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      Fauci warns against lifting Covid measures but Republican states push on

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      The top infectious disease expert in the US, Dr Anthony Fauci, has warned it is too early to end Covid-19 restrictions, despite Texas and Mississippi having lifted mask mandates and business capacity limits this week.States are easing restrictions after a drop in cases, though that decline is starting to plateau at a high rate of 60,000 to 70,000 infections per day.“We’re going in the right direction but we just need to hang on a bit longer,” Fauci said on Sunday, to CBS’s Face the Nation.Public health experts have warned that the US could undermine progress with vaccines and allow for thousands of preventable deaths by lifting restrictions at the first sign of improvements. More than 524,000 people have died from Covid-19 in the US and January was its deadliest month of the pandemic so far.Fauci, chief medical adviser to Joe Biden, said turning restrictions “on and off” risked another surge.“This is not going to be indefinite, we need to gradually pull back as we get people vaccinated,” he said.Michael Osterholm, an epidemiologist who advised Biden’s transition team, warned the US was still “in the eye of the hurricane”.Osterholm told NBC’s Meet the Press the situation appeared to be improving, but said he was concerned the B117 variant, which is 50% more infectious than other variants in the US, could create a new surge.“We do have to keep America as safe as we can from this virus by not letting up on any of the public health measures we’ve taken and we need to get people vaccinated as quickly as we can,” said Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota.On CNN’s State of the Union, the Mississippi governor, Tate Reeves, said he lifted restrictions in his state because of declining rates of hospitalizations.“Our objective in Mississippi has never been to rid ourselves of the virus … our goal is to make sure we protect the integrity of our healthcare system,” the Republican said.Mississippi has seen an average of 461 cases per day, down 17% from the average two weeks ago, according to the New York Times. There were 1,240 deaths from Covid-19 in the state in January, the highest of any month since the pandemic began. About 16% of residents have received a first vaccine dose.“The numbers in Mississippi don’t justify government intervention,” said Reeves, who encouraged residents to keep wearing masks in crowded settings.Other governors have celebrated their state’s mask mandates and said they will remain in place until there is a substantial improvement in infection rates.Mike DeWine of Ohio, a Republican, told ABC’s This Week his state’s mask order was followed by a “significant drop in cases”.“We’ve seen it throughout this last year, these mask really, really work,” DeWine said.He said his state would drop health orders once it had 50 cases or fewer per 100,000 people for two weeks. Though rates were still high in Ohio, he said, the state’s vaccination distribution was getting better each day.“But as we’re doing that, we can’t give up the defense,” DeWine said.The dean of Brown University’s school of public health, Ashish Jha, said decisions such as those by Reeves and Texas governor Greg Abbott to lift restrictions could slow the process of getting life back to normal and put residents at risk of infection and death.“Given how close we are to the finish line, anybody who gets infected today and dies in three or four weeks is somebody who would have gotten vaccinated a month from now,” Jha told ABC. “This is why it’s urgent to just keep going for a little bit longer.” More

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      Joe Manchin's stimulus stand exposes dangerous fissures in Democratic ranks

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      Seeking to explain his part in dramatically prolonging marathon Senate proceedings before the passage of Joe Biden’s $1.9tn coronavirus relief bill, Joe Manchin may only have succeeded in exposing a dangerous fissure in Democratic ranks.In winning controversial modifications to benefits for struggling Americans, the West Virginia senator said, he had tried to “make sure we were targeting where the help was needed” and to do “everything I could to bring us together”.The latter remark, on Sunday to ABC’s This Week, might have provoked hollow laughter on the left. As Manchin, a powerful centrist in a Senate divided 50-50, toured the talk shows, he also faced up to fierce criticism from Alexandria Ocasio Cortez over his opposition to a $15 minimum wage, a measure dropped from the stimulus bill.The progressive congresswoman from New York has attacked Manchin and Senator Kyrsten Sinema of Arizona, another opponent of the $15 wage, as “two people in this entire country that are holding back a complete transformation in working people’s lives”.“The $15 minimum wage never fit in this piece of reconciliation,” Manchin told CNN’s State of the Union. “Those are the rules of the Senate.” He also said he was in favour of raising the wage to $11 – a figure unacceptable to progressives and indeed the Republicans with whom Manchin insists he is willing to work.On Friday, Manchin mounted a late push to scale back unemployment benefits in the stimulus package, a huge and historic piece of legislation meant to help Americans struggling amid a pandemic which has cratered the US economy. His move prompted hours of negotiations, followed by a compromise and voting through the night.But Biden and the Senate majority leader, Chuck Schumer, refused to criticise Manchin, the senator slapping his podium and emphasising the need for “unity, unity, unity”, particularly as every Republican present voted agains the relief bill.Senator Bernie Sanders of Vermont attempted to include the minimum wage rise in the stimulus bill under budget reconciliation, requiring a simple majority rather than the 60-vote threshold which applies to most major legislation. But the Senate parliamentarian ruled against Sanders – much to progressives’ anger.“I know they made a big issue about this,” Manchin told CNN, “and I understand. Everyone has their right. I respect where [Ocasio-Cortez] is coming from, I respect her input, we have a little different approach.“We come from two different areas of the country that have different social and cultural needs. One was that you have to respect everybody.”The stimulus bill now goes back to the House before heading to Biden’s desk. House leaders have promised smooth passage but five defections would sink the bill. On Sunday Kate Bedingfield, the White House communications director, was asked if she thought progressives would support it.She told CNN the “historic and transformational piece of legislation … is going to cut child poverty and half” and said the White House hoped the left would “make that judgment” based on “what their constituents need”.It seems clear a $15 minimum wage has no hope of clearing 60 votes in the Senate. That super-majority, known as the filibuster, is said by champions including Manchin to protect minority rights – though it came to prominence largely as a way for southern segregationists to oppose civil rights reform.The House has passed HR1, a sweeping voting rights bill meant to counter efforts by Republicans in the states to dramatically restrict voting by groups that favour Democrats. But HR1 seems doomed unless Senate Democrats scrap the filibuster.Even if they did, centrists like Manchin would enjoy immense power. Speaking to NBC’s Meet the Press, the senator cited his own stand on the relief bill.“If what you saw happen with that 50-vote swing and one vote, no matter who, it maybe can make a big difference in a tied Senate, can you imagine doing day-to-day operations this way? Can you imagine not having to sit down … with your colleagues on both sides and have their input?“…I’m willing to look at any way we can. But I’m not willing to take away the involvement of the minority.”He also said he did not favour using reconciliation for voting rights legislation.“I’m not going to change my mind on the filibuster,” he said, “[and] I’m not going to go [to reconciliation] until my Republican friends have the ability to have their say also.”On Fox News Sunday, Manchin said he did support making the filibuster “painful” again, meaning a return to the requirement senators physically hold the floor of the Senate in order to block legislation, a process famously depicted in the James Stewart movie Mr Smith Goes To Washington.Bedingfield confirmed that Biden is also against scrapping the filibuster.Manchin’s power in the Senate was the talk of Washington even before the drama of Friday and Saturday.“I didn’t lobby for this position,” he told ABC. “I’ve never changed. I’m the same person I have been all my life and since I’ve been in the public offices. I’ve been voting the same way for the last 10 years. I look for that moderate middle. The common sense that comes with the moderate middle is who I am. That’s what people expect.“…You’ve got to work a little bit harder when we have this toxic atmosphere and the divisions that we have and the tribal mentality. That’s not to be acceptable. You’ve got to work hard and fight that. Fight against those urges just to cloister in with your group and say, ‘Well, this is where I am.’”Progressives disagree. On Friday Bonnie Watson Coleman of New Jersey tweeted: “I’m frankly disgusted … and question whether I can support this bill.” She also told USA Today she was “thinking very hard about making a statement” in the House.“As progressives,” she said, “we’re going to have to figure out where the line in the sand is.” More

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      'Talk to me': Molly Jong-Fast on podcasting in the new abnormal

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      Molly Jong-Fast has known great success as a writer but over the last year on The New Abnormal, her podcast on politics in the time of Covid, she has become both half of a crackling double act and an interviewer with a habit of making news.The double act formed with Rick Wilson, a former Republican strategist and the co-founder of the Lincoln Project who is now taking a spell off-air. The producer Jesse Cannon has stepped in but the interviews remain largely the realm of Jong-Fast.Years ago, Molly and her mother, the author Erica Jong, gave a joint interview of their own. Molly, the Guardian wrote, was “loud, arch and snappishly funny [with] the mien of a runaway train, words hurtling forth, helter-skelter.”It remains the case. Before the pandemic, she threw famous dinner parties which brought unlikely people together. Now a contributing editor for the Daily Beast, she throws politicians, scientists, policy wonks and comedians together on a podcast, a form of broadcasting well suited to pandemic life. Down the phone – or up it – from Wall Street to the Upper East Side, appropriately socially distanced, I appropriate one of her own ways to start any interview. A few introductory remarks, then …“Talk to me about that.”And she does.I had wanted to do a podcast. Everybody has a podcast. It’s a thing“As you know, as someone who lives in New York, our lockdown came fast, and it came very profoundly, and we were locked down. Actually, it was this time last year. I had just come back from [the Conservative Political Action Conference] in Washington DC. As I was coming home, I got an email that said, ‘If you were at CPAC, you may have been exposed to a super-spreader, and you need to quarantine.’ So I actually called the school nurses at all my kids’ schools and I said, ‘You guys, what I do?’“Since nobody really knew anything about the virus, they said, ‘Look, you can do whatever you want, but we would really appreciate if you would just keep your kids home for two weeks.’ I was like, ‘Absolutely. We don’t know anything.’ As someone who is not a doctor but who is completely obsessed with my own physical health in a totally deranged and neurotic way, I’m proud to say I’ve worried about every pandemic that comes. I was worried about H1N1 before.“And you could see this coming. I have friends in Milan … You saw these stories about Milan, and you knew we were a week behind or we were two weeks behind. I had a friend in London … her mother had a fancy private doctor and the fancy private doctor would send her these letters about who was going to get treatment in the hospital and who was going to be left at home to die.“So I had a sense that that stuff was coming, so I really made sure that everybody locked down way early in my house. Then I had nothing to do.“So I said, ‘Let’s start a podcast.’ I had sort of been the driver behind it because I had wanted to do a podcast. Everybody has a podcast. It’s a thing. But I’m always interested in what other people have to tell me. So … I get a lot from it.“Another thing about me is, besides being dyslexic and a horrible student, I have terrible, terrible ADHD, which has never been medicated. I don’t take medicine for it because I’m 23 years sober, so it just would be too complicated for me. And I’m a person who was, in my heyday, a terrible cocaine addict, so I would not trust myself for a minute with ADHD drugs.”I’m super ADHD, so I get very bored very easily. So we ge people and if they don’t say interesting stuff, I’m like, ‘Eh’Jong-Fast chronicled those wild years in two novels and a memoir about being the daughter of a writer who wrote a lot about sex. In the 1970s, her mum invented “the zipless fuck”. But I digress. As Jong-Fast likes to say to interviewees: “Continue.”“But I’m super ADHD, so I get very bored very easily. So we get these people, and if they don’t say interesting stuff, I’m like, ‘Eh.’ I’m like, ‘This is very boring.’ So I think that has made the pod good, because I do these interviews and I get very bored. Then I’m like, ‘Come on. Get going here, people.’”New Abnormal interviews are fascinating and often hilarious. That’s down to a mix of the ethics of podcasting, looser than for talk radio – as Cannon says, “FCC guidelines would never be able to handle what we do” – and the ethics of the Daily Beast, a New York tabloid in website form, pugilistic and intelligent, taking the fight to the man.Another Jong-Fast interview technique, very much in the vein of the podcast’s one beloved regular segment, Fuck That Guy, is to ask key questions in the bluntest way possible. Take two recent examples. To the White House Covid adviser Andy Slavitt: “Can you explain to me what’s happening with AstraZeneca, because that seems to me very much a clusterfuck.” To Ian Dunt of politics.co.uk, there to discuss Brexit: “What the fuck is wrong with your country?”What the fuck is that all about?“Well, as someone who was interviewed a lot when I was young and would sit through endless mother being interviewed, grandfather [the novelist Howard Fast, who wrote Spartacus] being interviewed, always watching, I always think that the worst questions are the questions where you tell the person what you want them to say.“Look, I get it. I write things all the time where I want people to say stuff, but you can’t really get them to say it anyway … Part of it is I always think you should make it so they’re comfortable enough to really tell you what’s going on and to let you in. Also, I think they know that I don’t have a malicious intent. I just want people to see who they are.”What they are, in many cases after a year of lockdown, is suffering.“I had Mary Trump on the pod again today,” Jong-Fast says, of the former president’s niece. “She’s a psychiatrist, so she and I always talk about mental health because I’m just a sober person, and when you’re sober you’re always in your head thinking about mental health. We were talking about how we really are in the middle of this terrible mental health crisis, and everyone is just in denial about it.”Donald Trump has left the White House. The Biden administration is flooding the zone with vaccines. But we are still in the new abnormal.“I’m always surprised no one sees that. So it’s like, ‘Well, I don’t understand why I have a terrible headache. It can’t be because hundreds of thousands of Americans have died.’ So it is weird.”‘I wish we could get more Republicans’The New Abnormal has featured Democrats – senators, representatives, candidates – and bureaucrats and technocrats too. But in both the very strange election year in which the pod was born and in the brave new world of Biden, few Republicans have followed.“I wish we could get more,” Jong-Fast says. “I think I got one Republican guy who was running for Congress, but it’s not so easy.”That was John Cowan, from Georgia, who ran against Marjorie Taylor Greene and her racially charged conspiracy theories – and lost.“Yes, and he’s going to run again. He’s a neurosurgeon. I was thrilled to get him. But they’re not so interested in coming on, even the sort of moderates.”She does the booking herself, so perhaps Congressman Adam Kinzinger or Senator Mitt Romney might one day pick up the phone to find Jong-Fast full blast.“‘You are a fucking genius. Why are you so brilliant?’ I’m very good at schnorring people into doing things for me. I’m very able to just endlessly schnorr people. I think that’s key to getting the guests.”I don’t know what schnorr means.“It means you sort of just put the arm on people to get them to come on the pod. The guests are the big thing because the people who want to come on are often not people you really want.”A lot of listeners want Wilson to return. Jong-Fast, formerly an unpaid adviser to the Lincoln Project, calls him “a very good friend” but is uncomfortable talking about his absence from the podcast – which was prompted by allegations of sexual harassment against another Lincoln Project co-founder and reporting on fundraising and internal politics.Cannon calls Wilson “one of the most politically astute people in America” and “a genius”. And he may well be back, one day, to reconstitute the double act, the Florida Republican and the Upper East Side liberal lobbing spiralling profanity at the extremity, inanity and insanity of Trumpism and life under Covid-19.But it’s not all about fighting back.“I wish there were a little bit more good-faith want for people to interact with the other side,” Jong-Fast says. “Look, there are people on the other side, like Marjorie Taylor Greene, who are not good-faith actors, and you can’t even try. But there are people like Mitt Romney who, while I don’t agree with him on a lot of things, he’s a very good-faith actor. So I think there’s a real chance.”If you’re reading, Mitt, if Molly calls … pick up the phone. More

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      Biden hails 'giant step' as Senate passes $1.9tn coronavirus relief bill

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      Joe Biden hailed “one more giant step forward on delivering on that promise that help is on the way”, after Democrats took a critical step towards a first major legislative victory since assuming control of Congress and the White House, with a party-line vote in the Senate to approve a $1.9tn coronavirus relief bill.After a marathon voting session through the night on Friday and into Saturday afternoon, Democrats overcame unified Republican opposition to approve the sweeping stimulus package. The final tally was 50-49, with one Republican senator absent.One of the largest emergency aid packages in US history now returns to the House for final approval before being signed into law by Biden. Nancy Pelosi, the House speaker, has said she expects to approve the measure before 14 March, when tens of millions of Americans risk losing unemployment benefits if no action is taken.The House majority leader, Steny Hoyer, said the Senate version of the American Rescue Plan would be considered “on Tuesday … so that we can send this bill to President Biden for his signature early next week”.Biden and Democrats will look to move on to other priorities, including voting rights reform and an ambitious infrastructure package.The bill aimed at combating the Covid-19 pandemic and reviving the US economy will provide direct payments of up to $1,400 to most Americans; extend federal unemployment benefits; rush money to state, local and tribal governments; and allot significant funding to vaccine distribution and testing.Republicans attacked the bill as a “liberal wishlist” mismatched with an improving economic and public health outlook as more are vaccinated and infections plateau.“Our country is already set for a roaring recovery,” said Mitch McConnell, the Senate minority leader, on Friday, citing a jobs report that showed 379,000 jobs added in February. “Democrats inherited a tide that was already turning.”But Democrats and the White House were quick to push back, pointing to more than 9 million Americans out of work and millions more struggling to pay for rent and food.On Saturday, with Vice-President Kamala Harris looking on, Biden spoke to reporters at the White House.“I want to thank all of the senators who worked so hard to do the right thing for the American people during this crisis and voting to pass the American rescue plan,” he said. “It obviously wasn’t easy, wasn’t always pretty, but it was so desperately needed. Urgently needed.”Biden has been criticised for not holding a press conference since taking office. On Saturday he attempted to leave without taking questions. To shouted questions, he avoided direct criticism of Senator Joe Manchin of West Virginia or Republicans.The marathon “vote-a-rama” session on amendments that preceded the final vote featured the longest vote in Senate history, just shy of 12 hours, on Friday, as Democrats scrambled to strike a deal with Manchin, a moderate who mounted a last-minute push to scale back unemployment benefits.Bowing to Manchin, a compromise kept benefits at $300 a week instead of $400, as proposed by Biden and approved by the House. However, the benefits will be extended until October rather than August, and Democrats added a provision to provide up to $10,200 in tax relief for unemployed Americans.Speaking to reporters on Saturday, the Senate majority leader, Chuck Schumer, repeatedly hailed his caucus and deflected invitations to criticise Manchin, the target of anger among House progressives.“People have new differences all the time,” he said, when asked why Manchin had not levelled his demand earlier, adding: “Unity, unity, unity. That’s how we got this done.”Schumer was asked if another bill might be needed.“It’s a very strong bill,” he said, “part of it will depend on Covid. How long will it last, will there be a new strain.”Experts have warned of a potential fourth surge as variants emerge and predominantly Republican states reopen their economies and abandon basic public health measures.“Part of it will depend on the economy,” said Schumer. “It has some underlying weaknesses that need bolstering. How deep and weak are those. Our No 1 lodestar is going to be helping the American people and if they need more help, we’ll do another bill. If this bill is sufficient, and I think it’s going to help in a big way, then we won’t.”At the White House, Biden praised Schumer: “When the country needed you most you lead, Chuck, and you delivered.”Despite deep political polarization and staunch Republican opposition, the legislation has broad public appeal. A poll by Monmouth University found that 62% of Americans approve of the stimulus package, including more than three in 10 Republicans.In tweets on Saturday, former president Barack Obama said: “Elections matter … this is the kind of progress that’s possible when we elect leaders across government who are devoted to making people’s lives better.”Yet the endeavor tested the fragile alliance between progressives and moderates as Democrats attempt to wield their power with only the barest control of Congress.Early on Friday, the Senate rejected a proposal by the Vermont senator Bernie Sanders to include a $15-an-hour minimum wage increase, a top liberal priority and a key plank of Biden’s economic agenda. The Senate parliamentarian had deemed the provision inadmissible under the rules of a special budget process Democrats are using to bypass Republican opposition.Despite widespread public support for raising the federal minimum wage, Democrats remain divided. On Friday, eight joined Republicans in blocking the amendment, which would have required 60 votes to pass.“Let me be very clear: we are not giving up on this,” Sanders said. “We are going to come back with vote after vote. And one way or the other we are going to pass a $15 minimum wage. That is what the American people want and that is what the American people need.”The approval of the bill in the Senate came after hours upon hours of voting on a torrent of amendments, most offered by Republicans with the goal of forcing Democrats to take a position on measures designed to be politically troublesome.Proceedings had already been much delayed on Thursday, when the Republican Ron Johnson, of Wisconsin, forced Senate clerks to read the 628-page bill in its entirety – a task that took nearly 11 hours.At the White House, Biden quoted Sanders as he hailed the bill as “progressive” and delivered a familiar appeal for national – and party – unity, if with a shot at his predecessor, Donald Trump.“When I was elected,” Biden said, “I said we’re going to get the government out of the business of battling on Twitter and back in the business of delivering for the American people, of making a difference in their lives, giving everyone a fighting chance, of showing the American people that their government can work for them, and passing the American Rescue Plan, we’ll do that.“You know it may sound strange but … I really want to thank the American people … quite frankly, without the overwhelming bipartisan support of the American people this would not have happened.“… Every public opinion poll shows that people want this, they believe it is needed. And they believe it’s urgent.” More

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      What’s Behind Chile’s Vaccination Success?

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      The deadly impact of COVID-19 has been felt in every corner of the globe. On February 22, the United States reached a tragic landmark of 500,000 deaths. Across the Atlantic, nine of the top 10 nations in deaths per million are in Europe, with tiny enclaves of Gibraltar and San Marino topping the tables. The list of countries that have dealt with the pandemic relatively well is much shorter. Almost a year ago, I wrote about how leaders in Brazil and Mexico were slow in taking tougher action to prevent the spread of the virus. I falsely predicted that Latin America is unlikely to witness the death rates seen in Europe. Unfortunately, the effects of the pandemic were equally devastating in the region, if not worse.

      Images of mass graves in the Amazonian town of Manaus and the dead bodies left in coffins in the streets of Guayaquil, Ecuador, have spread worldwide. More than 260,000 Brazilians and nearly 190,000 Mexicans died because of the virus, placing the two countries second and third in absolute numbers of fatalities. Peru registered 1,421 deaths per million and Panama 1,352 on March 4 — numbers that show the devastation caused by the virus in the region so far. Chile has also experienced a significant death rate of 1,084 per million.

      Why Are Mexico and Brazil So Slow in Reacting to COVID-19?

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      The big difference in Chile was that authorities mobilized in advance to secure vaccines, hedging bets on various suppliers in different stages of development. In September last year, President Sebastian Pinera announced the purchase of 10 million doses of Pfizer-BioNtech vaccine. Deliveries commenced on December 24, making Chile the first Latin American nation to start its vaccination program. The country has ordered some 90 million doses, more than enough to immunize its 19 million citizens. By March 4, more than 20% of its population received at least one shot, placing Chile fifth in the world when it comes to vaccination rates, just behind Israel, United Arab Emirates, the United Kingdom and the United States.

      Political Conflict

      On December 29, Argentinians started to receive the Russian Sputnik V vaccine. The pace of immunization in Argentina has been much slower than expected, with several complaints of those not in priority groups receiving the jab before health workers and the elderly. The “VIP vaccination” scandal has caused the resignation of the health minister, drawing protesters onto the streets and generating criticism against President Alberto Fernandez. So far, Argentina has vaccinated only 2.61% of its 45 million citizens. The slower pace seems to be standard in the region, with most nations unable to vaccinate even 1% of their citizens. The cause is not only the shortage of vaccines but lack of planning and, more significantly, internal political conflict. 

      In Brazil, president Jair Bolsonaro has made several statements that undermined efforts to slow the pandemic. In a national broadcast on March 24, 2020, he criticized the restrictive measures adopted by governors and mayors, urging people to return to work and referring to COVID-19 as a “little flu.” The president also highly publicized the unproven anti-malarian drug chloroquine as being effective against the virus, ordering the Ministry of Health to produce four million doses. His insistence on the use of the drug caused the loss of two health ministers, Dr. Henrique Mandetta, fired by Bolsonaro last April, and Dr. Nelson Teich, who resigned less than a month after taking over. Since then, the position has been filled by an army general specializing in logistics, with neither medical education nor experience.

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      Over the course of the pandemic, Bolsonaro has been exchanging public barbs with the state governments, such as over lockdown measures adopted by individual governors last month. On March 1, 16 of the country’s 26 governors, including three Bolsonaro allies, signed a letter criticizing the government and accusing the president of misleading the public about federal pandemic relief funds. Sao Paulo’s governor, Joao Doria, a former ally in the 2018 elections and a potential competitor in 2022, has been the president’s most vociferous antagonist over the handling of the pandemic.

      At the center of the dispute is the Butantan Institute, one of the most prestigious health centers in Latin America, situated in the state of Sao Paolo. Back in June, Butantan signed a partnership with the Chinese laboratory Sinovac Biotech to produce the CoronaVac vaccine. Initially, Bolsonaro has signaled that Brazil would not purchase the Chinese vaccine, questioning its efficiency, but in January, the Ministry of Health added the vaccine to the national immunization plan following approval by the health regulator, Anvisa. Last month, Doria announced a deal for a further 20 million doses of CoronaVac to complement the 100 million already secured by Butantan.

      Last August, Pfizer said it offered 70 million batches of its vaccine to Brazil, with a delivery scheduled for December. However, with Brazil dissatisfied with the terms of the contract, the deal is still being negotiated. Health Minister Eduardo Pazuello hopes to secure 100 million doses from Pfizer and 38 million from a pharmaceutical subsidiary of Johnson & Johnson, Janssen, to start deliveries in May and August respectively. Due to this lack of urgency and an absence of a unified policy between the federal and state governments, Brazil has so far vaccinated just 3,67% of its population.

      Crisis Management

      Chile has also faced political unrest. Since 2019, the country experienced several mass protests calling for education and pension reforms. In a televised address, President Pinera declared a state of emergency, granting powers to restrain freedom of movement and assembly. The measure resulted in violence that cost 18 lives in five days, leading the UN to examine possible human rights abuses. As a result, Pinera’s approval rating fell to just 7%. In 2020, amid the ongoing political crisis, COVID-19 hit the country hard, provoking the resignation of the health minister, Jaime Manalich.

      However, Pinera managed to turn the situation around. With a degree in commercial engineering from the Catholic University of Chile and a PhD in economics from Harvard, the president is a billionaire businessman, with an estimated net worth of $2,9 billion. He has already led the country once, between 2010 and 2014, earning crucial government nous. Pinera made several concessions to the protesters and supported the calls for a new constitution in an attempt to turn down the political temperature.  

      A referendum on October 25 saw 78% of the population approve a new constitution that will substitute the current one created in 1980 under General Augusto Pinochet. The new Magna Carta will be written by a 155-strong body also elected through a popular vote and with an equal number of men and women. The document will then be confirmed by a popular vote before being implemented.

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      To assuage popular discontent caused by the initial handling of the pandemic in combination with other historical grievances relating to health care, education and pensions, Pinera focused his negotiation abilities to mediate the purchase of million doses of vaccine from different laboratories and suppliers. While most developing nations have been struggling with a lack of supplies, Chile is among the top three countries, along with Canada and the UK, when it comes to the number of doses ordered per capita. Back in September, just before the peak of protests, Pinera announced partnerships on the development and clinical trials between the Catholic University of Chile and Sinovac; the University of Chile, Janssen/Johnson & Johnson and AstraZeneca; as well as the University of Frontera and another Chinese laboratory, CanSino Biologics. More than that, purchases were agreed with Pfizer, Covax, Sinovac and AstraZeneca.

      But despite perceived goodwill from an unpopular right-wing government, the president still faces an uphill climb when it comes to popularity. By March 1, 83% of the Chileans deemed the massive vaccination as good or very good, 58% asses the general management of the pandemic as positive, but Pinera’s personal approval is still only at 24%.

      The successful vaccination has already yielded positive outcomes. According to Chile’s Health Ministry, the number of new COVID-19 cases has decreased in six of the country’s 16 regions in the last seven days and in eight the last 14 days. Chile hopes to vaccinate at least 15 million people in the first semester, which would allow the country to immunize its entire population by the end of June. These numbers would put Chile way ahead in the vaccination game not only in Latin America but worldwide, suggesting that resolute leadership is as important for the nation’s well-being as a robust medical system.

      The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy. More

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