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“Unreasoning Dread”: Freaking Out About Ebola Isn’t Helping

One afternoon two weeks ago, I did my best to calm a friend who’d become fearful that her son would contract Ebola in Syria. The young man had enlisted in the National Guard. She knew the U.S. was bombing ISIS terrorists there, and that people were talking about “boots on the ground.” She thought she’d heard about a Syrian Ebola outbreak on TV.

Because others were listening, I didn’t want to embarrass her. I suggested she’d misheard a reference to Sierra Leone, a tiny country in the tropical forest of West Africa where the Ebola epidemic rages — thousands of miles from Syria, which borders on Israel. The road to Damascus and all that.

The Bible reference helped. A guy in a John Deere cap backed me up. Syria was definitely not in Africa. My friend was mollified.

I’m sure she’s heard plenty more about Ebola since then, possibly even about Sierra Leone, a nation of which most Americans have zero knowledge. A lifelong map nut, I’d have had to search for it myself.

Although my friend is an intelligent person with a lively wit, it wasn’t her ignorance of geography I found so surprising. After all, polls showed only 17 percent of Americans could locate Iraq on a map back when the U.S. invaded in 2003. Rather, it was her unreasoning dread of Ebola, a tropical disease wholly limited at that time to three countries in West Africa.

Now that a single Ebola victim from neighboring Liberia has made his way to Dallas, isn’t that fear more justifiable? Shouldn’t we be running around with our hair on fire like the talking heads on cable TV? Isn’t it time for our government to do something drastic, such as banning all travel from West Africa to prevent Ebola-stricken refugees from bringing this terrifying plague to America?

Actually, no and no. Freaking out never helps when there’s real danger. For once, I felt sympathetic toward Gov. Rick Perry, who, because the Liberian victim ended up at Texas Health Presbyterian in Dallas, was compelled to act like a competent government official instead of a carnival barker.

“Rest assured that our system is working as it should,” Perry said during a hospital press conference. “Professionals on every level of the chain of command know what to do to minimize this potential risk to the people of Texas and this country.”

Of course that wasn’t strictly true. Due to a communications snafu too common in hospitals, the first physician who examined the victim wasn’t told he’d traveled from Liberia, misread the chart, and bungled the diagnosis.

But that still doesn’t mean the sky is falling. Medical experts agree that while deadly in Third World environments, Ebola is both treatable and relatively hard to catch. Patients aren’t contagious until they’re visibly ill. Even then direct contact with a symptomatic person’s bodily fluids — saliva, vomit, stool, urine, etc. — is necessary. Unlike a cold, it can’t be transmitted through the air.

Writing in The New Yorkerbrilliant surgeon and author Atul Gawande documents a South African case in which some 300 hospital workers treated an undiagnosed Ebola patient for 12 days without contracting the disease.

Isolate patients, monitor their intimate contacts, dispose of their waste properly, and Ebola can be stopped. According to the CDC (Centers for Disease Control and Prevention) the likelihood of a mass Ebola outbreak in the United States is remote.

Perhaps that makes the disgraceful performance of so many self-styled “conservative” pundits and GOP politicians a bit less disturbing. Going all Chicken Little and doing everything possible to use a public health crisis for partisan ends would be even more contemptible if the danger were as great as they pretend.

As usual, Fox News personalities led the charge. Former Arkansas Gov. Mike Huckabee sought to use Ebola to foment petulant mistrust of government in general and President Obama in particular.

It all somehow reminded him of Benghazi.

“The Ebola scare,” Huckabee claimed “goes to the heart of a simple question: do you trust the government. Audience, do you trust the government?”

Fox News and ABC News contributor Laura Ingraham hosted crank medical conspiracy theorist Dr. Elizabeth Vliet, who accused Obama of downplaying Ebola for political reasons. Rush Limbaugh suggested that the president sees Ebola as a punishment for slavery, and won’t ban travel to and from West Africa out of political correctness.

Several GOP politicians, including Louisiana Gov. Bobby Jindal, have suggested basically quarantining entire countries, a “solution” that sounds sensible until you think about it for 30 seconds.

For example, would that mean volunteer doctors, nurses, missionaries and soldiers couldn’t come home? And then what? A catastrophically worsening epidemic in Africa, that’s what.

I’ll say this too: If Ebola were happening, in say, Denmark or Belgium, we’d be having a far saner conversation.

But then it couldn’t, which is part of the point.

 

By: Gene Lyons, The National Memo, October 8, 2014

October 10, 2014 Posted by | Communicable Diseases, Conservatives, Public Health | , , , , , , , , | Leave a comment

“Ebola And The 41 Million Uninsured Americans”: Political Failure’s That Have Left Americans More Vulnerable To Deadly Diseases

With the first diagnosed case of the deadly Ebola virus in the United States located in Dallas, Texans are understandably alarmed. The patient just died. Gov. Rick Perry has established a taskforce to address the Ebola threat.

Not a bad idea but still a feeble response coming from a governor who refused to expand Medicaid in his state, leaving millions of his people outside the health care system. About 6 million Texans are now walking around without health insurance. That’s almost 1 in 4 residents — the highest rate of uninsured in the country.

Of course, those without health coverage are least likely to have a relationship with a health care professional, someone they could contact about worrisome symptoms. And because vomiting and other signs of Ebola could indicate something far less serious, these mostly low-income people might put off going to a hospital until it’s too late.

But Perry was among the large group of so-called conservative governors deeming it was more important to stick it to President Obama than to broaden health coverage in their states. Not surprisingly, the sharpest drops in the rates of the uninsured are in states that went along with the expansion. The rates remain nearly unchanged in the 23 nonparticipating states.

There was always a humanitarian reason for supporting the Affordable Care Act. Now we are seeing the self-interested reasons, which have been missing in most of the Obamacare debate. Covering all is essential to public health. Even the rich don’t enjoy divine protection from deadly infectious diseases. That the federal government is covering nearly the entire cost of the Medicaid expansion makes the excuses for not joining the program especially ugly.

And this is not just about Ebola. The flu is a communicable disease that typically kills 30,000 Americans a year, mainly the very old, the very young and the frail. Universal coverage can help contain that, as well.

The Ebola scare has overshadowed another frightening virus that has been diagnosed in hundreds of children since August — and that has just claimed the life of a 4-year-old in New Jersey. Enterovirus-68 has been found in 48 states, with significant numbers reported in Colorado, Illinois and Missouri. This respiratory illness, which has been associated with partial paralysis, spreads the same way colds do, through saliva and other bodily fluids.

Controlling these diseases requires early quarantine of those infected, and how are you going to find people who would test positive if they don’t go to a medical facility? Politicians who irresponsibly passed up an opportunity to bring such health services to their people are currently grasping at useless proposals.

Louisiana Gov. Bobby Jindal thinks the answer is to “stop accepting flights from countries that are Ebola stricken.” But what about the two nurses in Madrid who tested positive for the virus after treating a Spanish priest? The priest and one of the nurses have already died of the disease.

Do we stop accepting flights from Spain, which has a pretty good health care system, of course covering everyone? Not unexpectedly, the Texas governor opposes the flight ban idea.

Jindal was inexplicably proud to decline $6 billion in federal money to expand Medicaid coverage in his state. Nearly 900,000 Louisianans currently lack health insurance.

“Expansion would result in 41 percent of Louisiana’s population being enrolled in Medicaid,” Jindal explained at the time. “We should measure success by reducing the number of people on public assistance.”

There are many ways of measuring success in a society, widespread health coverage being one. Instead, we see a political failure that has left Americans more vulnerable to a deadly disease than they had to be. It’s really something.

 

By: Froma Harrop, The National Memo, October 9, 2014

 

October 10, 2014 Posted by | Infectious Diseases, Medicaid Expansion, Uninsured | , , , , , , | Leave a comment

“Et Tu, Leon?”: Continuing The Tradition Of Those Who Feel Ungrateful Besmirching Of A Presidency Is A Mere Patriotic Duty

So let’s say you’re a former congressman, CIA director and Secretary of Defense. You (and probably a ghost or two) have been noodling with a memoir for a long time. You’re finally out of office and want to make some dough and remind people you’re still a big deal. You know that in the heat of a midterm election that’s supposed to be a “referendum” on your former boss, and with much of the world focused on U.S. airstrikes in the Middle East, you can get a lot of attention and sell a lot of books by biting the hand that fed you and criticizing the president. Do you hold back for a while until said president is out of office, as Vice President Joe Biden suggested everyone should do? Or do you cash right in?

Well, we know Leon Panetta decided to cash right in. He didn’t go far out of his way to advertise his book as a devastating expose of a weak and America-endangering president, but he’s doing interviews that lend themselves to the impression that he thinks Obama erred grieveously by failing to leave combat troops in Iraq and fight for higher defense spending. And thus, as WaPo’s Dana Milbank points out in a column that excoriates Panetta for “stunning disloyalty” to Obama, his book was seized upon immediately by Republicans–notably Bobby Jindal, who was doing a big Let’s Give the Pentagon A Lot More Money speech the day before the book came out–as evidence of their national security case against the 44th president.

Now as Milbank admits, Panetta (like Robert Gates and Hillary Clinton before him) probably thinks of his service to the current administration as just the capstone of a career that was in full flower when Barack Obama was still in middle school. As it happens, Panetta is treated like a living deity out here on the Central Coast, which he used to represent in Congress. But his current work revolves around the Leon Panetta Institute for Public Policy, which mainly hosts lectures and seminars featuring big-name has-been Beltway Movers and Shakers who engage in Bipartisan Discussions of the Issues of the Day. I suppose a little extra street cred from Republicans owing to book tour interviews that sadly dismiss Barack Obama as out of his league doesn’t hurt this post-political legacy-building.

I doubt I’ll actually read Panetta’s book, but those who do can perhaps check my impression that Leon went deeply native at the Pentagon and continued the deplorable tradition of Secretaries of Defense who just can’t stop rattling the cup for more money for the ravening beast. If so, I suppose his current carping is in the bipartisan tradition of those who feel ungrateful besmirching of a presidency is a mere patriotic duty to ensure no occupant of that office forgets his extraconstitutional duty to the Empire.

 

By: Ed Kilgore, Contributing Writer, The Maddow Blog, October 7, 2014

October 8, 2014 Posted by | Defense Budget, Dept of Defense, Leon Panetta | , , , , , , | Leave a comment

“A Bomb In The Middle Of The Presidential Campaign”: How Gay Marriage Could Cause The GOP Major Headaches In 2016

After yesterday’s dramatic ruling from the Supreme Court effectively legalizing same-sex marriage in 11 more states (that now makes 30, plus DC), you would have thought conservatives would be expressing their outrage to anyone who would listen. But their reaction was remarkably muted. “None of the top House GOP leaders (Speaker John Boehner or Majority Leader Kevin McCarthy) issued statements. Ditto the RNC,” reported NBC News. “And most strikingly, we didn’t hear a peep about the Supreme Court’s (non)-decision on the 2014 campaign trail, including in the red-state battlegrounds.” The only one who issued a thundering denunciation was Ted Cruz.

Even though the GOP’s discomfort with this issue has been evident for a while, with the unofficial start of the 2016 presidential campaign just a month away (after the midterm elections are done), the issue of marriage equality is going to become positively excruciating for them. Many people saw the Court’s denial of cert in the five cases they confronted yesterday as a prelude to the case they’ll eventually take, the one that will probably strike down all the state bans on same-sex marriage and make marriage equality the law of the land. That could happen in the Court’s current term, which runs from now until next summer. But it’s even more likely that it would come in their next term, the one going between October 2015 and the summer of 2016. If that happened, it would land like a bomb in the middle of the presidential campaign.

In a certain way, the GOP’s current dilemma is reminiscent of where Democratic presidential candidates were during the 2004 race, when the marriage issue burst into national attention after the Massachusetts Supreme Court declared in November 2003 that the state had to allow gay people to marry. Most of the candidates were unsure of what their position was or should be, trapped between the primary and general electorates. Howard Dean had been considered by many a wild-eyed liberal in no small part because as governor of Vermont he had signed a civil unions bill, even though he opposed full marriage rights. Before long, most of the Democrats running settled on that as their position too — civil unions yes, marriage no (the exceptions were Dennis Kucinich, Al Sharpton, and Carol Moseley Braun, all of whom supported marriage equality). None of them seemed to want to talk about it, and they were pulled one way by the general electorate, and another by the principle involved, and a party base that was moving to the left.

There’s a different quandary for today’s Republican presidential contenders. You have a general electorate supporting change, and a Republican base committed to the rapidly eroding status quo. And consider that the first three Republican contests are in Iowa, relatively moderate New Hampshire, and extremely conservative South Carolina, which happens to be one of the states affected by yesterday’s ruling. Ed Kilgore suggests that Iowa in particular is going to pose a challenge:

But the Iowa problem is real for Republicans: it became, because of a relatively early state judicial ruling allowing same-sex marriage, Ground Zero for conservative resistance to marriage equality. As recently as two years ago, I attended an Iowa political event, along with four or five former (and possibly future) presidential candidates, that was heavily focused on removing the judges responsible. I don’t think the majordomo of that event, Bob Vander Plaats (often called a “kingmaker” thanks to his timely support for the last two Iowa Caucus winners), is about to cave anytime soon. And so long as there is an opportunist or two in the presidential field who’s frantic for right-wing support (I’m looking at you, Bobby Jindal!), the odds of this issue being “off the table” in Iowa are very low.

Ed’s last point is critical. If all the candidates had a tacit agreement not to make too much of it, the issue might not be that big a deal. But all it takes is one who won’t go along to force all the other candidates to talk about it. And we already know that Ted Cruz, who will be bidding to be the choice of social conservatives, isn’t going to let it go.

Now put that in the context of the long-running conflict within the GOP between the Tea Party base and the more practical-minded establishment. When the party bigwigs are saying, “We really need to talk about something else,” the base is going to conclude that they are once again being betrayed by a bunch of elite Washington Republicans who are perfectly happy consorting with the sodomites who inhabit their metropolis of depravity.

Which, to a certain degree, is true. Many of those elite Washington Republicans may still write columns in support of “traditional marriage,” but they also regularly interact with gay people. They’ll come around before long, which will only make the base angrier.

The 2016 Republican primary was already shaping up to be a hugely entertaining bloodbath. This only makes it more exciting.

 

By: Paul Waldman, Contributing Editor, The American Prospect, October 7, 2014

October 8, 2014 Posted by | Election 2016, GOP, Marriage Equality | , , , , , , | Leave a comment

“The New Credential For 2016”: For Republicans, “Come And Get Me, Coppers”, More Politically Acceptable Than Expressing Contrition

We’ve heard the argument before with respect to Chris Christie and Scott Walker that the abuse-of-power investigations they’ve faced could actually help them as presidential candidates, so long as they stay out of the slammer and can blame their persecution on the godless liberals. But now that Rick Perry has joined the Shadow-of-the-Hoosegow club, RealClearPolitics’ Scott Conroy offers a general theory that they’ll all benefit from a presumption that legal problems mean The Left is afraid of them and wants them hauled off in chains before they can roar through the primaries like avenging angels.

It’s a strategy that may pay dividends in a 2016 primary fight, as all three would be courting conservative voters who will likely see the investigations as badges of honor.

Bob Haus, who helmed Perry’s 2012 campaign in Iowa and is poised to reprise that role in 2016, said the “overwhelming response” from activists in the nation’s first voting state has been strongly supportive.

“They see the actions against Governor Perry for what they are: raw politics,” Haus said. “I would also say that Governor Perry has shown great strength and resolve in this matter. He and his team have managed this issue exceptionally well, and have shown they will fight this aggressively.”

In other words, “come and get me, coppers!” is a more politically effective response than anything expressing contrition or an openness to a slap on the wrist.

Now this has to be deeply frustrating to other candidates seeking 2016 traction who don’t have the credential of being threatened with imprisonment. Consider Bobby Jindal, who’s tried every stunt imaginable to get whipped-up Con-Con activists interested in his presidential availability. As it happens, Bobby was just handed a judicial setback by a state judge who issued an injunction to block Jindal from killing implementation of Common Core education standards in Louisiana–he was the state’s premier Common Core supporter until he became its premier opponent, of course–pending a trial. You have to wonder if Bobby’s brain trust has discussed ways to secure a contempt of court charge to spice things up–you know, the governor entering the courtroom brandishing a Bible and shrieking “Get thee behind me, Satan!” at the judge or something. It honestly wouldn’t surprise me.

 

By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal, August 21, 2014

August 22, 2014 Posted by | Chris Christie, GOP Presidential Candidates, Rick Perry | , , , , | Leave a comment