Sep 29, 2020

Confirming The Worry


While Republicans are in court trying to kill Obamacare - with its guarantee that insurance companies cover pre-existing conditions at no increased rate - there's a growing body of evidence that a very large contingent of the current 7 million Americans who've been diagnosed with COVID-19 will likely live with health complications for the rest of their lives. 

AKA: Pre-Existing Conditions


SEOUL (Reuters) - Nine in ten coronavirus patients reported experiencing side-effects such as fatigue, psychological after-effects and loss of smell and taste after they recovered from the disease, according to a preliminary study by South Korea.

The research comes as the global death toll from COVID-19 passed 1 million on Tuesday, a grim milestone in a pandemic that has devastated the global economy, overloaded health systems and changed the way people live.

In an online survey of 965 recovered COVID-19 patients, 879 people or 91.1% responded they were suffering at least one side-effect from the disease, the Korea Disease Control and Prevention Agency (KDCA) official Kwon Jun-wook told a briefing.

Fatigue was the most common side-effect with 26.2% reading, followed by difficulty in concentration which had 24.6%, Kwon said.

Other after-effects included psychological or mental side-effects and loss of taste or smell.

Kim Shin-woo, professor of internal medicine at Kyungpook National University School of Medicine in Daegu, sought comments from 5,762 recovered patients in South Korea and 16.7% of them participated in the survey, said Kwon.

Conclusion: 
Republicans are assholes

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COVID-19 Update

USA
  • New Cases:   37,418
  • New Deaths:       355




Economic relief talks between White House, Pelosi suddenly resume as House Democrats make new offer

Their $2.2 trillion plan would include stimulus checks and additional jobless aid


The White House and House Speaker Nancy Pelosi (D-Calif.) resumed discussions over a possible economic relief bill as Democrats offered a $2.2 trillion package and Treasury Secretary Steven Mnuchin immediately engaged in talks.

Pelosi and Mnuchin spoke Monday evening and agreed to talk again Tuesday morning, according to Pelosi spokesman Drew Hammill.

The two have negotiated extensively this year on economic relief bills. They initially found success but have been at odds in recent months, and talks have repeatedly broken down. They are running out of time to reach an agreement before the November election, but their planned talks this week appear to be their most extensive engagement in more than a month.

Democrats described their new offer as an updated version of the $3.4 trillion Heroes Act the House passed in May, which the White House and Senate Republicans dismissed as far too costly. Senate Republicans and Mnuchin have also said $2.2 trillion is too much to spend, but Mnuchin has said he is open to negotiations. It was not immediately clear whether the talks would bear fruit or whether Democratic leaders would use the bill to provide political cover for moderate House Democrats, who have grown increasingly anxious over Congress’s recent inaction on pandemic relief legislation.

As the pandemic worsened earlier this year and many businesses shut down, Congress passed four bipartisan bills in March and April that pumped close to $3 trillion into the economy. But they have not passed an economic relief law since then. Talks involving Mnuchin and Pelosi collapsed in early August and, before now, had shown little sign of reviving.

Mnuchin has said his priorities in a new round of spending would be aid for small businesses and children, among others. He has also talked about providing more assistance to the airline industry and approving another round of stimulus checks. There is some overlap in the White House’s goals with the things Democrats included in their new bill.

For example, the Democrats’ bill would extend the $32 billion payroll support program for the airline industry, which is scheduled to expire on Sept. 30, threatening tens of thousands of jobs. It would include another round of $1,200 stimulus payments, as well as renew the expired unemployment benefits of $600 per week.

The bill would fund a range of other programs, including many that Republicans have supported. It would, for example, extend the Paycheck Protection Program for small businesses and provide $182 billion for K-12 schools and $39 billion for postsecondary schools. An additional $57 billion would go toward other child-care costs.

The biggest budget item in the package would be $436 billion in aid to states, cities, and territorial and tribal governments that have experienced a major budget crunch this year. That’s about half as much as the amount for cities and states that was included in the original Heroes Act because the time period for funding state and local budgets was reduced. The White House has mostly opposed more funding for states and cities, and Trump has said that was one of the biggest sticking points in past discussions.

The bill would support an assortment of other programs, including $75 billion for coronavirus testing and tracing.

“Democrats are making good on our promise to compromise with this updated bill, which is necessary to address the immediate health and economic crisis facing America’s working families right now,” Pelosi wrote in a letter to House Democrats. “We have been able to make critical additions and reduce the cost of the bill by shortening the time covered for now.”

Pelosi had been under growing pressure from moderates in her caucus to take new action on economic relief, with millions still out of work and growing signs that the economic recovery could be stalling as the unprecedented stimulus Congress agreed to at the start of the pandemic dwindles.

Mnuchin has suggested the White House would be open to spending as much as $1.5 trillion on a pandemic relief bill — leading some lawmakers on both sides to believe that a deal could be in reach somewhere between that figure and the $2.2 trillion Pelosi has embraced for months. Publicly, at least, Pelosi has not budged from the higher number — except to suggest last week that she might unveil a new bill costing even more than that.

A number of moderate House Democrats, including freshman lawmakers running in tough reelection races, have been urging Pelosi to compromise on a lower number.

“I cannot sit by and watch if we let standing by our number prevent anything from happening, and that happens too often here,” said Rep. Dean Phillips (D-Minn.), part of the bipartisan Problem Solvers Caucus that unveiled an approximately $1.5 trillion proposal earlier this month that was partially endorsed by Trump.

But some Senate Republicans oppose spending any more money at all. Senate Majority Leader Mitch McConnell (R-Ky.) struggled to get his conference united behind a bill to spend only around $300 billion in new money. Democrats opposed it when McConnell tried to bring it up for a vote earlier this month.

It’s unclear how that dynamic — coupled with the Senate’s focus on filling the Supreme Court vacancy — could affect the chances for a deal.

In addition to reducing the time frames of some provisions in the original Heroes Act, the new bill excludes some items from that proposal, including hazard pay for essential workers.


It's in everybody's interest to get this moving forward, even a little. Cynical Mike wonders about how the negotiations are affected by election year politics, but it's good to see somebody taking steps to help millions of people who're in some real trouble right now.

It'd also be nice if we could depend on the money going to regular folk instead of asshole company bosses who used a lot of the last round of stimulus for stock buybacks and executive bonuses.

Sep 28, 2020

Stress Relief

Hang out for a short bit and relax to the soothing visual, and dulcet tones of a beaver enthusiastically munching some cabbage.

On The NYT Story

Hoo boy.



Ultimately, Mr. Trump has been more successful playing a business mogul than being one in real life.

-snip-

In fact, those public filings offer a distorted picture of his financial state, since they simply report revenue, not profit. In 2018, for example, Mr. Trump announced in his disclosure that he had made at least $434.9 million. The tax records deliver a very different portrait of his bottom line: $47.4 million in losses.

-snip-

Mr. Trump’s net income from his fame — his 50 percent share of “The Apprentice,” together with the riches showered upon him by the scores of suitors paying to use his name — totaled $427.4 million through 2018. A further $176.5 million in profit came to him through his investment in two highly successful office buildings.

So how did he escape nearly all taxes on that fortune? Even the effective tax rate paid by the wealthiest 1 percent of Americans could have caused him to pay more than $100 million.

The answer rests in a third category of Mr. Trump’s endeavors: businesses that he owns and runs himself. The collective and persistent losses he reported from them largely absolved him from paying federal income taxes on the $600 million from “The Apprentice,” branding deals and investments.

That equation is a key element of the alchemy of Mr. Trump’s finances: using the proceeds of his celebrity to purchase and prop up risky businesses, then wielding their losses to avoid taxes.

Throughout his career, Mr. Trump’s business losses have often accumulated in sums larger than could be used to reduce taxes on other income in a single year. But the tax code offers a workaround: With some restrictions, business owners can carry forward leftover losses to reduce taxes in future years.

That provision has been the background music to Mr. Trump’s life. As The Times’s previous reporting on his 1995 return showed, the nearly $1 billion in losses from his early-1990s collapse generated a tax deduction that he could use for up to 18 years going forward.


-snip-

Testifying before Congress in February 2019, the president’s estranged personal lawyer, Mr. Cohen, recalled Mr. Trump’s showing him a huge check from the U.S. Treasury some years earlier and musing “that he could not believe how stupid the government was for giving someone like him that much money back.”

There will be a lot more stories that come from this, but for me, the obvious overarching lesson is that we have a tax code that's being used as one giant loophole that lets rich people off the hook completely.


And - from the last part of the Stephanie Miller clip:

"Dissent is my way of speaking to the intellect of a day in the future." -- RBG

COVID-19 Update

USA
  • New Cases:   33,782
  • New Deaths:       276



What explains the nexus of Anti-Maskers and Trump supporters? Try not to be too surprised about this.


Some people who flout covid-19 rules could be narcissists, experts say. Here’s how to approach them.

Susan Whitbourne was shopping recently in her neighborhood Whole Foods in Framingham, Mass., when another patron caught her eye. The man, who was chatting on his cellphone as he meandered around the store, had pulled his face covering down — a violation of Massachusetts’s statewide mask mandate.

Summoning her courage, Whitbourne, a professor emerita of psychological and brain sciences at the University of Massachusetts at Amherst, approached the unmasked shopper and reminded him of the rules. He replied, “Well, I’m talking on the phone,” she recalled.

Whitbourne believes that “teeny, tiny slice of behavior” may have been a sign of an unwholesome personality trait that could explain some of the resistance to masks in America: narcissism. Several recent studies have similarly concluded that narcissistic behavior may be contributing to noncompliance with public health guidelines during the coronavirus pandemic.

“You can’t just diagnose somebody on the basis of a snap judgment,” Whitbourne said, “but you can see narcissistic qualities.” By appearing to prioritize a phone call over the state mandate, for example, the man in Whole Foods seemed to be sending a message that “I’m above those laws, I’m special, the rules don’t apply to me and I don’t care about other people,” she said.

According to psychologists, that mind-set is commonly observed in narcissists, who characteristically lack empathy, have high levels of entitlement and grandiosity, and chronically seek validation, admiration and control. Together with Machiavellianism and psychopathy, narcissism makes up one-third of the “Dark Triad,” personality patterns often linked to “a lack of niceness,” said W. Keith Campbell, a psychology professor at the University of Georgia.

“If you’re narcissistic, you’re going to do what you want,” said Campbell, the author of the upcoming book “The New Science of Narcissism.” “If what you want isn’t the same as what the guidelines are, you’re not going to do the guidelines.”

Peer-reviewed research conducted in the United States, Brazil and Poland suggested that people who show signs of Dark Triad or antisocial personality traits are less likely to adhere to measures instituted to prevent the spread of the novel coronavirus, including mask-wearing and social distancing.

This unwillingness to follow pandemic guidelines, despite the fact that health experts and scientific data support their efficacy, has become a widespread issue in the United States, and reflects its reputation as a society with higher levels of attitudes associated with narcissism, said Ramani Durvasula, a licensed clinical psychologist and professor at California State University at Los Angeles.

Rhetoric from anti-maskers, who have publicly eschewed face coverings even though there is strong scientific evidence that wearing them can help protect others, “is one of the most stunning examples of lack of empathy you could see,” said Durvasula, the author of “‘Don’t You Know Who I Am?’: How to Stay Sane in an Era of Narcissism, Entitlement, and Incivility.”

Narcissism can also manifest itself as rage, oppositionality and petulance — strong reactions that may be helping to fuel the public mask disputes that have been documented in recent months.

The experts, however, strongly cautioned against labeling people as narcissists just because they aren’t wearing a mask or are objecting to restrictions.

There are people who may not be able to wear a face covering or adhere to other recommendations because of health conditions or physical or mental disabilities, Durvasula said. And in situations where someone might be “going off the handle,” Campbell said it’s important to remember that this is a stressful period for most of us.

“It’s just a weird time, and people are breaking for different reasons, with narcissism being one but not the only one,” he said.

It’s also a time when “we are much more aware” of people who are not acting in ways that consider others, Durvasala said. “Because this time, rather than maybe just leaving us feeling sad, it may be putting us at risk,” she added.

Taking on people who ignore guidelines, though, is challenging and potentially dangerous, Durvasula said. “We’ve already seen that large-scale retailers around the country are saying, ‘We can’t keep putting our employees in harm’s way and having them enforce mask rules,’ ” she said. “Every time I read those news stories, I’m like, ‘Oh my God, of course they can’t.’ Because unless they gave all of their employees a crash course in narcissism, they just don’t have a chance.”

While experts recommended prioritizing self-preservation during the pandemic and steering clear of rule breakers, that’s not always a possibility. So, if you find yourself needing to speak up, here are some tips for engaging with narcissists that might help when approaching someone who is ignoring public health laws or guidelines.

Consider your language: This is especially important for public health messaging, said Craig Malkin, a clinical psychologist and lecturer at Harvard Medical School. To encourage change in people who are behaving narcissistically, Malkin recommended using “we” language to emphasize interconnectedness and appealing to that population’s drive to feel special. For example, “You can make the difference between life and death because we’re all in this together.”

“The less significant they feel in all of this, the more they’re going to have to pound their chests and push back against what’s being expected to feel like they matter,” Malkin said. But he noted that there are limits to the effectiveness of language, depending on how disordered a person might be.

Be respectful: Narcissists are impulsive, reactive and very sensitive to threats, Durvasula said. A simple eye roll directed at a narcissist who isn’t wearing a mask or is wearing it improperly “will be enough to spin them into a rage,” she said.

Campbell suggested speaking in a calm, respectful voice and avoiding confrontational comments like, “Your mask is wrong.”

Instead, you should gently remind them of the rules and offer easy ways for them to comply, such as providing a mask, he said. Whitbourne also suggested appealing to a narcissist by getting them a mask that flatters their appearance.

Avoid escalation: It is critical to watch your tone when engaging with a narcissist, Durvasula said. She recommended using a “hostage negotiator voice” and keeping responses minimal. “In an era where we know that this infection is spread by droplets, someone screaming at you, that’s droplet city,” she said.

If the situation starts to get out of hand, Durvasula recommended “gray rocking.”

“Gray rocking literally means what it sounds like — you turn into a gray rock,” she said. “A completely inert, uninteresting, unengaged object.”

Once you do that, you become a “less engaging target for the antagonistic, narcissistic person,” she said.

Understand the power of a group: In general, people may be less likely to break rules or fight back when confronted by more than one person, Campbell said. “It’s just much more chaotic to try to take charge yourself or become the mask police,” he said.

Groups, he added, need to agree on what the expected behavior is and enforce it to the extent that they can. In a retail setting, for instance, this means that a maskless person should be approached by two employees and a store manager, who form a united front, he said.

Know when to walk away: Many people often fall into the trap of trying to reason with a narcissist, Durvasula said.

“But when somebody’s core belief is that these rules are not for me, I am better than these rules and I deserve special treatment, you are not going to get through to them,” she said. “So don’t waste your time.”

Instead of getting upset because someone isn’t following the rules, Durvasula has a simpler and safer solution: “Just pull your mask on tighter,” she said.


Fed up with anti-maskers, mask advocates are demanding mandates, fines — and common courtesy.

America is a nation of narcissists, according to two new studies

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He blew it.

Sep 27, 2020

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Wise words

COVID-19 Update

And here it is


USA
  • New Cases:   53,629
  • New Deaths:       895



Meanwhile - because something has to happen that puts food on the table and makes the rent - and because ya gotta do something with all those worthless kids...


TUMAKURU, India — Every morning in front of the Devaraj Urs public housing apartment blocks on the outskirts of the city of Tumakuru, a swarm of children pours into the street.

They are not going to school. Instead of backpacks or books, each child carries a filthy plastic sack.

These children, from 6 to 14 years old, have been sent by their parents to rummage through garbage dumps littered with broken glass and concrete shards in search of recyclable plastic. They earn a few cents per hour and most wear no gloves or masks. Many cannot afford shoes and make their rounds barefoot, with bleeding feet.

“I hate it,” said Rahul, an 11-year-old boy praised by his teacher as bright. But in March, India closed its schools because of the coronavirus pandemic, and Rahul had to go to work.

In many parts of the developing world, school closures put children on the streets. Families are desperate for money. Children are an easy source of cheap labor. While the United States and other developed countries debate the effectiveness of online schooling, hundreds of millions of children in poorer countries lack computers or the internet and have no schooling at all.

United Nations officials estimate that at least 24 million children will drop out and that millions could be sucked into work. Ten-year-olds are now mining sand in Kenya. Children the same age are chopping weeds on cocoa plantations in West Africa. In Indonesia, boys and girls as young as 8 are painted silver and pressed into service as living statues who beg for money.

The surge in child labor could erode the progress achieved in recent years in school enrollment, literacy, social mobility and children’s health.

“All the gains that have been made, all this work we have been doing, will be rolled back, especially in places like India,” said Cornelius Williams, a high-ranking UNICEF official.


Child labor is just one piece of a looming global disaster. Severe hunger is stalking children from Afghanistan to South Sudan. Forced marriages for girls are rising across Africa and Asia, according to U.N. officials, as is child trafficking. Data from Uganda showed teen pregnancies shooting up during pandemic-related school closures. Aid workers in Kenya said that many families were sending their teenage girls into sex work to feed the family.

Other aspects of society have been allowed to reopen. Why is it, frustrated children’s advocates ask, that bars, gyms, restaurants and subway systems are now operating but not schools?

Mr. Williams said leaders who “really believe in education” should use those resources on schools, and he questioned why they were not.

“Is it because adults have agency and have the louder voice - and the power to vote?” he asked.

In Jakarta, the Indonesian capital, Surlina, 14, paints herself silver to resemble a statue and hangs around a gas station with an outstretched hand. Her mother is a maid and her father sold small sculptures before the pandemic robbed him of a job. At the end of each day she gives her earnings to her mother, who supplies her and her two siblings, 11 and 8, with the paint.

“I have no choice,” Surlina said. “This is my life. My family is poor. What else can I do?”

She sometimes tries to study from a sixth-grade workbook — she was going to school until it closed in March — but finds reading difficult.

“It makes me dizzy and no one helps me,” Surlina said. “I just give up.”

In India, the government has also shut down early childhood development centers for the poor. In recent decades, India had built a nationwide network of more than one million anganwadis, which means courtyard shelter in Hindi, that provided millions of young children with food, immunizations, clothes and some schooling, and contraceptives for poor women. But most anganwadis remain closed.

School-age children in India are now performing all kinds of work, from rolling cigarettes and stacking bricks to serving tea outside brothels, according to more than 50 interviews conducted with the children, their parents, teachers, labor contractors and child activists. Most of it is illegal. Much of it is hazardous.

Saurabh Kumar, a sixth grader from a struggling family in Jharkhand State, works as a helper at a garage at the urging of his father. A few months ago, he tried to unfasten some sharp engine bolts and sliced his hand open.

“I could see down to the bone,” he said.

India already had a serious child labor problem because of high poverty levels, its population of 1.3 billion and its dependence on cheap labor. Shadowy fireworks and cigarette factories, textile sweatshops and loosely regulated construction sites often employ children. The authorities had been cracking down and enrolling children, especially girls, in school.

But as Nahida Ismail, a teacher in Bihar State, said, “The whole ecosystem around kids is breaking down.”

On a construction site near Gaya, a town in Bihar, Mumtaz, 12, and his brother Shahnawaz, 10, struggled under heavy loads of gravel.

With a grimace, Shahnawaz hoisted a bucket atop his head. His skinny legs nearly buckled. He squinched his eyes tight, looking like he was about to cry. Around him stood men three times his age, just watching.

“I get headaches,” Shahnawaz said. “I can’t sleep at night. My body tingles.”

His older brother seems to have glimpsed his new future.

“I fear that even if school reopens, I will have to keep doing this, because of the family’s debt,” Mumtaz said.

“I wanted to join the army,’’ he added, using the past tense.

Many child experts said that once children drop out and start making money, it is very difficult to get them back in school. India has ordered elementary and middle schools to remain closed indefinitely, affecting more than 200 million children, though some government teachers are making house calls and teaching in small groups. The central government has allowed high school students to visit teachers on campus, but many states have said no to that as well.

Government officials say the coronavirus leaves them little choice. New infections sometimes reach nearly 100,000 per day. Officials say children would have difficulty maintaining social distancing.

“They can end up becoming vectors of virus,” said Rajesh Naithani, an adviser to the education ministry.

Child rights activists say it is remarkable how little the school closures are being discussed. Speeches by India’s prime minister, Narendra Modi, and top ministers usually focus on opening up the economy, not the schools.

Many of the parents interviewed said they were under tremendous pressure to put their idle children to work. (The children in this article were interviewed with permission from a parent.)

“We need their wages,” said Mohammad Mustakim Ansari, an underemployed mason and the father of Mumtaz and Shahnawaz. “Without them, I wouldn’t be able to cobble together two meals.”

Employers can smell the desperation. India’s economy has contracted more than any other major economy. Wages are plummeting.

Biplab Das, a labor contractor in West Bengal State, said that parents keep arriving on his doorstep with school-age children. One morning in mid-September, a man showed up with his son and daughter, 12 and 8.

Mr. Das said the children stood quietly in the doorway and looked at their father “like they were being prepared to be thrown into a fire.”

Mr. Das says he does not find jobs for children because it is illegal. But in this case, fearing the family might starve, he guided them to a truck stop that was looking for a tea server. The 12-year-old boy now works there, making the equivalent of about 7 cents an hour.

In India, children under 14 are not allowed to work unless it is a family enterprise, like a farm, or in a few other rare circumstances, such as child acting. They are barred from dangerous workplaces such as construction sites and cigarette factories. But because of the disruption caused by the pandemic, UNICEF officials said, there are fewer workplace inspections.

Many children now dread getting up in the morning. It is like their childhood has suddenly ended.

On a recent morning, Rahul, the 11-year-old resident of the Devaraj Urs housing blocks, stood in an empty street in Tumakuru, an industrial hub in southern India, the sun rising over his left shoulder. The vacant look in his dark brown eyes said: What am I doing here?

His dad, Kempraju, a lifelong garbage scavenger from one of the lowest castes, towered over him, lean and glassy-eyed, arms covered in blue homemade tattoos.

“You ready?” Mr. Kempraju asked.

Rahul slowly nodded.

“Where are your shoes?”

Rahul looked down at his bare feet.

“I don’t have any,” he said.

Mr. Kempraju said the work was “not respectable” but he wanted to keep Rahul out of trouble and needed the extra hands.

“He sifts well,” he said as he watched Rahul scrounge a plastic bottle out of a refuse pit, flatten it and drop it into his sack. Later that day, Rahul extracted a pair of ratty slippers from a garbage pile and wore them. They almost fit.

While Rahul was picking through another dump, a group of boys about his age passed by. They wore backpacks and crisply ironed shirts. They were off to see a private tutor.

Rahul rested his bag of crushed bottles on the pavement and stared for a moment.

“This is the shame,” said Rahul’s teacher, N. Sundara Murthy. “Kids who weren’t scavenging for garbage are doing it now. Schools need to be reopened.”

“Rahul’s a good student,” Mr. Murthy added. “His absorption power is very good. His vocabulary is very good. He has a high I.Q. He says he wants to be a doctor and he could do it, if he has the right facilities.”

After a morning of scavenging, Rahul paid a visit to his school in Tumakuru’s busy center. The campus was windblown and deserted. The only person around was the caretaker, a middle-aged woman in a sari smoothly sweeping the courtyard.

From a giant ring of keys, she pulled one out and unlocked the sixth-grade classroom. Rahul walked in. His eyes adjusted to the dark.

Water was pooled on the floor. A map of India, the paint chipping off, clung to a wall. To another visitor, this school might have seemed shabby.

But not to Rahul.

“I really miss this place,” he said.

He walked out, sack over his shoulder, too-big slippers scraping the ground, back into the noisy streets.

Sep 26, 2020

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The limerick at the very end is worth waiting for.

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