Im-Politic: The CCP Virus Crisis Has Become Even More of a Nursing Home Crisis

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Canada, CCP Virus, coronavirus, COVID 19, Europe, Following Up, lockdown, nursing homes, reopening, seniors, shutdown, Sweden, The New York Times, United Kingdom, Wuhan virus

About three weeks ago, I posted about the degree to which total U.S. CCP Virus-related deaths were occurring in nursing homes and other special facilities for seniors. And I noted that the answer – “really big” – provided significant evidence for the idea that substantial reopenings of the U.S. economy were much more feasible than widely believed.

The reason: If the virus’ main dangers were so highly concentrated in a single, highly vulnerable, and already confined population, then by definition, such dangers to the rest of the public were considerably less serious than widely believed. Therefore, relatively low-risk populations could be permitted to reengage in normal economic activity sooner rather than later.

Three weeks later, the case for faster, wider reopenings is even stronger – along with the arguments for focusing virus containment measures on seniors, and especially those inside or outside such facilities.

For example, that previous post cited data indicating that about twenty percent of all U.S. virus deaths were taking place in elder care facilities. More recently, a comprehensive New York Times survey pegged the share at 35 percent.

Moreover, data are coming in making clear that this pattern is hardly confined to the United States. In Canada, the share has been reported at 81 percent. Across Europe, national shares are thought to be between 42 percent and 57 percent. In the United Kingdom, it’s estimated at 25 percent.

Possibly the most intriguing findings concern Sweden. That’s because its lockdown was the lightest imposed among the wealthier national economies. The overall Swedish virus death rates, however, have been right in the middle of the pack for Europe.  (See here for the latest numbers.) Yet the Swedish government has also reported that nearly half those deaths have taken place in elder care facilities.

In other words, if Sweden had its nursing home act together, its virus fatalities would have been about 185 per million people – which would have put it well behind the United States, Spain, the United Kingdom, Italy, France, Belgium, the Netherlands, and Switzerland. Sweden’s economy, unfortunately, seems unlikely to escape taking a major virus-related economic hit anyway. But the toll seems largely due to its relatively small size and as a result its relatively heavy reliance on foreign trade – not to its failure to shut down more broadly.

The United States, of course, is much less reliant on foreign trade. In theory, then, if its nursing and similar facilities get the aid they need, America’s economy can continue reopening – and even faster than at present – without running major further health risks. Indeed, as I’ve also noted previously, such reopening per se could well curb other emerging public health dangers. Moreover, as observed by the Washington Post editorial board, moving toward the Swedish model might speed up progress toward creating herd immunity in the United States. This status would mean considerable protection against the second virus wave that might arrive along with cooler weather this fall.

As always, “reopening” doesn’t mean an immediate, complete return to the pre-virus normal. And serious uncertainties continue surrounding the nursing homes data, and indeed all virus-related data. But a pattern visible in so many high income countries can’t be dismissed, either, and it should put ever more pressure on backers of slower reopenings to justify their positions.

Im-Politic: The Cost of a Governor’s CCP Virus Grandstanding

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Andrew Cuomo, CCP Virus, conservatives, coronavirus, COVID 19, Im-Politic, Larry Hogan, Maryland, New York State, nursing homes, Republicans, seniors, test kits, testing, The Washington Post, Trump, Wuhan virus

First, full disclosures: I’ve been a Maryland resident for more than 15 years now (though still a New Yorker at heart). I’ve voted for Larry Hogan for governor twice (different elections!) and think he’s done as good a job in Annapolis as could any Republican in a state that’s heavily Democratic (albeit one with a long tradition of choosing moderate Republicans as governor).

But I’ve always thought that he’s spent a little too much time and energy sniping at President Trump and fostering an image as a moderate, unifying, possible GOP and conservative alternative to Mr. Trump’s needlessly polarizing brands of politics and policy.

And my irritation at Hogan just ticked up a notch upon reading this Washington Post piece reporting his decision yesterday to test all nursing home residents and staff for the CCP Virus.

Yes, you read that right: “Yesterday.” Even though the unmistakable and tragic nationwide concentration of virus deaths and infections in such facilities has been clear for months now – in part because of their elderly populations and in part because of their confined quarters. Even though the state’s own new data show that “half of Maryland’s confirmed covid-19-related deaths and more than a fifth of its cases were linked to skilled-nursing facilities.” That’s a higher nursing home death rate even than in New York State, whose Governor Andrew Cuomo is catching flak for his own costly decisions in this regard.

Where’s Hogan been? In part, keeping busy by missing few opportunities to show up the President, and winning praise even from Democrats – most recently by crowing about his Korean-American wife’s success at procuring half a million test kits from South Korea — and conspicuously dissing the President in the process. Interestingly, though, it now turns out that the governor is discovering that turning this showy purchase – which may have been wholly unnecessary – into an effective testing program even in his smallish state isn’t as easy he and other Trump critics have implied. (See here for details.)

If Hogan runs for reelection, I’ll almost surely vote for him again – assuming that Maryland Democrats keep nominating tax-and-spending-happy, Sanctuary State- and city-backing, identity politics-obsessed rivals. But I’ll certainly be hoping that Hogan starts remembering those adages about people living in glass houses and tending to their own gardens.

Im-Politic: A (Huge) Nursing Home Factor in U.S. Virus Deaths

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ABC News, CCP Virus, coronavirus, COVID 19, demographics, Europe, Im-Politic, lockdown, long-term care facilities, nursing homes, reopening, restart, seniors, shutdown, WHO, World Health Organization, Wuhan virus

Whenever I hear about a CCP Virus outbreak at a nursing home or similar seniors facility, I wonder how these especially tragic episodes have been influencing the national data. The issue matters greatly, because the numbers could reveal much about the virus’ spread and virulence among Americans not so aged and confined – i.e., the vast majority of the population.

Of course, avoidable and unavoidable testing shortcomings are making all the statistics dodgy.  And state and local authorities’ standards for identifying and reporting CCP Virus cases – and therefore deaths – are both highly diverse and constantly changing.  What’s emerged so far, though, shows that nursing homes and the like are indeed where the disease’s worst effects are appearing, and by wide margins. As a result, however, these statistics also strongly indicate that the virus is much less dangerous for other Americans than originally thought.

The most comprehensive picture we have of nursing homes’ role has come from ABC News. Its examination of state-level numbers concluded that, as of yesterday, at least 10,631 of nationwide CCP Virus-induced fatalities had been long-term care residents. That’s about a fifth of the U.S. total. But the “at least” in the previous sentence is really important. For the ABC numbers are based on information from only 28 of the states plus the District of Columbia. That leaves the nursing homes’ share of fatalities unknown for 22 states. ABC didn’t say which states were and weren’t included in the count, but it’s almost certain that the more state figures are examined, the higher the nursing home share will rise.

One reason for confidence in this conclusion: The World Health Organization (WHO) stated on Thursday that as many as half of all of Europe’s coronavirus-related deaths have occurred in long-term care facilities. Of course, WHO’s performance during the pandemic has been roundly criticized. But you have to assume that it’s found it much easier getting reliable data from Europe than from dangerously secretive China.

It’s also important to note that Europe’s populations are significantly older than the United States’, which no doubt explains much of that towering European estimate. In addition, Europe was hit by the virus earlier. But along with the incomplete nature of the U.S. data, the the demographic gap is narrow enough to suggest that nursing home residents’ share of American deaths will continue growing.     

Combined with mounting evidence (see, e.g., here and here) that the CCP Virus has infected many more Americans than first estimated – meaning that the disease’s lethality looks considerably lower than once feared – the apparent concentration in nursing homes is unquestionably good news for most of the nation (except, of course, if any of your loved ones lives in these facilities). One possible implication:  With the right, targeted, precautions, a more extensive earlier reopening of the U.S. economy is warranted. The bad news, however, is that the virus’ impact is most deadly in one of America’s most vulnerable populations. Let’s all hope that, if this finding holds up, one result will be more mitigation where it’s needed most.

(What’s Left of) Our Economy: How Not to Rate the States’ Economies – & Their Prospects

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California, demographics, domestic migrants, entitlement programs, Florida, Forbes, government workers, immigrants, inflation-adjusted growth, innovation, Medicare, Missouri, New York, New York City, Pennsylvania, population, private sector, productivity, retirees, seniors, Social Security, taxes, William Baldwin, {What's Left of) Our Economy

Thanks to Forbes magazine, it’s possible today to teach a useful lesson about the limits of statistics and the studies they’re based on – especially if those studies seem to be intended to prove a point rather than seek the truth.

The post in question, by former Forbes editor William Baldwin, looks like it makes a claim that’s not only important but irrefutable: U.S. states whose numbers of “takers” (government workers plus recipients of government transfer – welfare – and entitlements payments) greatly exceed the “makers” (private sector workers) are in “death spirals.” But states in the opposite situation have promising economic futures. In particular, employers are much likelier to create the private sector jobs crucial to continued healthy growth in the “maker” states.

It’s easy to understand Baldwin’s reasoning. The private sector undeniably is more innovative and productive than the public sector – two of the main ingredients of that healthy growth. And states with big populations of entitlements recipients (e.g., Medicare and Social Security) are almost by definition states with older populations – raising the question of who’s going to pay for all those benefits for non-working or even only semi-retired seniors. Case closed? Not exactly.

Interestingly, doubts start arising as soon as you eyeball the author’s chart. For example, he places California in the “death spiral” category. Since the Golden State represented 13.40 percent of the entire national economy as of 2014, it’s clearly a crucial example. But U.S. government figures also make clear that California enjoyed inflation-adjusted growth last year (2.80 percent) that was considerably faster than the national average (2.20 percent). That doesn’t sound like much of a death spiral to me. And in case you’re wondering whether 2014 was an outlier, California also out-grew the nation as a whole from 2011 to 2014 – by 7.81 percent to 6.26 percent.

Demographics don’t support Baldwin’s portrait of California, either. According to the U.S. Census Bureau (click here for the various relevant spreadsheets), between mid-2010 and mid-2015, the United States population as a whole as a whole grew by 12.661 million. Nearly 58 percent of the increase came from more babies being born than legal residents passing away, and the rest came from net migration from abroad.

California was responsible for nearly 15 percent of this increase – which means that the state punched above its weight demographically. In 2010, its share of the national population was only 12.07 percent. So it looks like there will be plenty of new Californians to pay for public services and retirement costs. And although many of the nearly 835,000 immigrants to come to the state during this period were illegals, many obviously were not.

The situation in another one of Baldwin’s death spiral states – New York – doesn’t look nearly so dire, either, on closer inspection. New York’s after-inflation economic growth between 2011 and 2014 wasn’t as fast as California’s. But at 6.79 percent, it still beat the national average.

New York also lost a little population from 2010 to 2015 (22,308 residents moved away). But births outnumbered deaths by 1.59 to 1, which is a bit better than the national average. And although just over 653,000 New Yorkers moved out of the state during that period, nearly 631,000 immigrants arrived. Of course, many have been illegal and low-wage. But many others have been foreign oligarchs who have rocketed the New York City real estate market into the stratosphere. In fact, the city’s property and income tax receipts for the fiscal year ending June 30 are so immense that its budget surplus is likely to approach $1 billion. So there’s no revenue shortage there.

Now let’s move to one of Baldwin’s more promising states: Florida. The Sunshine State has handily beaten the national average on 2011-2014 growth (7.07 percent) – although its performance has been affected by the depth of its housing-bust-fueled recession. On the surface, its population trends look good, too – as has historically been the case. In 2010, Floridians represented 6.09 percent of all Americans, but over the next give years, the state’s increase came to 11.58 percent of the national total.

Less good, however, were the internals – especially for Baldwin’s “death spiral” thesis. Florida’s population growth has been powered by immigrants and Americans from other states to a roughly equal extent. Surely wealthy foreigners have been well represented in immigrant ranks along with poorly paid illegals. But anyone who knows Florida knows that many of the domestic migrants have been retirees. That can’t bode well for the tax base.

Florida’s neighbor, Georgia, is another odd Baldwin success story. Its 2011-2014 growth trailed the U.S. average (at 5.32 percent). Yet its population growth (4.16 percent of the nation’s total) was greater than its 2010 share of the overall population (3.14 percent). It’s true that Georgia’s subpar population increase may eventually translate into stronger-than-average growth. But should that be considered a solid bet? Stranger still is the author’s positive assessments of Missouri and Pennsylvania, which have been under-performing both in terms of economic and population growth.

Of course, Baldwin has pegged many states right. But misses that are this big, especially for places like New York and California, make clear that the sources of healthy growth and bright economic futures are much more varied than entitlement spending, government workforce sizes, and even generational demographics. Lifestyle clearly plays a major role – what else explains California consistently defying predictions of economic doom triggered by alarm over high taxes, burdensome regulations, and the like? Along with New York and Washington state (another one of Baldwin’s losers, despite the attractions of Seattle), it’s long likely to remain a magnet for talent, as well as wealth (whether ill-gotten or not).

Although I’ve never met Baldwin, I do know that Forbes has long been one of the media world’s strongest champions of Darwinian free market thinking – and of course an equally ardent opponent to Big Government. So it looks reasonable to me that this ideology overwhelmed a more holistic view of economics and business – which his successors at Forbes might have realized just by looking out the windows of their Manhattan offices.

(What’s Left of) Our Economy: Has the Fed Gotten Savings Incentives Completely Wrong?

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Baby Boomers, banks, consumers, debt, deposit rates, federal funds rate, Federal Reserve, finance, Financial Crisis, housing, incomes, interest rates, recession, retirees, savings, savings rate, seniors, spending, The Economist, zero interest rate policy, {What's Left of) Our Economy

As many of you may know, the Federal Reserve yesterday raised the interest rate it directly controls above an effective zero level for the first time in seven years. So it’s especially interesting and important that a post from The Economist just before the rate hike made a strong case that one of the main rationales for keeping interest rates so low has backfired big-time on ordinary Americans and on the consumer spending still driving most U.S. economic activity.

Just after the height of the financial crisis, the Fed lowered its so-called funds rate to zero (actually, it was a range of zero to 0.25 percent) in part to make sure that the carnage that was spreading from housing to Wall Street and increasingly to the rest of the economy wouldn’t scare households into closing their wallets,and therefore choke off even more growth. The federal funds rate doesn’t directly set consumer borrowing rates – it’s the rate offered by the central bank to the country’s biggest banks. But the Fed was hoping that super-easy money would have twin stimulative effects.

First, when these banks’ borrowing costs fall, they can offer cheaper loans to both consumer and business borrowers and stay just as profitable. And the more affordable credit becomes, the more borrowers were expected to use. Second, the Fed was hoping that super-low rates would penalize saving. A rock-bottom federal funds rate would drive way down the returns on such popular consumer savings vehicles as money market funds and certificates of deposit and savings bonds, and convince Americans that they were better off spending existing savings and incoming income rather than receive literally no reward for thriftiness.

The Economist, though, has argued that the Fed’s penalize-savings strategy was misbegotten. And it looks like it should have been obvious even then. As the magazine points out, the biggest reason Americans save is to ensure a comfortable retirement. For any retirees or those nearing that age who already have substantial savings, even very low-yielding assets can together spin off enough income to ensure the golden years living standards they want.

But then ask yourselves how many Americans were in this situation when the financial crisis and recession struck. Inflation-adjusted incomes for the typical household had been stagnating. Thrift became a forgotten virtue; in part because of those stagnant incomes and in part because perpetually rising home values were hyped as an acceptable substitute, the nation’s personal savings rate hit historic lows and in fact briefly fell below zero. Then, of course, home values began cratering and the stock market went into free fall. So safe but low-yielding assets looked like the only viable savings game in town.

Unfortunately, the lower the return, the bigger the pot needed to guarantee that comfortable retirement. As a result, more and more of the aging American population has felt greater and greater pressure to salt away any new income not needed to cover ongoing living expenses.

Nor do you need to take The Economist‘s analysis on faith. For nothing has been clearer during this weak economic recovery than the continued consumer caution so responsible for holding it back. Many analysts attribute this behavior to a simple – possibly excessive – “once burned-twice shy” fear. But The Economist‘s treatment at least points to another important factor: For Americans with stagnant incomes and meager liquid savings – along with continuing debt – returning to pre-crisis and recession-level spending simply hasn’t been an option. In fact, evidence is accumulating that growing numbers of seniors, including recently retired baby boomers, are feeling these pressures, too – especially on the debt front.

Not that the Fed’s quarter-point rate hike will change matters much. In fact, signs haven’t even appeared yet that it’s a step in the right direction, as those banks that have raised the rates they’re charging for borrowers haven’t raised those that they’re paying to depositors. Until rates rise high enough to reward savings significantly again, most Americans will have ample reason to view recent Fed policies as lose-lose propositions.