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COVID-19, Culture & Society, Current Events, Featured, Op-eds, Politics, Uncategorized, What's New

The New Wasteland: COVID-19’s Shameful Legacy

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Discarded surgical masks strewn along the sidewalk aptly represent COVID-19’s lasting legacy. The federal medical bureaucracy’s response to the pandemic has resulted in a wasteland of lost economic and educational opportunities, psychologically damaged children, terminally lonely nursing home residents, and lives lost to suicide, illicit drug overdoses, and missed diagnoses. 

Thanks to the lockdowns, 140,104 businesses were temporarily closed and 97,966 were permanently closed by September 2020 according to a Yelp survey. Significantly, more than half of these were local small businesses—and small businesses employ nearly half of all American workers. Predictably, the workers who were most affected were not the professionals pulling in a paycheck while working from home. They were the working-class folks whose jobs the bureaucrats considered non-essential.

The disruption of children’s education and socialization will haunt us for years to come in terms of earning potential and mental health. The central planners punished children for months although the mortality in children from COVID-19 is roughly equivalent to that of influenza year to year. Moreover, CDC data shows that attending school or child care was not associated with having positive SARS-CoV-2 test results. 

So why were children barred from attending school? To protect Grandma. Even if children were found to be transmitters of disease—they haven’t been, a sensible alternative to depriving all students of a proper education and social life would have been to ask children whether elders lived in their homes. If so, that group could have been provided with educational accommodations. But the way of bureaucracy is all or none with no room for individual considerations.

Typical of blanket decrees, the most vulnerable fared the worst. Thirty percent of parents from low-income homes reported that their children never logged on to the computer for virtual schooling. And almost half of special needs children received no support. Worse yet, insurance claims for pediatric mental health visits as well as teen overdoses doubled in March and April 2020 compared to the same period in 2019.  

Adults fell prey to the dangers of lockdowns. There was an increase in alcohol sales, use of prescription anti-anxiety medications, and domestic violence, Additionally, the National Highway Traffic Safety Administrationreported a 24 percent increase in traffic deaths in 2020. Almost two-thirds of the seriously or fatally injured tested positive for alcohol, marijuana, or opioids. According to the CDC, the 12 months ending May 2020 had the highest number of U.S. overdose deaths ever recorded in a 12-month period (more than 81,000). This increase was mainly due to illicitly obtained fentanyl. 

Anyone who isn’t hidden away in an ivory tower could predict that isolated people deprived indefinitely of their livelihoods, recreational outlets, and family relationships would sink into depression. The CDC reportedin late June, that 40 percent of U.S. adults surveyed were struggling with mental health or substance abuse. And 11% say they seriously considered suicide. These unintended consequences were foreseeable yet Americans were subjected to social isolation in the face of no evidence that lockdowns were a useful COVID mitigation strategy. Ironically, according to CDC data, “masking”, a symbol of our isolation, has made no difference in COVID infections.

With the media’s help, the public health gurus waged a campaign of fear to keep us in line while we waited for Dr. Fauci’s solution: vaccines. One of the medical bureaucracy’s biggest (intentional) missteps was the failure to support early treatment of COVID. They told us to stay home until we couldn’t breathe. Of course, at that point the virus has overwhelmed the body. The scientific elite maligned study after study and thousands of clinical successes with early treatment with hydroxychloroquine and ivermectin in favor of unproven high priced drugs. Despite the CDC and FDA previously acknowledging the 60-year safety record of hydroxychloroquine, it miraculously became harmful in 2020. 

It is as if the medical bureaucrats are making up the ever-changing rules as they go along. They claimed they were “following the science.” Why haven’t we heard from these politically driven experts as hundreds of illegal migrants are released into the United States without COVID tests while U.S. citizens are being fined for not wearing useless masks?

Shameless non-clinician bureaucrats have stolen our lives, stolen the smiles from children’s faces, and bullied a segment of the population into paralyzing fear. Those hiding behind masks (including our precious children) no longer see people as people, but as 170-pound nests of germs and certain death.

Dr. Fauci remains the highest paid federal government employee, and Dr. Birx has moved on to her private air purifier consulting job. Meanwhile, we are left in the wasteland with their legacy: boarded up shops; needless lost lives; and the death of common sense, scientific discourse, and medical freedom that we may never regain. And why?

COVID-19, Culture & Society, Featured, Media & Press, Medical Ethics, Medicine, Op-eds, Politics, What's New

COVID-19 and the Universal Health Scare

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Politicians are a strange lot. Not content with merely being Speaker of the House, Nancy Pelosi is moonlighting as Surgeon General, opining on what medications the President should be taking. Service to the public is a distant memory. The new charge is to invent catchy phrases, like the “new normal,” to quietly coax us into obeying dictates, while ignoring facts and science.

It is not normal to base lifting the lockdowns on the trend in positive novel coronavirus (aka SARS-CoV-2) tests. Predictably, positive tests (with many folks never becoming symptomatic) will continue to increase as more tests are done. Given that the stated goal of lockdowns was to lessen the strain on hospital resources, using hospitalization trends makes more sense.

It is not normal for New York and Minnesota governors to insist that COVID-19 patients be admitted to nursing homes, even after it became clear that nursing homes were a hotspot for infections and up to 81% of COVID-19 deaths.

It is not normal for healthy people to walk around wearing masks—particularly when it is not recommended by the sainted World Health Organization.

It is not normal to never see your parents, children, or grandparents. Older folks suffer from loneliness in the best of times.

It is not normal for children to stay home from school indefinitely. When children do go back to school, it is not normal to tell them they have to wear masks and might not be able to play or eat with one another. Meanwhile, the CDC’s latest report tells us that the infection fatality rate for those aged 0-49 years is 0.05%. The CDC’s latest numbers are what Stanford researchers predicted in April.

It is not normal to have cellphone apps that track your movements. I suppose helicopter parents and stalkers would make good use of them.

It is not normal to propose “immunity passes” enabling the holders to move about society unimpeded. Immunity passes make no scientific sense given that the serology tests are unreliable, the length of immunity to SARS-CoV-2 is unknown, and invites social stigmatization.

The real “new normal” is politicians being blatant with their old games. It is normal for California’s Governor Newsom to make a secret $1 billion deal with BYD, a Chinese-based electric bus maker, to manufacture N95 masks at $3.30 a piece. Kudos to his fellow Democrat legislators for seeking transparency about his pandemic spending spree. To his credit, Los Angeles Mayor Eric Garcetti purchased 24 million “Made in America” masks from Honeywell at 79 cents a mask.

COVID-19 is a handy justification for Congress to promote a political ideology rather than propose targeted measures to assist those struggling with the consequences of the virus. The HEROES Act, the fourth stimulus bill, presents a path to universal basic income by paying some workers more to stay home than they would receive by returning to work. The CARES Act suspended student loan payments, but the HEROES Act paves the way for free college tuition for all by forgiving up to $10,000 of student loans for every borrower.

Moreover, the HEROES Act contains a multitude of other agenda-driven programs like access to financial services and the marketplace for minority-owned cannabis-related businesses, diversity in banking, a Post Office bail-out, $50 million to the Environmental Protection Agency for environmental justice grants, economic impact payments to illegal immigrants, permanent voting by mail, and the clearly relevant requirement that the President inform Congress of the reasons for not filling a vacancy for an Inspector General position.

The proposed Medicare Crisis Program Act of 2020 would provide health insurance for those who lost their health insurance due to the COVID-19 lockdown and its consequences. We want to help those who lost their jobs, but why use a newly-minted premium-free Medicare program as the vehicle? Is it to get people accustomed to Medicare covering all age groups?

The CONTACT initiative requires the CDC to work with states to implement a national system for testing, contact tracing, surveillance, containment and mitigation of COVID-19. (Have we done this for the infectious and deadly flu?). The CDC regulations, instruct authorities to use the “least restrictive means” in implementing public health measures. However, “when an individual is identified as a threat to the health and welfare of others, such as refusing medical treatment at a healthcare facility and refusing to self-quarantine, the government may take the individual into custody.”

The government has been known to abuse its power—whether through cultivating fear, regulatory force, or by individual miscreants. Frederick Douglass warned, “Find out just what any people will quietly submit to and you have the exact measure of the injustice and wrong which will be imposed on them.” We cannot let a declaration of a public health emergency become the new gauge of what it takes to break our spirit of liberty.

COVID-19, Op-eds, What's New

Tearing Apart Our Social Fabric, Thread by Thread

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It seems like some folks have used the ghost of Ernesto “Ché” Guevara as their guide through the COVID-19 epidemic in the United States. “To send men to the firing squad [job loss, suicide, substance abuse], judicial [scientific] proof is unnecessary… This is a revolution! And a revolutionary must become a cold killing machine motivated by pure hate [of President Trump].”

Apparently, Ché was on to something. Forty-three percent of U.S. adults and 52 percent of low income adults say they or someone in their household has lost a job or taken a pay cut due to the outbreak. How can any American stuck at home not be disgusted by politicians who are still collecting their full paychecks while the middle class and working poor descend into an abyss. To be fair, Michigan’s governor announced that she would take a 10 percent pay cut in solidarity with the people who had a 100 percent pay cut. Nonetheless, many have unquestionably accepted the government’s oft times contradictory mandates.

A Kaiser Family Foundation poll found that despite the disruption of their lives 80 percent of Americans say strict shelter-in-place measures are worth it to protect people. This blind acquiescence is evidenced by unthinking people wearing masks while driving alone in their cars with closed windows. And perversely, designer face masks are proliferating. Wearing a mask is a sometimes necessary, serious, unpleasant thing to do. It is not fun. It is not cute.

It is not only the evil Chinese Communists that caused panic about the coronavirus in the U.S. via text messages falsely saying President Trump was imminently going to lock down the entire country. The media are complicit in the hysteria. Again, Ché Guevara had it right: “Foreign reporters—preferably American—were much more valuable to us at that time than any military victory. Much more valuable than recruits for our guerrilla force, were American media recruits to export our propaganda.” Media hacks are collecting their paychecks to scare our bodily fluids out of us with day in, day out, COVID, COVID, COVID. We’re all going to die! (Of course, they don’t discuss the 1,300 people a day who die of complications of high blood pressure.)

COVID-19’s angel of death spares most people: 80 percent of COVID-19 deaths occurred among persons aged 60 years and over; about 25 percent of all deaths were sick and elderly residents of long term care facilities; nearly 90 percent of persons hospitalized have one or more underlying medical conditions. Oddly, the CDC is boosting the official death toll by including not only people who died due to COVID-19 but those who died of other causes and had the virus that causes COVID-19 in their system.  

Antibody testing studies in Santa Clara and Los Angeles (California) and Miami Dade (Florida) counties revealed that infection with the virus that causes COVID-19 is more widespread than indicated by the number of confirmed cases. The mortality is likely 0.1 percent (like the seasonal flu). Many researchers concluded that the data indicated that the virus is widely circulating, we will get infected but likely not die, and the population may develop immunity. The tyrants-in-waiting use the data to mandate lock downs until every last vestige of COVID-19 has disappeared from the face of the earth or a vaccine materializes—which may be never.

Americans have been terrified into accepting tyranny and poverty, softened with assurances that the current state of affairs is “normal.” The airwaves’ constant blare of “we’re all in this together” does not make it so. Some people remain more equal than others. Just ask Nancy Pelosi with her $24,000 refrigerator filled with $13 a pint ice cream that she “gets by” on. Or professional athletes who received their elective surgeries while the rest of the peasants were denied their cancer treatment or the treatment of a painful joint. Or the TV star who complained about being “in jail” in her $45 million home.

Meanwhile, liquor sales are up 55 percent, calls to suicide hotlines and suicides have dramatically increased, domestic violence is rising, and anti-anxiety medication prescriptions are up 34 percent since the virus consumed our lives. We are on the path to becoming fat, depressed, drunken wife-beaters. We are told to ignore statistics because every death is tragic. If the lockdowns persist, every life is a tragedy in the making.

This epidemic has become the opportunity to change the U.S. from a free, energetic, resourceful individualistic society to an authoritarian, collectivist society of broken souls addicted to government largesse. To wit, a Los Angeles version of wealth redistribution: People can’t work so they can’t pay their rent. The mom and pop landlords can’t pay their property taxes. The city then buys the “distressed” properties from desperate landlords at cut-rate prices and turns them over to the homeless. Ché would be proud.

Bio: Dr. Singleton is a board-certified anesthesiologist. She is Immediate Past President of the Association of American Physicians and Surgeons (AAPS). She graduated from Stanford and earned her MD at UCSF Medical School.  Dr. Singleton completed 2 years of Surgery residency at UCSF, then her Anesthesia residency at Harvard’s Beth Israel Hospital. While still working in the operating room, she attended UC Berkeley Law School, focusing on constitutional law and administrative law.  She interned at the National Health Law Project and practiced insurance and health law. She teaches classes in the recognition of elder abuse and constitutional law for non-lawyers.

COVID-19, Current Events, Featured, Medicine, Op-eds, What's New

Will the FDA Find Courage in the Age of COVID-19?

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By Marilyn M. Singleton, MD, JD

While on lockdown to save our neighbors from a lonely death from the disease called CoViD-19, many of us have turned to movies. I beg you not to rent Pandemic, Contagion, or 28 Days Later. Try Harriet instead. Harriet Tubman was the epitome of bravery and courage in the face of insurmountable odds. Her escape from slavery and returning again and again into the belly of the beast to save others should inspire us all. The health professionals working day and night to care for an ever increasing number of sick patients make me proud to be a doctor. And kudos to the grocery store workers, postal workers, police and many others who are performing essential jobs with a smile.

This is the time for positive action, not panic. For background, coronaviruses are a big family of RNA viruses named for the crown-like spikes found on their surface. They exist around the world cause mostly upper respiratory tract infections (“common colds”) in adults. This new coronavirus is in the same family as the Severe Acute Respiratory Syndrome coronavirus (SARS-CoV) identified in humans in 2002 and Middle East Respiratory Syndrome coronavirus (MERS-CoV) identified in 2012. The CoViD-19 virus is called SARS-CoV-2 for its similarity to SARS-CoV.

While scientists are furiously experimenting with possible vaccines, the virus is sprinting from country to country despite travel restrictions. There are likely among us “healthy carriers” of the virus who have no signs or symptoms of the disease but can infect others. So if CoViD-19 is here for a while, the world has to look to effective treatments of afflicted individuals today—not a year from now. Some researchers seem to have found a strong contender.  

Separate studies from a major medical center in France and jointly from South Korea and China have found that inexpensive, readily available anti-malarial drugs chloroquine phosphate or hydroxychloroquine are an effective treatment. But the Federal Drug Administration (FDA) is dragging its feet, despite the President’s urgings, to approve the drug for anti-viral use. Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases and the White House’s advisor has dismissively called the studies “anecdotal” meaning “based on or consisting of reports or observations of usually unscientific observers.”

In 2004, separately a Belgian virologist and our Centers for Disease Control and Prevention found that chloroquine inhibited SARS-CoV growth in primate cells when given before or after exposure to the virus. Human trials could not be done because thankfully the SARS epidemic had just ended. Fast forward to February 2019. In South Korea, these drugs were given by physicians and scientists in the CoViD-19 Central Clinical Task Force. These studies showed “certain curative effect” with “fairly good efficacy.” Further, patients treated with chloroquine demonstrated a better drop in fever, improvement of lung CT scan images, and required a shorter time to recover compared to parallel groups.

More promising is a study of 36 patients actively ill from CoViD-19 by a noted research team from France. Of the 20 patients treated with hydroxychloroquine alone, 70 percent had no detectable virus within 6 days; those treated with hydroxychloroquine and azithromycin (an antibiotic with some anti-viral action) had a 100 percent success rate. Yes, the study is small, but these are extraordinary times.

On March 22, Gov. Cuomo announced that the FDA is allowing New York state to start a trial of hydroxychloroquine and azithromycin. Let’s move on this!

Chloroquine and hydroxychloroquine are approved by the FDA for malaria, rheumatoid arthritis, and systemic lupus erythematosus. The FDA is well aware that physicians prescribe plenty of drugs that are “off label,” that is drugs approved by the FDA for other conditions. Indeed, one fifth of all prescriptions are off label. For example, aspirin was approved for pain relief, but had many years of off-label success for the prevention of heart attacks before the FDA finally approved the off-label use.

Mike Tyson said “we all have a plan until we are punched in the face.” FDA’s “plan” is to regulate products and promote safe and effective drugs. This is the FDA’s moment to bravely keep us safe by shifting gears and deregulating a valuable product. Pharmacists must be allowed to fill such prescriptions. Let doctors do what they do best: use their independent judgment. Let physicians consult with their patients and let them choose to take the off-label medicine, or approved anti-viral medicines that have failed against CoViD-19 in studies—or no treatment at all.

While people are struggling to pay for their next meal, we need bold action now. For 6 billion dollars all Americans could be treated—saving hundreds of billions of dollars in lost income and retirement savings.

Bayer began with donating 3 million tablets to our government. More companies are stepping up. Novartis has pledged a global donation of up to 130 million hydroxychloroquine tablets, pending regulatory approvals for COVID-19. Mylan is increasing production in West Virginia to make 50 million tablets. Teva is donating 6 million tablets to hospitals around the U.S. For context, each patient’s treatment would use up to14 tablets.

Do your job, FDA and protect the public. Approve hydroxychloroquine now for COVID-19. Meanwhile, physicians may legally prescribe these drugs because they are approved for other indications.

Bio: Dr. Singleton is a board-certified anesthesiologist. She is Immediate Past President of the Association of American Physicians and Surgeons (AAPS). She graduated from Stanford and earned her MD at UCSF Medical School.  Dr. Singleton completed 2 years of Surgery residency at UCSF, then her Anesthesia residency at Harvard’s Beth Israel Hospital. While still working in the operating room, she attended UC Berkeley Law School, focusing on constitutional law and administrative law.  She interned at the National Health Law Project and practiced insurance and health law. She teaches classes in the recognition of elder abuse and constitutional law for non-lawyers. 

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