Sunday, November 01, 2020
Cuomo & COVID-19
Thanks to a fawning, largely uncritical media and a feckless, gullible public, Gov. Andrew Cuomo of New York was able to falsely position himself this year as the COVID-19 anti-Trump. In May, The Guardian published an op-ed titled "Andrew Cuomo is no hero. He's to blame for New York's coronavirus catastrophe". The authors noted:
Andrew Cuomo may be the most popular politician in the country. His approval ratings have hit all-time highs thanks to his Covid-19 response. Some Democrats have discussed him as a possible replacement for Joe Biden, due to Biden’s perceived weakness as a nominee. And there have even been some unfortunate tributes to Cuomo’s alleged sex appeal.
All of which is bizarre, because Cuomo should be one of the most loathed officials in America right now. ProPublica recently released a report outlining catastrophic missteps by Cuomo and the New York City mayor, Bill de Blasio, which probably resulted in many thousands of needless coronavirus cases ...
Federal failures played a role, of course, but this tragedy was absolutely due, in part, to decisions by the governor.
Nevertheless image triumphed once again over reality, as The Atlantic put it last August:
The opening night of the Democrats’ virtual convention was the beginning of a coronation for Joe Biden, but it was also a victory march for Andrew Cuomo, New York’s governor and a supposed hero of the coronavirus pandemic. “For all the pain and all the tears, our way worked,” Cuomo declared in his five-minute speech. “And it was beautiful.”
“Beautiful” is an odd way to describe a virus that has killed more than 25,000 New Yorkers, or about 15 percent of the total number of Americans who have died from COVID-19. But Cuomo has long been a curious leader for Democrats to hold up as an emblem of successful leadership during the pandemic: He has somehow presided over the worst and deadliest coronavirus outbreak in the country while eluding the widespread criticism that has surrounded both President Donald Trump and New York City’s Democratic mayor, Bill de Blasio.
Earlier today I had bizarre conversation about one of Cuomo's many failures. In 2015, the New York State Task Force on Life and the Law (TFLL), its members appointed by Cuomo, released its "2015 Ventilator Allocation Guidelines".
The TFLL estimated that during the "peak week" of a severe "1918-like" pandemic scenario the state would have a ventilator shortfall of 15,783 units (p. 30). Instead of urging the state's leaders to come up with a plan to close the shortfall of ventilators and trained personnel to operate them the TFLL accepted a shortage of life-saving equipment as a fait accompli. The TFLL was focused on rationing ventilators without any analysis of whether the shortage could be ameliorated through advance preparation. Cuomo implicitly, if not explicitly, agreed he could live with the projected shortage and the deaths that would entail.
Their solution, then, was to create a triage plan that, by design, likely consigned hundreds, if not thousands, of patients to a needless death when the pandemic arrived this year. When I pointed out this to my friend she defended Cuomo asserting there was little or nothing he could have done differently. I replied he could have said: This is unacceptable, we need to figure out how to close this gap. She claimed, "That's not how government works." I'll never understand why some people make excuses for corrupt and/or inept politicians.
In 1984, the governor's father, Mario Cuomo, who was then himself governor of New York, gave one of his best known speeches at the Democratic national convention. His vision of government included the idea that people should be "protected in those moments when they would not be able to protect themselves." Andrew Cuomo echoed this notion when, in 2017, he asserted of the subway "crisis": "There is no time for delay and there is no tolerance for a lack of
commitment on this issue ... The fundamental responsibility of government is to respond in a timely and effective way when people need help."
If Cuomo's TFLL could identify the problem then they could also have come up with a better solution. Moreover, Cuomo could have demanded one. No, he can't magically conjure ventilators or the money to buy them but experts have been predicting a serious viral pandemic for years. Cuomo (and governors and legislators across the country) had the ability and responsibility to ensure his state was better prepared for it.
Instead in March, Cuomo lied or betrayed a profound ignorance. As Colin Kalmbacher at Law & Crime wrote:
On Wednesday morning, during his quotidian Coronavirus press briefing, the three-term Democratic governor told an easily verifiable falsehood about New York’s state of health.
“No one has these ventilators and no one ever anticipated a situation where you would need this number of ventilators to deal with a public health emergency,” Cuomo said–explaining the Empire State’s recent move toward rationing the highly in-demand medical devices.
“So we have purchased everything that can be purchased,” he added. “We’re now in a situation where we’re trying to accelerate production of these ventilators, and a ventilator is a complicated piece of equipment.”
But Cuomo’s claim that “no one ever anticipated” the “number of ventilators to deal with a public health emergency” is directly undercut by a report from New York State itself–under his own administration–released halfway into Cuomo’s second term in office.
Like Cuomo, the New York State Commissioner of Health he appointed, Howard A. Zucker, was also given to uttering falsehoods. In a letter accompanying the TFLL's report he claimed: "Protecting the health and well-being of New Yorkers is a core objective of the Department of Health." So, Zucker knew about the anticipated ventilator shortage and the "death panel" solution to deal with it.
Yet, in March of this year, Newsday reported:
"I always felt if you can improve the life of others — whether an individual or many — you should," he [Zucker] said in an interview. "I learned practicing clinical medicine that I have to do everything possible ... it's our role in society."
"But I never expected this kind of situation," he said of the coronavirus threat."
Zucker has mostly flown under the radar compared to his boss but his COVID-19 performance prompted one editorial titled: "New York health chief Howard Zucker: Call him Dr. Death".
By April, Cuomo was throwing tens of millions of dollars around to try to buy ventilators at elevated prices from people who often couldn't deliver. If instead, he had ordered 15,783 ventilators in 2015 when his Task Force released its report then the state would likely have had a stockpile on hand during the COVID-19 crisis for less than 0.14% of the state's 2015-16 disbursements.
For the calculation above, I used a 2020 ventilator retail price via ProPublica of $12,495 per unit. I have no doubt that price is actually significantly higher than a competitive bidding process in 2015 would have obtained. If the state had spread the acquisition out over five years then the cost would have been less than 0.03% of the annual budget.
In any event, it seems both unsurprising and clear that few high-profile politicians of either major party actually concern themselves much with the victims of COVID-19, whom they largely regard as superannuated drags on the economy or otherwise disposable people. They don't say this out loud but their policies speak volumes. Instead of taking effective steps to save lives and safely re-open the economy, Democrats blame Trump, Republicans blame China (or engage in various forms of denial) and, in the meantime, the US has the largest COVID-19 death toll and one of the highest per capita COVID-19 death rates in the world.
Labels: Biden, COVID-19, Democrats, government, health, media, medicine, politics, science, Trump
