The hidden lesson in the new free Covid-19 tests

“There are a few ways to think about these bureaucratic struggles. One, coined by Annie Lowrey in a 2021 Atlantic feature, is the “time tax” — the amount of time and energy that people waste interacting with the government. But my preferred term, popularized by the academics Donald Moynihan, Pamela Herd, and Hope Harvey is “administrative burden” — which refers not only to the concrete loss of time and money, but to the cognitive and psychological burdens of having to learn and comply with government rules.

It’s hard to say just how much administrative burden there is. There’s no attempt to synthesize information about it even at the federal level, let alone the state and local governments that are responsible for implementing most safety-net programs. The best way to understand it is to look at all the labor involved to access a specific program: unemployment benefits in North Carolina, for example.

The one overarching truth is that administrative burdens particularly harm people already marginalized because they’re most in need of assistance and because they’re most likely to have difficulty jumping through all the hoops. Maybe they don’t have a computer, maybe they don’t speak English or understand legalese, or maybe they have to forgo shifts at work just to go to the right office to submit a form.

By extension, any restriction on who is eligible for benefits increases administrative burden, not only for people who apply and are found ineligible but also those who have to do more work to prove eligibility in the first place. The Covid-19 test webpage could be easy because there were no restrictions; it didn’t need to ask about anything besides your address.

There’s also a second-order way that making programs universal fights administrative burden: When politically empowered, privileged Americans are inconvenienced by something, they’re more likely to make noise and get it to change.

But there is little if any political incentive to reduce the burden on people who politicians don’t typically listen to or need to court, such as noncitizens or people disenfranchised due to criminal records.”

Biden promised a harder line on Saudi Arabia. Why can’t he deliver?

“Since the FDR presidency, Saudi Arabia has been an important United States partner. It is a major energy producer and home to the two most significant sites in Islam, and for decades, America had provided security guarantees to the kingdom. In return, the US has depended on Saudi Arabia as a counterweight to Iran in the Middle East, an intelligence partner against terrorist groups, and a dominant investor with an enormous sovereign wealth fund. But MBS’s ruthless intransigence had put the relationship to the test.

Biden’s government-in-waiting recognized that MBS demanded a different approach. Daniel Benaim, who advised the campaign and is now a senior Middle East diplomat, searched for a way to elevate human rights. In summer 2020, he proposed a “progressive course correction” that spelled out consequences for future malign behavior.

Benaim suggested a six-month review of policy, but it’s not clear whether Biden’s State Department has conducted such a reassessment. (The State Department declined to comment on the record, as did the White House.)”

“Overall, the Biden administration has responded to MBS with an approach that keeps human rights concerns behind closed doors because, advisers say, the relationship with Saudi Arabia is so integral to US policy. By balancing the concerns of human rights activists and the Washington national-security establishment, Biden’s team has found that it is disappointing both, as well as supporters of the crown prince.

A month into office, Biden broke with Trump by releasing the intelligence agencies’ report on Khashoggi. It showed unequivocally that MBS was responsible for the killing of the Virginia resident in the Saudi consulate in Istanbul. Blinken announced the new “Khashoggi Ban” that would prohibit government agents who target dissenters from entering the US.

It was a good step, but Biden didn’t follow through. The formal ban was implemented against 76 Saudis but not the prince himself. Critics say true accountability would have meant putting MBS on the banned list. MBS hasn’t visited the US since Trump, but that relates to an implicit policy of distancing him, not a formal declaration that he’s banned. (MBS’s brother, who was reportedly involved in the Khashoggi operation, quietly visited the White House in July.)”

“On the campaign, Biden said he would stop supporting the war in Yemen. More than 375,000 Yemenis had died by the end of last year, and the devastating death toll led Obama alumni to take responsibility for supporting the 2014 Saudi invasion. The State Department says it is working with Saudi Arabia to end the war in Yemen.

Last February, Biden ended “offensive” support for the war. Yet last month the Senate, with White House encouragement, approved a $650 million arms sale to the kingdom for “defensive” weapons to Saudi Arabia, a distinction that many experts reject.”

“Biden has made one big move: He won’t talk to MBS directly. The president, thus far, has only held phone calls with his father, King Salman bin Abdulaziz Al Saud. This has reportedly angered MBS. But it’s an insufficient form of retribution. “The big punishment for murder and dismemberment of a journalist is you don’t get to meet the president yourself? You can meet with anyone else and get all the weapons you need,” said Andrea Prasow of the Freedom Initiative. “The consideration of human rights is not integrated into US policy. It’s an add-on.”

Why is there so much hedging in US policy toward Saudi Arabia, even when the Biden administration has set out to shake things up?”

“The Biden team now seems resigned to a close relationship with Saudi Arabia in order to achieve its own policy objectives, like cheap gas prices and an accord with Iran.”

Kyrsten Sinema’s opposition to filibuster reform rests on a myth

“on this issue of voting rights. Joe Manchin labored mightily to come up with a compromise bill so that he could entice 10 Republicans to make it bipartisan. He did not get a single one. As President Biden mentioned in his speech [on Tuesday], 16 Republicans currently in the Senate voted for the 2006 extension of the Voting Rights Act. Not one of them supports the John Lewis Act.”

Nearly half the world’s kids are exposed to dangerous levels of lead

“As scandalous as the Flint lead crisis is, it’s sobering to know that it may be just the tip of the iceberg globally.

A recent systematic evidence review, widely cited and respected in the field, pooled lead screenings from 34 countries representing two-thirds of the world’s population. The study estimated that 48.5 percent of children in the countries surveyed have blood lead levels above 5 µg/dL.

Let me repeat that: Flint became the symbol of catastrophic lead exposure in the United States. The breakdown of a long-neglected system was so terrible that it led to headlines for months and even became an issue in the 2016 presidential election. Yet children in low- and middle-income countries are, per this estimate, 10 times likelier to have high blood lead levels than children in Flint were at the height of the city’s crisis.

The lead problem is global. It’s catastrophic in scope and hurting children’s ability to learn, earn a living when they grow up, and function in society.”

Putin is rewriting history to justify his threats to Ukraine

“Specifically, much of Russia’s political positioning to launch an incursion into Ukrainian territory is based on Putin’s claim that Ukraine — like Russia, a former Soviet state — is an extension of Russia, the “little brother” that has been led astray by the West and must be reincorporated into the family. Thus, he sees Ukraine’s increasing westward turn as a provocation, by both Ukraine and NATO.

In reality, however, Ukraine has long been distinct from Russia, experts told Vox, and Putin’s current mythologizing of the Russia-Ukraine relationship fits a pattern of falsehoods designed to reconstitute imperial glory, and more importantly, to shield Putin from the threat of democracy in former Soviet republics — and possibly in Russia itself.

That fear informs the potential conflict brewing along the Ukrainian border, Maria Snegovaya, a visiting scholar at George Washington University’s Institute for European, Russian, and Eurasian Studies, told Vox via email.

“It looks like Putin is committed to preventing the deepening cooperation between Ukraine and the US/the West,” Snegovaya said, “which he views as Russia losing Ukraine.”

Snegovaya points to a 2021 essay by Putin, titled “On the Historical Unity of Russians and Ukrainians,” as an example of his thinking.

In the essay, Putin called the two nations “essentially the same historical and spiritual space,” tracing his notion of a shared history back more than a thousand years. That assertion, though, elides a long history of differences between the two countries, and even more significantly, flies in the face of current Ukrainian attitudes, which favor membership in both NATO and the EU, (though neither is likely in the near future).”

“Putin’s argument, as he lays it out in his 2021 essay, hinges on the idea that both nations descend from an early princedom called Kyivan Rus, which encompassed some of modern-day Ukraine and stretched north into the Baltic countries. But the historical ties between that entity and what was then Muscovy — part of modern-day Russia — aren’t particularly significant, and the idea that modern Russia evolved from Kyivan Rus doesn’t carry much weight, Jensen said.”

“Ukraine, for its part, is distinct from Russia in many ways and has been influenced by a number of different cultures, including by Central European countries in the west, and present-day Greece and Turkey in the south. Over the centuries Ukraine was also conquered by a number of different groups, including the Mongols, Lithuanians, Poles, Austrians, and Swedes, as well as, eventually, the Russian Empire during the reign of Catherine the Great.”

“Although Ukraine had been part of the Russian empire at various points in history, Soviet propaganda cemented the idea, at least in older generations of Ukrainians, that their country was intertwined with the Soviet Union, and indeed was “Little Russia,” as Volodymyr Kravchenko explains in Harvard’s journal of Ukrainian studies, though in reality Ukrainian nationalism existed in some form throughout the 20th century.

In the present day, Putin’s insistence that Russia and Ukraine are historically and “spiritually” the same country allows him to push another narrative — that Ukraine’s openness to joining NATO and increasing alliances with the US and European countries is both a betrayal and somehow disingenuous, a sinister plot to tear the two nations apart.”

“The Budapest agreement saw Ukraine hand over its nuclear weapons to Russia for disposal in exchange for security assurances from the Kremlin, the US, and the UK. Under that agreement, the US assured Ukraine not only that it would respect the country’s borders and sovereignty, but also that it would respond should Russia not abide by the agreement.

Later, the Orange Revolution in 2004 — in which the Kremlin’s preferred candidate, Viktor Yanukovych, lost a closely monitored election held after protests against Yanukovych’s attempt to steal the initial presidential election — marked a turning point in Ukrainian politics, away from Russia and toward democratic institutions. While Yanukovych did eventually come to power in 2010, Ukrainian society had made a decisive break with the past by that point, and pro-democracy reforms in response to the 2004 protests contributed to Yanukovych’s downfall in 2014.

Then, the Euromaidan revolution, which began after Yanukovych backed out of a trade agreement with the EU in 2013, eventually forced Yanukovych to flee to Russia the following year. According to Peter Dickinson, writing for the Atlantic Council, both the Orange Revolution and Euromaidan “underlined Ukraine’s European choice and cemented the country’s rejection of a Russian reunion.””

The Supreme Court can’t get its story straight on vaccines

“the Supreme Court handed down a pair of unsigned opinions that appear to be at war with each other.

The first, National Federation of Independent Business v. Department of Labor, blocks a Biden administration rule requiring most workers to either get vaccinated against Covid-19 or to routinely be tested for the disease. The second, Biden v. Missouri, backs a more modest policy requiring most health care workers to get the vaccine.

There are some things that differentiate the two cases. Beyond the fact that the first rule is broader than the second, the broader rule also relies on a rarely used provision of federal law that is restricted to emergencies, while the latter rule relies on a more general statute.

But the Court gives little attention to substantive differences between the laws authorizing both rules. Instead, it applies an entirely judicially created doctrine and other standards in inconsistent ways. The result is two opinions that are difficult to reconcile with each other.

The NFIB case relies heavily on something known as the “major questions doctrine,” a judicially invented doctrine which the Court says places strict limits on a federal agency’s power to “exercise powers of vast economic and political significance.” As the NFIB opinion notes, the vaccinate-or-test rule at issue in NFIB applies to “84 million Americans” — quite understandably a matter of vast economic significance.

But, if this manufactured doctrine is legitimate, then it’s not at all clear why it doesn’t apply with equal force in both cases. As Justice Clarence Thomas points out in a dissenting opinion in the Missouri case, the more modest health workers’ rule “has effectively mandated vaccination for 10 million healthcare workers.” That’s still an awful lot of Americans!

What if the Biden administration had pushed out a rule requiring 20 million people to get vaccinated? Or 50 million? The Court does not tell us just how many millions of Americans must be impacted by a rule for it to count as a matter of “vast economic and political significance.” And it’s hard to draw a legally principled distinction between 10 million workers and 84 million.

Similarly, in NFIB, the Court notes that the agency which created the broad rule at issue in that case is the Occupational Safety and Health Administration (OSHA) which, as its name suggests, deals with health threats that arise in the workplace, and Covid-19 is not unique to the workplace. “COVID–19 can and does spread at home, in schools, during sporting events, and everywhere else that people gather,” the majority opinion notes.

But, as the three liberal justices point out in dissent, OSHA regulates threats that exist both inside and outside the workplace all the time, including “risks of fire, faulty electrical installations, and inadequate emergency exits.” It’s not at all clear why Covid-19 is any different. And the only explanation that the majority opinion gives — that a vaccination “cannot be undone at the end of the workday,” unlike the donning of fire-safety gear — applies with equal force to both the OSHA rule and the narrow health worker’s rule that the Court refused to block. Doctors’ vaccinations can’t be undone any more than an office worker’s can be.

The Court, in other words, appears unable to articulate a principled reason why some vaccination rules should stand and others should fall.”

“The opinions suggest that the Court will uphold rules that five of its members think are good ideas, and strike down rules that five of its members think are bad ideas.”

How seditious conspiracy charges change the January 6 narrative

“the first seditious conspiracy charges in the investigation so far, and the first the Justice Department has brought in more than a decade. Seditious conspiracy isn’t the same as treason, but it’s also not terribly far off; as former federal prosecutor Laurence Tribe wrote for NBC News on Saturday, the “crime is, in effect, treason’s sibling.”
Specifically, seditious conspiracy occurs when two or more people work together to plan to overthrow the government or prevent the execution of its laws.

In the case against Rhodes and his alleged co-conspirators, the government presented evidence in the charging documents that shortly after the November 3, 2020, election, Rhodes told his followers, “Prepare your mind, body, and spirit” because, “We aren’t getting through this without a civil war.” In December, Rhodes promised a “bloody, massively bloody revolution” should a peaceful transfer of power occur, and in the lead-up to the Capitol riot purchased thousands of dollars’ worth of weapons, ammunition, and related tactical gear.

Other defendants in the case are alleged to have set up paramilitary training groups and created private Signal groups to discuss their operations, including procuring weapons and establishing a quick reaction force outside the DC area to bring in additional insurrectionists and weapons.”

Could a 54-year-old civil rights law be revived?

“I’m very supportive of efforts to either essentially bribe localities into doing the right thing through a Race to the Top program if you don’t reduce exclusionary zoning. I think that’s a good effort, but I think that the Economic Fair Housing Act offers something both substantively and politically that’s better.
I think part of the problem with the existing federal proposals is that they suggest that exclusionary zoning is bad policy because it blocks opportunity and makes housing less affordable and damages the planet. All of those things are true, but what I think the Economic Fair Housing Act tries to do is say it’s not just bad policy, it’s immoral for governments to erect barriers that exclude and discriminate based on income … because it’s shameful what’s going on.”

“In the 21st century, segregated communities are kept that way not through laws that explicitly attempt to keep certain areas white but through a more insidious method — exclusionary zoning and land-use regulations that make it illegal to build affordable types of housing, laws that allow wealthy Americans to block things from being built, and a failure to consistently use federal civil rights laws to desegregate.

All of this has resulted in the prices of housing and rent skyrocketing. Over the last year, diminished supply as a result of these laws has pushed the cost of shelter higher than ever, straining the pockets of working-class, middle-class, and even some high-income Americans.”

“In certain communities, there is still an intent to segregate by race, so I don’t want to downplay that, but having said that, there’s certainly evidence that the issue of exclusionary zoning is not only about race.

We know in predominantly white communities that wealthy whites will use zoning to exclude lower-income whites. We also know, for example, in Prince George’s County, Maryland, a predominantly Black community, that there are efforts by wealthier Black people to exclude lower-income Black people through exclusionary zoning.

In some white, liberal communities, you will hear people say they are delighted to have a Black doctor or lawyer move in next door. And so they feel virtuous for no longer excluding directly based on race, without acknowledging that they’d be highly uncomfortable with working-class Black people or white people moving into the neighborhood.

So I think it’s important that we recognize that there’s exclusion going on by both race and class, which is why we need some new tools to beef up the existing laws.”

We’ll never have a normal flu season again

“Before the pandemic, the flu alone could sometimes push hospital systems into crisis mode, where they cancel elective procedures and limit other kinds of care. Now there’s Covid-19, which has done the same thing on its own.

Suddenly conjuring more hospital capacity every winter to handle the expected surges of flu and Covid-19 is not going to happen. Thousands of additional hospital beds are not coming in the next few years, and the US would not have the doctors and nurses to staff them anyway. It will take much longer — years or maybe decades — to improve the gaps in America’s health care infrastructure and workforce that have been exposed during Covid-19.

This means the imperative to “flatten the curve,” to limit the spread of these viruses to stop hospitals from being overwhelmed, will be with us for a long time. But the makeup of the curve will change, measuring multiple diseases instead of one.”

“Vaccination is the best way to stop a bad Covid-and-flu season before it starts.”

“Surveillance is critical, starting with early-warning systems. Public health institutions have long monitored the flu and they are already tracking Covid-19 in a similar manner. Monitoring the amount of virus detected in local wastewater has proven to be a reliable leading indicator of new Covid-19 waves during the pandemic. And widespread, reliable testing will be essential — including at-home tests for both Covid-19 and the flu.”

“Frequent testing lets people know that they should isolate. If they are at higher risk of severe illness, they can get on antivirals quickly. The current therapies are most effective at stopping serious symptoms that could require hospitalization if they are taken within the first few days of an illness. Research in the last decade has found that flu antivirals are too often underprescribed for patients who would benefit most; improving prescription rates is only more critical now that the health system will be contending with both the flu and Covid-19 going forward.”