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.
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.
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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Stephen Miller said on Fox today that USAID is a rogue slush fund. Trump & Elon have made the same accusation.
FALSE. They're either ignorant of how USAID spends money, or willfully lying about it. Or...
Anyway, caffeinate and read on.
🧵
Buckle in for a roller coaster ride through the USAID budget process. To keep you reading, I will use memes.
Step 1.
Every year, the White House (via OMB) puts together a federal budget proposal to Congress. Every federal agency (incl USAID) sends OMB their budget wishlist.
OMB goes over everything and begins cutting down Agency requests and reviewing them for alignment with the president's priorities.
So to be clear: every dollar that USAID requests from Congress goes through White House review.
The state of play, a week into Elon's assault on USAID.
USAID is in a state of suspended animation - it has been powered down, but it's not *quite* to the point where it can't be powered back on.
What happens next comes down to the courts & Congress.
🧵
Ignore the wood-chipper tweets and here's where things actually stand:
- USAID's HQ is intact and could resume work
- USAID's staff are mostly furloughed - but could be recalled
- Overseas missions have been told they'll be drawn down - but for now remain intact and in place
- Much of USAID's partner base faces financial ruin - but is not yet *in* financial ruin. Orgs would survive if funding resumed.
- USAID's many grants & contracts are frozen - but only a few are yet cancelled. They could resume.
Since last week rumors have been swirling of a potential Exec Order to dissolve USAID into State.
I did an earlier thread on why that would be deeply damaging to the USG's ability to advance American interests and values in the world. Would harm millions.