Category Archives: Coronavirus Pandemic

Cuomo Says Next Phase of Coronavirus Pandemic Requires Fed Help to Scale up Testing, Tracing if Economy Can Reopen

Governor Andrew M. Cuomo, in his daily coronavirus press briefing, called for federal coordination of the supply chain to bring testing to scale so states can performing begin reopening functions and declared, “there is no time for politics.” © Karen Rubin/news-photos-features.com

By Karen Rubin, News-Photos-Features.com

Amid the ongoing COVID-19 pandemic, Governor Andrew M. Cuomo today called for federal coordination of the supply chain to bring testing to scale so states can performing begin reopening functions. Tests are currently produced by private laboratory equipment manufacturers – there are 30 large manufacturers in the U.S. – and these manufacturers sell the tests to smaller labs, who then sell the tests to hospitals and the public. For a test to be performed, local labs must have the necessary testing chemicals known as reagents and there are different reagents for different manufacturer’s tests. The state asked the top 50 labs in New York what they needed to double their testing output, and all said they needed more reagents.

The Governor is also issuing an Executive Order allowing New Yorkers to obtain a marriage license remotely and allowing clerks to perform ceremonies via video conference, a practice that is banned under current law. Many marriage bureaus have temporarily closed as a result of the COVID-19 pandemic, preventing New Yorkers from getting a marriage license during the current health emergency; the Executive Order will temporarily suspend a provision of law that requires in-person visits. 

Governor Cuomo also reiterated the bipartisan call from the National Governors Association for the federal government to provide $500 billion in unrestricted aid to the states to help stabilize the economy and allow the states to perform reopening functions. The federal government has passed three bills to address this crisis, including the federal CARES Act, all of which contained zero funding to offset drastic state revenue shortfalls.

“Why is testing so important? Testing is how you monitor the rate of infection and it’s how we find people with the virus and trace their contacts,” Governor Cuomo said. “The challenge is to bring testing up to scale. We asked the top 50 labs in the state what they would need to double their testing, and they all said the same thing: they need more chemical reagents. We need the federal government to oversee the supply chain and help get labs what they need.”

The Governor confirmed 7,090 additional cases of novel coronavirus, bringing the statewide total to 236,732 confirmed cases in New York State.

Hospitalization numbers are down – at 16,000 down from  hovering around 18,000, then 17,000 and emergency rooms have fewer people in them.

But sobering news on the other hand happy days are not here again. We still have about 2,000 people yesterday who were new admissions to a hospital or new COVID diagnoses. That is still an overwhelming number every day – 2,000 new. If it wasn’t for the relative context that we’ve been in this would be devastating news – 2,000 people coming into the hospital system or testing positive. And if you notice 2,000, we’re not at the peak but this is where we were just about in late March when it started to go up. So we’re not at the plaza tower anymore but was still not in a good position. 

“The worst news is still tragic news – number of deaths 540. It’s not as high as it was but still 540 people died yesterday. 540 people, 540 families. 504 in hospitals, 36 in nursing homes. Nursing homes are the single biggest fear in all of this – vulnerable people in one place. It is the feeding frenzy for this virus despite everything we can do in the best efforts of people working in those nursing homes who are doing just a fantastic job.”

The worst projections have never been hit precisely because of the lockdown and social distancing, and Cuomo’s concern about reopening too fast, is that it could reignite the infection rate.

“The tension on reopening is how fast can you reopen and what can you reopen without raising that infection rate so you go right back to where we were overwhelming the hospitals? The infection rate now is one person infects .9 other people. You can’t infect .9 but it’s basically one person is infecting one person. A tad less – and I don’t even know if it’s a tad less because I don’t even know that the statistics are that accurate frankly. 

“So let’s say one person now infects one person. That’s where we are now. When that is happening the virus is basically stable. Where we were was one person was infecting 1.4 people and that’s when you have outbreak widespread epidemic. We brought it down from 1.4 to .9. How did you do that? Those were the New York Pause policies. Close down business, close down schools, everybody has to social distance, everybody has to take precautions, masks, et cetera. But it worked and we went from 1.4 to .9. Wuhan says at one point they got down to .3 which is where you really start to see the numbers drop. But that’s where we are. 

“The tension is when you start to open business you start to have gatherings, you put people on a bus, you put people on the subway, you put people in a retail store. Then you’re going to see more infections. You see that infection rate rise and then you’re going to be back to where we were. So how do you gauge this, right? How do you calibrate it?

“That is all about the testing. And you have a very tight window. You’re at .9 now. You can only go up to 1.2 before you see those hospitalization numbers start taking off again. You’re talking about a very, very tight window that you have to calibrate and this is all without precedent so how do you actually do that intelligently? Well, you have to test and testing informs the calibration.”

Testing let’s you determine who has the virus and can infect others, but then you need a veritable army of people as tracing investigators, to trace all their contacts for people who might have become infected and new carriers.

“Tracing requires an army. Literally an army. You would need thousands of people who just trace in the State of New York because any one person then leads to 10, 20 possible people who were infected. You have to trace all through those people. You find the positive person, you isolate them. The trick with testing is not that we don’t know how to do it. We’ve done it better in this state than almost any other state, almost any other country. It’s bringing this up to scale. These are private sector companies that are doing this. We have done a very good job in testing. The state has played a pivotal role in testing.”

Testing and tracing is not only critical to stop the spread of the disease, but to alleviate the anxieties and fears of workers and consumers alike. It does little good to reopen businesses if workers are too fearful to work, or people are too fearful to go out and shop. And just as a governor cannot shut down the economy or effectively issue stay-at-home orders if people refuse to comply, Cuomo has said, government cannot simply order the reopening of the economy, without people having confidence and trust in their government.

But testing and tracing on the scale that New York State, with a population of 19 million, requires federal assistance – especially to acquire the necessary chemical reagents. Cuomo said that in this phase of the pandemic, competing with every other state and the federal government for the scarce resources, much of which needs to come from China, will repeat  the EBay-like fiasco of trying to acquire PPE and ventilators and bidding up the prices and disrupting expeditious acquisition. Also, it will be intensely expensive.

“We need funding from the federal government. I get that we have to fund airlines, small businesses. I agree a hundred percent, but you also have to fund state governments. And by the way, when you fund the state government, you’re not funding a private business. So you don’t have an issue of should government really be giving tax dollars to this private entity. When you fund the state government you just are funding a state government to perform the functions you want us to perform, which is the reopening function. I get it. I’ll do it. But I need funding. And when you fund a state government, you’re funding small businesses anyway, and you’re funding hospitals anyway, and you’re funding schools anyway. And you know, the Republican doctrine used to be limited government and states’ rights. I’m a good distribution mechanism to small businesses and hospitals and schools because I know what’s going on in the state. But if you want to us reopen, we need funding.”

Cuomo added that this is no time for politics.

“The emotion in this country is as high as I can recall, people are frustrated, we’re anxious, scared, we’re angry. We’ve never been through this before and on every level this is a terrible experience. It’s disorienting, it threatens you to your core. It makes you reflect on your whole life and it really has — it’s mentally very difficult, it’s emotionally difficult, economically, it’s disastrous. I mean the market goes down. Your retirement funds go down. You’re not getting a paycheck. It is as tumultuous at times as we have ever seen. But in the midst of this, there is no time for politics.

“How does the situation get worse, it gets worse quickly? If you politicize all that emotion. We cannot go there. That’s why I work so hard when anyone raises any political agenda to me. I work so hard to distance myself from it. I’m not running for anything. I’m not going anywhere. I’m going to be governor of the state of New York until the people kick me out and then I’m going to go spend time with my family and that’s that.

“So, I have no political agenda and I’ve stayed a hundred miles away from politics, just so people know that there is no possibility of a political distortion here. Because it’s no time for politics and look if you have partisan divisions splitting this nation now it’s going to make it worse.”

Cuomo made no specific reference to Trump calling him out to “spend more time ‘doing’ and less time ‘complaining’” or his tweets, viewed as a call to arms to protesters in Michigan, Minnesota and Virginia to “Liberate”.

Of the 236,732 total individuals who tested positive for the virus, the geographic breakdown is as follows:

CountyTotal PositiveNew Positive
Albany64829
Allegany301
Broome1868
Cattaraugus340
Cayuga360
Chautauqua250
Chemung721
Chenango771
Clinton481
Columbia1054
Cortland250
Delaware491
Dutchess2,20159
Erie1,99768
Essex161
Franklin130
Fulton270
Genesee874
Greene825
Hamilton30
Herkimer471
Jefferson500
Lewis80
Livingston373
Madison1050
Monroe1,00833
Montgomery341
Nassau29,180641
Niagara2347
NYC131,2633,911
Oneida2687
Onondaga4929
Ontario692
Orange6,266182
Orleans417
Oswego450
Otsego473
Putnam5824
Rensselaer16414
Rockland9,171184
Saratoga2448
Schenectady2599
Schoharie200
Schuyler60
Seneca180
St. Lawrence982
Steuben1606
Suffolk26,1431,108
Sullivan52419
Tioga322
Tompkins1170
Ulster82032
Warren943
Washington524
Wayne490
Westchester23,179703
Wyoming361
Yates91

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Biden Offers 4-Point Plan for Essential Workers, Critical to Getting through Coronavirus Pandemic, Including Safe Workplaces, Hazard Pay

Vice President Joe Biden, the presumptive Democratic candidate for President, has offered a four-point plan for essential workers – critical to begin reopening the economy still wracked by the coronavirus pandemic with no clear end in sight – including making sure workers have adequate protection and safe workplaces and awarding hazard pay © Karen Rubin/news-photos-features.com

Vice President Joe Biden, the presumptive Democratic candidate for President, has offered a four-point plan for essential workers – critical to begin reopening the economy still wracked by the coronavirus pandemic with no clear end in sight – including making sure workers have adequate protection and safe workplaces and awarding hazard pay. This is from the Biden campaign:

Essential workers are providing life-saving medical care, cleaning our hospital rooms, delivering our food and other essential goods, stocking our grocery store shelves, getting us from place to place, keeping our cities’ lights on, and so much more. They have been on the frontlines of this pandemic.

Joe Biden has said since the beginning of this campaign that American workers are the heart and soul of this country— too often, though, we’ve taken these workers and the work they do for granted.

But the coronavirus pandemic has highlighted this critical truth: all across this nation, it’s often our lowest-paid workers who have stepped up during this crisis.

Donald Trump’s foot-dragging and delays have only made it more challenging for workers.
 
These workers are putting themselves on the line every day. They are essential to our society – in times of crisis and beyond, and deserve not just our thanks and respect, but our support.
 
Joe Biden has a bold agenda to give these workers the long-term support they deserve — raising wages, guaranteeing quality, affordable health care, providing free tuition for public higher education, and encouraging unionization and collective bargaining.
 
But these workers can’t wait. They need emergency help now. Today, Joe Biden is calling on President Trump’s Administration to take four immediate actions to protect and support our essential workers:
 
(1) Ensure all frontline workers, like grocery store employees, qualify for priority access to personnel protective equipment (PPE) and COVID-19 testing based upon their risk of exposure to the virus, as well as child care assistance, and other forms of emergency COVID-19 support.
 
(2) Expand access to effective personal protective equipment, including through use of the Defense Production Act.
 
The Trump Administration should ramp up capacity to produce masks for all frontline workers – from health care workers to grocery store workers – by fully using the Defense Production Act. And, the Trump Administration should fully empower a Supply Commander to coordinate the production and delivery of essential supplies and equipment, including masks, gloves, and other personal protective equipment. The Supply Commander would be tasked with ensuring equitable distribution so that at-risk communities and particularly vulnerable populations are fully taken care of.
 
(3) Establish and enforce health and safety standards for workplaces.
 
During the H1N1 epidemic, the Obama-Biden Administration tasked the Occupational Safety and Health Administration (OSHA) and the Center for Disease Control (CDC) with issuing detailed guidance for how employers should protect their workers. Then, OSHA enforced the law based on those guidelines. The Trump Administration has only started enforcement efforts this week and is still refusing to do everything it can and should to protect workers’ health and safety.
 
The Trump Administration should:

Immediately release and enforce an Emergency Temporary Standard (“ETS”) to give employers and frontline employees specific, enforceable guidance on what to do to reduce the spread of COVID.

Finalize a permanent infectious disease standard. After H1N1, the Obama-Biden Administration spent years preparing a new, permanent infectious disease standard, which would have required health facilities and certain other high exposure workplaces to permanently implement infection control programs to protect their workers. It handed it to the Trump Administration, but instead of moving it to rulemaking, it readily shelved it. They should immediately get to work bringing it to conclusion and expanding it to include all relevant workplaces.

Double the number of OSHA investigators to enforce the law and existing standards and guidelines. Under President Trump, OSHA currently has record low inspectors. Given the exigencies of this crisis, and the need for rigorous enforcement of workplace standards across the country, at least twice the number of inspectors are needed.

Work closely with state occupational safety and health agencies and state and local governments, and the unions that represent their employees, to ensure comprehensive protections for frontline workers.

(4) Enact premium pay for frontline workers putting themselves at risk.
 
There is no substitute for ensuring worker safety, but all frontline workers putting their lives on the line should receive premium pay for their work. The Trump Administration should immediately work with Congress to pass a bold premium pay initiative. Under the Senate Democrats’ “Heroes Fund” proposal, the federal government would step in and give essential workers a raise, with additional funding to attract workers to serve as health and home care workers and first responders. This premium pay should be in addition to paid sick leave and care-giving leave for every worker, which Joe Biden called for in his March 12 plan, and $15 minimum wage for all workers.

Biden Offers Plan to Scale up Unemployment Insurance

As the unprecedented number of Americans filing unemployment claims rose once again, Joe Biden, the presumptive Democratic candidate for president, announced a new plan to transform unemployment insurance into Employment Insurance for millions of workers by getting all 50 states to adopt and dramatically scale up short-time compensation programs (c) Karen Rubin/news-photos-features.com.

As the unprecedented number of Americans filing unemployment claims rose once again, Joe Biden, the presumptive Democratic candidate for president, announced a new plan to transform unemployment insurance into Employment Insurance for millions of workers by getting all 50 states to adopt and dramatically scale up short-time compensation programs.

Vice President Biden released the following statement on today’s unemployment claims and his new plan on scaling up employment insurance:

Today, we learned that another 5.2 million people have filed unemployment claims, bringing the total to more than 22 million in the last month.

This dire economic dislocation stems from the need to protect public health through strong social distancing measures. But let’s not forget: these measures are required to the extent they are because we didn’t prepare early enough, and when the virus surfaced in our communities, we didn’t test sufficiently to contain it. This pain is a product of poor decision making by Donald Trump.

With true American spirit, workers did not hesitate to sacrifice to save the lives of fellow citizens. But even as we temporarily shrink economic activity, there’s no reason why the incomes of working people must shrink, too.

As we navigate this crisis, our paramount economic priority must be to make American workers whole, so they retain their income and benefits during this period of social distancing. For the workers that are laid off, we should swiftly compensate for lost wages and health benefits for all of them, not just those who can make it through the bureaucracy. 

But we should also be doing more — much more — to reduce the number of people who are laid off in the first place. We should be committed to keeping as many people as possible attached to their employment, so they can easily return to work when appropriate, and maintain their income and benefits.

This is more than just the right thing to do — it is the surest road to a rapid recovery, because the faster everyone returns to their jobs, the faster we can improve demand and get our economy running again. 

The Trump Administration has been given a number of extraordinary tools to make this happen — to keep people employed. Yet, they are failing to use them effectively. For more people to stay in their jobs, Donald Trump has to do his job. 

As this crisis continues to unfold, I will be putting forward ideas to not only better address the immediate needs of working Americans, but also what is needed for long-term, structural reform to make our economy work for all its people.

So today, as we see these chilling numbers of job losses — each one a mother or father, a neighbor or friend, a proud, hardworking American — I am calling for a bigger and bolder approach to keeping people on the job in times of crisis. That idea is called “short-time compensation” or “work-sharing.” I call it Employment Insurance.

The Biden Plan to Scale Up Employment Insurance by Reforming Short-Time Compensation Programs

Transform unemployment insurance into Employment Insurance for millions of workers by getting all 50 states to adopt and dramatically scale up short-time compensation programs. Under short-time compensation — also known as work sharing — firms in distress keep workers employed but at reduced hours and the federal government helps make up the difference in wages. The Obama-Biden administration championed this approach in the U.S., and so far 27 states have established short-time compensation programs.
 
These programs must become more flexible and attractive to both employers and employees, so that as many workers as possible can remain attached to their jobs and receive full wages and health benefits during crisis times, even if employers must significantly cut their hours.
 
Germany has long used short-time work programs to protect jobs in recessions, so that workers are ready to hit the ground running as the economy improves. And this approach is especially well suited to the current moment, when we can expect a more gradual recovery in certain sectors, with some businesses operating a partial capacity for an extended period.
 
In short, we should start thinking of this as Employment Insurance more than Unemployment Insurance.
 
For the current crisis, the administration should move rapidly to scale up short-time compensation to save or restore millions of jobs. Specifically:

Small businesses who use this program must be able to get help to cover their worker’s benefits as well as their other costs, like rent and non-payroll overhead, as they are partially shut down through the crisis. Companies that fulfill the goal of payroll protection by using work sharing should not be punished by being excluded from any small business program for loans or forgiveness that is tied to essential overhead in proportion to their fall in revenues.

The federal government should temporarily waive the need for states to “experience rate” companies, that is, force employers to pay higher taxes in the future if they use short-time compensation now.

These are crisis measures, but we can and should do more to strengthen short-time compensation to prevent layoffs in future downturns, learning lessons from other nations and from those states in America that have been leading the way.
 
As President, Joe Biden would pursue permanent reform of short-time compensation, through the following steps:

Establish 100% federal financing: Currently, states bear the burden of paying for short-time compensation, except in emergencies. Yet, state unemployment funds are already straining under the burden of unprecedented numbers of unemployment claims. Joe Biden would call for short-time compensation to be 100% permanently funded by the federal government to catalyze far greater use of short-time compensation that can keep workers working and connected to their benefits and work relationships.

Secure participation from all 50 states, DC, Puerto Rico, and the Virgin Islands: 23 states still have not established short-time compensation programs. This initiative is too important to leave out millions of Americans. Joe Biden would make it a top priority, using a mix of conditioned assistance and additional incentives, to ensure universal participation, consistent with Supreme Court precedent in Dole and Sebelius.

Create a tax credit for employers’ extra health care costs: Employers must currently provide full health benefits for employees even if they are reducing hours. While it is crucial that employees keep their full benefits, having to fund the full health care costs of workers when they are seeing a significant fall in revenue can discourage companies from choosing short-time compensation over layoffs. Joe Biden would create a refundable tax credit that would reimburse companies as well as non-profits for the extra costs of providing full health benefits of all their workers during a period of work hour reductions.

Raise caps on employer work reductions: States usually cap work hour reductions at 40% to 60%. If your hours go down more than that, you can’t participate. In deep downturns, companies may need to reduce hours even further to prevent layoffs. Raising those caps to 80%, with waivers for extreme circumstances, will help employers keep people in their jobs, even in severe recessions.

Launch a major awareness campaign to improve business participation rates. During the last recession, Rhode Island had much greater participation in its short-time compensation program than the national average. One study from the Brookings Institution found that the chief reason for that was that the state “aggressively marketed work sharing to employers engaged in layoffs during the Great Recession and made use of the media to highlight potential work-sharing benefits.” Joe Biden would take a Rhode Island-style marketing campaign nationwide.

Build automatic triggers based on economic and public health conditions. Enhancements to short-time compensation and unemployment insurance tied to the COVID-19 crisis should be automatically extended based on economic and health conditions, and renewed in future crises. Workers and businesses should not be held hostage by partisans in Congress.

Cuomo Extends COVID-19 Lockdown to May 15; Lays Out Strategy for Reopening Economy, Outlining ‘New Normal’

Reopening New York State after the coronavirus shutdown requires monitoring the rate at which the infection is spreading, says Governor Andrew Cuomo (c) Karen Rubin/news-photos-features.com

By Karen Rubin, News-Photos-Features.com

New York State Governor Andrew Cuomo has extended the lockdown through at least May 15 while at the same time unveiling a strategy for phased reopening of the economy and society. What is clear is that what happens next will involve a “new normal” rather than a return to the way things have been, in everything from the health care system to workplaces and transportation systems to schools. “Nothing short of a transformation of society,” Cuomo said in his April 16 press briefing.

Cuomo also raised the alarm that New York and every other state is being bankrupted by the costs of bolstering health care while shutting down their economy, cutting off revenue streams, and chastised the federal government for passing legislation that is counterproductive because it did not provide adequate funding for states. He said that the state’s federal representatives should not pass “bad legislation” that doesn’t help states and localities, and do it based on need, not politics.

“Now that we’ve shown we can flatten the curve and our efforts to control the spread of the virus are working, we must focus on a smart, effective plan to un-pause New York,” Governor Cuomo said. “The first part of the plan is to do no harm – don’t let that infection rate go up to the best of your ability and don’t lose the progress that we have made. Second, now that we have some stability in our health care system after a weeks-long overdrive, we continue to strengthen that system and ramp up testing and contact tracing to identify those who are sick and isolate them so they don’t transmit the virus to others. Then we can focus on phasing an economic return to the new normal – but we need all those activities going on at the same time for our plan to un-pause New York to work.”

While the curve in infections and hospitalizations has leveled off, numbers of dead – 606 yesterday, down from the mid-700s of previous days – continue at “horrific” levels. New York State has had more coronavirus cases than any country, and accounts for about one-third of the nation’s total.

Indeed, the Governor confirmed 8,505 additional cases of novel coronavirus, bringing the statewide total to 222,284 confirmed cases in New York State.

But Cuomo also noted that the numbers of “positives” are not an accurate reflection of infection since they only count people who are sick enough to get tested or have access to testing. Many many more can be infected who remain home. Indeed the death rate, now exceeding 30,000 in the US (nearly half of the entire country), may not account for those who have died at home. The CDC has only recently issued guidelines for a new list of “probable”  COVID-19 deaths- people who have died of symptoms that mimic COVID-19.

Still, the worst seems to be over – indeed, the only reason that the Trump Administration can even contemplate a reopening of the economy is because of the outsized impact of New York State that disguises even the uptick in other states. But Cuomo emphasized that the numbers have only leveled off as a result of the lockdown and social distancing measures that have been imposed, and because of the cooperation of New Yorkers.

The Governor said that the threat coronavirus poses will not truly be over until there is a vaccine – which is not likely for 12 to 18 months – or if there are medical treatments so that even if someone is sickened, their life can be saved.

“How do we accelerate that, expedite that? New York is ready, willing and able to work with the FDA,”  Cuomo said, noting that the state is working with many companies to develop treatments and testing in hospitals, “but that is a medical R&D function, beyond us.”

Absent that, the strategy has to be “do no harm,” he said. “Control the rate of infection – don’t let the infection rate go up or we will lose the progress made.”

The strategy of “surge and flex” to strengthen the healthcare system, by which the state increased the capacity of hospitals by 50 percent and mandated sharing and redistribution of patients, equipment and staffing worked to get through “this horrific period.” Now that the crush is over – at levels at a fraction of what the models predicted the onslaught could have been had the state not imposed a lockdown – “we have a chance to be more intelligent about handling the health care system.”

Now a chance to be more intelligent about handling health care system.”

Reopening New York will necessitate wide use of testing and tracing which will require a federal partnership, says Governor Andrew Cuomo (c) Karen Rubin/news-photos-features.com

Reopening society will necessitate wide use of testing and tracing for which, he said, “we need federal partnership” because no state has the resources to handle the amount of testing and tracing necessary. Tracing contacts once a person has tested positive will require “an army” of people he said.

(Our suggestion: hire an army of people from among the 22 million newly unemployed; the job can be done by telephone with little risk.)

Testing and tracing is necessary to determine how much the “spigot” of economic activity can be opened.

Cuomo showed how this depends on determining how many people one infected person can infect.

Once infection rates and hospitalization rates have gone down phased reopening will come by analyzing businesses based on their degree of “essential” against their level of risk of infection.

Reopening New York’s economy will require an analysis of risk/reward to expand the definition of “essential businesses,” says Governor Andrew Cuomo (c) Karen Rubin/news-photos-features.com.

“How do do you restart the machine after stopping everything? In a coordinated way that doesn’t drive up infection. What businesses reopen is a nuanced question. There is no light switch.

“Are there more ‘essential businesses’, and what risks do they pose and what changes can they make in their businesses to make them safe?”  (But this will raise the question whether the new requirements enable them to still operate economically, such as if restaurants are required to operate at half capacity if they are to reopen.)

“In a new normal, new reality, tell us how they can adjust to it.

 “We now have an economy working with ‘essential workers’ – public transit, groceries, pharmacies.  Now as we start to bring the economy up, we move up one tranche on what is defined as essential. Are there ‘safer’ businesses that can be reopened, or can be safer? How do they reopen and operate? Where should they open first (or last)? When?

“There is a matrix based on how important the enterprise is to society and how risky is that business to the rate of infection. The lower the risk and the more a priority, the sooner they can reopen. We will do it in phases of priority, then phase up, the way phased down, by percentages.

Reopening New York’s economy will require an analysis of risk/reward to expand the definition of “essential businesses,” says Governor Andrew Cuomo (c) Karen Rubin/news-photos-features.com.

“This will be an ongoing process, in coordination with other states. This is regional. Coordinating doesn’t mean we will always be in lockstep, but we will talk through first and hopefully not do something contradictory to other states.”

The analysis is underway, he said.

But just determining what enterprises can open based on how important and how risky is not enough.

“We must reimagine the workplace,” Cuomo said. “The private sector now has to think about what they do, how they do it, and what they need to do differently.”

That might mean determining which workers can continue to telecommute; how people can maintain social distance in the workplace.

“Businesses must strategize. There will be a new normal precaution and practice.”

“We must reimagine the workplace,” says Governor Andrew Cuomo (c) Karen Rubin/news-photos-features.com

Mass transportation is critical before workers can be sent back to their workplaces, so there need to be guarantees for workers and commuters to have safe transport – public-interacting employees will need necessary protective supplies and transit-goers will need to wear masks.

“Our goal is that the ‘new normal’ will be a better New York,” Cuomo said. “This will be a moment of transformation for society. And we paid a high price for it.”

But to build the “bridge” to the “new normal” requires first and foremost testing. “It is the best tool to inform decisions, to calibrate progress of risk/reward,” Cuomo said. “This is a new frontier for all of us.”

New York State tests more than any other state (which is one reason why the numbers are so much higher than any other stte). We were very aggressive and set an ambitious goal and reached it – 500,00 tests in 30 days, more than California, Florida and Michigan combined.

“This is all about figuring it out first and creating a system that didn’t exist before. But we have 19 million people, 9 million workers; 500,000 tests in one month doesn’t sound so big.”

So testing has to be much more widely available, but there are logistical and practical problems: how to set up sites and have the personnel, obtaining the supplies including swabs and vials, laboratory capacity and the acquisition of chemical reagents.

Here the problem becomes coordination of the demand for testing, with all 50 states and the federal government competing for the same materials, posing the same “e-bay” problem of bidding up the cost, interfering with orders, as happened with the ventilators.

Testing is one part of the equation; tracing contacts is also critical. “We need to create a tracing army” because every person who tests positive, all their prior contacts have to be investigated, then all of them need to be tested.  “We need to assembling an army that does not now exist,” Cuomo said, who added that he spoke to the White House again this morning.

 “We are looking forward to working with the federal government. We need federal help. Period.”

Reopening also requires strengthening the health care system, and continuing the “surge & flex.”

“Every hospital system has been an independent enterprise until now.” Now the strategy has to continue to be sharing resources “like was never understood before.” This means building out the strategic PPE and equipment stockpile; sharing among states. (New York is sending 100 ventilators to New Jersey and has sent 100 to Michigan and 50 to Maryland.)

“The key is not to increase the infection rate. We need people to understand, we can’t allow the infection rate to go up.”

So far, the infection rate has been determined by the hospitalization rate, but people are only hospitalized after they are infected and severely ill. Advanced testing will help determine the actual infection rate.

Advanced testing will determine how quickly the virus is spreading. “As we bring people out of their homes, we have to be able to measure how fast is the virus is spreading and how quickly the infection rate is rising because as Dr. Fauci noted, COVID-19 is a virus that is quite good at transmitting from one person to another. “We learned that the hard way.”

 “The rate of infection is everything,” Cuomo said. “All those early projection models assumed a higher rate of infection.

Why were all projection models higher than actualized – so far? – controlled the beast, brought rate of spread down. But if rate of spread actually happened, we would have been in much much worse situation, in a really bad placed.

Early projects of the number of coronavirus infections, hospitalizations, deaths were based on not mitigating through social-distancing and a lockdown. “Plan for the worst, hope for the best,” said Governor Andrew Cuomo (c) Karen Rubin/news-photos-features.com.

Early projection models were based on modeling without lockdown measures:  the CDC on March 13 projected 160 million to 214 million Americans would be infected, or half to 2/3 the population – and 2.4 million to 21 million hospitalizations which would mean 925,000 staffed hospital beds or twice as many beds as there are; while the White House coronavirus Task Force on March 12 projected 1.5 million to 2 million deaths, or, in the best case scenario “if everything went perfectly,” 100,000 to 240,000 deaths.

All the models projected higher infection rates.

But, Cuomo said, that these projections have not materialized is proof that the actions taken in New York and other places have worked (and because New York accounts for the majority of cases, slowing the rate of infection here accounts for the flattening of the curve for the country).

The projected spread of the virus depends on how many people one infected person infects. If one person infects fewer than one person, the disease is under control; if one person infects just one more person, the rate is stabilized. But the infection is out of control if one person infects two or more people. “The number increases exponentially, like a fire through dry grass.”

 “This is what we have to control as we start to reopen the economy – if we turn the valve on the  economy a bit and watch the meter – the meter is hospitalization rate, or even better, the virus spread rate determined by testing and tracing– so as we start to turn on the valve, and people come out of homes and businesses reopen, if the infection rate goes up, we can turn back the valve right away.”

We have already seen this in action: on the Diamond Princess ship, one person infected on average 2.2 persons;

In Wuhan, one person infected an average of 2 to 3 people

During the Spanish Flu of 1918, one person infected an average of 1.4-2.8 people.

Here is New York State, at the severe spread,  one person infected 1.4-1.8 others, while as the rate moderated, the level was brought down to 1.2-1.45 people.

 “After mitigation – social distancing, stay at home – we brought that rate of infection to one person  to less than one other, .9. this compares to Wuhan, which locked up everything, and brought down the infection rate to .3.

So at the current infection rate of .9 there is only a margin of  of .3 before you get to 1.2, which would trigger new increases in hospitalizations.

“That doesn’t leave you a lot of wiggle room. So we start to phase reopening. We are at .9 now after an entire lockdown, if go back up to 1.2, we will have a problem.

The goal of “New York Pause” has been to cut down the infection rate to one person infecting fewer than one other, said Governor Andrew Cuomo. That will be the measure of how much the “valve” reopening the economy can be turned on or off (c) Karen Rubin/news-photo-features.com

“New York Pause has worked – the close down has worked. But we are not there yet: .9 is not enough. New York Pause will be continued with other states in the region to May 15. (That is New Jersey, Connecticut, Pennsylvania, Rhode Island, Delaware, Massachusetts.)

The new shutdown will continue through May 15. “We don’t want to project beyond that – that’s one month, a long time. People need certainty, clarity to plan. We need a coordinated action plan with other states. “

After May 15, he said, “we don’t know. We will see, depending upon what the data shows. Tell me what the infection rate is, is it .9?  then experts will tell us the best course of conduct based on that. There are not political decisions.”

Cuomo has issued an executive order requiring everyone to wear a mask when in public.

 “As relatively simple but annoying as it seems, wearing a mask is one of the best things we can do.” He said he is well aware that people are not happy about it. I am sorry if it makes people unhappy, but I don’t consider it a major burden and is a simple measure that can save lives (and reopen economy). Understand, it is not just about you. I have rights, my kids and yours have rights also – we have a right for another to take reasonable safeguard not to infect.”

People will be required to wear masks on public transportation systems and private transportation carriers and for-hire vehicles, and the operators will also be required to wear masks at all times.

 “It’s inconvenient, yes, but in a closed environment, where you are not socially distancing, this is a precaution for everyone. It balances individual liberties with social conscience. After all, what determines infection rate spread? You!”

Cuomo made a big plea to emphasize that he has limited ability to enforce the measure, that it has to come down to people understanding the facts, believing in the urgency, and acting responsibly.

“It’s not about government, it’s about what people decide to do wand what people have decided to do. They have brought infection rate down. It’s about your behavior, your discipline, your education of your children, your consideration of others.

 “Wear a mask, wash your hands, maintain social distance, educate your children on what to do/not, use hand sanitizer  – make smart choices. That makes all the difference in the world.”

Cuomo reflected, “Of all the unique aspects of this crisis, the most positive and surprising to me is how New Yorkers, how Americans rose to the challenge. The policies I communicated aren’t worth the paper they are presented on unless people decide to follow them.

“I can say as governor we must do this or that, these are the most life-changing policies government has ever issued – this isn’t government saying this is your tax rate, or how to vote – this is government saying ‘Stay in house, don’t touch, wear mask’.  I don’t have the ability to enforce these measures on any scale if people are not willing to do it.

“The policies are difficult, life changing are being implemented by people because people are choosing to do the right thing. It’s that simple.

“I trust that if the facts are presented, New Yorkers will do the right thing.

“What is the right thing? The appropriate path that is socially and morally correct. New Yorkers have very strong ‘right thing’ quotient. They know what the right thing is. What I must do is give the facts, the information to explain why I am suggesting these actions. They decide. I can’t put a mask on 17 million people. 17 million people will decide, but they have done it. They understand the facts, risks, rewards, consequences.

“We brought this state forward, and will bring the nation forward.”

Meanwhile, Cuomo chided Congress for passing stimulus measures that did nothing to aid states and localities drowning under astronomical health care expenses as revenue streams have dried up.

The Congress is presently preparing a fourth stimulus bill that so far again focuses on bailing out businesses, but not states.

As counties and cities throughout the state plead for more funding, he said, “I’m not in a position to help counties, cities. I’m in the hole,” he said, pointing to the ballooning $10-15 billion deficit as a result of the coronavirus. Congress “passed major legislation to protect the economy and move the economy forward but not fund state and local governments? Then state and local government has to turn around and cut everyone that relies on them (like police, teachers, transportation). That’s not smart, not right, and is counterproductive.

“They don’t get the same political credit if they fund New York State, New York City , Nassau County or Suffolk, because that doesn’t benefit their voters. I get that politically they want to pass legislation where they can call up their people at home and say, ‘Hey, I got money for you.’ How can you even pretend you are addressing the crisis when you are starving state and local governments? This is not Democratic or Republican. The National Governors Association, headed by Chairman Hogan of Maryland, a Republican and myself as vice chairman, sent a letter to the administration.  I say to our Democratic Congressional members- Senators Schumer and Gillibrand — you passed legislation that starved state and local governments; you’re not helping the country. Well, they say, we have to get to ‘yes.’ But I say, it doesn’t matter to get to yes if the bill doesn’t do what the purpose is.”

He said rejecting a new stimulus bill would be better than passing a piece of irresponsible legislation. “We are at a point financially where we have a $10-15 billion deficit. I hope and believe the federal government should have more inclusive policy.”

As Cuomo laid out in fairly meticulous fashion the strategy to phase in reopening of the metropolitan region’s economy, the Trump administration was getting set to issue its own guidelines. Trump had initially declared he had “total authority” to order states to reopen, but then retreated after an outpouring of objections.

The economic pain for the country became clear as unemployment numbers swelled a further 5 million, to bring the number of people filing for unemployment to 22 million in just four weeks. Economic data documented the sharpest drop in retail activity in history.

Significantly, though, though New York has been the hardest hit by the coronavirus and has seen a 783% increase in unemployment claims from the beginning of the year, the increase being the 21st smallest among the states, according to Wallethub.

 “This is better than the average increase of 1,709%,” said Jill Gonzalez, WalletHub analyst.

___­­­_________

© 2020 News & Photo Features Syndicate, a division of Workstyles, Inc. All rights reserved. For editorial feature and photo information, go to www.news-photos-features.com, email [email protected]. Blogging at www.dailykos.com/blogs/NewsPhotosFeatures. ‘Like’ us on facebook.com/NewsPhotoFeatures, Tweet @KarenBRubin

Senator Klobuchar Releases Plan to Prepare For and Respond to the Coronavirus in Rural America

Senator Amy Klobuchar, a member of the Senate Agriculture Committee, released a plan to prepare for and respond to the coronavirus in rural America involving bolstering health care infrastructure, agriculture supply chain and rural economy © Karen Rubin/news-photos-features.com

MINNEAPOLIS, MN — Today, Senator Amy Klobuchar released a plan to prepare for and respond to the coronavirus in rural America. 

As a senior member of the Senate Agriculture Committee, Senator Klobuchar has long been a leader in tackling the challenges that rural communities face. She believes our country needs to take immediate action to respond to the pandemic’s spread to rural America by strengthening rural hospitals and rural health care systems, supporting farmers and ensuring the continuity of the agricultural supply chain, and helping small businesses, workers and other critical aspects of the rural economy. 

“We’re facing a national crisis — it affects every American, no matter where they live,” said Senator Amy Klobuchar. “While COVID-19 may be slower to spread to some rural areas, its impact will likely be just as serious, as we’ve seen in places like Albany, Georgia and Martin County, Minnesota. From expanding access to health care, to supporting farmers, to helping small businesses, we need to ensure that all communities across rural America are not left behind and have the resources they need to respond to this pandemic.”

Plan to Prepare For and Respond to the Coronavirus in Rural America

The coronavirus pandemic is a national crisis — it affects every American, no matter where they live. While COVID-19 may be slower to spread to some rural areas, its impact is expected to be as serious as it has been in urban areas. Rural Americans are more vulnerable to the virus but are often less able to access treatment. Rural Americans are more likely to be older and have serious chronic medical conditions — two of the greatest risk factors for severe illness from COVID-19. At the same time, people living in rural America are more likely to be poor and uninsured, making it difficult for them to afford treatment. And many rural hospitals and health care systems have fewer ICU beds and resources and could quickly become overwhelmed if they experience even a minor surge in critical patients.

Many rural communities are already facing these challenges. In Georgia, the rural city of Albany has been badly hit by pandemic — in early April it had one of the highest percentages of confirmed cases anywhere in the country and the National Guard has been deployed to help the local hospital. The town, whose residents are predominantly African American, also highlights the impact that our country’s response to the virus in rural America has on people of color — one in five rural Americans is a person of color or an indigenous person, and the coronavirus appears to be infecting and killing people of color at a disproportionately high rate.

In addition to the public health crisis rural communities are confronting, they are also facing an economic crisis. The farming and agriculture industry is seeing major disruptions due to the coronavirus, which will not only hurt rural areas, but could lead to higher food prices for consumers across the country. Small businesses, which are the backbone of many rural economies, are being hit hard, and rural workers are struggling to access child care, broadband, and many other critical services during the pandemic.

As a senior member of the Senate Agriculture Committee, Senator Klobuchar has long been a leader in tackling the challenges that rural communities face. She believes our country needs to take immediate action to respond to the pandemic’s spread to rural America by strengthening rural hospitals and rural health care systems, supporting farmers and ensuring the continuity of the agricultural supply chain, and helping small businesses, workers, and other critical aspects of the rural economy. The only way to beat this pandemic is to fight the virus together, and that means making sure that every community — from the biggest city to the smallest town — has the resources and support they need to respond to this crisis. 

Rural Health Care

Rural health care systems are on the front lines of combating the coronavirus, but many are facing shortages of critical resources that they will need to treat patients — from ICU beds and ventilators, to doctors, nurses and other health care workers staffing the hospitals, to testing and personal protective equipment. We need to anticipate these challenges in areas that haven’t yet seen a surge in cases and make sure that we’re getting rural health care systems the support they need to keep people safe.

Rural Hospitals and Health Clinics

Provide rural hospitals the resources they need to confront the pandemic. Rural hospitals, including Critical Access Hospitals, provide essential medical services to rural communities, but they also often have smaller operating margins than larger hospitals. Right now, they face added financial pressure due to increased expenditures to prepare for an influx of patients with COVID-19 at the same time they have had to cancel elective procedures, which are normally a major source of revenue. We need to take action to make sure these hospitals remain able to serve rural communities, especially during this crisis. Senator Klobuchar is calling for an expedited process with dedicated support for Critical Access Hospitals and other rural hospitals to immediately receive grants and loans they need to purchase supplies, modify their facilities, and pay their staff. She is pushing for an expansion of the $100 billion Public Health and Social Services Emergency Fund so that funding is available for hospitals that are likely to experience a surge of patients later in the crisis, including many in rural America. She is also calling for a longer timeline for repayment and other necessary flexibility under the Medicare Accelerated Payments Program so rural hospitals have the time they need to regain their financial footing and she is calling for changes to ensure that small publicly-owned hospitals are eligible for the Payment Protection Program. In addition, Senator Klobuchar has championed legislation to help hospitals in rural areas stay open by creating a new Rural Emergency Hospital classification under Medicare to give hospitals more support if they maintain an emergency room and provide outpatient services. She also supports providing ongoing financial relief by making the suspension of the two percent Medicare automatic reimbursement cut permanent for rural hospitals and considering what other temporary relief may need to be extended to allow rural hospitals to recover financially from the impact of the pandemic. 

Temporarily reopen recently closed rural hospitals when possible. Senator Klobuchar is calling for the Department of Health and Human Services to explore funding and regulatory flexibility to temporarily reopen some of the over 120 rural hospitals that have closed in the last decade. Temporarily reopened facilities could help provide overflow support to hospitals that have reached capacity and provide an option for basic levels of care for rural residents to limit pressure on larger hospitals. 

Support rural health clinics. Many rural communities don’t have easy access to a hospital and instead rely on rural clinics for their health care. We need to make sure that these clinics have the resources they need to effectively diagnose and treat patients who may not need to be hospitalized, or who come to them before hospitalization. Senator Klobuchar is calling for increased support for the USDA’s Community Facilities Direct Loan and Grant Program, additional support for community health centers — over half of which are in rural areas — and specifically targeting additional small business assistance to health care providers. To strengthen the long-term financial health of rural health care providers, Senator Klobuchar supports adjusting Medicare’s geographic practice cost index to reflect the actual costs of providing health care in rural areas.

Health Care Workers and Supplies

Strengthen the rural health care workforce. On average, rural areas have half as many physicians per capita as urban areas, and rural areas face shortages of nurses, physicians assistants, specialists, and other medical providers. Senator Klobuchar is calling on the Department of Health and Human Services to provide the maximum possible flexibility to rural health providers to develop adaptable staffing plans to respond to increased demand and compensate for workers who may become sick or need to isolate. She has also called on the Department of Homeland Security to provide additional flexibility for foreign medical workers in the United States on temporary visas. Many health care workers in rural areas are also facing challenges with child care, especially in child care deserts that already have a shortage of child care facilities. Senator Klobuchar is calling for dedicated funding to set up temporary child care facilities for health care and other critical workers in child care deserts. To address rural workforce shortages more broadly, Senator Klobuchar supports building on the Conrad 30 program that allows international doctors trained in the United States to extend their stay in the country if they agree to practice in underserved communities. She also supports expanding student loan forgiveness programs for health care and long-term care workers practicing in underserved areas. 

Ensure rural areas have access to necessary medical supplies and testing. Medical facilities across the country face a shortage of necessary medical supplies including personal protective equipment, testing supplies, hospital beds, and ventilators. As competition for supplies has intensified, rural health providers, with less available cash and smaller economies of scale, are at a significant disadvantage. Senator Klobuchar is calling for additional funding to hospitals to purchase these critical supplies and specific consideration of the needs of rural areas when designing federal, state, and regional supply distribution strategies and when allocating equipment from the National Strategic Stockpile.    

Health Policies that Work for Rural America

Target public health messages for rural areas. The coronavirus pandemic is a national crisis and public health communications should reflect all parts of the country. Senator Klobuchar is calling for consistent and targeted messages from public health agencies to highlight the importance of preparation and prevention in rural areas. Public health officials also need to provide practical information to those living in rural areas who cannot stay at home for financial, medical or safety reasons and may need to continue to travel significant distances during the pandemic. 

Address racial disparities in health outcomes. Senator Klobuchar is calling for the Department of Health and Human Services to provide rural health systems information and tools they need to address racial disparities in health outcomes from coronavirus. She has also called on the Centers for Disease Control and Prevention to provide demographic and racial data about the impact of coronavirus and for the Administration to increase outreach to minority communities disproportionately impacted by the virus, including those living in rural areas. 

Increase regional collaboration. Small rural health care providers are less likely to have additional resources to reallocate internally to respond to sudden increases in demand or shortages of personnel and equipment. Senator Klobuchar is calling for the Department of Health and Human Services to develop best practices for local regional cooperation among health care providers during the pandemic. She will also push for needed regulatory flexibility and additional funding for the Hospital Preparedness Program to facilitate cooperative agreements. 

Expand access to telehealth and virtual visits. Telehealth services can protect patients and providers from exposure to coronavirus while still responding to patients’ medical needs. This is even more important in rural areas where patients could otherwise have to travel long distances to receive care, further increasing the possibility of exposure and transmission. To build on the temporary flexibility already provided for some telehealth services, Senator Klobuchar is leading bipartisan legislation to expand telehealth programs and support access to technology for virtual visits to help protect vulnerable populations from possible exposure to the virus. She also supports permanently reforming Medicare telehealth rules that unfairly limit coverage and reimbursement so that rural communities can continue to benefit from strong telehealth options after the pandemic. 

Farmers and Agriculture 

Spring is a critical planting and harvesting time for many American farmers, and they are facing major disruptions due to the pandemic. If farmers are unable to plant their crops or get their goods to market, that could devastate many rural economies and hurt consumers, who will see higher prices for their food at a time when budgets are already stretched too thin. We need to make sure that we are providing farmers and farm workers with the support they need to survive this crisis and continue to get food to Americans across the country who need it. 

Immediate Support for Farmers

Provide farmers financial relief. The coronavirus pandemic is causing new disruptions across the agricultural sector for producers who have already been dealing with persistently low commodity prices, economic uncertainty, and tight farm lending regulations. Senator Klobuchar has called for the Farm Service Agency to provide clear guidance, consider targeted loan forgiveness measures, and expand efforts to ensure farmers have reliable access to credit. She is calling on USDA to fully use the Agricultural Mediation Program to resolve credit issues in a way that works for both farmers and lenders. Senator Klobuchar is also calling for the Small Business Administration to allow for the broadest possible access to the Paycheck Protection Program and the Economic Injury Disaster Loans in rural America, including by allowing Farm Credit System institutions to serve as lenders where many farmers and rural businesses have already established relationships. Building off bipartisan legislation led by Senator Klobuchar that was recently passed into law to expand access to Chapter 12 bankruptcy for family farmers, Senator Klobuchar is also calling for outreach to farmers about eligibility for and the benefits of this option, which allows family farmers to reorganize and keep the farm after falling on hard times. 

Address low commodity prices. As a senior member of the Agriculture Committee, Senator Klobuchar worked to write and pass three farm bills with strong farm safety nets for our farmers. These safety nets are more important than ever as farmers, ranchers and other agricultural producers are facing direct losses from disruptions caused by the coronavirus pandemic and futures for most agricultural products indicate that these losses are likely to continue. These losses are being experienced across the board with reports of dairy farmers suffering $5.7 billion in losses in the last five weeks, hog producers estimating they will lose $37 per pig for the remainder of the year, and cattle ranchers facing a 30 percent loss to the value of their cattle since the beginning of the year. Senator Klobuchar is calling for additional short-term support to producers as needed through dedicated disaster funding and the Commodities Credit Corporation. To provide stability for farmers as they recover from the effects of the pandemic, Senator Klobuchar is calling for indexing farm safety net support levels to reflect changes in our country’s cost of production, low commodity prices, and loss of global market access. She is also calling for fully funding permanent disaster programs and improving support levels, loan rates and program delivery. Senator Klobuchar also is pushing for improving and expanding commodity support and federal crop insurance programs and increasing the average premium subsidy for crop insurance.

Protecting Farm Workers

Protect farm workers and food processors on the job. Workers on farms and at food processing facilities often work in crowded conditions that present an opportunity for the spread of coronavirus. Senator Klobuchar is calling for updated Occupational Safety and Health Administration rules to keep these workers safe, increased training on best practices available in appropriate languages, and support for farms and businesses to provide appropriate personal protective equipment to employees and adjust their operations to lower the likelihood of coronavirus transmission among their workers. The closure of the Smithfield Foods processing plant in Sioux Falls, South Dakota, demonstrates how the lack of national testing and public health response can disrupt food supplies and put workers at risk.

Support health and safety for agricultural workers. Many agricultural workers lack access to health care and housing appropriate for social distancing or quarantining. Senator Klobuchar is calling for increased support for the National Center for Farmworker Health and other programs at the Health Resources and Services Administration that support farm worker health. In addition, she is calling for emergency housing for agricultural workers to limit the spread of the virus among workers at home, provide a safe place for workers who need to self quarantine, and to make it easier for unemployed Americans to relocate to areas where agricultural jobs may be available. She is also calling on the Administration to provide clear, long-term guidance that will allow immigration programs for temporary farm workers to operate at a level consistent with past years even as consular services are reduced. 

Ensuring the Continuity of the Supply Chain

Ensure the continuity of the food supply chain. Complex supply chains connect farmers to consumers. Disruptions in any portion of the supply chain can ripple through and create additional challenges for producers or shortages for consumers, especially when it comes to highly perishable products such as fruits and vegetables. Among others, truck drivers play a critical role in this supply chain. Senator Klobuchar is calling for actions to protect the safety of workers throughout the supply chain and minimize disruptions of interstate freight operations. That means clear federal standards and enforcement for employee health and safety, exemptions from travel restrictions for workers critical to supply chains, temporary flexibility on commercial drivers license renewals, and efforts to maintain rest areas and other services important to the safety of commercial vehicle operators. She also is calling for emergency funding for ports and other intermodal facilities that may see temporary reductions in demand but will be essential for responding to shifting supply chains as the pandemic progresses. She is calling for additional flexibility for USDA inspectors to increase the use of virtual certifications and overtime as necessary to compensate for inspectors who are sick or quarantined. 

Help producers transition to new supply chains. Some producers who normally sell to commercial food services operators or farmers markets and need to temporarily find new supply chains to connect them to grocery stores and other customers facing increased demand. Senator Klobuchar is calling for increased support for establishing alternate supply chains including through programs such as the Value-Added Producer Grant program, Local Agriculture Market Program, and Regional Food System Partnerships. 

Responding to Changing Demand for Food and Fuel

Promote food security. As unemployment rises and many families face reduced incomes, demand for nutritional assistance from the federal government and charitable organizations is increasing. Senator Klobuchar is calling for expanding the maximum Supplemental Nutrition Assistance Program (SNAP) benefit, increasing the size of the benefit provided for teenage family members and expanding the Summer Electronic Benefit Transfer for Children. These policies should be made permanent as recommended in a National Academies of Science Report on how to reduce child poverty by half in ten years, but at minimum they need to be extended through the duration of the economic recovery that will follow the immediate health emergency. Senator Klobuchar is calling for the Administration to authorize the use of the Disaster Household Distribution nationwide to provide increased flexibility to food banks during the pandemic. She is also urging the Administration to end rulemakings currently in progress that make it harder to qualify for SNAP by restricting categorical eligibility, changing the way utility costs are calculated, and giving states less flexibility during times of high unemployment. 

Support homegrown energy. Senator Klobuchar believes that homegrown biofuels are key to our rural economies, our nation’s energy security, and reducing greenhouse gas emissions. She has been a leader when it comes to standing up to the Administration’s misuse of small refinery renewable fuel standard (RFS) waivers, and she authored an amendment that was included in the Farm Bill that provides mandatory funding to support biobased marketing and manufacturing. As demand for fuel has dramatically declined, many biofuel producers are being forced to idle plants and layoff workers. Senator Klobuchar is calling for temporary relief for the biofuels sector from the Commodity Credit Corporation. In addition, to strengthen the long-term outlook for biofuel production in the United States, Senator Klobuchar supports strengthening the RFS, promoting the use of blender bumps, passing a law to ensure year-round E-15 sales, and extending the biodiesel and second generation biofuels tax credits.

Rural Workers and Businesses

Like the rest of America, rural economies are getting hit hard by this crisis. Many rural workers and businesses will face unique challenges getting back on their feet, and we need to make sure that they are getting the support they need to make it through the pandemic. 

A Path to Recovery for Small Businesses

Provide small businesses the relief they need. Small businesses are the lifeblood of many rural communities, and are being hit extremely hard during this pandemic. If small businesses in rural America close for good, entire towns will suffer. That’s why Senator Klobuchar, along with Senators Chris Coons and Ben Cardin, secured a provision in the CARES Act that provides six months of relief on SBA loan payments for 320,000 small businesses — but more needs to be done. Senator Klobuchar is calling for an expansion of the Paycheck Protection Program created in the CARES Act to provide sufficient funding to get rural small businesses through the crisis. She is also calling for targeted tax relief to allow businesses to preserve cash and additional relief for businesses struggling with rent, mortgage, and insurance premiums. She has also introduced legislation to create a Treasury Department program to partner with states and private investors to help fund new businesses in parts of the country that have a shortage of equity investments in new businesses, with a focus on businesses founded by women and people of color. 

Increase technical assistance for small businesses. The number and complexity of programs designed to provide support for small businesses can make access assistance difficult in some instances. Many small businesses in rural areas work closely with community banks and credit unions who are well positioned to provide advice based on their understanding of local conditions. That’s why Senator Klobuchar supports reserving a portion of future small business relief for distribution through community-based financial institutions. She is also calling on the Small Business Administration to make sure their outreach and education efforts reach small businesses in rural areas and address their needs and for Congress to provide additional support for nonprofit organizations assisting small businesses to retain staff. 

Provide ongoing support to rural small businesses. Small businesses in rural areas face additional obstacles in accessing credit because many traditional lenders do not have the infrastructure and experience to effectively serve rural America. Senator Klobuchar is calling for expanding and strengthening USDA’s Business and Industry Loan Guarantee Program and the Rural Business Investment Program and continued support for the Farm Credit System. Senator Klobuchar will strengthen USDA programs that support entrepreneurs like the Value-Added Producer Grants, Rural Microentrepreneur Assistance Program, Intermediary Relending Program, and Agricultural Innovation Centers. She will push to reauthorize the New Market Tax Credit and make sure it effectively serves rural America. 

Ensure federal investments reach communities suffering from decades of neglect. When it comes to long-term economic development investments to help communities recover from the economic crisis caused by the pandemic, Senator Klobuchar is calling for adopting Congressman Jim Clyburn’s 10–20–30 plan, which Senator Cory Booker has also led in the Senate, in which 10 percent of federal resources are committed to communities where at least 20 percent of the population has been living below the poverty line for 30 years or more, many of which are in rural areas. 

Standing up for Rural Workers

Support the service sector. While agriculture is a significant part of rural economies, the service sector actually employs the largest number of workers in rural counties — and these jobs are being hit hard by the crisis. We need to make sure these workers are able to continue to make ends meet and provide for their families during and after the pandemic. The CARES Act included critical relief for workers — including direct cash payments, expanded unemployment insurance that covers self-employed workers and gig workers, and temporary relief for borrowers with federal student loans — but more needs to be done. Senator Klobuchar is calling for expanding paid leave to cover additional workers, enforceable standards from the Occupational Safety and Health Administration to protect workers from exposure to coronavirus, and making sure rural businesses of all sizes can access support and incentives to retain and rehire workers. 

Expand access to child care. Rural communities experience unique challenges when it comes to child care, as nearly two-thirds of rural families live in a child care desert, meaning an area where there are at least three young children for every licensed child care slot — or no licensed child care providers at all. The closure of schools has created additional challenges for essential workers who need to find child care while they provide critical services. Senator Klobuchar is calling for expanding assistance in rural areas by further increasing funding for the Child Care and Development Block Grant and increasing the subsidy rate so that rural child care providers can more easily meet their operating expenses and increase the quality of their programs. She also supports limiting child care payments to 7 percent of a family’s income and making targeted investments to build the supply of licensed child care in rural child care deserts.  

Living in Rural America 

From the lack of broadband access to child care deserts, living in rural America during this pandemic can pose unique challenges. We need to take action to make sure that families in rural communities have the resources they need to continue to live their lives during this pandemic.

Ensuring Families Have the Resources to Succeed

Improve broadband access. Roughly one in four rural Americans say access to high-speed internet is a major problem. Access to broadband increases options for employment, health care, education, and staying in touch with loved ones during the pandemic. During a time when schools are switching their classes to distance learning, rural and low-income students without broadband access are at a particular disadvantage. We must make sure that rural and low-income families have access to resources to help them access broadband. That’s why Senator Klobuchar has introduced legislation to provide $2 billion for a new Keeping Critical Connections Emergency Fund to help connect low-income families and students who have switched to distance learning by compensating small providers who offer free or discounted broadband services or upgrades. She has also called for additional funding for the E-Rate program, including support to provide WiFi hotspots to students without broadband connections.  

Support rural education. Rural school districts typically have fewer students, face higher transportation costs and have fewer options for professional development compared to urban school districts. Senator Klobuchar is calling for formulas, flexibility, and guidance for federal and state support to school districts that take into account the unique needs of rural districts to ensure they receive equitable funding. She is also calling for additional support for rural school districts that are distributing meals to students who are unable to pick them up at school, including working with local agricultural producers to incorporate fresh food when possible. 

Increase support for affordable housing. Before the beginning of the coronavirus pandemic, 54 million Americans lived in rural areas with a severe need for more affordable rental housing. With millions of Americans facing unemployment through no fault of their own, even more Americans are now likely to need housing assistance. Senator Klobuchar is calling for strong enforcement of the temporary moratorium on evictions for properties with federally-backed mortgages and an extension of the moratorium if economic conditions have not significantly improved by the time it is set to expire. She will also push for any emergency rental assistance funding to be fairly distributed to renters living in rural areas. Senator Klobuchar also supports strengthening rural rental assistance programs and significantly increasing investments in the rural housing supply by the federal government and through incentives to private lenders. 

Maintaining Important Government Services

Support local governments. Many rural counties and municipalities already faced tight budgets before the pandemic. Now they are spending money to change how services are delivered during the pandemic and are seeing higher levels of demand for many services. At the same time, sources of revenue such as sales taxes are declining. Since many of these governments also have smaller workforces, any absences due to illness or quarantine can also have a disproportionate effect on their ability to provide essential services. Senator Klobuchar is calling for additional federal support for local governments, including direct federal support for smaller and rural local governments. .  

Maintain a reliable Postal Service. A reliable Postal Service providing consistent mail delivery has always been important in rural areas, including for mail-order prescription drugs, and is even more important when people are staying home and practicing social distancing. However, the steep decline in mail volume caused by the pandemic, combined with ongoing financial difficulties, has created a crisis for the Postal Service. Senator Klobuchar is calling for immediate financial relief for the Postal Service and increased flexibility for the Postal Service to respond to workforce shortages caused by the coronavirus while maintaining the highest possible delivery standards that prioritize medical deliveries and account for the needs of rural America. She will also continue to stand up against attempts to privatize this essential public service.

Protect consumers from bad actors. While most Americans are coming together to do our part to fight the pandemic, some bad actors are using the crisis to take advantage of people. There are widespread reports of price gouging, which can be a particular problem in rural America where consumers are less likely to be able to find alternative vendors for the supplies they need. To address this, Senator Klobuchar has introduced legislation to outlaw price gouging during pandemics, natural disasters, and other emergencies and to empower the Federal Trade Commission (FTC) to fine those trying to unfairly profit off of disasters. There are also increasing reports of scams, especially those targeting seniors. Senator Klobuchar has called on the FTC to step up its education and enforcement efforts to stop scammers, and she leads bipartisan legislation in the Senate to give the FTC additional tools to prevent and respond to fraud targeting seniors.

Read the full plan here

Easter Sunday in New York Amid Coronvirus Pandemic

By Karen Rubin, News-Photos-Features.com

A dramatic change from what Easter Sunday usually looks like. Fifth Avenue is traditionally the scene of the Easter Parade, with elaborate hats and fancy dress and, since it is New York, wild sometimes whacky costumes. This year, the streets were desolate, the churches shuttered and famous boutiques closed. At Times Square, the Tower flashed electronic thank you’s to health care workers and first responders. Broadway theaters were shut down. Here are some images:

Fifth Avenue hasn’t been closed to traffic for the Easter Parade, it is just vacant. Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
St. Patrick’s Cathedral, Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
St. Patrick’s Cathedral, Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
St. Patrick’s Cathedral, Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
Rockefeller Center, Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
“Plaza Suite,” starring Matthew Broderick and Sarah Jessica Parker, along with all other Broadway theaters closed. Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
Times Square, Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
Times Square, Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
Times Square, Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
Times Square, Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com
Easter Sunday in New York City amid coronavirus pandemic © Karen Rubin/news-photos-features.com

In contrast, this is what the famous Easter Parade along Fifth Avenue looked like in happier times:

Easter Parade, Fifth Avenue, New York City, 2013 (c) Karen Rubin/goingplacesfarandnear.com
Easter Parade, Fifth Avenue, New York City, 2013 (c) Karen Rubin/goingplacesfarandnear.com

© 2020 News & Photo Features Syndicate, a division of Workstyles, Inc. All rights reserved. For editorial feature and photo information, go towww.news-photos-features.com, email [email protected]. Blogging at www.dailykos.com/blogs/NewsPhotosFeatures. ‘Like’ us on facebook.com/NewsPhotoFeatures, Tweet @KarenBRubin

Amid Ongoing COVID-19 Pandemic, NYS Ramps Up Antibody Testing Critical to Reopening Economy, Calls Upon Federal Support, Partners with NJ, CT; Seeks Heroes Compensation Fund

NYS Governor Andrew Cuomo points to success in flattening the curve of coronavirus infection in the state which already has more cases than any other country, but warns against complacency, saying it is the stay-at-home policies that have worked (c) Karen Rubin/news-photos-features.com

Governor Offers Full Partnership with Federal Government as Part of State’s Continued Efforts to Bring Mass Testing to Scale; New York Will Partner with Connecticut and New Jersey to Create a Regional Testing Partnership

Announces $200 Million in Emergency Food Assistance for More Than 700,000 Low-Income Households Enrolled in SNAP

Governor is Working with Congressional Delegation to Create a COVID-19 Heroes Compensation Fund

Announces New Partnerships with Private Sector to Provide Free Housing for Frontline Medical Workers

Releases ‘New York Tough’ Video Showing How New Yorkers are Spending Their Time at Home, Building on Ongoing State Efforts to Reach All Communities in New York with the Life-Saving Stay Home Message – Video is Available Here

Confirms 10,575 Additional Coronavirus Cases in New York State – Bringing Statewide Total to 170,512; New Cases in 54 Counties

The reason that the national coronavirus numbers are plateauing is because New York State, with more coronavirus cases than any other country, has brought down the rates of new infections, even as the daily death toll remains high. But it is not clear whether COVID-19 has yet to strike places where the numbers seem relatively low, because there is not sufficient testing. Trump is pushing to reopen the economy – desperate to be able to go into the election with a strong economy, low unemployment rates, high Dow – without care that lifting stay-at-home mitigation will trigger new spikes in infections and new waves, as are already being experienced in some Asian countries.

New York Governor Andrew Cuomo, who has received high marks for his command-and-control that clearly has resulted in significantly lower rates of infection than a slew of statisticians predicted could happen if steps to contain the virus were not implemented, said as much. Looking ahead to how and when the state could get back to work, he warned against doing it too early or too suddenly. Testing – both to diagnose and to determine if someone has the antibodies to effectively be immune to the coronavirus – is critical and he called for the federal government to exercise the Defense Production Act to get private labs and manufacturers to bring tests up to scale, that is, by the tens of millions.—Karen Rubin, news-photos-features.com.

Amid the ongoing COVID-19 pandemic, Governor Andrew M. Cuomo today announced New York State is ramping up antibody testing, a key component of any plan to reopen the economy. The state is currently conducting 300 of these antibody tests, and is on track to conduct 1,000 per day by next Friday and 2,000 per day by the following week. As part of the state’s continued efforts to bring mass testing to scale, the Governor offered a full partnership with the federal government to conduct this important work. In the interim, the Governor announced that New York, Connecticut and New Jersey will create a regional testing partnership to bring mass testing to scale for residents in these states.

Governor Cuomo also announced an additional $200 million in emergency food assistance will be available for more than 700,000 low-income households enrolled in the Supplemental Nutrition Assistance Program. Those enrolled in SNAP and not yet receiving the maximum benefit will receive an additional payment to bring them up to this amount in March and April. The supplemental benefits will be issued in April and delivered directly to recipients’ existing Electronic Benefit Transfer accounts. Households eligible for the supplement that live in counties outside of New York City will begin receiving the supplemental emergency benefit starting on April 13, and all eligible households will have received it by April 24. In New York City, the emergency benefits will be issued starting on April 14, and the issuance completed on April 25.

Governor Cuomo is also working with New York’s Congressional delegation to create a COVID-19 Heroes Compensation Fund to support health care and other frontline workers and their families who contracted COVID-19.

The Governor also announced new partnerships with the private sector to provide housing for frontline medical workers. Airbnb co-founder and CEO Brian Chesky will contribute $2 million to help provide rooms in union hotels at no cost to frontline workers. As part of this effort, 1199SEIU is partnering with Airbnb to offer housing to its members — comprised of hospital and other healthcare workers — as they fight the COVID-19 crisis statewide. Additionally, the InterContinental Times Square, Yotel and the Hudson Hotel are providing an additional 800 free rooms for health care workers coming to New York City from out of state, collaborating with the Hotel Association of New York City, MetLife and the Related Companies.

As part of Governor Cuomo’s social media awareness campaign, the state today released a video that features New Yorkers showing us their reality as they stay home under the state-wide Pause restrictions. Working in partnership with Resonant Pictures, the state put out a call for photographs of life in the city over the past three weeks. The video, set to the iconic song by The Fray, truly illustrates “How to Save a Life,” during the pandemic.

“The data has shown that what we do today will determine the infection rate two or three days from now, so we must continue to do what we are doing even though it is difficult –because it is working,” Governor Cuomo said. “The key to reopening is going to be testing. New York State has been very aggressive on testing, and our state lab is now developing an antibody test which is fast and non-invasive. The State Department of Health can currently do 300 tests a day and by next Friday, they will be able to do 1,000 tests and 2,000 tests the following week. That’s great, sounds like a lot, but 2,000 tests are still a drop in the bucket, and I’m proud of how New York has advanced on testing.”

NYS Governor Andrew Cuomo on needing a stimulus bill that actually addresses the needs of state and local governments: “ou need a fair federal stimulus bill that is not a political pork barrel bill. You know where the cases are. You know where the need is. I understand the political dynamics of the U.S. Senate but this is not a time to be passing bills that really are to make sure your home state gets enough funding. That’s not what this is about. This is about helping the country coming back and focusing on the need. When I says the bills were unfair to New York, the past bills, it is not just that I am advocating to New York. Look at the need. Look at where the cases are. Look at where the damage has been done.” (c) Karen Rubin/news-photos-features.com

Here is more of what Governor Cuomo said in his daily briefing:

“New York State has been very aggressive on testing and our state lab has been very aggressive on testing. Our state lab is now developing an antibody test which is a fast and not invasive test. The State Department of Health can do 300 tests a day. By next Friday, they will be able to do 1,000 tests and 2,000 tests the following week. That’s great, sounds like a lot but 2,000 tests are still a drop in the bucket, and I’m proud of how New Yorkers advanced on testing. You look at how quickly New York State has moved on testing and how many tests we have done – we’ve done a higher percentage of tests in New York State than other countries have done and New York State far exceeds what this nation as a whole is doing on testing. Even with our high capacity and high performance on testing it’s still not enough. It’s not enough if you want to reopen on a meaningful scale and reopen quickly so the testing front is going to be a challenge for us.

“Why can’t New York just develop more tests and do more testing? How do we get New York State Department of Health to scale? That’s an issue that we’ve been working on it’s harder than it sounds. You need certain reagents so you can do the testing. You need certain materials so you can do the testing. It’s very hard to get these reagents right. You’re in a situation where countries all across the globe are trying to do the same thing.

“Federal government has something called the Defense Production Act, DPA they call it, which I’ve been saying from day one is a very powerful tool for the federal government to use when they need to secure a product in the defense of this nation. This is in the defense of this nation. The federal government has used it effectively. They’ve used that in this situation more as a point of leverage than anything else, basically saying to a company, you know, we need you to do this, we do have the Defense Production Act that we could use. But we need an unprecedented mobilization where government can produce these tests in the millions.

“New York State Department of Health is doing is doing several thousand. We have 9 million people we want to get back to work. You need more than several thousand tests per week if this is going to happen any time soon. Private sector companies on their own, I don’t believe will be able to come to scale. We’re working with the private sector companies. They have the tests but they don’t have the capacity to come to scale. You’re going to need government intervention to make that happen and the federal government is in the best position to do that.

“New York State offers to be a full partner with the federal government. We do have the largest number of cases in New York. New York is an economic engine. I can’t do it as a state. If I had a Defense Production Act in the state, I would use it. I would use it. I don’t have that tool, the federal government does. Any way we can partner with the federal government to get these tests up to scale as quickly as possible, we are all in. I like to operate as a coalition with New Jersey and Connecticut because we are the tri-state area. I have spoken to Governor Murphy and Governor Lamont of Connecticut. They will join in a testing coalition. So, I ask the federal government if you are willing to step in and use the federal powers, New York State and New Jersey and Connecticut would partner with the federal government. And let’s get the testing up to scale quickly so we can start to build that bridge to reopening the economy.

“Second on reopening, you need a federal stimulus bill. You need a federal stimulus bill – they passed a couple already. But you need a fair federal stimulus bill that is not a political pork barrel bill. You know where the cases are. You know where the need is. I understand the political dynamics of the U.S. Senate but this is not a time to be passing bills that really are to make sure your home state gets enough funding. That’s not what this is about. This is about helping the country coming back and focusing on the need. When I says the bills were unfair to New York, the past bills, it is not just that I am advocating to New York. Look at the need. Look at where the cases are. Look at where the damage has been done. The federal government is trying to address that damage. You know where it has been done. Look at the chart on where the cases exist. Look at the number of deaths, the number of cases, the number of hospitalizations and help those places come back and come back quickly. That’s what the stimulus bill is supposed to be doing.

“Also, let’s make sure we are learning from what we just went through and are going through. Because there are lessons I think we should all be aware of over the past few months. And before you take a step forward, let’s make sure we know what we are stepping into. A question I had from day one, when you look back at this, where were the horns that should have been triggered back in December and January. Where were the warning signs? Who was supposed to blow the whistle? The President has asked this question and if think he’s right. The President’s answer is the World Health Organization should have been blowing the whistle. I don’t know enough to know if that’s right or wrong, but I know the question is right and sometimes the question is more important than the answer.

“How did this happen? I still want to know how this happened. Because the warning signs were there. And if you don’t know the answer, then how do you know it is not going to happen again, right? Fool me once – January, you go back and look at the headlines in January and you see questions and you see warnings. Now, they were all over the map, but we saw what was happening in Asia. We saw what was happening in Europe. Where were the international experts saying, ‘Well, if this is happening there, this is what we should expect to happen in the United States? Or prepare to happen in the United States?’ January, February, you still had sources in this country saying basically there’s nothing to worry about. You know, how did that happen? Did we really need to be in this situation where the United States winds up with a higher number of cases than the places that went before? We sat here and we watched China. China winds up have 84,000 cases, we wind up having 474,000 cases. I mean, how does that happen? We saw South Korea. They wind up with 10,000 cases. Italy, where we saw a collapse of the whole health system, winds up with 143,000 cases.

“I raise the question because the answer, again, is less important than the question, but before we move forward let’s make sure we’re not repeating the same mistake that we made, right? George Santayana. ‘Those who do not remember the past are condemned to repeat it.’ I don’t want to repeat what we just repeated, what we just went through over this past month.

“So, what are the relevant questions? Is there going to be a second wave? Let’s look at the countries that have gone through this reopening process and what can we learn from them? Right? Well, we have to start to reopen. Let’s look at what the other countries who have gone before us, what they did, what worked and what didn’t work. When you take just a cursory review you see caution signs. Hong Kong appeared to have the virus under control, they let its guard down, the virus came back. Hong Kong recorded the biggest rise in cases and a new wave of infections. Is that true? Could it happen here? Article yesterday, Italy has seen a bump in the number of cases. You know, before we take a step make sure we are more informed and more aware than we were in the past. They’re talking about a second wave in Singapore.

“You got back and you look at the 1918 flu epidemic. That was over 10 months. There was a first wave, there was a second wave. The second wave was worse than the first wave because the virus mutated. Third peak and the whole experience was 10 months. Is there any extrapolation to where we are today? I don’t know the answers. This is not what I do. It’s not what a state does.

“But, we know the questions and we should have the questions answered before we take a step forward. Yes, no one has been here before. These are totally uncharted waters. But we do know that none of this is predetermined and it is all a function of our actions. We are in total control of our destiny here. What we do will effect literally live and death for hundreds of people.

“So, where do we go from here? First, keep doing what we’re doing. Stay home because that works. We are flattening the curve, we must continue to flatten the curve. We have to get testing to scale. That is an entirely new exercise. It’s something we still haven’t done well in this country. We need both diagnostic testing and antibody testing. We need millions and millions of them. We need them in a matter of weeks, not months.

“We have to be more prepared as a nation. We should never go through this scramble that we went through with states competing against other states to buy masks from China. I mean, we should just never have been here in the first place, but certainly we should never be here again. And then let’s make sure we study the waters ahead and proceed with caution before we set off on the next journey. When we talk about reopening, let’s study the data and let’s look at what has happened around the world. Let’s make sure the best health minds in the country are giving us their best advice.

“How do we go forward? We stay New York tough. New York tough means more than just tough, it means discipline. It means unified. It means loving. And it means smart. Now is a time to be smart. Now more than ever. That’s what it means to be New York tough and we are.”

“The actual curve, today 18,569, is much, much better. How do you create a curve so different from the projections? In fairness to experts, nobody has been here before, and a big variable was what policies would put in place, and a bigger variable is whether people listen to the policies you put in place. Just because you announce a policy– to close businesses and everybody stay home – if people don’t take seriously or feel is political, they wouldn’t follow it.”

Finally, the Governor confirmed 10,575 additional cases of novel coronavirus, bringing the statewide total to 170,512 confirmed cases in New York State. Of the 170,512 total individuals who tested positive for the virus, the geographic breakdown is as follows:

CountyTotal PositiveNew Positive
Albany42647
Allegany264
Broome1127
Cattaraugus181
Cayuga2711
Chautauqua202
Chemung590
Chenango605
Clinton433
Columbia744
Cortland171
Delaware392
Dutchess1,598105
Erie1,40947
Essex102
Franklin110
Fulton183
Genesee659
Greene346
Hamilton30
Herkimer364
Jefferson431
Lewis60
Livingston293
Madison998
Monroe74244
Montgomery291
Nassau21,5121,372
Niagara15610
NYC92,3845,356
Oneida17214
Onondaga36911
Ontario518
Orange4,532442
Orleans242
Oswego360
Otsego412
Putnam48749
Rensselaer9112
Rockland7,122457
Saratoga18210
Schenectady19124
Schoharie120
Schuyler51
Seneca150
St. Lawrence782
Steuben11728
Suffolk18,6921,279
Sullivan31824
Tioga181
Tompkins1050
Ulster53070
Warren433
Washington261
Wayne412
Westchester18,0771,073
Wyoming301
Yates21

NYS Accepts Ventilators from China, Oregon; expands testing; will Graduate Med Students Early to Fight COVID-19 With Apex Still More Than Week Away

New York State Governor Andrew Cuomo at coronavirus press briefing: “We also have to be smarter from what we went through. How do you make the economy more resilient? What happens when something like this happens again? And something like this will happen again.” © Karen Rubin/news-photos-features.com

Amid the ongoing COVID-19 pandemic, with 10,841 additional cases, bringing the statewide total to 113,704 and the apex still a week or more away, Governor Andrew M. Cuomo today announced that 1,000 ventilators have been donated to New York by the Joseph and Clara Tsai Foundation. The Joseph and Clara Tsai Foundation and the Jack Ma Foundation have also donated one million surgical masks, one million KN95 masks and more than 100,000 pairs of goggles to the state. The Chinese government and Ambassador Huang Ping, Chinese Consul General, have facilitated these donations. The ventilators arrived at JFK Airport today. 

The National Basketball Association is also contributing one million surgical masks for New York’s essential workers in collaboration with the New York Knicks, Brooklyn Nets and China’s New York Consul General Huang Ping. 

Additionally, Oregon Governor Kate Brown has offered to provide New York with 140 ventilators from Oregon’s stockpile. 

Governor Cuomo will also issue an Executive Order allowing medical students that are slated to graduate to begin practicing immediately to help with the state’s surge health care force. To date, 85,000 health professionals, including 22,000 out-of-state individuals, have signed up to volunteer as part of the state’s surge healthcare force during the ongoing COVID-19 pandemic. 

“This pandemic has been stressing our nation on every level and we are doing everything in our power to prepare for the fight that will come at the apex,” Governor Cuomo said.”Ventilators remain our greatest challenge, and we have received a generous donation of 1,000 ventilators from the Joseph and Clara Tsai Foundation and the Chinese government, as well as 140 ventilators from Oregon – and these ventilators will save lives. This is a painful, disorienting experience, but we will get through it together and we will all be the better for it.”

Governor Cuomo commented, “Anyway, it all comes back to China. New York has been shopping in China. We’re not really China experts, here. International relations is not what we do on a daily basis. I’ve been to China before when I was HUD secretary, I did a trade mission with China. So, I have a basic understanding, but we went to the Asia Society to help us navigate China. I asked the White House to help us navigate China. I spoke to the ambassador and we got really good news today. That the Chinese government is going to facilitate a donation of 1,000 ventilators that will come in to JFK today. I want to thank Joe Tsai and Clara Tsai and Jack Ma from Alibaba, and the Nets, but I’m not stating a preference, for their donation. That’s going to be very helpful and I want to thank Ambassador Huang very much for his help in making all of this happen because this is a big deal. It’s going to make a significant difference for us.”

About the state of Oregon’s contribution, he said, “The state of Oregon contacted us and is going to send 140 ventilators, which is, I tell you, just astonishing and unexpected. I want to thank Governor Brown, I want to thank all of the people in the state of Oregon for their thoughtfulness. Again, this was unsolicited. But the 140 ventilators will make a difference. I was thinking about it, on behalf of New York and what it means for our – first it was a kind gesture. I know Governor Brown and she is a kind person, but it’s also smart from the point of view of Oregon. Why? Because we’re all in the same battle and the battle is stopping the spread of the virus, right?

“Look at what they did in China. It was in the Wuhan province. First order of business was contain the virus in Wuhan. Why? Because you want to contain the enemy. That’s always the first step. Oregon, we’re dealing with it now, we don’t stop the spread in New York, it continues. And if you look at the projections, Oregon could have a significant problem towards May. Our problem is now. So it’s also smart from Oregon’s self-interest. They see the fire spreading. Stop the fire where it is before it gets to my home. That was the Wuhan province…

“The State of Oregon has lent us 140 ventilators. It was kind, it was smart, stop the virus here. It’s better for the state of Oregon, it’s better for the nation. Their curve comes after ours. We’ll return their 140 ventilators, and there’s never been a discussion, but frankly I know New Yorkers and I know New Yorkers’ generosity. We will turn it double fold, because that’s who we are and that’s what we believe. So, stop the fire in New York, kind, generous, also smart.”

On Wednesday, Governor Cuomo announced that New York-based Regeneron Pharmaceuticals is creating 500,000 test kits for the State at no charge amid a nationwide shortage of test kits and swabs. The first batch of test kits was delivered to the State on Monday and the State will receive an ongoing delivery of 25,000 kits per day. Additionally, Corning has donated 100,000 tubes and provided an additional 500,000 tubes to the State at reduced cost and expedited delivery, and Puritan has sold medical swabs to the State. As of Wednesday, the State has tested 220,880 individuals.

“In this war, we must plan forward for the next battle. Meaning, we have been behind from day one. This virus has been ahead of us from day one. You don’t win a war that way. The next battle is the apex. The next battle is on the top of the mountain. See that curve? You see a curve? I see a mountain. The next battle will happen at the top of that mountain. That’s where it is going to be joined. And that’s where the enemy either overwhelms our healthcare system, or we are able to handle the onslaught of the enemy at the top of that mountain. And that’s what we’re planning for every day.

“But I want to offer you a different perspective that I’m starting to think about and I think we all should start to think about.

“As a society, beyond just this immediate situation, we should start looking forward to understand how this experience is going to change us, or how it should change us, because this is going to be transformative. It is going to be transformative on a personal basis, on a social basis, on a systems basis. We’re never going to be the same again. We’re not going to forget what happened here.

“The fear that we have, the anxiety that we have, that’s not just going to go away. When do we get back to normal? I don’t think we get back to normal. I think we get back, or we get to a new normal. Right? Like we’re seeing in so many facets of society right now. So we will be at a different place.

“Our challenge is to make sure that transformation and that change is positive and not negative. Let’s make sure we’re taking the positive lesson and not the negative lesson…

“We also have to be smarter from what we went through. How do you make the economy more resilient? What happens when something like this happens again? And something like this will happen again. ‘Oh, no, this is a once in a lifetime, never again.’ Something like this will happen again. We’re seeing it in the environment. We’re seeing it with floods, we’re seeing it with hurricanes. Something like this will happen again. You can’t just turn off the economy like a light switch.

“How do governments work together? You can’t figure it out on the fly – what the federal government does, what the state government does, what the local governments do. Figure it out before. Learn the lessons from this. Telemedicine, and tele-education. We have closed the schools. Well why weren’t we ready with a tele-education system? Why weren’t we better with telemedicine? Why didn’t we have the capacity to have that’s lines on people coming in to give the same basic diagnosis and the same basic advice? Why don’t we have medical supplies made in this country? Why are we shopping in china for basic medical supplies? Why don’t we gear our medical research to these types of threats and challenges, which we know are on the horizon? We know these viruses are changing. We know they mutate. Why don’t we get ahead of it?

“You still have to run society. Let’s talk about first responder capacity. We now have first responders who are getting sick, and the workforce is dropping. That was inevitable, right? That was going to happen. What’s the backup to that situation? And let’s talk about societal stability, and engagement at times of crisis. You can’t just tell everyone, ‘go home and lock your doors and sit on your couch and order takeout,’ for the foreseeable future. That’s not who we are. It’s not even a mental health issue. It’s just, it’s a personal health issue. It’s how we relate to one another. We’re not built to be isolated for long periods of time and not have human contact. So how do we deal with that?

“And these are the types of questions that we have to start to think through. But not today. That is the next challenge, I believe. And that is what we’re going to have to think about soon. But for now, one crisis at a time, as they say. And we are planning to handle with the current crisis, preparing for the battle on the mount, which is what we are doing every day. And that’s what we are doing. And not only are we doing it, but we have to succeed at it. You know?

“Government process is very good at saying, ‘well, we’re trying. We’re working on this. We’re doing our best. We’re doing our best.’ Winston Churchill, “it is no use saying we’re doing our best. You have got to succeed in doing what is necessary.” Tad harsh goes with that expression, which I think you could say, tad harsh. Handsome, but a tad harsh, but it’s true. And that’s what I say to my team every day. This is beyond best efforts. This is beyond, “I’m working very hard.” We have to get this done. We have succeed. We have to find a way. We have to make it happen, because too much is at stake.”

Finally, the Governor confirmed 10,841 additional cases of novel coronavirus, bringing the statewide total to 113,704 confirmed cases in New York State. Of the 113,704 total individuals who tested positive for the virus, the geographic breakdown is as follows:

CountyTotal PositiveNew Positive
Albany29326
Allegany162
Broome659
Cattaraugus90
Cayuga71
Chautauqua101
Chemung361
Chenango397
Clinton311
Columbia497
Cortland100
Delaware262
Dutchess938129
Erie80888
Essex71
Franklin100
Fulton93
Genesee204
Greene241
Hamilton20
Herkimer184
Jefferson202
Lewis20
Livingston182
Madison744
Monroe51248
Montgomery133
Nassau13,3461,322
Niagara1017
NYC63,3066,147
Oneida809
Onondaga26210
Ontario313
Orange2,741344
Orleans101
Oswego260
Otsego265
Putnam28331
Rensselaer582
Rockland4,872583
Saratoga1410
Schenectady1177
Schoharie101
Schuyler41
Seneca60
St. Lawrence529
Steuben559
Suffolk11,3701,216
Sullivan19325
Tioga70
Tompkins851
Ulster29027
Warren201
Washington161
Wayne300
Westchester13,081730
Wyoming183
Yates10

Bernie Sanders Releases Priorities for Next Coronavirus Stimulus Package: Calls for ‘Boldest Legislation Ever Written in Modern History’

Sen. Bernie Sanders on Friday released a list of priorities to ensure the next coronavirus legislation passed by Congress is the boldest legislation in history, matches the scale of the crisis, saves lives and ensures working Americans are not left behind. © Karen Rubin/news-photos-features.

BURLINGTON, Vt. – Sen. Bernie Sanders on Friday released a list of priorities to ensure the next coronavirus legislation passed by Congress is the boldest legislation in history, matches the scale of the crisis, saves lives and ensures working Americans are not left behind.  

“We are in the midst of a COVID-19 pandemic that could lead to the death of hundreds of thousands of Americans and infect millions of others, and we are entering an economic downturn that could be worse than the Great Depression of the 1930s.” Sanders said. “In this unprecedented moment in modern American history, it is imperative that we respond in an unprecedented way. That means that Congress must pass, in the very near future, the boldest piece of legislation ever written in modern history. Today, I am outlining a set of six core provisions that must be included in new Congressional legislation to support working people during this horrific crisis.” 

Sanders’ priorities include:

Keep workers on payroll – make sure that every worker in America continues to receive their paycheck, retroactive to the beginning of the crisis. An important precedent was set by keeping airline workers on payroll in the last bill

Use Medicare to make sure no one has to pay for health care during the crisis

A $2,000 monthly emergency payment to every person in the country until the crisis has passed

The forceful use of the Defense Production Act to direct the production of all of the personnel protective equipment, ventilators and other medical supplies

Hazard pay for workers on the frontlines of the emergency

$600 billion in direct fiscal aid to states and cities

Freezing monthly rent and mortgage payments

Emergency food for millions of families who would otherwise go hungry

In a mailing to supporters, Sanders described his priorities in more detail:

Our country is now facing its worst crisis in modern history. We are in the midst of a COVID-19 pandemic that could lead to the death of hundreds of thousands of Americans and infect millions of others, and we are entering an economic downturn that could be worse than the Great Depression of the 1930s.

Last week, 3.3 million Americans filed for unemployment. This week that number doubled to 6.6 million claims — ten times higher than any other week on record. It is certain that well over 10 million people have lost their jobs — more than in the Wall Street crash of 2008.

In this unprecedented moment in modern American history, it is imperative that we respond in an unprecedented way. And that means that Congress must pass, in the very near future, the boldest piece of legislation ever written in modern history.

There are many, many issues that must be addressed in our response to this pandemic, and working together, we will make sure they are addressed.

1. Addressing the Employment Crisis and Providing Immediate Financial Relief

There is little doubt in my mind that we are facing an economic crisis that could be even worse than the Great Depression. The St. Louis Federal Reserve has projected that 47 million more people may become unemployed by the end of June, with unemployment reaching 32 percent. In my view, we must make sure that every worker in America continues to receive their paycheck during this crisis and we must provide immediate financial relief to everyone in this country.

An important precedent for that approach was taken in the recent stimulus package in which grants were provided to the airlines for the sole purpose of maintaining the paychecks and benefits of some 2 million workers in that industry through September 30. We must expand that program to cover every worker in America and we must make it retroactive to the beginning of this crisis. This is not a radical idea. Other countries, such as the UK, Norway, Denmark, France, and others have all come up with similar approaches to sustain their economy and prevent workers from losing their jobs.

Our primary goal during this crisis must be to prevent the disintegration of the American economy. It will be much easier and less expensive to prevent the collapse of the economy than trying to put it back together after it collapses.

To do this, we must also begin monthly payments of $2,000 for every man, woman, and child in our country, and guarantee paid family leave throughout this crisis so that people who are sick do not face the choice of infecting others or losing their job.

2. We Must Guarantee Health Care to All

Let’s be clear: we were facing a catastrophic health care crisis before the pandemic, and now that crisis has become much, much worse. Already, 87 million people are uninsured or underinsured. Layoffs will mean tens of millions of people more will lose their current insurance — which will result in countless deaths and bankruptcies. Already in the last two weeks, an estimated 3.5 million people have lost their employer-sponsored insurance.

And as the pandemic grows, we are seeing more and more reports of people who have delayed treatment due to concerns about cost. In this pandemic, uninsurance will lead to deaths and more COVID-19 transmissions.

Therefore, during this crisis, Medicare must be empowered to pay all of the deductibles, co-payments and out-of-pocket healthcare expenses for the uninsured and the underinsured. No one in America who is sick, regardless of immigration status, should be afraid to seek the medical treatment they need during this national pandemic. Let me be clear: I am not proposing that we pass Medicare for All in this moment. That fight continues into the future. But, for the moment, we must act boldly to make sure everyone can get the health care they need in the coming months.

3. Use the Defense Production Act to Produce the Equipment and Testing We Need

Unbelievably, in the United States right now, doctors and nurses are unnecessarily putting their lives on the line treating people suffering from the coronavirus because they lack personal protective equipment like masks, gloves, and surgical gowns. The CDC has directed health professionals to use homemade gear like bandanas or scarves and some workers at the VA are being told to re-use one surgical mask for a week at a time. HHS estimated that our country needs 3.5 billion masks in response to this crisis.

President Trump has utilized the Defense Production Act thousands of times for the military and for enforcement of his immigration policies, yet he has resisted using its power to save lives during the pandemic. That is unacceptable. We must immediately and forcefully use the Defense Production Act to direct the production of all of the personal protective equipment, ventilators and other medical supplies needed.

We must also utilize this power to produce antibody tests so we can begin figuring out who has already contracted the virus and has developed some immunity to COVID-19.

In addition, OSHA must adopt a strong emergency standard to protect health care workers, patients, and the public during this crisis. We must crack down aggressively on price gougers and hoarders, and use any means necessary to secure supplies.

4. Make Sure No One Goes Hungry

Even before this crisis hit, one in every seven kids in America was going hungry and nearly 5.5 million seniors in our country struggled with hunger. Already in this crisis we see lines at food banks and growing concern that our most vulnerable communities and those recently unemployed may struggle to feed their families.

As communities face record levels of food insecurity, we must increase SNAP benefits, expand the WIC program for pregnant mothers, infants, and children, double funding for the Emergency Food Program (TEFAP) to ensure food banks have food to distribute, and expand Meals on Wheels and School Meals programs. When necessary, we must also develop new approaches to deliver food to vulnerable populations — including door-to-door drop offs.

5. Provide Emergency Aid to States and Cities

Even as state and local employees like police officers, firefighters and paramedics work on the front lines of this pandemic, states and cities that pay their salaries are facing enormous budgetary pressures.

Congress must provide $600 billion in direct fiscal aid to states and cities to ensure they have the personnel and funding necessary to respond to this crisis. In addition, the Federal Reserve must establish programs to provide direct fiscal support and budgetary relief to states and municipalities.

6. Suspend Monthly Payments

Even before this crisis, half of the people in our country were living paycheck to paycheck. In America today, over 18 million families are paying more than 50 percent of their income on housing. Now, with growing unemployment, families are facing financial ruin if we do not act quickly and boldly.

That’s why we must suspend monthly expenses like rent, mortgages, medical debt and consumer debt collection for 4 months. We must cancel all student loan payments for the duration of this crisis, and place an immediate moratorium on evictions, foreclosures, and utility shut-offs.

Brothers and sisters: In this unprecedented moment in our history it is easy to feel like we are alone, and that everyone must fend for themselves. But that would be a mistake and a terrible tragedy. Now, more than any other moment in our lives, we must remember that we are all in this together — that when one of us gets sick, many more may get sick. And when my neighbor loses their job, I may lose my job as well.

Further, we cannot wait until our economy collapses to act. It will be far easier and less expensive to act now, in a very bold way, than to try to rebuild our country later.

If we work together and unite behind these basic principles of economic and health justice, I am confident that we will not only get through this unprecedented crisis together but that we will lay the groundwork for a better and more just America in the future.

But today, I am outlining a set of six core provisions that must be included in the next legislation Congress passes to support working people in this country during this horrific crisis. Please read them and add your name to say that you agree:

(Read the priorities here.)

The proposal put forward by Sanders today is backed by several progressive groups.  

“Half of Veterans are over age 65, and we disproportionately suffer from preexisting conditions and economic challenges which make the COVID-19 pandemic particularly devastating for our community,” Common Defense Director Alex McCoy said. “Meanwhile, countless workers at the Department of Veterans Affairs are making extraordinary sacrifices to save lives, while going without sufficient protective equipment. Senator Sanders’ plan for Phase 4 of COVID-19 response takes the bold steps which are absolutely essential to saving countless lives and preventing immeasurable economic hardship. We must immediately implement his proposals to provide Americans with a financial lifeline, and pivot our industrial capacity to produce sufficient supplies. We applaud Senator Sanders for demonstrating real leadership in this crisis and centering the tangible needs of ordinary people, while Donald Trump downplays the threat and weaponizes aid to give favors to his political allies and bail-outs to his favorite corporate CEOs.”

“Senator Sanders’ economic rescue principles speak to the bold, fast action needed to protect and support people, and prevent corporations from consolidating economic and political power amidst a crisis,” People’s Action Director George Goehl said. “We urge him to build on this strong framework by including a Rent Zero policy in the short term: no rent or mortgage payments during the crisis, no late fees, and no debts from housing obligations during the crisis.”

“Bernie’s plan for the fourth phase of a federal legislative response centers people, not corporations. It is about helping us survive with the cash assistance, healthcare, nutrition, worker safety we need, and relief from monthly payments we cannot make. It speaks to the needs of frontline workers who are battling the pandemic and making it possible for the rest of us to shelter in place, said Ana Maria Archila, Co-Director of Center For Popular Democracy Action. “Bernie is uniquely courageous in demanding and lifting up the inclusion of immigrants, recognizing that low-income communities of color will bear the worst of this crisis. His plan provides urgent and direct relief to those most vulnerable — addressing the gaps left by previous relief bills and creating a foundation for long-lasting recovery.” 

“Governments all around the world are keeping people employed and on payroll by covering salaries if businesses commit to not cutting wages or laying people off,” Justice Democrats Executive Director Alexandra Rojas said. “Senator Sanders is leading the fight to bring that common sense model to our country when so many workers and small business owners are confronting a complicated Rube Goldberg machine just to get a little relief.”

“This moment of crisis exemplifies the detrimental impact failing to account for the needs and extend protections to the most vulnerable has on the health of all within our communities, said Javier H. Valdés, Co-Director of Make the Road Action. “Only through a comprehensive response that covers the immediate and future healthcare, economic and maintenance needs of all members of our society can we prevent greater loss of life and a deeper economic downturn. Make the Road will continue to fight alongside Senator Sanders to ensure the next phase of COVID-19 legislative response includes these provisions and an eye towards justice.” 

“The current government response has left behind some of our most vulnerable neighbors including the homeless, the undocumented, the unbanked, and those without internet connections, said Marisa Franco, Founder and Director of Mijente. “The priorities outlined by Senators Sanders for the next Coronavirus Stimulus Package are what our country needs to ensure everyone in our community can access the financial and medical support needed to withstand this crisis. We stand with Senator Sanders in demanding a $2,000 monthly emergency payment, emergency food, and Medicare to every person in our country regardless of their housing situation, immigration status or whether they have a bank account or internet connection.” 

Biden Offers “Make It Work” Checklist for Implementation and Oversight of the CARES Act

Joe Biden released a “Make It Work” checklist to provide the federal government with specific recommendations surrounding the implementation and oversight of the CARES Act, the recent stimulus package passed by Congress to ensure the economic relief and recovery effort works for families, workers, and small businesses. The checklist builds on Biden’s plan to combat coronavirus (COVID-19) released on March 12 and his emergency action plan for the economy released on March 26. © Karen Rubin/news-photos-features.com

Absolutely none of the plans to mitigate against the twin crises posed by the coronavirus pandemic on Americans’ healthcare and the nation’s economy have come from Trump, but rather he has played catch up finally responding to the pleas and shaming from Congressional Democrats, who turned the trillion dollar slush fund for corporations into a $2.2 trillion relief bill, and from Governors and Mayors desperate for life-saving medical equipment and supplies. But his administration has proved woefully inadequate to implement. The $350 billion earmarked to rescue small businesses that is supposed to go into effect has no actual means; the billions in relief checks that are supposed to go to individuals are bogged down by a dysfunctional administration. While Trump has used the coronavirus pandemic to attack Democrats, and take advantage of the limited ability of Democratic candidates Joe Biden and Bernie Sanders to campaign by turning briefings into rallies and extort praise and adulation from desperate government officials, Biden has sought to point to the contrast his leadership would offer.

Joe Biden released a “Make It Work” checklist to provide the federal government with specific recommendations surrounding the implementation and oversight of the CARES Act, the recent stimulus package passed by Congress to ensure the economic relief and recovery effort works for families, workers, and small businesses. (Recall Trump’s signing statement which basically obviated the oversight the Democrats put into the Act.) The checklist builds on Biden’s plan to combat coronavirus (COVID-19) released on March 12 and his emergency action plan for the economy released on March 26. This is from the Biden campaign –Karen Rubin, news-photos-features.com.

Implementation and Oversight of the CARES Act:
The Biden “Make It Work” Checklist

1. Making Americans who lose their jobs financially whole by ensuring that they get their unemployment insurance on time and in full. The CARES Act provides for the equivalent of full wage replacement for average American wage-earners. With millions of Americans making claims for lost jobs in a single week – nearly five times the previous record – getting workers their wage replacement checks fast has never been more important. Let’s be clear: even with new funds from the CARES Act, if the White House does not do everything in its power to help all of our states swiftly implement these new unemployment (UI) benefits, states will be even more overwhelmed. Our states will need help with staffing capacity, technology solutions, training for new claims processors, and best practices from other jurisdictions. This must happen immediately – before the crush of UI claims becomes even more overwhelming. Americans desperate for relief to pay the rent and keep food on the tables for their children will judge states’ performance on the number of UI claims successfully processed, the number of Americans paid as quickly as possible, and how quickly they receive relief – beginning this week. Biden would:

Establish a UI delivery team to help states solve any implementation problems they face. He would authorize that team to provide funds beyond the $1 billion appropriated to states to add staffing and server capacity.

Apply a financial version of the Defense Production Act to ensure that banks that have contracts with states deliver unemployment benefit payments to laid-off workers do so in a timely manner, and that they offer prompt electronic payment options.

Issue clear guidance about the broadest possible eligibility and communicate that guidance effectively so that all Americans understand what benefits they are entitled to.

Make clear that gig workers can get partial benefits when they are still working if their compensation and hours have been significantly reduced.

Work with Congress to extend the provisions for the duration of the crisis. Four months is not enough to provide families the aid they need throughout this economic crisis.

2. Get direct cash relief as quickly as possible to as many Americans as possible. The CARES Act provides for $1,200 per person and $500 per child in cash relief for millions of  working families. Biden would prioritize getting Americans the cash relief they are owed and making it easy to access the relief. The Trump administration is already failing at this by causing needless worry for millions of seniors and people with disabilities. Biden would do so by:

Delivering the payments electronically whenever possible and delivering pre-paid debit cards to those who don’t have bank accounts. Payments should not be delayed just so that President Trump can put his signature on a physical check.

Making payments automatic for millions who haven’t filed a tax return based on information the government already has– and streamlining filing for others. The Trump Administration has needlessly confused millions by first announcing that Social Security recipients and people with disabilities would have to file a tax return to receive their stimulus rebate, before reversing themselves. The reversal is welcome. The CARES Act clearly allows the Treasury Department to send cash relief payments automatically to millions of seniors, people with disabilities, veterans, and others without burdening them with new paperwork during a pandemic. Treasury can send these payments using information that the Social Security Administration, the Veterans Administration, and other agencies already possess to get payments to these people. From the start, Biden would have announced an automatic, clear, and simple process of getting stimulus payments to these individuals. And he would extend these same automatic payments to others, like veterans, who still would not get automatic payments under the Administration’s plan. For those who do need to file a new form, Biden would establish an immediate, streamlined cash relief application process to make sure the neediest Americans are being taken care of. There is no reason that most of these Americans cannot be paid within days of filing this paperwork with the right focus, the right process, and the right prioritization.

Expanding the CARES Act relief to dependents left out of the legislation. Democrats fought and won cash relief for most working families, but the legislation left out relief for dependents aged 17 and older, whether a high school student or an older relative living with a family. That is a huge hole in support for working families. As he pushes for relief to extend as long as is needed to pull us through this crisis, Biden would immediately ask Congress to correct this and give these families the support they deserve.

Preparing for additional payments. As the crisis continues, Biden would provide additional cash payments as necessary.

3. Keep as many people on payroll as possible by working with all 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands to make maximum use of “work-sharing” and “short-time compensation” programs. The Obama-Biden administration expanded an innovative form of “employment insurance,” called “work-sharing” or “short-time compensation.” Under these programs, when a business keeps its workers on payroll – but with reduced hours – federally-backed insurance will compensate those workers to make up for their reduced hours. Expanding short-time compensation has never been more important than today, when keeping workers on payrolls is an urgent national economic priority. Before this crisis, more than 20 states didn’t have programs to allow for short-time compensation, and they were often underutilized even in the states that did. The CARES Act provides for additional federal financing to expand work-sharing. To make that financing work, Biden would:

Direct the Department of Labor to ensure these programs are offered in 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands.

Provide resources and guidance for states to create a simple application for small businesses, as well as larger businesses, to take advantage of work-sharing. 

Direct the Department of Labor to issue guidance applying the $600 per week emergency boost in unemployment insurance under the CARES Act to work-sharing programs.

Work with Congress to allow, on an emergency basis, work-sharing programs to pay benefits when hours are reduced dramatically, but employees are still working part-time. 

4. Take the necessary steps to ensure that all small businesses can access relief fast, not just those with the right connections. The CARES Act includes a small business program to provide loans and funds to help small businesses survive this storm and keep their workers on their payroll. It also provides the same relief to small nonprofits, many of whom are needed more than ever in a national crisis. However, there is no assurance that all eligible small businesses will receive support — and the program relies on private banks’ willingness and ability to swiftly provide these government-backed loans. An approach that simply assumes major banks will do this in a fair, efficient, and comprehensive way is likely to result in too few loans being made, too slowly, and mostly to larger and more well-resourced businesses with established relationships and connections. To get loans out quickly to the millions of qualifying Main Street small businesses that need relief — especially in rural and urban communities and those owned by women and minorities — we need a network of financial institutions committed to and capable of efficiently extending credit to every small business and nonprofit in need of support. The rules must be clear and simple to give every eligible small business the confidence that relief is coming, and that they can plan for the future with that relief in mind. There are millions of struggling businesses that do not have time to wait. Success cannot be judged by incremental progress or splashy announcements – we need an effort to direct hundreds of thousands of loans to businesses, beginning this week. For Biden, this would be designated as a vital national priority. Immediately, he would:

Apply a financial version of the Defense Production Act, to make all banks prioritize the swift processing of small business loans, putting them at the front of the line as a national priority. Banks would have to process loan applications within a few working days from all small businesses seeking relief, including the mom-and-pop shops that need help the most and are frequently pushed to the back of the line and those in low-income and traditionally underbanked geographies.

Cut red tape: immediately use the authority in the CARES Act to set simple and clear eligibility criteria; a hyper-streamlined application process; and an expedited process for the smallest of businesses who are most likely to be left out.

Explore creative solutions like working with payroll processing companies to speed up disbursement, including a one-click process for accessing funds.

Produce a weekly dashboard to show which small businesses are accessing loans – to make sure that the program isn’t leaving out communities, minority- and women-owned businesses, or the smallest businesses – and whether they are maintaining payroll.

Make sure that the small business loan program is connected with the work-sharing strategy so that these initiatives are providing the maximum support towards keeping workers on payroll.

Halt evictions and foreclosures of small businesses, and work to provide forbearance on rent and mortgages to provide a lifeline as loans are being processed

Immediately reengage Congress to allow for small business loans that can keep workers on the payroll for far longer than eight weeks.

Immediately seek bipartisan agreement that additional resources will be available as needed to cover loans to eligible small businesses and nonprofits, so that there is not a race to exhaust the $350 billion that leaves some of the most deserving family and smaller-businesses out in the cold because they were not as well-connected or served well by banks.

5. Set clear rules on any industry support – they must help workers and communities, not bail out shareholders or financial industry creditors. The CARES Act gives the Treasury Secretary authority to provide financial assistance directly to large companies. While Democrats secured important protections against stock buybacks and executive compensation, Biden would set a higher bar to make sure that any industry bailout package helps workers and communities where the company operates – not the existing shareholders or creditors of some of the largest companies in the country. He would require that, in return for any financial assistance, large companies accept further conditions along the lines outlined by Senators Brown and Warren, including that they: 

Demonstrate they are prepared to actively participate in the public health effort, including production, distribution, and logistics capacity.

Agree to maintain payrolls at reasonable levels, for both full-time employees and contractors.

Allow taxpayers to share in the upside of any recovery, as was practiced during the last downturn, while ensuring existing shareholders and creditors share in any losses.

Agree to worker representation on their Board of Directors.

Commit to not transfer jobs out of the United States.

6. Establish strong oversight and transparency to police abuse and misappropriation by the Administration and the corporations who receive funds. In addition to enforcing strict conditions, Biden would ensure there are no sweetheart deals, no special favors, and no slush fund, and that corporations follow through on their hard commitments. This is a major concern given the track record of the Trump administration. In the CARES Act, Congress established a Special Inspector General to police the $500 billion in funding for large corporations and to make sure it is going to the right places for the right reasons. But last week, Trump’s White House announced that it intends to restrict the work of the Special Inspector General, in defiance of the bipartisan legislation and the will of the American people to have strong transparency and oversight. Biden would provide full freedom to the Special Inspector General to conduct oversight, meet regularly with him or her, and ensure he or she had all the resources required for effective oversight. That is what he did with the Inspector General under the Recovery Act, and the result was less than 0.2% fraud . 

7. Move much-needed funds for public health and emergency medical needs to hospitals, and local, state, and tribal governments. The CARES Act includes critical provisions to meet the needs of this public health emergency, including funding for cash-strapped hospitals. Biden would focus on getting those funds out the door, with a special focus on rural hospitals that were already financially constrained before COVID-19. He would also provide additional reimbursement plus-ups for Medicare providers who are risking their lives to treat patients. Finally, Biden would ensure that hospitals are not cutting the pay of doctors and nurses during this emergency, as some reports have indicated. The allocation of federal dollars should be conditioned on an explicit commitment to not cut back on wages or benefits of hospital-based health care workers. As funds are disbursed, Biden would work to ensure the administration is tracking what else hospitals need so that we can ensure that we incorporate that into future legislation and budgets. 

8. Ensure equitable allocation of recovery funds. There is a growing body of evidence that recovery funding after crises actually widens pre-existing racial disparities. For example, researchers at Rice University and the University of Pittsburgh found that “whites accumulate more wealth after natural disasters while residents of color accumulate less.” Federal leadership will be required to ensure that recovery from the pandemic helps everyone hurt in the crisis in a fair and equitable way, with a special focus on populations that have historically been left out or left behind. Jurisdictions that receive funding should be required to develop and report on metrics for addressing potential racial disparities, and the SBA and Treasury should similarly track lending to ensure that minority business owners – who have traditionally faced unequal access to credit and capital – are not treated unfairly.  And, the Trump Administration should suspend their public charge rule. Allowing immigration officials to make an individual’s ability to receive a visa or gain permanent residency contingent on their use of government services such as SNAP benefits or Medicaid, their household income, and other discriminatory criteria not only undermines America’s character as land of opportunity that is open and welcoming to all, but also may stop immigrants from getting help during this pandemic and pose broader issues for public health.

9. Establish a CARES Act Implementation Office with responsibility for ensuring (a) people understand and can effectively access all the relief to which they are entitled; and (b) states have all the capacities they need to get the money out as fast as possible. The CARES Act is hundreds of pages long. Big businesses have armies of lawyers to help them figure it out. But many small businesses and families won’t know what’s available to them like: who qualifies for mortgage forbearance? What do small businesses need to qualify not just for loans but for loan forgiveness? Biden would establish a team that would put together a plain-language, comprehensive guide to the benefits in the bill and who they are meant for — and a strategy to communicate to the American people. The Office would set up both online- and telephone-based customer service to answer questions. It would work with community leaders across the country who are on the front lines of this crisis. And, Biden would dedicate staff to every single state as action officers to assist states in accessing the CARES Act funds and disbursing them efficiently. 

10. Start working on the Fourth Package now. We already know that more will have to be done; potentially a massive amount more. Biden wouldn’t wait. He would bring together the leaders of Congress to design a fourth package that accomplishes three things: (a) fixes things that aren’t working in CARES Act implementation and fills in gaps that become apparent; (b) takes care of the people the CARES Act left out; and (c) does whatever it takes, spends whatever it takes, to help the American people and the American economy emerge from the other side of this stronger. He would also make sure the new package automatically extends relief as long as is needed to support families and communities through this crisis. In addition to provisions mentioned above, Biden would ask Congress to include in new legislation:

Any further resources and authority required to break down barriers to implementation, whether on small business, or unemployment insurance, or short-time compensation.

Additional provisions to meet needs not fully covered in the CARES Act, including:

Additional funds for states. As this crisis unfolds, states are going to get crushed under the weight of falling revenues combined with far higher emergency financial burdens. Cops and firefighters and teachers are going to be at risk of losing pay. Biden would make sure the federal government provides the relief that communities on the front lines need to put their full resources behind the public health response without forcing painful and damaging cuts to public services, education, and public safety, and to deal with extraordinary economic circumstances like helping with missed rent and other payments for those facing significant hardship.

Cost-free treatment for COVID-19, regardless of immigration status.

Student debt forgiveness through the duration of the crisis, with a minimum of $10,000.

Boosts to Social Security by $200 per month for seniors and persons with disabilities.

Paid sick leave and paid family and medical leave for every worker, and making these benefits permanent.

An increase in SNAP benefits by 15 percent during the deepening recession, and temporarily provide low-income families with about $100 per month in extra nutritional support.

A rent freeze for qualifying individuals for the duration of the crisis

A halt to foreclosures and evictions as people get on their feet.

Key long-term investments, stronger public health systems, and automatic stabilizers so that in future crises the social safety net is there for Americans who need it.