Be INFORMED

Friday, July 31, 2009

" Cash for Clunklers" Breaks Down..

... and this is going to be somewhat of an embarrassment for the Obama administration.
The " cash for clunkers " program had just gotten started this past Monday, with some $950 million dollars of taxpayer cash and the cash has already been used up! I guess that the government hadn't counted on the program being so popular as it is.
This leaves the Obama team having to search for some more cash in order to keep the program active. Auto dealers have let the government know that the funds are gone and this little problem also has the dealers concerned because they are worried that the funds will not be around in order to complete some of the deals that are already in the works.

Calls to suspend the plan came after auto dealers warned the government
that it was in danger of losing count of how many trades had been made. Since
the program was to run as long as there was money left in the $950 million pool,
dealers have been concerned the fund could run dry before they were
reimbursed for all their deals — which require them to junk the clunker.
The plan offering owners of old cars and trucks $3,500 or $4,500 toward
a new, more-efficient vehicle has proven wildly popular, with 22,782 trades
certified by federal officials since Monday. But the National Highway
Traffic Safety Administration told dealers Wednesday that a vast majority of
transactions submitted were being rejected for incomplete or illegible
paperwork.

A survey of 2,000 dealers by the National Automobile Dealers
Association, the results of which were obtained by McClatchy Newspapers,
found about 25,000 deals not yet approved by NHTSA, or about 13 trades per
store. With 23,005 dealers asking to be part of the program, auto dealers
may have already arranged the sale of more than the 250,000 vehicles that federal officials expected the plan to generate. http://www.tampabay.com/incoming/article1023508.ece

Several Michigan lawmakers have vowed to press for more money for the program, which had originally been set for $4 billion. But Sen. Dianne Feinstein, D-Calif., has said she would block additional money unless the program was changed to boost the gains in fuel economy between old and new models.

Maybe the Congress could take back some of the casg given to the big brokerage firms and hand it over to this program. This would be a stimulus that the people of America can live with, seeing that the cash is actually going in at the bottom and then working its way up throughout the economic chain.

Tuesday, July 28, 2009

Swine Flu Update...

...and this is as of July 24,2009. As of this date, 43,771 cases are confirmed as laboratory identified cases of the new H1N1 virus. There has been 302 deaths reported in the United States with more expected as the season runs into the fall and the winter. The CDC thinks that there have been over a million cases of swine flu thus far, with 20 states having reported widespread or regional activity. This H1N1 is here to stay for a while folks.
From http://www.cdc.gov/media/transcripts/2009/t090724.htm

But as we've been saying, that's really just the tip of the iceberg, so we're no
longer going to expect the states will continue this individual reporting
and we're going to transition to other ways of describing the illness and
the pattern. On our website you can see something called "FluView,"
which goes through much more detail about what's happening in different
parts of the country. We believe there have been well over a million
cases of the new H1N1 virus so far in The United States. As I said, it's
very unusual for that kind of illness to be occurring at this time of the
year. The Novel H1N1 viruses are making up 98% of all the subtyped
viruses we have, subtype influenza A viruses, and we're seeing them dominate
here in the U.S.
Yesterday we provided a little update about the clinical patterns that we were
seeing with the H1N1 virus. There was a report about four children who
had severe neurologic complications. Fortunately, most of these
children have done well. But it's just a reminder that seizure,
encephalitis and other neurologic complications can occur in
influenza. This is reported in the literature -- quite a bit for
seasonal influenza -- and now it's also occurring with this new H1N1
virus. We don't know whether neurologic problems will be more common
with this virus, but we want clinicians to be on the lookout for that and to
think about testing and treating for influenza in such circumstances.
We know that neurologic problems like seizures are very concerning for
parents and we want them to have this conversation that that is one more
thing to be on the lookout for in conjunction with influenza. And
another reason that we're taking this new H1N1 virus so seriously, in terms
of what we're working on and the things that we're busy preparing for,
there's a lot of work going on at CDC, HHS and across the government to be
ready for the fall.

All of this info was provided at a CDC press conference, which also had a little question and answer session. Following are a couple of the questions and answers.

Miriam Falco: Hi. Dr. Schuchat, thanks for taking the questions.
Would you say that, especially given the information we got from NOWR on the
neurological problems, would you still characterize this strain of flu being
mild, causing mild and moderate illness, or is it more severe than that?
Anne Schuchat: I don't like to use the word "mild" for the new H1N1
influenza virus. I actually think this is a virus that's capable of
causing a spectrum of illness that includes severe complications and
death. Each person is different and each person experiencing this virus
has a slightly different scenario. We've seen people with high fever and
cough and respiratory illness and really not able to do much more than four or
five days. Then we've seen people who have difficulty breathing, severe
respiratory failure and need to be in intensive care unit for weeks. So I
think there's really a spectrum. The neurologic features that we heard
about in the NOWR yesterday are just the reminder of the many ways influenza can
cause disease. Of course this new strain of influenza is causing some of
the complex presentations as well, encephalitis, high fever and seizure.
So I think, you know, it's very important we take this virus seriously.

Maggie Fox: Hi, Dr. Schuchat. I'm sorry to ask you to do this because
you say you don't like to say how many but the million number is getting kind of
old at this point. We're trying to explain to people all around the world
how many might truly be affected so we can get away from the count thing.
Is there a better estimate how widespread this is likely to be, given that we
have 500,000 deaths every year from seasonal flu which suggests many tens of
millions are affected.
Anne Schuchat: For The United States for
seasonal flu we have about 36,000 deaths and about 200,000
hospitalizations. And we think that millions and millions of people are
affected. Probably 20 million or more people are infected every year with
seasonal influenza viruses. What I can tell you that we know right now is
that in communities where this particular virus has circulated, we saw community
attack rates of 6% to 8%. But this virus didn't circulate everywhere this
past spring. We had the 6% to 8% attack rate just during the spring
months. So we think in a longer winter season, attack rates would probably
reach higher levels than that, that we would see quite a bit more than
that. Maybe more two or three times as high as that. So I think that
when people are trying to really get their arms around just how bad this will
be, what I like to say is that we need to be ready for it to be
challenging. We have lots of ways that we can limit the impact that it
has, but it's going to take us working together. We know that our
emergency rooms are often crowded in the regular year, and particularly in the
winter season they can be crowded. This particular virus might crowd the
emergency department season more. So one of our goals is to work with the
medical community and the population to help people know when you don't really
need to go to the emergency department and when you do so we can free those up
for the most relevant cases, the cases that really need management there.
And so unfortunately with influenza we just can't put numbers down to
this. I suspect years after next year we'll have a good idea exactly how
large the impact was and how much we prevented through the efforts that we work.

Get your vaccine people, this is going to get ugly. If you are a diabetic, as much as I hate to say this, go and get your shot. You will be glad that you did.