, those are just the trade-offs required to achieve self-sufficiency.

A storm—or a pandemic—can create temporary problems in the highly complex systems that run so much of the modern world. That’s hardly a reason to abandon them. If Hawley is imagining a world in which the United States is wholly self-sufficient, then he’s asking you to accept a scenario in which the United States is significantly poorer than it is today.”

“Hawley says the supply chain crisis is the result of “a crisis of production.” Wrong again. American manufacturing is stronger than it has ever been, in part because outsourcing low-level production has allowed companies here to focus on higher-value goods (which means higher wages for the people who make and sell them). The true cause of the current mess is a disconnect between supply and demand—supplies have been constrained by a number of pandemic-related issues like temporarily closed factories and worker shortages, while demand has shifted in unexpected ways.”

“If his thesis is correct, then items that are already mostly produced domestically should be exempt from the problems with foreign supply chains, right? Except, no, that’s not true. As Scott Lincicome, a senior fellow with the Cato Institute, points out, the vast majority of food consumed in the United States is grown, raised, and otherwise produced here. And yet Americans are seeing higher prices and supply issues at the grocery store too.

“That a mostly‐domestic U.S. food supply chain hasn’t protected American consumers from recent shortages and price increases is unsurprising,” Lincicome writes. “For starters, many of the same things that stress global supply chains—COVID-19 outbreaks; supply‐demand imbalances; labor shortages in the trucking and warehousing industries; misguided trade, transportation, and immigration policies; etc.—stress domestic ones too.””

Senate rules could undercut Democrats’ prescription drug plan

“Democrats have a multi-pronged strategy for addressing drug prices in the Build Back Better Act. First, they would allow Medicare to negotiate with pharmaceutical manufacturers on the prices of a certain number of prescription drugs, something they have been promising to do for years. But Democrats also want to limit drug companies’ ability to hike the prices of their medications for everyone — regardless of what kind of health insurance they have — in the future.

To do that, Congress has proposed requiring drugmakers to pay rebates for any price increases, in either the Medicare health program or the commercial health plans that cover 180 million Americans.

But, as Politico reported this week, the plan to apply the inflation-indexed rebates to the commercial market could be in trouble.

Senate Republicans — at the urging of the drug industry — plan to challenge whether the rebates for commercial health plans are permissible in a bill passed through the budget reconciliation process.”

“the Byrd Rule requires that all the provisions in a budget reconciliation bill directly change federal spending or revenue.

Republicans will argue that the purpose of the provision is to control drug prices for the private plans, full stop, and that does not have anything to do with federal spending or revenue — at least not directly.

The Democratic counterargument would be that applying these rebates to commercial plans would have a serious, more than incidental, effect on the federal budget. The federal government subsidizes almost all private insurance plans in one way or another, and so lower or higher costs for those plans could have major implications and lower costs for private health plans could also mean higher wages for workers, who would then pay more in taxes.

Who wins is likely ultimately a decision for the Senate parliamentarian.”

“what would happen if the parliamentarian determines rebates covering commercial plans cannot be allowed under the Byrd Rule?

The big fear, voiced by advocates of the Democrats’ plan, is that drug companies would extract higher prices from the commercial market in order to make up for the revenue they would lose from Medicare once that program’s new price controls take effect.

According to several experts, that appears unlikely. Loren Adler, associate director of the USC-Brookings Schaeffer Initiative for Health Policy, covered why in a lengthy analysis published in September.

“Fundamentally, for this to occur, it would have to be the case that drug companies are benevolently choosing not to profit-maximize at present,” Adler told me this week, “which I find rather difficult to believe.””

“Under the current plan, drugmakers would pay a rebate based on their sales volume in both the Medicare and commercial markets. In that scenario, there would be little reason to raise list prices faster than inflation, because you are paying the penalty based on the entire market.

But if those rebates can’t include the commercial market, the penalty will be based on the Medicare market only — making it a smaller price to pay if a company does decide to hike the list price of a drug at a rate higher than inflation.”

Stop The Steel: Biden Is Replacing Trump’s Tariffs With Import Quotas

“The Biden administration has reached a deal with the European Union to withdraw tariffs imposed by President Donald Trump on European-made steel. Unfortunately, the agreement likely won’t translate into lower costs for American manufacturers and consumers.
That’s because the Biden administration is replacing Trump’s tariffs with a new form of protectionism that will continue to artificially inflate the cost of steel imported from Europe. Instead of charging 25 percent tariffs on all steel imports, as Trump did, Biden’s deal includes a so-called “tariff-rate quota” that will allow 3.3 million metric tons of steel to be imported annually without tariffs. Once that threshold is met, the 25 percent tariffs will apply to subsequent imports. For reference, the U.S. imported nearly 5 million metric tons of steel from Europe in 2017—the last full year before Trump’s tariffs caused imports to fall sharply.”

The World’s Richest Countries Want To Create a Competition-Crushing Global Tax Cartel

“Most countries, including the United States since the passage of 2017’s Tax Cuts and Jobs Act, use some version of a “territorial” system. Territoriality is a basic principle of good tax policy and means that governments don’t tax their taxpayers’ foreign-earned incomes. That money is instead taxed by the foreign jurisdictions where it is earned. Firms can choose where to do business based on what country has the best tax regime. This approach puts pressure on governments with punishing tax regimes to become less draconian.

High-tax nations don’t like this competition, which is why they’ve been itching for the past decade to undermine it with a global minimum tax. And while the U.S. government is set to benefit immensely from the new regime, U.S. companies with foreign subsidiaries and income will not.”