WASHINGTON (AP) — When the Trump administration required nursing homes to report their COVID-19 cases, it also promised to make the data available to residents, families and the public in a user-friendly way.
But some facilities that have had coronavirus cases and deaths turn up as having none on Medicare‘s COVID-19 nursing home website. Those data may be incomplete because the reporting requirements don’t reach back to the start of the pandemic. Numbers don’t necessarily portray the full picture.
“The biggest thing that needs to be taken away … is in its current form, it is really leaving consumers in the dark,” Sam Brooks, project manager for Consumer Voice, said of the website, maintained by the federal Centers for Medicare and Medicaid Services. Consumer Voice is a national advocacy group for improved quality in long-term care.
Nursing homes are only required to provide CMS with data on coronavirus cases and deaths among residents and staff as of May 8, or more than two months after the first outbreak in a U.S. facility was reported. Nursing homes have the option of full disclosure, but not all have taken it, and there is no penalty for withholding older data that may reflect poorly.
The missing information from early in the pandemic leads to some puzzling results on the website.
For example, a nursing home that had one of the first major reported outbreaks in the country — Life Care Center of Kirkland, Washington — shows no confirmed COVID-19 cases and no deaths on the CMS data page.
A spokesman for Life Care Centers of America, a major chain, said the company is providing the information the government requested.
“We are reporting what CMS is asking us to report to them,” said Tim Killian. “We are not evading them in any way.
“The Kirkland facility is now COVID-free and it has been for some time,” Killian added. The data showing no cases “is a snapshot of what is currently in the facility.”
The company said its cumulative count shows 100 residents tested positive, and 34 died. “You can ask us directly and we’ll give you the exact numbers,” said Killian.
But consumer advocate Brooks said that information should be on the government website.
As it stands, the site “doesn’t tell the whole picture,” he said. “You are not going to be able to look at a home and make an informed decision.”
CMS, which sets standards for nursing homes, said protecting residents is a top priority, and “transparency and information sharing has proven to be one of the keys to the battle against this pandemic.”
But the agency said it lacked the legal authority to require nursing homes to disclose COVID-19 information from before the effective date of its reporting rule in May.
On Capitol Hill, there is pressure for more information.
Sen. Chuck Grassley, R-Iowa, recently introduced legislation that would require nursing homes to report coronavirus cases and deaths going back to Jan. 1, a push that has bipartisan support.
The estimated 1.4 million people living in some 15,500 nursing homes represent a tiny share of the U.S. population, but they have borne a disproportionate share of coronavirus deaths. Nursing homes are only now starting to emerge from a national lockdown that took effect in mid-March.
According to the latest CMS figures, more than 33,000 nursing home residents have died in the pandemic. A running tally by The Associated Press, which also includes other long-term care facilities and staff as well as residents, shows more than 57,000 deaths.
Depending on the total count, that translates from about one-fourth of the deaths to more than 40%, strikingly high proportions in either case.
Coronavirus data for nursing homes do not appear directly on Medicare’s NursingHomeCompare website, the main portal for consumers trying to research a facility on behalf of a family member or friend. Instead, a link takes users to a different COVID-19 site that features statistics and a national nursing home locator map.
Finding information on individual nursing homes via the data website can be confusing.
If users type in a ZIP code or the name of a nursing home, the website’s locator map will display some small red dots near a larger marker icon, which also has a big dot in the middle.
Instructions say click on one of the dots. But which one?
The data is under the small red dots, not the larger locator, which instinctively draws the user’s eye.
“I would click on the big dot,” said policy attorney Toby Edelman of the Center for Medicare Advocacy, which represents enrollees. “Why would I look for this thing that I can barely see?”
CMS said it has received no reports related to search problems although more than 100,000 individuals accessed the site in June.
The agency says it will continue to evaluate the usability of the website to ensure it meets consumer needs.
By RICARDO ALONSO-ZALDIVAR Associated Press.
AP investigative researcher Randy Herschaft in New York contributed.
Facebook demands academics disable ad-targeting data tool
Academics, journalists and First Amendment lawyers are rallying behind New York University researchers in a showdown with Facebook over its demand that they halt the collection of data showing who is being micro-targeted by political ads on the world’s dominant social media platform.
The researchers say the disputed tool is vital to understanding how Facebook has been used as a conduit for disinformation and manipulation.
In an Oct. 16 letter to the researchers, a Facebook executive demanded they disable a special plug-in for Chrome and Firefox browsers used by 6,500 volunteers across the United States and delete the data obtained. The plug-in lets researchers see which ads are shown to each volunteer; Facebook lets advertisers tailor ads based on specific demographics that go far beyond race, age, gender and political preference.
The executive, Allison Hendrix, said the tool violates Facebook rules prohibiting automated bulk collection of data from the site. Her letter threatened “additional enforcement action” if the takedown was not effected by Nov. 30.
Company spokesman Joe Osborne said in an emailed statement Saturday that Facebook “informed NYU months ago that moving forward with a project to scrape people’s Facebook information would violate our terms.” The company has long claimed protecting user privacy is its main concern, though NYU researchers say their tool is programmed so the data collected from participating volunteers is anonymous.
The outcry over Facebook’s threat was immediate after The Wall Street Journal first reported the news Friday considering the valuable insights the “Ad Observer” tool provides. It has been used since its September launch by local reporters from Wisconsin to Utah to Florida to write about the Nov. 3 presidential election.
“That Facebook is trying to shut down a tool crucial to exposing disinformation in the run up to one of the most consequential elections in U.S. history is alarming,” said Ramya Krishnan, an attorney with the Knight First Amendment Institute at Columbia University, which is representing the researchers. “The public has a right to know what political ads are being run and how they are being targeted. Facebook shouldn’t be allowed to be the gatekeeper to information necessary to safeguard our democracy. “
“The NYU Ad Observatory is the only window researchers have to see microtargeting information about political ads on Facebook,” Julia Angwin, editor of the data-centric investigative tech news website The Markup, tweet in disappointment.
The tool lets researchers see how some Facebook advertisers use data gathered by the company to profile citizens “and send them misinformation about candidates and policies that are designed to influence or even suppress their vote,” Damon McCoy, an NYU professor involved in the project, said in a statement.
After an uproar over its lack of transparency on political ads Facebook ran ahead of the 2016 election, a sharp contrast to how ads are regulated on traditional media, the company created an ad archive that includes details such as who paid for an ad and when it ran. But Facebook does not share information about who gets served the ad.
The company has resisted allowing researchers access to the platform, where right-wing content has consistently been trending in recent weeks. Last year, more than 200 researchers signed a letter to Facebook calling on it to lift restrictions on public-interest research and journalism that would permit automated digital collection of data from the platform.
By FRANK BAJAK AP Technology Writer – BOSTON (AP).
Huawei sales up, but growth slows under virus, US pressure
Chinese tech giant Huawei, one of the biggest makers of smartphones and switching equipment, said Friday its revenue rose 9.9% in the first nine months of this year, but growth decelerated in the face of U.S. sanctions and the coronavirus pandemic.
Huawei Technologies Ltd. gave no sales figure for the most recent quarter ending in September, but growth for the first three quarters was down from the 13.1% reported for the first half of the year.
Huawei is struggling with U.S. sanctions that cut off its access to most American components in a feud with Beijing over technology and security. The White House says Huawei is a threat and might facilitate Chinese spying, which the company denies.
Washington also is tightening curbs on access to U.S. markets or technology for other Chinese tech companies including telecom equipment maker ZTE Corp., video service TikTok and messaging app WeChat.
The conflict has fueled fears the global market might be dividing into competing U.S. and Chinese technology spheres with incompatible standards. Industry analysts warn that would slow down innovation and raise costs.
Executives have warned Huawei’s smartphone and network equipment sales would be affected. The company has launched smartphones based on its own chips and other components and says it is removing U.S. technology from its products.
On Thursday, the company unveiled its latest smartphone, the Mate 40, based on Kirin 9000 chips developed by Huawei.
Sales in the first nine months of 2020 rose to 671.3 billion yuan ($100.4 billion), Huawei reported. It said net profit was 8%, down from the first half’s 9.2% margin.
The company gave no details of its smartphone shipments. Sales outside China have weakened because its handsets no longer come preloaded with Google’s popular music, maps and other features. But sales in China, where Huawei phones already used local alternatives, have grown sharply.
Huawei’s global market share in smartphones rose to 19.6% in the three months ending in June, up from 17.7% a year earlier, according to Canalys. That was driven by strength in its home market, where Huawei had a 51% market share and sales rose 32% to 14.5 million handsets.
Huawei is owned by its Chinese employees who make up about 60% of its global workforce of 194,000. It began reporting financial results a decade ago in an attempt to appear more transparent and mollify foreign security fears.
BEIJING (AP) — By JOE McDONALD AP Business Writer.
Tesla ‘full self-driving’ vehicles can’t drive themselves
Earlier this week, Tesla sent out its “full self-driving” software to a small group of owners who will test it on public roads. But buried on its website is a disclaimer that the $8,000 system doesn’t make the vehicles autonomous and drivers still have to supervise it.
The conflicting messages have experts in the field accusing Tesla of deceptive, irresponsible marketing that could make the roads more dangerous as the system is rolled out to as many as 1 million electric vehicle drivers by the end of the year.
“This is actively misleading people about the capabilities of the system, based on the information I’ve seen about it,” said Steven Shladover, a research engineer at the University of California, Berkeley, who has studied autonomous driving for 40 years. “It is a very limited functionality that still requires constant driver supervision.”
On a conference call Wednesday, Musk told industry analysts that the company is starting full self-driving slowly and cautiously “because the world is a complex and messy place.” It plans to add drivers this weekend and hopes to have a wider release by the end of the year. He referred to having a million vehicles “providing feedback” on situations that can’t be anticipated.
The company hasn’t identified the drivers or said where they are located. Messages were left Thursday seeking comment from Tesla.
The National Highway Traffic Safety Administration, which regulates automakers, says it will monitor the Teslas closely “and will not hesitate to take action to protect the public against unreasonable risks to safety.”
The agency says in a statement that it has been briefed on Tesla’s system, which it considers to be an expansion of driver assistance software, which requires human supervision.
“No vehicle available for purchase today is capable of driving itself,” the statement said.
On its website, Tesla touts in large font its full self-driving capability. In smaller font, it warns: “The currently enabled features require active driver supervision and do not make the vehicle autonomous. The activation and use of these features are dependent on achieving reliability far in excess of human drivers as demonstrated by billions of miles of experience, as well as regulatory approval, which may take longer in some jurisdictions.”
Even before using the term “full self-driving,” Tesla named its driver-assist system “Autopilot.” Many drivers relied on it too much and checked out, resulting in at least three U.S. deaths. The National Transportation Safety Board faulted Tesla in those fatal crashes for letting drivers avoid paying attention and failing to limit where Autopilot can be used.
Board members, who have no regulatory powers, have said they are frustrated that safety recommendations have been ignored by Tesla and NHTSA.
Bryant Walker Smith, a University of South Carolina law professor who studies autonomous vehicles, said it was bad enough that Tesla was using the term “Autopilot” to describe its system but elevating it to “full self-driving” is even worse.
“That leaves the domain of the misleading and irresponsible to something that could be called fraudulent,” Walker Smith said.
The Society of Automotive Engineers, or SAE, has developed five levels to describe the functions of autonomous vehicles. In levels zero through two, humans are driving the cars and supervising partially automated functions. In levels three through five, the vehicles are driving, with level five describing a vehicle being driven under all traffic and weather conditions.
The term “full self-driving” means there is no driver other than the vehicle itself, indicating that it would be appropriate to put no one in the vehicle, Walker Smith said.
Musk also said on Wednesday that Tesla would focus on setting up a robotaxi system where one person could manage a fleet of 10 self-driving cars in a ride hailing system.
“It wouldn’t be very difficult, but we’re going to just be focused on just having an autonomous network that has sort of elements of Uber, Lyft, Airbnb,” he said.
Tesla is among 60 companies with permits to operate autonomous vehicles with human backup drivers in California, the No. 1 state for Tesla sales. The companies are required to file reports with regulators documenting when the robotic system experiences a problem that requires the driver to take control – a mandate that could entangle the owners of Tesla vehicles in red tape.
Before Tesla is able to put fully self-driving vehicles on California roads, it will have to get another permit from state regulators. Only five companies, including Google spin-off Waymo and General Motors’ Cruise subsidiary, have obtained those permits.
The California Department of Motor Vehicles didn’t immediately respond to questions about Tesla’s latest plans for robotic cars.
NHTSA, which has shied away from imposing regulations for fear of stifling safety innovation, says that every state holds drivers accountable for the safe operation of their vehicles.
Walker Smith argues that the agency is placing too much of the responsibility on Tesla drivers when it should be asking what automakers are going to do to make sure the vehicles are safe. At the same time, he says that testing the system with vehicle drivers could be beneficial and speed adoption of autonomous vehicles.
Thursday afternoon, Musk was clearly trying to sell the full self-driving software. He wrote on Twitter that the price of “FSD beta” will rise by $2,000 on Monday.
DETROIT (AP) — By TOM KRISHER AP Auto Writer
AP Technology Writer Michael Liedtke contributed from San Ramon, California.
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