COVID Update September 19: SCOTUS edition.

A massive impact on our ability to fight the pandemic and on those effected by it depends on the Court. 1/
COVID-19 is a brutal virus. It has killed 200,000 people in the U.S. in 7 months.

It also does untold damage to the human body. That we know of blood vessels, limbs, heart, brain, gut, kidney, lungs & immune system can all be damaged. 2/
Because that damage can be immediate, chronic, recurring, or hidden in the body only to show up years later, COVID-19 is the ULTIMATE pre-existing condition. 3/
If Trump wins appoints a Supreme Court Justice and holds on to the White House or the Senate, we will revert back to a pre-ACA world of lengthy applications with a complete medical history & exclusions, denials & policy recissions.

Here's what that means. 4/
If you are one of the 6.75 million & growing who has had a diagnosed case of COVID, you would likely be uninsurable or uninsurable for any event impacting those organ systems. 5/
If you are one of the 20-40 million who has a case that hasn't been diagnosed, if you get a condition in the future, and you can be checked for anti-bodies, the insurance company could cancel your policy & refuse to pay your claims. 6/
Fighting this pandemic (or any other) becomes like tying a hand behind your back. Contact tracing, testing, therapies, and vaccines would all be impacted. 7/
The concept of contact tracing dies with the ACA at risk. No one will want to admit to public health authorities that they had COVID. Or their employers. Or anyone. They will keep it a secret.

This is how it used to be before the ACA. 8/
Payments for diagnostic testing, vaccines, and therapies will decrease detection, increase the spread and increase the death rate.

Without insurance, people put off treatment until much later in the cycle when it is more challenging to treat the virus. 9/
Not having universal coverage puts us all at risk with an infectious disease. Remember, if an infectious disease remains anywhere, it is primed to come back everywhere.

Add discrimination against people with COVID and you have a pandemic that will stay with us in the U.S. 10/
This means keeping your health secretive & avoiding care, while worrying that others have it but won't admit it.

The impact of RBG's loss on the ACA is covered here. Should it go down, it is not easily remedied. Only with a Democratic sweep would it be assured. 12/

Trump is a man who doesn't care if people die from COVID (he knew they would and did nothing), doesn't care whether people have unemployment benefits (he did nothing to get a bill passed), and would be completely fine if you had no medical coverage-- now or ever. 13/
He doesn't believe we have an obligation to protect people and as someone who has always been pampered, doesn't know what its like to worry about not being able to get or pay for care.

And with 1000 people/day dying, a few more are hardly noticeable. 14/
Fighting a pandemic means aligning all your forces and resources, something we have clearly failed at to date.

The president enabled the virus to take off, Congress has shirked its responsibility, and now the Court can get in on the act. 15/
Protecting ourselves and each other means taking key precautions:

-physical distancing
-avoiding/closing hot spots
-voting up & down the ticket to replece the government that doesn't care about us.


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More from @ASlavitt

23 Oct
COVID Update October 22: Europe is having a second wave. How quickly can they bounce back?

Faster than a country that makes no effort: the US. 1/
Despite a lot of wishful thinking, COVID-19 has not gone away.

(Remember the “people have natural immunity” & “the virus died out”, & the “it will disappear” man?)

Sadly wishful fantasies don’t fight the virus. Scott Atlas’s strategy of ignoring the virus doesn’t work. Only we fight the virus. 3/
Read 24 tweets
21 Oct
COVID Update October 21:

A few nights ago I described how we need to do 2 things.

Account for the past
Fight for our future

I wrote about how we need to account for the past. But I haven’t had the words to focus on the future.

Now I think I do. Or will try. 1/
Thinking about the future turns out to be really hard when we are deep in a hole we must climb out from.

Writing about the past— the need for an accountability election— was easy. Here it is if you didn’t see & want to. 2/
But the future. The future. It feels so uncertain right now. It took me some time. And many many stupid sounding drafts. (Yes for the trolls, even stupider than this!) 3/
Read 28 tweets
19 Oct
BREAKING: Data for the month suggests for the first time COVID-19 has moved from a region by region crisis to a national one.

It needs a national solution.

More to follow shortly.
Here is a graph that says a lot. One thing you see is that cases are growing since April. Now that alone doesn’t tell us everything since testing is growing but it does tell us some things.

It’s from @NephronResearch
One thing to note is the number of states where cases are growing by 1000 cases/day.

April: 6
May/June: 6
July: 14 (19 peak)
August: 12
September: 12
October 15th: 25
Read 8 tweets
18 Oct
COVID Update October 18: It is time.

For the past.
And more importantly for the future.

Today: the past. Tomorrow I will write about the future. 1/
Trump has never faced accountability for his actions. His career in bankruptcy is a master class in how to behave when you don't care about others. Take their money, don't pay it back. Take their services, don't pay it back. 2/
Doing everything you can to avoid taxes including hiding money overseas, illegally using a foundation, writing off blackmail payments, trying to outlawyer the tax code. That's not "savvy." Its savage.

It is not patriotic. Yet, to date no accountability. 3/
Read 34 tweets
18 Oct
COVID Update October 17: The Coronavirus is an equal opportunity killer, right? Wrong. Many countries have done better than others.

It is an amazing story. 1/
One might think it has something to do with wealth.

The U.S. is the wealthiest country in the world. 60 per 100,000 have died here.

This compares to 2 in Haiti and 1 in Botsowana (its close to 0 for the continent of Africa) 2/
Other wealthy countries have also had very high mortality rates.

The U.K. (62), Sweden (57), Italy (59) & Belgium (86) have fared as bad or worse than the U.S. overall-- although they all improved dramatically compared to the U.S. starting in May (more on that in a sec) 3/
Read 22 tweets
15 Oct
COVID Update October 15: We started bad but THEN we got worse. Now is our chance.

Since May 10th, when the worst of Italy and the U.S. had passed, we have had 4x the number of deaths/capita. The difference is 80,000 people gone. 1/
Everyone by this time knows what happened in the U.S. in January through March. Trump heard & ignored, the CDC failed, we lacked masks, had no testing, and we lost too many people. 2/
Our first case was the same day as South Korea’s. We started out and could have been South Korea but never contained and cane to grips with the virus. 3/
Read 24 tweets

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