Donald Trump declares ‘we’re in the process of winning’ as he unveils three-phase guidelines

President Donald Trump has further backed away from his claim of having ‘total’ authority on when to reopen the country, and told Americans Thursday he would ‘allow’ governors to reopen at their discretion.

‘To preserve the health of our citizens we must also preserve the health and functioning of our economy,’ Trump said at the White House.

Trump even as deaths and infections in the nation continued to rise, the president declared the nation in the ‘process’ of winning the war agains the coronavirus, and announced the new phased return toward normalcy.

He said states would make decisions on when to reopen, a turnaround from what he said on Monday. 

President Donald Trump speaks about the coronavirus in the James Brady Press Briefing Room of the White House, Thursday, April 16, 2020. Trump said the country was ‘in the process of winning’ the war against the coronavirus

‘If they need to remain closed we will allow them to do that,’ said Trump, suggesting that he still had authority to sign off on the decision.

‘If the virus returns in the fall as some scientists think it may possibly, these guidelines will make sure that our country is up and running so that we can likewise put it out quickly,’ said Trump.

‘We took the greatest economy in the history of the world and we closed it in order to win this war, and we’re in the process of winning it now,’ the president declared.

‘We are starting rejuvenation of our economy again, he said, a day after recent new unemployment claims hit 20 million. 

The White House chose a name for the three-phase program that echoes Trump’s Make America Great Again campaign slogan, even as he appeals for bipartisan cooperation.

‘Which we are calling [it] “Opening up America Again.” And that’s what we are doing. We are opening up our country,’ Trump said.

The president indicated that some states with low infection rates could move to Phase One and early stages of opening in a matter of days – promising ‘surprises’ that would even come before May 1.

 We’re going to have a number of states opening relatively soon,’ he said. ‘You’re going to have some nice surprises over the next few days.’ But he noted that some other sidelined states are ‘big stuff’ and ‘very important states.’

‘The last thing we want is for say a New York to come back too soon or a New Jersey to come back too soon’ and lead to a spike of new infections, he said.    

He isn’t promising there won’t be a resurgence – with health officials warning not to end social distancing too soon, and governors and business leaders warning the nation needs sufficient testing to identify the spread of the disease before reopening.

‘As we see a hot spot developing, maybe not, maybe not, we’ll be able to suppress it, whack it,’ Trump said.

With all the detail about the three phases, there was very little by way of hard details about when a hard-hit state should move forward.

Asked specifically how many millions or tens of millions of tests a state like New York might need, coronavirus task force coordinator Dr. Deborah Birx responded: ‘You’ve heard me talk about tests for a while from the podium, and I think what has happened over the last several weeks is hospitals and clinics that could move to the more point of care tests move to those point of care tests and what’s left is an amazing array of capacity that exists in the country for at least a million more tests per week. We have a whole team working lab by lab to see what it would take to turn on all of those labs that aren’t running the pieces of equipment now.’  

She didn’t say how many tests might need to be conducted. 

‘Just so you understand, we have tremendous testing capacity,’ Trump said. 

Dr. Anthony Fauci called the three-phase guidelines ‘a rather robust program for reentering into normality.’ He said the ‘dominating drive of this was to make sure that this was done in the safest way possible.’

Trump, however, asserted that the country would return to the way off life before the coronavirus started ravaging the population – even packing arenas like the University of Alabama, which can accomadate 100,000 people.

‘We want 110,000 people there. We want every seat occupied,’ Trump said.

Trump spoke after telling governors on a conference call the decision on reopening rests with them. 

The three-phase spells out different iterations of when people can return to work school and a semblance of normal life – absent dates or clarity about how and when it would occur.

Notably missing from the plan are metrics about what level of testing must be reached, or what will constitute a sufficiently leveled ‘curve’ of deaths or infections to trigger moving up the scale. 

KEEP ON TRUCKING: President Donald Trump told governors it is up to them when to reopen their states, as the White House released new guidelines for a phased reopening

KEEP ON TRUCKING: President Donald Trump told governors it is up to them when to reopen their states, as the White House released new guidelines for a phased reopening

The guidelines recommend states be on a ‘downward trajectory’ to move forward through the phases, Bloomberg News reported.

It will be up to the governors to decide when to reopen, the president acknowledged, days after saying he had ‘absolute power’ on the subject and getting pushback.

‘You are going to call your own shots,’ Trump said, a source told CNN

PHASE ONE: Keep hunkering down , but go back to work in phases

PHASE ONE: Keep hunkering down , but go back to work in phases

PHASE TWO: No break room, but non-essential travel is back. 'Moderate' distancing at the movie theater

PHASE TWO: No break room, but non-essential travel is back. ‘Moderate’ distancing at the movie theater

PHASE THREE: Grandma visits are allowed. 'Limited distancing' at restaurants and movie theaters

PHASE THREE: Grandma visits are allowed. ‘Limited distancing’ at restaurants and movie theaters

The first phase would have schools remain closed, with strict guidelines for restaurants and other places where people usually gather. 

During Phase One, vulnerable people should still ‘shelter in place, while people should still practice social distancing in public and avoid groups of 10 or more. Businesses should close common areas and avoid non-essential travel. Schools remain closed, and movie theaters and churches are under strict physical distancing. Bars are closed.

By Phase Two, individuals are still to maximize social distancing, and should avoid groups of more than 50. As the situation improves, workers who are not symptomatic could return to their jobs.

Non-essential work travel can resume. Schools and daycare can reopen. Sit-down dining can operate under ‘moderate’ distancing guidelines, and gyms can open. Bars should have ‘diminished standing-room capacity.’

Only by Phase Three is there ‘unrestricted’ staffing at worksites. People can go to senior care facilities to visit their elderly relatives. Nursing homes which have become hotspots for the virus taking the lives of vulnerable populations. Large venues scan operate under limited physical distancing. Gyms and bars can open with ‘increased standing room.’   

The plan conforms with Trump’s stated goal to get the U.S. economy moving again, with some states potentially opening before current guidelines run out at the end of the month. 

The document puts some of the key burdens in the hands of the states, who it says should have the ‘ability to quickly set up safe and efficient screening and testing sites,’ as well as have ‘quickly and independently supply sufficient Personal Protective Equipment.’

Trump has bristled at the notion that the federal government should first implement widespread nationwide testing before reopening, and has said it should be up to states to get needed equipment, even while the administration rushed in March to secure millions of masks and other protective gear. 

READ TRUMP’S THREE PHASE REOPENING GUIDELINES IN FULL

PROPOSED STATE OR REGIONAL ‘GATING’ CRITERIA 

These are the tests which have to be passed in a state or collection of states to allow them to move from lockdown to phase one

SYMPTOMS

Downward trajectory of influenza-like illnesses (ILI) reported within a 14-day period 

AND 

Downward trajectory of covid-like syndromic cases reported within a 14-day period

CASES 

Downward trajectory of documented cases within a 14-day period 

OR

Downward trajectory of positive tests as a percent of total tests within a 14-day period (flat or increasing volume of tests) 

HOSPITALS

Treat all patients without crisis care 

Robust testing program in place for at-risk healthcare workers, including emerging antibody testing 

CORE STATE PREPAREDNESS RESPONSIBILITIES

These are what a state of collection of states has to have in place to move from lockdown to phase one

TESTING AND CONTACT TRACING

  • Ability to quickly set up safe and efficient screening and testing sites for symptomatic individuals and trace contacts of COVID+ results 
  • Ability to test Syndromic/ILI-indicated persons for COVID and trace contacts of COVID+ results
  • Ensure sentinel surveillance sites are screening for asymptomatic cases and contacts for COVID+ results are traced (sites operate at locations that serve older individuals, lower-income Americans, racial minorities, and Native Americans)

HEALTH CARE SYSTEM CAPACITY

  • Ability to quickly and independently supply sufficient Personal Protective Equipment and critical medical equipment to handle dramatic surge in need 
  • Ability to surge ICU capacity

PLANS

  • Protect the health and safety of workers in critical industries
  • Protect the health and safety of those living and working in high-risk facilities (e.g., senior care facilities)
  • Protect employees and users of mass transit
  • Advise citizens regarding protocols for social distancing and face coverings
  • Monitor conditions and immediately take steps to limit and mitigate any rebounds or outbreaks by restarting a phase or returning to an earlier phase, depending on severity 

PHASE ONE 

FOR STATES AND REGIONS THAT SATISFY THE GATING CRITERIA

INDIVIDUALS

  • ALL VULNERABLE INDIVIDUALS should continue to shelter in place. Members of households with vulnerable residents should be aware that by returning to work or other environments where distancing is not practical, they could carry the virus back home. Precautions should be taken to isolate from vulnerable residents. 
  • All individuals, WHEN IN PUBLIC (e.g., parks, outdoor recreation areas, shopping areas), should maximize physical distance from others. Social settings of more than 10 people, where appropriate distancing may not be practical, should be avoided unless precautionary measures are observed. 
  • Avoid SOCIALIZING in groups of more than 10 people in circumstances that do not readily allow for appropriate physical distancing (e.g., receptions, trade shows) 
  • MINIMIZE NON-ESSENTIAL TRAVEL and adhere to CDC guidelines regarding isolation following travel

EMPLOYERS 

Continue to ENCOURAGE TELEWORK, whenever possible and feasible with business operations.

If possible, RETURN TO WORK IN PHASES. 

Close COMMON AREAS where personnel are likely to congregate and interact, or enforce strict social distancing protocols. 

Minimize NON-ESSENTIAL TRAVEL and adhere to CDC guidelines regarding isolation following travel. 

Strongly consider SPECIAL ACCOMMODATIONS for personnel who are members of a VULNERABLE POPULATION. 

SPECIFIC TYPES OF EMPLOYERS

SCHOOLS AND ORGANIZED YOUTH ACTIVITIES (e.g., daycare, camp) that are currently closed should remain closed. 

VISITS TO SENIOR LIVING FACILITIES AND HOSPITALS should be prohibited. Those who do interact with residents and patients must adhere to strict protocols regarding hygiene. 

LARGE VENUES (e.g., sit-down dining, movie theaters, sporting venues, places of worship) can operate under strict physical distancing protocols. 

ELECTIVE SURGERIES can resume, as clinically appropriate, on an outpatient basis at facilities that adhere to CMS guidelines. 

GYMS can open if they adhere to strict physical distancing and sanitation protocols. 

BARS should remain closed 

PHASE TWO 

FOR STATES AND REGIONS WITH NO EVIDENCE OF A REBOUND AND THAT SATISFY THE GATING CRITERIA A SECOND TIME 

INDIVIDUALS 

  • ALL VULNERABLE INDIVIDUALS should continue to shelter in place. Members of households with vulnerable residents should be aware that by returning to work or other environments where distancing is not practical, they could carry the virus back home. Precautions should be taken to isolate from vulnerable residents. 
  • All individuals, WHEN IN PUBLIC (e.g., parks, outdoor recreation areas, shopping areas), should maximize physical distance from others. 
  • Social settings of more than 50 people, where appropriate distancing may not be practical, should be avoided unless precautionary measures are observed. NON-ESSENTIAL TRAVEL can resume. 

EMPLOYERS

Continue to ENCOURAGE TELEWORK, whenever possible and feasible with business operations. 

Close COMMON AREAS where personnel are likely to congregate and interact, or enforce moderate social distancing protocols. 

NON-ESSENTIAL TRAVEL can resume. 

Strongly consider SPECIAL ACCOMMODATIONS for personnel who are members of a VULNERABLE POPULATION. 

SPECIFIC TYPES OF EMPLOYERS

  • SCHOOLS AND ORGANIZED YOUTH ACTIVITIES (e.g., daycare, camp) can reopen. 
  • VISITS TO SENIOR CARE FACILITIES AND HOSPITALS should be prohibited. Those who do interact with residents and patients must adhere to strict protocols regarding hygiene.
  • LARGE VENUES (e.g., sit-down dining, movie theaters, sporting venues, places of worship) can operate under moderate physical distancing protocols. 
  • ELECTIVE SURGERIES can resume, as clinically appropriate, on an outpatient and in-patient basis at facilities that adhere to CMS guidelines. 
  • GYMS can remain open if they adhere to strict physical distancing and sanitation protocols. 
  • BARS may operate with diminished standing-room occupancy, where applicable and appropriate. 

PHASE THREE

FOR STATES AND REGIONS WITH NO EVIDENCE OF A REBOUND AND THAT SATISFY THE GATING CRITERIA A THIRD TIME

INDIVIDUALS

  • VULNERABLE INDIVIDUALS can resume public interactions, but should practice physical distancing, minimizing exposure to social settings where distancing may not be practical, unless precautionary measures are observed. 
  • LOW-RISK POPULATIONS should consider minimizing time spent in crowded environments.

EMPLOYERS 

 Resume UNRESTRICTED STAFFING of worksites

SPECIFIC TYPES OF EMPLOYERS

VISITS TO SENIOR CARE FACILITIES AND HOSPITALS can resume. Those who interact with residents and patients must be diligent regarding hygiene. 

LARGE VENUES (e.g., sit-down dining, movie theaters, sporting venues, places of worship) can operate under limited physical distancing protocols. 

GYMS can remain open if they adhere to standard sanitation protocols. 

BARS may operate with increased standing room occupancy, where applicable.

WHO IS ‘VULNERABLE’?

  • 1. Elderly individuals. 
  • 2. Individuals with serious underlying health conditions, including high blood pressure, chronic lung disease, diabetes, obesity, asthma, and those whose immune system is compromised such as by chemotherapy for cancer and other conditions requiring such therapy.