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Internal Emails Reveal High-Ranking Trump Administration Officials Were Warned About Lack of PPE Safety Gear Early On

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A high-ranking federal official in late February warned that the United States needed to plan for not having enough personal protective equipment for medical workers as they began to battle the novel coronavirus, according to internal emails obtained by Kaiser Health News.

The messages provide a sharp contrast to President Donald Trump’s statements at the time that the threat the coronavirus posed to the American public remained “very low.” In fact, concerns were already mounting, the emails show, that medical workers and first responders would not have enough masks, gloves, face shields and other supplies, known as PPE, to protect themselves against infection when treating COVID-19 patients.

The emails, part of a lengthy chain titled “Red Dawn Breaking Bad,” includes senior officials across the Department of Veterans Affairs, the State Department, the Department of Homeland Security and the Department of Health and Human Services, as well as outside academics and some state health officials. KHN obtained the correspondence through a public records request in King County, Washington, where officials struggled as the virus set upon a nursing home in the Seattle area, eventually killing 37 people. It was the scene of the first major outbreak in the nation.

“We should plan assuming we won’t have enough PPE — so need to change the battlefield and how we envision or even define the front lines,” Dr. Carter Mecher, a physician and senior medical adviser at the Department of Veterans Affairs, wrote on Feb. 25. It would be weeks before front-line health workers would take to social media with the hashtag #GetMePPE and before health systems would appeal to the public to donate protective gear.

In the email, Mecher said confirmed-positive patients should be categorized under two groups with different care models for each: those with mild symptoms should be encouraged to stay home under self-isolation, while more serious patients should go to hospital emergency rooms.

“The demand is rising and there is no guarantee that we can continue with the supply since the supply-chain has been disrupted,” Eva Lee, director of the Center for Operations Research in Medicine and HealthCare at Georgia Tech and a former health scientist at the Atlanta VA Medical Center, wrote that same day citing shortages of personal protective equipment and medical supplies. “I do not know if we have enough resources to protect all frontline providers.”

Reached on Saturday, Lee said she isn’t sure who saw the message trail but “what I want is that we take action because at the end of the day we need to save patients and health care workers.”

Mecher, also reached Saturday, said the emails were an “an informal group of us who have known each other for years exchanging information.” He said concerns aired at the time on medical protective gear were top of mind for most people in health care. More than 35 people were on the email chain, many of them high-ranking government officials.

The same day Mecher and others raised the concern in the messages, Trump made remarks to a business roundtable group in New Delhi, India.

“We think we’re in very good shape in the United States,” he said, noting that the U.S. closed the borders to some areas. “Let’s just say we’re fortunate so far.  And we think it’s going to remain that way.”

The White House declined to comment. In a statement, VA press secretary Christina Mandreucci said, “All VA facilities are equipped with essential items and supplies to handle additional coronavirus cases, and the department is continually monitoring the status of those items to ensure a robust supply chain.”

Doctors and other front-line medical workers in the weeks since have escalated concerns about shortages of medical gear, voicing alarm about the need to protect themselves, their families and patients against COVID-19, which as of Saturday evening had sickened more than 121,000 in the United States and killed at least 2,000.

As Mecher and others sent emails about growing PPE concerns, HHS Secretary Alex Azar testified to lawmakers that the U.S. had 30 million N95 respirator masks stockpiled but needed 300 million to combat the outbreak. Some senior U.S. government officials were also warning the public to not buy masks for themselves to conserve the supply for health care providers.

U.S. Surgeon General Jerome Adams tweeted on Feb. 29: “Seriously people – STOP BUYING MASKS!  They are NOT effective in preventing general public from catching #Coronavirus, but if healthcare providers can’t get them to care for sick patients, it puts them and our communities at risk!”

Still, on Feb. 27, the FDA in a statement said that officials were not aware of widespread shortages of equipment.

“We are aware of reports from CDC and other U.S. partners of increased ordering of a range of human medical products through distributors as some healthcare facilities in the U.S. are preparing for potential needs if the outbreak becomes severe,” the agency said.

Simultaneously, Trump downplayed the risk of the novel coronavirus to the American public even though the Centers for Disease Control and Prevention was warning it was only a matter of time before it would spread across the country. On Feb. 29, the CDC also updated its strategies for health workers to optimize supplies of N95 masks.

An HHS spokesperson said Saturday the department has been in “an all-out effort to mobilize America’s capacity” for personal protective equipment and other supplies, including allowing the use of industrial N95 respirators in health care settings and awarding contracts to several private manufacturers to buy roughly 600 million masks over the next 18 months.

“Health care supply chains are private-sector-driven,” the spokesperson said. “The federal role is to support that work, coordinate information across the industry and with state or local agencies if needed during emergencies, and drive manufacturing demand as best we can.”

The emails from King County officials and others in Washington state also show growing concern about the exposure of health care workers to the virus, as well as a view into local officials’ attempts to get help from the CDC.

In one instance, local medical leaders were alarmed that paramedics and other emergency personnel were possibly exposed after encountering confirmed-positive patients at the Life Care Center of Kirkland, the Seattle-area nursing home where roughly three dozen people have died because of the virus.

“We are having a very serious challenge related to hospital exposures and impact on the health care system,” Dr. Jeff Duchin, the public health officer for Seattle and King County, wrote in a different email to CDC officials March 1. Duchin pleaded for a field team to test exposed health care workers and additional support.

Duchin’s email came hours after a physician at UW Medicine wrote about being “very concerned” about exposed workers at multiple hospitals and their attempts to isolate infected workers.

“I suspect that we will not be able to follow current CDC [recommendations] for exposed HCWs [health care workers] either,” wrote Dr. John Lynch, medical director of employee health for Harborview Medical Center and associate professor of Medicine and Allergy and Infectious Diseases at the University of Washington. “As you migh [sic] imagine, I am very concerned about the hospitals at this point.”

Those concerns have been underscored with an unusual weekend statement from Dr. Patrice Harris, president of the American Medical Association, which represents doctors, calling on Saturday for more coordination of needed medical supplies.

“At this critical moment, a unified effort is urgently needed to identify gaps in the supply of and lack of access to PPE necessary to fight COVID-19,” the statement says. “Physicians stand ready to provide urgent medical care on the front lines in a pandemic crisis. But their need for protective gear is equally urgent and necessary.”

Image via Shutterstock

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Two-Thirds of Americans Say Economy is Keeping Them From Having Babies

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Nearly two-thirds of Americans aren’t having babies due to the economy, according to a new poll.

According to a Harris-Guardian poll, many Americans are deciding against having children, with 65% saying that they’ve decided against having children because they’re worried about the economy and doubt they could afford it.

The poll also asked about other regular life milestones. Americans are also holding off on getting married (60%), buying a house (75%) or pursuing higher education (61%). It’s not just major events, either—65% said the cost of living had only gotten higher since January, and half said they were having difficulty paying for regular living expenses.

READ MORE: Nikki Haley: Frozen Embryos Are ‘Babies’

A majority of adults, 52%, blamed either tariffs (29%) or other government policies (23%) for causing their household economic woes. Only 4% blamed themselves, with another 6% blaming employers; 16% blamed something altogether different. The only group that largely felt the economy was getting better was Republicans; 33% said it was getting worse, compared to 73% of Democrats and 64% of independents.

The survey of 2,102 adult Americans was conducted between April 24-26. The margin of error is 2.5%.

America’s birth rate has been declining since the 1950s, barring a small bump between 1978 and 1988, according to Macrotrends. In the last 40 years, the number of live births has fallen from a peak of 15.5 live births per 1,000 people in 1988 to 12.01 births in 2024.

The Trump administration has urged Americans to have more children. In April, President Donald Trump floated the idea of giving out a “baby bonus” of $5,000 to new parents, according to CBS News.

While not as generous, the House GOP’s first draft of the budget includes $1,000 to be placed in “MAGA accounts” for new babies, according to Raw Story. The $1,000 could come in handy for new parents—but a May 9 report from CBS estimates Trump’s tariffs have added $1,000 to the cost of raising a child. (This does not take into account Monday’s announcement of reduced tariffs on Chinese goods.)

Declining birth rates could lead to an imbalance of demographics. As Americans get older, there are fewer young people to fill their shoes in the workplace. Fewer workers means lower tax revenue, and aging typically means an increase in health care costs, as Mike Walden, Reynolds Distinguished Professor Emeritus at North Carolina State University, points out.

It’s not all downsides, however. Walden says lower birth rates could also lessen competition for good housing. It could also lead to less traffic congestion, less waste and more land for food production.

Image via Shutterstock

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Trump Promises to Lower Drug Costs as House GOP Tries to Cut $880B From Medicaid

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President Donald Trump signed an executive order on Monday aimed at cutting drug costs. Meanwhile, his fellow Republicans in the House are trying to gut Medicaid.

Trump’s executive order, “Delivering Most-Favored-Nation Prescription Drug Pricing to American Patients,” is an attempt to “equalize evident price discrimination,” allowing Americans to pay the same price as other “comparably developed nations.”

“This abuse of Americans’ generosity, who deserve low-cost pharmaceuticals on the same terms as other developed nations, must end.  Americans will no longer be forced to pay almost three times more for the exact same medicines, often made in the exact same factories.  As the largest purchaser of pharmaceuticals, Americans should get the best deal,” the EO reads in part.

READ MORE: ‘Pushed Up to the Edge of the Cliff’: GOP Proposals Would Kick Millions Off Health Care

Prior to the announcement, Trump posted to Truth Social that “DRUG PRICES TO BE CUT BY 59%,” but did not provide details on where that figure came from. It is also unclear if the White House has the authority to enforce this order, according to NPR.

PhRMA President and CEO Steve Ubl dismissed the executive order, saying that it was other countries paying such low prices that drives up costs for Americans. Ubl implied that the executive order may require those countries to pay more.

“The Administration is right to use trade negotiations to force foreign governments to pay their fair share for medicines. U.S. patients should not foot the bill for global innovation,” Ubl said. “Importing foreign prices from socialist countries would be a bad deal for American patients and workers. It would mean less treatments and cures and would jeopardize the hundreds of billions our member companies are planning to invest in America – threatening jobs, hurting our economy and making us more reliant on China for innovative medicines.”

While Trump was promising to help American health care consumers on Monday, the night before, his colleagues in the House revealed legislation that would cut over $880 billion in Medicaid funding. Republicans say that the cuts will result in savings to the average American, but Rep. Frank Pallone (D-NJ) said “millions of Americans will lose their health care coverage,” according to the AP.

“Hospitals will close, seniors will not be able to access the care they need, and premiums will rise for millions of people if this bill passes,” Pallone continued.

Not all Republicans are on board with this bill. Sen. Josh Hawley of Missouri wrote a guest essay for The New York Times condemning the legislation. He called the bill “both morally wrong and politically suicidal.”

“If Republicans want to be a working-class party — if we want to be a majority party — we must ignore calls to cut Medicaid and start delivering on America’s promise for America’s working people,” Hawley wrote.

Image via Reuters

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US Lifts Ban on Afghan Deportations, Despite UN Warning of ‘Escalating Crisis’

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Department of Homeland Security Secretary Kristi Noem announced Monday that the ban on deporting Afghans had been lifted due to improvements in their home country. The United Nations has warned this isn’t the case, and deportees could be in danger.

The about-face is yet another example of the Trump administration reversing a Biden-era policy. Beginning in 2022, Afghan refugees were granted Temporary Protected Status (TPS), according to NPR. In addition to stopping deportation, TPS also gives refugees authorization to work in the United States.

Noem said the decision to rescind TPS was due to improving conditions in Afghanistan, citing an “improved security situation” and “stabilizing economy,” according to The Hill. The TPS designation expires on May 20, and becomes effective July 12, 60 days after the announcement is scheduled to be officially published in the Federal Register.

READ MORE: Trump Team Pushing ‘Utter Propaganda’ on Deportations to Create ‘Climate of Fear’: Experts

Despite Noem saying Afghanistan is safe for refugees, the State Department still gives the country a “Do Not Travel” designation. The State Department warns “travel to all areas of Afghanistan is unsafe,” according to NPR.

The United Nations also disputes Noem’s claims. A report published by the U.N. last month refers to an “escalating humanitarian crisis” in the country, and say increase deportations could further destabilize things. Iran and Pakistan have forcibly deported 96,000 Afghan refugees in April alone, the U.N. reported.

Afghan refugees in America—even those with green cards—say they’re afraid to return.

“It doesn’t matter just how you got here,” Muhammad Amiri, a Afghan refugee with legal permanent residency, told NPR. “We don’t feel safe, and we don’t feel good because now, we feel threatened, if they send us back to our country, it will be the same story. [We] feel threatened to be tortured, maybe be killed by [the] Taliban.”

Though Amiri has a green card, the Trump administration’s crackdown on immigration has many worried. Amiri’s fiancée is in Afghanistan, and he told NPR he was afraid to visit her, due to fears he may not be allowed back into the country. Amiri’s fears are not unfounded; Immigration and Customs Enforcement officers at airports have already turned away or detained those who come to the United States legally, according to The Verge.

The Taliban,a militant Islamic fundamentalist group, is still in control of Afghanistan. The Taliban bans women from working or being educated. This week, it also banned chess, according to the Telegraph. The Taliban has been in control since the 2021 withdrawal of U.S. forces from the country, ending the longest war in which America has been involved.

Image via Reuters

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