https://www.thelancet.com/journals/eclinm/article/PIIS2589-5...
It's not true that herd immunity is the only endgame. Reducing the size of the disease reservoir, in combination with testing and tracing, is a very effective tactic that has worked against many communicable diseases.
The only acceptable way to get herd immunity is via a vaccine. Reaching for herd immunity without a vaccine is just another way of saying let's allow most of the vulnerable people die; whoever is left at the end will have herd immunity. Yay for them.
It's like saying the solution to war deaths is to fight a huge war to its conclusion. Whoever is left at the end won't be getting shot at anymore--problem solved!
But let's imagine none of that's true. Can you talk about how diseases of despair and deaths indirectly caused by economic troubles play into your analysis? How long do you believe the benefits of lockdowns will outweigh the costs? Do you believe the answer is forever?
"Close to one third of young adults are medically vulnerable to severe COVID-19 illness."
https://www.jahonline.org/article/S1054-139X(20)30338-4/full...
Even if they did, during uncontrolled spread there is no way to limit infections to a specific subset of the population.
The U.S. has not yet locked down. If it had done so earlier this year, we would see much lower incidences of COVID-19 today--and a rebounding economy--as we see across much of Asia and Europe. Our nationally undisciplined approach has extended the impact of the pandemic far longer than it should have. Continued application of this approach will continue to extend the impact on the U.S. people and economy.
Lockdowns pay off very quickly if they are taken seriously; most people with COVID-19 stop being infectious within 14 days of the onset of symptoms.
People with high risk can and already are behaving differently than people with low risk. That's why the death count is steadily dropping even while the case count is increasing, because young people are returning to normal behaviors while at risk people are being more careful.
In a world with wide spread virus in India, Brazil, the United States, Russia and Mexico it's simply not going away any time soon. Do you believe that these countries can successfully be quarantined from the rest of the world for the next year? What about 3 years? Or is it your position that all of these countries have the political and infrastructure capability of doing complete lockdowns?
> Rapid border closures, full lockdowns, and wide-spread testing were not associated with COVID-19 mortality per million people. However, full lockdowns (RR=2.47: 95%CI: 1.08–5.64) and reduced country vulnerability to biological threats (i.e. high scores on the global health security scale for risk environment) (RR=1.55; 95%CI: 1.13–2.12) were significantly associated with increased patient recovery rates.