Coronavirus: The Hammer and the Dance
What the Next 18 Months Can Look Like, if Leaders Buy Us Time
medium.com
Here's an interesting article on different outcomes based on different coronavirus strategies.
I have the same discussion with my DH, who is all for just letting everyone die that's going to die. As a physician, I disagree. Not only because I'm in the job to keep people healthy and alive, but because there will be wider ramifications. Because it won't just be coronavirus victims. It will also be almost anyone else that needed timely emergency care (heart attacks, strokes, trauma), ICU beds (the list is too long to begin), and even those who just need supportive care and may not get it because resources are limited. Those medical care workers who are overworked and under supplied will, guaranteed, also get sick, and some will die. It takes almost a decade to train up new doctors and get them at least enough experience to be really good. Nurses, slightly less time. I've heard stats anywhere from 14-19% fatality for age 70 and older. That is a HUGE chunk of the population that would disappear, assuming that most older people will eventually be exposed to the virus. We could have 10's of millions of younger adults that survive, but with pulmonary fibrosis, needing medical care and possibly unable to work. What will that do to our economy?
So we have a huge recession/depression. But our health care system survives more or less intact and our population is overall healthier with less long term problems. And we've had time to develop a vaccine or treatment that controls the virus.
There are no good choices here. Just less awful ones.
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I posted this on the
ABD forum. Lots of international travel discussion going on there also. As a physician, I'm starting to get DM's and see posts from friends and friends of friends who are in larger cities and seeing urgent care patients. I'm worried. I work in a small town in a red state, and the general feeling for many people is that all of these is overblown. The vast majority of the medical professionals locally disagree, as we can imagine just how bad it could get. And I just read an article in the NYT's saying that Asia is experiencing a surge in infections as they relax restrictions. Some from people returning to the area, but others are community spread again as people go out and about. Nothing like Italy currently, but without more restrictions, it could easily get that bad.