Why are Michigan's COVID numbers so scary?

What is Gov. Whitmer doing and what is she *not* doing? And why?

Here’s an article on that -- and a thread (1)

huffpost.com/entry/michigan…
It’s not just the caseload numbers that are spiking. It’s also the hospitalizations.

Facilities are filling up, delaying elective procedures, etc.

Via @KristenShamus @HealthBridgeMI (2)

freep.com/story/news/loc…

freep.com/story/news/202…
You may have seen this desperate tweet from @umich surgery chairman @jdimick1 (3)

Head of Henry Ford Health System is on @Local4News -- says average inpatient age for COVID is 12 years younger than it was before.

Proves vaccines work, he notes. But also a reminder that younger people get seriously ill too. Says many will have lingering effects. (4)
Why the spiking numbers? There’s no single explanation, according to epidemiologists and other experts

Here’s @MartinEpi (who knows as much about Michigan's situation as anybody)

huffpost.com/entry/michigan… (5)
Other factors researchers have cited

(a) Michigan was one of first states to see B.117
(b) Success at preventing infection earlier may have left a larger vulnerable population now

Here’s @ashishkjha (one of the experts Whitmer consults)

huffpost.com/entry/michigan… (6)
Public health experts were pushing for Gov. Whitmer to act, issue orders to pause indoor dining.

@AbdulElSayed was one of them. He proposed tying restrictions to vaccination progress, which I thought was an interesting idea. (7)

washingtonpost.com/opinions/2021/…
Whitmer instead opted for a voluntary pause. She urged people to avoid indoor dining, etc., but declined to give orders.

Said it was more a compliance problem than a policy problem. (8)

huffpost.com/entry/michigan…
Whitmer won acclaim for tough COVID policies last year. But in January, Health Secretary Robert Gordon abruptly resigned.

Internal emails, which @CraigDMauger later obtained, showed he worried reopening too quickly would risk outbreaks. detroitnews.com/restricted/?re… (9)
Context for all of this is relentless pushback from Republicans, who even now, with the numbers spiking, want to dial back restrictions already in place.

Here's how GOP House Speaker responded to Whitmer announcement huffpost.com/entry/michigan… (10)
And compliance issues are real.

This report from Michigan's "thumb" is one of the best pieces I've read on the situation there, and the role public attitudes are playing in the current spike.

It's from @kzjuliemack @MLive (11)

mlive.com/public-interes…
That article -- and the situation here generally -- reminds me of something my former colleague @JeffYoung wrote last year:

"We may be finished with the coronavirus, but the virus isn’t finished with us." (12) huffpost.com/entry/the-coro…
But it's especially frustrating now, because we're *so* close to the end.

We're vaccinating people quickly now and the shots work. As @AbdulElSayed says, we just need to hold out a little bit longer. huffpost.com/entry/michigan… (13)
Earlier @LtGovGilchrist was on CNN. Here -- via @DNBethLeBlanc -- was his explanation of why Whitmer opted for a voluntary pause, rather than a mandatory one. (15)
And on @FaceTheNation Whitmer repeated her call for more vaccine supply from the federal government, something the Biden administration has resisted. (16)

The Biden administration has agreed to send vaccinators and testing supplies, but not more vaccine, citing fairness and unpredictability of coming surges.

Also they've said Michigan already has surplus.

Yes, you are detecting some tension there. (17)

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More from @CitizenCohn

18 Mar
Via @danpfeiffer newsletter, a reminder about politics of 2009 and role conservative Democrats played in setting political boundaries (1) messagebox.substack.com/p/what-really-…
It's such a huge difference.

Per this chart I made this week, of Senate seats that changed parties 2009 to 2021, Dems had more than a dozen in R-states. Survival strategy for most was to create distance from party & liberal-sounding policies. (2) citizencohn.substack.com/p/one-reason-2…
Here's what Phil Schiliro, who was director of legislative strategy at the White House under Obama, told me for @HuffPost article on this. (Similar quotes in my book on the ACA.)

huffpost.com/entry/biden-co…

(3)
Read 5 tweets
18 Mar
Latest from @adamcancryn on the internal Biden administration debate over an FDA commissioner, and concerns that Janet Woodcock is too close/sympathetic to pharmaceutical industry.

This passage, about Rep. Eshoo, caught my eye (1) politico.com/news/2021/03/1…
In 2009, when E&C Committee was writing its version of what became the the Affordable Care Act, Eshoo pushed to give biologics a longer "exclusivity" period.

Chairman Henry Waxman, who thought it was a giveaway to industry, opposed that strongly. Eshoo prevailed. (2)
As legislation moved through Congress, Waxman kept fighting to reduce that period. So did Obama, who agreed w/Waxman and was really worked up about it.

But industry was too powerful, ultimately got its way. I cover this in my book. (3) read.macmillan.com/lp/ten-year-wa…

(3)
Read 5 tweets
16 Mar
Agree with this. The political environment was in 2009 was very different.

Nobody was talking about ending the filibuster, a bunch of conservative Ds were firm no's on using reconciliation.

It was a 60-vote world and that was a huge constraint on both the stimulus & ACA.
And yes, that's a very big theme of my new book

latimes.com/business/story…
Read 4 tweets
1 Feb
Now @ASlavitt explaining why such a big difference between vaccines distributed and vaccines administered....
1. Initial delay created a backlog of 2nd doses, waiting at states. Three weeks for Prizer, four weeks for Moderna.
2. As people come back for second shots, @ASlavitt says efficiency should continue to improve.
Read 5 tweets
30 Jan
According to the article, the situation on the ground is a "mess."

Some expectation setting here, I'm sure. But every problem the article mentions is consistent w/what reporters (including me) have been hearing.

E.g., lots of doses tied up in chain pharmacy LTC program.
To see the impact of the LTC program on the data, let's look at Michigan, a state I've followed closely. (Thread to follow)

Total doses distributed = 1.48 Million
Total doses administered = 909K

So that's 65%. But...
Note asterisk on the distribution number. 430K are set aside for the federal LTC program. Of those, just 100K have been administered.

State isn't directly controlling that supply, at least according to Michigan officials. It's in the hands of CVS/Walgreens, they say.
Read 7 tweets
29 Jan
At White House COVID briefing, Fauci calls results from Janssen/J&J "very encouraging"

Says the most important finding is the efficacy against severe disease and death. "We have now a value-added additional vaccine candidate."
But Fauci also warning that we're seeing some vaccines less effective against some variants.

"This is a wake up call to all of us," he says -- we need to vaccinate quickly, and be prepared to modify existing vaccines to adapt.
Now @ASlavitt talking, gives a shout-out to seven states that have already vaccinated more than 10% of population:

Alaska, West Virginia, New Mexico, Connecticut, North Dakota, Oklahoma, South Dakota
Read 9 tweets

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