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ASlavitt's profile
Andy Slavitt 🇺🇸💉
Andy Slavitt 🇺🇸💉
Andy Slavitt  🇺🇸 💉
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@ASlavitt

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Andy Slavitt  🇺🇸 💉Verified account

@ASlavitt

Former Biden White House Sr Advisor for COVID Response, past head of Medicare/Medicaid for Obama/Biden. Author “Preventable” and host: @inthebubblepod

us.macmillan.com/books/97812507…
Joined April 2013

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    Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

    COVID Update March 30: Tonight’s update is going get to the heart of how Trump decided to make the leap to start discussing the potential US death toll from Coronavirus. I talked to Italy, the White House, US hospitals and others about what they see and what they expect. 1/

    7:45 PM - 30 Mar 2020
    • 3,114 Retweets
    • 7,583 Likes
    • Amer Zeidan, MBBS, MHS Zahir Basrai, MD Sarah Dylan Breuer for ranked choice voting Maev_Shadowend Nicki_McGrath premkumar29779 harvest Daniel Feinberg Matthew
    118 replies 3,114 retweets 7,583 likes
      1. New conversation
      2. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        No one in their right minds will want to go through what we’re about to go through the next few months. 2/

        11 replies 358 retweets 2,311 likes
        Show this thread
      3. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        This is such a sensitive topic. 1 death from this virus is too many. Numbers fly around as if they’re not attached to lives. People want predictions, but they don’t like what they hear. Big numbers scare people & yet they motivate people. And we need to plan for it to beat it.3/

        9 replies 376 retweets 2,633 likes
        Show this thread
      4. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        So I will discuss what I’m hearing, but I don’t make predictions. And we all have a lot to say about how many people lose their lives. That’s why people must #StayHome to reduce the spread. So the estimate of loss of life are a big range.4/

        3 replies 302 retweets 2,157 likes
        Show this thread
      5. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        Trump yesterday at his news conference for the 1st time began to talk about 100,000 to 200,000 casualties. He mentioned that the number without action would be 2.2 million. 60,000 Americans died in Vietnam. 620,000 in the Civil War. 1.2 million in all American wars.5/

        48 replies 930 retweets 2,991 likes
        Show this thread
      6. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        I got some insight into how Trump decided to make the announcement of a projected death toll. I don’t know the order of events but at the beginning of last week, he was ar “let’s open by Easter” & “the medicine is worse than the disease.” But he changed by the end of the week.6/

        8 replies 274 retweets 1,833 likes
        Show this thread
      7. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        Why? A lot of us (take us to mean anybody who had studied the data and were considered to have expertise or experience here) were very worried. Rash, impulsive, impatient, feel-good thinking was not what we needed. 7/

        4 replies 244 retweets 2,154 likes
        Show this thread
      8. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        It was only about a month ago after all that he projected we will be at zero cases, and has slowly lagged the reality only as events on the ground forced him. 8/

        3 replies 210 retweets 1,783 likes
        Show this thread
      9. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        We are paying the price for the on the job training presidency. Ore importantly now, his supporters which have been misled should take themselves out of harm’s way. 9/

        33 replies 565 retweets 3,375 likes
        Show this thread
      10. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        As the week went on a few things caused Trump to evolve his view. His economic team was slowly swayed by Birx and Fauci. Some people have told me they believe Birx had gone to the dark side when she praised Trump for his focusing on the science. I never believed that. 10/

        16 replies 222 retweets 1,844 likes
        Show this thread
      11. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        I think Birx was doing what she knew she had to do. Demonstrate loyalty to Trump so he would listen to her. I think she and Fauci played the long game. Unpopular view maybe. But it’s how everyone who is successful with him learns to do it. 11/

        123 replies 518 retweets 4,520 likes
        Show this thread
      12. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        Andy Slavitt  🇺🇸 💉 Retweeted Scott Gottlieb, MD

        The data and the images were becoming too overwhelming. The lag time of already confirmed cases alone could easily be extrapolated to hospitalizations and deaths. Really good analyses and recommendations like this one were put together. https://twitter.com/scottgottliebmd/status/1244251263686057985?s=21 … 12/

        Andy Slavitt  🇺🇸 💉 added,

        Scott Gottlieb, MDVerified account @ScottGottliebMD
        Our plan for reopening America. This is a national epidemic. When cases peak, and we've seen sustained declines in new infections for 14 days, we can gradually re-open businesses and institutions. We must have key capacities in place, like ample screening. https://www.aei.org/research-products/report/national-coronavirus-response-a-road-map-to-reopening/ …
        3 replies 285 retweets 1,871 likes
        Show this thread
      13. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        But something else happened. A Queens hospital on TV near where Trump grew up and a friend of his in a coma recast everything as real for him. All of the sudden the economists folded. 13/

        45 replies 354 retweets 2,247 likes
        Show this thread
      14. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        If you listen closely, you will hear Trump say 100,000 is the number and you will hear Birx and Fauci say 100,000 to 200,000 if we are lucky. Numbers floating around the White House are 400,000 and some think that requires some optimism. 14/

        41 replies 679 retweets 2,340 likes
        Show this thread
      15. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        I’m going to pause here to reload some more tweets and talk about what those numbers depend on and what we need to do. 15/

        21 replies 126 retweets 1,394 likes
        Show this thread
      16. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        You will hear numbers higher than this. And indeed I would be surprised if Trump 2 weeks by 2 weeks and 100,000 lives by 100,000 lives adjusts both his and our own expectations. Every realization he comes to late costs us so dearly in our loved ones & friends. 16/

        12 replies 364 retweets 2,275 likes
        Show this thread
      17. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        The biggest controllable factors: -Speed, length and commitment to strict isolation -Strong protections for seniors, highest risk people -Front line worker protection -The race to therapies & testing -National command & control 17/

        18 replies 447 retweets 2,163 likes
        Show this thread
      18. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        Do we know how much strict isolation #StayHome measures work? Well, we have gone through this before. Remember? In 1918. And @NatGeo presents a telling story. https://www.nationalgeographic.com/history/2020/03/how-cities-flattened-curve-1918-spanish-flu-pandemic-coronavirus/ … 18/

        24 replies 1,189 retweets 2,994 likes
        Show this thread
      19. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        Starting late turns out to be costly. Trump’s extra week to learn will be expensive. Liberty University new mascot will be the Super Spreader. Falwell’s photo should be on county lines everywhere. Philadelphia’s extra week in 1918 to socially distance hit it hard.19/pic.twitter.com/hKlJ3G3iHq

        9 replies 499 retweets 2,123 likes
        Show this thread
      20. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        Starting early is the name of the game. Santa Clara got religion after an early death. Seattle’s government leadership brought R0 from 2.5 to 1.4 or so. In 1918, New York was on the ball early. An hour away from Philly & 40% lower death rate.20/pic.twitter.com/vC5d2zjnzx

        14 replies 289 retweets 1,555 likes
        Show this thread
      21. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        Most important. You can start early but you can’t let up to early. This is our biggest risk. Because it’s hard. San Francisco saw its death rate improve & decided things were better. It is so easy to see Trump declaring victory too early. It’s a trap. 21/pic.twitter.com/j3Sa3vyNZS

        8 replies 555 retweets 2,021 likes
        Show this thread
      22. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        Early and often lowered the death rate consistently in 1918. That means changing the economy— drive government spending, put money in people’s pockets, train & hire new health care workers, drop rents, buy & distribute food.22/pic.twitter.com/NahWNqZsub

        11 replies 473 retweets 1,874 likes
        Show this thread
      23. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        A delay or letting up a little early on social distancing means lives lost. The difference between 800 per 100,000 and 400 per 100,000 is 1.2 million people. Forget the numbers— they’re too numbing & more things can be done to lower them. And focus on how much we can control.23/pic.twitter.com/Bi4J0jyW5w

        6 replies 334 retweets 1,504 likes
        Show this thread
      24. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        Here I want to call out someone. Weeks ago, when a group of us rolled out the #StayHome campaign, when the country was far from its thinking today, one anonymous donor paid to run this campaign in New Orleans & Florida. The govt wouldn’t coordinate & with his help, we did. TY.24/

        10 replies 262 retweets 1,976 likes
        Show this thread
      25. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        What more can be done? We don’t talk enough about how to keep this out of nursing homes & away from dense populations, poor communities, multi-gen households. We need a strategy there. A NATIONAL strategy. 25/

        26 replies 358 retweets 1,965 likes
        Show this thread
      26. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        One of the reasons the death counts are higher for cities that start later is there aren’t enough hospital beds, PPE, ventilators, nurses, or doctors to keep people alive. We can’t care for people in hallways. 26/

        6 replies 266 retweets 1,739 likes
        Show this thread
      27. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        The hoarding & profiteering of PPE that is meant for our workers is akin to manslaughter. I guess I have some anger built up & I decided it’s worth an extra hour of my day every day to bring these people down. And awareness, complicity & benign ignorance doesn’t hunt. 27/

        27 replies 602 retweets 3,057 likes
        Show this thread
      28. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        Therapies. Early detection. Testing. It’s been the subject of these threads so often for a reason. Not because I know science. But because our scientists, our computing power, our ingenuity, our labs, our tech cos can prevent COVID-19 & make it survivable.28/

        6 replies 218 retweets 1,591 likes
        Show this thread
      29. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        The people in Italy I spoke to are us 2 weeks earlier. We discussed the humane policies for handling overcrowding. A friend’s daughter was asked to put these policies together...in Florida. The mistakes of our leaders have never been costlier.29/

        8 replies 267 retweets 1,629 likes
        Show this thread
      30. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        April, May, June, I don’t know how we prepare ourselves for what we will see. What we will experience. What we will feel. What I’ve seen already has already singed into my memory. And I’m nowhere near the front lines. But if we do the right things, we will save lives.30/

        9 replies 377 retweets 1,772 likes
        Show this thread
      31. Andy Slavitt  🇺🇸 💉‏Verified account @ASlavitt 30 Mar 2020

        Tomorrow I am going to speak to the last item I mentioned and what I have been recommending to the Trump Administration: we must nationalize our response. We must militarize our response. We must stop being a week or more late & start saving every life. 31/

        29 replies 544 retweets 2,891 likes
        Show this thread
      32. Show replies

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