Is Covid-19 making us irrational?
simoncarne.substack.com
simoncarne.substack.com
You will be exposed to Covid. You can’t do anything about that at this point. You will probably be exposed to it many times in the remaining decades of your life and will probably get sick a few times from it too.
So your decision now isn’t about avoiding it or not. It’s about staying healthy, maybe losing some weight and getting vaccinated so it’s not a huge deal when you’re exposed.
Pretending you can wear masks and stay home and this will end is a fantasy and has been for months. But leaders are living in a fantasy world.
I also think it’d be a good norm to ask people to wear it when sick.
What I oppose is this idea that we should all wear it all the time by law.
Public health leaders like Dr. Fauci aren't idiots and I suspect they're privately fully aware of the real situation. So why aren't they being straight with us about how the pandemic is likely to play out long term?
Fauci has been saying exactly this, in public, for a long time.
For example, November 12, 2020: "I doubt we are going to eradicate this. I think we need to plan that this is something we may need to maintain control over chronically. It may be something that becomes endemic, that we have to just be careful about."
Source: https://www.cnbc.com/2020/11/12/coronavirus-dr-fauci-says-he...
That's why his strategy consists of vaccines to reduce the death rate plus NPIs to "flatten the curve".
Flattening the curve doesn't mean reducing total infections, it means compressing the spikes so the healthcare system doesn't collapse.
None of this is new.
Any part of this you disagree with?
I was not vaccinated until late July of this year. Never contracted COVID 19, confirmed by blood test shortly before I was vaccinated.
I don't know if that means I have been lucky, or if it's possible I was exposed but did not develop COVID-specific antibodies that would be detected in the blood test.
Masks, distancing, working from home, won't defeat covid19 but they all slow down its transmission, slow down admissions, and let hospitals recover.
Many of them are somewhat stupid, in that they think that it will not affect them personally, and have not really thought about the effects on other people.
But a lot of them are simply anti-social persons, that don't really give a shit about others.
Apart of that: welcome and enjoy the content and discussions!
[0] That means they will be made invisible to everyone but the ones who opt in to see these too. The setting is appropriately named "showdead" if you are curious.
But even setting that aside, the long-term effect of this disease ranges from "had it, got over it, fine now" to "can't breathe properly a year later, possibly ever again." Approximately 30% of COVID-19-infected patients are still ill over a month later.
Finally, I live in an area where the Delta variant is having some kind of field day. I am currently pet-sitting for an elderly neighbor; she had a minor fall and broke her ankle. The nearest available hospital bed was about three hundred miles away, because COVID-19 has overwhelmed my city's medical infrastructure.
My question is, do you really think that death is the only negative consequence of a disease?
https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/burd...
That's pretty harsh. They are referring to the case fatality rate ("CFR") while you are referring to the estimated infection fatality rate ("IFR").
Edit: OK, I usually don't do that but please tell me in which way parent's comment is possibly better than a comment like this would have been: "Looks like you are referring to the CFR. That's a bad way to measure fatality rate and the CDC has an estimate for the IFR anyways. You can find it here."
In general, I think it’s very unhealthy to attempt to take away people’s agency and treat them as children. Don’t want to get vaccinated? Your choice. But there are consequences of this choice and we should make this consequences clear. Other than that - let people do what they want to do.
https://www.google.com/amp/s/pledgetimes.com/orlando-declare...
You're healthy. What about immunocompromised people for whom the vaccines have only had a partial effect?
https://www.google.com/amp/s/theconversation.com/amp/immunoc...
Like it or not, we live in a society. Our decisions affect everyone else and we can't fully account for externalities. Solving these sorts of tragedies of the commons is exactly what public policy is meant to do.
Personally, I think vaccine mandates need to happen yesterday. People who don't believe in the vaccines can suck it up. Facts don't care about their feelings.
At what level do you think this would be enforced? Federal? Completely unenforceable unless you want to involve the military domestically. State level? Obviously half of the States are not going to do that. City level? Again, completely pointless.
Also, many business owners are antivaxx, why would they participate in this?
There needs to be an all-out effort. The US did far more during WW2.
This sounds like tyranny to me.
To the extent that this is tyranny, so be it. As I said, the US did far more during WW2.
https://www.scientificamerican.com/article/vaccine-mandates-...
It’s remarkable to me that our government hasn’t figured out that you don’t get people who are already distrustful of the government to magically become trustful of the government by doing the same shit over and over that caused the distrust.
Vaccine mandates are nowhere close to that, though—the individual risk is virtually nonexistent while the collective risk is massive. The general problem does not need to be solved fully for us to move forward with public policy in clear-cut cases.
¹(including the brightest people I know - statement disincorporated from the above since anecdotal)
There are zero people in my own social circles who didn't get vaccinated the moment they could (some live in countries where they still don't have access to vaccines). The difference might be that my social circle is mostly queer people like myself, and we know how bad pandemics can be.
Again, I have very little sympathy for anti-vax people. The correct thing to do for society as a whole is to follow New York's and San Francisco's lead and exclude them from public life until they get vaccinated. Public policy can't be based on fringe pseudoscience.
the set of population I mentioned would not agree with your statement «virtually nonexistent individual risk». They may have taken the vaccine, but e.g. would consider it a non-easy choice to decide whether their infant children should be vaccinated (with Pfz/Mod/OAZ/JnJ) - whether the health risk for a child is higher (and how much) after infection vs after vaccine. (I insist: there's no limit towards the top, but they are the smartest I know.)
In fact, by the way, to help solving these theoretical doubts, the source of the damages should be properly defined. I am not informed of a clear, reliable, strong theory about the cause of damages in either (vaccine vs infection) - I have seen different ideas.
I do not know the NY and SF measures, but in general yes, if the unvaccinated represent a somehow higher risk of contagion they should remain proportionally isolated. But not even this proportion of risk seems to me well defined. Recently I found an article stating "The transmission rate for the vaccinated is 30% the normal". That value was the n-th of many other found in these months (and of course, that very statement is sketchy). But only yesterday I met an article that complicated the matter (and the numbers) for a(/the) dominant strain.
Surely, I find it perverse that ideas are spread like: "Health care is part of the social package, so you do as we impose". At this stage, it makes more sense to go along the lines "If you want to drink soda, you will not be treated for diabetes" (example is stretched) - one's freedom of judgement is respected, and there is no weird blackmailing based on terms and conditions imposed. I much prefer the other idea of "Non-vaccinated shall compensate the proportional part (95%?) of the cost of the treatments".
You give the idea of mixing different sets, with «anti-vax people» and «fringe pseudoscience»: you seem to be focussing on the unreasonable positions, disregarding reasonable doubts. Again: you wrote of «virtually nonexistent individual risk», and it that were evident, the set of the reasonable doubts would not exist. Especially as people receive information of adverse events post-vaccine, they have all right to demand clarity on the scope and measure, what and how much - the opposite would be irrational. And this has nothing to do with pseudoscience - on the contrary.
You should very probably note you used a dismissive unsubstantiated statement.
All I see is just another group of folk devils that people feel the need to create to separate out people they don’t like.
So there, our positions are set.
The question always is on which bases discrimination is good and on which bases it is bad. Discrimination based on race, ethnicity, gender, nationality, and other inherent characteristics of people is generally bad. Discrimination based on things like vaccination status is good.
You can't run away from object-level moral arguments. You just can't.
I am very much a moral realist. There are correct and incorrect moral stances.
Now I don't know that they should be implemented, and there would be some unrest, but it would end up working.
Some articles are as old as December, which is before the vaccine was even available, let alone mandated
If we are only to rely on already collected empirical data to make decisions or form opinions we would never be able to hold an opinion when it matters most... before
We don't want vaccinated people constantly catching covid, even if right now the symptoms are mild or nil 99.9% of the time.
As for the other half of your proposition, I can see why it might seem appealingly logical - why should people who refused vaccination be entitled to medical care? - but I think it's ultimately inhumane. You don't know why they're not vaccinated. Maybe they weren't even offered it. Maybe they were in a disadvantaged life situation - there's a suspicious correlation between economic class and vaccination rate. Maybe they were prevented from getting it by oppressive relatives or partners. Maybe they were just being honestly cautious, and badly misjudged the relative risks. It's not fair to condemn people to death for those things.
As to your humanitarian point - this can also be addressed with more nuance. A patient can explain that they are coming from a situation where they couldn’t get vaccinated. I don’t think it’s fair to prioritize the treatment of intentionally unvaccinated Covid patients who believe doctors are a part of a worldwide conspiracy. It’s a difficult ethical question - but we have to answer it nonetheless.
If people delay vaccination in fear of health consequences, of course they will also be extra careful about avoiding contagion.
If people delay vaccination for other sensible, defensible reasons - I cannot guess them. And I do not want to get inside the pit of the "it's all fake" minds. Even today I had to listen to a mate stating that "only the already compromised got killed" - many of "my" dead were very healthy.
do not assume there is one tail only.
Remember that one side is louder than the other: do not be fooled scouting by noise. (Nor do commit fallacies of generalization at rights - responsibility is on the individual.)
Anecdote: you tell me? The day before posting that - which already contained other anecdotes - this nice guy went for a takeaway and an unknown fool, the wrong tail of cheeky, started smiling and fake-coughing - owner reported he did that whenever he saw anyone wearing a mask. Is that the end of the pandemic? Because the nice guy saw the same at the early beginning: fake-coughers at the supermarket, mocking those who seemed to want to stay at a distance. She, almost twenty, kept herself coughing smiling and almost adhesive (well, it's nice guy involved, what else can you do) at the counter. The boyfriend went along but while leaving went "Well, on the other hand, when it's full of people...", in a sudden strike of reason. And nice guy looking and the sky thinking, the are so foolish they do not remotely guess that I kept at a distance especially because I had to attend to business, hours before, in the biggest epicenter city of the epidemic. Now: if society thinks that combating and preventing foolery is not a priority...
edit: To be clear, I don't know what the distribution looks like either, but I'm not assuming the average unvaccinated person takes other precautions. I don't think we can confidently say that.
I did not. I am stating: one can not assume that the set of the unvaccinated who take strong precautions against the infection is negligible. As I wrote, it would be irrational: those who are hesitant about the vaccine for health reasons must also be very wary about being infected - plain logic. Many are are hesitant about the vaccine for health reasons, so they must also be very wary about being infected, if not insane.
I would not call what I have made and again follows 'assumptions': positively both tail exist, that is easy to prove (as above. We do not need to prove the other tail, it is evident and loud). I do not know what benefit is brought by drawing proportions. I am not sure what gain we get by assessing the average.
In fact - but this brings us elsewhere -, I am already extremely diffident towards the opinions of the average. I believe by experience that the distribution also of intellectual resources is in general paretian. I start already by believing that Average Joe and Median Jack "will be a mess". But of course, given that, I also insist that the average and median cannot be representative of the whole.
So, for example, calibrating policies on the median would be a Procuste's bed for the healthy part. "Please open your purse Sir, and let me check your items: the median customer is a shoplifter" - I am very wary of this kind of perspective, I have met it instanced many times in my life. This is also in the area of what I meant with «fallacies of generalization at rights».
Why not also put fat people + diabetics at lower priority? Why is someone killing themselves by being 350lbs and having high-fructose corn syrup blood somehow more forgivable than someone waiting for FDA approval?
Re your response: ICUs are overwhelmed because of Covid patients, not because of fat people with non-Covid conditions.
Most Americans should be more worried about obesity and heart disease than long covid.
You and most people who are skeptical about the coronavirus vaccines share the exact same concern. But it sounds like you want them to be institutionally deprioritized because of theirs.
In a similar way you could argue that questioning the last election is the same as worrying about the destructive rise of far-right rhetoric because both are rooted in the concern for our society. And therefore we should not institutionally ignore those who doubt the legitimacy of the election.
“Both sides” argument is not valid just because there are many people on both sides.
Because if you mean current concerns, and you have the «science and statistics» that debunk such concern, do provide it. Because a lot of hesitants are there, following anecdotal evidence in their close circle and more of post-vaccine damage¹, and data that does not allow for proper computation of risks², and, to say it all, a public rhetoric that does not help owing to oversimplification.
Statistically, I only found data about passive monitoring - it may partially somehow set the minimum expected, but they are easily underestimations. Active monitoring, I have not found anything (I also had raised a thread here for the hunt, at https://news.ycombinator.com/item?id=28034269).
But if you have the credible data, share it - do not assume it is out in the billboards.
¹(what the, in the past 24 hours alone I read on the papers of a local athlete hit with miocarditis, then in a phone call with a friend was told of an acquaintance of his with odd dire damages, and again I read on the papers of a second athlete with miocarditis. This is not aproblematic: this goes rightfully on the table of notions to be dealt with. And beyond the close circle and the credible sources, there are people who wrote around about having been hit by a meteorite a little after the inoculation - less reliable, but more consolidating the presence of the issue than not.)
²Not too many hours ago a divulgative article appeared here on the probability of long covid as "post 12 weeks symptoms": it mentioned three studies, publishing a conservative 2.3% chance, a well-considered 14%, and a broadly encompassing 40%. And one can compute risks reliably with this? And these generic "adverse events" did not even discriminate "nuisance vs impactive vs impairing"!
It is really really important that public policy is based on scientific and other sorts of evidence. This is why the initial refusal of the CDC to back masks was so bad—it wasn't based on the evidence.
When that happens, hospitals fill up, death rates for everything shoot up.
That's the idea of flattening the curve.
When you try to flatten the curve you still need to keep 2-3 weeks of headroom because exponential growth is a bitch.
We'll hopefully get just about there once enough people are vaccinated, but it doesn't take a genius to realize that the lockdown measures were/are intended to prevent an overload of the healthcare system that both sends the covid IFR skyrocketing and also increases deaths and other health complications from other conditions that can no longer receive timely treatment.
This has been played out enough places that it should be obvious. Those who want to just let that scenario play out (with eyes open or otherwise) are clearly in the minority.
Fair enough.
Feel free to substitute the right numbers, but that is the question to be answered.
And that same cost/benefit analysis that should be done for any major problem -- opioid, tobacco, alcohol.
I'm still trying to cope and understand how someone with this kind of job and discipline would think like that.
Are you trying to understand their reasons, or are you digesting the idea that possibly smart and educated people do not share your own conclusions?
By the way: maybe those people you mention are refusing the available vaccines at the present time, for their own reasons.
> refusing the available vaccines at the present time, for their own reasons
So what would they really know about that vaccine if they're not specialized in virology? Does it imply that vaccine was rushed?
I am fully stating that nobody today can be certified as having the definitive-in-effect, infallible judgement machine.
So, when somebody has different ideas, do not dismiss them beyond your own very possibly partial framework. You disagree, stage A, but it is a long process before being able to rightfully state something as wrong, stage Z.
> what would they really know if they're not specialized
Also non mechanical engineers have to drive cars, also non economists have to invest, also non nutritionists have to eat: we judge with what we have. And, also given the first point, no engineer / economist / nutritionist has perfect judgement in engineering, economy, nutrition. One does their own homework to take their decisions, daily, constantly.
> Does it imply
It implies a number of factors that the individual will present according to objective tentative partial data and subjective importance.
> They did not share any conclusion
(Sorry, I did not quite understand what you mean with this statement, though I presumed I understood the rest.)
However, those who end up being negative will have a more balanced viewpoint. ie. maybe I do, maybe I don't, I'll await the results.
It reminds me of that fungus that takes over an ant's brain to help the fungus spread.
Of course my experience is of a small sample set (less than 10 people) and has absolutely no basis in scientific reality. I just found it curious.