Haven't weighed in on COVID much lately but I'm seeing this video in my feed quite a bit today and I'm rankled. So for old time's sake:

This is a careless and misinformed reply by Collins that buys into the lazy "closed vs open" binary framing preferred by the Barrington crowd.
Did "public health" shut down rural Minnesota to save urban NYC? No.

Early on when virtually nothing was known about a disease that was massively flooding ERs (& morgues) around the world, US states implemented stay-at-home guidance for a few months to protect their hospitals.
Governors made those decisions, and they did weigh econ & other factors alongside.

Turns out it's not good economics for a hospital system to collapse!

And there was no reason to assume that what was hitting big cities wouldn't ultimately hit rural areas too.
BTW rural communities in 2020 had similar COVID death rates to urban metros.

Lower than huge cities, higher than other metro areas, and higher than the overall national average.

So applying precautions to rural areas was wise. cdc.gov/nchs/products/…
Image
By early May 2020, the CDC (public health!) had prepared detailed guidance for risk-based, phased re-opening of schools, business, day cares, etc. Not a simple open/closed binary.

The White House spiked it. Trump wanted a full re-opening.
apnews.com/article/virus-…
This led to total incoherence between state and federal levels amidst a 2x+ summer surge in infections.

So as schools had to make decisions about opening for fall, cases were exploding. In December, they were 3x+ higher. Hard choice for parents/teachers.
There was plenty of debate at the time about trade-offs. CDC actually did issue guidance on safely re-opening schools - which Trump then trashed publicly.

Rather than attempt to support and resource safe re-opening, he just pushed a return to normal ops.
cnn.com/2020/07/08/pol…
The choice didn't have to be open vs closed: it could have been to invest in safely reopening schools (more testing, enhanced support to schools, etc etc). I wrote about this at the time:




Not going to further relitigate the schools debate here but the essential point is: these were not binary options.

Public health guidance sought to manage risk in order to reopen in a safe & incremental way.

Trump rejected that, and pushed a false binary choice.
So Collins gets the history wrong and the public health wrong. It was not "public health" pushing the choice between open vs closed, it was Trump.

"Public health" was trying to reconcile COVID precautions with restarting schools, biz, etc - and that guidance was shot down.
It's easy to second-guess hard decisions made in the fog-of-crisis period when stakes are high and good info is scarce. And plenty we should learn.

But don't rewrite history in the process...
There is a concerted disinfo effort on the right to undermine "public health" by blaming it for all COVID-related grievances and airbrushing what Trump and other pols actually did.

Collins' answer naively plays into that. Unfortunate.

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More from @JeremyKonyndyk

Mar 31
Aid leaders have been warning for 2 months that the gutting of @USAID would leave US unable to respond to major global disasters.

We are now seeing that play out in real time with the Myanmar quake - reality is calling bullshit on the Trump admin's narrative.

🧵
In today's press briefing @statedeptspox bizarrely "rejected the premise" that a meaningful US response requires USAID staff "to be physically there."

As the guy who used to deploy those teams - this is total nonsense.

You can't conduct search-and-rescue virtually. Come on.
The reality is that other countries began deploying their teams immediately - and the US would have too, under any prior administration (including Trump 1).

But Elon, Pete Marocco, and Rubio have wrecked the USG's ability to do this.
Read 12 tweets
Mar 28
OK, @elonmusk, challenge accepted.

Here's my own wall of receipts.

🧵
I posted this over a month ago on some specific line items on DOGE's wall of receipts, explaining how these violated the Rubio guidance on protecting lifesaving activities.
Among the first cancellations were fundamental humanitarian relief supplies.
Read 16 tweets
Mar 6
On claim after claim about @USAID / foreign aid, Elon is just making shit up as he goes along. No truth to any of it.

This claim is demonstrably false. Deaths have already been documented from the aid freeze. And the so called "sanity check" is a clown show of incompetence.
This is not a "brief pause." Aid orgs doing critical lifesaving work are being denied reimbursement for work already completed, and can't access USG payments to continue operations.

Many had their programs waived from the freeze, then terminated, then un-terminated.

A farce.
This is all hugely disruptive and the practical effect is global drawdown of lifesaving humanitarian and health activities.

Our @RefugeesIntl teams in the field over the past two weeks have documented widespread breakdowns of lifesaving relief operations in Syria & Bangladesh.
Read 12 tweets
Feb 26
So - I've actually led Ebola outbreak response at @USAID.

This is bunk from Elon. They have laid off most of the experts, they're bankrupting most of the partner orgs, have withdrawn from WHO, and muzzled CDC.

What's left is a fig-leaf effort to cover their asses politically.
I led USAID's response to the 2014-15 outbreak in West Africa.

Also went to Congo with WHO to assess response at peak of the 2019 outbreak (under Trump 1).

Those were both robust USG ops.

That capacity has now been wrecked.
cgdev.org/publication/st…Image
Normally there would be:
- resources rapidly pushed to partners & host govt
- robust interagency (USAID/CDC/DOD) teams deployed to field, backstopped by Ops Centers in DC and Atlanta
- real-time operational cooperation and info-sharing with WHO

But not this time.
Read 8 tweets
Feb 25
Train wreck coming.

A federal judge has ordered the USG to lift the aid freeze, pay what it owes, and show evidence that it has not been defying the court.

Which the USG can't do, because Pete Marocco has been defying the court and has purged the staff who move those payments.
It is clear as day that Marocco has made no effort to comply with multiple orders from the court to lift the arbitrary & capricious aid freeze.

He is likewise defying @SecRubio's order to waive lifesaving assistance.

Virtually no money has been unlocked by either order.
And Marocco's ongoing purge of @USAID personnel means it's functionally impossible to comply with these orders.

He and DOGE have pushed out nearly the entire workforce that would normally process these payments, knowing full well this makes compliance with the orders impossible.
Read 6 tweets
Feb 13
So...Max Primorac was the lead anti-USAID witness in the House hearing this morning and is one of the architects of the assault on the agency.

He made a few odd claims about his credentials at USAID in today's hearing.
He claimed that he "oversaw containment of two Ebola outbreaks and led the Bureau for Humanitarian Assistance."

Neither of these claims are accurate.
On Ebola - there were two outbreaks in Congo in 2018-19 - a small one in Equateur and a huge one in Eastern DRC.

Tim Ziemer, a well-respected health leader, was overseeing Ebola response for USAID.

Max was working on religious freedom programs.
foreign.senate.gov/hearings/confr…
Read 5 tweets

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