Category Archives: Public health

The Health Care Crisis is Already Here

Did you know that the Scott administration Covid policy isn’t aimed at reducing illness? Nope, they don’t care about that. The governor himself has said, over and over, that his goal is to prevent Vermont’s health care system from being overwhelmed. As long as the caseload is manageable, he’s fine.

Well, yeah, he’s fine.

But there’s a problem with that “set the bar low and jump over it” policy goal. It’s already failing. The health care system is already in crisis. It just hasn’t completely blown up yet.

And that’s only because of heroic and unsustainable efforts by health care workers and staff. The administration is desperately trying to patch things together and prevent a total blowup, and that’s all it cares about. Human Services Secretary Mike Smith has taken to giving weekly updates on efforts to add more subacute inpatient beds (to hustle patients out of the hospital as quickly as possible) and ICU beds — and the state is paying God knows how much to staff those extra beds.

I’ve also heard that the University of Vermont Medical Center is relying heavily on temporary nurses because it’s so short-staffed. If that’s the case at our crown jewel, imagine what’s happening in smaller facilities. Temporary nurses are in such high demand that they can almost write their own tickets, and the temp-staff agencies are making out like bandits. (Those agencies charge up to 100% of the staffer’s salary.)

The administration is willing to do anything, at any cost, because they don’t want to see Covid patients parked in emergency rooms or triaged for lack of resources. It’s not about quality of care of public health, it’s about avoiding a PR nightmare.

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When Dr. Astroturf Comes Calling

The person pictured above, who bears a striking resemblance to a morality crusader in a TV detective show who’s eventually revealed as the killer, is Michael Shively, PhD.

Shively is a researcher on sex trafficking for the benignly-named National Center on Sexual Exploitation. In the past two weeks, he has appeared before the Montpelier and Burlington City Councils to speak against proposals to decriminalize prostitution. Proposals that, in his words, “would allow any home, any apartment, any nail salon to become a brothel.”

His appearances and affiliation have been duly parroted in media accounts of his “testimony,” which in each case amounted to two minutes during public comment time.

Well, let me fill you in. But first, in case you thought I was unfair in my description of Shively, here’s Levi Beecher, morality crusader slash murderer from an episode of the CBC series “Murdoch Mysteries.”

Yes, that’s him, officer. Now, about the NCOSE…

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Scott to Vermont: ¯\_(ツ)_/¯

After weeks of staunchly denying that there was a monster in the attic, the tactic is finally becoming untenable. The pounding, stomping and grunting is just too loud to ignore. So now we’ve switched to “Yes, there’s a monster and we don’t know what his intentions are, but we think it will go away on its own. No need to do anything.”

Yeah, the Scott administration’s carefully posed optimism was on short supply in the latest gubernatorial Covid briefing. After several days of case counts between 200 and 300, a rising test positivity rate, dozens of hospitalizations and a high death count, Gov. Phil Scott and his top officials have retreated from their Happy Place.

Still, despite the bad numbers and failed projections, he still insists that there’s no need for any additional action. It’s all about the vaccine, baby. Get your shots and you’ll be fine.

Well, maybe. At least you’ll be less likely to end up in a hospital or a grave.

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All the Rabbit Holes

I think this is the point where the far left and the far right come together. Or at least try to.

The above cacophony of colors and fonts is making the rounds on social media. No indication of creator or sponsor; “Vermonters Against Unconst. Lock-downs & Tyranny” is either brand new or fictitious. A Google search produces no matches. Dive down this rabbit hole at your own risk.

The Burlington “flash mob” event follows a rally at the Statehouse this past Saturday which, by my count, attracted maybe 30 people. I wasn’t there, but a participant uploaded a nine-minute video of the rally on BitChute, a “free speech” alternative to YouTube that’s welcomed many who’ve been banned by mainstream social media sites, including shouty conspiratorialist Alex Jones. The video plays under the headline, “Covid is a Fraud and We Know It.”

The speakers at the Montpelier event included Newport print shop owner Mike Desautels, who has lost his UPS affiliation and his court battle against the state’s mask mandate. (The video’s narrator claimed that Desautels is $15,000 in the hole for legal fees, and pleaded for donations to Desautels’ GoFundMe page.)

Another speaker was Shylo Bourdeau, co-owner of a farm in Lowell. The video includes a short passage from her speech, which I transcribed to the best of my ability.

They can’t stop us by convention in this oath of office allegiance. And the importance of as established by convention in this oath is them swearing to uphold the Constitution as established by convention for we, the people, was removed. So who are they swearing to? Who are they holding their allegiance to, with that removed?

Your guess is a good as mine. At that point, someone in the audience helpfully shouted “Rothschilds,” so there’s the Protocols of the Elders of Zion George Soros World Jewish Conspiracy which funded the creation of coronavirus in a Chinese lab, I guess?

After the jump: All the rabbit holes in one convenient location!

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This Has Been a Bad Week for Phil Scott Exceptionalism

A couple of fresh stains have appeared on Gov. Phil Scott’s reputation for managing the pandemic. First is the mass outbreak at the Newport prison, second is Scott’s turnabout on vaccinating school and child care workers — one day after President Biden had ordered all 50 states to prioritize educators.

First, the bad (and utterly predictable) news from the Northern State Correctional Facility. Long-serving interim Corrections Commissioner James Baker said the prison “is now being treated like a hospital” after a round of testing produced 100 positives among inmates and another eight among facility staff.

Gee, who woulda thought. An outbreak among people forced to live indoors in tight conditions with iffy sanitary standards? You don’t say.

The inmates deserved better. Whatever their offenses, they are under state custody with no right or ability to take their own precautions against coronavirus. The state has an obligation to protect people under its care. The culture-change-in-progress DOC failed in that regard. And it failed because higher-ups in the Scott administration have refused to prioritize vulnerable inmates.

They still do, even after the outbreak at Newport.

Now, it’s admittedly tough to make these decisions. A lot of groups make persuasive claims for vaccine priority. But a few points to consider:

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An Inequity Ignored is an Inequity Enabled

The numbers, from the start of the pandemic through 2/10/21. Source: VT Department of Health.

The subject of today’s sermon is racial inequity in health care, and more specifically, racial inequity in access to Covid-19 vaccines. We have two readings. First, a legislative hearing about racial inequity in health care. Second, a racial equity activist’s efforts, apparently ignored, to get answers about Vermont’s vaccination policy.

As you can see above, Black and Hispanic Vermonters are far more likely to contract Covid than their white counterparts. And yet, the state isn’t doing much (if anything) to address the disparity in its vaccine policy.

More on that in a moment, but let’s turn to the hearing. The House Health Care Committee is considering H.210, a bill addressing racial disparities in health care. Wednesday morning, the panel heard from a nationally known expert in the field: Dr. Maria Mercedes Avila, a UVM prof and member of the Governor’s Task Force on Racial Equity.

Dr. Avila spent the better part of two hours unspooling a wide-ranging overview of those disparities. Their roots in history, their scope and persistence, their effects, and what can be done to address and eliminate them. It was a sobering presentation.

Well, it was for most of the committee.

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Three Atonements

Ah, traditional values.

In the same week when a state lawmaker denied the existence of systemic racism in Vermont, there were hearings on three separate bills designed to atone for some of the most racist passages in state history.

Rep. Art Peterson, R-Of Course, opened his yap and revealed the hatred within during a Wednesday hearing on H.210, which would address racial disparities in health care. If you want details, click the link above. I’ll just note that Peterson (also known for opposing the display of a Black Lives Matter flag) entered the Legislature after narrowly defeating one of the most decent men in the Legislature, Dave Potter, last fall. Definitely not an improvement.

Let’s take the three bills one at a time, shall we?

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Any room for expanded opioid treatment in the budget?

Just askin’.

It’s clear that opioid use disorder has gotten more prevalent since the pandemic began, both nationally and in Vermont. The Centers for Disease Control published a report in December that said overdose deaths rose sharply after the onset of the Covid-19 pandemic, due to “a larger supply of illegal drugs, reduced access to addiction and overdose treatment, and the lethality of synthetic fentanyl.” A study published in Population Health Management reports that, while testing for illicit drugs plummeted in the early weeks of the pandemic, positive test results for opioids went through the roof.

The American Medical Association says that “More than 40 states have reported increases in opioid-related mortality as well as ongoing concerns for those with a mental illness or substance use disorder,” and recommended action “to remove barriers to evidence-based treatment for those with a substance use disorder as well as for harm reduction services.”

Which leads me to the question posed above.

Maybe there has been an expansion of treatment, harm reduction and availability of naloxone, buprenorphine and other relevant medications. Maybe the feds’ Covid relief bills brought some funding to the states for such programs. Maybe the state acted on its own to fight this aspect of the pandemic’s impact on society.

But if they have, it’s news to me.

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Dr. Levine Susan Collinses the CovidCruiser

Friday’s Scott-free* Covid briefing featured multiple questions about the CovidCruiser, which took a busload of Vermonters down to Washington for Wednesday’s pro-Trump rally turned riot. And the answers revealed a surprisingly laissez-faire attitude toward the dozens of participants who were clearly shown violating public health guidelines. During a 10-hour one-way trip in an enclosed space, which seemed ideal for superspreading.

*The governor was not present. His absence had been planned for days; it was not an attempt to duck questions about the Trump-encouraged D.C. riots.

Essentially, the state wagged its finger at the travelers.

Health commissioner Dr. Mark Levine labeled the trip as “a high risk enterprise,” and said the state issued very clear guidance on testing, mask wearing, social distancing and quarantining requirements upon returning to Vermont. But, he added, “we don’t really have the regulatory power to enforce somebody being quarantined when they are not yet a [Covid-19] case… But we’ve been very strong with the information about quarantining and testing.”

He didn’t specifically say he was concerned or disappointed, but he was obviously following the Susan Collins approach to non-ideal developments.

Public Safety Commissioner Michael Schirling was asked if the state had obtained a list of travelers, for purposes of communication and possible contact tracing. “We do not have a comprehensive list of the folks that were on the bus,” he replied. He said the state had no intention to get such a list. He added that the state did contact the bus company, which “graciously agreed to make an announcement to all of the folks that were on the bus to reinforce the quarantine guidelines.”

In all, a remarkably passive response to a clear superspreader threat. I mean, you’ve got a busload of people who were clearly shown on video riding in close proximity with nary a mask in sight. I’d think that would warrant a more robust response. Not mandatory quarantining, but getting that list and closely following the occupants for signs of illness. And something more than a mere suggestion to get tested.

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Saluting The Indomitable Heroes Of The Great Covid Counter-Revolution of 2020

The Stamford Selectboard, as they see themselves

The stupid… it burns.

The town fathers in Stamford, Vermont — population 824 — have had it up to here with Gov. Phil Scott’s dictatorial efforts to fight the Covid-19 pandemic. Mad as Hell, not gonna take it anymore.

So, by a vote of 3-2, the town Selectboard has “terminated” the governor’s public-health measures. Talk about the mouse that roared.

The majority’s action was inspired by none other than Vermont Republican Party vice-chair (and former candidate for attorney general, thank God she lost) Deborah Bucknam.

You heard right. A top official of Phil Scott’s own party is peddling this brand of intellectual snake oil. Maybe someone will ask him about this at his next coronavirus presser.

And look who showed up to push this nonsense: Kevin Hoyt, Bennington’s number-one conservative nutcase. In a Facebook post, he said the vote makes Stamford “One of the first conservative autonomous zones in the Nation.” Love the brazen self-aggrandizement there.

Stamford’s action came after Bucknam posted an essay on — wait for it — True North Reports, arguing that Scott’s action violates the state constitution. Trigger Warning: You Might Lose a Few Dozen IQ Points By Reading This.

Vermont Statute Section 13(3) of Title 20 provides that the governor “shall” declare the state of emergency terminated in a municipality when the “majority of the legislative body of a municipality affected no longer desires that the state of emergency continue within its jurisdiction.”

… The terms “shall” mean that the governor has no discretion in this matter. He must terminate the state of emergency in the municipality when the majority of the selectboard or other legislative body no longer “desires” to be under a state of emergency.

Sheesh.

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