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CNN  — 

The US Covid situation is as dire as ever, with 1,500 people dying each day – an average of 150,000 new cases each day.

With more than 100,000 hospitalized Americans, the number of deaths – almost certainly an undercount – will continue to rise above the 653,000 current total. It seems sure to eclipse the death total from the 1918 influenza pandemic and is far greater than every US conflict except the Civil War.

President Joe Biden, outlining a new Covid strategy on Thursday, expressed near-anger at the unvaccinated. “We’ve been patient, but our patience is wearing thin, and your refusal has cost all of us,” he said, before laying out new mandates and requirements for US citizens to get the virus under control.

What’s the plan? Biden has a new six-prong strategy to deal with the virus. If you’re like me you’ve lost track of the distinct government efforts and restarts. This is just the latest.

Biden’s plan (read a full summary here) includes these points:

1. Vaccinating the unvaccinated with mandates for workers, public and private. Biden directed the Labor Department to require all employers with more than 100 workers to require either the vaccine or regular testing. That’s an effort sure to find its way to federal court. In addition, the White House will strengthen vaccination requirements for most federal workers, but remove the option for workers to get regular testing rather than the vaccination. He’ll sign an executive order requiring the same standard from federal contractors.

All told, that’s 2.5 million workers. It’s a step they hope will spur similar actions in the private sector. Biden last month signed an order requiring nursing homes that received Medicare and Medicaid funding to vaccinate their workers.

I asked Ariel Edwards-Levy of CNN’s polling and election team what we know about whether companies are requiring vaccines and how workers feel about them.

She flagged two recent polls:

  • 19% of US employees said their employer will require Covid-19 vaccination to return to the workplace, according to Gallup survey in August. That’s roughly doubled from 9% in July. It also finds that an additional 55% of employers are now encouraging, though not requiring, workers to get vaccinated.
  • Even in workplaces without a mandate, only a minority of employees are unvaccinated – less than a third in an ABC News/Washington Post poll. But a majority of those said they would rather quit than get the shot.

2. Further protecting the vaccinated through booster shots. There’s been some confusion about this as the country moves closer to recommending boosters for the most at-risk Americans. Some recipients of the Pfizer vaccine could be ready for boosters as soon as September 20, although the FDA has not yet approved them. A key advisory board meets September 17 and the Centers for Disease Control and Prevention would still have to set guidelines for who should get them. The CDC website suggests people should not get a booster until at least eight months after getting their second dose. Look for the emphasis to be on older Americans and first responders vaccinated early on.

3. Keeping schools open. Schools are the angriest flashpoint as people fight over mask requirements. Biden promised to make up the salary of any teacher or administrator whose pay was withheld by a state opposing mask requirements.

He also said he will require that 300,000 educators in federal Head Start programs be vaccinated and will call on governors to require vaccinations for schoolteachers and staff.

As the school year starts, schools around the country are dealing with quarantines for teachers and students disrupting what was supposed to be the great return. The Los Angeles Unified School district was set to open a new front in that fight when it moved toward becoming the first major US school district to require vaccination for kids over 12. Increased testing at schools in places there the virus is moving rapidly could cut down on spread. But so too will requiring the vaccine among students.

Infections and hospitalizations among kids are rising, which worries experts, but they are still the least likely age group to get sick or die from the virus. Among recent infections, more than a quarter were children, but less than 3% of hospitalizations are for children. Some younger kids develop an inflammatory ailment – MISC-C – after contracting Covid-19. That can keep them hospitalized for weeks.

Related: Read more about kids and the Delta variant

4. Increasing testing. The Defense Production Act will be used to accelerate the production of rapid tests, and the administration is planning to send 25-million free tests to US health clinics.

Some retailers, like Amazon, Kroger and Walmart, will sell the at-home tests at cost for the next three months, Biden said.

Regular and affordable testing, if done right, could not only diagnose people who feel sick, it could stop the spread of the pandemic by letting people know if they are contagious and need to stay home, even if they don’t feel sick. Scientists have been pushing for this kind of testing – accessible, affordable and ideally, at home – since the start of the pandemic.

5. Economic recovery. The eviction moratorium and expanded unemployment insurance have expired. The government’s toolkit to help those hurt by the pandemic is veering away from direct help.

But Biden announced Thursday his administration would expand the Economic Injury Disaster Loan program to allow for small businesses to borrow up to $2 million – up from the current $500,000 – in low interest, long-term loans if their sales have been impacted by Covid-19.

In July, the number of jobs available in the United States climbed to 10.9 million, a new record high, the Bureau of Labor Statistics reported Wednesday.

6. Improving care for those with Covid-19. The US will also increase the availability of new medicines “recommended by real doctors, not conspiracy theorists,” to help Covid-19 patients, Biden said.

“We’ve already distributed 1.4 million courses of these treatments to save lives and reduce the strain on hospitals. Tonight, I’m announcing will increase the average pace of shipment across the country, a free monoclonal antibody treatments by another 50%,” the President said.

Additionally, the Department of Defense will double the number of military health teams available to help overburdened hospitals around the country.

Watch this to understand the unvaccinated

Ozarks Missouri covid surge elle pkg thumb of wife vpx
His wife fought cancer for 12 years, but Covid killed her in 8 days
10:02 - Source: CNN

The most important element is convincing people to get the vaccine. The vast majority of people who are hospitalized and the vast majority of those who die don’t have the vaccine.

That means the unvaccinated are draining the health care system.

We talk mostly in this newsletter about large, macro efforts by the government and refer to people like “the unvaccinated” in broad strokes.

They’re people too and if they’re ever going to be convinced to get the shot and help stop this never-ending disaster, it’s worth listening to what’s motivating them.

CNN’s Elle Reeve did that with a stunning bit of video. It’ll take ten minutes to watch her report. You should.

She spent five days in Carter County, Missouri. It was her second trip there after first going in October of 2020. She went back now that Covid is surging again after hearing that a diner she visited last year had closed due to the virus.

Just 27% of the population in the county is fully vaccinated. These are the points I took away.

People did not see the new deadly Covid-19 surge coming. “I didn’t realize how unvaccinated we were,” Dr. Christopher Cochran of Ozarks Healthcare told Reeve. He said he thought more people in the area were vaccinated because earlier this year the virus was abating.

“It came back like a brush fire,” he said. The peer pressure in town, where people bristle at being told what to do, is against the vaccine and it’s hard for people to break out of that.

Jim Rodenbush told Reeve he’s not vaccinated, but he will be soon. His wife Ruth fought cancer for 12 years, died eight days after learning she’d gotten Covid-19.

Her doctor told her not to get the vaccine because of her chemotherapy.

There’s a sort of pride in ignoring the experts. Rodenbush’s friend Wayland Bland, who was in the hospital for seven days last Fall, said he doesn’t want the shot now.

“I ain’t taking that shit,” he told Reeve. “I don’t like people trying to push a shot on me or something else because I’m just as bullheaded a fellow as you’ve ever seen.”

When he was sick in the hospital he took steroids and other drugs like Regeneron, that helped former President Donald Trump recover from the virus. At the time, he said he would have taken anything.

But he won’t take the vaccine now in part, he said, because he feels like Trump was shafted by the vaccine makers and government to lose the election.

“You shafted me out of my President. I ain’t takin’ your medicine,” Bland said. Unaware that Trump has been vaccinated, Bland said he’ll take what Trump got, but not the vaccine.

When Reeve pointed out Trump had been vaccinated, Bland said he didn’t know all the facts, but “I ain’t takin’ it because I’m that bullheaded.”

There’s a religious element for some people. Tim Wilder is a Carter County commissioner.

“I’ll get real deep with you,” he told Reeve. “I believe if the good Lord wants me right now it doesn’t matter if I take a vaccine or I don’t. And I know a lot of people would say well He also gave you common sense and you oughta go get the shot, but that’s just, you know, that’s the way I look at things.”

There’s some hope that people, ultimately, will get the shot. She ends the story on an interesting note, however, after talking to a man named Brian Keathley, who was vehemently anti-mask last Fall. Vehemently.

If he died from Covid, he said at the time, he’d put on his tombstone that he was anti-mask.

Now he says it’s the government’s fault people in Carter County haven’t gotten the shot. “No one feels like they can trust our government,” he said. “It’s not my fault no one’s wearing a mask. It’s not my fault no one’s gotten the vaccine. It’s the government’s fault.”

But she pressed him, repeatedly, on whether he’d gotten it.

While arguing it doesn’t matter if he did or didn’t, he ultimately said:

“If you get it, it can kill you. End of story. And I don’t want my wife to have to wonder when they put you in a medical induced coma and stick a tube down your throat, is he going to come back out of there. That’s why I got a vaccine.”