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The appraisal industry’s hidden hand

Appraisers decry them as counterproductive, even exploitative middlemen, while lenders offer a pat on the back for keeping them one step ahead of government auditors. We take a deep dive into the world of appraisal management companies. HW+ Premium Conten

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After attending the eponymous university of pioneering televangelist Oral Roberts, David DeZarn decided that his life’s calling was to be a pastor.

DeZarn became an ordained minister – “I married them and I buried them,” he said – and immersed himself in youth church services by the early 1990s.

The church never quite paid the bills, and DeZarn needed a flexible second job. He started contracting with home mortgage lenders to appraise the value of the property tied to a loan. “It fit well. I have always been good with numbers, and I enjoy looking at houses,” he said.

But DeZarn was an independent contractor business of one, and he lost his clients in 2008 when the housing market imploded. He reentered the appraisal business through a different door. Today, DeZarn is chief appraiser of Appraisal Management Services of America, an Irvine, California-based business that is one of more than 1,000 appraisal management companies across the country.

Appraisal management companies, or AMCs, quietly exploded following the lender reforms that came amid the Great Recession. But a decade later, AMCs are utterly anonymous to the actual person buying or refinancing a home. Appraisers decry them as counterproductive, even exploitative middlemen, while lenders offer a pat on the back for keeping them one step ahead of government auditors. 

“AMCs have been terrible for appraisers, mortgage originators, and the public,” said Jeremy Bagott, appraiser at Bender Rosenthal.

For a person of principle like DeZarn, explaining his role leading an AMC made him defensive, apologetic, proud, and uncertain. 

Ultimately, DeZarn concluded, “We don’t know where this industry is going.”

Andrew Cuomo’s medium-sized idea

“AMCs have existed since the late 1960s,” explains a 2018 report by the Federal Housing Finance Agency, entitled “Are Appraisal Management Companies Value-Adding?” “But they did not become key players in the home valuation industry until the recent housing bubble.”

That bubble was when, “Morally flexible lenders worked with morally flexible appraisers,” said Jonathan Miller of appraisal firm Miller Samuel. Appraisers would overvalue homes, and lenders would then originate loans, knowing mortgages would be ushered to their seats by government-sponsored enterprises Fannie Mae and Freddie Mac.

Appraisers who didn’t play the game “were blackballed by lenders,” said Joe Bryant, who today is the president of AMC TriServ Appraisal Management Solutions

In 2008, the state attorney’s general office of New York — led at the time by current Empire State governor Andrew Cuomo — launched an investigation into compromised appraiser reports.

The outcome was a settlement, the Home Valuation Code of Conduct, or, as appraisers swiftly dubbed it, havoc. Under the conduct code, Fannie Mae and Freddie Mac would only securitize mortgages from lenders that had a firewall between writing the loan and selecting an appraiser.

A variation of the conduct code was inserted into the 2010 Dodd-Frank Wall Street Reform and Consumer Protection Act, and the modern AMC was off and running. 

“Soon, AMCs went from being involved in 10% of all appraisals to 90%,” Miller said.

“It started off rough,” said Mark Skapinetz, owner of What It’s Worth Appraisal Services in Marietta, Georgia. “Before the recession, I was doing appraisals for $500. Then, I was making $200 to $250.”

“What AMCs did was they made it all about competition,” DeZarn said. “Hey, if you do this appraisal for me for $200 instead of $400, you can get it.”

AMCs have since expunged such flagrant squeezing of the appraiser, DeZarn said. But tension, as they say, remains. 

The firewall in action

When the pandemic hit, appraisal management companies retreated from offices in the likes of Troy, Michigan; and Buffalo, New York. The remote work was a further dislocation for an industry tied up in a most concrete transaction – the home sale – and yet abstracted in its duties, unclear in its worth.  

AMCs business model is to snare contracts from mortgage lenders, and serve as their appraiser middleman. 

The AMCs appraisal selection today starts with a list of appraisers, with all the different AMCs invariably drawing from the same appraiser. “There is no special sauce,” Bryant said. “We all use the same appraisers.”

It’s a fairly big list that includes much of the U.S. residential appraiser workforce: San Francisco-headquartered Axis Appraisal Management Solutions, for example, put the number of appraisers on its list at 9,000. 

If a lender wants an AMC to appraise a home in, for example, Lincoln, Nebraska, the AMC will check their roster of Lincoln appraisers, and select the one they believe to have the quickest return rate and lowest potential for errors that later bottle-up the mortgage origination. 

The AMC will quote beforehand how much the appraiser will get paid, though with more experienced appraisers, and more difficult jobs, there is often negotiation, Bryant said. 

Typically, Bryant said, the AMC calls the appraiser’s cell phone or emails them, and gives a window of one business day to accept a job. If the appraiser says ‘no’ or never gets back to them or haggles too much about the fee, the AMC simply moves to whoever is next on the list. 

After an appraisal is completed, the lender pays the AMC, who then pays the appraiser and keeps a cut. 

Perhaps due to the shared labor pool – picture Uber and Lyft competing with hundreds of other rideshare apps – the food chain among AMCs is profoundly unclear.

Hundreds of AMCs are registered in each state. For example, California has 227. But no AMCs appear filed as publicly traded companies with the Securities and Exchange Commission, and no AMCs seem to have a public profile. The next AMC branding campaign will be the first. 

“It is a very sleepy profession,” Miller said.

One AMC generally acknowledged as a larger outfit is TriServ, which has a physical headquarters in Roswell, Georgia. 

TriServ, Bryant said, processes 18,000 appraisals a month. For each appraisal, the lender pays a $109 flat fee, regardless of whether the appraiser is valuing a 30-year-old single-family home that looks like every other home on the block, or a rural abode that may resemble a geodesic dome. 

For more complicated appraisals, Bryant – and other AMCs interviewed said the same – the appraiser keeps the potential extra money from the lender. 

“Our hope is to make $150 an order,” said Kim Perotti, co-president of Axis Appraisal Management Solutions, whether an appraisal is quoted for $300 or $600 or whatever.

TriServ’s average flat fee multiplied by 18,000 appraisals per month puts TriServ’s expected gross revenue for the year for 2021 at $23.5 million. 

Expenses for AMCs include a licensing fee and surety bond companies pay state regulatory boards. The fees vary but are $4,000 per year, per state for licensing, and the bond is a non-refundable payment of $25,000 every two years. 

An AMC doing business in every state, then, could pay up to $825,000 a year in combined state regulatory costs, a definite pain in the neck but a small expense on the balance sheet. 

AMCs also pay fees to white-label software companies with names like ClosingCorp and LenderQB who charge between $9 and $20 per appraisal report to convert the appraisal into a PDF, or whatever the preferred format, and ship it to the lender. 

For a company like TriServ, that service adds up to over $3 million a year. 

The state fees, which in theory go to safeguarding and policing the appraisal industry, are a bane of AMCs (more on that in a sec). But AMCs gladly pay software fees, which go to benefiting said software companies. 

“I guess it’s just a way for the software company to make money after you’ve been using their product for a few years,” DeZarn said.

Another cost is employees. TriServ has over 50 employees, Bryant said, including former appraisers who manually review reports from the field.

Other AMCs interviewed, though, professed that they could not afford in-house appraisers. These AMCs, who declined to be quoted, had a mantra: Their business was “low-margin.” 

Fees in, paying appraisers

Vickie Rickard, an appraiser in Port Richey, Florida, said that she is on the appraiser list of 40 different AMCs, but that three years ago one of them was blowing up her inbox.

CoesterVMS, an AMC in Gaithersburg, Maryland, was always slow to pay Rickard, the appraiser said, but she decided to take nine different appraisal requests from the company. CoesterVMS billed the valuations as “rush orders,” meaning the lender would pay them right away if the appraisal was turned in within a certain time frame. They would then pay Rickard. 

Rickard never got paid. In the fall of 2019, Brian Coester, filed for Chapter 7 bankruptcy in Maryland federal court, after CoesterVMS went under

Rickard, who said that she is still owed $3,800 for her work, is one of multiple appraisers listed as creditors in the Coester bankruptcy. 

Some appraisers accuse AMCs of gouging them to the tune of a 50% or greater cut. 

“Appraisers are getting stiffed,” said Myra Lillard, chief appraiser at Home Guide Realty. “It is a hard pill to swallow, giving up half your pay.”

And then there are appraisers, like Rickard, who accuse AMCs of never paying them at all. 

“A number of appraisal companies have gone out of business, because they weren’t paying their appraisers in a timely manner,” acknowledged Bryant of AMC TriServ.

Part of the problem, these AMC executives say, is they’re not getting paid from the lender.  “Lenders are not quick about paying AMCs,” DeZarn said.

Lenders, in turn, acknowledge that they rarely evaluate AMCs based on timely appraiser payments.

“I’d be lying if I said that was my primary focus,” said Mark Gordon, chief revenue officer at Princeton Mortgage.

So pervasive is late pay that one AMC offers timely pay — not a bonus — as an incentive for completing appraisals on-time.

“This new initiative has truly raised the bar within the industry,” the firm, National Appraisal Network, said in a statement.

State appraisal boards have deadlines of up to 60 days for when an AMC must pay an appraiser, and a smattering of non-payment complaints have found their way to these boards. 

The California Bureau of Real Estate Appraisers, for example, logged 26 complaints in the last five years regarding AMCs, said bureau spokesperson Michelle Cave. “Typically, complaints against AMCs are for failure to pay appraisal fees and attempting to improperly influence appraisers,” Cave emailed. 

The Illinois Department of Financial and Professional Regulation fined six AMCs in the last five years. In 2019, for instance, AMR Appraisal, which is headquartered in San Ramos, California, was fined $15,000 for failing to pay appraisers in a timely manner.

Perhaps the record shows that non-payments and excessive fees are more anecdotal than systemic. That’s at least what the AMC trade group, the Real Estate Valuation Advocacy Association, contends. 

REVAA is based in Waconia, Minnesota, a town of 10,000 people, which is the home of Mark Schiffman, its executive director since 2014. 

Schiffman does not have a background in appraisal, as he was previously a faculty member at the for-profit University of Phoenix, and mayor of Waconia.  But he repeatedly surfaces as the designated mouthpiece for AMCs. 

During a background interview with AMC brass from Clear Capital and Pro Teck Valuation Intelligence, the executives were reluctant to say anything unless Schiffman gave them the go-ahead. 

But REVAA’s “It’s just anecdotal” argument regarding appraiser pay was not countered by their own data, which the trade group said did not exist.

There are also no known attempts by federal or state regulators to do a wholesale evaluation of AMC pay practices. However, the aforementioned 2018 Federal Housing Finance Agency report touched on the subject. 

“Because AMC’s take a cut of prevailing appraisal fees and decrease appraisers’ take-home pay,” the report read, “their growing prevalence may have contributed to an appraiser shortage.”

The shortage is documented by the Appraisal Institute, an appraiser trade group, which shows a steady decline in the profession’s ranks the last 10 years.

Including commercial appraisers, there were 78,000 active appraisers in 2019, per the Appraisal Institute. Twenty-one percent started their careers in the past decade. 

In the last ten years, Skapinetz, the Georgia appraiser, said, appraisers have “left the industry in droves” due to AMCs, and it is hard to recruit replacements.

Rickard concurred: “We are at the mercy of the AMCs.”

Fees out, regulatory insanity

Lenders use AMCs to offload the burden of complying with appraiser independence requirements.

“AMCs are more a necessity than a requirement. Once Dodd-Frank came out, we needed appraiser independence. They’re really just middlemen and nothing else. The value add is compliance, more than anything else,” said Shashank Shekhar, CEO of Arcus Lending.

But AMCs, unlike other parts of the mortgage industry, receive little substantive scrutiny of their own compliance. 

“There’s not the same transparency,” said Princeton Mortgage’s Gordon. “It doesn’t exist in the AMC industry.”

If AMCs fail to maintain the originator-appraiser firewall, it’s not clear who would notice. The CFPB, according to Tom Westerfield, president of Fairway Mortgage’s subsidiary AMC, Frisco Lending Services, certainly isn’t checking.

“The CFPB will come after the lender, not AMCs, because the CFPB ensures lenders perform oversight of the AMCs they use,” said Westerfield.

The CFPB could not point to a single investigation or enforcement action regarding AMCs, and did not answer questions. 

Instead, the watchdog sent an extract from a rule defining AMC minimum standards, which it penned in 2015, with five other agencies, including the Office of the Comptroller of the Currency, the FHFA and the Federal Reserve. 

The rule gave appraisal management companies guidelines on how to tally their “panel,” the list of appraisers it brandishes to lenders. That’s important mostly to assess the $25 per-appraiser annual fee that states send on to the Appraisal Subcommittee, a late 1980s Congressional creation intended to oversee the appraisal profession. 

The paying of these fees was then cemented in a 2017 rule by the Federal Financial Institutions Examination Council, an interagency body of banking regulators formed three decades before CFPB was born. 

But these complex fee rules are quiet on actually enforcing the lender-appraiser firewall, the primary reason AMCs exist. The 2017 interagency rule gives states the authority to bring civil actions to ensure appraiser independence, but it doesn’t explain the particulars.

“Questions about what mechanisms a State agency may use to assess a party’s compliance,” the rule states, “Are outside the scope of this rulemaking.” 

The state’s seem to use this authority to, well, make yet more rules on fees, a frequent source of frustration for AMCs, especially those who operate in more than one state. 

The state-by-state patchwork keeps Kim Perotti of Axis Appraisal Management on a brisk itinerary to furnish fingerprints and notarize registration forms.

“I get fingerprinted every year in at least 30 states,” said Perotti. “The licensing is crazy.”

The firewall next time 

If appraisers once felt pressure to overvalue properties, today AMC’s feel anxiety based on the swiftness in completing reports. 

Gordon said that Princeton Mortgage judges AMCs on their “guarantee of service.” And what, then, is service?

“Delivery times,” and “leveraging a more reliable product for consumers to close loans faster.” 

Amid the pandemic-era housing boom, lenders pit AMCs against each other and judge them on speed. 

“Pre-Covid we never used more than one AMC,” Shekhar said. “Now, every processor is ordering from three AMCs to see which will deliver the fastest.”

DeZarn, the Appraisal Management Services of America chief appraiser, says each week a representative from his AMC meets with lenders and defends their “return times.” 

The need for speed, the Kafkaesque fees and registrations, even the allegations of appraiser non-payment and underpayment. All of it might be a necessary price to pay, if there is evidence that the middleman does its thankless job, upholding the integrity of the valuations that underpin the home mortgages that underpin the trillion-dollar U.S. housing market. 

The evidence is unclear. 

On the one hand, AMCs have been as invisible as ever amid allegations of blatant racial discrimination by appraisers, and the valuation gap between white and minority-owned homes ever widening. 

While appraisers are the whipping boy for bias complaints, the opaque AMC has been largely spared. AMCs interviewed did not have instances of investigating appraisers on the panel for potential bias. Ferreting out discrimination would appear, at best, a secondary part of AMC’s duties to uphold integrity in the valuation process.

But, in defense of the AMC, there hasn’t been another mortgage meltdown.

“I think it has absolutely worked,” Bryant said. “The mortgage loans now are of much higher quality. A lot of the crazy loan programs have disappeared.”

Besides a palladium full of appraisers, the counter to Bryant is, again, that 2018 FHFA report, the proverbial oracle of delphi to the otherwise opaque AMC industry. The federal agency examined appraisals from 2012 to 2016 that went through an AMC, and appraisals that did not. 

The conclusion: “Scant evidence of any systemic quality differences between appraisals associated and unassociated with AMCs.” If anything, AMC appraisals, “Are subject to a slightly higher probability of contract price confirmation and overvaluation.” 

When the FHFA report came out, REVAA, the AMC trade group, released an eight-page repudiation. 

REVAA’s response focused on the FHFA’s nerve to release a study “without notice” to the trade group, and into a “hostile environment” for AMCs. REVAA lambasted FHFA for only focusing on the quality of appraisal reports, because “Lenders use AMCs for a variety of reasons including those that have nothing to do with quality.”

The reasons, REVAA noted, include safeguarding against undue influence and fraud, and “Protecting public safety by reviewing the background checks of appraisers before they can be employed or empaneled.”

Like some other AMC executives, DeZarn is a former appraiser with concern about the industry’s dwindling numbers. He thinks the decline has already changed the dynamic with AMCs. “Everybody competes for the same appraisers, so we want to treat them well for a long time,” DeZarn said. 

“It’s an interesting thing,” DeZarn said of appraisals. “You start becoming trained to look in a different way. Oh, that property is this close to a beach, or that close to a power line. You can’t go into a house and not notice everything. But after a while, when you are doing it for a long time, you can just shut that part of the mind down.”

The post The appraisal industry’s hidden hand appeared first on HousingWire.

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Are Voters Recoiling Against Disorder?

Are Voters Recoiling Against Disorder?

Authored by Michael Barone via The Epoch Times (emphasis ours),

The headlines coming out of the Super…

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Are Voters Recoiling Against Disorder?

Authored by Michael Barone via The Epoch Times (emphasis ours),

The headlines coming out of the Super Tuesday primaries have got it right. Barring cataclysmic changes, Donald Trump and Joe Biden will be the Republican and Democratic nominees for president in 2024.

(Left) President Joe Biden delivers remarks on canceling student debt at Culver City Julian Dixon Library in Culver City, Calif., on Feb. 21, 2024. (Right) Republican presidential candidate and former U.S. President Donald Trump stands on stage during a campaign event at Big League Dreams Las Vegas in Las Vegas, Nev., on Jan. 27, 2024. (Mario Tama/Getty Images; David Becker/Getty Images)

With Nikki Haley’s withdrawal, there will be no more significantly contested primaries or caucuses—the earliest both parties’ races have been over since something like the current primary-dominated system was put in place in 1972.

The primary results have spotlighted some of both nominees’ weaknesses.

Donald Trump lost high-income, high-educated constituencies, including the entire metro area—aka the Swamp. Many but by no means all Haley votes there were cast by Biden Democrats. Mr. Trump can’t afford to lose too many of the others in target states like Pennsylvania and Michigan.

Majorities and large minorities of voters in overwhelmingly Latino counties in Texas’s Rio Grande Valley and some in Houston voted against Joe Biden, and even more against Senate nominee Rep. Colin Allred (D-Texas).

Returns from Hispanic precincts in New Hampshire and Massachusetts show the same thing. Mr. Biden can’t afford to lose too many Latino votes in target states like Arizona and Georgia.

When Mr. Trump rode down that escalator in 2015, commentators assumed he’d repel Latinos. Instead, Latino voters nationally, and especially the closest eyewitnesses of Biden’s open-border policy, have been trending heavily Republican.

High-income liberal Democrats may sport lawn signs proclaiming, “In this house, we believe ... no human is illegal.” The logical consequence of that belief is an open border. But modest-income folks in border counties know that flows of illegal immigrants result in disorder, disease, and crime.

There is plenty of impatience with increased disorder in election returns below the presidential level. Consider Los Angeles County, America’s largest county, with nearly 10 million people, more people than 40 of the 50 states. It voted 71 percent for Mr. Biden in 2020.

Current returns show county District Attorney George Gascon winning only 21 percent of the vote in the nonpartisan primary. He’ll apparently face Republican Nathan Hochman, a critic of his liberal policies, in November.

Gascon, elected after the May 2020 death of counterfeit-passing suspect George Floyd in Minneapolis, is one of many county prosecutors supported by billionaire George Soros. His policies include not charging juveniles as adults, not seeking higher penalties for gang membership or use of firearms, and bringing fewer misdemeanor cases.

The predictable result has been increased car thefts, burglaries, and personal robberies. Some 120 assistant district attorneys have left the office, and there’s a backlog of 10,000 unprosecuted cases.

More than a dozen other Soros-backed and similarly liberal prosecutors have faced strong opposition or have left office.

St. Louis prosecutor Kim Gardner resigned last May amid lawsuits seeking her removal, Milwaukee’s John Chisholm retired in January, and Baltimore’s Marilyn Mosby was defeated in July 2022 and convicted of perjury in September 2023. Last November, Loudoun County, Virginia, voters (62 percent Biden) ousted liberal Buta Biberaj, who declined to prosecute a transgender student for assault, and in June 2022 voters in San Francisco (85 percent Biden) recalled famed radical Chesa Boudin.

Similarly, this Tuesday, voters in San Francisco passed ballot measures strengthening police powers and requiring treatment of drug-addicted welfare recipients.

In retrospect, it appears the Floyd video, appearing after three months of COVID-19 confinement, sparked a frenzied, even crazed reaction, especially among the highly educated and articulate. One fatal incident was seen as proof that America’s “systemic racism” was worse than ever and that police forces should be defunded and perhaps abolished.

2020 was “the year America went crazy,” I wrote in January 2021, a year in which police funding was actually cut by Democrats in New York, Los Angeles, San Francisco, Seattle, and Denver. A year in which young New York Times (NYT) staffers claimed they were endangered by the publication of Sen. Tom Cotton’s (R-Ark.) opinion article advocating calling in military forces if necessary to stop rioting, as had been done in Detroit in 1967 and Los Angeles in 1992. A craven NYT publisher even fired the editorial page editor for running the article.

Evidence of visible and tangible discontent with increasing violence and its consequences—barren and locked shelves in Manhattan chain drugstores, skyrocketing carjackings in Washington, D.C.—is as unmistakable in polls and election results as it is in daily life in large metropolitan areas. Maybe 2024 will turn out to be the year even liberal America stopped acting crazy.

Chaos and disorder work against incumbents, as they did in 1968 when Democrats saw their party’s popular vote fall from 61 percent to 43 percent.

Views expressed in this article are opinions of the author and do not necessarily reflect the views of The Epoch Times or ZeroHedge.

Tyler Durden Sat, 03/09/2024 - 23:20

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Veterans Affairs Kept COVID-19 Vaccine Mandate In Place Without Evidence

Veterans Affairs Kept COVID-19 Vaccine Mandate In Place Without Evidence

Authored by Zachary Stieber via The Epoch Times (emphasis ours),

The…

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Veterans Affairs Kept COVID-19 Vaccine Mandate In Place Without Evidence

Authored by Zachary Stieber via The Epoch Times (emphasis ours),

The U.S. Department of Veterans Affairs (VA) reviewed no data when deciding in 2023 to keep its COVID-19 vaccine mandate in place.

Doses of a COVID-19 vaccine in Washington in a file image. (Jacquelyn Martin/Pool/AFP via Getty Images)

VA Secretary Denis McDonough said on May 1, 2023, that the end of many other federal mandates “will not impact current policies at the Department of Veterans Affairs.”

He said the mandate was remaining for VA health care personnel “to ensure the safety of veterans and our colleagues.”

Mr. McDonough did not cite any studies or other data. A VA spokesperson declined to provide any data that was reviewed when deciding not to rescind the mandate. The Epoch Times submitted a Freedom of Information Act for “all documents outlining which data was relied upon when establishing the mandate when deciding to keep the mandate in place.”

The agency searched for such data and did not find any.

The VA does not even attempt to justify its policies with science, because it can’t,” Leslie Manookian, president and founder of the Health Freedom Defense Fund, told The Epoch Times.

“The VA just trusts that the process and cost of challenging its unfounded policies is so onerous, most people are dissuaded from even trying,” she added.

The VA’s mandate remains in place to this day.

The VA’s website claims that vaccines “help protect you from getting severe illness” and “offer good protection against most COVID-19 variants,” pointing in part to observational data from the U.S. Centers for Disease Control and Prevention (CDC) that estimate the vaccines provide poor protection against symptomatic infection and transient shielding against hospitalization.

There have also been increasing concerns among outside scientists about confirmed side effects like heart inflammation—the VA hid a safety signal it detected for the inflammation—and possible side effects such as tinnitus, which shift the benefit-risk calculus.

President Joe Biden imposed a slate of COVID-19 vaccine mandates in 2021. The VA was the first federal agency to implement a mandate.

President Biden rescinded the mandates in May 2023, citing a drop in COVID-19 cases and hospitalizations. His administration maintains the choice to require vaccines was the right one and saved lives.

“Our administration’s vaccination requirements helped ensure the safety of workers in critical workforces including those in the healthcare and education sectors, protecting themselves and the populations they serve, and strengthening their ability to provide services without disruptions to operations,” the White House said.

Some experts said requiring vaccination meant many younger people were forced to get a vaccine despite the risks potentially outweighing the benefits, leaving fewer doses for older adults.

By mandating the vaccines to younger people and those with natural immunity from having had COVID, older people in the U.S. and other countries did not have access to them, and many people might have died because of that,” Martin Kulldorff, a professor of medicine on leave from Harvard Medical School, told The Epoch Times previously.

The VA was one of just a handful of agencies to keep its mandate in place following the removal of many federal mandates.

“At this time, the vaccine requirement will remain in effect for VA health care personnel, including VA psychologists, pharmacists, social workers, nursing assistants, physical therapists, respiratory therapists, peer specialists, medical support assistants, engineers, housekeepers, and other clinical, administrative, and infrastructure support employees,” Mr. McDonough wrote to VA employees at the time.

This also includes VA volunteers and contractors. Effectively, this means that any Veterans Health Administration (VHA) employee, volunteer, or contractor who works in VHA facilities, visits VHA facilities, or provides direct care to those we serve will still be subject to the vaccine requirement at this time,” he said. “We continue to monitor and discuss this requirement, and we will provide more information about the vaccination requirements for VA health care employees soon. As always, we will process requests for vaccination exceptions in accordance with applicable laws, regulations, and policies.”

The version of the shots cleared in the fall of 2022, and available through the fall of 2023, did not have any clinical trial data supporting them.

A new version was approved in the fall of 2023 because there were indications that the shots not only offered temporary protection but also that the level of protection was lower than what was observed during earlier stages of the pandemic.

Ms. Manookian, whose group has challenged several of the federal mandates, said that the mandate “illustrates the dangers of the administrative state and how these federal agencies have become a law unto themselves.”

Tyler Durden Sat, 03/09/2024 - 22:10

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Low Iron Levels In Blood Could Trigger Long COVID: Study

Low Iron Levels In Blood Could Trigger Long COVID: Study

Authored by Amie Dahnke via The Epoch Times (emphasis ours),

People with inadequate…

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Low Iron Levels In Blood Could Trigger Long COVID: Study

Authored by Amie Dahnke via The Epoch Times (emphasis ours),

People with inadequate iron levels in their blood due to a COVID-19 infection could be at greater risk of long COVID.

(Shutterstock)

A new study indicates that problems with iron levels in the bloodstream likely trigger chronic inflammation and other conditions associated with the post-COVID phenomenon. The findings, published on March 1 in Nature Immunology, could offer new ways to treat or prevent the condition.

Long COVID Patients Have Low Iron Levels

Researchers at the University of Cambridge pinpointed low iron as a potential link to long-COVID symptoms thanks to a study they initiated shortly after the start of the pandemic. They recruited people who tested positive for the virus to provide blood samples for analysis over a year, which allowed the researchers to look for post-infection changes in the blood. The researchers looked at 214 samples and found that 45 percent of patients reported symptoms of long COVID that lasted between three and 10 months.

In analyzing the blood samples, the research team noticed that people experiencing long COVID had low iron levels, contributing to anemia and low red blood cell production, just two weeks after they were diagnosed with COVID-19. This was true for patients regardless of age, sex, or the initial severity of their infection.

According to one of the study co-authors, the removal of iron from the bloodstream is a natural process and defense mechanism of the body.

But it can jeopardize a person’s recovery.

When the body has an infection, it responds by removing iron from the bloodstream. This protects us from potentially lethal bacteria that capture the iron in the bloodstream and grow rapidly. It’s an evolutionary response that redistributes iron in the body, and the blood plasma becomes an iron desert,” University of Oxford professor Hal Drakesmith said in a press release. “However, if this goes on for a long time, there is less iron for red blood cells, so oxygen is transported less efficiently affecting metabolism and energy production, and for white blood cells, which need iron to work properly. The protective mechanism ends up becoming a problem.”

The research team believes that consistently low iron levels could explain why individuals with long COVID continue to experience fatigue and difficulty exercising. As such, the researchers suggested iron supplementation to help regulate and prevent the often debilitating symptoms associated with long COVID.

It isn’t necessarily the case that individuals don’t have enough iron in their body, it’s just that it’s trapped in the wrong place,” Aimee Hanson, a postdoctoral researcher at the University of Cambridge who worked on the study, said in the press release. “What we need is a way to remobilize the iron and pull it back into the bloodstream, where it becomes more useful to the red blood cells.”

The research team pointed out that iron supplementation isn’t always straightforward. Achieving the right level of iron varies from person to person. Too much iron can cause stomach issues, ranging from constipation, nausea, and abdominal pain to gastritis and gastric lesions.

1 in 5 Still Affected by Long COVID

COVID-19 has affected nearly 40 percent of Americans, with one in five of those still suffering from symptoms of long COVID, according to the U.S. Centers for Disease Control and Prevention (CDC). Long COVID is marked by health issues that continue at least four weeks after an individual was initially diagnosed with COVID-19. Symptoms can last for days, weeks, months, or years and may include fatigue, cough or chest pain, headache, brain fog, depression or anxiety, digestive issues, and joint or muscle pain.

Tyler Durden Sat, 03/09/2024 - 12:50

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