This article is from the source 'nytimes' and was first published or seen on . It last changed over 40 days ago and won't be checked again for changes.
You can find the current article at its original source at https://www.nytimes.com/2020/04/14/nyregion/coronavirus-ny-cuomo-funding.html
The article has changed 22 times. There is an RSS feed of changes available.
Version 2 | Version 3 |
---|---|
N.Y. Got $12,000 Per Virus Case, by One Count. Nebraska Got $379,000. | N.Y. Got $12,000 Per Virus Case, by One Count. Nebraska Got $379,000. |
(1 day later) | |
WASHINGTON — Gov. Andrew M. Cuomo of New York has repeatedly complained that his state has been shortchanged by the $2 trillion economic stabilization package passed last month. | WASHINGTON — Gov. Andrew M. Cuomo of New York has repeatedly complained that his state has been shortchanged by the $2 trillion economic stabilization package passed last month. |
Among his grievances: States like Nebraska, Minnesota and Montana, he recently groused, are receiving far more money per coronavirus case than New York, which has been the epicenter of the pandemic with more than 200,000 confirmed cases and more than 10,000 deaths. | Among his grievances: States like Nebraska, Minnesota and Montana, he recently groused, are receiving far more money per coronavirus case than New York, which has been the epicenter of the pandemic with more than 200,000 confirmed cases and more than 10,000 deaths. |
Mr. Cuomo cited one estimate that said Nebraska would get about $379,000 per case while New York would only get $12,000. | Mr. Cuomo cited one estimate that said Nebraska would get about $379,000 per case while New York would only get $12,000. |
The specifics of his complaint are somewhat arcane — in this instance, his issue is rooted in the formula used by the Trump administration to dole out one small slice of the giant bill. | The specifics of his complaint are somewhat arcane — in this instance, his issue is rooted in the formula used by the Trump administration to dole out one small slice of the giant bill. |
But his demands for New York to receive additional federal aid are a sign of the growing political pressure that Congress will face in the coming weeks as elected officials from states hit hard by the coronavirus stare down fiscal calamity and look to Washington for relief. | But his demands for New York to receive additional federal aid are a sign of the growing political pressure that Congress will face in the coming weeks as elected officials from states hit hard by the coronavirus stare down fiscal calamity and look to Washington for relief. |
Already, the National Governors Association, for which Mr. Cuomo serves as vice chairman, is asking for an additional $500 billion for states and territories. | Already, the National Governors Association, for which Mr. Cuomo serves as vice chairman, is asking for an additional $500 billion for states and territories. |
The New York and New Jersey delegations in the House have united to offer their own proposal: Congress should allocate at least $40 billion in additional federal aid for states, they say, and the money should be distributed based on each state’s share of the national total of coronavirus cases. | The New York and New Jersey delegations in the House have united to offer their own proposal: Congress should allocate at least $40 billion in additional federal aid for states, they say, and the money should be distributed based on each state’s share of the national total of coronavirus cases. |
That would direct a large portion of the money to New York and New Jersey, the two states with the highest number of coronavirus cases in the nation. | That would direct a large portion of the money to New York and New Jersey, the two states with the highest number of coronavirus cases in the nation. |
In a letter to Senator Mitch McConnell, the Republican majority leader, and Speaker Nancy Pelosi, a bipartisan group of 36 House members from the two states wrote that “federal aid has not been allocated proportionately to the impact of the virus.” | In a letter to Senator Mitch McConnell, the Republican majority leader, and Speaker Nancy Pelosi, a bipartisan group of 36 House members from the two states wrote that “federal aid has not been allocated proportionately to the impact of the virus.” |
The Trump administration said the slice of money that Mr. Cuomo had complained about was meant to quickly help health care providers in states heavily affected by the pandemic as well as providers coping with financial losses as patients seeking routine care stayed away. | The Trump administration said the slice of money that Mr. Cuomo had complained about was meant to quickly help health care providers in states heavily affected by the pandemic as well as providers coping with financial losses as patients seeking routine care stayed away. |
Still, local elected officials said triaging funding based on the severity of the outbreak would be a fair process. | Still, local elected officials said triaging funding based on the severity of the outbreak would be a fair process. |
“When everything’s said and done, our whole country is facing a crisis,” said Representative Tom Suozzi, Democrat of New York. “But there’s no denying that New York is the epicenter, and New Jersey is not far behind. And there needs to be a recognition that our state and our hospitals need some special help here.” | “When everything’s said and done, our whole country is facing a crisis,” said Representative Tom Suozzi, Democrat of New York. “But there’s no denying that New York is the epicenter, and New Jersey is not far behind. And there needs to be a recognition that our state and our hospitals need some special help here.” |
Mr. Suozzi, like many New Yorkers, has been personally affected by the virus: His 92-year-old father-in-law died Monday after becoming infected. | Mr. Suozzi, like many New Yorkers, has been personally affected by the virus: His 92-year-old father-in-law died Monday after becoming infected. |
Representative Josh Gottheimer, Democrat of New Jersey, noted that his state was “obviously out of pocket a much greater sum of resources” than other states with fewer cases. | Representative Josh Gottheimer, Democrat of New Jersey, noted that his state was “obviously out of pocket a much greater sum of resources” than other states with fewer cases. |
“Just like we would if we had a natural disaster,” he said, “it makes sense to take care of the states that have been hit hardest.” | “Just like we would if we had a natural disaster,” he said, “it makes sense to take care of the states that have been hit hardest.” |
Elected officials from New York and New Jersey — including Mr. Cuomo — have been particularly critical in recent days of a specific part of the $2 trillion economic stabilization package. | Elected officials from New York and New Jersey — including Mr. Cuomo — have been particularly critical in recent days of a specific part of the $2 trillion economic stabilization package. |
Last week, the Trump administration announced that it was distributing an initial $30 billion in payments to hospitals and other health care providers, which is part of $100 billion set aside in the bill for them. | Last week, the Trump administration announced that it was distributing an initial $30 billion in payments to hospitals and other health care providers, which is part of $100 billion set aside in the bill for them. |
The administration is providing the initial $30 billion in payments to health care providers based on their past Medicare revenues — not based on how many coronavirus patients they have treated. As a result, New York is receiving far less money per coronavirus case than other states, a disparity that Mr. Cuomo highlighted last weekend. | The administration is providing the initial $30 billion in payments to health care providers based on their past Medicare revenues — not based on how many coronavirus patients they have treated. As a result, New York is receiving far less money per coronavirus case than other states, a disparity that Mr. Cuomo highlighted last weekend. |
At his daily briefing in Albany on Sunday, Mr. Cuomo pointed to a report last week by Kaiser Health News that examined how much of the $30 billion in payments would go to each state. | At his daily briefing in Albany on Sunday, Mr. Cuomo pointed to a report last week by Kaiser Health News that examined how much of the $30 billion in payments would go to each state. |
The report estimated that New York would get about $12,000 per coronavirus case and New Jersey would get about $18,000, while West Virginia would receive about $471,000 per case and Minnesota would get about $380,000. | The report estimated that New York would get about $12,000 per coronavirus case and New Jersey would get about $18,000, while West Virginia would receive about $471,000 per case and Minnesota would get about $380,000. |
In a memo last week, Kenneth E. Raske, the president of the Greater New York Hospital Association, wrote that the funding formula was “woefully insufficient to address the financial challenges facing hospitals at this time, especially those located in hot spot areas such as the New York City region.” | In a memo last week, Kenneth E. Raske, the president of the Greater New York Hospital Association, wrote that the funding formula was “woefully insufficient to address the financial challenges facing hospitals at this time, especially those located in hot spot areas such as the New York City region.” |
Updated June 5, 2020 | Updated June 5, 2020 |
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. | |
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. |
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission. | Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission. |
Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home. | Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home. |
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. |
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. |
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.) |
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications. | Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications. |
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing. | The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing. |
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. |
“It was as if everybody was treated the same, and of course under this crisis that we have, that is entirely not the case,” he said on Tuesday. “We’ve been making the case that Covid dollars should follow Covid patients. How simple is that?” | “It was as if everybody was treated the same, and of course under this crisis that we have, that is entirely not the case,” he said on Tuesday. “We’ve been making the case that Covid dollars should follow Covid patients. How simple is that?” |
Mr. Raske said he spoke last week with Jared Kushner, President Trump’s son-in-law and a White House senior adviser, about hospital funding. | Mr. Raske said he spoke last week with Jared Kushner, President Trump’s son-in-law and a White House senior adviser, about hospital funding. |
The New York House delegation objected to the funding formula in a letter to Alex M. Azar II, the secretary of health and human services, and Seema Verma, the administrator of the federal Centers for Medicare and Medicaid Services. | The New York House delegation objected to the funding formula in a letter to Alex M. Azar II, the secretary of health and human services, and Seema Verma, the administrator of the federal Centers for Medicare and Medicaid Services. |
Lawmakers from other states, including the congressional delegations from New Jersey, Connecticut and Rhode Island, have made similar complaints. | Lawmakers from other states, including the congressional delegations from New Jersey, Connecticut and Rhode Island, have made similar complaints. |
Senator Chuck Schumer of New York, the minority leader, took issue with the allocation method on Monday in a letter to Mr. Azar that was also signed by Senator Patty Murray of Washington, the top Democrat on the Senate health committee, and Senator Ron Wyden of Oregon, the top Democrat on the Senate Finance Committee. | Senator Chuck Schumer of New York, the minority leader, took issue with the allocation method on Monday in a letter to Mr. Azar that was also signed by Senator Patty Murray of Washington, the top Democrat on the Senate health committee, and Senator Ron Wyden of Oregon, the top Democrat on the Senate Finance Committee. |
“While we appreciate the need to get funds out quickly, it is our strong view that the administration must allocate the remainder of the fund in a more targeted manner,” they wrote. | “While we appreciate the need to get funds out quickly, it is our strong view that the administration must allocate the remainder of the fund in a more targeted manner,” they wrote. |
The Department of Health and Human Services said in a statement that the $30 billion in payments went to health care providers nationwide, including those in areas hit hard by the pandemic and those “who are struggling to keep their doors open as healthy patients delay care and cancel elective services.” The department said it would quickly distribute additional funding, including for providers in hard-hit areas. | The Department of Health and Human Services said in a statement that the $30 billion in payments went to health care providers nationwide, including those in areas hit hard by the pandemic and those “who are struggling to keep their doors open as healthy patients delay care and cancel elective services.” The department said it would quickly distribute additional funding, including for providers in hard-hit areas. |
The methodology used to allocate the $30 billion, the department said, “allowed us to make initial payments to providers as quickly as possible without requiring an individualized application process.” | The methodology used to allocate the $30 billion, the department said, “allowed us to make initial payments to providers as quickly as possible without requiring an individualized application process.” |
“Our priority,” Ms. Verma said last week, “was on getting these dollars out as quickly as possible.” | “Our priority,” Ms. Verma said last week, “was on getting these dollars out as quickly as possible.” |