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Re:California sets Covid-19 daily record, Bay Area cumulativ... by baxtr on Tuesday June 23, 2020 @05:56PM (#23620864)
Great observation. I see the same pattern in other countries, too. One reason for this I believe is the lack of “goal clarity”. What’s the goal we’re aiming for? I see several options:

1) we want to eradicate the virus from our population => total cases matter and should be 0 sometime soon, I think that was and is China’s goal

2) we don’t try to eradicate the virus, but we want to keep the stress on the health system manageable => total cases don’t matter that much, bed capacity is the relevant indicator. This seems to be the goal of the “flatten the curve” thinking

3) we don’t care that much, let the virus spread like wildfire so we will have herd immunity asap => I am not sure, but from outside it seems like Brazil is trying to do this

I think the reason you and I are confused is because it’s seems to be unclear if we are trying to achieve 1) or 2). It’s not communicated. Maybe it’s unclear to policy makers, too.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by throwawaygh on Tuesday June 23, 2020 @07:18PM (#23621651)
I think a lot of countries do have clarity.

The USA definitely does not. I'm starting to wonder if "not knowing what we want" will be the root cause for the end of American hegemony.

We entered 2 wars without clarity on what it would mean to win. This was the #1 post-mortem on Iraq and Afghanistan from basically every general involved over 15 years: they never had mission clarity.

On the back of that tough lesson, we immediately entered a trade war with zero clarity on what it would mean to win.

And before we could learn the lesson a third time we're now up against a pandemic and apparently can't decide what it means for us to win.

I'm starting to wonder if "not knowing what you want" is even worse than wanting something dumb.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by aspenmayer on Tuesday June 23, 2020 @07:35PM (#23621822)
If you don’t know what you want, you can’t be disappointed you didn’t get it. If you don’t know what you’ll get, you won’t be beholden to citizens for not getting it or getting it done. It may seem careless, but it’s also convenient to avoid accountability by avoiding responsibility, and avoiding responsibility by avoiding acknowledgement or awareness of an issue.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by convolvatron on Tuesday June 23, 2020 @08:15PM (#23622216)
this seems true. but it kind of implies that there is a _secret_ agenda. it would kinda be more comforting if there was, but its not really clear.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by aspenmayer on Tuesday June 23, 2020 @09:27PM (#23622847)
I didn’t mean to imply such an agenda exists in America. Sovereign democracy in Russia is one example of what such a secret (or even explicitly public) agenda would look like.

https://en.wikipedia.org/wiki/Sovereign_democracy

https://en.wikipedia.org/wiki/Vladislav_Surkov

https://www.economist.com/europe/2013/05/11/an-ideologues-ex...

Re:California sets Covid-19 daily record, Bay Area cumulativ... by vikramkr on Tuesday June 23, 2020 @08:52PM (#23622583)
at least with a pandemic there is a clear end goal of "no more pandemic," and we're not entirely reliant on the government to get us there. even if the journey ends up being way way way way way more painful than it should have been, with far too many lives lost, we do have a path to eradicating the disease through widespread vaccination etc and people in the private/academic sectors can push on making progress there. With the war and the trade war though, those are quagmires the government got us into (with the citizens vocal support for the wars), and it really mattered that there that our leadership didn't know what it wanted to achieve. At least we have a long term goal in fighting covid, even if our leadership doesn't know what short term success should look like...
Re:California sets Covid-19 daily record, Bay Area cumulativ... by throwawaygh on Tuesday June 23, 2020 @09:34PM (#23622900)
The long-term goal in Iraq/Afghanistan was "peaceful muslim-majority western-values democracies in the middle east". In other words, a literal pipe dream.

The long-term goal of the trade war with China is... QoL that costs low six figure salaries plus a pension and union protection for every high school grad in the midwest willing to work in a factory, even as the rest of the world surpasses us in labor productivty. In other words, a literal pipe dream.

We always have some pipe dream. We just never have an actual sober-minded mission with realistic expectations.

Maybe America needs a war on the drug of American exceptionalism. idk. I know war is always the answer, though. :-\

If we weren't drunk on exceptionalism, we would be containing the virus and we would have a Manhattan project-level investment in vaccine research. We don't. Calling a spade a spade literally sounds like trolling these days.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by random314 on Wednesday June 24, 2020 @12:20AM (#23624053)
> he long-term goal in Iraq/Afghanistan was "peaceful muslim-majority western-values democracies in the middle east".

This has never been the goal of the United states

Re:California sets Covid-19 daily record, Bay Area cumulativ... by wahern on Wednesday June 24, 2020 @12:32AM (#23624114)
I guess it depends on who (if any person or group in particular) we recognize as setting U.S. policy, but if it's the President then I think you're wrong: https://foreignpolicy.com/2010/11/17/bush-on-nation-building... Here's the full speech quoted early in that article: https://georgewbush-whitehouse.archives.gov/news/releases/20...
Re:California sets Covid-19 daily record, Bay Area cumulativ... by random314 on Thursday June 25, 2020 @02:55PM (#23644160)
There is a whole lot of difference between actions and words.

US Presidents typically have a lot of problems with democracies/democratic movements in Iran, Venezuela, Haiti, Egypt etc but very much liked the dictatorships in Saudi Arabia, Egypt, Chile, Brazil, El Salvador.

I judge governments and people by their actions and not their words.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by bitbckt on Tuesday June 23, 2020 @11:26PM (#23623690)
> Calling a spade a spade literally sounds like trolling these days.

Maybe not the best way to phrase that these days.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by throwawaygh on Wednesday June 24, 2020 @05:44AM (#23626012)
TIL: https://www.npr.org/sections/codeswitch/2013/09/19/224183763...

Until the 20th century phrase had exclusively the meaning I always thought it had, and that meaning dates back to the 1500s (spade = gardening tool).

In the 1920s some people started using "spade" to mean "person with dark-toned skin" (because spades are black in a deck of cards, so spade the gardnening tool => spade the suit in a deck of cards => poc). I've never heard "spade" used like that before, and the article suggests that use of "spade" remains fairly esoteric, but it's apparently in wide enough use that dictionaries have picked up on this meaning.

The article doesn't ever establish that the phrase itself is used as a double entendre. In a quick saerch, I can't find any in-the-wild uses of "Call a spade a spade" that evoke the double meaning.

TBH I think the article's advice is sound but also extremely jaded ("Rather than taking the chance of unintentionally offending someone or of being misunderstood, it is best to relinquish the old innocuous proverbial expression all together"). I'll stop using the phrase, but doing so feels like assuming the worst of my interlocutors' intelligence and intent.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by harry8 on Wednesday June 24, 2020 @03:22AM (#23625069)
How sure are you that the goal in Iraq/Afghanistan wasn't purely and simply to get an unpopular president a patriotic polling boost and a seeminly unlikely second term with the bonus of putting money in the pockets of the military-industrial complex and owners of big media while providing a distraction from the endemic corruption of washington? I dunno, I'd like to be a lot more sure of that than I am.

Does that really sound like a conspiracy theory now we know that the regime deliberately and knowingly lied about Weapons of Mass Destruction?

If you think that possible then perhaps the "long-term goal" wasn't really what the liars were lying at the time? There are those who believer endless war was the precise goal. There hasn't been a lot of anti-corruption impetus in washington since that distraction was launched - save for Trump pretending he was anti-corruption at the last minute before the lasrt election. That last minute inspiration might have won it for him too.

Anyway if you have an unclear goal you can just move the goalposts and declare success, which is the kind of the point, right? And why the goals are unclear because otherwise America might lose and you'd be the loser president.

Out of interest how do Americans feel about the Vietnam war? Did America lose that war?

Re:California sets Covid-19 daily record, Bay Area cumulativ... by dragonwriter on Wednesday June 24, 2020 @06:40AM (#23626357)
> How sure are you that the goal in Iraq/Afghanistan wasn't purely and simply to get an unpopular president a patriotic polling boost and a seeminly unlikely second term with the bonus of putting money in the pockets of the military-industrial complex and owners of big media while providing a distraction from the endemic corruption of washington?

Pretty sure of all of most of that for both, though not the same parts for Iraq and Afghanistan. The political imperative for Afghanistan after 9/11 is pretty unmistakable. The long-term neocon objective with Iraq also was unmistakable. There's also pretty solid indication that factions I. The Administration wanted to use 9/11 as a pretext to execute the latter but were delayed by the political imperative for the former.

> Does that really sound like a conspiracy theory now we know that the regime deliberately and knowingly lied about Weapons of Mass Destruction?

Yes, the ascriptions of the motives cited to both Afghanistan and Iraq still sounds like a conspiracy theory. And I’m not sure what you mean by “now that we know”; that the claims were being advanced were false and that the administration had the information which showed them to be false was widely reported in the major media at the time the claims were made.

> If you think that possible then perhaps the "long-term goal" wasn't really what the liars were lying at the time?

No, but in the case of Iraq, it's what the leading figures of the neocon movement were telling the truth about the desires for right up to the moment the whole gang became the defense and foreign policy apparatus (and hyper-empowered VP) of the Bush 43 administration.

> There are those who believer endless war was the precise goal.

“There are those who believe” is not an argument that makes your position sound less like a conspiracy theory.

> There hasn't been a lot of anti-corruption impetus in washington since that distraction was launched

There wasn't a lot in the two decades before that, either. So unless the distraction was as effective backwards in time as forwards, I don't think it was really a significant factor.

> Out of interest how do Americans feel about the Vietnam war? Did America lose that war?

Most recognize that we lost the war; there are those who cling to loudly propounding the fact that we militarily defeated the VC before the NVA took over the main fighting as if that somehow negates losing the war.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by throwawaygh on Wednesday June 24, 2020 @06:17AM (#23626219)
Neoconservatives genuinely wanted regime change in the middle east, and I think GWB was a genuine neoconservative. Certainly most of the people who voted for GWB and who expressed support for the wars in polls were true believers, in the sense that they weren't doing so in order to enrich chief executives of military contractors. At some point the electorate takes responsibility for the course of the nation, no?
Re:California sets Covid-19 daily record, Bay Area cumulativ... by ErikAugust on Tuesday June 23, 2020 @08:49PM (#23622546)
There was a clear objective in Iraq and Afghanistan - justify (and grow) an already humongous defense budget. It worked.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by throwawaygh on Tuesday June 23, 2020 @09:32PM (#23622882)
That answer seems... too easy. I think our problem is much deeper than that.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by kelnos on Tuesday June 23, 2020 @06:12PM (#23621018)
I think the goal a couple/few months ago was #2, but in the meantime we've learned that there might be some bad long-term consequences to contracting the disease that weren't previously known, like possible permanent respiratory damage.

Without that, then we shouldn't be too worried about getting the disease as long as we keep transmission rates low enough so hospitals don't get overwhelmed. But if some people end up with long-term respiratory issues after contracting the disease, now there's a reason to keep people from getting it, period, regardless of hospital capacity.

But it would be nice to hear these goals actually articulated by public health officials. I'm not sure if my above paragraph is actually what any public health officials are thinking or are worried about (I'm just guessing), but it would be nice to know, because I agree with you that there seems to be a lack of "goal clarity" at this point.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by SpicyLemonZest on Tuesday June 23, 2020 @09:51PM (#23623018)
All American public health officials I've heard have been pretty clear about their goals: we're trying to titrate our social distancing, finding the least severe restrictions necessary to keep cases from spiraling out of control and then staying there until a vaccine. There were some early proposals to drive the pandemic extinct before reopening, but they've been uniformly abandoned in the US because they weren't working.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by ganafagol on Tuesday June 23, 2020 @06:17PM (#23621064)
I think it's a mix between 1 and 2. Eradication is unrealistic. But the optimum is _not_ the point where every last hospital bed is used. It's where the balance between lockdown and infections is the most societally acceptable.

That is, we want to minimize infections, just not at all costs (to society/economy/...). And similarly, we want to minimize impact on society/economy/..., just not at all cost (to health).

Keep in mind that every infection bears a risk for long time health impact or short term (death), no matter if a hospital bed is available or not.

Finding this compromise is a matter of opinion and therefore a political question. It's not as easy and black-and-white to formulate as it would be to say whether we do 1 or 2.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by colechristensen on Tuesday June 23, 2020 @06:25PM (#23621138)
I believe the goal is/should be a transmission rate of < 1. As long as we can keep it so each infected person has a probability of infecting less than one other person on average, we will be relatively fine.

Eradication in the US seems unreasonable, and just keeping hospitals less than overflowing not enough.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by 9nGQluzmnq3M on Tuesday June 23, 2020 @07:42PM (#23621900)
If you can persistently keep the rate < 1, you will by mathematical definition eradicate the disease. (0.99 * 0.99 * 0.99 ... eventually sums to zero.)

Keeping it under control but not eradicated means averaging exactly 1 over time, which seems like a much harder balancing act.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by colechristensen on Tuesday June 23, 2020 @08:03PM (#23622095)
We're at 26k cases per day in the US, yes if you continue with r<1 for long enough you have few enough cases that you change strategy to eradication, but that isn't really important. Saying what your strategy is now doesn't mean you're bound to it for months or years, you have to shift based on reality, we're not just dealing with a mathematical model.

Focusing on the rate as the metric of attention seems very much like the right thing to be at the center of public policy.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by richk449 on Tuesday June 23, 2020 @11:37PM (#23623758)
> Keeping it under control but not eradicated means averaging exactly 1 over time, which seems like a much harder balancing act.

Just put the control rods - I mean open restaurants - on a control loop driven by number of number of hospitalizations.

Helps if you have prompt and delayed transmission modes, so you can regulate at the slower speed.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by soledades on Tuesday June 23, 2020 @09:37PM (#23622925)
Yeah but the r is by various proxies a function of the # of cases, so it is not so simple.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by mehrdadn on Tuesday June 23, 2020 @07:24PM (#23621714)
It confuses me why r < 1 isn't the goal everywhere. It seems like such an obvious thing to aim for. Any ideas?
Re:California sets Covid-19 daily record, Bay Area cumulativ... by austhrow743 on Tuesday June 23, 2020 @08:55PM (#23622612)
If you don't set achievable goals then you just waste a lot of resources trying to achieve them.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by mehrdadn on Tuesday June 23, 2020 @08:57PM (#23622630)
Why is this not achievable? New York pulled it off...
Re:California sets Covid-19 daily record, Bay Area cumulativ... by austhrow743 on Tuesday June 23, 2020 @09:11PM (#23622726)
Seems to be politicised. You have a significant portion of the country treating not wearing masks or social distancing as a political statement.

I'm not saying it's not achievable. Just that you need to evaluate if it is achievable before you focus on it and it certainly doesn't seem like its "obvious" that it is to me.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by zaroth on Wednesday June 24, 2020 @12:16AM (#23624032)
New York pulled what off? The highest cases per capita of anywhere in the US, bad policy allowing it to ravage their nursing homes.

Not surprising after COVID burned through their population (quarantine or not) the case numbers have subsided. If anything NYC demonstrates that quarantine was entirely ineffective, and that the biggest mistake was not focusing on protecting the people actually at risk.

The most interesting takeaway from COVID is that “both sides” were right. It is much more deadly than an average flu (for the elderly) and also much less deadly than the average flu (for those under 50).

Re:California sets Covid-19 daily record, Bay Area cumulativ... by dataflow on Wednesday June 24, 2020 @01:37AM (#23624462)
> Not surprising after COVID burned through their population (quarantine or not) the case numbers have subsided. If anything NYC demonstrates that quarantine was entirely ineffective, and that the biggest mistake was not focusing on protecting the people actually at risk.

Are you serious? How do you even come up with misinformation like this and not even bother to back anything up with any sources? How do you seriously look at the case charts and pretend like going from 10k cases/day to 500 cases/day was an inevitable outcome resulting from burning through nursing homes? It would be funny if it weren't completely insulting to their herculean efforts in containing everything when so much of the rest of the country is going in the opposite direction. https://www.nytimes.com/interactive/2020/us/new-york-coronav...

Re:California sets Covid-19 daily record, Bay Area cumulativ... by zaroth on Wednesday June 24, 2020 @02:34AM (#23624777)
Unfortunately you seem to have misread what I wrote.

1) NY has the highest cases per capita and death rate per capita in the country. [1] [2] This is what I mean by burned through their population. Serology estimates about 20% of NYC population was infected. [3]

2) NY’s policy blunder in shipping COVID positive patients into nursing homes is well documented. [4]

#2 did not lead to #1, nor did I claim it did.

Their “herculean efforts” to contain COVID notwithstanding, NY is in the process of phased reopening, just like pretty much everyone else.

[1] - https://www.statista.com/statistics/1109004/coronavirus-covi...

[2] - https://www.statista.com/statistics/1109004/coronavirus-covi...

[3] - https://www.governor.ny.gov/news/amid-ongoing-covid-19-pande...

[4] - https://abcnews.go.com/Health/wireStory/ap-count-4300-virus-...

Re:California sets Covid-19 daily record, Bay Area cumulativ... by deelowe on Wednesday June 24, 2020 @01:22AM (#23624388)
You can't shut the entire country down for months on end. People will starve. No other solution has proven effective enough to get below 1.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by SpicyLemonZest on Tuesday June 23, 2020 @09:30PM (#23622871)
You can't measure R; you can only model it, and your model is going to involve lots of hard to validate assumptions. So most places are using something easier to measure, such as "metrics are declining before advancing to the next reopening stage".
Re:California sets Covid-19 daily record, Bay Area cumulativ... by kaitai on Tuesday June 23, 2020 @09:22PM (#23622808)
It requires coordinated societal action, which is definitely the same as the death of Freedom and Liberty and thus is to be avoided.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by colechristensen on Tuesday June 23, 2020 @07:40PM (#23621884)
Some places have made total eradication possible (e.g. New Zealand)

Most places just aren't being transparent. Wearing a mask has turned into a political or moral statement without being driven by a goal. Leaders aren't really selling any goals, though CDC / various health departments probably have goals, the technical details are not being communicated. Instead all you see is vague information and seemingly arbitrary action from leaders and virtue signaling from the population.

In Trump-led America, I think the goal is pretty obviously positive political outcomes for Trump. CDC and others might have goals but I haven't seen them.

Part of the problem is people are generally so stupid about failure that any goal setting sets you up to be a target for people angry about not meeting your goal or not setting an aggressive enough goal so being vague is seen as the best strategy, even though I think it leads to the sort of "fake news" vs "moral crusade" problem.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by toast0 on Tuesday June 23, 2020 @09:57PM (#23623063)
> Some places have made total eradication possible (e.g. New Zealand)

Eradication seems possible when there's a small number of cases, and effective border control (being an island nation helps a lot). In the US it's going to be difficult to eradicate, because people can move about the country easily and the case load is high.

I haven't looked at other states, but Washington state has fairly clear metrics for opening restrictions at a county level. We'll see how well that works, I guess. Other states will be doing their own thing, as well as other countries, and maybe we can figure out which methods are more or less effective and either switch or know for next time.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by EdwardDiego on Tuesday June 23, 2020 @09:15PM (#23622754)
Eradication is unrealistic for the US _now_.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by Tempest1981 on Tuesday June 23, 2020 @07:47PM (#23621946)
I feel bad that we're putting a continuous load + risk on US healthcare workers, 3+ months and counting.

They probably expected to see light at the end of the tunnel last month, like other countries. Now, maybe next year?

Re:California sets Covid-19 daily record, Bay Area cumulativ... by piva00 on Wednesday June 24, 2020 @03:04AM (#23624945)
That is also what a lot of people forget: the people on the frontline are... People. They also suffer, they also get tired and they also get extremely fed up and burnt out if they have to work months and months with no end in sight.

We are not being treated by robots and the longer the pandemic lasts the more healthcare professionals suffering (physically and mentally) we will see, the more churn we will get and less care capacity we will have...

Re:California sets Covid-19 daily record, Bay Area cumulativ... by lucideer on Wednesday June 24, 2020 @05:05AM (#23625773)
> Maybe it’s unclear to policy makers, too.

I think rather than it being "unclear" to policy makers, it's rather that there's a short-term economic imperative to go for 3), or if not, then 2), while 1) upfronts economic cost. This means that while the general desire might be to go for 1) from an ethical/expert/academic-advice perspective, policy makers are doing their best to hedge (while not wanting to appear as if they are).

Re:California sets Covid-19 daily record, Bay Area cumulativ... by Farox on Wednesday June 24, 2020 @09:40AM (#23627734)
In Germany its 50 cases per 100'000 in a borough. After that lock downs are supposed to happen again. (with discretion, if, for example, cases can be isolated)

What other country do you think of that doesn't have clarity?

Re:California sets Covid-19 daily record, Bay Area cumulativ... by baxtr on Wednesday June 24, 2020 @12:04PM (#23629602)
To me, it is definitely unclear what the goal is in Germany. Is it eradication like New Zealand? Is it controlled herd immunity? Remember that Merkel said that around 70% of the population will get infected anyways. If that’s true, hospitals should not be empty. Instead controlled infection should take place. But that’s not what we have seen. We have seen an eradication strategy. Highly confusing
Re:California sets Covid-19 daily record, Bay Area cumulativ... by dehrmann on Wednesday June 24, 2020 @02:41AM (#23624802)
> I think that was and is China’s goal

I agree, and with the recent outbreak, I don't think it's possible, at least not for China. New Zealand has a shot at it.

Re:California sets Covid-19 daily record, Bay Area cumulativ... by siruncledrew on Wednesday June 24, 2020 @12:03AM (#23623964)
When I think about the vaccine side, I still wonder how long that will take. I don’t know how it works, will there just be almost immediate economies of scale to vaccinate people?

If vaccines will also be available in ‘waves’ as they are produced, then that must mean testing is some kind of a prerequisite to know who to give the vaccine to that needs it most - and who also may already be immune from exposure?

It seems like the total cases —> 0 option is virtually unattainable in the near term (probably into 2021). Maybe with more cases being reported, we are aiming for 2) but actually going through 3).

Re:California sets Covid-19 daily record, Bay Area cumulativ... by somerandomness on Tuesday June 23, 2020 @11:58PM (#23623926)
It’s definitely 2 for most western countries
Re:California sets Covid-19 daily record, Bay Area cumulativ... by dvirsky on Tuesday June 23, 2020 @06:46PM (#23621339)
It looks like policy makers are sort of starting to work under the assumption that a vaccine is around the corner (the plan AFAIK is if all goes well to start around October in the US). Assuming that's correct, I guess the goal is/should be somewhere between 1 and 2. Keep as few people as possible from getting it for a few more months, while not collapsing society/economy completely.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by greedo on Tuesday June 23, 2020 @07:13PM (#23621591)
I've seen nothing to indicate that a vaccine will be ready in three months. We wouldn't even have completed a Phase 3 clinical trial by then. Fauci has said he's optimistic that we might get a vaccine by the New Year, but he wasn't clear on whether that was a good candidate being identified, or a vaccine being widely available.
Re:California sets Covid-19 daily record, Bay Area cumulativ... by dvirsky on Tuesday June 23, 2020 @07:20PM (#23621673)
That is the most optimistic scenario, but it's still possible: https://www.telegraph.co.uk/news/2020/06/22/best-scenario-wi...