‘Recognition of failure’: A shift urged in global vaccination strategy

“47 countries still have inoculation rates below 20 percent.

Now, many health organizations involved in the global vaccination effort aim to immunize 90 percent of vulnerable populations in every country — a move that seems to undercut the WHO’s 70 percent target.”

“Prioritizing vulnerable populations — health care workers, elderly individuals and those with comorbidities — could undermine the global push to prevent variants if it reduces the total number of vaccinated people, some experts said. But facing the reality that the 70-percent-vaccination goal by mid-2022 is virtually doomed, some health groups working on the global vaccination effort are focusing on letting countries set targets according to their abilities and advising them to first target vulnerable populations.”

““Striving to vaccinate 70 percent of the population of every country remains essential for bringing the pandemic under control — with priority given to health workers, older people and other at-risk groups,” WHO Director-General Tedros Adhanom Ghebreyesus told reporters at a press conference Wednesday.”

Covid deal hampered by GOP opposition to Biden immigration policy

“Conflict over President Joe Biden’s immigration policy is complicating passage of a $10 billion coronavirus bill before a two-week congressional recess.

Just a day after Republican Sen. Mitt Romney and Majority Leader Chuck Schumer announced a deal on billions for therapeutics, vaccines and testing, GOP senators threw in a wrench that could mean Congress will break with nothing. Senate Republicans say they want a vote on an amendment that would keep in place the Title 42 border restrictions, which allows limits on immigration due to the pandemic. Without one, they say the bill can’t proceed.

Senate Minority Leader Mitch McConnell told reporters Tuesday that “there’s going to have to be an amendment on Title 42 in order to move the bill.” Without agreement among all 100 senators, the Senate will be unable to take up and quickly move the bill this week.”

“The impasse could stall for weeks what Biden called much-needed coronavirus aid, unless senators can reach a deal before they plan to leave on Thursday or Friday. Without a breakthrough, the aid won’t be approved until late April or perhaps May. Republicans blocked a vote advance the bill on Tuesday, though Schumer can quickly bring it back up if there’s a deal on amendments.”

“Democrats already think they’ve conceded plenty to the Republicans after Monday’s bipartisan agreement left out global vaccine funding. So there’s not a ton of enthusiasm for giving Republicans their immigration vote.”

Hey, Nancy Pelosi: ‘National Debt Should Be a Top Priority’

“inflation and high debt create a trap for policymakers: higher inflation could lead the Federal Reserve raise interest rates, which would increase the payments owed on the debt.”

“the 24 lawmakers who signed [the] letter are asking for two policies that are the lowest of low-hanging fruit. First, they are seeking the creation of a bipartisan debt commission, similar to one implemented during President Barack Obama’s first term that helped trigger modest reductions in annual budget deficits following the Great Recession.
Commissions are a great way for lawmakers to make it look like they’re doing something without actually doing it, of course, but in this case, it might be a helpful exercise. It has been so long since debt and deficit politics have featured prominently in politics that it’s not clear whether there is a workable coalition in Congress to address the debt. A commission may help organize and focus those debates—and may raise further awareness among voters.”

War Crimes Charges Could Help Putin, Not Hurt Him

“The role of popular elections as the source of ruling legitimacy is just one way in which it is hard to categorize the Russian political system. For all the talk of Putin’s dictatorial personality and wide latitude to crackdown on civil liberties, the institutions of Putinism were built by his democratic predecessor, Boris Yeltsin, enshrined in his 1993 constitution. Flawed and imperfect in practice during the tumultuous 1990s, these foundations were democratic in principle: Grassroots civil society flourished alongside a lively media environment, as legislators and leaders were chosen from a variety of contenders. Even as those liberties have subsequently been eroded and independent media curtailed, the institutions still specify that Russia’s leaders serve at the will of the people. Indeed, the ratcheting-up of Kremlin propaganda is meant, more than anything, to reassure Russians that Putin’s leadership is worthy of their continued support. Such peans to the people would be unnecessary in a classic, run-of-the-mill dictatorship.

Consequently, political scientists are at odds with how to describe Putin’s Russia. Some call it a “competitive authoritarian” regime, where democratic institutions and procedures simply provide a facade of legitimacy for the dictatorship. Others label it an “information autocracy,” in which the powers of state-run media are marshaled to build a public image of Putin as a competent leader, deserving of political support, and it works to generate the popular support he needs. What these different perspectives have in common is what Peskov said: that Putin’s political sovereignty ultimately lies with the Russian people, however manipulated or misinformed they might be.”

“Western hopes that the Russian people would rise up and topple Putin in a popular revolution seem further from reality today than at the start of the war. The smattering of protests across Russia during the first weeks of the war have largely fizzled out. Between the Kremlin propaganda machine in overdrive and criminalization of expressions of opposition, Putin’s approval in nationwide polls is now up to 83 percent, with 81 percent support for the “special military operation.”

What’s more, Russian elites appear to be consolidating behind Putin. Rather than diversifying internationally and finding safe havens abroad, powerful oligarchs and cosmopolitan elites—many of them under Western sanctions—now understand that they are tethered to Russia and to Putin personally. Once-feuding factions are realizing they’re all now in the same boat. Few will bolt for greener pastures in Europe or the U.S., even if they could.

In an eye-opening account by independent Russian journalist Farida Rustamova on the tribulations of Russia’s political elites since the war, she quotes a high-ranking source in a sanctioned Russian company as saying “All these personal sanctions cement the elites. Everyone who was thinking about a new life understands that, for the next 10-15 years at least, their lives are concentrated in Russia, their children will study in Russia, their families will live in Russia. These people feel offended. They will not overthrow anyone, but will build their lives here.”

Before the war, the dominant narrative of Kremlin-controlled media was that Russia is a mighty superpower—besieged on all sides by enemies and conspirators, both Western and homegrown—and only Putin could lead them. Lamentably, the coordinated international response to Putin’s bloody war has only solidified and reinforced that us-against-the-world narrative, and largely rallied the Russian people behind Putin.

In this context, the Russian response to the accusations of genocide in Ukraine have been predictable: It is all a Western “fake” meant to further impugn the dignity of Russia and its leader. Pro-Russian social media accounts have claimed that the corpses are either fake, or are actors, or were killed after the Russians left. The Russian Defense Ministry has claimed “not a single local resident has suffered any violent action” while Bucha was under Russian control. These are all claims that have been easily debunked. By parroting the official line of the Foreign Affairs Ministry that it could not have been Russia that committed such atrocities, but rather the United States staging a “provocation,” Kremlin state-run media only reinforces and retrenches the us-against-the-world narrative already widely accepted among the Russian people.”

Ukraine says EU road links won’t make up for loss of Black Sea trade

“Expanding road, rail and river links between the EU and Ukraine won’t be enough to stave off an economic and humanitarian crisis, Ukraine’s Deputy Economy Minister Taras Kachka told POLITICO.

“We cannot ensure the same volume of exports as via seaports by other means of transportation in forthcoming weeks or even months,” Kachka said. “The only way to ensure proper reinstallment of export is to unblock sea ports. This is the only solution.”

The comments were in part a response to European Agriculture Commissioner Janusz Wojciechowski, who said last week that he was “ready” to establish fast-track trade routes to and from Ukraine to bring fuel to the country’s desperate farmers, and help take their produce out while maritime trade is frozen due to its ports being under Russian fire.”

“Some of Ukraine’s cargo has shifted to Izmail, Reni or Kiliya — smaller ports on the bank of the Danube, in the southwest of the country. But those have limited capacity.”

“The logistical challenge is immense. Before the war, Ukraine shipped over 70 percent of its exports. In 2021, 99 percent of Ukraine’s 24.6 million tons of corn exports were shipped out.”

Congress could finally pass a Covid bill. They’ll soon have to do it all again.

“The roughly $10 billion in pandemic aid the Senate is preparing to vote on after a weekslong impasse will keep the nation’s testing, treatment and vaccination programs afloat for only a couple months, lawmakers, Biden administration officials and public health experts warn.”

“This round of funding — if it can pass the House and Senate — would help restart key Covid-19 programs that recently ran out of resources, including the development of future variant-specific vaccines and federal government purchases of drugs for people at risk of hospitalization.
But the package was whittled down from more than $30 billion federal officials originally argued was needed to $22.5 billion the White House pitched to Capitol Hill last month to $15.6 billion congressional leaders tried to attach to the 2022 spending bill.

Now, $10 billion is on the table and the money for the global vaccination effort and for testing, treating and vaccinating the uninsured was dropped, all but guaranteeing the Biden administration will shortly need Congress to do this all over again.”

“Public health leaders warn that these short-term bursts of cash are creating gaps in preparedness, leaving millions vulnerable to a new Covid surge.”

“with no global money in the current deal, policymakers fear the disruption to the U.S.’ pandemic work overseas will continue indefinitely.

“Doing nothing to slow the global spread of COVID-19 is foolhardy,” Senate Appropriations Chair Patrick Leahy (D-Vt.) warned Monday. “As the virus continues to mutate and wreak havoc overseas, more Americans will become sick and die.”

For months, officials at the U.S. Agency for International Development have warned lawmakers that they would soon run out of money to help facilitate vaccinations in low- and middle-income countries, and advocated for at least $19 billion for the global Covid fight.”

“On the domestic front, the funding delays have forced the federal government to halt purchases of enough additional booster doses for all Americans and slash the purchase and distribution of monoclonal antibody treatments and antiviral pills for high-risk Covid patients. It has also disrupted research into new treatments and cut off reimbursements to doctors around the country for testing, treating, and — as of Tuesday — vaccinating the uninsured. Even if Congress manages to approve the funding this week, public health experts say, there’s a good chance all of these threats will reemerge in just a few months, damaging the stability and continuity of their fight against the virus.”

The American Medical Association Should Help Patients. Instead, It’s Policing Language.

“the AMA now tells doctors to call poor neighborhoods “systematically divested,” not “poor,” it has long lobbied for things that hurt poor people, like restricting the number of doctors.

The U.S. has fewer doctors than other countries. Per person, Austria has twice as many.

“We have the best paid physicians in the world and the scarcest physicians in the world,” says Yglesias. “That’s not a coincidence.”

Years ago, in most of America, anyone could practice medicine. Licensed doctors didn’t like that. That led to the formation of the AMA.

They’re a trade group, says Yglesias. “They…advance the interests of their members.”

Like the teachers union or dock workers union.

“It’s called a trade association rather than a union,” says Yglesias. “But it’s never been all that different.”

In 1986, the AMA called for smaller enrollment in medical schools, to curb an alleged doctor “surplus.” In 1997, it even got the government to pay hospitals not to train doctors!

Today, the AMA supports rules that make it hard for doctors from other countries to practice here. Foreign doctors must complete a U.S. residency program. They don’t get credit for having practiced abroad.

Such rules preserve America’s doctor shortage. That shortage allows the average doctor to make more than $200,000 a year.

Well-paid doctors can be choosy about where they work. It’s why it’s tough to find a doctor in rural America, says Yglesias.”

“Why does the AMA and its “Liaison Committee on Medical Education” even get to approve new schools? I don’t get to approve new TV reporters.

The AMA’s statement claims it supports “increasing…the number of physicians.” If that’s true, it’s long overdue. A study in Annals of Internal Medicine says if there were more primary care doctors, 7,200 lives would be saved.”

An Off-Duty Cop Murdered His Ex-Wife. The California Highway Patrol Ignored the Red Flags.

“When law-enforcement officials believe that someone has committed a crime, they often go to great lengths—and can be quite creative—in coming up with charges to file. Criminal codes are voluminous, and it’s common for prosecutors to pile up one charge after another as a way to keep someone potentially dangerous off the streets.

When the accused is a police officer, however, agencies typically find their hands tied. “Nothing to see here,” they say, “so let’s move along.” Their eagerness to protect their own colleagues from accountability can have deadly consequences. A recent lawsuit by the victim of a California Highway Patrol officer’s off-duty shooting brings the problem into view.

The case centers on Brad Wheat, a CHP lieutenant who operated out of the agency’s office in Amador County. On Aug. 3, 2018, Wheat took his CHP-issued service weapon and hollow-point ammunition to confront Philip “Trae” Debeaubien, the boyfriend of Wheat’s estranged wife, Mary. As he later confessed to a fellow officer, Wheat planned more than a verbal confrontation.

“I just learned this evening that Brad confided in an officer…tonight that he drove to a location where he thought his wife and her lover were last night to murder the lover and then commit suicide,” an officer explained in an email, as The Sacramento Bee reported. Fortunately, Debeaubien had left the house by the time that Wheat arrived.

Initially, Wheat’s colleagues convinced him to surrender his CHP firearm and other weapons and they reported it to superiors. Instead of treating this matter with the seriousness it deserved, or showing concern for the dangers that Debeaubien and Mary Wheat faced, CHP officials acted as if it were a case of an officer who had a rough day.

They essentially did nothing. “Faced with a confessed homicidal employee, the CHP conducted no criminal investigation of its own, notified no allied law enforcement agency or prosecutor’s office, and initiated no administrative process,” according to a pleading filed by Debeaubien in federal district court. “Nor did the CHP notify [the] plaintiff that he was the target of a murder-suicide plan that failed only because of a timely escape.””

“Two weeks later, Wheat took the same weapon and ammo and this time found his ex-wife and her boyfriend. He shot Debeaubien in the shoulder, the two struggled and Wheat—a trained CHP officer, after all—retrieved his dislodged weapon, shot to death his ex-wife, and then killed himself.

Now CHP says it has no responsibility for this tragic event and that its decisions did not endanger the plaintiff’s life. This much seems clear from court filings and depositions: CHP’s response centered on what it thought best for its own officer. Any concern about the dangers faced by those outside the agency seemed incidental, at best.”

“CHP officials expressed concern about protecting Wheat’s career, and one worried that Mary Wheat or Debeaubien might file a complaint. Even when a colleague asked Wheat to relinquish his firearm, he did so as a friend—not as CHP protocol. Again, CHP treated Brad Wheat as the focus of sympathy, not as the potential perpetrator of domestic violence.”

“”Giving a gun to a then-weaponless man who ‘had driven to a location where he thought his wife and her lover were to murder the lover and then commit suicide,’…creates an actual and particularized danger of his using the gun to attempt murder a second time,” the filing notes. That would seem obvious to anyone, except perhaps a police agency more interested in protecting itself than the public.”

Colorado Legislators Advance Bill To Ban Police from Lying to Minors During Interrogations

“Democratic lawmakers in Colorado are advancing a bill that would ban police from lying to minors during interrogations, a practice that innocence groups say contributes to false confessions.”

Why Hate Speech Laws Backfire

“Hearing hateful words and ideas outrages and discomforts most of us, but Mchangama’s history of free speech underscores that state suppression can grant those words and ideas more power and influence. And that the best antidote to hate in a free and open society is not to hide from it but to openly—and persuasively—confront it.”

“In the 1920s, Germany’s Weimar Republic strictly regulated the press and invoked emergency powers to crack down on Nazi speech. It censored and prosecuted the editor of the anti-Semitic Nazi paper Der Stürmer, Julius Streicher, who used his trial as a platform for spreading his views and his imprisonment as a way of turning himself into a martyr and his cause into a crusade. When the Nazis took power in the early ’30s, Mchangama stresses, they expanded existing laws and precedents to shut down dissent and freedom of assembly.
Contemporary scholarship suggests that there can be a “backlash effect” when governments shut down speech, leading otherwise moderate people to embrace fringe beliefs. Mchangama points to a 2017 study published in the European Journal of Political Research that concluded extremism in Western Europe was fueled in part by “extensive public repression of radical right actors and opinions.”

In 1965, the United Kingdom passed a law banning “incitement to racial hatred,” but one of the very first people prosecuted under it was a black Briton who called whites “vicious and nasty people” in a speech. More recently, Mchangama notes that radical feminists in England “have been charged with offending LGBT+ people because they insist there are biological differences between the sexes. In France, ‘an LGBT+ rights organization was fined for calling an opponent of same-sex marriage a ‘homophobe.'””