Haste Makes Waste

The decision to do this lockdown/quarantine was done without thought, careful planning and analysis and largely some half assed duplication of Wuhan that is a city within an oppressive country that in its own way mishandled and was somewhat deceptive as to the extent of the virus spread and danger to the larger world’s health. In turn WHO failed to grasp the demands of what this meant despite a history of similar virus outbreaks in the last decade, H1N1, SARS, Zika and of course Ebola.  There were already vaccines in development and tossed aside a decade ago as not profitable and of course then we have the United States own issues with bureaucracy, the CDC and the Trump Administration that I will go to the grave believing that they saw this as a great opportunity for political gain, not fully grasping the reality of what this virus was and its aggressive persistence.  So in the haste to figure this shit out the lack of centralized competent professionals and guidance the States had to rely on their own to contain the spread and manage the chaos from the demands it would cause on the health system.  So whoever came up with the lockdown was the person who saw this in Wuhan and said, you do it too.  There was no debate, no discussion and no actual analysis done to show how this would work, for how long it would need to be done and what that it would do to the bigger picture across the board.   And lockdown it was. The histrionic daily broadcast with the lottery readings were done to somehow raise fear and encourage compliance, no Scientists were working in tandem in fact many of the models used were competing if not contradictory further adding to the confusion. Then we have the contradictions and confusion by the White House and the two Doctors whose handprints are all over some of the most egregious decisions that enabled further chaos.

Many did not agree and they were dismissed as contrarians, curmudgeons or crazy as each day another restriction, another executive order, another retraction, contradiction were added to the never ending list.  No mask, mask, no parks, open parks, curfew, no curfew, cut bus transport and then cut the amount allowed, testing, tracking and tracing, only limited to those who met a narrow criteria to then opening the floodgates to have testing.  Then the stage phased opening that was quickly retracted when other states started to have case count rises. Schools open then not and on and on and on.

I never understood any of it.  I took the personal responsibility plan which was keep the fuck out of closed in spaces, wear gloves when out (it stops you from touching your face as a great reminder), wearing masks, limiting time in grocery stores, public transport and monitoring my health daily.  As for washing hands I always did so why did I need to do it more often and longer, who knows but it is about personal hygiene that I suspect has long been an issue and is why we have had many food borne illness outbreaks of late.  Again we are nasty filthy people clearly.

But shutting doors, designating businesses as essential or not, with little planning or involvement as to why and finding alternative ways for these businesses to remain open or coming up with everything from what we currently have, curbside delivery to appointments with limited entry numbers.  This would have enabled many small vendors to accommodate this and in turn make the decisions themselves what they should and could do.  But nope the reality was this was about the lack of available testing, no clear plan for the long haul and of course the crush of hospital patients so they took over conference centers, brought in ships and tents and simply setting up a centralized communication and access to patient data and needs to move those in critical care to those not in need  to one facility over another never happened.  The lack of clear organization and well established channels to track and trace the origin of the virus spread further leant to the confusion and does to this day.   Not one Governor or Mayor clearly communicated with each other and in the case of New York literally negated each other, personal vendettas, scores and other issues were settled over the lack of actual facts and numbers plagued (pun intended) state after state with many health care leaders of States since leaving their jobs at the same rate and level as Police Chiefs.

We have no real idea of the true numbers of Covid patients, deaths and of course overall Covid positivity in any community.  We only know of them if they are tested, if they are in turn treated and the overall outcome if it is death. We have no way of knowing if they contracted the disease, from whom, how long from exposure to actually displaying symptoms to how long they carried the virus from day one to day 14.  As that seems to be the time frame but that has little to do with those who don’t have the virus and why they would quarantine for any time frame other than 72 hours when they should be tested to see if they are in fact positive but asymptomatic.  The reality being that if they are pos and then the average run is 14 days that would mean in actuality only 11 days of quarantine following that as that includes the three days prior.  But nope the endless cycle of news had one day it was waiting in a bush to catch you, another in lurked inside for hours to it can travel 16 feet. It is one fucking amazing virus.  It is blood borne, aka in the body fluids and transmits like a virus in the air under close contact where air droplets or breath are extensively exchanged for a long period. That was 30 minutes it now seems to have been cut in half with no reasoning or explanation as to why.  Now we have the single case in Hong Kong of one who has contracted Covid again.  This should be fun as the daily does it or doesn’t it game the media played for months announcing cures, treatments, histrionic fear stories.  Yes we are heading into the second wave.

I am not bothering to discuss the endless “cures” and “treatments” as that list is endless, but again the excessive need to ventilate was a panic button switch that likely ended lives sooner than necessary and that the medical community has admitted; Yet,  I have read of lung transplants and of course other drugs and treatments that have led to serious issues as having to lose limbs in which to survive that course of action.   Really are you using these people as guinea pigs as that it was it seems.   So far no single orderly process and protocol has been established so this is just throw the shit against the wall see what sticks plan.  The long term issues and problems from the health industries sheer idiocy and panic mode will lead to many many more significant health problems for decades to come. Never underestimate the incompetency of the medical industrial complex.

But what is the most egregious of it all was the sheer idiocy of the local Governments both States and Municipalities to do this shit on their own with their own posse of morons who have since left their jobs and in their wake a mass of shit.  The Wall Street Journal did an excellent article about this issue that closing it all down, not actually attempting to find a structured way of quarantining the most at risk, being aggressive with testing ALL those in work places that were the essential front liners regardless of them being in China, knowing someone in China, touching China or even eating Chinese food would have been the first thing to do. By limiting the access to testing you opened the door to spreading the virus as it did untethered and unbothered by the man made caveats to finding the disease.  The lack of coordination between the private and public sector to come up with a manageable plan regarding their workforce and how to stop or reduce the spread by altering commute times, RIFF’s that would be covered by Unemployment while trying to again to reduce pressure on public transportation and means of travel that contribute to the spread.  Immediately stopping mass gatherings but allowing facilities to cut their occupancy rates to allow them to remain functioning but with clear mandates and enabling them to work on ventilation and other issues relating to spreading a virus, such as hygiene theater and mask requirements.  And of course rapid testing.  Funny how that with months closed that no one tried a temporary school concept during this time, such as staggered days, offsite learning and  the other ways mentioned above to educate the kids, but nope, wait til the start of the school year to fuck that one up.

One of the many issues the Journal discusses is how the lockdown was an overtly blunt and economically costly too.. They are near to impossible to do long enough to actually stamp out a virus and in turn the confusion about what ultimately it was to accomplish. The words “mitigation” “suppression” and “containment” were used interchangeably and in fact they are all three different concepts.  The favorite was and still is “flatten the curve” and that really only applied to hospitals and their admissions not the virus spread itself.  If you were to lockdown the country to actually mitigate a virus we would still very much be in Stage 1 right now.  But as we have seen across the country the bending, and flattening has been largely non-existent if not impossible.  And despite the rise in numbers in California a slight decline has begun by simply limiting public gatherings and indoor contacts.    Surgeries and other “non essential” health care has resumed and of course the mask mandate has been in existence now since July.  Funny that being outdoors rather than indoors the current state of health and human services director of California, Dr. Ghaly,  has noted. And he and other epidemiologists and economists have also noted this, as we all have learned a great deal since April which was a month into lockdown.  You know like discouraging masks and yet here were are finding out just how effective they are. So it is now these esteemed intellects  are now realizing that and perhaps it was not a necessary to close and cease all business.  So this proves that in fact had they had time to actually look to other countries and discuss with them their plans, Iceland, New Zealand, South Korea, the United States might be in better shape.  But nope the idea of States doing this on their own may in fact  have lead to more deaths, rising hospitalizations and of course a shattered economy.  Good plan.

To quote James Stock, a Harvard University economist who, with a Harvard epidimiologist, Michael Mina, realized that you can avoid a surge in deaths without a deeply damaging lockdown by simply being disciplined.  Simple policy mandates, simple communication and coordination and yes clear leadership would have offset much of this.  But nope we had to play Good Trump Bad Trump. Again I believe that while Trump is inept much of his staff and the CDC are equally inept and our local Governments are not much better they just play better on TV.   This lockdown bullshit was never part of the pandemic playbook and it was not used in the 1918-19 flu epidemic nor in the one in 1957. It was copied from the Communist playbook, hmm interesting. And even when Italy did it there were few in the European Union that agreed with that and it was only again until the modeling capabilities of another player, the Oxford University, further elevated the fear factor in Britain did Johnson then go into lockdown; however, he had handled it in the beginning like Trump so this is not surprising and his medical committee is one that is secretive in the best of times making Igor and the Bride seem  chatty and honest.  Uh those two are about as ethical as the rest of their community of pols.  We should, coulda, followed SE Asia but the CDC botched the testing kits, the rollout and as a result limited the testing and countless infections went undetected for months.  So we pay the price.  And while we trashed or tried to with regards to Sweden, their death mortality rate rose as it would with a highly infectious disease but not to the point requiring the lockdown and in turn their economy is less damaged. Shocking, I know. Not really. And their current death rates and infections are on par with the rest of Europe so while herd immunity may have been an ideal they were willing to comply and cooperate with a change of behavior. Again that requires a massive amounts of personal discipline.  That is not America nor Americans in the least.  But we are paranoid motherfuckers that much is certain. Just watching the RNC proves my point, scared shitless of black people but a killer virus fuck that we got this. Yeah ask Herman Cain about that.

Rank and File

The U.S. World News and Report in its never ending cycle of listing and ranking everything and anything has once again rated and ranked the States. My old home State of Washington is #5. Okay good not that it made any difference in my life and I have lived in many other states, including Texas, California, New York and now Tennessee. I am pretty sure Tennessee is better than Texas, nope not according to U.S. News.

So while this is a list of data mostly from public records, the reality is that beauty is in the eye of the beholder. And while I a relieved that I am at one of the top ranked medical facilities in the State, the University of Washington was as well in Seattle and I can assure you that would be only because they run most of it throughout the area so who else is there? There are only 3 providers thanks to consolidations and absorption of most medical care in the region. Which is of course common throughout the United States and allows one to dominate when it comes to care.

Here in Nashville, home to many for profit companies and two medical schools, we actually have competition with regards to medical care. I have frequently said this is the place to come for medical tourism and country music while recovering. But again Tennessee is not highly ranked in comparison to most states as we seem to hover well into the bottom third of all the rankings.

Here is what U.S. News has to say about Tennessee:

Tennessee is as well known for the Great Smoky Mountains, site of the most visited national park in the United States, as it is for a slew of music legends, including Elvis Presley, Jerry Lee Lewis, Muddy Waters, Johnny Cash and Dolly Parton, who rose from the blues music hub of Memphis or country crooner center Nashville.

Tennessee became the 16th state in 1796, bordered by eight present-day states and the Mississippi River. Though in its early days the state played a significant role in the abolition of slavery, by 1860 about one in four of all the people in Tennessee were slaves.

The divided state was the last to secede from the Union in 1861, and many battles were fought in Tennessee. After the war, the state ratified the 14th Amendment, which provides citizenship rights and equal protection laws, and was the only ex-Confederate state to not have a military governor during Reconstruction. During the Scopes Trial of 1925, the state was the subject of national attention and mockery when it brought a court case against a high school biology teacher who taught evolution in school, which was against the law. Also in the 1920s, Tennessee emerged as the heartland of traditional country music, with the Grande Ole Opry, a weekly stage concert in Nashville, becoming the longest-running radio broadcast in American history.

Tennessee played a vital role during the civil rights movement of the 1960s and was the site of lunch counter sit-ins, a nonviolent protest that garnered national attention to desegregation efforts. Although the activism of African-Americans in Tennessee helped pass the Civil Rights Act of 1964 and the Voting Rights Act of 1965, it was in Memphis in 1968 that the Rev. Martin Luther King, Jr. was assassinated.

Today, The Volunteer State is home to 6.6 million people, with the capital of Nashville, Memphis, Knoxville, Chattanooga and Clarksville the most populous cities.

In Tennessee, 93 percent of adults speak only English at home, and only 5 percent of the population was born outside the U.S.

Tennessee’s high school graduation rates are on par with the national average, but fewer hold at least a bachelor’s degree – about 26 percent of state residents older than 25 graduated from college.

Tennessee is home to more than 40 schools, including Belmont University, Vanderbilt University, Rhodes College and the University of Tennessee.

At $47,275, Tennessee’s 2015 median household income was slightly lower than the national average, while the poverty rate of 16.7 percent was about 10 percent higher than the U.S. rate.

Tennessee is home to some Fortune 500 companies, package shipping giant FedEx and health care and medical facility firms HCA Holdings and Community Health Systems. Non-agricultural growth has boosted Tennessee’s economy in recent years, with the manufacturing and mining, logging and construction industries experiencing strong growth.

Tourists in Tennessee flock to the Great Smoky Mountains National Park, which welcomes more than 10 million visitors annually. Memphis boasts one of the country’s largest zoos, and Elvis Presley’s house, Graceland, is the second most visited residence in the country after the White House. In Nashville, visitors can find the Country Music Hall of Fame and the Hermitage, home of President Andrew Jackson. Chattanooga and Gatlinburg are also popular tourist destinations.

The third most religious state in the country, 81 percent of Tennessee adults are Christian. Tennessee has sided with the White House winner in all but three elections since 1928 – Presidents John F. Kennedy in 1960 and Barack Obama in 2008 and 2012

As one can tell our relationship with America as a whole is complicated. That is largely due to religion which then places all blame, responsibility and accountability on the individual who has failed. Yet we have the largest medical providers here which is this science thing a direct contradiction to the whole faith based notion of wellness. And then we also have the sickest in the country as they don’t make sufficient enough wages, rejected Obamacare, which again is not surprising, and in turn have immense health care providers literally on every street.

Then it comes to Education the biggest failure. We have a lot of it but a lowly educated populace with just under 30% both statewide and in Nashville itself. An irony given many Colleges/Universities house themselves here and they are also highly ranked. But that also explains the low wages.

So as Nashville once again tries to position itself as the City of Now it actually needs to ask itself what do the other cities in the other top tier states have that they would need to rise in actual rank? Well one great jobs and two an overall quality of life. Well if drinking is that we win hands down.

Just yesterday the sole shipping company that exists here announced layoffs of 300. If the ACA is decimated expect that the clinics and care providers to cut staff. And in turn that will have a domino affect that could do some damage overall. There are some bright spots and employers who are here are still committed to the region, with LG building a plant in Clarksville just an hour north, and we always will have conventions in the city of Nashville so there still will be growth but it is not sustainable. The cost of housing and living here is not as low as some profess, we have rents on par with Seattle, food/groceries are taxed and we have the same expensive sales taxes that Washington state has (9.55%) but without wages to compensate for it. So please tell me how this is such a great place to live? Well compared to some of the other states we are fabulous. But then again those states I would not even visit..

I am not big on these bogus lists but the data in some of it is in fact quite accurate. And though my experience with the University of Washington was hideous there are those who find it excellent and again there are choices despite it. I don’t miss Seattle in the least bad memories make it not worth my time. That said I was happy to see this list as I will use it to find my next home and that is worth my time.

If you are curious to see where you city/state is the list is here. Happy hunting.

States of the Union


Every now and then we are given lists of the top ten cities, states, etc which to live, do business or avoid like the plague.

I have reprinted the results of the survey below for review. As you note many factors are fluid ones. Meaning quality of air and water. Others are about quality of life. That is a personal choice. But in reality aren’t all Americans entitled to a median quality of life – meaning the same regarding where you live. Air and water and food travel across state lines, we travel across state lines. Why should one be “better” than the other?

As I have written before the dream, goal, aspiration of the Randian Cultists Acolytes Libertarian dreams are, total destruction, privatization or elimination of a centralized Federal Government in exchange for a more fluid version of Government vs say a founding father (which they seem obsessed with further demonstrating America’s obsession with Patriarchy) as a Federalist nation. Ironically Hamilton also used and got support from the Merchant and Banking class, the same class today decrying such federalism. Well there you go with hypocrisy and history again. At times I wonder if blogging is the next step up to chalkboards, whiteboards and teary histrionics.

But as we have this idealistic versions that State Governments simply know better and do better let’s take a look at this Gallup study on the top 10 States to live in. As one planning to move to Colorado next year I go hurray! It can’t come soon enough. But for those unable to move well hope you made the list. And that depends on the State and which list. But in line with the American Unicorn mythology concept – that is your fault so just get on it and move!

Utah Poised to Be the Best U.S. State to Live In
West Virginia, Mississippi, and Kentucky in bottom three

by Dan Witters

WASHINGTON, D.C. — Utah easily leads the nation in terms of its performance across 13 forward-looking metrics that might determine which states will be the best places to live in the future. Minnesota, Colorado, Nebraska, and North Dakota round out the top five.

Utah does best in part because it is among the top two best-performing states for low smoking habits, ease of finding clean and safe water, having supervisors who treat workers like a partner rather than a boss, learning something new or interesting on any given day, and perceptions that your city or area are “getting better” rather than “getting worse.”

These are five of 13 metrics encompassing economic, workplace, community, and personal choices Gallup used to assess the future livability of 50 states. The findings are based on the results of over 530,000 interviews with U.S. adults conducted Jan. 2, 2011, through June 30, 2012, as a part of Gallup Daily tracking and the Gallup-Healthways Well-Being Index. Previous results focusing on the best future region in the U.S. recently appeared in Business Insider as well as Gallup.com and the Gallup Business Journal.

The remaining eight metrics include evaluations of one’s life five years from now, economic confidence, job creation, standard of living momentum, obesity, ease of finding a safe place to exercise, visits to the dentist, and the percentage of workers employed full time for an employer. The selection of the 13 metrics was not based on any statistical model, but rather on their presumed relevance to future livability. Each metric contributed equally to the final ranking.

Southern States Not Well Positioned Future Livability

West Virginia, followed by Mississippi and Kentucky, are the three states with the lowest overall average ranking across the 13 metrics. West Virginia is ranked last in the country for five of them: economic confidence, learning new and interesting things daily, ease of finding a safe place to exercise, obesity, and smoking. Residents of Mississippi are last in the U.S. for being employed full time by an employer, annual visits to the dentist, and having a supervisor that treats you like a partner rather than a boss. All three states are in the bottom 10 for economic confidence, smoking, obesity, ease of finding clean and safe water, dental visits, and ease of finding a safe place for residents to exercise.

Nevada is last in “city/area ‘getting better’ minus ‘getting worse'” and 49th in providing its residents with clean and safe water, while residents of Maine have the worst standard of living momentum.

Utah, Minnesota, and North Dakota Lead Two Metrics Each

Utah sets the national standard for smoking, for workers being treated as partners by their supervisors, and for ease of finding clean, safe water. Meanwhile, North Dakota maintains strong economic indicators and Hawaii tops all the states in standard of living. Elsewhere, residents of Mississippi anticipate the best life in five years and Minnesotans find it easiest to locate a safe place to exercise. Colorado leads all states with the lowest obesity, and residents of Connecticut are the most likely to have visited a dentist in the last 12 months. South Dakotans are more likely to see their cities/areas getting better than residents of any other state.

Bottom Line

Clearly, the future livability of any given state is not yet determined. Leaders and residents alike have a keen opportunity right now to set the foundation for creating a place where people will want to live. By focusing on the metrics that have the most impact on forthcoming economic, health, and social wellbeing outcomes, leaders will be able to realize the greatest return on their investment.

Why Each Metric Was Chosen and How the Rankings Were Computed:

The findings are based over 530,000 interviews with U.S. adults conducted since the start of 2011 on the following metrics measured as part of the Gallup Daily tracking, including the Gallup-Healthways Well-Being Index:

Full-Time Employment for an Employer: Gallup finds that full-time employment, or “good jobs,” with employers is linked to higher GDP and improved wellbeing. Regions that can create these jobs and attract great talent to fill them will be best positioned for economic growth.

Economic Confidence Index: In regions where there is higher economic confidence, residents are more optimistic about where the economy is now and where it is headed in the future.

Job Creation Index: In regions with higher Job creation Index scores, employees report much more hiring than firing in their workplace, positioning the region for strong economic growth.

Supervisor Relationship: A key element in work environment wellbeing, being partnered with rather than bossed around at work, lays a foundation for higher employee engagement and productivity, as well as improved emotional and physical health.

Standard of Living Optimism: Where people are more likely to say their standard of living is getting better, there is often higher economic confidence, lower unemployment, and higher life evaluation.

City Optimism: Where people are more likely to say their city or area is getting better as a place to leave, there is often lower unemployment, better environmental quality, and greater satisfaction with the community as a place to live.

Daily Learning: Learning something new and interesting daily is a critical psychological need and one of the most prevalent commonalities of high wellbeing communities.

Easy Access to Clean, Safe Water: Essential for human survival, safe water is closely linked to the physical environment, many sectors of the economy, and to community wellbeing.

Easy Access to a Safe Place to Exercise: Communities with the greatest access to safe places to exercise have lower obesity and related chronic conditions, as well as lower per capita crime rates.

Obesity: Where there are more obese people, there are higher mortality rates, more chronic conditions, and higher healthcare costs.

Smoking: Where there are more smokers, there are higher mortality rates, substantially higher risk of coronary heart disease, stroke, lung cancer, lung disease, heart disease, and aortic aneurysms, among other cancers and conditions.

Dentist Visits: While no longer officially linked to future heart attack and stroke, poor oral health has been associated with periodontal disease, atherosclerosis, rheumatoid arthritis, diabetes, preterm deaths, and erectile dysfunction.

Future Life Evaluation: Where residents are optimistic about their life in five years, there is more optimism.

You can find your State and its rankings here.