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Do We Have to Give Up Our Personal Freedoms to Beat Coronavirus?

Do We Have to Give Up Our Personal Freedoms to Beat Coronavirus?

In late December 2019 Dr. Li Wenliang, an ophthalmologist at Wuhan Central Hospital, sent a WeChat message to his medical school alumni group telling them that seven people with severe respiratory and flu-like symptoms had recently been admitted to the hospital. One thing they had in common, besides their symptoms, was that they’d all visited a local wet market at some point in the previous week.

The illness bore an uncanny resemblance to SARS, but with a novel aspect as well; could it be an outbreak of a new disease? If so, what should be done?

But before any of the doctors could take action or alert local media outlets, the chat thread was shut down by the Wuhan police and Li was accused of spreading rumors. Mind you, the chat wasn’t in a public forum; it was a closed group exchange. But the Chinese Communist Party (CCP) is able to monitor, intercept, and censor any and all activity on WeChat; for the Chinese people, there’s no such thing as a private conversation.

The police gave Li an affidavit stating he’d spread false information and disturbed public order. He was instructed to sign this document retracting his warning about the virus and to stop telling people it existed, otherwise he’d be put in jail.

So he did. A little over a month later, on February 7, Li died of the novel coronavirus in the same hospital where he’d worked—he’d been infected with the virus while trying to treat sick patients, who’d continued pouring into the hospital throughout the month of January.

By this time the CCP had leapt into action, unable to deny the existence of the virus as hundreds then thousands of people started getting sick. Travel restrictions and quarantines went into effect—but it was already far too late. As of this writing, the virus has spread to 168 countries and killed almost 21,000 people. Schools and businesses are closed. We’re in lockdown mode in our homes. And the economy is taking a massive hit that could lead to a depression.

How different might our current situation be if the CCP had heeded Li’s warning instead of silencing it—or if the virus had first been discovered in a country with a free press?

“People are arguing that China has done a good job of handling the virus. I disagree,” said Alex Gladstein, chief strategy officer at the Human Rights Foundation. “The reason we have this global pandemic right now is because of Chinese censorship and the government’s totalitarian nature.”

Last week at Singularity University’s virtual summit on COVID-19, Gladstein pointed out what we can learn from various governments’ responses to this pandemic—and urged us to keep a close eye on our freedoms as this crisis continues to unfold.

Open, Competent, or Neither?

The rate at which this disease has spread in different countries has varied wildly, as have the numbers of deaths vs. recoveries. Western Europe houses some of the wealthier and more powerful countries on Earth, but now isn’t a great time to be living there (and we’re not doing so hot in the US, either). And though Singapore is known for its rigidity, it was a good place to be when the virus hit.

“Given a half-century of research, the correlation is strong: democracies handle public health disasters much better than dictatorships,” Gladstein said, citing a February 18th article in The Economist that examines deaths from epidemics compared to GDP per person in democracies and non-democracies.

Taiwan has also fared well, as has South Korea, though their systems of government function quite differently than Singapore’s. So what factors may have contributed to how fast the virus has spread and how hard the economy’s been hit in these nations?

There are two axes that are relevant, Gladstein said. One is the openness of a society and the other is its competency. An open but less competent government is likely to perform poorly in a public health crisis (or any crisis), as is a competent but closed government.

a gladstein openness competency graph coronavirus

“Long-term, some of the best-performing societies are open, competent democracies like Korea and Taiwan,” Gladstein said. Taiwan is a somewhat striking example given its proximity to China and the amount of travel between the two.

Success Here, Failure There

With a population of 23 million people and the first case confirmed on January 21, as of this writing Taiwan has had 235 cases and 2 deaths. They immediately started screening people coming from China and halted almost all incoming travel from China within weeks of the outbreak, creating a risk-level alert system by integrating data from the national health insurance database with the immigration and customs databases (this did involve a degree of privacy infringement that we probably wouldn’t be comfortable with in the US; more on that later). High-risk people were quarantined at home, and the government quickly requisitioned the manufacture of millions of masks. “There was less panic and more belief in the government, and this paints a picture of what we should all aspire to,” Gladstein said.

Iran is on the opposite end of the spectrum in both competency and openness; they’ve recorded over 27,000 cases and over 2,000 deaths. “Thousands have died in Iran, but we’ll never know the truth because there’s no free press there,” said Gladstein.

Then there’s China. In addition to lockdowns enforced by “neighborhood leaders” and police, the government upped its already-heavy citizen surveillance, tracking people’s locations with apps like AliPay and WeChat. A color-coding system indicating people’s health status and risk level was implemented, and their movement restricted accordingly.

“They’ve now used the full power of the state to curtail the virus, and from what we know, they’ve been relatively effective,” Gladstein said. But, he added, this comes with two caveats: one, the measures China has taken would be “unthinkable” in a democracy; and two, we can’t take their data at face value due to the country’s lack of a free press or independent watchdogs (in fact, the New York Times, Wall Street Journal, and Washington Post were expelled from China on March 17; this may have been a sort of retaliation for the US State Department’s recent move to cap the number of Chinese journalists allowed to work in the US for a handful of Chinese state media outlets).

Surveillance = Success?

South Korea and Singapore, the world’s other two containment success stories, both used some form of surveillance to fight the virus. In Korea, the 2015 MERS outbreak resulted in a law that lets the government use smartphone and credit card data to see where people have been then share that information (stripped of identifying details) on apps so that people they may have infected know to go get tested.

In Singapore, besides launching a contact tracing app called TraceTogether, the government sent text messages to people who’d been ordered to stay at home and required them to respond with their live GPS location. As of this writing, Singapore had reported 631 cases and 2 deaths.

Does the success of these countries and their use of surveillance mean we need to give up some of our privacy to fight this disease? Would Americans and Europeans be willing to do so if it meant this terrible ordeal would be over sooner? And how do we know where to draw the line?

Would you be willing to sacrifice some of your privacy and personal liberties, such as having your whereabouts more closely tracked (via GPS on your phone and your credit card transactions) and input into a public database, if it meant coronavirus would be stopped sooner? — Singularity University (@singularityu) March 26, 2020

Temporary May Be Tricky

To Gladstein, the answer is simple. “We don’t need a police state to fight public health disasters,” he said. “We should be very wary about governments telling us they need to take our liberties away to keep us safe, and that they’ll only take those liberties away for a limited amount of time.”

A lot of personal data is already being collected about each of us, every day: which ads we click on, how long we spend on different websites, which terms we search for, and even where we go and how long we’re there for. Would it be so terrible to apply all that data to stemming the spread of a disease that’s caused our economy to grind to a halt?

One significant issue with security measures adopted during trying times is that those measures are often not scaled back when society returns to normal. “During the 2008 Olympics in Beijing, the government said the new security measures were temporary, but they turned out to be permanent,” Gladstein said.

Similarly, writes Yuval Noah Harari in a Financial Times piece (which you should read immediately in its entirety if you haven’t already), “Temporary measures have a nasty habit of outlasting emergencies, especially as there is always a new emergency lurking on the horizon.” Many of the emergency measures enacted during Israel’s War of Independence in 1948, he adds, were never lifted.

Testing, Transparency, Trust

This is key: though surveillance was a critical part of Taiwan, Korea, and Singapore’s success, widespread testing, consistent messaging, transparency, and trust were all equally critical. In an excellent piece in Wired, Andrew Leonard writes, “In the United States, the Trump administration ordered federal health authorities to treat high-level discussions on the coronavirus as classified material. In Taiwan, the government has gone to great lengths to keep citizens well informed on every aspect of the outbreak.”

In South Korea, President Moon Jae-in minimized his own communications with the public, ceding the sharing of information to those who actually knew it: health officials updated the public on the state of the pandemic twice a day. Singapore’s government provided consistent, clear updates on the number and source of cases in the country.

Gladstein re-emphasized that democracies are better suited than dictatorships at handling public health crises because people need to be able to innovate and collaborate without fear.

But despite a high level of openness that includes democratic elections, some of the heaviest emphasis on individual rights and freedoms in the world, and a free press, the US response to coronavirus has been dismal. As of this writing, more than 25 US states have ordered residents to be on lockdown. But testing, trust, and transparency are all sorely lacking. As more people start to fall seriously ill in the coming days and weeks, what will the US do to stem Covid-19’s spread?

“Secrecy, lies, and censorship only help the virus,” Gladstein said. “We want open societies.” This open society is about to be put to the test—big-time.

For more from Gladstein on this topic, read his recent opinion piece in Wired.

Image Credit: Brian McGowan on Unsplash

By Vanessa Bates Ramirez

This article originally appeared on Singularity Hub, a publication of Singularity University.

After Coronavirus the World Will Never Be the Same. But Maybe, It Can Be Better

After Coronavirus the World Will Never Be the Same. But Maybe, It Can Be Better

Life has changed a lot in the past few days, weeks, or months, depending where you live. As efforts to contain the novel coronavirus ramp up, it’s likely going to change even more. But we’re already sick of being at home all the time, we miss our friends and families, everything’s been canceled, the economy is tanking, and we feel anxious and scared about what’s ahead.

We just want this to be over, and we figure it’s only a matter of time. We’re making plans for what we’ll do when things go back to normal—and banking on that happening.

But what if life never fully goes back to how it was pre-coronavirus? What if this epidemic is a turning point, and after it the world is never the same?

More importantly—or, at least, more optimistically—what if the world could come out of this crisis better than it was before?

Jamie Metzl, technology and healthcare futurist, geopolitical expert, entrepreneur, author of Hacking Darwin: Genetic Engineering and the Future of Humanity, and Senior Fellow of the Atlantic Council, thinks this is possible—but it all depends on what we do and how we behave right now. In a talk at Singularity University’s virtual summit on COVID-19 last week, Metzl explained why he believes that we’re never going “back to normal”—and what we should be doing now to make the new normal a good one.

Marks of History

For many of us, the most impactful geopolitical event that’s happened during our lifetime was the terrorist attacks of September 11, 2001. The world changed that day, and it’s never returned to how it was before.

A flu-like pandemic with a relatively low mortality rate may seem minor compared to the deliberate murder of thousands of innocent people. But, Metzl said, “It’s my contention that this isn’t a 2001 moment, this is something much bigger. I think of this as a 1941 moment.”

1941 was the thick of World War II. Nobody knew what the outcome of the war was going to be, everybody was terrified, and the US and its allies were losing the war. “But even in the height of those darkest of times,” Metzl said, “people began imagining what the future world would look.”

It was 1941 when President Roosevelt gave his famous Four Freedoms speech, and when American and British leadership issued the Atlantic Charter, which set out their vision for the post-war international order. To this day, our lives exist within that order.

The situation we’re in right now is, of course, different; it’s not a war. It is, in Metzl’s words, “a convergence of the worlds of science and biology and the world of geopolitics.” And as the coronavirus crisis continues to play out, its geopolitical implications are going to become much greater.

The Old World Is Dying

Metzl shared a quote from Italian Communist theorist Antonio Gramsci, written in the 1930s: “The old world is dying and the new world struggles to be born. Now is the time of monsters.”

Oof—that’s a big statement.

Metzl deconstructed it. For starters, he said, the post-WWII order that we’ve all grown up with was dying before this virus appeared.

Post-WWII planners envisioned a world that shared sovereignty and curbed nationalism. But we’re now in a period of dramatic re-nationalization of the world, with populist, extremist, or authoritarian leaders in power from Brazil to the US to China, and many countries in between.

Institutions intended to foster global cooperation (like the World Bank, the International Monetary Fund, the United Nations, and the World Health Organization) have been starved in the context of this re-nationalization, and as a result we don’t have effective structures in place to address global crises—and not just coronavirus. Think of climate change, protecting the oceans, preparing for a future of automation and AI; no country can independently take on or solve these massive challenges.

Not all is lost, though. “There are some positive pieces of this globalization story that we also need to be mindful of,” Metzl said.

When the Spanish flu pandemic hit in 1918, there were only 2 billion people on Earth, and of those 2 billion only 30 percent were literate; the “brain pool” for solving problems was about 600 million people.

Now we have a global population of 7.5 billion and an 86 percent literacy rate, which means over 6.5 billion people can be part of the effort to fix what’s broken. Just as crucially, we’re more connected to each other than we’ve ever been. It used to take thousands of years for knowledge to transfer; now it can fly across the world over the internet in minutes. “The pandemic moves at the speed of globalization, but so does the response,” Metzl said. “The tools we’re bringing to this fight are greater than anything our ancestors could have possibly imagined.”

But at the same time we’re experiencing this incredible bottom-up energy and connectivity, we’re also experiencing an abysmal failure of our top-down institutions.

Now Is the Time of Monsters

Have you felt afraid these last few days and weeks? I sure have. The stock market has plummeted, some people are losing their jobs, others are getting sick, and we don’t know the way out or how how long it’s going to last. In the meantime, a lot of unexpected things will happen.

There will be an economic slowdown or recession, and there will be issues with our healthcare systems—and these are just the predictable things. Metzl believes we’ll also see significant second and third-order effects. If the poorer parts of the world get hit hard by the virus, we may see fragile states collapsing, and multi-lateral states like the European Union unable to support the strain. “Our democracies are going to be challenged, and there may be soft coups even here in the US,” Metzl said. Speaking of challenges to democracy, there are actors whose desires and aspirations are very different from our own, and this could be a moment of opportunity for them.

“The world is not going to snap back to being exactly like it was before this crisis happened,” Metzl said. “We’re going to come out of this into a different world.”

The New World Struggles to Be Born

We don’t know exactly what that world will look like, but we can imagine some of it. Basically, take the trends that were already in motion and hit the fast-forward button. Virtualization of events, activities, and interactions. Automation of processes and services. Political and economic decentralization.

But for the pieces of the future that we’re unsure of, now is 1941. “Now is the time when we need to think about what we would like the new world to look like, and start planning for it and building it,” Metzl said.

In hindsight, it’s easy to picture a far better response and outcome to the COVID-19 outbreak. What if, three months ago, there’d been a global surveillance system in place, and at the first signs of the outbreak, an international emergency team led by the World Health Organization had immediately gone to Wuhan?

“We—all of us—need to re-invigorate a global system that can engage people inclusively across differences and across countries,” Metzl said. “We need to be articulating our long-term vision now so that we can evaluate everything against that standard.”

There’s not a total lack of a positive long-term vision now; the UN sustainable development goals, for example, call for gender equality, no poverty, no hunger, decent work, climate action, and justice (among other goals) around the world.

The problem is that we don’t have institutions meaningful enough or strong enough to effect realization of these principles; there’s a mismatch between the global nature of the problems we’re facing and the structure of national politics.

Building the New Normal

Just as our old normal was the new normal for our grandparents in the mid-1900s, this new normal that feels so shocking to us right now will simply be normal for our children and grandchildren. But there are some critical—and wonderful—differences between the mid-1900s and now.

We have more educated people, stronger connections, faster sharing of information, and more technological tools and scientific knowledge than ever before in history. “The number of people who can be part of this conversation is unprecedented,” Metzl said. “We couldn’t have done this in the industrial age or even the nuclear age. There’s never been this kind of motivation combined with this capacity around the world.”

In 1941, the global planning process was top-down: a small group of powerful, smart people decided how things would be then took steps to make their vision a reality. But this time will be different; to succeed, the new global plan will need to have meaningful drive from the bottom up.

“We need to recognize a new locus of power,” Metzl said. “And it’s us. Nobody is going to solve this for us. This is our moment to really come together.”

Image Credit: Joseph Redfield Nino from Pixabay

By Vanessa Bates Ramirez

This article originally appeared on Singularity Hub, a publication of Singularity University.

Coronavirus May Mean Automation Is Coming Sooner Than We Thought

Coronavirus May Mean Automation Is Coming Sooner Than We Thought

We’re in the midst of a public health emergency, and life as we know it has ground to a halt. The places we usually go are closed, the events we were looking forward to are canceled, and some of us have lost our jobs or fear losing them soon.

But although it may not seem like it, there are some silver linings; this crisis is bringing out the worst in some (I’m looking at you, toilet paper hoarders), but the best in many. Italians on lockdown are singing together, Spaniards on lockdown are exercising together, this entrepreneur made a DIY ventilator and put it on YouTube, and volunteers in Italy 3D printed medical valves for virus treatment at a fraction of their usual cost.

Indeed, if you want to feel like there’s still hope for humanity instead of feeling like we’re about to snowball into terribleness as a species, just look at these examples—and I’m sure there are many more out there. There’s plenty of hope and opportunity to be found in this crisis.

Peter Xing, a keynote speaker and writer on emerging technologies and associate director in technology and growth initiatives at KPMG, would agree. Xing believes the coronavirus epidemic is presenting us with ample opportunities for increased automation and remote delivery of goods and services. “The upside right now is the burgeoning platform of the digital transformation ecosystem,” he said.

In a thought-provoking talk at Singularity University’s COVID-19 virtual summit this week, Xing explained how the outbreak is accelerating our transition to a highly-automated society—and painted a picture of what the future may look like.

Confronting Scarcity

You’ve probably seen them by now—the barren shelves at your local grocery store. Whether you were in the paper goods aisle, the frozen food section, or the fresh produce area, it was clear something was amiss; the shelves were empty. One of the most inexplicable items people have been panic-bulk-buying is toilet paper.

Xing described this toilet paper scarcity as a prisoner’s dilemma, pointing out that we have a scarcity problem right now in terms of our mindset, not in terms of actual supply shortages. “It’s a prisoner’s dilemma in that we’re all prisoners in our homes right now, and we can either hoard or not hoard, and the outcomes depend on how we collaborate with each other,” he said. “But it’s not a zero-sum game.”

Xing referenced a CNN article about why toilet paper, of all things, is one of the items people have been panic-buying most (I, too, have been utterly baffled by this phenomenon). But maybe there’d be less panic if we knew more about the production methods and supply chain involved in manufacturing toilet paper. It turns out it’s a highly automated process (you can learn more about it in this documentary by National Geographic) and requires very few people (though it does require about 27,000 trees a day—so stop bulk-buying it! Just stop!).

The supply chain limitation here is in the raw material; we certainly can’t keep cutting down this many trees a day forever. But—somewhat ironically, given the Costco cartloads of TP people have been stuffing into their trunks and backseats—thanks to automation, toilet paper isn’t something stores are going to stop receiving anytime soon.

Automation For All

Now we have a reason to apply this level of automation to, well, pretty much everything.

Though our current situation may force us into using more robots and automated systems sooner than we’d planned, it will end up saving us money and creating opportunity, Xing believes. He cited “fast-casual” restaurants (Chipotle, Panera, etc.) as a prime example.

Currently, people in the US spend much more to eat at home than we do to eat in fast-casual restaurants if you take into account the cost of the food we’re preparing plus the value of the time we’re spending on cooking, grocery shopping, and cleaning up after meals. According to research from investment management firm ARK Invest, taking all these costs into account makes for about $12 per meal for food cooked at home.

That’s the same as or more than the cost of grabbing a burrito or a sandwich at the joint around the corner. As more of the repetitive, low-skill tasks involved in preparing fast casual meals are automated, their cost will drop even more, giving us more incentive to forego home cooking. (But, it’s worth noting that these figures don’t take into account that eating at home is, in most cases, better for you since you’re less likely to fill your food with sugar, oil, or various other taste-enhancing but health-destroying ingredients—plus, there are those of us who get a nearly incomparable amount of joy from laboring over then savoring a homemade meal).

Now that we’re not supposed to be touching each other or touching anything anyone else has touched, but we still need to eat, automating food preparation sounds appealing (and maybe necessary). Multiple food delivery services have already implemented a contactless delivery option, where customers can choose to have their food left on their doorstep.

Besides the opportunities for in-restaurant automation, “This is an opportunity for automation to happen at the last mile,” said Xing. Delivery drones, robots, and autonomous trucks and vans could all play a part. In fact, use of delivery drones has ramped up in China since the outbreak.

Speaking of deliveries, service robots have steadily increased in numbers at Amazon; as of late 2019, the company employed around 650,000 humans and 200,000 robots—and costs have gone down as robots have gone up.

ARK Invest’s research predicts automation could add $800 billion to US GDP over the next 5 years and $12 trillion during the next 15 years. On this trajectory, GDP would end up being 40 percent higher with automation than without it.

Automating Ourselves?

This is all well and good, but what do these numbers and percentages mean for the average consumer, worker, or citizen?

“The benefits of automation aren’t being passed on to the average citizen,” said Xing. “They’re going to the shareholders of the companies creating the automation.” This is where policies like universal basic income and universal healthcare come in; in the not-too-distant future, we may see more movement toward measures like these (depending how the election goes) that spread the benefit of automation out rather than concentrating it in a few wealthy hands.

In the meantime, though, some people are benefiting from automation in ways that maybe weren’t expected. We’re in the midst of what’s probably the biggest remote-work experiment in US history, not to mention remote learning. Tools that let us digitally communicate and collaborate, like Slack, Zoom, Dropbox, and Gsuite, are enabling remote work in a way that wouldn’t have been possible 20 or even 10 years ago.

In addition, Xing said, tools like DataRobot and H2O.ai are democratizing artificial intelligence by allowing almost anyone, not just data scientists or computer engineers, to run machine learning algorithms. People are codifying the steps in their own repetitive work processes and having their computers take over tasks for them.

As 3D printing gets cheaper and more accessible, it’s also being more widely adopted, and people are finding more applications (case in point: the Italians mentioned above who figured out how to cheaply print a medical valve for coronavirus treatment).

The Mother of Invention

This movement towards a more automated society has some positives: it will help us stay healthy during times like the present, it will drive down the cost of goods and services, and it will grow our GDP in the long run. But by leaning into automation, will we be enabling a future that keeps us more physically, psychologically, and emotionally distant from each other?

We’re in a crisis, and desperate times call for desperate measures. We’re sheltering in place, practicing social distancing, and trying not to touch each other. And for most of us, this is really unpleasant and difficult. We can’t wait for it to be over.

For better or worse, this pandemic will likely make us pick up the pace on our path to automation, across many sectors and processes. The solutions people implement during this crisis won’t disappear when things go back to normal (and, depending who you talk to, they may never really do so).

But let’s make sure to remember something. Even once robots are making our food and drones are delivering it, and our computers are doing data entry and email replies on our behalf, and we all have 3D printers to make anything we want at home—we’re still going to be human. And humans like being around each other. We like seeing one another’s faces, hearing one another’s voices, and feeling one another’s touch—in person, not on a screen or in an app.

No amount of automation is going to change that, and beyond lowering costs or increasing GDP, our greatest and most crucial responsibility will always be to take care of each other.

Image Credit: Gritt Zheng on Unsplash

By Vanessa Bates Ramirez

This article originally appeared on Singularity Hub, a publication of Singularity University.

Toyota and Mobile Food Pantry Distribution Next Week

Toyota Mississippi and the Mid-South Food Bank will provide mobile food pantries for residents of Lee, Pontotoc, and Union counties next week. Each mobile pantry will provide food for 500 households per county (6,000 people). Distribution is on a first come, first serve basis.

No more than three households per vehicle.

A household is defined as:

• 1 Household: one to four people living in one house
• 2 Households: four to eight people living in one house
• 3 Households: nine or more people living in one house

Documentation required to receive food from Mid-South Food Bank:


• One Client Eligibility Form per household (distributed at the mobile pantry). Data collected on
the Eligibility Form is not to be shared with anyone outside of the Food Bank.

• Each household representative must present a valid ID or document, such as utility bill,
showing their address in the county where the mobile pantry is taking place.

Toyota Mississippi is bring mobile food pantries to Lee, Pontotoc and Union counties! Please check the image for time, date and location information. Help us spread the word!

Posted by Toyota Mississippi on Thursday, April 16, 2020

The Latest Numbers on COVID-19

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A Summary of the MSDH information.

As cases of COVID-19 continue to be listed and updated in Mississippi, it is important to stay on top of the numbers.

Mississippi COVID-19 Case Map

This map and the following table show total cases in Mississippi as of 6 p.m. April 15, 2020, and include all reported cases since March 11, 2020.

  • New cases reported today: 169
  • New deaths reported today: 11

Should you suspect you have the virus, it’s also important to know the signs and symptoms.

People may be sick with the virus for 1 to 14 days before developing symptoms. The most common symptoms of coronavirus disease (COVID-19) are fever, tiredness, and dry cough. Most people (about 80%) recover from the disease without needing special treatment.More rarely, the disease can be serious and even fatal. Older people, and people with other medical conditions (such as asthma, diabetes, or heart disease), may be more vulnerable to becoming severely ill. People may experience:cough, fever, tiredness, difficulty breathing (severe cases).

Testing

Local testing providers below have informed us that they are providing fast-track COVID-19 testing locations.

Cost: Individual test providers will set their own testing fee. Ask about the cost of testing when you call a test provider.

Before You Visit

  • These providers require that you have symptoms of COVID-19 in order to be tested: a fever of 100.4 or greater and severe cough or chest pain.
  • You should call ahead before visiting to make testing arrangement

Testing Location

BeldenExpress Care West662-269-2230
BoonevilleBooneville Community Health Center662-728-3313
BoonevilleVital Med Acute Care & Family Medicine Clinic662-368-3858
CorinthCorinth Health Care Associates662-396-4406
CorinthMagnolia Express Care662-286-1499
EcruFriendship Medical Clinic662-488-8799
FultonMed Plus Urgent Care662-269-8000
FultonExpress Care662-862-9040
Holly SpringsAlliance Healthcare System662-252-1212
Holly SpringsMarshall Urgent Care662-274-3218
IukaFast Pace Health Urgent Care662-443-4122
IukaIuka Family Clinic662-423-3662
MantachieMantachie Rural Health Care662-282-4226
MoorevilleAcute Care and Family Clinic of Mooreville662-840-4577
MoorevillePremier Family and Urgent Care662-840-4577
New AlbanyNew Albany Health Care Associates662-598-0007
New AlbanyFamily Clinic of New Albany662-534-7777
New AlbanyFriendship Medical Clinic662-534-4330
TishomingoTishomingo Health Care Associates662-471-9416
TupeloMed Plus Urgent Care662-841-0002
TupeloNorth Mississippi Medical Center800-882-6274 or 662-377-3007
TupeloFriendship Medical Clinic662-269-3191
West PointMedical Center Drive Testing Center662-495-2300

While this is not an exhaustive list, we will continue to update it as time passes.

Thank you, and be careful out there.

April 15, 2020 (Wednesday): Opinion

The biggest news today was Trump’s announcement that, unless the Senate resumes confirming his nominees, he will adjourn both chambers of Congress and make recess appointments to fill the slots. Trump claimed he has “constitutional authority” to do this, likely referring to Article 2, Section 3 of the Constitution, which deals with the relationship of the president to Congress. That section gives the president the power to convene Congress in an emergency—as presidents have done—and also to adjourn them “to such time as he shall think proper.” But there is another clause in that sentence providing that he can adjourn them only “in case of disagreement between [the Houses], with respect to the time of adjournment.” There is no such disagreement between the House of Representatives and the Senate; they have agreed to end the session on January 3, 2021.

April 15, 2020 (Wednesday)The biggest news today was Trump’s announcement that, unless the Senate resumes confirming…

Posted by Heather Cox Richardson on Thursday, April 16, 2020

Trump is unhappy because members of Congress have left Washington due to the pandemic, and the Houses are staying open through “pro forma” sessions. These sessions are “in form only,” and consist of members showing up simply to indicate that their Chamber is still open. They have attracted political controversy for years because these sessions stop a president from making recess appointments.

Trump wants to make such appointments to insert into office people who would not win Senate approval, like his current nominee for Director of National Intelligence, John Ratcliffe (R-TX), who had to withdraw the first time Trump considered him because he was unqualified. “The current practice of leaving town while conducting phony pro forma sessions is a dereliction of duty that the American people cannot afford during this crisis,” Trump said at the day’s coronavirus briefing. “It’s a scam.”

Most of the vacancies that require Senate confirmation are empty not because the Senate is refusing to take them up, but because Trump has not nominated anyone.

Because Senate confirmations take time, Senate Majority Leader Mitch McConnell (R-KY) has been focusing on confirming Trump’s judges. Under Trump, the Republican Senate has been packing the courts with judges sympathetic both to business interests and to a strong theory of the unitary executive. The Republican Party is using the government to promote business and protect the wealthy, and they are cementing their cause in the courts where judges can protect their ideology even if the American people turn emphatically against it. To this end, McConnell blocked President Barack Obama’s judicial appointments—including one to the Supreme Court—and has rushed through Trump’s, enabling Trump to appoint almost as many federal judges in three years as Obama did in eight.

Trump’s judges also tend to adhere to a strong theory of the unitary executive, a theory that puts the president out of reach of any check from Congress or the courts because that would impinge on the separation of powers, and any check from the FBI or the Department of Justice because those are within the Executive branch. With today’s announcement that the Supreme Court on May 12 will take up the question of whether or not Congress or a state prosecutor has the power to investigate Trump’s finances, his need for judges who believe in a virtually untouchable executive is likely on his mind.

Trump’s belief that the courts will side with him was clear in the briefing. “They know they’ve been warned and they’ve been warned right now. If they don’t approve it, then we’re going to go this route and we’ll probably be challenged in court and we’ll see who wins,” he told reporters.

Still, this was likely an empty threat. The unprecedented step of trying to adjourn Congress would spark a fierce backlash among lawmakers of his own party, among others. Trump’s sudden attention to an often-forgotten power in the Constitution’s Article 2, Section 3 would undoubtedly call to mind the famous duty the same section requires of the president: “he shall take care that the laws be faithfully executed.”

Trump’s dramatic assertion of his authority is likely in part because he remains determined to “reopen” the country against the advice of health professionals, and his insistence yesterday that he had “absolute authority” over the states to do so met with a swift backlash. Reports say that Trump thinks a recovering economy is his best hope for reelection, and is keen to get us back up and running.

But business leaders he has recruited as part of the effort are warning him that the country needs more testing before Americans will feel safe enough to resume normal lives. “Unless people feel safe and secure and confident around the virus, the economic impact will continue in some way, shape or form,” Goldman Sachs chief Executive David Solomon has told the president. Polls bear Solomon out: a Fox News poll this week showed that 80% of voters want the federal government to issue a national stay-at-home order, and 47% of them thought Trump was not taking the virus seriously enough. “We have the best tests in the world,” Trump said today, then told reporters that states were “much better equipped” than the federal government to perform such tests. (There is, in fact, a great shortage of tests.)

Still, Trump’s right-wing advisors insist that the economy will only deteriorate unless the economy opens back up and business resumes. Reopening, they say, will cause coronavirus deaths but prevent suicides. This message is resonating among Trump’s supporters, who blame Democrats for overreacting to the pandemic.

People showing Trump signs and flying Confederate flags organized “Operation Gridlock” in Michigan’s capital of Lansing to protest the shelter-at-home orders lasting until April 30 imposed by Michigan Governor Gretchen Whitmer, a Democrat. Michigan has the third-highest number of Covid-19 cases among the states and the lockdown has lowered infections, but Republican state legislators and congress members have criticized the sweeping order. Drivers of several thousand cars blocked the Lansing streets to protest what they see as an infringement of their liberty.

This dynamic enables Trump to divert attention from his mishandling of the virus by blaming Democrats for the faltering economy. Trump frequently attacks Whitmer, and today’s protesters shouted “Lock her up.” (Interestingly, CNN ran a story today noting that the world’s female leaders have been far more effective at managing the coronavirus than the world’s male leaders.)

The Michigan protesters say they are worried about paying their bills, which should bring attention to today’s news from the nonpartisan congressional Joint Committee on Taxation, noting that Senate Republicans added a provision to the $2.2 trillion coronavirus relief bill that wealthy investors, especially real estate investors, have wanted since 2017. In addition to the more than $500 billion already in the package, the provision will allow unlimited deductions for businesses losses, a rule that is retroactive for the past five years and which will cost taxpayers about $90 billion in 2020 alone. More than 80% of the benefits of the change will go to those who earn more than $1 million a year. Alan D. Viard of the right-leaning think tank the American Enterprise Institute wrote that the measure “gives businesses badly needed liquidity during the coronavirus pandemic while also reducing the tax penalty on risky business investments.”

An op-ed in the Washington Post today from the leaders of the Lincoln Project urged Republicans to desert Trump in 2020. Five prominent Republicans (or former Republicans), including lawyer George Conway III and Republican strategist Steve Schmidt wrote “We’ve never backed a Democrat for president. But Trump must be defeated.” Their op-ed praised former Vice President Joe Biden for putting country over party, and called Trump Biden’s “photonegative.” “Unlike Trump,” they wrote, “Biden is not an international embarrassment, nor does he demonstrate malignant narcissism. A President Biden will steady the ship of state and begin binding up the wounds of a fractured country. We have faith that Biden will surround himself by advisers of competence, expertise and wisdom, not an endless parade of disposable lackeys.”

They went on: “We are in a transcendent and transformative period of American history. The nation cannot afford another four years of chaos, duplicity and Trump’s reality distortion. This country is crying out for a president with a spine stiffened by tragedy, a worldview shaped by experience and a heart whose compass points to decency.”

Tomorrow Trump will unveil new federal guidelines to begin the process of reopening the country.

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Notes

Adjournment date:

https://www.washingtonpost.com/politics/trump-threatens-to-adjourn-congress-to-get-his-nominees-through/2020/04/15/e3bfc4c6-7f6a-11ea-9040-68981f488eed_story.html

Ratliffe: https://www.cnn.com/2020/02/28/politics/john-ratcliffe-dni-nominate/index.html

Pro forma history: https://www.theatlantic.com/politics/archive/2016/03/pro-forma-senate/474930/

Nominations: https://www.washingtonpost.com/graphics/politics/trump-administration-appointee-tracker/database/

Coronavirus briefing: https://talkingpointsmemo.com/live-blog/trump-white-house-coronavirus-briefing-who-funding-backlash

Trump judges: https://www.vox.com/policy-and-politics/2019/12/9/20962980/trump-supreme-court-federal-judges

SCOTUS date:

WaPo: https://www.washingtonpost.com/opinions/2020/04/15/weve-never-backed-democrat-president-trump-must-be-defeated/

Task force: https://www.washingtonpost.com/politics/trumps-attempt-to-enlist-businesses-in-reopening-push-gets-off-to-rocky-start/2020/04/15/1f89df0a-7f48-11ea-a3ee-13e1ae0a3571_story.html

Polls: https://www.cnn.com/2020/04/11/politics/trump-economy-coronavirus-analysis/index.html

Michigan: https://www.washingtonpost.com/politics/2020/04/15/an-caravan-angry-michiganders-exposes-complicated-politics-coronavirus-shutdown/#comments-wrapper

https://www.nbcnews.com/politics/politics-news/lock-her-anti-whitmer-coronavirus-lockdown-protestors-swarm-michigan-capitol-n1184426

https://www.npr.org/sections/coronavirus-live-updates/2020/04/15/835250693/michigan-stay-at-home-order-prompts-honking-traffic-jam-protest

female leaders: https://edition.cnn.com/2020/04/14/asia/women-government-leaders-coronavirus-hnk-intl/index.html

tax change: https://www.washingtonpost.com/business/2020/04/14/coronavirus-law-congress-tax-change/

new guidelines: https://www.cnn.com/2020/04/15/politics/donald-trump-guidelines-coronavirus/index.html

Take care clause: https://constitutioncenter.org/interactive-constitution/interpretation/article-ii/clauses/348

Despite Federal Ban, Landlords Are Still Moving to Evict People During the Pandemic

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ProPublica found landlords in at least four states have violated the ban, which was put in place by the CARES Act but has no clear enforcement mechanism.

by Jeff ErnsthausenEllis Simani and Justin Elliott April 16, 5 a.m. EDT

Landlords in at least four states have violated the eviction ban passed by Congress last month, a review of records shows, moving to throw more than a hundred people out of their homes.

In an effort to help renters amid the coronavirus pandemic and skyrocketing unemployment, the March 27 CARES Act banned eviction filings for all federally backed rental units nationwide, more than a quarter of the total.

But ProPublica found building owners who are simply not following the law, with no apparent consequence, filing to evict tenants from properties in Georgia, Oklahoma, Texas and Florida. The scores of cases ProPublica found represent only a small slice of the true total because there’s no nationwide — or, in many cases, even statewide — database of eviction filings.

Four landlords said they were reversing eviction filings after being contacted by ProPublica and informed the filings were illegal. National real estate trade groups, however, are already lobbying to limit the scope of the ban.

At The Life at Pine Village, a development outside Atlanta where one-bedroom apartments rent for around $850 per month, seven tenants were hit with eviction filings last week.

“Thank you for bringing this to our attention. The evictions at The Life at Pine Village were done in error and have been halted. Our team has been working today to contact all tenants who originally received notices,” said Mark Braykovich, a spokesman for Manhattan-based owner Olive Tree Holdings.

Olive Tree has a portfolio of buildings in Texas and Georgia worth more than $500 million. Braykovich said staff had been confused about what is covered by the eviction ban, noting the “unusual and quick implementation of changes in the law.”

At the Laurel Pointe Apartments in Forest Park, Georgia, the landlord filed for eviction against 25 households several days after the federal ban passed. The building is owned by Seattle-based Stonemark Housing Partners and managed by Cushman & Wakefield, a $2.5 billion publicly traded real estate services firm.

A Laurel Pointe spokesperson said that after receiving ProPublica’s request for comment: “We began a thorough investigation and determined we did unknowingly and wrongfully begin the eviction process for several residents. No residents were served or removed from their homes and first thing this morning we filed for dismissal of all evictions.”

The recent eviction filings underscore Congress’ failure to include an enforcement mechanism in the law, as well as the complexity of the ban, which only applies to certain categories of properties.

“There’s nothing in the bill that seems to create a clear penalty for violating the new law,” said Dan Immergluck, an urban studies professor at Georgia State University in Atlanta. He added it’s not clear that landlords even know about the ban.

It’s impossible to know how widespread the violations are. Eviction filings are notoriously difficult to track around the country because they are typically handled in city or county courts, only some of which post cases online, even during normal times. The roughly 120 eviction filings ProPublica found represents a review of records in just seven counties in three states, along with the entire state of Oklahoma. These places were chosen based on their population, ease of access to online records and because they had a substantial number of new cases in the past month. Several other county courts where ProPublica tried to review records have stopped posting case information altogether because of the pandemic.

Landlords are still allowed to file some kinds of evictions at covered properties, including when a tenant is a threat to others. They are prohibited from evicting tenants for failing to pay rent. But documents for the roughly 70 cases that ProPublica was able to obtain showed landlords filed specifically for nonpayment of rent, in violation of the law.

Landlords are already lobbying to roll back the more than two-week old federal ban. In a letter to the White House and Congress this month, several national trade groups pressed for the eviction ban to be narrowed to cover only tenants “adversely affected by the outbreak, but also require residents to officially notify the property owner,” The Real Deal reported.

An eviction filing does not mean a tenant is immediately kicked to the curb. Tenants are sometimes protected by state and local laws as well. The procedure is different in every state, but under normal circumstances, it could be several weeks from the time a tenant misses the rent before a sheriff makes it to their door. Tenants facing eviction often don’t know their legal rights, advocates say, and the notice alone could cause them to leave their homes, posing public health risks in the face of an ongoing pandemic.

Even if tenants see the eviction process through, the filings can have other serious consequences. It often carries significant fees for tenants and can get them added to blacklists used by many landlords to screen potential renters. “It immediately impairs your ability to get out of the situation that you’re in, and it’s that much harder to find a landlord that will rent to you,” said Erin Willoughby, a lawyer with the Atlanta Legal Aid Society.

The CARES act prohibits landlords from charging tenants fees as well, but most of the eviction filings ProPublica reviewed show that landlords sought late fees and legal costs from their tenants. The fees vary, but typically amount to 20% to 30% of the tenant’s monthly rent. In some cases reviewed by ProPublica, attorneys’ fees alone were as high as $300.

Housing advocates around the country are struggling even to identify which buildings fall under the eviction ban, which lasts until July 25. The CARES Act lays out several categories, including buildings with federally backed mortgages and others that receive certain tax credits or participate in voucher programs. That covers more than 25% of all rentals in the country, according to estimates by the Urban Institute, or about 12.3 million units. There is no single tool or data source that tells renters, advocates or landlords if their building is covered by the ban. That makes it difficult for tenants to know if their eviction case was filed illegally or not.

Even as some landlords are violating the ban, overall evictions have dropped substantially in the regions ProPublica reviewed. In addition to the CARES Act moratorium, some states have issued their own eviction bans, and many physical court locations are currently closed to nonessential business, making it difficult to file in places where there is no online portal. While many of the illegal filings ProPublica found came days after the ban was passed March 27, records show landlords have continued to file for evictions in the past two weeks.

Most of the landlords filing evictions since the ban went into effect did not respond to requests for comment. They include Emerald Equity Group, a New York City-based firm that is best known in the industry for purchasing a portfolio of East Harlem rental buildings for more than $350 million in 2016.

Emerald’s CEO, Isaac Kassirer, is the subject of frequent stories in the business press, including for investing in rent-regulated buildings with an eye to increasing rents, tenant lawsuits and allegations of poor building upkeep. Kassirer has said that Emerald’s apartments are affordable and that he never harasses tenants.

Between March 30 and April 1, Emerald filed eviction papers on nine tenants at 13Ten Apartments, a complex in a low-income, largely black part of DeKalb County outside of Atlanta. But Kassirer’s firm took out a $47 million government-backed loan on the property in 2019, which puts it under the eviction ban in the CARES act.

ProPublica was able to identify illegal eviction filings by cross-referencing the court filings in Houston, Tampa, metro Atlanta and Oklahoma against mortgage documents and databases from the Department of Housing and Urban Development and Fannie Mae and Freddie Mac. The two government-sponsored agencies support the housing market by buying loans from lenders and reselling them to investors.

Legal experts say that, in the absence of federal penalties, landlords are unlikely to face any consequences for bringing the illegal cases in local courts.

“There’s not a lot at stake if the landlord loses the case, or if it gets dismissed,” said Eric Dunn, director of litigation at the National Housing Law Project. Many tenants don’t have the resources to challenge their cases, and the bar is high for establishing a pattern of frivolous lawsuits before a judge.

“It’s very uncommon that courts levy sanctions against landlords,” Dunn said.

Because there is no legislation relieving tenants from rent payments during the pandemic, renters who are currently protected from eviction will still be responsible for paying any back-rent when the federal and local bans are lifted.

In the absence of rental assistance, housing advocates are bracing for the worst when the eviction process returns. “We don’t want there to be a cliff that low-income renters fall off of once the moratoria are lifted,” said Diane Yentel, president and CEO of the National Low Income Housing Coalition.

Yentel’s group is advocating for additional legislation to provide funding for short-term rental assistance to ensure that tenants and landlords can continue to pay their bills.

Are you having trouble with your rent, mortgage or debts? Or do you work in the housing or debt industries and have something you think we should know about? Let us know here.

COVID-19 Mental Health Impact Resources

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With COVID-19 evolving rapidly across the world, APA’s Committee on Psychiatric Dimensions of Disasters and the APA’s Council on International Psychiatry compiled the following list of resources for psychiatrists. The resources cover not only the physical impact of the coronavirus, but on its potential mental health and psychosocial issues and responses. The resources also include a section on telepsychiatry, to prepare for the possibility of isolation and/or quarantine.

For immediate assistance:

  • Disaster Distress Helpline – Call 1-800-985-5990 or text TalkWithUs to 66746
  • National Suicide Prevention Lifeline – Call 800-273-8255 or  Chat with Lifeline
  • Crisis Textline– Text TALK to 741741 

Resources for Providers

Resources for Families

Resources for Healthcare & Community Leaders

Additional Resources 

The Lancet: Rapid Review,  The psychological impact of quarantine and how to reduce it: rapid review of the evidenceUnited Nations Inter-Agency Standing Committee, Briefing: “Addressing Mental Health and Psychosocial Aspects of COVID-19 Outbreak”   

For general resources and guidance on coronavirus and prevention, see the Centers for Disease Control and Prevention (CDC) resources:

Drugwatch also has some helpful resources:

COVID-19 Put Her Husband in the ICU. She Had to Be Hospitalized Next. The State Demanded to Know: Who Would Care for Their Children?

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When Laura Whalen went to a hospital with COVID-19, she brought her kids. Her husband was already in an ICU, and she couldn’t risk them exposing their grandma. But the state told her to find someone to take them or it would.

by Topher Sanders and David Armstrong April 15, 6 a.m. EDT

On the afternoon of March 24, as her symptoms from the coronavirus worsened, Laura Whalen found it difficult to talk. She would run out of breath before finishing a sentence. If she moved, even slightly, she coughed.

Her friend Robin, a nurse, grew alarmed at the wispy sound of her voice and urged her to go to the hospital. “Laura,” she said on the phone, “you need to go.”

“I’m not leaving my children,” Laura replied. “I’m not going anywhere.”

The 43-year-old mother in Bridgewater, New Jersey, was facing any parent’s worst nightmare: She was growing sicker by the hour but had no viable plan for taking care of her two children. The usual options for watching the kids were off the table because the Whalen children were likely infected with a virus that was contagious, unpredictable and lethal.

Her 45-year-old husband, Tony, was in a medically induced coma at Robert Wood Johnson University Hospital in Somerville, a nearby town. In the six days since they had both tested positive for COVID-19, his health had been her priority. She’d been working the phones and Facebook to see if she knew anyone who could get him connected to an ECMO machine that would oxygenate his blood, or help him get an experimental antiviral drug called Remdesivir.

His decline had been steep. Even that day, after hanging up with her concerned friend, Laura thought first about Tony, wrapping her mind around the fact that she and her kids — Cai, 11, and Maji, 14 — might have to say goodbye to him on FaceTime. A nurse agreed to hold up a phone so they could see him. They thought they were looking at a large box, but the nurse said it was the bottom of a special bed. Tony was strapped in, facing the floor, in an effort to increase his oxygen level. All Laura and the kids could see was his shoulder.

As they told him they loved him, Laura’s friend called again but was unable to get through. Robin would have normally jumped in the car right then, but her daughter is immunocompromised and she couldn’t risk exposing herself, and thus her daughter, to the virus. Alarmed at the lack of response, Robin called the police to check on Laura.

The cruiser pulled up shortly after Laura and the kids ended their call. Two ambulances soon followed.

Laura knew she needed to go to the hospital, but she wasn’t going to leave the kids home alone for what likely would be days in the middle of a pandemic. Her elderly mom, who lived nearby, was always available to care for her grandchildren; but now, asking her to do so would be asking her to put her own life at risk. Laura decided she would bring the children with her to the hospital.

She told them to stuff their backpacks with books and games, picturing the possibility that she could wind up out of it, and she didn’t know how long they would be at the hospital. The only thing she could do for them, in that moment, was to make sure they could occupy their minds.

Within hours, the decision to keep the kids by her side would threaten to split the family further apart. If she couldn’t find someone to take them, she’d be told, the state of New Jersey would.

Laura and Tony Whalen met as teenagers at a church retreat. She was 16. He was 18. As an icebreaker, they were handed toilet paper and told to take just enough squares to get them through the weekend; for each square, they had to provide a detail about themselves.

Tony, who was tall with floppy brown hair, took a bunch of squares, and launched into a monologue about the various mishaps he experienced at his part-time job at Chicken Holiday, a local fast food restaurant. “I’m captivated,” Laura recalled. “I had a boyfriend at the time. But, you know, within hours, that was kind of forgotten.”

They married seven years later. She was more introverted, preferring the quiet of home. He loved being the center of attention. One Christmas while in middle school, his older brother Tom Whalen remembered, Tony posed a question to his step grandparents in front of their large Italian family: “You guys use condoms, or what?” The kids at the table laughed; the adults did not.

His brash sense of humor made some people uncomfortable but endeared him to others, including a group of brothers from the Sigma Phi Epsilon fraternity he helped to establish at Rider University. He was all about people. At Sanofi pharmaceuticals, where he worked for 17 years, he was director of client engagement.

Tony embraced fatherhood. His dad died when he was a young boy, and he wanted to be involved in as many of his own kids’ pursuits as they would allow. When Cai joined the Cub Scouts, Tony stepped in to be the den leader. After Maji came out as nonbinary, Tony joined an LGBTQ group so he could learn more about how to offer support.

Amid it all, Tony was dealing with significant health problems. He had osteopenia, or weakened bones, and underwent surgeries beginning around age 3 for pectus excavatum, a condition where his chest was slightly sunken. After several bouts of pneumonia as an adult, he had a portion of a lung removed in an effort to reduce his risk of infection. He suffered multiple broken bones, and in the past two years, broke both hips and both wrists. “Even when he was well, he was sick,” his brother said. “He was always sick or he was always in pain.”

Yet Laura said she never considered Tony fragile. It was something they talked about just a few months ago, at a time when Tony was feeling down about his health. “I never, ever thought of you as sick or broken,” she said she told Tony.

When they both came down with the coronavirus, it left the couple exhausted. They would slump on the couch and watch television. “The kids were kind of fending for themselves,” she said. Instead of participating in online classes, they would wake up, sign in and go back to bed.

Tony’s condition began to worsen March 19, about a week after he first experienced symptoms. He had a persistent cough and wasn’t sleeping well. Tony didn’t want to go to the hospital, afraid it would expose him to other illnesses and infections that would make him even sicker. He hoped to ride out the virus at home, optimistic he would overcome it, like he had everything else.

But Laura found him at the kitchen table in the early morning of March 21, struggling to breathe. She woke up the kids. She wanted them to have some time with their father before the ambulance took him away.

On the night of March 24, Laura and the children were evaluated in the emergency room at Robert Wood Johnson University Hospital in New Brunswick, about 10 miles away from the hospital where Tony was in critical condition.

Maji had mild symptoms; Cai had none. They didn’t need emergency care and the hospital wanted to discharge them. The staff soon began asking Laura who could take them.

“There’s no one,” Laura said she told the staff.

They asked about her mother. “My mother’s not sick,” she said. “My child is sick. You are essentially asking me to infect my mother.”

If Laura couldn’t find someone to take the children, the staff said, they would be forced to call the state’s child welfare agency.

A hospital spokesman said state law requires the facility to notify welfare officials if a parent is unable to find someone to care for their child. Both the state and the hospital declined to comment specifically on Laura’s description of events.

Laura texted her friend Robin for help at 10:27 p.m.; she was a nurse at the hospital. Robin told her to talk to the nursing supervisor and ask for a compassionate admission where she and the children would be placed in a room together.

“They need to be creative here,” Robin wrote. “This is going to be a repeat issue. They should figure out how to assist you, not stress you.”

The appeal worked. Laura and her children were allowed to stay in a small room in the emergency area for several hours while they waited for a room that could better accommodate them. Laura had a bed; the children sat in hard chairs.

They were all struggling to sleep when, just after midnight, Laura’s phone rang with an unfamiliar number. It was a caseworker from the state Department of Children and Families, asking the same question the others had. Who could take the kids? The hospital’s social worker also called.

Laura was reaching a breaking point. She was sick. Her kid was sick. She was worried about her husband and couldn’t talk to him. She was on her own.

“I just said: ‘Fuck you. My kids are staying with me.’”

The question of what happens if parents get sick with the coronavirus and can’t care for their children is something “every state and city and town child welfare provider is struggling with,” said Christine James-Brown, president and CEO of the Child Welfare League of America.

A spokeswoman for the state of New Jersey, Nicole Brossoie, said that when it receives reports that a parent is “incapacitated and unable to care for their child, the department has an obligation to respond.”

She said New Jersey has identified foster parents willing to take in children exposed to the virus. The state plans to quarantine children in that situation for 14 days. “All efforts are made to connect the children with family or someone familiar,” Brossoie said. “When that is not possible, foster care placement is arranged. … The department will take all necessary precautions to mitigate the spread.”

Like New Jersey, officials in Louisiana, Michigan and Washington told ProPublica they have begun planning for the possibility of having to place children who have been exposed and whose parents are hospitalized or have died.

It has become difficult to find willing foster families.

“They’re really, really hesitant of potentially exposing their own loved ones to something larger than just temper tantrums or behavior,” said Marcus Stallworth, a training and development specialist at the CWLA. Irene Clements, executive director of the National Foster Parent Association, agreed. “The caregivers are going to say: ‘No, we know this child’s exposed. I can’t do that to my family.’ So in these situations, either a state or a county agency has to then become the parent.”

At 4 a.m. on March 25, after spending several hours cramped in a small room in the emergency department, Laura decided she and the children would leave. She still couldn’t catch her breath and had a headache and fever that made her ears hurt. But they were all exhausted, and a solution for how to take care of the kids was no closer to being found. “I’m taking my kids and going home,” Laura told hospital staff. “This is ridiculous.”

Staff members moved them from the emergency department to a room with two beds and a recliner. They slept for five or six hours. Laura was getting oxygen and the medical attention she needed. “It was good,” Laura said.

But at 9:53 a.m., her phone ran again. It was the caseworker from the state. This time, the tone was different. “It was very clear they were going to take the kids,” Laura said.

Laura ran, once again, through a mental list of those who would ordinarily help with the children. She wished she had come up with a plan when she and Tony first got sick.

This time, she remembered one person she hadn’t considered, Tony’s stepfather Frank. Laura had assumed he was ill; Tony’s mother had the coronavirus. But then, as she was updating Tony’s mom about everything, she learned that Frank never developed symptoms even though he had been exposed to the virus for weeks.

Laura called Frank. It was the first time she’d ever asked him for child care help. “I need you to do this. Otherwise, they’re going to take the kids.” He understood.

Laura was relieved. Now she could focus on fighting the virus in her body.

A few hours later, Laura received another call. Tony was dead.

It’s quiet in the Whalen house these days. Tony was the one who filled it with Nirvana and Radiohead and adventure audiobooks like Harry Potter stuff he and the kids enjoyed together. Cai has poured himself into one of his dad’s passions, video games. Maji has retreated into their room. From a distance, many family members and friends have expressed their love. None have been able to come over and give them a hug.

Laura knows it will take time for the kids to get used to it all. In the past, when Maji had difficulty sleeping, Tony would rub the teen’s shoulders and put on a chapter of the novel “Artemis Fowl.” It doesn’t work when Laura does it.

But she is trying to pay attention to what has improved. “You get up and you take a tiny teeny step and it may not even look or feel like a step, but it’s a step,” she said.

She’s started working again at her job consulting at Johnson & Johnson and forces herself to wake up and get the day started. She pushes herself to take deep breaths to help get her lungs back in shape; each breath still comes with pain, but she knows that will fade.

She feels the same way about the pain of loss. Her father died when she was 21. The hurt was intense but not everlasting. “I know that the pain for Tony won’t last forever. I’m just going to have that faith and just choose to believe that,” she said. “And if I can do that … I can live through this moment.”

Tony told Laura he didn’t want a funeral when he died. He wanted a celebration, with those in attendance hoisting shots in his honor. He recently became fond of peanut butter whiskey.

Laura said the shots will have to wait, but there will be a private funeral and viewing on Wednesday. Five people will be allowed in the room at a time.

When her father died, the family received a visit from their Catholic priest who said that if her dad were given a choice to come back or stay in heaven, he would choose heaven. “And that made me so angry and so sad,” she said. “You tell me that my dad would choose heaven over me and heaven over my brothers?”

His words have taken on a new meaning now. To her, heaven is real, and Tony is there, and if he was given a chance to come back, he wouldn’t. “And that’s OK, because his lungs are great and he’s happy,” she said, “and he’s with his own dad, and he’s with my dad, and he’s drinking whiskey and he’s playing pinochle and he is looking out for us.”