Cuomo Begging

Gov. Cuomo of New York is holding his press conference this morning and is practically begging the federal government to mobilize. He seems genuinely not to understand why it’s not happening. There’s the Federal Defense Procurement Act to order companies to start making ventilators. There’s also a federal emergency stockpile of ventilators. Cuomo says there are 20,000 in that stockpile.

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Here Are The Pundits And Pols Willing To Trade COVID-19 Deaths For Economic Gains

For weeks, as the novel coronavirus has spread across the globe and infected hundreds of thousands of people, there have been the skeptics — those who say “social distancing,” while proven to slow the spread of COVID-19 and save lives, isn’t worth the economic cost. 

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India’s Population Of 1.3 Billion Under ‘Total Lockdown’ For Three Weeks

NEW DELHI (AP) — Indian Prime Minister Narendra Modi announced a “total lockdown” in the country of 1.3 billion people during a televised address Tuesday night, the most extensive stay-at-home order yet in the world’s fight against the coronavirus pandemic.

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Texas Lt. Gov. Gets Roasted After He Suggests The Elderly Should Die For The Economy

You’ll be surprised to discover that Texas Lieutenant Gov. Dan Patrick’s (R) bold suggestion that grandma ought to let herself die from COVID-19 for the sake of the job market isn’t going over so well with most people.

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Voting by Mail Would Reduce Coronavirus Transmission but It Has Other Risks

This article was first published at ProPublica. ProPublica is a Pulitzer Prize-winning investigative newsroom. Sign up for The Big Story newsletter to receive stories like this one in your inbox.

Because of a rise in its Latino population, Gwinnett County in suburban Atlanta had to mail out absentee ballots with information in both English and Spanish in 2018. The result was chaos. The county accommodated the increased text by printing it in 6.5-point font, making each letter smaller than a sesame seed. Many voters were confused by the instructions — in particular, that they had to sign the back of the yellow envelope before returning it or their votes wouldn’t count. Gwinnett rejected 595 absentee ballots, a third of all those tossed in Georgia, often without notifying the spurned voters. Only a hurried lawsuit by the ACLU forced the county to reexamine the discarded ballots.

The debacle caused in Gwinnett by this relatively minor tweak presents a cautionary lesson for election administrators amid a pandemic-driven flurry of calls for a massive expansion of voting by mail. Sens. Amy Klobuchar, D-Minn., and Ron Wyden, D-Ore., introduced legislation this month to promote and help fund mail-in ballot efforts, and several states that have delayed primaries are mulling whether to conduct them by mail.

“In light of the threats that this virus poses, every American should be able to cast a ballot by mail without excuse,” Klobuchar and Sen. Chris Coons, D-Del., wrote Friday, urging Congress to include funding for elections in emergency packages. “That means states will have to scale their vote-by-mail processes in a way that hasn’t been done before.”

While mail-in ballots seem like an elegant solution as the United States grapples with containing COVID-19, experts say slow-moving state and county governments, inconsistent state rules and limited resources to buy essentials such as envelopes and scanners could make it difficult to ramp up nationally to reach more than 200 million registered voters in the November general election. Among the possible downsides of a quick transition are increased voter fraud, logistical snafus and reduced turnout among voters who move frequently or lack a mailing address.

There is bipartisan consensus that mail-in ballots are the form of voting most vulnerable to fraud. A 2005 commission led by President Jimmy Carter and James A. Baker III — George W. Bush’s secretary of state — concluded that these ballots “remain the largest source of potential voter fraud.” Ballot harvesting scandals, in which political operatives tamper with absentee ballots that voters have entrusted to them, have marred recent elections in North Carolina and Texas.

Mail-in technology is also far more complex than a poll worker stuffing ballots into envelopes and opening them on return. In some cities with diverse populations, hundreds of types of ballots in multiple languages must be designed and directed to the appropriate voters in the correct precincts. Envelopes must be thick enough to protect voter privacy, and the paper thickness must be appropriate for scanners used to count ballots. When ballots are received, machines often open the envelopes and sort and tabulate the votes. These machines are expensive, and they generally take several months to order.

Jurisdictions like the states of Washington and Utah took several years to make a smooth transition from polling places to voting by mail. Quick turnarounds after rule changes — as in Gwinnett County — have generally led to more problems.

“You can’t just wave a magic wand and have this happen,” said Michael McDonald, a political science professor at the University of Florida who studies voting. “If we want to do this for the November elections, we need to start making preparations now.”

States with upcoming Democratic primaries have even less time to adjust. Jordan Fuchs, deputy secretary of state for Georgia, which recently postponed its primary from March 24 to May 19, said that in the early days of the pandemic local officials were eager to adopt mail-in ballots. Then, she said, they realized all of the hurdles. “There is a lot more to this than instantly mailing people a ballot,” said Fuchs, who previously worked in direct mail campaigns.

Fuchs said that the state will likely mail absentee ballot applications to all voters over the age of 65 and give younger people the option of applying for a mail-in ballot. “Our goal is to make people aware of their options and empower them as to their choices,” she said.

Washington, where every voter has an opportunity to cast a ballot by mail, took about six years to ramp up its process. “We don’t have six years,” Fuchs said. “Quickly trying to set up a program like this is very costly and there are growing pains associated with this.”

While about a quarter of Americans vote by mail today, the idea of mailing ballots was initially resisted in the United States, emerging only as it became necessary for soldiers to vote from the battlefield. It progressed as states began to allow people who were seriously ill or away from their homes on Election Day to mail ballots. It wasn’t until the 1980s that California became the first state to allow citizens to request absentee ballots for any reason. In 1998, Oregon voters passed an initiative making it the first state to send ballots to all registered voters by mail. Washington, Colorado, Hawaii and Utah followed. In-person voting locations are generally available in these states, along with drop-off boxes for voters to turn in ballots themselves. These states also have same-day or automatic voter registration, which fosters turnout in general and can also enable transients who have not registered or received a ballot by mail to vote.

Experts say that, given enough preparation time, all votes could be safely cast by mail not only in Washington, Colorado, Hawaii and Utah but also in about 25 other states where voters can already request an absentee ballot for each election for any reason. Especially primed are five of these states — Arizona, California, Minnesota, Montana, New Jersey — where voters can join a “permanent absentee” list. But in 18 states where voting by mail is rare and only allowed under limited circumstances, election administrators have a hard road ahead.

“To move from a couple of thousand to a couple of million requires an entirely different infrastructure,” said Tammy Patrick, a former county election official who is now a senior adviser at the nonprofit Democracy Fund in Washington, D.C. “It’s going to be a different logistical lift for them to even ramp up the printing of the ballots, let alone ordering a million envelopes that are the right size and compatible with” the U.S. Postal Service’s method of sorting mail automatically.

Some states use paperless voting machines or touch-screen devices that mark ballots for voters and print them out. These states, Patrick says, likely have no agreement with vendors to print ballots and would have to start entirely from scratch.

In Kentucky, where most counties use paperless systems and ballot marking devices, only 2% of voters mailed in ballots in 2018, according to data collected by the Election Assistance Commission. Few counties have scanners to tabulate paper ballots.

Kentucky Secretary of State Michael Adams is wary of the state’s ability to switch to voting by mail. “It’s not something to be done at the drop of a hat,” he said, adding that the move could cost millions of dollars and still be flawed. “This is a very expensive approach and it’s also risky. But it might be the best of a lot of bad options.”

Kentucky has delayed its primaries from May 19 to June 23, allowing more time for planning. “Either we’ll have a normal election because the worst will have passed or we’ll come back with recommendations,” he said.

Amber McReynolds is the CEO of Vote at Home, which helps policymakers and election officials improve their vote by mail processes and policies. “The unprecedented public health crisis” calls for localities to “be extraoirdinarily creative with our solutions,” she said.

Yet there are states, like Texas, where McReynolds thinks it may be very difficult to implement a robust and universal vote by mail system. Texas’ election administration is almost entirely controlled by counties, which each set their own voting processes. Rural counties frequently use machines that produce no paper backup and have no infrastructure to store it, while larger counties have more sophisticated systems that keep a printed record of ballots. The state has little authority to change local election administration decisions.

“I don’t think I can say, ‘Yes, by the general election this can be in place everywhere,’” she said. While it’s possible to send a ballot to every voter in the state, that “does not mean it can be processed correctly on the back end.”

McReynolds has called for centralizing the printing, mailing and collecting of ballots at the state level, though without legislative action this would not be possible in Texas. Centralization, with appropriate technology to open, sort and scan ballots, would mean fewer people counting votes and less need to recruit thousands of volunteers. In the Michigan primary this month, “15,000 people were touching absentee ballots across the state,” she said. “The only way to scale it reasonably in states is to centralize more of the work.”

But it’s unclear if the supply chain can accommodate such a massive shift. One of the country’s largest ballot printing companies, Runbeck Election Services, is preparing to boost supplies and hire additional staff to meet what it anticipates will be significantly increased demand, its president, Jeff Ellington, said. But it’s still waiting for final word on the availability of machines that Runbeck uses to print the ballots and stuff them into envelopes.

Ellington warned that hastily implementing vote by mail could lead to thousands of voters getting the wrong ballot. “A large county may have 2,000 different ballot styles. A voter who lives across the street from another might get an entirely different ballot than their neighbor,” he said.

The sheer amount of paper is also difficult for counties and states to manage. Ellington said that one semi-trailer truck holds approximately 250,000 ballots. By that ratio, Maricopa County in Arizona, with more than 2 million registered voters, would require about nine truckloads of ballots. The logistics can be overwhelming for states unaccustomed to sending out ballots by mail, Ellington said.

“These things are doable, but the decisions have to be made,” he said. “Right now, we are in a holding pattern of ‘Are we gonna do it? Aren’t we gonna do it? Who’s gonna pay for it and how much is it gonna cost?’ and that waiting will be the killer of it.”

Concerns about tabulating mail-in votes are amplified in states where laws prevent local election workers from counting ballots until the day of the election, as in Wisconsin. “We can’t open ballots until 7 a.m. on Election Day and they can only be processed while the polls are open,” said Rachel Rodriguez, elections management specialist for Dane County, home of Madison. “Simply processing them is going to be a huge challenge.”

Most municipalities in the state don’t own the high-speed scanners necessary to process all of the ballots, she said. “I see videos of these other counties that have automatic processes and I just marvel, because it’s all done by hand here,” she said.

Rodriguez said requests for absentee ballots have already skyrocketed, with more than 15,000 applications awaiting approval. Workers must open each emailed request, verify the voter’s identity and then manually enter the information before any absentee ballot can be generated. To keep up with demand, the city of Madison has borrowed workers from county offices that are closed because of the pandemic.

“It’s a serious struggle,” she said, adding that there have been supply shortages for paper and envelopes across the state. “All of the normal suppliers we have are completely out of stock.”

Mailed ballots may also be difficult for some communities to send and receive. On Native American reservations and in remote Alaskan villages, for example, many residents do not have traditional mailing addresses and postal service is unreliable. Multiple families may share a post office box. To prevent illegal ballot gathering or coercion, many states have made turning ballots in for others a crime, which prevents people in these communities from delivering mail for their neighbors. Prior to the outbreak, Florida Republicans advanced a bill that would have prohibited individuals from helping with or mailing a ballot for anyone outside of their family if they received a “benefit” for doing so. The bill died in the Florida Senate last week.

There is “no effort to put native communities on the grid” to improve mail service, said Patty Ferguson-Bohnee, director of the Indian Legal Clinic at Arizona State University. Language access is also a major issue in native communities, where some languages are spoken but not written. “A lot of Navajos only speak Navajo and they need language assistance. You can’t do that through the mail,” she said.

In 2018, North Carolina’s 9th Congressional District was rocked by an absentee ballot scandal. Leslie McCrae Dowless, a political consultant to GOP congressional candidate Mark Harris, is facing state criminal charges related to running a ballot-gathering scheme, paying people to collect and tamper with absentee ballots. Dowless has denied wrongdoing. Other operatives have applied similar tactics, known as ballot harvesting, to nursing homes, where many residents vote by mail because it’s hard for them to get to polling places. As a result, Texas has passed bipartisan legislation aimed at curtailing voter fraud in nursing homes.

While all types of voter fraud are rare, including mail-in ballot fraud, Patrick said, states must take necessary precautions. She said states should prepay for return postage, accept ballots that are postmarked on or before election day, and ensure there are convenient locations for voters to drop off their own ballots.

“If you do these things, no one needs to pick up your ballot — it’s convenient for voters to maintain power and authority over their own ballot,” she said. “Not doing these things risks a situation where a voter has waited until the last day, and someone shows up at their door offering to take their ballot and they see it as their last opportunity. That could be someone with good intentions or not.”

States have varying standards for verifying that a ballot was sent by the proper voter. Generally, mailed ballots require voters to sign the back of the envelope, and that signature is compared to signatures on file. Some states — like Colorado — match signatures using software. Others have trained staff in forensic signature verification. But some states and counties still rely on poorly trained poll workers. Many states and counties have not digitized signatures on file through the Department of Motor Vehicles or other state agencies, making it hard to automate the process by November.

If a signature is flagged as a mismatch, the ballot is either held pending a determination of validity or tossed, depending on state law. The amount of time that voters have to “cure,” or confirm, a signature that has been questioned varies by state. In some states, voters have several days to contact the elections office to solve the problem. In others, they are never told if their ballots weren’t counted because of a signature issue and are not allowed to verify them. Such policies have spurred pending lawsuits in Texas and Michigan. As a result of a settlement of the ACLU lawsuit, Gwinnett redesigned its envelope, and Georgia has to offer voters an opportunity to correct their ballots.

States that have gained proficiency in mail-in voting, like Colorado, have sophisticated tracking systems that allow a voter to see where his or her ballot is at any given time and know when it’s been counted or if there is a problem. While these systems significantly increase ballot security, they are expensive, and it may not be possible to implement them before November.

McReynolds said there is no need to reinvent the wheel when it comes to mailed ballot security. “States certainly need to look at other states who have implemented good systems,” she said. “A lot of this has been documented and trainings are ready to go.”

Regardless of the path states choose to take, Patrick said, they need to begin preparing for November now. “We don’t know what we are going to be faced with then. It could be even worse.”

Derek Willis contributed reporting.

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‘Essential’ Factory Workers Are Afraid to Go to Work and Can’t Afford to Stay Home

This article first appeared at ProPublica. ProPublica Illinois is an independent, nonprofit newsroom that produces investigative journalism with moral force. Sign up for The ProPublica Illinois newsletter for weekly updates.

As many Illinois businesses have shut down or instructed employees to work from home to avoid the possible spread of the novel coronavirus, low-wage factory and warehouse workers continue going into work, often doing jobs that people don’t realize are considered essential.

And there seems to be as much, if not more, work available than ever — a situation unlikely to change in the near future. Gov. J.B. Pritzker’s order last week for residents to shelter in place includes exemptions for “essential activities” such as the production of food and medical supplies, and the supply chains necessary to make those goods.

“The bread that you see on the shelf is not just the bread itself. But there’s a twist tie, and there’s a plastic bag that holds the bread,” Pritzker said during a recent press conference, when asked why so many manufacturing jobs were considered essential. “The same thing is true for bottle makers for pharmaceuticals: Someone makes the tops, someone makes the bottom of the bottles.”

In interviews with about a dozen workers over the past week, many said they are afraid of going to work and getting sick but can’t afford to stay home and isolate themselves. They feel lucky to be earning a paycheck when so many others are losing jobs in restaurants and hotels, but they don’t want to risk their health. What worries them, they said, are conditions that were previously routine but now are frightening: working on tightly packed production lines or clocking in for the workday using fingerprint scanners.

“There’s parts of the line where you’re literally rubbing elbows with each other,” said one factory worker, who like others interviewed for this article spoke on the condition of anonymity for fear of job retaliation or deportation. “I’m washing my hands more, but I’m still worried.”

Fears are also spreading through factories about co-workers who test positive for COVID-19 and whether management reacted quickly enough to send the employee home and communicated a possible health threat to other workers.

“We understand the fear that’s going on,” said Mark Denzler, president and CEO of the Illinois Manufacturers’ Association. “Employers need to communicate in the best fashion, but all the members I’ve talked to are asking the right questions, taking the right steps to keep workers safe.”

Denzler said his organization has encouraged member companies to follow guidelines from the Centers for Disease Control and Prevention to protect their workers.

Some companies are now instituting mandatory sanitation breaks, where workers stop what they’re doing to clean their workstations or themselves, Denzler said. Other factories are splitting shifts, going from, for example, 100 employees on one shift to 50 workers on two shifts to increase the spacing.

Some workers said the factories and warehouses where they work were taking the right safety measures, including wiping down machinery with disinfectant and propping open doors to bathrooms and cafeterias so workers don’t have to touch the handles. But many more said precautions fell short.

“Companies aren’t taking the health of their workers seriously,” said Isaura Martinez, an organizer with the Chicago Workers’ Collaborative, which focuses on temporary workers. “They’re exposing workers where they can be infected on the job.”

Last week, the collaborative started circulating an online petition asking Pritzker to “take swift and forceful action to enable us to safely produce the goods our state needs while protecting us, our families and the communities we live in.” Among the requests: banning the use of biometric time clock scanners, which “clock in” workers using their fingerprints; requiring 6 feet of space between employees; and mandating paid sick time for temporary workers.

Pritzker’s office did not respond to a request for comment. But as part of a public-private partnership announced Monday to ramp up production of personal protective equipment, including face masks, gloves and hand sanitizer, Pritzker said that “these factories will be adhering to strict social distancing guidelines to ensure that the workers behind the PPE are safe and healthy too.”

The use of biometric time clock scanners has become increasingly common at staffing agencies, warehouses, factories, logistics centers, fast-food franchises and nursing centers, said Brandon Wise, a St. Louis-based attorney who has filed about 80 lawsuits in Illinois because of privacy concerns related to their use.

At some work sites, “maybe 500 people a day put their hand on the machine,” he said. Before the spread of COVID-19 became a national and international crisis, the hygiene associated with this practice was an issue that rarely came up in his conversations with workers and employers. Now, it is.

“Employers need to be cognizant of making sure people are washing their hands, probably before and after using these devices, or making sure there is some sanitation process in place for the employees using it, or hand-washing or a Purell-type gel,” Wise said. “And making sure that the devices are getting cleaned.”

That does not always happen, workers at multiple factories said. At a soap and shampoo bottling plant in the southwest suburbs, two temporary workers described how the biometric scanning machine they use each day is a significant distance from the nearest sinks, which are in bathrooms across a lunchroom and down a hallway. Recently, somebody left a bottle of rubbing alcohol near the machines, which some workers were using to clean their hands.

“I’ve been trying to wipe down the machine with a paper napkin,” said one worker, who is reevaluating whether to continue working. “More than anything, it’s because my parents live with me. They are elderly.”

Officials from the bottling company or the staffing agency could not be reached for comment.

One precautionary measure some facilities have taken to try to stem the spread of COVID-19 is to check workers’ temperatures and send them home if they show signs of fever.

Workers have mixed feelings about the temperature checks. They don’t want to get sick from their co-workers, but in many cases they won’t get paid for showing up if they get sent home because they have a fever.

“To tell you the truth, last week I felt so bad I couldn’t go to work one day [earlier this month]. … I felt exhausted, like I had no strength left in my body, and I had a cough,” said a woman who works at a factory in Melrose Park, west of Chicago. “But the next day I had to go in. For three days I went in like that.”

Workers at her factory get two paid sick days a year, she said. They can use vacation time, which starts with one week after a year on the job. But many workers, paid the state minimum wage, avoid using vacation days, preferring instead to bank them so they can cash them in when they run into a financial emergency.

Temperature checks create a different set of concerns for workers employed through temporary staffing agencies, which send hundreds of thousands of employees into industrial jobs across Illinois, according to estimates from the American Staffing Association, a trade group.

State law requires that temporary workers receive at least four hours of pay if they are called into work, even if they are sent home and not used that day. There are no exemptions, said a spokesman for the state Labor Department.

Yet one temporary staffing agency sent a series of text messages early last week to workers at a food-packaging factory in Lake County that said otherwise. The Spanish-language messages from the agency said that workers with temperatures of 99.6 degrees Fahrenheit or higher would be sent home, asked to get medical attention and go into isolation.

“Anybody who comes to work sick will be sent home immediately and [the client company] will not be responsible for the four-hour guarantee,” according to a copy of the messages shared with ProPublica Illinois.

A company official said she could not “speak to the why” behind the text messages, except that they were likely intended to ensure workers don’t go to work sick and potentially spread the virus. She said the company would “absolutely make sure that [workers] are paid appropriately and in accordance with any state and federal law.”

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US Navy Sailor Becomes First COVID-19 Case At Guantanamo Bay

GUANTANAMO BAY, Cuba — A U.S. Navy sailor has become the first person to test positive for the coronavirus at the U.S. base at Guantanamo Bay, Cuba.

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The Coronavirus Testing Paradox

This article was first published at ProPublica. ProPublica is a Pulitzer Prize-winning investigative newsroom. Sign up for The Big Story newsletter to receive stories like this one in your inbox.

There’s a seeming paradox in experts’ advice on testing people for COVID-19. A growing number of epidemiologists are calling for a nationwide regimen of tests to identify hot spots and allow public health workers to isolate the close contacts of anyone who’s infected.

Yet New York City, the epicenter of the outbreak in the U.S., has ordered doctors not to test anyone who is “mild to moderately ill” with COVID-like symptoms, a position also taken by Los Angeles. As New York’s Health Department succinctly put it: “Outpatient testing must not be encouraged, promoted or advertised.”

Dr. Tom Frieden, former health commissioner of New York City and former head of the Centers for Disease Control and Prevention, said both viewpoints make sense.

“Where you stand depends on where you sit,” Frieden said. “Local context is all important. In New York City, today, you should not get tested if you have mild symptoms.”

The reason, he said, is that the health care systems in places like New York, Los Angeles and Seattle are about to be overwhelmed by a wave of people seriously ill from COVID-19. They know it’s coming. Administering each test takes up protective gear, swabs and health care workers’ time, all of which should be reserved for patients with life-threatening conditions. On Monday, for instance, NewYork-Presbyterian Hospital reported that it had more than 600 patients with COVID-19.

Conversely, Frieden and other experts pointed out, the United States will need to pursue a policy of very broad testing if it hopes to slow the spread of the disease and restart parts of the economy anytime soon. Frieden noted that one of the countries most effective in lowering its infection rate, Singapore, had great success in tracing and isolating the contacts of each infected person. That is no longer possible in New York state, which has reported more than 20,000 positive tests and has many times that number of people infected. But he said it remains doable in many other cities and towns.

“In places where you’ve got the cases way down, or there are no cases,” he said, “aggressive testing will be needed.”

The lack of testing continues to be a source of deep frustration across the country, with worried patients unable to find out whether they have the ordinary flu, the coronavirus or something else entirely. The availability of testing in regions that aren’t hot spots still faces an array of bottlenecks, from shortages of cotton swabs to the capacity of the labs processing the tests.

Dr. Scott Gottlieb, the former head of the Food and Drug Administration under President Donald Trump, argued in a widely read Twitter commentary for a multipronged approach to fighting the virus, which will involve overcoming all of these hurdles and significantly stepping up testing nationwide. The current “shelter in place” orders, which have tens of millions of people in New York, California and other states limited to their homes and not going to work, he said, will ultimately have to be supplanted by a more targeted approach.

To do this, he wrote, the United States “must widely test our population” and “diagnose mild and even asymptomatic cases” with reliable tests that can be administered in doctors’ offices. “We must have tools to identify and isolate small outbreaks so we can lean less heavily” on locking down whole swaths of society, Gottlieb wrote.

Trevor Bedford, a University of Washington virologist who has been directly involved in detecting and fighting his state’s outbreak, offered a similar prescription in a recent series of tweets. Bedford’s observations were prompted, in part, by a recent study by epidemiologists at Imperial College London that said countries had little alternative to maintaining strict restrictions on social contact until a vaccine is available, a process that could take 18 months. The study forecast as many as 1.1 million to 1.2 million deaths in the United States if officials backed off the sorts of measures taken by New York and California in recent days.

Bedford said he was not that “pessimistic,” and he called for a strategy that “revolves around a massive rollout of testing capacity.” Recent studies, he wrote, support the argument that a “significant” portion of the transmission of the virus arises from people who spread it before they feel sick. There also are people who infect others while never experiencing any symptoms of their own.

Something approaching universal testing would make it possible to significantly reduce such “transmission routes.”

“If someone can be tested early in their illness before they show symptoms,” Bedford wrote, “they could effectively self isolate and reduce onward transmission compared to isolation when symptoms develop.”

He envisaged a future in which swabs are delivered to people’s homes for quick return and in which drive-through testing is widely available to anyone with a car. “There are logistics involved in getting a result quickly,” he wrote, “but it’s really just logistics, which can be solved.”

Bedford suggested an approach that appears to have worked in South Korea, which combined test results with “cell phone location data” on known positive cases, allowing notification of people who have been in proximity to confirmed cases to “self isolate and get tested.”

A third pillar of Bedford’s approach is a medical exam that does not yet exist — a blood test that can detect the presence of antibodies to COVID-19. Antibodies are created when the immune system successfully fights off an infection and people with them are “highly likely to possess immunity” and can “fully return to the workforce and keep society functioning.”

That assumption, like many about the virus, remains the subject of research. For his part, Frieden said he was cautious about taking any action based on a test that detects antibodies. Does it mean the person is immune from a second infection? “We can’t count on that,” he said. “We don’t yet know that.”

The clash between the short-term and long-term views of testing were on vivid display in the press conference last week that made headlines for Trump’s angry outburst at an NBC reporter.

Earlier in the briefing, Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health, sought to distinguish between the ultimate need for more tests with the immediate requirement that Americans stop gathering in workplaces, bars, streets and restaurants.

The extreme steps taken by California and New York, Fauci said, are “how you put an end to this outbreak.”

“Testing is important,” he said. “But let’s not conflate testing with the action that we have to take. Whether or not you test, do this. I’m not putting down testing as an important issue, but people seem to link them so much that if you don’t have universal testing, you can’t respond to the outbreak. You really can.”

Trump disparaged the notion of widespread testing as imagined by Bedford and others. “We don’t want every American to go out and get a test. Three hundred and fifty million people,” Trump said. “We don’t want that. We want people that have a problem, that have a problem with they’re sneezing, they’re sniffling, they don’t feel good, they have a temperature.”

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Madrid Using Ice Rink As Makeshift Morgue As COVID-19 Deaths Surge

MADRID — Madrid’s ice-skating rink is now being used as a makeshift morgue given the rapid increase in deaths in the Spanish capital owing to the COVID-19 outbreak.

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China Ending Two-Month Lockdown In Most Of Coronavirus-Hit Province

BEIJING (AP) — Chinese authorities said Tuesday they will end a two-month lockdown of most of coronavirus-hit Hubei province at midnight, as domestic cases of what has become a global pandemic subside.

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