RUTHFULLY YOURS

https://nypost.com/2020/04/27/ive-worked-the-coronavirus-front-line-and-i-say-its-time-to-start-opening-up/

I’m an emergency physician at St. Barnabas Hospital in The Bronx. I have been in the ER every day these last few weeks, either supervising or providing direct care. I contracted a COVID-19 infection very early in the outbreak, as did two of my daughters, one of whom is a nurse. We are all well, thank God.

COVID-19 has been the worst health care disaster of my 30-year ­career, because of its intensity, duration and potential for lasting impact. The lasting impact is what worries me the most. And it’s why I now believe we should end the lockdown and rapidly get back to work.

From mid-March through mid-April, the ER staff at St. Barnabas huddled in groups of about 20 every morning. We asked ourselves what had happened over the previous shift. We generated a list of action­able tasks for the following 24 hours. At first, we addressed personal protective equipment and the management of patients with mild illness who were seeking COVID-19 tests.

Then came the wave of critically ill patients in numbers none of us had ever seen. This lasted for two weeks. The number of patients on ventilators accumulated in the ER and throughout the hospital. We witnessed an unprecedented number of deaths. The tone of the huddles became more somber. We became accustomed to the morbidity; we did our jobs.

It is precisely what I have witnessed that now tells me that it’s time to ease the lockdown. Here’s why.

https://www.forbes.com/sites/adamandrzejewski/2020/04/27/why-illinois-is-in-troubl

Illinois could soon be the first state in history to have its bonds rated as “junk.” Last month, both Moody’s MCO and Standard & Poor’s downgraded Illinois debt to just one notch above junk status.

Last week, the Illinois State Senate President Don Harmon (D-Chicago) wrote a letter to Congress requesting a $41.6 billion bailout. Critics balked.

In many ways, Illinois may have already crossed the Rubicon.

Our analysis at OpenTheBooks.com shows that an Illinois family of four now owes more in unfunded pension liabilities ($76,000) than they earn in household income ($63,585). In a state of 13 million residents, every man, woman, and child owes $19,000 — on an estimated $251 billion pension liability.

Our auditors discovered 110,000 public employees and retirees who earned more than $100,000 last year.

We found tree trimmers in Chicago making $106,663; nurses at state corrections earning up to $277,100; junior college presidents making $491,095; university doctors earning up to $2 million; and 111 small town managers who out-earned every governor of the 50 states ($202,000).

https://www.manhattancontrarian.com/blog/2020-4-27-what-is-the-real-level-of-mortality-from-the-chinese-flu

Several commenters on yesterday’s post express a strong interest in learning the true level of mortality from the Chinese Virus. Are the numbers reported at sites like Worldometers as “Coronavirus Deaths” accurate and reliable, or are they inflated? Or, for that matter, could it be that the number of “Coronavirus Deaths” is under-reported for reasons that could include people dying at home without ever being tested?

My answer is that it is impossible to know at this point. The best indication we will get will come when the CDC issues final data for deaths from all causes in the U.S. for the month of April. When we get that number, we can subtract from it the approximate “normal” number of deaths that would have occurred anyway during April. The difference will be a good estimate of the number of excess deaths attributable to the virus. My prediction is that that number will be far less than the number of “Coronavirus Deaths” being officially reported. I’ll bet on about half or even less; but I’m the first to admit that I could be proved wrong.

The problem with attributing deaths to the virus begins with the fundamental problem of all scientific endeavor, which is that events in the real world have not just one but many causes. As a common example closely related to the subject of this post, many patients with cancer get pneumonia at the final stage of their disease. Did they die from the cancer or from the pneumonia? Or from both? When you look at the CDC statistics, you will see that each death has been assigned uniquely to just one of the major categories. In this case, each death has been assigned either to cancer or to pneumonia, not both. But how did someone decide that death A was from cancer, but death B was from pneumonia, when the patients had both and were in terminal condition? Generally, there is not much riding on the decision, and if it is made arbitrarily — half to one, half to the other — that’s probably fine.

https://amgreatness.com/2020/04/27/the-covid-19-tragedy-at-the-nations-nursing-homes/

Rather than focus on how to safeguard the most vulnerable among us, politicians have been preening for cable news cameras, blaming the president, halting the sale of vegetable seeds, and warning against small dinner parties in private homes. A tragedy, a failure, and a disgrace.

When the full history of how experts and politicians handled the spread of COVID-19 is written, the account will be littered with missteps, overreach, and unintended consequences.

Decisions that must be included on that long list of failures are the reliance on the disastrous charts produced by the Institute for Health Metrics and Evaluation, also known as the Murray model; the unprecedented quarantine of tens of millions of healthy Americans; the abrupt and devastating shutdown of the world’s most powerful economy; and freedom-destroying actions by power-grabbing politicians from governors down to judges and small-town mayors. It’s very possible, in terms of containing the disease and preventing future outbreaks, nearly everything we’ve been instructed to do has been wrong.

But the gravest mistake, historians likely will conclude, has been the deadly decision to knowingly mix COVID-19 patients with uninfected residents and health care workers in nursing homes.

The total death count due to COVID-19 in the United States, according to several tracking sources, is roughly 50,000 people since March 1. About 25 percent of the total fatalities tallied so far stem from nursing homes.