Iuigi
2020-04-02T01:09:26+00:00
latimes.com/politics/story/2020-04-07/hospitals-washington-seize-coronavirus-supplies
川普女婿这吃相有点难看啊，连医院的医疗用品都要征用..
机翻：
尽管特朗普总统已指示各州和医院确保他们可以提供的物资，但联邦政府正在悄悄地扣押订单，使全国各地的医疗提供者对物资的去向以及如何获得所需的物资一无所知。冠状病毒大流行。
在过去的一周中，七个州的医院和诊所官员在采访中气炸了。尽管纳税人花费了数百万美元，但联邦紧急事务管理局(Federal Emergency Management Agency)并未公开报告这些收购，而且政府也未详细说明如何决定扣押哪些供应品以及将其转移到何处。
查获材料的官员还说，他们没有从政府那里得到关于如何或是否可以使用订购的物品的指导。这引起了人们对如何使用公共资金以及特朗普政府是否正在公平分配稀缺医疗物资的担忧。
明尼苏达州Hennepin Healthcare的急诊医生John Hick博士说：“要对分配系统充满信心，要知道它是公平进行的，就必须透明。”国家科学，工程和医学研究院制定的防灾标准。
控制冠状病毒并使病人活着的前线医务人员表示，他们正在努力寻求解释。一位加州医院官员说：“我们无法得到任何答案。”他因不愿受到白宫的报复而要求不愿透露姓名。
在佛罗里达州，一个大型医疗系统收到了订购温度计的命令。马萨诸塞州一个系统的官员无法确定其口罩的去向。
“他们在储存这些东西吗？他们在分发吗？我们不知道，”一位官员说。“如果需要补给品，我们是否会退还其中的任何一项？知道这些事会很高兴。”
华盛顿，俄勒冈州和阿拉斯加的10医院系统PeaceHealth最近查获了一批检测用品。该系统的首席运营官理查德·德卡洛(Richard DeCarlo)说：“这真令人沮丧。
他说：“我们已经通过测试和防护设备使车轮动起来，以保护并保护我们的员工和患者。” “当测试无法进行时，我们不得不提出一个全新的计划。”
尽管PeaceHealth在西雅图地区没有医院，那里是首次发生国内冠状病毒的暴发，但是该系统中源源不断的潜在感染患者需要医生和护士进行全面防护设备的测试和护理。
特朗普和其他白宫官员，包括他的亲密顾问和女son贾里德·库什纳(Jared Kushner)，坚持认为联邦政府正在使用数据驱动的方法来采购物资，并将其引导到最需要的地方。
FEMA代表在回答《泰晤士报》的提问时说，该机构与卫生与公共服务部和国防部合作，已经开发出一种系统，用于识别供应商所需的物资并公平地分配它们。
该代表说，各州和主要都会区的人口中的代理因素以及不同地区冠状病毒爆发的严重程度。该代表说：“疫情比较严重的区域区被优先考虑，分配是基于人口，而不是所请求的数量。”
但是该机构拒绝提供任何细节，说明如何做出这些决定或为什么选择扣押一些供应订单而不是其他。政府官员也不会说什么供应到什么州。
特朗普上月通过朝鲜战争时期的国防生产法，允许总统在紧急状态下强制生产重要设备。特朗普上个月命令通用汽车生产呼吸机，以解决医院的短缺问题。
该法律还授权联邦机构下达关键材料的订单，并确保这些优先级高于私营公司或州和地方政府的订单。
专家表示，明智地利用这一权力可以通过将关键材料(通风机，口罩和其他防护用具)从供应商运送到联邦政府，再运送到最需要的地区(例如纽约)，来帮助将医疗用品市场定单。
然而，几乎没有迹象表明联邦官员正在控制市场，因为医院，医生和其他人报告称付出了高昂的价格或诉诸非正统的手段来获得所需的东西。
医院和卫生官员描述了一个不透明的过程，在此过程中，联邦官员不加警告地掠夺了补给品。
得克萨斯州Assn负责人Jose Camacho。社区卫生中心的代表说，当他的供应商报告说已经拿到订单时，他所在的小组正试图购买一份只有20,000个口罩的小订单。
卡马乔很吃惊。他的几家会员诊所(作为初级保健中心应该可以减轻对负担过重的医院的压力)，在严重缺乏防护设备的情况下，努力保持开放
卡马乔说：“每个人都应该让你自己一个人，”他指出特朗普一再警告说，各州和地方卫生系统不能依靠华盛顿来供应物资。“然后要发生这种情况，您只是坐在那里想知道您还能做什么。你不能与联邦政府抗争。”
川普女婿这吃相有点难看啊，连医院的医疗用品都要征用..
英文原文 ...
WASHINGTON — Although President Trump has directed states and hospitals to secure what supplies they can, the federal government is quietly seizing orders, leaving medical providers across the country in the dark about where the material is going and how they can get what they need to deal with the coronavirus pandemic.
Hospital and clinic officials in seven states described the seizures in interviews over the past week. The Federal Emergency Management Agency is not publicly reporting the acquisitions, despite the outlay of millions of dollars of taxpayer money, nor has the administration detailed how it decides which supplies to seize and where to reroute them.
Officials who’ve had materials seized also say they’ve received no guidance from the government about how or if they will get access to the supplies they ordered. That has stoked concerns about how public funds are being spent and whether the Trump administration is fairly distributing scarce medical supplies.
“In order to have confidence in the distribution system, to know that it is being done in an equitable manner, you have to have transparency,” said Dr. John Hick, an emergency physician at Hennepin Healthcare in Minnesota who has helped develop national emergency preparedness standards through the National Academies of Sciences, Engineering and Medicine.
The medical leaders on the front lines of the fight to control the coronavirus and keep patients alive say they are grasping for explanations. “We can’t get any answers,” said a California hospital official who asked not to be identified for fear of retaliation from the White House.
In Florida, a large medical system saw an order for thermometers taken away. And officials at a system in Massachusetts were unable to determine where its order of masks went.
“Are they stockpiling this stuff? Are they distributing it? We don’t know,” one official said. “And are we going to ever get any of it back if we need supplies? It would be nice to know these things.”
PeaceHealth, a 10-hospital system in Washington, Oregon and Alaska, had a shipment of testing supplies seized recently. “It’s incredibly frustrating,” said Richard DeCarlo, the system’s chief operating officer.
“We had put wheels in motion with testing and protective equipment to allow us to secure and protect our staff and our patients,” he said. “When testing went off the table, we had to come up with a whole new plan.”
Although PeaceHealth doesn’t have hospitals in the Seattle area, where the first domestic coronavirus outbreak occurred, the system has had a steady stream of potentially infected patients who require testing and care by doctors and nurse in full protective equipment.
Trump and other White House officials, including his close advisor and son-in-law Jared Kushner, have insisted that the federal government is using a data-driven approach to procure supplies and direct them where they are most needed.
In response to questions from The Times, a FEMA representative said the agency, working with the Department of Health and Human Services and the Department of Defense, has developed a system for identifying needed supplies from vendors and distributing them equitably.
The representative said the agency factors in the populations of states and major metropolitan areas and the severity of the coronavirus outbreak in various locales. “High-transmission areas were prioritized, and allocations were based on population, not on quantities requested,” the representative said.
But the agency has refused to provide any details about how these determinations are made or why it is choosing to seize some supply orders and not others. Administration officials also will not say what supplies are going to what states.
Using the Defense Production Act, a Korean War-era law that allows the president to compel the production of vital equipment in a national emergency, Trump last month ordered General Motors to produce ventilators to address shortfalls at hospitals.
The law also empowers federal agencies to place orders for critical materials and to see that those get priority over orders from private companies or state and local governments.
Experts say judicious use of this authority could help bring order to the medical supply market by routing critical material — ventilators, masks and other protective gear — from suppliers to the federal government and then to areas of greatest need, such as New York.
Yet there is little indication that federal officials are controlling the market, as hospitals, doctors and others report paying exorbitant prices or resorting to unorthodox maneuvers to get what they need.
Hospital and health officials describe an opaque process in which federal officials sweep in without warning to expropriate supplies.
Jose Camacho, who heads the Texas Assn. of Community Health Centers, said his group was trying to purchase a small order of just 20,000 masks when his supplier reported that the order had been taken.
Camacho was flabbergasted. Several of his member clinics — which as primary care centers are supposed to alleviate pressure on overburdened hospitals — are struggling to stay open amid woeful shortages of protective equipment
“Everyone says you are supposed to be on your own,” Camacho said, noting Trump’s repeated admonition that states and local health systems cannot rely on Washington for supplies. “Then to have this happen, you just sit there wondering what else you can do. You can’t fight the federal government.”
Hospital and clinic officials in seven states described the seizures in interviews over the past week. The Federal Emergency Management Agency is not publicly reporting the acquisitions, despite the outlay of millions of dollars of taxpayer money, nor has the administration detailed how it decides which supplies to seize and where to reroute them.
Officials who’ve had materials seized also say they’ve received no guidance from the government about how or if they will get access to the supplies they ordered. That has stoked concerns about how public funds are being spent and whether the Trump administration is fairly distributing scarce medical supplies.
“In order to have confidence in the distribution system, to know that it is being done in an equitable manner, you have to have transparency,” said Dr. John Hick, an emergency physician at Hennepin Healthcare in Minnesota who has helped develop national emergency preparedness standards through the National Academies of Sciences, Engineering and Medicine.
The medical leaders on the front lines of the fight to control the coronavirus and keep patients alive say they are grasping for explanations. “We can’t get any answers,” said a California hospital official who asked not to be identified for fear of retaliation from the White House.
In Florida, a large medical system saw an order for thermometers taken away. And officials at a system in Massachusetts were unable to determine where its order of masks went.
“Are they stockpiling this stuff? Are they distributing it? We don’t know,” one official said. “And are we going to ever get any of it back if we need supplies? It would be nice to know these things.”
PeaceHealth, a 10-hospital system in Washington, Oregon and Alaska, had a shipment of testing supplies seized recently. “It’s incredibly frustrating,” said Richard DeCarlo, the system’s chief operating officer.
“We had put wheels in motion with testing and protective equipment to allow us to secure and protect our staff and our patients,” he said. “When testing went off the table, we had to come up with a whole new plan.”
Although PeaceHealth doesn’t have hospitals in the Seattle area, where the first domestic coronavirus outbreak occurred, the system has had a steady stream of potentially infected patients who require testing and care by doctors and nurse in full protective equipment.
Trump and other White House officials, including his close advisor and son-in-law Jared Kushner, have insisted that the federal government is using a data-driven approach to procure supplies and direct them where they are most needed.
In response to questions from The Times, a FEMA representative said the agency, working with the Department of Health and Human Services and the Department of Defense, has developed a system for identifying needed supplies from vendors and distributing them equitably.
The representative said the agency factors in the populations of states and major metropolitan areas and the severity of the coronavirus outbreak in various locales. “High-transmission areas were prioritized, and allocations were based on population, not on quantities requested,” the representative said.
But the agency has refused to provide any details about how these determinations are made or why it is choosing to seize some supply orders and not others. Administration officials also will not say what supplies are going to what states.
Using the Defense Production Act, a Korean War-era law that allows the president to compel the production of vital equipment in a national emergency, Trump last month ordered General Motors to produce ventilators to address shortfalls at hospitals.
The law also empowers federal agencies to place orders for critical materials and to see that those get priority over orders from private companies or state and local governments.
Experts say judicious use of this authority could help bring order to the medical supply market by routing critical material — ventilators, masks and other protective gear — from suppliers to the federal government and then to areas of greatest need, such as New York.
Yet there is little indication that federal officials are controlling the market, as hospitals, doctors and others report paying exorbitant prices or resorting to unorthodox maneuvers to get what they need.
Hospital and health officials describe an opaque process in which federal officials sweep in without warning to expropriate supplies.
Jose Camacho, who heads the Texas Assn. of Community Health Centers, said his group was trying to purchase a small order of just 20,000 masks when his supplier reported that the order had been taken.
Camacho was flabbergasted. Several of his member clinics — which as primary care centers are supposed to alleviate pressure on overburdened hospitals — are struggling to stay open amid woeful shortages of protective equipment
“Everyone says you are supposed to be on your own,” Camacho said, noting Trump’s repeated admonition that states and local health systems cannot rely on Washington for supplies. “Then to have this happen, you just sit there wondering what else you can do. You can’t fight the federal government.”
机翻：
尽管特朗普总统已指示各州和医院确保他们可以提供的物资，但联邦政府正在悄悄地扣押订单，使全国各地的医疗提供者对物资的去向以及如何获得所需的物资一无所知。冠状病毒大流行。
在过去的一周中，七个州的医院和诊所官员在采访中气炸了。尽管纳税人花费了数百万美元，但联邦紧急事务管理局(Federal Emergency Management Agency)并未公开报告这些收购，而且政府也未详细说明如何决定扣押哪些供应品以及将其转移到何处。
查获材料的官员还说，他们没有从政府那里得到关于如何或是否可以使用订购的物品的指导。这引起了人们对如何使用公共资金以及特朗普政府是否正在公平分配稀缺医疗物资的担忧。
明尼苏达州Hennepin Healthcare的急诊医生John Hick博士说：“要对分配系统充满信心，要知道它是公平进行的，就必须透明。”国家科学，工程和医学研究院制定的防灾标准。
控制冠状病毒并使病人活着的前线医务人员表示，他们正在努力寻求解释。一位加州医院官员说：“我们无法得到任何答案。”他因不愿受到白宫的报复而要求不愿透露姓名。
在佛罗里达州，一个大型医疗系统收到了订购温度计的命令。马萨诸塞州一个系统的官员无法确定其口罩的去向。
“他们在储存这些东西吗？他们在分发吗？我们不知道，”一位官员说。“如果需要补给品，我们是否会退还其中的任何一项？知道这些事会很高兴。”
华盛顿，俄勒冈州和阿拉斯加的10医院系统PeaceHealth最近查获了一批检测用品。该系统的首席运营官理查德·德卡洛(Richard DeCarlo)说：“这真令人沮丧。
他说：“我们已经通过测试和防护设备使车轮动起来，以保护并保护我们的员工和患者。” “当测试无法进行时，我们不得不提出一个全新的计划。”
尽管PeaceHealth在西雅图地区没有医院，那里是首次发生国内冠状病毒的暴发，但是该系统中源源不断的潜在感染患者需要医生和护士进行全面防护设备的测试和护理。
特朗普和其他白宫官员，包括他的亲密顾问和女son贾里德·库什纳(Jared Kushner)，坚持认为联邦政府正在使用数据驱动的方法来采购物资，并将其引导到最需要的地方。
FEMA代表在回答《泰晤士报》的提问时说，该机构与卫生与公共服务部和国防部合作，已经开发出一种系统，用于识别供应商所需的物资并公平地分配它们。
该代表说，各州和主要都会区的人口中的代理因素以及不同地区冠状病毒爆发的严重程度。该代表说：“疫情比较严重的区域区被优先考虑，分配是基于人口，而不是所请求的数量。”
但是该机构拒绝提供任何细节，说明如何做出这些决定或为什么选择扣押一些供应订单而不是其他。政府官员也不会说什么供应到什么州。
特朗普上月通过朝鲜战争时期的国防生产法，允许总统在紧急状态下强制生产重要设备。特朗普上个月命令通用汽车生产呼吸机，以解决医院的短缺问题。
该法律还授权联邦机构下达关键材料的订单，并确保这些优先级高于私营公司或州和地方政府的订单。
专家表示，明智地利用这一权力可以通过将关键材料(通风机，口罩和其他防护用具)从供应商运送到联邦政府，再运送到最需要的地区(例如纽约)，来帮助将医疗用品市场定单。
然而，几乎没有迹象表明联邦官员正在控制市场，因为医院，医生和其他人报告称付出了高昂的价格或诉诸非正统的手段来获得所需的东西。
医院和卫生官员描述了一个不透明的过程，在此过程中，联邦官员不加警告地掠夺了补给品。
得克萨斯州Assn负责人Jose Camacho。社区卫生中心的代表说，当他的供应商报告说已经拿到订单时，他所在的小组正试图购买一份只有20,000个口罩的小订单。
卡马乔很吃惊。他的几家会员诊所(作为初级保健中心应该可以减轻对负担过重的医院的压力)，在严重缺乏防护设备的情况下，努力保持开放
卡马乔说：“每个人都应该让你自己一个人，”他指出特朗普一再警告说，各州和地方卫生系统不能依靠华盛顿来供应物资。“然后要发生这种情况，您只是坐在那里想知道您还能做什么。你不能与联邦政府抗争。”