NEW: Minnesota will no longer use race to decide who is eligible for monoclonal antibodies, after a story by yours truly sparked widespread outrage about the state's guidelines.
Utah may also be backtracking—but New York is standing its ground.🧵
MN quietly updated its prioritization scheme on Jan. 11, one day after former Trump administration advisor Stephen Miller told Fox News that he was considering "legal action" against the state.
The old system (left) gave "BIPOC status" 2 points. The new system (right) does not.
Miller's organization, America First Legal, had already threatened to sue New York over that state's race-based triage scheme; the group on Wednesday added Minnesota and Utah to the list, calling their rationing policies "blatantly racist, unconstitutional, and immoral."
The Minnesota health department declined to answer questions about the change but said it was "constantly reviewing" its policies to ensure that "communities that have been disproportionately impacted by COVID-19 have the support and resources they need."
Utah also announced it would be "reevaluating" who is eligible for monoclonal antibodies, and told the Free Beacon that its initial scoring rubric was "outdated."
That said, a new rubric released Tuesday still gives "non-white race or Hispanic/Latinx" identity two points, more than hypertension or chronic pulmonary disease.
Utah did clarify that all individuals with "a severely immunocompromising condition" are "automatically eligible" for the treatment, a change from the previous guidelines.
So far, only New York has stood its ground. A spokesperson for the state's health department said there has been "no change to the guidance," which makes "non-white race or Hispanic/Latino ethnicity"—but not poverty or geography—a criterion for eligibility.
The prioritization schemes have their roots in guidance from the Food and Drug Administration, which listed race as a risk factor for severe COVID-19. freebeacon.com/coronavirus/mi…
"FDA's acknowledgment means that race and ethnicity alone, apart from other underlying health conditions, may be considered in determining eligibility for [monoclonal antibodies]," Minnesota's initial scheme read.
Utah likewise interpreted the guidance to mean that "race and ethnicity may be considered when identifying patients most likely to benefit from this lifesaving treatment."
Senator Marco Rubio (R., Fla.) on Tuesday called on the FDA to "immediately update its guidance."
"Rationing life-saving drug treatments based on race and ethnicity is racist and un-American," Rubio told acting FDA commissioner Janet Woodcock. "One's race or ethnicity should not be the driving factor that decides whether or not you live." rubio.senate.gov/public/index.c…
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BREAKING: One of the largest hospital systems in the United States gave race more weight than diabetes, obesity, asthma, and hypertension combined in its allocation scheme for COVID treatments, only to reverse the policy after threats of legal action. 🧵
SSM Health, a Catholic health system that operates 23 hospitals across Illinois, Missouri, Oklahoma, and Wisconsin, began using the scoring system last year to allocate scarce doses of Regeneron, the antibody cocktail that President Trump credited for his recovery from COVID-19.
The rubric gives three points to patients with diabetes, one for obesity, one for asthma, and one for hypertension, for a total of six points. Identifying as "Non-White or Hispanic" race, on the other hand, nets a patient seven points, regardless of age or underlying conditions.
New York, Minnesota, and even Utah are rationing scarce COVID-19 therapeutics based on race. But the idea for racial triage wasn't hatched in local health departments; it came directly from the Food and Drug Administration. 🧵
First, a little detail on these triage plans. In Utah, "Latinx ethnicity" counts for more points than "congestive heart failure" in a patient’s "COVID-19 risk score"—the state’s framework for allocating monoclonal antibodies. coronavirus-download.utah.gov/Health/Utah_CS…
In Minnesota, health officials have devised their own "ethical framework" that prioritizes black 18-year-olds over white 64-year-olds—even though the latter are at much higher risk of severe disease. health.state.mn.us/diseases/coron…
NEW: The Biden administration will offer bonuses to doctors who "create and implement an anti-racism plan" under new rules from the Department of Health and Human Services, which also reward doctors for "trauma-informed care."
Effective Jan. 1, Medicare doctors can boost their reimbursement rates by conducting "a clinic-wide review" of their practice's "commitment to anti-racism." govinfo.gov/content/pkg/FR…
The plan should cover "value statements" and "clinical practice guidelines," according to HHS, and define race as "a political and social construct, not a physiological one"—a dichotomy many doctors say will discourage genetic testing and worsen racial health disparities.
This would be much less of a worry if more people were vaccinated, which is why I do not find it scandalous to pass (some degree of) moral judgment on the willfully unvaxxed.
That the public health authorities have thoroughly discredited themselves provides a partial excuse for irresponsible behavior. It does not justify it.
I do not expect or want conservatives to embrace a formal policy of medical triage based on vaccination status, or even to support mandates.
I do want them to say, calmly but clearly, that the vast majority of unvaccinated Americans are doing something irrational and immoral.
NEW: Boston University is requiring all students and faculty to affirm that they should "intervene" if a woman is complimented on her husband or encouraged to have children, guidance transmitted during a mandatory Title IX training this semester. 🧵
The training included multiple-choice questions that had to be answered correctly in order to complete it. Some questions were empirical—"How often do you think people make false allegations?"—while others asked about the appropriate course of conduct in a given scenario.
Faculty who did not complete the training would "not be eligible for merit-based salary increases," the school said in an email, with further penalties possible for "continued non-compliance." Students who did not complete it would "be blocked from registering next semester."
I am sympathetic in principle to (certain) Covid restrictions, and to (certain) critiques of ossified Reaganism. But Covid poses a real problem for conservatives trying to define themselves in opposition to the Reaganite Right.
Even if you like lockdowns, the FDA, NIH, and CDC have spent the last two years vindicating, over and over again, every imaginable warning about government incompetence and bureaucratic malevolence. It’s hard to look at Covid and think: “see, the government CAN do things.”
There are counterexamples, of course. Warp Speed was triumph (though private corporations did most of the leg work), and the US did some of the most aggressive economic stimulus in the world. But these exceptions seem to prove the Reaganite rule.