Death Panels or Triage?

A New York City hospital has explicitly instructed its ER doctors to “withhold futile intubations” and that they have the sole discretion for that decision and the decision to use a ventilator on any particular patient.

What draws my attention to this order is that ER doctors have always had triage authority in their decisions regarding use of limited resources when potentially lethally injured or sick patients arrive in numbers that could overwhelm those resources.  New York State’s triage guidelines, in particular, were established in 2015.

What are this hospital’s administrators hinting at?

Holding Some Back

Forty-three million students are doing homework at home due to the current Wuhan virus situation.

Here’s the shocker about that:

Some public schools are calling online work “enrichment,” not part of the curriculum, because they can’t guarantee that all students will have access to it.

The work, which was part of the curriculum when school was in session, won’t be graded, won’t count.  This is another example of the Left’s view of equality: hold back the successful because the less successful don’t, or can’t, keep up.  Don’t take steps to help the less successful do better. No, that’s too hard.

Remember this view of equality next November.

A Misstatement of the Case

Gerald Seib opened his Monday Wall Street Journal piece with this bit:

…Americans have learned they can’t really count on Washington to deal with this crisis for them. Local leaders, businesses, churches, sports leagues—all have taken up the task, and done so more effectively than the political leadership in Washington.

That’s as it should be. Responsibility is individual, personal; we cannot wish any of that off onto others, much less government. All government can do—and it should do this much—is help us satisfy our own obligations.

That help, also, needs to come from the bottom up, with the Federal government’s help coming last. That top tier of our American government hierarchy has national responsibilities, and even with the present COVID-19 situation, conditions on the ground vary widely from locale to locale, State to State. Responses need to be similarly local or unique to each State.

The Federal government can spur development of medical treatments—the public-private partnerships with medical enterprises, for instance—and short-term (I’ll repeat that: short-term, with sunset clauses built in to guarantee shortness) economic measures to mitigate the stresses on our businesses, small and large. It can deploy military mobile hospitals and shelters to particular hot spots, and it can take other such temporary nation-wide steps to mitigate the situation.

Necessary mitigation, even control, of the situation, though, must begin with us as individuals. That mitigation begins with stopping our panic-buying and hoarding of necessary supplies. They continue with looking out for our most vulnerable neighbors: the elderly, the less or non-mobile, the poor among us.  They go further: avoiding large gatherings for the duration (which is not the same as not going out at all, not giving our custom to the mom and pop businesses in our neighborhoods and city regions), seeing to the welfare of neighbors with early grade school-aged children whose schools have been closed for the duration, checking on the older kids.

We need, also, to consider a mantra from a war we fought four generations ago: Is this trip really necessary? (And yes, it is, within the context of continuing to do at least occasional business with those mom and pops.)

In the end, we must revive and live by the words a man spoke some 60 years ago (which I’ll rephrase here): Ask not what your government can do for you. Ask what you can do for yourself and your neighbor.

An Illustration

A businessman in the People’s Republic of China, Ren Zhiqiang—who also is a member of the Communist Party of China—has been for some time an outspoken critic of PRC President Xi Jinping’s handling of the nation’s COVID-19 epidemic, a mishandling that allowed an early infection to blow out of control within the PRC and to become a global pandemic.

Outspoken critic: among other things, Ren wrote a widely disseminated essay that took issue with a 23 Feb speech by Xi. He wrote of a

“crisis of governance” within China’s Communist Party and blamed restrictions on freedom of speech and the press for slowing down the response to combat the novel coronavirus, thereby worsening the outbreak.

And

…after analyzing the President’s [Xi’s] speech he “saw not an emperor standing there exhibiting his ‘new clothes,’ but a clown stripped naked who insisted on continuing being emperor[.]”

Then Ren posted on Weibo

When does the people’s government turn into the party’s government? … Don’t waste taxpayers’ money on things that do not provide them with services.

Then his post was deleted, his Weibo account blocked. Ren also has been put on “probation” from the CPC.

And now he’s gone missing, making his point beautifully.

Van Jones Has a Thought

Van Jones, ex-Special Advisor to President Barack Obama (D) and now a television commentator, has concerns for Progressive-Democratic Party Presidential candidate Bernie Sanders’ (I, VT) supporters now that his chief competitor, Joe Biden, appears to be pulling away.

“You have now an insurgency that’s about to be defeated. What do you do with the people that you defeat?” he asked.
Jones told a panel…that young and progressive Democratic voters had a “champion” in the increasingly defiant and intrepid Vermont Senator Bernie Sanders (I).
“You’ve got young people who are graduating with a quarter-million dollars in debt, you’ve got young people with a lot of pain, and they had a champion. And, they thought they were going to be able to surround the divided establishment with their movement, crush that divided establishment, and move forward[.]

He went on:

Now, what do you do? Last time Bernie Sanders got beaten, there was an assumption that all his people were going to fall in line and vote against Trump and there was not enough care for the concern and the pain of his base[.]

What do you do with the people that you defeat?  The cynic in me recalls earlier days with the victors would run around the battlefield killing all the defeated wounded who’d been unable to escape.

That’s not going to happen here.  Still, the question is a valid one.  Biden and his team have spent the campaign, when they weren’t smearing President Donald Trump and his supporters, trashing Sanders and his socialist ideology and revolutionary policies—and by extension, Sanders’ supporters, who agreed with him.

Having done that for so long, how, indeed, can Biden, et al., go back to those supporters and say, “King’s X, we didn’t mean it. C’mon guys?”  If he tries to draw them in, what compromise can he offer them that they can believe?

If Biden moves in Sanders’ supporters’ direction, how could his current supporters believe that Biden still holds to the policies he espoused when he was trashing those Sanders ideas?

It’s a broader concern, though, than merely an intraparty tiffle.  If Biden moves far enough toward Sanders’ supporters to draw them to him, how, in the general election, could any voter believe Biden holds to any position with any sincerity, that he’s not just mouthing the policy that’s currently politically expedient—to be tossed aside when the expedience changes?