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Daily Archives: May 24, 2020
Tips On Successfully Surviving The National Visa Center Process – caribbeannationalweekly.com
Posted: May 24, 2020 at 3:01 pm
The family immigration process often takes many years waiting in line and then finally, once an immigrantvisa becomes available, the National Visa Center (NVC) and U.S. Consulate begin final processing for your relative, ending in the immigrant visa consular interview appointment and thereafter immigrating to the U.S.
However, even after waiting all those years, the final processing steps themselves can be very intimidating and stressful.
This quickoverview of the process, along with a few tips to keep in mind, should help youproperly provide the required documentation so as not to delay your relatives consular interview.
To initiate final consular processing, most sponsors receive a notification email from the NVC called a Notice of Immigrant Visa Case Creation which gives the case number, ID and link to login to the Consular Electronic Application Center (CEAC) to initiate the process.
Here are the basic steps in the process:
1) Pay NVC Bills: The first step is to pay the consular fees to begin the process. Fees are currently $445 per person or $325 per person and $120 for family.
2) Submit Affidavit of Support and supporting documents: Once the fees are paid, the next step is for the sponsor to immediately submit the completed, signed form I-864 Affidavit of Support, current tax return. W-2, pay stubsand proof of residency or citizenship through the CEAC system. Failure to quickly provide the required financial documents will result in delay of the case.
3) Complete the DS260 Immigrant Visa Application: At this stage, the immigrating family members must complete the DS260 form for each person and submit.
4) Civil Documents: All immigrants are required to submit certain civil documents, including birth and marriage certificates, divorce decrees, passport biographic page, police certificate, passport photos, criminal records, etc. These documents must be carefully scanned and uploaded through the CEAC system for each immigrating family member.
5) NVC Review: Once the documents are submitted, it can take up to 60 days for the NVC to review the documents. If documents submitted are not clear or scanned improperly, they are rejected, and the sponsor/immigrant will receive an email notification to log in and replace such documents with properly scanned versions.
6) Consular Interview: Once the NVC finds all the documentation is acceptable, the NVC will email notification that the case is complete. The next step is to wait for notification from the consulate. Within about 30 days the U.S. Consulate will send a notification email with date and time of the interview, along with instructions on scheduling the required medical examination and listing documentation to bring to the medical exam and consular interview.
Its important to understand the NVC process can be completed in as little as 60 days if the case is properly prepared and submitted. If not, the process can be delayed for many months causing immigrating family members to remain in limbo for no good reason. In some cases, I have had new clients come to me over six months into the process exasperated and ready to give up after having previously repeatedly tried to do the case themselves. In addition to sponsors being unsure of which documents are required and unfamiliar with the CEAC system, the main delays are usually caused by documents being uploaded which do not meet the requirements.
Heres a few document tips:
Rule #1, never use your cell phone to take a picture of a document, all documents must be scanned at a clear resolution using a scanner and saved as a pdf. Pics taken with cell phones will be rejected.
Rule #2, always make sure the document you are scanning is upright on the page, since documents scanned sideways or upside-down will be rejected.
Rule #3, make sure to scan the entire document so that all sides are fully showing. Scans of documents which are cut off will be rejected. For instance, if a birth certificate has stamps, but the scanned page cuts a portion of the stamp off, the document will be rejected. Similarly, if a document is on oversized paper and the scan cuts off the bottom of the document, it will be rejected. The best approach is to take oversized documents to Office Depot or asimilar store and have them reduced to letter size.
Rule #4, reduce the size of the PDF before uploading. The maximum size is 2 mb. Many documents with multiple pages scanned on copiers and printers will easily go over 2 mb, so youll need to use a PDF program which allows you to reduce the PDF size.
Rule #5, documents which are in the same language as the country from which the family members are immigrating do not need English translations. For instance, if an immigrant is from Colombia and all his/her documents are in Spanish, no English translations are required to be submitted.
Finally, remember every time you submit or resubmit documents, it can take the NVC up to 30-60 days to review them. This can cause frequent delays. The best approach is to carefully prepare the documents, review the scans to make sure they meet each and every specification before uploading and submitting, then check your emails frequently in case the NVC issues a request for resubmission on one or more documents, so that you can take care of it immediately.
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HSE will be guided by NPHET advice on 2m rule – Reid – RTE.ie
Posted: at 3:01 pm
The Chief Executive of the Health Service Executive has said onemetresocial distancing would give the health service greater capacity, but it will be guided by the National Public Health Emergency Team's advice.
Paul Reid said NPHET guidance is for two-metresocial distancing and that is what the HSE is planning in terms of framework for new services to work through.
He said thisdoes have implicationsin terms of capacity in emergency departments, outpatient clinics and waiting rooms for example.
At a briefing this morning, he said there is "no doubt" one-metre distancing would give significant extra capacity in managing services, but the executive will be guided by the current NPHET guidance.
Chief Clinical Officer for the HSEDr Colm Henrysaidon 27 March we were facing the "spectreof uncontrolled communitytransmission" of the virus, but the stringent measures introduced, including the two-metresocial distance rule, have allowed us to bring the 'R'figure (effective reproduction)down to 0.5.
He said that bearing in mind this is a droplet spread illness, the guidance was based on theprojected length a droplet can spread.
He saidinitiallywe thought the virus was spread primarily through coughing and sneezing,but as we learn moreabout it,we are more aware of how less obviously it can spread from people who are asymptomatic or pre-symptomatic.
Dr Henry said the two-metrerule is governed by the decisions of NPHET "and how they're advised based on best international advice" and alsofrom those countries who are emergingout of the initialstage of thepandemic
Read more:Latest coronavirus stories
Meanwhile, LabourleaderAlan Kelly has called onMinister for Health Simon Harris to carry out an audit on the impact of changing the social distancing rules to one metre would have on the health service.
In a statement, hesaid there was now a clear divergence between the World Health Organization and the Government.
An expert in infectious disease at the Royal College of Surgeons Ireland said the two-metresocial distancing rule is likely to remain in place, as it is the best advice from the European Centre for Disease Control.
Speaking on RT's This Week, Professor Sam McConkey said the distance between people is one of a number of key measures taken to reduce the spread of the virus.
He said that the Irish authorities are following the ECDC advice, which is specific to European countries and that there is "a lot of wisdom in pooling our knowledge across countries".
He said World Health Organization advice, which calls for a one-metre minimum, is based on a global picture.
Prof McConkey said that until there is zero emergence of cases that are unexplained in the community, restrictions, including social distancing, would continue.
He said we have fewer and fewer deaths and cases each day and most of these are in "known chains of transmissions" such as in meat factories or households.
He said there are a range of other measures that could be changed to make the restrictions easier on people, such as re-opening schools and creches.
He also said a scheme in New Zealand whereby a number of groups or families can form a mini-bubble or cocoon and socialise together, while remaining apart from others could be considered.
He said this would allow both children and parents in those groups to interact and allow a merging of family groups.
Govt asked to explain social distance stance
On the same programme, the Restaurants Association of Ireland called for the Government to explain why it has "changed" in moving away from WHO advice on social distancing guidelines.
RAI CEO Adrian Cummins said with 34 days to go until they re-open, restaurant owners want guidelines on social distancing to be reissued.
He said the difference between one and two metres of social distance would see many restaurants unable to reopen as they could only operate at 20-25% per cent capacity and would be loss making.
Mr Cummins said "we went into the crisis along WHO guidelines and somewhere along the journey we have changed to Irish guidelines".
He said countries including Austria, Finland and Norway have moved to a one-metre rule and "if we don't have this conversation" there will be thousands of jobs at risk.
David Fitzsimons from Retail Excellence Ireland said the social distancing guidelines are "inferior to every other country" and his sector is concerned that it will make retail operations difficult once "pent-up demand" is seen on shop floors.
HSE to complete non-Covid treatment framework
The Health Service Executive has said a framework will befinalisedin the coming weeks to see how to safely resume non-Covidhealthcare services in the current environment.
Mr Reid said there are more than900 vacant beds in hospitals, down from 2,500, which shows an increase in non-Covid activity.
There are 51 people in ICU being treated for Covid-19, which is down 68% from the peak in early April.
He said the speed of testing has increased with 98% of tests returning with a negative result and results are returning in less than two days.
310,000 tests have been completed and 35,000 swab tests were completed.
MrReid said mass testing of nursing homes in now complete and is nearing completion in mental disability settings and the automatic testing of close contacts of confirmed cases is also under way.
The briefing was told that the HSE planned to carry out antibody testing in June to try to measure the level of the disease in the population.
It was expected most people who had the disease would develop an antibody response, which would provide some level of protection but results in other countries had shown low levels in communities.
He said a report into the Mater Hospital has concluded and found it did meet all its obligations on reporting of cases and all testing and tracing was completed properly.
The report makes recommendations about the validation of data and assurances have been given by all hospitals about correct uploading of data.
Increase in emergency department activity
Anne O'Connor, the chief operations officer of the HSE, said activity at emergency departments has risen, with more over 75s being admitted through emergency departments in the last week.
She said a total of 20,177 people attended emergency departments last week, up 2% attendance on last week but still lower than this time last year.
MsO'Connor said an "attend anywhere" teleservice is being looked at, continuing virtual consultations as these clinics are being used more andvirtual consultations for outpatients will be built on over the coming months as people are very keen to engage in this way.
She said there is now 90% occupancy in acute hospitals and there were409 delayed discharges of patients to nursing homes.
MsOConnor said there is a significant numberof daycarecases in private hospitals, which are getting busier andmore use of in-patient beds in private hospitals, which are now at 50% occupancy - and at 80% occupancy for day cases.
She said Covid-19 is not going to disappear so we need to ensure we have capacity at our hospitals.
Sheadded thatthe community assessment hubs are being looked at to see how quieter hubs can best be used to support services.
Around 80% of cases of Covid-19 will be a mild to moderate illness, close to 14% have severe disease and around 6% are critical.
Generally, you need to be 15 minutes or more in the vicinity of an infected person and within 2 metres of them, to be considered at-risk, or a close contact.
People feeling vulnerable urged to seek help
The HSE's clinical advisor to the National Office for Suicide Prevention said the Covid-19 pandemic will see new groups of people having mental health challenges for the first time and he urged anyone feeling vulnerable to seek help.
Dr Philip Dodd, a consultant psychiatrist and clinical professor at UCD, said that people who are cocooning or those who are worried about their jobs or health may need some extra psychological supports.
He said the majority of thepopulation can and will adjust to the new Covid-19 environment andclinical research shows that people are becoming less worried and settling after the initial arrival of the virus in Ireland.
He said mental health services are still accessible despite being interrupted by Covid-19 demands and there are new tele-health options such as online, text and phone supports that have been used by many people for the first time.
Anyone with new concerns about their mental health is urged to contact their GP or in an emergency to attend their lcoal emergency departments.
There are details of mental health services on yourmentalhealth.ie or freephone 180111888.
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Introducing ‘Seve Week’ – A celebration of Seor – bunkered
Posted: at 3:01 pm
This Thursday marks the 25th anniversary of the late, great Seve Ballesteros final professional victory.
On May 21, 1995,the mercurial Spaniard won his national title, the Spanish Open, for the third time his 50th European Tour title.
Nobody knew it at the time, of course, but it would prove to be the final trophy the then 38-year-old would ever lift.
Here atbunkered, we have decided to mark the occasion by hosting Seve Week across all of our digital platforms.
Every day this week, we will be uploading brand new content to our website and social media platforms - all of it honouring the bold, brilliant Ballesteros.
Well be giving you a bit of everything: essays, interviews, video tributes from some of his contemporaries, fun stats, facts, quizzes and so much more.
Were encouraging you to get involved, too.
We want you to share your favourite Seve memories and pictures on social media using the hashtag #SeveWeek.
bunkered editor Bryce Ritchie explained: Somebody once said that you didnt need to love golf to love Seve. Thats absolutely true. The great man occupies a special place in the hearts, mind and memories of most golf fans.
"Even Americans, upon whom he inflicted so much misery in the Ryder Cup, admired him for the style and passion that he brought to the game.
He was a complete one-off. Thats why we decided to celebrate him with a one-off week full of celebrations.
"We wouldn't do this for just anybody - but Seve wasn't 'just anybody'. He was a maverick, a revolutionary, an incredible talent and, above all else, a hero."
To make sure you dont miss anything on the site this week, stick this page in your bookmarks and get involved on Facebook, Twitter and Instagram using the hashtag #SeveWeek.
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Have The Royals Found Another Rule 5 Gem? – The Union Journal
Posted: at 3:01 pm
After picking Joakim Soria out of the Padres ranch system in the 2006 Rule 5 Draft, maybe suggested that the Royals are still in the playing with house money honeymoon stage of the Rule 5 procedure. After all, also landing a Rule 5 gamer that can stick on a Major League lineup for a whole period is a success, dont bother touchdown a two-time All-Star like Soria via his 2007-11 prime time as Kansas Citys closer.
Eleven years after composing Soria, it looks like the Royals once more advanced using the Rule 5 procedure. While Brad Keller has yet to get to All-Star degrees, the right-hander has actually currently delighted in sufficient success over his very first 2 MLB periods that he appears like a strong foundation for a young K.C. group.
Keller was an eighth-round choice for the Diamondbacks in the 2013 draft, as well as via 5 professional periods had actually assembled some suitable yet unimpressive numbers in the Arizona ranch system. Over 130 1/3 innings for Double- A Jackson in 2017, Keller published a 4.68 PERIOD, 7.6 K/9, as well as 1.95 K/BB price, which had not been fairly adequate for him to qualify among something of a 40- guy lineup problem for the DBacks
Coming off a 93- win period as well as a NLDS look in 2017, the Diamondbacks were concentrated on making use of much of their offered 40- guy rooms on gamers that can possibly offer prompt aid in 2018, as GM Mike Hazen discussed to the Arizona Republics Nick Piecoro 2 years earlier. Our precursors suched as[Keller] We liked him, Hazen stated. We made the aware choice not to include him as a result of where he remained in distance to the Major League group, where we remained in the cycle, what we wished to utilize our 40- guy areas for, we wished to be hostile in the offseason in declaring men that were closer to the major leagues in our mind.
So, the DBacks left Keller unguarded in December 2017 draft, as well as it really did not take wish for another group to catch the right-hander. However, that group had not been really the Royals, whose place in the Rule 5 draft order really did not drop up until the #18 place that year. Instead it was the Reds that took Keller with the 5th choice, and after that without delay dealt him to Kansas City for money factors to consider. (The Royals turned a comparable relocation simply one choice later on, getting 6th choice Burch Smith for money from the Mets after New York picked Smith out of Tampa Bays ranch system.)
Smith additionally wound up investing the whole 2018 period on the K.C. lineup, though he was let go after uploading a 6.92 PERIOD over 78 innings. Keller, on the various other hand, was a lot more of a prompt success. After uploading a 2.01 PERIOD over his very first 22 1/3 structures of job out of Kansas Citys bullpen in 2018, Keller was advertised to the turning as well as remained to prosper. The righty had a 3.28 PERIOD over his 20 begins, starting out 83 batters (versus 43 strolls) over 118 innings.
Kellers student year had not been fairly as remarkable, though he still handled a rather decent 4.19 PERIOD, 1.74 K/BB, as well as 6.6 K/9 over 165 1/3 structures, all as a participant of the Royals turning. It can be suggested that Keller was possibly privileged to take care of that 4.19 mark, as some PERIOD forecasters (4.94 xFIP, 5.23 SIERA) were substantially greater, as well as batters made a lot more strong agreement off him in 2019 than in2018 The Statcast metrics additionally took a dark sight of Kellers 2019 efficiency, with a lot of blue as in, below-average numbers for Keller in contrast to various other bottles in leave speed, xwOBA, strikeout percent, as well as a number of various other classifications.
That stated, progressed metrics do not often tend to prefer low-strikeout hurlers like Keller that concentrate on maintaining the sphere on the ground. Among bottles with a minimum of 300 innings threw over the last 2 periods, Keller has the most affordable (8.4%) crowning achievement price in baseball, as well as the second-highest (52%) ground ball price. These impressive numbers are especially beneficial in this age of the vibrant sphere, as well as Keller can better gain from some boosted protection behind him, need to Maikel Franco offer any type of kind of upgrade at 3rd base.
All informed, 4.8 fWAR over 2 periods currently stands for a really wonderful return on the Royals first small money investment toCincinnati Keller does not transform 25 up until July, as well as he does not get to adjudication qualification up until this coming offseason, placing him under the Royals control via the 2023 project. Under regular conditions, Keller can be a gamer the Royals may have currently secured to an agreement expansion, as well as while all expansion talks are stopped under the present deals ice up, it would not be a shock if K.C. started some talks with Kellers reps when routine company comes back underway.
While really significant Rule 5 Draft success tales are reasonably rare nowadays, a group just requires to appeal one choice to make the business beneficial. Finding a major league ability for practically absolutely nothing is a win for any type of group, as well as if that ability is a mid-20s beginning bottle that appears like he can await a minimum of the center of a major league turning, the Royals obtained an useful increase to their newest restoring initiative.
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Britains Got Talents biggest child stars from Connie Talbot to George Sampson where are they now? – The Sun
Posted: at 3:01 pm
BRITAIN'S Got Talent has produced some of the most memorable performances on our screen.
Producing some of the biggest stars in the business, the ITV talent show has a knack for finding the most talented youngsters in the country.
8
As there's no age restriction for BGT, the beloved series has become a launchpad for those looking for success at a young age.
Here we take a look at the show's most iconic younger stars and check out what they're up to now...
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Connie Talbot won over the nation's hearts when she appeared on the first series of Britains Got Talent back in 2007 - at the tender age of six.
She made it all the way to the final and sang Somewhere Over The Rainbow but missed out on the prize to Paul Potts.
A year after appearing on BGT, she released Connie Talbot's Christmas Album, which she recorded in her bedroom studio.
In 2012 she released her fourth album Beautiful World under Hong Kong based label Evosound - it reached number one in the Taiwan charts.
Two years later she opened a special concert to celebrate South Korea hosting the G20 summit.
Then in 2019, the 18-year-old took to the BGT: The Champions stage to sing an original song but despite getting rave comments from the judges, she didn't make it through to the finals.
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George Sampson, 26, is a street dancer who found fame and success after winning Britain's Got Talent in 2008.
Since his appearance on BGT, George has branched out into acting and also released his own single Get Up On The Dance Floor/Headz Up in 2008 with Syco.
After performing in West End show Into The Hoods, he landed a role in Waterloo Road, as Kyle, in 2011, before joining Emmerdale in 2016 as Ryan.
He's also had minor roles in Mount Pleasant and Casualty, as well as presenting CBBC's Friday Download. Then in 2010 and 2012 he appeared in 3D movies Streetdance and Streetdance 2.
In April 2017, George had a 9,000 hair transplant procedure to get rid of a bald patch on his head, which was caused by all the spinning he does on his head during break-dancing routines.
George took his own mother to court in 2016 after she refused to leave the Warrington house he bought with his Britain's Got Talent winnings. In May 2017 he joined the cast of Madness musical Our House as Reecey.
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Ronan Parke tugged at the heartstrings when he sang his heart out to Feeling Good aged 12 in 2011's instalment of BGT.
At the time, he narrowly missed out on winning the competition, ending up in second place.
The fresh-faced singer was still snapped up by Simon Cowells label, but like many talent show acts before him, he was sadly dropped after a year.
Since leaving the show he released his debut album called Ronan Parke and went onto do a number of performances around the UK.
He left his record labels the following year, and later that year released a new single, We Are Shooting Stars.
He has also collaborated with fellow Britains Got Talent contestant Luciel Johns, and released a further few singles in 2014.
Now in 2020, Ronan has a YouTube channel, which he updates regularly with music covers and vlogs to his 187,000 followers.
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In 2009, Hollie Steel delivered an unforgettable performance on Britains Got Talent which saw her breaking down in floods of tears midway through her semi-final song.
Despite boasting plenty of vocal promise, it was the 10-year-olds onstage collapse on the show that will always stick in the mind.
Nerves got the better of her during her rendition of Edelweiss, causing her to flee the stage in pieces.
However, she bravely returned for a second attempt and the judges voted her through to the final, eventually finishing sixth in the competition.
Hollie capitalised on her BGT fame, Hollie and her family launched their own label, BB5 Records, and put out her debut self-titled album in 2010.
She followed that up with a Christmas album in 2011 and her second collection, Children On The Titanic, in 2012.
In 2011, she was also cast in the role of Louisa von Trapp in Andrew Lloyd Webber's UK tour of The Sound Of Music, performing in the show across the country from May to October.
Now today a 21-year-old Hollie continues to act and sing, uploading regular song covers to her channel.
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Comedian Jack Carroll competed in the seventh series of Britain's Got Talent at the age of 14, finishing as the runner-up.
In 2010, at the age of 12, Jack caught the eye of comedian Jason Manford when he saw a video of him performing at his parents' wedding anniversary and asked him to perform at one of his shows.
Two years later, the teen won a Pride of Britain award in 2012 before he wowed judges with his comedy act a year later.
Jack, who has cerebral palsy, has continued to do stand-up since being on BGT and also is enjoying a successful career as an actor.
The funnyman has appeared in two series of the CBBC Channel show Ministry of Curious Stuff and also Sky One series Trollied.
He took his show Jack Carroll And Friends to the Edinburgh Fringe 2019.
Last year, he competed in Britain's Got Talent: The Champions but was eliminated.
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Welsh native Shaheen Jafargholi left the BGT audience in awe after he delivered a powerful version of Michael Jackson's Who's Loving Yo during his audition in 2009.
The schoolboy was lauded with praise from around the world so much so that Shaheen was asked to perform at Michael Jackson's funeral when he was just 12.
Following his appearance on the show, Shaheen recorded an album, and turned his attention to acting with cameo in Torchwood and Grandpa in My Pocket.
In 2016, he joined the cast of EastEnders as Carmel Kazemi's (Bonnie Langford) son, Shakil, and in August 2018 it was announced he'd joined Casualty.
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Aidan Davis starred in the third series of the ITV talent show back in 2009.
Back then, aged just 11 and sporting a bright blue hoodie, he impressed judges with his fancy footwork to Flo Ridas Low.
While blonde Amanda Holden said he blew her away,, head honcho Simon Cowell added: I think youre better than any dancer on this show, you are super, super, super talented.
Yet the dance star who claimed he never had professional training was caught up in a highly talented bunch and battled it out in a series which included singing sensation Susan Boyle and fellow dancers Diversity, who went on to take the title.
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He then joined the lads on their Diversitoys tour as well as teaming up with the crew on the official BGT tour.
Since then Aiden continues to dances and has a fondness for sharing shirtless selfies on social media.
The new series of Britains Got Talent continues tonight at 8pm on ITV.
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Coronavirus US live: Birx says Trump wears mask when not socially distancing – The Guardian
Posted: at 2:57 pm
The United States will on Sunday impose a lockdown on travelers from Brazil, according to Donald Trumps national security adviser.
Covid-19 deaths have soared in Brazil as the countrys foul-mouthed president, Jair Bolsonaro, continues to deflect from the crisis. It seems the Trump administration has heard enough.
I think well have a decision today with respect to Brazil, just like we did with the UK and Europe and China, and we hope it will be temporary, Robert OBrien told CBSs Face the Nation.
Were concerned about the people of the southern hemisphere, OBrien continued, the people of Brazil, theyve had a rough go of it. But because of the situation in Brazil, were going to take every step necessary to protect the American people.
As of now Id say Brazil, and well take a look at the other countries on a country by country basis.
OBrien did not divulge details of any such lockdown. But the conversation did allow him to pick up the White House narrative of painting China as the bogeyman of the Covid-19 crisis.
They allowed those folks to travel from China to Europe, and to seed the disease in Europe and have it come through a backdoor into the United States, OBrien said. In perfect hindsight, when we realized the Europeans hadnt cut off travel, sure it would have been better to cut off earlier.
OBrien claimed literally hundreds of thousands or millions of lives were saved by Trumps travel bans, and that the presidents move was a profile in courage.
The Washington Post reported on Saturday on how Trumps restriction on flights from Europe backfired badly.
OBrien also said he expected an in-person G7 gathering of world leaders to take place in Washington in late June.
Were getting very close to the peak [of the pandemic] if were not already, in Washington and if the situation permits it, and we think it will, wed love to have the G7 in person, OBrien said.
Well make sure everybodys tested, well make sure its a safe environment. The leaders would love to get out of their offices and meet in person to plan the post-Covid world.
Two other notable footnotes: the US presidential election will take place as planned on 3 November, no question about it OBrien says, despite speculation fuelled by comments from Trumps son-in-law Jared Kushner that the administration might be looking at a postponement.
Well have to see what happens with the virus, but we want to make sure that we have a free and fair election. That elections going to take place on election day, theres no question about it, OBrien said, declaring that stockpiles of PPE, especially masks, were being built for election workers.
OBrien also insisted there was no security risk posed by Trump, the nations commander in chief, continuing to take hydroxychloroquine, an anti-malarial drug that the Food and Drug Administration says could have life-threatening side effects.
Im sure theyre doing the right regimen for President Trump hes under great medical care, OBrien said.
Hes doing the right thing that he and his physician believe is good for the president. The guys got more energy than anyone Ive ever seen, he added, claiming improbably that the golf-loving president was working 16, 18 hours a day.
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Coronavirus US live: Birx says Trump wears mask when not socially distancing - The Guardian
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No, Donald Trump, Americans are not dying to work work may cause them to die – The Guardian
Posted: at 2:57 pm
Most of Europe and all 50 US states are in various stages of reopening. But why, exactly?
The pandemic is still with us. After the first tentative steps to ease the lockdown in Germany the most successful large European country in halting the spread of the virus, thanks to massive testing the disease has shown signs of spreading faster.
At least Germany is opening slowly and carefully, as is the rest of the EU.
By contrast, the US with the highest number of deaths and most haphazard response to Covid-19 of any advanced nation is opening chaotically, each state on its own. Some are lifting restrictions overnight.
Researchers expect the reopenings to cause thousands of additional deaths.
Americans whose jobs require them to leave home express trepidation: 60% fear exposing their families to Covid-19
Two weeks after Texas governor, Greg Abbott, began reopening, the state experienced the single-highest rise in cases since the beginning of the pandemic. Since Nebraska reopened on 4 May, Covid-19 cases in Colfax county alone surged 1,390%.
Experts warn that Dallas, Houston, Floridas Gold Coast, the entire state of Alabama and several other places in the south that have rapidly reopened their economies are in danger of a second wave of coronavirus infections over the next four weeks.
Last Monday, Ford reopened its large North American assembly plants. On Tuesday, it closed and reopened its Chicago Assembly plant twice in less than 24 hours, after two workers tested positive for Covid-19. On Wednesday, Ford temporarily shut its Dearborn, Michigan truck plant after an employee tested positive, then promptly resumed operations.
So why reopen so abruptly, when Covid-19 continues to claim lives?
The main reason given is to get the economy moving again. But this begs the question of why an economy exists in the first place, other than to promote the wellbeing of people within it.
Both Ford plants are vital to the companys profitability, and that profitability is important to jobs in the midwest. But surely the wellbeing of Ford workers, their families, the people of Chicago and Dearborn and others are more important.
A related argument is that workers are clamoring to return to their jobs. People want to get back to work, Trump has asserted repeatedly. Fox News host Sean Hannity claims people are dying to get back to work, seemingly unaware of the irony of his words.
Polls suggest otherwise. Americans whose jobs require them to leave home express trepidation about doing so: 60% fear exposing their families to Covid-19.
Many Americans must return to work because they need the money, but this doesnt have to be the case. Rich economies can support their people for years if necessary. During the second world war, America shut down most of its economy for nearly four years.
The obstacle right now is a lack of political will to provide such support, at least until testing and tracing provide reasonable assurance the pandemic is contained.
Although nearly half of all US households report lost employment income since mid-March, extra jobless benefits enacted by Congress are only starting to trickle out now. Trump and the Republican Senate majority leader, Mitch McConnell, refuse to extend them beyond 31 July.
Meanwhile, states are denying benefits to anyone whose company has called them back.
Finally, Trump and his enablers argue that reopening is a matter of freedom. He has called on citizens to liberate their states from public-health restrictions. Fox News personalities have decried what they call denials of basic freedoms.
Armed protesters stormed the Michigan state capitol, demanding the freedom to work. At the Kentucky statehouse, protesters shouted We want to work! and Were free citizens!
But the supposed freedom to work is a cruel joke when people are forced to choose between putting food on the table or risking their lives. Its the same perverse ideology that put workers in harms way in the dawn of the industrial age, when robber barons demanded workers be free to work in dangerous factories 12 hours a day.
In truth, there is no good reason to reopen when the pandemic is still raging: not getting the economy moving again, or workers clamoring to return to work, or the cost of extended income support, or because workers should be free to endanger themselves.
Lets be clear. The pressure to reopen the economy is coming from businesses that want to return to profitability, and from Trump, who wants to run for re-election in an economy that appears to be recovering.
Neither is reason enough.
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No, Donald Trump, Americans are not dying to work work may cause them to die - The Guardian
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The US doctors taking Trumps lead on hydroxychloroquine despite mixed results – The Guardian
Posted: at 2:57 pm
There is an alternate universe of Covid-19 misinformation masquerading as science, which with the encouragement of Donald Trump, is proliferating among his supporters.
Among the most ardent proponents of these claims is the American Association of Physicians and Surgeons (AAPS), a fringe group of less than 5,000 doctors. The group was recently cited by Trumps campaign manager, Brad Parscale, to explain the presidents stunning announcement that he is taking the drug hydroxychloroquine in an attempt to protect himself against Covid-19 despite a lack of evidence of its effectiveness.
When asked what evidence guided the presidents decision-making, Trump said: Are you ready? Heres my evidence: I get a lot of positive calls about it.
Since hydroxychloroquine was approved on an emergency basis by the Food and Drug Administration (FDA), studies have shown mixed results, and the dangers of potentially life-threatening side-effects for patients.
Yet Dr Jane Orient, executive director of AAPS, told the Guardian she believed the drug should be prescribed more often, and in a statement based on a flawed database claimed the drug offered about 90% chance of helping Covid-19 patients.
Ive talk to a lot of doctors who are prescribing it [in the US], they are not reporting any problems, their patients have done very well, she said. She did not say how many doctors she knew were prescribing it, and declined to answer whether she herself was prescribing it.
I dont want to have a target put on my back which could result in somebody wanting to scrutinize my entire practice, Orient said.
At first glance, the AAPS has the imprimatur of science. Its members rank among Americas most trusted professionals, and yet it has a track record unlike any other professional medical association.
They seem frequently to offer advice and opinions about medical practice that are not consistent with evidence-based medicine, said Dr Michael Carome, an expert on drug and medical device safety at Public Citizen, a public advocacy group.
Theyre aligned with the Trump administration, that doesnt believe in science, doesnt believe in fact. Theyre completely compatible with the Trump White House.
This group is lobbying on behalf of what they believe to be right, but invariably experts would disagree on their stance on hydroxychloroquine
The group has questioned whether HIV causes Aids (it does), argued abortion causes breast cancer (it does not), linked vaccines to autism (repeatedly debunked), and even alleged former president Barack Obama used hypnosis techniques to trick voters, especially Jewish people, into supporting him (no).
The name does not determine the quality of the group, said John Ayers, a professor of infectious disease and global public health who studies misinformation at the University of California San Diego. This group is lobbying on behalf of what they believe to be right, but invariably experts would disagree on their stance on hydroxychloroquine and other topics and issues, said Ayers.
As far as the presidents pronouncements, Ayers said: We dont know if hes actually even taking it.
Even as Trump said he was taking the drug, some of Americas most respected institutions have begun to move away from it. Yale New Haven medical center, one of the most respected hospitals in the world, removed the drug from its Covid-19 protocol after three weeks of de-emphasizing it in clinical practice.
Massachusetts general hospital, another world-renowned academic medical center, is giving priority to remdesivir, a drug developed by Gilead, although hydroxychloroquine is provided on a case-by-case basis.
The FDA has issued stringent warnings about the drugs potentially life-threatening side-effects and recommended patients on hydroxychloroquine be participants in a clinical trial, or undergo rigorous monitoring, possibly including baseline [electrocardiogram], electrolytes, renal function and hepatic tests.
The AAPSs statements on hydroxychloroquine are not its only dubious views on the Covid-19 crisis.
The US Centers for Disease Control and Prevention (CDC) has recommended wearing masks in public places to prevent asymptomatic people spreading the disease. In other words, it is mostly a selfless act which protects others.
But Orient argued that masks are not free of side-effects and that they retard oxygen to the brain. She later added: I think one jogger even dropped dead. One man in China reportedly suffered a collapsed lung while wearing a mask, though a doctor in the report said there was no clear evidence the mask caused the injury.
While prolonged use of some masks, such as N95 respirators, might cause lightheadedness and discomfort, loose-fitting cloth or surgical masks most commonly used by the public are highly unlikely to cause such severe side-effects.
Orient also voiced her support for lifting stay-at-home orders. They are destroying the economy, they are destroying peoples lives, there is really no evidence they work, she said. The economic and social impacts of the lockdowns have been devastating.
But, there is widespread evidence that stay-at-home orders work, and could have saved thousands more lives had they been imposed earlier. A recent Italian study found the stay-at-home order there prevented about 200,000 hospitalizations. Data from Columbia University found if lockdowns had been imposed in the US two weeks earlier, on 1 March, as many as 54,000 lives could have been saved.
AAPS was formed in 1943, in opposition to a proposal to provide Americans the sort of universal, government-run healthcare established just a few years later in the UK. The NHS would become one of the countrys proudest achievements.
Orients group is small, especially when compared with the mainstream American Medical Association (AMA) which has 240,000 members. But it is influential.
Trumps first health and human services secretary, Tom Price, was a member of AAPS. In a 2011 video unearthed by the Washington Post, Price called Orient a kindred spirit. He said: Its always wonderful to be in the same room with Jane Orient. Jane has been a hero of mine. Price later resigned after spending $1m in taxpayer funds on private jets.
AAPS has diligently worked against proposals which would constrain doctors. For example, it sued the Texas medical board to force it to stop relying on anonymous complaints of misconduct against doctors (the group lost).
Most recently, like Trump, they encourage the use of hydroxychloroquine for treatment of Covid-19, and they think that any oversight be it a physician group or state medical board or mainstream medicine that makes recommendations against use of that drug or tries to restrict use of that drug is just an affront, Carome said.
They think that any oversight that makes recommendations against use of that drug or tries to restrict use of that drug is just an affront
The view of AAPS, he added, is that doctors should be basically free to do whatever they want to do, regardless of the level of evidence, and thats a dangerous perspective for medical practitioners to have in the 21st century.
Samantha Barstow, a licensed pharmacist and adviser on drug shortages with the company Lumere, said this was a rare and uncomfortable situation for government to be involved so directly in prescribing, but in this case it was necessary.
The use for Covid-19 has not significantly been substantiated, Barstow said. The efficacy data is just not there yet. In the meantime, drug shortages could cause patients with approved uses, such as rheumatoid arthritis and lupus, to suffer without medication.
Only six drugs have ever been approved on an emergency basis, like hydroxychloroquine, and most recently Gileads remdesivir. Some researchers believe past drugs approved this way offer a lesson.
In 2009, during the H1N1 influenza pandemic, a drug called peramivir showed promise. It was studied in three clinical trials, but despite compelling and transparent scientific evidence, it failed. By contrast, hydroxychloroquine was backed only by limited lab tests and case reports.
Nevertheless, Orient argues hydroxychloroquine should be available over the counter. Concerns from scientists have nothing to do with concerns about safety and concerns about science, she argued. Her view that lockdowns are despotic, tyrannical and completely unwarranted, and will probably also cause consternation in many circles.
But on some subjects, all can agree: Our pandemic preparedness on the whole has been lousy.
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The US doctors taking Trumps lead on hydroxychloroquine despite mixed results - The Guardian
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The pandemic could reshape the world order. Trump’s chaotic strategy is accelerating US losses – CNN
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Workers wear protective gear as they start a cremation oven in Ecatepec, Mexico, on Thursday, May 21.
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A health worker wears a face shield while checking a patient's temperature at a hospital in Toluca, Mexico, on May 21. Mexico had reported its highest number of new daily cases.
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People in Srinagar, India, lower the coffin of a woman who died from the coronavirus.
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Levi Tinker, resident historian and general manager of the TCL Chinese Theatre in Hollywood, makes an announcement inside the theater's empty auditorium on Monday, May 18. It was the theater's 93rd birthday celebration.
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People practice social distancing in New York's Domino Park on Sunday, May 17.
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Nurses in Nairobi, Kenya, take part in a Zumba fitness class in the parking lot of the Kenyatta University Teaching, Referral and Research Hospital on May 17.
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Mary Faye Cochran sings "You Are My Sunshine" to her son Stacey Smith from her senior-living facility in Smyrna, Georgia, on May 10. It was Mother's Day in the United States.
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Pope Francis delivers a blessing from the window of his studio overlooking an empty St. Peter's Square on May 10.
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The San Isidro cemetery in Mexico City, which was temporarily closed to the public to limit the spread of Covid-19, is seen in this aerial photo from May 10.
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Mary Washington speaks through a window to her daughter Courtney Crosby and grandchild Sydney Crosby during a Mother's Day celebration at her senior-living facility in Smyrna.
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A Briarcliff High School student participates in a parade of graduating seniors through Briarcliff Manor, New York, on May 9.
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People wear face masks while watching a Victory Day military parade in Minsk, Belarus, on May 9. The parade marked the 75th anniversary of the Allied victory over Nazi Germany in World War II.
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A man rides past social-distancing markers in front of a shop in Brussels, Belgium, on May 9.
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A man pauses as he places the casket of a relative into a van at a busy New York funeral home on May 9.
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Health-care workers wait for citizens to arrive at the Anna International Airport in Chennai, India, on May 9. People were arriving in Chennai from Dubai, United Arab Emirates.
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A man wearing a face mask cycles through Chinatown in Yokohama, Japan, on May 8. Prime Minister Shinzo Abe announced that Japan will extend its state of emergency until the end of May.
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American citizens who were stranded in Syria due to the pandemic arrive at the Lebanese border on their way to the Beirut airport, where they would be leaving for the United States.
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During a protest in Washington on May 7, members of National Nurses United stand among empty shoes that they say represent nurses who have died from Covid-19.
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A worker helps disinfect a subway train in New York on May 6. The subway syatem was shut down for a deep-cleaning.
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High school students study in a classroom in Wuhan, China, as they returned to school on May 6.
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A nursery is disinfected in Cannes, France, on May 6. Nurseries in France were to gradually reopen on May 11.
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Refrigerated trucks are seen at a morgue that opened in New York to assist overwhelmed funeral homes.
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Michigan state police prevent protesters from entering the chamber of the Michigan House of Representatives on April 30. The protesters were unhappy with the state's stay-at-home order. Gov. Gretchen Whitmer recently extended the order through May 15, though restrictions were relaxed so some businesses could reopen.
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This aerial photo shows surfers accessing Sydney's Tamarama Beach on April 29. Several Sydney beaches reopened for exercise only.
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A barber wears protective equipment as he cuts a customer's hair in Lausanne, Switzerland, on April 27.
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Health workers at a coronavirus testing center in New Delhi attend to a colleague who fainted due to exhaustion on April 27.
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Pitrik van der Lubbe waves from a boom lift to his 88-year-old father, Henk, at his father's nursing home in Gouda, Netherlands, on April 24. Pitrik had not seen his father in more than four weeks.
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Protesters shout slogans against Lebanese Central Bank governor Riad Salam as they block Hamra Street in Beirut, Lebanon, on April 23. Anti-government protesters have been demonstrating in Beirut as they continue to endure one of its worst-ever economic crises.
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A boy plays hopscotch at his home in A Coruna, Spain, on April 23.
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A dentist wears protective equipment while treating a patient in Den Bosch, Netherlands, on April 22.
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Biology teachers prepare to hold an exam at a secondary school in Berlin on April 22.
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A volunteer in Yangon, Myanmar, spreads calcium oxide on a road to help prevent the spread of the coronavirus on April 22.
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Migrants wave from balconies at a hotel in Kranidi, Greece, on April 21. The shelter, which hosts 470 asylum seekers, was placed in isolation after a pregnant resident tested positive for the novel coronavirus.
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A man disinfects a ceiling lamp at the obanija Mosque in Sarajevo, Bosnia and Herzegovina, on April 21.
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A nurse holds a newborn baby, wearing a face shield as a protective measure, at a maternity facility in Jakarta, Indonesia, on April 21.
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Health workers at Madrid's La Paz Hospital hold a minute of silence to remember Joaquin Diaz, the hospital's chief of surgery who died because of the coronavirus.
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A woman applauds from the balcony of her Paris home to show support for health care workers on April 20.
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Mayor's office workers wear protective suits as they conduct a census in a Bogota, Colombia, neighborhood on April 19. They were trying to find out how many families needed to be provided with food.
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A woman sticks her tongue out of a torn mask at a Reopen Maryland rally outside the State House in Annapolis, Maryland, on April 18. Residents in multiple states have been protesting stay-at-home orders.
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Newly married Tyler and Caryn Suiters embrace following their marriage ceremony in Arlington, Virginia, on April 18. The Rev. Andrew Merrow and his wife, Cameron, were the only other attendees at the ceremony, which was held at St. Mary's Episcopal Church.
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Abed Khankan cuts a customer's hair outdoors in Malmo, Sweden, on April 17.
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Two women walk to rent a small paddle boat by the Vltava River in Prague, Czech Republic, on April 17.
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Cars sit at a newly opened drive-in cinema in Dortmund, Germany, on April 17. It's in front of a former blast furnace.
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Funeral workers in Manaus, Brazil, prepare the grave of a woman who is suspected to have died from the coronavirus.
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The pandemic could reshape the world order. Trump's chaotic strategy is accelerating US losses - CNN
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Donald Trumps Never-Ending War on Numbers – The New Republic
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At a public appearance in Pennsylvania last week, President Donald Trump offered some fresh insight into how he views coronavirus testing. The country is still struggling to test for the virus at scale, which in turn is hampering our ability to return to anything resembling normal life before the pandemic. To the president, however, the testing itself is the problem. When you test, you have a case, Trump said. When you test, you find something is wrong with people. If we didnt do any testing, we would have very few cases.
His claim drew the scorn of epidemiologists and anyone with a passing familiarity with infectious diseases. At the same time, it offered a useful window into how the president understands the world around him. After all, theres a certain logic of sorts to his approach. Testing is the only way to conclusively determine how many coronavirus cases are currently out there. The goal, both for public health and public relations, is to have as few cases as possible. If theres no testing, then there are no cases. And if there are no cases, then there is no crisis.
This is a bewildering approach to a public health disaster, to say the least. But it is an unsurprising one for Trump. In his world, there are Good Numbers and Bad Numbers. As president he wants to take credit for all sorts of Good Numbers: rises in the stock market, declines in unemployment, upticks in approval ratings, and so on. At the same time, he disputes and rejects any Bad Numbers that might come his way. He spent his entire adult life working in the private sector, where companies and fortunes can live or die based on numbers on sheets of paper. Numbers form an intrinsic part of how he measures his own success and the success of others.
Trump is hardly the only figure in American politics to approach numbers with something less than scholarly detachment. Every president wants to tout their accomplishments and minimize their shortcomings, especially when numbers are involved. What sets Trump apart is both the talismanic nature with which he wields these numbers and his perpetual willingness to manipulate them to his own ends. All of those numbers are both the greatest possible source of personal validationand the most dangerous threat to it.
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Donald Trumps Never-Ending War on Numbers - The New Republic
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