March, 20 2020, 12:00am EDT
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Updated COVID-19 Survey of Registered Nurses Shows Little Improvement and Worsening Availability of Personal Protective Equipment
A nationwide survey National Nurses United (NNU) has been conducting of registered nurses, the country's frontline health care staff, continues to show that the vast majority of United States hospitals and health care facilities are still unprepared to handle and contain cases of COVID-19.
OAKLAND, Calif.
A nationwide survey National Nurses United (NNU) has been conducting of registered nurses, the country's frontline health care staff, continues to show that the vast majority of United States hospitals and health care facilities are still unprepared to handle and contain cases of COVID-19.
Preparation matters. NNU is alarmed by recent reports that about 1,700 health care workers in Italy have been infected with COVID-19. Health care workers' infections comprise 8 percent of confirmed COVID-19 cases in Italy. Hospitals and other health care facilities have not adequately prepared to protect health care workers who are responding to the outbreak.
Survey results released today that have been updated from the initial issuance on March 5 show that RNs report little improvement in many areas of preparedness and, notably, a worsening of conditions on questions determining the availability and supply of personal protection equipment (PPE) for a surge in patients -- exactly what the country is expecting will happen imminently.
"Clearly, the nation's health facilities are still not ready and are in even worse shape than before in some respects to handle COVID-19," said Bonnie Castillo, RN and executive director of National Nurses United. "We need to act now and act fast. Priority number one is to protect the health and safety of our nurses and health care workers so that they can continue to take care of patients and keep our communities as healthy as possible through this pandemic. If our health facilities no longer stay as centers of healing and instead turn into disease vectors, many more people will needlessly suffer from this terrible disease."
More than 8,200 nurses reporting through March 16, 2020 from all 50 states, plus the District of Columbia, Puerto Rico, Marshall Islands, and the Virgin Islands say that:
- 46% report that their employer has provided them information about COVID-19 and how to recognize and respond to possible cases.
- 31% report that there is a plan in place to isolate a patient with a possible COVID-19 infection. 23% report they don't know if there is a plan.
- Only 55% of nurses report having access to N95 respirators on their units. 27% have access to powered air-purifying respirators (PAPRs).
- Only 24% report that their employer has sufficient PPE stock on hand to protect staff if there is a rapid sure in patients with possible coronavirus infections. 38% don't know.
- Only 63% report having been trained on safely donning and doffing PPE in the previous year.
- 65% have been fit tested in the previous year; 34% have not been fit tested in the previous year.
- Only 13% report that their employer has an overflow plan to place additional, trained staff to enable safe care provision to patients on isolation for possible novel coronavirus. 42% report they don't know.
- Only 19% report that their employer has a policy to address employees with suspected or known exposure to novel coronavirus. 42% don't know.
- 58% report that their employer has instituted travel/exposure history screening for all patients with fever and/or respiratory symptoms.
Nurses are calling on all government agencies, public and private health employers, government officials, elected officials, and members of Congress to do everything in their power to expand capacity instead of weakening infection control and worker protection standards. The federal government should call on industry to immediately begin manufacturing the PPE health care workers need to do their jobs with adequate protection, manufacturing ventilators, reopening closed hospitals and increase bed capacity, build additional facilities, and more. "It's bad science to roll back standards and protections just because you claim that there's not enough PPE supply," said Zenei Cortez, RN and a president of NNU. "That's not how proper infection control works. You maintain those standards, and figure out a way to get the equipment you need."
Nurses are also calling for a coordinated effort to release and distribute PPE equipment from state and federal stockpiles to ensure that health care workers on the front lines are benefiting from them, because currently they are not seeing these supplies making it to their facilities.
Nurses also recently launched a national petition calling on public supporters to sign on in favor of protecting nurses, because all our lives depend on it. More than 150,000 people have already signed on in just a couple of days.
National Nurses United, with close to 185,000 members in every state, is the largest union and professional association of registered nurses in US history.
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Planned Parenthood Warns House GOP Appropriations Bills Attack Global Health
The "slate of dangerous and unpopular provisions" includes "eliminating the Title X family planning program and reinstating the Trump-era expanded global gag rule."
Jul 01, 2024
As the Republican majority in the U.S. House of Representatives uses the appropriations process to promote the GOP agenda ahead of the November elections, Planned Parenthood Action Fund on Monday highlighted how the spending bills attack health within and beyond the United States.
"Once again, anti-abortion rights politicians in Congress are manipulating the federal appropriations process to push for a recycled slate of dangerous and unpopular provisions to block access to sexual and reproductive healthcare across the country and around the world," states the new PPFA memo.
The PPFA document details anti-health policies in spending legislation for fiscal year 2025 that House Republicans have advanced recently, which include provisions "eliminating the Title X family planning program and reinstating the Trump-era expanded global gag rule."
The global gag rule bars U.S. government funding for foreign groups that provide information, referrals, or services for abortion care, or advocate for decriminalization or increasing access. It was initially implemented by former Republican President Ronald Reagan as the Mexico City policy, then reinstated and expanded by former President Donald Trump.
"In all, anti-abortion rights politicians continue to act in defiance of the vast majority of their constituents who believe that the government has no right to control people's personal healthcare decisions with attacks on abortion, birth control, and gender-affirming care."
Despite Trump's ongoing legal battles, he is the presumptive Republican nominee to face Democratic President Joe Biden in November. Biden rescinded his predecessor's gag rule shortly after taking office in 2021. Reproductive freedom has been a key issue in not only that contest but races at all levels of U.S. politics this cycle, as GOP policymakers and candidates have set their sights on abortion care, birth control, and in vitro fertilization.
The gag rule was included in the appropriations bill for the Department of State, foreign operations, and related programs, which the House on Friday passed 212-200. The only Democrat who voted in favor was Rep. Marie Gluesenkamp Perez of Washington—who supports reproductive rights and has shared her own abortion story.
That bill would also "cap funding for international family planning and reproductive health programs at $461 million, a nearly 25% cut," and end funding for United Nations entities including the U.N. Population Fund, as the PPFA memo notes. It would also "restrict information about and access to gender-affirming care," and "maintain the Helms Amendment in addition to restrictions on abortion coverage for Peace Corps volunteers."
Speaking out against the legislation last week, Rep. Rosa DeLauro (D-Conn.), ranking member of the House Appropriations Committee, said that "much like last year, the fiscal year 2025 state and foreign operations bill resurrects the doomed isolationism of the early 20th century."
"For the sake of our national security, women's health globally, and our response to the climate crisis, Republicans must abandon this reckless and partisan path and join Democrats at the table to govern," declared DeLauro, who raised the alarm about House GOP appropriations proposals throughout June.
Taking aim at the labor, health and human services, and education legislation last week, she said that "in keeping with the majority's other partisan bills, this bill is chock full of dozens of poison pill riders, including multiple provisions that attack women's freedom and block abortion and reproductive healthcare services."
Specifically, as the PPFA memo points out, it would interfere with postgraduate training in abortion care, impose the Hyde and Weldon amendments, restrict access to gender-affirming care, block Biden administration executive orders intended to boost abortion care access in the wake of Dobbs v. Jackson Women's Health Organization, and eliminate funding for Title X family planning and teen pregnancy prevention programs while pouring money into abstinence-only-until-marriage initiatives.
It would also "defund" Planned Parenthood, preventing people in communities across the United States—particularly in rural and medically underserved areas—from accessing services including sexually transmitted infection testing and treatment, cancer screenings, and birth control, as the memo outlines.
The recently introduced commerce, justice, and science bill would block most federal prisoners from attaining abortion coverage and prevent the U.S. Department of Justice from suing state or local governments over anti-choice laws, according to the memo. The financial services and general government legislation would reverse a District of Columbia law protecting workers from being fired for their reproductive healthcare choices, bar D.C. from using local funds to cover abortion care, and ban Federal Employee Health Benefits Program coverage of most abortions.
"In all, anti-abortion rights politicians continue to act in defiance of the vast majority of their constituents who believe that the government has no right to control people's personal healthcare decisions with attacks on abortion, birth control, and gender-affirming care," the publication states.
The document also targets provisions in multiple recently passed spending bills focused on homeland security, the Pentagon, and veterans—including attacks on abortion and gender-affirming care for current and former service members and their families as well as anyone in U.S. Immigration and Customs Enforcement custody.
"Anti-abortion rights lawmakers recently included similar measures in the National Defense Authorization Act (NDAA)—an annual must-pass bill," the memo highlights.
"Everyone deserves access to abortion and gender-affirming care, including service members and their families. But these lawmakers would rather play games with our fundamental rights in their attempt to control our bodies, lives, and futures."
After the mid-June NDAA vote, PPFA president Alexis McGill Johnson said that "it's like Groundhog Day. Anti-abortion rights House members use must-pass bills as a vehicle to force through their deeply unpopular and dangerous agenda—again and again and again. Everyone deserves access to abortion and gender-affirming care, including service members and their families. But these lawmakers would rather play games with our fundamental rights in their attempt to control our bodies, lives, and futures."
The NDAA and spending bills aren't expected to pass the Senate—which is narrowly controlled by Democrats—in their current forms, but they send a message about what Republicans would prioritize if they fully reclaimed Congress and the White House.
"The majority's policy riders do not belong in appropriations bills, and like last year, we will defeat them," DeLauro said last month. "But it is disappointing that we are going through this charade again, just months after Republicans and Democrats voted for the 2024 appropriations bills."
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Campaign Collects 730,000+ Signatures for Ohio Amendment to End Rigged Maps
"Our chance to finally achieve fair maps in Ohio is just around the corner," said one supporter of the proposed constitutional amendment.
Jul 01, 2024
The campaign for an Ohio ballot measure for a state constitutional amendment to end gerrymandering has collected more than 730,000 signatures, according to the initiative's organizers.
The Citizens Not Politicians campaign said it delivered 731,306 signatures to the office of Ohio's secretary of state in Columbus on Monday, significantly more than the 413,487 valid signatures needed to qualify for November's ballot.
If approved, the Citizens Not Politicians Amendment will:
- Create the 15-member Ohio Citizens Redistricting Commission made up of Republican, Democratic, and Independent citizens who broadly represent the different geographic areas and demographics of the state;
- Ban current or former politicians, political party officials, and lobbyists from sitting on the commission;
- Require fair and impartial districts by making it unconstitutional to draw voting districts that discriminate against or favor any political party or individual politician; and
- Require the commission to operate under an open and independent process.
Nearly 100 organizations, businesses, and thought leaders across Ohio are supporting the amendment. If the measure is certified for November's ballot and approved by voters, the new commission could draw maps for use as soon as the 2026 elections. Seven other states have similar independent commissions: Arizona, California, Colorado, Idaho, Michigan, Montana, and Washington.
After the delivery, hundreds of campaign staff, volunteers, and supporters rallied in the Statehouse Atrium to celebrate their achievement and send a message to gerrymandering politicians.
"This is our house, the people's house, and with today's signature turn-in, we move one giant step closer to ensuring that the citizens decide who serves here, not the politicians who just scheme and rig the game to stay in power," said retired Ohio Supreme Court Chief Justice Maureen O'Connor, a Republican who helped write the amendment. "This constitutional amendment will restore power to Ohio citizens and take it away from the self-serving politicians and their lobbyist friends and big-money donors."
Ted Linscott, a retired bricklayer from Appalachian Ohio, said: "Where I come from, we believe in fairness and working together to do what's right. For too long, career politicians and their lobbyist friends have manipulated our districts to serve their interests. It's time we put an end to this. We need a system that is open, transparent, and fair."
According to the Citizens Not Politicians campaign:
Nationally, Ohio is recognized as one of the worst states for gerrymandering, undermining proportional representation and leading to political stagnation and ineffective policy.
More than 9 million Ohioans, or 77% of the state population, live in districts where one party has a severe advantage in the 2024 Ohio House of Representatives elections, according to an analysis by the Brennan Center for Justice at the NYU School of Law.
"In my work for voter access and education, I have seen firsthand how gerrymandering creates a Legislature that is ineffective and unresponsive to the needs of Ohio voters," amendment supporter Tucker Sutherland said. "They don't have to care what we think because they draw themselves into cozy districts where they often don't even face opposition for reelection."
Equal Districts, a coalition of 30 advocacy groups,
said on social media that "our chance to finally achieve fair maps in Ohio is just around the corner."
"Let's end gerrymandering in Ohio," the group added.
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New Report Argues Private Rail Is a Train Wreck, Public Ownership Needed
"Our nation's rail system is in disarray," an expert said. "Dominated by a small group of giant for-profit companies, it is imperiling the health and safety of workers and communities."
Jul 01, 2024
Railword Workers United and a Brown University fellow on Monday published a white paper calling for the institution of a public rail system to replace America's corporate railroad giants.
The 110-page white paper, written by Brown University undergraduate Maddock Thomas and published as part of RWU's Public Rail Now campaign, argues that U.S. railroad corporations such as BNSF, Union Pacific, Norfolk Southern, and CSX have failed on safety, workers' rights, service, electrification, and expanding capacity to meet rising freight demand.
Instead of using profits to invest in critical infrastructure, the railroads have lined shareholder pockets with dividends and buybacks, Thomas wrote, advocating for a public system where that money could be spent to improve safety and decarbonize freight transport, among other goals.
Thomas M. Hanna, research director at the Democracy Collaborative, called for democratic, public ownership of railroads in a Public Rail Now statement.
"At a time when we need it most, our nation's rail system is in disarray," Hanna said. "Dominated by a small group of giant for-profit companies, it is imperiling the health and safety of workers and communities, providing poor service for customers, abandoning growth and development, and stalling the expansion of passenger rail services."
"These lands were given under a promise of providing a 'public highway' operated in the public interest, a deal that today's Class 1s have inherited along with their predecessors' easements... Perhaps it is time for Congress to retake control of our public rights-of-way."
The frequency of rail accidents rose by 28% between 2013 and 2022, which many critics attribute to the Precision Scheduled Railroading system that's become the industry standard. Thomas wrote that the system prioritizes "speed over safety."
Despite the alarming trend, the industry has lobbied against safety-minded legislation such as the Railway Accountability Act proposed by senators last year following a disastrous derailment in East Palestine, Ohio. The industry pushed against reforms strongly in the year after the disaster and that lobbying has continued in recent months, according toJacobin.
The current system has led to precarity and difficulty for railway workers. The number of jobs in the industry has gone down over the last 10 years, with nearly 30% of workers having been laid off since 2015, Thomas found. Railway workers also face tough conditions, with unpredictable schedules and forced overtime—some of the subjects of a 2022 labor dispute that ended with the controversial intervention of President Joe Biden.
The white paper emphasizes the underinvestment that private rail ownership has allowed. The U.S. Department of Transportation estimates that rail freight will nearly double by 2035. This growing demand has long been understood, but not acted on. A 2008 report commissioned by the Surface Transportation Board, a federal agency, found that the aforementioned major rail companies—called "Class 1" railroads—needed to spend $135 billion by 2035 to build up infrastructure to meet incoming demand.
They did not, the white paper says.
"Instead, the Class 1s spent $196 billion on buybacks and dividends for shareholders between 2010 and 2020," Thomas wrote.
Thomas presented a historical case for public rail. In the late 1800s, hundreds of millions of acres of public land, as well as other subsidies, were granted to railroad companies on the condition that their services benefited the public. Thomas wrote that the land grants were provided with the understanding that the railways would be like public highways, and that the federal government to this day "retains a reversionary interest of ownership and control" over the rights-of-way.
"There is a compelling case that every railroad that sits on a right-of-way granted from Congress merely possesses an easement over public land," he wrote. "Furthermore, Congress reserved the right to 'add to, alter, amend' the terms of its land grants. Ultimately, these lands were given under a promise of providing a 'public highway' operated in the public interest, a deal that today's Class 1s have inherited along with their predecessors' easements. One might argue that the Class 1s failed to live up to this deal and that perhaps it is time for Congress to retake control of our public rights-of-way."
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