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Daily Archives: September 1, 2021
Monoclonal antibody infusion therapy for COVID-19 | UNC-Chapel Hill – UNC Chapell Hill
Posted: September 1, 2021 at 12:11 am
If you have been diagnosed with COVID-19 and are at high risk for developing severe COVID-19, you may be eligible for monoclonal antibody treatment, which might prevent you from becoming sicker.
Antibodies are part of our natural defense against viruses such as SARS-CoV-2, the virus that causes COVID-19. But they take time for the body to make. Antibodies designed to attack COVID-19 have been developed, and in several studies have been shown to reduce the risk of progressing to severe COVID-19 and hospitalization when given early to people who test positive for COVID-19. This therapy is given as an infusion through an IV at one of the UNC Health infusion centers.
The criteria for patients to be considered for Monoclonal Antibody infusion therapy are:
Monoclonal antibody therapy needs to be given as soon as possible after symptoms start to workideally within 4 days and no longer than seven days.
To find out if you are at high risk and eligible for COVID 19 Monoclonal Antibody infusion therapy, please call the UNC COVID Help Line at 888-850-2684, between 8 a.m. and 5 p.m., 7 days a week.
Providers outside of UNC Health can also call the Help Line for information about whether patients meet detailed criteria and can be referred to a UNC Health clinic for monoclonal antibody treatment. UNC Health providers should check the intranet resources for treatment criteria and referral information.
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San Antonio Zoo to vaccinate its animals against COVID-19 very soon – KXAN.com
Posted: at 12:11 am
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San Antonio Zoo to vaccinate its animals against COVID-19 very soon - KXAN.com
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These charts show that COVID-19 vaccines are doing their job – Science News Magazine
Posted: at 12:11 am
As the coronavirus continues to surge across the United States, hospitals are again filling up with ill COVID-19 patients. And the vast majority of those patients are unvaccinated, as two new charts help make exceedingly clear.
One of those charts shows that from January 24 to July 24, vaccinated individuals were hospitalized with COVID-19 at a much lower cumulative rate than unvaccinated individuals. And the difference in rates between the two groups has only grown over time. By late July, a total of about 26 adults per 100,000 vaccinated people had been hospitalized for COVID-19. Thats compared with about 431 hospitalized people for every 100,000 unvaccinated individuals a rate roughly 17 times as high as for those who were vaccinated. The datacome from 13 states, including California, Georgia and Utah.
That trend held when the researchers charted hospitalization rates on a weekly basis too. From January to July, weekly hospitalization rates among unvaccinated people were six to 31 times as high as those in vaccinated people, the researchers report August 29 at medRxiv.org.
The accumulation of hospitalizations in each group over time, which that first chart shows, illustrates the risk of developing severe COVID-19 overall. And its message is clear: If youre vaccinated during this pandemic, your risk of hospitalization is much, much lower than if youre not vaccinated. The weekly rate, on the other hand, is a bit like the speedometer on a car providing a glimpse of whats happening week by week as the coronavirus spreads. Its message is also clear: The risk of a vaccinated person becoming hospitalized remains low at any given time, while the risk for unvaccinated people can fluctuate, probably as a result of community transmission.
The findings, along with other recent research out of Los Angeles County, remind us that if you are not yet vaccinated, you are among those highest at risk, Rochelle Walensky, director of the U.S. Centers for Disease Control and Prevention, said August 24 in a White House news briefing. Please do not underestimate the risk of serious consequences of this virus.
As of August 26, more than 100,000 people are hospitalized for COVID-19 in the United States, according to the U.S. Department of Health and Human Services a level not seen since January amid the winter surge.
A separate study, described August 24 in Morbidity and Mortality Weekly Report, that focused on Los Angeles County also showed that while COVID-19 vaccines dont always stop infections, the shots still prevent people from landing in the hospital. Thats even with the spread of the highly contagious delta variant, which has raised concerns among public health officials because some vaccinated people who get infected can transmit the coronavirus to others (SN: 7/30/21).
On July 25, when the delta variant was prevalent in the county, unvaccinated people were nearly 30 times as likely to be hospitalized as vaccinated people, the researchers found. Only one vaccinated person for every 100,000 people was hospitalized for COVID-19. Among unvaccinated people, there were around 29 hospitalizations per 100,000 individuals. In that same study, unvaccinated people were five times as likely to be infected as vaccinated people.
While the vaccines dont protect against infection as well as they do against severe disease, the shots are keeping people off ventilators and from dying, Kathryn Edwards, an infectious disease pediatrician at Vanderbilt University School of Medicine in Nashville, said August 26 in a news briefing sponsored by the Infectious Diseases Society of America. We cannot lose the forest for the trees.
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Social Securitys funds have been significantly affected by Covid-19. Heres how that could impact your benefits – CNBC
Posted: at 12:11 am
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A new report released by the Social Security Administration on Tuesday reveals new estimates of just how much the Covid-19 pandemic has impacted the program's already ailing trust funds.
The results show the funds from which the program pays benefits have been "significantly affected" by both the pandemic and the ensuing recession of 2020.
Now, the fund that pays retirement and survivor benefits known as the Old-Age and Survivors Insurance Trust Fund will be able to pay full benefits as scheduled only until 2033. That is one year earlier than last year's projections.
At that time, the program will only be able to pay 76% of those scheduled benefits.
The Disability Insurance Trust Fund, meanwhile, will be able to pay benefits until 2057 eight years sooner than last year's estimates. At that time, Social Security will be able to pay 91% of those benefits.
Combined, both trust funds are estimated to be able to pay full benefits as scheduled until 2034, one year earlier than last year's projections, at which point 78% of benefits will be payable.
Notably, last year's projections did not take the effects of Covid-19 into account.
Though the depletion dates have been bumped up sooner, benefits will still be paid once those dates are reached.
In addition, though the cost-of-living adjustment for next year was projected to be 3.1%, that increase will likely be closer to 6% due to recent increases in the Consumer Price Index, senior administration officials said. That is in line with recent estimates.
That would be the highest increase in decades, due to recent price increases in areas like cars and energy. The COLA for this year was 1.3%.
While this report is the first to show the effects of the Covid-19 pandemic on Social Security, the full effect of persistent inflation likely will not be known until next year's report, said Shai Akabas, director of economic policy at the Bipartisan Policy Center.
A sustained inflation rate of more than 2% could have a meaningful impact on the program's finances, he said.
Here's a look at more retirement news.
The Aug. 31 release date of the annual Social Security trustees report is also the latest in at least 25 years, Akabas noted. Typically, the report comes out in April, though it has been released later than that in the past.
"It's concerning from that standpoint of wanting to make sure we're keeping a close eye on the program's finances," Akabas said.
While the report's results point to the need to fix the program either through increased taxes, benefit cuts or a combination of both it is unlikely to spur lawmakers to act immediately, Akabas said.
That's because the estimates for the program are not as dire as projected in the immediate aftermath of the onset of Covid-19 last year. Prior to the economic recovery, the Bipartisan Policy Center had projected the trust fund used to pay retirement benefits could run out as soon as 2029 to 2033.
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South Dakota National Guard activated to help with COVID-19 testing efforts – KELOLAND.com
Posted: at 12:11 am
PIERRE, S.D. (KELO) Nine soldiers with the South Dakota National Guard are helping Monument Health with COVID-19 testing in the western part of the state.
The soldiers were activated to Belle Fourche, Custer, Rapid City, Spearfish and Sturgis.
The soldiers are activated under FEMA Title 32, so their efforts will be federally funded.
In a statement, Governor Kristi Noem says she spoke with all three South Dakota hospital systems to ask what they needed as cases start to rise again.
Monument shared a need for help with testing efforts.
Testing efforts help us to identify and isolate cases to slow the spread of the virus, Noem said in the email.
The members began their work Tuesday morning.
Testing volume in August was 115 percent higher than it was in July, according to Emily Leech, Director of the Monument Health Laboratory Services.
The health care system says that in the last seven days, 2,856 COVID-19 PCR tests were completed and 844 were positive for a positivity rate of 29.6 percent.
Leech says assistance from the National Guard will allow Monument Health to test more patients and fully utilize testing equipment.
The latest update from the state health department said the Rapid City hospital was at 100 percent capacity.
A month ago, the Monument Health system had fewer than 10 hospitalized COVID-19 patients. As of Monday, Aug. 30, the number had increased to 110.
Dan Daly with Monument Health says as of Tuesday, the health care system has 108 COVID-19 patients. He says that is more than the 104 patients treated when COVID-19 peaked in November 2020 in South Dakota.
A Monument spokesman tells us they are not turning anyone away. He says if someone needs a bed, they will find one.
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State looking at ways to speed up the COVID-19 testing process – KRQE News 13
Posted: at 12:11 am
NEW MEXICO (KRQE) As COVID-19 cases spike, testing is jumping just as quickly. This is causing a slow down in New Mexicans getting results.The New Mexico Department of Health is looking at ways to speed up the process. The amount of tests being done is way up compared to last year and even month to month. Mandatory COVID testing for employees and a surge in cases has people waiting days to get their results.
When my son had to get tested because he came into contact with somebody and that took forever. It was about five days to wait for him to get it. and I was like pacing, like please hurry you know I dont want him to have anything but luckily we were good, said Evita Sinclaire.
NMDOH says they are working on expanding testing services at the public health offices. The department is trying to balance getting people vaccinated and getting people tested.
In the last two weeks, more than 172,000 tests were done in New Mexico. That compared to less than 80,000 over the same two-week period in 2020. In the last 30 days, the state conducted more than 312,000 tests. That is 175,000 more than the previous 30 days.
In some cases tests are sent out of state, slowing down the ability for people to get their tests quicker. According to NMDOH, other in-state lab services are ramping up their testing turnaround again.
We do need to be patient and recognize with so many people testing you know we can only work so fast collectively in the health world to be able to get those test results back, you know expect to wait a few days, says David Morgan, a spokesperson with NMDOH.
If you are required to get weekly COVID tests for work the health department is recommending people use Vault testing. This allows people to have COVID tests delivered to your home every week.
The other concern is Balloon Fiesta starting the first weekend in October. The department says there are efforts underway to determine a temporary alternate site away from Balloon Fiesta Park for COVID testing.
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Opinion | The Hard Covid-19 Questions Were Not Asking – The New York Times
Posted: at 12:11 am
What if the stated goal is simply, Kids need to be in school, period. Considering the devastating costs of having children out of school last year, including dramatic and quantifiable learning loss in math and reading, this is a very reasonable and defensible goal. How might that then drive policy? Setting that goal would mean deploying more tools to keep children in school, like using rapid antigen tests and allowing kids who test negative to go to in-person class rather than mass quarantining hundreds or thousands of children who had close contact to people with the virus, as is happening now. Or, we accept that there will be more cases in children, recognizing that disease severity for a vast majority of kids is low.
Another hard question that is most likely also causing confusion and disagreement is how we define severe disease in children. Children can get Covid, but their death and hospitalization rates are much lower than for adults. The inflammatory syndrome MIS-C is rare. Long Covid has gained wide attention, but recent studies have shown that rates are low among children and not dissimilar to effects caused by other viral illnesses.
Were not being cavalier by raising these points. Consider that in Britain the government doesnt require masks for children in schools, and its not clear it will advise kids to get vaccinated, either. Britain has experts, as we do, and they are looking at the same scientific data we are; they most assuredly care about childrens health the same way we do, and yet, they have come to a different policy decision. Schools were prioritized over other activities, and the risks of transmission without masks were considered acceptable.
This reveals the crux of the problem in the United States. Its not just the C.D.C., but everyone including us public health experts who is not always connecting our advice or policy recommendations to clear goals. The conflict is not about masks or boosters, its about the often unstated objective and how a mask mandate or a boosters for all approach may or may not get us there.
We use schools as the example here, but much of the same applies to broader societal questions over mass gatherings, live entertainment and returning to offices. There are questions around how vaccinated people should live their lives if the vaccines reduce the likelihood of spread but dont absolutely and completely prevent breakthrough infections and transmission, which was never going to be the case.
If the goal is zero spread, which we think is not realistic, then the country would need to keep many of the most restrictive measures in place an approach that has serious public health consequences of its own. If the goal is to minimize severe disease, some states with high vaccination rates might already be there. Low-vaccination states would still have work to do before loosening restrictions. Treating the country as a whole just doesnt make sense right now because of the widespread differences in vaccination rates.
The emergence of the Delta variant has, understandably, caused many Americans to step back and use caution. But the same questions will be there when we emerge from this Delta surge, whether in a few weeks or next spring. We shouldnt let ourselves off the hook with easy decisions today. At some point, the country needs to have an honest conversation with itself about what our goals really are.
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Opinion | The Hard Covid-19 Questions Were Not Asking - The New York Times
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Recall Front-Runner Larry Elder Says Hes a Libertarian and I Dont Have Horns – Times of San Diego
Posted: at 12:09 am
Larry Elder. Campaign photo
The Sage from South Central. Even more extreme than Trump. The recall candidate to beat.
Larry Eldergoes by a lot of labels these days. If hes tough to pin down, thats because hes such an unlikely politician: A Black man who grew up in South Central Los Angeles, went to an Ivy League college and became a conservative provocateur.
In a state dominated by Democrats for 15 years, hed make an even more unlikely governor. As millions of Californains suss out what theyre supposed to think about him as they vote in theSept. 14 recall election, Elder sat down with CalMatters reporters and editors for an hour-long interview.
This conversation took place beforePolitico reported on allegations from Elders ex-fiancee that he brandished a gun at her while high on marijuana.Elder denied that he waved a weapon, but did not respond to other allegations: I am not going to dignify this with a response its beneath me.
CalMatters has invited Gov. Gavin Newsom and his major challengers to sit down and chat. Here are five highlights from the discussion with Elder:
Elder is especially clear on this point: He thinks hes gotten a raw deal from the left-wing media since he announced his campaign last month.
I dont have a tail, I dont have horns, he said, before noting that he also doesnt club baby seals and eat their heads. While his views onlabor policy,gender equalityandracehave been characterized by the Newsom camp and even somefellow Republicansas extreme, Elder says theyre rooted in common sense and Economics 101.
In the latest in a string of stories unearthing past controversial comments, bothCNNand theSan Francisco Chroniclepublished articles documenting what he has said about women.
He also mentioned that hes written books and made documentaries. Despite their commercial success, he claims, theyve been skimmed over by the arbiters of merit and taste newspaper book reviewers and the Oscars.
Its just surprising that Ive been shut out like this, he said. Im from the hood. I ought to be a success story.
Not that depicting himself as a media target and picking fights with fault-finding reporters doesnt have its political upside. Just ask Donald Trump. For Elders supporters and many recall voters, the disapproval of the chattering classes may serve as its own endorsement.
Thats the term Elder uses to describe his policy platform. Its a consistent line and one that hes been repeating for as long as hes been a public figure.
The biggest challenge in California in general is the intrusiveness of government, he said. I believe that a government that governs less governs best.
Hence his views on the minimum wage (there shouldnt be one), pregnancy discrimination prohibitions in the workplace (leave it to the market), public welfare programs (it encourages women to marry the government), public schools (he prefers school vouchers), state-funded health insurance programs (you need to have competition) and recreational drugs (he supports legalization).
Longtime conservative talk radio listeners and Fox News aficionados will know Elder by his more than 20 years of public opinionating. But for many California voters, he remains relatively unknown.
Thats in part Elders doing. Hes skipped three campaign debates so far,a strategy thats frustrated some GOP insiders. Elder insists its because hes not running against the Republican rivals, but against Newsom.
But debating also runs the risk of making a gaffe or coming under sustained attack a risk that Elder apparently doesnt believe he needs to make.
I have a substantial lead over my Republican rivals, thats one of the reasons why they want to debate me, he said. If I were sitting at 2% in the polls, Id want to debate me as well.
Elders years in the media world have given him a knack for talking politics in a way to draw an audience, but also sometimes to inflame.
So, yes, he opposes the Californiasrecent expansion of Medi-Cal, the public health insurance program for low-income people, to undocumented immigrants. And no, hes not going to use the term undocumented immigrant.
Likewise, climate change activists and conservationists are environmental extremists, the reformist district attorneys in Los Angeles and San Francisco are soft on crime and safety net programs pushed by Democrats represent an attack on the nuclear family.
One of a governors most powerful policy levers is his ability to appoint to the judicial bench, to vacated constitutional offices and to the states many regulatory commissions.
While Elder doesnt have a short list of names for any of those possible appointments, he takes inspiration from Washington, DC. When selecting a judge or justice, he would model his selection on self-described originalists like Clarence Thomas and the late-Antonin Scalia.
And for the state Board of Education? Somebody who has the same philosophy as the former Secretary of Education, Betsy DeVos, he said.
But there was one former DC bigwig Elder was not inclined to talk about: Stephen Miller, the former Trump advisor, whoseearly start as a right-wing provocateurbegan on Elders show.
Why would you bring up Stephen Miller? Elder asked, repeatedly. Im just wondering what the agenda here is. Whats the point? Am I somehow what a Nazi? A fascist?
CalMattersis a public interest journalism venture committed to explaining how Californias Capitol works and why itmatters.
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Libertarians Correctly Predicted the Afghanistan Fiasco Reason.com – Reason
Posted: at 12:09 am
Given the partisan nature of everything, it's no surprise that debates about the unfolding humanitarian tragedy in Afghanistan center on the Biden administration's handlingor most would say, mishandlingof the pull-outof U.S. troops and resulting conquest by the Taliban.
"The debacle of the U.S. defeat and chaotic retreat in Afghanistan is a political disaster for Joe Biden, whose failure to orchestrate an urgent and orderly exit will further rock a presidency plagued by crises and stain his legacy,"wroteCNN analyst Stephen Collinson. The retreat had a troubling "fall of Saigon" air about it, as desperate Afghans clung to departing U.S. fighter jets.
Others blamed the former Trump administration. "This was a consequence of the Trump administration's announcementof a fixed date for total withdrawal," arguedRobert Tracinski in The Bulwark. "This signaledthat the United States had given up and that we would be leaving the Afghan government without support." That, too, makes some sense.
Nevertheless, late-game finger-pointing reminds me of lost hikers arguing about exit trailswhen the problem was heading into the woods in a blizzard. Sure, specific U.S. policies have failed along the way. Writer Bari Weiss, for instance, casts a wide netblaming Bill Clinton's refusal to target Osama bin Laden, George W. Bush's reliance on warlords, and Barack Obama's unwillingness to focus on winning.
The problem is America's fundamental policythe hubristic idea that a government that can't even handle its domestic responsibilities has the wherewithal to rebuild an undeveloped nation. That's a bipartisan delusion, although I'm pleased Trump and Biden finally pulled the plug. Had our War on Poverty succeeded, perhaps one could make a stronger case for intervention. We should know better but rarely learn.
Libertarians long decried endless U.S. military interventions given our understanding of the way the government worksas opposed to its myopic promises. I recall the angry responses The Orange County Register editorial pages received when we opposedthe wars in Afghanistan and Iraq, as readers questioned our patriotism for pointing out the obvious. It's too bad it can take decades to be proven right.
The Iraq war made no sense given the dubious connections between Iraq and the 9/11 attacks, but Afghanistan was a hotbed for terrorism. It was a tougher case, but there were alternatives to an outright invasion. But once our leaders start pounding the war drums, there was no reasoning with Americans who insisted that this timeresultswould be different.
It is horrific to watch the Taliban, whose philosophy emanates from the Dark Ages, cement its grip on Afghanistan. The results will betragic indeed. Expect widespread executions of those who cooperated with the Western regime, the relegation of women to the status of chattel, and the re-imposition of Islamic law. But let's not forget the horrific effects of the war and occupation.
"An accurate accounting of the war in Afghanistan must take into account the roughly 2,400 American service members, 3,800 American contractors, 66,000 Afghan security forces, 47,000 Afghan civilians, and others (including journalists and aid workers) who were killed,"explainedEric Boehm in Reason. Then add to that the trillions of dollars in costs.
Reasonalso pointed to a report by the U.S. Special Inspector General for Afghanistan Reconstruction. SIGAR lamented our shifting goals: "At various points, the U.S. government hoped to eliminate al-Qaeda, decimate the Taliban movement that hosted it, deny all terrorist groups a safe haven in Afghanistan, build Afghan security forcesand help the civilian government become legitimate and capable enough to win the trust of Afghans."
Although it pointed to a few successes, the "Lessons Learned"report documented 140 pages of failures. The best lesson learned, however, is that the United States should not insert itself into these foreign conflicts, should not engage in nation-building, and should limit its interventions to defensive measures that actually protect our nation and its interests. That's what libertarians always have argued.
"Most Americans still want to see some sort of retribution against Osama bin Laden and his far-flung organization,"wrotethe Register's late editorial writer Alan Bock. "But more are wondering if they'll see it anytime soon. The dread word 'quagmire,'has become part of the discourse." He wrote that in 2001and it's hard to say he was wrong.
What should the United States government do now? It should complete the pull-out, keep close tabs on any terrorist networks that could threaten us, and accept as many Afghan refugeesinto the United States as possible. Many of them, especially interpreters, worked with the U.S. military. Welcoming them here is the least we can doand can help prevent a bloodbath.
Former Gen. Colin Powell is known for citing the "Pottery Barn"rule of foreign affairs. "If you break it, you own it." How about the U.S. start following the libertarian rulejust stop playing with other people's pottery?
This column was first published in The Orange County Register.
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‘Liberty Republicans’ and an evolving GOP – Concord Monitor
Posted: at 12:09 am
In a taped interview in June, Gov. Chris Sununu addressed what he called at the time squabbles within the New Hampshire Republican Party arising from the growing presence of libertarians within the caucus in the New Hampshire House.
The Libertarians are not Republicans, Sununu said flatly. They have their own party, their own place. Libertarians are not Republicans. Okay? I know a lot of them like to sign up as Republicans and pass themselves off as Republicans, he continued. But, theyre not. Not even remotely.
Call them what he will, they are the very same lawmakers who control the House Republican caucus and played a strong hand in the state budget Sununu has called transformational, historic and a win for every citizen and family in this state.
The annual Liberty Rating compiled by the NH Liberty Alliance, confirms the dominance of those who some call the Liberty Republicans.
The rating scores how the 400 members of the House and 24 members of the Senate voted on a tranche of selected bills 49 in the House and 25 in the Senate. The system applies an opaque formula with a factor, positive or negative, for each vote and adds a weight for sponsoring and shepherding a bill through the process to calculate a letter grade for every legislator.
Altogether, 150 representatives scored A and another 45 scored B all of them Republicans by voting with the alliance on between 87% and 100% of 49 tracked bills. Among Republicans, only eight representatives received the lowest score of C for those voting with the alliance on between 50 and 60% of votes.
In other words, 195 members of the Republican caucus which numbered 213 when the session began and 211 when it ended, aligned themselves closely with the alliance.
Little wonder that House Majority Leader Jason Osborne, who moved to New Hampshire as part of the Free State Project and an open Libertarian, touted the unity among House caucus members in pursuing its legislative agenda and carrying what either cuing or echoing the governor he also called a transformational budget.
Of the 177 Democrats, 18 were rated D and 24 F while the other 135 were graded CT, or constitutional threat, and considered unfaithful to their oath of office to uphold the New Hampshire Constitution and the principle of liberty.
By contrast, no senator received an A grade. Eight of the 14 Republicans rated B, with one B+, by voting with the alliance on at least 80% of the selected bills while the other six who strayed on at least 30% of votes were graded C+. Likewise, seven of the 10 democratic Senators were graded CT while two rated F and one D.
The alliance describes pro-liberty bills as those protecting individual freedom and promoting personal responsibility.
Anti-liberty bills, according to the alliance, displace voluntary individual choice with compulsory government regulation and compel people and businesses to pay for policies they may not willingly support.
The bills tracked by the alliance included measures to trim the governors emergency powers as well as reverse or forgive penalties levied for breaching them.
A half-dozen bills loosened restrictions on the possession and use of firearms, including one prohibiting the state from enforcing federal regulations imposed by executive order.
Other bills sought to withhold state support from and impose state supervision on municipalities. Among these was a bill that would deprive municipalities of the authority to enact local ordinances on subjects not enumerated by a statute originated in 1846 and instead would require them to be enacted by the Legislature. Another bill sought to strip public officials of immunity for actions taken in good faith while acting within the scope of their authority and responsibilities.
At the same time, members of the House Republican caucus chafed at the governors proposed budget, particularly his family medical leave program and proposed spending level, and with enough dissidents among their number, threatened adoption of the budget until the 11th hour.
Tension between the Republican governor and the Liberty Republicans has marked Sununus second term, peaking when protesters, chafing at his emergency orders to tackle COVID-19, took to the streets and picketed his home. And in December, three dozen citizens, six state representatives among them, presented a bizarre letter discordantly echoing the Declaration of Independence, that branded the governor a tyrant and demanded the dissolution of the state.
These articles are being shared by partners in The Granite State News Collaborative. For more information, visit collaborativenh.org.
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