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The New England Journal of Medicine asking Americans to vote in new leadership is unprecedented

The New England Journal of Medicine asking Americans to vote in new leadership is unprecedented

The New England Journal of Medicine is the oldest continuously published peer-reviewed medical journal in the world, and among the most prestigious professional journals on earth. Founded in 1812, the NEJM is where medical professionals have turned for the latest and greatest scientific research for more than two centuries.

The journal rarely publishes editorials signed by all the editors, editor-in-chief Dr. Eric Rubin told CNN. And it has never weighed in on an election—until now.

Rubin penned the editorial published on October 8 and titled "Dying in a Leadership Vacuum." Without mincing words, it calls on the United States to vote out the current leaders who have failed the "test of leadership" the pandemic has created. "They have taken a crisis and turned it into a tragedy," the editors wrote. "The magnitude of this failure is astonishing."

The editorial can be read in full on the NEJM website, but here are some highlights:

First, in how we compare with other countries:


"The death rate in this country is more than double that of Canada, exceeds that of Japan, a country with a vulnerable and elderly population, by a factor of almost 50, and even dwarfs the rates in lower-middle-income countries, such as Vietnam, by a factor of almost 2000."

"Countries that had far more exchange with China, such as Singapore and South Korea, began intensive testing early, along with aggressive contact tracing and appropriate isolation, and have had relatively small outbreaks. And New Zealand has used these same measures, together with its geographic advantages, to come close to eliminating the disease, something that has allowed that country to limit the time of closure and to largely reopen society to a prepandemic level. In general, not only have many democracies done better than the United States, but they have also outperformed us by orders of magnitude."

On why the U.S. response has been so bad:

"We have failed at almost every step. We had ample warning, but when the disease first arrived, we were incapable of testing effectively and couldn't provide even the most basic personal protective equipment to health care workers and the general public. And we continue to be way behind the curve in testing. While the absolute numbers of tests have increased substantially, the more useful metric is the number of tests performed per infected person, a rate that puts us far down the international list, below such places as Kazakhstan, Zimbabwe, and Ethiopia, countries that cannot boast the biomedical infrastructure or the manufacturing capacity that we have."

"The United States instituted quarantine and isolation measures late and inconsistently, often without any effort to enforce them, after the disease had spread substantially in many communities. Our rules on social distancing have in many places been lackadaisical at best, with loosening of restrictions long before adequate disease control had been achieved. And in much of the country, people simply don't wear masks, largely because our leaders have stated outright that masks are political tools rather than effective infection control measures."

On federal responsibility:

"The response of our nation's leaders has been consistently inadequate. The federal government has largely abandoned disease control to the states. Governors have varied in their responses, not so much by party as by competence. But whatever their competence, governors do not have the tools that Washington controls. Instead of using those tools, the federal government has undermined them."

After lamenting the hamstringing and politicization of the CDC, the NIH, and the FDA, the journal blasted government officials for undermining science.

"Our current leaders have undercut trust in science and in government, causing damage that will certainly outlast them. Instead of relying on expertise, the administration has turned to uninformed "opinion leaders" and charlatans who obscure the truth and facilitate the promulgation of outright lies."

And after lamenting the costs of "not taking even simple measures," the editors called on the American citizens to replace the leadership that got us here.

"Anyone else who recklessly squandered lives and money in this way would be suffering legal consequences. Our leaders have largely claimed immunity for their actions. But this election gives us the power to render judgment. Reasonable people will certainly disagree about the many political positions taken by candidates. But truth is neither liberal nor conservative. When it comes to the response to the largest public health crisis of our time, our current political leaders have demonstrated that they are dangerously incompetent. We should not abet them and enable the deaths of thousands more Americans by allowing them to keep their jobs."

While the journal refrained from referring to any specific leaders by name, we all know who they're talking about. The Trump administration has failed the country in its handling of the pandemic, full stop.

Case in point:

We don't need a medical journal to tell us what we can see with our own eyes, but it sure is refreshing to see it being laid out for history to remember.


Planet

Easy (and free!) ways to save the ocean

The ocean is the heart of our planet. It needs our help to be healthy.

Ocean Wise

Volunteers at a local shoreline cleanup

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The ocean covers over 71% of the Earth’s surface and serves as our planet’s heart. Ocean currents circulate vital heat, moisture, and nutrients around the globe to influence and regulate our climate, similar to the human circulatory system. Cool, right?

Our ocean systems provide us with everything from fresh oxygen to fresh food. We need it to survive and thrive—and when the ocean struggles to function healthfully, the whole world is affected.

Pollution, overfishing, and climate change are the three biggest challenges preventing the ocean from doing its job, and it needs our help now more than ever. Humans created the problem; now humans are responsible for solving it.

#BeOceanWise is a global rallying cry to do what you can for the ocean, because we need the ocean and the ocean needs us. If you’re wondering how—or if—you can make a difference, the answer is a resounding YES. There are a myriad of ways you can help, even if you don’t live near a body of water. For example, you can focus on reducing the amount of plastic you purchase for yourself or your family.

Another easy way to help clean up our oceans is to be aware of what’s known as the “dirty dozen.” Every year, scientists release an updated list of the most-found litter scattered along shorelines. The biggest culprit? Single-use beverage and food items such as foam cups, straws, bottle caps, and cigarette butts. If you can’t cut single-use plastic out of your life completely, we understand. Just make sure to correctly recycle plastic when you are finished using it. A staggering 3 million tons of plastic ends up in our oceans annually. Imagine the difference we could make if everyone recycled!

The 2022 "Dirty Dozen" ListOcean Wise

If you live near a shoreline, help clean it up! Organize or join an effort to take action and make a positive impact in your community alongside your friends, family, or colleagues. You can also tag @oceanwise on social if you spot a beach that needs some love. The location will be added to Ocean Wise’s system so you can submit data on the litter found during future Shoreline Cleanups. This data helps Ocean Wise work with businesses and governments to stop plastic pollution at its source. In Canada, Ocean Wise data helped inform a federal ban on unnecessary single-use plastics. Small but important actions like these greatly help reduce the litter that ends up in our ocean.

Ocean Wise, a conservation organization on a mission to restore and protect our oceans, is focused on empowering and educating everyone from individuals to governments on how to protect our waters. They are making conservation happen through five big initiatives: monitoring and protecting whales, fighting climate change and restoring biodiversity, innovating for a plastic-free ocean, protecting and restoring fish stocks, and finally, educating and empowering youth. The non-profit believes that in order to rebuild a resilient and vibrant ocean within the next ten years, everyone needs to take action.

Become an Ocean Wise ally and share your knowledge with others. The more people who know how badly the ocean needs our help, the better! Now is a great time to commit to being a part of something bigger and get our oceans healthy again.

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The hobby has caught the attention of law enforcement and government agencies because urban waterways are a popular place for criminals to drop weapons and stolen items after committing a crime. In 2019, a magnet fisherman in Michigan pulled up an antique World War I mortar grenade and the bomb squad had to be called out to investigate.


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