Governor Cuomo, continued

I wrote here about the developing situation with Andrew Cuomo, our governor here in New York State, where I live in Broome County, far from both New York City and Albany, our capital. In the week and half since I wrote, things have become increasingly contentious, both on the reporting of nursing home death issue and the sexual harassment/bullying issue.

The nursing home death reporting issue parameters are largely unchanged. The administration reported deaths where they happened, whether in a hospital, nursing home, or elsewhere, such as a private residence. Some people wanted to know how many of the hospital deaths were people who had come to the hospital from nursing homes; they wanted the term “nursing home deaths” to refer to people who had likely contracted the virus in a nursing home, regardless of where they died. The newest wrinkle in this is that it appears some of the governor’s top aides edited a report over the summer in such a way as to not reveal how many of the hospital deaths were people who had come from nursing homes at a time when the governor was writing a book on his leadership during the pandemic.

In reaction to all this, the legislature has rescinded the broad authority to take executive action that it had granted to the governor last spring. This is their right to do, of course, but I would feel better if they committed to staying in session past June. Getting things through the New York State legislature is often a long, drawn-out affair and there are times with the pandemic when things change quickly and new policies need to be enacted as expeditiously as possible. The governor can continue to extend existing executive orders.

I am grateful that the existing orders can still stand because, by and large, they have worked well in keeping as many New Yorkers safe as practicable. While the initial outbreak in New York was horrible, the policies the governor enacted in conjunction with public health, medical, scientific, and legal experts were adopted by the public and brought the infection rate down well below the national average. Although there have been spikes, for example over the holiday season when many people travelled and gathered in groups against the state and public health recommendations, New York has not suffered the fate of other states that didn’t implement mask mandates, distancing requirements, gathering size restrictions, etc. or that lifted restrictions too quickly. By being thoughtful and incremental in re-opening and by gathering, analyzing, and adjusting in response to data, most New York businesses and schools are open and are expanding hours as our vaccination rates go up and infection rates go down. New York needs to continue on its science- and data-driven path to keep from suffering the spikes we have seen in other states that were less thoughtful in their plans. Governor Cuomo made mistakes during the past year, but he took responsibility for them and changed policies to correct problems. His leadership mattered and I will always be grateful for what he did because he helped as many New Yorkers as he could to survive a devastating year.

I think New Yorkers need to remember that Governor Cuomo is also a regional and national leader. He spearheaded an effort in the Northeast for states to cooperate on policies and on procuring supplies after the prior federal administration decided not to have a national strategy. In 2020, he was vice chair of the National Governors Association; in 2021, he is chair. This gives him even more opportunity to advocate for policies to help everyone in the US in these trying times. In a few days, it is likely that federal aid to state and local governments will finally be enacted as part of the American Rescue Plan, an initiative that Cuomo has been championing since last spring.

I admit that I am somewhat perplexed that people are surprised by Cuomo’s personal behavior. Any casual observer of New York politics or regular viewer of his pandemic press conferences has seen him being combative and displaying his sense of humor, which ranges from dry to caustic. His sense of what is appropriate to say in public is – um, let’s say – less circumspect than one would expect. He seems especially unable to understand younger people’s sensibilities. For example, when his three 20-something-year-old daughters and one of their boyfriends were living with him last year, he said any number of embarrassing things regarding them. I don’t think he really understands current mores on what is appropriate to say or do in work settings, which is why I think his apologies following the young women’s stories of feeling uncomfortable with his behavior are credible. He is as clueless as Joe Biden who faced criticism for touching and whispering in the ears of women while on the campaign trail or George W. Bush who tried to give German Chancellor Angela Merkel a shoulder rub.

I think that the independent investigation that is ongoing is very important to gather evidence on stories of sexual harassment and hostile work environment. If there is evidence of impeachable acts by the governor, then that should take place. Unlike a corporate executive, the governor is elected by voters, not a board of directors, so there is no relevant authority to fire him or force him to resign. While some state legislators have gone on record calling on Gov. Cuomo to resign because these investigations are a distraction, the governor is carrying on with his duties, adjusting the pandemic policies as conditions warrant and getting ready for budget negotiations with the legislature. Unlike most states, New York’s budget is supposed to be passed by April first, so, once the American Rescue Plan is signed into law, there will be a short window in which to finalize and pass the state budget. Although Lieutenant Governor Kathy Hochul has been involved in the pandemic response, especially in her home region of western New York, it would be much more disruptive to the state budget process to have Gov. Cuomo step down at this time.

While I admire Governor Cuomo’s leadership through the pandemic, I do not admire him as a person. I find him to be arrogant, overbearing, and a boor. Unlike his father, the late Governor Mario Cuomo, who was principled and articulate, Andrew has always been a bare-knuckles brawler and bully as a politician. Despite being a Democrat, during his early years as governor, he governed more like what used to be a moderate Republican. He and then New York City Mayor Michael Bloomberg were willing to inflict the health and environmental consequences of fracking on our area, as long as the watershed for New York City water supplies was kept free of drilling. (The eventual fracking ban in New York was thanks to Dr. Zucker of the Health Department and later passed into law once the Democrats had the majority of both houses of the legislature.) It wasn’t until it was clear that the national electorate was becoming more progressive and the Democrats controlled both houses of the legislature that Governor Cuomo started to govern and talk like a Democrat.

Because past Republican candidates for governor have been unqualified and put forward ideas which I oppose and because I didn’t like or trust Andrew Cuomo, I have been voting for the Green Party candidate for governor, whose platform aligns most closely with my own. Granted, in heavily Democratic New York, it was unlikely that my choice to vote third-party would have any real bearing on the outcome of the elections, but I wanted to make clear here that my admiration of the governor’s handling of the pandemic was not a reflection of my being a fan of him personally. Likewise, my observations of his personality and behavior are not coming from a place of partisanship.

At this point, my main motivation is pragmatism. The next couple of months are critical in the course of the pandemic. As national health experts and the Biden administration are pointing out repeatedly, we need to be cautious in ending pandemic protection measures until we have a much higher level of protection among the general public. Texas and a number of states have, as they did in previous waves, lifted restrictions too soon. Governor Cuomo will continue to follow the science to keep us from having a large spike in cases. He is also setting up vaccine sites among underserved populations, trying to address the health and social inequities that caused people of color and those with low income to be hit hardest by the pandemic. I don’t think the New York State legislature is nimble enough to address these issues and I’m not sure if Cuomo’s prior executive actions would stay in force if Lt. Gov. Hochul were to become governor.

Also, the budget negotiations will be very difficult. In New York, for a number of complicated historical reasons, the budget gets hammered out largely by the governor, the speaker of the Assembly, and the majority leader of the Senate. The budget also includes a lot of non-budgetary legislation; one hot topic in the last several fiscal years has been the legalization of recreational marijuana. I don’t think it would be fair to expect Hochul to be thrown into the midst of that process with the deadline coming up in three weeks.

I have often written about how the stress of our governmental function adds to my personal stressors. After the November election, I had hoped that, by this time, the governmental stress might have eased more than it actually has. With the aftermath of the insurrection and the state of the Republican party on the national level and the upheavals with Governor Cuomo, my hopes were not fully realized.

But, hey, what’s life without stress?

I’ll never know.

more good vaccine news

An update to my last post on coronavirus vaccines in the United States:
The Johnson & Johnson vaccine did receive emergency use authorization over the weekend and is currently being distributed. Because the company had manufactured some doses in advance through Operation Warp Speed, there will be some large shipments going out followed by a lag as Johnson & Johnson ramps up their manufacturing operations.

President Biden announced on Tuesday that another large pharmaceutical company with vaccine expertise, Merck, will be helping Johnson & Johnson to manufacture its vaccine. Merck ended a couple of vaccine trials it was conducting due to ineffectiveness and will be aiding the country in manufacturing its rival’s vaccine under the Defense Production Act. This Act is also being used to increase production of other needed items, such as vials.

Unlike the Pfizer/BioNTech and Moderna mRNA vaccines, the J&J vaccine is a more conventional vaccine, using inactive adenovirus to carry the vaccine into the body and activate the immune system. It only requires one dose and can be stored at refrigerator temperatures, so it is much easier to distribute to more rural areas.

While President Biden had previously said that any adult who wanted to be vaccinated would be able to be by the end of July, he now expects that to be possible by the end of May. This would allow most of us to resume what we have been calling “normal life,” although I think that some changes from our old ways of doing things will probably be in evidence indefinitely.

However, there are some big ifs. The first is that individuals would need to almost universally accept the vaccine to prevent it spreading in the community and to minimize the impact of new, possibly more dangerous variants. This would need to happen in every state – and in every country, if unrestricted international travel is allowed to resume. The second is that people would need to continue masking, distancing, limiting gathering size, etc. until most of the adults in the community were immunized or could be rapid-tested to show they were not likely currently infectious. New York is currently piloting holding sporting events using technology to screen for immunization/negative tests to allow higher occupancy for fans.

Another consideration is teens and children. Currently, only the Pfizer vaccine is authorized for use in 16- and 17-year-olds; it is currently being tested in 12-15-year-olds with plans to test in younger children after that. Other companies are also now beginning to study their vaccines in children and teens. Wide adoption of the vaccine among adults is the quickest route to protecting children, given that widespread vaccine use is unlikely for them until 2022.

The wild card continues to be how long-lasting vaccine effects are and how well they prevent serious illness from current and future variants. To that end, spouse B and daughter T are having blood draws this week to evaluate how their immunity is holding up as part of the Pfizer Phase III trial. They received their immunizations in August 2020 and will continue as part of the study into 2022. It’s also possible that Pfizer will be piloting the use of booster shots or of new vaccine formulations to better deal with variants, using the subjects already enrolled in Phase III. They have begun some of this research with Phase I/II participants.

Other vaccine researchers are continuing to study boosters and new vaccines, as well as longevity of immunity. Part of the story about Merck helping to produce the J&J vaccine and other similar partnerships around the world is that the extra doses may be needed as boosters in the future. If not, the surplus vaccines can be distributed through the COVAX initiative internationally to reach underserved populations.

All in all, it’s a hopeful time, but only if people are informed, thoughtful, and community-minded. Please, observe safety measures, get vaccinated when it is your turn, and be kind. We can end the pandemic sooner if we all work together.

good news, bad news, and uncertainty

Yesterday, I got my second dose of the Pfizer/BioNTech coronavirus vaccine as part of their ongoing Phase III trial. As I have written about previously, spouse B, daughter T, and I are all participants but they both received the vaccine last August, while I was in the placebo group. After the vaccine received emergency use authorization, Pfizer unmasked the study so that placebo group folks could receive the vaccine as well, which I gladly did.

B and T both had a day after their second vaccination that they didn’t feel very well, so I planned today as a down day for me. I do have a sore arm, headache, some body aches, fatigue, and a low-grade fever, but ibuprofen and rest are helping somewhat. Only a small minority of people have this level of side effects, but I am more than willing to not feel well for a day in order to have as much protection as I can from the severe form of COVID-19. While the science is not yet clear if the vaccine prevents asymptomatic or mild disease, the data show that moderate and severe cases that lead to hospitalization and/or death are rare.

I am grateful that Paco was among the first at the Health Center in his senior residential facility to receive the vaccine. Two weeks from now, when I will be considered to have peak immunity, it will ease my mind when I am allowed to meet with him indoors to know we are both fully vaccinated. We will still need to wear our masks and keep some distance, but it will feel safer than it has over this past year.

More good news on the vaccine front is that Pfizer and Moderna have been able to ship more doses of their vaccines than they had previously and that the Biden administration has improved distribution in conjunction with the states and local pharmacies and health centers. Pfizer has applied for permission to store its vaccine at regular, rather than ultra-cold, freezer temperatures for up to two weeks, which will make distribution easier. Another positive development is that the Johnson & Johnson vaccine candidate may receive emergency use authorization as early as this weekend. It is a one-dose vaccine that can be stored in the refrigerator, which will make distribution in rural areas and neighborhoods without good transportation options much more effective.

The worry, though, is that more variants of the virus are appearing. Some of them are more easily transmitted and may cause more severe disease. It’s not clear how well some of the vaccines work against some of these variants. It’s also not always apparent which variants will become widespread. For example, a new variant has been identified in New York City, but no one knows if it will become dominant, cause greater sickness, or be prevented by the vaccine.

To combat this, both Pfizer and Moderna are looking at changing their mRNA vaccines to account for new variants, as well as studying if a third dose – or even an annual booster – might be necessary to tame the coronavirus and keep it at bay. It’s part of the reason that it is so important for the Phase III trials to continue collecting data, so we can keep immunity levels in the populations as high as possible.

For now, I’m resting, cuddled under a black fleece throw that the clinical research center gave me, with their name embroidered on it, of course. While study participants do receive a stipend, they also occasionally receive little gifts and it’s nice to have this throw to keep me warm today. The best thing, though, is knowing that the vaccines are helping people and that, despite the uncertainties, we are gaining ground in the battle to end the pandemic.

There is still a long way to go and I beg people to continue to wear masks, keep appropriate distance, wash their hands, and avoid large gatherings. Get whatever vaccine is available to you when it is your turn. Check on vulnerable people in your community to see if they need help to stay safe. Support efforts to get the vaccine to vulnerable people around the world.

It takes all of us working together to end the pandemic and rebuild our communities.

Grim milestone

It has just been announced that the United States has reached 500,000 deaths from COVID-19.

A half a million deaths among the 28 million confirmed cases. About 30% of those infected continue to have symptoms for weeks/months.

All of this in about a year’s time.

I had been watching a recording of mass for the first Sunday of Lent. When it finished, I tuned to a news channel. One of the frequent medical contributors, herself a physician, was speaking about the deaths and was struggling to keep from crying. The host noted how appropriate it was to react emotionally, as she herself was.

Such enormous loss. So much suffering. A reminder that, despite medical advances, we are nearing the death toll of the 1918 flu pandemic.

My eyes are filling with tears as I write this, both from the huge losses in our country and the world and from the losses of each one. Just recently added to the list a friend of my sister’s, the father of B’s co-worker, a resident in the apartments of Paco’s senior community.

Even with the vaccines becoming available, there will be many more illnesses and deaths. There will be uncertainty from the new variants’ effects, how long immunity will last after infection or vaccination, how people will behave as recommendations and policies change.

But today is overwhelmingly sad.

Again.

Valentine’s Day

The usual greeting for today would be “Happy Valentine’s Day!”

Not this year.

I’m having a difficult time using “happy” as an adjective after the last week.

My family has been struggling with caretaking issues for Paco, complicated by the pandemic. I’ve spent this weekend feeling as though I want to cry, but not quite being able to let myself do it.

It’s the opposite of “happy.”

The United States is also dealing with the first day after the second impeachment trial of our former president. The trial was sobering, as it drove home the extent of death, injury, and damage done during the insurrection and how very close the vice president and members of Congress came to being injured or killed. Somehow, even though more than 67 senators said that DT was responsible for inciting insurrection, only 57 voted to convict falling short of the two-thirds majority needed for conviction. There are likely to be legal repercussions for the former president coming through the judicial system, possibly both federal and state. Meanwhile, he is likely to seek revenge against those Republican members of Congress who voted for impeachment or conviction by advocating that their state parties censure them, by advertising against them, and by funding primary opponents.

Let me be clear that even if DT had been found guilty in the Senate trial, it would not have been an occasion of happiness. It is impossible to feel happy in the face of so much suffering, pain, and fear.

I am trying to find comfort in the message of Valentine’s Day that love is strong, enduring, and the most important aspect of our lives.

May it be so.

May it overcome our present situation.

JC’s Confessions #17

In the first few seasons of The Late Show, Stephen Colbert did a recurring skit, now a best-selling book, called Midnight Confessions, in which he “confesses” to his audience with the disclaimer that he isn’t sure these things are really sins but that he does “feel bad about them.” While Stephen and his writers are famously funny, I am not, so my JC’s Confessions will be somewhat more serious reflections, but they will be things that I feel bad about. Stephen’s audience always forgives him at the end of the segment; I’m not expecting that – and these aren’t really sins – but comments are always welcome.

JC

Today is Super Bowl Sunday, which means that is it the championship of American football.

And I don’t care.

I’m not planning to watch the game or the halftime show or the commercials, which have become an attraction of their own.

I don’t enjoy watching football games. They are very slow; one hour of actual playing time takes at least three hours to accomplish. I am not attracted to watching heavily padded men run around and knock each other down and sometimes sustain injuries.

This year, the Super Bowl is being looked at as a few hours of national unity in the midst of division and I hope that that is true. Personally, I don’t need a game to make me feel like an American. After the attempted insurrection of January 6th, my level of commitment to the country has never been higher.

The sad thing will be that, after the game, the anticipated national unity will revert to what it was yesterday and will be on full display for the rest of the week as the Senate trial over the former president proceeds.

It’s also possible that millions of people will defy public health warnings and meet with people outside their households for Super Bowl parties, which might cause another COVID-19 spike, with attendant hospitalizations and deaths, in the coming weeks.

That would be the saddest Super Bowl result ever.

SoCS: honoring the flag

One of the most poignant moments in Joe Biden’s inauguration was when Lady Gaga gestured toward the flag on the Capitol dome at the words “that our flag was still there” during her rendition of the national anthem.

At any other time, this would have seemed gratuitous, but, given that this was only a couple of weeks after the insurrection of January 6th, it was very moving.

Not since the War of 1812, which gave us the words to our national anthem, had our Capitol suffered such an assault and flags were an important part of the symbolism on that day.

United States flags were torn down and replaced by Trump campaign flags.

A police officer was beaten with a flagpole bearing our flag.

In an image that has been shown countless times since the insurrection, a man carries the Confederate battle flag through the Capitol, something that did not happen during the Civil War itself.

It’s all been disconcerting and unsettling and tragic, especially when so many members of Congress have decided we should just “move on” without accountability for those responsible. The “move on” cohort is all Republican; one wonders if they somehow did not feel under threat for their lives as the Democratic members did during the assault. (To be clear, there are Republican members who want accountability, but, to my knowledge, there are no Democratic or Independent members who are in the “move on” group.)

There are efforts underway to clean and repair the damage at the Capitol and to reclaim the space for our true democracy and its flag. The image I am clinging to at the moment is one of the urn holding the cremains of Officer Brian Sicknick, who died as a result of the insurrection, beside a United States flag, folded into a triangle and encased in a glass-fronted box, in the Capitol rotunda beneath the dome. He was lying in honor because he had sacrificed his life protecting his country and the Congress. His fellow Capitol police officers, other members of law enforcement, the President and First Lady, and many members of Congress joined his family in showing respect to him.

In doing this, they were also showing respect for our flag, which is still there despite the attempts of a violent mob to replace it.

*****
Linda’s prompt for Stream of Consciousness Saturday this week is “flag.” Join us! Find out more here: https://lindaghill.com/2021/02/05/the-friday-reminder-and-prompt-for-socs-feb-6-2021/

Day 1

Yesterday at noon, Joe Biden began his term as president of the United States.

I am grateful for that – and grateful that there was no violence, despite the many threats made. There was a massive police and military presence in Washington DC and in many state capitols, but protests were small and peaceful.

The inauguration ceremony was uplifting. It was gratifying to finally see a woman sworn into a high executive office in the US (although I had originally hoped it would be Elizabeth Warren as president). It’s sad that it took a hundred years of women’s suffrage for it to happen, but my hope is that it will finally be a political possibility for a woman to ascend to the presidency. And, perhaps, that woman will be now Vice President Kamala Harris.

I am relieved to have someone of Joe Biden’s experience, character, and temperament as our president. Our times are indeed daunting. In his inaugural address, he spoke about the daunting challenges we face and brought hope that we could deal with them together as a nation:

This is a time of testing.

We face an attack on democracy and on truth.

A raging virus.

Growing inequity.

The sting of systemic racism.

A climate in crisis.

America’s role in the world.

Any one of these would be enough to challenge us in profound ways.

But the fact is we face them all at once, presenting this nation with the gravest of responsibilities.

Now we must step up.

All of us.

It is a time for boldness, for there is so much to do.

And, this is certain.

We will be judged, you and I, for how we resolve the cascading crises of our era.

Will we rise to the occasion?

Will we master this rare and difficult hour?

Will we meet our obligations and pass along a new and better world for our children?

I believe we must and I believe we will.

And when we do, we will write the next chapter in the American story.

Another sign of hope was the inaugural poem proclaimed by the amazing Amanda Gorman, the Youth Poet Laurate of the United States. Her poem is a stirring complement to the inaugural address; if you haven’t heard her, this link: https://youtu.be/whZqA0z61jY will allow you to see and hear her vision and energy. Although she is now 22, she has been on the poetry scene for several years so I was already familiar with her work, but I am happy that people around the country and the world now know her name and the power of poetry.

The usual post-inaugural activities were scaled back due to the pandemic, but that allowed the new administration to begin work on their very first day in office. Vice President Harris swore in three new senators, giving the Democrats the majority in the Senate for the first time in several years. President Biden signed a number of executive orders and directives, among them beginning the process for the United States to re-enter the Paris Climate Accord, cancelling the permits for the Keystone XL pipeline, and rejoining the World Health Organization. There was a press conference with the White House press secretary Jen Psaki, reading a statement and then answering questions from the press. It was all refreshingly straight-forward and informative after the prior administration’s combative and sometimes unavailable press office.

As President Biden made clear, we in the United States are facing multiple huge challenges. We have a lot of work ahead of us, but the administration made a start yesterday and is doing more today and will be continuing to work hard on our many problems. I and millions of others are pledging to do our part, too.

*****
Join us for Linda’s Just Jot It January! Find out more here: https://lindaghill.com/2021/01/21/jusjojan-prompt-the-21st-spell/

One-Liner Wednesday: inauguration day

I haven’t been this anxious for noon to come since my wedding day.
~ my thought this morning as we await the inauguration of Joe Biden and Kamala Harris as president and vice-president of the United States

Brought to you by Linda’s One-Liner Wednesdays and Just Jot It January. Join us! Find out more here: https://lindaghill.com/2021/01/20/one-liner-wednesday-jusjojan-the-20th-2021-defeat/

One-Liner Wednesday: Liz Cheney

There has never been a greater betrayal by a President of the United States of his office and his oath to the Constitution.
~ Rep. Liz Cheney (Republican of Wyoming) from her statement saying that she will vote in favor of the impeachment resolution against Donald Trump over his “incitement of insurrection”

This sobering quote is part of Linda’s One-Liner Wednesdays and Just Jot It January. Join us! Find out how here: https://lindaghill.com/2021/01/13/one-liner-wednesday-jusjojan-the-13th-2021-snow-carolers/