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Please, don’t be a Covidiot

Monday, Apr 6, 2020 - Posted by Rich Miller

* Rep. Brad Halbrook on Facebook


Posted by Brad Halbrook on Monday, April 6, 2020

* A commenter on the Rend Lake Visitor Center’s Facebook page asked a few days ago if people can still fish at the lake. The center’s response

Yes. If you are using a boat, the South Marcum, Dam West, and Cypress View boat ramps are open. The North Gun Creek Boat Ramp, managed by the Rend Lake Conservancy District, which is where the Buck and Bass Cabins are is also open. This ramp is located north of Hwy 154, across from the Rend Lake Golf Course and just west of the I57 Sesser exit. If you are interested in fishing from the shoreline, all the hunter/fisherman parking lots managed by the Corps of Engineers, the Spillway recreation area, and the Dam West recreation area are all open at this time.

…Adding… Alton Telegraph

Alton Mayor Brant Walker on Monday described his wife, Shannon Walker’s decision to attend a gathering at an Alton bar that was ultimately shut down by police as “a stunning lack of judgment.”

Brant Walker issued the statement soon after Alton Police Chief Jason “Jake” Simmons reported that officers broke up the party at Hiram’s Tavern, 213 W. 3rd St. in Alton at approximately 1 a.m. Sunday.

Simmons said a criminal complaint of reckless conduct will be filed against each person at the party for violating the state’s State At Home order amid the coronavirus pandemic.

Brant Walker says he instructed Simmons to not give his wife any special treatment.

  36 Comments      


Pritzker says PPE “burn rate” far outpaces federal supplies - Good advice to avoid grocery stores for two weeks - Could be more restrictions coming - Where is he getting ventilators? - Federal medical help coming - “I’m going to turn into a hippie at some point here” - Listened to CDC when he said risk was low - Looking at ways to balance budget, but will need federal help - Addresses high African-American cases - “Nobody wants to have police patrolling the parking lots of churches, or synagogues or mosques to break people up. It’s not right.”

Monday, Apr 6, 2020 - Posted by Rich Miller

* Gov. Pritzker at today’s media briefing…

The shipments that we’ve received from the Strategic National Stockpile is a mere fraction of what we’ve asked for. 367,795 masks. 1,141,000 surgical masks. Nearly 693,000 gloves. 174,000 face shields, 142,000 surgical gowns and 4000 coveralls. Again, this is a small fraction of what we need. And what we have asked for. […]

Right now, we’re looking at a statewide 10-day PPE burn rate of just under 1.5 million N95 masks, 25 million gloves, 4.4 million gowns and 700,000 surgical masks.

And that’s just across our hospitals and long term care facilities, with small set-asides for our law enforcement to make sure that they are fully covered, and our essential state workers. That’s also before you count the McCormick Place alternate facility, which we project could bring our surgical mask burn rate to over 2 million across that 10 day period, to just offer one more example.

As you can see when you compare our federal shipments to our burn rate, the product that we’ve received from the federal stockpile will last only a handful of days in this multi month battle.

Please pardon all typos.

* On to questions for the governor. Dr. Deborah Birx at the White House as been saying no grocery store for the next two weeks, nothing, stay home completely. Should Illinoisans follow that advice?…

I have not heard her say that, but I understand exactly what she’s saying, that if you can stock up, and we’ve talked about this before when we did the stay at home order to begin with, that people should try to stock up for a period of time, 14 days, if they can certainly. The less interaction that people have over an extended period of time, the more likely it is that we’re going to be bending this curve

* Considering a curfew, whether that be shortening the hours of some of these essential businesses, you know, only one person per household?…

Yes, I would. I mean, the answer is we try to look at all of these things all the time where you know you’re want to balance people’s civil liberties and and our need to be able to stay at home and to defeat this virus. […]

There are lots of things that we can do to limit peoples’ gathering and conveying this virus to one another, and we of course are considering them all the time.

* The White House has sent 450 ventilators. The state has requested more than 4000. Where are you going to get the ventilators you need?…

So we’re, day in and day out, we are on the phone with companies that have ventilators and companies that could provide ventilators to us from that manufacturer. I’ve been on the phone with the head of Ford Motor Company, which is about to come out with their version of a ventilator, with General Motors or at least the people who are coordinating the effort for General Motors to gather to get those ventilators. I’ve talked to the head of by air, a company that’s based here in Illinois that makes ventilators, so we’re doing everything we can. I’m just one person that’s been on the phone around ventilators. We’ve also collected up ventilators from places that you might not normally expect us to have one. There are dental offices sometimes just in the event that somebody has a problem, you know, it’s very unusual right but many dentists will keep a ventilator around anyway surges centers where elective surgeries had taken place, that are not open today right they all, many of the most of them had ventilators.

* Federal help staffing McCormick Place?…

We will be receiving some federal medical staff, it hasn’t been made clear that there’ll be in McCormick Place. But we were notified that in fact there are federal army and other military medical staff that will be made available to us in the state of Illinois, so I’m very pleased to hear that and as to where they’re going to be assigned we haven’t yet had that conversation.

* “Can I ask you about, it might seem silly, but there’s some criticism today to the mayor, for having a hairdresser come to her and giving her a haircut. What are you doing about a haircut? Have you had a haircut? What do you think folks should do who are not able to go to the hairdresser? They see the mayor has had a private haircut, and they’re upset”…

Well, I can’t speak to the situation of the mayor’s haircut, but I will say I have not had a haircut since before the stay at home rule was put in place. I actually feel like I’m getting a little shaggy, I’m going to turn into a hippie at some point here. My hair grows pretty fast, so maybe I’ll learn how to use a flowbee or something else to cut my own hair. But look I mean these are some of the consequences that I think we’re all having to experience I know that they’re things that people might normally buy makeup that you might go to a makeup counter somewhere to get that you can’t get any more, because those stores are closed. […]

But, you know, everybody’s making sacrifices here and I’m sure that whatever the mayor did she did in a way that is safe for everybody and for her for the people who may have, you know, done. You know, dressing her hair you know doing her haircut.

* Governor, you said at least twice ,the last time on March 5, that the risk to the general public remains low. Why did you say that, and what were you basing that, when did you change your mind?…

Well I was listening to the CDC. And what I heard from the CDC was that the risk to the general public was low. And I think the CDC is a terrific organization mostly has gotten things right over the many years that I’ve been alive. And so I believed what they were saying and I was repeating that I think I still think it’s a great organization I think that for whatever reason at the federal government level I think perhaps decisions being made at the White House. They weren’t giving very strong advice about what to do, proactively to address cobit 19. But as you know, we took early actions without the CDC, and I’m hoping and praying that those actions are, you know, delivering good results for the state of Illinois.

* What steps are being taken to shore up state spending in anticipation of the crater of state revenues? Is your administration implementing any cutback of services or staff reductions?…

First of all, this is, I mean it’s unprecedented in terms of the state even compared to 2008-2009, the revenue shortfall, the things that we’re having to do to address this, you know is creating a gap that I don’t think anybody could have anticipated. So we are looking very hard at what we need to do to to get the revenues and expenditures in line with one another. I think a lot of it is going to depend upon the federal government I mean there’s just no one else who can step in the, you know, to help our state finances, the way that the federal government can.

* With African-Americans representing a disproportionate number of COVID 19 fatalities, what plan does the administration have to attack this problem? Any theory about why blacks are being hit harder?…

There was a rumor, also very false, that African Americans were, I read this recently in a, in a serious publication, that the there was a rumor that African Americans were immune. And I hope people didn’t read that, or understand that but that is a rumor that was put out on social media. And so that obviously is false.

The flipside is also false that this this adversely affects African Americans, because COVID 19 by its very nature has some disproportionate effect on the African American populaetion. Here’s the reason that we think that it has a disproportionate effect on the African American community, things that Dr. Ezike was saying, underlying conditions that exists, the poor health care that has been provided you know because of years of disinvestment in communities of color. Those have both come together, this virus has had this terrible effect on the African American community because of those two things when there are, you know, a large number of people in the African American community with diabetes and with hypertension. And those are comorbidities that can cause greater problems with COVID 19. Together with the idea that there aren’t the safety net hospitals are challenged in our state, and tthe availability of health care in communities of color has been at a lower quality or lower availability than in other communities so those have worked. So we are countering it both by reopening hospitals that are in those communities. You’ve seen us working on reopening those as well as by making sure that we’re messaging properly, we’re using social media, and our All in Illinois campaign to message directly into the African American community about stay at home about making sure that people are washing their hands, that they’re, you know, wiping down surfaces and all the other things that we’ve asked people to do.

* What are your thoughts about Illinoisans still planning to travel Wednesday to celebrate Passover this weekend to celebrate Easter. You’ve clearly discouraged residents to stay home and maintain social distancing, but do you have a specific message for those wanting to celebrate with their family anyway? Will there be any sort of enforcement mechanism to ensure there is no needless travel in the coming weeks?…

Look, I understand the desire to worship. Passover is coming up. We’re in Easter week.

This is an important holy time of the year. And I want very much for people to experience the spirituality that they normally would. We live in a very difficult time. And I would suggest that, unfortunately, where we all should start to think about how we’re going to use technology in order for us to gather in order to hear our pastor or a rabbi, you know, or a imam or whoever we worship with, you know, to listen to them and to worship online perhaps by video or by phone, and to connect with family in the same way.

It’s very important if your family doesn’t live with you and you normally would get together for the holidays. This is a time when you’ve got to look for another way to do it. I’ve heard people using zoom. There’s a funny term I’ve heard for Passover Seder as a Seder zoom Seder. And I think that we’re all going to be experiencing the holidays in a very unusual ways this year but it’s very important. I cannot reiterate this enough. It is very important that you stay home. It is very important that you do not gather in a place of worship or in somebody’s home with you know with other families or even with your family if they don’t live with you. It’s, we’ve got to protect each other and this will not last forever, but this is one Easter, one Passover that you’re going to have to do something unusual on the way that your worship and I asked you please do that for all of us.

* You said last week that you’d exhausted nearly every step at the state level to slow COVID 19 spread. On Sunday, you mentioned some other measures such as temperature checks. When would those steps become necessary?…

I think what we’re trying to do is, again, keep it balanced. This question was asked a little bit earlier, there’s a balance between, trying not to impose on everybody’s civil liberties, and at the same time trying to defeat this virus. And so, evaluating that every day, and I think the triggers would be if people are just not living by the rules, we’d have to enforce them to a greater extent.

You know, especially around the holidays here, nobody wants to have police patrolling the parking lots of churches, or synagogues or mosques to break people up. It’s not right. It’s not fair to the police officers either.

And we just, we all need, we are in this together, we all need to step up and do the right thing even if this time of year especially at this time of year.

  23 Comments      


1,006 new cases, 33 additional deaths

Monday, Apr 6, 2020 - Posted by Rich Miller

* Press release…

The Illinois Department of Public Health (IDPH) today announced 1,006 new cases of coronavirus disease (COVID-19) in Illinois, including 33 additional deaths.

    Cook County: 1 male 30s, 2 males 40s, 1 female 50s, 2 males 50s, 5 females 60s, 1 male 60s, 5 females 70s, 2 males 70s, 1 female 80s, 2 males 80s
    DeKalb County: 1 male 50s
    Lake County: 2 males 80s
    Will County: 1 male 40s, 1 male 50s, 2 males 70s, 2 females 80s, 2 males 80s

Jefferson and Wabash counties are now reporting cases. Currently, IDPH is reporting a total of 12,262 cases, including 307 deaths, in 73 counties in Illinois. The age of cases ranges from younger than one to older than 100 years.

  8 Comments      


Question of the day

Monday, Apr 6, 2020 - Posted by Rich Miller

* From Sunday on the blog

S&P has revised its state of Illinois credit outlook from BBB-/Stable to BBB-/Negative.

That means Illinois is now just one tiny tick above non-investment grade status, or junk bond territory.

We’ve been here before. S&P assigned a BBB-/Negative rating to Illinois in June of 2017, the month before several Republicans broke ranks with Gov. Bruce Rauner and ended the two-year budget impasse.

S&P raised Illinois’ outlook to BBB-/Stable in July of 2019.

The problem here is that, by all accounts, this COVID-19 problem is nowhere near the end.

Brace yourselves.

* Greg Hinz followed up last night

Pritzker’s office said in a statement: “The state of Illinois is committed to working through the difficult challenges brought on by COVID-19. The state prioritizes its debt payments and will ensure we stay on track through this crisis. By working together, Illinois will get through this crisis and rebuild our economy with new resolve.”

* The Question: Do you think Illinois can avoid junk status? Explain.

  30 Comments      


COVID-19 roundup

Monday, Apr 6, 2020 - Posted by Rich Miller

* Uh-oh

A second apartment complex in Taylorville has been quarantined because of COVID-19

Three people at the Park Glen Apartment Complex tested positive for the virus, and the facility has been placed under a 14-day quarantine.

The Christian-Montgomery County Emergency Management Agency reported that Christian County’s public health administrator, Denise Larson, was notified of the positive tests late Sunday afternoon, and the Illinois Department of Public Health recommended the quarantine.

* They’re now up to four at this nursing home

According to health officials, one of the Jackson County COVID-19 cases reported Sunday is a resident of Manor Court, a skilled nursing facility within Liberty Village of Carbondale.

Bart Hagston, administrator for the Jackson County Health Department, said Monday that the woman in her 60s whose positive status for the virus was released on Sunday is a resident of Manor Court. Hagston said this marks the fourth case at the facility — one of those cases was a woman in her 90s who died on Thursday. She was the first in the lower 17 Illinois counties to die from the respiratory disease.

* Good news

Two weeks after a rapid and deadly outbreak of COVID-19 cases hit a Lake Zurich assisted living center, the situation there has stabilized, a representative said.

No new coronavirus cases have been discovered among residents or staff at Cedar Lake Assisted Living & Memory Care, 777 Church St., said William Swearingen, an executive with Spectrum Retirement Communities, the company that manages the facility. […]

Nine of Cedar Lake’s 65 residents tested positive for COVID-19 in the last week of March. One subsequently died at a hospital.

Two workers tested positive for the virus the same week. Neither are caregivers, and both were expected to recover, Swearingen said.

* Press release…

State Rep. Emanuel “Chris” Welch, D-Hillside, will be featured on the first episode of the new show Illinois Connected that will air on Tuesday, April 7 at 10 a.m.

Illinois Connected is a new statewide show that highlights current events in the state of Illinois and is streamed on livestream.com/blueroomstream. Welch will be featured in the first episode, touring the 7th district and giving an update on the state’s efforts to combat the COVID-19 pandemic.

“It’s imperative that folks stay home to save lives and flatten the curve,” Welch said. “This program will help give me the opportunity to update residents on the reopening of Westlake Hospital and let them know how they can help flatten the curve and support our local businesses—all from the comfort of their own home.”

* Letter to the editor writer is unclear on the concept of news

Today’s News Sun headline about the coroner preparing a refrigerated semi-trailer for bodies is totally uncalled for. Talk about a downer. I think everyone knows that preparations are being made, but to have this as the first thing you see when you open your morning paper is disgraceful.

* Selected headlines from the Tribune’s live blog

Chicago’s Local School Council elections postponed because of COVID-19

Lightfoot joins 8 Chicago sports teams in a new ‘We Are Not Playing’ ad campaign to help stop the coronavirus spread

Lightfoot says CTA schedule changes, service disruptions unlikely

With fewer drivers on the road because of coronavirus, Allstate will return $600 million in premiums to its customers

Federal lawsuit seeks immediate release of medically vulnerable inmates at the Cook County Jail

Coronavirus case curtails operations at domestic violence court, even as hotline calls increase

McDonald’s to donate 1 million N95 masks to Chicago, state health care workers

* Roundup…

* As cases surge, 3 in 4 US hospitals already facing COVID-19

* Panic-buying for coronavirus affects diabetes patients: They can’t find rubbing alcohol

* Pentagon: Active duty infections topped 1,000

* Veterans hospital employees fear new work-from-home ban will endanger community

* Governors plead for food stamp flexibility amid pandemic

* Will Bears be playing in Soldier Field by September?

* ‘Part of the team’: How local truckers are delivering for health care providers

* Local 3-D printers becoming the front line of the PPE supply chain

* Emergency childcare providers are taking care of essential workers’ kids in Southern Illinois

* How the coronavirus is being felt by Macon County animal shelters

* Shelby County Board to hold meeting — outdoors

* Illinois lawmaker says China government should pay for damages: The U.S. Congress would have to waive the applicability of the doctrine of sovereign immunity to allow Americans to take legal action against the Chinese government.

  7 Comments      


*** UPDATED x1 *** Am I missing something here?

Monday, Apr 6, 2020 - Posted by Rich Miller

* ProPublica Illinois today

Five months ago, when Illinois schools Superintendent Carmen Ayala learned students were being repeatedly shut inside small rooms alone as punishment and physically held down on the floor, she said she cried. She vowed it would never happen again.

But Illinois State Board of Education officials negotiated with a key legislative rule-making committee to allow schools to use prone restraint for one more school year, aiming to phase out its use by July 2021. The decision last week came after a few small schools — including one whose advisory board includes state lawmakers — mounted letter-writing campaigns and direct appeals to government leaders.

State education board members already had relaxed the emergency ban that prevented children from being secluded by themselves, though with clearer direction on when isolated timeouts can and can’t be used and, for the first time, state oversight. The board, however, had remained firm on not allowing face-down, or prone, floor restraints because they are too dangerous.

That last sentence is not true.

* How do I know it’s not true? From ProPublica Illinois this past December

Illinois Will Allow Prone, Supine Restraints on Children While Schools Learn to Phase Them Out

Amending emergency rules put in place two weeks ago, the Illinois State Board of Education says it will again allow schoolchildren to be physically restrained in positions it had banned, though only in crisis situations.

All JCAR did last week was extend those amended emergency rules from last December. The emergency rules covered quiet rooms and physical restraint.

* Hannah Meisel at the Daily Line thoroughly covered last week’s meeting

The commission, known as JCAR, meets monthly to approve rules written by state agencies and boards in order to implement newly passed state laws. Often, before JCAR is able to take final action on rules, emergency rules will be written that can last up to several months.

One of the most pressing set of emergency rules JCAR needed to vote to extend were ones approved by the Illinois State Board of Education in November after Tribune/ProPublica Illinois investigation into the use and potential abuse of isolation rooms in school settings for children who are deemed disruptive in classroom settings. The new rules prohibit the use of locked seclusion rooms and stop schools from using prone restraint.

Cunningham said though the emergency rules would expire while school was still out of session in Illinois due to Pritzker’s executive order shuttering schools to prevent the spread of coronavirus, also known as Covid-19, the rule was still important to have in place for special education students who have been moved to out-of-state boarding schools better equipped to handle their needs. Some of those schools are still in session. […]

Beyond those special education students at out-of-state facilities, Cunningham said that if school was resumed statewide in a month or further down the road, without JCAR having met to extend the emergency rules on isolation rooms, it would “become a complicated legal question.”

“We would open things up to all sorts of legal debate about us renewing a rule after it was already expired,” Cunningham said. “Do we have ability to extend a rule that already expired?”

*** UPDATE *** ISBE…

Hi Rich,

I am sending some information for your post on the recent ProPublica story on prone restraint: https://capitolfax.com/2020/04/06/am-i-missing-something-here/.

Following weeks of conversations, it became clear that it would not be possible to move forward with a ban on the use of prone restraint via rulemaking at this time. JCAR informed ISBE that if a one-year extension on the practice was not accepted, a filing prohibition for this section would be under serious consideration by members. ISBE agreed to this one-year extension on the use of prone restraint in very narrow circumstances to allow schools more time to transition to less restrictive techniques.

ISBE looks forward to continued talks with members of JCAR and with members of the General Assembly regarding the agency’s concerns with the use of prone restraint. ISBE will fully support legislation to ban prone restraint.

Thank you,
Jackie

Jackie Matthews
Director of External Communications
Illinois State Board of Education

  8 Comments      


Today’s heroes

Monday, Apr 6, 2020 - Posted by Rich Miller

* From the Effingham Daily News

Two local Certified Nursing Assistants are heading to the front lines of Illinois’ fight against the COVID-19 pandemic.

Taylor Flowers of Mason and Kayla Summann of Altamont, both 23, will spend eight weeks in Chicago helping hospitals and medical facilities care for COVID-19 patients. […]

“My family was super encouraging. My boyfriend, Kevin, was my ultimate supporter and pushed me to go,” Flowers said.

Summann’s children and fiancé understood her desire to join health care workers in Chicago. She said her family agreed that it was the best move for her career, and though they are worried for her safety and health, Summann said her family shared words of encouragement.

* The paper’s Jeff Long has a regular “Roses and Thorns” column and he recently singled out the two women for praise

There really aren’t enough roses in the world for two local Certified Nursing Assistants who are now on the front lines of Illinois’ fight against the COVID-19 pandemic. As EDN Reporter Kaitlin Cordes wrote this week: Taylor Flowers of Mason and Kayla Summann of Altamont, both 23, will spend eight weeks in Chicago helping hospitals and medical facilities care for COVID-19 patients. Cook County has amassed the state’s greatest number of cases and deaths. Flowers and Summann answered a request from a Chicago-based health care company to send workers to the northern part of the state to aid with the unprecedented influx of patients due to the virus. State officials on Tuesday even sent an alert to mobile devices seeking medically trained individuals to fight the spread of the virus. Flowers described her decision to fight the virus on the front lines as a calling. “And we haven’t looked back,” Flowers told Cordes.

You can choose to listen to the local politicians who admit to using the state’s historical divide to score political points, or you can listen to Taylor Flowers and Kayla Summann.

Best of luck, ladies! Go get ‘em!

  10 Comments      


Another group gears up for battle to pass Pritzker’s “Fair Tax”

Monday, Apr 6, 2020 - Posted by Rich Miller

* My Crain’s Chicago Business column

Gov. J.B. Pritzker is planning to spend untold millions to support his graduated income tax proposal this year via his Vote Yes For Fairness ballot initiative committee.

But another group has formed to help with the effort. The Vote Yes for Fair Tax committee has reported raising almost $600,000 in cash and in-kind contributions to date.

A few years ago, a ballot initiative committee with almost $600,000 in the bank several months ahead of a vote would be a sign of strength. In these times, with a billionaire governor who succeeded a near-billionaire governor, it looks almost small.

But the Vote Yes for Fair Tax committee won’t be running expensive TV ads, says its chairman, John Bouman of the Shriver Center on Poverty Law. “This is more of the sort of sweat-equity, grassroots, community-based ground game” approach, he says.

The organization’s largest contributor to date (at $250,000) is the National Education Association, which has thousands of members here. The Illinois Federation of Teachers has kicked in $100,000. AFSCME Illinois Council 31, with tens of thousands of members, has contributed $50,000 in cash so far and donated the time of two staffers. SEIU Healthcare, which also has tens of thousands of members here, contributed $50,000 in cash and $10,000 for access to Voter File data, and donated the time of two staffers.

I’ve detected some worry among Pritzker types that this other group could go off-script and weaken the overall message.

Click here to read the rest before commenting, please. Thanks.

  31 Comments      


Health care providers granted immunity from civil liability

Monday, Apr 6, 2020 - Posted by Rich Miller

* My weekly syndicated newspaper column

Without fanfare last week, Gov. J.B. Pritzker issued a sweeping executive order (2020-19) granting many health care providers immunity from civil liability during the COVID-19 crisis.

If medical facilities, community-integrated living facilities, community mental health centers and others are providing COVID-19 health care services, they cannot be sued “for any injury or death alleged to have been caused by any act or omission by the Health Care Facility, which injury or death occurred at a time when a Health Care Facility was engaged in the course of rendering assistance to the State by providing health care services in response to the COVID-19 outbreak,” until after the governor’s disaster declaration finally expires.

And the same goes for doctors, nurses, emergency medical service workers and even “health care volunteers.” They’re all immune to civil liability if they are providing services to any of the facilities dealing with the pandemic.

To be clear, this executive order covers not just the treatment of pandemic cases, but every service offered during the pandemic, as long as the institutions are involved in the response. If you have a botched heart surgery, they’d still be theoretically immune to lawsuits, as long as it didn’t involve “gross negligence or willful misconduct.”

The Illinois Trial Lawyers Association, which represents plaintiffs lawyers and has pushed for strong civil suit protections, is one of the most powerful Statehouse lobbies, but it has been utterly silent on the governor’s new executive order and hasn’t responded to requests for comment.

So, how can the governor legally sweep away almost all civil liability for those providers? Well, it’s in state law.

The Illinois Emergency Management Agency Act gives the governor a ton of powers, and exempts health care workers and others from certain civil liability during a pending or actual disaster while under contract or direction from the government.

Pritzker’s executive order specifically directs medical facilities, personnel and volunteers to “render assistance in support of the State’s response to the disaster.” That gubernatorial order triggers the law’s provisions.

Everyone from the federal government on down say it’s about to get very real here (it already is in New York), and several hospitals will be overloaded.

A Pritzker administration official explained what’s about to happen. “You tell your hospital, ‘I know your standards of care are, say, 15 nurses on your ICU floor and now we’re telling you to only have 10 nurses because you have nurses calling in sick, and you have 20 more patients, but you’re just gonna have to tough it out and do that because you cannot turn anybody away who you can fit in a bed.’”

Understandably, you don’t want facilities and staff constantly worrying about being sued while treating people in those conditions. They have enough to worry about right now.

The hospitals also reportedly asked for the executive order partly to make sure that nursing homes and other residential facilities don’t freak out about legal liability when their residents begin to show symptoms and then hurriedly decide to immediately transfer them to already overburdened hospitals.

Flattening the curve, remember, is all about preventing the overloading of hospitals. Staying at home lessens your chance of catching or spreading the virus, and it also means keeping nursing home, CILA residents and others in place as long as possible.

Most hospitals weren’t doing well financially even before the pandemic. Closures were becoming the norm throughout the state as revenues dried up.

Elective procedures were essentially keeping most facilities afloat, but those are now banned by the most recent executive order. As Crain’s Chicago Business reported last week, even Cook County’s public health system relies on elective procedures to bring in revenues, but eliminating them per CDC guidelines cut the number of surgeries it performs in half.

It’s the same wherever you look, particularly in rural areas.

A massive health systems bailout will likely be required after this is all over, if not before. Until then, I’m told the Pritzker administration wanted to provide whatever help it could, and this executive order will do that.

As to whether that theoretical botched heart surgery mentioned above will fall under the civil liability exemption, I’ve heard differing opinions on whether it will or won’t. Judges and juries are certain to cut hospitals and caregivers some slack if they are working in an over-burdened facility. A heart surgeon, however, who is not doing any pandemic work wouldn’t have much of a defense for botching a surgery.

So maybe the trial lawyers won’t be completely shut out.

  8 Comments      


Fair Maps Momentum Grows

Monday, Apr 6, 2020 - Posted by Advertising Department

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Protected: *** UPDATED x1 *** SUBSCRIBERS ONLY - Supplement to today’s edition

Monday, Apr 6, 2020 - Posted by Rich Miller

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Illinois death projection again revised upward

Monday, Apr 6, 2020 - Posted by Rich Miller

* The University of Washington IHME’s COVID-19 model was updated last night. Illinois is now expected to require peak healthcare resources on April 16th. That’s a day earlier than its initial projection and four days earlier than its April 2 projection.

A total of 3,629 COVID-19 deaths are now projected, up from 3,386 in the April 2 forecast and the 2,453 deaths projected in March.

The study projects 208 deaths per day by April 12, which is much higher and much earlier than the last projection of 109 deaths per day on April 20th and the first projection of 91 on April 17th.

The statewide ICU shortage is projected to start in two days, a day later than the April 2nd projection, but much earlier than the original March projection of April 16.

And remember, there’s a range involved here. This is not an exact science. Actual numbers could be higher or lower and dates could be earlier or later. Think of a poll’s Margin of Error.

The revised updates are explained in detail here.

* More

A state-by-state breakdown suggested that a number of the U.S.’s hotspots were gaining ground on the virus, with death projections falling for California, Florida, Louisiana, Michigan, New York, Washington, and others. New Jersey’s projection rose dramatically from 2,100 to 9,690

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*** UPDATED x2 *** An emergency within an emergency

Monday, Apr 6, 2020 - Posted by Rich Miller

* Maria Ines Zamudio and Elliott Ramos

The COVID-19 virus is killing black residents in Cook County at disproportionately high rates, according to early data analyzed by WBEZ.

While black residents make up only 23% of the population in the county, they account for 58% of the COVID-19 deaths. And half of the deceased lived in Chicago, according to data from the Cook County Medical Examiner’s office.

As of Saturday, 107 of Cook County’s 183 deaths from COVID-19 were black. In Chicago, 61 of the 86 recorded deaths – or 70% – were black residents. Blacks make up 29% of Chicago’s population.

The majority of the black COVID-19 patients who died had underlying health conditions including respiratory problems and diabetes. Eighty-one percent of them had hypertension, or high blood pressure, diabetes or both. […]

“It’s disturbing and upsetting, but not surprising,” said Dr. Linda Rae Murray, health policy professor at the University of Illinois at Chicago. “This is just a reflection of the facts that we already know about these pandemics. People who are vulnerable will die quicker and won’t have as many resources.”

Discuss.

*** UPDATE 1 *** Press release…

The following statement was issued by SEIU Healthcare Illinois Indiana president Greg Kelley in response to news of the disproportionately high number of African American victims of the coronavirus:

    CHICAGO–”News that a disproportionate number of African Americans, particularly Black males, die as a result of the coronavirus disease is shocking, yet not surprising. For far too long, officials have talked about and planned strategies to address economic and health disparities that exist among African Americans. The current pandemic demonstrates the dismal impact of their efforts.

    “As a Black male, these statistics further heighten my concern for our members. They are the predominantly African American healthcare workers who are undervalued members of the workforce without whom no medical delivery would be possible.

    “The person who transports patients, does the laundry, cleans the patient or prepares the food, and more, is likely to be Black. These same “essential” workers – people prone to underlying health conditions – have to labor without proper protective equipment, fight for decent wages and many can’t afford health insurance at the institutions where they work.

    “The coronavirus is a devastating disease that we must work together to overcome. The bigger disease is the one that continues to perpetuate these conditions in the African American community. Let’s declare racism as a pandemic and put forth the proper resources to address it.”

*** UPDATE 2 *** Better late than never, I suppose

Calling it a “public health red alarm,” Mayor Lori Lightfoot pledged on Monday that her administration will unveil a plan to address the coronavirus’ toll on black and brown Chicagoans after data showed they were being hit especially hard by the disease.

About 70% of Chicagoans who have died from COVID-19 are African American, Lightfoot acknowledged.

“It’s devastating to see those numbers and knowing that they’re not just numbers, they’re lives, there’s families and communities that have been shattered,” Lightfoot said. “That’s why we will be announcing a very robust and immediate comprehensive plan to address this.”

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Caption contest!

Monday, Apr 6, 2020 - Posted by Rich Miller

* You had to figure this would happen…


And, yes, it’s real.

  48 Comments      


Yesterday’s back and forth

Monday, Apr 6, 2020 - Posted by Rich Miller

* Gov. Pritzker yesterday

I really believe that governors that haven’t taken the kind of action that we did, or took it much later than we did, are unfortunately, they have been listening to President Trump and his advice. And his advice has been, first it was this is a hoax. Then it was this is just like the flu. This will go away in a few days. I think many of them were listening to all of that while the President was not taking this very seriously. I think now that he has taken it seriously, many of them have moved toward more stringent orders.

* President Trump yesterday

There’s a governor, I hear him complaining all the time. Pritzker. I hear him, he’s always complaining and yet, I just said ‘give me a list of a couple of the things we’ve done in Illinois.’ And we’re building a 2500 bed hospital in McCormick Place, that’s a big Convention Center in Chicago.

And we’re helping to staff it, and probably will end up staffing it because he’s not able to do what you’re supposed to be able to do as a governor. He has not performed well.

It’s being locally staffed so far, but we’ll see.

* Vice President Pence yesterday

Later during the briefing, Vice President Mike Pence said he had spoken to Pritzker, and the governor did “express great appreciation for the fact that our Army Corps of Engineers had constructed 500 beds at McCormick Place [convention center], and before the end of this week would construct another 2,500 beds for an overflow health facility in Chicago.” Mayor Lori Lightfoot said the Army Corps was “outstanding,” Pence noted.

“We have sent 600 ventilators to the state of Illinois, but I assured the governor, and I assured the mayor, that while the principle focus that we have in the next several days is the rising cases in the greater New York City area and Louisiana, that Michigan and Illinois are in the forefront of our thinking,” Pence said. “At the president’s direction, we’re gonna make sure that the people of Illinois and the people of Michigan have the resources, equipment and support that they need.”

* Gov. Pritzker yesterday

I think sometimes people mistake when I am being critical of the White House or the president, they mistake that for me being critical of the people are helping at the federal level.

The Army Corps of Engineers has done a superb job for the state of Illinois. The Army has come in and they’ve met with me, a number of times, they are putting their personnel forward, they’re working with our Illinois National Guard. We’re the best in the nation to make sure that we’re building out the facilities that we need to.

And FEMA, the FEMA officials that we deal with here in our region, and the HHS officials, all are working very hard. They live here in Illinois, most of them. And so they want this to succeed for them and for their families as well as for all of us.

So I am grateful for all of the help that we get from those federal employees who work day and night really to protect the people of Illinois. And so my criticism has been the lateness of the policies decisions that have been made by the leaders, and therefore the lateness of any help that we have gotten, which has been due to the people who are above the people that I just described, and their unwillingness to make good decisions that work to the to the betterment of everybody in Illinois.

* Deputy Gov. Christian Mitchell…


Deep breaths before commenting, please.

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Monday, Apr 6, 2020 - Posted by Rich Miller

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Monday, Apr 6, 2020 - Posted by Rich Miller

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* Reader comments closed for the weekend
* Sen. Feigenholtz under fire
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* Energy Storage Can Minimize Price Spikes
* Today’s must-read
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