As we reported here at ResCon1, Tuesday, March 24, New Yorkâs Democratic Governor, Andrew Cuomo, bears significant responsibility for his stateâs lack of ventilators.
U.S. intelligence agencies and public health experts, we observed, warned Cuomo and other government officials years ago of likely pandemics that would overburden our hospitals and healthcare system.
A New York state task force, in fact, specifically warned Cuomo of the lack of ventilators during a pandemic. Cuomo, though, opted not to purchase the requisite number of ventilators.
These are all facts, not opinion or conjecture, and this a matter of public record.
What is a a matter of opinion is Cuomoâs assertion that Trump needs to ânationalizeâ the medical supply chain, because doing so would mean that 30,000 ventilators would suddenly be produced and descend upon New York State hospitals.
Trump, as we reported here at ResCon1, has wisely resisted Cuomoâs call to have the federal government take over the medical supply chain, because doing so would not solve anything.
Instead, nationalization would create more problems because the government is inept at running commercial businesses. That is simply not a public-sector comparative advantage.Â
Trump, meanwhile, hit back against Cuomo in a Fox News virtual town hall:
This [article] says that New York Governor Cuomo rejected buying recommended 16,000 ventilators in 2015 for the pandemicâfor a pandemic; established death panels and a lotteries instead.
So he had a chance to buy, in 2015, 16,000 ventilators at a very low price and he turned it down.
Iâm not blaming him or anything else, but he shouldnât be talking about us. Heâs supposed to be buying his own ventilators. Weâre going to help.
But, you know, if you think aboutâif you think about Governor Cuomo, weâre building him four hospitals. Weâre building him four medical centers.
Weâre working very, very hard for the people of New York. Weâre working along with him, and then I watch him on the show, complaining. And he had 16,000 ventilators that he could have had at a great price and he didnât buy them.
As a result of these comments, two news organizations, The Dispatch and FactCheck.Org, have published overly long, tendentious, and convoluted criticisms of Trump for allegedly not telling the truth about Cuomo and the ventilators. But their criticisms really miss the mark and are beside the point.
FactCheck.Org flags Trump for charging that, because New York failed to purchase more ventilators years ago, it would be forced to employ a âlottery systemâ and âdeath panelsâ to ration the use of available ventilators. This is âmisleading,â they argue.
Moreover, says FactCheck.Org, the New York State task force that looked into the matter in 2015 âdid not recommend whether the state should buy more ventilators (and hire the staff necessary to operate them).â
But this is splitting hairs. As Betsy McCaughey explains in the New York Post,
In 2015, that task force came up with rules that will be imposed when ventilators run short.
Patients assigned a red code will have highest access, and other Âpatients will be assigned green, yellow or blue (the worst), Âdepending on a âtriage officerâsâ decision.
In truth, a death officer. Letâs not sugar-coat it. It wonât be up to your own doctor.
Exactly. Letâs not sugar-coat it. As for the reference to a âlottery system,â that came from a Feb. 27, 2020, New York Times article:
The task force that issued the report devised a formula, relying partially on medical criteria, to help hospitals decide who would get ventilators and who would not.
It also envisioned a lottery system in some instances. And age could play a role, with children being given preference over adults.
Rationing. But the larger-scale point, which we made here at ResCon1 is this: without more ventilators soon, ventilators will have to be rationed, and that means deciding who will live and who will die.
Call it what you will, that is a problemâa big and serious problem.Â
And whether the task force recommended that the state buy more ventilators is immaterial. The reality is that, as Governor of New York State, Cuomo has a responsibility to safeguard the health and safety of his people, the residents of New York. He failed.
He failed by not buying more ventilatorsâeven though he had been warned of this problem, and even though he had been warned about the likelihood of a pandemic that would require many more ventilators.Â
Maybe he failed for good reason: because the tradeoffs were too difficult and too stark. Still, he failed. As governor, the buck stops with him.
The Dispatch, meanwhile, complains that âTrump provided no evidence to support his claim that Cuomo could have had the ventilators âat a very low priceâ in 2015, and that Cuomo âturned it down.ââ
But cost, too, is really immaterial. When it comes to public health, government has an obligation to spend whatever it takes to protect the health and well-being of their peopleâus.
That is a fundamental and non-negotiable obligation of the state.If government officials think the cost of public health is too high or prohibitive, then they should say so, clearly and publicly.
That way, we can openly and rationally discuss and debate the tradeoffs involved, our public policy and spending priorities, and what level of risk we, as a society, are willing to assume.
In any case, Trump was echoing what McCaughey argued in her New York Post piece. âIn 2015,â she wrote,
the state could have purchased the additional 16,000 needed ventilators for $36,000 a piece, or a total of $576 million. Itâs a lot of money, but in hindsight, spending half a percent of the budget to prepare for a pandemic was the right thing to do.
The Dispatch also gets lost in the weeds on the origins of the New York State task force and its precise findings; but this is all background noise and beside the point.
The bottom line is this: Cuomo was warned of a problem and yet, he did not act.
But whatâs done is done. What matters now is: where do we go from here? How do we ramp up production and delivery of ventilators to New York and other states that are suffering most from the coronavirus?
The most obvious place to begin is with the Strategic National Stockpile, âthe government reserve meant to fortify overwhelmed hospitals in a crisis.â But that stockpile has only 16,600 ventilators, reports the Center for Public Integrityâfar fewer than the 64,000 to 742,000 that might be needed.
In truth, only an unleashed and unchained private sector free to innovate can possibly produce the requisite number of ventilators quickly enough to meet the anticipated demand. Fortunately the Trump administration is relaxing the regulatory burden and companies are stepping up to produce.
A company called Prisma Health, for instance, is using 3D printing to manufacture a new ventilator model that can support up to four patients simultaneously.
The company says that it âhas received emergency use authorizationâ from the Food and Drug Administration (FDA) and is working with âCOVID-19 [treatment] teams who have no more ventilator capacity, and who can initiate emergency use of the prototype.â
The good news, reports the Wall Street Journalâs William McGurn, âis that players in the private sector⊠have already been in touch with one another to see how they might team up.”
For example, he writes, before the coronavirus hit, one companyâs âpeak output was roughly 150 ventilators a month.â However, within the next 90 days, they expect to increase that to 1,000 ventilators a month.
âIt wonât be easy [nor will it happen] overnight,â says Chris Kiple, âbut it can be done.â
Mr. Kiple is CEO of Seattle-based Ventec Life Systems. He says Ventec is one of about a dozen players in the global market for ventilators, only about half of which are U.S.-based companies.
“Ventec,” McGurn writes, recently
announced it will work in partnership with General Motors. The idea is to combine GMâs experience of mass-production manufacturing with Ventecâs technology.
Mr. Kiple says the partnership will mean getting âmore ventilators to more hospitals much faster.â The president tweeted Sunday, [March 22, 2020]: âGo for it auto execs.â
Feature photo credit: NY1