Ira Lacher: “For better, or God forbid, much worse, America has decided on a path: Reopen, urge common-sense caution, and come what may.” -promoted by Laura Belin

My friend’s daughter caught COVID-19. Experiencing high fever and labored breathing, she visited an emergency room of a New York City hospital, where she spent several days in intensive care, before finally being allowed to go home, where milder symptoms continued for weeks. But physical symptoms gave way to mental health symptoms, specifically, severe panic. Those same symptoms have befallen her father, hundreds of miles away from her.

The effects of the pandemic have been duly reported: physical symptoms, sometimes leading to death; economic symptoms, careering the world toward financial collapse; societal symptoms, including increasing disregard for civil authority. Now, the United Nations is adding another effect: mental health symptoms.

Racial disparities continue to widen as the number of novel coronavirus cases grows in Iowa.

Data published on the state’s COVID-19 website on May 17 indicate that Latinos make up 25.1 percent of Iowa’s 14,651 confirmed COVID-19 cases. That’s more than four times the share of Latinos in the state population (6.2 percent according to the latest Census Bureau estimate).

Another 57.1 of Iowans who have tested positive are not Hispanic or Latino, while the remaining 17.8 percent of cases are pending further investigation of the person’s ethnicity.

Iowa’s two first-term members of the U.S. House were among fourteen Democrats to oppose the latest bill drafted to address the novel coronavirus (COVID-19) pandemic. The so-called HEROES Act cleared the lower chamber on May 15 by 208 votes to 199 (roll call). It called for an estimated $3 trillion in spending, including “nearly $1 trillion in aid to battered states, cities and Native American tribes, and another round of bolstered jobless benefits and direct government payments to Americans.”

Republicans in control of the U.S. Senate oppose the bill, so its passage in the House serves primarily to communicate preferred Democratic policy.

Days after announcing the Test Iowa program last month, Governor Kim Reynolds described the expanded capacity to test for coronavirus infections as a “significant advantage” for Iowa compared to other states, and a “tool that allows us to make evidence-based decisions about how to mitigate and manage the virus with precision.”

The governor revealed on May 14 that only a few thousand Iowans had been tested for COVID-19 through a program that was supposed to provide 3,000 tests a day.

Staff at Iowa’s State Hygienic Laboratory have been working around the clock to process tests that reveal the scope of the novel coronavirus epidemic. Governor Kim Reynolds has often lauded their “yeoman’s work” at her daily news conferences.

But as former Vice President Joe Biden famously said, “Don’t tell me what you value, show me your budget, and I’ll tell you what you value.” In real terms, state support for a facility critical to Iowa’s COVID-19 response dropped considerably over the last decade.

The Iowa legislature hasn’t increased dollars allocated to the State Hygienic Lab since 2013, when Senate Democrats insisted on doing so. Not only has state funding failed to keep up with inflation since then, the laboratory’s annual appropriation has yet to recover from a mid-year budget cut in 2018.

John Aspray: “This pandemic was not the first sign of vulnerability in our food system. It just widened the cracks that have been there all along.” -promoted by Laura Belin

Every Iowan is familiar with the catchphrase “Iowa feeds the world.” But new data from the U.S. Department of Agriculture and Food & Water Watch shows the consolidation of corporate agriculture in the Hawkeye state is causing far more harm than good.

Every five years, the U.S. Department of Agriculture conducts a Census of Agriculture, asking every farm to provide detailed information on its operations. The 2017 Ag Census data was released last year, and tells a troubling story of consolidation in our agriculture system—a story that Iowa’s rural communities already know well.

A company hired to ramp up Iowa’s capacity to test for novel coronavirus has been sending messages to sick Iowans that could discourage them from seeking a COVID-19 test.

Some people who reported respiratory symptoms when completing the Test Iowa online assessment, but did not qualify for an appointment at a drive-through site, received a message warning that COVID-19 testing “is quite invasive and uncomfortable” and that tests should be reserved “for those who need it the most.”

Neither Nomi Health nor state officials have clarified whether the Iowa Department of Public Health helped write or approved the wording.

Governor Kim Reynolds said on May 11 that it’s “too early” to decide whether to cancel this summer’s county fairs or the Iowa State Fair, which is scheduled to run from August 13 through August 23.

As much as I enjoy the fair, it would be reckless to bring Iowans from every county to mingle at the State Fairgrounds three months from now.

Iowa is among a dozen states picked to receive shipments of the antiviral drug remdesivir for use in treating patients hospitalized for novel coronavirus, the U.S. Department of Health and Human Services announced on May 9. Our state will receive ten cases, which works out to 400 vials of the medication.

Governor Kim Reynolds implied at her latest news conference that when federal officials approved the shipment, they didn’t understand the reasons Iowa’s COVID-19 case counts have been rising. Publicly available information does not support that explanation.

Ira Lacher: Eugenics forces us to consider how Donald Trump first reacted to the COVID-19 threat, how he dealt with its onset, and how he wants to “reopen” America. -promoted by Laura Belin

Forced sterilization.

“Better baby” contests.

Social engineering.

Selective breeding.

These attributes pertain not to Nazi Germany but the United States. They are components of the white supremacist pseudoscientific movement known as “eugenics.”

The Iowa Department of Public Health launched a new version of the state’s website for information and statistics on novel coronavirus on May 7.

The updated coronavirus.iowa.gov replaces a dashboard officials rolled out less than a month ago. That site debuted a demographic breakdown of COVID-19 cases and more details than had previously been available about hospital usage by region.

At her May 7 news conference, Governor Kim Reynolds said the latest changes were designed to make it easier for Iowans to access data about the virus.

After the jump I’ve reviewed what struck me as the most significant changes, for better or worse. My list isn’t exhaustive, so I encourage readers to spend some time exploring the website.

The gaslighting was strong during Governor Kim Reynolds’ White House meeting on May 6 and Vice President Mike Pence’s Iowa visit two days later. Pence described Iowa as a COVID-19 “success story” on Wednesday. He elaborated in West Des Moines on May 8,

“Iowa has been leading the way with Governor Kim Reynolds […] From very early on, the strong steps and mitigation efforts have made a difference here. We grieve the loss of life here in Iowa, but the numbers speak for themselves. The outbreak in Iowa has not been like we’ve seen in other states and other metropolitan areas around the country. It’s a tribute to your early, strong steps.”

Meanwhile, Sioux City still tops a national list of “metro areas with the most recent cases and deaths, relative to their population, in the last two weeks.” Waterloo/Cedar Falls is fourth. Confirmed COVID-19 cases are rising rapidly in several smaller counties where Reynolds lifted restrictions on some business activities last week.

But that’s a topic for another day.

I was struck by Reynolds’ failure this week to follow best practices for slowing the spread of the virus.

James C. Larew is an attorney in Iowa City who served as general counsel and chief of staff for former Governor Chet Culver. -promoted by Laura Belin

Former Governor Chet Culver wrote to Governor Kim Reynolds on May 7, urging her to have an immediate and comprehensive performance audit conducted of Nomi Health’s COVID-19 testing services in Iowa. The Utah-based company is providing testing at drive-through sites under a $26 million no-bid contract with the state. 

Culver suggested that Reynolds ask State Auditor Rob Sand to perform such an audit, or order a comparable review by a competent and independent agency. His letter outlined serious problems already known to the public about the Test Iowa program. He warned that if not remedied immediately, by making Nomi Health’s performance fully compliant with all applicable federal and state laws, and with best pandemic practices, those difficulties will place the health of Iowans at great risk. The full text of the letter follows:

Karl Keeler, president of MercyOne Central Iowa Medical Center, told staff during a May 5 information session that “We have a lot of work to do” to stay safe from novel coronavirus, since Iowa is among five states with the highest level of community spread. The hospital group has adopted new rules requiring patients and visitors as well as staff to wear masks at its facilities.

Keeler also said the 77 patients hospitalized with COVID-19 infections at MercyOne’s Des Moines and West Des Moines facilities as of May 5 was “the highest we’ve had.” The number of Iowans in the hospital because of coronavirus has steadily climbed, reaching a new statewide high of 414 on May 6.

Ira Lacher: We may don masks to keep ourselves safe from the novel coronavirus, but no amount of #We’reInThisTogether can mask that we are far apart. -promoted by Laura Belin

“REOPENINGS EXPOSE U.S. DIVISIONS” proclaimed Saturday’s New York Times.

A Google search for “divided America” returns 417 million pages.

Writing in The Atlantic, George Packer reveals what should be as plain as the masks on our faces and the gloves on our hands: Because of our many divisions, America is rapidly becoming a failed state:

A disproportionate number of African Americans and Asians are among the 188 Iowans who have died due to novel coronavirus, according to figures the Iowa Department of Public Health published for the first time on May 4.

Richard Lindgren: Governor Kim Reynolds lost a good two months of time pretending that her state was immune from the virus when she could have been turning over rocks testing for emerging hot spots. -promoted by Laura Belin

I do not live in Iowa anymore, although I did spend a lot of my years in a very rural part of the state. I still have grandchildren in Iowa and I can’t help but watch with horror the slow-rolling disaster that is the “economic re-opening” of the state by Governor Kim Reynolds. It has brought from the deep recesses of my mind a classic short story written by Shirley Jackson, and I have realized that we are living this tale in real-time.

“The Lottery” was first published in 1948. During my youth, this work became a part of every American Literature curriculum. I confess that I neither understood the story nor grasped its importance until now.

Religious institutions across Iowa are now allowed to hold large services, under Governor Kim Reynolds’ latest proclamation related to novel coronavirus, which took effect on May 1. While most churches declined to schedule in-person services for this Sunday morning, some are looking at ways to modify their space or practices in order to resume face-to-face worship soon.

In mid-March, the governor temporarily prohibited religious or spiritual gatherings of more than ten people. Her April 27 order lifted that ban, provided that houses of worship “implement reasonable measures […] to reduce the risk of transmission of COVID-19 consistent with guidance issued by the Iowa Department of Public Health.” Among other things, the department recommends that people practice good hygiene and adjust the layout so congregants not from the same household can “sit at least six feet apart.”

That advice is insufficient to keep those carrying the virus from infecting others.

Tyler Granger is an Iowa field representative of the National Wildlife Federation. -promoted by Laura Belin

The Trump administration has a terrible track record of refusing to listen to scientists and rolling back industrial pollution regulations–at least 95 rollbacks through the end of 2019. Caitlin McCoy, a fellow in the Environmental and Energy Law Program at Harvard Law School, described the “one-two punch” often employed by the U.S. Environmental Protection Agency (EPA): “First a delay rule to buy some time, and then a final substantive rule” that undermines protections for human health or natural resources.

James C. Larew is an attorney in Iowa City who served as general counsel and chief of staff for former Governor Chet Culver. -promoted by Laura Belin

Enclosed below is the full text of a letter former Governor Chet Culver sent Governor Kim Reynolds challenging the newly announced policies restricting workers from seeking unemployment compensation if they decline to return to a job, believing workplace conditions are unsafe.

Iowa Workforce Development Director Beth Townsend acknowledged on April 30 that Iowans who refuse to go back to their jobs because of unsafe working conditions will not automatically be excluded from receiving unemployment payments.

However, she warned that “it takes more than a mere assertion by the employee” to qualify for benefits under those circumstances.

Bruce Lear: “America is waking up to yet another harmful condition that seems to be infecting the country. I’m afraid it’s a disease with no vaccine.” -promoted by Laura Belin

One of the baffling things about COVID-19 is the symptoms vary from person to person. One person may have few respiratory symptoms but will lose the senses of taste and smell. Others may have a severe head ache and stomach issues. Still others have severe breathing problems, a high fever, and need to be rushed to an emergency room.

Now, America is waking up to yet another harmful condition that seems to be infecting the country. In medical terms it might be called “Intellectualimbacility.” I’ll just call it, “Dumb stuff during a pandemic.”

For weeks, Governor Kim Reynolds told reporters at her daily news conferences that “data” and “metrics” informed her approach to slowing the spread of novel coronavirus (COVID-19) in Iowa.

That narrative flew out the window on April 27, when she unveiled her plan to lift some mitigation measures statewide and allow many kinds of businesses to reopen in 77 Iowa counties, effective May 1.

Reynolds and Dr. Caitlin Pedati, the state medical director and epidemiologist, sought to spin the new policy as “evidence-based.” In reality, they are betting Iowans’ lives on the potential for data collection that has barely begun.

Dr. Glenn Hurst: The nursing homes know that if they accept one COVID-19 patient in their facility, they will likely be sending ten new patients to either the hospital or the coroner. -promoted by Laura Belin

As we look to reopen the U.S. economy, many questions arise regarding whose interests the economy serves. In the health care sector, the answer is large health systems, often at the expense of some of the most vulnerable populations in our state. Their vertical integration of the profitable components of health care provision, hospitals, surgery centers, rehab and physicians, and the casting off of components such as nursing care and hospice have acutely left the older generation at grave risk.

Today’s crisis illustrates the problem. The continued outbreak of novel coronavirus (COVID-19) cases in Iowa nursing homes should be shocking. The response to calls for assistance to protect these patients should be met with the same distress.

“If China hadn’t covered up #Covid19, the effects of this pandemic could have been lessened,” U.S. Senator Joni Ernst posted on her political Twitter feed and Facebook page on April 25. “We need to hold China accountable.”

Her words were practically a carbon copy of how the National Republican Senatorial Committee has advised endangered GOP incumbents to discuss the novel coronavirus (COVID-19) pandemic.

Ira Lacher: Too many media leaders still don’t seem to understand that by not calling out Trump for who and what he is, they are perpetuating his legitimacy. -promoted by Laura Belin

Why aren’t we being told what is obvious to anyone with a brain: The president of the United States is a lunatic. A dangerous lunatic.

That inescapable fact was brought home on April 23, when the person holding the office that for decades has been revered by hundreds of millions of people speculated that Americans could inject themselves with chemical disinfectant or submit to exposure of heat and light as a way to cure COVID-19.

Nine Iowa Republican legislators released an open letter on April 24 applauding Governor Kim Reynolds’ plan “to open the state of Iowa for business as soon as possible,” so Iowans can get “back to a sense of normalcy in a timely fashion.”

The number of Iowans known to have died because of novel coronavirus infections reached 107 on April 24, as reported cases and deaths each hit new one-day highs.

COVID-19 has now claimed more Iowa lives than all foreign military conflicts of the last three decades.

Herb Strentz: Thanks to lockdowns and self-isolation, we don’t have distractions or escape mechanisms to help us cope with COVID-19 and Trump-45. -promoted by Laura Belin

One of the “curses” or “blessings” of the novel coronavirus pandemic is that we may be reading and thinking more. Either pursuit can be unsettling, nerve-wracking, or even hopeful–but it’s the best we have going for us.

Thanks to lockdowns and self-isolation, we don’t have distractions or escape mechanisms to help us cope with COVID-19 and Trump-45. We have no “bread” — like restaurants to go to, libraries and museums to visit, performances to attend. We have no “circuses” — like televised sports, the I-Cubs at Principal Park, or similar diversions.

Iowa’s confirmed novel coronavirus infections have sharply increased since the state expanded testing late last week. As hundreds of new cases were identified among employees of meatpacking plants, the share of Iowans with COVID-19 who are people of color also rose.

“I do want to encourage every Iowan to go to TestIowa.com and take the assessment,” Governor Kim Reynolds said as she rolled out a program to increase the state’s coronavirus testing capacity during an April 21 news conference. The governor announced the following day that more than 80,000 Iowans had completed an initial assessment during the first 24 hours the website was online.

However, the online survey at the new site is not accessible to all Iowans in high-risk groups for COVID-19 infections and complications. Representatives of the governor’s office and Iowa Department of Public Health did not respond to Bleeding Heartland’s repeated questions about barriers to taking the survey.

The Iowa Department of Public Health has refused to disclose the state’s pandemic emergency response plan, Barbara Rodriguez reported for the Des Moines Register on April 20.

Bleeding Heartland has tried without success to obtain the department’s current guidance on rationing ventilators, should that become necessary in Iowa hospitals.

John Murphy is the Dubuque County recorder. -promoted by Laura Belin

We all have memories of that awful day ingrained into our minds. What if you could have helped stop it? If we had prior knowledge that the 9/11 attacks were going to happen, what would you have done to prevent them? What would the American public been willing to do to stop the attacks? What would you do to help save the 2,977 lives that were lost or the roughly 6,000 injured? Would anything have been “too much?”

Now, what if you knew that instead of four planes, there were thousands more in the sky? You didn’t know who they were targeting, but knew they were planning to strike every state in the nation multiple times. Would you be willing to change your life for a few weeks or months to try to prevent these attacks?

State Representative Ras Smith of Waterloo is among 20 Black Hawk County elected officials who urged Tyson Foods to suspend operations at its local pork processing plant. -promoted by Laura Belin

Across the country, we see “essential workers” as the people who keep us safe, treat the sick and injured, and maintain the systems that sustain us in difficult times. In the background, other essential workers toil in silence as they stock our shelves, clean our floors, as well as process, prepare, and serve our food. They are essential before, during, and after this crisis. 

At Tyson’s Fresh Meats in Waterloo, the employees I’ve talked to fear they’ve been placed in harm’s way, not because they are deemed essential, but because the facility has blatantly dismissed effective COVID-19 mitigation strategies that are supposed to keep them safe. Here’s what one employee noted:

Three weeks ago today, Iowa Department of Public Health Deputy Director Sarah Reisetter told reporters our state’s novel coronavirus (COVID-19) infections might hit “a first peak in the next two to three weeks.” But Iowa has racked up more confirmed cases and deaths attributed to COVID-19 during the past three days than in any previous three-day period. Outbreaks continue to be identified in long-term care facilities and meatpacking plants, where one infected person can pass the virus to many others.

Governor Kim Reynolds imposed stricter limits on socializing outside the household in fourteen northeast Iowa counties on April 16. The next day, she ordered all schools in the state to remain closed through the remainder of this academic year. But even as the governor encouraged Iowans to stay home if they can, she asserted on April 17 that “there are a lot of really positive signs” and suggested officials may be ready to start opening things up in parts of the state soon.

Meanwhile, the country’s most widely-cited model for COVID-19 now projects that use of hospital resources and coronavirus deaths in Iowa will peak on May 7 and 8, respectively. The Institute for Health Metrics and Evaluation (IHME) at the University of Washington also indicates that “relaxing social distancing may be possible” in Iowa after June 29. By comparison, the same model projects that the states of Washington and California already passed their peak for deaths and hospital resource use and may be able to scale down mandatory social distancing on May 18.

Why hasn’t Iowa turned the corner?

Herb Strentz: Senator Chuck Grassley defines his duties as looking out for the citizens of Iowa, as though those duties have nothing at all to do with Trump’s actions. -promoted by Laura Belin

Maybe Chicken Little had something after all in his squawking, “The Sky is Falling! The Sky is Falling.” 

Maybe I had something just as panic-stricken in an email I sent U.S. Senator Chuck Grassley last year, when I suggested he might be “an assistant gravedigger for democracy.”

Both reflections tie in with concerns about the double whammy now striking our nation: dealing  with the novel coronavirus and having Donald Trump as president. Our country’s odds are good on surviving COVID-19, but not as good on surviving Trump. Virus-related issues crank up the zoom lens in monitoring the president, and that’s un-nerving because even a microscopic look at Trump can be as troubling as a microscopic look at the virus.

UPDATE: The state altered testing criteria again on May 6, but the changes were minimal (see new policy at the end of this post).

Iowa’s State Hygienic Laboratory posted new testing requirements on April 17 for people who suspect they have novel coronavirus (COVID-19) infections. The updated criteria are nearly identical to earlier versions, with a change designed to reduce the risk of asymptomatic patients bringing the virus to assisted living facilities.

Also on April 17, Iowa Department of Public Health Deputy Director Sarah Reisetter confirmed that some workers without symptoms will be tested at meatpacking plants where other employees are known to have COVID-19 infections.

Marty Ryan is skeptical that meatpacking companies are doing everything possible to mitigate the spread of COVID-19, based on two decades of experience in that business. -promoted by Laura Belin

Anyone believing that spokespersons for Iowa packing plants are doing what they say they are should talk to the employees. However, if you get two different stories, and if you want to decide who is telling the truth, place about 80 percent of the truth on the side of the worker.

Democratic State Senator Janet Petersen is the Iowa Senate minority leader. -promoted by Laura Belin

When trouble hits our state, Iowans want leaders who talk straight and make sure all Iowans can be part of the solution.

That’s true when we are helping fellow Iowans recover from flooding, tornados and other natural disasters. And it’s certainly true of our efforts to battle the COVID-19 pandemic.

Dan Piller: Donald Trump benefitted from a slumping agricultural economy in 2016, but the Iowa farm economy has slid even further on his watch. -promoted by Laura Belin

A mystery that will baffle historians a century from now is how a fast-talking New Yorker like Donald Trump could win Iowa’s six electoral votes by with a 9.4 percentage point margin over Hillary Clinton despite losing six of Iowa’s most populous counties.

Trump was called a “populist,” which would have surprised original 19th century populists such as Andrew Jackson and William Jennings Bryan, who at least lived in the outlier states of Tennessee and Nebraska and faithfully represented the values of their regions.

But despite a near-total lack of connections and experience with Iowa, Trump overcame Clinton’s margins in Scott, Polk, Story, Linn, Black Hawk, Johnson, and Scott counties to win big in rural counties. Trump’s politics of resentment played well in non-urban Iowa, beset by losses of population, schools and businesses, rising drug and crime problems, and a feeling of being culturally denigrated by Clinton and the coastal-dominated political and media elites.

Trump also benefitted from a slumping Iowa agricultural economy in 2016, which tends to work in favor of challengers. But there lies the rub for President 45; the Iowa farm economy has slid even further on his watch. As farmers take to the fields to plant this month, troubling numbers are coming from all sides as the effects of novel coronavirus (COVID-19) and the trade war on agriculture are tallied.