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GRF forecast revised down $2.7 billion for FY20 and $4.6 billion in FY21, but $6.2 billion with borrowing and $7.4 billion if no graduated income tax - Says Fair Tax needed now more than ever - Talks about “secret flight” - Addresses plan by GOP state senators to reopen economy when ICU capacit is sufficient - Asked about death counts - Roseland backlog addressed - Asked about summer camp - Asked about rent control protesters - Says he is considering a mask order - No state border checks - Talks about contact tracing - Asked about pushing the curve down, but nothing new on that front yet - Asked about churches and pot dispensaries - Says state will make decision to lift, not locals - No position on municipal plea to AG on FOIA - Praises National Guard

Wednesday, Apr 15, 2020 - Posted by Rich Miller

[The timestamp of this post has been altered for Thursday visibility purposes.]

* Press release…

Building on measures to address the unprecedented economic challenges facing Illinois as a result of the COVID-19 pandemic, Governor JB Pritzker provided an update on the state’s revenue forecast outlook and efforts to provide fiscal stability during these unprecedented times.

COVID-19 has had a profound impact on the U.S. economy, leading to an unexpected loss of revenues across all 50 states, with early projections showing combined state budget deficits of $500 billion over the next two years. In Illinois, general revenue funds are being revised down $2.7 billion in fiscal year 2020 and $4.6 billion in fiscal year 2021. With short term borrowing to bridge through this crisis, the total shortfall for fiscal year 2021 is $6.2 billion when compared to the spending plan put forth by the Governor in February. That shortfall expands to $7.4 billion if the constitutional amendment to move to a graduated income tax does not pass.

While states are slated to receive federal funding to address costs associated with the pandemic, this funding can not be used for the broader impact on COVID-19 on state revenue. Gov. Pritzker is working with our federal partners and calling on Congress to pass an additional aid package that will provide funding to states to make up for unprecedented nationwide revenue shortfalls.

“This is a public health crisis – but it is accompanied by massive economic disruption that’s unprecedented in modern history. Illinoisans are all too familiar with the pain the lack of a state budget can cause, so let me just say up front: we will not go without a state budget,” said Governor JB Pritzker. “We will need to make extraordinarily difficult decisions on top of the difficult decisions we’ve already made, but together with the state legislature we will make them and we will do so with an unswerving dedication to fairness. In the midst of a pandemic, I am more resolute than ever to protect those who are suffering physical and financial hardship from it.”

As the governor works to protect the health and safety of all Illinoisans he is taking several steps to shore up the state’s immediate fiscal health:
Earlier this month, the Governor’s Office of Management and Budget directed agencies to take all possible steps to manage existing resources for the remainder of fiscal year 2020 by putting on hold all non-essential purchases and operational expenditures, freezing all travel that is not mission essential, and limiting all non-essential hiring. These actions are expected to save at least $25 million for the general funds in fiscal year 2020. This is in addition to earlier efforts to identify efficiencies for the fiscal year 2021 budget, slated to save the state $750 million over the next three years.

Working with our partners, the Comptroller and Treasurer have extended $400 million in investment borrowing agreements that were due to be repaid from the General Revenue Fund in March and April to July 2020. In coordination with the Governor’s Office of Management and Budget, the Comptroller has utilized interfund borrowing authority to transfer an additional $323 million in March and April to the general funds.
Additionally, the Governor, Comptroller and Treasurer will be moving forward with the issuance of up to $1.2 billion in short-term borrowing in May under Article 9, Section 9(d) of the Constitution and Section 1.1 of the Short-Term Borrowing Act (30 ILCS 340) for situations where revenue forecasts do not meet projections. About $1 billion of the decline in revenue for fiscal year 2020 is attributable to the extension of the April 15 deadline for filing 2019 income tax returns to July 15. This action will cover funds lost due to that extension.

As the costs of fighting COVID-19 continue to grow, the Governor has directed nearly $500 million in additional spending authority to IEMA through the emergency powers granted under the gubernatorial disaster proclamation. Much of this spending is concentrated on obtaining personal protective equipment for our frontline workers and ventilators to treat patients suffering from the most severe cases of COVID-19. An estimated $170 million has been expended to date. Federal funding is expected to cover most of the costs the state is incurring in response to the COVID-19 pandemic.

The federal Coronavirus Aid, Relief and Economic Security (CARES) Act is a $2 trillion disaster aid stimulus package that is estimated to provide more than $9 billion to Illinois governments for a variety of programs from education, to aid for seniors and child nutrition to transit systems. It provides $150 billion in direct aid for COVID-19 related expenditures to the states, of which Illinois is expected to receive $4.9 billion – at least $2.7 billion to the state of Illinois directly and up to $2.2 billion to larger local governments.

The GOMB document is here.

This post will be updated with remarks from the governor and others. As always, please pardon all transcription errors.

…Adding… Press release…

In response to Gov. JB Pritzker’s revised state budget numbers, Illinois Senate President Don Harmon today issued a statement calling for continued cooperation among lawmakers and leaders as the state faces the daunting task of digging out from the social and economic effects of the ongoing global pandemic.

    “We’ve proven in recent years that we can come together in times both good and bad to solve problems. We will need that spirit of cooperation more than ever before as we continue to face this outbreak and its economic fallout.

    “What I told the governor is the Senate Democrats will do our part to help solve problems and stabilize our state.”

* The governor made an important point about the federal aid in the CARES Act…

But I want to be clear, these dollars can be used to cover only new expenditures related to coronavirus. Currently this funding cannot be used to make up for state government revenue shortfalls that have been a result of coronavirus. That leaves states to face this unprecedented financial hole on their own.

* On to questions for the governor. With those numbers, which sounds pretty scary, is it time to rethink the graduated income tax?…

It’s on the ballot for November. I think people will be making their own decision about it. I would argue, in a way that we may need it now more than ever. And of course this isn’t just about one year. It’s about fixing the structural deficit that exists for the state. We’re in a pandemic, we’re in an emergency, this crisis is causing a significant disruption to our fiscal year coming up. But we we have many years ahead and I think a fairer tax makes sense to me.

* There was a report today about a secret flight for PPE. Can you give us more information, and do you really have to make it secret because otherwise the feds might take the mass and gowns, that you’re trying to bring here to Illinois?…

Well, look, I’m responsible for making sure that we have the PPE and the ventilators that we need for the state. The federal government as we’ve talked about many times has not been a great partner in that. They’ve helped. They’ve helped, and I want to give credit for what we’ve gotten from the federal government, but it’s only really, in the end, a few days worth of items. And so we’ve had to search the entire globe to find what we need. Shipping is very difficult and so we’re doing what we need to do to make sure that we get, you know, the kind of PPE that we need. It is true that the federal government seems to be interrupting supplies that are being sent elsewhere in the nation and so I wanted to make sure that we receive what we ordered.

* Iowa released the names of the senior health care facilities and the nursing homes with Coronavirus infections, why not Illinois?…

Dr. Ezike: Releasing information regarding outbreaks that happen in facilities is not something that’s new to us. IDPH regularly does put that information out. I will take that back to the team if we haven’t been updating our lists.

* Also right now family members with loved ones in nursing homes can only find out if a positive case or death. If the nursing home voluntarily releases this info. What would you say to those families who are worried and they’re wondering if their loved one is at risk?…

Dr. Ezike: Again, remember that this is an unprecedented time. And traditionally we know that we’ve had, potentially some shortages in staff in the nursing homes particularly among the staff who are sick themselves. So I think in the midst of trying to check every member of everybody living in the nursing home to make sure that they’re not sick, to make sure that they’re separating people who’ve been exposed from people who are sick from people who haven’t been exposed to doing the pre shift assessments for all of the employees. I think everyone has been tasked with additional duties.

So I think it’s absolutely the intention in every nursing home to contact families when they have a loved one that’s sick and to give updates. I’m going to speak for the nursing homes when I say I probably think it’s just backlog and not that they don’t want to, but trying to manage all the tasks in addition to caring for the loved ones that they’ve been tasked with might you remind them that, that’s it, this is information that folks are just surely, surely.

* Several state senators are urging the lifting of the stringent social distancing when the Illinois Hospital Association says that the ICU bed capacity is sufficient. Is that a factor, will you consider that?…

Again, I’ve said day in and day out that we’re going to rely upon the epidemiologists and the scientists to tell us what social distancing measures, what stay at home measures we need to keep in place in order to keep the population from having a spike of COVID-19 infections that might number one consideration, my number one consideration is the life, safety and health of the people of our state. And of course I am just as eager as all of those states senators and with the President of the United States and everybody else to get everybody back to work. But we’ve got to do it in a fashion that really works for everybody so that we keep customers safe that we keep workers safe.

And so I’m going to repeat something I’ve said almost every day. We need widespread testing, and we’re all working on that no state has widespread testing yet, but we are all working on expanding testing. We need a comprehensive contact tracing effort, which Massachusetts has begun to stand up and that’s something that I’ve been in direct contact with not only the governor of Massachusetts about but also with the people who are actually putting that program together I happen to know for many years, an organization called Partners in Health. And so we’re looking at putting that together for the state of Illinois so we’ll have both of those in the works. We’ve already talked a lot about testing. So you’ve seen that we’re in the works buying machines and the VTM and everything it’s necessary to make sure that our testing increases, the contact tracing and then something that is really dependent upon the researchers and the doctors and we’re cheering them on in every way that we can, but it’s really up to them and that’s the testing that’s going on right now over certain kinds of treatments that can be given effectively they have these what they call them double blind experiments. And they’re some of which is going on in Chicago hospitals I might add, but it’s going on all over the world on things like grim death severe and hydrochloric wind and everything else. Once we have something established that will keep fewer people from going to the hospital, and therefore fewer people going into ICU beds and fewer people getting ventilators, then I think those three things working together, testing tracing and treatment, those together with widely available PPE will help us to begin to reopen commerce across the state.

Lots of words.

* In New York, the death toll sharply increased when they decided to count the victims who never tested positive likely died from it. Are you considering doing the same thing here? And is it possible the state’s death toll is considerably higher?…

Dr. Ezike: As the governor correctly stated, the denominator in terms of the total number of people who have cases is grossly underestimated. We know that because we had limited supply of the testing materials and so then we’re trying to find our highest risk people in terms of in terms of doing the testing in the first place. But on the death number. I think that one is probably closer to accurate because once you’re in the hospital that’s definitely a population that would get tested like that was one of our prioritized groups, people who are very sick who are in the hospital who are ICU who have pneumonia, so more likely the death numbers are close to actual. Of course it could have been missed if there was no suspicion of at all. But in terms of the numbers that are grossly underestimated it would be the total number of cases for the state.

So, the CDC did recently put out the new guidance that we should have a separate column for laboratory confirmed cases and then this second column for probable cases. And so, again, most of those probable cases are the people that physicians and public health departments said yes we’re the household contact of so and so and this person was laboratory confirmed. Yeah, you probably have it so we know that those people exist and so it’s just a matter of. Do we want to increase those numbers but even that will probably be a gross underestimation if we just put those probables we’ve had a couple doctors

* Okay folks who say they have been tested, they’re essential workers, this especially at Roseland hospital, and they’re still waiting for the results. They did self imposed a quarantine but now they have to get back to work their employer saying get back to work. What should they do?…

Dr. Ezike: So I actually have been in contact I think with the VP of Roseland as recently as today. And so, I am working with my team to make sure that all specimens are sent directly to IDPH lab because again the rapid turnover of the results is essential. And so when people send it out to some of these other locations where there’s an exorbitant amount of time decisions can’t be made so we’re working on that, as we speak to make sure that we get timely results.

Gov. Pritzker: I think this is an important part of the answer as well. There was an article actually this morning about how the commercial labs, actually are reporting 30% fewer results than they were before they’ve had their own issues with processing. And I’ve talked about this before how it takes seven to 12 days to get a result from one of the commercial labs. It’s the reason, partly that we’ve started to build up, not just started we’ve been doing it for some time now building up our resources within the state.

* Freelancers are wondering, are they covered by unemployment if you’re a freelancer?…

If you’re an independent contractor 1099 if you qualify as that which is often what a freelancer is, then you would qualify for this new program that the federal government, set up to provide unemployment insurance.

* Parents of course still are wondering about school, and then now they’re looking ahead to the summer, summer camp, do you envision children going to summer camp programs this summer?…

Again, we’re going to make some decisions coming up about what to do about our stay at home order, you know how we will you know make adjustments, or what needs to remain in place we still haven’t decided about whether you know about what to do about schools you know we have an April 30 date. Now, and typically schools, you know, might end in the first or second week of June. And so decisions, you know, need to be made, soon to make you know parents aware and kids aware of what that next month or month and a half might look like. And I think that will begin to give us some indication about the summer. But again, I’m, you know we’re speculating remember everything about this is new. And so it’s very difficult to make projections months in advance of something. But, you know, as a parent as of children who have it, who have in the past gone to camp. I know all the planning is occurring now. And so we’ll try to give some indication if we can, but it’s hard to do I must say is this far in advance.

* Do you think in the next two weeks, the next 10 days?

I’m not, certainly in the next two weeks we’ll be, you know, deciding what to do about the April 30, stay at home. The end of the stay at home order that’s currently in place, but I’m not sure that in the next 10 days or two weeks that we’ll be able to give an answer about summer camp.

* I’m sure you saw and heard the group of protesters circling the block down stairs honking and saying, lift the ban that’s going to be a sign of how rambunctious people are going to get the longer this drags on. [The protesters were actually demanding that Pritzker lift the ban on rent control ordinances.]…

The moratorium on rent control in the state is a state law. It can only be lifted by the state legislature in a vote by the state legislature. [He went on, but you get the gist.]

* Your counterpart in New York is now looking at having people wear masks. We’ve seen a couple of local municipalities, Mayor Lightfoot said she didn’t think today that that was needed. Are you giving any consideration to requiring people to wear masks in public and if so, where would that apply?…

I am. First of all I have given a lot of consideration and I have spoken about that here and indeed recommended to people that they wear masks when they’re out in public or them, especially when they go to anywhere where they’re going to be with you know any other group of people, you know, a grocery store pharmacy gas station or anywhere else, where they know they’re going to be with others.

So, and that doesn’t by the way that doesn’t mitigate the idea that you seem to maintain your social distance you know to having the mask on, is an additional protection. And let me be clear wearing a mask is protecting everybody else. So you’re doing everybody else, a favor or you know you’re doing the right thing for everybody else in your presence by wearing one.

So should we require it is really the question, you’re suggesting and I’ve had this conversation with one of the state reps on the other side of the aisle has been very collaborative and had good ideas. And I think it’s something that, when I look at the mitigation measures that we should be contemplating and making adjustments to, that is one that I think might be seriously important for us to consider in the period going forward.

…Adding… Rep. Mark Batinick (R-Plainfield) confirmed that the unnamed GOP legislator was himself. Batinick advocated for an executive order requiring masks in public in a post on this website yesterday.

* Asked about dairy farmers dumping milk…

I hope that the federal government is able to step in with either price supports or some kind of farm bill to support farmers in this endeavor.

And I would love to get some of those goods to support the, particularly the kids who are on free or reduced lunch who are would otherwise be in school, getting it but it can’t and so the school districts are distributing it. So I would say to any farmer that has the ability to deliver some of that for us I’ve talked to many of the food manufacturers across the country about donating and many of them have donated goods for us by the school districts in Illinois for low income families and so I would encourage them to contact us we’d be happy to put them in touch with school districts.

* Last night President Trump discussed at length the idea of state border checks. Has this been a part of your discussions with Midwest governors and how practical is it? How would it be conducted?…

No.

* What must the state do to ramp up broad contact tracing? Will this require hiring people? How will they be trained? How much will this cost? Is this underway?…

You can take a look at the articles that have been written about the Massachusetts collaborative, that’ll give you a sense of what this looks like. But yes, it involves hiring people that involves good old fashioned shoe leather. That is to say that people are not going to be knocking on doors, but they’ll be using an app, which will populate with someone’s spoken contacts it’s not this is not an Apple, Google app. This is one in which someone who has COVID-19 reveals who their contacts are to someone over the phone. And then that is all populated an app. And through that app, individuals who are part of the collaborative would have the ability to call the contacts that have been registered to let them know that this person has been diagnosed with COVID-19 and that they should self isolate.

* The upward curve of new cases has slowed, but it hasn’t yet gone down. What are the scientists telling you about finally putting the state on a downward trend?…

It’s an excellent question and we’re we’re looking at a variety of models you know we’re going to talk a little more about this in the next few days but you know the answer is that it’s, as you pointed out, it’s climbing it’s climbing at a lower rate than it had been before. And that’s a very good thing.

What the other side of the curve looks like I think looks very different than what the IHME curve looks like. If you have gone online to look at that curve, not just for Illinois but for all the rest, it seems like their curve sort of peaks and then precipitously drops.

And I personally, and others that I talked to, don’t think that’s how it’s gonna work. You’re working your way up to a peak unfortunately and then as you come to the other side it’s going to be a gradual downward slope, not an immediate drop. And so that is another reason why this testing, tracing treatment is so important and why we can’t do what I think President Trump has described which is sort of a massive opening of a variety of states.

* A leader of a local incident management team in Springfield has said the return to normal would probably be done by on a county by county process rather than statewide. What’s the veracity of that?…

We left in the hands of counties and cities, a lot of decisions. The decisions for example about their own city parks or county parks, whether to open those we’ve closed state parks. You heard that the mayor of Chicago close the lake front. There are a variety of places that have made other decisions about things that are not in the executive orders, but things that are in the executive orders are state law or, or I should say they’re mandated by executive order they’re not state law. And so they really can only be removed by the states.

* A local pastor recently complained that he’d been told he couldn’t have a drive through Easter service. He pointed out that marijuana dispensaries are still open, recreational pot isn’t legal in most states. With that in mind, why are recreational pot sales allowed? What do you say to the pastor and business owners who have been forced to close?…

I’m not sure how those are related, but I would say that the advice around drive up and pick up, and that’s what’s happening in dispensaries, has been that it’s very brief contact. And it’s somewhat socially distanced. And so the handoff of, you know, just as it is with a drive up and pick up food is relatively brief.

The problem with a religious service, and I am sympathetic with this because I too would like to worship in the way that we normally do, or even in a drive up circumstance, has been that that’s not a quick endeavor. And the result is that people end up parking very close to each other, opening their windows, sitting in pews very near to each other. And so it turns out that that is one way to spread COVID-19 and we want to avoid that.

* Sen. Shrimpf and others wrote a letter to you requesting a uniform policy that empowers local health departments to make decisions concerning business closures and openings in their respective counties. What is your response to that proposal?…

We will from the state Executive Order perspective, we’re looking at all of our state executive orders and thinking of the health and safety of everybody in the state, no matter where they live. And I of course understand the difference between living in a rural community and living in an urban community, and no I really do understand that, you know, that there are differences.

The problem is that a restaurant in a rural community has the same ability to spread COVID-19 as a restaurant in an urban community. So, it’s really you know it’s a challenge to identify the things that are that much different.

Having said that, we have tried to make adjustments. You’ve seen for example that essential businesses includes virtually everything that’s agriculture related, which is entirely almost entirely in rural communities. So we are thinking about how to make differences between urban and rural communities, recognize those differences and let as many people work as possible without endangering people’s lives

* Do you have any thoughts on the municipal requests to the Attorney General Raoul to issue an advisory opinion allowing local governments to delay the fulfillment of FOIA requests, until the stay at home order’s lifted?…

I don’t really have an opinion about that. We are working hard to try to fulfill FOIA requests, it is hard, I have to admit, with limited staff with our legal staff, you know, constantly working on. I mean I can’t tell you how hard those folks are working. And those are the folks who review all the FOIA requests and try to fulfill them so as I said a few weeks ago I hope that people will continue to have some patience with us about our delivery of FOIA responses to FOIA requests. But I don’t have an opinion about their request to the Attorney General.

* That was the last question, but then the governor had one more thing to say…

Can I just say one thing before I conclude? Standing behind me is General Rich Neely of our National Guard. You’ve seen him occasionally with me here.

And he’s with us today in part because the National Guard has done such a tremendous job of standing up and taking over in some cases for federal government drive thru facilities. But it is the National Guard that has done not only that, but also when we needed to put in additional capability at one of our prisons. It was the National Guard that came in with medical personnel, tents so that we could treat and separate people within the prison. And the National Guardsmen have just been outstanding. And you should be so proud. It’s the best National Guard in the entire nation, Illinois National Guard. We have the best Adjutant General in the entire nation, and I just, I want to recognize the amazing work that they do. Thank you.

-30-

  26 Comments      


Plan by eight Senate Republicans is a bit on the ghoulish side

Wednesday, Apr 15, 2020 - Posted by Rich Miller

* From an open letter to Gov. JB Pritzker from Republican state Senators Paul Schimpf, Donald DeWitte, Jim Oberweis, Craig Wilcox, Jason Plummer, Chuck Weaver, Sue Rezin and Dan McConchie

Illinois should start to ease back on some of the more aggressive social distancing measures as soon as the Illinois Hospital Association projects that ICU bed capacity is sufficient to respond to the projected levels of COVID-19 admissions. We are not advocating for an immediate return to normalcy — far from it. But where non-essential businesses or facilities can practice social distancing norms, they should be allowed to operate.

A subscriber read that and texted me this…

How do you advocate for a policy knowing it will put people in intensive care?

He wrote some other stuff, but I’ll just leave it at that.

…Adding… Just to be clear here, we’ve been going over this topic for days and days. But let’s just focus on stuff I’ve posted today.

1) The downward curve doesn’t look like the upward curve. Instead, it looks more like a plateau: The decline may not be as fast as the rise

2) Because of (1) we are still essentially at the peak. Forcing the curve downward could take more measures than we currently have in place, like a mask requirement, for instance: Slowing the upward curve is just not enough

3) Calling for even a partial reopening of the economy while new cases are still rising as fast or faster every day with no end in sight is simply irresponsible: SGOP plan is a bit on the ghoulish side

4) Here’s the graph that matters most….

Those new case numbers need to start going down and stay going down for a period of time before anything can and should be done about lifting the stay at home order.

…Adding… 5) Businesses may want to reopen, but, as we discussed yesterday, economies shut down because of the virus. People essentially voted with their feet: “The fundamental problem with the economy right now is the pandemic” not the stay at home orders

  76 Comments      


1,346 new cases, 80 additional deaths

Wednesday, Apr 15, 2020 - Posted by Rich Miller

* Press release…

The Illinois Department of Public Health (IDPH) today announced 1,346 new cases of coronavirus disease (COVID-19) in Illinois, including 80 additional deaths.

    Cook County: 1 female teens, 1 male 30s, 2 males 50s, 11 females 60s, 5 males 60s, 5 females 70s, 11 males 70s, 5 females 80s, 4 males 80s, 1 female 90s, 5 males 90s, 1 female 100+, 1 male 100+
    DuPage County: 1 male 70s, 1 female 80s, 2 males 80s, 1 male 90s
    Jackson County: 1 male 80s
    Lake County: 1 male 70s, 1 female 80s, 1 male 80s, 1 male 100+
    Macon County: 1 female 70s, 2 females 80s, 1 male 80s
    McHenry County: 3 males 70s
    Monroe County: 1 female 90s
    Ogle County: 1 female 80s
    Rock Island County: 1 male 50s
    St. Clair County: 1 male 80s, 1 female 90s
    Whiteside County: 1 male 70s
    Will County: 1 female 50s, 1 male 50s, 1 male 60s, 1 female 70s

Union County is now reporting a case. Currently, IDPH is reporting a total of 24,593 cases, including 948 deaths, in 89 counties in Illinois. The age of cases ranges from younger than one to older than 100 years.

…Adding… Graph of new cases

  17 Comments      


Slowing the upward curve is just not enough

Wednesday, Apr 15, 2020 - Posted by Rich Miller

* We talked yesterday about how the state’s new infection doubling rate had dropped. It’s basic math to figure out what could have happened if that doubling rate hadn’t been curtailed. Here’s Heather Cherone at her new WTTW gig

By the time Gov. J.B. Pritzker ordered Chicagoans to stay home in an effort to stop the spread of the new coronavirus starting March 21, the number of confirmed cases was more than doubling every three days in Chicago, setting the city on a catastrophic course.

Had that pace of infections remained steady, 2,000 Chicagoans would have died and approximately 64,500 people would have been sickened by COVID-19, the illness caused by the virus, according to new data released by Mayor Lori Lightfoot.

Instead, the governor’s order and the mayor’s campaign to get Chicagoans to stay home through a series of humorous memes and videos mixed with stern warnings has saved at least 1,700 lives, according to newly released city data. […]

The number of cases of the virus is now doubling every 12 days [in Chicago], according to the data.

* But it wasn’t just the orders

“In many places, many people started staying at home before the orders came out,” [Ali Mokdad at the University of Washington] told me. “Many companies moved to working from home,” he said, including Seattle giant Microsoft, which switched to work-from-home several weeks before formal stay-at-home orders were put in place in the city.

* And the future is unclear

Most schemes to reopen the country rely on this: They require that case numbers fall for 14 days before the US starts loosening restrictions. The idea is that two weeks of falling cases is enough that it can’t just be a coincidence, and enough to lower the overall case count so regions can trace contacts and use more intensive monitoring approaches in a targeted way.

But even in the parts of the country that have now been living under extensive restrictions for several weeks, case numbers aren’t falling across the board — though in some areas (most crucially New York) they do seem to be. Other, more reliable measures like hospitalizations and deaths, aren’t falling either. That’s why the CMMID estimates the RO in the US at about 1 — each sick person is infecting about one more person. […]

In other words, social distancing is definitely working — but the question of whether it is working well enough remains to be seen, and the fact that numbers are plateauing rather than falling isn’t a great sign.

“It seems that the press has been eager to push the narrative of ‘we are near the peak!’ and ‘the end is in sight,’ but given the strong uncertainty about the future and lack of clear consensus among modelers, I think these messages are premature,” UMass infectious disease researcher Nicholas Reich argued.

This is exactly what we talked about earlier today. Reporters should take note.

* And Gov. Pritzker may well need to do something more like perhaps require masks in public to finally start pushing these new case numbers down. [Changed the link and deleted a graph.]

We’re not getting out of this mess until those new case numbers consistently fall for a period of time.

  23 Comments      


COVID-19 roundup

Wednesday, Apr 15, 2020 - Posted by Rich Miller

* Kane County Board Chairman Chris Lauzen

“I cannot criticize other (levels of) government,” Lauzen said at the public health committee meeting. “If I criticize the state, it won’t be the governor who turns around and punishes us. It will be the staff members. I know the quality, or the lack of quality, of the people who make decisions about the resources that come here. They are little people. Terrible. Terrible. You won’t find me at any time criticizing the state.”

Except he just did.

* Hannah Meisel

Despite Pritzker’s public goal-setting more than two weeks ago for Illinois to conduct 10,000 tests per day by the middle of last week, the state has not come close to reaching that goal in the days since.

The 4,848 new test results reported by IDPH on Tuesday is fewer than half of the 10,000-test benchmark Pritzker and Ezike say will help the state predict the virus’ trajectory and spread more accurately.

So far, 110,616 Illinoisans have been tested for Covid-19, but the state is consistently falling behind testing levels recorded in other states despite starting out as a leader in testing last month.

Pritzker last week said efforts that promised increased testing abilities, including the acquisition of five high-volume RNA extractors and Chicago-based Abbott Laboratories’ much-touted “rapid tests” each came with disappointing caveats.

Chart…

* Manny Ramos at the Sun-Times

Two nursing home workers accused two Chicago-area facilities Tuesday afternoon for wrongfully firing or suspending them after they raised safety issues.

Greg Kelley, president of SEIU Healthcare Illinois, said these were just just an example of many instances during the COVID-19 pandemic where union members’ concerns were being disregarded by nursing home owners.

Kelley said workers at Bridgeview Health Care Center and Alden Lakeland brought their concerns to management but were “disrespected, insulted and have in fact been fired” for raising issues with their employers.

“These employers seem to care more about maintaining their profits than the safety of those who live and work in their facility,” Kelley said.

* Joe Mahr at the Tribune

A prior Tribune investigation had found that the nursing home industry — particularly in Illinois — entered the pandemic with a poor track record at preventing the spread of infections. Patient advocates and workers have long complained the industry is built on a business model of overworking and underpaying its employees, such as certified nursing assistants, and that government penalties are insufficient to force change.

Health experts have also expressed fear that a pandemic could sweep through nursing homes, and clusters of COVID-19 cases have already emerged. One, at a Willowbrook home, had killed 10 residents and sickened 25 others, as well as 19 employees, as of Tuesday, health officials said. According to Lake County officials, 24 of 50 coronavirus deaths in that county involved nursing home residents, as of Tuesday morning. […]

In an email, the facility’s administrator, Martha Peck, declined to directly address Somerville’s allegations but said the home hasn’t disciplined or fired anyone regarding use of personal protective equipment or COVID-19 concerns. “Bridgeview is committed to the safety of our staff and residents,” she said.

She said the facility emphasizes to employees the “importance of a safe environment for all and the importance of using PPE to minimize risk.” When the home has temporarily run out of supplies, it has used substitutes approved by the Centers for Disease Control and Prevention, Peck said.

…Adding… Sigh…


* On to selected headlines from the Tribune’s live blog

Bleak IMF forecast: 2020 will be economy’s worst year since Great Depression. ‘This is a crisis like no other.’

Blackhawks convention — originally scheduled for July 26-28 at the Hilton Chicago — is canceled

Best Buy to furlough 51,000 store employees amid coronavirus sales slump

How to get a refund for coronavirus-canceled travel, from hotline help to ‘the nuclear option’

FDA approves first saliva test for coronavirus

Unprecedented’ number of people turning to GoFundMe as a last resort during pandemic. ‘It’s like you’re putting your heart out there’

Chicago police setting up checkpoints to remind people of stay-at-home order and provide a presence in areas of violence

Getting an economic stimulus check? Trump’s signature will be on it, a break in protocol

37 immigrant children in three Chicago-area shelters test positive for COVID-19

* Sun-Times live blog

A CTA bus driver with COVID-19 has died, the transit agency announced Tuesday, becoming the second CTA employee to die of the coronavirus.

Two more employees at the Cook County Circuit Court clerk’s office have tested positive for COVID-19, bringing the overall total to 18.

WavePads Water Rafts in Plainfield pivots to manufacturing face shields

* Roundup…

* Peoria faces possible $50 million budget deficit because of coronavirus: The city’s budget was $218 million this year. Without any assistance and if the city’s closed until July 1, it would only take in about $163 million in revenue.

* The story behind Chicago’s deep stock of COVID-fighting equipment: Chicago spent years quietly amassing more than 3.9 million N95 masks and other protective gear before the pandemic hit, and has been busy sharing its stash around.

* Officials announce two more deaths at Fair Havens Senior Living Facility

* Republicans send Illinois Governor J.B. Pritzker this open letter about coronavirus

* With few powers during emergency, some Republican Illinois state lawmakers still want collaboration

* US farmers estimated to lose $20 billion in 2020 due to coronavirus crisis

* Meat prices impacted by plant closures due to coronavirus

* COVID-19 leaves livestock producers ‘in limbo’

* IDHS to close remaining local offices

* DuPage provides $85,000 to help pay for hotel rooms for the homeless

* UI dorms ready to receive health care workers if necessary

* College’s program prepares respiratory care therapists for pandemic

* What community colleges are doing with millions in federal COVID-19 relief funds

* Suburban forest preserves keep monitoring, will stay open ‘as long as people behave’

* Christian County reports fourth COVID-19 death

* Housing market is still moving, but it’s a tougher sell

  19 Comments      


Open thread

Wednesday, Apr 15, 2020 - Posted by Rich Miller

* Baseball without fans. I dunno…


* Also…


  28 Comments      


Protected: *** UPDATED x2 *** SUBSCRIBERS ONLY - Today’s edition of Capitol Fax (use all CAPS in password)

Wednesday, Apr 15, 2020 - Posted by Rich Miller

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*** LIVE COVERAGE ***

Wednesday, Apr 15, 2020 - Posted by Rich Miller

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Pritzker points to improved doubling rate, increased hospital capacity - 3600 out of state and retired healthcare professionals have signed up to join fight - Survey shows 69% recovery rate after 28 days - Talks about regional cooperation - Cooperation not a reaction to Trump comments - Repeats that state offers to Chicago for election day assistance were all rejected - Open to leaders meeting - Refuses to take Trump bait - Will talk about budget later this week - Decision “relatively soon” on state fairs

Tuesday, Apr 14, 2020 - Posted by Rich Miller

* From the governor’s press conference today

On March, 22, the rate at which are COVID positive case count was doubling was just about two days. By April 1, that rate had increased to around 3.6 days. As of this Sunday, April 12, our case doubling rate had reached 8.2 days.

Similarly, our mortality, doubling rate has increased. At the beginning of April it was at 2.5 days, and it is now at 5.5 days.

To be clear, there is nothing good about twice as many people having this virus, or worse, dying from it. No matter how long the increase takes. But we won’t get to zero cases overnight. The fact that our doubling rate continues to increase in every metric is a clear demonstration that there is a deceleration of virus transmission. We are in fact, bending the curve.

* Hospitalization-related numbers…

Perhaps the most accurate leading indicator of our progress is our hospitalization data. Right now, if someone is sick enough with a respiratory illness to need hospital care, then it’s likely that that person has COVID-19, whether or not they have been tested.

On April 6, the number of known COVID patients and suspected COVID patients totaled 3680. On April 10, that number was 4020. On April 11, it was 4104. On April 12 4091. As of today, it was 4283.

As you can see these numbers are increasing. However, so too is our overall hospital capacity. Our hospitals are working every day to add beds. In August of 2019 just to give you a number, way before COVID-19 came to us, our state averaged about 25,500, total beds. As of this weekend, our total bed count is about 30,002.

Other important metrics are ICU beds and ventilators. A week ago, COVID patients as a percentage of ICU beds increased from 35% to 43%, an eight percentage point jump. COVID patients today occupy 40% of our total ICU beds, that’s down from the 43% a week ago.

In the same timeframe, COVID patients as a percentage of total ventilators grew from 24 to 29% of five point jump in a week. COVID patients today occupy 25% of our total ventilators both of those numbers are evidence of positive trends, a declining number percentage of ICU beds, occupied by COVID patients, and the declining number of ventilators occupied by COVID patients. Additionally, our total ventilator numbers are starting to reflect the additional ventilators that we’ve acquired now totaling more than 3000 across the state. Overall these numbers are indicators of our growing ability to manage capacity within the healthcare systems across Illinois.

Remember to pardon all transcription errors.

* More on hospitals…

No region is currently below 15% availability in any of these metrics, but there are individual hospitals that are operating at or near max capacity. Right now hospitals are by and large doing a great job of directing patients, amongst themselves, but if it becomes necessary I will not hesitate to step in to direct ICU patients to hospitals that are more available.

…Adding… From a press release…

* Lots of people coming in…

I am so deeply thankful for the now 3600 retired and out of state healthcare professionals who have applied to join the Illinois fight against COVID-19.

* Dr. Ezike then talked about recoveries…

We sent out these electronic surveys to people to catch their recovery rate at seven days, 14 days, 21 days and 28 days. As you can imagine people are getting better with time.

For people who don’t respond to this survey, we have a staff of 23 individuals who are calling to follow up. We’re making about 300 calls a day to people who didn’t respond, of which approximately half of those results in a successful interview.

So to share those results, I am happy to report that of the people who were surveyed at seven days, 44% have indicated recovery. At 14 days, the number increases to 50%. At 21 days after testing positive, we have 61% of people who responded, either to the initial electronic survey or the follow up telephone call, that they no longer have symptoms. And at 28 days, 69% of people reported no COVID-19 symptoms, and feeling much better. So again, people are getting better people recover from this disease.

It is important to note that not everyone responded to the survey so potentially the averages could be higher.

* On to questions for the governor. Asked about regional cooperation agreements with other governors…

I began this conversation really late last week with some of the East Coast governors. And then, over the last few days with my counterparts in Midwest states surrounding us.

Our goal of course for this is to start to think about what are the preconditions for beginning to allow certain kinds of businesses to open their doors again, to expand the definition of those who can work are those businesses they can have their doors open.

And again, as I’ve said the preconditions that I think are appropriate are a lot testing, tracing and treating. And then I would add to that the availability of PPE to the entire population, even those who might not be able to afford their own PPE so those things together I think are the preconditions and you know there are a lot of other things to discuss.

The governors that I’ve spoken with have been very frankly very positive about this idea. They’ve all been thinking about it individually for their states and understand that speaking with a common voice might be a positive move.

* Is this in part in response to the president saying that he’s going to be the one to dictate everything and he’s in control, if you will…

No. I in fact we’ve been all of us thinking about what’s next. We have our stay at home order in place that the closing of schools and so on. What comes next, what are the things that trigger a change. And you know how much you know how much can we do and how fast can we do it all of that I might add is going to be dependent upon what we hear from the epidemiologists and the doctors.

The governor was asked yet again why he didn’t shut down the primary election and he responded yet again that he had no constitutional authority to do so.

* Another part of that question was poll workers reporting that they had no sanitation supplies or related on primary day…

We were assured by the boards of elections that in fact they had the PPE or the sanitary devices that they needed. And we were willing to provide them. Indeed we were even willing to provide poll workers for them … At least in Chicago, that was rejected. And so, you know, that was their choice. They felt like they had a handle on it.

* Wondering if you can break it down by infection rate relative to the number of residents in Illinois…

I mean, it’s very hard to say because we aren’t testing everybody in the state of Illinois. What we know is that the percentage of people who are tested.

Let me back up just for everybody who hasn’t followed this. We’re testing people who show some symptoms of COVID-19. […]

It might be more useful to look at the broad global data that’s available and I’ll just share that with you as well. About 80% of people who get COVID-19, and by the way we believe everybody is susceptible to COVID-19. Period. End of sentence. You either have had it already, or you’re going to get it, unless we have a vaccine that prevents you from getting it which we don’t currently. So 80% of people who get COVID-19 recover just fine, don’t require hospitalization or anything of a significant medical intervention nature. About 19% require some further hospitalization or other intervention. And then about 1% unfortunately about point seven to 1% pass away, in, in many cases because they have either a comorbidity or they’re in an age bracket that is most susceptible.

* Another question about regional cooperation…

Look the conversations are very much, very similar that each of us might have, a slightly new idea to offer in the conversation. But when I talk about testing tracing and treating everybody understands exactly what that means. And that we in fact need to do that so widespread testing. So for example I talked to a governor, who’s talking about buying a commercial lab that exists in their state and converting it entirely to testing for COVID-19, and it would yield for that Governor 10s of thousands of tests on a daily basis. So that’s something they’re looking at to deal with the testing part. I am looking significantly at not only the increases in testing that we’ve begun to, to see at our seat labs and working with our hospitals, but on the tracing part, looking at models like what they are doing in Massachusetts, where they have a, you know, a case tracing collaborative that exists or at least that they’ve stood up but you know it’s just getting going where they’re just using good old fashioned shoe leather, to make sure and call every single person that may have come in contact with somebody who has COVID-19.

* Asked about Leader Brady’s request for a leaders meeting…

First of all I speak with the leaders all the time. I think every one of the leaders would tell you that I’ve had multiple conversations with them. And I’m always happy to have a, you know, we can convene a zoom conference or teleconference all of that. I’m happy to do any of that anytime with any of them. But I have been very communicative with each and every one of them. I’ve spoken with every leader probably, on average, once a week, maybe, maybe once every two weeks it’s hard to tell, but it’s usually we have an agenda of things that we’re discussing each of us, and we’re trying to make sure that we can keep things moving forward, those who might suggest that we haven’t been having those conversations or not paying attention to the fact that the leaders and I and the fact that I pick up the phone, virtually every day I call multiple legislators on both sides of the aisle to make sure that I’m communicating with them but even more importantly listening to them about concerns that their constituents may have and what we could do in the executive branch to make their their lives easier.

* Now on to a few questions from reporters trying to get him to whack the president. Do you worry that the criticism of the Trump administration could come with retribution that prevents Illinois from getting PPE and other help in the COVID battle?…

Well I compliment the administration when they do things right, when they deliver on their promises, and I’ve been critical when they don’t. And I think that is the proper way for me to operate I’m defending and working on behalf of the people of Illinois. And each time I have been critical we’ve actually received more from the federal government. And each time I’ve been complimentary it’s because they delivered on a promise to us and I was glad that I wanted people to know that.

* There’s a lot of talk about the president reopening the country. Are you going to be working with the white house as the president claims, or do you want to work mostly with state experts…

Well I’ll listen to anybody. But I what I won’t do anything that will jeopardize the safety and health of people here in Illinois.

* What is your administration heard about hydroxychloroquine? The President has said it should be used as a coronavirus cure. Do you think that’s good advice?…

Dr. Ezike: There are multiple different treatments that people are trying off label. Off label means that there’s a medicine that’s approved for a different cause but is now being tried for COVID-19 patients. So there are many, there’s antibiotics, there are antimalarials, which are anti parasitics, there are anti virus medicines. So, all different types of medicines are being employed. And then what we need to really figure out if it’s the right way forward and now it would go on to get FDA approval for a specific indication is to have these randomized controlled trials randomized controlled double blind trials, as the governor already described and so when you get these large scale trials and then you prove scientifically with sufficient power that there is one treatment is either better than placebo or better than an alternate treatment. Then that’s how it goes on to move for FDA approval.

So, again, anecdotally that’s where it starts where you get, as I hear stories that we tried this at work, we tried this work and the next step is to take it into trials. And so, again, people in terms of what recommendations are officially put out are usually based not on anecdotes, but more so on trials and the results of trials and so we’re looking forward to getting some of those results of some trials that might be going on so that we can spread on if some of these anecdotes actually proved to be factual and work great.

* With multiple projections showing billions of dollars in lost revenue due to COVID-19 and the Comptroller’s office showing nearly $200 million in cost What is your plan to close the gap in this year’s budget and when will you present a new FYI 21 plan?…

We’ll be talking about that later this week. It’s obviously been very much on our minds.

I spend an awful lot of time every day focused on trying to reduce the infections across the state and reduce the hospitalizations and the need for ventilators and of course reduce the death rate.

I have also had my budget and economy team working hard on exactly how big the hole will be from a revenue perspective as well as obviously the expanding that we’ve had to do to protect people in the state, and then try to project forward what does this mean for a budget in 2021.

And then ultimately we’re going to present our best ideas, and our best estimates to the legislature, who is finally responsible for passing a budget. But we’ll be presenting that going forward.

I think no one should mistake the fact that this is going to be a very, very difficult fiscal financial challenge for the state of Illinois. It’s one of the reasons why I think all of us should be communicating with our federal representatives here to work hard to get the government in Washington DC to help all of the states because we really have this problem in common with all the states you hear Governor’s say this all the time. We have big holes in our budgets as a result of what’s happened with COVID-19 it’s nobody’s fault it just is where it is and we’re going to have to deal with it.

* Given your concerns about summer events do you think the Illinois State Fair should proceed as scheduled?…

Well, we’re going to have to make decisions relatively soon because contracts have to be signed. And I think that was really the point I was making a few days ago when I talked about summer festivals was more or less just a lot of planning goes into these things and decisions have to be made.

So, yeah, I mean we’re gonna have to make some decisions. And I have as much fun as anybody does at the state fairs and I’m hopeful that we could have both our state fairs the one in DuQuoin and the one in Springfield. But I am also just going to listen to the experts and make sure that we do the right thing so that we don’t spread this COVID-19, and that we don’t have a spike in you know all the hospitalizations and ultimately and people passing away.

-30-

  35 Comments      


Question of the day

Tuesday, Apr 14, 2020 - Posted by Rich Miller

* Rep. Mike Zalewski (D-Riverside) gave himself a “co-hawk” (get it?) haircut to raise money to help local servers and waitstaff who lost their jobs. You can find out how to contribute by clicking here. This is a photo he sent me…

Um.

* The Question: Caption?

  49 Comments      


*** UPDATED x1 *** Brady sends out press release asking Pritzker to convene leaders meeting

Tuesday, Apr 14, 2020 - Posted by Rich Miller

* From Senate Republican Leader Bill Brady…

Today, I am calling on Governor Pritzker to convene the four legislative leaders to share what planning is underway as it relates to the reopening of our state. As no official notice has been made about extending the current stay-at-home order, I believe we need to begin discussions on an eventual, responsible opening of our state’s economy. And while I appreciate the governor’s willingness throughout this crisis to talk with me one-on-one, it is important for the leaders to meet.

Looks like member management to me. I’ve inquired as to whether he’s privately asked the governor for a leaders meeting before issuing this press release and am awaiting a response. I’ve also asked the same question of the governor’s office and asked the two Democratic leaders if he had talked to them about this. Madigan’s spokesperson said he wasn’t aware of any such request.

…Adding… From the SDems…

The Senate President talks with Leader Brady regularly and is always willing to talk with the governor and other leaders.

*** UPDATE *** The governor was asked about it today…

First of all I speak with the leaders all the time. I think every one of the leaders would tell you that I’ve had multiple conversations with them. And I’m always happy to have a, you know, we can convene a zoom conference or teleconference all of that. I’m happy to do any of that anytime with any of them. But I have been very communicative with each and every one of them. I’ve spoken with every leader probably, on average, once a week, maybe, maybe once every two weeks it’s hard to tell, but it’s usually we have an agenda of things that we’re discussing each of us, and we’re trying to make sure that we can keep things moving forward, those who might suggest that we haven’t been having those conversations or not paying attention to the fact that the leaders and I and the fact that I pick up the phone, virtually every day I call multiple legislators on both sides of the aisle to make sure that I’m communicating with them but even more importantly listening to them about concerns that their constituents may have and what we could do in the executive branch to make their their lives easier.

  10 Comments      


*** LIVE COVERAGE ***

Tuesday, Apr 14, 2020 - Posted by Rich Miller

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« NEWER POSTS PREVIOUS POSTS »
* Roundup: Pentagon plans military deployment in Chicago after Trump threat
* Reader comments closed for the weekend
* Isabel’s afternoon roundup
* Numbers dump! Raja poll claims 20-point lead
* President says Chicago is 'probably next' after DC (Updated x4)
* Maybe it's time the state did something about this problem
* Roundup: RTA shifts $74M from Metra, Pace to CTA to buy time before transit cliff
* Catching up with the federal candidates (Updated)
* Isabel’s morning briefing
* Open thread
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