Lauren Weber Profile picture
Jul 18 13 tweets 6 min read
Meet the trio of conservative legal blocs that has rolled back public health authority at the local, state and federal levels, recasting America's ability to fight infectious disease.

My latest @KHNews investigation w/ @annabarryjester @NPR

npr.org/sections/healt…
Galvanized by what they've characterized as an overreach of COVID-related health orders, a loose coalition of religious liberty groups, conservative think tanks, and Republican state attorneys general has unleashed a wave of covid-related litigation.
“You destroy government, and you destroy our emergency response powers and police powers — good luck," CT's @AGWilliamTong told me about their efforts.

"There will be no one to protect you.”
From stripping Wisconsin local health departments of the ability to close schools to suing Missouri localities over mask mandates and winning Supreme Court battles, the groups have successfully rolled back some of the nation's public health powers at all levels of government.
The three groups share ties with conservative juggernauts @FedSoc , @StatePolicy , and the State Policy Network-fostered American Juris Link.

Together, the blocs have supported one another in numerous legal challenges by filing amicus briefs, sharing resources, and teaming up.
“I don’t think these cases have ever been about public health,” said Daniel Suhr, of @LJCenter .

“That’s the arena where these decisions are being made, but it’s the fundamental constitutional principles that underlie it that are an issue.”
Their legal efforts have gained traction with a federal judiciary transformed by Republican congressional leaders and President Donald Trump — and their other successes are already being cited in a key @EPA Supreme Court case that rolled back government regulatory powers.
Several lawyers told @KHNews they did not think their work would have a negative effect on public health.

“The best way for them to preserve the ability to protect the public health is to do it well, and to respect people’s rights while you do it,” said Becket's Mark Rienzi.
All told, public health experts say, the covid-era litigation has altered not just the government response to this pandemic, but also endangered the fundamental tools that public health workers have utilized for decades.
“This will come back to haunt America,” @LawrenceGostin said.

"We will rue the day where we have other public health emergencies, and we’re simply unable to act decisively and rapidly.”
This investigation follows our previous @KHNews @AP work detailing how health departments had been underfunded for years and conservative groups have stripped their powers with legislation amid the pandemic.

khn.org/news/article/o…

#UnderfundedUnderThreat
As public health powers fade from the headlines, the groups seeking to limit government authority have strengthened bonds and gained momentum to tackle other topics, said @ProfNolette .

“Those connections will just keep thickening over time,” he said.
"It's almost as if government authority is not getting defended, and it's almost a one-sided argument," Edward Fallone said.

"It's not about public health, it's about weakening the ability of government to regulate business in general."

@KHNews

khn.org/news/article/c…

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More from @LaurenWeberHP

Mar 31
As a community health worker, 46-year-old Christina Scott is a professional red-tape cutter, hand-holder, shoulder to cry on, and personal safety net, all wrapped into one.

And the money funding her job in Illinois is running out.

My latest @KHNews khn.org/news/article/c…
Scott is one of the over 650 community health workers hired through local, community-based IL organizations through a $55 million grant from @CDCgov through federal pandemic relief.

The team has completed at least 45,000 assistance requests.

June is when the funding runs dry.
“As the dollars go away, we’re going to see some people falling off the cliff,” @PublicHealth @GeorgesBenjami7 said, noting the U.S.’s lack of a vision for public health.

“If you did this with your army, with your military, you could never have a sound security system.”
Read 10 tweets
Feb 8
Step inside the Missouri war against public health with me, and learn how the ongoing stripping of public health powers is diminishing the nation's ability to fight the next pandemic.

A 🧵 for @KHNews @CNN

cnn.com/2022/02/08/hea…
Let's start with Missouri state senator Mike Moon. He believes vaccinations should cease til more long-term effects are known, citing the research of known misinformation sources, America's Frontline Doctors and Dr. Robert Malone from Joe Rogan's podcast.

He's not vaccinated.
On Feb. 1, he tanked the nomination of Donald Kauerauf to become the state’s next health director

Kauerauf had professed on the record that he was anti-abortion and anti-mandate for vaccinations, all while being nominated by a Republican governor

But it wasn’t enough for Moon
Read 14 tweets
Jan 13
Workers out sick in droves.

Patients' conditions being exacerbated by Omicron.

Add the threat of in-hospital transmission.

There’s a reason hospitals are telling people to stay away from the ER - @jeremyfaust

W/ @philgalewitz @gahealthnews @KHNews
khn.org/news/article/i…
Regardless of whether patients are admitted for or with covid, the patients still tax the hospital’s ability to operate, said Dr. Alex Garza, head of the St. Louis Metropolitan Pandemic Task Force.

He also warned exposure risk in the ER is high: “It’s physics and math."
Incidental cases also pose a greater risk to staffers and other hospital patients because they are typically at a more contagious stage of the disease — before symptoms begin: @jeremyfaust

Before this wave, folks were hospitalized in the middle and later phases of the illness
Read 13 tweets
Dec 23, 2021
🚨 Hospitals with high rates of covid patients who didn’t have the diagnosis when they were admitted have rarely been held accountable due to multiple gaps in government oversight, my & @By_CJewett investigation found.

A 🧵 for @KHNews @USATODAY

khn.org/news/article/a…
.@CMSGov urged private accreditors — which almost 90% of hospitals pay for oversight — to do targeted infection-control inspections as covid began to sweep the country last March.

They said no.

usatoday.com/story/news/nat…
Government inspectors went into nearly every nursing home last year, @HealthcareSeema told us.

That the same couldn’t be done for hospitals reveals a problem, she said.

“We didn’t have the authority,” @HealthcareSeema said. “This is something to be corrected.”
Read 14 tweets
Oct 8, 2021
IMPACT: Five New York state and local government agencies agreed to fix covid-19 vaccine websites to make them accessible for blind users following a @TheJusticeDept investigation spurred by our @KHNews story

W/ the relentless @hannah_recht

Our update: khn.org/news/article/n…
As Bryan Bashin told me amid the vaccine race of the winter, he had appointments slip away twice in the same day while he battled inaccessible websites.

"It’s an awful bit of discrimination, one as stinging as anything I’ve experienced,” Bashin, who is blind, said.
.@AccessBoard @sdpavithran said he knew @thejusticedept had investigations in progress in other states

@AndyDRC , a member of the White House’s COVID-19 Health Equity Task Force, said their report will likely call for an outside evaluation of access issues in the covid response
Read 6 tweets
Mar 26, 2021
Kyunghee Lee noticed her doctor's office had moved up a floor when she went to get her usual arthritis shots.

It was the same doctor, same shots, same time.

But it cost 10 times more.

Welcome to the "facility fee."

@KHNews @npratc #BilloftheMonth npr.org/sections/healt…
The increasingly controversial charge — basically a room rental fee — comes without warning

“It’s the same physician office it was, operating in exactly the same way, doing exactly the same services — but the hospital chooses to attach a facility fee to it” @TrishRiley207 said
Facility fees are one reason hospital prices are rising faster than physician prices.

There is some state legislation to combat the rising phenomenon, but it’s difficult to fight powerful hospital lobbyists in a pandemic political climate.
Read 6 tweets

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