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Covid-19 And The Self-Sacrifice Of Nurses And First Responders

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A civilized society enjoys an element of courtesy in its social interactions, although this courtesy can now mean a measure of self-sacrifice.  If such altruistic behavior is a characteristic of humans (and other social creatures in the animal kingdom) it holds us in awe, as at present during the covid-19 epidemic when first responders and hospital staff are taking the chances and sometimes paying the ultimate price.

How many are contracting the coronavirus because of their duty?  How many are dying?  How many are having to sacrifice personal contact with their loved ones to ensure their safety?

As can be expected, many have lost their lives.  In Los Angeles County for example, nearly 4,300 healthcare workers and first responders had tested positive for the virus and 26 had died by mid-May.  The Centers for Disease Control (CDC) has some incomplete but more up to date figures.  They report 96,882 cases and 515 deaths as of July 10, 2020 for healthcare personnel — death status was only available for 66 percent (63,929) of the cases.  If the death rate is lower than for the general population, it is an indicator of their alertness to the illness and of accessing proper care promptly.  Some of their stories are tragic:

Celia Yap-Banago died after caring for a Covid-19 patient at Research Medical Center in Kansas City, Mo.,  a week before she was due to retire.  She was a nurse for 40 years, and at age 69, a mother figure for the nurses around her, finding it necessary thus to raise concerns about the lack of protective equipment.  There  are of course many, many others who have lost their lives.  Moreover, the disaster for health workers is not confined to the US. 

In Swansea, UK, Liz Spooner, who had worked at Singleton Hospital for 41 years also passed away, a victim of the virus.  She was a valued, experienced member of the coronary care unit.  In the UK, over a hundred employees of the NHS (national health service) have lost their lives. 

Back in the US, National Nurses United felt obliged to write (July 1, 2020) to the House Select Subcommittee on the Coronavirus report on a critical shortage of personal protective equipment (PPE) in hospitals across the country.  A 100,000-plus nurses and healthcare workers have become sick as a result and 950 have died including 144 registered nurses.

Due to a shortage of single-use N95 respirators, the nurses offer a better alternative.  They recommend reusable respirators like Powered Air-Purifying Respirators (PAPRs) and also elastomeric respirators like the P100 which provide better protection.  They call for an increase in the production and distribution of PAPR and P100 respirators to protect both nurses and the public.

What is appalling is that a survey of the nurses conducted by them showed that 85 percent of nurses are being asked to reuse single-use PPE putting them at risk of exposure if the outside of the equipment comes in contact with them or their clothing.  All of this is due to a shortage leaving no other alternative.

The largest and wealthiest hospital system in America is HCA (Hospital Corporation of America).  Its stock is quoted on the New York Stock Exchange.  During this crisis instead of equipping nurses to perform their tasks in safety, HCA is forcing them to reuse their single-use N95 masks.  In non-covid 19 units, nurses are only provided surgical masks, and as could have been foreseen, covid 19 outbreaks have occurred among these unprotected care givers.  HCA claims, however, that it has an adequate supply chain catering to the PPE requirements of their staff.

Trump’s moribund Occupational Safety and Health Administration (OSHA) needs a wake-up call.  Shouldn’t congress be holding their feet to the fire?

Dr. Arshad M. Khan is a former Professor based in the US. Educated at King's College London, OSU and The University of Chicago, he has a multidisciplinary background that has frequently informed his research. Thus he headed the analysis of an innovation survey of Norway, and his work on SMEs published in major journals has been widely cited. He has for several decades also written for the press: These articles and occasional comments have appeared in print media such as The Dallas Morning News, Dawn (Pakistan), The Fort Worth Star Telegram, The Monitor, The Wall Street Journal and others. On the internet, he has written for Antiwar.com, Asia Times, Common Dreams, Counterpunch, Countercurrents, Dissident Voice, Eurasia Review and Modern Diplomacy among many. His work has been quoted in the U.S. Congress and published in its Congressional Record.

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Americas

The Battle for the Essence of the Democratic Party

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When President Trump fired defense secretary Mark Esper and cybersecurity chief Christopher Krebs just days after the elections, the President set a new integrity litmus test. He was clearly cleaning his circle of those who could stand up to him on the big stuff, such as not sending troops on the Black Lives Matters protesters or not pronouncing the elections rigged. In the meantime, Trump was showing the American public who he still considered loyal by not firing them by keeping the agency chiefs who stayed at least somewhere in the middle. 

In the new Biden era, being fired by Trump will be considered the new badge of honor, an integrity stamp of a sort. Despite talk of firing FBI Director Christopher Wray and CIA Director Gina Haspel, Trump has not taken the decision, yet, and there surely must be a reason for it. To paraphrase Trump’s infamous McCain quote, I like those who were fired by Trump, not those who were not fired by Trump. This is now the new integrity litmus test. 

In May 2020, I was amidst my campaign for UN Special Rapporteur on freedom of speech as one of the top finalists, when in an interview on Bulgaria on Air I called the Trump Administration’s and the US authorities’ treatment of the media and the protestors during the Black Lives Matter crackdown “despicable”. I was set on going after the Trump Administration and the US authorities if I had the chance to win the UN mandate on freedom of speech. And I had no plans for going easy on anyone. 

There is something profoundly wrong with the US authorities, if instead of going after the crimes, they willingly choose to go after those that have a reaction against the crimes, outraged by crime impunity.

US agencies who “just don’t get it” have to be defunded. And that brings us exactly to the discussion on the future of the heart, soul and essence of the Democratic Party. 

The Democratic party has never been about appealing to the middle in order to be liked or about maintaining some kind of lowest common denominator to make sure that no one got offended. The Party has always been about equality and social justice, housing some of the most bad-ass status-quo shakers — not those that wanted to make sure that rich abusers stayed comfortable, racists were not inconvinienced, or abuse of military power for some illusive common good that served only those in power went unchecked. This is the party that offends and has offended throughout the decades to shake the status quo. This is why it is shameful that veterans in the Democratic Party have tried to shame Congresswoman Alexandria Ocasio-Cortez and others who have run and won their mandates on classical Democratic Party values. 

Civil rights movement defenders in the black marches never said: “let’s have a march but let’s do it only on the pavement not to inconvinience cars”. They took the whole street. 

When I worked for Congressman Bill Delahunt, the Chairman of the House Sub-committee on International Organizations, Human Rights and Oversight, representing 10th congressional district of Massachusetts, some 14 years ago, we did not say that torture by the CIA and the CIA extrajudicial rendition flights were okay but not too much, in order to appeal to the center. We would say that torture is unacceptable, that America can do better than that.

Social justice and equality are uncomfortable. Rights are defended and guarded. They are never simply given. As an example from the other side of the aisle, when Republican President Eisenhower sent the troops on Little Rock to enforce black kids’ right to attend school just like any other kid — what Brown vs Board of Education reaffirmed in order to end racial segregation exactly 30 years before the day I was born — Eisenhower did not aim for troops to only show up and waive at the crowds. The soldiers took the black kids by the hand and walked them straight in the school, in the face of hundreds of racist opponents — not trying to please them.

Defending rights takes grit and courage. And some US agencies will never really get it unless their budgets are cut and they are all actually pressed up against the wall — to change unwillingly, forcably and through the trivial but always effective use of financial pressure.

FBI Deputy Director David Bowdich’s reaction to the Black Lives Matters protests at the time when I was running for UN Special Rapporteur on freedom of speech this year was that it is the protesters that should be arrested under an outdated rackateering law from the 1940s — not the murdering cops. A memo leaked to the New York Times showed that Mr Bowdich considered the social justice movement “a national crisis” comparable to 9/11. The hundreds of thousands of people mourning and marching across the country, unified by the simple thought that no life should be taken lighly, for nothing, were actually similar to terrorists in the eyes of the FBI who wanted to charge them as racketeers.

It is that kind of injustices and human rights infringements that I would have stood up against as UN Special Rapporteur on freedom of speech, as witnessed by the outrage and intentions, expressed in my May media appearances. I claimed back then that it is precisely in times of crises that rights are tested and defended. The United States is no exception. The US government is bound by international human rights law standards and no interpretation by second-rate lawyers loyal to the Trump Administration, comparing social justice protesters to racketeers and terrorists, can change that. International voices such as myself and others are here to make sure that US authorities do not forget their international human rights legal obligations.

America has a long way to go to recover from the damage that Trump and his cronies spread across the various US agencies have done to democratic principles and human rights. The Trump institutional capture of key agencies such as the FBI and the CIA, let alone DOJ, has lead the country into a downward spiral.

US authorities will not learn unless their actual day-to-day, functional survival is put on the line. People do not get it otherwise. This is why I fully support AOC and others in their defunding efforts, which are considered by many as controversial, extreme, out there and even dangerous, but in reality are simply the only effective way to fight institutionalized racism within the FBI, the police and other law enforcement agencies. “There is nothing radical about moral clarity”, to repeat AOC’s simple, yet powerful assertion. The comfortable, lowest common denominator parts of the Democratic Party need to wake up and realize that it is the Black Lives movement that got Joe Biden and the rest of the party across the finish line in November. And this precisely will be at the heart of the battle for the essence of the Democratic Party over the next four years.

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Why are some Muslims, from India to the U.S Voting against their Natural Allies

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Recent national elections in the U.S. and regional elections in India have presented an interesting conundrum. The numbers show that some Muslims, are voting in a counter-intuitive fashion. Given the rise of Islamophobia and right-wing religious nationalism, both in the U.S. and in India, one would surmise that Muslims would vote overwhelmingly to the left of center. But both, in India and in the U.S., many Muslims have however chosen to send a message to the center-left – your sympathetic rhetoric and your verbal condemnations of Islamophobia is not enough, we want to see concrete policies that improve our political and economic conditions. Neither the promises of Joe Biden, nor the fear of Hindu-nationalism is influencing their vote. These Muslims are, for sure, in a minority albeit a growing one. Politicians on the center-left may ignore them at their own peril.

In the U.S.

In the U.S., President-Elect Joe Biden’s campaign outreach to Muslims went far beyond that of any presidential candidate in the past. Biden’s campaign had a manifesto for American Muslims and a designated outreach person. Biden spoke at Muslim conventions and even quoted from Islamic scripture. He dropped an “inshallah” in the debates. Biden promised to end the so called ‘Muslim-Ban’ on day one and has repeatedly condemned Islamophobia. Biden spoke up for Uyghur Muslims in China and Kashmiris in India and has opposed the annexation of West Bank. He has promised to resume relations with the Palestinians and restore aid to them. Even Imran Khan, the PM of Pakistan, a self-proclaimed champion of Muslims, does not have such an impressive pro-Muslim curriculum vitae, he has repeatedly refused to speak up for the Uyghurs.

While a majority of American Muslims campaigned very aggressively for the Biden-Harris ticket and raised millions of dollars for the Democrats, the exit polls indicate that only 69% of American Muslims voted for them. On the face value that is a huge win, but if you look at in comparison to the past it is troubling. Despite the fact that Biden went far beyond any other candidate in his outreach to Muslims, and the Islamophobia of President Trump is well documented, Biden has garnered the least percentage of votes by a Democratic presidential candidate in the last four elections according to exit polls conducted by the Council on American Islamic Relations.
 A possible explanation for this relatively weak performance is that, for some Muslims his “iron-clad” support for Israel and his willingness to work with pro-Hindutva operatives in the U.S., make his opposition to Islamophobia sound less credible.  Words are not enough. If his electoral promises do not actually translate into actual policies, one can expect further decline in Muslim support for Democrats. American Muslims are a rapidly growing and politically engaged community that is over represented in swing states.

A closer reading of the exit polls suggest that things are worse than they seem. The exit polls show that while 17% American Muslims voted for Trump (up from 13% in 2016), 11% declined to reveal who they voted for. It is possible that they lean heavily towards Trump, hence the secrecy. That would mean that in spite of all his Islamophobic rhetoric, Trump may have doubled his support among American Muslims. One Trump supporter told me he voted for Trump because Trump did not invade a single Muslim country in four years unlike Biden who supported the invasion of Iraq.  

YearCandidateMuslim Vote
2008Barack Obama88%
2012Barack Obama85%
2016Hillary Clinton74%
2020Joe Biden69%

In Bihar

The recent elections in Bihar has an interesting story to tell. The state is clearly polarizing as most gains have been made by parties on the extremities. Prime minister Modi’s right-wing Bhartiya Janata Party (BJP) went from winning 53 wins in the 2015 elections to winning 74 of the 243 seats in 2020. A significant swing in favor of Hindutva ideology. The Communist Party (CPI-ML) gained 9 seats, it had 3 seats in 2015 to 12 seats in 2020. The communist parties combined had a 400% increase, they went from 4 to 16 seats. The parties in decline are the so-called secular centrist parties. The Rastriya Janata Dal (RJD) which is the biggest single party in the state lost five seats (80-75) and the Indian National Congress (INC), the grand old party of India, also lost ground (27-19).

Clearly the secular center is shrinking. The biggest surprise of the elections was the performance of Asaduddin Owaisi’s All Indian MajlisIttehadul Muslimeen (AIMIM), a Muslim party, which in the past five years has gone from 0-5 seats. The Majlis won in predominantly Muslim area of Seemanchal and is being accused by commentators of stealing the secular vote away from secular parties. Some are describing Majlis as BJP’s B-Team.

It is interesting that now in Indian politics, the code for Muslim vote is ‘the secular vote’. Indian Muslims are now the last line of defense for the rather rapidly shriveling secular space. The criticism of Owaisi and the Majlis for denting the prospects of secular parties in Bihar is both misplaced and inaccurate.  The question that is important is not why Owaisi’s Majlis, a party historically based in Hyderabad (South India) is contesting elections so far in the North of India. The key question is why are Muslims in Bihar voting for Majlis? A party that has no record of governance in their region.

In a speech months before the elections, Owaisi predicted a tectonic shift in Seemanchal’s politics and he said that it was coming because of the profound injustices and inequities that plague Muslims of that region. If secular parties that have governed the state for decades had delivered good governance to Muslims, Owaisi would have stayed at home.

Muslim Disillusionment

Muslims are increasingly disillusioned by secular and left politicians. Islamophobia was on the rise even before Trump became President and 37% of American Muslims, pre-covid pandemic, were found hovering near the poverty line. There is much discontent. I think just as 17-25% American Muslims voted for Trump rejecting the centrist politics of Democrats – many Muslims in Bihar too are frustrated by the failure of secular parties to improve their material condition. The region of Bihar where Owaisi’s party won five seats is the poorest and infrastructurally the least developed area of the state. Voting for secular parties for decades did not help them much. They have been voting without hope. They too are tired of the lip service.

Muslims of Bihar are fortunate that they have an alternative in Majlis and they are able to reject both Indian secularists and Hindu nationalists unlike some American Muslims who feel that they are stuck between Republicans who are Islamophobic and Democrats who promise much but deliver little. The minority of Muslims who appear to be voting counter intuitively, seemingly against their own interests, either for Donald Trump in the U.S. or the Majlis in Bihar, are clearly sending a signal to secular politicians – do not take our vote for granted, you need to earn our vote.

The center-left may be a natural ally of Muslims, but if it does not deliver for Muslims, they may lose their vote in ever increasing numbers.

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Which Coronavirus Policies Succeed, And Which Fail: N.Y. Times Analysis Confirms Mine

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According to an analysis by and in the New York Times on November 18th, which is headlined “States That Imposed Few Restrictions Now Have the Worst Outbreaks”, “Coronavirus cases are rising in almost every U.S. state. But the surge is worst now in places where leaders neglected to keep up forceful virus containment efforts or failed to implement basic measures like mask mandates in the first place, according to a New York Times analysis of data from the University of Oxford.”

At Strategic Culture, on May 21, I had published my own analysis, which was based upon tracking the data globally and within countries, and within the various states of the United States, which analysis concluded that countries (and states) which apply the least-stringent regulations in order to keep as low as possible the spread of the virus are failing the most to contain or limit that spread. I labelled those the “libertarian” countries, and I noted that what I called the “socialist” countries — the nations which were the most strictly imposing scientifically confirmed regulations in order to keep those numbers down — were having the best success at limiting the spread of this virus. My study was global, and its headline was “Ideology and Coronavirus”. Unlike the Times article, I was forthright about the ideological implications of the coronavirus data — because those implications are vastly important. (The handling of this pandemic is providing reams of data that test the effectiveness of the various locales’ predominant ideology at dealing with a global life-or-death years-long public-health emergency in regions throughout the world. This is like a global laboratory experiment testing the two opposite ideologies: libertarianism, which is against government regulation, versus socialism, which applies government regulation. No government is purely one or the other, but those are the two poles.)

The analysis in the Times article shows a chart, and represents on it almost all of the states, as dots that indicate both the amount of regulation which has been applied, and the lowness of the infection-rate which has resulted; and, at the upper left corner on it, are the two Dakotas, as “Weak recent containment measures and many cases,” while at the bottom rightmost corner is Hawaii as “Strict measures and fewer cases.”

The Times chart is showing, only locally within the United States, during just the past few weeks, what my analyses had shown, regarding not only the international and longer-term data, but also within the United States itself and recently, not only longer-term and internationally. One of my articles, on November 1st and titled “The Highest Covid-Infection-Rate States”, showed the infection-rate for all 50 states, and noted that, “In 2016, the top 17 [the states with the highest rates of this infection in 2020] voted for Trump, and the bottom 5 voted for Clinton. All but 3 of the top 24 voted for Trump, but from numbers 25 to 45, there was a political mixture. The highest infection-rate state, North Dakota, has a Covid-19 infection-rate that is 14.6 times higher than the lowest Covid-19 infection-rate state, Vermont.” Of course, the Republican Party (Trump’s Party) is the more libertarian Party, and the Democratic Party (Clinton’s Party) is the more socialist (though actually just as totalitarian) of the two Parties. (Both Parties represent only their billionaires, who also own and control the media; and this is the way that America’s aristocracy controls the Government. For example, the very pro-Democratic-Party website PoliticalWire quoted from and linked to the NYT’s article, but always fails to include any of mine, because I am critical against both Parties. Truly independent news-media are almost non-existent in the United States.)

Whereas the Times’s chart of “Avg. new cases per 100,000” failed to include Vermont, Vermont is the state that has, for the longest time, been among the best three on not only cases per million but also deaths per million, from this virus, and substantially better even than Hawaii, and both states are among the two or three that in recent decades have been the strongest for Democratic candidates, and the weakest for Republican candidates. However, Vermont especially is politically independent, and, so, it has a Republican Governor, Phil Scott, whose record on containing this virus has been the best in the nation; and he was just re-elected in a landslide, 69% of the votes (largely because of this terrific record). Right now, however, the number of daily new cases has shot up suddenly about fivefold in just the past week; so, Phil Scott’s record is in jeopardy. If that surge quickly ends, then he could become the strongest Republican to run against Kamala Harris or Joe Biden in 2024. He would not only receive almost all Republican votes (since that’s his Party), but also at least a third of Democratic votes, and almost all independent votes. However, this doesn’t necessarily mean that he would be the likeliest to win the Republican nomination, because (just as is true about the Democratic Party) that Party’s billionaires will be making that choice. (It was blatantly true also with regard to Biden and Harris.) This epidemic will be a major political challenge both in 2022 and in 2024. Anyone who wants to see Governor Scott’s press conferences regarding this crisis, so as to know precisely what his coronavirus-policies have been, can see them here. His November 20th press conference is here. He and his governing team receive and answer there many intelligent questions, so that the policies which have led to the best results in America are amply explained there.

On November 16th in South Dakota (and then repeated nationally on National Public Radio on November 20th), reporter Seth Tupper headlined “Two States, Different Paths: Vermont Keeps Virus Low While Rivaling SD’s Economy” and provided a thorough report, including graphs of infection-rates over time, comparing two states, South Dakota, which has the nation’s second-highest infection-rate (after only North Dakota’s 9%) of 7.8%, versus Vermont, which has the nation’s lowest infection-rate, of only 0.5% — one-fifteenth as high. Tupper explained the different policies that the Governors of those two states had applied, and how those policies produced vastly different results for the infection-rates and the death-rates in their states’ populations, but only moderately higher increase in unemployment in Vermont than in South Dakota, which at the peak in April had reached 16% unemployment in Vermont, versus only 10% peak in South Dakota; and, by the time of August, both states had nearly identical low unemployment-rates. Whereas the death-rates from the disease soared around a thousand fold, between April and November, in South Dakota, the death-rate remained virtually flat, almost no increase, in Vermont, throughout that entire period. However, both states were now experiencing soaring infection-rates during the current, second, wave of the epidemic.

Author’s note: first posted at Strategic Culture

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