Tag: pandemic

SoCS: again with the complications

My life is beyond my control.

The latest wrinkle is that, just as we had worked through the latest set of medical complications with Paco and thought we could arrange another visit with the UK branch of the family before they return to London next week, there were not one but two breakthrough COVID cases discovered in the nursing home staff and the unit is closed to visitors, probably for two weeks.

Because Paco is considered a compassionate care case, we still have limited visitation, but visits need PPE, including N95 masks, and are restricted to no more than two people for about an hour per visit.

Not conducive to visits with a one-year-old and a four-year-old.

We were blessed with an outdoor visit last week and have some pictures to prove it.

That will have to do because I have no control over the situation.

Just hoping that Paco will be able to stay medically stable while we get through this period. He is fully vaccinated, of course, and everyone will be tested multiple times during the lockdown. Fortunately, he was not in close contact with the staff members who tested positive and who were doing the right thing by being fully vaccinated but the delta variant is even more formidable than the original form of the virus.

So, we’ll just keep on doing everything we can.

Even when it’s not ever enough.

I guess “enough” is not a valid concept here.

Even when the best we can do is not close to the best we had hoped for.
*****
Linda’s prompt for Stream of Consciousness Saturday this week is to begin a post with My. Join us! Find out more here: https://lindaghill.com/2021/08/27/the-friday-reminder-and-prompt-for-socs-aug-28-2021/

Pfizer vaccine approval

Today, August 23, 2021, the United States Food and Drug Administration has announced the full approval of the Pfizer/BioNTech vaccine against SARS-CoV2, the virus that causes COVID-19, for people aged 16 and up. People aged 12-15 are still being immunized under the emergency use authorization. It is also expected that, in the coming weeks, Pfizer will apply for emergency use authorization for children aged 5-11. Research is ongoing on children 6 months-4 years. Also, most adults will become eligible for a third dose to boost immunity, given from 8-12 months after the second dose.

Meanwhile, both Moderna and Johnson & Johnson, the other two vaccines available under emergency use authorization in the US, are continuing their research and applications to expand their age ranges and gain full approval, too.

It’s possible that, for some people who have been reluctant to be vaccinated, the full approval of the Pfizer vaccine might be enough to convince them to receive it. The US has seen many more shots being administered in recent weeks as the delta variant has surged and people realize that nearly all the people being hospitalized and dying are those who were unvaccinated. Unfortunately, it takes several weeks to build immunity from the vaccine so the delta surge will likely continue into the coming months.

The other expected impact of the full approval of the Pfizer vaccine is that more employers may mandate that their workers be immunized before returning to in-person work and more businesses may require immunization (or alternatively a recent negative test) for their patrons.

As regular readers may remember, my spouse B, daughter T, and I are all part of the Pfizer Phase III trial for the vaccine. B and T were lucky enough to receive the actual vaccine in August 2020 while I wound up being in the placebo group. When the vaccine received emergency use authorization, the study was unmasked so that people in the placebo group could receive the vaccine, which I did in February 2021. I will continue to be followed as part of the original study through August 2022. B and T, meanwhile, have entered into the third dose phase of the study. They will be providing data for the continued study of how much immunity boost occurs with the third dose and how long it lasts.

I continue to mourn for all those who are suffering as a result of the pandemic. Please, everyone, listen to the public health specialists in your area, receive the vaccine as soon as it is available to you, and mask, distance, and wash hands as directed. Please, do everything you can to protect the health of yourself, your loved ones, and your community.

an update and a plan

I have been posting less than usual over the last couple of months as we have been dealing with health difficulties with my father, known here as Paco. He had a couple of falls in June, resulting in some cracked bones, which have been healing well while he has been in a rehab program. Unfortunately, he also suffers from dementia, which has worsened, and from a number of other health conditions, which are not unexpected in a 96-year-old but which have necessitated remaining in a nursing home rather than being able to move back to the assisted living floor where he lived previously.

It has taken a lot of time with in-person visiting and inordinate amounts of time dealing with paperwork and red tape. My sisters have been coming into town to help, but I am still not finding time to write as much as I would like.

On Monday, I’m happy to report that the UK contingent of our family – our daughter E, her spouse L, and their two children 4-year-old ABC and just turned 1-year-old JG – arrived from London for a two week visit. It is our first opportunity to meet JG in person. She is adjusting to our actually being flesh-and-blood people rather than images on a screen. It’s amazing that she is able to deal with being a different place with different people after being in lockdown so much of her life, especially when you consider it took two large airports, a plane, and the longest car ride of her life to get here. Also, five hours worth of jetlag. It’s also amazing how much ABC remembers from when she lived with us, given that this is her first time back here since she moved to the UK in October 2019.

Because of the delta variant’s prevalence, we haven’t ventured much from the house over these last days and probably won’t be taking the children to many indoor spaces, given that they are too young to have been vaccinated. We do plan a visit to Paco later this week. When the weather is better, we will also be able to go to the parks and take rides on the carousels for which Broome County is known.

My younger sister is here visiting and helping with Paco and my older sister and her spouse will arrive next week for a few days. My plan is to carve out a bit of time for some posts which will update topics about which I frequently post; I’m hoping to be brief, which is always a challenge for me!

Let’s see if I manage to follow through with this plan…

A normal-rare event

On July tenth, there was a rare island of normalcy.

Or an almost normal version of a rare event.

I participated in a live poetry reading in conjunction with the Empty the Inkpots exhibit at the Vestal Museum. The reading was part of the Summer Art Festival, a collaboration of the Museum and the Vestal Public Library. Several of the poets from the Binghamton Poetry Project who have work included in Empty the Inkpots read from the stage/deck at the Museum with the audience arrayed in scattered chairs and benches and on the lawn. It was the first time in many months that I have participated in a live-and-in-person poetry reading. It had been even longer since I had had to read with a microphone. The amplification was useful because the museum is near a busy roadway.

I chose not to read the poem I had on display, which is about the early months of the pandemic; it is available at the link above. Instead, I read three poems from my manuscript about the North Adams, Massachusetts where I grew up. “Conveyance” appeared in the spring 2021 anthology of the Binghamton Poetry Project. The other two poems, “North Adams Public Library” and “Monroe Bridge Mail”, are currently unpublished so I won’t share them here.

I was very happy with the reading on a number of counts. First, there were people in the audience who came at my invitation, including one who saw my Facebook announcement of the event. Second, though I was nervous before, I was reasonably comfortable during the reading, even managing the microphone adjustment without much trouble. Third, the reading was well-appreciated by our audience. We had six poets, with diverse styles and viewpoints, represented. We read in alphabetical order. Uncharacteristically, I was not first, which was helpful for me. I like to read early in the order, but I’m better at reading second than first. I was also grateful that the most experienced poet and performer was last as it gave a strong finish to event. No one should have to follow J. Barrett Wolf at a reading!

Lastly, I was pleased to receive personal compliments after the reading from family and friends, some of whom are also poets. What was most heart-warming was that a woman that I did not know came up to me afterward and told me how much she enjoyed my poems and asked where she could find my work. Of course, I don’t have any books of my own out, but I was able to give her my paper copies of my poems, which included my bio for the exhibit and the address for Top of JC’s Mind.

The reading was an island of normalcy not only because of the pandemic but also because most of my time these days has been wrapped up in dealing with the care of my 96-year-old dad who is currently in a rehab/skilled nursing facility after a fall and ensuing complications. It’s why it has taken me so long to post about the reading.

It’s also why, for the first time in years, I am not registered for the current sessions of the Binghamton Poetry Project. I am usually visiting my father in the early evenings. Even if another family member is available to visit, I can’t predict if I will have any creativity/brainpower left late in the day.

It’s made the reading that much more important as a reminder that my poetry life is still there, waiting for me to go back to it when things are more settled.

Someday.

SoCS: more on covid and vaccines

Here in the US, we are facing another wave of COVID. I think it is considered our fourth wave, but that has become pretty hard to define over the many months of the pandemic. What is different this time is that this wave is almost exclusively confined to the unvaccinated population, at least in terms of serious illness, hospitalizations, and mortality.

In New York State, where I live, the Northeast in general, and a few other states with high vaccination rates, you are seeing case numbers climb somewhat, largely because the delta variant is causing more breakthrough infections among the vaccinated, but you aren’t seeing extreme impacts on hospitals being overwhelmed and lots of serious illness and deaths.

In states like Missouri and Mississippi, with low vaccination rates, we are seeing conditions that look like the early days of the pandemic in New York, with hospitals overflowing with very sick patients, more than they have space, equipment, and personnel to handle. While in the first-wave, most of the very ill were elderly, now we are seeing that most of the very ill are younger adults. Even in these low-vaccination-rate states, the elderly are the ones most likely to have been vaccinated, so they are less impacted by this current wave, even with the delta variant making up a larger and larger share of infections.

As people who read Top of JC’s Mind from time to time may recall, I, spouse B, and daughter T are all part of the Phase III trial of the Pfizer/BioNTech vaccine. B and T both were in the original vaccine group and were vaccinated last August. They are now both enrolled in the follow-on study of booster shots and their efficacy. Like the original study, it is double-blind, so neither the participants nor the researchers know who received the actual booster and who received the placebo injection.

However, B and T are both having side effects similar to their other doses of the vaccine, so we are pretty sure that they got real booster shots, not placebos. For the record, last August, I got placebo shots. When the study was unmasked after the emergency use authorization was approved, I was offered the real vaccine, which I got in February. I remain in the study as part of the design to follow participants for at least two years. I don’t know if I might, in the future, wind up participating in a follow-on study for boosters as well. It will depend on how the results of the booster study that B and T are now in play out and whether more data is needed. It’s also possible that Pfizer may re-formulate in response to current and future variants and need a pool of test subjects for that. My family will continue to participate as long as we can be of use to help advance the science and protect public health.

It is so very sad to know how many people are suffering from COVID, especially now that we do have good vaccines available. I’m sad for people in countries or regions that don’t have access to the vaccine. I’m upset that there are so many who do have access but still remain unvaccinated, often because of misinformation about COVID and about the vaccines. Choosing to remain unvaccinated doesn’t just impact the individual’s health if they get infected. It also impacts public health, giving the virus more opportunities to mutate and create new variants. It also can spread the virus to others, which is especially dangerous if those people are also unvaccinated. Sadly, we are seeing an increase in hospitalizations of children, who aren’t yet eligible for vaccination, and teens, who are eligible but still have low vaccination rates in many states. Earlier this week, the state of Tennessee announced that it is ending all vaccine outreach to teens. It would be bad enough if this was just COVID vaccine but they are also ending outreach for other vaccines, like TDaP, HPV, hepatitis, and MMR boosters.

It’s appalling.

Please, everyone, remember that we are still in a pandemic – and will be until we can get COVID under control globally. If you have access to vaccines, please take them for your own good and for the good of others. Everyone needs to be vigilant to following public health and infection prevention measures recommended by public health professionals in your region.

COVID doesn’t care about your political views or whether or not you believe it exists. It is a virus that is just looking for a host to make it possible for it to replicate as many copies of itself as possible. If you are infected, you might be lucky and have mild symptoms, but you could pass it on to someone who might become seriously ill or even die. Or you might be unlucky and become seriously ill or die yourself.

The virus won’t care.

Your loved ones will.

*****
Linda’s prompt for Stream of Consciousness Saturday this week was to base your post on your least favorite word. I don’t often think of having a favorite or least favorite word, but I thought that COVID definitely qualified as being my least favorite entity at the moment. If you’d like to join in with SoCS, you can find out more here: https://lindaghill.com/2021/07/16/the-friday-reminder-and-prompt-for-socs-july-17-2021/

SoCS: hope

I have long said that hope is the virtue that I struggle with.

Or maybe it is that I struggle with the intersection of hope and reality.

I do try to keep my hopes realistic, not veering off into fantasy, but lately, it seems, even my realistic hopes get dashed on a regular basis.

On a personal level, my biggest struggle to maintain hope has been with my father’s health condition after a fall four weeks ago. I keep hoping that the medical team will be able to figure out what is causing his increased confusion, disorientation, and fatigue, so that we can make him more comfortable, but we don’t seem to be able to. I am not hoping for a miracle. Paco is 96 and has several underlying health conditions. I know the time we have left with him is limited. I just want to help make things as comfortable and stress-free as possible. I didn’t think this was an unrealistic hope, but perhaps it is.

Even with this personal struggle, there is always an awareness of what is going around us here in the US. I had hoped that, with several effective vaccines widely available, we could tamp down the pandemic, including the newer and more contagious variants. Instead, we are seeing some areas with very low vaccination rates experiencing spikes in COVID cases. Another realistic hope dashed.

Equally or perhaps even more alarming is the increasingly bizarre behavior of the Republican party. I had hoped that, after what even Republican election officials knew was a fair election, and especially after the horror of the January 6th insurrection and attack on the Capitol, the Republicans would fulfill their Constitutional duties and govern, at this point as the minority party. But they are not. In states that have a Republican legislature, especially if there is a Republican governor, too, we are seeing rafts of legislation that try to suppress votes of people who are less likely to choose Republican candidates. This isn’t just another dashed hope. It feels dystopian.

Of course, some hopes are more mundane. I had hoped to get an SoCS post written before I fell asleep and I have managed that.

I hope that Paco will have a decent day tomorrow.

And a decent week.

I hope that isn’t too much to hope for.

*****
Linda’s prompt for Stream of Consciousness Saturday this week is “hope.” Join us! Find out more here: https://lindaghill.com/2021/07/09/the-friday-reminder-and-prompt-for-socs-july-10-2021/

Paco update

Linda’s prompt for Stream of Consciousness Saturday last week was to base the post around a word that contained -igh. My thought was to write a post beginning with “Sigh” about my father’s continuing health struggles, following up on two previous SoCS posts.

The day after I wrote the post linked above, Paco’s condition deteriorated and I made the decision to send him to the emergency room. After the initial check-in, I was allowed to be with him. The ER team was very thorough and found that he was dehydrated and had three new fractures in his lumbar vertebrae. After some IV fluids, he went back to the rehab facility by ambulance at 3 AM.

I caught a nap and was very grateful to learn that my older sister had moved up a planned visit and would arrive that afternoon. She spent a lot of time with Paco on compassionate care visits while I worked out a lot of logistics. It turned out that a rehab room opened up within his senior community; the place where he currently was in rehab was a sister facility in a nearby city. Paco was set to move back on Friday and I spent a lot of time packing up things in his assisted living unit, some to send up to his rehab room there and some to bring back to our house as we had decided to give up his place in assisted, as we know he won’t be well enough to return there any time soon – and may never recover to that point.

The plan on Friday had been that our family would finish clearing out his place in assisted and help Paco to get settled into rehab, but we arrived to find that someone in the assisted wing had tested positive for COVID, so it had to go into lockdown. Fortunately, this didn’t affect Paco’s move and he arrived safely via medivan. I signed yet another cache of documents and was allowed a short visit to help him get settled.

Unfortunately, our hard-won rights to expanded compassionate care visits got lost in the bureaucracy with the impending holiday weekend adding another layer of complications with so many staff away on vacation. I was able to get permission for some extra visiting time over the weekend but face another round of changing personnel, location, rules, etc. this coming week.

Meanwhile, Paco is confused and exhausted. The silver lining is that his pain level is generally low.

The big question mark remains how much recovery is possible in regards to daily living functions. I don’t know if the rehab team will be able to make a valid prediction or not.

It may be a situation of wait and watch and work and hope and pray and see where we end up.

Granddaughter congratulations

Congratulations to granddaughter ABC who is turning four years old! She is a few weeks away from completing nursery school and will be entering Reception, the UK equivalent of US kindergarten, in September. She is reveling in the return to full-time in-person school, loves the parks and the garden, is learning to read, has a vivid imagination, inherited her parents’ musicality, and loves being a big sister, at least most of the time.

Congratulations also to granddaughter JG, who at not quite ten months old, is walking on her own. Watching the videos of her toddling reminds me of her mother, my firstborn E, who also stuck her tongue out when she was first walking on her own. I’m not sure if it is a sign of concentration or if it somehow helps with balance, but it certainly seems to be an inherited inclination. Also, adorable.

When we visited London in December 2019, we had planned to return in the spring, perhaps for Easter, and then for ABC’s third birthday, and in late summer for the birth of the new baby. E and her family planned to come visit us in the US for Christmas.

Due to the pandemic, none of that happened.

So, here we are, all fully vaccinated in upstate New York, but still not cleared for travel to the UK, missing another birthday. We’ve missed the entirety of JG’s babe-in-arms phase as she is now officially a toddler. And we still don’t know when we will be able to travel to the UK. They have been planning another easing of restrictions in mid-June, but now the even more virulent strain from India is spreading in the UK, so…

We don’t know about travel in person.

We do know that our love reaches them, even if our arms cannot.

Trinity Sunday 2021

Today is the Sunday after Pentecost which is celebrated in the Roman Catholic tradition as Trinity Sunday. It is also the name day of a close family member, so it holds additional significance for me.

While I had attended mass in person a few times during Lent and Holy Week after I was fully vaccinated, I had not attended since because space was so limited and advance reservations were required. Now, though, with the new guidance from the CDC and our diocese, fully vaccinated people may attend unmasked and capacity restrictions have been eased, so I decided to attend to celebrate Trinity Sunday in person instead of via broadcast.

We still had temperature checks as we entered, but the ropes that had blocked every other pew have been removed. People still maintained some distance from each other, especially important for families with children too young to be vaccinated or teens who haven’t had time to complete their vaccination series yet. Some adults were masked because they haven’t yet been fully vaccinated or because they chose to wear masks because they are medically vulnerable or feel safer masked while indoors in close quarters. People are also masked when fulfilling certain roles in the liturgy, such as distributing communion. It was nice to see the octet able to stand unmasked in pairs singing the same voice part, rather than scattered about by household as they had to be under full pandemic protocol.

This week, we still used the pandemic protocol of distributing communion after the concluding rite, so that people were distanced as they exited immediately after receiving, avoiding large crowds in the gathering space. Next week, though, when we celebrate Corpus Christi, communion will be distributed at the normal time before the concluding rite, so we will get to have a proper closing hymn again. Our bishop has also rescinded the dispensation of the obligation to attend mass in person as of next week, although, as always, people who are too frail or medically vulnerable are exempt.

I’m not sure what will happen. Many churches, including the one I attend, cut back on the number of masses each weekend due to cleaning protocols. Will there now be too many people trying to fit into fewer masses? Will some people who have been accustomed to participating virtually continue to do so because it feels safer or easier or more convenient?

I admit that, for me, being back in person is difficult and saddening. Perhaps, it will be less so as we are able to resume talking to other congregants; it’s lonelier to me being in the midst of people with whom I can’t interact than being alone participating in mass via television. The bigger problem, though, is my discomfort with many of the clergy and bishops in the United States over the last several years. Too many of them are mired in clericalism that fails to acknowledge the decades/centuries of abuse, misogyny, racism, and injustice in which the hierarchy was either perpetrating or complicit. Too many of them are more enamored with their personal power over others than with following the servant-leadership of Christ. Somehow, for me, it feels safer with a priest on a screen than a priest in the same room, even a large room like a church.

I was just looking back at this post, which I wrote after my first Lenten mass in person. At the end of it, I write about the struggles of living through a lot of pain to remain in the church and questioning if I can go back to being confronted with that every week.

The answer may well become evident in the coming weeks.

Postscript: One of the online resources that I use is catholicwomenpreach.org. Their Trinity Sunday 2021 homily is powerful. If this was the preaching I heard in person at mass, it would be a cause for joy rather than pain.

The American Jobs Plan

At the moment, the Biden administration is meeting with Republican officeholders, including members of Congress, to revise his American Jobs Plan to gain bipartisan support. While many local and state level Republicans support the measure, Republican Congressional leaders are opposing it.

The plan is often referred to as the infrastructure bill and much of the debate has revolved around the definition of infrastructure. Merriam-Webster’s first definition of infrastructure is “the system of public works of a country, state, or region also : the resources (such as personnel, buildings, or equipment) required for an activity.” The Congressional Republicans have been using the more narrow “public works” definition and complaining the bill goes far beyond “roads and bridges” which is true, but, while we certainly do need investment in car/truck transportation, the country needs much more than that.

In the transportation sector, we need to upgrade airports and railways, subways and bus systems, and charging systems for electric vehicles. Our electrical grid is antiquated and fragile, leading to horrible consequences such as the Texas blackout this part winter. It needs to be modernized to better incorporate distributed and utility-scale renewable energy and storage, which will make energy systems cheaper and more reliable. Water and sewer systems need massive overhauls to eliminate lead pipes, avert leaks, and bring clean drinking water to places that still do not have access. (One of the truly heart-breaking deficiencies in our water systems brought to public notice during the pandemic was that many people living on Tribal lands do not have access to clean running water needed for the recommended hand-washing protocols and daily life in general. The infection and death rates among indigenous peoples were higher than average, due to the ongoing lack of resources and medical care.)

The pandemic also pointed out the inequities in our communication systems. With so much learning and so many jobs going online, fast and reliable internet access became essential. Those with low income and rural folks suffered when they didn’t have those services available. This deficit has been obvious for a number of years and a few states, such as New York, have been working on it, but it is better to have the federal government involved to make sure that no one is left out.

The US also needs a lot of upgrades to buildings. Many of our schools, hospitals, and housing units are deficient in their heating/cooling/ventilation systems and need insulation and energy efficiency upgrades. Some also need structural work and renovation. Sadly, this impacts low-income areas more than high-income areas. Again, the federal government needs to step in to make sure that all people have safe, functional buildings.

The part of the plan that Congressional Republicans object to the most is support for our care system. There has long been a dearth of high-quality, affordable caregivers for children, elders, and people with debilitating illnesses or conditions, due in part to the low wages paid for this kind of work. During the pandemic, many child-care centers and schools closed, leaving parents with the tasks of 24/7 childcare plus tutoring, often combined with paid jobs. This impacted mothers more than fathers, with many more women leaving the workforce or cutting back hours of paid work to tend to caregiving duties. Now that more employers are wanting people to work on site, parents are faced with difficulties in trying to find child or elder care that they can afford. It’s also worth noting that the US is woefully behind other advanced economies in supporting social needs. The greater support for caregiving, health, and education in the UK versus the US was an important factor in my daughter and son-in-law deciding to settle their family in the UK.

The American Jobs Plan has provisions to support caregiving, such as paying good wages to people who provide care and good wages to other workers so that they can afford to pay for care if they need to. It also offers free access to pre-school for three- and four-year-olds and community college for high school grads. Somehow, Congressional Republicans have twisted this into a negative, arguing that the Plan is against family caregiving and would force more years of mandatory schooling. The pre-school and community college funding is available to all, but not compulsory. The option to choose family caregiving would expand if one salary can support the household, leaving a second adult free to engage in unpaid caregiving or to take an outside job without having all the money earned go to pay the cost of care. For households with only one adult, affordable, high-quality care availability makes it possible to work and support their family. One of the difficulties with the pandemic economic recovery is that many employers are not offering enough hours at a high enough wage for workers to be able to cover living expenses, often including caregiving costs. The answer to this problem is not to cut off unemployment payments as some have suggested; the answer is to pay living wages for all jobs. If a business cannot afford to pay its workers a living wage, it does not have a viable business plan and should not be operating.

What strikes me about the Congressional Republican position is that they favor jobs, like construction, that are predominantly filled by males, while discounting jobs, like caregiving and education, that are predominantly filled by females. In many areas, caregiving jobs are held predominantly by women of color. The Congressional Republican approach to the American Jobs Plan seems to be that physical objects like roads and bridges and the workers that make them are more important than people and the work to care for and educate them.

This is unfortunate. The Plan’s comprehensiveness is one of the things that impresses me the most. It integrates employment with addressing social, environmental, and justice concerns. For example, it creates jobs for workers displaced by the winding down of fossil fuel extraction to cap abandoned wells and clean up mines. It creates a Civilian Climate Corps to help us conserve land and prepare for future conditions. There are provisions to support US research and development and manufacturing within the country to boost employment and make sure we have supplies of important products made here to avoid shortages, especially in crisis situations. We all saw what happened in the early months of the pandemic when masks, gloves, and other medical equipment were in short supply because they were almost all imported goods. The Plan also looks to increased membership in unions which traditionally facilitate good wages and worker protection measures.

While the American Jobs Plan has majority support among the public, Senate Minority Leader Mitch McConnell says that no Republicans will vote for it. I don’t know if that will change after negotiations are complete. If the vote fails in the Senate after negotiations because Republicans still are not on board, then the Democrats should pass the original bill under budget reconciliation rules.

I should also point out that the Plan includes a way to pay for the costs over time, mostly through corporate tax reform and enforcement. The Republicans don’t like that. The public does. When pollsters ask about the American Jobs Plan and include the payment mechanism in the description, the approval rating rises even higher.

I do have a Republican representative in Congress and I ask her and her colleagues to think about whether they are there to serve their constituents or their corporate donors. We’ll be able to tell their answer by how they vote on this bill.