Len Zwelling

From Whence Covid?

I got to know Scott Gottlieb when we were both working on Capitol Hill in 2009. Scott was then a fellow at the American Enterprise Institute, a prominent think tank. He was also a real practicing hospitalist. He still is at AEI but since 2009 he has served as President Trump’s first FDA Commissioner (2017-2019) and before 2009 he was a government official at both the FDA and CMS (Centers for Medicare and Medicaid Services) which runs those two large government programs. Scott was a frequent witness at congressional hearings during the run up to the Affordable Care Act representing the Republican point of view.

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Deregulation

If there is anything that true conservatives and die hard libertarians can agree on, it is that deregulation is a good thing. By deregulation I mean the loosening of government constraints and operating rules on the manner in which individuals and companies conduct their business. Deregulation they say leads to greater creativity as the profit motive kicks in. Don’t worry about personal damage. The market will attend to that.

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PTSD

One thing I realized as I grew older and acquired more maladies was that for all of the studying I did in medical school and all the clinical experience I gained in training, I never really understood what it meant to be sick until I got sick myself.

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The New Old Normal

We have had a glimpse into the future and into the past all at once this week in Texas. For very complex reasons, having to do with the way the state chose to distribute power, the period of extreme cold caused the energy grid to groan and creak (see attached op-ed from Houston Chronicle of February 18). That grid is separate from that of the rest of the nation so there was no help in sight. Texans lost power—millions of them including me and probably you, too.

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Force

First, the Democrats have opted to use the reconciliation process to force through the covid relief package that President Biden has proposed. This has a price tag currently of $1.9 trillion. This is in excess of anything most Republicans can support making it necessary to use the arcane reconciliation process to get around a sure Republican filibuster and the need for 60 Senate votes to invoke cloture by-passing the filibuster.

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