Health Care Renewal: All the President’s Disinformationists

This was nonsense

Head of the German Hospital Association, Dr Jörn Wegner, told Ms Mekelburg [of Politfact] that the congressman’s claims are incorrect.

‘What
your congressman said is absolute nonsense,’ Dr Wegner said. ‘There are
no such tents and there’s no powder or magical cure.’

Note that Rep Gohmert had scoffed at wearing a mask to prevent infection, but then became infected with  COVID-19 (look here).

Deceiving people into thinking that effective chemical measures to eliminate COVID-19 exist may lead to them neglecting simple preventative measures that actually may work. 

Republican Speaker of the Pennsylvania House of Representatives Mike Turzai Said Children Without Underlying Conditions Are Not at Risk from COVID-19

As reported by the Philadelphia Inquirer, May 14, 2020:

 ‘Guess what, they’re not at risk unless they have an underlying medical issue,’ said Turzai, whose comments came in a video he recorded from his Allegheny County home and later shared on social media.

Note that

Turzai declined to provide any evidence that he relied on when he made this claim.

However,

it’s true that children are far less susceptible than adults. But his claim that other children are totally safe is incorrect, according to a study published recently in the medical journal JAMA Pediatrics.

Again, fooling people into thinking that COVID-19 is less dangerous that it is may lead them to neglect public health guidelines.

Republican Candidates for the US House of Representatives Promoted Trump’s Use of Hydroxychloroquine to Prevent COVID-19

On May 23, 2020, the Daily Beast reported:

‘@realDonaldTrump
taking hydroxychloroquine to ward off coronavirus is a kick-ass move
that proves why he is the bravest and strongest of all American
presidents,’ James P. Bradley, a Republican U.S. House candidate in
California, tweeted. 

‘You’d have to be extremely naïve to believe that none of these Democrats knocking @POTUS are also taking hydroxychloroquine as a preventative measure,’ Errol Webber, a GOP congressional candidate in California, tweeted after Trump touted taking the drug. 

In
an interview, Lauren Boebert, a Republican congressional candidate in
Colorado running to the right of GOP incumbent Scott Tipton, criticized
those who were quick to go against the treatment. 

‘With the way
the media hates President Trump, if taking hydroxychloroquine was truly
bad for him, they’d be encouraging it rather than having a meltdown,’
Boebert tweeted on May 20.

 Also,

In Congress, two sitting House members also promoted in media interviews their own experience with the drug, including Roger Marshall.
The Kansas doctor is running in a crowded GOP U.S. Senate primary in
the reliably red state and looking to win out over longtime Trump
supporter Kris Kobach. 

He told The Wall Street Journal earlier this week that he and members of his family were taking the drug prophylactically.

‘I
would encourage any person over the age of 65 or with an underlying
medical condition to talk to their own physician about taking
hydroxychloroquine and I’m relieved President Trump is taking it,’
Marshall told the Journal. 

Also,

A conspiracy-filled approach to the issue came from Josh Barnett, an
Arizona GOP challenger in the state’s deeply Democratic 7th District
whose chances at making it to the House are slim. 

He tweeted: ‘If
hydroxychloroquine is soooooo dangerous then why are Democrats so
against @realDonaldTrump taking it? Do they suddenly care about him and
his health? LOL NO! Its because it works and they don’t want anything to
fix Covid and rev this economy back up.’

However, the article also noted that by the time of its publication

By late April, Trump’s own Food and Drug Administration warned that ‘hydroxychloroquine and chloroquine have not been shown to be safe and effective for treating or preventing COVID-19.’

Research on the drug has continued to be troubling since. A new study published Friday by The Lancet
also failed to show a ‘a benefit of hydroxychloroquine,’ when it comes
to COVID-19 and more alarmingly described ‘a greater hazard for
in-hospital death with COVID-19.’ 

Note that Bradley, Webber and Barnett lost in the general election.  However, Boebert won a seat in congress, and Marshall won a seat in the Senate. 

Again, pretending that effective treatments for COVID-19 exist may lead to people to neglect prevention measures. 

North Carolina Lieutenant Governor Dan Forest Announced Masks “Don’t Work”

As reported by WRAL on July 8, 2020:

Lt. Gov. Dan Forest, who’s running for governor against incumbent
Democrat Roy Cooper, said scientific evidence doesn’t support mask
mandates.

‘There have been multiple comprehensive studies at the deepest level
held to scientific standards in controlled environments that have all
said for decades, masks do not work with viruses,’ he told a reporter
for The Hendersonville Times-News.

However,

His statement overlooks recent studies, news stories, CDC guidance and
the advice of one of President Trump’s top pandemic advisors. While face
coverings alone can’t guarantee protection from a virus, recent studies
show they do reduce the risk of spreading the virus. 

Clearly, deceiving people into thinking that masks have no benefits will mitigate against them using face coverings that may reduce viral spread and reduce their own likelihood of infection

Rep Dan Crenshaw (R-TX) Minimized COVID-19 Risk

Per the Intercept on July 17, 2020:

Between Memorial Day and mid-June, Texas’s hospitalization rate shot up by 36 percent,
a fact that Crenshaw has downplayed. ‘If you just hear 36 percent
increase, that does sound like a lot. … In reality, it’s under 500
additional hospitalizations out of a state of 30 million people,’ he said on his podcast. ‘So it’s really not a lot. … We’re so far away from being in over-capacity or even close to it that it’s laughable.‘

When a Harris County judge said around the same time that Texas ‘may be approaching the precipice of a disaster’ Crenshaw blasted her for ‘pure and simple fear mongering.’

In response,

More than 100 doctors, medical professionals, and emergency room physicians in the Houston area have signed their names to a letter
condemning Republican Rep. Daniel Crenshaw for spreading misinformation
during the Covid-19 pandemic, which has been ravaging the Texas city
hard in recent weeks.

Specifically,

Dan Crenshaw, on the other hand, has spewed lies for the past four
months — minimizing the threat we face and spreading dangerous
disinformation for self-indulgent headlines

Of course, people who believe Crenshaw’s disinformation are less likely to take actions to reduce the spread of the virus and their own risk of infection. 

Former Kansas Secretary of State, then Republican Senate Candidate Kris Kobach Claimed that Death Rate from COVID-19 was Inflated to Hurt Political Chances of President Trump

The Independent reported on July 28, 2020:

Kris Kobach, who is running for a Senate
seat in Kansas and previously served as its secretary of state,
appeared on a YouTube channel and claimed the number of cases and deaths
was a lie.

‘I believe that the numbers are being cooked,’ he said. ‘The books are being cooked.’

During his interview on the show National File,
Mr Kobach said hospitals were misdiagnosing coronavirus cases and
repeated Mr Trump’s claims that more testing would result in higher
numbers.

‘There
are so many things that are happening that indicate that they are
overstating the positive numbers. Of course, we’ve all heard about
hospitals, they will test someone who comes in for a liver problem, or
for an auto accident, and they test positive and they are – or people
who die of something else, but they’re also Covid-positive, they’ll be
treated as a Covid death,’ Mr Kobach said.

‘And of course, the fact that we have whatever the number is, five
times, four times as many tests now as we did in March. And so, if
you’re testing a greater population, you’re going to see a proportional
increase in the number of positive results.’

Kobach offered no proof of his allegations of “cooked” numbers, and no evidence that these numbers were exaggerated has appeared since.  His claim that high numbers are mainly a result of increased testing has been refuted by later increases in hospitalization and death rates.  The claim amounts to the logical fallacy of the appeal from ignorance (also called appeal to ignorance), that is, per Logically Fallacious:  

The assumption of a conclusion or fact based primarily on lack of
evidence to the contrary.  Usually best described by, ‘absence of
evidence is not evidence of absence.’

Kobach (and Trump and many others) implied that if we were to try less vigorously to find cases of COVID-19, there would be fewer cases of it.  In reality, there would just be fewer diagnosed cases.  People who had COVID-19, but were undiagnosed, would be more likely to spread the disease than those who were correctly diagnosed, and less likely to receive medical care that might reduce their symptoms or risk of death.

Kobach lost in the Kansas primary.

Republican Arkansas State Senator Jason Rapert Promoted Hydroxychloroquine as COVID-19 Cure

On August 31, 2020, THV11.com reported:

Republican
State Senator Jason Rapert used his position as chair of a key
legislative committee to hear from doctors who support the use of
hydroxychloroquine in the fight against COVID-19 and to grill the state
health secretary over the department’s guidance when it comes to
prescribing the drug.

‘I’ve got people in this state, in my own district, who were given
Hydroxychloroquine and it turned them around,’ said Rapert of Conway,
who co-chairs the Joint Insurance and Commerce committee.

 Also,

‘I heard the same thing on the news. … They’re thinking there may be
10,000 or less deaths that were actually singularly COVID-19. … I’m
just really curious. It would be interesting to know that.’

At that point,

The Centers for Disease Control and Prevention report that the disease
has infected more than 6 million people in the U.S. and killed about
185,000 Americans. Of those deaths, 1,125 were reported in Iowa,
according to the state website at midday Wednesday.  

Sen Ernst’s skepticism may have derived from posts from supporters of conspiracy theory QAnon,

In recent tweets, supporters of QAnon misrepresented CDC figures,
stating that the government’s health agency had reduced the number of
U.S. COVID-19 deaths to just over 9,000. Trump tweeted the false
information, which was later taken down by Twitter for violating
platform rules.

Of course, it would be easy for a sitting US Senator to see the best evidence available about COVID-19 death rates, and to get advice from experts in public health about such rates.  

So, Per the Iowa Starting Line, September 4, 2020:

Condemnation from across the Iowa medical community has been relentless
this week in the wake of Sen. Joni Ernst’s suggestion hospitals are inflating the number of COVID-19 cases and deaths for financial gain. 

On  September 6, 2020, The Hill reported that then Representative

Marshall, who is a doctor, pointed to the theory based on the 6 percent statistic in a Facebook post Sunday.

‘This
week the CDC quietly updated its COVID-19 data to reflect the number of
deaths from COVID-19 only,’ he wrote, adding that it was ‘only 6%,’
according to a screenshot posted by KSNT.

Facebook
removed the post, with a spokesperson saying it violated ‘our policies
against spreading harmful misinformation about COVID-19 since it
misstates CDC data about the deadliness of the disease.’

It would appear to be unethical for a physician to deliberately spread such disinformation that might mislead people into thinking that COVID-19 is not a serious problem.

Sen Rand Paul (R-KY) and Michigan Senate Majority Leader Mike Shirkey (R-Clarklake) Claimed Herd Immunity is Beneficial

On September 23, 2020, Forbes reported:

Dr. Anthony Fauci slammed Sen. Rand Paul (R-Ky.) during a Senate hearing
on the federal response to the coronavirus pandemic Wednesday when Paul
incorrectly claimed that the high number of infections in New York show
that lockdowns don’t work, and when Fauci challenged him, noting the
current low positive test rate in the state, Paul erroneously said it is
lower because of herd immunity.

Fauci said Paul ‘misconstrued’ what happened in New York, adding
that Paul has done so ‘repetitively in the past,’ and while mistakes
were made, the state has gotten its positive test rate to ‘1% or less’
because they’ve followed CDC guidelines—and Fauci accused Paul of “not
listening” to what CDC Director Robert Redfield said about the infection
rate and not understanding herd immunity. 

Ashish Jha, the dean of Brown University’s School of Public Health said
Paul ‘almost’ understands the complex issues of immunity and
cross-reactivity and keeps sharing ‘nonsense that is largely incorrect,’
while ‘Dr. Fauci patiently lays out the facts.’

Again, as a Senator Paul could easily get access to the best data and opinions from top experts.  Again, Rand Paul is a physician, so it would appear to be unethical for Paul as a physician to be spreading such “nonsense.” 

On October 10, 2020, MLive.com reported:

Michigan’s
top Senate Republican lawmaker says he is in favor of rolling back many
of the measures put in place by Gov. Gretchen Whitmer’s administration
to limit COVID-19 spread and believes ‘an element of herd immunity‘
needs to happen in the state.

In
comments to MLive following a rally protesting strict COVID-19
restrictions, Michigan Senate Majority Leader Mike Shirkey, R-Clark
Lake, said he feels Michigan residents understand that COVID-19 is real,
contagious and requires precautions.

‘I just simply don’t believe we need to continue to have the oppressive
mandates that we’ve had,’ he said. ‘There’s no business that I know of
that will put their customers, their employees, their patrons, their
families at risk.’

In response, as reported by the Detroit News on October 12, 2020, a group of experts including

Dr. Joshua Sharfstein at Johns Hopkins Bloomberg School of Public
Health; Dr. Thomas File, president of the Infectious Diseases Society of
America; Dr. Tom Frieden, former director of the U.S. Centers for
Disease Control and Prevention; Dr. Ashish Jha at the Brown University
School of Public Health; and Dr. Carlos Del Rio at Emory University
School of Medicine

Wrote a letter

‘If ‘herd immunity’ were to begin after about 80% of the state’s
population has been infected, as some believe, then 6.5 million more
Michiganders would still need to contract COVID-19,’ the experts wrote. ‘At the current mortality rate, this would mean ​more than 30,000
additional deaths — more than four times the number of deaths to date.’

So by promoting “herd immunity” as a public health policy in the absence of a vaccine, these legislators would likely condemn many people to die.  Such promotion of herd immunity may approach a crime against humanity, given that the definition of such crimes according to the United Nations includes:

any of the following acts when committed as part of a widespread or
systematic attack directed against any civilian population, with
knowledge of the attack: 

…

Other inhumane acts of a similar character intentionally causing great
suffering, or serious injury to body or to mental or physical health.

South Dakota Republican Governor Kristi Noem Said Increased Testing Led to an Apparent Surge in Cases

On October 14, 2020, the AP reported:

South Dakota Gov. Kristi Noem on Tuesday blamed South Dakota’s recent
surge in coronavirus cases on an increase in testing, even as the state
saw a new high in the number of people hospitalized by the virus.

There are currently no open general-care hospital beds in the
southeastern part of the state, which contains the two largest
hospitals, according to the Department of Health. Hospitals are dealing
with both an increase in COVID-19 patients and people needing other
medical care. The hospitals in Sioux Falls do have about 41% of their
Intensive Care Units available.

‘We have triple the amount of testing that we are doing in the state
of South Dakota, which is why we’re seeing elevated positive cases,’
Noem said. ‘That’s normal, that’s natural, that’s expected.’

The Republican governor did not explain how an increase in
hospitalizations would be connected to an increase in testing. The state
has also seen one of the nation’s highest positivity rates for testing
in the last 14 days, according to Johns Hopkins researchers. The roughly
23% positivity rate is an indication there are more infections than
tests are indicating.

Note that Governor Noem again seemed to be employing the appeal from ignorance logical fallacy.  Her use of this fallacy to deceive people into thinking that the virus is less prevalent than it is could lead them to neglect reasonable precautions to prevent its spread.

Sen Ron Johnson (R-WI) Claimed Wisconsin had “Flattened the Curve” While Cases were Increasing, and Promoted Hydroxychloroquine as a Treatment of COVID-19

 On October 21, the Milwaukee Journal-Sentinel reported:

Wisconsin on Wednesday reported a record 48 deaths
from the coronavirus and admitted its first patient at a field hospital
as U.S. Sen. Ron Johnson falsely claimed the state had flattened its
curve of COVID-19 deaths. 

The Republican from
Oshkosh contended the public had been tricked into ‘mass hysteria’ a day
after state Rep. Joe Sanfelippo, the chairman of the Assembly Health
Committee, maintained there is nothing more the government can do to
combat an illness that had killed 1,681 in Wisconsin as of Wednesday. 

‘Generally deaths are still pretty flat because we’ve flattened the curve,’ Johnson said during a call hosted by business lobbying group Wisconsin Manufacturers & Commerce. ‘We’ve gotten better at treating it.’

But

He made the comments just hours before the state released figures
showing the last seven days were the deadliest of the pandemic, with 173
deaths due to the virus between Oct. 14 and Wednesday.

So

 Health officials don’t see the issue the way Johnson does.

‘Of
course the curve has not flattened and we don’t have the virus under
control,’ said Patrick Remington, a former Centers for Disease Control
and Prevention epidemiologist and director of the preventive medicine
residency program at the University of Wisconsin-Madison.

 Then, on November 20, 2020, the Journal-Sentinel reported that during a Senate hearing:

held this week by U.S. Sen. Ron Johnson,
R-Wisconsin, about controversial treatments for COVID-19, including
hydroxychloroquine — a drug that studies have found to be ineffective and in some cases dangerous when treating the disease.

During
the hearing, Johnson pushed a baseless theory that the medical
community was working to deny patients drugs such as hydroxychloroquine
because they were cheaper than other treatments.

However

The U.S. Food and Drug Administration revoked the emergency use authorization
for hydroxychloroquine in June because of its lack of effectiveness and
cited its potential for serious cardiac adverse events and other
potential serious side effects.

Dr Ashish Jha, Dean of the Brown University School of Public Health

later tweeted, ‘Today was a very, very odd day.’

He added that ‘the hearing was a testament to how politicized science has become.’

‘I
shared evidence of studies that have failed to find benefit of HCQ,’
Jha tweeted. ‘Three other witnesses shared personal experiences. And
suggested my testimony was reckless because it would deny people access
to lifesaving HCQ.’

He added, ‘I found myself
defending evidence, doctors, and scientists. There are key issues we
need Congress to be airing right now. Hydroxychloroquine isn’t one of
them.’

Summary

Once upon a time, politicians usually realized what they did not know about science, health care, and medicine, and so consulted with experts before making pronouncements on such topics.  Now they seem not to know what they do not know, and may delight in propagating rank disinformation for political benefit.

So, since the beginning of the coronavirus pandemic in the US, prominent Republican politicians have asserted:

– conspiracy theories about the origins of the pandemic (eg, it came from a Chinese laboratory, Bill Gates was somehow responsible, etc)

– that the case rates and death rates have been exaggerated, partly by “excess testing,” or by health care professionals for financial gain, or by others to politically damage President Trump

– that unproven therapies actually can treat the infection

– but that herd immunity without a vaccine can be safely achieved 

All were false, and all mirrored similar disinformation spread by President Trump and his associates (look here). 

In the US, the pandemic is currently out of control.  Cases,  hospitalizations, and deaths are at record levels.  A major cause of this disaster is that many people in the US are refusing to follow reasonable public health guidelines, including remaining physically distant from other people as much as is practical, wearing a face covering when such distancing is not possible, and frequent hand washing.  Much of this resistance is fueled by ignorance, misleading information, and disinformation.  President Trump has been a major source of disinformation, along with his followers and supporters, and with hostile foreign powers and various anonymous sources.

Trump may be on his way out, but his followers seem committed to propagating disinformation.  Some of his most influential are Republican politicians, including members of congress, members of state legislatures, and various state and local officials.  All of them could easily have access to accurate information and expert opinion the pandemic.

Shame on them for ignoring evidence and logic, and instead spreading disinformation that may be increasing disease, disability, and death.  

It is up to all of us to combat such disinformation whenever we can, and call out and condemn its perpetrators.  History will not look kindly on them.  Meanwhile, there are lives to save.