Saturday, March 28, 2020

Inspector Generals are very similar to FBI agents in their qualifications. They carry firearms, too. They operate independently and are appointed either by the president or the secretaries of the cabinet. The appointments by the president have to be approved by US Senate.

Council of the Inspectors General on Integrity and Efficiency (CIGIE) (click here)

The Council of Inspector Generals on Integrity and Efficiency was formed as an interim between the direct powers of the president and the Inspector Generals. I do not believe the Inspector Generals are an exact fit into the Executive Branch and the president does not have direct authority over the WORK of the inspector generals so much as appointments of some.

Signing Statement to "Workers First." (click here)

The Inspector Generals stand the line between corrupt, corruptible and honest government. The hiring and firing of IGs are within the powers of the president, however, all these activities have to be reported to Congress. In that understanding is the balance to "honest government."

If Donald J. Trump manipulated the oversight of the new IG to allow $500 billion to go unchecked to the financial markets he would be in violation of the law that clearly states there would be oversight through these standard mechanisms. The public would then be aware of his antics.
The United States of America is 17 percent of cases globally. The USA started this pandemic with 10 percent of the cases.

The USA is 5.86 percent of deaths globally, which includes a 17 year old boy. (click here)

The president should quarantine Florida and Louisiana to prevent such loose standards that promote disease from effecting the rest of the country. In quarantining Florida, it would end any migration of Americans that are carriers or sick from entering the state or form leaving the state.

The numbers of ill people are going to skyrocket because of the lack of good public health policy of the governors of Louisiana and Florida. These states need to maintain their people within their borders so they don't spread the disease nationwide again.

I am looking forward to the review by the FDA of the test cases of oral medication so that local doctors can prescribe them with a telephone call and/or at the time of a patient visit.

Americans expect Trump to interfere with the new legislation, "Workers First." He keeps bemoaning "get back to work" to undermine the legislation. There will be people that will return prematurely because of his moaning and they will endanger their lives and others because the pandemic in the USA is not resolved.

March 28, 2020
By Jeff Stein

President Trump (click here) on Friday took a step to immediately try to curb oversight provisions in Congress’ $2 trillion coronavirus spending package, seeking to assert presidential authority over a new inspector general’s office.

The move could presage a major battle between the White House and Capitol Hill as the Trump administration moves to implement the new law.

In a White House signing statement released Friday evening, Trump called “unreasonable” the law’s mandate that a new Special Inspector General for Pandemic Recovery notify Congress immediately if the White House doesn’t cooperate with an audit or investigation. The new inspector general is supposed to monitor how the Treasury Department extends loans and loan guarantees to businesses, among other things....

I would hope by now Americans realize they have a president that lies and manipulates chronically. I fully expected the presidential executive pen to come out as soon as the Worker's First bill became a law. Trump wants the financial markets to look good for his election and he will do whatever is necessary to do exactly that. He is not a strong supporter of the middle class, labor unions or anything that actually makes the American economy great. The Trump tax bill ignored the needs of the Middle Class, which speaks for itself and now he can't help himself from moaning about the fact everyone is not working regardless of the peril our country's people would face.

Trump cannot simply write an executive order that alters recently passed legislation that he signed.

The conscience of the Founder of "Shake Shack" has stronger ethical practices than Trump.

Absolutely NOT. This is the absolute worst time to have this discussion.

This discussion of health care professionals is unethical, disgraceful and amounts to waving the surrender flag. I am astounded this is even being considered. The problems are already solved to save every person with COVID-19.

To begin, if this practice was ever instituted, it would be a violation of the law. Ventilators have been proven to successfully support two patients at a time WHEN NEEDED. "Pressure Support" settings expand the COMPETENT ability of a ventilator. There is nothing wrong with that. Clinical trials can be ongoing during this pandemic.

This discussion of a universal DNR is not becoming to the USA. It is one step away from euthanasia and then we look like Russia.

This discussion puts USA medicine in direct conflict with professional standards.

Patients will not seek medical attention and die in their homes. There will be a "sacrificial lamb" culture entered into the USA culture in general. To put it plainly this is ludicrous.

The United States of America has faced worse case scenarios before and rose above it, that will hold true this time as well. The poor will make it through with all the same problems they had before. The idea of a universal DNR is out of the question. It will alienate Americans from medicine and return them to the anti-vaccine culture and wife's tales. Maybe that's the goal, but, this is really, really bad ethical standards for American medicine.

March 25, 2020
By Ariana Eunjung Cha

Hospitals on the front lines of the pandemic (click here) are engaged in a heated private debate over a calculation few have encountered in their lifetimes — how to weigh the “save at all costs” approach to resuscitating a dying patient against the real danger of exposing doctors and nurses to the contagion of coronavirus.

The conversations are driven by the realization that the risk to staff amid dwindling stores of protective equipment — such as masks, gowns and gloves — may be too great to justify the conventional response when a patient “codes,” and their heart or breathing stops.

Northwestern Memorial Hospital in Chicago has been discussing a do-not-resuscitate policy for infected patients, regardless of the wishes of the patient or their family members — a wrenching decision to prioritize the lives of the many over the one.