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Vaccine Distribution, State-by-State Discrepancies, and the Worsening Crisis
In this email:
* ‘The Most Difficult Time’
* The Cost of Evictions
* Covid-19 in Behavioral Health and Addiction Treatment Programs 


American Oversight’s Covid-19 Oversight Hub ([link removed]) provides news and policy resources to help you keep track of the investigations into the government’s pandemic response. The project brings together a public documents database, an oversight tracker of important ongoing investigations and litigation, regular news updates, and deeper dives into key issues.

This Week’s Hearings
* Tues., Dec. 8: The House Committee on Veterans' Affairs will hold a hearing ([link removed]) to discuss ways to support veterans throughout and after the pandemic.
* Wed., Dec. 9: The Senate Committee on Veterans' Affairs will hold a hearing ([link removed]) about the Department of Veterans Affairs’ response to the Covid-19 crisis.
* Thurs., Dec. 10: The Senate Committee on Commerce, Science, and Transportation will hold a hearing ([link removed]) about how to transport a Covid-19 vaccine.
* Thurs., Dec. 10: The Senate Committee on Small Business and Entrepreneurship will hold a hearing ([link removed]) to discuss the impacts of the Paycheck Protection Program and its future.
* Thurs., Dec. 10: The Congressional Oversight Commission will hold its third public hearing ([link removed]) to examine the use of funds authorized by the CARES Act.


‘The Most Difficult Time’
As the months get colder, the pandemic’s toll is expected to keep growing. Centers for Disease Control and Prevention Director Robert Redfield has said ([link removed]) he believes the next three months will be “the most difficult time in the public health history of this nation." The United States surpassed 100,000 hospitalizations ([link removed]) due to the coronavirus on Sunday, and as the national hospital system becomes overwhelmed ([link removed]) , the country faces the possibility of surpassing 3,000 daily deaths ([link removed]) this week.

The Consequences of a State-by-State Approach
ProPublica reported ([link removed]) that states with few coronavirus restrictions are undermining the mitigation efforts of nearby or neighboring states, since individuals can freely cross borders to attend maskless events, often contracting Covid-19 in the process. A USA Today ([link removed]) investigation revealed that residents of Florida who were infected with Covid-19 visited at least 46 states in the weeks before they tested positive, further illustrating the dangers of inter-state travel.

From Federal Agencies:
* The CDC recommended ([link removed]) that all states encourage and enforce mask-wearing in public spaces, frequently test essential workers, and limit the use of high-risk nonessential spaces such as indoor restaurants.
* The CDC updated its quarantine guidelines ([link removed]) for those who have been in close contact with someone with Covid-19. Though the agency maintains that a 14-day quarantine is the safest option, the new recommendations state that a quarantine can end after seven days if the individual tests negative for the coronavirus. Without a test, the quarantine can end after 10 days.
* The Small Business Administration released its remaining data ([link removed]) on businesses and individuals receiving loans through the Paycheck Protection Program. The watchdog group Accountable.US has compiled the latest tranche of data into a searchable database ([link removed]) .
* A new CDC study showed ([link removed]) that Covid-19 may have been present in the U.S. as early as December 2019, a month earlier than previously believed.


Vaccine Distribution Recommendations Arrive...
Last week, the Advisory Committee on Immunization Practices, a panel of medical and public health experts that advises the CDC, officially recommended ([link removed]) that the first doses of a coronavirus vaccine be given to health-care workers and residents and staff of long-term care facilities, such as nursing homes. These recommendations were adopted by CDC Director Robert Redfield and now inform the actions of the Department of Health and Human Services, as well as state officials.

...But Details Remain Unclear
So far, the federal government has left most distribution details to the states, only committing to providing vaccinated individuals paper cards ([link removed]) to remind them of their second dose (both Pfizer and Moderna’s vaccines require two doses to be effective). State plans remain disparate — some ([link removed]) may have health providers make the tough decisions on vaccine allocation, and some ([link removed]) may decide not to prioritize incarcerated people, despite high numbers of Covid-19 cases in prisons.

The process might not be smooth, either. Despite the promises made by Operation Warp Speed leaders, state officials have said ([link removed]) that many health-care workers and nursing home residents will not be vaccinated in December. Hospitals may have to stagger vaccinations to mitigate the disruption that minor side effects ([link removed]) , like headaches and fatigue, could have on the work of essential health-care employees during a time of increasing Covid-19 hospitalizations. Additionally, the wealthy may try to jump ahead ([link removed]) in line, by playing up medical diagnoses, lobbying to have certain careers labeled “essential,” or taking other measures.

White House Actions
After months of promoting dubious and dangerous public health strategies, White House adviser Scott Atlas resigned ([link removed]) last Monday. Atlas’ departure was followed by the White House Coronavirus Task Force escalating warnings in its most recent report ([link removed]) , which urged Americans over 65 to fully isolate and those who traveled over Thanksgiving to “behave as if [they] have the virus.”

After weeks of inaction ([link removed]) , President Donald Trump returned to his attempts to pressure federal agencies, admonishing ([link removed]) Food and Drug Administration officials for not authorizing coronavirus vaccines fast enough. This week, the president will host ([link removed]) state and federal government officials, leading vaccine manufacturers, and drug distributors at a “Covid-19 Vaccine Summit,” which some have criticized as a political event.

The Cost of Evictions
A newly published academic study ([link removed]) examined the lifting of eviction moratoriums in 27 states from the spring and summer, finding that ending these moratoriums was linked to an average of 433,700 new Covid-19 cases and 10,700 deaths. The CDC’s national eviction moratorium ([link removed]) , which was instituted in September, is set to expire at the end of the year, and by that time, nearly 12 million renters ([link removed]) will owe thousands of dollars in back rent and utilities.

The Congressional Oversight Commission’s Latest Report
The Congressional Oversight Commission released its seventh report ([link removed]) , which focused on the Treasury Department and the Department of Defense’s $700 million loan to transportation company YRC Worldwide. The loan was made under a program designed for businesses critical to national security, but the Department of Defense has not provided a satisfactory explanation for how YRC fits that description. The commission also expressed concerns about the terms and conditions of the loan; YRC had poor credit ratings before and during the pandemic, yet the Treasury provided the loan at a significantly lower interest rate than those offered to other borrowers with similar credit ratings.

Covid-19 in Behavioral Health and Addiction Treatment Programs
The House Oversight Committee, Sen. Elizabeth Warren, and Rep. Katie Porter released a report ([link removed]) detailing findings from a comprehensive survey of Covid-19 outbreaks in behavioral health and addiction treatment programs. More than half of residential behavioral health facilities covered by the survey had at least one Covid-19 case, while one in seven facilities had larger outbreaks. The investigation found that limited testing capacity prevented residential behavioral health programs from conducting routine testing and that facilities' paid sick leave policies did not provide sufficient coverage for all workers.
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Thank you again for following our latest news. We are grateful for your support and for helping us hold the administration accountable.

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