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The Wrong Paradigm Locked

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Posted by Euclid on Saturday, May 30, 2020 5:49 PM

BaltACD
 
Flintlock76
The governors aren't there for Mr. Trump to do anything with.  In the end they'll have to answer to the voters of their respective states for what they did or didn't do.  If they performed well they've got nothing to worry about.  If they didn't then all the angels in Heaven coming down to give them endorsements won't do them any good.   

 

Trump has declined responsibility for anything and everything and dumped policy making on the Governors, as such Trump is no longer a leader in the issue.

 

Where does the top level command authority for this type of crisis legally reside?  Is it with the President or with the State Governors?

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Posted by BaltACD on Saturday, May 30, 2020 7:29 PM

Euclid
 
BaltACD 
Flintlock76
The governors aren't there for Mr. Trump to do anything with.  In the end they'll have to answer to the voters of their respective states for what they did or didn't do.  If they performed well they've got nothing to worry about.  If they didn't then all the angels in Heaven coming down to give them endorsements won't do them any good.    

Trump has declined responsibility for anything and everything and dumped policy making on the Governors, as such Trump is no longer a leader in the issue. 

Where does the top level command authority for this type of crisis legally reside?  Is it with the President or with the State Governors?

The President has declined responsibility and therefore has declined leadership.  While the CDC is the leading federal scientific organization dealing with the problem, the President declines to follow their recommendations, further abdicating leadership.

Governors have taken the leadership position with regard to the populations of thier own states and without regard to adjoining states.  For the purposes of Covid-19 the USA has become 50 separate entities, each marching to their own drummer as they interpert the pertinent data that reaches their health departments, where ever that data may originate - CDC, local universities, foreign country health professionals, potentially witch doctors and shamans.

In the past Presidents have taken the lead in such situations.

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Posted by tree68 on Saturday, May 30, 2020 7:36 PM

Euclid
Where does the top level command authority for this type of crisis legally reside?  Is it with the President or with the State Governors?

A poster on another forum brought up something that might address your question.  "State's Rights."

 

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Posted by Gramp on Saturday, May 30, 2020 8:22 PM

It's called federalism. Something that's lost on a lot of people today that the country was founded on. 

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Posted by charlie hebdo on Saturday, May 30, 2020 8:51 PM

Gramp

It's called federalism. Something that's lost on a lot of people today that the country was founded on. 

 

You might want to examine a good history of the colonial period through early republic. 

We have a Federal Repubic, with a stronger central government for defined areas,  as expressed in the Constitution,  our governing document,  which replaced the state supremacy of the Articles of Confederation because of its obvious failures. 

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Posted by Euclid on Saturday, May 30, 2020 10:11 PM

BaltACD
 
Euclid
 
BaltACD 
Flintlock76
The governors aren't there for Mr. Trump to do anything with.  In the end they'll have to answer to the voters of their respective states for what they did or didn't do.  If they performed well they've got nothing to worry about.  If they didn't then all the angels in Heaven coming down to give them endorsements won't do them any good.    

Trump has declined responsibility for anything and everything and dumped policy making on the Governors, as such Trump is no longer a leader in the issue. 

Where does the top level command authority for this type of crisis legally reside?  Is it with the President or with the State Governors?

 

The President has declined responsibility and therefore has declined leadership.  While the CDC is the leading federal scientific organization dealing with the problem, the President declines to follow their recommendations, further abdicating leadership.

Governors have taken the leadership position with regard to the populations of thier own states and without regard to adjoining states.  For the purposes of Covid-19 the USA has become 50 separate entities, each marching to their own drummer as they interpert the pertinent data that reaches their health departments, where ever that data may originate - CDC, local universities, foreign country health professionals, potentially witch doctors and shamans.

In the past Presidents have taken the lead in such situations.

 

What you say (emphasis in red) above is why I asked the question as to whether the State Governors or the President have the top authority in a crisis such as this virus.  I doubt that anybody can provide a definite answer to that question.  It may get into issues about "States Rights," but I don't know the answer.  And the answer may not be so clear cut. 

However, the reason I ask is that if the President "declined responsiblity," he must have had the natural legal responsibility over the State Governors.  And, if they had that natural responsibility, it would not be the President's to decline. 

So how do we know if the President "declined responsibility" if we don't know whether that responsibility naturally resides with the President in the first place?  If he never had it, he could not have declined it. 

 

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Posted by charlie hebdo on Monday, June 1, 2020 1:07 PM

I see Bucky is riding his circular reasoning Merry go Round again!! 

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Posted by BaltACD on Monday, June 1, 2020 1:26 PM

A leader that 'declines responsibility' for something that affects the entirety of the country is no longer The Leader.  He may be a power grabber - but he is not a leader.

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Posted by Euclid on Monday, June 1, 2020 1:59 PM

BaltACD

A leader that 'declines responsibility' for something that affects the entirety of the country is no longer The Leader.  He may be a power grabber - but he is not a leader.

 

You have given no evidence that the President has declined responsiblity. 

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Posted by BaltACD on Monday, June 1, 2020 2:41 PM

Euclid
 
BaltACD

A leader that 'declines responsibility' for something that affects the entirety of the country is no longer The Leader.  He may be a power grabber - but he is not a leader. 

You have given no evidence that the President has declined responsiblity. 

The only evidence are his repeated recorded statements.  I don't have it in his illegible handwriting.

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Posted by Euclid on Monday, June 1, 2020 3:27 PM

BaltACD
 
Euclid
 
BaltACD

A leader that 'declines responsibility' for something that affects the entirety of the country is no longer The Leader.  He may be a power grabber - but he is not a leader. 

You have given no evidence that the President has declined responsiblity. 

 

The only evidence are his repeated recorded statements.  I don't have it in his illegible handwriting.

 

Well, can you please paraphrase what he said in his statements?

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Posted by BaltACD on Monday, June 1, 2020 5:50 PM

Euclid
 
BaltACD 
Euclid 
BaltACD

A leader that 'declines responsibility' for something that affects the entirety of the country is no longer The Leader.  He may be a power grabber - but he is not a leader. 

You have given no evidence that the President has declined responsiblity.  

The only evidence are his repeated recorded statements.  I don't have it in his illegible handwriting. 

Well, can you please paraphrase what he said in his statements?

Do your own homework!

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Posted by daveklepper on Tuesday, June 9, 2020 1:55 PM

Latest from Israel's Health Ministry:   18,180 total cases, now 2,722 active cases 15,159 Recovered, 31 in serious condition, including 24 who are ventilated, 299 died.

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Posted by daveklepper on Thursday, June 11, 2020 1:20 AM

 

By MAAYAN JAFFE-HOFFMAN,  JUNE 10, 2020 22:10
 
A team of Israeli researchers at Bar-Ilan University have identified short amino acid sequences - often referred to as the "building blocks of life" - that could help develop a vaccine against the novel coronavirus and which they believe could stop the next outbreak.  “Our study has identified a set of potential immunodominant epitopes from the SARS-CoV-2 proteome, such that these epitopes are capable of generating both antibody and cell-mediated immune responses,” Dr. Milana Frenkel-Morgenstern, head of the Cancer Genomics and BioComputing of Complex Diseases Lab at Bar-Ilan University’s Azrieli Faculty of Medicine, explained.
 
Epitopes, known also as antigenic determinants, are the part of the antigen that binds to a specific antigen receptor on the surface of B cells or T cells. They are capable of stimulating an immune response.  Immune responses that are based on specific immunodominant epitopes involve the generation of both antibody- and cell-mediated immunity against pathogens presenting such epitopes. Such immunity can facilitate fast and effective elimination of the pathogen.
 
The result: A passive (as opposed to an active) vaccine, capable of activating both cellular and humoral immune responses in humans.
 
During this study, Frenkel-Morgenstern said, the team mapped coronavirus epitopes with influenza virus epitopes available in the Immune Epitope Database (IEDB) and found that few influenza virus epitopes share more than 85% sequence identity with severe acute respiratory syndrome-related coronavirus (SARS-CoV) experimentally detected epitopes.
 
“Therefore, we looked for other known viruses that may have experimentally confirmed epitopes,” the researcher explained. “In the present research, we used an immunoinformatics-based extensive computational approach to mine the proteome of SARS-CoV-2 and subsequently identify immunodominant epitopes of SARS-CoV-2. Detecting immune responses that are based on specific immunodominant epitopes enables generating both antibody-mediated and cell-mediated immunity against a certain pathogen. This can facilitate the fast and effective elimination of the pathogen.”
 
Of the 25 epitopes that were discovered to be 100% identical to SARS, seven are potentially effective vaccine candidates, and the research shows these epitopes could cover as much as 87% of the worldwide population.
 
Further, analysis revealed that the epitopes are non-allergic and non-toxic to humans and have very low risk for generating autoimmune responses. Now, she said that her team is looking for partners and companies to build the vaccine constructs and test it in-vitro, on animal models and then through clinical trials.  She said the process would take at least six to 12 months.
 
A researcher at the Technion University developed a soft polymer waterproof elastic that can "heal itself" in the event of an "injury" (i.e. scratch, cut or sprain), the university announced Wednesday.The doctoral student who invented the technology, Muhammad Khatib, incorporated advanced sensors into the polymer that can monitor temperature, pressure and acidity - which they purport can also be beneficial to the fields of robotics, prosthetics and wearable devices.
 
He conducted his research at the Wolfson Faculty of Chemical Engineering at the Technion, under the watchful eye of Professor Hossam Haick and funded in part by the Bill and Melinda Gates Foundation accompanied by a grant from the A-Patch project. Khatib's findings were published in the Advanced Materials and Advanced Functional Materials journals."During millions of years of evolution, the skin of mammals developed into a sensory platform characterized on the one hand by high sensitivity to environmental stimuli and, on the other hand, by great resistance to hostile conditions such as temperature, salinity, heat, stretching, and folding," the Technion said in a press statement. "Inspired by natural skin, a great deal of effort has been invested in developing artificial electronic materials and devices with similar properties – due to the huge potential for applications in fields such as soft robotics and human-machine interfaces.""These types of systems require developing soft materials whose functioning is not harmed by distortions or tears. The problem is that soft materials tend to be damaged over time, and their functionality becomes impaired. Consequently, researchers are motivated to develop new materials and systems that can heal themselves, just like human skin does after an injury."The elastomer - elastic and polymer - developed by Khatib and published in the Advanced Function Materials journal, is not only waterproof, but can also stretch up to 1,100% of its original length without tearing.
 
One of its unique attributes is that it can heal itself, even when soaked in tap water, seawater, and water with varying levels of acidity. This elastomer has a huge potential for use in soft, dynamic electronic devices that come into contact with water. In the event that the mechanical damage to the polymer occurs when it is submerged in water, it knows how to heal itself and prevent electrical leakages (current  flow from the device to the water)," the university said.Khatib used this new technology to develop a sort of "electronic skin," which he presented in the Advanced Materials journal. He incorporated a myriad of capabilities into the skin, including selective sensing, resistance to water, self-monitoring and self-healing. The sensory system can also monitor environmental variable such as pressure, temperature, and acidity.According to the Technion, Khatib, inspired biological healing process of the human skin, decided to adapt his elastomer into an autonomous self-healing system."This system consists of neuron-like components that monitor damage to the system’s electronic parts, and other components that accelerate the self-healing process in the damaged places. This mechanism of self-healing enables the smart electronic systems to self-monitor their activities and repair functional problems caused by mechanical damage," according to the university.“The new sensory platform is a universal system that displays stable functioning in both dry and wet environments, and it is capable of containing additional types of chemical and physical (electronic) sensors,” Khatib explained. “Both projects that were now published pave the way for new paths and new strategies in the development of skin-inspired electronic sensing platforms  that can be integrated into wearable devices and electronic skins for advanced robots and artificial organs.”
 

 

 

 

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Posted by blue streak 1 on Friday, June 12, 2020 9:35 PM

We best not get too complacent.  Another report that the US seems to have a virus strain that has mutated and seems to be more infectious than the rest of the world .  Also in Brazil .  It may be if this is the case that a vacine developed in Europe may not work here and there will be a need for a vacine to be developed here in the USA ?

https://www.msn.com/en-us/health/medical/mutation-could-make-coronavirus-more-infectious-study-suggests/ar-BB15pHdc 

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Posted by daveklepper on Saturday, June 13, 2020 2:18 PM

But it is being tested in the USA, so we can hope, even if we cannot be assured, and you are right that another vacine may be required.

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Posted by tree68 on Saturday, June 13, 2020 6:13 PM

blue streak 1
Another report that the US seems to have a virus strain that has mutated and seems to be more infectious than the rest of the world

I'll believe it when I see it.  Sounds like another round of restrictions to be exerted by the petit tyrants.

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Posted by GERALD L MCFARLANE JR on Saturday, June 13, 2020 9:32 PM

tree68
 
blue streak 1
Another report that the US seems to have a virus strain that has mutated and seems to be more infectious than the rest of the world

Actually we've been infected by more than one strain, NY had a strain from Europe that mutated, California had a strain from China.  Viruses mutate all the time, it's what they do, the vaccine would attack the base virus, not the mutations.

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Posted by daveklepper on Sunday, June 14, 2020 5:54 AM

Chances are your bad news is correct regarding vacines developed only from antibodies from those recovered from the virus.  But some researchers are taking a different approach to determine what is needed to strengthen the Imune system in general against viruses in general.  That research has also arrived at the preliminary testing stage, although results for mass inoculation may not be as soon as the first variety.  There is thls hope, however.

Meanwhile

 

Coronavirus in Israel: Who is sick and where do they live?

 

n Israel, of the 19,008 people who have caught coronavirus, only 3,34I8 are still infected.

 

By MAAYAN JAFFE-HOFFMANJUNE 14, 2020 11:57

 

Excerpted from the Jerusalem Post

 

As coronavirus cases are surging across the Jewish state - some 19,000 people have been diagnosed with the novel coronavirus, also known as SARS-CoV-2, since the start of the crisis -  

 

 

Of the 19,008 people who have caught coronavirus, only 3,348 are still infected. Among the active cases, the majority (3,268) have mild symptoms. The rest are in moderate (45) or serious (35) condition, as of Sunday morning, according to the Health Ministry.  Some 26 people are on ventilators and 300 people have died and 15,360 have recovered.  On average, 160 people are diagnosed positive each day.

 

 

Where are they being treated? The majority (2,223) are receiving home care. Another 360 are recovering in a state-run “coronavirus hotel.” Another 129 are being treated in the hospital.

 

So far, 226,101 Israelis (about 2.5%) of the population have been in isolation. Currently, 15,963 people are in quarantine. 

 

 

Since the start of the crisis in the beginning of February, Israel has tested 747,941 people for the virus. However, since May 31 when Health Minister Yuli Edelstein changed the country’s screening policy many more people are being tested. The average number of daily tests last week was 11,926, meaning about 1.34% of those screened are found to have the virus.

 

 

According to Dr. Shuki Shemer, chairman of the board of the Assuta Medical Centers, the median age in the country is 30. Because Israeli society is younger, most of those who contract the virus are younger, too, making it less likely that they will succumb to COVID-19, the disease caused by the novel coronavirus.  So far, 16,849 coronavirus patients (out of 18,448 at the time the data was recorded) have been under 70 and only 1,599 older.

 

 

The Centers for Disease Control and Prevention has said that older people and individuals with pre-existing medical conditions such as heart disease, diabetes, lung disease, asthma and obesity have a greater risk of becoming seriously ill from corona.

 

 

Where is the virus?  There are patients in 317 different cities and towns across Israel.   As of Sunday morning, the cities with the greatest number of active patients were: Jerusalem (592), Tel Aviv (417), Bnei Brak (309), Rahat (107), Beersheba (106), Bat Yam (84), Petah Tikva (80), Netanya (75), Arara (72). Rishon Lezion (69), Holon (63), Beit Shemesh (62), Hura (57), Ashdod (54), Ashkelon (49), Sderot (42) and Holon (42).

 

 

According to the Education Ministry, there are 506 sick teachers and students and 25,669 in isolation. Some 183 schools are closed. 

 

.

 

 

 

 

 

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Posted by Psychot on Sunday, June 14, 2020 10:38 AM

Euclid

 

 
BaltACD
 
Euclid
 
BaltACD 
Flintlock76
The governors aren't there for Mr. Trump to do anything with.  In the end they'll have to answer to the voters of their respective states for what they did or didn't do.  If they performed well they've got nothing to worry about.  If they didn't then all the angels in Heaven coming down to give them endorsements won't do them any good.    

Trump has declined responsibility for anything and everything and dumped policy making on the Governors, as such Trump is no longer a leader in the issue. 

Where does the top level command authority for this type of crisis legally reside?  Is it with the President or with the State Governors?

 

The President has declined responsibility and therefore has declined leadership.  While the CDC is the leading federal scientific organization dealing with the problem, the President declines to follow their recommendations, further abdicating leadership.

Governors have taken the leadership position with regard to the populations of thier own states and without regard to adjoining states.  For the purposes of Covid-19 the USA has become 50 separate entities, each marching to their own drummer as they interpert the pertinent data that reaches their health departments, where ever that data may originate - CDC, local universities, foreign country health professionals, potentially witch doctors and shamans.

In the past Presidents have taken the lead in such situations.

 

 

 

What you say (emphasis in red) above is why I asked the question as to whether the State Governors or the President have the top authority in a crisis such as this virus.  I doubt that anybody can provide a definite answer to that question.  It may get into issues about "States Rights," but I don't know the answer.  And the answer may not be so clear cut. 

However, the reason I ask is that if the President "declined responsiblity," he must have had the natural legal responsibility over the State Governors.  And, if they had that natural responsibility, it would not be the President's to decline. 

So how do we know if the President "declined responsibility" if we don't know whether that responsibility naturally resides with the President in the first place?  If he never had it, he could not have declined it. 

 

 

That's Clintonian semantic niggling if I've ever seen it. Regardless of the formal divisions of responsibility, COVID-19 is a national-level crisis that requires national-level leadership and coordination. Meanwhile, the president has tried to have it both ways, denying the necessity of any kind of federal coordination while stepping in to take credit for any positive developments. 

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Posted by Euclid on Sunday, June 14, 2020 1:05 PM

Psychot
 
Euclid

 

 
BaltACD
 
Euclid
 
BaltACD 
Flintlock76
The governors aren't there for Mr. Trump to do anything with.  In the end they'll have to answer to the voters of their respective states for what they did or didn't do.  If they performed well they've got nothing to worry about.  If they didn't then all the angels in Heaven coming down to give them endorsements won't do them any good.    

Trump has declined responsibility for anything and everything and dumped policy making on the Governors, as such Trump is no longer a leader in the issue. 

Where does the top level command authority for this type of crisis legally reside?  Is it with the President or with the State Governors?

 

The President has declined responsibility and therefore has declined leadership.  While the CDC is the leading federal scientific organization dealing with the problem, the President declines to follow their recommendations, further abdicating leadership.

Governors have taken the leadership position with regard to the populations of thier own states and without regard to adjoining states.  For the purposes of Covid-19 the USA has become 50 separate entities, each marching to their own drummer as they interpert the pertinent data that reaches their health departments, where ever that data may originate - CDC, local universities, foreign country health professionals, potentially witch doctors and shamans.

In the past Presidents have taken the lead in such situations.

 

 

 

What you say (emphasis in red) above is why I asked the question as to whether the State Governors or the President have the top authority in a crisis such as this virus.  I doubt that anybody can provide a definite answer to that question.  It may get into issues about "States Rights," but I don't know the answer.  And the answer may not be so clear cut. 

However, the reason I ask is that if the President "declined responsiblity," he must have had the natural legal responsibility over the State Governors.  And, if they had that natural responsibility, it would not be the President's to decline. 

So how do we know if the President "declined responsibility" if we don't know whether that responsibility naturally resides with the President in the first place?  If he never had it, he could not have declined it. 

 

 

 

 

That's Clintonian semantic niggling if I've ever seen it. Regardless of the formal divisions of responsibility, COVID-19 is a national-level crisis that requires national-level leadership and coordination. Meanwhile, the president has tried to have it both ways, denying the necessity of any kind of federal coordination while stepping in to take credit for any positive developments. 

 

I don't see how you can dismiss the formal divisions of responsibility, and then turn around and claim that the President is denying responsiblity.  You call it semantic niggling.  What exactly is semantic about it? 

What specific responsibility has the President denied?  It seems to me that there has been plenty of Federal coordination and response.  He has allowed State governors to run the show with indefinite lockdowns that he does not approve of.   

There is no indication that the governors would prefer the President to take charge of the responses of the individual states.  On the contrary, I am sure the governors would protest if the President regulated all State response to the virus. 

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Posted by Psychot on Monday, June 15, 2020 7:20 PM

Euclid

 

 
Psychot
 
Euclid

 

 
BaltACD
 
Euclid
 
BaltACD 
Flintlock76
The governors aren't there for Mr. Trump to do anything with.  In the end they'll have to answer to the voters of their respective states for what they did or didn't do.  If they performed well they've got nothing to worry about.  If they didn't then all the angels in Heaven coming down to give them endorsements won't do them any good.    

Trump has declined responsibility for anything and everything and dumped policy making on the Governors, as such Trump is no longer a leader in the issue. 

Where does the top level command authority for this type of crisis legally reside?  Is it with the President or with the State Governors?

 

The President has declined responsibility and therefore has declined leadership.  While the CDC is the leading federal scientific organization dealing with the problem, the President declines to follow their recommendations, further abdicating leadership.

Governors have taken the leadership position with regard to the populations of thier own states and without regard to adjoining states.  For the purposes of Covid-19 the USA has become 50 separate entities, each marching to their own drummer as they interpert the pertinent data that reaches their health departments, where ever that data may originate - CDC, local universities, foreign country health professionals, potentially witch doctors and shamans.

In the past Presidents have taken the lead in such situations.

 

 

 

What you say (emphasis in red) above is why I asked the question as to whether the State Governors or the President have the top authority in a crisis such as this virus.  I doubt that anybody can provide a definite answer to that question.  It may get into issues about "States Rights," but I don't know the answer.  And the answer may not be so clear cut. 

However, the reason I ask is that if the President "declined responsiblity," he must have had the natural legal responsibility over the State Governors.  And, if they had that natural responsibility, it would not be the President's to decline. 

So how do we know if the President "declined responsibility" if we don't know whether that responsibility naturally resides with the President in the first place?  If he never had it, he could not have declined it. 

 

 

 

 

That's Clintonian semantic niggling if I've ever seen it. Regardless of the formal divisions of responsibility, COVID-19 is a national-level crisis that requires national-level leadership and coordination. Meanwhile, the president has tried to have it both ways, denying the necessity of any kind of federal coordination while stepping in to take credit for any positive developments. 

 

 

 

I don't see how you can dismiss the formal divisions of responsibility, and then turn around and claim that the President is denying responsiblity.  You call it semantic niggling.  What exactly is semantic about it? 

What specific responsibility has the President denied?  It seems to me that there has been plenty of Federal coordination and response.  He has allowed State governors to run the show with indefinite lockdowns that he does not approve of.   

There is no indication that the governors would prefer the President to take charge of the responses of the individual states.  On the contrary, I am sure the governors would protest if the President regulated all State response to the virus. 

 

No one is talking about the federal government assuming responsibility at the state level. What was being called for was coordination of supplies, specifically for testing, at the federal level -- as opposed to having states bid against each other and against the federal government for those supplies.

The president, when asked whether he felt responsible for our nationwide testing issues, specifically denied any responsibility. On other occasions, he provided a deliberately obtuse reply along the lines of what you're saying: "the federal government isn't going to set up a testing center in a Wal-mart parking lot." No one wanted that.

 

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Posted by daveklepper on Tuesday, June 16, 2020 8:27 AM

 

May 9, 2019.    Excerpted from Jerusalem Post

 

A new coronavirus vaccine candidate from the University of Pittsburgh that can be applied to the skin like a band-aid is now ready for human trials, NBC affiliate Click2Houston reported.

 

Called “PITT-CO-VACC,” the Pittsburgh Coronavirus Vaccine, the vaccine would be given to patients via a small patch, around the size of a postage stamp, which is put on the same way one puts on a band-aid. However, this patch comes with tiny needles that dissolve.

 

This works using a new technology known as a dissolvable microneedle array, according to Louis Falo, Jr. MD, PhD, professor, and Chair of Dermatology at the University of Pittsburgh and University of Pittsburgh Medical Center.

 

“The microneedle array is simply applied to the skin topically, pressed into place very shortly, and then taken off and thrown away,” he explained, Click2Houston reported.

 

Chemically, the vaccine works the same way as flu shots. The vaccine includes lab-made pieces of the virus in order to build the body's immunity.

 

“By inducing an antibody response in this protein, you block the entry of the virus into the cell,” explained Andrea Gambotto, MD, Associate Professor of Surgery at the University of Pittsburgh, according to Click2Houston.

The vaccine has already passed tests on mice, and they have already begun discussion with the US Food and Drug Administration (FDA) regarding approval to begin human testung.

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Posted by daveklepper on Wednesday, June 17, 2020 6:07 AM
Excerpted from Jerusalem Post
JUNE 17, 2020 08:36
CLEW, an Israeli medtech firm specializing in real-time AI analytics platforms, received approval from the United States Food and Drug Administration (FDA) for its "Predictive Analytics Platform in Support of COVID-19 Patients," the company announced Tuesday.
The Intensive Care Unit (ICU) solution was given Emergency Use Authorization (EUA) by the FDA so that it may be implemented within the United States' health system as soon as possible.
C LEW, is officially the first and only AI powered device authorized by the FDA to provide early identification of respiratory failure and hemodynamic instability for COVID-19 patients," said managing general partner at Pitango Health, an investor in CLEW Ittai Harel. "CLEW's system was a key component in Covid-19 command centers in leading hospitals in Israel, and forward-looking, thrives to become an integral part of healthcare management worldwide, as we enter the 'new normal.'"
The COVID-19 platform runs a predictive screening process that helps identify patients who have "an increased likelihood" of falling ill to respiratory failure or hemodynamic instability - conditions linked to the novel coronavirus.
The new AI model, which uses an algorithm that incorporates information compiled from nearly 100,000 ICU patients, is able to provide early detection of these illnesses "hours in advance." This gives room for early intervention and additional assessment, while reducing the risk of exposure to doctors and nurses treating the patients.
“Healthcare providers need more than simple analytics. Systems need to integrate into the provider’s workflow, offering ease of use and actionable data," said CLEW CEO Gal Salomon. "The CLEWICU platform is designed to enable healthcare providers to monitor patient predicted risk levels across all units in real-time allowing for smart decision-making about clinical resource allocation, ensuring prompt, proactive and efficient patient care
 
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Posted by blue streak 1 on Saturday, June 20, 2020 8:18 PM

Saw a picture of the victim who had to have a double lung transplant.  That bad lung was scarry.  I cannot imagine what a ventilator might do to those lungs.  Maybe a hyperbaric (sp?) chamber would be better as it would not put any external pressure on the insides of lungs ?

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Posted by Euclid on Sunday, June 21, 2020 2:13 PM

blue streak 1

Saw a picture of the victim who had to have a double lung transplant.  That bad lung was scarry.  I cannot imagine what a ventilator might do to those lungs.  Maybe a hyperbaric (sp?) chamber would be better as it would not put any external pressure on the insides of lungs ?

 

OLD PARADIGM STARTING TO SHIFT;

A NEW PLAYBOOK

 

https://www.statnews.com/2020/04/21/coronavirus-analysis-recommends-less-reliance-on-ventilators/

From the link:

“By using ventilators more sparingly on Covid-19 patients, physicians could reduce the more-than-50% death rate for those put on the machines, according to an analysis published Tuesday in the American Journal of Tropical Medicine and Hygiene.

The authors argue that physicians need a new playbook for when to use ventilators for Covid-19 patients — a message consistent with new treatment guidelines issued Tuesday by the National Institutes of Health, which advocates a phased approach to breathing support that would defer the use of ventilators if possible.

As the pandemic has flooded hospitals with a disease that physicians had never before seen, health care workers have had to figure out treatment protocols on the fly. Starting this month, a few physicians have voiced concern that some hospitals have been too quick to put Covid-19 patients on mechanical ventilators, that elderly patients in particular may have been harmed more than helped, and that less invasive breathing support, including simple oxygen-delivering nose prongs, might be safer and more effective.

The new analysis, from an international team of physician-researchers, supports what had until now been mainly two hunches: that some of the Covid-19 patients put on ventilators didn’t need to be, and that unusual features of the disease can make mechanical ventilation harmful to the lungs.” 

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Posted by daveklepper on Wednesday, June 24, 2020 6:11 AM

 

WASHINGTON (AP) — The next few weeks are critical to tamping down a disturbing coronavirus surge, Dr. Anthony Fauci told Congress on Tuesday — issuing a plea for people to avoid crowds and wear masks just hours before mask-shunning President Donald Trump was set to address a crowd of his young supporters in one hot spot.

 

Fauci and other top health officials also said they have not been asked to slow down virus testing, in contrast to Trump’s claim last weekend that he had ordered fewer tests be performed because they were uncovering too many infections. Trump said earlier Tuesday that he wasn’t kidding when he made that remark.

 

We will be doing more testing,” Fauci, infectious disease chief at the National Institutes of Health, pledged to a House committee conducting oversight of the Trump administration’s response to the pandemic.

 

The leading public health officials spent more than five hours testifying before the committee at a fraught moment, with coronavirus cases rising in about half the states and political polarization competing for attention with public health recommendations.

 

Fauci told lawmakers he understands the pent-up desire to get back to normal as the U.S. begins emerging from months of stay-at-home orders and business shutdowns. But that has “to be a gradual step-by-step process and not throwing caution to the wind,” he said.

 

“Plan A, don’t go in a crowd. Plan B, if you do, make sure you wear a mask,” Fauci said.

 

Troubling surges worsened Tuesday in several states, with Arizona, California, Mississippi, Nevada and Texas setting single-day records for new coronavirus cases, and some governors saying they’ll consider reinstating restrictions or delaying plans to ease up in order to help slow the spread of the virus.

 

Arizona, where Trump was headed for a speech at a Phoenix megachurch, reported a new daily record of nearly 3,600 additional coronavirus infections Tuesday. Arizona emerged as a COVID-19 hot spot after Republican Gov. Doug Ducey lifted his stay-home orders in mid-May. Last week he allowed cities and counties to require masks in public places and many have done so.

 

Texas surpassed 5,000 new cases for a single day for the first time — just days after it eclipsed 4,000 new cases for the first time — as America’s largest pediatric hospital began taking adult patients to free up bed space in Houston. The infection rate in Texas has doubled since late May. And Nevada surpassed a record one-day increase for the fourth time in the past eight days. Other states also were experiencing worrisome surges, including Louisiana, Utah and South Carolina.

 

Another worrisome trend: an increase in infections among young adults. Fauci said while COVID-19 tends to be less severe in younger people, some of them do get very sick and even die. And younger people also may be more likely to show no symptoms yet still spread the virus.

 

If people say, “’I’m young, I’m healthy, who cares’ — you should care, not only for yourself but for the impact you might have” on sickening someone more vulnerable, Fauci said.

 

2.3 million Americans have been infected and some 120,000 have died, according to data from Johns Hopkins University.

 

Republican Rep. David McKinley of West Virginia asked if Fauci regretted that the American public wasn’t urged sooner to wear face masks, and then interrupted before the visibly annoyed scientist finished answering.

 

Fauci said he didn’t regret the change in recommendations. Early in the pandemic there was a “paucity of equipment” for health workers “who put themselves daily in harm’s way” and “we did not want to divert” those scarce supplies, he said.

 

Scientists eventually recommended the general public use cloth masks, after they better understood that people with no symptoms could be spreading the virus —

 

Trump, meanwhile, doubled down on testing claims that have public health experts appalled, tweeting Tuesday:

 

“Cases are going up in the U.S. because we are testing far more than any other country, and ever expanding. With smaller testing we would show fewer cases! “

 

Less testing in fact means more infections going undetected. The U.S. was slow in ramping up and currently is testing about 500,000 people a day. Many experts say to control the spread of the virus, it should be testing 900,000 or more.

 

Brett Giroir, a Health and Human Services assistant secretary, told lawmakers Tuesday the next step is testing patient samples in large batches to stretch limited supplies, which would expand U.S. screening between fivefold and tenfold.

 

Instead of testing each person individually, health workers would pool samples from 50, 100 or more people from the same office or school, for example. A negative result would clear everyone, while a positive would require each person to be individually re-tested.

 

And Dr. Robert Redfield, head of the Centers for Disease Control and Prevention, added that it’s now recommended for workers in nursing homes — hard-hit by the virus — to be tested weekly.

 

As for the anxiously awaited vaccine, Fauci said he believes “it will be when and not if” it arrives, and he’s “cautiously optimistic” that some vaccine could be available at the end of the year.

 

More than a dozen vaccine candidates are in various stages of testing around the globe, and the U.S. next month is poised to begin the largest study — in 30,000 people — to get the needed proof that one really works. Meanwhile, countries, including the U.S. under a program called “Operation Warp Speed,” are beginning to stockpile millions of doses of different shots, in hopes at least some will prove usable.

 

Health officials assured lawmakers Tuesday that there won’t be shortcuts on safety.

 

“We absolutely must maintain regulatory independence and make the right decision for the American people based on the science and the data,” said Food and Drug Administration Commissioner Stephen Hahn.

 

Democrats blasted Trump for confusing the public with erroneous statements — from testing to masks to unproven treatments — and ignoring the public health experts’ advice.

 

“It costs lives,” Rep. Kathy Castor of Florida said of Trump’s false claims. She urged the public health specialists to do more to counter the president: “We really expect you to be more outspoken.”

 

Pushed on whether schools should reopen in August and September, Redfield insisted that will vary not just by state but by school district, depending on how many infections are in a particular area.

 

“Many jurisdictions will be reopening schools,” and CDC will soon issue some guidelines to help, he said.

 

Fauci noted that schools should tailor their decisions to local conditions, saying some might need few restrictions and others more. He offered the same advice to colleges, saying they should assume some students will get infected and that there must be ways to keep them and their classmates safe.

 

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Posted by tree68 on Wednesday, June 24, 2020 7:19 AM

An inconvenient truth - barring a vaccine, or the virus miraculously going away, we're all going to catch this virus.  Anyone who doesn't understand that is fooling themselves.  

Has anyone noticed that about the time the fear factor starts to recede, we are told that some group previously thought to be less affected by the virus really is affected?

I'd love to see some scientific studies on the effectiveness of the various masks.  One fellow did a test on the oxygen levels under a mask - said levels dropped to dangerous levels (the alarm on the tester sounded) within a minute or so of donning a common cloth mask.  It's no wonder people are reporting headaches and other symptoms.

Wearing a mask - properly - may have some benefit if physical distancing is not possible.  In the meantime, IMHO, it's chiefly symbolic.  Of course, if you aren't wearing a mask, you don't care about your fellow man...

There are those at risk - and they should be all the more careful.  But if thousands of people can shop at a "big box" store every day and those stores haven't become hotbeds of spreading the virus, then there are other factors involved.  

 

LarryWhistling
Resident Microferroequinologist (at least at my house) 
Everyone goes home; Safety begins with you
My Opinion. Standard Disclaimers Apply. No Expiration Date
Come ride the rails with me!
There's one thing about humility - the moment you think you've got it, you've lost it...

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Posted by Flintlock76 on Wednesday, June 24, 2020 8:32 AM

I watched an interview with Housing and Human Services secretary Dr. Ben Carson.  Dr. Carson said this about COVID-19:

"It's out there, it's not going away.  We're just going to have to live with it."

He didn't elaborate, and the interviewer didn't follow up on the statement with another question, so as to what Dr. Carson meant by that we'll just have to draw our own conclusions.  

The conclusion I draw is we know a lot more about the disease than we did when the crisis hit, it can be dealt with now, effective treatments are available, so we should stop living in fear and get on with life.  That's what I do.  Personally I'm a lot more concerned about being taken out of this world by an incompetant driver than a virus. At any rate, something's going to kill me one day anyway.

As Stonewall Jackson said, "God has fixed the time for my death, I do not concern myself with it."

You can't hide from death.  Death is patient, death will wait for you and find you, where ever you are.  But the fact is while you're hiding from death you're also hiding from life.  And life won't  wait for you, it will pass you by without a second thought, and when you've realized your mistake in hiding bargaining for more time won't work.  

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Posted by daveklepper on Wednesday, June 24, 2020 9:05 AM

Please, don't hide from life.   But do take the sensible and practical precautions.  And maybe your catchng the virus will be postponed until the effective vacine becomes available or treatments are more effective than they are now or both.

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