Guy

Reviving the US Centers for Disease Control

Editorial in The Lancet, May 16, 2020:

In the decades following its founding in 1946, the CDC became a national pillar of public health and globally respected. It trained cadres of applied epidemiologists to be deployed in the USA and abroad. CDC scientists have helped to discover new viruses and develop accurate tests for them. CDC support was instrumental in helping WHO to eradicate smallpox. However, funding to the CDC for a long time has been subject to conservative politics that have increasingly eroded the agency's ability to mount effective, evidence-based public health responses. In the 1980s, the Reagan administration resisted providing the sufficient budget that the CDC needed to fight the HIV/AIDS crisis. The George W Bush administration put restrictions on global and domestic HIV prevention and reproductive health programming.

The Trump administration further chipped away at the CDC's capacity to combat infectious diseases. CDC staff in China were cut back with the last remaining CDC officer recalled home from the China CDC in July, 2019, leaving an intelligence vacuum when COVID-19 began to emerge. In a press conference on Feb 25, Nancy Messonnier, director of the CDC's National Center for Immunization and Respiratory Diseases, warned US citizens to prepare for major disruptions to movement and everyday life. Messonnier subsequently no longer appeared at White House briefings on COVID-19. More recently, the Trump administration has questioned guidelines that the CDC has provided. These actions have undermined the CDC's leadership and its work during the COVID-19 pandemic.

There is no doubt that the CDC has made mistakes, especially on testing in the early stages of the pandemic. The agency was so convinced that it had contained the virus that it retained control of all diagnostic testing for severe acute respiratory syndrome coronavirus 2, but this was followed by the admission on Feb 12 that the CDC had developed faulty test kits. The USA is still nowhere near able to provide the basic surveillance or laboratory testing infrastructure needed to combat the COVID-19 pandemic.

But punishing the agency by marginalising and hobbling it is not the solution. The Administration is obsessed with magic bullets—vaccines, new medicines, or a hope that the virus will simply disappear. But only a steadfast reliance on basic public health principles, like test, trace, and isolate, will see the emergency brought to an end, and this requires an effective national public health agency. The CDC needs a director who can provide leadership without the threat of being silenced and who has the technical capacity to lead today's complicated effort.

The Trump administration's further erosion of the CDC will harm global cooperation in science and public health, as it is trying to do by defunding WHO. A strong CDC is needed to respond to public health threats, both domestic and international, and to help prevent the next inevitable pandemic. Americans must put a president in the White House come January, 2021, who will understand that public health should not be guided by partisan politics.

Bay Area Budgeting 2

Bay Area Budgeting 1

News Analysis: California’s $54-Billion Deficit Fueled by Coronavirus Will Test a Decade of Preparations (John Myers, Los Angeles Times, May 14, 2020)

California Cut Schools and Raised Taxes in Its Last Recession. What Will Newsom Do Now? (Sacramento Bee, May 13, 2020)
BART Seeks Further Federal Funding to Address Deficit: "Our Budget Is Deep in the Red" (SFGATE, May 12, 2020)

Bay Area Cities Face Grim Financial Outlook amid Budget Slashing. Here’s What They Are Planning to Cut (San Francisco Chronicle, May 10, 2020)

California Is Reckoning With Its Huge Budget Deficits (Ed Kilgore at New York Magazine, May 7, 2020)

Here’s How a $54 Billion Deficit Will Hurt Californians (Calmatters.org, May 7, 2020)

California Lawmakers Set to Return Monday as Coronavirus Lingers (KTLA.com, May 3, 2020)

CalMatters Commentary: State Budget Will Take a Very Big Hit from Coronavirus (Ventura County Star, May 3, 2020)

We Surveyed the "Rainy day" Funds of 6 States to See How Prepared They Were for a Major Emergency. The Results Paint a Grim Picture for the Country's Economic Recovery (Business Insider, May 2, 2020)

California Governor: Expect Budget Gap in "Tens of Billions" (Bloomberg, May 1, 2020)

Coronavirus: Alameda County Finances to Suffer because of Pandemic (East Bay Times, May 1, 2020)

Opinion: City and State Auditors Warn of Oakland's Financial Peril and Mismanagement (Oakland Post, April 30, 2020)

Tough Times for Oakland as Coronavirus Outbreak Blows Giant Hole in Budget (San Francisco Chronicle, April 26, 2020)

Bay Area Braces for Budget Deficits as Coronavirus Dries Up Local Tax Dollars (KQED.org, April 24, 2020)

Coronavirus Prompts California Cities To Project 2-Year Losses Of $6.7 Billion (CBSN Bay Area, April 24, 2020)

Looming Budget Crisis "Like Nothing Oakland Has Ever Before Experienced" (Berkeleyside, April 21, 2020)

Coronavirus: East Bay Cities Bracing for Financial Hit as They Prepare Budgets (San Jose Mercury News, April 21, 2020)

Coronavirus: Financial Crisis for School Districts in Alameda Co. (Alameda, CA Patch, 4/20/2020)

Kim Lockhart 1954-2018

Kim Lockhart photo exhibition poster

By this time, I suppose, you may have some skepticism about this project. What is my motivation? Is this writing some species of revenge, cowardly pay-back inflicted on a dead man. KJL can’t defend himself from my account of his life, which is, certainly not impartial and, also,necessarily tendentious – certain themes are developed in this essay and the alert reader (hypocrite lecteur) will detect, I suppose, arguments about my friend’s life that the dead man is unable to refute. There are qualities in this prose that were foreign to KJL. If the readers suspects bitterness on the part of this writer, you must understand that my subject was never bitter – indeed, even when gravely ill, he was determinedly optimistic and, as far as I could see, happy with his station in life. Similarly, there may be traces of rancor, even, regret in this chronicle – in many ways, KJL lived the life that I wished for myself. But, as Sartre reminds us, regret is nothing but bad faith – had I wished to live otherwise, I surely had agency in selecting my style of existence. I could have done something else with my life, but didn’t. I never heard KJL ever express any regrets about anything that he had done or left undone.

Simply stated I admired KJL but am well-aware that he didn’t admire me. My accomplishments, such as they were, meant nothing to him, and were meaningless in the context of the world that he made for himself. It can probably be said that I spent half my life admiring KJL and wishing I could be more like him. Of course, I admired his courage, his ability to interact with the widest variety of people without self-consciousness or self-doubt, his freedom, and, even, his powerful physique that impressed women and that defeated men in athletic competition. He was worldly and had a great deal of what people once called savoir faire. By contrast, I tend toward naivety and everything frightens me.

Therefore, it is right to understand that I admired KJL for half of my life and pitied him for the other half. He didn’t want my pity and, if he had known that I felt that emotion, he would have disdained it. Indeed, the last time I saw him, when he was terribly stricken, I asked him to let me buy him glasses so that he could see better. Proudly enough, he rebuffed that suggestion.

This essay has become a burden to me. I wake up in the middle of the night and start ransacking my memory for anecdotes about KJL and, after a few minutes, my recollection comes to life and I am suffocated with thoughts about him. It is as if I am next to a great dismal torrent on which my memories are floating like a froth of scum. I want to seize as many as I can but it’s to no avail. The efforts don’t add up to anything like the man himself.

Last night, I was tormented by these thoughts and couldn’t sleep and, at last, I decided to get up to use the toilet – it is an old man’s curse, an aging urinary tract. When I arose, I felt an awful pain in my right hip. It was as if I had been wrestling with some celestial being and that, as dawn was whitening the horizon, the angel touched a hollow place near the socket of my hip and put it out of joint. The pain was really shocking, worse I suppose because imaginary, and it made me shiver in my bed. But, then, I fell asleep and everything went away.

-- John Steven Beckmann, "On KJL," January 20, 2020.