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Accountability general freedom

Pandemic Turning Point

While reading an article in The Hill, about the loss of life that the lockdowns will cause — “millions of years of life” — I saw news anchor Judy Woodruff, on PBS News Hour, put on a dour face to intone the latest U.S. coronavirus death count: over 98,000.

But the United States is not just one unit. The United States are . . . very different. Fifty different. Most states have had few coronavirus deaths. Indeed, the map of mortality shows only a few hot spots, with New York City the worst. 

Why? One key factor appears to be population density, particularly housing density and living quarters crowding. Lots of that goes on in New York City — and, PBS tells us, on Navaho lands.

Yet not all crowded conditions are as worrisome as once thought. Many were much exercised about Florida’s Spring Break beachgoers, but no major outbreaks occurred there.

This may be the result of the virus not being spread as experts initially thought: by asymptomatic carriers — as “A study on infectivity of asymptomatic SARS-CoV-2 carriers” indicates.

Japan’s prime minister, Shinzō Abe, has withdrawn the nation’s state of emergency . . . with less than 900 dead. Back in the U.S., the states are responsible for the lockdowns, but President Trump urges an end to them, and the other day even Dr. Fauci acknowledged that lockdowns also kill.

Emile Phaneuf, writing at FEE.org, makes clear what has been foggy in popular discourse: it’s not “lives versus ‘the economy’” but “lives versus lives.” Mr. Phaneuf explains the economic logic of better policy regarding contagions.

Will our “leaders” listen in time for Round Two of the virus expected in the Fall?

This is Common Sense. I’m Paul Jacob.


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too much government

Cure and Consequences

“As the nation enters a third month of economic devastation, the coronavirus is proving ruinous to state budgets,” the Associated Press reports, “forcing many governments to consider deep cuts to schools, universities, health care and other basic functions that would have been unthinkable just a few months ago.”

Notice the breezy attribution to the pandemic of the devastation caused by governments’ reactions to the pandemic.

Official tallies have it that COVID-19 has killed over 80,000 Americans. And it will kill more. But state government revenue is nose-diving “because government-ordered lockdowns have wiped out much of the economy and caused tax collections to evaporate.” 

Why make much of this fine distinction between the disease and the response?

Because it is easier to control our response than it is a disease.

The people we elect are supposed to understand such things. 

But, do they?

The fact that this is a political as opposed to medical predicament is clear: “Now state finances are in peril regardless of the actual number of infections.”

And note: a few states aren’t going to experience the problem nearly so badly: Arkansas, Iowa, Nebraska and the Dakotas. Why? These states have done pretty much what Sweden has done: avoided lockdown orders and treated the disease like a health problem and not a political opportunity to flex their “leader” complexes.

No matter how we reacted, the pandemic was going to be devastating. But generally cures shouldn’t be worse than the disease, and we should wonder whether our politicians’ lack of understanding here is indicative of a co-morbidity . . . of the “body politic.”

This is Common Sense. I’m Paul Jacob. 


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national politics & policies too much government

The Rationale Has Ended

Early on, we feared the worst. Based in no small part on the extravagant predictions of serial alarmist/lockdown scofflaw Neil Ferguson, a British epidemiologist, the worry quickly became: our hospitals will be swamped!

To prevent that, governments around the world 

  1. instituted lockdown orders, shutting down most commerce and peaceable assembly, to “flatten the curve,” thereby postponing many incidents of coronavirus and giving hospitals a steadier workload over time; and
  2. set up emergency clinics and hospitals, to take on overflow.

In the U.S., the Army Corps of Engineers contracted with private companies to set up field hospitals. Given the alarmist talk of “exponential growth,” that sure seemed like a prudent use of $660 million.

Now?

Well, most never saw a patient.

Many field hospitals are being dismantled.

And so is the case for the lockdowns: the hospitals are generally not being swamped, which means that as summer approaches we can open things up and let herd immunity build up.

Indeed, we may already have reached that condition, according to Nic Lewis writing on Judith Curry’s Climate Etc. blog. 

At issue is the “Herd Immunity Threshold” (HIT). The disgraced Ferguson’s original HIT was over 50 percent, while Lewis argues that the actual HIT level “probably lies somewhere between . . . 7% and 24%,” suggesting that “total fatalities should be well under 0.1% of the population by the time herd immunity is achieved.” 

Why the lower HIT? 

More realistic models take into account human diversity — a point also made by economist Daniel B. Klein, who adds important truths like “[f]or most people COVID-19 is scarcely a disease at all!”

It turns out that being reasonable about this pandemic requires neither complete gloom and doom nor risky response.

This is Common Sense. I’m Paul Jacob.


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media and media people national politics & policies

Of Light and Darkness

Josh Disbrow runs a pharmaceutical company called Aytu Science.

So far, so good. We all know that we need medicines in order to treat pandemic infections and so forth.

But the company blundered. It promoted technology that President Trump found occasion to refer to publicly, perhaps in a too offhand way, as a means of fighting the COVID-19 virus: “Supposing,” said the president, “you brought the light inside the body. . . .”

As you know, all presidential utterances must be reviewed beforehand by committees and focus groups in order to perfect the calibration. Apparently that didn’t happen this time.

Disbrow reports that the work Trump mentioned — using ultraviolet light against microbes — “has been in development since 2016 . . . and is a promising potential treatment for COVID-19.” Aytu had licensed the tech, called Healight, from Cedars-Sinai Medical Center.

After Trump spoke, Disbrow knew there’d be ill-informed controversy about Healight (the man’s an oracle!). So Aytu Science created a video to explain it, posted the video to YouTube and Vimeo, and promoted it through Twitter.

But YouTube and Vimeo quickly took down the video, and Twitter suspended Aytu’s account.

These guardians of “platform” discourse apparently contend that given the life-and-death stakes, it’s crucial to weed out misinformation. One must simply smother discussion about “a light inside the body,” etc. Because it makes the president look reasonable.

Strange standard. 

Open discussion and debate help us learn what is true, breaking down rigid opinion and prejudice, in effect shining light where it could not reach before.

YouTube and Vimeo and Twitter have embraced darkness.

This is Common Sense. I’m Paul Jacob.


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Accountability national politics & policies

Incentives Going Viral

Back in the 1850s, when the Fugitive Slave Act was in force, the federal commissioners who determined whether a nabbed black person in the North could legally be “returned” to the South to serve as somebody’s slave were paid $5 a head if the answer were No, and $10 a head were the answer Yes.

It is universally agreed among scholars that this incentive resulted in free blacks being kidnapped and turned into slaves.

It was one of the reasons why there was so much resistance to the Fugitive Slave Act in the northern states.

Incentives matter.

Similarly, though with far less momentous initial consequences, hospitals get paid more from the federal government if doctors or administrators list a patient as a coronavirus patient when placing them on ventilators.

This became an issue because a medical doctor, Minnesota State Senator Scott Jensen, made it one in several venues, including on Fox News.

The Snopes fact-checking service rated Jensen’s claims a “mixture,” but USA Today diagnosed the claims “as TRUE.”

Not only do hospitals and doctors get paid more, laboratory-confirmed tests are not required — all “made possible under the Coronavirus Aid, Relief and Economic Security Act through a Medicare 20% add-on to its regular payment for COVID-19 patients.”

Incentives making a difference, you can see how this might inflate the numbers of COVID-19 cases and deaths.

We do not know the extent of the resulting misinformation. But we know it has some effect. 

Muddying up statistics is itself a danger, since evaluating the pandemic and our reactions to it is going to be a huge issue in the next few months — and years.

This is Common Sense. I’m Paul Jacob.


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ideological culture

The Great Divide

The current pandemic panic and crisis, Brian Doherty noted in Reason, “is a harshly vivid example of Americans’ inability to understand, fruitfully communicate with, or show a hint of respect for those seen to be on other side of an ideological line.”

Mr. Doherty, who profiled me in his book Radicals for Capitalism, calls the two major positions “Openers” versus “Closers.” 

They do not trust each other, and their respective policy prescriptions — opening up society to normal commerce versus keeping it closed, under lockdown — are poles apart. 

Doherty doesn’t mention how we treat experts. Virologists, medical doctors and epidemiologists also form ranks on both sides, and these experts sure seem to be talking past each other, too.

Which seems neither professional nor scientific.

Doherty concludes by asserting that, even after obtaining answers to questions regarding “the disease’s spread, extent, and damage” or coming to an eventual conclusion regarding “the long term damage to life and prosperity the economic shutdown is causing,” we must admit that “human beings of goodwill and intelligence might come to a different value judgment about what policy is best overall.”

Sure. But, looking over the divide as he presents it, I am afraid I see one side — the Openers — concerned about a broad number of possible disasters (economic dislocation and even mass starvation in addition to illness and death) while the other — the Closers — obsessing about fighting a disease about which there remains limited knowledge and little agreement.

The Openers seem a whole lot more open to diverse considerations.

Including the possibility that freedom might result in a better collective response than orders issued by mayors and governors and the president. 

Which strikes me as more like Common Sense.

I’m Paul Jacob.


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