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Daily Bread for 4.8.20

Good morning.

Wednesday in Whitewater will see an afternoon rain with a high of sixty-five.  Sunrise is 6:22 AM and sunset 7:30 PM, for 13h 08m 04s of daytime.  The moon is nearly full with 99.8% of its visible disk illuminated.

Today is the one thousand two hundred forty-seventh day.

On this day in 1911, Dutch physicist Heike Kamerlingh Onnes discovers superconductivity.

Recommended for reading in full —

Juliet EilperinLaurie McGinleySteven Mufson, and Josh Dawsey report In the absence of a national testing strategy, states go their own way:

Three months into the coronavirus epidemic, the Trump administration has yet to devise a national strategy to test Americans for the deadly disease — something experts say is key to blunting the outbreak and resuming daily life.

In the absence of a national plan, several states are developing their own testing systems, but the emerging picture varies widely. States with more money and robust medical sectors have devised comprehensive plans, while others lag far behind.

The White House, meanwhile, is still debating which types of tests should be sent to which regions and how much to focus on testing Americans to see who may have developed immunity to the disease.

“Unfortunately, states really are on their own,” said Partners in Health medical director Joia Mukherjee, whose group is working with Massachusetts to develop the country’s most extensive contact tracing network to track infected patients’ interactions with others. “It’s problematic at best and egregious at worst, because some states have more resources than others; some states have more leadership than others.”

Liz Essley Whyte reports Disabled? 25 States Where You’re Likely Last In Line for Ventilators:

The Center for Public Integrity analyzed policies and guidelines from 30 states meant to direct how hospitals should ration ventilators if they don’t have enough. All but five had provisions of the sort advocates fear will send people with disabilities to the back of the line for life-saving treatment.

These policies take into account — in ways that disability advocates say are inappropriate — patients’ expected lifespan; need for resources, such as home oxygen; or specific diagnoses, such as dementia. Some even permit hospitals to take ventilators away from patients who use them as breathing aids in everyday life and give them to other patients.

The remaining 20 states either have not established rationing policies or did not release them.

Doctors and medical ethics experts say these states need to have policies in place now, before coronavirus cases peak, and should not cloak them in secrecy.

Expecting doctors to make heart-rending decisions on who lives and who dies, experts say, runs the risk that they will lean on personal biases and stereotypes, even unwittingly.

“There is a long history of people with disabilities being devalued by the medical system. That’s why we have civil rights laws,” said disability-rights activist Ari Ne’eman. “We don’t have an exception in our country’s civil rights laws for clinical judgment. We don’t take it on trust.”

(The contention here isn’t that a ventilator is a sure-fire aid; the contention is that what might be an effective aid could be wrongfully denied.)

Hydroxychloroquine Considered:

The drug is used to treat certain diseases like lupus and malaria. But Dr. Fauci confirms there is no substantial data suggesting it’s a coronavirus treatment. Health experts warn it may have dangerous side effects. But Trump continues to hype up the drug, leading to a prescription rush and a shortage for patients who actually need these pills to stay alive.

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