what hasn’t changed

The last few years have been challenging for me and my family. As I have written in (many) posts, these personal challenges have been compounded by what is happening in the United States.

As I begin a busy week in caring for my family, the back drop is the horrifying news that United States has passed 20 million confirmed COVID cases with over 352,000 known deaths with COVID. It is immeasurably sad – and infuriating because we could have prevented a large share of these with good public health measures and accessible, timely medical care. There is hope for the coming months with vaccines becoming available and the incoming administration has a good team to improve the national pandemic response.

Unfortunately, the current president and many Congressional Republicans are still trying to prevent the duly elected Joe Biden and Kamala Harris from taking office as president and vice-president on January 20th. Over the weekend, an hour-long recording of a telephone call from the president to the secretary of state of Georgia and his legal counsel was released, in which the president repeatedly pressures and threatens them to change the certified election win of Joe Biden to a win for Trump. On Wednesday, both houses of Congress will meet to count the electoral college votes, which will be 306 for Biden and 232 for Trump. Nevertheless, over a hundred Republican members of the House of Representatives and a dozen Republican senators plan to challenge or vote against acceptance of the count from six states Biden won, including Georgia, Pennsylvania, and Arizona. Given that dozens of court cases alleging fraud or procedural problems with the voting system have already been dismissed and the proper certifications by the states have been done, there are no real grounds for the objections and they will be defeated after hours of debate. That so many members of Congress are willing to violate their oath to uphold the Constitution and US law is frightening and disconcerting and does not bode well for passing needed legislation through Congress.

Yes, the change from 2020 to 2021 did not erase any existing problems, but we need to work toward rectifying them and making life better for people, not devolving into lies and blaming others.

*****
Join us for Linda’s Just Jot It January. Find out more here: https://lindaghill.com/2021/01/04/jusjojan-prompt-the-1st-fingertips/

January first

I’m generally not a big celebrator of New Year’s Eve/Day, looking at it as just the next day rather than a new start. This year does feel a bit different, as I am grateful to have made it through the tumult of 2020 and have hopes for 2021 for improvements in the governance in the US and for vaccine distribution and better public health policy to finally start to tamp down the pandemic by spring.

Still, personal circumstances make it seem less like a new start and more a continuation of existing issues. My dad, known here as Paco, is expecting to move from the rehab unit of his senior community into the assisted living unit next week. I am busy with paperwork and packing to facilitate the move. It’s awkward because, with COVID restrictions in place, family is not allowed into the health care building where the assisted unit is, so we can prepare and pack but can’t help with the actual moving, unpacking, and arranging.

Ordinarily, I would be gearing up for Linda’s Just Jot It January and planning to post every day for the month. I cannot wrap my head around posting every day this January with so much going on, including the fact that I should get my second dose of shingles vaccine this month. The first dose made me sick for a week, so I expect a similar experience with the second dose. I’m not looking forward to that, but I’ve had shingles before and am anxious to do everything I can to avert a repeat occurrence. When I do post in January, I will link to #JusJoJan, but I am giving myself permission to post sporadically rather than consistently.

I am somewhat uncharacteristically struggling with words, both spoken and written. I think I am overwhelmed enough and exhausted enough that my brain can’t settle down to easily arrange my thoughts into cogent language. It’s not good for my blogging or poetry and it’s disconcerting for conversation, especially when I have to have so many phone calls and conversations to get things arranged for Paco’s care. I’m managing, but nowhere near the level I want to be.

I’m asking, once again, for your patience as I slog through this.

I should close now and make myself copy dates and commitments into my 2021 calendar. It’s a dreaded task every year and 2021 is no different in that regard.

On pandemic church attendance

Back in the days of the anti-fracking battle in New York State, I wrote tons of comments to articles in the press. I still occasionally write a comment on a topic of interest. The following is a comment I submitted to an op-ed by Wilton Cardinal Gregory, Archbishop of Washington, DC, in The Washington Post, entitled “Praying apart isn’t the same as praying together. That’s why we sued D.C.” Because the article is behind a paywall, I will synopsize. Cardinal Gregory had sued the city of Washington, DC “to protect the free exercise of religion in the nation’s capital.” There had been a limit of fifty people in religious services, (which was subsequently eased by Mayor Muriel Bowser on December 16th). He pointed out that more than fifty people were allowed in stores and other venues.

My comment:
I am Catholic and someone who spent years in liturgical service as a musician and a liturgy planner. I was consistently attending mass on weekends and holy days, but I have not attended in person mass since mid-March, choosing instead to participate via televised or online services for safety’s sake.

I don’t think that restrictions on number of people in church attendance is at all an attempt to limit free exercise of religion. Being in church for a service is not like being in a store. In stores, people are mostly  silent, not near the same people for any length of time, and spending shorter amounts of time in an enclosed space. In churches, people are in one spot for an extended period, usually about an hour. They are speaking and singing; singing in particular is known to spread droplets much further than six feet. Masks do help prevent virus spread, but they do not do so 100%, so singing presents an additional risk.

Church attendance is more closely analogous to going to an indoor movie or concert. In my state, neither of those activities are allowed at all. Places of worship are allowed with restrictions on numbers in attendance. I think that rather than being overly restrictive, governments have been trying to help faith communities gather in person rather than being totally virtual in worship, while trying to keep risk relatively low.

The virus does not care whether people are in a store or a church or a home or a restaurant. It’s up to all of us to protect ourselves to the extent possible. When government officials are following science in their rules, we should accept that and not think that they are infringing on our rights rather than protecting public health.

progress for Pfizer

Today is an important day for the Pfizer/BioNTech coronavirus vaccine.

In the United Kingdom, the first doses are being given, predominantly to those over the age of eighty. The recipients will need a second dose in three weeks.

In the United States, the Food and Drug Administration has published a 53-page review of the Pfizer/BioNTech data and confirmed the findings of safety and 95% efficacy. This clears the way for a public hearing on Thursday and possible emergency use authorization within days. Distribution will start within 24 hours of approval.

It is good that so much of the data is now public because you can see that the vaccine is safe and effective across different age, racial, and comorbidity groups. There is also evidence that some protection develops from the first of the two doses, although the highest level of protection begins about a week after the second dose.

As a Pfizer trial participant, I expect to hear back from the researchers shortly after the approval goes through. Pfizer plans to offer the vaccine to people in the placebo group in order to continue their long-term study on efficacy and safety. Among our family in the study, we expect that we have two who have already received two doses of the vaccine and one who is in the placebo group.

I can assure you that the suspected placebo person is anxious to join the vaccine group as soon as possible!

today

This wasn’t the plan.

I expected right now I would be in a plane somewhere over the Atlantic after a month in the UK visiting daughter E and her family, meeting granddaughter JG, walking granddaughter ABC home from nursery school, celebrating US Thanksgiving in London on what is there just the fourth Thursday of November.

I thought I would get to attend mass for the first time since March as we celebrated JG’s baptism, wearing the white dress that I, E, and ABC wore before her, as well her Aunt T and great-aunts.

Of course, there would have been two weeks in quarantine before any of the visiting, but still…

It was a blessing in disguise that the news of the UK lockdown leaked early, before we flew out, so that there was time to cancel. It took most of the month, but I finally got all the charges refunded.

I had planned to get a lot of writing done while we were in quarantine and to do a long-delayed, self-guided retreat, neither of which happened this month as the usual things that needed doing were before us here and the inevitable bumps in the road appeared that needed attention. I was also impossible to ignore/escape the maelstrom of news on the election and its aftermath and of the horrifying, continuing escalation of the coronavirus pandemic.

Enter the first Sunday of Advent, with its message of watching in hope.

I’m struggling with that.

By nature, I’m neither an optimist nor a pessimist. I try to be more of a realist. I know that with over 13 million confirmed cases so far and a seven-day average of new confirmed cases of about 160,000, compounded by Thanksgiving travel, the United States is going to have further acceleration in COVID cases in December and most likely into January, as well. There are also going to be spikes in hospitalizations and deaths flowing from that. Although there will likely be some vaccine administration starting in December, there won’t be enough to make much of a dent in transmission. The exception is that, if health care workers are vaccinated first as expected, we may be able to keep our hospitals staffed well enough to meet the surge in cases this winter.

I do have hope that the incoming Biden administration will have staff and appointees who are capable of improving the lives of people here and beginning to repair our international relationships. However, I am disheartened by the efforts of the current administration to undermine the chances that Biden’s team can implement changes quickly and easily. There are a number of last-minute rule changes, treaty withdrawals, troop withdrawals, and other measures that will make the transition even more difficult than anticipated in this time of public health emergency, economic downturn, civil rights protests, and general distrust in government.

Sigh.

So, one foot in front of the other. Doing the best I can manage under the circumstances.

Stay tuned.

Political labels

The two political/ideological labels that one hears most frequently are liberal and conservative.

I think we should stop using them.

The Oxford Languages definition of liberal is “relating to or denoting a political and social philosophy that promotes individual rights, civil liberties, democracy, and free enterprise.” The definition of conservative is “(in a political context) favoring free enterprise, private ownership, and socially traditional ideas.”

It’s interesting to me that free enterprise appears in both definitions.

In the United States, the Democratic party is considered liberal and the Republican party is considered conservative but there are several ways in which the definitions above don’t apply. For example, the Republican party is very vocal on upholding certain individual rights, such as gun ownership, while opposing others, such as the right to make one’s own medical decisions.

In this last election cycle, the Republicans repeatedly accused Joe Biden and the Democrats of being “socialist,” thus frightening some people into voting for Republicans. For the record, the definition of socialism is “a political and economic theory of social organization which advocates that the means of production, distribution, and exchange should be owned or regulated by the community as a whole.” To be clear, President-elect Biden and the Democratic party as a whole are capitalists. No one needs to worry that the United States will not continue to be a capitalist country where businesses are owned by individuals, families, small groups of people, and/or stockholders, not buy the society as a whole or the government.

I admit that one of the things that confuses me about the Republican party is that they are inconsistent. They think that deficits and increases to the national debt are terrible when there is a Democratic president, but when there is a Republican one, they pass tax cuts that push the budget deficit and national debt higher.

These last four years have confused the identity of the Republican party further. A number of traditional conservatives have left the party altogether.

I have no idea what comes next for the Republicans as a party.

I don’t think that they do, either.

Thanksgiving 2020

The fourth Thursday of November is celebrated as Thanksgiving Day in the United States. It’s traditional to gather with family and friends for a big dinner, usually turkey with lots of side dishes.

This Thanksgiving will be quieter for many of us because of the pandemic. Cases are rising across the country and in many states are already so numerous that hospitals are running out of space for patients. Frighteningly, millions of people are not heeding the advice of public health experts and are travelling long distances and/or gathering in groups larger than ten or with people outside their household, thus increasing the danger of even higher case counts in December.

Our plan for the day is for spouse B, daughter T, and I to go to Paco’s apartment in his senior community where we will have a Zoom session with my sisters and daughter E. In that way, Paco will get to see his great-granddaughters ABC and JG who will be celebrating American Thanksgiving on an ordinary (lockdown) Thursday in London, UK. B,T, and I were supposed to be in London with them near the end of a month-long visit until the lockdown there cancelled our trip. Once I have Paco set up with the Zoom session on this laptop, I’ll go to another room with another device so he can take his mask off.

After our video chat, Thanksgiving dinner will be delivered to the apartment and we will eat with Paco on one side of the room and B, T, and me on the other as we will need to take our masks off to eat. We will leave expeditiously after dinner so as to limit our contact time.

It won’t be the usual Thanksgiving, but it will be special in its own way.

The point of the holiday is to give thanks but the gratitude this year is tinged with sorrow and regret. I am very grateful that our family is weathering this very disrupted year. B is able to work from home and we are able to stay safe at home for the most part. We certainly miss being able to visit Paco every day and are sad to not be able to travel to the UK to visit for all of 2020, but it would be so horrifying and dangerous to have inadvertently exposed someone to COVID that the separation is necessary.

I am grateful for Governor Cuomo and all the medical personnel and other essential workers who have worked so hard to keep as many of us safe and well as possible. At the same time, I mourn the millions of people in the US and around the world who have been impacted by the coronavirus, either by illness or death of themselves or a loved one or loss of work, shelter, food security, medical care, etc. I am also dreading the coming weeks, which are projected to see a steep rise in cases on top of already soaring rates in the US. There have already been over 12.8 million confirmed cases and 261,000 deaths and the thought of millions more is overwhelming.

I am grateful that the Biden /Harris administration is starting to take shape with the announcement of well-qualified people to key posts. At the same time, I’m sad to see so many not accepting the facts of the situation and not being willing to join in the efforts to come together to fight the pandemic, revive our communities, and unite as one nation.

I’m grateful for the ideals of our country but sad that we are so far from embodying them.

I feel similarly about the Catholic church. I’m grateful for the moral grounding, social doctrine, integral ecology principles, and primacy of love that it has taught me, but sorrowful and penitent about the many abuses of power done in its name, including war, torture, colonialism, racism, sexism, clericalism, sexual abuse and cover-up, and oppression of other religions and peoples over centuries.

So, yes, a very different Thanksgiving. With widespread vaccine use possible by November 2021, maybe next year will be more “normal.”

Or, maybe, there will be no going back to what used to be considered normal.

I pray that we can finally build institutions that live up to their high ideals for the good of all creation.

the Moderna vaccine

Today, Moderna announced that their early data indicate their coronavirus vaccine is 94.5% effective. This follows the announcement last week from Pfizer/BioNTech that their vaccine, with which I and two members of my family are participating in the phase III clinical trial, is over 90% effective in the immediate time period after the second immunization.

Like the Pfizer vaccine, Moderna’s is a messenger RNA vaccine. The caveats that I wrote about here apply, but there is now hope that there will be two effective vaccines approved for emergency use in the United States before the end of the year. I’m sure the companies are also pursuing approval in other countries, as well.

Unlike Pfizer, Moderna accepted US government funds for the development of their vaccine. Like Pfizer, the US government also pre-ordered 100 million doses from Moderna. Initially, priority will be given to health care workers and other front-line occupations, expanding to highest risk people. Availability, pending full approval, for the general public will not be until spring 2021.

The Moderna vaccine will be easier to distribute than the Pfizer one because it can be kept for up to a month in a refrigerator. The Pfizer vaccine currently needs a super-cold freezer or dry ice for transport and storage.

Having two good candidates that might be available for the most vulnerable this winter is great news. I’m hoping that more of the vaccines currently in Phase III trials will also be shown safe and effective in the coming weeks. The more vaccines we can make available, in the US and around the world, the better, so we can get the pandemic under control globally.

Meanwhile, Pfizer, Moderna, and other companies need to continue their trials, following everyone who received the vaccine for the coming months to watch for how effective the vaccine is over time, if it protects some people better than others, e.g. seniors or children, and how much it might reduce symptoms in vaccinated people who do become sick with COVID versus unvaccinated. It’s possible that the placebo group may be released early from the studies when the vaccine is fully approved for ethical reasons. The companies may very well ask those participants if they would like to join the study as a second set of vaccinated subjects, doubling the amount of data on vaccine efficacy over time.

So, more good news today, but we have to keep in mind that masks, distancing, restrictions on gathering, etc. will need to stay in effect for months still. Until we have a large majority of the population fully vaccinated – and both the Moderna and Pfizer vaccines need two doses several weeks apart – we need to stay on guard. Sadly, the United States passed 11 million cases recently and is approaching a quarter of a million deaths. We need to do better now, not let more people suffer while we wait for the vaccines to be generally available.

in the middle of a nightmare

The pandemic has been more severe in the United States than globally for months – and now things are getting worse very, very quickly.

Yesterday, there were over 159,000 new cases diagnosed, which broke a record set the day before. There are entire states that are out of intensive care beds – or hospital beds in general. In some states, hospitals have to triage patients and turn some away who would benefit from care in favor of other patients who are sicker but have a higher chance of recovery.

Some places are so short-staffed that COVID-positive staff are continuing to work if their symptoms allow.

The hospitalization rate is also a lagging indicator. If the hospitals are this stressed now, what will the situation be in two weeks, given the huge numbers of new diagnoses this week?

I’ve reached a new level of dread.

New York State, where I live, still has one of the lowest infection rates in the country. Governor Cuomo is tightening restrictions on gyms, indoor dining and gatherings, as well as further ramping up testing and contact tracing in hot spots. Unfortunately, after all these months, there is an outbreak among residents in the skilled nursing unit of my father’s senior living community, as well as a number of staff members. The health center is in a separate building from where Paco lives in an apartment, so we are hoping the virus won’t spread, but it is very worrying for all of us.

And what, you may ask, is the Trump administration doing to address the explosion of cases, hospitalizations, and deaths?

Nothing.

Vice-president Pence, who chairs the coronavirus task force, finally held a meeting this week after several weeks without doing so during the campaign. There were no new actions or recommendations after the meeting.

Meanwhile, President-elect Biden has named a first-rate committee of physicians and public health experts to set up the plan against COVID for his administration, which will begin January 20th. Unfortunately, because the Trump administration refuses to acknowledge that Biden will be taking office, the Biden task force does not have access to the current plans in development for vaccine deployment, distribution of supplies, etc., which is an appalling and dangerous state of affairs.

What is even more appalling and dangerous is that, with the situation becoming more and more dire daily, the Trump administration is making no attempt at all to save people for illness, disability, and death.

I’m finding the level of stress and dismay crushing.

People desperately need help now.

January 20th is still a long way off.

post-election

I was relieved when Joe Biden and Kamala Harris were projected winners in the US election, becoming president and vice-president elect. Some say that those terms should not be used until the vote is certified in each state or until the electoral college meets in December but it has been common in past election cycles to do so and I’m observing the norm.

While there are still ballots being counted, it is clear that Joe Biden has comfortable margins of victory in enough states to have earned the presidency. Election officials and volunteers of all political persuasions are continuing to work hard to complete the final tallies of the record number of ballots cast. Despite the pandemic, attempts by both foreign and domestic actors to suppress the vote, postal service slowdowns, and unfounded accusations of malfeasance, this election saw the highest percentage of voter turnout in more than a century.

When Biden was reported as the projected winner on Saturday morning, spontaneous celebrations broke out around the country and around the world. Although there were some demonstrations with upset Trump supporters, there was not an outbreak of violence as many had feared. Congratulations poured in from around the nation and the world. On Saturday evening, Harris and Biden gave moving victory speeches, recognizing the historic achievement of the first woman and first person of color to become vice-president and calling for national unity to combat the pandemic and rebuild our economy and society. There has been particularly moving coverage of the impact of Kamala Harris’s election among girls, particularly those of African or Asian descent, who are excited to see someone who looks like them about to become vice-president.

Unfortunately, President Trump refuses to accept the reality that he has lost the election. Even more unfortunately, many of his supporters believe his baseless claims of widespread voter fraud. Perhaps most distressingly of all, many other Republican leaders, including Senate Majority Leader Mitch McConnell, are refusing to acknowledge that Biden has won the election.

This has delayed the official mechanisms that facilitate a smooth transition between administrations. While the Biden/Harris team is moving forward with their governing plans for after the inauguration on January 20th, most notably the convening of a coronavirus task force comprised of physicians and pubic health experts, they do not have access to all the current government personnel and assets that they need because the Trump-appointed head of the General Services Administration refuses to ascertain that Biden has won the election. With so many pressing issues, it is vital that these resources are available to the Biden-Harris transition team as soon as possible.

On Saturday morning, I wrote a simple message of congratulations to Joe Biden and Kamala Harris on Facebook. I did get one angry face as a reaction among the thumbs up and hearts, which I understand. There was also a negative comment that I wound up deleting because I don’t allow unchallenged falsehoods, conspiracy theories, or profanity on my social media. I remain committed to thoughtful dialogue and hope to be able to engage in some as the opportunity arises in the coming months.

I started writing this post early this morning and it is now late afternoon, so I will close, but, someday, I’ll write a post about my background that might prove elucidating about how my mind works.

Stay tuned.