Photo: John Paraskevas/Newsday RM/Getty Images

In cities and states with sharp spikes in novel coronavirus cases, officials are restricting testing to health care workers and those who have been hospitalized — signaling a new phase in the pandemic response, The Washington Post reports.

Why it matters: The advisory shows the spread of COVID-19 is overwhelming parts of the American health care system, the Post writes. The U.S. isn't familiar with making trade-offs between the "individual and societal good," given its wealth and advanced health care system.

  • While, a test result may be reassuring for some individuals with mild symptoms, the resources used to perform the test could be redirected to possibly save another life.

What they're saying: The new messaging indicates that more people can get tested, but those with mild symptoms should avoid doing so and practice social distancing.

  • The other side: Health experts' warnings come as the Trump administration announces millions of test kits and drive-through sites are becoming more widely available.

The state of play: Cases of COVID-19 are spiking in California, New York, Washington state and other U.S. communities. Health officials are focused on conserving masks, ventilators and hospital beds.

  • Los Angeles County health officials recommended on Thursday that physicians avoid testing patients as a containment strategy. They instead suggested patients should be tested only if a positive result could change their treatment plan.
    • The department “is shifting from a strategy of case containment to slowing disease transmission and averting excess morbidity and mortality,” the Post writes citing a letter from LA County health officials
  • Sacramento officials have ordered residents to stay home except for essential activities.
  • Washington state medical workers have resorted to using makeshift protective gear from Home Depot and craft stores. Officials are limiting testing to health care workers, individuals with severe symptoms and those at a high risk.

The bottom line: "As the flu season recedes, people with cough and fever will increasingly just have to presume they have covid19," the Post writes.

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Biden: The next president should decide on Ginsburg’s replacement

Joe Biden. Photo: Drew Angerer / Getty Images

Joe Biden is calling for the winner of November's presidential election to select Ruth Bader Ginsburg's replacement on the Supreme Court.

What he's saying: "[L]et me be clear: The voters should pick the president and the president should pick the justice for the Senate to consider," Biden said. "This was the position the Republican Senate took in 2016 when there were almost 10 months to go before the election. That's the position the United States Senate must take today, and the election's only 46 days off.

Trump, McConnell to move fast to replace Ginsburg

Photo: Alex Wong/Getty Images

President Trump will move within days to nominate his third Supreme Court justice in just three-plus short years — and shape the court for literally decades to come, top Republican sources tell Axios.

Driving the news: Senate Majority Leader Mitch McConnell and Senate Republicans are ready to move to confirm Trump's nominee before Election Day, just 46 days away, setting up one of the most consequential periods of our lifetimes, the sources say.

Updated 8 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 10 p.m. ET: 30,393,591 — Total deaths: 950,344— Total recoveries: 20,679,272Map.
  2. U.S.: Total confirmed cases as of 10 p.m. ET: 6,722,699 — Total deaths: 198,484 — Total recoveries: 2,556,465 — Total tests: 92,163,649Map.
  3. Politics: In reversal, CDC again recommends coronavirus testing for asymptomatic people.
  4. Health: Massive USPS face mask operation called off The risks of moving too fast on a vaccine.
  5. Business: Unemployment drop-off reverses course 1 million mortgage-holders fall through safety netHow the pandemic has deepened Boeing's 737 MAX crunch.
  6. Education: At least 42% of school employees are vulnerable.