It's very easy to make decisions in retrospect when you have all the information that could be useful. It's very hard to make decisions in the present when that information doesn't exist yet.
The argument I am criticizing never mentions rearward metrics as a problem.
The assumption that friends and family will calmly watch a family member’s untended death from covid when ICUs are over capacity and that essential workers will continue to show up for work knowing there is no hope for care if they fall ill is unrealistic in my opinion.
Are 200,000 lives meaningful enough?
Silver's regression model shows that for each 1% increase in the vote share for the blue candidate, the covid death rate in that state (statistically) would fall by 15.5 per million population.
In areas where the blue candidate received 20% of the vote, and the red candidate received 80%, the model predicts 1,793 deaths per million.
And in areas where blue got 80% and red got 20%, the model predicts 864 deaths per million.
A 300% greater death rate [1] is a startlingly high penalty to pay for an ideology. This is at least 200,000 deaths [2] attributed to political ideology. Not to mention the tremendous excess suffering that did not result in death.
And, no, it's not because red areas are older than blue areas. It's because red ideologues got the vaccine in far lower numbers.
[1] Coefficients show that blue at 0% would have a death rate of 2,103 per million, and blue at 100% would have a death rate of 554 per million.
[2] 2,103 - 554 = 1,549 excess deaths per million for red, multiplied by 45% of the US population is roughly 230,000.
Pretty sure it was something like 60% vs 70%. That doesn't seems like anywhere near different enough to explain those numbers.
Vaccine refusal played a part, certainly, in connection with the fact that conservatives are older. In many instances, a lot older. In other instances, not really that much older. The trend is unidirectional but the degree varies by state, as you'll find when you start comparing West Virginia and Florida to Maine and Vermont.
But the truth is inescapable: the older someone was, the more they needed to get vaccinated and boosted... and the less likely they did.
*The differences in state death rates are very likely because of differences in vaccine uptake*
Just to be clear, I don’t mean to imply that COVID is intrinsically more likely to target Republicans or anything like that. Rather, my claim is that COVID is considerably more deadly in people who haven’t been vaccinated, and since Republicans are less likely to be vaccinated than Democrats, state partisanship serves as a proxy for this.
Indeed, we can look at vaccination directly.
... age and vaccination rates alone explain more than half of the variation in COVID death rates between states since Feb. 2021.
Right-wing media figures consistently fed their audience a diet of vaccine skepticism, conspiracy theories, and promotion of useless alternative treatments; e.g., https://www.nytimes.com/2021/07/17/us/politics/coronavirus-v... . Because their audience skews older, this messaging had unusually-deadly consequences.
Why there's anything controversial about any of this, I have no clue. How does it make sense for him to write "I don't mean to say that COVID targets Republicans," followed by a paragraph that states exactly why it does?
The point of that statement is, the virus doesn't target someone because they're a Republican, but Republicans have been more likely to die from it because they're more likely to be unvaccinated.
The at home treatment option was to watch the patient drown in their own fluids. There are few people in that scenario that would have the emotional capacity to calmly give support to a close family member or friend when there was no ICU capacity. Their more realistic scenario would be people loading the patient into the car and driving to the nearest hospital. Some percentage of that population will likely turn violent.
The public's frustration is that these prolonged, seemingly arbitrary measures outlasted their initial justification.
Regional programs were put into place to shift patients during a local surge and to mobilize hallways and other non-traditional capacity. In California once capacity dropped below 10% health orders went into effect.
At the beginning of 2023 and well after widespread vaccination the California statewide capacity was at 24% availability with 7% of beds being taken by Covid patients.
https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Reg...
https://gothamist.com/news/fema-begin-strategic-drawdown-lar...
And everyone working at those hospitals didn't see any light for month/years
Hospital protocols also improved over time to reduce the need for respirators and the disease moderated but there was no magic protocol that really reduced disease progression or duration. Out of my social circle there were anti-vaxers that contracted covid late in the pandemic and spent weeks in the hospital (four total, two deaths) even with late stage protocols.
The whole medical system doesn't just stop because COVID wards are full.
Any competent system could have adjusted and isolated the overflow to its logical areas.
Furthermore ACE2 inhibitors like ivermectin or the now patented Pfizer whatever you call it and other effective treatments were available the whole time and only blocked for bs political reasons ( likely by regulatory capture by big pharma ).
Namely, the ivermectin was only administered with patients after 7 days of symptomatic COVID infection.
Meanwhile Paxlovid, the patented ACE2 inhibitor is received as a proven treatment when administered early in infection.
7 days after symptoms appear is not early. The game is rigged my friend
No it’s not. You are dramatically overestimating how many people need life-saving medical services. If we had no emergency healthcare system at all and everyone who needed to go to the hospital just died instead, yes it would suck and yes we would have lower life expectancy but civilization would largely continue.
There were multiple countries where the medical system came close to collapse. India in 2021 is a case study of a medical system pushed beyond its limits (https://www.nytimes.com/2021/06/28/world/asia/india-coronavi...) and civilization largely continued.
But there is a lot of latitude between normal and survived.
Let’s assume that US policymakers considered taking no-action and let the ICUs collapse. Could policymakers in that scenario reasonably expect that teachers would continue to teach? Would the school system function if 20% of school teachers decided to not risk death and opted out?
That answer was easy to get and the answer was that schools would be shutting down.
How many essential workers would opt-out? How many need to drop-out to care for children? How many because they are sick? For how long? How does that impact fuel and food distribution?
Can we expect crowds would gather at hospitals? How many in that case become violent? How do we control crowds? Do we call in the national guard?
I’m not sure I can see any scenario that a policymaker could consider where reducing spread wasn’t the only viable option.
There is no scenarios where the collapse of the medical system is a viable outcome for policymakers that is also compatible with a functioning economy. A collapse of the medical system means non-covid fatalities also increase. Heart attacks, car accidents and childbirth all become mortality contributors. The most likely outcome of a medical system collapse would be martial law, mass graves, economic collapse and potential collapse of essential systems like food distribution.
The idea that policymakers were primarily constrained by the thought of grandpa dying a few years early and weighing it against the grandkids social isolation needs to die.