Saturday, April 5

HEALTH & WELLNESS

During COVID-19 A Community Rallies to Change Prison Rules
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COVID-19, HEALTH & WELLNESS

During COVID-19 A Community Rallies to Change Prison Rules

Here at the Washington State Reformatory in Monroe, four living units—each housing roughly 200 prisoners—share one recreation yard. And around this time of year, I could watch as teams gathered almost daily to compete on the soccer field or practice around the baseball diamond, as countless residents strolled the quarter-mile track, which surrounds both. Outside the track, some played horseshoes, bocce, handball, basketball, and used the array of pullup and dip bars, while others sat at cement tables slapping cards and banging dominoes. Needless to say, our yard isn’t small. All this changed in early April, after news that the first cases of COVID-19 inside a state prison had been confirmed at Monroe Correctional Complex, where the reformatory is. Courageous fellow residents, refusing to...
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Clap all you like now, but workers with meaningful jobs deserve to be valued in a post-coronavirus economy too
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COVID-19, HEALTH & WELLNESS

Clap all you like now, but workers with meaningful jobs deserve to be valued in a post-coronavirus economy too

The coronavirus recession has laid bare how illogically the U.S. labor market values work that matters. In the United States, as elsewhere, citizens have been extolling the role of essential workers – such as nurses, grocery suppliers and delivery drivers – by, for example, rewarding them with nightly claps. Yet many of these employees receive low pay and few protections, suggesting a different appreciation of their worth in the market. But in highlighting this disconnect, perhaps the crisis has also provided an opportunity to reimagine an economy that values jobs for something more than just wealth creation: meaningfulness. A moral market? Meaningfulness has to do with how much one’s work matters in a moral sense, which is not always signified by how much money a job pays. It often rela...
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Obamacare’s insurance safety net protects many of the millions losing their employer-provided health insurance – but not all
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HEALTH & WELLNESS, Journalism

Obamacare’s insurance safety net protects many of the millions losing their employer-provided health insurance – but not all

The loss of 31 million jobs due to coronvirus has an added downside: 27 million have lost job-based health insurance. The worst may still lie ahead. One study estimated that 25 to 43 million people could lose coverage from their employer. The situation for many Americans feels dramatic. Fortunately, the limited U.S. safety net will be able to cushion some of the fallout for almost 80% through programs like Medicaid, the Children’s Health Insurance Program and the Affordable Care Act marketplaces. And, of course, all preexisting conditions are still required to be covered by all insurers. Yet millions will be left without coverage. As a professor of public policy, I believe there are four things you need to consider if you’ve been laid off, or if you didn’t have health insurance before th...
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Coronavirus tests are pretty accurate, but far from perfect
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COVID-19, HEALTH & WELLNESS

Coronavirus tests are pretty accurate, but far from perfect

Widespread testing for the SARS-CoV-2 virus is important to both slow the virus and gain information about how widespread it is in the U.S. But a second aspect of testing has gotten less attention: accuracy. It’s surprisingly hard to determine how accurate a coronavirus test is, identify the cause of any inaccuracies and understand how inaccuracies affect the data public health officials use to make decisions. There are two main types of test in use. The first is a reverse-transcription polymerase chain reaction test, or RT-PCR. This is the most common diagnostic test used to identify people currently infected with SARS-CoV-2. It works by detecting viral RNA in a person’s cells – most often collected from their nose. The second test being used is called a serological or antibody test. T...
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Black Americans are bearing the brunt of coronavirus recession – this should come as no surprise
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HEALTH & WELLNESS, Journalism

Black Americans are bearing the brunt of coronavirus recession – this should come as no surprise

As the COVID-19 pandemic worsened in April, many Americans were shocked by the extent that black Americans were being disproportionately impacted: higher infection rates, more deaths and greater job loss. But many black Americans were not surprised. This is not new. The same dynamic has been going on at times of crisis for decades and generations. As a labor economist and former chief economist at the U.S. Department of Labor under the Clinton administration, I know that history has shown that black Americans consistently bear the brunt of recessions and natural disasters. Economic history repeating itself Prior to this pandemic, the worst economic downturns in post-World War II America were the 1981-82 recession and the Great Recession that followed the 2007-2008 financial crisis. Duri...
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VIDEO: What does lockdown mean for the world’s poor?
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COVID-19, HEALTH & WELLNESS, VIDEO REELS

VIDEO: What does lockdown mean for the world’s poor?

Severe restrictions on travel and economic activity have been imposed in many parts of the world. For the poor, recessions have always meant starvation, lack of medical support for diseases including HIV treatment programmes, and in particular the deaths of infants and children vulnerable to malnutrition and childhood disease. What do the restrictions mean for these people? That’s the question a new 30 minute documentary seeks to answer – by asking the people who are most affected. The documentary is the result of a collaboration between the Institute for the Future of Knowledge at the University of Johannesburg, and the not for profit organisation Picturing Health. It features interviews with market traders, community workers, and ordinary people in Uganda, Malawi, Zambia, and India. Exp...
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A majority of vaccine skeptics plan to refuse a COVID-19 vaccine, a study suggests, and that could be a big problem
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COVID-19, HEALTH & WELLNESS, VIDEO REELS

A majority of vaccine skeptics plan to refuse a COVID-19 vaccine, a study suggests, and that could be a big problem

The availability of a vaccine for the novel coronavirus will likely play a key role in determining when Americans can return to life as usual. Dr. Anthony Fauci, head of the National Institute of Allergy and Infectious Diseases, on April 30 announced that a vaccine could even be available by January 2021. Whether a vaccine can end this pandemic successfully, however, depends on more than its effectiveness at providing immunity against the virus, or how quickly it can be produced in mass quantities. Americans also must choose to receive the vaccine. According to some estimates, 50% to 70% of Americans would need to develop immunity to COVID-19 – either naturally, or via a vaccine – in order to thwart the spread of the virus. If these estimates are correct, that could mean that nearly twic...
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We call workers ‘essential’ – but is that just referring to the work, not the people?
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COVID-19, HEALTH & WELLNESS

We call workers ‘essential’ – but is that just referring to the work, not the people?

By this point in the coronavirus pandemic, you’ve probably heard a lot about “essential workers.” They’re the people working in hospitals and grocery stores, on farms and in meatpacking plants. They’re keeping public transit, shipping and utilities running. But is “essential” describing the workers themselves? Or only the work they do? Right now, many don’t feel like they’re being treated like they’re essential, and workers at Amazon, Walmart and other companies have organized strikes to protest unsafe working conditions. There seems to be a disconnect between how some low-wage workers are being described and what they’re experiencing on the ground. As an expert in sociolinguistics, I can’t stress enough the importance of framing – how we emphasize perspectives and priorities through o...
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In the rush to innovate for COVID-19 drugs, sound science is still essential
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COVID-19, HEALTH & WELLNESS

In the rush to innovate for COVID-19 drugs, sound science is still essential

Hydroxychloroquine and chloroquine have been at the center of debate in recent weeks over which drugs should be used to treat COVID-19. Neither product has strong evidence to support use for this purpose, and small studies reported to date have either had significant flaws or failed to demonstrate effect. Nonetheless, the president can’t seem to stop pushing them, arguing that patients have nothing to lose. As physicians, bioethicists and drug law experts, we have a responsibility to inject caution here. As public officials and scientists rush to innovate, no one should overlook the critical role of strong regulatory protections in supporting our ability to actually figure out which drugs work against COVID-19. Weakening commitment to science and evidence during this crisis truly would be...
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Wait times remain stubbornly long in hospital emergency rooms
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HEALTH & WELLNESS

Wait times remain stubbornly long in hospital emergency rooms

Each year, there are well over 100 million hospital emergency department visits in the U.S. In 2017, there were about 139 million, or 43 visits for every 100 Americans. While wait times have declined in the last decade – now averaging about 40 minutes – they remain stubbornly long. Millions of patients still wait at least two hours to see a provider – 7 million did in 2017 – and that is no guarantee they won’t have to wait even longer for treatment. In California, hundreds of thousands of patients that same year left after getting an emergency department bed but before their care was complete. How long people have to wait can have a lot to do with the outcome of those visits, sometimes with serious consequences that include longer hospital stays, increased medical errors and higher death...
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