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Cuomo is shamefully fumbling nursing-home vaccinations

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Cuomo is shamefully fumbling nursing-home vaccinations

Gov. Andrew Cuomo’s Department of Health has once again put the needs of nursing-home residents last.

Just as the department under Commissioner Howard Zucker neglected to make sure that the homes had testing and personal protective equipment during the deadly early months of the pandemic, now it is turning away vulnerable New Yorkers from the third and final federal vaccination clinics that are taking place in these facilities.

Worse, the DOH still hasn’t made any clear-cut plans to continue vaccinating nursing-home residents once the federal program is over.

A bit of recent history is in order: The department shelved its plan for vaccinating nursing-home residents back in December, electing instead to participate in the Federal Pharmacy Partnership for Long-Term Care. Part of Operation Warp Speed, the FPP program was designed to rapidly vaccinate all of the nation’s long-term-care residents at no cost to the residents or the facilities.

The feds contracted with CVS, Walgreens and other pharmacy providers to administer the two required vaccine doses to all residents over the course of three clinic sessions scheduled three weeks apart; the federal program ends after the third session, after which the states are supposed to carry the ball.

Like the rest of Operation Warp Speed, the FPP has proved an astonishing success; shots started going into the arms of nursing-home residents within days of the Pfizer vaccine receiving Food and Drug Administration authorization for emergency use in December.

Executing a well-designed offensive strategy, FPP professionals arrived at the homes right on schedule, equipped with the exact number of thawed-out vaccines, syringes and needles to inoculate everyone in the facility. Three weeks later, they were back for Session No. 2, giving the second shot to those who had received the first one and the first to anyone who had been newly admitted in the interval.

Now the feds are executing their final play, finishing up giving the second shots before they leave the game for good.

Unfortunately, just as it didn’t prepare for the vaccine rollout to the state’s general population, the Cuomo administration is now scrambling to figure out how to vaccinate nursing-home residents once the federal program ends.

Even worse, in yet another shocking and almost sadistic example of disregard for this population, the department isn’t allowing new residents to get the first dose of the vaccine during the third FPP session. But why? How can this be? COVID-19 outbreaks and deaths are still occurring in these facilities in significant numbers, even though you never hear about them during the governor’s regular news conferences.

Instead, when he isn’t patting himself on the back, Cuomo subjects us to endless gushing over the Biden administration’s federalized approach to COVID-19 vaccinations. Well, if he is so enamored of this, why is he ignoring the Centers for Disease Control and Prevention’s explicit recommendation that first shots be given at the final FPP clinic?

Every day that passes is another missed opportunity to vaccinate new nursing-home residents as the FPP teams prepare to finish their work.

This should never have been allowed to happen. From the time it was announced in October, it’s been well known that the federal program would cease to exist after the third session. The state had months to design a plan to vaccinate future residents. But as we are so tragically aware, nursing homes have never been a priority for this administration.

The Department of Health must immediately announce that newly admitted nursing-home residents should get their first vaccine shots at the final FPP clinics; it can figure out later how to make sure that the second shots are given.

The CDC has indicated that it is safe to wait as long six weeks between shots, if need be, so there is still plenty time on the clock. CVS, Walgreens and other FPP participants must be given the signal to stay in the game for now until the nursing homes’ usual pharmacy vendors or other suppliers can step in.

Whatever happens, we mustn’t leave our nursing-home residents defenseless again.

Elaine Healy, MD, is a practicing geriatrician, nursing-home medical director and member of the Infection Control Subcommittee of the Society for Post-Acute and Long-Term Care Medicine.

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Opinion

NYC needs a fighter for mayor, not a technocrat

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NYC needs a fighter for mayor, not a technocrat

Former Sanitation Commissioner Kathryn Garcia touts her career in city government and technocratic skills as reasons she should be your pick for mayor. Problem is, what New York needs right now is not just impressive-sounding plans, but the ability to fight for what the city needs.

Frankly, being a good-government star of the de Blasio city administration is a pretty minor achievement: The competition wasn’t exactly fierce. Nor did Garcia’s much-touted talent for logistics always prove true.

Back in November 2018, a mere six inches of snow paralyzed the city and left thousands of schoolkids trapped on school buses for hours. The response was so poor that Council Speaker Corey Johnson called for hearings into Garcia’s handling of the storm. She also ran into trouble as interim city Housing Authority chief, letting the insiders lead her to deliver false testimony about lead-paint remediation.

During the lockdowns, the mayor put her in charge of delivering emergency food to needy seniors. But her system demanded seniors use unfamiliar technology to sign up, and as The Post reported, the “beneficiaries” also had issues with food quality and delivery.

But the bigger issue isn’t dealing with the bureaucracy, but with the politicians. It’s not enough to reject “Defund the Police” nonsense: The city’s next mayor will need to muscle the City Council and Legislature into amending the anti-anti-crime laws they’ve passed in recent years, from the city’s “chokehold” mistake to the disastrous “no bail” legislation.

Brooklyn’s Eric Adams has the contacts from his time in the state Senate to move Albany, and the cred from a lifetime of fighting for police reform to argue persuasively against bad police reforms.

Garcia just hasn’t been in the political trenches. Indeed, two veteran Democratic operatives told The Post’s Julia Marsh that her lack of such seasoning would harm her ability to handle pressure from Gov. Andrew Cuomo, the council and the feds.

Coming out of the pandemic, New York City faces multiple crises: public safety, fiscal, economic. The next mayor can hire wonks, planners and managers; the talent he or she must have is a proven ability to make the right calls, as Adams did in centering his campaign on public safety from the start, and to beat the other politicians into going along. That’s why Eric Adams remains our choice.

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The old Cold War models can’t help us meet today’s Russian threat

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The old Cold War models can’t help us meet today’s Russian threat

President Joe Biden and Russian autocrat Vladimir Putin are scheduled to meet Wednesday for the first time since Biden was elected president.

For many in the foreign-policy establishment, this is an exciting opportunity to conjure some Cold War drama. Historically, such summits were major happenings. They were premised on the idea that tensions between the two nuclear powers were so great and grave, merely talking was an accomplishment in its own right.

Conservatives contend that the summit is a mistake primarily because it gives Putin the prestige he craves while giving Biden nothing in return. I tend to agree. But this argument also draws on the same Cold War nostalgia.

Conservatives often opposed US-Soviet summits, because they were seen as part of a process of “normalization” and détente that not only lent the Soviets undeserved legitimacy but often ended with concessions that strengthened our enemy.

Worse, such summits were often used to buy cover or time for Soviet expansionism. Forty-two years ago this week, Jimmy Carter met with Leonid Brezhnev in Vienna to sign the SALT II treaty. Brezhnev personally promised his peaceful intentions to Carter, and six months later, the Soviets invaded Afghanistan.

You can see how those arguments could be applied today, but I think we’d all be better served to ditch the Cold War stuff, because circumstances have changed.

First, Russia is a basket case. Rife with corruption, entirely dependent on oil and gas revenues and starving for foreign investment, Russia’s entire GDP ($1.7 trillion) is smaller than Biden’s first COVID relief package.

Second, as morally bankrupt as Soviet Communism was, it nonetheless appealed to the hearts and minds of millions around the globe. No one, save would-be despots, looks at the Russian “model” as something they want to emulate. We’re not competing with Russia for moral leadership.

That’s because Putin is better understood as a cross between a conventional mob boss, a James Bond villain and a Latin-American strongman. Estimates of his personal wealth range from $40 billion to $200 billion. Whatever the right number, he didn’t get that rich from wisely investing his $300,000 salary.

Putin holds onto power in part through crushing domestic opposition, intimidating or killing dissidents, blackmail, censorship and other tactics of ruthless tyrants. But he also maintains control by keeping Russian society in a constant state of crisis by relentlessly fueling paranoia that the West is at war with Russia and he’s the only leader strong enough to hold her enemies at bay. A true Cold War nostalgic, he believes that relations with the West are zero-sum: Whatever is bad for the West is good for Russia.

That’s why Russia is constantly meddling in Western elections, including our own in 2016. It’s also why Russia’s propaganda machine loves to amplify America’s domestic shortcomings.

The idea that Biden (or anyone) can talk Putin out of his perceived self-interest is ludicrous. Someone who has clung to power through murder and oppression can’t be made to see the light with finger-wagging bromides.

Biden would be well-served to tell Putin simply and bluntly that there will be concrete consequences to his actions — assuming Biden is willing to follow through. Beyond that, Biden should take a page from Putin himself. The Russian dictator sees these summits as a propaganda opportunity, domestically and internationally. Biden should, too.

Propaganda has taken on a negative connotation, suggesting pernicious state misinformation. But propaganda was originally about propagating the faith, specifically Catholicism. To his credit, Biden seems to be sincerely interested in propagating the faith of democracy, the rule of law and Western resolve. He won’t be able to persuade Putin of any of that. But that’s not the audience that matters. There are people throughout Russia who need to hear it — and in America, too.

Twitter: @JonahDispatch

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Step up for the cops, says ex-NYPD brass Joanne Jaffe

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Step up for the cops, says ex-NYPD brass Joanne Jaffe

Three-star chief commander, highest-ranking female ever in the NYPD, Joanne Jaffe was let go. Despite her pending lawsuit relative to discriminating employment practices, she has workable ideas about handling our crime problem.

“My first day as a cop, 1979, a 4 to 12 tour along totally decimated, blown out Pitkin Avenue’s boarded up buildings, my first thought? ‘How to go to the bathroom?’

“As for now, this city’s thousands of religious leaders with influence over communities they serve must step up to preserve the sanctity of life. Our priority is their priority. They should be out in the streets saying, ‘Stop the violence.’ Also our grandmothers. They’re influential over grandchildren. Let them be involved in what their kids and great-grandchildren are doing.

“Plus, a block watch program that really works. There’s 77 precincts. Plus, 12 transit districts. But we need the community. Disagree with the police, OK, but be part of discussions. Understand the anger.

“There’s a supervision of homeless shelters, so why are police the repository of all society’s social ills? More things get shoved onto the police when other agencies haven’t training or ability to cope.

“There’s city agencies. Pick the top hundred families that can help with medical, economic, education problems. You only hear about keeping kids out of jail. How about before they go to jail? Instead of watching TV all day, we’ve got to build school relationships in a different way.

“Politicians knowing nothing sit at tables making decisions. They don’t invite police officials. Don’t know what it’s like struggling in the middle of a crowd, things thrown at you, fighting you. Not clean. Nothing’s pretty. These pols have rallies. They march. They don’t even know what they’re talking about.

“Our cops know who it is. They know their people. Others tell them. They know who, what. They know how to calm things down. We need people to come out, like when a child gets shot. When these tragedies happen they shout out for two days and then slink back. We need them to stay out. Our elected officials are busy with rallies. We need them, our religious leaders, our grandparents, our top families to come out!

“Cops aren’t engaging now because they feel unsupported. Disillusioned. Morale is low. They’re no longer willing to risk. It’s not defund the police or support the police. It’s come to the middle.”

Unlucky with Leo?

DiCaprioJulianne Hough’s niece, being a yenta, has claimed her aunt told her Leo is not “King of the World” between the sheets. Then on Howard Stern’s show recently a caller said he stood next to Leo at the urinal in Sunset Beach on Shelter Island and assessed DiCaprio’s various parts. Not king-sized burbled this one. Stern, skeptical, admitted, “I know that bathroom and never use it. Rather pee in my pants if I have to.”


THE good news. Finally, we’re dragging out last year’s stylish clothes. The bad news? Thanks to our pandemic’s stay-home/eat-home year — nothing fits.

Not only in New York, kids, not only in New York.

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