Washington governor announces shutdown of restaurants, bars
governor.wa.gov
governor.wa.gov
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I disagree. I don't think the fact that a subject is a launchpad for abuse in some threads is sufficient grounds for suppressing it elsewhere. Those are frequently the subjects that need the most, and most non-nasty discussion. Yes, very much, please, head the advice to steel-man your debate opponents relentlessly. That's the proper response, not banning the whole conversation. dang, I love you man, but your tendency to preemptively kill stories on controversial topics, not so much. I can see that it makes moderation easier, but the cost is high.
Oh and by the way the timetable on the retail apocalypse just got pushed up to this week.
We should consider more radical measures like temporary rent/mortgage freezes.
Well, no, if you bailed out businesses and consumers directly, there also wouldn't be a credit crisis.
Structurally, though, that's fiscal stimulus, which isn't the Feds job, and good luck getting much of that through Congress, and by that I mostly mean the Senate Republican Caucus.
> We should consider more radical measures like temporary rent/mortgage freezes.
While not that particular measure, a number of states and localities have adopted or are considering eviction and/or foreclosure bans, which leaves mortgage/rent technically due but limits nonpayment consequences.
Coronavirus is not a political thing, but our (partisan) elected leaders had an enormous amount of power over how prepared we were, and their agendas shape the on-going response. It's impossible to talk accurately about the problem or solution without mentioning parties and politicians by name.
I did not say anyone could prevent the infection from reaching the US. The damage can vary wildly once it's here. Containment is not a binary outcome.
Among the tools govt has: funding science, appointing competent officials at CDC and State Dept, travel bans, quarantines, financial relief, effective messaging, targeted testing, subsidizing tests and treatment, restrictions on gatherings, anti-smoking campaigns, regulations to reduce air pollution, not telling people that it's an exaggeration or a hoax, inviting the other party to discuss a compromise on life-saving measures, acting on the CDC's recommendations, sending govt workers home, enforcing anti-gouging laws... it's a long list.
As has been discussed here and elsewhere, many of Trump's behaviors and much of the Republican agenda has pulled us in the opposite direction of where we needed to be to deal with this. In the CDC, many people are "acting" roles because Trump refuses to fill vacancies. The same is true of the State Dept.
And the current administration messed up big time by not manufacturing sufficient coronavirus tests and instituting some sort of testing regime.
However, no administration could have prevented it from reaching the US. Trump's closure of the Chinese border is more than almost any president would have dared done.
China, Japan, and South Korea or other examples.
Japan, I don't know about.
South Korea is doing a good job, however it only took one rogue patient (patient 31) to go from 'well-contained' to 'nation-wide' epidemic. This is why containment measures are doomed to fail if the goal is to prevent the spread entirely. It only takes one person to screw it up.
We've built everything with growth as an underlying assumption with no ability to pause things and focus on essential services for a month or two and then start back up.
Probably ironically banks will be able to make even more money as people pull into credit lines to go over this hump
Constructor Bill now can’t pay. Bob’s Drywall is a creditor and is on the hook for a product he already shipped. Now Bob’s Drywall Supply can’t pay the company that provided him with Net 90 terms.
So Bob and Bill are now insolvent. And they fire their employees.
Suggesting that creditors somehow deserve “pain,” is just cruel. Creditors don’t “inflict pain” on people — they provide capital to people with a reasonable expectation of getting paid back. Of course I don’t care much about the Payday Lender/predatory lenders so much, but suggesting that creditors deserve some sort of payback is ridiculous. The vast majority of businesses rely on credit, without credit, you would have an economic collapse. And they aren’t the “least important” parties — they are the most important because they’re the ones providing the capital for businesses to operate.
“Yesterday Rick Santelli, who reports from the floor of the Chicago Board of Trade the for CNBC, unleashed a rant against Obama’s newly announced housing bailout plan, intended to help some homeowners refinance mortgages and avoid foreclosure.”
1: https://opinionator.blogs.nytimes.com/2009/02/20/rick-santel...
Occupy Wall Street, on the other hand, was the group that was specifically against bailing out the banks. The Tea Party was more about not helping regular people.
It's not obvious at all.
The comment you were replying to said "can't pay the booze suppliers" so it's pretty clear they we using the normal business definition of creditor.
Now, of course, what of Construction Materials, Inc? Surely they buy the raw materials from someone and ...so on. Everyone does - or should do - the same: don't adjust the terms, simply accept that the past due items are past due and will be paid a bit later than normal.
Eventually it will hit a bank or large financial institution, and they ought to do the same: accept the situation and wait. It's costly when businesses go bankrupt and everyone knows that this situation is affecting everyone else and will blow over in about six weeks.
This applies even to the banks at the top of the chain -- at least until you get to (in the U.S.) the Fed itself, which can will money into existence if needed.
If bubble up economics becomes a thing I want full credit.
If the 700 billion dollars for quantitative easing went to 200 million U.S. adults, that'd be $3,500 apiece. If spent at the rate of $700 a week, that'd be five weeks' worth.
In my personal view 'The Market's purely reflect consumer confidence. They appear divorced from actual reality, aside from how that affects the mindset of easily panicked lemmings.
And the stock market varies wildly on a daily and monthly basis without affecting the prices of almost anything.
It seems clear to me that money is not even close to affected by consumer confidence the way the stock market is.
T-shirts, on the other hand, much more slowly change to match confidence, for the same reasons. If you think people collectively over- or undervalue T-shirts, it is rather hard to make money off of that mistake. In part because it implies moving physical stock, but also because they are a relatively refined product. Markets for natural resources see some of the same fluctuations as stock markets, although not to the same degree.
It’s also unclear how long it will take everything to recover, if they do continue to fall.
Oh, BTW, the floor is hard-set at zero, which they'll never get to, since -- given there is no underlying financial issue, and that demand is going to be higher than ever once we're done with this -- all these companies have intrinsic value.
Yes, of course, the market won't go to zero. But some firms will go under, and we don't know how severe the economic impact will be. Just because the crisis began with a natural disaster rather than a financial one doesn't mean there can't be serious financial impact.
But back to pandemics. Pandemics typically result in major booms due to (a) the die off, (b) the pent-up demand, and (c) the fact that everyone still trusts the financial system. The 1918 pandemic certainly caused major GDP losses, and short-term pain, but also caused the 20s
Short of a bailout, that’s not going to be easy to recover from. And even a bailout won’t be enough to bring about a full recovery anytime soon.
- Local and state governments provide bailout funds to suffering local businesses
- Said governments issue new bonds to pay for this relief
- Fed uses the recently-announced QE funds to buy the government bonds
The question then becomes if communities can get organized enough to approve this, and then convince ratings agencies that the new bonds are good.
https://www.economist.com/finance-and-economics/2020/03/12/c...
Everyone else should wait for the upward trend to make sure it's not going to get much worse. You want to "predict the staircase" and not "the floor".
"Don't try to catch a falling knife."
Not a financial advisor, standard disclaimers, etc.
This is like looking at just the income statement as sign of business health. Balance sheet and cash flow are pretty important.
As someone with an economics degree I can assure you that a complete and utter collapse of aggregate demand is an underlying financial issue.
As I expect this to largely continue to be a problem through summer the tourism industry in downtown is going to be hit very hard.
The economic side of this is going to hit like a ton-of-bricks. It's going to be very painful, and we should do everything we can as a society to take care of those that are hit hardest by it.
https://www.seattletimes.com/nation-world/canada-suspends-cr...
(Or I could risk going without, while living at this continent’s ground zero for a pandemic.)
Entire industries are being shut down. There are no easy answers here.
With COBRA I believe you can also pay your premium after the month it's due. This can be advantageous because you can opt to not pay for your last month before switching to another plan if you end up not using any services from your COBRA plan that month.
Not having a homeless crisis is far more important than protecting rentiers. Just throw them under the bus.
They are not actually doing anything anyhow.
Is this a serious comment or are you trolling?
Forget about a recession, the devastation a policy like this would cause would plunge the US into a full blown depression. Deflation and asset price collapse across the board. YEARS of stagnation.
(To me) the answer here seems clear: A direct bailout in the form of $ to consumers and some mix of direct $ and tax credits to businesses.
Ah "cancel all debts to people not banks". Great idea, but emm. OK so the bank now doesn't have the assets on it's books, goes bankrupt can't pay you that money in your savings account.
"cancel all debts to people not banks, and let the government bail out those banks". Great Idea, but.... something something hyperinflation.
etc.
https://www.sba.gov/about-sba/sba-newsroom/press-releases-me...
Also from the announcement, lol:
"businesses with credit available elsewhere are not eligible"
Ah, so if you can get credit elsewhere, you can't get our help, even if it's needed.
This is just tip of the iceberg, now that this is declared national emergency, FEMA money and other sources are unlocked. Meanwhile, it's just the first week of things heating up to the point of these shut downs. Give the government time.
They have time enough to shut down businesses in a snap of their fingers. I don't think it's too much to expect at least a basic outline of a remuneration plan at the same time. I do not see why we should give them time on one issue but not the other.
Businesses should take advantage of these, and a restaurant operating in a city where operating a restaurant is illegal will not have credit available anywhere else.
(And, yes, I'm sure the more leftist and anti-capitalist out there will say "but are you really surprised?," and they'll absolutely have a point.)
It isn't so much about greed but rather responsibility. Is it really a businesses responsibility to take care of citizens? Shouldn't the government be doing that, and don't you pay them to do that?
I know America is skewed a bit, having businesses provide you your healthcare probably confuses their role in society. But something is off if you feel we should turn to a commercial realtor for community support.
You'd hope owners would keep a buffer of either cash or loans/credit-line to last three months, but a lot of them starting up may not have that bootstrap capital. Restaurants that have been around for years with good management can probably weather a month or two. Even the best well restaurants are going to feel the strain if we go to month three.
Coming out of the Xmas period, May, June, July looming which are low turnover periods.
If you're already teetering, you're going to fail. The UK's had a lot of big chains shut down or scale back recently too, there was a big explosion in restaurants and bars about 5 years ago and the first round of losers happened over the last couple of years.
NYC: https://news.ycombinator.com/item?id=22589463
California ("calls for", not enforced): https://news.ycombinator.com/item?id=22587062
Others?
OP/mod just edits a post to put a list of links in the top self-text comment or a top-pinned comment.
https://www.dutchnews.nl/news/2020/03/millions-stay-home-as-...
A 1% reduction in the case fatality rate saves roughly 2M people. Let’s assume that each would live another 10 years and that each person year is worth $100k. That means a 1% reduction in the case fatality rate is worth 2 trillion dollars. That’s roughly 10% of GDP. You can play with the numbers a bit, it’s hard not to end up in the “taking a multi year recession might be worth it” territory. Obviously, there are decreasing marginal returns to various actions, but the it’s important to keep in mind the scale of what we are trying to avoid.
So more like 11m excess deaths.
Also, this is one of the rare times it does makes sense to go with mean as the measure of center.
Like someone said on twitter, “In the end, it will be impossible to know if we overreacted or did too much, but it will be QUITE apparent if we under reacted or did too little.”
http://nrg.cs.ucl.ac.uk/mjh/covid19/#g8
US is tracking highly with Italy, but 12 days behind.
Land size if Italy is 116,347 mi², land size of US is 3.797 million mi²
I don't think it's fair to make any assumptions from those infection numbers when the two countries are vastly different.
Italy has an older population to start with. I don't think the US will remotely reach the chaos we are seeing in Italy.
Most of Europe and North America is on a steady exponential curve upwards with no sign of slowing down yet. Germany has already clearly said that they expect 70-80% of the population to be infected eventually - 60M people, of whom ~2% or 1.2M will likely die. Scale that up to the USA.
Without a vaccine, the only way this virus peters out is through eventual herd immunity, which will require a sizeable fraction of the population to catch it.
So real mortality, once health systems will crumble from the load (we will see in 1 week here in Europe), might be more around 10%. Not many seem to like to accept this simple fact, happy to hear where my conclusion is wrong. I mean if you have water/mucus in your lungs, that's it, very little can be done.
If we take >50% of earth population would eventually take it (which seems more realistic, since we have no vaccine, and no effective treatment and those won't work very well in many places like India or most of Africa), we're talking about 80 million - 400 million of dead (2-10% of 4 billions). I don't see how we can avoid this - we can't shutdown whole global economy for even 6 months, whole system didn't evolve with this safeguard in mind. People will have to start working again. Producing food, goods, services etc.
Now lets be skeptical and have only 10% of those horrible numbers coming true - still talking about 8-40 millions of dead.
The official Chinese death statistics are probably severely under-counting deaths, in Wuhan at least. IIRC, they only counted deaths of confirmed cases, but the medical system was so overwhelmed that many, many cases weren't getting confirmed, and people were dying at home.
And if you take the "rip the bandaid off" approach, you can't restrict your analysis to just CoVID-19 deaths. The strain on the medical system will mean there will be an increase in deaths from other causes that didn't get the treatment they need.
<300k is not "and they've tested everyone and their dog"
There is a lot of memetic nonsense flying around about this online and this is part of it
Granted, 250k-ish of 50 million is a small sample, but you've got to assume that they haven't tested randomly but tested people who have been in touch with known cases.
> but you've got to assume that they haven't tested randomly but tested people who have been in touch with known cases
Yes. Well with symptoms etc. So of the people who got tested they are much more likely to test +ve. I agree. Which means real cases are massively more widespread than those tested.
It is believed here in the UK that this has been fairly rife for a while now, but those who got it are not statistically counted anywhere. The real fatality rate is way less than 0.9
Certainly there's a number of people that are not picked up throughout that process. This means that the real death rate is not ~70/8000. The real denominator is bigger.
But it wouldn't be on the order of 10 times bigger. In most of the groups of sick people, there's likely to be some that show enough symptoms to prompt a test, with a positive test leading most of that group to be tracked down. The exception would be tiny groups that somehow did not spread the disease further, or untracably spread it to similar tiny groups.
I don't buy that there's a massive amount of such lonely cases out there. Twice as many as detected? Sure. But not a dramatically bigger number than that.
Maybe there's a way to show mathematically that this reasoning is wrong, if so, please feel free.
> But it wouldn't be on the order of 10 times bigger.
I believe it is of that order.
> In most of the groups of sick people, there's likely to be some that show enough symptoms to prompt a test, with a positive test leading most of that group to be tracked down
Literally not because most people won't be tested unless they are in need of hospitalisation
Previous epidemics have seen these massive similar ratios promoted only to later be revised aggressively. I can offer examples if required
That said, Ebola got people sick quickly (compared to SARS-cov2) and it started in areas that weren't as globally connected, limiting the spread.
Still, there was a lot of hype of H1N1 that never really panned out. Still this is a totally new virus, from a family of viruses that has historically never been bad (a quarter of colds are caused coronaviruses).
If it's May 1st and there are <50k dead in the US with the patient rates going down, I think people are going to start to seriously question anything the WHO says going into the future. The alternative is that by May we'll be hearing news reports of how 90% of hospital in <insert big city .. London, Brussels, Atlanta> are at capacity with people being shipped to suburbs and individual 3D printing ventilator parts.
Honestly, I will be surprised either way.
The wikipedia page lists 700 infections and 7 deaths.
Of course there are still certain biases: on one hand it happened early, when hospitals weren't overloaded; on the other, cruise ships tend to have more older people. And as I don't speak Japanese I haven't traced those numbers to primary sources.
[1] https://en.wikipedia.org/wiki/2020_coronavirus_outbreak_on_c...
https://www.who.int/emergencies/diseases/novel-coronavirus-2...
3.5% mortality worldwide (there are totals at the end of country listings)
Do you realize how that sounds?
https://time.com/5523805/china-aging-population-working-age/
Older people are more affected by SARS-2, but they are also more affected by nearly every disease. It comes with age.
Another huge factor is we're very, very early in this crisis. On average, it takes longer for younger, stronger people to succumb to their symptoms. Even if death is not a common outcome for young people, there are concerns of long term lung and organ damage. Not to mention if you have a bad case, it literally feels like you're suffocating.
Data I've seen from Italy and China showed two important factors:
* 41% of people in China's ICU's were under 50 * Italy's average death age from COVID-19 has been dropping. I'd expected this trend until we're about 4 to 6 weeks into this being widespread in Italy (currently 2 or 3 at the moment).
I don't think it's appropriate to model current output though. This is a social / political question as much as a economic one. I mostly view retirees as "paid up" members of society and, since I'd like my kids and grandkids to think this way when I'm old be not feeble, believe they should be treated as full members of society.
To be clear I am 100% with your priorities just think it's an interesting - albeit totally inhumane - thought experiment.
Infected Fatality Rate will likely end up at 0.3% taking the diamond princess cruise ship as a model (this assumes access to quality care and a PCR false negative rate of 29% adjusted for the higher average age on the cruise).
Worst case: 327 million people * 0.6 (a worst case nr) * 0.005 = 981 000 dead.
More likely 30% gets infected, we figure out what treatment options are optimal and we end up with something like 30% infected and a 0.2% IFR = 196 000 dead.
This is a government policy that essentially tells low-paid line cooks and kitchen staff they are disposable and a lower priority than all the relatively wealthy people whose meals they are preparing.
I'm sorry but it's simply a very bad look, when it is mandated by the government. Nearly everyone else has the luxury of remaining isolated and avoiding exposure, except for this small segment of vulnerable and low-paid workers, whose workplace has almost zero protection, to provide the most essential human necessity -- food.
Virtually all white collar workers, tech, administrative, managerial - work from home. Teachers, school admins & university workers - home. Entertainment (shows, sports, movies, concerts) - home. Apple - home.
Shitty jobs that nobody cares about except during a crisis: janitorial/sanitation - work despite the risks. Cooks/food prep - work despite the risks. Grocery store/Walmart - work despite the risks. Truckers - work despite the risks.
(Trucking isn't necessarily a shitty job but a lot of people seem gleeful that technology may render them obsolete in the near future.)
I won't be touching delivery food or fast food (or going to any restaurants) until this is over. I feel terrible for the workers in these industries and I hope we pass some kind of mortgage/rent pause and relief to people laid off or not scheduled but stopping the spread of the virus has to be our number one priority.
We need a simultaneous approach. IRS creates a modified 941 form. Every business who files either 941 or 944 fills out new form. It has enough information to link it already-filed 941/944. And fields for list of employees, and where their pay is usually sent.
Direct helicopter drop fiscal stimulus to employers and employees. Employers in specific NAICS/SIC coded industries closed by law get wages they would normally pay taken care of as a straight grant. Direct deposit wages to employees directed by employees, cash at SSA or similar FedGov office parking lot drive thrus for the unbanked. Statistical modeling to roughly make up tip wages. Link to landlord-submitted data or statistical data is used to model and impute an additional grant package to cover a business’ rough revenue figure. Utilities-submitted data is used to estimate a third grant package. Wages, rent and skeleton utilities are granted month by month, retroactively if necessary to stricken industries. Healthcare is emergency Medicare-for-all for impacted employees. Any remaining revenue funds required are through unsecured loans at Fed funds rate.
This gives us a chance to resume our economic footing faster to status ante quo than letting businesses go under and wait a decade for the economy and equities market to recover.
Link quarantine peer pressure to grants. Each time someone from the business steps out of quarantine orders and is caught by LEO, their grant is reduced by 30%, and everyone else in their workplace has theirs reduced by a proportion (1 / total-employees&owners), with a message saying who stepped out.
Should do similar for industries deemed strategically critical and employees must come in. Sanitation, defense, energy, emergency response, transport and delivery, etc.
Take the currency hit on this grant tsunami, and hope for a rocket ride back up starting in a couple years when the vaccine is out to make up the monetary weakness.
These fatality rate estimates assume top quality medical care. And this crisis is quite simply not "here to stay"; decisive measures can definitely "flatten the curve" and perhaps even lower R0 so much that the virus stops spreading altogether, and cases start dropping towards zero.
Assuming no medical treatment because the medical system is already full? I doubt it.
Actually many of the statements from your post were absolutely false.
"Fatality rate for 50 and below is a paltry 0.2%"
For a typical seasonal influenza, the fatality rate for that age bracket is around 0.01%, so this is much more lethal to those people than the flue.
https://www.businessinsider.com/coronavirus-compared-to-flu-...
https://www.sciencedirect.com/science/article/pii/S120197121...
Highlights
- In the winter seasons from 2013/14 to 2016/17, an estimated average of 5,290,000 ILI cases occurred in Italy, corresponding to an incidence of 9%. - More than 68,000 deaths attributable to flu epidemics were estimated in the study period.
Even among young patients, the ICU rate is as high as 10%. A low mortality rate for young people assumes access to an ICU.
All of New York State only has about 600 unoccupied ICU beds. If the number of infections in New York breaches 6,000, the fatality rate among young people is likely to be 10-20x that of the flu.
Young people need to worry about Covid19/SARS2
Remember that low-risk people still get infected, and still infect others. The evidence is fairly conclusive at this point that you're infections even if you lack symptoms, so you can easily be putting the at-risk people in your life (or in communities around you) in significant peril by being careless and thoughtless.
Please be extremely careful with this disease. If you're not going to self-isolate or be more cautious and normal, please do not visit any at-risk people in your life
Maybe the Wikipedia article on bilateral interstitial pneumonia will change your mind?
Could you say how're defining "average" because right now it just sounds like "me". There's a lot of people who are non-average and have the very same right to live as the average.
It is certainly not the message the CDC is putting out in the USA.
https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/summ...
The Seattle Times ‘Fact sheet’ is also singing a different tune.
https://www.seattletimes.com/seattle-news/health/facts-about...
"young patients, the ICU rate is as high as 10%."
Any links?
Sepsis aside, just plain pneumonia in adults is no laughing matter: pneumonia survivors are twice as likely to die as others in their demographic, be they rich, poor, old or young [4]. See the long term effects of SARS: if you survive, your health status and exercise capacity will be impaired for a long time, potentially for the rest of your life [5].
[1] https://www.thelancet.com/journals/lancet/article/PIIS0140-6...
[2] https://www.epmmagazine.com/news/new-drug-could-stop-sepsis-...
[3] https://www.who.int/news-room/fact-sheets/detail/sepsis
> Sepsis was a common complication, which might be directly caused by SARS-CoV-2 infection, but further research is needed to investigate the pathogenesis of sepsis in COVID-19 illness.
> 91 (48%) patients had a comorbidity, with hypertension being the most common (58 [30%] patients), followed by diabetes (36 [19%] patients) and coronary heart disease (15 [8%] patients).
It's obviously bullshit. How would we know about "permanent" damage from a disease a few months old.
Some organs can and others can grow in size to compensate for reduce efficiency. Plus, there's no real evidence that Covid is causing organ damage.
> if your lung tissue starts dying, that's it
That's definitely not "it". Your lungs can repair damaged tissue and the system as a whole can adapt to compensate for portions that can't be repaired. And also no real evidence that long term damage is being done.
I don't think any other organs growing in size are going to compensate for reduced lung function. It's true our bodies adapt to damage but once the tissue is dead it's not coming back.
"only much older people have to worry about it"
That's false. There are a number of comorbidities that don't have anything to do with age. Immuno-compromised individuals, or individuals with pulminary conditions, are at risk regardless of their age.
Further, while the risk does go down for younger populations, only children seem to be fairly risk-free. Healthy individuals of all ages have died of this (at rates significantly higher than that of the flu).
Finally, younger people (even children) still get infected by the disease, still incubate it, and still spread it even if they have no or low symptoms. This means low-risk people can easily spread it to high-risk people without being aware of it.
"the cure already exists in washing yourself"
That's false. Handwashing is not a cure. Handwashing is a preventative measure. They are totally different things.
Once infected, handwashing will do nothing to protect you (though can still help protect others, so ill people should continue to handwash). There are no cures for COVID-19. There is no vaccine for COVID-19. There are no widespread treatments for COVID-19 (though some human trials underway). The only care we can currently provide care for people with COVID-19 is to treat the symptoms.
"This common flu is here to stay"
That's false. Coronavirus is not influenza. It is a type of coronavirus, and is closely related to SARS. The CFR of influenza is around 0.1%, while the Coronavirus is estimated to be around 1% (or higher if medical care becomes saturated).
"the absolute risk to vast majority of people is extremely insignificant."
That's unknown, but disagrees with pretty much all of the expert opinion on the topic. The infections disease expert in the US federal government (Anthony Fauci) thinks it's possible that a million people in the US will die of Coronavirus.
It's clear that some people DO NOT see this as a threat worth worrying about. Shame on them, I say. They're probably the same idiots that show up to work sick, and cough without covering their mouth around others.
A lot of people who apparently don't believe in biology, and don't have the ability to see past their own 2 feet.
The UK are focused on minimising deaths, by avoiding COVID-19 striking during next winter, when the NHS is at peak load due to winter flu. Instead, they will guide the first strike towards summer (NHS's least load), and impose measures to protect at-risk folk during that time.
It's a bit longer, but here's the Chief Medical Officer talking about the UK's response. https://youtu.be/IfJcwDaZrsA
UK is progressively adding lockdown too, per the response's plan.
https://twitter.com/BallouxFrancois/status/12388371580074475...
Eh ? Germany is on lock down right now, we'll be at Italy's level by the end of the week imho.
UK says: "we're all going to get sick so let's not do anything." DE says: "we're all going to get sick so let's spread it over a long time as to not overwhelm our health system." That's a huge difference.
It's a bit longer, but here's the Chief Medical Officer talking about the UK's response. https://youtu.be/IfJcwDaZrsA
UK is progressively adding lockdown too, per the response's plan.
The sad thing is it were places popular with the crowds that live paycheck to paycheck most of whom cannot afford any sort of medical emergency or being under a forced quarantine.
Full disclosure: I live in Seattle.
It's a strong recommendation without enforcement. This however could change in the coming days and weeks.
Source: https://www.politico.com/states/california/story/2020/03/15/...
https://www.seattletimes.com/seattle-news/health/seattle-are...
There is very little precedent I could find, however baltimore did impose a curfew in 2015 for a short period of time.
Furthermore, the lockdown of the Boston area after the marathon bombings is a very clear and recent precedent relating to a different public safety emergency.
Worse comes to worst, I suspect we’ll see MRAPs on the streets first and any legal fallout, later.
Could you cite some of that precedent? When I did my research around quarantines, the things I found said that precedent was very thin. What precedent there was typically was extremely deferential to government responses during emergencies and pandemic outbreaks.
I didn't find any SCOTUS cases myself, so I would be very curious to read the SCOTUS precedent against it.
Americans have a strong Constitutional right to free movement within the country. As with free speech, suspending that right for an individual requires either due process or specific imminent threat to public safety to withstand judicial scrutiny. That is the calculus. A good test would be "can the government suspend free speech" in this scenario, as similar legal constraints will apply to free travel. That the specific case involves disease quarantine doesn't matter that much, as the Constitution makes no such exception. I don't follow freedom of travel case law closely, I am only aware that loads of it exists and that it is extremely biased in favor of the individual right.
As a related point, in the US most quarantine authority resides with the States, not the Federal government. If the States don't enforce it, there is little the Federal government can do.
As you noted, the highest level of judicial scrutiny for constitutionally protected rights (like the freedom of speech) is strict scrutiny.
That doesn't mean the government is unable to restrict those rights, but it generally means that the Government's regulations must meet the following criteria:
1. is necessary to a "compelling state interest"; 2. that the law is "narrowly tailored" to achieving this compelling purpose; 3. and that the law uses the "least restrictive means" to achieve the purpose.
From all the descriptions of precedent around quarantine laws that I've seen, the judiciary was extremely deferential to Government decision making during a bona-fide epidemic.
Given that, I think a reasonable travel regulation to implement a regional quarantine would easily survive such scrutiny.
1. "compelling state interest" - maintaining the public health has long been held to be a compelling state interest. 2. "narrowly tailored" - if the regional quarantine was restricted to bona-fide epidemic outbreaks, and backed up by epidemiological experts, I think the courts will accept this. I think this is the criteria that the drafting will have to be most carefully tailored around. 3. "least restricted means" - I think the Governments have been demonstrating that they have been actively trying all the other less restrictive means, and they haven't been effective.
Based on this, I find it extremely unlikely that a court would rule against a regional lockdown quarantine.
In saying there was significant precedent against it, I was hoping you had something related to epidemiological outbreaks and public health quarantines. I find the argument that the courts have generally been skeptical of travel restriction to be quite unpersuasive. I don't think courts will view this as a "typical" travel restriction, and will give local / state / federal governments a lot of leeway in responding to this kind of an outbreak.
> The C.D.C. rewrote its quarantine guidelines in 2017 and they have never been tested in court. The Supreme Court has also never dealt with an infectious disease quarantine case, [Lawrence O. Gostin, a professor at Georgetown University Law School who specializes in public health law] said.
The outliers where the courts allowed the kind of special reasoning being proposed here, which has happened on occasion, have almost universally enabled shameful chapters in American history e.g. Japanese internment. Courts are understandably reluctant to allow this kind of expedient violation of Constitutional rights.
“The Court’s postponement of argument sessions in light of public health concerns is not unprecedented. The Court postponed scheduled arguments for October 1918 in response to the Spanish flu epidemic. The Court also shortened its argument calendars in August 1793 and August 1798 in response to yellow fever outbreaks.”
But, if the US is ~11 days behind Italy in terms of infection rate, then we can expect a lockdown by ... Friday, March 20.
Good Lord.
I have yet to see you substantiate that claim in any way.
Surely there has to be a balance between protecting the vulnerable at the cost of ruining the economy and protecting the economy at the cost of ruining the vulnerable.
How about instead of shutting down planet earth we advise people over the age of 60 to self-quarantine for a few months. The disease will run its course and then they will be protected by herd immunity. Neighbors and friends can drop off supplies on the front doorstep during this time.
The fatality rate is 0.6% or so, and almost entirely focused on the very old or il.
https://ourworldindata.org/coronavirus#measuring-and-interpr...
That's still a lot of people. America is ~330 million. 1% is more than 3 million. Assuming only 1/3 of Americans get infected, there could still be an upper bound of a million people dying (although it'll more like be 300k ~ 1m with all the efforts to spread out everything).
To be pedantic, it's not airborne. It's a respiratory virus. An airborne virus can linger in the air, possibly for hours or even a day. It's much much more transmissible.
The danger with SARS-cov2 is that, when going back to some of these cities where the first patients appeared, WHO researchers have found people with large viral load in their throats, and they didn't develop symptoms for over a week! So just being within 3~4 feet of them breathing could spread the disease. Sure, it's less likely than if they coughed or you shook hands, but it's still dangerous.
We don't even know for certain if getting it once makes you immune. How do you know herd immunity will work if you don't have the answer to something basic like that?
Isolating just over-60s only works to some extent. What about the healthcare and nursing home workers whom they interact with?
50% of the patients in ICU are under 50, and it causes permanent damage to your lungs and organs.
If you don't take paranoid drastic measures, many millions will die.
If you do take paranoid drastic measures, lives will be saved, and then everyone will call you crazy for taking those measures because it ended up not that bad.
Just like people think Y2K was an overblown non-issue. Because it was fixed by millions of people working hard.
And what % of patients infected actually end up in the ICU vs. just have a sniffle and a cough for a few days?
When the mortality rate is 0.2% for people < 60 years old, I just have a hard time believing that it requires the response we've been giving it. I would bet that for healthy, non-vulnerable adults (i.e. they don't have a pre-existing condition that makes them extra susceptible) the death rate is virtually 0%.
I'm not saying "do nothing", but I am saying "shut down the world" is too extreme in the opposite direction.
This data is easily available: ~20% of people who get the virus are in life-threatening condition. Thats a 1/5 chance.
> I'm not saying "do nothing", but I am saying "shut down the world" is too extreme in the opposite direction.
Experts disagree with you. Maybe you should ask yourself why?
1. You have a hypothesis that taking less drastic measures would result in a manageable death rates and less impact on the economy. However, Wuhan and Italy tried to deal with the virus through these less drastic measures (telling the elderly to self-quarantine, asking the population to social-distance), and the results were disastrous. Does that not invalidate your hypothesis?
2. Even if you're right, and there was a good chance we could avoid the worst of the epidemic, we know for a fact that the worst case scenario is that in the US, 21 million people will require hospitalization, and 1.7 million people will die. Saying that it's worth taking a risk on less drastic measures is the equivalent of saying it's OK to play Russian roulette because the odds are actually really good: it totally ignores the tremendously high cost of the worst case scenario.
I have found that risk-analysts like Taleb have the most convincing arguments for why all these extreme measures are called for. Check out his twitter: https://twitter.com/nntaleb
No, it's not "easily available". There's data flying around everywhere from different countries as this situation rapidly evolves and you can torture it to tell any story you want. If the data is so easily available, couldn't you have at least linked your source?
> Experts disagree with you. Maybe you should ask yourself why?
The "experts" in this case have never dealt with a global pandemic of this scale before. So they are inexperienced experts giving it their best guess based on what they know about disease transmission and math. But they clearly did not factor in the effects of shutting down the global economy for 3-6 months in their quest to optimize for a single variable. I'm sure we'll have a lot of "lessons learned" after this is all over and the experts will be much more experienced the next time around...
True, this is only in China. In most other countries, it's still too early to be able to collect great data because of how quickly the situation is evolving (the denominator is bound to be wrong due to delays between cases being detected and the amount of days it takes before cases evolve into severe/critical condition or death). But it's data, and you can't easily dismiss it.
> So they are inexperienced experts giving it their best guess based on what they know about disease transmission and math.
This isn't entirely true. The epidemics in China, South Korea have more or less been resolved, and many of the steps being taken in other countries are based on comparing the outcomes in those countries compared to ones that are failing to slow the spread of the disease with disastrous consequences (Italy).
> But they clearly did not factor in the effects of shutting down the global economy for 3-6 months in their quest to optimize for a single variable.
It's possible that the health experts are not taking the economical windfall into account, but the politicians enacting the laws probably are. These decisions are being made in rooms with people who, with their knowledge pooled together, most likely have more information about the disease and the economic impact of their decisions than you.
Secondly, the reasoning for national shutdowns earlier rather than later is to shorten their length. As of now, local government officials are hoping not advocating 3-6 month shut down, but rather trying to avoid one by shutting down now. I remember reading the figure of 2 weeks but I cannot find it quickly now. We will see.
But if the alternative is, we will instead take those 100 people and make them really miserable, make a few homeless and/or drug addicted, maybe have one commit suicide, starve a few of them, get a few divorced, and ruin a few lives completely - disproportionately affecting the young and children - let them play Russian roulette. I am not convinced, but at this point to me it's looking more and more like that's the case.
Politicians (in NZ) are already saying it's going to be worse than 2008. - The cost of the Soviet union collapsing (a purely economic disaster I can really relate to, even though I do think Soviet union disappearing was a great thing as such) in Russia was 3-5 years of life expectancy, over a decade, for EVERYONE. How many lives is that? Not counting the missing births and the knock-on effects of both, as well as the total waste of life that the 90ies in Russia were for many people.
We aren't just shutting everything down to save lives, we're shutting everything down because we some reason to believe that if 70% of the population gets this disease in a very short amount of time 20% of them are hospitalized, and at least 2% die (in truth, the CFR would skyrocket if we don't flatten the curve), the societal and economic havoc would be much worst than the one resulting from these government imposed quarantines. At the highest end of the risk spectrum, it could be orders of magnitude worst. Do we know that for sure? No, hence the Russian roulette analogy: some chance of extremely high risk, esp. when it comes to the entire planet: NOT WORTH GAMBLING.
If you think that world leaders are currently sacrificing the economy just to save lives, you are not paying attention to what they have been doing.
If you're not aware of the situation there, I really urge you to look it up - doctors are saying they're having to choose who has the best survival chance to give attention to.
https://www.bostonglobe.com/2020/03/13/opinion/coronavirus-c...
it's all about "flattening the curve" right now, to slow it down.
It's too early to know this for sure. I know personally, it took over two months for my lungs to recovery from pneumonia when I was younger. People are claiming this, but we won't know for a full year of this damage is non-recoverable.
But to your other point, yes a number of experts have said the really scary thing is the number of people in their 40s, who were healthy and non-smokers, who ended up on respirators in Italy and S Korea.
Also, since when was "just a flu" okay? The flu is really fucking bad. Twice in my life I had a flu take me out for over a week, and from the accounts of SARS-cov2, many are reporting it as feeling much worse than a flu with chills for days after.
Bad enough to merit shutting down nations, bankrupting companies, and causing a global recession?
Y2K was an actual issue? I thought it was purely artificial issue created by computer layman. Year 2038 is an actual issue and there's really not much fuss about it, for many years.
On the contrary, the responses I've received were 1) Point #2 below. That is fair. 2) Failing to read my post, e.g. saying healthcare will collapse while I already include that assumption. 3) Appeal to emotion like (literally) "[you are] not human" or "shit HN says"
If you have something better, I welcome you to comment on my other post.
Two new pieces of information I got since then:
1) Medical supplies are in danger because of the local disruption (e.g. local blood drives are cancelled in King County so they say the supply is collapsing), factory closures, and shipping disruption - again, the cure is worse than the disease and it just reinforces my point.
2) People noted that sudden death spike would cause economic disruption due to panic too, however I argue that (a) without the media and govt attention at the early stage, the panic would be brief, (b) even after healthcare collapses, the panic and impact would be much less significant than now, as evidenced by Italian doctors on FB/Twitter being unhappy with the common reaction of reading the horror stories and then going out with friends.
> you would not have even noticed given the actual numbers.
Surely you'd notice if 15%+ of your family's elders died in one year. People don't seem to get that it's not so bad (health wise) as long as you take serious decisions to slow the spread, so yes, you're right, it _looks_ serious, because it is, and it would be much worse if governments didn't do anything about it.
So most of us are indeed used to losing about 15% of our elders each year, and have been forever.
You should read about Italy, and how they're running out of hospital beds. Which means usually non life threatening issues are getting much more serious.
It's not a boolean choice between "saving lives" and "saving the economy"... If you don't do anything: people get sick, sick people can't work, the economy tanks, hundred thousand people die. If you do something, less people get sick, the economy tanks anyway, but less people die. As it turns out it seems like most government prefer prioritizing human life over money.
It hasn't seemed binary to me before about this weekend, but it's increasingly starting to seem binary as the over-reaction escalates.
I find this to be personally true, because if the government and media had not informed me of this illness, I would be unaware and unconcerned.
I think you probably want some discussion of this point, but it is so plain and obvious it is hard to discuss.
I suspect you are trying to argue your personal judgement that the media is a "circus", that they are not justified in their reporting. That is not judgement-free and could use some supporting arguments.
I live an SRO. I don't have a kitchen. I currently don't have a fridge. I have a small grill and some shelving to store stuff.
I eat a lot of takeout. I'm glad to see I can still get takeout.
But, wow. This is beginning to look pretty scary.
I was homeless for a few years. The quarantine/containment measures are turning into a really big problem for the homeless population.
I don't even know where to begin trying to talk about that. At this point, I find the whole homelessness in the US thing simply infuriating. We mostly need to solve our housing supply issue and people are wholeheartedly against that and it's just infuriating.
I will add that Little Caesar's now has a "pizza portal" where you order online, pay online and enter a code to get your pizza yourself without ever interacting with a person. I don't know how to scream this from the rooftops so everyone gets the memo, but someone should.
> I was homeless for a few years. The quarantine/containment measures are turning into a really big problem for the homeless population.
How so? I assume that soup kitchens and the like will still be open.
https://www.reddit.com/r/homeless/comments/fipg6s/covid19_is...
I have a form of cystic fibrosis, as does my oldest son. My younger son is a carrier.
People with CF typically require up to a quarter of a million dollars in medical treatment annually. With two people in the family who have it, that's a half million dollars annually.
I've supported all three of us on well under $20k annually for like more than 8 years or something. And I can do that because we've done a metric fuckton of research and made a lot of dietary changes and gotten off all the boat loads of drugs we used to take.
So having my food supply cut into like this potentially does enormous harm to me. And I will get zero sympathy from a world that didn't give a flying fuck about me when I was homeless and has spent years telling me to my face I'm a lunatic making up the whole thing about having CF and getting well when that's not supposed to be possible.
For me, this is very scary stuff. I literally am better off not eating than eating the wrong things.
A silver lining of the past decade of horrifying shittiness is that poverty and social callousness taught me this: My condition actually benefits from semi-fasting and I can live for several days at this point on almost no food. It no longer even causes nose bleeds and fun stuff like that.
I'm a good bit stressed out and suggestions that I'm too dumb to be aware that ready to eat options exist are in no way comforting to me.
A lot of them are things I absolutely cannot eat for fear of being immediately sick and beginning to undo nearly two decades of extremely hard won, painful progress against a Dread Disease that should have already killed me and I often wish it had. This is a shitty life in a shitty world full of amazingly callous people and I'm really not happy to still be here at this point.
:(
These are electric appliances.
Cooking for yourself is a good way to protect against the virus. Heat kills it.
I probably can't do that in my building. It's a secure building and I've never figured out how to get delivered food here. You need a key to enter the building.
But it's good info and thank you for posting it. I hope it helps other people.
Edit: FYI, cuz reasons, there's no lobby.
This is the main benefit I see of having our government take these measures: making people like you realize THIS IS SERIOUS. It has "looked pretty scary" for almost two months. And no one has taken it seriously. And now we're here.
I just think I am unlikely to get coronavirus because I'm a fucking hermit who works from home and doesn't touch anything and practices germ control so my genetic disorder won't kill me.
Maybe read all my comments before making insulting assumptions about me. I've already talked about having CF in this thread.
GP wasn't talking about you specifically.
Someone is thinking about it, but it was crappy before, and now it’s crappy and scary.
That’s the only thing I’ve noticed about the homeless population here
I hesitate to ask about the size of the space you have available, but in Paris it's pretty common to find one room apartments that are only 9 square meters. Typically you put a one or two top induction or electric stove (portable ones are actually very cheap and work well) above a minifridge and a hutch for dishes/spices with a sink about the size of your hands.
Thank you for both your concern and for being respectful. I don't wish to get into the details of my living space in this discussion.
Previous opinion piece by me if people really want to know what I think about how I'm allowed to mention a thing about my life and then decline to answer invasive personal questions:
https://witnesstodestruction.blogspot.com/p/a-pragmatic-appr...
We've torn down about a million SROs in recent decades and zoned out of existence a lot of housing options that are being termed Missing Middle Housing.
The current YIMBY movement and Missing Middle Advocacy is the latest attempt to try to address this issue. New Urbanism was a previous one.
None of them get at the roots of the problem, which date to "the boys" returning home from WW2 and the birth of the modern American suburb.
In a nutshell, the vast majority of our housing financing mechanisms, tax incentives, etc etc are aimed at helping people get single family detached homes and homes today are more than twice the size they were in the 1950s while housing about one less person.
So our housing policies have caused "home inflation" in some sense. Homes are bigger and have more amenities -- or don't exist at all.
We now expect single people to rent a place designed for a nuclear family and get roommates to fill the empty bedrooms and split the rent. Then we make movies, like Single White Female, about what a nightmare it is to be forced to make ends meet by living with a total stranger and do nothing to change our policies.
I've made several stabs at trying to write about this, but none of that has gotten any traction.
Here's a few things by me:
http://projectsro.blogspot.com/2019/11/americas-housing-ghos...
https://americanhomeworks.blogspot.com/
https://streetlifesolutions.blogspot.com/2018/12/the-missing...
You are right that posting on the internet is mostly a waste of time. But I'm medically handicapped, so it's where I spend the majority of my time, though I would prefer to actually have a life. I simply don't.
I am involved in stuff locally in my small town. I'm no one important and it may never lead to better housing here. On the upside, the local police department does hand out my fliers for homeless resources -- which is mostly websites, mostly written by me. So maybe the time I spend online isn't a total waste.
Have a great day.
Edit: Those are not intended to be "substantive" supporting links. I've studied this problem space for decades. I wanted to be an urban planner before life got in the way. I don't know of any other sources that will say exactly what I would like them to say. Sorry.
Do you currently have enough funds or collateral to purchase a modest home but there are no homes for sale in your area? Or do you mean the taxpayers should provide homes for free to the homeless?
To say nothing of the moral imperative to care for our most vulnerable people. A wealthy country with a homeless population shames itself.
Call me a cynic but after 9/11 I’m weary of temporary measures that become permanent in one way or another.
Do you really think there's any way that the State of Washington will be permanently banning events over 50 people?
Do you really think there's any way that the State of Washington will be permanently preventing the operation of bars, dine-in restaurants, and entertainment facilities?
I'm generally pretty skeptical of creeping government powers myself, but this just...doesn't seem like a place where the government is going to keep these things shut down permanently. Which of these enacted bans are you concerned about becoming permanent?
Quarantine has been a necessary fact of human life for centuries. We just lived in a blessed time.
The patriot act and all the measures taken because of 9/11 are still here simply since it is now so easy to keep them active which wasn't true in the past at all. Not because they are needed. The same could happen in the future!
I am slightly more hesitant about things like that, but at the same time I think that use of data has probably greatly helped their response in controlling the epidemic. Overall, I'm probably in favor of the use of this kind of data in this scenario, but the "slippery-slope" argument makes a lot more sense there to me.
While we've had epidemics and pandemics in the past, we've never had them with the intersection of shared personal data before. We haven't really had any time as a society to think about the utility or the dangers of this kind of approach.
Once the acute phase of the crisis is over, I'd love to see a lot of thinking go into how we can get the benefits of this kind of data while mitigating as much of the privacy downsides as possible.
Diamond princess looking to be 1% mortality. Korean mortality matches China’s, when you adjust for age groups.
Further, mortality rises when the health system is overwhelmed, as in lombardy and wuhan. The math of this suggests every place gets overwhelmed without containment.
Not only does coronavirus morality rise, but you ALSO get excess mortality as the hospitals are taken out of commission for stuff like heart attacks, trauma, etc. hospitals become covid-19 treatment centers.
Source on WHO mission: https://www.vox.com/2020/3/2/21161067/coronavirus-covid19-ch...
The UK's Chief Medical Officer is the right person for the job: https://en.wikipedia.org/wiki/Chris_Whitty
If you want to hear him talk about the UK's plan, https://www.youtube.com/watch?v=IfJcwDaZrsA is long but informative.
https://www.boston.com/news/local-news/2020/03/15/charlie-ba...
EDIT: It's until April 5th, so 3 weeks not a month:
https://whdh.com/news/all-mass-restaurants-and-bars-ordered-...
Yeah, I'd say it's definitely not just 'throw food in a box' and driving it somewhere.
Funny enough that my country of birth, Peru, just declared a national emergency and declared quarantine for everyone in the country. Peru is a democratic country - at least for the last 20 years - but it had to enact this to stop the virus from spreading. It's a bold move, it's not a popular one, but it's the right one imho.
We should be doing the same, our current leader is - unfortunately - a coward who will always be afraid of taking a risk. It's on us then, as responsible citizens to make sure we don't go out unless we really need to for a while - at least that we can control. Just my two cents.
Weird you expected better out fo him.
Eg kitchen staff is infected, coughs into meal
1. Do you get if it’s cold food, like a salad or sushi?
2. If yes, do you get it if it’s warm food, like indian food?
3. If yes, do you get if you reheat/microwave the food? If so, what is required/
Have not seen a lot of discussion about this. Did see that in china restaurants would certify the body temperatures of all involved.
https://www.cdc.gov/coronavirus/2019-ncov/prepare/transmissi...
And WHO says it lives on surfaces for a couple hours up to several days.
https://www.who.int/news-room/q-a-detail/q-a-coronaviruses
So, personally, I'm not eating anything if someone coughs on it or around it. I'm not even buying fresh fruit and veggies at the store right now.
I can't find any information about heating the virus to kill it.
Just cook it.
I mean, I cook some carrots, potatoes, broccoli, yes, but I don't want to risk cross contamination at this time.
Yum-my.
Also, you can go looking for historical dishes. Early Americans had recipes that were heavy on things like cabbage and apples together because it might be all you had left in the cellar towards the end of winter.
Heat also kills the virus so cooked vegetables should be fine (and cooked fruit too if you're into that I guess).
The worst case is probably dishes where many people interact with raw ingredients to create a high-touch item. Compared to physical contact with people, it's still considered a relatively small transmission risk, but in relative terms, it's higher than something that's boxed up right after it's cooked.
More: https://www.usatoday.com/story/money/2020/03/11/coronavirus-..., https://www.theatlantic.com/health/archive/2020/03/coronavir..., https://www.fdacs.gov/News-Events/Press-Releases/2020-Press-..., https://www.insider.com/what-temperature-kills-germs
Containers are a big risk though. Be sure to handle carefully and wash your hands afterwards.
Why, though? The whole point is to stop people gathering in public places.
> Curious about other commercial operations that could satisfy the rule
Again, why? These rules weren't put into place as a challenge for entrepreneurs.
A food truck with a couple of outdoor tables has got to be lower risk than a full-service bar/restaurant, while still giving us human companionship.
They got called to war. We are called to sit on our couches. We can do this.
I'm in Seattle and, other than these closures, complete movement restrictions would be the next step here.
The one thing we, in the US, have been consistent in this is that we’re too slow to act.
There’s obviously a risk of the pendulum swinging the other way but until we see a down tick in cases we have to assume we’ve got ground to make up.
Case growth won’t start decreasing until social distancing is widely adopted.
Tbh, I am slowly starting to get worried as recent FED move again focuses on banks and not on small business relief.
As you can see, bailing out businesses, as you framed it, could be helpful in avoiding full fledged system collapse, which just happens to be their mandate.
edit: corrected opening sentence
Same with SBA loans - how much paperwork will it take to owe a huge sum to the government with an uncertain business environment in a few months? A lot of small places will just close.
Fiscal stimulus is the only approach to keep these businesses afloat. Honestly at this point it might be better to skip the middle man and cut checks to individuals.
Shutting them down is the right move. Taking care of small businessowners running on thin margins - like mom/pop restaurants - is also the right move.
EDIT: Unless the government has no plans to help small businesses. Which is completely possible and probably even likely.
And bars, for instance, aren’t allowed to serve their primary purpose via delivery. Or movie theaters. Or music venues. Or retail. Or....
It’s gonna be a mess, because we already know the government is going to fail to alleviate the impact.
> Restaurants will be allowed to provide take-out and delivery services
"I know there will be significant economic impacts to all our communities and we are looking at steps to help address those challenges."
Are you expecting states to wait for something that might not come?
Maybe not all states, but some states can afford it better than others.
There is no historical precedent for any state bailing out an industry to this extent.
People literally don't have enough money if they don't go to work, and states literally don't have enough money to pay people (or businesses) not to go to work.
"These are very difficult decisions, but hours count here and very strong measures are necessary to slow the spread of the disease. I know there will be significant economic impacts to all our communities and we are looking at steps to help address those challenges."
Given that the Fed cut their interest rate to 0% and that treasury bills are under 1%, credit is approximately free to governments, so a well-run small business support program could end up costing much less than doing nothing.
Still like comments about original restrictions of larger gatherings, many grocery stores and big box stores can have more people in them than a restaurant and touching more items too
Wouldn't be perfect but could slow transmission down while giving them a way to earn money.
Right now matters, this is why:
https://old.reddit.com/r/WeAreNotAsking/comments/fitsej/covi...
Basically, we have one shot at this. Max number of unidentified transmitters coupled with max number of potential infected people.
Depending on how many of us will, can isolate hard, 20 days from now the wave of sick, and weaker people hit the hospitals.
We have a 5th the beds per 1000 compared to many of our peer nations.
I don't think anybody can give you any actual number. But it's not hard to test a sample of people and determine the virus rate of spread, so we will know it when it happens.
You have to “keep your foot on the brakes” until the disease is no longer a threat. Take a look at countries where there is success - Taiwan, Mainland China outside Hubei, HK, Singapore, SK - they must keep whatever countermeasures are working for them in place to some degree or risk another wave of infections. I think the culture of wearing masks really helps, despite the public messaging to the contrary. It seems like it would be good if mask manufacturing spins up enough to totally saturate the world over the next few months, and western cultures get over themselves and start making it common to wear them in public.
The moral choice isn't always the most efficient one. I wonder if we will have the courage to make the moral choice?
On rare occasions it may be necessary to close a school(s) due to weather or other emergency situations. If this occurs, the district will make every effort to ensure that our students' educational opportunities continue while at home. Throughout the years, the district has compiled a comprehensive collection of online content and digital resources. The district also provides mobile devices for students to check out for home use to ensure that district students (non charter) can continue their learning without interruption.
...
The Instructional Continuity Plan (ICP) has three components: Content Delivery, Mobile Devices, and Internet Access. Content Delivery explains which resources students will use for core instruction and which materials can be used as supplemental resources to enhance core instruction. Mobile Devices provides the steps the district is taking to ensure that any student who needs a mobile device to access the instructional resources will be provided with one, upon request, for the duration of the schools' closure. ... Internet Access poses the greatest challenge to ensuring that M-DCPS students can continue their studies while at home. The district has taken steps throughout the years to assist students in getting access to the internet at home through projects such as The 1Million Project; however, partnerships with service providers is crucial to providing free or reduced-cost internet service to students should the district close in case of emergency situations.
http://icp.dadeschools.net/#!/fullWidth/2943
Also:
Miami-Dade County Public Schools (M-DCPS) is continuing its efforts to provide support to students and their families during school closures, which begin tomorrow, March 16. From distance learning, to community feedings, to facilitating childcare for essential medical personnel, M-DCPS stands firm in its commitment to support the South Florida community during this time of uncertainty.
A support hotline was established for teachers, students, and parents seeking assistance with distance learning.
During school closures, students and families may pick up hot meals to go, both breakfast and lunch, between 9:00 a.m. and 12:30 p.m.
A Mental Health Services hotline will be available for students.
An Employee Assistance Program hotline will also be available.
http://covid19.dadeschools.net/#!/fullWidth/3024
In contrast, I am extremely disappointed in how haphazard things are going in NC. I'm particularly disappointed in the UNC system which appears to have done zero advanced planning.
We still have water, sewer, power, and internet.
Young People at the lowest risk from this virus are going to be much worse off than just catching a fucking bad cold.
The UK's answer to the problem is starting to look a lot more sensible than total economic chaos being caused by all other methods.
Happy to be downvoted to nothing because I am so over this.
The UK's answer to the problem may result in manyfold more dead than this approach. We won't be able to know until after the fact.
In that state of unknown, I prefer the approach that values lives over dollars.
Realistically how much would it cost to bail out these businesses and provide a safety net to people? I imagine the numbers are less than we'd first think.
It's a choice. It's not inevitable.
https://news.yale.edu/2002/05/23/rising-unemployment-causes-...
If small businesses are not economically relieved, there will be significant - and permanent - damage to those sectors.
I'm not saying that death rate and unemployment are unrelated (equating lives and money together). I am saying that we should prioritize lives first, and figure out the money once we stop the damage.
False dichotomy. There are plenty of economists and accountants and others who can work on the economic relief package and do so in a meaningful way while scientists and medical teams (plus politicians) handle the lifesaving operations. There is no reason they cannot run in parallel.
This whole comment is about the approach to covid-19 where life goes on as normal and you don't practice social distancing at all. One argument for people that do that is that they can't take off work because their businesses are open and will fire them. I believe the businesses should be forced into social distancing and provided financial help if unable to do that. We're actively going to see this happen in the next week—it started tonight—will it be late?
However, let's start with the decision that lives are more important than money.
It starts with a concerted decision that lives are more important than money. If we can't get onboard with that, then there will always be people that put their well-being over others.
Hopefully 0 if we provide a robust social safety net for people who's livelihoods are harmed.
Do you have a link to statistics that support that? Is that on an absolute basis or on a per-capita basis?
On a per-capita basis, I see more hospital beds in Italy than in the US (3.18 to 2.77): https://en.wikipedia.org/wiki/List_of_OECD_countries_by_hosp...
What's your source for data on critical care beds? I'd love to take a look
https://www.forbes.com/sites/niallmccarthy/2020/03/12/the-co...
Hospital beds are a different story, but not what is important for COVID, which needs ICU beds. Hospital beds are much easier to deploy anywhere (and with the emergency measures taken federally, will see a huge increase due to waived FDA requirements for inspection). An ICU is much more involved, and requires ventilators, specialty beds, special equipment, etc. Much more difficult to deploy suddenly in response to sudden upticks.
Practically speaking, the only thing a "working page person" (<60) could do is unknowingly spread the virus to someone else.
For these younger people their prospects are good if they receive that care. An overloaded health system may be unable to provide that care to everyone who won't survive without it, including some younger people.
A tremendous number of working people also have preconditions which are implicated for covid19 including hypertension and obesity.
If you are a younger person and carelessly get an avoidable infection and end up in an overloaded hospital needing intensive care, your life may well be saved due to being triaged ahead of an older person with worse prospects. But in that case your life would be saved at the expense of someone else's. ... someone else who's infection might also be due to your spreading. I wouldn't be okay with that, and I hope you're not either. So I hope your glib attitude doesn't mean that you're not taking avoidable risks.
In the US there hasn't yet been clearly established ethical guidance to direct triaging like that. Your local hospital may assign ICU care first come first served... if so mortality rates there for younger people won't look so good.
But there is nothing anyone can do to bring back our loved ones.
[1] https://edsource.org/2020/newsom-assures-districts-theyll-be...
[2] https://www.cnbc.com/2020/03/06/coronavirus-google-facebook-...
[3] https://www.cnn.com/2020/03/13/us/nba-player-donations-coron...
Closed shops can be reopened, dead people can't be brought back.
EDIT: it really scares me to see there a real actual living human beings on HN here who would in all seriousness downvote this.
https://politicshome.com/news/uk/health-and-care/illnesstrea...
However, the article you link to does not differ in its details from what authorities such John Edmunds a professor Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine said 2 days ago [0] and Ian Donald Professor Emeritus from University of Liverpool wrote the same day [1]
These authorities are backpedalling in the face of deserved widespread criticism. But rather than changing the course of UK policy, they are only disavowing the phrase “herd immunity”.
[0] https://m.youtube.com/watch?v=C98FmoZVbjs
[1] https://mobile.twitter.com/iandonald_psych/status/1238518371...
I guess people want far more aggressive policies but the same could be said of the majority of places. Italy and Spain are very much the exception in western countries and they are facing a higher scale. Here in Canada the federal gov has done absolutely nothing besides increased spending and repeating critiques of other countries for being too aggressive, meanwhile our prime minister is in isolation and Quebec just announced major bans of restaurants and bars, while also critiquing the prime minister for doing nothing. The current policy sounds more in line with WHO and the wider health system recommendations.
Even the US has faced significant backlash for their border policies from these same countries (our health minister has repeatedly claimed it has no scientific basis to close borders to places like China).
It’s hard to tell what people want vs just opportunistically critiquing politicians. I’m more curious from a practical healthcare perspective what they are expecting vs what’s actually being done. Border bans (can they do that w/o parliament)? Shutting down gatherings? Directly influence the health administration to test more? Better airport screening?
You mean the answer that consists in maximizing the dead count?
Case B: Drastic lock down, your daughter lives on your dime for a few months or a year before she gets a job. You live to see your grand kids grow up.
And you'd rather risk case A?
It's not a "fucking bad cold" for young people.
- Over 50% of ICU patients in Netherlands from COVID-19 are under 50. [1]
- Over 50% of ICU patients in France are under 60. [2]
- Over 40% of patients requiring hospitalization in China were under 50. [3]
Young people are not invincible. The fact that they can use up a significant chunk of already scarce medical resources suggests that we really shouldn't be sending that message and encouraging young people to not give a sh*t about the epidemic.
[1] https://www.ad.nl/dossier-coronavirus/40-a-50-nederlandse-co...
[2] https://www.motherjones.com/coronavirus-updates/2020/03/300-...
The cost will be at least the delta 1.3 million preventable deaths. This doesn’t include the hundreds of thousands of folks left with pulmonary fibrosis, which has a 3-5 year life expectancy.
Note this one: "Please respond to the strongest plausible interpretation of what someone says, not a weaker one that's easier to criticize. Assume good faith."
The argument about economic effects vs. health effects is getting nastier and could get a lot worse. Please find ways to make your substantive points that don't nudge HN threads in that direction.
Well, for most people losing their family would feel way worse.
There are many ways to mitigate the economic impact down the line. Governments at all levels, companies and organization are already helping blunt the impact. For example, the California state government has promised to keep paying teachers and school staff. Many tech companies are continuing to pay maintenance staff despite office closures. NBA players have donated to arena staff affected by cancellations.
But nothing can bring back our loved ones.
Sources: https://edsource.org/2020/newsom-assures-districts-theyll-be.... https://www.cnbc.com/2020/03/06/coronavirus-google-facebook-.... https://www.cnn.com/2020/03/13/us/nba-player-donations-coron....
55% * 6% fatality rate * 330 million is >10,000,000.
That's a lot of people to sacrifice to keep bars and restaurants open.
So our best sets of data are the WHO analysis of Wuhan which puts it at 5.6%. And the diamond princess which gives us a 1% fatality rate. But here's the big catch, those infected on the Diamond Princess got all of the medical care they needed.
And the issue is once our healthcare system gets overwhelmed the rate will shift from 1% up to the 5.6% (And Wuhan could have gotten much worse)
I think many people think that if we don't strongly mitigate/contain the virus the deaths are measured in 10's of thousands which would need more careful consideration of the downstream effects of closing off a part of our economy.
Looking at my comment the restaurants and bars could sound flippant but I posted that before the thread turned nasty so I wasn't as careful with my words as I would have been had I known this was a contentious subject.
I wish the tone in my head when I wrote the comment came through, I'll try to be more careful in the future, especially regarding this subject. Just sometimes the tone of a comment sounds very different in your head then how it might read.
(for perspective the normal moratlity rate is 0.77% in a normal population https://en.wikipedia.org/wiki/Mortality_rate)