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Re:Open letter from Italy to the international scientific co... by sdkaufman on Sunday March 15, 2020 @04:30AM (#22582182)
> Why on Earth is this a good model?

Because it worked. Millions of lives have been saved - 1% of 1.3B is 13M people. That's 1/5 of Italy.

Are there better models? Maybe. But there are also much worse models, as I suspect we might soon find out in the US [1]. Personally I'd much rather take the Chinese model for the next few months than risk me and my family dying or going bankrupt over the next few months.

And, instead of thinking that China could "afford to take the economical hit", consider the economic impact of 13M people suddenly dying. At this point, there's definitely going to be a hit to the economy. It's just going to be either A) from stricter lock downs and government aid, or B) from more people dying due to overrun hospitals. It might not be a wash in terms of the dollar amount, but it's clear which option will save more lives.

[1] Comparing China and US response:

- China has made treatment (not just testing) for coronavirus free for everyone. In the US...better hope you have good insurance.

- Tests performed per million people: China 2,800, US 5

- China is ordering banks to increase loans to SMBs rather than hoarding cash to protect themselves. It has rolled out a bunch of policies to support SMBs and employees. The US...well, not much so far.

Sources: https://www.sciencealert.com/here-s-how-many-coronavirus-tes... https://qz.com/1813181/china-is-taking-pleasure-in-us-mishan... https://www.scmp.com/economy/china-economy/article/3052474/c... https://www.china-briefing.com/news/chinas-latest-regional-m...

Re:Open letter from Italy to the international scientific co... by antpls on Sunday March 15, 2020 @05:16AM (#22582336)
> Because it worked. Millions of lives have been saved - 1% of 1.3B is 13M people. That's 1/5 of Italy.

This is an inacurrate estimation. I guess your figure of 1% is from South Korea case fatality rate. The confirmed cases represent a biased sample of the population, and the mortality rate could be lower in reality (but not higher).

> consider the economic impact of 13M people suddenly dying.

The mortality is mainly for 70+ years old people, who are already not in the workforce anymore.

Those numbers cannot help us to evaluate or to compare one state's measure versus another state's decision

Re:Open letter from Italy to the international scientific co... by sdkaufman on Sunday March 15, 2020 @05:58AM (#22582481)
> This is an inacurrate estimation.

Sure, the actual number will likely be different for each country / state / city, but doesn't really matter for the sake of the argument. I was using 1% as a lowball number. Official mortality rate from the WHO is 3-4%; some studies say 2%, Italy is reporting 7%.

And for those 80+, current data suggests a mortality rate of 1/7 - not far off from a round of Russian roulette.

So if you have 4 grandparents who are 80+, there's a ~60% chance at least one will die if the disease spreads through our population in the next few months.

> The mortality is mainly for 70+ years old people, who are already not in the workforce anymore.

Firstly, if hospitals are overrun (which is the way we're headed), people of all ages will die preventable deaths. Hospitals in the US are already postponing elective surgeries.

Secondly, it's simply not true that older people don't contribute to the economy.

The elderly still consume food, housing, health care etc., and a negative demand shock is a recipe for recession. For example, think about what happens to nursing homes or physical therapists if a large percentage of older people die. Or what happens to local housing prices if lots of homes are suddenly put up for sale because elderly owners died en masse.

And many older people continue to work and volunteer (e.g. just look at our president, congressmen, and senators), and that some grandparents help with child care (like in my family right now).

Sources: - https://time.com/5798168/coronavirus-mortality-rate/ - https://www.buzzfeednews.com/article/lamvo/coronavirus-death... - https://nypost.com/2020/03/12/heres-why-the-coronavirus-deat... - https://www.economicshelp.org/macroeconomics/economic-growth...

Re:Open letter from Italy to the international scientific co... by psychlops on Sunday March 15, 2020 @08:08AM (#22582991)
Here's a quote from the first link you have:

"That means the total number of reported cases is very likely an underestimate—and by not counting many mild or asymptomatic cases, we’re likely overestimating the disease’s overall mortality rate."

It is not possible to know the mortality rate with the information we have. Extrapolating that dubious number into a prediction of deaths is not a meaningful exercise.

Re:Open letter from Italy to the international scientific co... by disgruntledphd2 on Sunday March 15, 2020 @09:52AM (#22583481)
To be fair, they are using 1% which is an underestimate given what we know right now.

In general, with exponential growth the best time to act was yesterday.

Re:Open letter from Italy to the international scientific co... by psychlops on Sunday March 15, 2020 @10:20AM (#22583604)
The only reliable number are deaths assuming people aren't hiding (or burning) the bodies. The number of tests are reliable among themselves, but we can't necessarily compare specificity and sensitivity of the tests against each other. Maybe those numbers are out there, but i haven't seen them.

The amount of infected is not and will not ever be known and it's a dark time for statistics when many are taking the non-randomly tested and dividing by fatalities and projecting deaths on large populations.

Exponential growth is how successful infections progress. There is nothing new to see here. This sort of aggressive strain was easily foreseeable years ago and we rely on strategic, planned measures to be executed by government.

Random, localized shutdowns only serve to exacerbate the unwarranted panic we are now seeing. The time to think was years in the coming, the actions now display an enormous failure in leadership.

Re:Open letter from Italy to the international scientific co... by syshum on Sunday March 15, 2020 @06:14AM (#22582535)
>>Personally I'd much rather take the Chinese model for the next few months than risk me and my family dying or going bankrupt over the next few months.

Always makes me sad when Americans willing give up essential liberty to purchase perceived safety. Personally I would much rather look the situation rational, may the assessment of risk for myself, then choose on my own what course of action(s) I will take. Not have those actions dictated and imposed on me by an authoritarian government.

I would rather lose my health or my life than to lose my liberty

Re:Open letter from Italy to the international scientific co... by sdkaufman on Sunday March 15, 2020 @06:22AM (#22582587)
It's not just about your health or your life. This is what R0 means - even if you end up fine after getting the disease, you're going to transmit it to other people who may end up dying because of you.

In other words, it's also your liberty vs other people's lives.

Are you going to be the grandson who kills his grandma? Or the employee who kills the CEO? Or the Trump supporter who ends up helping elect Biden?

Re:Open letter from Italy to the international scientific co... by dependenttypes on Sunday March 15, 2020 @09:22AM (#22583336)
The grandma and the CEO can quarantine themselves at home if they so wish.
Re:Open letter from Italy to the international scientific co... by sdkaufman on Sunday March 15, 2020 @01:01PM (#22584609)
Older people cannot just wall themselves off from the rest of society.

What if they live with or are cared for by other family members?

How will they get health care for existing conditions? Hospitals have been shown to be a major vector for transmission [1]. And how do they even get to the hospital if they can't drive?

What about grocery shopping over the next few months? The National Guard is stepping in to help deliver food in New Rochelle now. Can that scale to the entire nation? For how long?

What if they live in a nursing home? Look what happened in the Seattle one [2].

[1] https://jamanetwork.com/journals/jama/fullarticle/2761044

[2] https://www.foxnews.com/health/washington-state-nursing-home...

Re:Open letter from Italy to the international scientific co... by dependenttypes on Sunday March 15, 2020 @04:07PM (#22586280)
> Hospitals have been shown to be a major vector for transmission

Not sure how this is relevant to my post.

> What if they live in a nursing home in close proximity to other elderly people?

The nursing home could stock up and ban people from coming in or out of it.

Re:Open letter from Italy to the international scientific co... by sdkaufman on Sunday March 15, 2020 @07:40PM (#22587985)
> Not sure how this is relevant to my post.

Many older people cannot just stop getting medical care, and by doing so will be exposed to COVID-19. Especially because hospitals and clinics are overwhelmed by COVID-19 patients.

> The nursing home could stock up and ban people from coming in or out of it.

And all the nursing home staff will be locked inside and not leave for months? Where do they sleep / shower etc?None of the nursing home staff have families or children to care for?

Re:Open letter from Italy to the international scientific co... by syshum on Sunday March 15, 2020 @09:54AM (#22583487)
>>Are you going to be the grandson who kills his grandma?

My grandparents are long long dead

>>Or the employee who kills the CEO?

Maybe the CEO should have thought about that and given his employees a work from home, or other policies to allow themselves to self quarantine.

I also find it telling you talk about the employees giving it to the CEO and not the other way around... I am sure there is a Parable in there about unwashed masses

>Or the Trump supporter who ends up helping elect Biden?

Not a Trump supporter, but I do find it amusing you believe only Trump supporters support liberty, and only Biden supporters support authoritarianism

Though I dont think anything will help Biden win, he less electable than Clinton was in 2016

Re:Open letter from Italy to the international scientific co... by sdkaufman on Sunday March 15, 2020 @01:10PM (#22584708)
> My grandparents are long long dead

er...what are you trying to say? So other people's grandparents can go f* themselves?

> I do find it amusing you believe only Trump supporters support liberty

Nope, I mentioned Trump supporters because Trump was dragging his feet on cancelling his massive rallies [1]. Thankfully they've been cancelled now.

[1] https://www.vox.com/policy-and-politics/2020/3/11/21174945/b...

Re:Open letter from Italy to the international scientific co... by mft_ on Sunday March 15, 2020 @06:15AM (#22582543)
Even if it's temporary?
Re:Open letter from Italy to the international scientific co... by syshum on Sunday March 15, 2020 @07:11AM (#22582767)
Lost liberty is never temporary, once lost it is lost forever.

Government never roll back control they have ceased. Look at the after effects of 9/11, those provisions where to be "temporary" yet have been renewed endlessly and will always be renewed