Tuesday, December 28, 2021

Businesses Have Manufactured Inflation Fear to Protect Profits Amid Rising Wages
People line up to check out at a grocery store in New York City, on November 14, 2021.
WANG YING / XINHUA VIA GETTY IMAGES

BYHadas Thier, Truthout
PUBLISHEDDecember 26, 2021

For weeks, a high-pitched panic about inflation has infused the mainstream media, most absurdly in CNN’s clip of a family struggling to keep up with the price of buying 12 gallons of milk per week (yes, 12).

Up until recently, Federal Reserve Chair Jerome Powell pushed back against this kind of narrative, arguing that rising prices were a short-term and transitory problem due to supply chain shocks from the pandemic that will eventually return to normal. But now the Fed has shifted course and is preparing to institute policies to “cool off the economy” — a euphemism for shrinking the money supply in order to drive down business investment and thus scale back job growth.

The definition of inflation is simple enough: an increase in the prices of goods and services. If prices rise quickly, and outpace wage growth, this can cause problems for working families — even those who don’t drink 12 gallons of milk per week. But the media narrative about rising inflation has conveniently left out several important points.

First, the prices of some of our biggest expenses — health care, housing, higher education to name a few — have been rising (often explosively so) for decades with little discussion or concern from the punditry. Health care costs are in fact the leading cause of bankruptcy in the country. Global food prices, too, have been rising because of the impact of climate change on crop yields. Easing these kinds of costs — through a nationalized health care system, investment in affordable housing, student debt relief and decarbonization — would go a much longer way toward improving working people’s finances than monetary policies to tighten economic growth.

Second, although it’s true that there has been a noticeable uptick in prices (measured by the annual change on the consumer price index) by 6.8 percent over the last year, this is still not very high by historical standards. The last time the United States experienced a serious inflationary crisis in the 1970s, the rate of inflation regularly hit between 11-13 percent. It’s also the case that measures of current price increases are skewed by a few sectors of the economy, most notably the energy sector.

A more useful measure to look at is a comparison of the rise of prices to the state of wages. If prices are going up faster than wages, then our relative purchasing power declines. But if wages keep pace with inflation, or even outpace inflation, then our purchasing power stays the same, or is strengthened. The reverse is also true. Thus, even though inflation rates have remained relatively low for much of the last few decades, wages have grown even less, meaning that purchasing power for working people declined despite low inflation rates.

Today, wages are finally rising. The New York Times recently reported that about 13 percent of workers have not seen pay increases this year and many retirees receive pensions that are constant. But it has been “middle- and high-income earners whose pay gains were least likely to have kept up with inflation. Over the 12 months that ended in September, those in the top quarter of earners experienced 2.7 percent gains in hourly earnings, compared with 4.8 percent for the lowest quarter of earners.” The combination of wage increases and COVID-19 relief checks have put more money in the pockets of the bottom half of earners than they had at the start of the pandemic.Inflation is a question of class politics — which class gains at whose expense — rather than technical monetary policies.

Most importantly, the media spin has left out the elephant in the room. It is business owners who are the ones raising prices. They are currently setting record profits, so do they have to raise prices? The answer to this question ultimately reveals that inflation is a question of class politics — which class gains at whose expense — rather than technical monetary policies.

What Exactly Is Inflation, and Where Does It Come From?


Inflation is an increase in prices, generalized across the economy, i.e., not just the rise of one particular good but goods across wide swaths of the economy.

How does this happen? The classic explanation is that inflation occurs when too many dollars chase too few goods. That is, if demand for goods and services exceeds the world’s capacity to supply those goods and services, this creates an upward pressure on prices. Business owners can get away with charging more from consumers, who essentially bid against each other for limited supply.

Today, the rapid reopening of economies following lockdowns has created heightened demand for goods and services, far outpacing the rate at which supply chains have come online. The free market allows producers of items in short supply to “pick their price,” as anyone looking to buy a used car right now knows.

This can also lead to good old-fashioned price gouging. The oil industry, for instance, curtailed production at the height of the pandemic due to cratering demand for fuel. Now that demand is back up, Bloomberg News reports, “oil companies are keeping production flat while using profits to reward shareholders.” And although wholesale prices of oil have fallen somewhat, retail gas stations are still selling gas at high prices. “When wholesale prices decline rapidly, it provides a window for retail operators to sell at high prices for a few weeks before lowering prices,” oil storage broker Tank Tiger CEO Ernie Barsamian told Bloomberg. He noted that eventually gas prices will come down, but for now, many refiners and gas stations are enjoying the higher profits.

The other half of the inflationary equation is the role of increased workers’ wages. In a situation like today, where wages have begun to rise, this will feed an increased demand for goods, as working people have more money to spend. At the same time, higher wages also raise the cost of production for employers. If businesses pay higher wages to workers, the argument goes, this cuts into profit margins, leading capitalists to pass on their added costs to consumers.Falling unemployment, rising wages and increased social spending does not have to automatically translate into inflation of prices if we allow bosses’ profit margins and their share of the national income to decrease.

Most mainstream economists assume that even if an external factor (a spike in oil prices due to geopolitical shifts, or supply chain chokeholds due to pandemic lockdowns) triggers the rise in prices, ultimately higher wages are the primary culprit of any sustained inflationary trends. Finally, mainstream economics draws a line between higher wages and low unemployment rates. A tight labor market, where workers are not easily replaced, gives workers more bargaining power to demand higher wages.

This line of argument was first championed by economist Milton Friedman, who stated that a ”natural rate of unemployment” exists below which inflation begins to take off. Friedman’s “monetarist” ideas took hold after the inflationary crisis of the 1970s, and ever since have been used as a battering ram against policies in which governments actively promote full employment or better jobs for workers.

In one sense, conservatives have a point. Karl Marx himself similarly argued that capitalism depends on unemployment — a “reserve army of labor” — to keep workers desperate enough to agree to whatever terms of work they can get. Unemployment, in other words, is a means to prevent wages from growing so far that they threaten profitability.

Class Conflict


The question that economic pundits conspicuously avoid is: What if instead of raising prices, businesses just made do with smaller profit margins? After all, U.S. corporations are currently making record profits, posting their fattest margins since 1950. Even at John Deere, the site of the highest-profile strike this year, Bloomberg News reports, “workers held out to get a 10% raise, yet the company is still expected to earn even more next year than the record profit it posted [in November].”A left economic agenda must push back against the inflation panic to maintain demands for higher wages and increased social spending, while guarding against real inflation through policies that protect working people’s pockets.

Workers don’t set prices, the bosses do. And they do so on the basis of maintaining the greatest possible profit margins. If workers’ wages go up but prices stay the same, this would simply mean that a greater share of profits went to workers rather than capitalists. System-wide, workers’ share of the economic pie (i.e., the “national income”) would increase. Falling unemployment, rising wages and increased social spending does not have to automatically translate into inflation of prices if we allow bosses’ profit margins and their share of the national income to decrease.

Even the dire rates of inflation in the 1970s, in the context of a strong labor movement “hurt capital more than it did workers, while neoliberal repression of workers’ power has kept inflation low from the 1980s onward,” sociologists Ho-fung Hung and Daniel Thompson have argued. The question of inflation is therefore a matter of class conflict over who gains at whose expense.

This is not to say that inflationary pulls aren’t a problem; if prices of common goods rise much faster than wages, or if the spikes in inflation are so high that businesses aren’t able to operate smoothly and fall into bankruptcy, laying off workers, this could have dire consequences. But the cures that are typically on hand are worse than the disease. Thus, in response to the crisis in the 1970s, the U.S. ruling class, led by President Ronald Reagan and Fed Chair Paul Volcker (though begun by President Jimmy Carter), was willing to induce a severe recession in order to stop inflation. The ensuing decades of neoliberalism created astronomical levels of class inequality.

But there are other tools to stop inflation, which do so in favor of workers. Price controls have been used in wartime throughout U.S. history, most significantly by President Franklin Delano Roosevelt’s administration. As political scientist Todd Tucker recently pointed out, FDR employed 160,000 federal employees in the Office of Price Administration to control prices “on goods from scrap steel to shoes to milk.” Even President Richard Nixon briefly implemented price controls.

Immediate reforms in the form of rent control, expanding Medicare, and allowing the government to negotiate lower drug prices are a good start to such policies, along with capping CEO pay and taxing the rich. Other reforms like investment into public housing and public education also indirectly cap prices.

Ultimately, a left economic agenda must push back against the inflation panic to maintain demands for higher wages and increased social spending, while guarding against real inflation through price controls and policies that protect working people’s pockets.

 

SOHR: Syria’s war claimed 3,700 lives in 2021, lowest annual death toll in 10 years

Syria’s ongoing war has claimed a total of 3,746 lives this year, the lowest death toll in its history, according to recent data by the Syrian Observatory for Human Rights (SOHR) on Wednesday, December 22.

The SOHR figures indicate that 1,505 of the casualties were civilians, which included 360 children.

By far, this is the lowest figure of casualties since the war in Syria began. The numbers confirm the downward trend of the death toll from last year, with 6,800 deaths reported in 2018, compared with over 10,000 deaths in 2019.

According to the Observatory, a nongovernmental organization (NGO) based in the UK with extensive sources throughout Syria, landmines, and various other explosive remnants has killed 297 people in 2021.

The Landmine Monitor, a global initiative dedicated to monitoring progress in eradicating landmines, cluster munitions, and other explosive remnants of warfare, reported in November that Syria had now surpassed Afghanistan in the number of fatalities attributed to landmines and other explosive remnants of warfare.

Syria’s ongoing conflict, which broke out in 2011 after the violent repression of anti-regime protests, has subsided in the past two years.
While Russian-backed regime forces occasionally attack opposition militants in the northwest opposition enclave of Idlib, the cease-fire agreement has mostly held.

Daesh members, who fled underground after being defeated in 2019, have also been responsible for deadly hit-and-run attacks in eastern Syria.

To date, the Syrian conflict has claimed over half a million lives and has resulted in the largest conflict-induced displacement since World War II.

Protesters storm Guadeloupe legislature over vaccine mandate  better access to clean water, pension and wage increases and mass employment.



Basse-Terre, Dec 25: Protesters in Guadeloupe on Friday occupied the local legislature in the French Caribbean overseas territory, in a new standoff with Paris sparked by coronavirus prevention measures

Tensions have been building in Guadeloupe and the neighboring island of Martinique over the last weeks, particularly over the management of the territories as well as coronavirus measures including obligatory vaccinations for healthcare workers.

Protesters storm Guadeloupe legislature over vaccine mandate

The protesters are also seeking better access to clean water, pension and wage increases and mass employment.

Demonstrators first entered the debating chamber of the Regional Council while it was meeting on Thursday, with several staying the night and deciding to continue their action through Friday.

The protesters aim to negotiate with France over the COVID measures, and are calling for sanctions to be halted against healthcare workers who have refused the vaccine. However, officials have indicated that they will not engage in talks as long as demonstrations are carried out.

Inside the council building, the protesters strung a banner reading "No to Obligatory Vaccination, No to the Health Pass,'' according to images posted online by local officials. A Christmas tree was shown knocked over.


'We have absolutely nothing'

"We're here and as long as we don't have a commitment, because we have nothing at all, we have absolutely nothing, so as long as we don't have a firm commitment, an urgent meeting, we'll stay here," said Maite Hubert M'toumo, general secretary of the general union of Guadeloupean workers, in the legislature.

"If we have to, we'll spend Christmas here. But we'll stay here," she added. Raphael Cece, of the newspaper Rebelle, added: "We are not against the vaccine, but we are fighting against this injustice, the sanctions, the mandatory vaccines for health workers."

Last month, protesters set up barricades around major roads, bringing traffic on the island to a standstill.

France's Overseas Territories Minister Sebastien Lecornu tweeted in response: "No demand justifies hindering the smooth running of an assembly of elected officials in the middle of a plenary session."

Health care workers who refused the vaccine are set to be suspended from December 31.

Low vaccination rates in the territories

Vaccination rates in France's Caribbean territories are significantly lower than those on mainland France, and there are concerns that the new wave created by the omicron variant could create serious health problems in the region.

One-third of the island's population lives below the poverty line, and the cost of living is higher than in the French mainland. Water supplies have been a major problem in recent years because of obsolete pipes.

Anger over France's handling of a toxic pesticide in Caribbean banana fields has fueled mistrust in the government's COVID-19 vaccine polices, along with misinformation shared on WhatsApp and Telegram groups.

FDA-approved Vuity eyedrops could replace your reading glasses

Linda Carroll
Tue, December 28, 2021

It’s one of the more irritating side effects of aging: blurred close-up vision, or presbyopia. But a novel therapy, eyedrops that can improve near vision for hours, may help those who’ve gotten tired of wearing reading glasses.

Just approved by the Food and Drug Administration, Vuity's eyedrops have been found to work in as little as 15 minutes, with effects that last up to six hours, according to clinical trial data presented at the annual meeting of the American Society of Cataract and Refractive Surgery this past summer.

“Vuity is the first and only FDA-approved prescription eyedrop treatment of presbyopia — an age-related blurring of near vision — in adults,” said Dr. George Waring, IV, a LASIK and cataract surgeon and director of the Waring Vision Institute in Mount Pleasant, South Carolina. Waring was a principle investigator for the clinical trials that led to the FDA’s approval of Vuity.
Who are these eyedrops for?

“Nearly half of the U.S. adult population currently lives with presbyopia,” Waring said. “And most people over 40 struggle with some age-related near vision loss.”

The clinical trials showed that the eyedrops were safe and well-tolerated, Waring said, adding that no serious adverse events occurred.

"This is for all patients between 40 and 55 years of age who have presbyopia," said Dr. Ralph Chu, an ophthalmologist based in Minnesota. "So, difficulty seeing near vision. It’s not just reading vision, but it’s our daily activities. It’s eating the food on our plate. It’s putting makeup on in the morning. It’s seeing the dashboard of your car."
How do Vuity eyedrops work?

The eyedrops contain a medication that has been used for more than a hundred years, at a higher concentration, to treat glaucoma, so it’s a drug that doctors have a lot of experience using. The low dose in the Vuity eyedrops works by temporarily decreasing the size of the pupil.

Waring compares this to changing the f-stop on a camera to decrease the size of the opening allowing light to pass to the film in older cameras. “It’s an age-old optical principle that by reducing the aperture extends the range of focus,” he said. “So this increases the ability to read close up while maintaining distance vision.”

Since the smaller pupil allows less light in, the drops are not recommended for use while driving at night, Waring said.

The clinical trials showed that people’s near vision improved. In fact, compared to those who received placebo eyedrops, 22.9% more of those treated with Vuity drops could read at least three more lines on an eye chart than they could before the treatment.

NBC News correspondent Kristen Dahlgren tried the eyedrops on TODAY. She said the drops burned a little going in and her eyes became red, but within 30 minutes her vision had drastically improved.

“I haven’t been able to read letters that small in years without glasses," Dahlgren said.

There are a number of products coming to market that improve close-up vision, said Dr. Tamiesha Frempong, an ophthalmologist with New York Eye and Ear Infirmary of Mount Sinai and assistant professor in ophthalmology and pediatrics at the Icahn School of Medicine at Mount Sinai in New York.

“This one constricts the pupil and expands depth of focus to see well at near distances without impacting distance vision or compromising peripheral vision,” Frempong said. “One thing we don’t know is if there will be any long-term consequences.”

An advantage of the drops over other therapies, such as surgery, is that you can stop it whenever you want, Frempong said.

“I’m really excited about them,” she added. “I would like to try it myself and would like to have my patients try it. Presbyopia affects so many people and really impacts their ability to function and their quality of life.”

A bottle of the eyedrops costs $80 and lasts about a month. They're available only by prescription and are not covered by health insurance.

Devin Nunes said he will leave Congress. 
Why is he still trying to sue a Twitter cow?


Gillian Brassil
Mon, December 27, 2021,

Outgoing California Congressman Devin Nunes can’t sue Twitter over mean social media posts, but he hasn’t stopped trying to bring two of his anonymous hecklers into court.

Nunes, R-Tulare, is still attempting to sue the writers behind anonymous Twitter accounts that badger him under the fictional personas of a cow and his mother.

It does not look like he will let up on this lawsuit or other ones he has filed against media companies and critics as he starts his new gig as the chief executive officer of former President Donald Trump’s social media venture. His attorney has filed new briefs in the cases since Nunes announced his retirement.


The anonymously written Twitter accounts known as “Devin Nunes’ cow” and “Devin Nunes’ Alt-Mom” were among his first targets when the congressman launched a barrage of lawsuits in 2019 against media companies and people that he alleged skewed news and conspired against conservatives like him.

Two and a half years after declaring his legal challenge on the so-called Twitter cow, @DevinCow, and mom, @NunesAlt, Nunes has not been able to serve them with a legal complaint. His lawyer told the court that they do not know who they are.

Even though they have not been served like other people Nunes has sued, the people behind those accounts continue to rack up legal fees as they seek to protect themselves from a costly lawsuit. They regularly ask for donations to help them with those charges.

The lawsuit against the Twitter users technically can continue indefinitely because laws in Virginia, where the suit was filed, effectively allow the case to remain dormant until Nunes serves the defendants or the defendants appear and move to dismiss the case. Nunes has asked for hundreds of millions of dollars from various defendants, including the Twitter writers.

“Unfortunately, the experience of being sued by Devin Nunes for $400 million has offered me no insight into what goes on in his mind,” Republican political consultant Liz Mair, who Nunes also sued in the case with @DevinCow and @NunesAlt, told The Fresno Bee. “I’m sure it would be a fascinating place to visit for a day, but not having done so, I lack even a single solitary clue as to why he would sue a fake barnyard animal that only exists on the internet.”
Nunes’ next steps include lawsuits

Nunes has filed 10 lawsuits against media companies and others he characterizes as adversaries since 2019.

In some ways, the lawsuits foreshadowed his next career change. He is resigning from the United States House of Representatives at the beginning of 2022 to lead Trump’s platform, which aims to counter the social media companies — including Twitter — that exiled the former president.

Several Republicans, including Nunes, jumped from Twitter to conservative social media platforms like Parler and GETTR since 2020.

In an announcement telling constituents of his career journey, cutting his term in Congress short by a year, Nunes said, “I was presented with a new opportunity to fight for the most important issues I believe in.”

Nunes contested coverage of his career change in at least one lawsuit.

Three days after the congressman announced his retirement, Nunes’ lawyer filed a supplemental complaint against The Washington Post in a lawsuit over a story that referenced a March 2017 trip he made to the White House grounds to obtain information about the FBI’s monitoring of Trump’s 2016 campaign advisers.

The new filing cites a story The Post published the day after Nunes announced his resignation that referred to that 2017 visit as a “midnight run.” The filing says the congressman has contested that characterization of the trip throughout litigation, and that “republication of these false statements by WaPo is evidence of WaPo’s reckless disregard.”

That trip sometimes is referred to as Nunes’ “midnight run” because of early press reports suggesting it occurred at night and Democratic Rep. Adam Schiff’s characterization of the White House visit as a “dead of night excursion.”

Nunes has told author Lee Smith that the visit actually took place in daylight, and that he went to the Eisenhower Executive Office Building next to the White House and “I got my hands on the documents I was looking for and the next morning briefed (former House) Speaker (Paul) Ryan on it.”

This is the second lawsuit Nunes filed against The Post; the other was dismissed this year.

Nunes has lawsuits open against CNN, NBCUniversal, the owner of Esquire magazine, a former constituent and Mair in litigation that’s separate from the case involving the anonymous Twitter accounts.
Nunes’ Twitter setbacks

Nunes lost his effort to make Twitter pay in the ongoing lawsuit against @DevinCow and @NunesAlt when a judge last year dismissed the social media company from the case. The judge, Judge John Marshall, cited a federal law that states social media companies are not liable for what their users post.

Marshall dismissed Mair from the lawsuit this summer, writing that Nunes failed to substantiate his allegations against her.

Twitter has refused to give Nunes’ attorney the real names of “Devin Nunes’ cow” and “Devin Nunes’ Alt-Mom.”

It has rejected requests to identify them from Nunes and from the Trump administration.

The U.S. Justice Department under Trump issued a grand-jury subpoena to Twitter in November 2020 for “all customer or subscriber account information” for the Twitter mom. The Justice Department also sought a gag order blocking Twitter from telling the account owner about about the subpoena.

When Twitter’s attorneys moved to quash the subpoena, they wrote that the company was concerned the government was aiding Nunes’ legal efforts to attack and unmask his online critics.

“Given Congressman Nunes’s numerous attempts to unmask his anonymous critics on Twitter—described in detail herein—Twitter is concerned that this Subpoena is but another mechanism to attack its users’ First Amendment rights,” Twitter’s attorney’s wrote.

The Justice Department then dropped the subpoena, according to documents released in March.

A journalist sued the Justice Department to determine whether government officials attempted to use FBI resources to identify the Twitter cow after the intelligence agency declined to release information in response to a Freedom of Information Act request. The suit is ongoing.

“Democracy only works when the awesome power of the federal law enforcement apparatus can only be brought to bear on people who are suspected of federal crimes, and every deviation from that practice erodes the civil liberties of every American just a little bit more,” Kel McClanahan, the attorney for the reporter, told The Bee in an email. “If a senior member of Congress attempts to weaponize this capacity against his critics, that should be a problem for everyone, and transparency is vital to ensuring that such abuses of authority do not occur behind closed doors.”

The lawsuit has led to public run-ins for the congressman, including an incident on an airplane in which a director at a Democratic advocacy group approached him, asked if he had “sued any more cows lately” and mooed. Nunes did not respond to the provocation, video of the event shows. The director blogged about the experience.

Nunes cited the incident in another lawsuit he filed against Twitter along with a former constituent, Ben Paul Meredith. Nunes in the case claims that Meredith started a harassment campaign against him online. The congressman dropped the social media giant from the suit, which is ongoing in the U.S. District Court for the Eastern District of California.

The writer behind @NunesAlt did not respond to a request for comment. Neither a spokesperson for Nunes nor his lawyer responded to a request for comment. The writer behind @DevinCow declined to comment on the case. Meredith’s attorney also declined to comment.


Immigrants welcome Afghan refugees, inspired by own journeys



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Afghan Refugees Silicon Valley Clinic Mohammad Attaie and his wife Deena, newly arrived from Afghanistan, get assistance from medical translator Jahannaz Afshar making a doctor's appointment at the Valley Health Center TB/Refugee Program in San Jose, Calif., on Dec. 9, 2021. The staff of Silicon Valley's decades-old refugee health clinic may not all speak the language of the Afghan refugees starting new lives in the San Francisco Bay Area. But they know the anxiety and stress of newcomers who fled war and chaos to end up in a country where they don't speak the language and everything is different.
 (AP Photo/Eric Risberg)
JANIE HAR
Mon, December 27, 2021

SAN JOSE, Calif. (AP) — Tram Pham tears up recalling how tough life was at first in the U.S. But she also remembers the joy she felt as a 22-year-old refugee from Vietnam when a nurse spoke to her in her native language and guided her through a medical screening required of new arrivals.

Nearly three decades later, Pham hopes to pay that comfort forward as a registered nurse at the same San Jose, California, clinic that treated her family. The TB and Refugee Clinic at Santa Clara Valley Medical Center is screening people from Afghanistan who began seeking asylum in the U.S. after American troops withdrew from the country in August.

Pham can't speak Farsi or Pashto. But she can soothe patients stressed out over the job they can't find or the rent that's due. The other day, she held the hand of an older Afghan woman as she cried out her fears.

“I can see patients from all over the world come in. I see, you know, Vietnamese patients. I see a lot of refugee patients," she said. “I see myself.”

The TB and Refugee Clinic joins a vast network of charities and government organizations tasked with carrying out President Joe Biden's plan to relocate nearly 100,000 people from Afghanistan by September 2022. Nearly 48,000 Afghans have already moved off U.S. military bases and settled in new communities, the U.S. Department of State said in an email, including more than 4,000 in California.

The operation has been hampered by the need to scale up quickly after steep cutbacks to refugee programs under President Donald Trump. But the community response has been overwhelming and enthusiastic, said Krish O’Mara Vignarajah, president of Lutheran Immigration and Refugee Service, one of nine national resettlement agencies.

“We know that resettlement isn’t a weeks long or months long process. Success requires years of effort. And so that’s where it’s really important to have strong community ties,” Vignarajah said.

The nonprofit, which operates in at least two dozen states, has resettled roughly 6,000 newly arrived Afghans since summer, including 1,400 in northern Virginia, 350 in Texas, 275 in Washington and Oregon and 25 in Fargo, North Dakota.

The state of Oklahoma has received about half of the 1,800 people it was told to expect, said Carly Akard, spokeswoman for Catholic Charities of Oklahoma City. Akard said that in their rush to escape, many of the refugees arrived without identification.

“They fled and didn’t have anything,” she said.

In San Jose, the clinic is scrambling to hire more people and reallocate staff for the more than 800 people expected in the county through September. Not only is the number a large increase from the 100 people the clinic assessed in all of the last fiscal year, it is uncertain when they will arrive, said health center manager Nelda David.

But David said that won't stop the staff of roughly three dozen from rolling out the welcome mat at the clinic, founded four decades ago specifically to assist Southeast Asians after the Vietnam War. Most of the nurses, assistants and other staff are immigrants or former refugees themselves, and understand the shock of starting over in a new country.

Medical interpreter Jahannaz Afshar welcomes Farsi speakers at the front door even before they check in for their first visit. In a windowless office, she explains what to expect over at least four visits as part of a comprehensive health assessment, which includes updating immunizations and checking for infectious diseases. A medical exam is required of all refugees.

But Afshar, who moved from Iran in 2004, also explains cultural differences, such as the American preference for personal space and chitchat. She'll tell newcomers how to take the bus or use the public library, and reassure them that in the U.S., people help without expectation of getting anything in return.

Most staff members are bilingual, and come from a number of countries, including China, Myanmar, Sierra Leone and Mexico, said Mylene Madrid, who coordinates the refugee health assessment program. But staff can help even without speaking the same language.

An Afghan woman was tense and nervous when she arrived the other day for her first medical exam. By the end of the hourslong visit, however, she was cracking jokes and sharing photos with public health assistant Nikie Phung, who had fled Vietnam decades earlier with her family.

Another new arrival from Afghanistan dropped by the clinic complaining of chest pains but was so anxious she couldn’t elaborate on her symptoms. Pham, the nurse, asked if she could hold her hand. They sat as the woman sobbed, then finally spoke of the stress of having her entire family living in a cramped hotel room.

By then, her pains had receded. Pham noticed that the woman’s daughter and son-in-law were upbeat and more comfortable speaking English. She pulled the daughter aside.

“Would you please spend time with your mom?” she asked her. “Talk to her more.”


Mohammad Attaie and his wife Deena, newly arrived from Afghanistan, look over items in a holiday gift basket they received after completing a program at the Valley Health Center TB/Refugee Program in San Jose, Calif., on Dec. 9, 2021. The staff of Silicon Valley's decades-old refugee health clinic may not all speak the language of the Afghan refugees starting new lives in the San Francisco Bay Area. But they know the anxiety and stress of newcomers who fled war and chaos to end up in a country where they don't speak the language and everything is different. (AP Photo/Eric Risberg)

Staff members have gone out of their way to connect patients to jobs, furnish empty apartments and tap the broader community for rent and other relief. They've stocked diapers for babies and handed out gift baskets at Thanksgiving. During a routine visit, a patient mentioned he needed car repairs for work. Within weeks, the clinic had raised $2,000 to give him.

“Your heart is different," says Jaspinder Mann, an assistant nurse manager originally from India, of immigrants' desire to help.

Afshar says she can't imagine what refugees are going through. The former apparel designer and her husband were not fleeing strife and shootings when they chose to leave Iran. And yet, she too struggled at first.

“And this is one of the things that I always share,” she said. “That even though it’s going to be hard, later you’re going to be happy because ... you’re going to learn so much and you’re going to grow so much.”

At the clinic, she hops on the phone to arrange an eye exam for Mohammad Attaie, 50, a radio technician who fled the capital of Afghanistan, Kabul, this summer with his wife, Deena, a journalist, and their daughter. Sana, 10, adores her new school in San Jose but the couple worry about finding work when they can’t speak the language.

Still, seeing people like Afshar and Pham gives them confidence.

“They are successful. They’re working here. Their language skills are good. I am hoping that in less than a year I can stand on my feet,” Deena Attaie said, speaking in Farsi.
FASCIST COUP
Trump Adviser Peter Navarro Lays Out How He and Bannon Planned to Overturn Biden’s Electoral Win

Jose Pagliery
Mon, December 27, 2021

Photo Illustration by The Daily Beast/Getty

A former Trump White House official says he and right-wing provocateur Steve Bannon were actually behind the last-ditch coordinated effort by rogue Republicans in Congress to halt certification of the 2020 election results and keep President Donald Trump in power earlier this year, in a plan dubbed the “Green Bay Sweep.”

In his recently published memoir, Peter Navarro, then-President Donald Trump’s trade adviser, details how he stayed in close contact with Bannon as they put the Green Bay Sweep in motion with help from members of Congress loyal to the cause.

But in an interview last week with The Daily Beast, Navarro shed additional light on his role in the operation and their coordination with politicians like Rep. Paul Gosar (R-AZ) and Senator Ted Cruz (R-TX).

“We spent a lot of time lining up over 100 congressmen, including some senators. It started out perfectly. At 1 p.m., Gosar and Cruz did exactly what was expected of them,” Navarro told The Daily Beast. “It was a perfect plan. And it all predicated on peace and calm on Capitol Hill. We didn’t even need any protestors, because we had over 100 congressmen committed to it.”

That commitment appeared as Congress was certifying the 2020 Electoral College votes reflecting that Joe Biden beat Trump. Sen. Cruz signed off on Gosar’s official objection to counting Arizona’s electoral ballots, an effort that was supported by dozens of other Trump loyalists.

Staffers for Cruz and Gosar did not respond to requests for comment. There’s no public indication whether the Jan. 6 Committee has sought testimony or documents from Sen. Cruz or Rep. Gosar. But the committee has only recently begun to seek evidence from fellow members of Congress who were involved in the general effort to keep Trump in the White House, such as Rep. Jim Jordan (R-OH) and Rep. Scott Perry (R-PA).

This last-minute maneuvering never had any chance of actually decertifying the election results on its own, a point that Navarro quickly acknowledges. But their hope was to run the clock as long as possible to increase public pressure on then-Vice President Mike Pence to send the electoral votes back to six contested states, where Republican-led legislatures could try to overturn the results. And in their mind, ramping up pressure on Pence would require media coverage. While most respected news organizations refused to regurgitate unproven conspiracy theories about widespread election fraud, this plan hoped to force journalists to cover the allegations by creating a historic delay to the certification process.

“The Green Bay Sweep was very well thought out. It was designed to get us 24 hours of televised hearings,” he said. “But we thought that we could bypass the corporate media by getting this stuff televised.”

Navarro’s part in this ploy was to provide the raw materials, he said in an interview on Thursday. That came in the form of a three-part White House report he put together during his final weeks in the Trump administration with volume titles like, “The Immaculate Deception” and “The Art of the Steal.”

“My role was to provide the receipts for the 100 congressmen or so who would make their cases… who could rely in part on the body of evidence I'd collected,” he told The Daily Beast. “To lay the legal predicate for the actions to be taken.” (Ultimately, states have not found any evidence of electoral fraud above the norm, which is exceedingly small.)

The next phase of the plan was up to Bannon, Navarro describes in his memoir, In Trump Time.

“Steve Bannon’s role was to figure out how to use this information—what he called ‘receipts’—to overturn the election result. That’s how Steve had come up with the Green Bay Sweep idea,” he wrote.

“The political and legal beauty of the strategy was this: by law, both the House of Representatives and the Senate must spend up to two hours of debate per state on each requested challenge. For the six battleground states, that would add up to as much as twenty-four hours of nationally televised hearings across the two chambers of Congress.”

His book also notes that Bannon was the first person he communicated with when he woke up at dawn on Jan. 6, writing, “I check my messages and am pleased to see Steve Bannon has us fully ready to implement our Green Bay Sweep on Capitol Hill. Call the play. Run the play.”

Navarro told The Daily Beast he felt fortunate that someone cancelled his scheduled appearance to speak to Trump supporters that morning at the Ellipse, a park south of the White House that would serve as a staging area before the violent assault on the U.S. Capitol building.

“It was better for me to spend that morning working on the Green Bay Sweep. Just checking to see that everything was in line, that congressmen were on board,” he said during the interview. “It was a pretty mellow morning for me. I was convinced everything was set in place.”

Later that day, Bannon made several references to the football-themed strategy on his daily podcast, War Room Pandemic.

‘Let’s Go Brandon’ Dad Runs to Bannon, Claims ‘Election Was 100% Stolen’

"We are right on the cusp of victory,” Bannon said on the show. “It’s quite simple. Play’s been called. Mike Pence, run the play. Take the football. Take the handoff from the quarterback. You’ve got guards in front of you. You’ve got big, strong people in front of you. Just do your duty."

This idea was weeks in the making. Although Navarro told The Daily Beast he doesn’t remember when “Brother Bannon” came up with the plan, he said it started taking shape as Trump’s “Stop the Steal” legal challenges to election results in Arizona, Georgia, Pennsylvania, and Wisconsin fizzled out. Courts wouldn’t side with Trump, thanks to what Navarro describes in his book as “the highly counterproductive antics” of Sydney Powell and her Kraken lawsuits. So instead, they came up with a never-before-seen scheme through the legislative branch.

Navarro starts off his book’s chapter about the strategy by mentioning how “Stephen K. Bannon, myself, and President Donald John Trump” were “the last three people on God’s good Earth who want to see violence erupt on Capitol Hill,” as it would disrupt their plans.

When asked if Trump himself was involved in the strategy, Navarro said, “I never spoke directly to him about it. But he was certainly on board with the strategy. Just listen to his speech that day. He’d been briefed on the law, and how Mike [Pence] had the authority to it.”

Indeed, Trump legal adviser John Eastman had penned a memo (first revealed by journalists Robert Costa and Bob Woodward in their book, Peril) outlining how Trump could stage a coup. And Trump clearly referenced the plan during his Jan. 6 speech, when he said, “I hope Mike is going to do the right thing. I hope so. I hope so… all Vice President Pence has to do is send it back to the states to recertify and we become president and you are the happiest people.”

When Pence certified the electoral votes instead, he became what Navarro’s book described as “the Brutus most responsible… for the final betrayal of President Trump.”

Although the bipartisan House committee investigating the violence on Jan. 6 has demanded testimony and records from dozens of Trump allies and rally organizers believed to be involved in the attack on the nation’s democracy, Navarro said he hasn’t heard from them yet. The committee did not respond to our questions about whether it intends to dig into Navarro’s activities.

And while he has text messages, phone calls, and memos that could show how closely an active White House official was involved in the effort to keep Trump in power, he says investigators won’t find anything that shows the Green Bay Sweep plan involved violence. Instead, Navarro said, the investigative committee would find that the mob’s attack on the U.S. Capitol building actually foiled their plans, because it incentivized Pence and other Republicans to follow through with certification.

“They don’t want any part of me. I exonerate Trump and Bannon,” he said.

The committee is, however, engaged in a bitter battle with Bannon. The former Trump White House chief strategist refused to show up for a deposition or turn over documents, and he’s now being prosecuted by the Justice Department for criminal contempt of Congress.

Navarro said he’s still surprised that people at the Trump rally turned violent, given the impression he got when he went to see them in person during an exercise run that morning.

“I’m telling you man, it was just so peaceful. I saw no anger. None. Zero,” he said.

Read more at The Daily Beast.


https://uscode.house.gov/view.xhtml?path=/prelim@title18/part1...
  • If two or more persons in any State or Territory, or in any place subject to the jurisdiction of the United States, conspire to overthrow, put down, or to destroy by force the Government of the United States, or to levy war against them, or to oppose by force the authority thereof, or by force to prevent, hinder, or delay the execution of any law of the United States, or by force to seize, take, or possess any property of the United States contrary to the authority thereof, they shall each be …
HAWAII
Navy Flushes Pipes of Two Neighborhoods Hit with Tainted Water; More Than 20 to Go




Konstantin Toropin
Mon, December 27, 2021

The Navy has completed flushing the drinking water systems of two neighborhoods in Joint Base Pearl Harbor-Hickam almost a month after families complained about contamination, according to an update released by the Navy on Friday. More than 20 neighborhoods have yet to have the water in their systems cleared..

Since Dec. 17, more than 1,600 military families and other occupants of base housing have been forced to stay at hotels and another 2,200 were living in homes without drinkable water. Families reported that the water was making them sick, and that it had a foul odor smelling of gasoline.

The source of the contamination appears to be the Navy's World War II-era underground fuel storage facility known as Red Hill. The facility sits above the Pearl Harbor aquifer, and it has had a history of environmental problems. In October, the Hawaii Department of Health fined the Navy more than $325,000 for violations from Red Hill. Then, on Nov. 22, the facility accidentally released 14,000 gallons of fuel and water from a fire suppression system drain line, according to the Associated Press.

According to the latest progress map, the Pearl City Peninsula, Aliamanu Military Reservation communities -- more than 1,700 homes -- have had the distribution systems that serve them flushed of contaminated water. Only after the systems have been cleared will the Navy flush the water in homes, including running taps and cleaning out appliances.

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If the Navy keeps to the current schedule, all homes should have new water in their pipes by the last week of January.

The Navy says that the flushing is being done with water from fire hydrants and the output is run through giant activated carbon filters before being put into the storm drains or allowed to drain over land.

In total, the service plans to bring 20 of these filtering systems to the island of Oahu to scrub the more than 25 million gallons of water it plans to flush.

"Once zones are flushed, water samples are taken and sent to a certified lab on the mainland for testing to confirm the drinking water meets federal and state standards," a Navy update said.

Assuming the samples come back safe, the Navy will move to flushing and sampling homes. Rear Adm. T.J. Kott, the commander of Navy Region Hawaii, said the plan is to flush every home, including appliances like water heaters and dishwashers, regardless of whether issues were reported.

The current schedule says the Pearl City and Aliamanu Military Reservation communities could be fully flushed and tested by the first and second weeks of January, respectively.

Another four neighborhoods, Red Hill Housing, Hale Moku, Hokulani and Moanalua Terrace, are having their distribution systems flushed now. More than 20 more areas are on the list.

-- Konstantin Toropin can be reached at konstantin.toropin@military.com. Follow him on Twitter @ktoropin.

Related: More than a Thousand Military Families in Hawaii Stuck in Hotels Through the Holidays
COVID USA
Uncounted: Inaccurate death certificates across the country hide the true toll of COVID-19

The Documenting COVID-19 project and USA TODAY Network
Sun, December 26, 2021

Talamo, Lafayette Parish’s chief medicolegal investigator, said he doesn’t think COVID-19 deaths go uncounted, instead blaming suicides or drug overdoses.

The CDC data, collected from his own office and data he provided the Documenting COVID-19 project, undercuts that. In 2020, deaths from accidents, homicides, suicides and drug overdoses exceeded the prior year by 45. Deaths attributed to natural causes jumped by 260.

Talamo, a full-time, trained death investigator, said he checks with a state registry to see whether people who died had a positive coronavirus test. If so, he includes COVID-19 on the death certificate.

He’s the only full-time employee in the coroner’s office in Lafayette Parish, one of the largest in the state. His office handles a lot of deaths at home, and most are pronounced dead over the phone.

“We don't have the infrastructure to go and check everybody for COVID,” Talamo said. He acknowledged that, because of a lack of testing, his office probably missed COVID-19 deaths that could’ve been identified with enough time and resources.

Ken Odinet, the Lafayette Parish coroner who was reelected as a Republican in 2019 and oversees the office, said he thinks the system of confirming COVID-19 deaths works.
The ‘scarlet letter’ of COVID-19

William Clark, the East Baton Rouge Parish coroner and president of the Louisiana State Coroners Association, said he has three requirements to put COVID-19 on a death certificate: The patient must have shown symptoms of respiratory illness, tested positive for the coronavirus and died of the respiratory illness.

Many families, he said, simply didn’t want their loved ones to be pronounced dead from the coronavirus.

“In 2020, getting COVID, or dying from COVID, or being a family member that had COVID, was a scarlet letter,” he said. “It was shunned.”

Limited testing in 2020 could account for some uncounted COVID-19 deaths, Clark said. And many people were hesitant to get tested.

“I can recall a guy who had COVID symptoms; his X-ray looked like COVID because I saw it. And the guy says, ‘You're not sticking a swab in my nose,’ and he died a few days later. That guy had COVID, but I didn't call it COVID,” Clark said. “He was not given a postmortem test. After he died, I think he still has a right to those wishes.”

Clark is wrong, according to the CDC, which tells coroners they can attribute a death to COVID-19 even without a positive test, as long as they use their “best clinical judgment.”

The coroner defended his reasoning, saying CDC guidelines are “just that – guidelines. They are not laws.” He said many families want COVID-19 listed on death certificates for financial reasons. “The number of phone calls we receive weekly in an attempt to defraud the government is astounding,” he said.

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Statewide, 4,644 of the spike in deaths during the pandemic were not attributed to COVID-19, according to the CDC.

A spokesperson for the Louisiana Department of Health acknowledged the gap. Deaths at home "do make up a substantial portion of the overall non-COVID-19 increase," Kevin Litten wrote in an email.

Still, Litten wrote, it’s difficult to know whether deaths at home increased because people died from the virus or because they avoided hospitals and died of something unrelated.

‘No one wants to be a coroner’


After another long day in November, David Ruth, the elected county coroner in Rankin County, Mississippi, counted how many calls he had gotten on his cellphone that day: 74.

Ruth, elected as a Republican in 2015 after more than three decades as a police officer, never could’ve planned for the change that 2020 would bring to his job. He prided himself on posting his cellphone number on the government website; now he has more calls than he can answer.

“No one wants to be a coroner,” Ruth said.

Coroners are one part of the patchwork system of death investigations in the USA. When people die in a hospital or health care facility, a physician usually reviews their medical history to determine the cause of death. When someone dies at home or in an accident before being brought to a hospital, a medical examiner or coroner like Ruth investigates and determines the underlying cause of death.

Rankin County lost 140 people to COVID-19 in 2020. But deaths surged by an additional 209 compared with a typical year.

Deaths in Hinds County, which neighbors Rankin and is home to most of the city of Jackson, mirror the trend. Official COVID-19 deaths account for half of the spike in deaths in 2020.

The Hinds County coroner, Sharon Grisham-Stewart, did not respond to requests for comment.

Some families have told Ruth they don’t believe in COVID-19 and don’t want it on death certificates. Others have said they want people to know the virus’s death toll.

He said he’s even been confused by inconsistencies between his office’s death figures and those reported by the county health department.

“It got to the point the health department was reporting one number, and I was like, ‘I don’t know where they got that number.’ Sometimes it was more, sometimes it was less,” he said.

‘COVID-19 can mimic an awful lot of diseases’

Mississippi has the country’s highest COVID-19 death rate, with 1 in 285 people dead from the disease. In September 2020, State Health Officer Thomas Dobbs said the death toll of about 2,700 at the time was “almost certainly” low.

The state saw some of the nation’s highest increases in deaths attributed to natural causes, especially heart and lung disease, from 2019 to 2020, according to CDC data. Deaths from Alzheimer’s, hypertensive heart diseases and dementia all increased about 20% or more.

These increases may be key to understanding which COVID-19 deaths were misclassified.

“COVID-19 can mimic an awful lot of diseases,” said Marinelle Payton, a physician and professor of epidemiology and biostatistics at Jackson State University and director of the university’s Center of Excellence in Minority Health and Health Disparities.

“In a state like Mississippi that has low economic resources, those resources are not going to be utilized for testing people that have already died,” she said.

Early in the pandemic, COVID-19 overwhelmed health care facilities, leading to reporting errors.

“As someone who has been in the hospital in the middle of the night and who has had to fill out a death certificate, I can tell you that it is sometimes difficult to rely upon what is written regarding cause of death,” said Dr. Lionel Fraser, Central Mississippi Health Services’ chief medical officer.

“Now consider what happens with deaths at home without the resources of a chart, history or diagnostic tests,” he said. “Errors may occur, and these data may be skewed.”
‘None of the things on her death certificate was her cause of death’

A combination of fear and misinformation compounded Mississippi’s problem with access to health care, said Paul Burns, a social epidemiologist and professor of population health at the University of Mississippi Medical Center. In Hinds County, 26% of residents live below the poverty line and 15% are uninsured, both well above the national average. The county is 73% Black.

First lady Jill Biden comforts a young man who expressed his fear of needles during her visit to a COVID-19 vaccination site at Jackson State University in Mississippi on June 22, part of the administration's nationwide tour to educate Americans who haven't been vaccinated.

“Even before the pandemic, communities of color had concerns about whether or not the health care system was really addressing their needs,” Burns said.

Payton said she’s familiar with inaccurate death certificates, not just as a physician or a professor but as a family member. When her sister died recently, Payton realized the death certificate was wrong.

“I was absolutely outraged. Because none of the things on her death certificate was her cause of death,” Payton said. Over the years, “the same thing happened with my mother, my father and my brother. All of their death certificates are incorrect.”

The Mississippi State Department of Health said in an advisory in October that it “has been aware of mortality increases that exceed COVID deaths.”

When presented with findings from the CDC data about increases in deaths at home, especially from heart and lung disease, department spokesperson Liz Sharlot said in a written statement, “We don’t have sufficient information to answer these questions. It would take a lot of speculation and that is all it would be – speculation."
Undertrained and under-resourced

In Cape Girardeau County, Missouri, the coroner has not pronounced a single person dead of COVID-19 in 2021. “When it comes to COVID, we don’t do a test, so we don’t know if someone has COVID or not,” said Jordan, the coroner.

The 113 deaths officially blamed on COVID-19 in 2020 account for half of the county’s 226 excess deaths that year.

Deaths at home attributed to heart attacks, Alzheimer’s and chronic obstructive pulmonary disease increased. In 2020 and 2021, death certificates say 35 people died of “cardiac arrest” or “cardiac arrhythmia,” both of which are garbage codes.

Jordan, a Republican who took office in 2021, had no medical training or experience handling the dead before his election. In an interview, Jordan said he requires families to provide proof of a COVID-19 diagnosis before he puts it on a death certificate. That goes against accepted CDC practice that allows those signing death certificates to take into account symptoms of the virus and the patient’s medical history.

“You know, I have to go by what the family says,” Jordan said. “The family can tell me all they want that this person had COVID, but I just can’t put it on there unless I have some type of proof.”

Finding that proof is supposed to be the job of death investigators such as Jordan. The official guidance that the CDC has given coroners is not to rely on families but to investigate each case to the best of their ability with all the tools they have.

The CDC even tells coroners they can certify COVID-19 as the cause of death without a positive test when there’s strong reason to believe that the person died of COVID-19, such as deaths during nursing home outbreaks in which everyone wasn’t tested before they died.

A spokesperson from the Missouri Department of Health and Senior Services, Lisa Cox, said the department is aware of an increase in deaths beyond those tied to COVID-19. She said the agency follows CDC guidance for death reporting and makes that guidance available to localities.

Other Missouri counties with coroners describe a very different process than the one in Cape Girardeau. Across the state in Buchanan County, a review of a patient’s medical file, or a chart review, is performed for every death. If the death is unattended – such as a death at home with no one else around – and it’s unclear why they died, the body is sent to a forensic pathologist in Kansas City for a full autopsy.

“We don’t reach out to family and find out,” said Richard Shelton, a medical investigator for the Buchanan County Medical Examiner. “We want to make an outside, independent investigation.”

The patchwork system of death investigations in the US


The training, expertise and resources of the people who sign death certificates in one county can be wildly different from the county next door. Some states have coroners in each county; others have a statewide medical examiner’s office. And some, including Missouri, have a mix of both systems.

A third of Americans are served by coroners, who typically work in rural areas and smaller cities – often for low pay and with little resources. Just 14% of coroner’s offices in the country are accredited by one of two national groups, according to a Department of Justice report. On average, a coroner's salary ranges from $17,000 to $38,000 a year, while experienced medical examiners and trained forensic pathologists in urban areas make two to 10 times more.


Medical workers use mobile morgues near the El Paso Medical Examiner on Nov. 9, 2020, as coronavirus cases spike in El Paso, Texas.


Medical examiners are appointed while coroners are usually elected, which can come with political pressure.

“It really comes down to the resources available to the office,” said Dr. Bob Anderson, chief of mortality statistics at the CDC's National Center for Health Statistics. “Particularly early in the pandemic, a lot of the medical examiner/coroner offices didn't have tests for postmortem. So they had to make assumptions based on the available information.”

To a lesser degree, some elected coroners – lacking formal training or clear guidance on how to determine cause of death – let politics dictate their decision-making.

Last summer, Documenting COVID-19 reported on a coroner in Macon County, Missouri, who said he left COVID-19 off at least a half-dozen death certificates when another major factor could be justified as the sole cause of death.

“There is no standardized training in the United States to do it right,” said Ali Mokdad, a professor of health at the Institute for Health Metrics and Evaluation at the University of Washington.

When asked whether the CDC should provide medical examiners and coroners with clearer guidelines to standardize death certificate reporting, Anderson said the CDC works with state vital records offices, not counties. He deferred to national professional organizations and the professional opinion of individual medical examiners.

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“We're a statistical outfit,” Anderson said. “We can't very well go around telling medical examiners and coroners – knowing that they don't report to the federal government in any way – telling them how to do their jobs.”

Mokad, who worked as a senior epidemiologist at the CDC, disagrees. “The CDC can do better. Let's be realistic. ... The CDC tells every state, every county, it has to do certain things. So why stop at the causes of death?”
A missed opportunity to intervene

In Lafayette Parish, the COVID-19 pandemic was handled like a minor inconvenience in the months after the first local cases were reported. Despite recommendations from state and regional public health officials, authorities largely failed to enforce statewide mask mandates during the 13 months they were in place.

A push for an additional mask mandate in the city of Lafayette in February met with widespread opposition. More than 2,000 residents called the City Council after the mandate was proposed. The proposal was sponsored by Councilman Glenn Lazard, who was diagnosed with leukemia in 2019.


The Louisiana State Board of Elementary and Secondary Education holds a meeting on Aug. 18, 2021, to discuss the governor's mask mandate. The meeting was adjourned due to disorderly conduct.

“Our response to COVID in Lafayette gets an F,” Lazard said. “We basically refused to follow the governor's mandates, saying that it needs to be enforced by the state. We've never enforced the occupancy limits, primarily in nightclubs and so forth and so on. It was very frustrating and very disappointing.”

Experts said an incomplete picture of the coronavirus’s toll can lead people to take preventive measures less seriously. If communities don’t have accurate data on how many of their residents are dying, they are less likely to wear masks and avoid big groups indoors.

Lazard said he believes his mask mandate would have failed even if the true number of deaths from COVID-19 had been known. “This was turned into a purely political issue, as opposed to a health care issue,” he said.

Enbal Schacham, a professor of public health at Saint Louis University who studies how people respond to information about the virus, said inaccurate death figures contribute to the nation’s struggle to respond.

“Underreporting of COVID deaths actually makes us think that we're not in control of any of it,” Schacham said. “And I do think we are, in effect, choosing not to prevent it.”
How this story was reported

Since the beginning of the pandemic, the Documenting COVID-19 project at Columbia University’s Brown Institute for Media Innovation and MuckRock have worked to figure out how public health records and resulting data influences and shapes government policy. Death certificates are among the most influential records.

For this story, journalists from five newsrooms reviewed CDC mortality data at the county level. They compared those figures with models developed by the CDC and a team of demographers at Boston University, collected death certificates and documents and interviewed more than 100 medical examiners, coroners, public health experts, families and policymakers. The team at Boston University worked with the journalists on this project, providing models of expected deaths in every U.S. county and identifying areas of potential underreporting of COVID-19 deaths.

A full data repository of CDC mortality statistics by state, which will be updated and added to, is available here. We invite the public to share stories about their experiences with death certificates.

Contributing: Jennifer Borresen, Janie Haseman and Javier Zarracina

This article originally appeared on USA TODAY: COVID-19 deaths obscured by inaccurate death certificates