Thursday, December 10, 2020

Full Text Of Texas US Supreme Court Presidential Election Complaint Against Pennsylvania, Georgia, Michigan, And Wisconsin

Full text of Texas US Supreme Court presidential election complaint against Commonwealth of Pennsylvania, State of Georgia, State of Michigan, and State of Wisconsin, embedded below and sourced from Texas Attorney General website, https://www.texasattorneygeneral.gov/sites/default/files/images/admin/2020/Press/SCOTUSFiling.pdf:

Wednesday, November 18, 2020

Parler CEO John Matze Community Town Square View Of Free Speech On Social Media Sites

From Fox News "Parler CEO says platform serves as 'community town square': The platform is free of restrictions and censorship, CEO told told "Tucker Carlson Tonight" " by Yael Halon:
Parler takes a far more laissez-faire approach, offering a platform where users, "liberated from restrictions," can publically express their ideas.
"We just want to sit back and say 'social media was supposed to be about the people. It was supposed to be about people having a free voice, being able to be, you know, liberated from restrictions,'" [Parler CEO John] Matze said. "And so that's what we are here to offer is a community town square for people to have discussions."
***
"Well, when you go out in public people say crazy things all the time," Matze responded. "Everybody has opinions and some of them might not be the norm, right? It's not against the law to have those opinions. It's not against the law to express yourself, you know. And if you like one political candidate or another or you believe or don't believe in climate change or whatever it might be, you know, you shouldn't be taken offline because of it."
Addressing his critics, Mazte asked, "Do you believe that we should have somebody in, you know, New York, let's say in the middle of Times Square telling you what you can and cannot say? Because that's what these companies are doing."

Monday, November 16, 2020

Butter And Whole Milk Sales Are Booming

From Bloomberg Opinion, "Butter Is Booming, Whole Milk Is Back and Dairy Is Surviving: Dietary trends come and go, but for four decades this industry has been finding ways to keep consumption growing." by Justin Fox:
Nationwide, according to the U.S. Department of Agriculture, butter production is up 6% over the first nine months of the year and is on track to top two billion pounds for the first time since 1943.
***
Even within milk sales there’s been an interesting shift lately, with whole milk outselling 2% milk for the first time in 15 years in 2018 and building on its lead in 2019, and skim milk sales drifting downward. If you’re going to drink milk, and not smashed-up almonds mixed with water, then you might as well drink the milkiest kind of milk.

 

 

Thursday, October 29, 2020

Blacks Were Moving Toward Parity With Whites Well Before The Civil Rights Revolution: Robert Putnam

From The Wall Street Journal, Opinion, "With Justice Barrett, Is the End Near for Racial Preferences? A new majority may stop equivocating on affirmative action, which has impeded black mobility." by Jason L Riley:
The “progress toward equality for black Americans didn’t begin in 1965,” write Harvard political scientist Robert Putnam and his co-author, Shaylyn Romney Garrett, in their new book, “The Upswing.” “By many measures, blacks were moving toward parity with whites well before the victories of the Civil Rights revolution, despite the limitations imposed by Jim Crow.” Moreover, “after the Civil Rights movement, that longstanding trend toward racial equality slowed, stopped, and even reversed.” The emphasis is the authors’.
In the 1940s and ’50s, black-white gaps were not only shrinking in income, educational attainment, homeownership rates and other measures. The gaps were shrinking at unprecedented rates that have never been repeated, even during the subsequent era of affirmative action.
If anything, the evidence shows that racial preferences have coincided with slower black upward mobility. After the University of California system ended its race-conscious admissions policies in the 1990s, black graduation rates rose. A policy intended to increase the size of the black middle class was in practice limiting its growth. It would be difficult to identify a government program coming out of the 1960s that did more to help blacks than what black were doing to help themselves before the program.

Monday, October 26, 2020

Medical Care Providers' Inexperience With Covid-19 Increased Mortality Rates And Contributed To High US Coronavirus Death Rates

From SciTechDaily, "New Research Helps Explain Dramatic Declines in COVID-19 Death Rates" by NYU Langone Health / NYU School Of Medicine, October 22, 2020:
After New York became the epicenter for the pandemic in early March, with tens of thousands dying from COVID-19, experts had expected that the infection would remain as deadly in the following months. 
Instead, a new investigation showed that by mid-August the death rate in those hospitalized with coronavirus-related illness had dropped from 27 percentage points to about 3 percentage points. Led by researchers at NYU Grossman School of Medicine, the study showed that a younger, healthier group of people were getting infected and were arriving at the hospital with less-severe symptoms than those infected in the spring.
However, the researchers’ analysis showed that these factors accounted for only part of the improvement in survival. The rest, they suspect, resulted from health care providers’ growing experience with the coronavirus. For example, physicians learned that resting COVID-19 patients on their stomachs rather than their backs and delaying the use of ventilators as long as possible were more effective practices, say the study authors. Drugs likely helped as well. In addition, other factors such as decreasing hospital volumes, less exposure to infection, and earlier testing and treatment, may have played a role. [Emphais added.]
***
[Leora] Horwitz [MD, an associate professor in the Department of Population Health at NYU Langone Health] says the new study, publishing online next week in the Journal of Hospital Medicine, is the most detailed analysis to date of coronavirus death rates over time. By accounting for age, obesity, and other key factors, the researchers were able to eliminate some explanations from the analysis.

Saturday, September 12, 2020

Teaching Changes And The Decline Of Americans International Ranking In Adult Literacy And Student Reading Assessment From 1950s To 2015

From The Wall Street Journal, "Bad Teaching Is Tearing America Apart: Education’s dumbing down frays the bonds of citizenship and is hardest on the poor, says E.D. Hirsch, the man who wrote the book on cultural literacy." by Naomi Schaefer Riley:
He [E.D. Hirsch] cites both history and neuroscience in explaining how education went wrong. It began in the 1940s, when “schools unbolted the desks and kids were no longer facing the teacher.” Instead children were divided into small groups and instructed to complete worksheets independently with occasional input from teachers. “That was also when our verbal test scores went down and the relative ranking of our elementary schools declined on a national level.” On the International Adult Literacy Survey, Americans went from being No. 1 for children who were educated in the 1950s to fifth for those in the ’70s and 14th in the ’90s. And things have only gotten worse. Between 2002 and 2015, American schoolchildren went from a ranking of 15th to 24th in reading on the Program for International Student Assessment. [Emphasis added.]

The problem runs deeper than the style of instruction, Mr. Hirsch says. It’s the concept at its root—“child-centered classrooms,” the notion that “education is partly a matter of drawing out a child’s inborn nature.” Mr. Hirsch says emphatically that a child’s mind is “a blank slate.” On this point he agrees with John Locke and disagrees with Jean-Jacques Rousseau, who thought children’s need to develop according to their nature. Both philosophers make the “Cultural Literacy” list, but “Locke has to make a comeback” among educators, Mr. Hirsch says. “The culture is up for grabs, and elementary schools are the culture makers.”

Mr. Hirsch is a man of the left—he has said he is “practically a socialist.” But he bristles at the idea that kids should read only books by people who look like them or live like them. He recalls how reading outside his own experience enabled him “to gain perspective.”

Friday, September 11, 2020

Biggest Jump In Used Car/Truck Prices Since 1969

From Bloomberg, Economics, "U.S. Inflation Quickened in August on Sharp Gain in Used Cars" by Reade Pickert:
U.S. inflation quickened in August, driven by the sharpest monthly gain in used-vehicle costs since 1969 and consistent with a gradual pickup in prices as the economy recovers from the pandemic-induced downturn.
***
Excluding volatile food and fuel costs, the so-called core CPI -- viewed by policy makers as a more reliable gauge of price trends -- also increased 0.4% from the prior month after a 0.6% jump in July that was the largest in almost three decades. A 5.4% surge in the cost of used cars and trucks accounted for more than 40% of the gain in the core index. On an annual basis, core inflation measured 1.7% following 1.6% in July.[Emphasis added.]

Monday, September 7, 2020

Competitive Closings Of Least Productive Firms Raises US Productivity Average

My published comment to The Wall Street Journal article, "Rising Education Levels Provide Diminishing Economic Boost: Share of workers with college degrees has kept growing, but productivity gains have been tepid" by Josh Mitchell:
US productivity statistics are an average of the economy. Competitive closings of the least productive firms raises the US productivity average. The firms that remain in business do not need to become more productive for US productivity to rise. As long as the least productive firms that are closing on average have lower productivity than the average of the firms that remain, whether or not the remaining firms increase productivity, the economy wide productivity numbers will show an increase. The change in US productivity represents additive factors: the effect of low productivity firms closing, the effect of remaining firms that do not increase productivity but have a higher productivity than the closing firms, and the effect of firms that can increase the productivity of their output. When there are fewer low productivity firms in the economy and more higher productivity firms surviving, average US productivity will not show historical large productivity increases.

Monday, August 31, 2020

US Has Fewer Physicians Per Population Than Comparable Countries, More Hospital Administrators, Fewer Hospital Beds Per Person

From Peterson-KFF, Health System Tracker, "How do U.S. health care resources compare to other countries?" by Nicolas Shanosky, Daniel McDermott, and Nisha Kurani, Posted: August 12, 2020:
This chart collection looks at the availability of hospital resources and healthcare professionals in the United States and similarly wealthy countries. A related chart collection examines how the U.S.’s healthcare resources factor into the nation’s preparedness for the coronavirus pandemic.
***
There are fewer physicians per capita in the U.S. than there are in most comparable countries
Source: Peterson-KFF Health System Tracker
***
The U.S. has the highest percentage of specialists among comparable countries
Source: Peterson-KFF Health System Tracker

From Peterson-KFF, Health System Tracker, "How prepared is the US to respond to COVID-19 relative to other countries?" by Rabah Kamal, Nisha Kurani, Daniel McDermott, and Cynthia Cox, Posted: March 27, 2020:
***
Compared to most similarly large and wealthy countries, the U.S. has fewer practicing physicians per capita but has a similar number of licensed nurses per capita. Looking specifically at the hospital setting, the U.S. has more hospital-based employees per capita than most other comparable countries, but nearly half of these hospital workers are non-clinical staff. Overall, the U.S. has fewer hospitals and hospital beds per capita compared to other similar countries.
***
U.S. hospitals have more employees than most comparable countries, but many are administrative
Source: Peterson-KFF Health System Tracker
***
The U.S. has fewer total hospital beds per person than similar countries
Source: Peterson-KFF Health System Tracker











Friday, August 7, 2020

Real Value of $100 In The US States: Map

From Tax Foundation, "What is the Real Value of $100 in Your State?" by Garrett Watson:
This map shows the real value of $100 in each state. Across the United States, the cost of living fluctuates, as prices for the same goods may be cheaper in some areas—such as rural parts of Arkansas or South Dakota—than in large cities in states like New York or California. This means that the same amount of money can buy comparatively more in a low-price state than a high-price state.
***
Map Of Real Value of $100 In The US States
Source: Tax Foundation

Thursday, August 6, 2020

A Generation's Earning Power Will Be Lost From School Closures: Low Income Students Will Suffer The Most

From City Journal, "Don’t Cancel School: Prolonged closures are their own crisis." by Allison Schrager:
The American Academy of Pediatrics has stressed that reopening is critical for children’s emotional and educational development. There is also an overwhelming economic case to be made in favor of reopening. In fact, the cost of not reopening schools will last a generation. The benefits of universal education are so deep and well-documented that it’s unthinkable to consider discounting it for another semester. Education is the most effective means of economic mobility and is critical for long-term success. It explains much of America’s income growth and development in the nineteenth and twentieth centuries. Today, moreover, schools provide important child-care services. As Goldman Sachs found, if schools don’t open, an estimated 15 percent of America’s labor force can’t return to work.

The negative effects of closed schools will be profound and generational. Economists reviewed the loss of earnings from school disruptions during World War II in Austria and Germany. They found that missing a year of school means 9.4 percent to 16.2 percent lower earnings for up to 40 years, with bigger losses for children with less educated parents. More recent estimates from 139 countries indicate a year of schooling increases earnings by 9 percent. Even brief school closures, such as the 1916 polio pandemic, lowered levels of educational attainment.

The costs won’t be suffered uniformly. Online schooling is better than no school, but it’s hardly an improvement for many students. As in wartime Germany and Austria, better-educated parents can make up the difference by helping their children with online education and adding more homeschooling. Some parents will hire tutors, create learning pods, move to communities that offer in-person education, or find private schools that reopen. Children from low-income households, however, will pay the biggest cost. Indeed, the impact on low-income families will last for years, creating a level of inequality so large that even Bernie Sanders-style levels of taxation won’t fix it. And yet progressives, who normally obsess over inequality, respond by asking affluent parents to forgo educating their children, in an act of class solidarity.

Tuesday, August 4, 2020

Growing Wage Gap In Developed Economies, Not Just US: Skill Inequality From Workers' Education And Productivity Growth Differences Are Cause

From National Review, Capital Matters, The Economy, "Growing Wage Inequality Is Caused by Growing Skill Inequality" by Edward P. Lazear:
Is growing inequality the fault of capitalism, of a growing ability of American firms to exploit their workers, or of increasing greed? Both the international and domestic evidence is inconsistent with those explanations. In fact, the growing wage gap seen in the US is common to most developed economies. Top earners have enjoyed higher wage growth than the median worker throughout the OECD countries. A subset of institutionally and political diverse countries, including the United Kingdom, Germany, Denmark, Sweden, Norway, Finland, Switzerland, Australia, New Zealand and Canada among others, have all experienced growing wage inequality similar to that seen in the United States. If such varied countries — some of which are held out as examples of the social-democratic ideal — are all seeing growing wage dispersion, it is unlikely that capitalism, increased monopoly power, or growing greed is the cause.

If not capitalism per se, what is the explanation for growing wage inequality? The answer is increasing dispersion in labor-market productivity. In labor markets where firms must compete with one another to hire and retain workers, wages tend to reflect a worker’s productivity. The evidence supporting this linkage is strong. If wages at the bottom are not growing as rapidly as wages at the top, perhaps productivity among the least skilled workers is not growing as rapidly as productivity among the most skilled workers. In fact, that is exactly what appears to be happening.

Industries vary in their use of skilled workers. For example, in the Bureau of Labor Statistics’ “Apparel Manufacturing” industry, the average level of education is 11.7 years. In “Information Services and Data Processing Services,” it is 15.5 years. Those industries that have the most educated workers have the highest levels of productivity measured as total value added per hour worked. Those same industries also tend to have witnessed the greatest growth in productivity over the past two decades. In fact, the differences in productivity growth between educated and less-educated workers far outstrips the differences in wage growth between educated and less-educated workers. This evidence suggests that wages are lagging for the lowest half of American workers primarily because productivity growth is lagging for those workers.

Sunday, July 26, 2020

Open Schools: My Comment To WSJ, "A Phase-Four Flop"

My published comment to The Wall street Journal opinion, "A Phase-Four Flop: The latest proposals have everything but a growth agenda." by The Editorial Board:
A lot said about the coronavirus can be said about the flu. The flu kills old people and those with serious comorbidities. The flu hospitalizes many and some need ventilators. Put old people with the flu into nursing homes and assisted living, the flu infection and death rates will increase. Having the flu is a horrible experience. Flattening the curve with lock downs, etc was never meant to stop Covid-19. It was used successfully to spread cases into the future to ease the hospital burden. Reopening is allowing the delayed infections to happen now, as we see with mostly younger people with a low death rate. Many more children die from the flu than from coronavirus. It is more deadly for kids to go to school in a flu season then now. Children need bacterial and viral exposure for a healthy adult immune system. Kids need school to learn, and socialize. Poor kids need school meals. Schools are babysitters that parents need to be able to go back to work.

Thursday, July 23, 2020

Standardized Ranking Of Coronavirus Cases And Deaths By 1M Population

The 50 US States plus the District of Columbia are ranked below by cases per 1 million population and deaths per 1 million population. The data is from Worldometer. Per 1 million ranking is a standardized and fairer comparative indicator of the impact of Coronavirus at the local level.

For example, Florida is ranked fifth in cases per 1 million population, but ranked 24th in deaths per 1 million population. Texas is ranked 18th in cases per 1 million population, and ranked 33rd in deaths per 1 million population.

New York is ranked first in cases per 1 million population, and ranked 2nd in deaths per 1 million population. New Jersey is ranked 4th in cases per 1 million population, but ranked first in deaths per 1 million population.

Of course, these number will change over time as more cases occur and more deaths happen.

Cases Per 1 Million Population Ranking

Deaths Per 1 Million Population Ranking


Tuesday, July 7, 2020

Gross Domestic Product by State, 1st Quarter 2020: Bureau of Economic Analysis

From Bureau of Economic Analysis, "Gross Domestic Product by State, 1st Quarter 2020: Decreases in All States and the District of Columbia in the First Quarter":
Real gross domestic product (GDP) decreased in all 50 states and the District of Columbia in the first quarter of 2020, according to statistics released today by the U.S. Bureau of Economic Analysis. The percent change in real GDP in the first quarter ranged from -1.3 percent in Nebraska to -8.2 percent in New York and Nevada.
Source: Bureau of Economic Analysis

Link to PDF of full news release plus tables.

Saturday, July 4, 2020

Declaration of Independence: Transcription And Image

[Image of  Declaration of Independence after transcription.]

From The National Archives, "Declaration of Independence: A Transcription:"

In Congress, July 4, 1776.
The unanimous Declaration of the thirteen united States of America, When in the Course of human events, it becomes necessary for one people to dissolve the political bands which have connected them with another, and to assume among the powers of the earth, the separate and equal station to which the Laws of Nature and of Nature's God entitle them, a decent respect to the opinions of mankind requires that they should declare the causes which impel them to the separation.
We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.--That to secure these rights, Governments are instituted among Men, deriving their just powers from the consent of the governed, --That whenever any Form of Government becomes destructive of these ends, it is the Right of the People to alter or to abolish it, and to institute new Government, laying its foundation on such principles and organizing its powers in such form, as to them shall seem most likely to effect their Safety and Happiness. Prudence, indeed, will dictate that Governments long established should not be changed for light and transient causes; and accordingly all experience hath shewn, that mankind are more disposed to suffer, while evils are sufferable, than to right themselves by abolishing the forms to which they are accustomed. But when a long train of abuses and usurpations, pursuing invariably the same Object evinces a design to reduce them under absolute Despotism, it is their right, it is their duty, to throw off such Government, and to provide new Guards for their future security.--Such has been the patient sufferance of these Colonies; and such is now the necessity which constrains them to alter their former Systems of Government. The history of the present King of Great Britain is a history of repeated injuries and usurpations, all having in direct object the establishment of an absolute Tyranny over these States. To prove this, let Facts be submitted to a candid world.
He has refused his Assent to Laws, the most wholesome and necessary for the public good.
He has forbidden his Governors to pass Laws of immediate and pressing importance, unless suspended in their operation till his Assent should be obtained; and when so suspended, he has utterly neglected to attend to them.
He has refused to pass other Laws for the accommodation of large districts of people, unless those people would relinquish the right of Representation in the Legislature, a right inestimable to them and formidable to tyrants only.
He has called together legislative bodies at places unusual, uncomfortable, and distant from the depository of their public Records, for the sole purpose of fatiguing them into compliance with his measures.
He has dissolved Representative Houses repeatedly, for opposing with manly firmness his invasions on the rights of the people.
He has refused for a long time, after such dissolutions, to cause others to be elected; whereby the Legislative powers, incapable of Annihilation, have returned to the People at large for their exercise; the State remaining in the mean time exposed to all the dangers of invasion from without, and convulsions within.
He has endeavoured to prevent the population of these States; for that purpose obstructing the Laws for Naturalization of Foreigners; refusing to pass others to encourage their migrations hither, and raising the conditions of new Appropriations of Lands.
He has obstructed the Administration of Justice, by refusing his Assent to Laws for establishing Judiciary powers.
He has made Judges dependent on his Will alone, for the tenure of their offices, and the amount and payment of their salaries.
He has erected a multitude of New Offices, and sent hither swarms of Officers to harrass our people, and eat out their substance.
He has kept among us, in times of peace, Standing Armies without the Consent of our legislatures.
He has affected to render the Military independent of and superior to the Civil power.
He has combined with others to subject us to a jurisdiction foreign to our constitution, and unacknowledged by our laws; giving his Assent to their Acts of pretended Legislation:
For Quartering large bodies of armed troops among us:
For protecting them, by a mock Trial, from punishment for any Murders which they should commit on the Inhabitants of these States:
For cutting off our Trade with all parts of the world:
For imposing Taxes on us without our Consent:
For depriving us in many cases, of the benefits of Trial by Jury:
For transporting us beyond Seas to be tried for pretended offences
For abolishing the free System of English Laws in a neighbouring Province, establishing therein an Arbitrary government, and enlarging its Boundaries so as to render it at once an example and fit instrument for introducing the same absolute rule into these Colonies:
For taking away our Charters, abolishing our most valuable Laws, and altering fundamentally the Forms of our Governments:
For suspending our own Legislatures, and declaring themselves invested with power to legislate for us in all cases whatsoever.
He has abdicated Government here, by declaring us out of his Protection and waging War against us.
He has plundered our seas, ravaged our Coasts, burnt our towns, and destroyed the lives of our people.
He is at this time transporting large Armies of foreign Mercenaries to compleat the works of death, desolation and tyranny, already begun with circumstances of Cruelty & perfidy scarcely paralleled in the most barbarous ages, and totally unworthy the Head of a civilized nation.
He has constrained our fellow Citizens taken Captive on the high Seas to bear Arms against their Country, to become the executioners of their friends and Brethren, or to fall themselves by their Hands.
He has excited domestic insurrections amongst us, and has endeavoured to bring on the inhabitants of our frontiers, the merciless Indian Savages, whose known rule of warfare, is an undistinguished destruction of all ages, sexes and conditions.
In every stage of these Oppressions We have Petitioned for Redress in the most humble terms: Our repeated Petitions have been answered only by repeated injury. A Prince whose character is thus marked by every act which may define a Tyrant, is unfit to be the ruler of a free people.
Nor have We been wanting in attentions to our Brittish brethren. We have warned them from time to time of attempts by their legislature to extend an unwarrantable jurisdiction over us. We have reminded them of the circumstances of our emigration and settlement here. We have appealed to their native justice and magnanimity, and we have conjured them by the ties of our common kindred to disavow these usurpations, which, would inevitably interrupt our connections and correspondence. They too have been deaf to the voice of justice and of consanguinity. We must, therefore, acquiesce in the necessity, which denounces our Separation, and hold them, as we hold the rest of mankind, Enemies in War, in Peace Friends.
We, therefore, the Representatives of the united States of America, in General Congress, Assembled, appealing to the Supreme Judge of the world for the rectitude of our intentions, do, in the Name, and by Authority of the good People of these Colonies, solemnly publish and declare, That these United Colonies are, and of Right ought to be Free and Independent States; that they are Absolved from all Allegiance to the British Crown, and that all political connection between them and the State of Great Britain, is and ought to be totally dissolved; and that as Free and Independent States, they have full Power to levy War, conclude Peace, contract Alliances, establish Commerce, and to do all other Acts and Things which Independent States may of right do. And for the support of this Declaration, with a firm reliance on the protection of divine Providence, we mutually pledge to each other our Lives, our Fortunes and our sacred Honor.


[Signatures Omitted]

Note: The above text is a transcription of the Stone Engraving of the parchment Declaration of Independence (the document on display in the Rotunda at the National Archives Museum.) The spelling and punctuation reflects the original.

From The National Archives, "Stone Engraving of the Declaration of Independence:"


Stone Engraving of the Declaration of Independence
Source: The National Archives


Friday, June 19, 2020

Men's Average Age And Education Level At Birth Of First Child

From The Wall Street Journal, "Why Some Men Delay Fatherhood: First-time fathers are now more than 27 years old, on average; lengthening transition to adulthood is one reason" by Jo Craven McGinty:
The National Center for Family and Marriage Research, where Dr. Guzzo is an affiliate, analyzed the education, relationship status and average age at fatherhood among men ages 40 to 44 using data from the National Survey of Family Growth.

A potential reason for the delay in fatherhood, the researchers found, is what demographers call the “lengthening transition to adulthood”—the point at which men (and women) feel as if they’ve achieved adult status.
Source: The Wall St Journal

Thursday, May 7, 2020

Coronavirus Outbreak In New York City Became The Primary Source Of Infections Around The United States

From The New York Times, "Travel From New York City Seeded Wave of U.S. Outbreaks: The coronavirus outbreak in New York City became the primary source of infections around the United States, researchers have found." by Benedict Carey and James Glanz:

Source: The New York Times
New York City’s coronavirus outbreak grew so large by early March that the city became the primary source of new infections in the United States, new research reveals, as thousands of infected people traveled from the city and seeded outbreaks around the country.


Thursday, April 30, 2020

One-Third Of COVID-19 Hospitalized Patients Show Signs Of Delirium: Best Practices Not Used In The Turmoil

From ScienceBlog, "One-Third Of Hospitalized COVID-19 Patients Show Signs Of Delirium", April 27, 2020, Harvard University:
... [Harvard Professor] Sharon Inouye ... developed a [delirium] program that hundreds of hospitals have used to reduce cases of the condition by an estimated 40 percent.

... best practices for reducing delirium risk are getting lost in the turmoil of COVID-19 care.

Early data from peer-reviewed studies suggest that one-third of hospitalized COVID-19 patients of all ages, and two-thirds of those with severe disease, show signs of delirium, said Inouye. ...

... patients who experience delirium in the hospital remain hospitalized longer than their peers, have more complications and are more likely to die during their hospital stay or in the following year, need long-term care or develop cognitive impairment, including dementia.
***
... overuse of chemical restraints such as antipsychotics and other sedating drugs. ... when a patient starts to get agitated, providers get scared for the patient’s safety and their own safety and feel they have to sedate the patient. But sedating them is not always needed and leads to many complications. [Emphasis added.]

Wednesday, April 29, 2020

Decline In Healthcare Spending Caused Half The Drop In First-Quarter GDP: The Irony Of Crowded Hospitals, Overworked Doctors And Much Less Healthcare For Everyone Else

From The Wall Street Journal, Real Time Economics, "Newsletter Special Edition: The Expansion Is Over" by Jeffrey Sparshott:
Personal consumption of services was less than 30% of GDP in 1957 and 1968. Services now dominate our economy, contributing 47% of GDP last year, and they have borne the brunt of social distancing. Services consumption, from travel to restaurants to doctors’ visits, tumbled 10.2%, annualized, in the first quarter, accounting for roughly all the net decline in quarterly output. Unlike goods, services can’t be stored in inventory and are seldom imported, so almost every dollar not spent on services comes straight out of Americans’ incomes. —Greg Ip
***
Perhaps surprisingly, healthcare spending accounted for nearly half the drop in first-quarter GDP. Yes, the world is in the middle of a healthcare crisis. In all likelihood, consumers are putting off—or unable to schedule—elective and other apparently nonurgent procedures.
Source; The Wall St Journal, Real Time Economics

Tuesday, April 28, 2020

As Many Extra Non-Covid Deaths As Covid Deaths Occurred During Height Of Epidemic: Did Hospitalization Restrictions On Treating Non-Covid Illnesses, Social Isolation, Job Losses And Business Closures Increase Deaths?

A Washington Post article (excerpted below) indicates that there were an estimated 15,400 excess deaths from March and through April 4, only half of which are attributable to Covid-19.

From The Washington Post, "U.S. deaths soared in early weeks of pandemic, far exceeding number attributed to covid-19: An analysis of federal data for the first time estimates excess deaths -- the number beyond what would normally be expected -- during that period." by Emma Brown, Andrew Ba Tran, Beth Reinhard and Monica Ulmanu:

Source: Washington Post
In the early weeks of the coronavirus epidemic, the United States recorded an estimated 15,400 excess deaths, nearly two times as many as were publicly attributed to covid-19 at the time, according to an analysis of federal data conducted for The Washington Post by a research team led by the Yale School of Public Health.

The excess deaths — the number beyond what would normally be expected for that time of year — occurred during March and through April 4, a time when 8,128 coronavirus deaths were reported.

The excess deaths are not necessarily attributable directly to covid-19, the disease caused by the coronavirus. They could include people who died because of the epidemic but not from the disease, such as those who were afraid to seek medical treatment for unrelated illnesses, as well as some number of deaths that are part of the ordinary variation in the death rate. The count is also affected by increases or decreases in other categories of deaths, such as suicides, homicides and motor vehicle accidents. [Emphasis added]

Monday, April 27, 2020

Coronavirus Data Is Missing A Baseline Mortality Rate For Those With And Without Covid-19

My posted comment to The Wall Street Journal, "Do Lockdowns Save Many Lives? In Most Places, the Data Say No: The speed with which officials shuttered the economy appears not to be a factor in Covid deaths." by TJ Rodgers:
The data is missing a baseline comparison. For a long time, the only people tested were those who has [had] symptoms similar to Covid-19, fever, etc. The number of Coronavirus cases of those tested is about 19 percent. The overall US death rate of those who tested positive is about 5.5 percent. Old people with secondary illnesses are the bulk of the 5.5 percent deaths. The symptomatic 81 percent, the negatives, did not have Covid-19. What was their death rate? Did seniors with secondary illnesses who tested negative for Covid-19 die at the same or greater rate than those who tested positive for Covid-19? We do not know. If the death rates of ill seniors with and without Covid-19 are not substantially different, why the hysteria and focus of all our attention on the Coronavirus? For example, seniors can die of pneumonia. Is there a difference if it is Covid-19 pneumonia or not a Covid-19 pneumonia? Probably only for politicians, mass media and medical reimbursement.

Tuesday, April 21, 2020

Did Epidemiologists Grossly Underestimate The Public's Willingness And Ability To Reduce Daily Social Contacts?

From Gallup, Gallup Blog, April 21, 2020, "Americans' Social Contacts During the COVID-19 Pandemic" by Jonathan Rothwell:
Adults practicing social distancing generate at least 90% fewer contacts per day than those who are making little effort to social distance, according to new Gallup data. Those who completely or mostly isolate themselves generate about five contacts per day, compared with an average of 52 for those not attempting to isolate themselves.
***
Yet, closing workplaces may not be the only way to mitigate contact and suppress viral transmission. Workers who visit their work site but have made changes in how they do their job reduced contacts by 29% to 69%.

Why Measuring Contacts Matters
In epidemiological models, social distancing has large effects on expected infection growth. Yet, different modeling teams have used varying assumptions for the efficacy of social distancing when it comes to reducing contacts. Getting these estimates right would thus appear crucial to accurately understanding the risks and rewards of different mitigation policies.

For example, in research published by public health scholars at Columbia University (PDF download), these scholars have assumed that social distancing can reduce at most 40% of daily contacts. An influential model from Imperial College London defined "social distancing of the entire population" as reducing workplace contacts by 25%, household contacts by 25%, and social or nonwork contacts by 75%.
***
Only 3% of adults and 4% of workers have not made any attempt to isolate themselves.

Largest State Unemployment Fund Declines: Chart

From The Wall Street Journal, Real Time Economics, "Newsletter: States Burn Through Unemployment Funds" by Jeffrey Sparshott:
And nearly half of all U.S. states have logged double-digit percentage declines in their trust-fund balances since the end of February, the month before the pandemic triggered shutdowns that led to widespread job losses, Sarah Chaney reports.

States use trust funds to pay regular unemployment benefits, while the extra $600 payments recently added for workers laid off during the pandemic are funded through a federal stimulus package.
Source: The Wall St Journal, Real Time Economics

Friday, April 17, 2020

Comparison: 2017-18 Flu Season: 61,000 US Deaths Vs Covid-19 35,500 Deaths: 65+ Seniors Were 83 Percent Of Flu Deaths (50,900, 65+ Flu Deaths)

Will the US and State governments close businesses, order wearing face masks and require social distancing during the next H3N2 Flu epidemic?

From Centers for Disease Control and Prevention (CDC), "2017-2018 Estimated Influenza Illnesses, Medical visits, Hospitalizations, and Deaths and Estimated Influenza Illnesses, Medical visits, Hospitalizations, and Deaths Averted by Vaccination in the United States":
CDC estimates that the burden of illness during the 2017–2018 season was high with an estimated 45 million people getting sick with influenza, 21 million people going to a health care provider, 810,000 hospitalizations, and 61,000 deaths from influenza (Table 1). The number of cases of influenza-associated illness that occurred during 2017-2018 was the highest since the 2009 H1N1 pandemic, when an estimated 60 million people were sick with influenza.
***
... 67% of hospitalizations occurred in older adults aged ≥65 years. Older adults also accounted for 83% of deaths, highlighting that older adults are particularly vulnerable to severe disease with influenza virus infection.
New York State, which has the bulk of US coronavirus cases, has about 51,000 cumulative hospitalizations in total compared to the past 2017-18 flu season national total of 810,000 hospitalizations.

From STAT, a December 22, 2017, article about the severity of that season's H3N2 flu strain and social gatherings spreading the flu, "Happy holidays? Flu season is raging and family gatherings may make it worse" by Helen Branswell:
That means lots of people will be sick over the holidays; lots already are. And the multi-generational family gatherings that are part and parcel of the holidays will fuel the spread of the nasty virus.
***
This year could well be a severe year. The viruses causing most of the illness right now are from an influenza A family called H3N2. Those viruses are especially hard on older people and H3 seasons generally are more severe that seasons when H1N1 or influenza B viruses are dominant.

Unfortunately the H3N2 component of the flu shot is an under-performer, often offering protection that is in the 30 percent range. (The other components more commonly offer between 50 percent and 70 percent protection.) So even people who have been vaccinated may find themselves coming down with flu, [Dr. Daniel] Jernigan said.

Wednesday, April 15, 2020

Private Sector Employment By Firm Size: Chart

From E21, "Covid-19 Accelerates Small Businesses’ Woes" by Allison Schrager:

Source: Manhattan Institute Via E21
... They [small businesses] traditionally were an engine of innovation and job creation, but in recent years they become a smaller part of the economy. They still employ many Americans but not as many as they used to.

Tuesday, April 7, 2020

Gross Domestic Product By State: 4th Quarter And Annual 2019

From US Bureau of Economic Analysis, News Release, "Gross Domestic Product by State: 4th Quarter and Annual 2019" (or PDF with tables):
Real gross domestic product (GDP) increased in 48 states and the District of Columbia in the fourth quarter of 2019, according to statistics released today by the U.S. Bureau of Economic Analysis. The percent change in real GDP in the fourth quarter ranged from 3.4 percent in Washington and Utah to -0.1 percent in West Virginia.
Source: Bureau of Economic Analysis

***
GDP by State, Annual 2019

Real GDP increased in all 50 states and the District of Columbia in 2019. The percent change in real GDP ranged from 4.4 percent in Texas to 0.6 percent in Nebraska.
Source: Bureau of Economic Analysis

Monday, April 6, 2020

NYS Coronavirus COVID-19 Deaths BY Age Group

From Daily Voice, "COVID-19: New Data On Deaths By Age Group, County Released By New York State" by Joe Lombardi:

NYS Coronavirus COVID-19 Deaths By Age Group
Source: Daily Voice
New data on the number of deaths in New York due to the novel coronavirus (COVID-19) by age group and county has been released by the state health department.

The age group with most of the state's 4,159 COVID-19 deaths is 70 to 79 with 1,096 (26.3 percent). It's followed closely by the 80-89 age group with 1,076 (25.8 percent).

Friday, March 27, 2020

CDC March 21, 2020 Update: 24,000 Influenza Deaths Including 155 Children This Season

From Centers for Disease Control and Prevention, Weekly U.S. Influenza Surveillance Report, "Key Updates for Week 12, ending March 21, 2020:"

Key Points
    ***
  • Pneumonia and influenza mortality levels have been low, but 155 influenza-associated deaths in children have been reported so far this season. This number is higher than recorded at the same time in every season since reporting began in 2004-05, except for the 2009 pandemic.
  • CDC estimates that so far this season there have been at least 39 million flu illnesses, 400,000 hospitalizations and 24,000 deaths from flu.

At the time of publishing this post, there were 100,392 Coronavirus cases and 1,543 deaths in the US. Let's hope deaths from the Coronavirus wil not reach the level of deaths from the Flu.

For the current numbers of Coronavirus cases and deaths:
https://www.worldometers.info/coronavirus/country/us/

Tuesday, March 24, 2020

Unanswered Coronavirus Question

The coronavirus may be a substitution of one cause of death of older, severely ill people for another cause on a death certificate. Stopping the virus might not decrease the mortality rate of the most likely affected individuals.

So far, most of the people dying from the coronavirus are older, have multiple serious health problems and more likely male. On average, an 85 year old male has almost a 10 percent one year mortality rate, a 10 percent chance of dying in one year when not adjusted for the health of the individual, A 90 year old male has a 16 percent chance of dying in one year. Individuals who have multiple serious health problems have much higher mortality rates than the above average actuarial numbers.

The important unanswered question about the coronavirus is whether or not the virus is increasing the mortality rate of severely ill older people? Whether the virus is causing excess deaths in epidemiology terms? If someone is so ill that they would have likely died from heart failure, flu, pneumonia or some other non Covid-19 cause in the next few weeks, dying from the coronavirus and listing it as the cause of death is misleading. It gives the public the false impression that but for the coronavirus the individual would have an extended life and not have died from other causes around the same time.

If stopping the virus does not increase the expected life of infected ill individuals, is it worth shutting down the economy?

Addendum
As more insurance companies modify their existing health insurance policy coverage to fully pay for coronavirus outpatient and in-hospital testing and treatment, doctors will have incentives to list more coronavirus diagnosis as the primary cause of death on medical records and death certificates in place of other causes. The number of deaths due to coronavirus will certainly be inflated by some amount and we should expect to see a sharp increase in proportional deaths around the time of expanded health care insurance coverage.

Wednesday, March 18, 2020

Are We Misreading COVID-19 Statistics? Where Is A Statistical Epidemiologist When You Really Need One? Total Deaths Vs Excess Deaths: Coincident Vs Causal: Contagion Rate Vs Morbidity And Mortality: Aged Adjusted Death Rate

Since death is a natural phenomenon of life, fear of death from a disease, such as the Coronavirus COVID-19, is rational and a major health concern requiring emergency measures, if the virus does the following two things:
  1. Does the virus increase the number of deaths in an age group above the normal mortality rate? In epidemiology terminology: Does the Coronavirus cause Excess Deaths?

  2. Does the virus cause death from various health factors to occur sooner, i.e. shorten life expectancy of an ill person? In epidemiology terminology: Does the Coronavirus cause Premature Deaths?

Excess Deaths
The average US death rate from the known cases of Coronavirus is currently around 1.5 percent, (127 deaths in 8055 Coronavirus cases at the time of publishing this blog post). With many undiagnosed and recovered US Coronavirus cases still unknown, the death rate is likely very much lower than the current 1.5 percent average rate.

Looking at the Social Security Administration Actuarial Life Table for 2016, which is not adjusted for the health of individuals, males have to be 65 years old or older to have a one year mortality rate greater than the COVID-19 average mortality rate of 1.5 percent. Females have to be 70 years old or older to have a one year mortality rate greater than the COVID-19 average mortality rate of 1.5 percent. A 70 year old male has a 2.3 percent one year mortality rate.

At 85 years old, the one year mortality rate is 9.6 and 7.3 percents, respectively. By 90 years old, the one year mortality rates jump to 16 and 13 percents, respectively.

Most of the COVID-19 deaths are occurring in older people who have serious pre-existing health conditions. Their mortality rates are higher, probably much higher, due to their illness than the general population average Social Security actuarial mortality rates.

Absent more detailed contrary statistics from a Statistical Epidemiologist that includes disease mortality rates by age, illness and COVID-19 infection presence, the average Coronavirus data is not showing an excess US population death rate from the virus.

Coincidence Coincident Vs Causality
It appears that the news and our politicians are confusing coincidence coincident with causality.

Imagine a hospital with patients in two wings, Wing A and Wing B, with each section containing severely ill patients with a 50 percent chance of dying within a month. Suppose by chance, the patients in one of the wings, Wing B, get infected with a virus. The staff diagnoses the infection and reports it to health authorities. A few weeks later, the hospital reports to authorities that half the patients in Wing B with the virus died and the others in that wing did not die or get worse.

The news headline would read, "50 percent of hospital patients with the virus died." Without a comparison to the identical, but virus free population, the 50 percent death rate is meaningless. If 50 percent of the patients in the other wing who were not infected with the virus also died, then there are no excess deaths due to the virus. The diagnoses of Wing B patients having the virus infection is a coincident factor. It it something that happened at the same time, but it is not a causal factor, a cause, of any deaths in Wing B.

Coincidence Coincident, and not causality, seems to be the state of our current COVID-19 virus data. We know the virus was present. We do not know it caused the deaths.

Premature Deaths
Looking at the SSA Actuarial Table, one can see that about 10 percent of all 85 year old males and 7 percent of all 85 year old females will die within a year. For a 90 year old, the one year death rate jumps to 16 and 13 percent.

Do we have any reliable data showing that COVID-19 infection has decreased very old senior citizen life expectancy with their already high mortality rates? Probably not.

Since many of the seniors who have died, purportedly from Coronavirus, have been seriously ill, if there were any shortening of remaining life, it may have been, if it occurred at all, for a short time of a few days or a few weeks.

Contagion Vs Morbidity VS Mortality
A high contagion rate is often mentioned about the Coronavirus COVID-19. A highly infectious disease, a high contagion rate disease, means that the disease is easily transmitted from person to person and easily spreads throughout a population. The fact that a disease is easily transmitted, does not indicate that a disease is dangerous nor does it say anything about the effect the disease will have on an individual. The virus infection could have low morbidity. The infection could be innocuous and even unnoticeable with no short or long term effects.

The fact that the Coronavirus is Contagious and has some Morbidity, symptoms, is not an indication that the disease affects Mortality rates. The common cold is highly infectious. It can cause discomfort and generally has a low mortality rate, except for those who have a very high risk for infection, such as immunosuppressed individuals or those who have certain pre-existing health conditions.

Aged Adjusted Death Rates
Comparisons are often made to other countries that are infected with the virus. The percentage numbers will be misleading unless one adjusts for the different percentages in each age group in each country. On the surface, the virus seems to affect different age segments differently. To be able to accurately compare the US to other areas of the world, the numbers for each country's infection and death rate need to be adjusted for different percentages of each population age segment in each country. The process will result in Age Adjusted Death Rates that can be used to accurately compare country death rates.

In a few years, after the studies appear, it will interesting to see if all the extra precautions put into place were warranted or an extreme over-reaction,. We will eventually find out whether the economic harm to the economy and individuals through business and government closings and self-isolation exceeded any harm that may have come form the COVID-19 Coronavirus.

Tuesday, February 25, 2020

Shift Government Focus From The Demand Side Of Medical Care To The Supply Of Medical Care To Lower Health Care Costs

My posted health care cost comment to John Cochrane's blog, The Grumpy Economist, "Health policy wonks and the preservation of human capital":
Shift the focus from the demand side of medical care, i.e., insurance, government subsidies (Medicare for all, Medicaid, Medicare, ACA), and price controls, to a focus on increasing the supply of medical care providers. Lower the barriers to entry for health care providers by lowering the licensing requirements and decreasing the years of education and training it takes to become an independent medical provider. Increasing the supply of medical providers until there is an oversupply will increase competition and productivity. Do the equivalent for hospitals and health facilities. Competition and productivity will remove low quality, high price inefficient providers from the marketplace and lower the costs of medical care. Lower medical care costs will lower insurance costs because insurance is just reimbursement for the cost of the use of medical care. As medical care and hospital costs decrease through productivity, insurance premiums will decline and more people will be able to afford health care. The high cost of medical care and medical insurance is a result of a limited supply of providers and low medical care productivity.

Monday, February 24, 2020

About 5% Of Americans Work More Than One Job

From E21, "Bernie’s Wrong: Americans Now Less Likely to Work 2 or 3 Jobs" by Allison Schrager:
The front-runner for the Democratic Presidential nomination, Bernie Sanders argues one reason the economy is “broken” is that "Millions of Americans are forced to work two or three jobs just to survive."

But the number of Americans working more than one job has actually been declining over the years and is only about 5%. Most multiple job holders have a full-time job and a part-time job. Only 5% of multiple job holders have two full-time jobs. Women are slightly more likely to be multiple job holders.
Source:  E21