Suggest regulatory pauses

Suggest Regulatory Pauses

Is there some government regulation or rule that is keeping you from helping manage the COVID-19 crisis?

Maybe you’re a frontline healthcare worker, an administrator, or work in manufacturing, and believe you could make medical supplies. Whatever your position or industry, perhaps you have ideas that could help.

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An initiative from the Booth School of Business at the University of Chicago.


Cuomo has suspended some regulations and/or laws in New York for the crisis. Specifically, the NY legislature made a statutory so that he "can change or suspend laws unilaterally, so long as doing so assists the state in its disaster response."

This is not quite the same things, but pretty close.

That guy is going to be the Democratic nominee this year.

Cuomo was slow with quarantine, then again, Biden did not want to ban Wuhan air travelers earlier in the year. Pols make mistakes and just watch which way the wind blows and try and react.

I think he'd be significantly better than Joe Biden, but I don't think Biden would bow out gracefully.

I don't see how being governor of the state that has become the epicenter of the pandemic is an advertisement of competence.

I'm not saying it's all his fault. NYC is way more densely populated than any other large city and Deblasio has been an utter disaster, but NY's response has been far slower and less effective than other states that were hit early.

"I don't see how being governor of the state that has become the epicenter of the pandemic is an advertisement of competence."

And then there's Joe Biden....

There are at least seven species of lichen that would make a better President than Joe Biden.

I don't know. I think I'd take Biden over Cuomo.

Cuomo's response has been a disaster. He fought against taking this seriously and now we're supposed to see him as some sort of leader? De Blasio wanted more serious measures taken weeks ago and Cuomo was out there blocking him.

I was talking from an electability point of view. The Left in general is loving Cuomo's response of publicly blaming everything on Trump. It's good partisanship.

Fair point, but I don't get it. Cuomo has quite conspicuously screwed this up, and it's hard to see how he gets around that. I suspect his fight with De Blasio was in hopes that there'd need to be a national curfew and he could pass the buck to the feds, with the election in mind. But I'm not sure, he may have legitimately thought this wasn't a big deal or that keeping the subways going was somehow heroic.

But from a competence point of view, I'd take Biden any day. He's beige. Cuomo is radioactive.

Now might be a good time for me to credit the democratic party with having accomplished what the republican party failed to do in 2016: keep the nut off the ticket. Biden was the best choice.

"Fair point, but I don't get it. Cuomo has quite conspicuously screwed this up, and it's hard to see how he gets around that."

Have you heard anyone on the Left admit that? It's a partisan world. He'll publicly blame it on Trump and the Left will nod their heads in unison. Trump is, in their eyes, Evil.

"Now might be a good time for me to credit the democratic party with having accomplished what the republican party failed to do in 2016: keep the nut off the ticket. Biden was the best choice."

+1, yes they did. Part of me really wanted the popcorn and beer debates between Trump and Sanders, but yes, Biden was a much more rational choice.

But he doesn't fire up anybodies excitement. Cuomo does.

Please provide a link that supports the contention that Biden would opposed China ban.

Post below. What I've read is "He would have..." linked to comments that we should not be xenophobic.

But, I am willing to listen. But, be forwarned, none of this "He would have..." What specifically did he say to support the claim. Otherwise, disinformation.

I'm not Ray, but I imagine he's referring to Biden's tweet denouncing the bans.

His COVID-19 plan also includes no mention of travel restrictions, which seems a glaring omission. It's hard to believe that's just an error.

Forgive me if I missed something - I'm not trying to be tricky. The plan is long and is mostly about new benefits for particular groups.

The makers of Silver Solution have received a restraining order so they cannot sell their product to those with the money to pay. It is not just the FDA that stops people from accessing whatever medical product they want.

In this thread we learn the cause of prior_approval’s brain damage.

Like this guy? People who are into libertarianism seem to have a real affinity for silver, and an abiding hatred of any and all government regulation.

Stan Jones developed argyria, which permanently turned his skin a blue-grey color, by consuming home-made colloidal silver, which he made due to fears the Year 2000 problem would make antibiotics unavailable, an event that did not occur.

Of course Silver Solution is a fraudulent scam, but one that a person who ran for office as a libertarian would probably (still?) support.

I suppose he could sue the source of his information and as a remedy skin the guy behind it alive.

Extra credit if the regulation was optimal for time of no pandemic.

Like the regulations that allowed Elizabeth Holmes and Theranos to sell tests that did not work, including an FDA approved $9.07 herpes rapid test?

Others, like 23andme use(d) the same "loophole", and then halted sales of "diagnostics" until it had data meeting FDA reliability and patient disclosure "in plain english", a requirement Congress made law, the reason for the droning list of medical crisis over the pictures of children playing and adults in foreplay.

Here's how the Obama administration did on testing for H1N1:
April 15, 2009, CDC confirmed first H1N1 in the US.
April 21, CDC announced to to the world, started on vaccine candidate
April 24, CDC uploaded full gene sequence to public database
April 28, CDC approved a test for H1N1
May 1, domestic and global shipments of CDC test began

But private tests were also approved as described in this 2012 retrospective narrative:

"Rapid antigen tests played a unique role throughout the 2009 influenza pandemic. The first case of pandemic influenza in the United States was diagnosed using an investigational rapid test device (Meso Scale Diagnostics) being evaluated in a clinical study in San Diego, CA (13). Subsequent to the emergence and spread of the pandemic virus, rapid antigen tests for influenza were utilized in several clinical settings, both before and after the availability of more sensitive molecular assays for specific detection of the new virus. Of the 7 FDA-cleared tests available in April 2009, 2 tests were Clinical Laboratory Improvement Amendments (CLIA) waived, making them valuable for providing rapid diagnosis in physician's offices and emergency rooms, both of which were sites with substantial test volumes during enhanced surveillance performed early in the pandemic. In addition, the tests were also utilized by the majority of laboratories without molecular capabilities.

Although commercially available rapid influenza diagnostic tests (RIDTs) vary widely in their reported sensitivities (51, 121), their high specificities and positive predictive values during peak influenza season allow early confirmation, facilitate timely treatment decisions, and enable improved patient care by limiting additional and often unnecessary diagnostic and therapeutic interventions (including hospitalizations) in these patients. Furthermore, their lower cost and minimal to no technical complexity render them particularly useful in low-complexity laboratories and low-resource and point-of-care settings both in the United States and abroad.

The high specificities of rapid tests were utilized advantageously during the pandemic to facilitate specific detection of influenza virus in patients presenting with ILI at a time when significant amounts of other respiratory viruses were cocirculating with influenza virus in most communities (78, 126). Rapid specific diagnosis of influenza in patients presenting with clinically indistinguishable influenza and noninfluenza ILI can greatly facilitate appropriate allocation of limited supplies of antivirals early in an outbreak, when effective control strategies have the greatest potential to minimize spread. RIDTs are valuable for their unique and singular capability of providing rapid point-of-care detection among all the diagnostic tools currently available for influenza. It should be noted, however, that although they have widely been shown to have high specificities and positive predictive values during peak influenza virus prevalence, three recent studies evaluating rapid antigen tests during the recent pandemic reported an unexpectedly high false-positive rate of 37.8% (116) or low specificities, of 48.1% (112) and 50.7% (88). The first study noted the limitations of being retrospective in nature and including some specimens (throat swabs) that were not approved by the kit manufacturer. The second report attributed low specificity to the testing algorithms employed during the study, and the third did not offer an explanation. These reports reillustrate the importance of consulting detailed protocols provided by public health authorities and of adherence to manufacturers' recommendations for optimizing the performance of RIDTs."

You can easily find multiple peer reviewed reports on the 2009 H1N1 rapid tests.

Granted, coronavirus, rhinovirus, et al are somewhat different from the four types of influenza viruses, but the result of 15 years of Congress funding after 2003 SARS into R&D is the ability to produce rapid tests for SARS-Cov2 quickly, which have been available globally for months.

"Clinical Laboratory Improvement Amendments (CLIA)
The Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations include federal standards applicable to all U.S. facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. CDC, in partnership with CMS and FDA, supports the CLIA program and clinical laboratory quality. "

In 2014, "a discussion" was begun, but no regulations issued, but the professionals were clearly concerned about test accuracy. As a senior test engineer in a respected internal test organization, my role was clear, and I explained it multiple times: I lay out the risks to approving shipment of a product as best as possible with the best data, and the product management team decides to ship or not.

Trump clearly is bad at making such decisions, and those who do decide get undercut by Trump, and frequently fired if Trump doesn't like the results of decisions made by those heading organizations. I never criticized any manager who got my report and acknowledged it and made a decision. I criticized those who refused to decide and tried to put the problem on me, eg, the mini Trumps I encountered. Mostly they wanted me to declare the product "perfect", when all they needed to do was decide to drop the minor, mostly irrelevant, product support.

It isn't law or regulation that prevents anyone getting tested, but Trump himself. For better or worse, Obama got tests out by hiring deciders and backing them up. You can argue those tests were wrong too often, but a decision was made quickly without blaming "Bush" bad regulations, and everyone had tests if they wanted them.

History will be written about this.

There were ultimately an estimated 61 million H1N1 cases in the U.S. (per the CDC, with a range of 43 million to 89 million) but only about 275,000 hospitalizations and 12,000 deaths.

For all these words from mulp, it seems like the determining factor was just that 99.5% of the people who got it didn't need to go to the hospital and that only 0.02% of the people who contracted it ended up dying.

No need for a regulatory pause here, since they were not being impeded by any regulations anyways.

"On Tuesday, a company called Unacast that collects and analyzes phone GPS location data launched a “Social Distancing Scoreboard” that grades, county by county, which residents are changing behavior at the urging of health officials. It uses the reduction in the total distance we travel as a rough index for whether we’re staying put at home. ...How do they know that? Efforts to track public health during the coronavirus pandemic are a reminder of the many ways phones reveal our personal lives, both as individuals and in the aggregate. Unacast’s location data comes from games, shopping and utility apps that tens of millions of Americans have installed on their phones — information the company normally analyzes for retailers, real estate firms and marketers."

My critical care docs tell me that shortages of PPE gear, ventilators, staff are the big issues.

Apparently Ford engineers are redesigning F-140 automobile parts with off-the-shelf components to make portable healthcare professional respirators, pretty cool. F is probably a buy here, at 5 $/share. Actually everything nearly is, though I'm still bearish.

If Ford can manage to keep paying their dividend, $0.60 per year, they are a great deal at $5/share.

Ford suspended its dividend on March 19 -

Great post. This video is circulating among some nurses i know that are reusing masks for a week at a time (supposed to swap out every single patient they see).

It’s another one about how to make a cheap mask that works. This time, I can’t find a flaw aside from individual human error upon construction of it.

TC please watch.

We can not just throw kaws away because we do not like them.

Why not?

Eliminate the laws used to prosecute Elizabeth Holmes and I'll introduce a phone app to diagnose SARS-Cov2 infections using the cell phone camera.

It will diagnose the person as 100% PERFECT health for $1 for 10 100% PERFECT diagnosis reports, so people will be free to hold raves and club dance parties because none of the hundreds of people present are infected. Take that, Newsome, Cuomo!

And I'll maybe get $5 after I pay an app programmer to setup the app and then he steals my intellectual property and sells my property himself.

After all, a big obstacle is intellectual property laws. Like the Theranos patents that have generated patent infringement lawsuits against SARS-Cov2 tests.

The government could provide liability insurance for some products. Would that help?

Abolish US government regs on alcoholic beverage labels.

I bought a bottle of wine today, credit card (held in plastic bag) self swiped, bottle held in my own bag, - germ free transaction - until I was asked for drivers license proof of age, had to be handed to cashier,
The first time it happened 20 years ago to my 85 year old mother in MA I thought it was a cashier's prank. Still going strong in FL and elsewhere.

Same here, VA. I don't look a day under 70.

State sponsored harassment.

Sort of... but combined with zero-tolerance idiocy.

If anyone loses their liquor license for selling to a 20-year-old who looks 30 (or has a fake ID saying he is 30), part of the "solution" is to card every single person, even if they are clearly 65, to get the license back.

Have you tried drinking more? Usually a cashier will stop asking for ID once they recognize you.

What is funny about over-regulation is the failure of result. The 50 year old at the register with a fifth of vodka and ID ready, returned to his van, finished the bottle and was disposing of same before I returned to my car. Mid morning refreshment.

At this point the FDA's actions are better explained as a bureacratic power grab than as excessive respect for the law.

Maybe we can get "certificate of need" laws repealed.
After all I think way fewer people are going to appreciate the logic of "overcapacity is a BAD THING".

How about we convert some of the currently unused cruise ships to floating campuses for low-risk college students who miss the camaraderie of congregate learning communities and ability to party as desired. They would of course have to sign informed consent, etc. and there would be monitoring of symptoms and prompt evacuation of anyone needing serious medical attention. Presumably most faculty would opt not to board along with them (due to being older, having children or elderly relatives to care for etc.) so education would continue to be delivered online. Sororities and fraternities might be motivated to offer group study times (as they used to do on the campus where I teach) and athletic teams (especially swimmers and divers!) could work out and practice together. Strict codes of discipline could be enforced by the threat of being forced to leave the ship and spend a 14-day mandatory quarantine under much less pleasant circumstances (e.g., old army base.)

The big problem is how does one find effective products? There's good money to be made selling quack cures and ineffective products. Why sell the drug at its proper intensity when I can cut it by a factor of two or ten? Why make a surgical mask from an absorbent material when I can use something cheaper?

All those god damned regulations are scar tissue, lessons learned. If you want a history of scams, just read the legislation and its history of revisions. I remember people used to bitch that the army had a twenty page specification for cherry pie. They didn't realize that that specification was just an attempt to purchase actual, edible cherry pies in the face of the free market.

Here are Richard Thaler and Sendhil Mullainathan with an extraordinary specific list of recommended pauses (from allowing doctors to practice in any state even when licensed in only one to banning coronavirus medical malpractice suits to suspending patents and more):

Certificate of need (CON) temporarily lifted so hospitals found surge acute beds. Otherwise would legally have to apply for CON to expand.
During this crisis babies will continue to be born - in hospital bcz CON restricts birthing centers. Broken bones will be set - in hospital ER bcz CON restricts free standing ortho centers. And on and on. Rural areas even worse access, higher prices...

CON should be lifted in SC permanently.

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