The epidemiologist isn't trained in thinking about the persisting scar on opportunity left by lockdowns. A response to a pandemic that solely cares about limiting lives lost due to the virus stands to inflict massive harm as people lose their jobs and social unrest triggered by the suspension of civil liberties.
Medical professionals are experts in medicine. Not in making holistic decisions about the course of society. They absolutely should have a prominent spot in sharing information with the leaders of society, but their advice needs to be weighed against the costs of carrying out that advice.
https://www.nytimes.com/2020/04/14/opinion/coronavirus-reope...
> Why WOULDN'T we consider the economic ramifications?
He's not saying that. He's talking about who should be giving the marching orders. Let me put it another way: in a war, the generals decide what equipment the military needs and the economists figure out how to produce it. You don't have the economists saying: the economy is good at making buses, it makes sense to us to weld extra armor to them rather than to design a tank from scratch, so go fight the war in armored buses.
You're leaning a bit too hard on the analogy: you can't negotiate with a virus. The pandemic is more akin to an attack by an irrationally implacable enemy with a couple months advance warning of the threat at the border. In the analogy, the policy options are: resist, Y/N? If Y, then how effectively?
When a country is attacked, does its leadership typically first consult with its economists to determine if resistance is cost effective vs. just letting the enemy take territory or kill citizens with little opposition? Usually the generals evaluate what they can achieve, and if success unachievable, then alternatives are considered. Surrender is always an option, but it's usually towards the bottom of the list.
Yes, countries very often let the enemy take territory or kill citizens because resistance wouldn't be cost effective. All countries of course try to project the image that they wouldn't, that their territory and the lives of their citizens are priceless. But border skirmishes happen all the time and the vast majority of them don't lead to war.