What Can Obama’s Ebola Czar Do?

Published in Beijing News
(China) on 20 October 2014
by Yuan Duanfang (link to originallink to original)
Translated from by Yuzhi Yang. Edited by Nicholas Eckart.
What the Ebola czar does is unimportant; he is here to save Obama, the federal government, the Democrats and the worrying image they have prior to the midterm election.

On October 17, American President Obama announced the appointment of Ron Klain as the Ebola czar, but using a political candidate without any medical background or experience controlling infectious diseases was a decision some U.S. congressmen doubted.

On September 28, Thomas Duncan, a U.S. citizen who had just returned from Liberia, was confirmed to have contracted Ebola, and he died on October 4 after hospital treatment did not work. Duncan became the first Ebola death outside of Africa. The CDC also confirmed that two nurses who took care of Duncan also have Ebola, breaking the perfect record of no Ebola infections outside of Africa for the past 38 years, igniting an American and global panic.

During this time, the American government and the medical system, who have repeatedly vowed that “we are prepared,” keep showing flaws. When Duncan first visited the hospital, the hospital let him leave despite knowing that he had been to infected areas and was showing symptoms, because he had no insurance and there were worries over cost. When the two nurses first became infected, the CDC and the hospital insisted that there were no problems with the medical system and regulations. Then news of the hospital gloves not being sealed off (from an involved nurse), and how nurses showing symptoms were still asked to care for patients, etc., became public, furthering sparking discontent with the Obama administration.

A French TV station said that Americans have been told over the years by some agencies that America is very distant from the threat of Ebola, so when people learned that the virus is within reach, fear and anger is imaginable.

November is America’s prime time for midterm elections. The Republicans will not give up a chance to use this issue, while Obama, who always pays attention to public opinion, is trying to salvage the situation. On the evening of the 15th, he urged hospitals to amend protocols for infectious diseases. The next day, he authorized the Pentagon to send National Guard soldiers to West Africa to fight Ebola. He also said he would appoint someone to be in charge of Ebola management, an Ebola czar, a position which was created 12 hours later. The position is new and directly replaces the director of the CDC, Thomas Frieden, and is the exclusive spokesperson for the American government on Ebola.

Before the czar was revealed, Republicans attacked Obama for being irresponsible and delaying the appointment of someone new when the CDC was not up to the task. After the czar was appointed, they continued to criticize, aiming their attacks at Klain, claiming that he was chosen because of his connections and not his ability. If Republicans are anti-Obama everything, then their words could be ignored for now. Indeed, the rushed appointment of an outsider, a leader without following, to coordinate the complex Ebola fight, instead of improving on the established CDC system, has deep meaning.

For the beleaguered Obama and the Democrats, the crisis with domestic politics and voter confidence is a bigger epidemic than Ebola. Just like what a lot of the media has said, if the Obama administration is not going to use the CDC as a scapegoat, an agency called a failure by The Wall Street Journal, the epidemic was bound to affect even more people. Appointing a czar may be ridiculed as Obama saving himself and not others, but at least it showed the government doing something. This was an essential booster shot after the ineffective, low-brow, self-saving gestures of Obama hugging the nurses who cared for Duncan.

What the Ebola czar does is irrelevant; ultimately, his purpose is to save Obama, the federal government and the Democrats. The CDC would likely still have to do the dirty work of dealing with the Ebola epidemic and its victims.

Yao Duanfang is a scholar.


“埃博拉总管”到底能管什么,这并不重要,从根本上,他要救的是奥巴马、联邦政府和民主党——在中期选举到来前,挽回其堪忧的形象。

  当地时间10月17日,美国总统奥巴马宣布任命总统顾问克莱因(Ron Klain)为埃博拉事务总管,但“起用一个没有任何医学背景或传染病防控经验的政治人选”遭到美国部分议员的质疑。

  9月28日,刚从利比里亚返回的美国公民托马斯·邓肯被确诊感染埃博拉,并于10月4日医治无效死亡,成为首例在非洲以外被确诊感染并死亡的埃 博拉患者。日前美国疾病控制与预防中心(CDC)又确认曾护理过邓肯的两名护士被确诊感染,这打破了发现38年来“埃博拉非洲以外传染”的“零纪录”,引 发美国乃至全世界的恐慌。

  在此期间,曾信誓旦旦“我们已准备好了”的美国政府和医疗卫生体系,接二连三露出破绽:邓肯第一次感到不适主动入院就诊,院方在明知患者去过疫 区且出现症状情况下,因虑及患者无医保、担心费用而任其出院;两名被感染护士确诊之初,CDC和院方坚称“医疗体系和规章制度没有问题”,随即传出的“手 套不密封”“(涉事护士)出现症状并上报后仍被安排照顾病人”等消息,更引发了公众对奥巴马政府的不满。

  正如法国电视一台有关人员说的,长期以来美国人被有关部门灌输和暗示,美国离埃博拉的威胁很远,一旦人们发现瘟神近在咫尺,其恐慌、愤怒可想而知。

  11月是美国中期选举的“正日子”,共和党当然不会放过借题发挥的机会,而素来重视舆情的奥巴马则竭力“救场”:15日晚,他呼吁修订医院针对 传染病的医护规则,次日奥巴马不仅授权五角大楼派遣预备役士兵前往西非对付埃博拉,更表示将任命专人负责埃博拉疫情应对,“埃博拉总管”在此次表态后12 小时内应运而生。“埃博拉总管”是新设的职位,将直接取代CDC主任弗里登,成为美国政府应对埃博拉事务的全权代言人。

  在“总管”出台前,共和党议员们抨击奥巴马“不负责任”,在CDC不称职情况下迟迟不任命新专员;“总管”出台后,他们照批不误,矛头则指向克 莱因本人,指任命他是“举亲不举贤”。如果说共和党此刻是“逢奥巴马必反”,其言论可置之不论,那匆匆任命一名外行“光杆司令”协调繁复的埃博拉疫情应 对,而非在已成形的CDC体系改进上下功夫,显然有其深意。

  对焦头烂额的奥巴马和民主党而言,国内政治和选民信任危机这个“疫情”,显然比埃博拉的威胁更大。正如许多媒体所言,奥巴马政府在信任危机下, 如果还不趁早切割,将CDC这个被《华尔街日报》等直斥为“失败者”的机构当替罪羊抛出,“疫情”势必累及更多。任命“总管”固然被讽“更像奥巴马在自 救,而非救人”,但至少可以显示政府在作为,这在拥抱救治邓肯医护人员等“低端自救行为”疗效不彰后,已是不得不发的强心针。

 “埃博拉总管”到底能管什么,这并不重要,从根本上,他要救的是奥巴马、联邦政府和民主党,而非埃博拉疫情和患者,而应付后者的“脏活累活”,恐怕还得是已背上黑锅的CDC去干。
  □陶短房(学者)
This post appeared on the front page as a direct link to the original article with the above link .

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