Tuesday, May 26, 2020

It's The Endothelium, Stupid

Dr Seheult:

The WaPo piece:

Researchers who examined the lungs of patients killed by covid-19 found evidence that it attacks the lining of blood vessels there, a critical difference from the lungs of people who died of the flu, according to a report published Thursday in the New England Journal of Medicine.

Critical parts of the lungs of patients infected with the novel coronavirus also suffered many microscopic blood clots and appeared to respond to the attack by growing tiny new blood vessels, the researchers reported.

The observations in a small number of autopsied lungs buttress reports from physicians treating covid-19 patients. Doctors have described widespread damage to blood vessels and the presence of blood clots that would not be expected in a respiratory disease.

“What’s different about covid-19 is the lungs don’t get stiff or injured or destroyed before there’s hypoxia,” the medical term for oxygen deprivation, said Steven J. Mentzer, a professor of surgery at Harvard Medical School and part of the team that wrote the report. “For whatever reason, there is a vascular phase” in addition to damage more commonly associated with viral diseases such as the flu, he said.

Deprogramming

I don't know what all we need to do, but I'm pretty sure it has to include figuring out how to teach Americans about the differences between Fairness and Balance and Accuracy in any kind of reporting, but especially in political reporting - ie: sometimes, if the reporting is accurate, then there is no balance. And there's no fairness to be found for someone who makes a conscious choice to be contrarian simply in the interest of stirring the shit..

2 + 2 = 4

Not 5.

Not 3 ½.

And we're not negotiating a settlement at 4.3

eg:

Rot At The Top

Can we stop pretending Trump is fit to be president?

WaPo OpEd:

At various times over the past three and a half years, many of us have asked what would happen if President Trump truly went over the edge or if his behavior became so frightening that his unfitness for the most powerful position on Earth could no longer be denied.

But the human capacity for denial is apparently almost infinite. Let’s review what our president has been up to in the past few days:

With the death toll from covid-19 about to top 100,000, Trump has offered almost nothing in the way of tributes to the dead, sympathy for their families, or acknowledgement of our national mourning. By all accounts he is barely bothering to manage his administration’s response to the pandemic, preferring to focus on cheerleading for an economic recovery he says is on its way, even as he feeds conspiracy theories about the death toll being inflated. This weekend, he went golfing.
In a Twitter spasm on Saturday and Sunday, Trump retweeted mockery of former Georgia gubernatorial candidate Stacey Abrams’s weight and House Speaker Nancy Pelosi’s (D-Calif.) looks, along with a tweet calling Hillary Clinton a “skank.”
Eager to start a new culture war flare-up, he urged churches to open and gather parishioners in a room to breathe the same air, threatening that he would “override” governors whose shutdown orders still forbade such gatherings. The president has no such power.
He all but accused talk show host Joe Scarborough of murdering a young woman who died in 2001 in the then-congressman’s district office, bringing untold torture to her family from the conspiracy theorists who will respond to his accusation.
He has repeatedly insisted that the upcoming election is being “rigged” because states run by both Republicans and Democrats are making it easier to vote by mail, seeking to delegitimize a vote that has yet to occur, despite the substantial evidence that mail voting advantages neither party.

The truth is that Trump is not much more despicable of a human being than he has always been; it’s just that standard Trumpian behavior becomes more horrifying when it occurs during an ongoing national crisis. It is reality that changed around him, and he was incapable of responding to it.

We all know this. In public, Republicans may say that the real villain in the pandemic is China, or that all those deaths — and the tens of thousands yet to come — were inevitable, or that it is essential to get the economy moving. But they know as well as the rest of us do what a catastrophic failure Trump has been.They must own the moral choice they now make. In 2016, they said Trump would grow serious and sober once he was faced with the awesome responsibilities of the office. There was little reason at the time to think it would happen, but it was at least possible.

No one can say that now. Not only do we know who Trump is, we know who he will always be. And we know that reelecting him will be disastrous in a hundred ways.

If you gave many Republicans in Washington truth serum, they’d say, “Of course he’s unfit to be president. Of course he’s corrupt, of course he’s incompetent, of course he’s the most dishonest person ever to step into the Oval Office. But I can live with that, because him being reelected means Republicans keep power, we get more conservative judges and we get all the policies we favor.”That is the choice they’re making. We all know it, even if they’ll never say it out loud.

I’m not sure how I’d feel or what I’d do if was faced with a similar choice as a liberal, because it’s impossible to imagine a liberal version of Trump becoming the nominee of the Democratic Party — or even what a liberal version of Trump would look like. But we can see how Democrats grappled recently with their own questions about former vice president Joe Biden and the compromises they might have to make about him.

When a woman named Tara Reade alleged that Biden had sexually assaulted her in the early 1990s when she worked in his Senate office, the response among those who wish to see Trump defeated in November was complicated, to say the least. Some criticized Biden, some questioned Reade’s story and some remained agnostic pending further information.

And some, showing a forthrightness Republicans have not been willing to muster, said that even if they came to believe Reade’s story was true, they’d still vote for Biden, not just because Trump has been credibly accused of sexual misconduct by no fewer than two dozen women, but also because even if Biden turned out to be guilty, it would still be unfortunate but necessary to choose him over the most dangerously unfit president in American history.

In the days since, so many questions have been raised about Reade’s story that she has few defenders left; her own lawyer dropped her as a client. That has left Democrats breathing a sigh of relief, as they seem to have been excused from making a painful but necessary choice. Nevertheless, they grappled, candidly and publicly, with what it would mean for them if Reade were telling the truth.

The Republicans who support Trump have seldom done that, perhaps because there is no way to do so without acknowledging how morally indefensible that support has been. And as we approach another election, they’ll tell themselves that Trump isn’t as bad as he looks, or that Joe Biden is a monster, or that all that matters is winning.In the future, when we look back on this dark period, we should resist the temptation to focus solely on Trump himself. To do so would be to excuse those who know exactly what he is but pretend they can work to keep him in office and remain unsullied. They cannot, and their moral culpability becomes clearer every day.

Admitting The Obvious

It seems some of our Press Poodles really are starting to catch up with Driftglass.

Washington Monthly:

One of the challenges in analyzing modern American politics is accurately describing the Republican Party without seeming unserious and hyperbolic. Major publications are understandably in the habit of presenting both sides of the partisan divide as being inherently worthy of respect and equal consideration, both as a way of shielding themselves from accusations of bias and as a way of maintaining their own sense of journalistic integrity.

Unfortunately, the modern Republican Party’s abdication of seriousness, good faith and reality-based communications or policy-making has stretched even the most open-minded analyst’s capacity for forced balance. Donald Trump’s own inability to string together coherent or consistent thoughts has led to a bizarre normalization of his statements in the traditional media, as journalists unconsciously try to fit his rambling, spontaneous utterances into a conventional framework. This has come at the cost of Americans seeing the full truth of the crisis of leadership in the Oval Office for what it is. For instance, it was ironically salutary for the American public to witness Donald Trump’s bizarre pandemic press conferences where he oddly attacked reporters for asking innocuous questions and recommended researching bleach and sunlight injections, because they got to see Trump raw as he truly is, without the normalization filter. Republicans have long argued that the “mainstream media filter” gives them a bad shake, but the reality is the opposite: sure, it’s not as good as being boosted by Fox News’ overt propaganda, but it does them a greater service than letting the public see them unfiltered at all.

But there comes a tipping point at which it becomes too dangerous to keep up the pretense. Most people left of center would argue (rightly, I believe) that we hit that point long, long ago and the time to re-evaluate journalistic norms and practices should have been decades earlier when the GOP was busy covering up the Iran Contra scandal and promoting the Laffer Curve as serious public policy. Or that any number of catastrophes of conservative public policy and norm erosion since should have sounded the alarms along the way, from the Bush v Gore decision and the Brooks Brothers Riots to the lies justifying the invasion of Iraq, to the deregulation-fueled Wall Street crash, birtherism, the Benghazi obsession and the nomination of Donald Trump. Many would point with legitimate outrage to the abdication of responsibility in the face of climate change, yawning inequality, forced family separation policy, children in cages and so much else.
Media Bias Check:

COVID-19 Update

We're hearing from good sources now that the Russians haven't been reporting their deaths as caused by COVID-19. (it's being revealed and accounted for because of the statistical analysis regarding "excess deaths", but still...)

To reiterate, we almost never get the full story from government no matter who's running the show. I can hope they can't do it in ways that skew the numbers significantly or permanently, but with this bunch, it's not unreasonable to think they're making a bigger-than-usual effort to tweak the numbers in order to favor their policies.

Monday, May 25, 2020

Today's Tweet

Sound on please - for Guterman's reply.

SPEAKERS ON, PLEASE
Trump lays one at Arlington National Cemetery on #MemorialDay. pic.twitter.com/gh8uHBHBSc
— Jeffrey Guterman (@JeffreyGuterman) May 25, 2020

Today

WaPo:

As the death toll in the coronavirus pandemic neared 100,000 Americans this Memorial Day weekend, President Trump derided and insulted perceived enemies and promoted a baseless conspiracy theory, in between rounds of golf.

In a flurry of tweets and retweets Saturday and Sunday, Trump mocked former Georgia gubernatorial candidate Stacey Abrams’s weight, ridiculed the looks of House Speaker Nancy Pelosi (D-Calif.) and called former Democratic presidential rival Hillary Clinton a “skank.”

He revived long-debunked speculation that a television host with whom Trump has feuded may have killed a woman and asserted without evidence that mail-in voting routinely produces ballot stuffing.

He made little mention of the sacrifice Americans honor on Memorial Day or the grim toll of the virus.

In fact, Trump’s barrage of social media attacks stood in sharp contrast to a sober reality on a weekend for mourning military dead — the number of Americans whose lives have been claimed by the novel coronavirus has eclipsed the combined total of U.S. deaths from wars in Vietnam, the Persian Gulf, Iraq and Afghanistan.

- and -

Rural counties now have some of the highest rates of covid-19 cases and deaths in the country, topping even the hardest-hit New York City boroughs, a Washington Post analysis found.

The alarming increase signals a new phase of the pandemic, one of scattered outbreaks that could devastate some of the country’s most vulnerable towns as states lift stay-at-home orders. The virus has spread rapidly over the past month in places where even a minor surge in patients threatens to overwhelm existing health-care systems.

It took us almost 60 years to get 100,000 Americans killed in military adventures.

It's taken 45* a little over 60 days to match that.

Our "president" is a very small man with very large problems - always a very bad combination.

COVID-19 Update

The question, as always: will we see the spike?

Will the fact that it was so bad - and so concentrated - in NYC that anything less than that will make us think, "Well, it's not all that terrible; we must be doing something right"?