COVID-19

IrishLion

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The only states that aren't currently projected to run out of ICU beds are:

Arkansas
California
Indiana
Kansas
Kentucky
Missouri
Nebraska
N. Dakota
Ohio
Oregon
Pennsylvania
Vermont

Indiana is currently projected to have a surplus of 142 ICU beds at the peak which is the 5th highest of all states.

Obviously these are only projections and a lot can change in a short amount of time.

I think Indiana actually owes a debt of gratitude to the Ohio Governor. He was all over this thing. The Ohio Governor closed dine in restaurants. Indiana follows a day later. Ohio shuts down schools, Indiana follows a day or two later. Ohio issues shelter in place, Indiana follows 2 days later. Ohio was the leader in the great lakes area which led to other states following suit.

Same here in KY.

Democratic gov Andy Beshear has become a hero in the state, even among conservatives, for the way he's leading during the crisis, particularly his daily communication with the state. And he's doing a good job! But he's basically been following everything Ohio has done, just a day later with each order lol.

It has worked thus far, but we're finally seeing the number of cases in NKY start to jump up each day, so we'll see how it goes moving forward.
 
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Irish#1

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Originally Posted by Bluto View Post
If we are being honest what has put the US in this position is the race to the bottom in search of ever increasing share holder profits that started in the late 70’s and early 80’s and has been accelerating ever since. Blame for that bullshit can and should be laid squarely at the feet of “Conservative” economic theory and those that have supported it these past couple of decades.

We're getting off topic a little, so I won't belabor too much on this, but when it comes to the auto industry in the 70's, it was more about the unions getting as much as possible (wage and benefits) which drove car prices up. Not so much corporate profits.
 

yankeehater

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Legacy

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There may be more selfless acts than a health professional to come in contact and proximity to those with very contagious and virulent diseases for weeks. Perhaps it would be those who have devoted their lives to fighting diseases and doing their best to heal and who have retired returning as volunteers in the tens of thousands despite their age and any health conditions that may increase their risks. All who may not have PPE.

All I can recommend to others is to keep in mind that we have readers who have made that lifetime commitment. They may be returning daily to that situation or have family members doing that daily.

I cannot imagine any friends or family members not being around or at at our next gathering and the impact to their families.

If you feel so inclined though, many are in need and a donation to your local food bank reinforces your commitment to your community.
 

IrishLax

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The only states that aren't currently projected to run out of ICU beds are:

Arkansas
California
Indiana
Kansas
Kentucky
Missouri
Nebraska
N. Dakota
Ohio
Oregon
Pennsylvania
Vermont

Indiana is currently projected to have a surplus of 142 ICU beds at the peak which is the 5th highest of all states.

Obviously these are only projections and a lot can change in a short amount of time.

I think Indiana actually owes a debt of gratitude to the Ohio Governor. He was all over this thing. The Ohio Governor closed dine in restaurants. Indiana follows a day later. Ohio shuts down schools, Indiana follows a day or two later. Ohio issues shelter in place, Indiana follows 2 days later. Ohio was the leader in the great lakes area which led to other states following suit.

Yeah, Mike DeWine has been SUPER impressive. Strong leader. Shutting down the Democratic primary -- even when courts told him not to -- was a boss move. He has been one step ahead from the beginning, and if everyone had been operating how he did we would be through this a lot faster with a lot less infections. The handful of Governors who still need to buy a clue is why this is likely to drag on longer than it needs to (looking at you, Florida). Some of these guys are like the mayor in Jaws.
 

Irishize

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While I agree in principal with the above, my personal experience says otherwise. I had a cancer scare (ended up being a harmless lipoma between peck muscles, but didn't know till removed) that required surgery, and have overseen my mother's breast and lung cancer bouts. I went to one of top breast cancer docs and surgeons in the nation, while my mother went to one of the better cancer centers in IN. Both of us have A1 insurance. The way I was treated vs how she was treated, were completely different. I was handled first class and communicated to like an adult. My mother's treatment has been completely shitty at times, borderline deceptive, and she is communicated to like a child and pushed around.

During the initial diagnosis and treatments, either my aunt (a retired GP), or myself, or both of us accompanied her, or on the phone with her for all communications. It was so bad and confusing (differing stories, or purely incorrect) we started recording all the communication. I had to have private come to Jesus conversations with two of her docs.

The doc and his mini-me overseeing her chemo told her on multiple occasions she was taking low dose chemo (and several other simply incorrect crap), when in actuality she was on very high dose. They acted like she was overreacting to the side effects. Through my own research, I found she was getting a very high dose regiment. When I called out the doctor and his assistant out (which included playing recordings), they both looked like deers in the headlights. That was one of many issues I pointed out that day.

And when they found out my aunt was a GP, they both about crapped their pants. All in all, their behavior completely changed. I had a similar encounter with her radiation doctor. Thank god that all happened early in the process, and their demeanors and level of support changed. My aunt and I still have to pay close attention as they absolutely still treat her differently because she's 75. But honestly, what about all the old folks that don't have a nosy type A son, or a retired GP sister to help them.

Glad your cancer was benign & hope your mother is doing well.

Sounds like your mother would’ve been better off firing her oncologist and finding another provider...especially as it sounds as if insurance was not an issue. 2nd opinions are always a great idea especially when considering cancer treatments. Some Med-Oncs stick to the book (no outside the box thinking), some are profit driven (infusions (like chemo or I/O) are what drives the revenue vs oral therapies that are filled outside the practice & some Med-Oncs truly look at it as both an art & science (this is the one I prefer). While there are NCCN guidelines that develop standards of care, not every patient is the same so HCPs should weigh pros/cons when choosing treatments and dosing. No therapeutic area works off-label more than oncology IMO. Frankly, that’s a good thing. Again, I want my oncologist or my loved ones’ oncologist thinking outside the box and leaving everything on the table whether it’s off-label usage (which NCCN oftentimes adopts in their guidelines prior to FDA approval) or a clinical trial.
 

Irishize

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Are these infected/death "models" made by the same type of folks who measure climate change?

IDK but you can be confident that the left will use this pandemic to scare Americans into paying more taxes for windmills, solar panels & carbon offsets to combat climate change.
 

Legacy

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While it's all hands on deck for HC workers to fight this deadly disease, disaster plans are put in place, bed capacity for new patients is being maximized as much as possible and shortages that require federal government assistance and cooperation are identified, we still have heart attacks, strokes, traumas, serious exacerbations of chronic conditions like diabetes and asthma, overdoses, abuse, bleeds, etc coming to the ER and often needing ICU beds. Governors, mayors, the Congressmen from their states and those medical professionals and scientists who plan for pandemics are most sensitive to what they need and their particular situations. In the broader view, America worsening shortage of HC professionals will impact medical care both in metropolitan and rural facilities. You may have a bed but if you do not have a physician or nurse to assume their care, it's worthless.
 

Irishize

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I agree and you make a good point about Pelosi and Schumer. What I meant, and didn’t do a good job of clarifying, is that you have been cheering on this guys every move, including his newly increased (media created) poll numbers that all living, breathing presidents enjoy during catastrophes. What you’re failing to acknowledge is that Fox News IS HIS FORUM to add to the divide in this country- which seems to be your main beef with the media. Trump touts the ratings of Fox News regularly but bashes them when they come anywhere near holding him accountable for his shortcomings both ethical and policy related. I get that these networks would be better off if they attempted to incorporate true journalism rather than the lazy, biased opinion route that they choose to take. However, I don’t get why you and others don’t realize that this president was elected because he pinpointed a segment of the population that is fueled by the divisiveness that his preferred media source has helped create. You may argue that past presidents did the same, but each one before attempted to bridge some gaps as they thought it was necessary to get the votes necessary. He came in and doubled down with the “my side is right and the others can go to hell” method and continues to do it to this day.... I don’t send this to be confrontational towards your opinions, I just feel that when anybody brings up “the media is evil” narrative and give a pass to the guy used that narrative to his advantage, but whose skin is too thin to deal with the tiny bits of true journalism we get sometimes (Chris Wallace, for example) they aren’t looking at the entire picture.

You’re correct...when speaking to a blatantly biased MSM, Fox should be included as well. Where conservative folks get frustrated is that it’s FOX vs the 3 major networks, PBS, NPR, Bloomberg, MSNBC, CNN and most of the major newspapers nationwide. I agree w/ YJ, Reuters is the closest to fair.

I do get frustrated when folks lump ALL talking heads as reporters or journalists. What gets the most attention are the commentators who editorialize in manic fashion whether it be Hannity, Maddow, Cuomo, Cooper, Lemon, The Five, Stelter, O’Donnell, Carlson, Pirro, Ingraham, et al.
 

Irishize

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I guess the brothers are battling for who is the dumbest. I heard yesterday that NY is a state that has a bill in place (cannot recall the name) where the state government controls the medical supplies. Back in 2015, knowing there was a ventilator shortage, Cuomo instead spent state funds on a solar project.

https://www.thegatewaypundit.com/20...tead-invested-in-boondoggle-solar-panel-farm/

The Federal Govt was actually working towards a ventilator surplus over a decade ago. They foresaw the need and decided to accept bids from the private sector to develop one to their specs. The ones that were currently on the market were too costly & too big/inconvenient. A small med device company from Newport, CA won the bid. They sent three prototypes to the gov’t who were thrilled by the results. Before manufacturing began, the small device company was purchased by a billion dollar device company. After disagreeing on cost, viability, etc.; the deal fell through and the gov’t was back to square one...then COVID-19 hit.
 

Irish#1

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The Federal Govt was actually working towards a ventilator surplus over a decade ago. They foresaw the need and decided to accept bids from the private sector to develop one to their specs. The ones that were currently on the market were too costly & too big/inconvenient. A small med device company from Newport, CA won the bid. They sent three prototypes to the gov’t who were thrilled by the results. Before manufacturing began, the small device company was purchased by a billion dollar device company. After disagreeing on cost, viability, etc.; the deal fell through and the gov’t was back to square one...then COVID-19 hit.

Wouldn't be surprised if the billion dollar company was one of the losing bidders. Then made the Newport company an offer they couldn't refuse figuring they could make that up and more in the contract.

We just laid off three in the warehouse and two in marketing. No more planned layoffs at the moment. We've had several customers call and ask that their terms be extended from 30-45 days to 90-120 days!
 
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Legacy

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Speaking of using the novel coronavirus for political purposes...

Under coronavirus immigration measures, U.S. is expelling border-crossers to Mexico in an average of 96 minutes (Texas Tribune)

Time after time, our judicial system has ruled against Trump that unaccompanied children who seek the protection to be protected from the dangers of abuse afforded them by law. Law has reinforced their universal human rights and the obligation of our country to protect them. Many were separated from their parents or family and now are being released without them into a dangerous and violent country.

The Admin has not even sought cooperation with Mexico to protect them and could release them in America to Catholic and other religious and social organizations that would look after their welfare.

Does it happen to do with this adverse ruling two days ago?

Judge Orders Release of Detained Migrant Children to Halt Coronavirus Spread

With four children in immigration custody diagnosed with COVID-19, a federal judge in Los Angeles has ordered government officials to swiftly release the nearly 4,000 migrant children in their care.

U.S. District Court Judge Dolly M. Gee issued an order Saturday evening that the Trump administration should “make every effort to promptly and safely release” migrant children from government custody. Gee said by April 6, federal officials must report to the court on their efforts to release children and reunify families.

The order came after a request from attorneys who, for more than 20 years, have represented children in immigration custody under a consent decree known as the Flores Settlement Agreement. Gee oversees compliance with the longstanding settlement, which protects the rights and the welfare of detained children.

“We are relieved for thousands of detained children that the court has intervened to keep these children as safe as possible during this COVID-19 health crisis,” said lead plaintiffs’ attorney Peter Schey, with the Center for Human Rights and Constitutional Law in Los Angeles. “Judge Dolly Gee's order that the government must promptly release all children to available sponsors may save children's lives.” (cont)

Reno v. Flores

The Supreme Court ruled that the Immigration and Naturalization Service's regulations regarding the release of alien unaccompanied minors did not violate the Due Process Clause of the United States Constitution.[1] The Court held that "alien juveniles detained on suspicion of being deportable may be released only to a parent, legal guardian, or other related adult."
 
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Irish YJ

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Glad your cancer was benign & hope your mother is doing well.

Sounds like your mother would’ve been better off firing her oncologist and finding another provider...especially as it sounds as if insurance was not an issue. 2nd opinions are always a great idea especially when considering cancer treatments. Some Med-Oncs stick to the book (no outside the box thinking), some are profit driven (infusions (like chemo or I/O) are what drives the revenue vs oral therapies that are filled outside the practice & some Med-Oncs truly look at it as both an art & science (this is the one I prefer). While there are NCCN guidelines that develop standards of care, not every patient is the same so HCPs should weigh pros/cons when choosing treatments and dosing. No therapeutic area works off-label more than oncology IMO. Frankly, that’s a good thing. Again, I want my oncologist or my loved ones’ oncologist thinking outside the box and leaving everything on the table whether it’s off-label usage (which NCCN oftentimes adopts in their guidelines prior to FDA approval) or a clinical trial.

responded in HC
https://www.irishenvy.com/forums/showthread.php?p=2169264#post2169264
 

Irish YJ

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I agree and you make a good point about Pelosi and Schumer. What I meant, and didn’t do a good job of clarifying, is that you have been cheering on this guys every move, including his newly increased (media created) poll numbers that all living, breathing presidents enjoy during catastrophes. What you’re failing to acknowledge is that Fox News IS HIS FORUM to add to the divide in this country- which seems to be your main beef with the media. Trump touts the ratings of Fox News regularly but bashes them when they come anywhere near holding him accountable for his shortcomings both ethical and policy related. I get that these networks would be better off if they attempted to incorporate true journalism rather than the lazy, biased opinion route that they choose to take. However, I don’t get why you and others don’t realize that this president was elected because he pinpointed a segment of the population that is fueled by the divisiveness that his preferred media source has helped create. You may argue that past presidents did the same, but each one before attempted to bridge some gaps as they thought it was necessary to get the votes necessary. He came in and doubled down with the “my side is right and the others can go to hell” method and continues to do it to this day.... I don’t send this to be confrontational towards your opinions, I just feel that when anybody brings up “the media is evil” narrative and give a pass to the guy used that narrative to his advantage, but whose skin is too thin to deal with the tiny bits of true journalism we get sometimes (Chris Wallace, for example) they aren’t looking at the entire picture.

responded here
https://www.irishenvy.com/forums/showthread.php?p=2169266#post2169266
 

Irish YJ

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I guess the brothers are battling for who is the dumbest. I heard yesterday that NY is a state that has a bill in place (cannot recall the name) where the state government controls the medical supplies. Back in 2015, knowing there was a ventilator shortage, Cuomo instead spent state funds on a solar project.

https://www.thegatewaypundit.com/20...tead-invested-in-boondoggle-solar-panel-farm/

Some of the reporting on this is pretty slanted (both ways). Some totally blaming him, others totally defending him. Bottom line, the 2015 study clearly pointed out that they were 16000ish ventilators short of the needed total it would take in the case of a catastrophe. He chose not to act on those findings. They are also under the US average (ventilators per capita).

The debate is really how much the states are responsible, or should be responsible. Being that NY and NYC are among the highest taxed states and cities, one could argue they should have more responsibility. At minimum, there is simply zero excuse that they are under the state average. Also, given their size, density, and uniqueness (a national target like 911), one could argue that they absolutely should have been more prepared.

You can tell by some of his talking points during his pressers the last two days that he is trying to hedge the issue. He talked about lessons learned, this is a new situation, and talked about shared responsibilities, etc... Basically it's pretty fair to say his handlers are coaching him to prep and mitigate for this issue to be brought up.
 

Irish YJ

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Speaking of using the novel coronavirus for political purposes...

Under coronavirus immigration measures, U.S. is expelling border-crossers to Mexico in an average of 96 minutes (Texas Tribune)

Time after time, our judicial system has ruled against Trump that unaccompanied children who seek the protection to be protected from the dangers of abuse afforded them by law. Law has reinforced their universal human rights and the obligation of our country to protect them. Many were separated from their parents or family and now are being released without them into a dangerous and violent country.

The Admin has not even sought cooperation with Mexico to protect them and could release them in America to Catholic and other religious and social organizations that would look after their welfare.

Does it happen to do with this adverse ruling two days ago?

Judge Orders Release of Detained Migrant Children to Halt Coronavirus Spread



Reno v. Flores

Pot meet kettle.....

Countries have closed borders for real reasons. Seems like you're the one injecting politics. AOC screaming that illegal immigrants should receive stimulus checks, Pelosi trying to add immigration ornaments/pork to the bill. We don't even want to let cruise ships dock like the Van Dam and Rotterdam (I think those are their names), and they're primarily Euros. Bottom line, during times like these, it's even more important that we have strong border. Anyway, this belongs in the political section, so I'll limit my response.
 

IrishLax

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South Korea and the United States had their first cases on the same day. South Korea is sending their kids back to school next week. The United States is still a couple weeks away from "peak".

I don't know how people -- including some state level leadership -- are still arguing against the steps being taken when it is clearly with more diligent and serious actions taken proactively we'd already be on the path to a return to normalcy.
 

Irish YJ

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South Korea and the United States had their first cases on the same day. South Korea is sending their kids back to school next week. The United States is still a couple weeks away from "peak".

I don't know how people -- including some state level leadership -- are still arguing against the steps being taken when it is clearly with more diligent and serious actions taken proactively we'd already be on the path to a return to normalcy.

Agreed.
South Korea though is very unique, and there's a lot to learn. There are a lot of concerns, especially privacy that most Westerners would balk at though.

-They are already used to wearing masks and public use was pretty much immediate if not pre-existing
-They have experience with this type of situation (Other Corona strains)
-They didn't have FDA like barriers, and immediately got to work on their own reagents (we relied on European reagents) and testing equipment.
-Because of previous scares, they are already used to working closely with the private sector instead of gov.
-They are "model" in terms of isolation methods. They changed their hospital after the scares in the 2000s.
-They track/isolate those infected big brother style. Not to the level of Singapore, but they must download a tracking app, and carry their phones everywhere. If they leave home, it alerts authorities. Rumor is the app also pulls pre-diagnosis tracking info....
 

yankeehater

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South Korea and the United States had their first cases on the same day. South Korea is sending their kids back to school next week. The United States is still a couple weeks away from "peak".

I don't know how people -- including some state level leadership -- are still arguing against the steps being taken when it is clearly with more diligent and serious actions taken proactively we'd already be on the path to a return to normalcy.

"Normalcy" is an interesting term. While I do feel South Korea was better prepared in the hospitals, which they said it was from the things they learned during the SARS pandemic, I do not believe Americans even during a pandemic would be OK with having their freedoms stripped. I watched a few pieces on South Korea in terms of dealing with Covid and their healthcare personal wore protective suits with no skin exposure whatsoever as well as separate wings for Covid patients only. Studies now show the virus to remain airborne so tests in US hospitals show not only the virus being detectable in rooms, but outside of rooms of Covid patients as staff enter and exit the room. This was not occurring in South Korean hospitals (we have all seen the pictures of patients lining hallways in NY with no protection for those in the hospital).

The GPS monitoring system So Korea employs is what I don't see Americans being in favor of. Would you like your every move being posted and texted to your neighbors? In the pieces I watched, literally multiple text messages were coming through alerting you of your neighbors possible exposure and they are now at the grocery story and yesterday they were getting their nails done. I guess this would go along with the financial questions as to how far Americans are willing to go. I know Trump was asked about the GPS system and he didn't completely shut it down from possible use. Crazy times!
 

yankeehater

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Because of the steps South Korea took inside the hospitals, I believe it was from a CBS news story, they have had less healthcare workers contract the virus in the whole country as we have had in one hospital (in NY I believe).
 

Irish YJ

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Because of the steps South Korea took inside the hospitals, I believe it was from a CBS news story, they have had less healthcare workers contract the virus in the whole country as we have had in one hospital (in NY I believe).

Yup. They totally retooled and reorg'd hospital set up and processes in the mid 2000s.
 

IrishLax

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"Normalcy" is an interesting term. While I do feel South Korea was better prepared in the hospitals, which they said it was from the things they learned during the SARS pandemic, I do not believe Americans even during a pandemic would be OK with having their freedoms stripped. I watched a few pieces on South Korea in terms of dealing with Covid and their healthcare personal wore protective suits with no skin exposure whatsoever as well as separate wings for Covid patients only. Studies now show the virus to remain airborne so tests in US hospitals show not only the virus being detectable in rooms, but outside of rooms of Covid patients as staff enter and exit the room. This was not occurring in South Korean hospitals (we have all seen the pictures of patients lining hallways in NY with no protection for those in the hospital).

The GPS monitoring system So Korea employs is what I don't see Americans being in favor of. Would you like your every move being posted and texted to your neighbors? In the pieces I watched, literally multiple text messages were coming through alerting you of your neighbors possible exposure and they are now at the grocery story and yesterday they were getting their nails done. I guess this would go along with the financial questions as to how far Americans are willing to go. I know Trump was asked about the GPS system and he didn't completely shut it down from possible use. Crazy times!

You're right, I think it would be impossible (or illegal) to adopt everything South Korea did. When Trump in January was talking about banning travel from China, he got panned for it but it was obviously the correct kind of proactive move. When the Governor in Florida keeps beaches open for spring breakers from all over the country to party, that's the kind of move that adds weeks to months onto the crisis. Same with early mixed messaging from the top of the federal government in early March.

But what's clear is that the more seriously you take social distancing and other safety protocols, the more quickly you get through this. It's unfortunately clear that the *best case* scenario at this point is peak in mid-April and relaxing restrictions in May. Every day people resist taking necessary steps it becomes increasingly likely it extends past that time frame.
 

yankeehater

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You're right, I think it would be impossible (or illegal) to adopt everything South Korea did. When Trump in January was talking about banning travel from China, he got panned for it but it was obviously the correct kind of proactive move. When the Governor in Florida keeps beaches open for spring breakers from all over the country to party, that's the kind of move that adds weeks to months onto the crisis. Same with early mixed messaging from the top of the federal government in early March.

But what's clear is that the more seriously you take social distancing and other safety protocols, the more quickly you get through this. It's unfortunately clear that the *best case* scenario at this point is peak in mid-April and relaxing restrictions in May. Every day people resist taking necessary steps it becomes increasingly likely it extends past that time frame.

I agree....Gov Newsom, may I preface I am not a huge fan of his, made some great decisions that has helped in controlling our numbers so far in California. I am hearing the same for the Governor of Ohio and Washington state which I believe is where US Patient 0 is located.
 

Irish YJ

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<blockquote class="twitter-tweet"><p lang="en" dir="ltr">At this point, the world health organization needs to be disbanded, it’s building blown up, the ground cleared and salt poured on the land, and its leadership team jailed. <a href="https://t.co/n0wqtoYU77">https://t.co/n0wqtoYU77</a></p>— Erick Erickson (@EWErickson) <a href="https://twitter.com/EWErickson/status/1245426810784972800?ref_src=twsrc%5Etfw">April 1, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>
 

Irish YJ

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<blockquote class="twitter-tweet"><p lang="en" dir="ltr">Eyeballing where the subway lines don't run, it's not a perfect correlation, but the subway system looks like it acted as a pretty significant vector for the highest rates of transmission. A lesson for future outbreaks.<a href="https://t.co/Sj9w2vO6KQ">https://t.co/Sj9w2vO6KQ</a> <a href="https://t.co/1wF4A71Enn">pic.twitter.com/1wF4A71Enn</a></p>— Dan McLaughlin (@baseballcrank) <a href="https://twitter.com/baseballcrank/status/1245417529302028294?ref_src=twsrc%5Etfw">April 1, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>
 

Irish YJ

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decent high level on SK approach.

<iframe width="600" height="350" src="https://www.youtube.com/embed/g-r79RXboXc" frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>
 
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