The Wall Street Journal - 04.03.2020

(Sean Pound) #1

A6| Wednesday, March 4, 2020 ** THE WALL STREET JOURNAL.


immediate.”
The personal Facebook ac-
count of Mike Adams—who
founded news and natural-
health advocacy website Natu-
ral News—includes a link to an
article from his news site that

U.S. NEWS


an early center of the infec-
tion’s spread in the U.S., with
all nine of the country’s deaths
coming from the state. The ma-
jority of those were residents
of the Kirkland nursing home.
The two deaths reported
Tuesday by local health offi-
cials were among seven new
cases of Covid-19, the respira-
tory disease caused by the new
coronavirus, bringing the
state’s overall total to 27. An
Amazon.com Inc. employee
who works in one of the build-
ings at the company’s Seattle
headquarters tested positive
for the infection, according to
an Amazon spokesman.
The spread of the infection
there and new diagnoses in
New York, North Carolina, Flor-
ida, Arizona, Georgia and Cali-
fornia raised the number of U.S.
confirmed cases, which stood at

more than 100 Tuesday. The
North Carolina case is a person
from Wake County who traveled
to Washington state and was
exposed to the novel coronavi-
rus at the Kirkland nursing
home, officials there said. In
Berkeley, Calif., officials con-
firmed the city’s first case, a
resident who had traveled to It-
aly, which is struggling with an
outbreak of the virus.
The total number of cases is
expected to rise as local health
officials ramp up testing. These
results then need further con-
firmation from the Centers for
Disease Control and Prevention.
The spread of the new corona-
virus across the U.S. in recent
days has closed schools, dis-
rupted travel plans and emptied
stores of hand sanitizer and
cleaning products. State leaders
have attempted to quell fears,

saying the virus still poses a low
risk even in cities and states
where more cases have appeared.
But tensions continue to play
out around the country and in
Washington, D.C., over guide-
lines and protocol for dealing
with the novel coronavirus.
Vice President Mike Pence
said Tuesday that the Trump
administration is seeking to
make testing for the coronavi-
rus more broadly available. He
said kits capable of testing
about 1.5 million people will be
shipped to hospitals before the
end of the week. On Monday,
President Trump met with phar-
maceutical executives to discuss
timelines to develop vaccines
and therapies for the virus.
But some Democratic law-
makers have expressed frustra-
tion the administration isn’t
moving faster. Washington Sen.

Patty Murray said Mr. Pence
and other administration offi-
cials were unable to tell her and
other lawmakers in a meeting
Tuesday when “point-of-con-
tact” tests are going to be avail-
able, or what people who fear
they have been infected can do
between now and then. The
point-of-contact tests, which al-
low a patient to go to their doc-
tor and be tested as they are
for flu or strep throat, won’t be
available for months, she said.
In Texas on Tuesday, more
than 120 evacuees from the Di-
amond Princess cruise ship
were set to be released from
quarantine in San Antonio, as a
dispute between the city and
CDC appeared to be resolved.
City and state officials had
sharply criticized the CDC for
releasing a woman who subse-
quently tested “weakly posi-

tive” for the virus, and San An-
tonio Mayor Ron Nirenberg
issued a public-health emer-
gency declaration to prevent
those quarantined from leaving
Lackland Air Force Base.
Mr. Nirenberg said Tuesday he
was satisfied with the steps the
CDC had since taken to inform
city officials of its protocols and
said the federal health agency
would only be letting out people
who had been without symptoms
for 14 days, in addition to other
ramped-up precautions.
Globally, the new coronavi-
rus has infected 93,123 people
since it was first identified in
the central Chinese city of Wu-
han in late 2019, but 54% of
those patients have recovered,
according to data compiled by
Johns Hopkins University. A to-
tal of 3,198 coronavirus pa-
tients have died.

The first deaths linked to
the novel coronavirus in the
U.S. happened last week, days
earlier than previously known,
officials said Tuesday, as the
death count rose and is ex-


pected to continue to climb.
The first-known deceased, a
54-year-old man and a woman
in her 80s, both died last
Thursday and were residents of
a nursing home in Kirkland,
Wash., that has been at the
heart of the nation’s worst out-
break of the disease, officials
from Seattle and King County
reported Tuesday.
Washington state and the
Life Care Center nursing home
in particular have emerged as


ByJim Carlton,
Jennifer Calfas
andJing Yang

Death Toll Hits 9 as Outbreak Spreads

on Facebook to offer virus-re-
lated news and places to talk,
some rife with comments or
posts stoking fear about the vi-
rus or circulating unproven in-
formation.
False virus information
could be more damaging than
false content related to political
discourse that has received at-
tention in recent years, accord-
ing to academics, because it
might lead people to make mis-
informed decisions about their
health or cause unwarranted
panic.
Health-related misinforma-
tion “is certainly more danger-
ous than just pushing ideolo-
gies,” said Darren Linvill, a
misinformation researcher at
Clemson University, adding that
those tactics aim to undercut
science and confidence in insti-
tutions. The consequences of
health-related misinformation,
Mr. Linvill said, “are real and

Facebook Inc. and other
technology giants have vowed
to fight misinformation related
to the coronavirus epidemic on
their platforms. Yet even as
they remove fraudulent posts,
listings and other content, con-
spiracy theories and false infor-
mation continue to proliferate
online.
Facebook said it has
tweaked search results for “cor-
onavirus” to direct users to-
ward recognized and authorita-
tive medical sources. The
company says it contracts peo-
ple throughout the world to
look at content and determine
whether it is misleading, and
that it is also removing mis-
leading content flagged by ma-
jor health organizations.
A review by The Wall Street
Journal found dozens of pages
and groups that have sprung up


BYSEBASTIANHERRERA


Misinformation


About Epidemic


Flourishes Online


A magnified coronavirus image displayed in a Belgian virology lab. Social-media firms are working to combat virus misinformation.

GEERT VANDEN WIJNGAERT/BLOOMBERG NEWS

said the coronavirus’s fatality
rate is far higher than official
figures. That post was tagged
by Facebook fact-checkers for
false information. Facebook has
suspended Natural News in the
past for misleading content.
Mr. Adams and Natural News
declined to comment through a
spokeswoman.
Mr. Adams’s Facebook ac-
count also includes a link to a
website that contains a video
whose description refers to the
virus as a “bioengineered
weapon system.”
Similar Natural News con-
tent claiming that the virus was
engineered has appeared on
other people’s Twitter ac-
counts.
TwitterInc. said that, like
Facebook, it has directed users
toward recognized and authori-
tative medical sources when
they search “coronavirus,” and
the company said it is stopping
any auto-suggested search re-
sults that might lead users to
“non-credible content” on the
platform, although it didn’t
provide specific examples.
Other people have claimed

in videos posted on YouTube
that the coronavirus was bioen-
gineered, which scientists and
fact-checkers have vehemently
refuted. The website SGT Re-
port, which has more than
570,000 subscribers on You-
Tube, published a now-unavail-
able video claiming the virus is
an “engineered pandemic” and
questioning the official number
of people killed by the illness
the virus causes. After publica-
tion, SGT Report in a statement
defended its claim and said
that reporting about the virus
being engineered “is not ‘misin-
formation,’ it’s called investiga-
tive journalism.”
A spokeswoman forAlphabet
Inc.’s Google, which owns You-
Tube, said the company has pro-
moted content by trusted health
organizations in searches and is
quickly removing videos that
mislead users about the virus.
Experts in misinformation
say virus-related content will
play a more prominent role in
the political world as 14 states
and two territories held pri-
mary elections on Tuesday.
One video posted to You-

Tube claimed that the Central
Intelligence Agency has used
the coronavirus as part of an
“attack on Bernie,” referring to
Sen. Bernie Sanders, the Demo-
cratic presidential candidate.
A spokesman from Mr. Sand-
ers’s Senate office said he
couldn’t comment on cam-
paign-related matters, and
campaign representatives
couldn’t be reached for com-
ment. A spokesman for the CIA
said the agency “does not com-
ment on such outlandish and
offensive misinformation.”
U.S. State Department offi-
cials and health organizations
have warned about the spread
of misinformation related to
the virus, including the narra-
tive that the U.S. is responsible
for the outbreak. Officials have
said there are groups of people
coordinating efforts on social
media in an attempt to pro-
mote conspiracy theories.
A Facebook spokeswoman
said if a group repeatedly
shares false news, the company
may reduce that group’s distri-
bution by showing that group’s
content lower in its news feed.

year. It was an increase from
2017, when 7.9% of the popula-
tion, or 25.6 million, were unin-
sured, according to the U.S.
Census Bureau.
About 2% of people infected
with coronavirus have died and
about 5% have developed seri-
ous infections that may require
oxygen therapy or ventilators,
based on research on cases in
China.
In the U.S., there are more
than 100 coronavirus cases.

Anne Schuchat, principal dep-
uty director of the U.S. Centers
for Disease Control and Preven-
tion, said at the congressional
hearing Tuesday that “we are
seeing community transmission
in a few places.”
The administration is focus-
ing on the costs of caring for
uninsured people because indi-
viduals otherwise would have
coverage through Medicaid,
employers, or through private
insurance purchased on the in-
dividual market, according to

the person familiar with the
conversations. No final decision
has been made.
“We are going to look at the
uninsured because they have a
big problem,” President Trump
said Tuesday.
Hospitals, which typically
bear the brunt of costs for un-
compensated care, have been
bracing for an influx of pa-
tients. Hospitals of all types
provided more than $38 billion
in uncompensated care in 2017,
according to the American Hos-
pital Association.
“We encourage the depart-
ment to look at using a na-
tional disaster program as an
option because no one should
think twice about seeking
screening or treatment due to
costs,” said Tom Nickels, execu-
tive vice president of the
American Hospital Association.
“We also urge them to cover
both patients who have corona-
virus and those who are under
investigation for coronavirus.”
A 1918-like pandemic would
cause U.S. hospitals to absorb a
net loss of $3.9 billion, or an
average $784,592 per hospital,
according to a 2007 report in
the Journal of Health Care Fi-
nance that called on policy
makers to consider contingen-
cies to ensure hospitals don’t
become insolvent as a result of
a severe pandemic.

The Trump administration is
considering using a national di-
saster program to pay hospitals
and doctors for their care of
uninsured people infected with
the new coronavirus as con-
cerns rise over costs of treat-
ing some of the 27 million
Americans without health cov-
erage, a person familiar with
the conversations said.
In natural disasters such as
hurricanes, hospitals and medi-
cal facilities can be reimbursed
under a federal program that
pays them about 110% of Medi-
care rates for treating patients
such as those evacuated from
hard-hit areas.
The Centers for Medicare
and Medicaid Services has been
in discussions about using that
program to pay providers who
treat uninsured patients with
coronavirus, the person said.
Dr. Robert Kadlec, who is
the assistant secretary for pre-
paredness and response at the
Department of Health and Hu-
man Services, said Tuesday at
a congressional hearing that
discussions are being held
about using the National Disas-
ter Medical System reimburse-
ment program.
In 2018, 8.5% of people, or
27.5 million, didn’t have insur-
ance at any point during the

BYSTEPHANIEARMOUR

U.S. Weighs Paying Hospitals


To Treat Uninsured Patients


In 2018, 8.5% of
people, or 27.
million, didn’t have
insurance.

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