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Wednesday, June 12, 2024

Cuomo Blames COVID-19 Nursing Home Order On Unknown Staffer During Testimony To Congress

 by Zachary Stieber via The Epoch Times,

Former New York Gov. Andrew Cuomo told members of Congress on June 11 that he was not responsible for an order requiring nursing homes to accept residents discharged from hospitals even if they still had COVID-19, according to lawmakers in the room.

Mr. Cuomo did “tell us that he did not know that this directive existed, that he did not authorize it, that his department of health commissioner did not authorize it, that somehow it just popped up from an unknown staff member,” Rep. Nicole Malliotakis (R-N.Y.) told reporters in a briefing after the closed-door hearing.

Ms. Malliotakis said it was “outrageous” that the governor didn’t know the mandate came out of his administration.

“The governor finds out about this directive that kills thousands of seniors a month later,” she said. “And he did not do an internal investigation to find out who this lowly staff member, who’s still unknown, who that person was? That to me is unconscionable.”

The March 25, 2020, directive from the New York Department of Health stated that nursing home operators couldn’t refuse to accept residents even if they tested positive for COVID-19. “No resident shall be denied readmission or admission to a nursing home solely based on a confirmed or suspected diagnosis of COVID-19,” the order stated.

Nursing homes were also barred from requiring COVID-19 testing if hospital staff determined the residents were medically stable before discharging them. Mr. Cuomo said that nursing home operators could lose their licenses or be fined if they did not follow state policies.

More than 15,000 nursing home residents in New York state died from COVID-19, according to state data. The numbers were adjusted upward after Mr. Cuomo left office and several state agencies found the Cuomo administration had undercounted nursing home deaths.

Mr. Cuomo partially reversed the order in May 2021 but kept other elements in place for additional months.

Mr. Cuomo previously said that health care workers and family members of residents brought COVID-19 into the nursing homes. He has blamed the Trump administration for the directive, pointing to guidance from the U.S. Centers for Medicare & Medicaid Services (CMS) that said nursing homes can accept patients with COVID-19.

However, the guidance, which cited the U.S. Centers for Disease Control and Prevention, stated that the facilities should only do so if they could follow specific rules, including isolating the patients in their own wing for two weeks.

In remarks to reporters before the hearing on Tuesday, Mr. Cuomo said that “the investigations say New York followed the federal guidance.” He also said New York did well during the pandemic, but that “the federal government failed this nation.”

Mr. Cuomo appeared before the U.S. House of Representatives Select Subcommittee on the Coronavirus Pandemic under a subpoena.

He acknowledged in the deposition that the language in the New York mandate was not the same as the CMS guidance, according to Rep. Elise Stefanik (R-N.Y.).

Mr. Cuomo also told lawmakers that if nursing home operators could not care for residents, “they should have rejected them,” Ms. Malliotakis, a member of the panel, said. “But it doesn’t say that anywhere in the directive that you had that opportunity to reject someone if you could not care for them.”

Mr. Cuomo also said that he wouldn’t change the directive, knowing what he knows now, but would, looking back, have communicated about it more, according to members who were in the room.

Rep. Claudia Tenney (R-N.Y.), said that she’s spoken with operators who told her “there was no way out.”

“They were threatened. They were intimidated into if they did not take these nursing home patients,” she said.

Rep. Raul Ruiz (D-Calif.), the ranking member of the panel, said in a statement after the hearing that he appreciated Mr. Cuomo taking time to answer the subcommittee’s questions.

“My heart remains with every family who lost a loved one during the COVID-19 pandemic,” he said. “Let us do right by them and commit to the forward-looking work of fortifying infection control and prevention to protect America’s nursing home residents so that we can be better prepared for future pandemics and save future lives.”

https://www.zerohedge.com/covid-19/cuomo-blames-covid-19-nursing-home-order-unknown-staffer-during-testimony-congress

Palatin Initiates Phase 2 Clinical Study of Bremelanotide for the Treatment of Obesity

 

  • Co-Administration Phase 2 study of bremelanotide with tirzepatide (GLP-1) to provide key information for melanocortin treatments of obesity
  • Topline data expected by end of calendar year 2024
  • Additional studies under assessment for multiple metabolic conditions

Michigan’s largest insurer to drop weight-loss drug coverage

 Weight-loss drugs from Novo Nordisk A/S and Eli Lilly & Co. will lose coverage under many plans run by Michigan’s largest health insurer as companies grapple with whether the drugs are worth the cost.

Blue Cross Blue Shield of Michigan will drop coverage GLP-1 obesity drugs in fully insured large group commercial plans starting in January citing consideration of their “efficacy, safety and access, and cost,” a spokesperson said. The insurer didn’t immediately respond to questions about how many patients will be affected or what the potential safety concerns were.

GLP-1s such as Novo’s Wegovy and Lilly’s Zepbound are exploding in popularity. But with list prices of $1,000 a month or more for a single user, insurers are balking at the prices and trying to limit how widely they’re used. The US Medicare health program for the elderly doesn’t cover them for obesity at all, although it covers similar drugs for diabetes.

Some states’ Medicaid plans that cover low-income residents pay for GLP-1 drugs, but even that has been contentious. North Carolina’s health plan for state employees dropped coverage of the drugs for weight loss earlier this year after projecting a $1.5 billion loss by the end of the decade.

Lilly and Novo didn’t immediately respond to requests for comment.

https://www.detroitnews.com/story/business/2024/06/12/michigans-largest-insurer-to-drop-weight-loss-drug-coverage/74072003007/

With Parolees, Mayorkas Seeks to Bypass and Subvert Entire Lawful Immigrant Visa System

 

A made-up version of the Visa Waiver Program, but without the protections in the real, legal version


DHS Secretary Mayorkas has turned “humanitarian and public interest parole” into a mass-migration tool that is overwhelming America’s lawful immigration system.

As CIS scholars have thoroughly documented, the Mayorkas parolee-migration programs for Cubans, Haitians, Nicaraguans, Ukrainians, Venezuelans, and other foreign nationals are making a shambles of the Immigration and Nationality Act (INA). For example, DHS’s U.S. Citizenship and Immigration Services, already overwhelmed in carrying out its normal statutory duties of processing legitimate citizenship and residency cases, is being pulled further underwater in trying to manage hundreds of thousands of parolees and parole applicants.

The DHS secretary believes that the INA admits too few migrants and requires procedures that are too slow and cumbersome. Mayorkas’s parolees are admitted in a process that runs separately from, and parallel to, normal immigrant visa processing. Through his radical abuse of parole powers, the DHS secretary not only wants to overturn INA-established family-reunification visa caps, but also demonstrate the “brokenness” of the entire immigrant visa process. He is implicitly questioning the very concept of an immigrant visa.

After all, Mayorkas can argue, if DHS can fast track hundreds of thousands of de facto parolee-migrants, using online applications, without any of them undergoing any conventional immigrant visa screening, what purpose does the INA’s “antiquated” visa regime system serve?

Through his radical abuse of parole powers, the DHS secretary not only wants to overturn INA-established family-reunification visa caps, but also demonstrate the “brokenness” of the entire immigrant visa process. He is implicitly questioning the very concept of an immigrant visa.

Starting with the 1924 Immigration Act, Congress systematically tasked the Department of State’s consular corps, today managed by the Consular Affairs Bureau, to screen immigrant visa applicants while they were still physically overseas; visas were issued only when would-be migrants proved they met the legal requirements, such as documented means of support and health and police records. It was a common-sense policy that put an end to the antiquated Ellis-Island immigration model that basically only addressed these issues when the migrant was already on our doorstep.

The 1924 law addressed past failures of the U.S. government to adequately screen migrants in their home countries. The major security incident (a 9/11 precursor) that predated the 1924 law was a series of violent political attacks and terrorist bombings, many carried out by recent immigrants, that history books today call the 1919-20 “Red Scare” or “Palmer Raids”. Today, some critics argue the Department of Justice overreacted in conducting the raids and deportations, but the 1924 immigrant screening measures that Congress and President Calvin Coolidge put in place were a wise security response to the immigration chaos associated with that era. Those security lessons remain just as valid today in our era of Biden’s immigration chaos.

There were also health concerns. The 1924 law came on the heels of the 1918-19 “Spanish flu”, the worldwide pandemic that killed some 50 million people, some 675,000 of them in the U.S. It was a more deadly health threat that the recent Covid pandemic. Considering those and other health concerns, Congress rightly judged that all U.S.-bound migrants needed to undergo rigorous medical examinations and vaccinations before setting foot on American soil.

For now, this basic immigrant visa screening system, put in place a century ago, remains in place. U.S. consular officers live and work in migrant-sending countries, developing crucial knowledge of relevant security issues that screening tools such as watchlisting, as important as it is, will never detect. Consular officers often interview visa applicants in their local language, a valuable security tool that can help to ferret out nefarious intent and fraud, such as the ubiquitous imposter schemes, most commonly “changing” spouses and children applying with the principal applicant. Consular officers monitor the authenticity of medical examinations, vaccinations, and other health records. They can also undertake, when necessary, background field investigations on applicants and examine local work and educational claims.

It is an admittedly imperfect system that does not detect all fraud, but the procedure is based in the rule of law, unlike the superficial Mayorkas approach. Some border security advocates have rightly complained that State Department consular officers, taking full advantage of their forward locations in embassies and consulates, should do even more vigorous vetting of immigrant visa applicants. This is always a valid concern, particularly when it concerns certain high-risk and corrupt countries. After the 9/11 catastrophe, State’s Bureau of Consular Affairs has regularly put more resources into anti-fraud efforts, but those efforts must be matched by leadership in the department that makes such work a high priority.

DHS officials in Washington who vet Mayorkas’s parolees have little to no operational information on corrupt government practices that falsify identity documents, whitewash criminal records, and cover up related unlawful activities.

After three years in office, Mayorkas is establishing a fast-track immigrant processing model that is breaking with all of these security measures. DHS officials in Washington who vet Mayorkas’s parolees have little to no operational information on corrupt government practices that falsify identity documents, whitewash criminal records, and cover up related unlawful activities. Sketchy and inadmissible parole applicants can easily fix up their bona fides to “qualify” for Mayorkas’s programs.

The DHS secretary speciously argues that modern technology has rendered the old immigrant-visa procedures antiquated. Using online applications and electronic screening is the only basis for Mayorkas to claim, as he does, that his parolee-immigrants are “rigorously vetted”. This is a bogus and misleading claim.

The security concept of Mayorkas’s model is essentially no more than remotely matching an applicant’s identity information to U.S. government watchlist databases and accepting the applicant’s good faith assurances on other related vetting matters, such as health, vaccinations, and criminal background. That is not enough. The INA security tools worth preserving, and strengthening, were created before modern watchlisting; they are built on human contact, as described above, that entails in-depth personal interviews and in-person assessment of the bona fides of applicants in their countries — before certifying them with a visa.

To vet his parolee-immigrants, Mayorkas and his team have essentially borrowed the screening tools of the current Visa Waiver Program. VWP was designed by Congress to admit short-term foreign travelers to enter the U.S. without obtaining visitor visas. VWP offers this travel privilege only to partner countries whose nationals have a proven record of not overstaying their non-immigrant visas or engaging in criminal activities. VWP travelers have no requirement to interview in U.S. embassies or consulates; they process their applications and obtain their travel permission all online.

VWP applicants fill out DHS’s online travel application, called the Electronic System for Travel Authorization (ESTA), which electronically vets their personal data against U.S. government databases. If approved, VWP travelers are further screened with airline passenger information (almost all fly on commercial airlines). When VWP travelers arrive at a U.S. port of entry, they provide additional biometrics — finger prints and another photo — which contribute to further vetting.

As CIS scholars have discussed, the critical weakness in Mayorkas’s “rigorous” vetting plan is that he is “partnering” with unreliable governments. U.S. authorities certainly collect, worldwide, derogatory identity information on foreigners, particularly on known terrorists and terrorist suspects, but those identity databases capture only a small fraction of nefarious actors who are ineligible to be U.S. migrants.

Some of the best information is shared with Washington directly from friendly partner governments. This is particularly true when that identity information is on their own citizens with criminal or terrorism-related pasts. In fact, friendly governments can only join VWP by demonstrating that they are worthy and serious about sharing identity information on their criminals and terrorists with the U.S. government.

These governments could never qualify for VWP, and they certainly should not be sending Mayorkas’s “vetted” parolees to come to America as de facto immigrants.

In Mayorkas’s parolee-migration programs, the “partner” countries are, in some cases, enemy regimes (Cuba, Nicaragua, and Venezuela) or in other cases dysfunctional states (Haiti). In any event, these governments have neither the goodwill nor the capacity to share sensitive information with DHS on their domestic criminals or terrorists. For many reasons, these governments could never qualify for VWP, and they certainly should not be sending Mayorkas’s “vetted” parolees to come to America as de facto immigrants.

In fact, with Cuba, Nicaragua, and Venezuela, the governments in those hostile countries now have a golden opportunity to offload as many unwanted criminals, anti-U.S. troublemakers, and deep-cover spies as they can. The U.S. government will have almost none of these excludable foreign suspects on its watchlists. Past experience with Cuba should send up red flares. Of some 125,000 Cubans that Castro permitted to sail to the U.S. in the infamous 1980 Mariel boatlift, some 20,000 turned out to have serious mental illnesses or criminal issues that would have made them ineligible for an immigrant visa.

Another vulnerability concerns health. Mayorkas’s parolee-migrants are not required to have medical examinations, but are only expected to produce vaccination records. Relying on parolee-migrants to self-attest to the credibility of their medical paperwork is a highly suspect procedure. Cutting out U.S. consular officers from monitoring the local health-screening process means there is no serious vigilance to ensure that local country vaccination and medical records are authentic. It is almost certain that some parolee-sending countries, such as Venezuela, have thriving black markets in “creating” needed medical documentation.

Mayorkas has invented a Frankenstein immigration monster that portends a security nightmare for the U.S. If Biden is re-elected and Congress remains unable or unwilling to protect its constitutional and statutory prerogatives, expect Mayorkas to expand his invented programs to bring in even more parolee-migrants.

He will likely argue that some kind of parolee-migration model, replacing our current immigrant visa system, should be the future for opening up the United States to even more immigration. He will point to the “success” of his current model that empowers migrants to self-select, receive fast online processing in Washington within weeks, and avoid bureaucratic U.S. embassies and consulates overseas.

Another imaginable Mayorkas scheme would be to extend parole to the four million petitioned family-reunification relatives, all waiting for validity dates to become current under the “broken” immigration system. The Mayorkas vision is all about serving migrants and cares little about U.S. security, public health, fairness, or the rule of law.

In response, Congress must defend and insist on the immigrant visa security measures in the INA. Even those who are not border hawks or immigration restrictionists should be concerned that Mayorkas is dangerously opening up the country to unneeded risks.


Phillip Linderman is a retired State Department senior Foreign Service officer. Over a three-decade career, he served abroad in U.S. embassies and consulates in Belgium, Mexico, Ecuador, Germany, Cuba, Chile, and Trinidad. He also represented U.S. interests at the Organization of American States and the European Union. Linderman’s diplomatic duties often focused on U.S. border security, international travel, and migration policies, giving him wide experience in working with foreign governments, as well as U.S. law enforcement and intelligence partners, on matters such as visa and passport fraud, human trafficking, terrorist travel, watchlisting, and identity information collection and use.


https://cis.org/Linderman/Admitting-Massive-Numbers-Parolees-Mayorkas-Seeks-Bypass-and-Subvert-Entire-Lawful

Lilly's Retevmo gains traditional approval in thyroid cancer

 Eli Lilly's (NYSE:LLY) Retevmo (selpercatinib) has been granted traditional U.S. FDA approval for thyroid cancer in adults and pediatric cases.

https://seekingalpha.com/news/4115326-lilly-retevmo-gains-traditional-approval-in-thyroid-cancer

'Powell Explain Why Cutting Rates Ahead Of The Election Is Not Political'

 Inflation's still above 3% (headline and core)... and SuperCore is still above 5%... and unemployment rates remain near the lowest deciles in US history...

Does that really sound like a time for The Fed to cut rates? According to the talking heads on CNBC and the market - the answer is yes.

But according to The Fed's statement, no!

The problem that Fed Chair Powell has is that September is his next option - which is precariously close to the election (the November FOMC is two days after the election). The market is pricing a 78% chance of a first cut in September...

So given today's exuberance around a dip in inflation, will Powell drop a hint or reassure that they are data-dependent... and completely apolitical...

Given the hawkish nature of the dotplot, we would expect Powell to jawbone us back to a post-CPI dovish shift... "Remember, the dots are not a forecast" or some such bullshit...

Watch Powell's press conference live here (due to start at 1430ET):

Finland In First NATO Deployment Parks Jets On Russia's Doorstep

 NATO's two newest members - Finland and Sweden - have already seen their militaries quite busy as part of recent joint exercises with the alliance. For the first time this week, another milestone has been achieved as Finland has deployed fighter jets to another NATO country, in a further reversal of the Scandinavian country's decades-long policy of neutrality.

Seven F-18 fighter jets have been deployed by Helsinki to a base in southeastern RomaniaReuters said based on military statements that the aircraft will "conduct air shielding missions with Romanian and British jets." Romania has long been dubbed in Western publications as "Russia's doorstep".

Finland is hailing this as part of efforts to speed up its military integration within NATO. "I'm sure that during this enhanced air policing air shielding mission our integration into NATO will take a big leap forward," commander of Finland’s Karelia Air Wing Johan Anttila said this week.

Finland's entry into the Western military alliance has in effect doubled the border now directly shared by Russia and NATO countries.

"This will certainly lead to tension. We can only regret this," Kremlin spokesman Dmitry Peskov had earlier commented. "We had excellent relations with Finland. No one threatened anyone, there were no problems or complaints against each other. No one infringed on anyone’s interests, there was mutual respect."

And President Putin has previously derided Finland's entry into NATO as all about joining "the Western club."

"Frankly speaking, I don’t understand why they need this. This is an absolutely meaningless step from the point of view of ensuring their own national interests," Putin said back in March.

"We didn't even have troops; we removed all the troops from there, from the Russian-Finnish border," he said. "However, it is up to them to decide. That's what they decided. But we didn't have troops there, now we will."

Meanwhile Denmark too is among those Nordic countries calling for increased defense spending and greater coordination on European defense. This has been a persistent talking point over the last months as Ukraine forces are not fairing well on the battlefield, and as Washington funds have dried up.

https://www.zerohedge.com/geopolitical/finland-first-nato-deployment-parks-jets-russias-doorstep