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Comment by danhak | Hacker News Reader

Why haven't we seen significantly better outcomes in states with mask mandates vs. those without?

As a single data point: despite a universal mask mandate that was enacted early on (May 6th 2020) along with a very high compliance, Massachusetts had the 3rd highest COVID death rate in the US (as of Aug 9):

https://www.statista.com/statistics/1109011/coronavirus-covi...

A little over 20% of Massachusetts deaths occurred before May 6th, 2020. Another 20% occurred in the 3-4 weeks immediately ofter which are likely largely attributable to people who got COVID before early May.

If you compare Massachusetts deaths after that point to other states they come out somewhere near the middle.

Did the mask mandates change in MA across these time ranges?

Not significantly, it came into force May 6th indoors and outside if you couldn't maintain 6', but most cities in eastern MA had 100% outdoor mandates too. I think it was Nov 6th when they made it 100% outdoor statewide regardless of distancing. The mask mandate wasn't lifted until May of this year.

There has been data showing areas with greater mask compliance have slower infection rates.

I'd bet that areas with greater mask compliance also have greater compliance with social distancing and other, more effective mitigation measures.

Do you realize you are now arguing against yourself in the same thread?

I’m curious how so?

We either should take all variables into account or we shouldn't you can't have it both ways. Or was that not what you meant?

That's not how this works. You can only compare with the future that wasn't. People may decide all by themselves that wearing a mask is a good idea, mandate or not, and then there is the point that not all masks are created equal, which is the subject of this thread.

Is your argument that outcomes of different policy decisions cannot be compared across different jurisdictions?

Not without carefully controlling for all kinds of variables, demographics, geography, internal and external connectivity and so on. No two areas are closely alike in all those respects.

Do you similarly feel that comparisons across different populations are invalid for arguing the affirmative?

e.g. arguments like "we should try masking / UBI / $15 minimum wage / free healthcare / universal pre-k because it worked well in ${location}" are also "not how this works" because we can "only compare with the future that wasn't?"

Do such arguments need to control for the infinite number of confounding variables before having any value?

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