As an ER doc who's spent the last year of my life trying to stop a deadly virus from killing my neighbors, 6 words in @joebiden's speech lifted me up for the 1st time in months: "I Will Always Level With You.”
Here's why that's so meaningful to me & more importantly, our nation:
As the next 4-6 months unfold, a herculean effort will be needed from the government in the midst of a pandemic & millions of Americans without health care. There's so much we don't know. But it matters that we can *trust* our government to do their best & shoot straight with us.
We must convince Americans that wearing masks & getting the vaccine will save lives. That requires trust in government. And we must convince Congress that massive investment in American people, small businesses & state/local governments is needed to get us through this year.
We must also increase our capacity for testing & invest in a public health army to trace contacts of cases to slow the spread.
But the outcome of these efforts is precariously uncertain. And here's where trust really matters...
We don’t know that the Biden administration can scale testing to the level needed given the high number of infections diagnosed daily. But we *trust* that he & his team will put forth every effort to achieve this goal.
We don’t know if it's even *possible* to trace contacts of cases, even with a huge increase in the public health workforce. (With the current load of cases in so many parts of the country, there may not be enough people to carry out the work). But we trust Biden’s team will try.
We know that getting 90+ percent of Americans to consistently wear masks & keep their distance from one another might be impossible. But as evidenced by protocols enacted for the inauguration, we know that this President will model good behavior & demand it of those around him.
The rollout of vaccines has fallen woefully short of initial projections, and acceptance is far from ubiquitous. But we know @joebiden has charged his team with using every lever of government to hit the goal of 100 million doses of coronavirus vaccine in the first 100 days.
And the promise of affordable healthcare for all has been delayed far too long. Among other things, we can shore up the ACA, boost Medicaid expansion, pursue racial justice in healthcare & make more people eligible for Medicare, so more Americans move closer to this promise.
The new administration may well fall short on some of its priorities. The mess it has inherited is almost unimaginable.
But what those critical six words tell me is that we, the American people for whom @joebiden works, can count on him to level with us. And that is uplifting.

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More from @DrRobDavidson

20 Nov 20
I see @fmanjoo has decided that traveling to see distant family this Thanksgiving is “worth it.” Reading his contact tracing experiment👇 is enraging. As an ER doc in a region getting decimated by #COVID19 right now, I have a slightly different take. (1/9)
The missing component of his article is where he considers how his actions & writing about them impacts those outside his bubble & family. Each time a person interacts with those not in their bubble, the odds of getting the virus goes up. It may be small, but it's additive. (2/9)
The actions of 1 person have minimal impact on the pandemic as a whole, or on the ability of a hospital to handle the onslaught of patients to find room to care for. But each time 1 person breaches public health protocols, the odds of initiating a cluster of cases goes up. (3/9)
Read 9 tweets
3 Nov 20
As an ER doc for 20 years, I have only ever wanted my patients to get the care they need. Like many, I have been critical of @realDonaldTrump’s lack of a plan to control #COVID19 & his desire to eliminate health insurance for 25 million. Here’s why I voted *for* @joebiden: (1/11)
It’s not just that he isn’t Trump, although I can’t think of anyone worse that could be President in this moment. Not being Trump isn’t enough to stand in line for hours in a mask just to vote. Biden may be especially suited to lead us out of the darkness at this time. (2/11)
Biden is an institutionalist. He believes in the power of government to makes peoples’ lives better. Government is not everything, but through good governance, it can make a meaningful difference in the lives of everyday Americans. This is especially true of healthcare. (3/11)
Read 11 tweets
25 Oct 20
I can’t believe it’s come to this: The head of the president’s #COVID19 task force, @Mike_Pence, has an outbreak in his inner circle. As an emergency physician, I can tell you this: The Vice President is putting many lives at risk & must quarantine right away. Here’s why: (1/8)
As doctors we routinely tell our patients and their family members that if they are a close contact of an individual who tests + for #COVID19, they must quarantine for 14 days. We’ve learned that members of @vp Pence’s staff have tested +, yet he’s on the campaign trail. (2/8)
.@CDCgov guidelines are clear, and Pence is in direct violation. He’s not endangering himself, but is endangering anyone with whom he comes into contact. He rarely wears a mask in public, and he could become a vector and #superspreader of @SARSCov2 without showing symptoms. (3/8)
Read 8 tweets
14 Oct 20
As a doctor who cares for #COVID19 patients the idea #HerdImmunity through infection is alarming. It's been rejected by the head of the NIH as "fringe," but is being embraced by the White House and @realDonaldTrump. Just what is herd immunity? 1/XX nytimes.com/live/2020/10/1…
Herd Immunity is an epidemiological phenomenon achieved when enough of a healthy population is immune through vaccination so that an infectious organism can no longer spread in a population. 2/XX
So what is enough of a population? For COVID19 most experts think around 70% of the population would need to be immune to achieve herd immunity. The range may be 40% to 90%, but it is likely somewhere in between. Currently 10-20% of the US has likely been infected. 3/XX
Read 12 tweets
14 Oct 20
As a doctor, it's beyond bizarre to see a potential #SCOTUS justice say she'll make decisions about healthcare (eg, denying it to millions) based on #Originalism-what she thinks people in the 1700s would have intended. How different was medicine back then? Read on... (1/11)
In the 18th century, barber-surgeons were still doing blood letting, a common (deadly) practice that gave rise to the barber pole with red & white stripes representing bandages & blood. It'd be 11 yrs before surgeons would separate from barbers & perform medical procedures (2/11)
The 1st vaccine wasn't developed until 1799 (smallpox). Does Judge Barrett support #Medicaid covering the routine immunization of kids against deadly diseases? Would she oppose @realDonaldTrump providing a coronavirus vaccine to us, even tho the founders would be confused? (3/11)
Read 11 tweets
6 Oct 20
As an ER doc who admitted many new #COVID19 patients on my shift yesterday, the idea that @realdonaldtrump left the hospital early is disturbing & alarming. He's not only putting himself in serious harm, he could kill many others. Here's how: (1/5)
The president wants his fans to think the virus is no big deal. Well, 1 out of 10 COVID patients in his age range die of it. If people his age listen to him & don't take it seriously, that's a huge number who will get the virus. And a huge chunk of them will die of it. (2/5)
Keep in mind, the president's case was severe enough that he was treated with some very serious therapies. His oxygen levels sank to alarming levels. His fever shot up. There's a chance he's setting his own recovery back. At minimum, he's modeling very dangerous behavior. (3/5)
Read 5 tweets

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