2020 Vice Presidential Debate: In the Land of the Shoshone

This post is dedicated to discussion of the Vice Presidential debate between current VP Mike Pence and Democratic VP candidate Senator Kamala Harris.

The debate is scheduled to begin at 9:00 PM ET and will take place in the Nancy Peery Marriott Auditorium at the University of Utah’s Kingsbury Hall in Salt Lake City, Utah.

University of Utah’s efforts to prevent the dispersion of the candidates’ aerosolized exhalations — particularly those of Pence who has been in contact with infected persons within the last week — are absolutely laughable, evident in this photo of the stage (via NBC):

Harris had asked for a plexiglass partition between the candidates which the Commission on Presidential Debates approved though not without complaint by Team Pence. What the Commission furnished is a joke, clearing the candidates’ heads by no more than 18″.

Check-out clerks at major grocery store chains and banks have more protection than this.

I’m crossing my fingers that Harris’s people have reached out to SC Senate candidate Jaime Harrison to see if they could borrow the folding plexiglass screen he used when debating Lindsey Graham.

Or found a mask with a built-in mic (why hasn’t this become a thing?) so that she has more protection but is still audible.

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Like the three Presidential debates, this event is booked in a red state venue. None of the events organized by the allegedly nonpartisan, nonprofit Commission on Presidential Debates is scheduled for a blue state.

Partisan bias could well explain the casual attitude toward infection control.

Utah’s state nickname is the Gateway to the West, but Native Americans know this is land taken from Ute, Paiute, and Shoshone tribes. Though some of the state falls under sketchy treaties, Salt Lake City itself is unceded land of the Northwestern Shoshone. Let’s hope this is recognized at some point during the evening.

USA Today’s Susan Page is the scheduled moderator, who has a conflict of interest:

… A potential conflict of interest has arisen in the vice-presidential debate. In late 2018, moderator Susan Page hosted a party in honor of Mike Pence’s protégé Seema Verma, who runs the Medicare and Medicaid programs for the Trump administration. As New York’s Ed Kilgore notes, the controversy centers on “whether a working journalist at Page’s level who has been hobnobbing with Mike Pence’s best-known associate in the Trump administration ought to be moderating his debate with Kamala Harris.” …

And in spite of the hubbub which arose when this conflict of interest was identified, Page and USA Today have refused to do anything about it — apparently there are no other journalists at USA Today covering the presidential race who are free of conflicts…? Or COVID-negative?

Sure hope it comes up in the debate that Mike Pence has had to return to DC when Air Force 2 was turned around mid-flight on its way to or from New Hampshire not once but twice in the last 18 months.

Has any journalist confirmed it was Air Force 2 hitting a bird which caused Pence to turn around on September 22 and not something else? Or did they leave it to Pence’s communications people to explain this?

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Add these two dates to your calendar for the remaining two presidential debates — if Trump is healthy enough to participate:

Thursday 15-OCT-2020
9:00–10:30 p.m. ET
Adrienne Arsht Center for the Performing Arts
Miami, Florida
Moderator: Steve Scully, C-SPAN

Thursday 22-OCT-2020
8:00–9:30 p.m. ET
Curb Event Center at Belmont University
Nashville, Tennessee
Moderator: Kristen Welker, NBC

I’m not holding my breath for these.

Federalist Society Super-Spreader Plausible Deniability

There’s a remarkable paragraph in this NYT story explaining that the White House refuses to contact trace the attendees at the party for “pro-life” Amy Coney Barrett, a feeding frenzy of Federalist Society members itching to fill another SCOTUS seat, where numerous people caught a deadly disease.

The White House has decided not to trace the contacts of guests and staff members at the Rose Garden celebration 10 days ago for Judge Amy Coney Barrett, where at least eight people, including the president, may have become infected, according to a White House official familiar with the plans.

The paragraph suggests, based on no evidence, that the gala of Federalist Society members is where the President got sick.

And yet the rest of the story suggests that the White House knows that’s not what happened, that the President may well have, instead, made everyone else sick.

If the White House didn’t at least suspect that the President was the vector at the gala, after all, they would not pursue the policy of keeping all contact tracing in-house and limiting it to those who contacted the President for the two days — presumably meaning 48 hours — in advance of his late Thursday night confirmed diagnosis.

Instead, it has limited its efforts to notifying people who came in close contact with Mr. Trump in the two days before his Covid diagnosis Thursday evening. It has also cut the Centers for Disease Control and Prevention, which has the government’s most extensive knowledge and resources for contact tracing, out of the process.

[snip]

After Mr. Trump’s illness was diagnosed, an internal C.D.C. email on Friday asked the agency’s scientists to be ready to go to Washington for contact tracing, but a request from the White House for assistance never came, according to two senior C.D.C. scientists.

Instead, the tracing efforts are being run by the White House Medical Unit, a group of about 30 doctors, nurses and physician assistants, headed by Dr. Sean Conley, the White House physician, who has been the public spokesman for Mr. Trump’s doctors.

Judd Deere, a White House spokesman, said that a “robust contact tracing program” was underway “led by the White House Medical Unit with C.D.C. integration.” The “integration” refers to an epidemiologist from the C.D.C. who has been detailed to the unit since March, according to a White House official.

The two day contact tracing is guaranteed not to show that Trump could have infected anyone at the debate, which was slightly more than 48 hours before Trump was diagnosed.

More importantly, it guarantees that Trump cannot be shown to be the vector that exposed a great number of important people, including at least three Senators critical to the effort to rush through Barnett’s confirmation before the election, and possibly even the Chief Justice.

The NYT has very good reason to suspect that Trump was infected before the Federalist Society super-spreader party. That’s because NYT White House Correspondent Michael Shear is among the journalists who has tested positive in this latest White House cluster. Shear believes he had to have been infected on September 26, but he didn’t attend the super-spreader event. He showed up to the White House earlier that day to take a COVID test, and then, later that evening, flew on Air Force One, where Trump spoke to reporters, not wearing a mask, for about 10 minutes.

While there are other possibilities, if Trump infected Shear during that short conversation, it would mean that the President would have been shedding COVID earlier in the day, all over the VIPs at the event full of Federalist Society members.

By admitting they need to contract trace back the two days before Trump was diagnosed, the White House is now all but admitting that Trump was already positive at the debate, meaning his 77-year old opponent has narrowly survived exposure the disease too. But they’re only doing that to avoid admitting what is quite likely, but far more damning: that he was the vector by which everyone else got infected on September 26.

Hours ago, Kellyanne Conway confirmed what her troubled daughter Claudia earlier claimed on TikTok. Claudia has now tested positive (though George, who no longer gets invited to the best Federalist Society galas, apparently did not). Kellyanne tried to suggest that there had been no delay in her own diagnosis, thereby denying that she’s the advisor described in a WSJ article who was ordered to lie about her diagnosis.

But there was a delay. There was a delay because the White House is desperately trying to cover up that the President may have been the one who infected all those VIPs. Those VIPs, and now an innocent 15-year old young woman.

Update: Clarified why I’m branding this to the “pro-life” Federalist Society.

Update: Corrected to note that Joe Biden was likely exposed to the disease. There’s no indication he (or John Roberts, who was likely also exposed to it) have contracted it. h/t TW

Update: Shear told Axios that his spouse has now tested positive.

October COVID Surprise: So Much Bullshit, So Little Time [UPDATE-4]

Here’s a new post because the last post’s comment thread is now unwieldy, and there’s more fresh bullshit to wade through.

I have been wading through a bunch of material but don’t have anything ready for publication. Community members still need some white space in which to discuss the latest Trump bullshit.

Have at it — I’ll add content here shortly with any future updates to follow at the bottom of this post.

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Trump’s little joy ride this evening did himself no favors. His body’s under huge stress and he doesn’t appear to recognize this, even if the Regeneron multi-antibody therapy is working.

There’s a dearth of news about that antibody cocktail’s success under compassionate use with other COVID patients. Regeneron released information about a study in which 275 out of a total 1100 participants received this therapy.

What’s weird about the antibody cocktail is that they didn’t release a study with data but a goddamned press release on Tuesday September 29, at 4:01 p.m.

Conveniently one minute after market close but before the debate, and potentially after some persons in the White House knew they were COVID-positive.

The steroid Trump received — dexamethasone — was the next appropriate step in the protocol for COVID based on Trump’s depleted oxygen levels, which means the antibody cocktail wasn’t working as quickly or as well as needed.

Dexamethasone would have been dispensed because Trump’s oxygen level fell substantially; when asked, Conley said his level had not fallen into the low 80s — a level which would be cyanotic. This means Trump’s O2 probably did fall to 85% and likely needed oxygen and the steroid to prevent cyanosis.

A study this summer showed this steroid helps some patients:

RESULTS
A total of 2104 patients were assigned to receive dexamethasone and 4321 to receive usual care. Overall, 482 patients (22.9%) in the dexamethasone group and 1110 patients (25.7%) in the usual care group died within 28 days after randomization (age-adjusted rate ratio, 0.83; 95% confidence interval [CI], 0.75 to 0.93; P<0.001). The proportional and absolute between-group differences in mortality varied considerably according to the level of respiratory support that the patients were receiving at the time of randomization. In the dexamethasone group, the incidence of death was lower than that in the usual care group among patients receiving invasive mechanical ventilation (29.3% vs. 41.4%; rate ratio, 0.64; 95% CI, 0.51 to 0.81) and among those receiving oxygen without invasive mechanical ventilation (23.3% vs. 26.2%; rate ratio, 0.82; 95% CI, 0.72 to 0.94) but not among those who were receiving no respiratory support at randomization (17.8% vs. 14.0%; rate ratio, 1.19; 95% CI, 0.91 to 1.55).

CONCLUSIONS
In patients hospitalized with Covid-19, the use of dexamethasone resulted in lower 28-day mortality among those who were receiving either invasive mechanical ventilation or oxygen alone at randomization but not among those receiving no respiratory support.

Source: https://www.nejm.org/doi/full/10.1056/NEJMoa2021436

But Trump is NOT receiving respiratory support consistently based on yesterday’s photos and proof-of-life video, this evening’s his stunt ride as well as the sketchy information his physicians have given. The steroid would not be as beneficial to him as it would be to patients on ventilators.

To my knowledge Trump’s physicians have already shot their COVID arsenal. If Trump has additional difficulty breathing he’ll likely be put under anesthesia into an induced coma and intubated. If he gets to that point he won’t have a choice about it because his low oxygen level could cause a cascade of organ failures — a crash.

We can deduce his lungs are compromised because of Dr. Conley’s hedging about their appearance (“There’s some expected findings, but nothing of any major clinical concern,” he said).

It’s likely Trump’s being monitored for cardiac symptoms given the use of ultrasound and the frequency with which COVID causes myocarditis. We can’t rule out the possibility Trump had cardiac symptoms when he went on an unscheduled visit to Walter Reed last November which may mean he’s at greater risk of myocarditis.

And it’s likely Trump’s got some degree of COVID brain as well, which the steroid will make worse — he’ll have cloudy thinking but with mania. A number of doctors from different fields have expressed concerns about dexamethasone’s affect on Trump’s capacity given the possibility of mania, delirium/confusion while under its influence.

We don’t even know yet if Trump has been free of fever without antipyretic medication.

I’m not a doctor, but none of this suggests to me that Trump will be ready to be released from Walter Reed tomorrow, joy ride or not.

Any future updates to follow at the bottom of this post.

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UPDATE-1 — 10:00 A.M. 05-OCT-2020 —

The cover-up continues. One of the White House correspondents, Michael D. Shear, has tested positive for COVID-19 and is now disclosing the White House has not made any effort to reach out to him as part of contact tracing. (Open pic link below to launch tweeted video clip of interview with Shear.)

There has been no mention of the White House or members of the Centers for Disease Control reaching out to anyone else who was in attendance at the Barrett ‘Rose Garden Massacre’ where it’s believed more than a couple people were infected.

As Marcy noted in Twitter, it looks increasingly like Trump was infected on Thursday or Friday, 24-25 September, and that he may be responsible for a number of the cases associated with the Barrett ‘Rose Garden Massacre’.

But this also means Trump was infectious at the debate and may have knowingly attempted to infect his opponent, Joe Biden.

Melania also tested positive and was the only family Trump family member to wear a mask, though she did so while seated in the audience and not while on the debate stage upon Trump’s entrance. Was she told not to wear a mask on stage not only because Trump is anti-mask but because Trump wanted to increase the viral load on the stage?

This isn’t just a case of indifference like that Trump showed yesterday by taking a joy ride in the presidential limousine, forcing Secret Service personnel into a hermetically-sealed vessel in which they could not escape any of his aerosolized exhalation which may have escaped his mask.

It’s a deliberate effort to avoid handling the COVID-19 outbreak surrounding Trump, and a deliberate effort to hurt the election process by biological assault against an opposing candidate.

Back in April when the White House COVID-19 Task Force was working on a national plan to respond to the pandemic, there was a pointed effort not to roll out a national plan:

… Against that background, the prospect of launching a large-scale national plan was losing favor, said one public health expert in frequent contact with the White House’s official coronavirus task force.

Most troubling of all, perhaps, was a sentiment the expert said a member of Kushner’s team expressed: that because the virus had hit blue states hardest, a national plan was unnecessary and would not make sense politically. “The political folks believed that because it was going to be relegated to Democratic states, that they could blame those governors, and that would be an effective political strategy,” said the expert.

That logic may have swayed Kushner. “It was very clear that Jared was ultimately the decision maker as to what [plan] was going to come out,” the expert said….

It was Kushner’s political calculus, with Trump’s implicit imprimatur, to allow Americans in blue states to sicken and to die without testing or other federal public health assistance because their states didn’t support Trump.

Who is responsible for the political calculus to allow members of Congress, White House staff and correspondents, Trump campaign team members, spouses and children, to be exposed to COVID-19 without any attempt to trace the source of the infection, to avoid making Trump look bad?

Any future updates to follow at the bottom of this post.

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UPDATE-2 — 11:00 A.M. 05-OCT-2020 —

Uh-huh.

Reported through a Murdoch-owned outlet:

WASHINGTON—President Trump didn’t disclose a positive result from a rapid test for Covid-19 on Thursday while awaiting the findings from a more thorough coronavirus screening, according to people familiar with the matter.

Mr. Trump received a positive result on Thursday evening before making an appearance on Fox News in which he didn’t reveal those results. Instead, he confirmed earlier reports that one of his top aides had tested positive for coronavirus and mentioned the second test he had taken that night for which he was awaiting results.

“I’ll get my test back either tonight or tomorrow morning,” Mr. Trump said during the interview. At 1 a.m. on Friday, the president tweeted that he indeed had tested positive.

Who are those “persons familiar with the matter” — Kushner? Others who’ve been covering Trump’s ass as well as their own because they have a vested interest in not getting embroiled in lawsuits or investigations?

Meanwhile,

We’ve seen feedback leaking out across Twitter indicating staff and their network are very unhappy with how the White House has handled this outbreak and Trump’s joy ride which risked the health of Secret Service agents for a campaign stunt.

How do we reconcile what WSJ reported when other details don’t stack up and staffers are fearful and unhappy?

Any future updates to follow at the bottom of this post.

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UPDATE-3 — 11:30 A.M. 05-OCT-2020 —

By the way, lest we forget: as of this update there have been 209,603 COVID-19 deaths in the U.S.

The country is on track to exceed 210,000 deaths from COVID-19 within the next 24-48 hours.

There were an estimated +618,756 new cases this past week, compared to less than 1,000 around the Pacific Rim countries.

I think I predicted 200,000 deaths by Election Day. I guess I was wrong, putting too much faith in state governments and in Americans to take the right measures to protect themselves since the Trump administration is intent on failing them.

The cherry on top of this disaster: Team Trump is now attacking Joe Biden for not having COVID-19 — utter insanity.

Any future updates to follow at the bottom of this post.

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UPDATE-4 — 11:40 A.M. 05-OCT-2020 —

I wish somebody could shut down this firehose.

Press Secretary McEnany attacked the media yesterday.

She should have self-isolated after being in contact with multiple infected persons but no. She deliberately attacked the press by exposing them to a biological agent during her maskless briefing.

I mean we’ve seen some hacks come and go as press secretary but I don’t recall any of them being this malicious with the people who are the reason they have a job at all.

Any future updates to follow at the bottom of this post.

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What A Week Trash Talk

Since the period where there was no sports to trash talk about, and this turned into a music blog, it has been hard to get back into the normal trash groove. Let’s try to get back to it, because everything else is botched up.

The NBA has actually been pretty good in their bubble, but not that many are watching as normally would. Ditto for the NHL and MLB. For all the clamor to get sports “open” from all kinds of preening politicians, maybe that is okay. Sports are great, but there is a problem going on in the world.

The NFL is also back, and initially without much drama. That worm has turned. The Tennessee Titans had a full on Trump White House like outbreak. The Saints had a scare that, so far, seems to have abated. But then, as they were preparing to make the already perilous trip to Arrowhead to meet the Chiefs, the Patriots’ Cam Newton has tested positive for Covid. That’s a problem, both for the Pats and the league. The first three weeks went quite well, but the inevitable has arrived. The Covid has arrived, and not just as to the Trump crew. King Roger (h/t Scribe) we have a problem. It is sad in a way, because Newton’s reclamation in New England was one of the really good stories in the NFL so far.

On a more somber note, Bob Gibson has passed. He was simply one of the best athletes in history. He did not just star in baseball, but was also a Harlem Globetrotter. If he had played in the NBA instead of MLB, he might have rivaled Elgin Baylor. He was that good. But MLB it was, and what a career. Read this great story.

Here is the Gibson stat line from just 1968. Keep in mind, this is just ONE season.

.112 ERA
34 Starts
28 Complete Games
13 Shutouts

Yep, that is pretty good.

Music today by Johnny Rivers. No, he did not write all his songs. But neither did Elvis. Johnny Rivers was great. With a hat tip to the Dodge City Cowboy Band.

Andrew McCabe Delays Testimony to SJC, Calling In-Person Testimony a “Grave Safety Risk”

Virtually every book about the FBI or the Mueller investigation that has come out in recent years has described that Andrew McCabe is a superb briefer — meaning, in part, he can present complex issues to a hostile audience clearly. That’s why the reason his attorney, Michael Bromwich, gave for delaying testimony that was scheduled makes a lot of sense.

As a letter Bromwich sent to Lindsey Graham laid out, McCabe agreed to a voluntary interview in September, provided a series of conditions were met. One — that McCabe have access to his unclassified calendars and notes — has already been thwarted by DOJ, which refused to turn them over (as Bromwich laid out in a letter to Michael Horowitz last week, after inventing reasons not to share the materials that might make McCabe’s testimony more useful, FBI admitted they wouldn’t turn them over because of McCabe’s lawsuit against the Bureau).

But another of the conditions was that the testimony be in person. Bromwich noted that Republicans spoke over both Sally Yates and Jim Comey when they earlier testified remotely. “[A] witness answering questions remotely via videoconference is at a distinct disadvantage in answering those questions,” Bromwich wrote. “A fair and appropriate hearing of this kind – which is complex and contentious – simply cannot be conducted other than in person.”

But the COVID outbreak among those who attended the Federalist Society super-spreader event last weekend has made such in-person testimony too dangerous.

Mr. McCabe was still prepared to testify voluntarily and in person on October 6 as recently as the latter part of this past week. However, since that time, it has been reported that at least two members of your Committee – Senators Mike Lee and Thom Tillis – have tested positive for Covid-19, and it may well be that other members of the Committee and staff who plan to attend the hearing will test positive between now and then, or may have been exposed to the virus and may be a carrier. Under these circumstances, an in-person hearing carries grave safety risks to Mr. McCabe, me, and senators and staff who would attend.

McCabe is not wrong. There’s abundant reason to distrust Lindsey Graham’s claimed negative test. Mike Lee was haranguing publicly at several public events last week before he was diagnosed. And Chuck Grassley (who has far more mask discipline than his colleagues, but who was unmasked for part of the Comey hearing last week) refuses to be tested.

Still, it’s crazy that SJC has become too dangerous for a regular oversight hearing, but Lindsey still plans to push on with the Supreme Court confirmation process that caused that COVID outbreak.

October COVID Surprise, Part Deaux [UPDATE-4]

Rayne’s original October Surprise post is getting very top heavy in the number of comments. There are ongoing revelations, including KellyAnne and Bill Stepian now being COVID positive. There are going to be more because the Trump Administration continues to be a walking and talking superspreader.

At any rate, a new thread is needed. And Rayne and/or Marcy may add to it later (heck, I may even add more content later), but a new stub was needed.

So bring all yer COVID talk here.

~ ~ ~

UPDATE-1 — 10:10 A.M. —

Hey. Rayne here, adding to bmaz’s overflow post. Recall my concern about the timeline of events from my previous October Surprise post?

This medical professional has similar concerns:

An M.D. and former public health official can’t make sense of the timeline based on the information given to the public. I don’t agree with her that we need to know exactly what an oximeter says about Trump’s condition, but we do need to know at what point Trump is in the expected course of COVID-19. We have a right to know how close we are to a transition of authority to VP Pence, temporary or otherwise.

IMO — and I am not a doctor — Trump had to have been sicker than we’ve been told to be given an experimental therapy yesterday. (Frankly, we can’t be certain he didn’t receive the antibody infusion on Wednesday based on what has been reported.) He had to have been sicker earlier than we’ve been told, likely at the debate on Tuesday night, posing a risk to Biden and to every person in the venue with whom Trump came in contact.

Apart from the malignant handling of the Barrett super spreader event in the Rose Garden this past weekend, Trump’s disclosures about his illness is wholly disqualifying for re-election. He is failing to communicate a national security risk we can all see unfolding before us after failing to protect national security at the Barrett event.

He couldn’t even be bothered to ensure Barrett’s children were protected when Barrett herself failed to do so by either leaving them at home or making them wear masks.

Most community members at this site wouldn’t trust Trump with their health or their kids. We don’t need yet another Justice who can’t protect ours let alone hers or her children.

Additional updates will appear here at the bottom of this post.

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UPDATE-2 — 12:10 P.M. —

Rayne here with the next update.

Trump’s physician Dr. Sean Conley gave an update on Trump’s condition. The presser was scheduled for 11:00 a.m. ET and didn’t start until nearly 40 minutes later. Make of that what you will.

Video of the presser is linked in the tweet above but it’s via Fox News. Fuck them. See the video link in this tweet:

The oxygen issue isn’t going to go away. If he was on oxygen his O2 levels were low; at that point the public should have been told about Trump’s condition because it could have gone (may yet go) south rapidly, requiring sedation and ventilation. Just too hedgy about this:

But the big takeaway from today’s presser: Trump may have been hiding his COVID-positive status.

Conley said Trump was 72 hours post-diagnosis — that’s +72 hours to testing, ++72 hours to whatever triggered the testing.

When was Trump tested? When did Trump first have symptoms? Did he go to the debate with symptoms and test results pending? Did he already know he was sick, exposing everyone including Biden?

Meanwhile, the Republicans’ Red Wedding Massacre continues. Chris Christie has now disclosed his COVID positive status; he’d helped prepare Trump for the debate and he’d attendend the Barrett super spreader event.

I want to know which GOP members of congress were on Air Force One:

It’d be nice for the public to know who to avoid at campaign events, you know? It’d also be nice to know if COVID-positive Sen. Ron Johnson was one of them, though he says he flew to D.C. on the 29th.

Heaven help all the support people around these careless and indifferent Republican motherfuckers — from the pilot and crew on Air Force One and Marine One, to the wait staff at the Barrett super spreader event.

Heaven help even these ethically-deficient White House staffers who are terrified and should quit for their safety and that of their friends and family (open pic link).

Additional updates will appear here at the bottom of this post.

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UPDATE-3 — 1:40 P.M. —

Rayne here yet again (yes, I have no life…).

Immediately following the presser with Trump’s physician, there was an off-the-record update with White House press pool in which the anonymous source said,

The source has now been identified as White House Chief of Staff Mark Meadows:

So…not good, which matches the seriousness necessitating infusion with antibody therapy and then remdesivir.

One of our community members, pdaly, noted some missing specificity in journalists’ questions to Dr. Conley which might have offered far more detail about Trump’s condition:

The doctor mentioned Trump’s oxygen saturation is 96% (on room air, implied, if not receiving supplemental oxygen). The reporters could ask if that reading is “at rest” or “with activity.”

The follow up question could be: “What is Trump’s O2 saturation with ambulation?”

If there is no reading, why not? Is he bedridden? Or does he desaturate with exertion?

One other big tell, in my opinion: the lack of a proof-of-life video. Trump, who is a camera hog and lives for TV ratings, couldn’t possibly have missed an opportunity to share a short video clip from within Walter Reed in which he smiles and waves to his base, giving them a thumb’s up.

Unless he’s far sicker than we are being told even by Meadows in an off-the-record update.

It’d certainly explain Trump’s dearth of tweeting today.

Additional updates will appear here at the bottom of this post.

~ ~ ~

UPDATE-4 — 7:50 P.M. —

Hey, it’s Rayne again, with yet another update.

Looks like somebody was worried we’d miss his sorry ass mooching our tax dollars on the golf course. More likely Trump didn’t want to sound weak after his chief of staff Mark Meadows was caught on audio and video earlier.

Rudy Giuliani gave a statement for him after a 2:30 p.m. phone call with Trump but it wasn’t enough — too many people thinking it sounded like more of Rudy’s smarmy bullshit.

So Trump sat down and gave a proof-of-life video — not embedding it here, only giving you a link.

To me he sounds a little breathless for somebody used to rambling at full volume for an hour behind a podium at rallies.

He’s still full of shit, exaggerating what he’s doing in the hospital as if he’s taking it on for everyone around the world — talk about a narcissistic messiah complex — but he manages to choke out four minutes of happy talk.

He may literally be a “happy hypoxic,” too, since we don’t know if he’s been on oxygen today or not.

His color is bad but then he’s addicted to wearing foundation. He also looks like he’s lost weight; perhaps he’s lost his sense of taste and smell which are common enough symptoms of COVID, making food and beverages less appealing.

But of course he’s lied to us so goddamned much over the last 4-plus years it’s hard to believe this is a straight-up honest update. I’m skeptical of the timing and location because the backdrop doesn’t match anything in the photos of the Presidential Suite at Walter Reed.

We’re supposed to believe a small crew of a couple people with a mic and camera couldn’t have shot this four-minute clip in the Presidential Suite?*

Like I said, he’s lied so much it’s hard to believe anything he says let alone anything we see in which he appears.

Doesn’t help matters that there are noticeable, um, hiccups. Holly Figueroa O’Reilly pointed to one:

Did they edit out a mistake? Did they cut out a cough? Or was this simply a dystonic jerk of his shoulders we’ve seen frequently when he’s speaking at podiums, likely related to whatever neurological problem also causes his right foot to drag and his speech to be sporadically garbled?

* Note: Apparently USA Today published an article explaining the photos making the rounds today of Walter Reed’s Presidential Suite are from 2007. That said, we still have little information about when/where/how the proof-of-life video was recorded.

Additional updates will appear here at the bottom of this post.

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October Surprise: Didn’t Have COVID-19 on the Bingo Card [UPDATE-2]

[NB: Check the byline, thanks! Updates, if any, will appear at the bottom of the post. / ~Rayne]

So…back on August 22, I asked folks to offer their best bets on what Team Trump would pull for an October Surprise given the long history of such election gaming in American presidential politics.

I suspected Team Trump would try to force both the Durham investigation to announce a skewed finding, and development of a COVID-19 vaccine through testing and approval by some time in October.

But I didn’t have Trump testing positive for COVID-19 on the bingo card of possible surprises.

Only one community member, Terrapin, saw that as a possibility (and not with a good outcome).

But after all the squirrelly reporting around Hope Hicks’ positive test earlier on Thursday, it wasn’t clear when Trump and his wretched wife were tested and with what kind of test.

Is this being gamed, too?

Trump managed to shoot himself in the foot politically again by blaming military personnel as the source of Hicks’ infection:

… Trump suggested Hicks could have contracted it from members of the military or law enforcement.

“It is very, very hard when you are with people from the military, or from law enforcement, and they come over to you, and they want to hug you, and they want to kiss you because we really have done a good job for them,” the president said. “You get close, and things happen. I was surprised to hear with Hope, but she is a very warm person with them. She knows there’s a risk, but she is young.” …

Exposure to COVID-19 didn’t cause that kind of stupid.

The situation is annoying no matter how much anyone may like/dislike Trump. He’s still the White House’s occupant, still the president and commander-in-chief even if the means by which he came to those roles has been in question since day one. The American people deserve better transparency about the health of the person occupying the White House and whether he is or isn’t incapacitated at any time.

The other challenge before us: After mocking his opponent for wearing a mask, Trump was on stage this week with Joe Biden, and neither wore masks during their debate. Trump spent a lot of time pushing aerosols as he spoke and may have been contagious.

A whole host of other problematic scenarios emerge:

The October Surprise may be one we never thought of or planned for in August.

What other fresh surprises should we expect this month before the election?

~ ~ ~

UPDATE-1 — 12:00 P.M. 02-OCT-2020 —

No, fuck no. This Brit needs to do some basic research, like reading the U.S. Constitution before flapping off like this.

Trump tried to float this same lead balloon back in April. Not going to happen; that’s why he attacked the U.S. Post Office to damage its capacity to handle ballots on a timely basis.

Rick Hasen has already written about the possibility Trump leaves office due to illness or death before the election, and how that might be handled.

LOL GMTA

Just wish I knew how they’re going to wrap up this season — will it be a series finale?

Would be nice to know how to hedge this. My retirement fund is getting seasickness from all the ups and downs.

~ ~ ~

UPDATE-1 — 7:00 P.M. 02-OCT-2020 —

Trump has been taken to Walter Reed National Military Medical Center. His doctor says he’s been given Regeneron’s polyclonal antibody infusion — a drug cocktail which is still in testing phase. Earlier reports said Trump was running a low grade temperature.

Look, it’s time for media people to do a better job of reporting by which I mean GET THE TIMELINE OF EVENTS.

Did the temperature come on before/after going to Walter Reed?

Was the infusion administered before/after going to Walter Reed?

Do you see what I’m getting at?

Going through Twitter I can piece together part of the answers:

Mid-day — Trump did not attend a conference call for which he was scheduled; VP Pence attended in his place a planned discussion about COVID-19 support for at-risk seniors.

4:11 p.m. — Press Sec McEnany released via Twitter a copy of a memo from Trump’s physician, Sean P. Conley. Conley wrote that Trump received the Regeneron infusion as a precautionary measure.

4:18 p.m. — NBC News reported President Trump has a low-grade fever.

5:19 p.m. — CNN reported Trump would be transported to Walter Reed.

6:17 p.m. — CNN’s Jim Acosta reported Trump didn’t take questions as he walked to helicopter Marine One.

Based on what little I pulled together, it looks like Trump received an experimental drug administered by IV at the White House, that he continued to experience symptoms typical of COVID-19 including a temperature, and that he was then moved to Walter Reed.

Something is still missing in this tick-tock. Why did the President of the United States receive an experimental drug? When was it administered today, or was it administered last night before/immediately after the positive test was reported? Why was he moved to Walter Reed after the infusion rather than before it was administered?

Were they waiting for the goddamned market to close before they revealed he received this drug therapy? Or that they decided to move him to Walter Reed?

Pay attention to the timing.

And note the black holes: there’s no mention of hydroxychloroquine, no mention of Gilead’s remdesivir (though this may not be administered this early in the illness and only to more seriously ill patients).

HHS Propgandist Michael Caputo Is the Rat-Fucker’s Protégé

It was inevitable when Trump installed a press flack in April with the intention of riding herd on Health and Human Services Secretary Alex Azar that the flack, Michael Caputo, would invent a false reality about Trump’s efforts to fight COVID.

Last week, Politico described how Caputo has done just that.

Caputo and his team have attempted to add caveats to the CDC’s findings, including an effort to retroactively change agency reports that they said wrongly inflated the risks of Covid-19 and should have made clear that Americans sickened by the virus may have been infected because of their own behavior, according to the individuals familiar with the situation and emails reviewed by POLITICO.

Caputo’s team also has tried to halt the release of some CDC reports, including delaying a report that addressed how doctors were prescribing hydroxychloroquine, the malaria drug favored by Trump as a coronavirus treatment despite scant evidence. The report, which was held for about a month after Caputo’s team raised questions about its authors’ political leanings, was finally published last week. It said that “the potential benefits of these drugs do not outweigh their risks.”

In one clash, an aide to Caputo berated CDC scientists for attempting to use the reports to “hurt the President” in an Aug. 8 email sent to CDC Director Robert Redfield and other officials that was widely circulated inside the department and obtained by POLITICO.

That has led to a closer focus on Caputo, including this NYT piece describing a fevered Caputo calling for armed insurgency if Trump doesn’t win.

“I don’t like being alone in Washington,” he said, describing “shadows on the ceiling in my apartment, there alone, shadows are so long.” He then ran through a series of conspiracy theories, culminating in a prediction that Mr. Trump will win re-election but his Democratic opponent, Joseph R. Biden Jr., will refuse to concede.

“And when Donald Trump refuses to stand down at the inauguration, the shooting will begin,” he said. “The drills that you’ve seen are nothing.” He added: “If you carry guns, buy ammunition, ladies and gentlemen, because it’s going to be hard to get.”

Bizarrely — particularly given Caputo’s ranting about insurgency and his claims to be stressed by his implication in the Mueller Report — few of the stories on him (WaPo is one exception) have even mentioned his relationship to Roger Stone.

Caputo did not just set Stone up for a meeting with a Russian offering dirt in May 2016. He’s Stone’s protégé. Multiple Mueller 302s describe that Stone got Caputo a job with the campaign. Manafort testified that he used Caputo to keep track of what Stone was up to — a damning description given that Manafort offered more details about Stone’s foreknowledge of the Podesta emails than other known witnesses. Caputo’s own 302–which was released in February– was heavily redacted because of ongoing investigations. One thing it revealed, however, is that Caputo ran a “Project Rasputin” for Trump in 2016 that remains unexplained.

Caputo repeatedly complained that, after Stone was indicted, a gag prohibited him from speaking with witnesses, including him. In December he wrote Judge Amy Berman Jackson a plaintive letter asking for permission to spend Christmas with Stone.

Mr. Stone and I have been close friends since 1986. We work together, we dine together, our families share holidays together.

[snip]

[I]t’s Chrismas, Judge, and our family wants to spend time with his.

[snip]

[W]ith the holiday season imminent, I am writing to ask to see Roger and his family again soon. During this season, I hope you see fit to give our families this gift.

He also wrote a letter in support of leniency.

As the years went on, Roger and I became close friends. I learned important lessons from him: to listen more than talk, to keep driving forward during hard times, to keep my friends and family close. He loved friendly but hard-hitting banter, and I learned to give as well as I got. He was the big brother I never had, and I feel fortunate.

[snip]

People think they know Roger Stone: he plays hardball; he’s Machiavellian. But he is at his center a caring man.

Since Stone’s commutation, however, Caputo and Stone should be free to talk. It’s likely not a coincidence. then, that Caputo is making the same calls for insurgency after Trump loses that the rat-fucker is.

185,963

Here’s the topic Donald Trump and the Republican Party are doing everything they can to avoid:

It’s also the single biggest reason not to vote for Donald Trump.

I think Drew Gibson put it best in a tweet today:

The White House can put all the spin on their “Zapuder tape” they want. It won’t change the fact we can see they are killing us through police brutality and COVID-19.

It won’t change the fact Joe Biden was welcomed in Kenosha by community leaders, spoke with shooting victim Jacob Blake and met with Blake’s family — none of which insensitive racist Trump could bring himself to do.

It won’t change the fact Trump failed to boost U.S. manufacturing as he promised in 2016. Instead he set off an unnecessary trade war implementing tariffs which not only inflated consumer prices in the U.S., damaged demand for U.S. commodities, but encouraged the burning of Amazon rain forest for farmland in Brazil, which sold more soybeans to China.

It won’t change the fact that the Trump administration still has no effective response to COVID-19, allowing states to continue to fight on their own as more a thousand Americans die each day from the disease. At this rate 300,000 Americans will die of COVID-19 this year.

It won’t change the fact that no one in their right mind sees the Trump administration’s politicized hyper-speed development of a COVID-19 vaccine as anything more than a ploy for re-election purposes.

It won’t change the fact that +30% of college football players who’ve tested positive for COVID-19 developed myocarditis which may inhibit their ability to play in college and professionally — and none of this had to happen had Trump done his job.

It won’t change the fact the Trump administration and the GOP senate are allowing children to go hungry, ignoring mounting food insecurity and growing numbers of  unemployed with 1.6 million new claims filed this week.

It won’t change the fact that evictions and foreclosures are creating another crisis surpassing that of 2007-2009.

But keep spinning, Kelly McEnany. Maybe you’ll survive the failed Trump years and earn yourself a gig spinning numbers for a TV game show as your next gig.

This is an open thread.
.
UPDATE-1 — 6:15 P.M. ET —

Wonder what the White House will do next to hide this?

This is bad. I wonder if they’ll care, though, since they’ve fucked up the U.S. Postal Service so badly overseas military votes may not get counted in a timely fashion.

We should be pounding on Esper to help active duty military to vote.

.
UPDATE-2 — 8:00 A.M. ET FRIDAY —

Oh, not good. Media have been arguing about sourcing behind Jeffrey Goldberg’s piece in The Atlantic. AP verified some, and Washington Post followed up as well. But WaPo’s team published a piece which is just as blistering as Goldberg’s.

See Trump said U.S. soldiers injured and killed in war were ‘losers,’ magazine reports

We still aren’t told who the sources are but my money is on Jim Mattis being one of them. Goldberg wrote a piece on Mattis in June in which Mattis took a stick to Trump.

See James Mattis Denounces President Trump, Describes Him as a Threat to the Constitution

Twitter was flooded with condemnation of Trump after yesterday’s piece in The Atlantic; Team Trump sent out a horde of proxies like Sarah Huckabee Sanders to swat it down.

Not certain who’ll believe her.

Three Things: Breathing, Thinking, Mating and COVID-19

[NB: Check the byline, thanks. /~Rayne]

Breathing, thinking, mating.

At least one of these three things are important to you, no matter your age. COVID-19 can affect one or more of them, and we don’t yet know to what extent.

More importantly, it’s not getting through to the general public that COVID-19 can affect one or more of infected persons’ lungs, brain, and reproductive organs even if they are young, not to mention their heart and vascular system.

And by young I mean students in school, whether K-12 or tertiary (college/university) education.

~ ~ 3 ~ ~

But first, let’s talk about bad assumptions and biases.

We’ve heard since the earliest media reports from China that COVID-19 affected the lungs. It was characterized as a “pneumonia-like illness,” and unfortunately this characterization limited the public’s earliest perceptions of the disease.

“Pneumonia-like illness” allowed misinformation and disinformation to flourish — it’s just another flu, the propagandists propelled, ignoring the much greater mortality rate and the insufficient data about SARS-CoV-2’s transmissibility.

The health care system geared itself toward treating a “pneumonia-like illness,” demanding ventilators when ventilators might be fine for pneumonia, but might pose new risks with a disease like COVID-19. Health care workers performing endotracheal intubation, extubation, noninvasive ventilation were and are exposed to aerosolized virus material, requiring much greater rigor in personal protection due to these aerosol-generating procedures and the volume of virus they are exposed to each shift.

Even with increasing awareness that personal protection must be stepped up for COVID-19 as compared to influenza, hospitals still don’t have a handle on infection control. The Wall Street Journal reported:

“…Researchers at University of Nebraska Medical Center found the coronavirus in hallway air outside negative-pressure Covid-19 rooms. The Omaha hospital revamped its ventilation system to protect people in hallways by creating negative air flow there, too. …”

Existing negative air pressure rooms — Airborne Infection Isolation Rooms (AIIR) — might have been enough for influenza. It’s clearly not when 5,000 cases of COVID-19 may be related to inadequate infection controls in hospital settings in spite of like that used in dedicated COVID-19 treatment rooms. Hospitals would have changed their infection control protocols long ago had they seen nosocomial transmission of flu within hospitals approaching the rate of transmission with COVID-19, but perhaps the health care system has relied too heavily on annual flu vaccinations. Perhaps nosocomial transmission of flu and other pneumonia-like illness would have been much higher without vaccinations, revealing how flawed existing infection controls have been.

Our health care systems too slowly recognized COVID-19 isn’t like influenza or a pneumonia-like illness. It’s far more insidious. It’s now cost at least 600 health care workers their lives.

In addition to flawed assumptions, bias has also screwed up screening for COVID-19. Many of our community members know of people who were denied tests for COVID-19 because they didn’t meet certain criteria; one of the early criteria was whether the subject had traveled to China or been in contact with anyone who had been to China. Trump and his xenophobic followers have continued to exacerbate bias with racist framing of COVID-19.

Except that many cases of COVID-19 can be traced to Europe. It can be seen in the emergence and dominance of the G-lineage of the virus versus the D-lineage which was first common along the west coast. Everyone who had any one of the symptoms identified by China should have been tested for COVID-19, no matter where they had been or with whom they had been in contact.

I can’t begin to think about the number of lives which could have been saved had this country launched effective testing more widely, in concert with quarantine. But we didn’t in no small part because of limited, faulty thinking about COVID-19.

What other biases have similarly shaped our ability to address COVID-19 effectively?

The racist, ageist, ableist bias which informs inaction because it only negatively affects those people?

~ ~ 2 ~ ~

We still don’t know what the repercussions are for recovered COVID-19 patients, including those who were asymptomatic.

Lung damage, which initially shaped health care professionals’ treatment as if COVID-19 was a pneumonia-like illness, appears to be long term.

Drillinger, M., Chesak, J. (fact checker) (2020, June 22). Lifelong Lung Damage: A Serious COVID-19 Complication. Retrieved July 27, 2020, from https://www.healthline.com/health-news/lifelong-lung-damage-the-serious-covid-19-complication-that-can-hit-people-in-their-20s

Damage was also seen in lungs of infected individuals who appeared to be asymptomatic or only mildly ill with COVID-19.

Prevalence of Asymptomatic SARS-CoV-2 Infection
Daniel P. Oran and Eric J. Topol
Annals of Internal Medicine, Reviews 3 Jun 2020
https://doi.org/10.7326/M20-3012

But it’s not just patients’ lungs affected; more than 36% of COVID-19 patients had neurological impairment.

Mao L, Jin H, Wang M, et al. Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China. JAMA Neurol. 2020;77(6):683–690. https://jamanetwork.com/journals/jamaneurology/fullarticle/2764549

Delirium, brain inflammation, stroke, and nerve damage occurred as well as a rare condition, acute disseminated encephalomyelitis (ADEM) — an inflammatory disorder which is sometimes fatal.

R W Paterson, R L Brown, L Benjamin et al, The emerging spectrum of COVID-19 neurology: clinical, radiological and laboratory findings, Brain, awaa240, Published: 08 July 2020
https://doi.org/10.1093/brain/awaa240
https://academic.oup.com/brain/article/doi/10.1093/brain/awaa240/5868408

The virus causes heart damage, even in patients who had no pre-existing cardiac disease:

In this global survey, cardiac abnormalities were observed in half of all COVID-19 patients undergoing echocardiography. Abnormalities were often unheralded or severe, and imaging changed management in one-third of patients.

Marc R Dweck, Anda Bularga, Rebecca T Hahn, Rong Bing, Kuan Ken Lee, Andrew R Chapman, Audrey White, Giovanni Di Salvo, Leyla Elif Sade, Keith Pearce, David E Newby, Bogdan A Popescu, Erwan Donal, Bernard Cosyns, Thor Edvardsen, Nicholas L Mills, Kristina Haugaa, Global evaluation of echocardiography in patients with COVID-19, European Heart Journal – Cardiovascular Imaging, , jeaa178, https://doi.org/10.1093/ehjci/jeaa178

Abnormalities found included myocardial infarction (heart attack), myocarditis (inflammation of heart tissue), takotsubo cardiomyopathy (temporary deformation of heart chamber), as well as elevated natriuretic peptides and cardiac troponin.

Scientific American published an article this weekend which offered even more anecdotal evidence of cardiac damage from COVID-19 even in asymptomatic persons.

Autopsies of COVID-19 victims showed damage to testicles:

Yang M, et al. Pathological Findings in the Testes of COVID-19 Patients: Clinical Implications. Eur
Urol Focus (2020), https://doi.org/10.1016/j.euf.2020.05.009
https://www.sciencedirect.com/science/article/pii/S2405456920301449

Based on findings, not only should kidney function and hormone levels be monitored but younger men should receive fertility counseling for family planning:

Wang, S., Zhou, X., Zhang, T. et al. The need for urogenital tract monitoring in COVID-19. Nat Rev Urol 17, 314–315 (2020). Published 20 April 2020 Issue Date June 2020
https://doi.org/10.1038/s41585-020-0319-7
https://www.nature.com/articles/s41585-020-0319-7

There have been many anecdotes of patients with sequelae lasting months after their initial illness. A large enough number exist for them to form groups in social media to compare notes about their experience. As the underlying SARS-CoV-2 virus is novel, we don’t have years of experience to look back upon for trends. We can’t yet predict whether there will be lifelong disability though many patients have reported development of diabetes, kidney dysfunction, heart disease, neurological impairment which have lasted months after they were technically deemed recovered. Studies on COVID-19’s long term effects have only recently begun and may last months to years.

We also don’t know how long any immunity post-infection will last, let alone whether most individuals can expect not to be re-infected within a year of their first infection. Brazil’s President Jair Bolsonaro is a recent obvious case raising questions about immunity; he tested positive for COVID-19 a third time two weeks after testing positive the first time.

So much for Bolsonaro’s faith in hydroxychloroquine as a therapy for COVID-19.

A British study showed immunity dropping within three months after recovery:

… In the first longitudinal study of its kind, scientists analysed the immune response of more than 90 patients and healthcare workers at Guy’s and St Thomas’ NHS foundation trust and found levels of antibodies that can destroy the virus peaked about three weeks after the onset of symptoms then swiftly declined.

Blood tests revealed that while 60% of people marshalled a “potent” antibody response at the height of their battle with the virus, only 17% retained the same potency three months later. Antibody levels fell as much as 23-fold over the period. In some cases, they became undetectable. …

Longitudinal evaluation and decline of antibody responses in SARS-CoV-2 infection
J Seow, C Graham, B Merrick, et al
medRxiv 2020.07.09.20148429; doi: https://doi.org/10.1101/2020.07.09.20148429
https://www.medrxiv.org/content/10.1101/2020.07.09.20148429v1

We’ve now seen cases where persons have recovered from COVID-19 only to be reinfected and sickened by a different strain. In a Hong Kong patient who had recovered in March but was reinfected during later travel to Spain, we see the problem of making assumptions based on bias about the “China flu.” COVID-19 isn’t just a single coronavirus strain originating in China.

The possibility of reinfection with different strains combined with decreasing immunity over time means reliance on “herd immunity” is foolhardy, and vaccines may not work as long as intended. Mitigating the spread of the disease remains crucial until a safe, effective, and durable vaccine has been developed, tested, and prepared for global distribution.

~ ~ 1 ~ ~

If hearts and lungs, neurological and reproductive systems are permanently affected by COVID-19 even in younger patients who may remain asymptomatic, why risk exposing children and college-age students to COVID-19 by returning them back to in-classroom schooling?

You’d think white nationalists would clue in that their precious ideal of a white power future is threatened by this virus, literally neutered by testicular damage, but no — they insist students must return to school.

Worse, they insist on sports, demanding college football right now, even though athletes have been infected, sickened, suffered heart damage, and died from COVID-19 in spite of their youth and health.

Why are we even allowing in-classroom schooling at all when there has been zero effort to fund and implement modifications to HVAC systems though we have known for months now that aerosolized exhalation in poorly-ventilated enclosed spaces is the greatest risk factor to mass infection?

The only answer seems to be in the lack of any answer at all — the choice to do nothing is a choice.

And the choice the Trump administration, GOP legislators and state governors have made is to maim and kill more Americans.

~ ~ 0 ~ ~

There’s an incredibly stupid tweet making the rounds, published by Students for Trump. They share a photo of Trump standing before burned-out buildings in Kenosha, Wisconsin. The tweet reads, “President @realDonaldTrump tours what Biden will do to America.

Most tweeters who comment remark on the idiocy of this projection: Trump stands before the wreckage he helped spur during the waning election year cycle as he runs for re-election.

I can’t help wonder if the stupidity of the tweet is a reflection of the damage exposure to COVID-19 may have already wrought on Students for Trump.

This is the future of the Republican Party: too brain damaged to recognize their reflection in the mirror.

Too impaired to recognize the self-inflicted injury, too messed up to save themselves and their future.

.

This is an open thread, though COVID-19 content is preferred.

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