New York Governor announces 100% workforce reduction for non-essential services
techcrunch.com
techcrunch.com
Changing opinions when facts change is not a given for everyone :/
There is no comparison here. He is doing a subpar job given his responsibilities.
NY needs to be locked down NOW.
We're getting a picture (Burr) that the federal government knew these measures were coming a while back. My guess is that if governors and mayors of large cities had been read in back then they'd have started prepping local measures earlier.
I think an abrupt enforced order for people to stay home would be a disaster. Aside from all the people who distrust authority for the sake of distrusting authority, and all the resistance and denial it would breed, what happens when law enforcement starts getting sick and infecting all the people they have to forcibly keep home or detain?
On the other hand, the state can totally shut down businesses. In circumstances like this, it is not suspect in the least.
I will further note that for Cuomo to be criminally prosecuted, he would need to commit some crime. Now, this happens sometimes in NY government (quite often, really) but it usually involves corruption; I am not aware of any particular law he has violated in acquitting his duties in this matter. Anger may indeed be quite justified, but when politicians are prosecuted for their policies after the fact, this is usually more effective at turning a place into a banana republic than it is at improving the quality of the policies.
Manslaughter: the crime of killing a human being without malice aforethought, or otherwise in circumstances not amounting to murder.
I don't understand why this meme keeps getting repeated, when the power to quarantine has been rather conclusively litigated in the courts.
New York's quarantine law, in particular, allows you to challenge the quarantine order in court after 3 days. It is then on the state to demonstrate clear and convincing evidence that you — specifically you — pose a clear threat to the safety of others, and that your confinement is the least restrictive means to contain this threat.
So has the power to issue emergency curfews when justified by a compelling state interest, which is what a shelter-in-place order is.
Speech and movement can be restricted with good cause, and this virus certainly counts. States right now very much have the legal power to say "no gatherings of any sort, no leaving your house without good cause, etc".
That's certainly the way it's treated nowadays. That doesn't make such treatment right.
Not particularly, curfew and similar restrictions are common emergency measures, and their is no Constitutional difference for greater scale except that it reduces the possibility of it being covert discrimination. And, even if it was, Cuomo had one of the most pressing needs to do it of any state, and was slower than some others. Now, I'm not arguing he was negligent, but he's not a head-and-shoulders above everyone else standout the way he's been portrayed upthread, either.
> On the other hand, the state can totally shut down businesses
Cuomo was slow at that, too.
> I will further note that for Cuomo to be criminally prosecuted, he would need to commit some crime
Untrue. People are criminally prosecuted (and even convicted) without committing crimes all the time. He'd have to be accused of a crime, though.
NY doesn't have the highest infection rate, just the highest raw count.
This likely just reflects the fact that NY is doing a lot more testing than any other state.
Alabama has had roughly 80% of their tests come back positive, and they've only done a little more than a hundred.
https://www.politico.com/interactives/2020/coronavirus-testi...
"Shelter in place" is a meaningless term when you can leave the shelter to go for a walk, go out and buy groceries, go to work as one of the many essential services, etc. Cuomo said as much. This isn't a natural disaster that destroyed infrastructure; all that needs to be done is keep the rate of hospitalizations under the number of available hospital beds.
- implements stricter measures faster and more decisively, while having a lower case count
- doesn't fight with his mayors or the President
- no false promises or statements that need to be taken back days later
He's been doing a great job though
Is that really fighting with the President?
Republicans have a fundamentally different philosophy about disaster management that matches their general philosophy about government.
Democrats generally prefer a centralized response, while Republicans want local control. I haven't heard any Republican object to Calfornia acting independently. That's actually doing what Republicans prefer.
I think Newsom has realized that the federal government was caught with its pants down and will be useless for the rest of this crisis. He needed to step up and he did. Calling California a "Nation State" was a deliberate way of saying "we're on our own and we should be ready for that". It's a dig at the President but maybe not fighting words. It struck me as surprisingly anti-federalist, states-rights positive thing for a Democrat governor to be saying though. If the leader of a southern state was using those words, I'd be relatively upset (we fought a war over this in the 1800s).
The fighting will no doubt resume when this is all over.
I could see this being the start of a ~10 year period of social unrest, plague, and natural calamities that eventually destroys the nation-state in favor of a loose conglomeration of city-states.
I live in in Crown Heights, Brooklyn and I don't want belittle the gravity of the situation at all because we have seen seen 3 obituary entries (all elderly) and have a number of other people who we are praying for in precarious situations.
But your comment strikes me as something out dystopian sci-fi. Our volunteer ems reps as of 4 days ago estimated that 80% of the community had been infected and anecdotally it seems now higher than than that. I do not know anyone who has not had flu like symptoms in the past week. Obviously, that means that I along with my entire immediate family have been slowly recovering from sometimes flue like this past week and G-d willing will feel good again in the next day or days.
And I know that other communities in Brooklyn and upstate NY have similar infection saturation. Thus the official infection numbers are off by factors of 10 which means the death and hospitalization rates are significantly overstated. The danger is in the absolute numbers.
I don't know what to make of all this other than that some large communities have peaked and aren't seeing death in streets as it were.
There's every reason to hope and good reasons to believe that the distancing measures now in effect will give NY the time to ramp up the health care system to accommodate those most badly affected.
I hope someone found something useful in this comment.
It's because of what happened in Italy, too many people for the hospitals all at once. People over 45 don't get treated, they let them die, as the doctors say in their terrible reports. Washington state is facing the edge of this right now. They delayed all elective surgeries at the hospitals. The hospitals in the Seattle area are started to be at the breaking point. They started building temp hospitals in Soccer fields. Yesterday it was one, now it's many. It was in the that one famous senior citizen's home (25% dead, 50% in hospital, 25% waiting). Now it's in 10 of them here.
This is real and serious.
On the other hand, I follow Dr. Eric Feigl-Ding, Harvard/Johns Hopkins trained Epidemiologist on Twitter[1]. He was the first to blow the whistle in America and say COVID-19 is a "thermal-nuclear" level bad on a later deleted tweet[2], when Wuhan was in hell because the healthcare systems there were crashing in late Jan/early Feb. And now we know, COVID-19 is likely going to cause more death and worse economic tolls than the past nuclear war in WWII.
[1]: https://twitter.com/DrEricDing
[2]: https://disrn.com/news/harvard-epidemiologist-says-coronavir...
dismiss if you will but I was here where within a week everyone went from completely healthy to having the flu.
i don't believe I'm the first to suggest that test based results are completely bogus.
https://www.nytimes.com/2020/03/18/nyregion/Coronavirus-broo...
https://www.nytimes.com/2020/03/17/nyregion/coronavirus-hasi...
Reddit comments:
https://www.reddit.com/r/nyc/comments/fkhgv0/defying_rules_l...
I find this somewhat encouraging.
If the Hasidem aren't dropping dead...well, draw your own conclusions. Yes, I am well aware that they might start dropping dead in the next few weeks.
I suspect it's because he did a cutesy interview.
Being a fast follower is good, but not exemplary
This isn’t a competition between Governors as each of their municipalities are different and have unique circumstances.
So we persist in stasis for a month or a year with no end in sight while the economy begins to collapse, which will also destroy lives and lead to humanitarian disaster?
And all of that on shoddy evidence which probably is not counting the true case fatality rate due to woeful ignorance of the total number of infected people?
This article from a Stanford Professor makes the case that COVID-19 mortality is not as high as initial reports make it seem:
https://www.statnews.com/2020/03/17/a-fiasco-in-the-making-a...
We also have potential treatments emerging that could alleviate much of the strain on the healthcare system.
We need to make rational and strategic decisions here, not decisions based out of fear.
Massive and systematic society wide testing is the first step, the second step is the bulk manufacture of demonstrated COVID-19 treatments. The third is ramping up hospital capacity.
All of this is so that we can reopen society in a reasonable amount of time prepared to deal with the inevitable spread of this virus.
Mind you, once enough people die, many things will change.
If we had testing and actively tested 2 months ago we'd have see the problems and started dealing with them more aggressively. We stupidly seemed to follow a policy of no visible harm, no preperations necessary.
"If you can't measure it, you can't improve it"
You're not going to like this, but at this point, no one expects anyone to permanently stop the spread of the virus. It is very contagious, it has a very effective stealth mode, and it is widespread. You should probably expect that over half of the world population will contract this virus.
New York's restrictions are primarily to make people contract it more slowly, so that the state (and other states) can deal with it more slowly.
For the tone-impaired amongst us, if you are taking one of the positions, can you please help this simpleton understand what you think of China's proclamation?
I ask because I really don't know what most people think these days about the news coming out of China.
Sincere thanks.
https://twitter.com/CarolYujiaYin/status/1239583581325778944
Here in the USA we are only two days removed from having run Democratic primaries where millions of people lined up and crowded together in small rooms - the total opposite of what China (and South Korea and Japan) have done. Images of packed beaches and boardwalks continue to emerge. The unfortunate fact is that many Americans aren't taking this pandemic seriously which is going to result in a much worse time of it than it could have otherwise been.
We already know most test results are days late from the actual swabbing + ~5-10 days of being asymptomatic + showing early symptoms before ending up in a hospital to be tested. Making the results we see from HK's (free) press today are up to 2 weeks old already and China's second wave could have already started.
Either way mainland China faces a similar increase by the second-wave return of citizens as people return from visiting the rest of the world - a world increasingly being ravaged by COVID. Ignoring the global travel, HK<>mainland travel is super common and a good early signal for mainland.
I personally know lots of Chinese citizens who stayed in Canada after early results from China and are waiting it out here with family.
I highly doubt the Chinese authorities can rest until the virus is shutdown globally. We live in a global economy with China as the engine. If China returns to normal before that it won't be long until super-infectors return to some of the most densely populated cities on the planet and everyone is being told to self-isolate again.
If China does end self-isolation (or the far more authoritarian measures that aren't found elsewhere) early then they also better close their borders from inbound travelers and tell their returning citizens to stay where they are.
[1] https://www.scmp.com/news/hong-kong/health-environment/artic...
The government cannot possibly bail out every single business in the nation.
TLDR: Everyone under 50- go to work, wash your hands, maybe get sick. Everyone over 50 - stay at home until there's a vaccine.
How many hundreds of thousands or millions of preventable deaths are acceptable to you for a faster bounceback of the economy?
This is a really good question, because a dead economy is deadly too, and a shutdown is particularly hard on the people who can afford it least.
Normal Quality-Adjusted-Year-of-Life estimates are $50,000-$150,000. If this is a good estimate then ideally our economic shutdown won't pay much more than that overall; if we pay much more as a society, we have probably gone too far.
(And of course it feels bad to put a dollar value on a human life, so not everyone will want to do that. This doesn't change that we have to make this decision, though, it just means that we make our decision blindly and harm people more than we ought.)
Hopefully once antibody testing is rolled out (two weeks?) your theory about high undetected infection rate will be proven true.
By the time we would get tests and hospital beds, we'd already be too deep into the crisis for them to matter much. Millions will be dead.
Garcetti, the mayor of Los Angeles, said last night that we are shutting down the city to buy time to get more beds, tests, and treatments. Our leaders have a good idea of what's necessary.
Some leaders who are listening to doctors and scientists see what is necessary.
California should have probably gone into lockdown earlier, but I think this was probably as fast as they could have reasonably moved.
The governor also said there will not be any civil penalties for individuals that do not stay at home.
Both South Korea and China have successfully gotten below R1, but it’s unclear how long they can maintain that stance.
So far, the "temperature" has been increased every 1-2 days.
This kind of article would really benefit from a quick bulleted list at the top, I had to skim to get this essential info
https://esd.ny.gov/guidance-executive-order-2026
I was worried, because I just dropped my clothes off at the laundromat.
More broadly, if you live in NYC and know the NYPD, then of course they're going to respond in this manner when such orders come out. When they have authority, they use it.
Given that information, it seems that you would recommend people "shut up and stay inside" due to the "risk to other people". This is not rational.
Giving up everyone's freedom and accepting simple authoritarian solutions a few vocal people want is not a good approach. Punishing perfectly healthy people by threat of imprisonment as a result of the absence of planning by the nation's healthcare and government is not a reasonable response.
It's not primarily intended to tell individuals "you must stay home," just to strongly encourage that and make it easier for us to do so.
I doubt that. I'm in a mid sized city in WA and I've seen a notable increase in traffic in the last week. People are leaving their homes more now. Most of the offices are empty so I'm not entirely sure where they're going, but they're going somewhere.
https://www.chicagotribune.com/coronavirus/ct-coronavirus-il...
There's no force of law behind this order.
Earlier this week he announced "mortgage relief," but its means-tested and difficult to actually navigate. It won't help.
A year or 2 ago he rolled out his "free college for every new yorker" plan. It benefits about 10% of the population.
Cuomo's only skill is talking a big game. He's exactly as bad as most other neolibs.
It may be falsely advertised if it was claimed as “free college for every New Yorker” but I’m hard pressed to understand why people who support things like tuition free college programs get so angry about steps in that direction.
Even if it’s only 10% of that 2 million people that actually need to go college it’s still 200,000 Americans that are better off than they were before.
And didn’t NY’s legislature not turn blue until November of 2019?
I may be wrong, but if helping hundreds of thousands of low income Americans get access to higher education means your only skill is “talking a big game” and makes you a “bad neolib” I’m not sure that’s a message I can get behind.
I don’t know all of Cuomo’s policies or history, he may indeed be a bad Governor, but I really have trouble understand the people who shit on others for moving us in a positive direction because it’s not 100% of the way there yet.
From https://www.sciencedaily.com/releases/2020/03/200317175438.h... :
A new study calculates that the median incubation period for COVID-19 is just over 5 days and that 97.5% of people who develop symptoms will do so within 11.5 days of infection.
From https://de.wikipedia.org/wiki/COVID-19#Inkubationszeit :
...the incubation period can be up to 14 days. In addition, there are reports from Chinese researchers that extend the possible incubation period up to 24 days. An analysis of the first 425 cases reported in Wuhan shows an incubation period of 5.2 days on average and an average age of 59 years. ... A statistical analysis of several reports of infections in a household or in another narrow spatial limitation (so-called clusters) shows an incubation period of 5–6 days on average.
Anyway, as long as people don't keep distance between each other, the situation won't improve. Here in Switzerland the limit was shurunk within ~2 weeks from groups of people of max 1000 to 500 to 100 to 10 to 5 (today's new guidelines) => so far nothing improved.
The company I'm working for reacted early => many employees started staying at home (and working remotely) already 3 weeks ago, like myself => at the beginning it was ok for me, but now it's getting psychologically a bit "heavy". Luckily the government so far did not implement a total curfew, so from time to time we can still walk a bit in the parks/forests (but alone).
Day 0: Infection
Day 5: First Symptoms
Day 11: Hospital admission/shortness of breath/oxygen
Day 14: Ventilator
Day 21: Death
If there's no ventilator on day 14, the process is tragically accelerated.
I find that in the US, we have an understandable but sometimes costly attachment to 'treat at all costs'.
I lost a family member to cancer last year - and was pushed by providers to pursue treatment that would have bankrupted me and my family, while adding (maybe) a few months of (low quality) life to someone already in pain and confined to a hospital bed.
I was made to feel callous about balancing the collective 80+ years of my family's life going forward, against the 80 days or less of an elderly relative.
If we can't break out of that mindset, then the coming coronavirus storm is going to provide some very painful choices on us, as it already has in other countries such as Italy.
("Morti giornalieri = daily deaths | "Terapia intensiva" = total amount of people in intensive care on that day)
As people who need a ventilator are in intensive care (but I admit that that includes as well people that have other types of complications who might not need/be using a ventilator), an idea of that can maybe be extrapolated by comparing that number vs. the number of deaths (daily? total?)?
Thinking more about it, another complication with these numbers is that there are probably already now not enough ventilators, therefore the deaths might include people that died because of the lack of a ventilator... .
1. X incubates for a week
2. X gets symptoms and infects spouse
3. X's spouse incubates for a week
4. X's spouse worsens for a few weeks
5. X's spouse dies
Plus, there will be a lag between the moment the order is issued and the moment you see material changes in patterns of social interaction.
It's definitely not 1 week, and even 2 seems a little sunny side up.
I'm not saying I'm denying COVID or that the deaths are not horrible, just that for some unknown reason airplane crashes still seem so much more horrible: I'm talking about feelings, not facts. I don't know.
OTOH, thinking about the economic implications of this crisis prevents me from sleeping.
In all seriousness the math around the trade-offs inherent in all these discussions seems oddly absent. About three million people die every year in the U.S., many of those deaths preventable with far less drastic measures than we are taking here, and it doesn't seem like we're having anything like the same discussion about priorities with this specific situation.
I'm not saying the answer would necessarily come out any different, but it's strange we're not really asking the questions.
It's one of the glorious fudges that we all collectively engage in.
Hilarious, in a sad and dark way.
Plus whatever amount of people would die from not having access to healthcare?
And the innumerable numbers with long term reduced lung function.
And the fact the rest of the world would shut us off from everything regardless since we’d be this gigantic disaster zone.
I think, and don’t quote me on this, that the UKs original plan was “fuck it, lets aim for herd immunity”. I don’t think it took long for them to realize how terrible of an idea that was.
And lets not forget the incredible numbers of younger Americans with underlying health issues who’d die off in droves.
So I guess, is it _really_ that strange we’re not asking “what if just said fuck it”?
Edit: sorry if that came off rude, I suspect if you did ask that question, something akin to the above is the answer you’d get :-)
https://www.vox.com/future-perfect/2020/3/20/21179040/corona...
Are they updating the order minute to minute?
Yes. That was 2 days ago. It's a fluid, uncertain situation.
Then people won't take the rules seriously.
Lots of people in this country still don't believe or understand how much damage this virus can inflict.
Does the state have the power to control my movement from my own home to the end of the street for my daily walk?
That being said, it's a big scary step and there are lots of little steps likely to be taken before we get that far. You can see this in action in Italy.
Yes and no. I was curious, too.
https://www.statnews.com/2020/03/17/mass-quarantine-lockdown...
https://en.wikipedia.org/wiki/Martial_law_in_the_United_Stat...
"The Privilege of the Writ of Habeas Corpus shall not be suspended, unless when in Cases of Rebellion or Invasion the public Safety may require it."
I guess the legal argument comes down to a lack of a comma between 'invasion' and 'the public safety'. Or whether a virus constitutes 'invasion'.
- 1st: Right to peacefully assemble
- 14th “nor shall any state deprive any person of life, liberty, or property, without due process of law”
5th has similar text to 14th.
To be clear: I’m not arguing that the various govts. can’t impose quarantines or isolation orders, I’m just outlining which parts of the constitution are relevant to the legal questions.
I know in my neighborhood, everyone is outside but we are all maintaining 2 meter distance. Some neighbors even brought up their grills and stayed seperate but can talk (at a distance).
They're fining (~$140) and detaining people who don't follow the rules in France.
https://translate.google.com/translate?sl=fr&tl=en&u=https%3...
It would logically follow that if the quarantine is legal, penalties for violating it are also legal.
---------------
Most of those cases are quite old, but they're still the ruling precedent on the topic as far as my (limited) knowledge goes.
For one that went to the Supreme Court in 1902 and continues to be cited:
Compagnie Francaise de Navigation a Vapeur v. Louisiana Board of Health
https://en.wikipedia.org/wiki/Compagnie_Francaise_de_Navigat...
Which might be reasonable if there are flagrant violators and things continue to get worse.
https://www.nytimes.com/2020/03/18/nyregion/Coronavirus-broo...
"Concern over the spread of coronavirus in Hasidic communities had already been raised by a series of large weddings held this week. On Tuesday, the Fire Department broke up one wedding celebration in Williamsburg that had more than 200 guests."
It was packed to the grills with schoolchildren in the playground, and their parents watching.
People aren't taking the rules seriously until you shut things down.
Instead of the California approach, where you say "don't this, except for reasons 1 ... n", he's attacking the demand side. You can go out, but you don't have anywhere to go.
All of the problems get worse if you make people panic. My buddy who lives in northern upstate NY was just telling me about all of the people "bugging out" and taking their RVs up to the Adirondacks. If you tell people it's martial law, people will flee NYC Metro for wherever.
The other thing is that people will always be out. How do you deal with homeless people? Arrest them? How do you deal with people who claim to be medical people? How do you identify Trader Joe's employees? Are the police going to setup roadblocks? How do the police maintain a rosette stone of who is worthy of travel and who isnt?
Facebook and Google sometimes use the expression "one in a million" to describe edge/exception cases which occur every day when you serve many users. The density of NYC is a real-world equivalent, there are continuous exceptions that cannot be centrally predicted and must be micro-locally responded.
There has to be non-zero social interaction of young people who are least at risk, and can recover most quickly. Otherwise the only people being exposed will be essential workers. After recovery, these young people can volunteer to train/run errands for hospitals, reducing load on the system and keeping them active.
In times of crisis, civilians working with each other can make a difference. Wish they had used the language "physical distancing" since people can still coordinate socially (including online).
But we are already inundated by outrage journalism, cancel culture, and public shaming. The last thing we need is more of that. We've already got enough things to be stressed, worried, anxious, and angry about.
The vast majority of people will respect the good advice coming from leadership, and those people are the ones who deserve our attention, in a positive way.
Look at this like engineering. With a large enough system, you are always going to have some components that fail. When your network has a million machines, you don't get upset when a server goes down, you just engineer some tolerance into your network, define processes to handle them, and go on with your life.
I have been constantly gratified by how many people are doing the right thing and those are the people that I want to focus my own attention on. I think we will all get through this with a little more sanity and emotional health if we can take a break from the perennial game of torches and pitchforks for a while.
Just a look at China now, and then on Italy. Seriously, what.the.fuck
People seem to be taking it seriously here, but I'm sure there are plenty of places where people are not.
Hate and shame feeds reactionary behavior and is counter productive. If you disagree with someone, empathize with them as a human being and explain how their behavior is hurting others
It’s also worth noting that these are mild measures compared to the other stick societies like to use, criminal law. If people felt confident that rapists were prosecuted not just in cases where their victims number in the dozens (Weinstein, Crosby), they wouldn’t feel the need to use social and economic pressure.
It's also nothing new: "In Ancient Greece the Athenians had a procedure known as "ostracism" in which all citizens could write a person's name on a shard of broken pottery (called ostraka) and place it in a large container in a public place. If an individual's name was written a sufficient number of times, he was "ostracized"—banished from the city for ten years. This was normally practiced against individuals who had behaved in some way that offended the community."
That same mechanism amplified by social media is no longer as adaptive. It's natural and fairly reasonable to snap at someone if they are rude to you. But if you jam a bullhorn in their face and yell into that, it's no longer appropriate. The emotion and impulse are the same, but the technology changes the manifestation of them.
And while he sees that it’s impossible to stop every single rapist, he’s willing to settle for victims just not bothering him with it.
Regardless, if true, we made our bed, now we get to sleep in it. As you sow, so shall you reap.
I wish Jack Dorsey at Twitter would take a look at the absolute shit-show that is "Trends for You" in the Explore section. It's nothing but the most outraged people trying to whip everyone into a frenzy. I try to resist going in there, but every once in a while can't help but be sucked in and almost always regret it.
I finally figured out a good solution for that. Click the gear and turn off personalized trends. Then set the country to a language you don't speak.
I don't know a lick of Latvian, but now Twitter is all about telling me what's going on over there.
Seems like overkill.
The problem with "outrage culture" isn't the outrage; it's the target of the outrage. This is real stuff, consequential, non-trivial. It's good to be outraged when people behave outrageously. It's not so good when what you're trying to do is get a stranger fired for a tweet you could easily have ignored. This isn't that.
We do not know the outcome because it lies in the future, but the human mind provides the host such a high resolution image of it that it can easily be mistaken for actual reality if one isn't disciplined.
I'm not strongly committed to the argument that it's good. A better word might be "appropriate" or "justified." The point is that this kind of outrage is very different from what we normally call "outrage culture." The implication in a phrase like "outrage culture" isn't that outrage is an invalid human emotion; it's that it's not being tuned/targeted correctly.
I have a theory that cultures that value (and I mean truly value) clean, rational thinking, will be superior in not only reacting to these sorts of crises, but preventing them in the first place.
If one looks very carefully at the nature of most of the discussions taking place in the memeplex on covid-19 and a variety of other hot button topics, one thing you will notice is that there is a breathtaking amount of not just confusion, but delusion. People's internal mental models of the world do not match observable reality - it's been this way for a very long time (well, it's always been this way technically, and always will, to a degree), and it seems to me that it's getting worse at an increasing rate.
I think this is a material problem, I believe it can be observed (manually, and perhaps somehow algorithmically - we have petabytes of data to mine), and I believe something can be done about it. But first, people have to be willing to look.
https://www.mtsu.edu/first-amendment/article/940/counterspee...
As the Internet just becomes another part of the real world (down from the lofty "alternate universe" it was imagined it would be in the cyberpunk era), I'm 100% on board with people having real-world consequences for bad online behavior.
Shame and tell everyone whenever possible to stay the fuck inside because those are going to be the people that make you stay in lockdown for 6 months instead of 2.
Otherwise this will be 10x worse in the US
https://www.bloomberg.com/news/articles/2020-03-18/99-of-tho...
Median age is 80.5. That's actually near the life expectancy of an Italian male.
99% of fatalities were among people with a prior illness.
About half of the deaths were people suffering from three or more other illnesses.
To put it very bluntly, a lot of the folks dying from COVID-19 were already dying. COVID-19 is the straw that broke the camel's back.
About half of those infected in New York City are under 50
https://www.nytimes.com/2020/03/19/nyregion/coronavirus-new-...
...preliminary figures released on Wednesday by the Centers for Disease Control and Prevention show that adults ages 20 to 44 represent nearly one-third of U.S. coronavirus patients whose ages are known.
https://www.nytimes.com/2020/03/20/health/coronavirus-millen...
In any case, it's not me who you're calling "deadly" wrong, it's the Italian Ministry of Health.
Sure they're not fatalities, but do you really want to go to an overcrowded hospital for COVID-19? (Will be worse when ventilators run out and hospitalization can't help you nearly as much)
If you live, remember to vote progressively on housing and other things that your generation has a death grip on.
If you pass, my condolences: It wasn't personal, merely generational.
With some remaining respect,
Young People
Sounds good!? But healthy young people aren't building up antibodies.
Which means when we end social distancing, the virus will start spreading just like it did before.
The goal here isn't to prevent everyone from getting it. The goal is to slowly build up heard immunity, in a way that doesn't overly burden the healthcare system, and to hopefully learn some new treatments along the way.
If new cases flatline, that's good! If we can avoid everyone getting it, that's even better! If the globe can get a handle on things, we don't need to solely consider worst-case scenarios.
Mandatory breakup of large groups is actually the lighter of the tools the government could use here. Intentionally endangering other people's lives is usually punished by jail, and even unintentional but reckless endangerment can be fine- or jail-worthy.
Wash your hands and stay away from each other, people.
Where does this fear mongering come from? I’m absolutely sick of people dropping this bullshit without anything to show people what they’re referring to. It’s certainly harmful to society and coordinating anything but the first attempted response.
You can make the same argument about seatbelts. The majority of people wear seatbelts because they've been asked to and they understand the danger of not wearing a seatbelt, for both themselves and their fellow passengers. But some fraction of people simply don't care, and well-intentioned people even have a tendency to say "oh just this one time." And that's why we need enforcement.
Look at this like engineering. With a large enough system, you are always going to have some components that fail. When your network has a million machines, you don't get upset when a server goes down, you just engineer some tolerance into your network, define processes to handle them, and go on with your life.
Human life is not redundant. Moreover unless you're able to outright deny people medical care for their negligence (which we can't do), unnecessary Coronavirus cases put more burden on everyone. Just like seatbelts -- even if you don't personally care if you get severely injured in a car accident, the EMTs don't have the ability to just leave your selfish ass dying on the side of the road, even if you want them to. You just wasted a lot of other people's time, energy, and money as a result of your carelessness.
If you can take simple measures to prevent components from failing, you should, especially when component failure is an expensive and intrusive proposition, even if it doesn't mean the total failure of the system.
Not to mention the fact that humans are notoriously bad at making rational utility-maximizing decisions. People often only come to regret their actions only after they've been forced to face serious consequences for their actions. Yes, this is slightly paternalistic, but it's yet another argument in favor of enforcing quarantine-like laws with actual penalties.
What you accept and what you choose to spend your precious finite attention on are not the same thing.
If anything, what I suggest is the opposite of what you're saying. I do accept that some small fraction of people will do dumb shit, as they have through time immemorial. And, because I accept that, I feel no need to waste my time and emotional energy reading about it on social media and getting all outraged about it.
> And that's why we need enforcement.
Sure, but what we don't need is every social media site plastering pictures of people not wearing seatbelts with headlines like "Look at this horrid fucker not wearing their seatbelt! How can they be so thoughtless?!"
> Moreover unless you're able to outright deny people medical care for their negligence (which we can't do), unnecessary Coronavirus cases put more burden on everyone.
I fully understand the implications of non-compliance with social distancing measures. I don't agree with people who aren't doing it.
What I am saying is that it is not beneficial to crowd social media with stories of those people. After you read a Reddit thread about some selfish assholes partying up in Miami... then what? What is the action? I'm not going to personally fly to Miami and scold them. Me consuming that story has added nothing of value to my life, nor has it materially addressed the problem in any way.
All it does us make me feel angry and shitty. I've got enough bad feelings floating around because of, you know, the global pandemic. I don't need impotent manufactured outrage on top of that. What I and others need to get through the day are reminders of all of the good that people are doing.
And those same reminders are also a good way to encourage people to do what they're supposed to do. Do you want to live in a world where we teach people who to be by giving them heroes to aspire to, or by having the threat of public shaming and punishment looming over them 24/7?
When I read this sort of angry screed it scares me because it suggests to me that people are unstable, that behavior and reasoning can suddenly change due to switching contexts.
As a society we have accepted that a safe and responsible motorcycle operator should be allowed to do their thing, and that the freedom (and convenience) is worth the increased risk compared to a car.
Moreover, how much of an increased risk does a responsible motorcycle operator actually pose compared to a car operator, without other vehicles involved?
IMO you should be subject to serious and increased legal penalties for reckless driving (failing to signal, etc.) when a safely-operated motorcycle is nearby. And likewise for motorcyclists who speed down the highway threading between lanes should.
You're also not the first person on the Internet to bring up the motorcycle false equivalence as a counterargument to disease control methods like this. Not sure what to make of that.
it suggests to me that people are unstable, that behavior and reasoning can suddenly change due to switching contexts
This is pretty much true in my experience. You can look up a field called "behavioral economics" if you don't want to take my word for it.
angry screed
Why do I even bother? Is everything you disagree with an "angry screed"?
No. But my threshold may be lower than it used to be, because I'm worrying lately about how other people react to stress under current circumstances.
"As a society we have accepted that a safe and responsible motorcycle operator should be allowed to do their thing"
I'm not sure if you can really prove that "as a society we have accepted..." something, but assuming we have, my point was how arbitrary it is. We draw a little box around different things, and motorcycles only have to be safe relative to motorcycle norms, while cars have to be safe relative to car norms. And norms differ from country to country.
That doesn't mean I'm necessarily on a crusade to break down that sort of compartmentalization, I just alternately read people questioning it and people taking it for granted, so I tend to think of the other side either way.
Wash your damn hands.
> Then people won't take the rules seriously.
What should the government do to these people? Arrest them?
Already there are news headlines saying "US jails begin releasing prisoners to stem Covid-19 infections"[1][2]
and from that article, specifically relating to New York:
"New York City Mayor Bill de Blasio said on Wednesday that city officials will this week identify individuals for release, including people who were arrested for minor crimes and those most vulnerable to infection due to underlying health problems.
"His announcement came hours after a guard and a prisoner tested positive for coronavirus at Rikers Island prison..
"Other New York prisons, such as Sing Sing, have had inmates test positive for coronavirus and one employee for the state's corrections department has died from it."
These prisons are breeding grounds for disease: "sinks often lack soap and hand sanitiser is considered contraband due to its alcohol content", and medical care in US prisons is often atrocious.
So by imprisoning people in overcrowded, unsanitary conditions you might effectively be giving them a death sentence and possibly putting the other inmates at risk from the people that came in from the outside world.
Another good article on the serious vulnerability of prisons during this outbreak: [3]
[1] - https://www.bbc.co.uk/news/world-us-canada-51947802
[2] - https://news.ycombinator.com/item?id=22632901
[3] - https://www.vox.com/policy-and-politics/2020/3/17/21181515/c...
Why not? Couldn't you postpone the prison time for a later point in time? Or make them pay fees right away (and a high fee).
Not homeless and income or wealth > 100k? 1% annual gross income or net wealth (greater of both) per occurrence with a 1% daily compounding interest rate of the principal amount until paid in full. If third incident mandatory minimum of 5 years imprisonment and $1,000,000 fine or 50% wealth whichevers greater. Non payment prevents release.
In France, people get a fine for being outside without a good reason. In some cases, they also get arrested. Police can be dissuasive, even if (almost) no one will be put into jail.
My impression is that like Taiwan didn't even shut down schools. They just locked down boarders and aggressively quarantined the infected.
I’m not knowledgeable enough to say either way but is there a reason that model doesn’t work in the US or Europe?
https://overcast.fm/+V-MhulG34
The TLDR is that most of the general “police” power in the US sits in the hands of the States.
https://www.propublica.org/article/how-south-korea-scaled-co...
Also for the federal government to actually enforce containment policies requires the government to enact traditional war-time, and what look like more authoritarian, laws.
EDIT: Here is the order.
https://www.governor.ny.gov/news/no-2026-continuing-temporar...
> Any essential business or entity providing essential services or functions shall not be subject to the in-person restrictions. This includes essential health care operations including research and laboratory services; essential infrastructure including utilities, telecommunication, airports and transportation infrastructure; essential manufacturing, including food processing and pharmaceuticals; essential retail including grocery stores and pharmacies; essential services including trash collection, mail, and shipping services; news media; banks and related financial institutions; providers of basic necessities to economically disadvantaged populations; construction; vendors of essential services necessary to maintain the safety, sanitation and essential operations of residences or other essential businesses; vendors that provide essential services or products, including logistics and technology support, child care and services needed to ensure the continuing operation of government agencies and provide for the health, safety and welfare of the public;
My impression is that "essential" is very liberal right now.
It felt like the scope of the whole state was too wide considering the lack of cases near us. And without any definite financial assistance in place. Hoping something more definite comes soon as I know multiple people who are affected by this order.
Can you elaborate on what you mean by that?
If you lock down early you irreparably harm the local economy and simply delay a spike instead of "flattening the curve" unless you are willing to except a year long lock down, massive economic depression and the colapse of the US Dollar
We quarantine in indiscriminately with no tracing, very little testing
This has all the economic harm with no benefits that a proper quarantine would have
As others have said, the point of a lock down should to prevent the hospitals from getting overwhelmed, prevent ventilator shortages, etc. Nobody even knows if a preemptive lock down can 'squash' the virus. While testing is being ramped up, aren't there other ways to determine outbreaks? Can't our leaders communicate with hospitals and find out number of open beds, ventilators, an influx of patients with suspected symptoms?
It is still going to be around once we come of of hiding, whenever that is, so it's possible we are just delaying the acceleration phase and we end up with the same result later instead of facing it now. I'm not saying there is never a time for a lock down, I just wonder if my local leaders panicked and did it to early, because they didn't know what else to do?
So in my area, the hospitals are fine. People are not flooding in the doors. Meanwhile thousands of jobs & businesses are being torched. My mom is a massage therapist, and is out of work for the foreseeable future. I just think there are smarter ways to go about it.
But, since we're starting from zero natural immunity and a virulent disease with long hospitalizations, if you actually do the math here it never works - there's no situation where you can keep the number of infected low enough to not use up too many hospital beds and also high enough to get population immunity in any reasonable period of time. Those values simply don't overlap (which apparently someone has told the UK now, I guess).
The only viable approach is massive lockdowns to reduce the number of infected to a reasonable number followed by super-aggressive public health interventions for each and every infected person to control future spread.
The goal needs to be to snuff the infection out. Otherwise, we will be like this for the next year and a half while we wait for the vaccine, which IMO is not acceptable when a little extra short-term sacrifice can get us near eradication inside two months.
Also, even if the curve is mediated by density, it seems clear enough that a lack of density is not going to be sufficient to prevent it from becoming a crisis. The infection is spreading even in less dense cities like Atlanta, New Orleans, and Saint Louis.
> We will build herd immunity as people contract the virus, develop antibodies and recover from it.
This is a pipe dream, at least outside the context where we are going to accept megadeaths or years of social distancing. The hospital capacity of the US is such that, if we were to run them all at 100% and somehow hold the virus exactly to the level that maximally utilizes ICUs, it would still take the better part of a decade before we got to the point of having herd immunity.
It's impossible, unfortunately. There are billions on the planet without even access to the internet. Many don't have running water or consistent food. How can we get R0 less than 1 there?
That's not relevant to the United States if we eradicate domestically and close borders. That said, Africa managed to contain the Ebola epidemic. Let's not underestimate their resolve.
"Near eradication" is not enough if you want to "snuff it out". COVID-19 started with only a couple of cases. There was a patient zero.
So no, "a little extra short-term sacrifice" would not be enough, because you are very unlikely to catch everything, especially worldwide. Health workers would inevitably catch it by treating patients, and you can't just tell the entire world to stay home for 3 weeks. Even if you could snap your fingers and do that and have everyone obey, we don't have the infrastructure to provide worldwide basic needs, for free, for everyone, in an automated way; billions would die.
Mitigation until vaccine is the only sensible way we know of at this time. Gradual lockdowns to help contain the virus for cities and countries that don't have the testing infrastructure available to seriously prevent spread.
We're lucky that this is treated in days/weeks (rather than months/years), and that we have already found a promising treatment (hydroxychloroquine). It'll help the mitigation phase a lot.
Edit: To address "If we adopt a stance that makes R0 < 1, there is no other stochastically possible outcome.": This is untrue if you're time-bounding this to "before we make a generally-available vaccine".
> To address "If we adopt a stance that makes R0 < 1, there is no other stochastically possible outcome.": This is untrue if you're time-bounding this to "before we make a generally-available vaccine".
Depends on what we get the value to. If we get it to 0.5 or below, as it appears China has done, then probably before we get the vaccine ready. But sure if it's at 0.95 then we will have to wait for the vaccine.
I don't think there's a world in which there's a better option than "waiting for the vaccine with various forms of mitigation". Boy would I love to be proven wrong.
> Boy would I love to be proven wrong.
I would love you to be proven wrong. And I'd accept being proven wrong, with deep regret. But it's definitely possible to get within striking distance. I hope we can see China jump the gap from few to no new cases soon. That would give me hope for the rest of us.
I don't understand why we can't take a more localize approach to this. Maybe only implement the lock downs in the worst areas, or areas entering acceleration phase. Can't we be smarter about this?
We don't even know if it will snuff the infection out. It might just be kicking the can down the road. In my area, it is still very low risk. Meanwhile, businesses are already beginning to shut down, and people's are loosing their livelihoods.
Also, unnecessary lockdowns can ruin the credibility of the heath authorities. IF we lock down counties with no cases, not only are we needlessly disrupting lives, people wont listen to the order when it IS necessary.
https://en.wikipedia.org/wiki/2020_coronavirus_pandemic_in_t...
You sound as if you're ok with millions of people dying miserably.
You think a long period of decreased economy is bad, the spike might cause outright panics and armed unrest.
We can print dollars, we can't resurrect the dead.
If you get critically sick or injured (not COVID19 related) and hospitals are overflowing, you will suffer when no one can see you because of COVID19 cases.
Essentially given a will, we could transition part of our economy to a war footing (against the virus). Do we have the will?
Or do we capitulate and decimate the population?
Also, how do you think we will be able to support and help those more vulnerable if we don't have any economic output? Will printing money make supplies appear from nowhere?
If anything it should be the elderly and vulnerable that are forced to isolate while the rest of society slows down for awhile, but even that I think is too egregious at this point.
My neighborhood might comply, but there's a real risk that police state tactics would lead to massive social unrest, rioting, and total economic collapse in pockets across the country. If anyone thinks this is impossible, may I refer you to the 1960's.
On the other hand, what the authoritarian minded commenters seem to miss is how powerful social pressure and distributed decision making can actually be.
Much of this hinges on how it's done. First, you can't take away rights unless there's a compelling governmental interest. This interest clearly exists; however, it still doesn't fly UNLESS you restrict rights by the least restrictive means possible.
By trying voluntary restrictions first, they can demonstrate that these lesser restrictions were ineffective, and then successfully defend the more aggressive mandates in court if necessary, later.
You think it can't get worse?
EDIT: a word
It's real easy to shut down businesses and livelihoods when politicians are not responsible for the economic fallout.
>The drivers would be required to wear surgical masks
There's already a shortage of masks for hospitals.
>wash the back seat of the car before each passenger.
You think they'd actually do that rather than getting more fares? Also, don't forget to clean every control in the back, the door handles, the inside door handles, seat belts and probably the air filter.
You can't just stop all this.
> For days, Mayor Bill de Blasio of New York City has pushed for a “shelter in place” order and the governor has repeatedly dismissed the idea, saying he would not quarantine New Yorkers in their homes.
He also spoke on a popular podcast earlier this week about DEFINITELY NOT taking this kind of action
38 deaths / 5715 cases = 0.7% CFR
The low CFR rate is simply time. It takes roughly 3 weeks from infection to death. Meaning deaths should be compared with count of infections 2-3 weeks ago to calculate CFR.
Separately, there likely were a number more than died from it previously that didn't get testing because testing was so hard to come by (and the scope of the spread was not yet understood).
If NYC hospitals get overwhelmed like they are possibly on pace to, don't be shocked if you see CFR rise up to 4-5%. Especially as growth in new cases no longer out strip existing (which suppresses naively calculated CFR).
https://www.syracuse.com/coronavirus/2020/03/how-fast-is-cor...
This is more indicative that the epidemiological models were somewhat accurate and the true CFR when you catch the mild cases is much closer to 1% than 3.5%.
Edit: originally post I replied to said 0.007%