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CDN/US Covid-related political discussion

daftandbarmy said:
Meanwhile, on 'I've been Caught in a Conflict of Interest so I'll throw the Bureaucracy Under the Bus' Hill:

Trudeau admits he did not recuse himself from decision to outsource $900 million volunteer grant program to WE Charity

When asked if he recused himself from those discussions and the final decision, the prime minister responded: “I did not.”

Since the WE Charity controversy began nearly two weeks ago, Trudeau’s office had refused to detail his involvement in the outsourcing process.

Instead, he’s repeatedly said that civil servants made the decision to hire the Toronto-based organization to administer the Canada Student Service Grant (CSSG). WE Charity was to be paid at least $19 million.

https://nationalpost.com/news/politics/justin-trudeau-we-charity-recuse

And for reference, BuyandSell.gc.ca provides a clear explanation of Treasury Board’s “7 Questions” that need to be answered to justify using the Government Contracting Regulations exemption from following standard rendering procedures: 3.1. Annex: Treasury Board questions for sole source

NO. QUESTION CLIENT'S ANSWER
1
Is the proposed sole source contract linked to a previous procurement and strategy for obtaining additional quantities and/or in-service support? If yes, what was the approved strategy?

If answer is "yes", identify what was the previous procurement strategy that was conducted with PWGSC. Identify the PWGSC file number for the previous contract (i.e. original procurement was posted "competitively" and it was identified that additional equipment would be purchased in the future with the successful vendor).

Notwithstanding the approved strategy, is it feasible and/or affordable to compete the requirement?

If the answer was "yes" to question %1, can this requirement be issued as a competitive requirement?

If the answer is "no", then answer the additional question below.

If not, provide the related rationale in terms of cost, schedule, etc.

Explain why this requirement cannot be issued as a "competitive" requirement.

2
Does the Vendor or its approved distributors have exclusive ownership of, and rights to use, the intellectual property (IP) for the goods or services in question? If yes, provide details. What rights, if any, does the Crown have to use the IP?

If answer is "yes", you would indicate the vendor details and state whether they are: the Original Equipment Manufacturer (OEM) or the sole authorizer value-added reseller.

Clearly indicate why we are going directly to this company, for ex.:

We are dealing directly with the OEM, ABC Ltd, as they are the owners, developers of the equipment and owners of the IP. They do not authorize value-added resellers or distributors for their equipment.
We are dealing with XYZ Distribution Inc. as they are the sole distributor and only approved value-added reseller authorized to sell and support in Canada the equipment built by the OEM, ABC Ltd.

3
Are there legal and/or regulatory considerations precluding open competition for this good or service? If yes, provide details.

Is there any provincial and federal legislation that directs client to only purchase the described requirement.

4
Are there alternative sources of supply for the same or equivalent materiel/support? If no, explain.

If you are using Government Contracts Regulations, exception 6 d), then you would indicate there are no alternate sources of supply that can meet the mandatory performance specifications identified by you the client. You would reference the attached sole source justification.

If yes, what other options were considered and why were they not recommended?

If the answer is "Yes", and there are alternate sources of supply, then we should be going out to competition.

If research has been done, to confirm there is only a manufacture than can meet the mandatory performance specifications, then we should indicate what has been done.

Note: To have different manufacturers "pre-tested" or "benchmarked" thru an evaluation process is not acceptable, unless it was done thru a competitive process with PWGSC. Also, simply because the manufacturer is the "best" or the "lowest price" is not acceptable, without a competitive process thru PWGSC.

5
Is the proposal related to commonality/compatibility with existing equipment? If yes, what are the operational costs/implications of managing multiple versions?

Must the equipment required be compatible with existing equipment?… existing software? Or existing equipment at other facilities in Canada, North America, and the World?

If the answer is "Yes", at a minimum, we need to:

Clearly identify which equipment and or software the client (or other research centers) has that must be compatible with current requirement.
Identify what "compatible" means to client. Do the machines communicate with one another from facility-to-facility? Are samples cross-examined and compared from facility to facility? We need to be specific.
Identify what the operational costs and the implications of managing multiple versions. (multiple manufacturers, multiple software programs). What would be the price of non-conformance for client? Cost to retrain? Cost to revise protocols, procedures, processes? Is there a cost to delaying this program any further?

6
Explain why the price is fair and reasonable; describe how price support was obtained; and summarize negotiations.

Client can provide any preliminary information received from the vendor. (financial quote). Also, PWGSC, as the contracting officer will be responsible for negotiating a fair and reasonable price and ensuring the prices are fair and reasonable to Canada.

7
Are there any other factors that have led to a recommendation for a non-competitive process? If yes, provide details and rationale.

(a) What is the likelihood of an amendment or follow-on contract to the same person?

Is there the possibility of additional equipment, additional warranty services? Then we should be implementing "options-to-purchase" within the contract.

Describe the efforts taken to identify a variety of suppliers and explain any impact the Trade Agreement thresholds or TB Contracts Directive contract entry/amendment limits will have on the proposed procurement strategy.

Have there been any efforts made by client to identify potential suppliers and determine what is available within the vendor community?

PWGSC will advise which trade agreements would be applicable.

"PWGSC Supply Specialist consulted with the client in regards to future requirements and the client has confirmed that no follow-on equipment will be required"… OR… "PWGSC Supply Specialist consulted with Client in regards to future requirements and the client has confirmed that there could be the potential for follow-on equipment, therefore options to purchase additional equipment will be incorporated within the contract."

PWGSC will post an ACAN on the Government Electronic Tendering Service (GETS) to ensure there are no suppliers that can actually meet this requirement.

This requirement is subject to the following trade agreements: CFTA, CETA, WTO-AGP, Canada-Korea Free Trade Agreement, etc.

(b) Given the nature of your organization's mandate, describe any efforts taken to put in place long-term procurement arrangements to address similar requirements/activities in future (e.g., establish standing offer).

Client to identify any long-term procurement strategies to address future needs:

Client to investigate potential consolidation of opportunities with other departments.

Client to encourage PWGSC to include an additional range of equipment in any future standing offers whenever possible.

PWGSC will also identify the National Commodity Team Lead and discuss the possibility of including this requirement with any future standing offers.

It would be interesting to see if justified statements were provided for all seven questions prior to the sole-source contract being issued by PSPC.
 
As noted elsewhere, to my knowledge the agreement with WE was to have been structured as a contribution agreement, not a contract.

Per a CBC news article dated 26 June,
"Under a contribution agreement, the government sets the high-level funding parameters, including the objectives, desired outcomes, eligible expenditures, and performance measurement," Marie-Eve Sigouin-Campeau said in an email to CBC News.

"However, the recipient is not acting on the government's behalf and the government does not direct or dictate how the recipient will carry out their project."

The agreement is also subject to an audit to make sure the desired results are achieved. Expenses are also reviewed. The federal government has the power to recover the cost of claims that are later deemed ineligible.


Useful links on contribution agreements: https://www.tbs-sct.gc.ca/fm-gf/tools-outils/guides/ggcotp-gscapt-eng.rtf  https://canadiangovernmentexecutive.ca/when-contributions-and-contracts-collide/



 
Doctors cry foul as White House targets Fauci, CDC

As top White House officials criticized the nation's leading infectious disease expert, Dr. Anthony Fauci -- including a top aide sharing a mocking cartoon -- four former directors of the Centers for Disease Control and Prevention have penned an op-ed warning that "undermining" science and the "willful disregard for public health guidelines" is "leading to a sharp rise in infections and deaths" from the novel coronavirus.

"The four of us led the CDC over a period of more than 15 years, spanning Republican and Democratic administrations alike," Tom Frieden, Jeffrey Koplan, David Satcher, and Richard Besser wrote in an opinion article published Tuesday in The Washington Post. "We cannot recall over our collective tenure a single time when political pressure led to a change in the interpretation of scientific evidence."

...


https://abcnews.go.com/Politics/doctors-cry-foul-white-house-targets-fauci-cdc/story?id=71773393

Trump and advisers attempt to discredit Fauci amid top doctor's blunt warnings about coronavirus

President Trump and top advisers are apparently attempting to discredit Dr. Anthony Fauci, the nation's top infectious disease doctor. It comes as coronavirus cases continue to surge in the U.S., and Dr. Fauci has spoken bluntly about the pandemic in public comments.


https://www.cbsnews.com/video/trump-and-advisers-attempt-to-discredit-fauci-amid-top-doctors-blunt-warnings-about-coronavirus

Trump bashes U.S. health experts, Fauci urges caution, as virus cases surge

President Donald Trump on Monday took a swipe at health experts in his government leading the U.S. response to the coronavirus, and one of them, Dr. Anthony Fauci, answered with an appeal for states to stick to guidelines to snuff out a surge in cases.

The Republican president, seeking re-election in November, has been increasingly critical of government health officials and their guidance as a steady rise in infections threatens the easing of shutdown restrictions across the country.

Trump retweeted to his 83 million followers the accusations of a former game show host that “everyone is lying,” including the federal Centers for Disease Control and Prevention (CDC).

...


https://www.reuters.com/article/us-health-coronavirus-trump/trump-bashes-u-s-health-experts-fauci-urges-caution-as-virus-cases-surge-idUSKCN24E1XS

White House turns on Fauci as Trump minimizes virus spike

With U.S. virus cases spiking and the death toll mounting, the White House is working to undercut its most trusted coronavirus expert, playing down the danger as President Donald Trump pushes to get the economy moving before he faces voters in November.

...


https://apnews.com/79033c675f5ab6a3bf83443100392a0b
 
U.S. hospitals sending coronavirus data to Washington instead of CDC

Hospital data on coronavirus patients will now be rerouted to the Trump administration instead of first being sent to the U.S. Centers for Disease Control and Prevention, the Department of Health and Human Services confirmed to CNN on Tuesday

...


https://www.ctvnews.ca/health/coronavirus/u-s-hospitals-sending-coronavirus-data-to-washington-instead-of-cdc-1.5024805
 
U.S. hospitals sending coronavirus data to Washington instead of CDC

Oh boy.  Be prepared for the numbers to really get skewed.  :not-again:

From the article:

"Unfortunately, their sound science is being challenged with partisan potshots, sowing confusion and mistrust at a time when the American people need leadership, expertise and clarity. These efforts have even fueled a backlash against public health officials across the country: Public servants have been harassed, threatened and forced to resign when we need them most. This is unconscionable and dangerous," the former CDC officials wrote.

Public health experts, they said: "Face two opponents: COVID-19, but also political leaders and others attempting to undermine" the CDC.

Which reminds me of an article I read yesterday: The U.S. and U.K. Were the Two Best Prepared Nations to Tackle a Pandemic—What Went Wrong?

It is a painful irony that the two nations that arguably did the least to prevent COVID-19 deaths, particularly among the most vulnerable, were hailed as the world’s two best-prepared before the crisis hit. Clearly, we need to re-examine what “preparedness” means. Countries that kept their COVID-19 death rates very low ranked poorly on the preparedness scorecard, like Mongolia (ranked 46), Vietnam (50), and Iceland (58). The catastrophic U.S. and U.K. responses to COVID-19 show that when we give out future grades to countries on how well prepared they are to handle the next pandemic, we need to account for a country’s political decision-making as one of the most important determining factors.
 
Oklahoma Governor Tests Positive for COVID-19
https://www.voanews.com/covid-19-pandemic/oklahoma-governor-tests-positive-covid-19
By Associated Press  Updated July 15, 2020 01:58 PM

OKLAHOMA CITY - Oklahoma Governor Kevin Stitt confirmed Wednesday that he has tested positive for COVID-19, the first U.S. governor to publicly announce his diagnosis. 

He is isolating at home after receiving the results. 

Oklahoma was one of the first states to reopen its economy. Medical professionals warned the Republican governor that reopening in April after a month in lockdown was too soon amid the pandemic. Stitt attended President Donald Trump’s campaign rally in Tulsa on June 20, which attracted about 6,200 people, most of them not wearing masks.

Stitt, 48, who often declined wearing a mask in public, defended his attendance at the rally.

“The coronavirus is in the United States. It’s in Oklahoma. We have to take precautions. We have the freedom to stay at home. You have the freedom to come to this rally,” he said at the time."

On June 30, Stitt urged Oklahomans to wear a mask in public after a two-week spike in COVID-19 cases in the state. 

Now, the number of cases in the state has risen significantly, with nearly 22,000 confirmed and 428 deaths.

David Ostrowe, secretary of digital transformation and administration in Stitt’s cabinet, tested positive for COVID-19 earlier in March.
 
Not The Onion...

Mike Pence: "To be very clear, we don't want CDC guidance to be a reason why people don't reopen their schools"


https://www.wwltv.com/article/news/health/coronavirus/vp-pence-says-schools-should-open-as-louisiana-schools-plan-delays/289-bd6818de-4836-4b33-b5f4-575ccae2baa8

https://www.nola.com/opinions/stephanie_grace/article_6958a624-c6b1-11ea-a4f3-53ab56a539c7.html
 
Georgia governor blocks mayors from requiring face coverings

Officials in the U.S. state of Georgia on Thursday appeared headed for a clash over face masks to fight the spread of the coronavirus after the Republican governor barred mayors from requiring residents to wear them.

...


https://www.reuters.com/article/us-health-coronavirus-usa/mask-clash-georgia-governor-blocks-mayors-from-requiring-face-coverings-idUSKCN24H2L1

https://www.cbsnews.com/news/georgia-governor-brian-kemp-face-mask-orders-ban/

https://apnews.com/3db1db2c24ad60d215733cb7820892d5
 
OceanBonfire said:
Georgia governor blocks mayors from requiring face coverings

Officials in the U.S. state of Georgia on Thursday appeared headed for a clash over face masks to fight the spread of the coronavirus after the Republican governor barred mayors from requiring residents to wear them.

Neat.

Georgia.jpg

 
"U.S. hospitals sending coronavirus data to Washington instead of CDC"

Is this supposed to be a problem?  This is like saying "the data are going to Ottawa" if the government were to direct that all data go to a collection centre at Health Canada.

Key points, from below, which are objectively all improvements:
1) Reporting obligations reduced from 2 streams to 1 for providers (eg. hospitals).
2) Improved access for other providers (more sources).
3) More collection flexibility.
4) No loss of access for CDC.
5) Improved access to other data for CDC.
6) Improved access for other users.

I'd expect the technocratic sub-factions of the political map to approve of data modernization; their whole shtick depends on effective collection, interpretation, and dissemination of information.

From HHS:

"...CDC operates a system called the National Health Safety Network. This is an important surveillance system in our nation’s hospitals, which focuses on fighting antibiotic resistance.

In April, HHS leaders, with input from CDC, created a new system, called HHS Protect, that allows us to combine data through systems like NHSN, as well as other public and private sources. The data reported from hospitals that went into HHS Protect either came through the NHSN, directly to HHS Protect from the states, or through a system called TeleTracking.

What we have now asked is that, going forward, states provide data from hospitals directly through the TeleTracking system or directly to the HHS Protect system.

First, this reduces the reporting burden—it reduces confusion and duplication of reporting. Streamlining reporting enables us to distribute scarce resources using the best possible data.

TeleTracking also provides rapid ways to update the type of data we are collecting—such as adding, for instance, input fields on what kind of treatments are being used. In order to meet this need for flexible data gathering, CDC agreed that we needed to remove NHSN from the collection process, in order to streamline reporting.

This streamlining will allow the NHSN to increase its focus on another critical area for COVID-19, the nursing home and long-term care facility reporting needs—which, as we know, is also an absolutely central element of our pandemic response. All elements of our public health system are being stretched right now, and streamlining the hospital reporting system allows NHSN to concentrate its COVID-19 activity on the high-priority area of protecting the vulnerable in nursing homes.

To accomplish this, we have not changed the data ecosystem; we have merely streamlined the data collection mechanism for hospitals on the frontlines.

On the back end, whether collected by the CDC’s system, the third party vendor, or the states, the data ends up aggregated in the HHS Protect platform, where the CDC team and other federal response teams still have access to this information for their use in the response. Additionally, state and local public health departments also have access to this information in HHS Protect which allows them to access and use the same information that the federal response teams are using.

No one is taking access or data away from CDC.

I want to emphasize that having the fastest possible access to this data, as well as easy ways to analyze it, has very real benefits to our public health response. When we need to collect insights about emerging symptoms, for instance, which we are constantly learning more about, we can do that incredibly rapidly through TeleTracking.

This has no effect on CDC’s ability to use this data and continue churning out the daily data, the MMWRs, and the guidance we publish. In fact, the new infrastructure we have now actually provides our CDC team with easier access to a much broader variety of data sets than they would have without it.

...[rah, rah, rah]"
 
Former game show host Chuck Woolery deactivates Twitter account after his son contracts COVID-19

Former game show host Chuck Woolery's son has COVID-19, a spokesperson for Woolery said Thursday.

"Chuck's son is fine and asymptomatic," Mark Young, with Jekyll and Hyde Advertising, told CNN.

Woolery made news late Sunday when U.S. President Donald Trump retweeted Woolery saying everyone is lying about COVID-19.

"The most outrageous lies are the ones about Covid 19. Everyone is lying," Woolery said in that tweet.

"The CDC, Media, Democrats, our Doctors, not all but most, that we are told to trust. I think it's all about the election and keeping the economy from coming back, which is about the election. I'm sick of it," his tweet said.

Woolery deactivated his Twitter account Wednesday, Young said.

In his last-posted tweet, Woolery said, "Covid-19 is real and it is here."

"My son tested positive for the virus, and I feel for those suffering and especially for those who have lost loved ones," Woolery said in a tweet on Monday morning, which still lives in the cache of digital archive sites.

...


https://www.ctvnews.ca/world/former-game-show-host-chuck-woolery-deactivates-twitter-account-after-his-son-contracts-covid-19-1.5028192
 
Respond in the open with an original thought or some foundational sources instead of pestering us with your continuing link-with-partial-quotation diarrhea, which undoubtedly is shot through with misinformation and errors.

"Briefly stated, the Gell-Mann Amnesia effect works as follows. You open the newspaper to an article on some subject you know well. In Murray’s case, physics. In mine, show business. You read the article and see the journalist has absolutely no understanding of either the facts or the issues. Often, the article is so wrong it actually presents the story backward-reversing cause and effect. I call these the “wet streets cause rain” stories. Paper’s full of them. In any case, you read with exasperation or amusement the multiple errors in a story-and then turn the page to national or international affairs, and read with renewed interest as if the rest of the newspaper was somehow more accurate about far-off Palestine than it was about the story you just read. You turn the page, and forget what you know."  (Michael Crichton commenting on "Gell-Mann Amnesia").
 
Well known left-wing shill David Frum writes "Canada Got Better. The United States Got Trump."

Canada is not a star of the COVID-19 class. Per capita, it has suffered three times as many deaths from the disease as Australia and Germany. What the Canadian example does show, however, is what the United States could have looked like if the U.S. effort had not been led by malicious, self-seeking incompetents.

...

Instead, the Trump administration and Trump-swayed governors have turned a crisis into a catastrophe—a catastrophe that continues to get uniquely worse in the United States even as it ebbs almost everywhere else in the developed world. In retrospect, the most humiliating fact about the coronavirus pandemic was that under responsible leadership and with some moderate amount of social cohesion, it was a highly manageable threat.

https://www.theatlantic.com/ideas/archive/2020/07/i-moved-canada-during-pandemic/614569/?utm_source=twitter&utm_medium=social&utm_campaign=share
 
dapaterson said:
Well known left-wing shill David Frum writes "Canada Got Better. The United States Got Trump."

Canada is not a star of the COVID-19 class. Per capita, it has suffered three times as many deaths from the disease as Australia and Germany. What the Canadian example does show, however, is what the United States could have looked like if the U.S. effort had not been led by malicious, self-seeking incompetents.

...

Instead, the Trump administration and Trump-swayed governors have turned a crisis into a catastrophe—a catastrophe that continues to get uniquely worse in the United States even as it ebbs almost everywhere else in the developed world. In retrospect, the most humiliating fact about the coronavirus pandemic was that under responsible leadership and with some moderate amount of social cohesion, it was a highly manageable threat.

https://www.theatlantic.com/ideas/archive/2020/07/i-moved-canada-during-pandemic/614569/?utm_source=twitter&utm_medium=social&utm_campaign=share

US cases are peaking nationally and will begin to slowly decline over the next month. 

The reality is a lot of this has to do with population density and overall health or lack thereof of the general population.

Canadians often ignore the fact that the US is a far more densely populated country than Canada.  It's no surprise that places with high population density fare worse.

New York, Chicago, Boston and Montreal are statistically speaking, the worst affected places in North America.  Quebec's death rate is amongst the highest in not just North America but the World, it's higher than Sweden's who never locked down. 

I posted this yesterday but the Lancet just put out a study that said Obesity, Median Age and Border Closure Timeline after receiving their first case were the predictors of how successful a Country was in reducing overall mortality rate of the disease.  The study found no correlation between lockdowns and reduction in the death rate:

https://army.ca/forums/threads/131800/post-1621230.html#msg1621230

The Obesity finding is thought to explain why the UK suffered so much from COVID as it's one of the fattest and most physically unfit Countries in the World.
 
Humphrey Bogart said:
The reality is a lot of this has to do with population density and overall health or lack thereof of the general population.

Regarding population density, I'm not sure that is true though.

https://www.worldometers.info/world-population/us-population/

https://www.worldometers.info/world-population/canada-population/

Raw statistics say yes, with America's 36 people/km2 dwarfing Canada's 4 people/km2, but I think what is more telling is that in both countries, 8 in 10 people live in an urban environment.  While Canada has roughly the same landmass as the US, most of our people are confined to small geographic pockets.  There are similar percentages of Canadians as Americans in "dense" environments where they would conceivably catch and spread it faster.

The health bit makes sense - and if you start pulling on that thread, I suspect it will lead you back to the stark levels of socio-economic inequality.
 
Infanteer said:
Regarding population density, I'm not sure that is true though.

https://www.worldometers.info/world-population/us-population/

https://www.worldometers.info/world-population/canada-population/

Raw statistics say yes, with America's 36 people/km2 dwarfing Canada's 4 people/km2, but I think what is more telling is that in both countries, 8 in 10 people live in an urban environment.  While Canada has roughly the same landmass as the US, most of our people are confined to small geographic pockets.  There are similar percentages of Canadians as Americans in "dense" environments where they would conceivably catch and spread it faster.

The health bit makes sense - and if you start pulling on that thread, I suspect it will lead you back to the stark levels of socio-economic inequality.

I look at Worldometer daily and follow the trends.  There is interesting data there although the quality varies dependent on the Country and their level of transparency.

The population density point really comes from the fact that the US has so many metropolitan areas and that they are incredibly densely populated.

35 out of 50 largest Metro Areas in the North America are in the United States while only 3 are in Canada.  Two of them were the worst hit in Canada.  The other, Vancouver, probably lucks out by being very isolated.

I don't think population density affects mortality rate so much as it promotes spread. 

As you say, socio-economic conditions play a big factor in mortality rate and the study in the Lancet points to that.

I listened to an interview that Sweden's head epidemiologist gave yesterday.  It was very comprehensive and nothing like the canned responses we are used to here.

He was asked about why the death rate in Sweden was so high in comparison to his Scandinavian neighbours and his reasoning was the following:

1.  Sweden's population is far less homogeneous than Denmark's, Norway's and Finland's.  It has 4x the number of migrants in comparison to it's neighbours and many of them suffer from high levels of income inequality, poverty and have been disproportionately affected.

2.  Swedes also travel far more and many were travelling around Europe just as the Pandemic began to rapidly take hold in Europe, they subsequently flew back bringing the virus with them.

3.  Stockholm, where the virus had the largest impact, is a very dense and large city with many smaller Cities in the surrounding metropolitan area.  It's a densely populated area that Norway, Denmark and Finland just don't have.

4.  He openly admits they did a terrible job in Long Term  Care homes where many of the deaths occurred. He says what happened was unacceptable and like what we saw in Canada, Sweden needs to do better looking after the elderly.

5.  He says, he it is too soon to be certain whether the Strategies he implemented will be successful or not relative to what others have done.  He thinks the virus is here to stay and the focus should be on learning to live with it.  He is skeptical whether a vaccine can be developed quickly for this type of virus.  I agree with this point of his.

Link: https://www.youtube.com/watch?v=xh9wso6bEAc&feature=share

 
As someone who's been at the coal face of this issue, I'll offer my admittedly somewhat rudimentary analysis. Those jurisdictions that managed the issue well had most of the following characteristics:

1. Early and widespread action;
2. Well functioning public infrastructure;
3. Good access to healthcare;
4. Low burden of comorbidity;
5. A relatively engaged population; and
6. An apolitical approach.

Where the US and Brazil, to name two, have gone off the rails, are items 1,5, and 6. These countries did not lock down early enough or aggressively enough; the population never really accepted the seriousness of the situation; and the issue became so politicized, that if one side said something, the other side reflexively took the contrary view.

It remains to be seen what contribution factors 3 and 4 has had in the US, but I wager they're significant.

While Canada's numbers are nothing to crow about, most of our deaths occurred in personal care homes, which were not locked down soon enough. For deaths that did not occur in the PCH population, factor 4 seems to be a prime predictor of mortality.

Oh, and I don't believe for a second that China has only had 84K cases.
 
Both the US and Canada have to deal with the fact that the federal and provincial/state governments each have responsibilities, and there are limits to what each can do.

The US has one unique complication that no other country faces: it's a US presidential election year.  I have yet to witness any "crisis" that is so truly a crisis that attempts to leverage it - and thereby militate against effective response - for presidential politics are foregone.
 
ModlrMike said:
As someone who's been at the coal face of this issue, I'll offer my admittedly somewhat rudimentary analysis. Those jurisdictions that managed the issue well had most of the following characteristics:

1. Early and widespread action;
2. Well functioning public infrastructure;
3. Good access to healthcare;
4. Low burden of comorbidity;
5. A relatively engaged population; and
6. An apolitical approach.

Where the US and Brazil, to name two, have gone off the rails, are items 1,5, and 6. These countries did not lock down early enough or aggressively enough; the population never really accepted the seriousness of the situation; and the issue became so politicized, that if one side said something, the other side reflexively took the contrary view.

It remains to be seen what contribution factors 3 and 4 has had in the US, but I wager they're significant.

While Canada's numbers are nothing to crow about, most of our deaths occurred in personal care homes, which were not locked down soon enough. For deaths that did not occur in the PCH population, factor 4 seems to be a prime predictor of mortality.

Oh, and I don't believe for a second that China has only had 84K cases.

Thanks for the input Modlrmike.  China's number is a complete fabrication, I think anyone with any sort of critical thinking ability recognizes that.

The videos and footage coming out of China back in January and February were shocking but weren't picked up by Mainstream Media here.

India is just starting get hit by this, I think we ain't seen nothing yet and once the disease gets going there, we will get a more accurate reflection of just what the disease may have looked like in China.

Brad Sallows said:
Both the US and Canada have to deal with the fact that the federal and provincial/state governments each have responsibilities, and there are limits to what each can do.

The US has one unique complication that no other country faces: it's a US presidential election year.  I have yet to witness any "crisis" that is so truly a crisis that attempts to leverage it - and thereby militate against effective response - for presidential politics are foregone.

I completely agree Brad and even though the US has a very good Medical System with the top Universities and Brains in the World and large organizations like CDC with money and resources most could only dream of, it's political system is completely polarized.

The amount of conflict in the US political system basically negates any other advantages the Country has over others.  The US is also a completely open society, so while others can hide, obfuscate and manipulate the issues, Americas issues are laid bare, for all to see.

 
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