The US Surgeon General https://twitter.com/Surgeon_General/status/12337257852839321...
> Seriously people- STOP BUYING MASKS! They are NOT effective in preventing general public from catching #Coronavirus, but if healthcare providers can’t get them to care for sick patients, it puts them and our communities at risk! http://bit.ly/37Ay6Cm
Highlighting
> They are NOT effective in preventing general public from catching #Coronavirus,
(Edit: This is from March, just to be clear that he's not saying that now.)
>Fauci: Right now in the United States, people should not be walking around with masks.
>LaPook: You’re sure of it? Because people are listening really closely to this.
>Fauci: …There’s no reason to be walking around with a mask.
https://www.factcheck.org/2020/05/outdated-fauci-video-on-fa...
Consider, the situation is that people think if they get a mask, they are protected, and can go about their lives as they were. Also, there's a shortage of masks. Given the option of "stay away from large groups of people and public events" or "wear a mask and feel protected", saying "stop buying masks" might mean something slightly different then than it does now.
At the same time, I acknowledge that's a particularly egregious example. To that I say that the Surgeon General is a political appointee, and our government and the politicians that make it up (all of them) have failed us to various degrees. That interacts with what and how the health professionals have communicated with the public, but in a much less straightforward way (if there's different messaging coming from government health services and the general health community, and the government sources are counterproductive, who did you trust, and who do you blame?).
You can read Fauci's statements on what he said and why here[1], but the main things to thing about are:
- What did we know about transmission at the time those statements were made?
- Where was the outbreak at those times? Localized to specific areas, or nation-wide?
- Was it responsible to report to the whole nation that they should be wearing masks given those facts? What if we know there's not enough masks, and that means masks go to areas that don't need them?
The bottom line is, should we have expected anyone to act differently given those conditions and that knowledge at that time? You can note someone made a wrong decision in the past, but if they made the correct decision given the information they have, you can't rationally hold them accountable for the outcome (and if we're not speaking rationally, then we're not actually discussing anything, just airing grievances).
1: https://www.businessinsider.com/fauci-doesnt-regret-advising...
Yes? This isn't a school classroom. It's okay to cheat on the test. You know who's best at handling this because you know they handled it last time. You ask your boss to ask his boss to get on the line with Chou Jih-Haw and ask for some of his best people. They're an allied nation with close ties who want even closer ties. They will gladly help.
And this isn't news. People were saying this in February, in March, in April. People whose full time job is other things knew this.
The real problem is that American public health institutions have NIH (haha, a pun!) syndrome.
You think that's Fauci's call? That's Trump's call. You're blaming healthcare professional's for doing what was best given the knowledge and resource they had available. I've made it pretty clear that the politicians failed us, and you've just pointed out another way.
> And this isn't news. People were saying this in February, in March, in April. People whose full time job is other things knew this.
All this does presuppose they have any actual help they could provide. It's unlikely they were willing to ship us a few tens (or hundreds!) of millions of N95 masks.
> The real problem is that American public health institutions have NIH (haha, a pun!) syndrome.
The problem is that they are beholden to the politicians, and even more so now, where appointees that speak out using their experience but contradict the party line are replaced.
There's been a lot of talk about how Trump is eroding people's faith in government and institutions, and here we have a prime example of that, where the institutions were clearly dysfunctional for obvious reasons that have to do with the executive branch, and we still have people shooting the messengers.
That includes my county health department (I asked if they would arrest me if I put a mask on or didn't take my mask off on a crowded transit vehicle - they said they would STRONGLY encourage me not to wear a mask on crowded transit vehicles if I was "healthy" despite my higher level of risk and that I shouldn't believe "disinformation". A month later they issued a mask mandate!)
Masks are cheap. For 10 cents to $1 you can save a life - perhaps cheapest intervention out there.
Unfortunately, health recommendations regarding this outbreak have been seen as fair game from both sides for political plays (there's no point in debating why or who started it for this discussion), and as such recommendations from the top had a political bent.
If there is a difference between what healthcare professionals and government agencies employing healthcare professionals recommended, we should note that and target our ire to the correct location.
When there was a toilet paper shortage, businesses were still able to get their supplies since they used a different supply chain compared to the end consumer. I'm surprised that this isn't the same case with PPE.
PPE is often literally the same product sold in consumer vs. healthcare markets. Sure, the distributors may be different, but it's the same goods from the same factories, and often the same packaging.
I think for the most part health professionals answered specific questions about specific types of situations or types of transmission, and the media runs with overly broad statements when are then pushed/rejected by different parties.
There are many inputs that go into something as simple as a recommendation of "should the general public wear masks", including "are there enough masks for health professionals currently", "what's the current infection rates", "how far has it spread", "what type of masks". Additionally the answer might be different at different times in the past depending on whether talking about a locality with an outbreak or the whole nation. Expecting the answer as to whether wearing a mask to help to not change over time is as silly as expecting it to not change pre-COVID-19 start and after it.
The bottom line is that the inputs that influence the recommendation are fluid and change over time, so we should expect the recommendation to change over time, and the only reason people aren't getting that is because it's in the best interest of different groups to position it otherwise so they can use it to score points (and while the obvious groups in question are political, they aren't limited to one side of the spectrum, this is a common tactic used across the board which is particularly troublesome when it attacks the credibility of the people we trust to tell us how to protect ourselves).