Advisers Are NOT the President!

Fauci Versus Trump – Who’s Right?

Authored by Patrick Buchanan via Buchanan.org,

“We have met the moment and we have prevailed,” said President Donald Trump Monday, as he supported the opening of the U.S. economy before the shutdown plunges us into a deep and lasting depression.

Tuesday, Dr. Anthony S. Fauci, the nation’s leading expert on infectious diseases, made clear to a Senate committee his contradictory views.

“If states reopen their economies too soon, there is a real risk that you may trigger an outbreak that you may not be able to control,” said Fauci.

“My concern is that we will start to see little spikes that might turn into outbreaks of the disease (and) the inevitable return of infections.”

Fauci is talking of the real possibility of a second and even more severe wave of the pandemic this summer and fall, if we open too soon.

There is evidence to justify the fears of Fauci and Dr. Robert Redfield of the Centers for Disease Control, who told the same Senate committee, “We are not out of the woods yet.”

Yet, there is a case to be made for the risks that Trump and red state governors are taking in opening up sooner.

The Washington Post daily graph of new deaths nationally has been showing a curve sloping downward for a month from April’s more than 2,000 a day. On no day yet this week did the U.S. record 2,000 dead from the virus. On some days, there were fewer than 1,000.

The graph for new coronavirus cases, which was showing more than 30,000 a day in April, is now closer to 25,000.

Also, hospitalizations and ICU occupancies are not as high as they were. Hospitals put up in Central Park and the Javits Center seem not to have been needed. There was and is no shortage of ventilators. The Navy hospital ships Comfort and Mercy are returning to their home ports.

Also, not all states are suffering equally, nor are all communities in the hardest-hit states. There have been three times as many COVID-19 cases in New Jersey as in Texas, though New Jersey is a fraction of the size and has a fraction of the population of Texas.

There are twice as many cases in Massachusetts as in Florida, the nation’s third-most populous state with one of its highest percentages of retirees and elderly. There have been five times as many cases in New York as in California.

It is the nursing homes filled with the elderly and ill that have proven to be the real killing fields of this virus.

According to The New York Times, one-third of all deaths from COVID-19 have come among residents and staff of nursing homes. Beyond these are the meatpacking plants and the prisons where social distancing is almost nonexistent.

Moreover, while Fauci and Redfield are specialists in epidemics, Trump’s portfolio goes far beyond that.

He is chief of state, head of government and commander in chief, responsible for the security and defense of the nation. His portfolio is broader and deeper than those of Fauci and Redfield.

In the first hours of the Normandy invasion, General Eisenhower must have been rightly alarmed about the high U.S. casualties on Omaha Beach. But he also had to concern himself with the failure to capture the Port of Caen to bring ashore the armor to stop any German counterattack that might turn D-Day into another Anzio.

Ike could not worry about casualties alone.

According to The Washington Post, economists already project that 100,000 small businesses have shuttered, never to reopen.

“(D)eeper and longer recessions can leave behind lasting damage to the productive capacity of the economy,” warned Federal Reserve Board Chair Jerome Powell on Wednesday.

“Avoidable household and business insolvencies can weigh on growth for years to come.”

Ultimately, Fauci is not “The Decider” here. Trump is.

It is he who is accountable to the nation for weighing the losses, both human and material, due to his decisions.

Fauci may be the best at what he does, but he is still only an adviser.

As John F. Kennedy said after the Bay of Pigs, it is the president who ultimately bears responsibility for what he does and fails to do, while “the advisers may move on to new advice.”

Believing he can do no more than his White House is now doing to contain the incidence of cases, hospitalizations and deaths, Trump has decided his primary job is to prevent the nation from a catastrophic economic collapse from which it might take years to recover.

The country is slowly moving in Trump’s direction, slowly opening. And he will be responsible for whether the policy succeeds or opens the floodgates to a second and worse wave, should it come.

As Abraham Lincoln put his situation: “I mean to keep going. If the end brings me out all right, then what is said against me won’t matter. If I’m wrong, ten angels swearing I was right won’t make a difference.”

from:    https://www.zerohedge.com/political/fauci-versus-trump-whos-right

Follow the Money

My conversation with State Senator and doctor who exposes Medicare payouts for COVID-19 patients

As you’ll see by end of this article, the specific decisions about money mentioned here affect life and death outcomes for patients.

A state senator has suddenly come out of nowhere and made big news.

My conversation with Minnesota State Senator, Dr. Scott Jensen, took place after I read the explosive statement he made to FOX News, on April 9th. So let’s start with his earlier FOX statement [1]:

“Right now Medicare has determined that if you have a COVID-19 admission to the hospital you’ll get paid $13,000. If that COVID-19 patient goes on a ventilator, you get $39,000; three times as much. Nobody can tell me, after 35 years in the world of medicine, that sometimes those kinds of things [don’t] [have] impact on what we do…”

I reached out to Senator Jensen, and obtained clarification. Jensen told me his remark pertained to patients with Medicare coverage. And the 2 payouts he mentioned are standard insurance payments from Medicare which would go to the hospital.

Of course, he explained, some hospitals have a pay-share plan with their staff doctors. Therefore, a windfall for the hospital is passed along to those doctors.

Jensen told me: Take a Medicare patient who is diagnosed with simple non-COVID pneumonia. The hospital would receive a one-time Medicare lump-sum payout of $4600.

However, if that Medicare patient is diagnosed with COVID-19 pneumonia, the Medicare coverage is a one-time $13,000 payment. And if the hospital puts that COVID-19 pneumonia patient on a ventilator, the one-time payment is $39,000. NOTE: It doesn’t matter how long these patients stay in hospital—there is only going to be one lump-sum insurance payment.

So, I infer, there are several types of financial incentives for hospitals—

ONE: Diagnose as many people as possible with COVID-19.

TWO: Diagnose as many people as possible with COVID-19 who have light symptoms—making it easy to move them out of the hospital quickly.

THREE: Put as many COVID patients as possible on ventilators for as short a time as possible.

Under the heading of “diagnose as many patients as possible with COVID-19,” there is also the key question of what constitutes “a COVID-19 patient”—and how the use of that label can be multiplied and manipulated. Senator Jensen made a few choice comments to FOX on this subject as well.

From FOX News: “Dr. Scott Jensen, a Minnesota family physician who is also a Republican state senator, told ‘The Ingraham Angle’ Wednesday that the Centers for Disease Control and Prevention’s (CDC) guidelines for doctors to certify whether a patient has died of coronavirus are ‘ridiculous’ and could be misleading the public.”

“Host Laura Ingraham read Jensen the [CDC] guidelines, which say: ‘In cases where a definite diagnosis of COVID cannot be made but is suspected or likely (e.g. the circumstances are compelling with a reasonable degree of certainty) it is acceptable to report COVID-19 on a death certificate as ‘probable’ or ‘presumed.’”

“In response, Jensen told Ingraham the CDC’s death certificate manual tells physicians to focus on ‘precision and specificity,’ but the coronavirus death certification guidance runs completely counter to that axiom.”

“’The idea that we are going to allow people to massage and sort of game the numbers is a real issue because we are going to undermine the [public] trust,’ he said. ‘And right now as we see politicians doing things that aren’t necessarily motivated on fact and science, their trust in politicians is already wearing thin’.”

“…Jensen then told Ingraham that under the CDC guidelines, a patient who died after being hit by a bus and tested positive for coronavirus would be listed as having presumed to have died from the virus regardless of whatever damage was caused by the bus.”

“…Jensen also reacted to Dr. Anthony Fauci’s response to a question about the potential for the number of coronavirus deaths being ‘padded,’ in which the NIAID director described the prevalence of ‘conspiracy theories’ during ‘challenging’ times in public health.”

“’I would remind him that anytime health care intersects with dollars it gets awkward,’ Jensen said.”

Here is where everything Scott Jensen is saying can turn very grim—

As I’ve reported [2], New York ER doctor, Cameron Kyle-Sidell [3], has made public statements about the misuse of ventilators with supposed COVID-19 patients. He’s stated that some of these patients actually have functioning lungs. Their immediate and dire life-threatening situation is straight oxygen deficit, as if they have high-altitude sickness. But pressure on the lungs, applied by the use of ventilators via standard rigid protocols, he says, can cause damage, and even death.

Imagine what would happen if another way—NOT ventilators—was found to usefully and safely deliver oxygen to these patients.

The hospitals wouldn’t get their huge $39,000 payout for each Medicare patient put on a ventilator.

What do you think a hospital would say…what decision would the hospital make…would the hospital allow a better and safer and necessary delivery system for oxygen? For every labeled “COVID-19 patient” whose desperate emergency is a straight deficit of oxygen?

Would the hospital forego all those huge Medicare coverage payouts?

SOURCES:
[1]: Minnesota doctor blasts ‘ridiculous’ CDC coronavirus death count guidelines
[2]: COVID and a 5G connection?
[3]: Dr Cameron Kyle Sidell. E R & Critical Care Dr From NYC

from:    https://nomorefakenews.com/