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>Generally, disease-surveillance data flow from local public-health departments to state governments, and then on to the federal government. But in April, Vice President Mike Pence asked hospitals to start reporting their COVID-19 testing data directly to the federal government.

So with a few words the White House further centralized government power, and doubled the Covid-19 reporting burden of every small-town hospital. As if they weren't diverting enough patient care funding to administrative tasks as things were.

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