Why America’s public health system can’t withstand Trump

“The federal government must play a critical role in providing resources and coordinating amongst states during a public health crisis. The CDC collects and publishes data on outbreaks, the FDA approves vaccines and treatments, the NIH directs and funds scientific research. The feds can allocate supplies, issue guidance for states and cities to follow, and provide money for state and local health departments to perform their vital duties.

What we are seeing from the Trump White House is zero interest in performing any of those roles. As early as April, according to the Times report, the administration was trying to figure out how to shirk its responsibilities, on the false belief that they had already done enough and the pandemic was starting to subside. Now cases, hospitalizations and deaths are rising again and the US has not built up the capacity to contain the virus — by testing and contact tracing — that other countries successfully have.”

“The sidelining of the CDC is an indisputable fact at this point; the agency was barred for months from holding its own briefings and its guidelines have either been delayed or watered down over political concerns. The FDA has a mixed record in approving tests and treatments: Some are approved too quickly, others too slowly, experts say. And when the Trump administration is not outright blocking its government scientists from speaking to the press or issuing the guidance that state and local governments depend on, White House officials or the president himself have been blatantly undermining the public’s trust in their authority.”

“Earlier in the crisis, the administration was reluctant to deploy the strategic national stockpile for critical supplies like masks and ventilators. White House adviser Jared Kushner even said the stockpile was not meant for states, as it historically has been understood to be. Instead, the states found themselves competing against each other for scarce supplies during an emergency.”

“the funding for the CDC has been effectively flat for the last decade. State and local health agencies had to cut more than 50,000 jobs in the Great Recession, and most of those jobs have not been filled since. America’s chronic inability to invest in public health exacerbated the obesity and diabetes epidemics. That shortsightedness made the US more vulnerable to Covid-19, which is particularly hard on people with those chronic conditions.”

How Biden is winning

“My question was simple. Democrats don’t have a path to 60 seats in the Senate. So how will Biden keep his agenda from dying at the hands of the filibuster? Would he support filibuster reform, or elimination? Biden’s reply was his campaign in miniature, reflecting both the instincts that have made him successful and the caution that has frustrated many on the left.

“I think it’s going to depend on how obstreperous they” — meaning Republicans — “become, and if they become that way,” he replied. “I have not supported the elimination of the filibuster because it has been used as often to protect rights I care about as the other way around. But you’re going to have to take a look at it.”

That answer, which reflected a genuine shift in Biden’s rhetoric on the issue, made some headlines. But it wasn’t the end of Biden’s argument. “I’ll say something outrageous,” he continued. “I think I have a pretty good record of pulling together Democrats and Republicans.” He went on to say many Senate Republicans will feel “a bit liberated” by Trump’s defeat and may be ready to work with Democrats on issues like infrastructure and racial inequality.

“In my career, I have never expected a foreign leader or a member of Congress to appear in the second-edition Profiles in Courage,” Biden said. “But I’m fairly good at understanding the limitations for a senator or leader and helping them navigate around to what they want to do from what they’re having political trouble doing. I have been successful in helping my Republican friends find rationales to help me get what I’m pushing over the top.”

Tucked into this argument is Biden’s view of the Republican Party: He sees it not as a monolith but as a coalition. Some members of that coalition love Trump and will grieve his defeat. They’re not going to work with Biden, and he doesn’t expect to work with them. But some Senate Republicans dislike Trump, regret what their party has become, and are looking for redemption. What they need is a Democrat they can work with — a Democrat who doesn’t antagonize their voters and won’t rub their noses in their loss. What they need, Biden thinks, is Biden.”

Why masks are (still) politicized in America

“when people like Trump don’t wear masks and make wearing masks a political issue, their supporters are less likely to wear them. When the president says people wear masks as a way of showing their disapproval of him, “that’s a pretty clear signal, not just that he’s not modeling responsible behavior, but that he views it as a sign of disloyalty,” Wiley said. “That does definitely further politicize the decision to wear a mask or not.”

The effects of this politicization can be seen in recent polling on mask use. In a Pew poll conducted June 4 to 10, 76 percent of Democrats and Democratic-leaning voters said they wear a mask in stores all or most of the time. Just 53 percent of Republicans and Republican-leaning voters said the same.”

Trump’s deployment of federal agents in Portland is exactly how not to police protests

“Officials from US Border Patrol and other federal agencies, most of whom are not well-trained for handling mass demonstrations, have shot protesters in the head with “less lethal” munitions, launched tear gas, and arrested citizens far from federal property after stalking them in unmarked vehicles.

The problem for Trump, though, is that the seductive logic of quelling demonstrations using immense force has proven faulty. More of Portland’s residents are on the streets now than before federal agents arrived, and violent incidents have ticked upward, not downward. Despite those results, the Trump administration shows no signs of changing course in Portland, and may even export the strategy to other major American cities like Chicago.”

“That’s right. What we need to do in handling these protests, then, is really understand not only how crowds function but also how crowds react to what the police do. What we have right now is law enforcement agencies under the Department of Homeland Security in Portland just ignoring everything we know about how to do protest policing right.”

“Portland is a fascinating case study because the intensity of the protests and the numbers out on the streets had decreased pretty substantially before federal law enforcement showed up. Object throwing, fire setting, graffiti — all that increased dramatically after federal authorities arrived. So I don’t think anybody can make the argument that the federal authorities came to town and made things better.”

“these events are best handled by local authorities, not federal ones. The reason why is actually quite simple: If local police are playing the game correctly, they should already have a relationship with the leaders of the protest movement as well as other social justice groups.

The hope is that having those kinds of relationships prevents the situation from spiraling in the first place. But if it does start to go wrong, authorities can leverage those preexisting relationships to simmer things down pretty quickly.”

“No credible authority figure on policing protests is suggesting police shouldn’t arrest people who are engaged in violence or property damage. In fact, it’s the opposite: When people are engaged in that type of behavior, they need to be arrested and preferably now, not later.”

“The most potent form of communication the police can engage in, then, is to let protesters know they will facilitate a protester’s right to be there and behave peacefully and lawfully. However, the message should get across that those among the crowd who choose to engage in violence and property damage will be arrested.

That just needs to be a routine and repeated message. And if an arrest is made, authorities need to tell the crowd why they detained someone, because otherwise misinformation will spread.”

“Demonstrations usually have moderate protesters in them, people who are generally peaceful, law-abiding, and aren’t prone to engaging in violence or property damage. Of course, there are also typically some anarchists or people ready to cause trouble. The moderates and troublemakers may not agree on tactics, but they at least share a cause.

If law enforcement attacks the group as a whole for the actions of a few troublemakers, the moderates can start to embrace — or at least understand or appreciate — the strategies of those who are more radical. At that point, the crowd psychology shifts.

This is a key point, and where my recommended approach really comes into play: Law enforcement should want to avoid that shift. You want the moderates to stay moderate. You don’t want the fleeting social identities of the moderates to start to drift toward the social identities of the radicals.

The way I put this for police officers to understand is: “You need to win hearts and minds.” You’re not going to succeed with the radicals who are engaging in property damage, of course, but you just might win over the majority of the crowd.”