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| Maryland’s Governor, a Republican, Is Willing to Spar With Trump for Supplies | Maryland’s Governor, a Republican, Is Willing to Spar With Trump for Supplies |
| (7 days later) | |
| ANNAPOLIS, Md. — Larry Hogan was annoyed. On a conference call, Mr. Hogan, the Republican governor of Maryland, had just learned that several South Korean companies were ready to ship more coronavirus test kits to his state. But they were stymied because the Food and Drug Administration had not yet approved their use. | ANNAPOLIS, Md. — Larry Hogan was annoyed. On a conference call, Mr. Hogan, the Republican governor of Maryland, had just learned that several South Korean companies were ready to ship more coronavirus test kits to his state. But they were stymied because the Food and Drug Administration had not yet approved their use. |
| “I don’t care if we have F.D.A. approval or not,” Mr. Hogan said into a speakerphone in the governor’s reception room, where he was flanked by a container of Purell and a 9 a.m. Diet Coke, with aides sitting six feet apart around a large table. “We’ve got people dying,” he said, adding, “I don’t want to wait for permission.” | “I don’t care if we have F.D.A. approval or not,” Mr. Hogan said into a speakerphone in the governor’s reception room, where he was flanked by a container of Purell and a 9 a.m. Diet Coke, with aides sitting six feet apart around a large table. “We’ve got people dying,” he said, adding, “I don’t want to wait for permission.” |
| Frustrated by limited support and unclear guidance from the Trump administration, governors across the country, including some Republicans, have been squaring off with the White House and striking out on their own to secure supplies. Mr. Hogan, in his second term in a very blue state, has tried to stay miles ahead of the virus’s incursion here, like several other governors — notably Jay Inslee of Washington and Mike DeWine of Ohio — whose responses have been given better marks from Americans than the president’s. | Frustrated by limited support and unclear guidance from the Trump administration, governors across the country, including some Republicans, have been squaring off with the White House and striking out on their own to secure supplies. Mr. Hogan, in his second term in a very blue state, has tried to stay miles ahead of the virus’s incursion here, like several other governors — notably Jay Inslee of Washington and Mike DeWine of Ohio — whose responses have been given better marks from Americans than the president’s. |
| Mr. Hogan put his health department on alert in early January when he saw the virus’s deadly crawl through China. On Monday, he issued a stay-at-home order for residents, a few weeks after declaring a state of emergency when the first three cases emerged in Maryland last month. | Mr. Hogan put his health department on alert in early January when he saw the virus’s deadly crawl through China. On Monday, he issued a stay-at-home order for residents, a few weeks after declaring a state of emergency when the first three cases emerged in Maryland last month. |
| He is also the head of the National Governors Association, charged with representing governors’ needs at the White House, where officials wish he would find it in his heart to say a few flattering words about Mr. Trump now and then. Instead he has bluntly demanded more aid from Washington, including more test kits and supplies and help shoring up state budgets. | He is also the head of the National Governors Association, charged with representing governors’ needs at the White House, where officials wish he would find it in his heart to say a few flattering words about Mr. Trump now and then. Instead he has bluntly demanded more aid from Washington, including more test kits and supplies and help shoring up state budgets. |
| “We’re still not satisfied” with the federal response to states’ needs, Mr. Hogan said this week. | “We’re still not satisfied” with the federal response to states’ needs, Mr. Hogan said this week. |
| Mr. Hogan has also found himself the de facto leader of the response in the Washington, D.C., metro area, where the disease has begun its exponential march. The governor of Virginia and the mayor of Washington — a city where the death rate is well above the national average — instantly followed his order this week, grounding around 15 million residents. | Mr. Hogan has also found himself the de facto leader of the response in the Washington, D.C., metro area, where the disease has begun its exponential march. The governor of Virginia and the mayor of Washington — a city where the death rate is well above the national average — instantly followed his order this week, grounding around 15 million residents. |
| As of Thursday night, there have been at least 4,697 confirmed cases and 89 deaths in the three areas combined, about triple from a week ago. The two states and Washington have an unusually intrinsic relationship; they share a metro system and are home to thousands of federal workers who are central to the region’s work force and the functioning of federal government. | As of Thursday night, there have been at least 4,697 confirmed cases and 89 deaths in the three areas combined, about triple from a week ago. The two states and Washington have an unusually intrinsic relationship; they share a metro system and are home to thousands of federal workers who are central to the region’s work force and the functioning of federal government. |
| Mr. Hogan’s moves have major implications for the region. He has immediately hit those defiantly socializing with some of the largest fines or criminal charges in the nation. There have already been two arrests in Maryland, including of a man who hosted a bonfire party for about 60 people after the state banned large groups. | Mr. Hogan’s moves have major implications for the region. He has immediately hit those defiantly socializing with some of the largest fines or criminal charges in the nation. There have already been two arrests in Maryland, including of a man who hosted a bonfire party for about 60 people after the state banned large groups. |
| His aggressive policing is one of several reasons Mr. Hogan has slid onto center stage among governors whose states have been hammered by the coronavirus. | His aggressive policing is one of several reasons Mr. Hogan has slid onto center stage among governors whose states have been hammered by the coronavirus. |
| This week, he collaborated with a Democratic governor, Gretchen Whitmer of Michigan, on an opinion piece pleading for federal assistance — after President Trump attacked her as “that woman.” He has been a critic of the president’s overly optimistic prognostications, saying Mr. Trump’s assurances that testing problems were a thing of the past were simply not true. | This week, he collaborated with a Democratic governor, Gretchen Whitmer of Michigan, on an opinion piece pleading for federal assistance — after President Trump attacked her as “that woman.” He has been a critic of the president’s overly optimistic prognostications, saying Mr. Trump’s assurances that testing problems were a thing of the past were simply not true. |
| For Mr. Hogan, the need to respond quickly is also personal. He is a recent cancer survivor and over 60, which puts him in a high-risk group for the virus. His preparation for this moment, he said, was seeded in the 2015 Baltimore riots, which happened 90 days into his first term. | For Mr. Hogan, the need to respond quickly is also personal. He is a recent cancer survivor and over 60, which puts him in a high-risk group for the virus. His preparation for this moment, he said, was seeded in the 2015 Baltimore riots, which happened 90 days into his first term. |
| “I knew that taking quick decisive action was better than hesitating,” he said in a (socially distant) interview in his office on Wednesday. “I think the public was not where I was on the knowledge. There were folks saying this is no big deal, it’s not as bad as the flu, it’s going to disappear. And I was saying, ‘No, it’s worse.’” | “I knew that taking quick decisive action was better than hesitating,” he said in a (socially distant) interview in his office on Wednesday. “I think the public was not where I was on the knowledge. There were folks saying this is no big deal, it’s not as bad as the flu, it’s going to disappear. And I was saying, ‘No, it’s worse.’” |
| Some Democrats in Maryland have praised him for his aggressive response. | Some Democrats in Maryland have praised him for his aggressive response. |
| “Look, I’m a Democrat,” said Mary Pat Clarke, a city councilwoman from Baltimore. “But the governor has done an excellent job leading the state of Maryland through the Covid-19 state of our lives. He has been regular, he has been firm, he has been clear.” | “Look, I’m a Democrat,” said Mary Pat Clarke, a city councilwoman from Baltimore. “But the governor has done an excellent job leading the state of Maryland through the Covid-19 state of our lives. He has been regular, he has been firm, he has been clear.” |
| With an eye on the virus’s rampage of China, Mr. Hogan convened a special session during the governors’ meeting in February. They met with top health officials, including Dr. Anthony S. Fauci, the director of the National Institute of Allergy and Infectious Diseases, right before the governors ran to put on formal wear for a White House dinner. | With an eye on the virus’s rampage of China, Mr. Hogan convened a special session during the governors’ meeting in February. They met with top health officials, including Dr. Anthony S. Fauci, the director of the National Institute of Allergy and Infectious Diseases, right before the governors ran to put on formal wear for a White House dinner. |
| “Very little was being talked about,” Mr. Hogan said. “It was sort of an eye-opener for a lot of the governors, but I think some of them still didn’t take it seriously.” | “Very little was being talked about,” Mr. Hogan said. “It was sort of an eye-opener for a lot of the governors, but I think some of them still didn’t take it seriously.” |
| He, however, began to feel something akin to panic. | He, however, began to feel something akin to panic. |
| “The next day I came back to my team and said, ‘This is what I just heard, we have to get ready,’” he said. “We knew that it wasn’t going to be long before we were going to have to deal with it.” | “The next day I came back to my team and said, ‘This is what I just heard, we have to get ready,’” he said. “We knew that it wasn’t going to be long before we were going to have to deal with it.” |
| Mr. Hogan has also leaned on his wife, Yumi Hogan, a Korean immigrant, who was also at the governor’s convention, which included a dinner at the Korean ambassador’s home. As the first Korean first lady in American history, Ms. Hogan has become something of an icon in South Korea. “I just grabbed my wife and said, ‘Look, you speak Korean. You know the president. You know the first lady. You know the ambassador. Let’s talk to them in Korean, and tell them we need their help.’” Several companies in South Korea immediately said they would send tests. | Mr. Hogan has also leaned on his wife, Yumi Hogan, a Korean immigrant, who was also at the governor’s convention, which included a dinner at the Korean ambassador’s home. As the first Korean first lady in American history, Ms. Hogan has become something of an icon in South Korea. “I just grabbed my wife and said, ‘Look, you speak Korean. You know the president. You know the first lady. You know the ambassador. Let’s talk to them in Korean, and tell them we need their help.’” Several companies in South Korea immediately said they would send tests. |
| Mr. Hogan’s super-cop moves have not endeared him to some conservatives who largely populate the more southern and rural parts of the state. | Mr. Hogan’s super-cop moves have not endeared him to some conservatives who largely populate the more southern and rural parts of the state. |
| “I think the bubble the Governor is in is missing something,” Gregory Kline, a longtime conservative activist in the state, said on Twitter. “There was no acknowledgment that his directions were doing harm to people greater than this disease would do or even that suffering is occurring not because of the disease but the executive fiat fighting it.” | “I think the bubble the Governor is in is missing something,” Gregory Kline, a longtime conservative activist in the state, said on Twitter. “There was no acknowledgment that his directions were doing harm to people greater than this disease would do or even that suffering is occurring not because of the disease but the executive fiat fighting it.” |
| Updated June 22, 2020 | |
| A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico. | |
| The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth. | The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth. |
| The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave. | The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave. |
| So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement. | So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement. |
| Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks. | Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks. |
| A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study. | A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study. |
| The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April. | The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April. |
| States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people. | States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people. |
| Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days. | Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days. |
| If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.) | If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.) |
| If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others. | If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others. |
| If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested. | If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested. |
| Mr. Hogan is one of the few elected Republicans in the country who have publicly countered Mr. Trump’s early claims about the state of the virus, and more crucially about the amount of tests and ventilators available to states. | Mr. Hogan is one of the few elected Republicans in the country who have publicly countered Mr. Trump’s early claims about the state of the virus, and more crucially about the amount of tests and ventilators available to states. |
| “I don’t think I’ve ever crossed the line and been rude or tried to attack or point fingers or place blame. But I have been willing to stand up when other people haven’t,” he said. He added, “Certainly some of my Republican colleagues probably might think I go too far. Some of the Democratic colleagues might not think I go far enough. But I’m not trying to place blame.” | “I don’t think I’ve ever crossed the line and been rude or tried to attack or point fingers or place blame. But I have been willing to stand up when other people haven’t,” he said. He added, “Certainly some of my Republican colleagues probably might think I go too far. Some of the Democratic colleagues might not think I go far enough. But I’m not trying to place blame.” |
| Some officials said that the state could be faster in giving basic directives and that, like Mr. Hogan, they wished they could get more protective gear. “There are not enough supplies for health care workers and essential employees,” said State Senator Jill Carter, a Democrat. | Some officials said that the state could be faster in giving basic directives and that, like Mr. Hogan, they wished they could get more protective gear. “There are not enough supplies for health care workers and essential employees,” said State Senator Jill Carter, a Democrat. |
| Maryland has received far fewer N95 masks, respirators and gloves than it has requested from the federal government, according to documents released on Thursday by the House Committee on Oversight and Reform. And it has received none of the 100,000 swabs it requested for coronavirus test kits. | Maryland has received far fewer N95 masks, respirators and gloves than it has requested from the federal government, according to documents released on Thursday by the House Committee on Oversight and Reform. And it has received none of the 100,000 swabs it requested for coronavirus test kits. |
| Mr. Hogan said his decisions were informed principally by health care professionals, many of them culled from the University of Maryland and Johns Hopkins Bloomberg School of Public Health, among other local health care providers. | Mr. Hogan said his decisions were informed principally by health care professionals, many of them culled from the University of Maryland and Johns Hopkins Bloomberg School of Public Health, among other local health care providers. |
| “I’m not an expert on this, but I’m going to listen to the smartest guys in the room,” he said, adding: “These guys say if we don’t act now, we’re going to have this surge, we’re not going to have ventilators, we’re going to overload the system. We’re not going to have enough health care workers, we’re going to look like New York, and there’s going to be bodies stacked up.” | “I’m not an expert on this, but I’m going to listen to the smartest guys in the room,” he said, adding: “These guys say if we don’t act now, we’re going to have this surge, we’re not going to have ventilators, we’re going to overload the system. We’re not going to have enough health care workers, we’re going to look like New York, and there’s going to be bodies stacked up.” |
| Every day, there are dozens of decisions to be made over conference calls. Pay some state workers extra who have been called upon to report to work when most other Marylanders are being asked to remain home? Yes. How about for workers who check on child abuse reports? Also yes. Palm Sunday services permitted in church parking lots? Yes, but no passing of a collection plate. This debate went on for some time. “We don’t like government telling churches what to do,” Mr. Hogan said, “but we don’t want 2 million people to die.” | Every day, there are dozens of decisions to be made over conference calls. Pay some state workers extra who have been called upon to report to work when most other Marylanders are being asked to remain home? Yes. How about for workers who check on child abuse reports? Also yes. Palm Sunday services permitted in church parking lots? Yes, but no passing of a collection plate. This debate went on for some time. “We don’t like government telling churches what to do,” Mr. Hogan said, “but we don’t want 2 million people to die.” |