It’s Time To Move Forward
This week’s Courier Herald column:
We thought it would be two weeks. It’s been over two months.
While we as a people were briefly united at the beginning of the pandemic – at least as much as we can be these days – we’ve begun to devolve into our more typical posture. Instead of us versus the virus, too many of us have now defaulted into us versus them.
While this is typically a political column I’ve tried to avoid the overt politics of the pandemic response thus far. It’s not that some haven’t understood from the beginning that this was a crisis that shouldn’t go to waste. Others had the instincts of Operation Petticoat’s Lt Holden knowing in confusion there is profit.
Yes, some are attempting to use this situation for political gain. Others have figured out how to make money despite the economic carnage. I don’t pretend this isn’t happening. I also won’t pretend I can fix either with 700 or so printed words.
Most of us, however, are still just trying to make sense of it all. Rather than picking a side and trying to scream louder than the other, let’s break this down into parts that won’t please either extreme, but hopefully gets us closer to a place where we’re comfortable with our ongoing discomfort.
We’ve had numerous graphs thrown at us since this began. Social media seemed to create a new cottage industry of chart making to explain where we were in the stages of a pandemic. An axiom I was taught by a professor at UGA when beginning a related course of study: There are lies, damn lies, and statistics.
Between faulty or irregular data and models that were based on constantly changing testing protocols, there’s a valid question if a time sequence of Covid-19 cases is useful. We can argue that all day, but the one statistic that matters is that of hospital utilization. That, after all, was the justification for shutting down the economy and sheltering in place. We didn’t want our healthcare system overrun without the people, equipment, or protective gear to treat the wave of infected patients jamming the system.
We were asked to flatten the curve. We did.
There was an economic cost to do this, and it is in the trillions of dollars and counting. Some have decided to move the goal posts and demand we all remain huddled in our homes while “essential” workers tend to our needs (and have the government pay for it). The prevalent argument is that if you want to reopen the economy, you’re willing to let people die.
The counter position seems to be that walking the wrong way down a grocery aisle without wearing a mask is somehow patriotic. I fully expect to see some advocate for licking doorknobs in public as an act of defiance.
This is typical of all-or-nothing, us versus them public debate these days. Everything is presented in black and white. There is no room for nuanced shades of gray.
There is room for a middle ground, but that middle ground demands we seek to return to normal sooner rather than later. Normal can and should add protective measures, but it can’t and won’t be risk free. Life never is.
This doesn’t mean I’m advocating for the economy over death. Continuing to shelter in place, however, will cause more deaths than we’ve experienced due to Covid-19.
In an update on May 12th, Governor Kemp cited a Wall Street Journal article noting that cancer diagnoses are down 30% since the pandemic began. Unless we believe sheltering in place cures cancer, we have to conclude that those of us who have put off routine doctor visits have delayed finding out that we have other health issues that need treatment. This means that more people will die of cancer, heart disease, and other illnesses because they didn’t seek treatment soon enough.
Instead of hospitals being overrun with patients, they’re laying off health care professionals. Emory Healthcare and Wellstar Health System, two of the state’s largest healthcare providers, have already announced layoffs in the thousands.
Our healthcare system is critical to our wellbeing. The shutdown that we started in order to save it is now killing it.
I’m not going to try to tell you what your comfort level should be with various forms of public contact. I will state that hiding in our homes waiting for everything to be OK will kill more than our economy. It can kill any of us with an undetected, untreated medical condition.
We must continue to take precautions to prevent the spread of disease. Those of us in at-risk groups must be even more careful, and more tentative in public plans and trips.
We must also begin to move forward again. We must balance the risk of doing something against the very high costs of doing nothing.
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Continuing to shelter in place, however, will cause more deaths than we’ve experienced due to Covid-19
Sorry man but this is empirically false.
Covid-19 death rates are being revised upwards globally, domestically there’s a huge problem of death certificate reporting which feeds into our date of covid-19 mortality.
I’ll have to dig it up but the countries that have been successful at sheltering in place and now controlled the spread of covid-19 have not had substantially higher death rates over the first six months of 2020.
I’m not saying you’re wrong that at some point we have to decide when we can admit that we’ve failed at this challenge but your point is a massive flaw in your argument.
em·pir·i·cal
/əmˈpirik(ə)l/
adjective
Saying “death rates are being revised upwards” doesn’t satisfy that definition. If you’re going to claim empirical evidence, “dig it up” first before making that assertion. When were these deaths? That’s going to matter to your argument. Mine is much more simple. Hospital capacity is in much greater supply than demand, which is why we were told to shelter in place.
Not going to spend more time arguing when you start with this bad of a premise.
“The prevalent argument is that if you want to reopen the economy, you’re willing to let people die.”
” Continuing to shelter in place, however, will cause more deaths than we’ve experienced due to Covid-19.”
I believe the prevalent argument is that if you want to reopen the economy prematurely, you’re willing to let people die.
Big difference.
Anything to substantiate the higher death toll by continuing to shelter in place, or just another shot from the hip ?
One hundred thousand in 8 weeks ?
Well, there’s the next few graphs right after the ones you quoted, so you could start there.
“Great News: The boring but very nasty magazine, The Atlantic, is rapidly failing, going down the tubes, and has just been forced to announce it is laying off at least 20% of its staff in order to limp into the future. This is a tough time to be in the Fake News Business!” Trust Donald J. Trump to lead the way.
Dave, not only is this in the wrong place, but once again, you’ve reverted to dropping “ORANGE MAN BAD!” comments that do absolutely nothing to advance debate or policy. You’re wasting both your time here as well as that of our readers. I didn’t allow this platform to devolve into “Obummer” comments for the prior 8 years just to have it turn into a daily bout of Trump Derangement Syndrome when the shoe went to the other foot.
Email me when you’re ready to come back and be constructive. Until then, you’re in time out.
I get the argument, and believe, in one respect, it’s right and important. I had a friend pass away from a condition that may have been potentially addressed if he had gone to a hospital. However, I understand the relative risk calculus made that particular week, because there was a risk associated with just going to a hospital. To the extent that risk ever did exist in any hospital, hopefully it has reduced or eliminated with protocols and sufficient PPE.
However, there is another way to view the trade-offs mentioned in the argument, because, as mentioned, all-or-nothing approaches to the extra broad concepts like “the economy” may not always work. Namely, the trade-offs you mention are trade-offs in health outcomes, and the economy of the health sector, not necessarily the economy generally. Thus, one could argue that to reduce relative risk, and limit exposure, but still maintain optimal health outcomes (across the board) we could simply say that we should not shelter in place for any health reason, and continue to use and access health services. This is distinct from saying we should re-open other economic activity which would otherwise increase risk or exposure. I think there’s plenty of options and ways to think about it, and I think access to health care and insurance remains a huge hole that any argument or policy should also address. But the crux is that ideally, our level of engagement and productivity correlates to optimal health outcomes, not optimal general economic outcomes.
Lot’s of good points, including the extremes. The healthcare business faces the same challenges as others trying to reopen. Obviously healthcare faces extra challenges since it brings people together with a variety of ailments in close proximity. I have delayed some routine medical/dental maintenance until I feel safer going back to my provider. I also have braved going to facilities when I deemed it necessary. Luckily I have personal protection and the facilities I visited had established protocols by the time my needs occurred.
Several dilemmas face personal care businesses. PPE and testing. Unfortunately numerous scams exist that are selling ineffective PPE and the scramble to do accurate testing is also subject to fraud/ fast bucks. Progress is being made for accuracy and legitimacy on the suppliers but hucksters and opportunists will still profit with fake goods.
Your point that we made it this far without a nationwide meltdown of hospital capacity is a sign we did the right thing with the lockdown, IMHO. How we move on and get people back to seeing after their health is just as important to the economy and restoring a functioning healthcare system. America has a whopping 1.6+ Million confirmed cases. As data is updated, that will rise and hopefully deaths will begin to drop. I hope the Memorial Day Holiday Bacchanalias don’t cause a setback.
It is everyone’s responsibility to be safe, respect others, and do our part to slow the spread of this virus. Businesses are learning how to cope. For many that means fewer staff, customers, or patients, present at any one time. Some can survive for awhile on low volume, others can’t. Small steps are important. Be smart. Be safe.