How Trump Sees the World     

“It’s clear that the concept of a ‘rules-based international order’ is anathema to Mr. Trump. After all, following rules may force you to do something you don’t want to and may impose short-term costs on your country. Mr. Trump seems to think the current rules don’t promote America’s long-term interests.”

“His aim, it seems, is to maximize his freedom of action at all times. This explains why he is inclined to see alliances as burdens. Bringing your allies along with you takes time, patience and compromise. It constrains your will. Why bother? Better to deal one-on-one with friend and foe alike.”

“Binding commitments also constrain the will. Mr. Trump apparently believes deals should be revisable when they become inconvenient. You can negotiate the U.S.-Mexico-Canada Agreement with your southern and northern neighbors and then slap huge tariffs on them. That was then, this is now.”

“Mr. Trump’s approach to foreign policy is amoral—a relentless pursuit of self-interest. Appeals to principles leave him cold, as do international relationships based on ‘shared values.’ His instincts leave him unable to understand why so many people on both sides of the Atlantic are committed to an alliance of Western democracies against the rising tide of antidemocratic forces.”

“Indeed, it’s not clear that Mr. Trump prefers democracy to autocracy. He has praised autocratic leaders—Vladimir Putin, Xi Jinping, even Kim Jong Un. He admires their strength and envies their ability to act without pesky legislators and critical reporters.”

“Strength and weakness replace right and wrong in Mr. Trump’s lexicon. What matters most is leverage. If you have it, use it to the hilt. If you don’t, you must settle for what you can get. The merits of your position don’t matter.”

“Speaking of strength: Mr. Trump evidently believes that there are three great powers—China, Russia and the U.S.—and that establishing satisfactory relations among them takes priority over collateral damage to smaller countries. The idea is to return to ‘spheres of influence’: Ukraine and the ‘near abroad’ for Russia, and Panama, Canada and Greenland for the U.S.”

“And what for China? In the ‘great powers’ context, it’s not surprising that Elbridge Colby, Mr. Trump’s nominee for undersecretary of defense for policy, told the Journal that although the U.S. should be prepared to defend Taiwan, the island ‘isn’t itself of existential importance to America.’ And as Chinese pressure on the Philippines intensifies, I wonder whether Mr. Trump will honor America’s longstanding mutual-defense treaty with Manila.”

“What is of existential importance, it seems, is economics. Mr. Trump’s view is that just about every country is ‘ripping us off’ in trade. The size of the trade deficit is proof; never mind what economists say causes it. Our allies are ripping us off in defense as well. Helping them defend themselves, he thinks, costs the U.S. without attendant benefits. Mr. Trump knows the cost of everything and the value of nothing.”

========================

Galston, The Zelensky Spat Shows Us How Trump Sees the World, W.S.J. (Mar. 4, 2025).

 

 

 

 

Washington Post’s Criticism of Trump’s Tariffs

A Washington Post editorial voices criticism of Trump’s policy and comments about tariffs.

“The market never lies. It is often mistaken, as it was during the post-election honeymoon, when investors seemed to assume Donald Trump didn’t really mean it about tariffs. But it always tells you exactly what it thinks.”

“Right now, it is thinking that the stiff tariffs Trump has imposed will cost American companies, and the economy, dearly. Markets have plummeted since Trump announced new levies on Canada, Mexico and China, erasing nearly all gains since his election. The president might think that “trade wars are good, and easy to win,” but investors disagree.”

“In this, they reflect not only the consensus among economists but also the realities facing American businesses and consumers.”

“’Customers are pausing on new orders as a result of uncertainty regarding tariffs,’ a transportation equipment company reported. ‘The incoming tariffs are causing our products to increase in price,’ a machinery manufacturer said. A maker of electrical equipment added, ‘The uncertainty about tariffs keeps us cautious on spending, despite the strong sales right now.’”

“’Regime uncertainty’ is the economic term for worries like these. Investments take time to pay off, and when government policy constantly shifts, companies have a hard time telling whether an investment will be worth it. Investors, too, get nervous about the rules governing businesses and those surrounding the taxation of their profits. By slowing investment and innovation, regime uncertainty stifles the economy and makes it harder to attract foreign investment.”

The ” president’s frequent shifts in policy stand to have a chilling effect. In the past month alone, tariffs have been imposed, delayed, reimposed, and now — at least for some categories of goods — delayed for another month. Adding to the unease are the administration’s attacks on the justice system, which foreign investors, especially, are bound to be watching. To repeat: There is a reason that so much foreign debt is structured to be governed by U.S. law. Signaling that America’s trade policies could change at any time, and that its justice system is vulnerable to political influence, risks the country’s position as a global destination for securities issuance and investment capital.”

“The haste with which this year’s tariffs have been imposed, and Trump’s dubious rationales for imposing them, justifiably make people worry that the current trade rules could be rewritten again and again.”

“And while companies could resolve this uncertainty once and for all by making, and sourcing, products in the United States, this is a costly proposition — too costly, in some cases, to be worthwhile. If domestically made products are more expensive than foreign ones, investments might not pencil out, and some exporters might find themselves priced out of global markets. This retrenchment will ripple through an economy that already looks fragile.”

“On the same day that the Trump administration announced the tariffs would go into effect, the Federal Reserve Bank of Atlanta said it had revised its estimate of first quarter gross-domestic product downward, to -2.8 percent. Consumers say they are nervous about inflation, job prospects and, yes, tariffs.”

“[M]anufacturers think abrupt changes in trade policy are bad for business.”

=======================

Editorial,  The market’s grim view of tariff shenanigans, Wash. Post (Mar.7, 2025).

 

 

 

 

 

 

 

Reactions to Trump’s Latest Changes on Tariffs on Canada and Mexico   

On March 6, U.S. President Trump postponed until April 2 the 25% tariffs on many imports from Mexico and some imports from Canada. Around midday, U.S. Treasury Secretary Scott Bessent called Canadian Prime Minister Trudeau a “numb skull” and warned that this would lead to higher U.S. tariffs while Trudeau said Canadian officials were talking with U.S. counterparts about easing the tariff on some sectors.

In response to these developments, the tech-heavy Nasdaq Composite closed more than 10% off its closing high, while the Nasdaq slid 2.62% and the Dow Jones Industrials roughly 1% while the S&P 500 dropped 1.8%. And U.S. Treasury yields ticked higher for the third straight session.

Further developments undoubtedly will occur the rest of this week (and beyond?).

Conclusion. For this blogger (a U.S. citizen), these developments further raise the issue of the eptitude, knowledge and judgment of Mr. Trump.

=====================

Berwick & Lang,  U.S. Delays Tariffs on Some Mexican, Canadian Goods; Stocks Decline, W.S.J. (Mar. 6, 2025); Ip, Trump’s Golden Age Begins With a Brutal Trade War, W.S.J. (Mar. 6, 2025); Trump Administration Live Updates: In reversal, Most New Tariffs on Mexico and Canada are Suspended, N.Y. Times (Mar. 6, 2025); Rennison, Tariff uncertainty leads to another unsteady day for Wall Street, N.Y. Times (Mar. 6, 2025); Assoc. Press, Trump changes course and delays some tariffs on Mexico and Canada, StarTribune (Mar. 6, 2025).

 

 

Wall Street Journal’s Criticism of Trump’s Tariff Decisions and Analysis of His Values 

Wall Street Journal’s two recent editorials have criticized President Trump’s tariff decisions and the Journal has offered commentary on Trump’s State of the Union address to the Congress and the opinion of a Journal columnist (William Galston) on how Trump sees the world.

Editorial: “Trump Takes the Dumbest Tariff Plunge[1]

 “President Trump likes to cite the stock market when it’s rising as a sign of his policy success, so what does he think about Monday’s plunge? The Dow Jones Industrial Average took a 650-point header after he announced that he’ll hit Mexico and Canada on Tuesday with 25% tariffs.”

“Mr. Trump wants tariffs for their own sake, which he says will usher in a new golden age.”

“We’ve courted Mr. Trump’s ire by calling the Mexico and Canada levies the ‘dumbest’ in history, and we may have understated the point. Mr. Trump is whacking friends, not adversaries. His taxes will hit every cross-border transaction, and the North American vehicle market is so interconnected that some cars cross a border as many as eight times as they’re assembled.”

“Mr. Trump is volatile, and who knows how long he’ll keep the tariffs in place. Retaliation that hits certain states and businesses may also cause him to reconsider sooner than he imagines. Investors are trying to read this uncertainty as they also watch growing evidence of a slowing U.S. economy. Unbridled Tariff Man was always going to be a big economic risk in a second term, and here we are.” (Emphasis added.)

Editorial: “Trump’s Tariffs Whack Trump Voters[2]

“President Trump won the Presidency a second time by promising working-class voters he’d lift their real incomes. Which makes it all the more puzzling that he’s so intent on imposing tariffs that will punish those same Americans.”

“Tariffs are taxes, and Mr. Trump’s latest tariffs are estimated to be about an annual $150 billion tax increase. Taxes are antigrowth. That’s the message investors are sending this week since Mr. Trump let his 25% tariffs on Canada and Mexico take effect. The President also raised his 10% tariff on China by another 10%. Canada and China retaliated, while Mexico is holding off until Sunday.”

“The border taxes, and the uncertainty they bring, are weighing on growth and consumer confidence. The Dow Jones Industrial Average is down 3.4% since Mr. Trump took office, erasing the ebullient gains that followed his November election.”

“Energy prices will rise too. Mr. Trump implicitly conceded this by reducing his tariffs to 10% on Canadian energy imports. Despite the U.S. shale fracking boom, constraints on pipeline capacity mean the Midwest and Northeast depend heavily on Canada for natural gas. That means heating bills will rise in Trump country. So will electricity prices.”

“The U.S. imports about 3,315 gigawatt hours of electricity on average from Canada each month—enough to power about 3.7 million homes. These flows help stabilize the grid and lower prices in the Northeast and Midwest. New England’s grid operator estimates the tariffs could cost the region between $66 million and $165 million a year. Energy makes up 40% of primary aluminum producers’ costs. Several Midwest foundries have closed in recent years amid rising energy prices. The Trump tariffs will harm the very workers he claims to be trying to help.”

“They will also cause pain at the pump. The U.S. is a net oil exporter, but it still imports about 6.5 million barrels a day of crude, mostly from Canada and Mexico. That’s because refineries in the Gulf Coast and Midwest process heavy grades. It would cost billions of dollars to retrofit them to process light blends from U.S. shale. Drivers of pickup trucks in the Midwest (where refineries depend on Canadian crude) are likely to suffer the most pain.”

“Speaking of which, we recently told you about an Anderson Economic Group analysis that estimated the 25% tariffs would raise the cost of a pickup assembled in North America by $8,000. Heavy-duty truck prices may also surge as they rely on parts from Canada and Mexico.”

“The President also professes to love American farmers, but he apparently loves tariffs more. U.S. farmers are already being squeezed by low crop prices and inflation. The American Farm Bureau Federation (AFBF) says farmers are losing money on almost every major crop planted for the third straight year.”

“Tariffs will increase their pain. About 85% of the U.S. potash supply for fertilizer is imported from Canada. China is hitting U.S. farm exports with a 15% tariff, which will let farmers in Brazil and Australia grab market share. “Even more costs and reducing markets for American agricultural goods could create an economic burden some farmers may not be able to bear,” AFBF President Zippy Duvall said Tuesday.”

Mr. Trump’s tariff spree is the triumph of ideology over, well, common sense. Let’s hope the President soon comes to his senses.” (Emphasis added.)

Commentary on Trump’s State of Union Speech[3]

“Mr. Trump is volatile, and who knows how long he’ll keep the tariffs in place. Retaliation that hits certain states and businesses may also cause him to reconsider sooner than he imagines. Investors are trying to read this uncertainty as they also watch growing evidence of a slowing U.S. economy. Unbridled Tariff Man was always going to be a big economic risk in a second term, and here we are.”  (Emphasis added.)

Comments on Trump-Zalensky Meeting[4]

William Galston, a W.S.J. opinion columnist (politics and ideas), has offered his thoughts on what we have learned about Trump’s approach to foreign policy from his recent meeting with Volodmyr Zalensky and other episodes.

It’s clear that the concept of a ‘rules-based international order’ is anathema to Mr. Trump. After all, following rules may force you to do something you don’t want to and may impose short-term costs on your country. Mr. Trump seems to think the current rules don’t promote America’s long-term interests.” (Emphasis added.)

Trump’s “aim, it seems, is to maximize his freedom of action at all times. This explains why he is inclined to see alliances as burdens. Bringing your allies along with you takes time, patience and compromise. It constrains your will. Why bother? Better to deal one-on-one with friend and foe alike.” (Emphasis added.)

Mr. Trump’s approach to foreign policy is amoral—a relentless pursuit of self-interest. Appeals to principles leave him cold, as do international relationships based on ‘shared values.’ His instincts leave him unable to understand why so many people on both sides of the Atlantic are committed to an alliance of Western democracies against the rising tide of antidemocratic forces.” (Emphasis added.)

“Indeed, it’s not clear that Mr. Trump prefers democracy to autocracy. He has praised autocratic leaders—Vladimir Putin, Xi Jinping, even Kim Jong Un. He admires their strength and envies their ability to act without pesky legislators and critical reporters.” (Emphasis added.)

Strength and weakness replace right and wrong in Mr. Trump’s lexicon. What matters most is leverage. If you have it, use it to the hilt. If you don’t, you must settle for what you can get. The merits of your position don’t matter. Underscoring this point, Mr. Trump has ‘paused’ aid to Ukraine in a move to weaken its hand and force Mr. Zelensky into peace talks with Russia.” (Emphasis added.)

Speaking of strength: Mr. Trump evidently believes that there are three great powers—China, Russia and the U.S.—and that establishing satisfactory relations among them takes priority over collateral damage to smaller countries. The idea is to return to ‘spheres of influence’: Ukraine and the ‘near abroad’ for Russia, and Panama, Canada and Greenland for the U.S.” (Emphasis added.)

“And what for China? In the ‘great powers’ context, it’s not surprising that Elbridge Colby, Mr. Trump’s nominee for undersecretary of defense for policy, told the Journal that although the U.S. should be prepared to defend Taiwan, the island ‘isn’t itself of existential importance to America.’ And as Chinese pressure on the Philippines intensifies, I wonder whether Mr. Trump will honor America’s longstanding mutual-defense treaty with Manila.” (Emphasis added.)

What is of existential importance, it seems, is economics. Mr. Trump’s view is that just about every country is ‘ripping us off’ in trade. The size of the trade deficit is proof; never mind what economists say causes it. Our allies are ripping us off in defense as well. Helping them defend themselves, he thinks, costs the U.S. without attendant benefits. Mr. Trump knows the cost of everything and the value of nothing.” (Emphasis added.)

“Nonsense, his supporters reply. Mr. Trump is pursuing peace. What could be a higher value than this? But there are different kinds of peace. Lincoln spoke of a ‘just and lasting peace.’ Richard Nixon pursued ‘peace with honor.’ By contrast, Neville Chamberlain, after negotiating with Hitler in Munich in 1938, claimed he had secured ‘peace for our time.’ In reply, Winston Churchill told Chamberlain, ‘You were given the choice between war and dishonor. You chose dishonor, and you will have war.’”

“On Monday Prime Minister Keir Starmer delivered a stirring speech in the British House of Commons, pledging large increases in the U.K. defense budget and detailing his efforts to forge a coalition of the willing in defense of Ukraine. His remarks garnered widespread praise, including from opposition party leaders and citizens across the U.K. Mr. Starmer’s practicality and moral clarity had made them proud to be British.”

“But Mr. Starmer was forthright: Even with maximum effort from Europe, his plan to secure Ukraine against future Russian aggression couldn’t succeed without an American ‘backstop.’ When the prime minister asks for one, how will Mr. Trump reply?”

Conclusion

This blogger was pleasantly surprised by these cogent remarks from the Wall Street Journal, which has the reputation of being a newspaper allied with the Republican Party.

===========================

[1] Editorial, Trump Takes the Dumbest Tariff Plunge, W.S.J. (Mar. 3, 2025).

[2] Editorial, Trump’s Tariffs Whack Trump Voters, W.S.J. (Mar. 4, 2025).

[3] Andrews, Gomez, & Dapena, An Annotated Fact-Check and Analysis of Trump’s Speech to Congress, W.S.J. (Mar. 5, 2025).

[4] Galston, The Zalensky Spat Shows Us How Trump Sees the World, W.S.J. (Mar. 4, 2025).

 

U.S. Excludes Cuba from Its “Visa Lottery” for Fiscal 2026 

The U.S. has excluded Cuba from the 2026 Diversity Immigrant Visa Program (“Visa Lottery”) for fiscal 2026. [1]

This was done, said the U.S., because more than 50,000 Cubans have emigrated to the U.S. in the past five years. The other countries similarly excluded are Bangladesh, Brazil, Canada, China, Colombia, the Dominican Republic, El Salvador, Haiti, Honduras, India, Jamaica, Mexico, Nigeria, Pakistan, the Philippines, South Korea, Venezuela and Vietnam.

Under another U.S. program (humanitarian parole), “as of last July, some 106,757 Cubans had benefited from this process and some 104,130 had already traveled to the US.

================================

[1] Cubans are left out of the lottery for immigrant visas to the US, Diario de Cuba (Sept. 28, 2024).

 

 

 

 

 

Central American Countries’ Northward Busing of South American Immigrants

This October, the Costa Rican government declared a national emergency and formed a plan with Panama to shuttle migrants [on buses] from its southern border to its northern one. Costa Rican officials say the busing program has removed . . . [a migrant encampment], as well as alleviated the strain on border communities and provided people a safer alternative to paying human smugglers. A similar busing program has been adopted by Honduras.[1]

This Costa Rican program is in response to a “doubling the number of crossings from [200,000] last year and leading to a massive tent encampment along Costa Rica’s borders, complaints from business owners and a rise in abusive smuggling operations.”

This development “has raised alarms in the United States, which has called on its Latin American allies to deter people from making the treacherous journey north by encouraging them to apply for refugee status closer to their home countries.” U.S. officials have also argued that the busing routes only incentivize more migrants to flee their homes and make the dangerous journey to the U.S. border. Their Central American counterparts argue migrants are already set on traveling to the United States and the busing system is making the journey less dangerous.”

“The busing program is not free, and has added one more fee to the many that migrants are confronted with on their costly journey north. . . . In Panama, each person must pay $60 to be bused to Costa Rica’s main terminal. They then must pay another $30 to board a shuttle that will take them to the Nicaraguan border. The fees are collected by the bus companies, which are licensed by the governments.”

This busing “can also be dangerous. Earlier this year, at least 39 people were killed when a bus ferrying migrants through Panama fell from a cliff. Last month, 18 migrants died in a bus crash in Mexico and a crash in Honduras left four dead and a dozen injured.”

It should also be mentioned that Panama is in the midst of violent protests about a government contract that allows a Canadian company to expand its copper mining operations here and whether the country should preserve its natural resources or develop them.[2]

=====================================

[1] Youngs & Bolanos, A New Answer for Migrants in Central America: Bus Them North, N.Y. Times (Nov, 8, 2023).

[2] Salcedo, Why ordinarily quiet Panama has erupted in deadly protests, Wash. Post (Nov. 8, 2023).

Wall Street Journal Editorial: U.S. Needs More Immigrants

The Wall Street Journal on July 24, 2023, published an editorial calling for increased U.S. recruitment and admission of immigrants.[1] Here are its reasons for that conclusion.

“The U.S. has a people problem. The birth rate has been sliding for years, and it’s about to translate into a shrinking labor force. By 2040, according to a study out this week, America could have more than six million fewer working-age people than in 2022. The only way to counter the domestic trend is by attracting workers from abroad.”

According to the editorial, “’The working-age U.S. population has peaked absent additional immigration,’ writes Madeline Zavodny, in a forthcoming paper from the National Foundation for American Policy. ‘New international migrants are the only potential source of growth in the U.S. working-age population over the remainder of the next two decades.’ Ms. Zavodny is an economics professor at the University of North Florida, and her analysis is based on data from the Census Bureau and Bureau of Labor Statistics.”

“At a time when some Americans view foreign workers as cheap competition, she offers a prescription for growth and vigor. In particular she notes that, although foreign-born workers accounted for nearly half the gain in U.S. employment from January 2021 through May 2023, ‘employment among prime-aged U.S.-born workers also soared during this period.’”

“Unemployment has been historically low, she adds, and difficulty of finding good workers will increase if the pool of working-age people shrinks.”

“The domestic trend lines aren’t good, for two big reasons. The declining birthrate is one. The other is Baby Boomers are both living longer and aging out of the work force. Anyone who imagines that a shrinking population is pleasant should spend some time in Japan and Italy. As these countries are finding, decline means fewer people to produce goods and services, as well as less innovation. Even China’s Communists now admit that owing to their pursuit of a one- child policy, they now face, as Milton Friedman predicted, a huge worker shortage that will challenge economic growth.”

“So far the U.S. has been able to compensate via immigration, which was ‘the sole source of growth in the U.S. working-age population in 2021 and 2022,’ Ms. Zavodny says. But this isn’t guaranteed. She suggests a future of competition among countries hit by the double whammy of a declining birth rate and aging society. Canada recently rolled out a new work permit to lure away foreigners in the U.S. on high-skill H-1B visas. The target of 10,000 applicants was met in two days.”

“Amid Donald Trump’s talk about a wall and Joe Biden’s chaos at the southern border, it’s hard to imagine any solutions from Congress before 2025. But Ms. Zavodny identifies labor-force trends that will have damaging consequences if they aren’t addressed. Someone needs to make the case that admitting foreign workers is good for Americans.”

In her underlying  paper for the National Foundation for American Policy, Zavodny adds, “Technological change, including ongoing advances in generative AI, is unlikely to eliminate the need for additional workers. In the long run, technological progress raises labor demand by increasing productivity and incomes. In the short to medium run, domestic workers are unlikely to be sufficient to meet labor demand as federally funded infrastructure projects roll out and domestic semiconductor production ramps up. The U.S. will need workers with specialized skills that are in short supply and take years of education and training to acquire. Now and in the future, the U.S. will still need workers, and it risks not having enough of them, particularly those with desired skills, absent additional immigration.”[2]

Comment

 This blog agrees with this W.S.J. editorial as evidenced by many blog posts and comments regarding U.S. immigration.[3]

==========================

[1] Editorial: America’s Choice: Immigration or Bust, W.S.J. (July 24, 2023).

[2] Zavodny, Why the United States Still Needs Foreign-Born Workers, Nat’l Foundation for American Policy (July 2023).

[3] E.g., Posts and Comments to dwkcommentaries.com: Iowa State Government Encouraging Refugee and Migrant Resettlement (Feb. 3, 2023); Comment: National Worker Shortages in U.S. (Feb. 3, 2023); Comment: Economists Surprised by January New Jobs Data (Feb. 4, 2023); Comment: Migrant Workers Being Paid Premium Wages in Tight U.S. Job Market (Feb. 8, 2023); More Details on U.S. and Other Countries’ Worker Shortages (Feb. 9, 2023); Other States Join Iowa in Encouraging Immigration to Combat Aging, Declining Population (Feb.22, 2023); COMMENT: More Support for Immigrants’ Importance for U.S. Economy (Feb. 23, 2023); U.S. High-Tech Layoffs Threaten Immigrants with Temporary Visas (Feb. 25, 2023).

 

U.S. Resettlement of Refugees and Recent Afghan Evacuees

The U.S. currently is engaged in resettling in this country refugees from around the world under previously established international refugee resettlement processes as well as recent Afghan evacuees under newly modified processes for Afghans.

Here is a summary of the legal requirements and administrative procedures for these important developments.

U.S. Resettlement of Refugees

  1. International Legal Protection of Refuges[1]

In 1951 an international conference of diplomats adopted an international treaty to protect refugees (Convention Relating to the Status of Refugees).

This treaty went into effect or force in April 1954 after its ratification by six states. However, the U.S. did not directly ratify this treaty, but did so indirectly in 1968 when under the leadership of President Lyndon Johnson the U.S. ratified a treaty amendment (Protocol Relating to the Status of Refugees).

The U.S., however, did not adopt implementing legislation until 1980, when President Jimmy Carter led the adoption of the U.S. Refugee Act of 1980, which included the treaty’s following definition of “refugee” (with U.S. express addition for “past” persecution):

  • “ (A)ny person who is outside any country of such person’s nationality . . . and who is unable or unwilling to return to, and is unable or unwilling to avail himself or herself of the protection of, that country because of [past] persecution or a well-founded fear of [future] persecution on account of race, religion, nationality, membership in a particular social group, or political opinion.. . . ”

As of January 20, 2020, there were 146 parties to the Convention and 147 to the Protocol.

  1. International Resettlement of Refugees[2]

After international cooperation on resettlement of specific groups of refugees, 1956-1995, the United Nations High Commissioner for Refugees (UNHCR) in 1995 organized the Annual Tripartite Consultations on Resettlement for the UNHCR, nation states and civil society. By the end of 2019, these consultations had established a global resettlement policy and procedures to attempt to provide locations for such resettlement that can provide the services that refugees need. These procedures have resulted in resettlement of over 1 million refugees: 90 percent of whom came from Myanmar, Syrian Arab Republic, Iraq, Democratic Republic of Congo and Somalia and were resettled in the U.S., Canada, Australia, Sweden and the United Kingdom.

At the end of 2019, the UNHCR estimated there were 26 million refugees in the world, about one half of whom are under the age of 18. This group is part of the 79.5 million forcibly displaced people in the world (the other 53.5 million are forcibly displaced within their own countries and thus not entitled to refugee status).

  1. U.S. Resettlement of Refugees[3]

The U.S. has participated in this international resettlement program under the overall direction of the Departments of State and Homeland Security.

Under U.S. law the U.S. President establishes annual quotas for such resettlements. The largest such quota was 200,000 in 1980 when President Carter led the U.S. adoption of the Refugee Act of 1980. In 1999 under President Clinton the quota was 132,631, and in 2016 under President Obama it was 84,994.

For Fiscal 2019 President Trump reduced the number of refugees for resettlement in U.S. to 15,000 and required cities and counties to file written affirmative consents for such resettlements with the State Department, but a federal court held that requirement was illegal. Nevertheless, many states, including Minnesota, granted such consents along with statements about the many contributions by refugees to their states.

President Biden initially said he would maintain the 15,000 quota set by Trump for this fiscal year, but after strong objections by influential Senators and others, the White House on May 3, 2021, stated the it was revising the quota to 62,500 for this fiscal year although it was unlikely that it would meet that number by that year’s end on 9/30/21. President Biden also said that he intends to increase the quota for the next fiscal year to 125,000.

  1. Refugee Resettlement in Minnesota [4]

From 2005 through 2019 the State of Minnesota had resettled 33,189 refugees. The largest numbers came from Somalia (13,674), Burma (8,604), Ethiopia (2,194), Laos (2,042), Iraq (1,290), Bhutan (1,188) and Liberia (1,171).

For Fiscal 2021 (ending 9/30/21), Minnesota had a resettlement goal of 500, but as of 5/12/21 had received only 30. They came from the Democratic Republic of Congo, Ethiopia, Somalia, Ukraine and Republic of Moldova (Eastern European county and former part of USSR). Because of COVID-19, the goal of 500 probably will not be met.

For Fiscal 2022 (before the evacuation of Afghans), Minnesota expected to have a resettlement goal of 1,900 given President Biden’s stated intent to increase the national total to 125,000.

Such resettlements are coordinated by refugee resettlement agencies in the State: Minnesota Council of Churches (Refugee Services), International Institute of Minnesota, Lutheran Social Services of Minnesota, Catholic Charities of Southern Minnesota and Arrive Ministries.

Minneapolis’ Westminster Presbyterian Church, where this blogger is a member, is launching its Refugee Co-Sponsorship Team of six to twelve individuals under the leadership of three “champions” with guidance of the Minnesota Council of Churches and anticipates receiving its first refugee family this October.

Our Team’s commitment is for four to six months starting with setting up an apartment selected by the Council with furnishings that it and our Team provides; welcoming the family on their arrival at the Minneapolis-St. Paul Airport and transporting them to their apartment;  helping the family’s orientation to their new neighborhood, city and services; transporting them to various meetings and shopping; assisting school registration for any children and adult ESL enrollment; providing information about various public services and obligations; and helping them find employment. In short, being friends to our new residents. The co-sponsorship ends with a closing ceremony, transitioning the relationship to mutual friendship, rather than a continued helping relationship. [5]

U.S. Resettlement of Recent Afghan Evacuees.

The recent turmoil in Afghanistan has resulted  in the U.S. evacuation from that country of approximately 130,000 people (124,000 Afghans and 6,000 U.S. citizens).

Many of the Afghan allies with U.S. special immigrant visa applications and their families who recently escaped Afghanistan were flown from Kabul to Washington, D.C. for their subsequent transfer to U.S. forts in Virginia (Fort Lee),Texas (Fort Bliss) and western Wisconsin (Fort McCoy, which is about 169 miles southeast of Minneapolis). Others were flown to U.S. military bases in other countries for processing and hoped-for transfers to the U.S.[6]

This summary is based upon the cited sources with recognition that this is a very complex and changing situation and readers’ corrections and amplifications are most welcome.

  1. Legal Status of Afghan Evacuees[7]

Most, if not all, of these Afghans have not been through the previously described procedures for resettlement of refugees and have not been determined to meet the requirements for refugee status. (Some articles erroneously refer to them as “Afghan refugees.”)

Instead, they are being vetted by U.S. agencies for meeting the following requirements for Afghan Special Immigrant Visas (“SIVs”):

  • employment in Afghanistan for at least one year between October 7, 2001, and December 31, 2023, by or on behalf of the U.S. government or by the International Security Assistance Force (ISAF), or a successor mission in a capacity that required the applicant to serve as an interpreter or translator for U.S. military personnel while traveling off-base with U.S. military personnel stationed at ISAF or to perform activities for U.S. military personnel stationed at ISAF; and
  • Have experienced or be experiencing an ongoing threat as a consequence of their employment.

Alternatively some Afghans might be eligible for Priority 2 (P-2) designation granting U.S. Refugee Admissions Program access for Afghans and their eligible family members by satisfying one of the following conditions:

  • “Afghans who do not meet the minimum time-in-service for a SIV but who work or worked as employees of contractors, locally-employed staff, interpreters/translators for the U.S. government, U.S. Forces Afghanistan (USFOXRX-A), International Security Assistance Force (ISAF), or Resolute Support;”
  • “Afghans who work or worked for a U.S. government-funded program or project in Afghanistan supported through a U.S. government grant or cooperative agreement;” or
  • “Afghans who are or were employed in Afghistan by a U.S.-based media organization or non-governmental organization.”

Afghans also could be eligible for “the Priority (P-1) program by virtue of their circumstances and apparent need for resettlement who are referred to the P-1 program . . .  by the UN High Commissioner for Refugees (UNHCR), a U.S. embassy, or a designated NGO.”

However, an Associated Press reporter claims that “the majority will arrive without visas as ‘humanitarian parolees,’ lacking a path to legal U.S. residency and the benefits and services offered to traditional refugees, according to U.S. officials and worried aid groups working closely with the government.” Instead, “Afghan parolees who have arrived at U.S. military bases will be eligible for an ad hoc State Department program that provides limited assistance for up to 90 days, including a one-time $1,250 stipend. But they will not have the full range of medical, counseling and resettlement services available to immigrants who arrive through the U.S. refugee program.”

  1. U.S. Administrative Agencies Involved in “Operation Allies Welcome[8]

On August 19, 56 Senators sent a bipartisan letter to President Biden calling for “the urgent evacuation of Afghan Special Immigrant Visa (SIV) applicants and their families, as well as the full and immediate implementation of [the above legislation] to expand the Afghan SIV program and streamline the application process.”

That message was in accord with the Biden Administration’s desires. On August 29, President Biden directed the Department of Homeland Security to be the lead agency coordinating this resettlement effort and that agency’s Secretary (Alejandro N. Mayorkas) simultaneously appointed Robert J. Fenton, Jr. with 29 years of experience in FEMA large-scale response and recovery efforts to lead the interagency Unified Coordination Group in this effort. He will be working with Jack Markell, a former Delaware Governor and now the White House’s coordinator of “Operation Allies Welcome.”

  1. Resettlement of Afghan Evacuees in U.S. [9]

Operation Allies Welcome is asking the nonprofit organizations that have contracted with the U.S. State Department for resettlement of refugees to also handle the resettlement of the Afghan evacuees. This task is made much more difficult by last year’s shrinkage of these agencies caused by President Trump’s reduction of the quota for such resettlement to 15,000 and the associated reduction of federal financial support for same and by the size and unresolved issues about the Afghan evacuees.

  1. Societal Reactions to Afghan Resettlement [10]

There are general reports about positive reactions to such resettlement from U.S. citizens and organizations.

The State of Minnesota did so in an August 19, 2021, letter to President Biden from Minnesota Governor Tim Walz and Lieutenant Governor Peggy Flanagan. It stated that Minnesota “in the past . . . has stepped forward to help those who are fleeing desperate situations and need a safe place to call home” while acknowledging, “New Minnesotans strengthen our communities and contribute to the social fabric of our state. They are our neighbors.” Therefore, “we [in Minnesota] stand ready to work with you and your administration to welcome [Afghan] families as this effort to provide safety and refuge continues.”

Minnesota’s U.S. Senator Amy Klobuchar has voiced a similar opinion by offering her office’s assistance to American citizens and Afghan allies looking to evacuate that country and by signing a bipartisan letter to the President urging support for evacuation efforts.

In addition, Temple Israel of Minneapolis is embarking on a program to help some of these Afghans to resettle in Minnesota and has enlisted Westminster Presbyterian Church as a co-sponsor for such resettlements. The Temple’s program probably springs from the Hebrew Immigrant Aid Society (HIAS) as well as a continuous Jewish presence in the territory of Afghanistan from the 8th century CE until the 20th century.[11]

Conclusion[12]

Westminster’s involvement with immigrants is not new in our 160 years. Indeed, the church was established in 1857 by Scottish and Welsh newcomers on land that had been home to the Dakota people for many generations. In 1870 we established our first global mission partnership after our third pastor had visited China and in the 1880s began a formal ministry teaching English and providing support to Chinese immigrants that continued in the 20th century.

Our church also has partnerships with Protestant churches in Cuba, Cameroon and Palestine.

These Westminster ministries are inspired by various Biblical passages.

The book of Leviticus says, “When an alien resides with you in your land, you shall not oppress the alien. The alien who resides with you shall be to you as the citizen among you. You shall love the sojourner as yourself, for you were sojourners in the land of Egypt. I am the Lord your God.” (Leviticus 19: 33-34.) (The Hebrew word for “alien” is “ger,”which means stranger in the land, one who sojourns among you.)

Jesus, of course, told stories about heroes who are disliked foreigners, like the good Samaritan (Luke 10: 25-37) , or when He welcomes those whom others shun as outsiders, like the Samaritan woman at the well (John 4: 1-26) and when He ignores the then current mandate no to pay attention to people living with leprosy or other illnesses (Matthew 8: 1-3).  As our Pastor, Rev. Tim Hart-Andersen said in his recent sermon, “As Christians, our core conviction insists on hospitality to those deemed other by the world around us—and anyone else known to be the most vulnerable in the community.”

======================================

[1] UNHCR, Convention and Protocol Relating to the Status of RefugeesRefugee Act of 1980; Convention Relating to the Status of Refugees, Wikipedia; List of Posts to dwkcommentaries—Topical: LAW (REFUGEE & Asylum).

[2]  UNHCR, The History of Resettlement (2019).

[3] U.S. State Dep’t, About Refugee AdmissionsU.S. State Governments Celebrate Refugee Accomplishments, dwkcommentaries.com (Feb. 2, 2020); U.S. State Dep’t, Report to Congress on Proposed Refugee Admissions for Fiscal Year 2021 (Oct. 22, 2020); U.S. Reduces Refugee Admissions to 15,000 for Fiscal 2021, dwkcommentaries.com (Oct.  2, 2020); U.S. State Dep’t, Report to Congress on the Proposed Emergency Presidential Determination on Refugee Admissions for Fiscal Year 2021 (Feb. 12, 2021); Joe Biden Raises Trump refugee cap  after backlash, BBC News (May 4, 2021);UNHCR, UNHCR applauds US decision to increase refugee resettlement (May 3, 2001). Minnesota Council of Churches, Refugee Services.

[5]  Minnesota Council of Churches, Refugee Services; Minnesota Council of Churches, Help Afghan Refugees (Aug. 30, 2021); Campbell, Schulze & Krohnke, Our Refugee Family Co-Sponsorship: An Invitation to Love the Sojourner Among Us, Westminster News (Sept. 2021).

[6] U.S. Defense Dep’t, U.S. Seeks to Open More Locations to Aid Evacuation From Kabul, General Says, DOD News (Aug. 21, 2021); Assoc. Press, Afghan refugees arrive, temporarily, in northern Virginia, Wash. Post (Aug. 22, 2021); Assoc. Press, Afghan refugees begin arriving at Fort McCoy in western Wisconsin, StarTribune (Aug. 23, 2021); Musa, The United States Needs an Afghan Refugee Resettlement Act, Foreign Policy (Aug. 19, 2021), ; Baghdassarian & Carney, Special Immigrant Visas for the United States’ Afghan Allies, Lessons Learned from Promises Kept and Broken, Lawfare (Aug. 19, 2021),

[7] State Dep’t, Special Immigrant Visas for Afghans—Who Were Employed by/on behalf of the U.S. Government; State Dep’t, U.S. Refugee Admissions Program Priority Designation 2 for Afghan Nationals (Aug. 2, 2021); Press Release, BREAKING: Senate Passes Shaheen-Ernst Bill to Protect Afghan Allies through SIV Program as Part of Supplemental Spending Bill (July 29, 2021); Emergency Security Supplemental Appropriations Act, 2021, Public Law 117-331, enacted on July 30, 2021; Assoc. Press, For Afghan evacuees arriving to U.S., a tenuous legal status and little financial support, Wash. Post (Sept. 1, 2021).

[8] Shaheen, Ernst Lead Bipartisan Effort Urging the Administration on Immediate Evacuation & Full Implementation of their SIV Legislation Aug. 19, 2021). Homeland Security Dep’t, DHS to Serve as Lead Federal Agency Coordinating Efforts to Resettle Vulnerable Afghans, (Aug. 29, 2021); Sacchetti, Miroff & Demirjian, Biden names former Delaware governor Jack Markell to serve as point person on Afghan resettlement in the United States, Wash. Post (Sept. 3, 2021).

[9] U.S. Refugee Organizations Race to Prepare for Influx of Afghans, W.S.J. (Aug. 31, 2021). Hackman, Afghan Refugees in the U.S.: How They’re Vetted, Where They Are going and How to Help, W.S.J. (Sept. 3, 2021). Assoc. Press, US faith groups unite to help Afghan refugees after war, StarTribune (Sept. 2, 2021).

[10] Office of Governor Walz & Lt. Governor Flanagan, Governor Walz and Lieutenant Governor Peggy Flanagan: Minnesota Stands ready to Welcome Afghan Refugee Families (Aug. 19, 2021); Assoc. Press, Walz extends Minnesota’s welcome mat to Afghan refugees (StarTribune (Aug. 20, 2021). News Release, Klobuchar Announces Office Assistance for Americans and Afghan Allies Evacuating Afghanistan (Aug. 18, 2021).

[11] HIAS Statement on Afghanistan Crisis (Aug. 16, 2021); History of the Jews in Afghanistan, Wikipedia; Oreck, Afghanistan Virtual Jewish History Tour, Jewish Virtual Library; The Jews of Afghanistan, Museum of the Jewish People.  Westminster’s Response to Crisis in Afghanistan (Aug. 8, 2021).

[12] Rev. Timothy Hart-Andersen & Rev. David Tsai Shinn, Sermon: Concerning the Sojourner (June 20, 2021). Westminster Presbyterian Church, Global Partners Ministry Team.

 

U.S. Needs Federal Elections Agency

This year’s U.S. presidential election reminds us that such elections operate under 50 sets of confusing rules established by state legislatures. We, therefore, should be reminded of the need for a Federal Elections Agency to simplify this morass.

Latest Proposal for Such an Agency[1]

The latest proposal for such an agency has been put forward by Charlotte Hill (a board member of FairVote and RepresentUs and a PhD candidate at the Goldman School of Public Policy at the University of California, Berkeley) and Lee Drutman (a senior fellow at New America and the author of Breaking the Two-Party Doom Loop: the Case for Multiparty Democracy in America).

They say, “Though the pandemic and this erratic president are stress-testing our election system like never before in recent memory, the challenges of holding a free and fair vote in America have been mounting for decades. Since the early 2000s, court battles over election rules have become constant, while global experts like those with The Economist’s “Democracy Index” have downgraded the quality of American democracy across multiple measures for years.”

“We often talk about elections as if voters across the country are participating in a single event. But the reality is that individual states and counties — and the partisan politicians who run them — largely make their own rules about ease of voting, ballots and district lines. The overall result is that in the 21st century, in the richest democracy in the world, some people must work much harder to exercise their basic right to vote — and even then, their ballot may be less potent than others.”

“Take rules around registration and voting. Some states and cities automatically register voters and proactively mail them their ballots. Other states require people to register weeks in advance of the election and, unless they have a valid excuse for voting absentee, to show up in person at the polls, where they may face long lines, poorly trained poll workers, and unreliable equipment — not to mention the chance of becoming infected with a lethal virus that thrives in crowded indoor environments.”

“If someone lives in a gerrymandered or lopsided district, that person’s vote might matter less. In the vast majority of states, partisan lawmakers decide how to draw district lines — carefully engineered to maintain power statewide, even if a majority of voters prefers the other party.”

“In the all too common worst-case scenarios, partisan officials take advantage of the lack of federal election standards to disproportionately purge minority voters from the registration rolls entirely, or invalidate their ballots because of minor technicalities at higher rates.”

The U.S. now has two federal election agencies: the U.S. Election Assistance Commission (EAC) and the Federal Election Commission (FEC). The FEC oversees campaign finance laws, and EAC was created to provide guidance to states for meeting the requirements of the Help America Vote Act of 2002 by creating voluntary voting system guidelines and a national clearinghouse of information on election administration. But neither one is very effective.

The EAC “is designed to be bipartisan, with an even number of commissioners from both parties (two Democrats and two Republicans). But amid our hyperpartisan, polarized politics, bipartisan balance has meant deadlock. The commissioners can’t even agree on core issues like how to handle foreign interference: One Republican commissioner even stated that reports of Russian election meddling are ‘deceptive propaganda perpetrated on the American public.’ Partisanship isn’t the only issue. The commission has been plagued in recent years with unfilled appointments, reduced staff and budget cuts. Perhaps most important, it does not have the authority to make sure its recommendations are followed.”

Therefore, “It is clear that Congress needs to establish a federal elections agency to ensure that the voting process is fair, consistent, secure and legitimate — from redistricting to registration to voting technology. Would this be constitutional? In short, absolutely: Article I, Section 4 of the Constitution explicitly gives Congress broad powers to ‘make or alter’ regulations affecting elections.”

Such an agency “could help oversee and administer the standards for voting access, legislative decisions on redistricting and election security. It could use formal orders, fines, lawsuits and even criminal enforcement actions to make sure that political campaigns are conducted with integrity, elections are not marred by fraud or interference and lawmakers are penalized for attempting to rig the system in their favor.”

Such an agency “could use new, safe technologies to modernize and streamline our elections, while consolidating and securing important data. It could also help pilot secure election technology, such as the ‘uncheckable’ open-source voting system currently being developed by the Department of Defense. Unlike current election software that is bought from private companies and shielded from public inspection, this system will run publicly available computer code that election security experts can scrutinize for issues.”

This proposed “agency could also better take on certain administrative functions that are currently carried out by the states: for example, the creation of a national voter roll, with all eligible citizens automatically registered to vote. This would bring our registration system up to the standards of most other advanced democracies. (And simultaneously make it easier for intelligence officials to detect security breaches.)”

In addition, it “could . . . regulate the distribution of false or misleading information about federal elections — an increasingly important challenge.”

This “agency would not stop at setting federal standards; it would also enforce them. That means ensuring that congressional redistricting is truly fair for all voters by reviewing district maps and — if they do not meet standards — require that new maps be drawn. And that means monitoring elections to ensure they’re free and fair, including by building out an ‘election forensics’ team that can determine whether fraud, interference, or suppression tipped the balance in a given race.”

This proposed “agency must have a strong mandate, based on widely supported principles of democratic fairness, as well as an empowered inspector general to monitor any potential abuses of that power. We propose an extensive vetting process for agency appointees: a bipartisan, blue-ribbon commission could put forth a short list of names and nominees would be confirmed by the House of Representatives — a more broadly representative body than the Senate.”

“Appointees [to this agency] would have to abide by a robust conflict-of-interest policy, as well as a legally binding pledge of allegiance to the integrity of the voting process and the public interest. Taken together, these structural safeguards make us optimistic that the agency would serve its intended purpose.”

Concurring Opinion for a Federal Elections Agency[2]

Stephen I. Vladeck, a Professor and the holder of the Charles Alan Wright Chair in Federal Courts at the University of Texas School of Law, concurs in the conclusion that there should be a new federal elections agency.   He says, “centralizing the [federal election] process under uniform rules is one key reform.”  He points out that in Canada “a nonpartisan federal agency administers elections using a uniform set of rules and procedures across the country. Brazil has a similar system.”

In addition, Vladeck stresses that “the ‘torturous’ process for states’ reporting election results . . . [creates] the opportunity for at least one of the political parties ‘to conjure conspiracy theories to explain’ an election defeat.”

In this year’s U.S, election, for example, “the random way in which returns were counted and released by states — Election Day returns versus mail-in ballots, for instance — led to wild fluctuations as results were updated. The consequence, as experts predicted, was a series of shifts in early tabulations, as candidates seemed to outperform or underperform expectations. President Trump seized on these gyrations, warning that something ‘strange’ was going on and that a conspiracy was afoot to ‘steal’ the election.”

In addition, “the random dissemination of results gave the appearance of something that just wasn’t true — that the returns were dynamic, not static — and that the counting of votes reflected ‘trends’ when the result was already in. We simply needed to tally the votes to figure out what that result was.”

A related problem was the various ways of reporting the results “distorted our understanding of when votes were cast. In some states, like Michigan, Pennsylvania and Wisconsin, rules prohibiting “pre-canvassing” — preparing early and mail-in ballots for counting — before Election Day meant that votes cast first could end up being counted last.”

This lack of uniform rules for counting and reporting election results “opens the door for charges that something is amiss, as it might have struck some with the returns from Pennsylvania, where the count first had one candidate up by thousands of votes, only to swing entirely in the other direction. This can leave the impression that sinister forces were at work, when it was just a function of the partisan makeup of the counties whose votes were being counted, or the type of vote — mail-ins, for example, which are disproportionately Democratic — being reported.”

Another problem is the rules for counting and reporting votes could be structured so that the initial reported results “look much better for . . . [one party’s] candidates than the overall tally, thus influencing the election narrative. There’s value in shaping the headlines even if the bottom line remains unchanged.”

Conclusion

There should be a Federal Election Agency establishing an uniform set of rules for federal elections.

========================================

[1] Hill & Drutman, America Votes by 50 Sets of Rules. We Need a Federal Elections Agency, N.Y. Times (Nov. 5, 2020).

[2] Vladeck, Elections Don’t Have To Be So Chaotic and Excruciating, N.Y. Times (Nov. 8, 2020).

 

 

 

 

Pandemic Journal (# 1): Kristof and Osterholm Analyses

Sunday morning’s news outlets reported that worldwide there now are over 300,000 persons who have contracted the coronavirus disease (COVID-19)  and at least 12,944 have died of this infection while the U.S. statistics are more than 24,300 cases and more than 370 deaths. My State of Minnesota has 169 confirmed cases and its first death while the state’s most populous county (Hennepin with the City of Minneapolis), where I live, has  57 confirmed cases and no deaths.

This blogger has decided to periodically post his reactions to living through this pandemic.

This first post will focus on some of today’s overall perspectives from those who know about what is happening: Nicholas Kristof, a New York Times columnist, who has talked with a lot of experts, and Michael Osterholm, now at the University of Minnesota as Regents Professor, McKnight Presidential Endowed Chair in Public Health, the Director of the Center for Infectious Disease Research and Policy (CIDRAP), Distinguished Teaching Professor in the Division of Environmental Health Sciences, School of Public Health, a professor in the Technological Leadership Institute, College of Science and Engineering, and an adjunct professor in the Medical School.[1]

Other posts will discuss other important developments in the crisis as well as his personal reactions to these problems.

Kristof’s Analysis[2]

One of the most disturbing Sunday articles was by Nicholas Kristof, who set forth what experts are seeing as the “worst case” and “best case” for the U.S. in March 2021, one year from now.

Worst Case

“More than two million Americans have died from the new coronavirus, almost all mourned without funerals. Countless others have died because hospitals are too overwhelmed to deal adequately with heart attacks, asthma and diabetic crises. The economy has cratered into a depression, for fiscal and monetary policy are ineffective when people fear going out, businesses are closed and tens of millions of people are unemployed. A vaccine still seems far off, immunity among those who have recovered proves fleeting and the coronavirus has joined the seasonal flu as a recurring peril.”

The U.S. “badly bungled testing, and President Trump repeatedly dismissed the coronavirus, saying it was ‘totally under control’ and ‘will disappear,’ and insisting he wasn’t ‘concerned at all.’ . . .The United States has still done only a bit more than 10 percent as many tests per capita as Canada, Austria and Denmark.”

“By some counts, the United States is just eight days behind Italy on a similar trajectory, and it’s difficult to see how America can pirouette from the path of Italy to that of South Korea. The United States may already have 100,000 infected citizens — nobody knows. That’s too many to trace. Indeed, one can argue that the U.S. is not only on the same path as Italy but is also less prepared, for America has fewer doctors and hospital beds per capita than Italy does — and a shorter life expectancy even in the best of times.”

“Mitre, a nonprofit that does work on health care, calculated that coronavirus cases are doubling more quickly in the United States than in any other country it examined, including Italy and Iran.” Two experts’ models suggest “that up to 366,000 I.C.U. beds might be needed in the United States for coronavirus patients at one time, more than 10 times the number available.”

Therefore, the U.S. “should be urgently ramping up investment in vaccines and therapies, addressing the severe shortages of medical supplies and equipment, and giving retired physicians and military medics legal authority to practice in a crisis.” But that is not happening. Moreover, the U.S. “isn’t protecting health workers with the same determination” as China did after its initial failure to do so.“In the worst-case scenario, will social services collapse in some areas? Will order fray? Gun sales are increasing, because some people expect chaos and crime.” The U.S. “is in a weaker position than some other countries to confront the virus because it is the only advanced country that doesn’t have universal health coverage, and the only one that does not guarantee paid sick leave. With chronic diseases, the burden of these gaps is felt primarily by the poor; with infectious diseases, the burden will be shared by all Americans.”

Best Case

“Life largely returned to normal by the late summer of 2020, and the economy has rebounded strongly. The United States used a sharp, short shock in the spring of 2020 to break the cycle of transmission; warm weather then reduced new infections and provided a summer respite for the Northern Hemisphere. By the second wave in the fall, mutations had attenuated the coronavirus, many people were immune and drugs were shown effective in treating it and even in reducing infection. Thousands of Americans died, mostly octogenarians and nonagenarians and some with respiratory conditions, but by February 2021, vaccinations were introduced worldwide and the virus was conquered.”

According to Dr. Larry Brilliant, an epidemiologist, “The best case is that the virus mutates and actually dies out.” Another expert,  Dr. Charles G. Prober, a professor at Stanford Medical School, agreed. Two other lethal coronaviruses, SARS and MERS, both petered out, and that is possible here. “My hope is that Covid-19 will not survive.”

“Several countries have shown that decisive action can turn the tide on Covid-19, at least for a time.” This especially is true for Singapore, Taiwan, South Korea and Hong Kong that “responded with the standard epidemiological tool kit: vigilance and rapid response, testing, isolating the sick, tracing contacts, quarantining those exposed, ensuring social distancing and providing reliable information. They did not shut down their entire countries.”

It is possible that the U.S. and other Northern Hemisphere nations soon will experience warmer weather that will dampen the coronavirus as was true with two of the four other coronaviruses.

“There is hope that some antiviral medicines currently in clinical trials will be successful.”

Finally there is hope that “the coronavirus may be less lethal than was originally feared, so long as health care systems are not overwhelmed.”

Yet another expert, “Dr. Tara C. Smith, an epidemiologist at Kent State University, summed up all of these considerations: ‘I’m not pessimistic. I think this can work.’ She thinks it will take eight weeks of social distancing to have a chance to slow the virus, and success will depend on people changing behaviors and on hospitals not being overrun. ‘If warm weather helps, if we can get these drugs, if we can get companies to produce more ventilators, we have a window to tamp this down.’”

Our Responses

“This crisis should be a wake-up call to address long-term vulnerabilities. That means providing universal health coverage and paid sick leave.”  The coronavirus legislation adopted last week does not do that. “It guarantees sick leave to only about one-fifth of private-sector workers. It’s a symbol of the inadequacy of America’s preparedness.”

“More broadly, the United States must remedy its health priorities: We pour resources into clinical medicine but neglect public health. . . . The United States has a decentralized and spotty public health system, and it has endured painful budget cuts, yet historically public health has saved more lives than clinical medicine.”

Osterholm’s Perspective[3]

U.S. Difficulty in Appreciating Risk of Pandemics

First, the U.S. government and citizens “had almost this sense of invincibility that we had a border that would not allow such infectious-disease agents to penetrate … . We, of course, know that is folly. A microbe anywhere in the world today can be anywhere in the world tomorrow.”

Second, “we tend to lack creative imagination. {Yet those ]who knew health care knew that health care [had been] carved down to the bone for which there was no resiliency of any substantial nature, no excess capacity, no monies to stockpile large volumes of protective equipment.”  In addition, there has been “no real understanding of the vulnerability of this country outsourcing all of its drug supply manufacturing to places like China.”

Third, “I think it’s human nature to not want to believe this” risk.

This January Osterholm wrote a notification for the CIDRAP leadership forum, saying, “ “I now am absolutely convinced this is going to be a pandemic. This will be a worldwide epidemic. We will see major transmission around the world. And what has happened in Wuhan [China] will happen in other places.” But this warning had no impact on U.S. policies.

 U.S. Needs ‘New Normal’

 U.S. and others need to find a new normal, a way to live with COVID-19. We “can’t shelter in place for 18 months. This isn’t going to work.” Instead, we need a national goal.

We must “make every effort to … protect those most vulnerable. And we [need to] continue to emphasize social distancing, … [and] keep the hospitals from being overrun. We [must] keep doing that until we get a vaccine. . . . It won’t be perfect. Some people will get sick, some may die.”

“People are really concerned. They’re scared … but they’re not panicking. They want straight talk.” They want the truth, and they are not getting it from the Trump administration.

“[A recent British scientific paper] said crowd size really makes no difference. We really have no data on crowd size. Their modeling says we have to have contact … that if you shook hands with all 50,000 people in an arena, you got a problem. But if you didn’t, the risk of transmission is not nearly as great as people think it is. We also don’t have good data that we have major transmission in schools from kids to kids and that they take it home to Mom and Dad.”

“Singapore did not close schools. Hong Kong did. We saw no difference. . . . {On the other hand,] I do know it makes a difference in saving lives in a hospital when you take out 20% of nurses, doctors, respiratory therapists who can’t work because they’re at home [to watch their kids]. I know that is a risk in putting grandparents in so that some can keep working.”

He is hopeful about some new potential treatments for COVID-19, such as chloroquine, that are being studied, but that, he says, is not a strategy.

Conclusion

As a retired lawyer in his 80’s with no experience or expertise on these global health issues, I concur in Professor Osterholm’s assertion that others and I want the truth from our government and national and local leaders. That truth will include admissions that they do not yet know certain important factors, that they are investigating those issues in a focused, disciplined, scientific manner and that the rest of us need to follow developments in the pandemic and follow the straightforward instructions: wash your hands frequently and carefully, maintain at least six-feet social distancing with other people and do not join groups of (10?) or more people. As noted above, other posts will explore my personal reactions to all of this situation.

=============================

[1] Osterholm also currently holds, and has held, other important positions in this field and is the co-author of “the 2017 book, Deadliest Enemy: Our War Against Killer Germs, in which he not only details the most pressing infectious disease threats of our day but lays out a nine-point strategy on how to address them.” (CiDRAP, Michael T. Osterholm, PhD, MPH.)

[2] Kristof, The Best-Case Outcome for the Coronavirus, and the Worst, N.Y. Times (Mar. 20, 2020).

[3] Burcum, Coronavirus pandemic: What’s ‘normal’ now? What’s next? An interview with Michael Osterholm, StarTribune (Mar. 22, 2020). /