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Re:U.S. field hospitals stand down, most without treating an... by abfan1127 on Friday May 08, 2020 @06:54PM (#23120429)
New York was the exception to the rule. Most hospitals were not overwhelmed. In fact, many hospitals flirted with financial disaster when governors prevented elective procedures. I can speak specifically to AZ which outside of some very small Indian Reservation medical centers, is well below capacity[1] Seattle's Army hospital closed without a single patient[2]. Growth rates, especially in AZ, were never large to begin with.

[1] - https://azgovernor.gov/sites/default/files/covidpresentation... [2] - https://www.military.com/daily-news/2020/04/10/armys-seattle...

Re:U.S. field hospitals stand down, most without treating an... by TylerE on Friday May 08, 2020 @07:26PM (#23120647)
I would be cautious about using the past tense. New case rates have not come down much from peak - and I expect them to spike in the next few weeks as people let their guard down and things reopen.

Deaths lag infections by several weeks. Over 2200 people died yesterday.

Re:U.S. field hospitals stand down, most without treating an... by abfan1127 on Friday May 08, 2020 @07:35PM (#23120696)
I agree that with re-opening, we will see a bump in infections, and therefore deaths. However, there is only one path out of this and that is herd immunity. We can accelerate herd immunity via vaccine, but either way its herd immunity. That means that we want as many people sick as our hospital system can handle, but not more. That means playing a game of optimization. Further, different states (New York vs. Arizona) should have different plans because their situations are vastly different (population density, current herd infection status, etc).

Further, we can't just optimize for Covid19 deaths, we have to look at the whole situation, which includes suicides due to shelter-in-place orders, child abuse and other domestic violence, malnutrition due to hunger from unemployment, negative impacts of poverty.

this will certainly be a case study for future generations.

Re:U.S. field hospitals stand down, most without treating an... by thaumaturgy on Friday May 08, 2020 @08:00PM (#23120842)
> That means that we want as many people sick as our hospital system can handle, but not more.

This would be the optimal situation, but it requires at least:

* Widespread testing available to any who need it for any reason;

* Careful, centralized monitoring and resource allocation;

* Plenty of PPE, critical care equipment, and disposable goods;

* A cooperative public willing to follow a constantly shifting set of recommendations.

And the country as a whole has basically none of those things. California is better-resourced and managed (for this particular thing) than other states, so they're gonna give it a shot. The rest of the country is just gambling.

This disease does not cooperate with this kind of response because of the lag time from initial infection to critical illness. Reports on this vary from like 3 days to 20-odd days. Coupled with the disease's high rate of infection, this means that a hospital can go from 50% full to 150% full very quickly. If a state government with an impossibly obedient population set a tripwire at 50% hospital capacity and shut everything down the minute they hit that mark, then they're still going to overflow a couple of weeks later as symptoms progress for those that were infected just before the shut-down.

Re:U.S. field hospitals stand down, most without treating an... by TylerE on Friday May 08, 2020 @07:43PM (#23120747)
Strongly disagree. We are learning how to help patients survive. If I must catch it, I want to catch it as far in the future as posslbe.
Re:U.S. field hospitals stand down, most without treating an... by abfan1127 on Friday May 08, 2020 @08:04PM (#23120863)
that's a decision in isolation. How many years of poverty are you willing to endure? Once you put it terms of trade-offs, then decisions make sense.
Re:U.S. field hospitals stand down, most without treating an... by TylerE on Friday May 08, 2020 @08:09PM (#23120898)
Well, for me it’s pretty easy. I haVe several underlying conditions that mean it would likely be quite bad for me.
Re:U.S. field hospitals stand down, most without treating an... by rumanator on Saturday May 09, 2020 @07:14AM (#23123760)
> How many years of poverty are you willing to endure?

I endure poverty much better than dead parents and loved ones.

Re:U.S. field hospitals stand down, most without treating an... by jimmydorry on Friday May 08, 2020 @11:32PM (#23122046)
The virus needs to be studied in further detail before we haphazardly aim for herd immunity. There is still no proof that the immunity gained from it, lasts more than a few months. Imagine the fall out if a government pushes for herd immunity, knowingly sacrificing 5-10% of the population, and it turns out that country gets wave after wave of fatalities due to the herd not having a lasting immunity.
Re:U.S. field hospitals stand down, most without treating an... by greedo on Friday May 08, 2020 @10:01PM (#23121536)
Growth rates are dependent upon testing, which is inadequate. And what little testing has been done by AZ shows a very large growth rate[1]. And the graph of growth rates by the AZ governor makes the same mistake in excluding the last 4-7 days of the graph's range. It's nonsense.

[1]https://www.nytimes.com/interactive/2020/us/arizona-coronavi...

Re:U.S. field hospitals stand down, most without treating an... by 2019-nCoV on Friday May 08, 2020 @07:28PM (#23120656)
That’s to be expected. These processes are insurance. You plan and buy insurance to cover the expected unexpected.

Should we congratulate the uninsured who weather the storm?

[dead]
Re:U.S. field hospitals stand down, most without treating an... by sfj on Saturday May 09, 2020 @02:04AM (#23122665)
I'll pay you $6 trillion for that rock. Let me know next month if another will be available.

- U.S. Gov