[HN Gopher] Germany locks down unvaccinated people, as leaders p...
       ___________________________________________________________________
        
       Germany locks down unvaccinated people, as leaders plan to make
       shots compulsory
        
       Author : Tomte
       Score  : 273 points
       Date   : 2021-12-02 15:49 UTC (7 hours ago)
        
 (HTM) web link (www.cnn.com)
 (TXT) w3m dump (www.cnn.com)
        
       | TechBro8615 wrote:
       | I'm confused. I thought vaccinated people can spread the virus.
       | Why are they not locked down too?
        
         | krater23 wrote:
         | Because a lockdown of all people is more unpopular than a
         | lockdown of unvaccinated people. It's election year...
        
         | xiphias2 wrote:
         | Because it's cheaper to vaccinate people than to hospitalize
         | unvaccinated, and hospitals are understaffed everywhere in the
         | world.
        
         | carlhjerpe wrote:
         | Because the risk of transmission is understood to be
         | significantly lower, and since unvaccinated people are more
         | likely to cause the virus to mutate it's in the governments
         | best interest to get people vaccinated, a way of accomplishing
         | this could be making life inconvenient for the uncompliant.
        
           | hncurious wrote:
           | Leaky vaccines can make viruses more virulent, though. See
           | Marek's disease:
           | 
           | https://pubmed.ncbi.nlm.nih.gov/15757475/
        
           | marginalia_nu wrote:
           | > unvaccinated people are more likely to cause the virus to
           | mutate
           | 
           | Maybe I'm missing something, but the vaccinated population is
           | the one that has introduced an additional evolutionary
           | pressure, so wouldn't we expect to see mutations (that affect
           | vaccinated people) in that population? Vaccine tolerance is
           | no advantage in unvaccinated hosts.
        
             | snovv_crash wrote:
             | Every single person who's immune system eradicates the
             | virus causes evolutionary pressure.
             | 
             | If your immune system takes a long time to do this, because
             | eg. you didn't have a vaccine so it hasn't got an antibody
             | template to work from, then the virus has much longer to
             | evolve in the host, under a bunch of weird and wonderful
             | new types of antibodies that get thrown against it.
             | 
             | If there's already vaccine exposure then the body just
             | needs to ramp up the antibody production, which is much
             | faster and will result in total virus eradication to each
             | virus as the antibodies encounter them, not halfway-
             | measures which might leave half-functioning viruses which
             | might self-repair in mutagenic ways.
        
             | mminer237 wrote:
             | It would put pressure to avoid the vaccine. However:
             | 
             | 1. There would be fewer cases compared to unvaccinated
             | people to give it the chance to mutate. It doesn't have any
             | more chance to mutate among vaccinated people. It has less
             | chance. Just a lot of mutations that still look like the
             | current virus will get killed off by antibodies.
             | 
             | 2. Randomly making changes to the spike protein, this
             | virus's most important part, is likely to reduce the
             | virus's danger.
        
             | mlazos wrote:
             | "Evolutionary pressure" doesn't really exist if the virus
             | doesn't get a chance to replicate. The virus is trying to
             | find a mutation which bypasses the vaccine, the more
             | chances it gets the better. This is why people talk about
             | animal reservoirs and immunocompromised individuals. The
             | chance of a beneficial mutation occurring increases the
             | more the virus is able to replicate within an organism. It
             | replicates more in unvaccinated organisms.
        
           | generalizations wrote:
           | > since unvaccinated people are more likely to cause the
           | virus to mutate
           | 
           | We might get more mutations from unvaccinated people, but
           | since the vaccine doesn't prevent transmission we'll get much
           | more virulent mutations from the vaccinated people.
        
             | rbanffy wrote:
             | Hence the need to isolate the unvaccinated, to protect them
             | so they don't get these new breeds and don't make new ones
             | based on them that reinfect the larger population.
        
           | nradov wrote:
           | The current thinking is that new variants are most likely to
           | evolve in immunocompromised patients who experience prolonged
           | infections. While I encourage everyone eligible to get
           | vaccinated, the vaccines aren't very effective in people with
           | malfunctioning immune systems.
           | 
           | https://www.scientificamerican.com/article/covid-variants-
           | ma...
        
             | adamiscool8 wrote:
             | The link references a specific response to remdesivir, but
             | I don't see how the selective pressure isn't the same in
             | the broader case of low-level or asymptomatic illness
             | persisting in a vaccinated person, particularly when
             | they'll be mingling more and taking less precautions.
        
               | angelzen wrote:
               | A paper, while not specifically addressing vaccination in
               | immunocompromised patients, documents pretty clearly the
               | phenomenon of runaway mutation chains in such patients.
               | 
               | https://www.nejm.org/doi/full/10.1056/NEJMsb2104756
               | 
               | Edit: Another piece, specifically addressing
               | immunocompromised + covid + vaccines:
               | 
               | "Studies have shown that immunocompromised people are
               | more vulnerable to being hospitalized or dying from COVID
               | and less likely to develop strong protection from
               | vaccination. But there are also some hopeful signs:
               | additional doses of some COVID vaccines, strategic timing
               | of immunosuppressive treatments and prophylactic COVID
               | treatments may boost protection among some
               | immunocompromised individuals--and restore at least some
               | of the freedoms they have lost."
               | 
               | https://www.scientificamerican.com/article/how-
               | immunocomprom...
        
           | TechBro8615 wrote:
           | Hm, so a vaccine that does not stop transmission does not
           | create selective pressure on the virus? Wouldn't that be
           | unusual from an evolutionary biology standpoint?
           | 
           | Can we at least agree that if infected, as a vaccinated and
           | asymptomatic carrier, there is a higher chance of
           | transmission than if I were unvaccinated and symptomatic?
           | This seems like common sense to me, but I recognize it goes
           | against the Covid orthodoxy.
           | 
           | Also, when you say "inconvenient," what do you mean exactly?
           | To me, total restriction on movement and segregation from
           | society based on medical status seems like more than an
           | inconvenience. Maybe I'm just an anti-vaxxer, a victim of
           | misinformation... if only I could think for myself.
        
             | mlazos wrote:
             | Your assertion about transmission is definitely not proven.
             | It all comes down to an expected value. An unvaccinated
             | symptomatic individual will shed a lot more virus than a
             | vaccinated asymptomatic one. It would probably take fewer
             | encounters to infect someone else than in the vaccinated
             | case. So although an asymptomatic vaxed person might be out
             | and about more, the lower viral shedding could possibly
             | account for that we don't know. Also you're overestimating
             | the intelligence of the average person, symptomatic people
             | do stupid shit all the time [0]. This couple probably
             | infected way more people than an asymptomatic vaxed person.
             | Again not proven.
             | 
             | [0]
             | https://www.washingtonpost.com/nation/2020/12/03/hawaii-
             | coup...
        
               | [deleted]
        
             | carlhjerpe wrote:
             | The point is vaccinating everyone, just like we did with
             | Smallpox. Which is essentially dead because of vaccination.
        
               | _Understated_ wrote:
               | > The point is vaccinating everyone, just like we did
               | with Smallpox. Which is essentially dead because of
               | vaccination.
               | 
               | It has been shown time and again that the covid jag does
               | not prevent infection/re-infection/transmission so your
               | talk of eradication smacks of propaganda, not science.
        
               | tehjoker wrote:
               | Other countries with Zero COVID policies have been
               | successful at suppressing the virus to extremely low
               | levels. Their citizens laugh at us on social media.
               | 
               | At extremely low levels, we can begin to contemplate
               | elimination/eradication.
        
               | TheGigaChad wrote:
               | I laugh at you because you are a retard.
        
               | yuubi wrote:
               | And time and again the smallpox vaccine also failed to
               | protect.
               | 
               | > Historically, the vaccine has been effective in
               | preventing smallpox infection in 95% of those vaccinated.
               | -- https://www.cdc.gov/smallpox/vaccine-basics/index.html
               | 
               | (Other sources have numbers from about 90% to 97%).
               | However, this imperfect protection, in enough people, was
               | enough to do the job.
        
               | mythrwy wrote:
               | This is an entirely different situation then smallpox
               | though. The modes of action are not the same.
        
               | TechBro8615 wrote:
               | Also, the CFR of smallpox is 95%.
        
               | nradov wrote:
               | While I encourage everyone eligible to get vaccinated,
               | you're not making a valid comparison. We were able to
               | effectively eradicate smallpox (except for a few lab
               | samples) because the vaccines are highly sterilizing and
               | there were no animal reservoirs.
               | 
               | That situation doesn't obtain with SARS-CoV-2. The
               | vaccines are pretty good at preventing deaths but don't
               | reliably prevent infection or transmission. And most
               | mammal species can transmit the virus; cases have been
               | confirmed in dogs, cats, minks, deer, tigers, etc.
        
               | codemonkey-zeta wrote:
               | > there were no animal reservoirs
               | 
               | This is a fact vaccine-zealots never address (I am double
               | vaccinated by the way).
               | 
               | If the end game is 100% vaccination in human population
               | (including the enormous unvaccinated reservoir of the
               | developing world, since the rate in those countries is
               | often single-digit percentages) we will _still_ get novel
               | variants which bypass the latest vaccines. Are we really
               | supposed to forcibly administer vaccines every n-months
               | to the entire human population for the rest of eternity?
               | It seems utterly absurd.
               | 
               | I don't see why the "just build more hospitals" commenter
               | was down-voted/flagged in this thread. It at least seems
               | more economically viable. Mobilize the national guard to
               | do it if it comes to that. Treating those who develop
               | covid seems a way better route than attempting the futile
               | game of "prevention" via a vaccine regime.
               | 
               | We will never get to Covid eradication. It's just not
               | possible. Yet, most of my vaccinated compatriots seem to
               | buy into that delusion.
        
               | koolba wrote:
               | > (I am double vaccinated by the way).
               | 
               | It's sad that " _I 'm vaccinated..._" became the 2021
               | version of, " _I 'm not a racist..._".
        
               | mminer237 wrote:
               | The rates of animal transmission are very low. If we
               | eliminate it in humans, it's unlikely that the virus
               | could sustain itself in animal populations and unlikely
               | to reinfect the already-vaccinated humans.
        
               | codemonkey-zeta wrote:
               | Judging by the fact that the whole pandemic was
               | ostensibly started by an animal->human transmission, I'm
               | highly skeptical of your claim.
        
               | bigodbiel wrote:
               | We were setting field hospitals last year left and right
               | in anticipation, most, luckily went unused. I don't
               | understand why can't this be repeated, heck implement a
               | protocol for quick deployment of few but massive such
               | facilities and let economy of scale take over.
        
               | phonypc wrote:
               | Smallpox vaccines were not "highly sterilizing."
               | 
               | https://twitter.com/santiagokique/status/1465014078938628
               | 099
        
               | _-david-_ wrote:
               | Are there any vaccines that are actually 100%
               | sterilizing?
        
             | csee wrote:
             | Vaccines probably reduce the chance of a new variant.
             | 
             | A lower viral load means a lower probability of a mutation
             | happening, given that the number of mutations is
             | proportional to the load over time.
             | 
             | There's some small chance that the opposite is true, and
             | vaccines will mean deadly strains are more easily spread
             | since the person is more likely to be asymptomatic or low-
             | symptoms and will therefore not isolate.
             | 
             | But on net we expect vaccines to prevent variants.
        
           | nazinazinazi wrote:
           | Actually the vaccines themselves are causing the variants.
           | 
           | The more you know! :)
        
         | Arnt wrote:
         | Vaccinated people can spread the virus. However, if everyone in
         | .de were vaccinated the R value would be somewhat below 1. It
         | wouldn't be zero, because vaccinated people can spread the
         | virus, but 1 is a critical threshold.
        
           | peteradio wrote:
           | If you would have said 1 year ago, everyone will need this
           | vaccine to reduce R below 1 you would have been laughed out
           | of the room. What kind of shitty vaccine requires literally
           | everyone to get it? Now good thing that wasn't the approach.
           | Instead we said, "these vaccines kick ass" and walked that
           | line back every day to buy compliance one person at a time.
           | Good look. Good luck. Not sure how people can live with the
           | cognitive dissonance of being obviously lied to "for the
           | greater good".
        
             | snovv_crash wrote:
             | Note how all of the variants which health authorities said
             | just needed a reasonably high vaccine rate are now
             | effectively eradicated. It is only the new 'delta' (and
             | upcoming 'omicron') that remain, and these are known to
             | have much lower vaccine efficacy.
        
             | Arnt wrote:
             | Go on, laugh me out of the room, laugh whoever you want out
             | of the room, the virus doesn't care how much or how little
             | you laugh.
        
               | peteradio wrote:
               | I'm not laughing at all. The politicians who brokered
               | this steaming pile lied about its efficacy to get the
               | foot in the door.
        
               | [deleted]
        
               | Arnt wrote:
               | Several of the common diseases require more than 90%
               | vaccine coverage to get herd immunity. Is there any
               | particular reason why this vaccine shouldn't?
               | 
               | I've seen early estimates of less than that, but feh. An
               | estimate from well before the vaccines are in production
               | wasn't going to be accurate.
        
               | angelzen wrote:
               | The argument is that herd immunity for covid cannot be
               | attained via vaccines. Not even 100% vaccination.
               | 
               | The comparison with measles, another contagious airborne
               | disease, is instructive. The threshold for herd immunity
               | is estimated at 94%. This is possible because the vaccine
               | effectiveness against infection is also 93-97%.
               | Unfortunately covid vaccines have waning effectiveness
               | against infection, estimated at about 50% after 6 months,
               | and possibly waning even further.
               | 
               | "Five reasons why COVID herd immunity is probably
               | impossible"
               | 
               | https://www.nature.com/articles/d41586-021-00728-2
               | 
               | "For example, the measles is a highly contagious illness.
               | It's estimated that 94% of the population must be immune
               | to interrupt the chain of transmission."
               | 
               | https://www.mayoclinic.org/diseases-
               | conditions/coronavirus/i...
               | 
               | "One dose of MMR vaccine is 93% effective against
               | measles, 78% effective against mumps, and 97% effective
               | against rubella. Two doses of MMR vaccine are 97%
               | effective against measles and 88% effective against
               | mumps."
               | 
               | https://www.cdc.gov/vaccines/vpd/mmr/public/index.html
               | 
               | "Effectiveness against infections declined from 88% (95%
               | CI 86-89) during the first month after full vaccination
               | to 47% (43-51) after 5 months."
               | 
               | https://www.thelancet.com/journals/lancet/article/PIIS014
               | 0-6...
        
               | briandon wrote:
               | Gibraltar was 140%+ vaccinated and that wasn't enough to
               | save Christmas there.
               | 
               | https://news.yahoo.com/gibraltar-cancels-official-
               | christmas-...
        
               | the_mar wrote:
               | I thought we already knew that two shots give you 6
               | months of immunity, assuming people with boosters are the
               | 39.5%, wouldn't the 60.5% be just as susceptible
        
               | crooked-v wrote:
               | Gibraltar's economy is tourism- and travel-centric. Just
               | using the population of people who live there full-time
               | doesn't capture anything about the disease spread or
               | vaccinations with temporary visitors (upwards of five
               | million per year).
        
             | detaro wrote:
             | Changing data and changing virus variants doesn't mean you
             | were "obviously lied to".
        
               | peteradio wrote:
               | Coronaviruses have long been known to have this behavior.
        
               | nickysielicki wrote:
               | A bias towards very positive claims in the presence of
               | little data does, though. All of our expectations around
               | covid would have benefitted from the health agencies
               | being capable of communicating what they know for certain
               | and what they don't, but unfortunately they decided to
               | make strong claims in the hopes of getting strong
               | compliance.
        
               | detaro wrote:
               | To a degree, but I've also found that people love to
               | ignore caveats that are presented, or never look at more
               | than the headline version. The amount of times you hear
               | "but risk X is never mentioned" when it actually is
               | clearly addressed in the source statements or "but the
               | data shows Y" but it comes with a list of reasons why
               | it's limited is mindboggling. (and to be fair, lots of
               | media sucks at putting that stuff in context too)
               | 
               | Alternatively, lots of shouting because health
               | authorities are make sooo confusing statements and refuse
               | to give 100% clear cut answers.
        
             | chinathrow wrote:
             | What are you talking about?
             | 
             | The vaccines have shown to slow down infection rates and
             | avoid many many hispitalisations and death.
             | 
             | So yes, getting vaxxed helps the graeter good.
             | 
             | Good luck to you getting a ICU bed now if you have an
             | accident or a stroke or heart issues.
        
               | Clubber wrote:
               | >Good luck to you getting a ICU bed now if you have an
               | accident or a stroke or heart issues.
               | 
               | They don't put covid patients in the same ward as other
               | ICU beds for obvious reasons.
        
               | detaro wrote:
               | Where covid patients fill the capacity, there are no
               | "non-covid" wards anymore, because no ICU turns a patient
               | needing it now away to "reserve space" for some potential
               | future patient.
        
               | Clubber wrote:
               | >Where covid patients fill the capacity, there are no
               | "non-covid" wards anymore
               | 
               | Is that happening anywhere now? I mean, got links? I'm
               | generously curious. There's a lot of fear mongering going
               | around.
               | 
               | https://www.washingtonpost.com/opinions/2021/09/09/bogus-
               | okl...
               | 
               | This has been going on for nearly two years and
               | governments were unwilling or unable to increase capacity
               | in any meaningful way? What a total failure of government
               | / medical system if this is true. The Spanish Flu lasted
               | 3 years, it's not like we don't have a fairly recent
               | example of how long this would probably last.
        
               | detaro wrote:
               | I realized the wording wasn't good, so just to clarify:
               | "fill the capacity" should be read as "fill up the
               | remaining capacity", not "fill the entire capacity"
               | (that's indeed quite unlikely, simply because of non-
               | covid baseload that will be around). Point remains: a
               | covid patient doesn't get turned away just because a
               | potential car crash victim might need the bed later (and
               | vice-versa), as far as I know there's no reserved non-
               | covid spaces, if there's more covid patients more parts
               | of the ICU get run under covid protocols.
               | 
               | Part of the problem with ICU capacity is that is has to
               | be local: for many things, "an hours drive further away
               | than normal" is annoying but solvable, if you need an ICU
               | _now_ it 's a problem. Bottom-right here is a district-
               | level map of Germany, showing free capacity:
               | https://www.intensivregister.de/#/aktuelle-
               | lage/kartenansich... (there's some arguing how precise
               | that data actually is, in both directions - for starters
               | its only updated once a day afaik). Plenty places where
               | e.g. transporting a few people from a car crash gets
               | challenging. There's also pretty drastic
               | statements/protests from the emergency departments and
               | people working there, so yes, this currently sadly is an
               | issue in some regions and the threat of it becoming worse
               | is what finally caused some things to happen (after way
               | to long of German politics wanting to deal with anything
               | but this, despite it being long-predicted by the health
               | authorities - it's extremely frustrating because it's
               | been kind of obvious for weeks that something will have
               | to happen at some point, the earlier the better for
               | everyone).
               | 
               | Something that would be interesting data-wise would be
               | deaths during or waiting for transportation - one would
               | expect an increase, but I'm not sure if there even is
               | baseline data available, given rules around who is
               | allowed to pronounce death and how it is recorded.
        
               | peteradio wrote:
               | I assume you read the comment I'm responding advocating
               | for 100% vaccine rates to drop transmission rates below
               | R0 1. If politicians (aka "Science Advisors") claimed
               | this was the requirement from the git go it would have
               | been an obvious non-starter.
        
               | Arnt wrote:
               | I'm afraid you may have misunderstood. I stated that R
               | would be <1 if vaccination were at 100%, not that the
               | threshold is between 99% and 100%.
               | 
               | The virus decides how much is needed, we don't.
        
             | crooked-v wrote:
             | 1 year ago, we thought that people would actually get
             | vaccinated at a reasonable rate, instead of dragging their
             | feet long enough for multiple more-infectious variants to
             | appear.
        
               | commandlinefan wrote:
               | 1 year ago, the medical establishment was saying that
               | it's impossible to develop a vaccine for a new virus in
               | just a year, so don't even think about seeing a vaccine
               | anytime soon... leading people with halfway-decent
               | memories scratching their heads about how the heck _this_
               | vaccine was actually developed and getting _really_
               | suspicious when it doesn 't behave like a vaccine at all
               | in that it doesn't prevent you from getting or spreading
               | the disease. And has rare but serious side effects.
        
               | crooked-v wrote:
               | > how the heck this vaccine was actually developed
               | 
               | mRNA vaccines for coronaviruses have been in progress
               | since the 70s. This just happens to be when they finally
               | got to the point of being production-ready. It's a useful
               | coincidence, but without it mRNA vaccines for
               | coronaviruses would have been showing up in the near
               | future anyway (at a slower rate without all the emergency
               | COVID funding).
               | 
               | > doesn't behave like a vaccine at all
               | 
               | Sterilizing immunity isn't an inherent property of
               | vaccines.
               | 
               | > And has rare but serious side effects.
               | 
               | All vaccines do that, and as with all widely-used
               | vaccines the rate of side effects is much, much lower
               | than the rate of side effects from the actual disease.
        
               | _-david-_ wrote:
               | We were also told if we got the shot we would be done
               | with it. Now we need boosters, potentially indefinitely.
        
           | nradov wrote:
           | Do you have a citation for that? I haven't seen any high
           | quality studies which directly compare long term R0 for
           | vaccinated and unvaccinated populations. While I encourage
           | everyone eligible to protect themselves by getting
           | vaccinated, it seems to have only a limited and temporary
           | effect on reducing transmission.
           | 
           | https://www.haaretz.com/israel-news/experts-vaccine-
           | immunity...
        
             | Arnt wrote:
             | https://www.medrxiv.org/content/10.1101/2021.10.14.21264959
             | v... and... can't find the other just now. Note that
             | population-based studies will find different results, AIUI
             | mostly because of the birthday paradox.
        
         | periheli0n wrote:
         | Because they are less likely to get hospitalised and flood the
         | country's intensive care wards.
        
         | globalise83 wrote:
         | 1. incentive - if everyone is locked down, there is no
         | incentive to get vaccinated. 2. lack of contribution to
         | hospital admissions - although some vaccinated people do get
         | ill, once the elderly are boosted voluntarily the burden of
         | this segment will be very low 3. credibility - the government
         | promised and I quote "vaccination is the way back to
         | normality". If they break this promise, they lose future
         | credibility.
        
         | [deleted]
        
         | vkou wrote:
         | Sober people sometimes cause car crashes, but that in itself is
         | a pretty poor reason to permit drunk driving.
         | 
         | I'll also point out that simply driving under the influence is
         | a crime, even if you don't actually cause an accident. The
         | statistical propensity of impaired drivers to cause accidents
         | is sufficient cause to imprison people for this sort of thing.
        
         | Broken_Hippo wrote:
         | You should concentrate on the "can". Vaccinated folks are less
         | likely to develop Covid in the first place, and as such, aren't
         | as likely to spread it. And if they do develop it, it is less
         | likely to be serious and require hospitalisation. This keeps us
         | from having to decide who in the hospital lives or dies and
         | takes the stress of of the medical system, workplaces, and
         | families.
        
       | sto_hristo wrote:
       | The sooner common stupidity is penalized, the better. Then you
       | wouldn't need to worry about anti vaxers and compulsory shots.
        
       | acd wrote:
       | Its a global pandemic where a small percentage follow antiwax
       | conspiracy. I mean an iduvidual choice might endanger others.
       | Thus its induvidual choice versus the good for the masses.
        
         | vibrato2 wrote:
         | How does it endanger others when both populations transmit the
         | virus, what may be equally
        
       | hogFeast wrote:
       | Would love to see stats on what parts of society this is going to
       | impact? In the UK, the govt would have had to produce stats on
       | the impact on minority groups. Based on what is happening on
       | other countries, this looks like an outright assault on the poor,
       | disabled, and recent migrants. History tends to repeat...perhaps
       | the unvaccinated should be forced to wear badges? To protect the
       | vaccinated ofc.
       | 
       | I am in the UK, in a part of the UK that has a badly
       | malfunctioning health service. Waiting time for ambulance two
       | weeks ago was twenty minutes (and that was just travel time), no
       | issues at ICU (not for me, it was a relative the ICU was
       | precautionary), no issues getting a bed...strangely, the
       | experience was much better than the pre-Covid...significantly so.
       | Germany has the same vaccination rate, Germany has a better
       | health service...it is strange. No-one places any value on their
       | freedom because it is something that is freely given to everyone
       | today, our ancestors shed blood for it but we didn't...is this
       | worth it? It is a huge change in freedoms for something that is
       | unlikely to change things (I am not sure how this kind of thing
       | is legal, if it is legal for a govt to essentially quarantine
       | citizens in their own home if they refuse to have a medical
       | procedure...that is alarming).
        
       | nzk wrote:
       | What we're seeing here is one of the wealthiest countries in the
       | world with a population of > 80M people crumbling over a few
       | thousand ICU patients because of long-standing issues that were
       | never addressed.
       | 
       | The staffing problems in hospitals (and nursing homes) have
       | existed much longer than Covid. I heard a lot about them myself
       | when I did my FSJ (volunteer work) back in 2004, and it's only
       | gotten worse since then. Our government is in full CYA mode, and
       | doing everything they can to blame a scapegoat for problems they
       | themselves have willingly created over decades. It's despicable,
       | and nobody should support it.
       | 
       | FSJ is a year-long volunteer program for young people typically
       | organized and funded by NGOs like the Red Cross and similar. I
       | worked with small children, plenty of the other volunteers I met
       | regularly worked in hospitals and nursing homes. They all talked
       | at length about how atrocious the working conditions were and how
       | they were asked to do things they weren't legally allowed to
       | (e.g. taking blood, handing out medication) because the staff
       | shortages were severe enough that people didn't have enough time
       | to adhere to very reasonable safety rules anymore. That was 17
       | years ago.
       | 
       | This is a well known, widely publicized[0] and not at all new
       | problem, and the unvaccinated are not to blame for it. Let me
       | repeat, we're talking about one of the wealthiest countries in
       | the world with a population of 83M people crumbling over a few
       | thousand ICU patients.
       | 
       | [0]Some random articles from 2018/19 (German):
       | 
       | https://gesundheit-soziales.verdi.de/themen/mehr-personal/++...
       | 
       | https://www.tagesspiegel.de/politik/wenn-aus-notstand-panik-...
       | 
       | https://www.zeit.de/politik/deutschland/2018-05/pflegenotsta...
       | 
       | https://www.rbb-online.de/kontraste/ueber_den_tag_hinaus/bil...
        
         | skyde wrote:
         | USA is probably the country with the highest cost for an
         | hospital visit. I am sure the hospital are able to afford
         | hiring more staff :)
        
         | joshuamorton wrote:
         | Germany has "only a few thousand" ICU beds (and while this nber
         | has trended downward over time, it was never more than 10,000).
         | It's misleading to not phrase this as a percentage, which is
         | something like a sudden 50%+ spike in need for ICU capacity.
         | 
         | Of course that will overwhelm the system.
         | 
         | (Also paradoxically, an improved healthcare system should need
         | fewer ICU beds, so the decrease is probably a good thing)
        
         | _moof wrote:
         | Thanks for the insight. I'm curious; is the problem staffing,
         | "beds" (which I assume means actual physical beds, or is this a
         | term of art?), or a combination?
         | 
         | Also curious how one squares the resource constraint issue with
         | the exceptional nature of the events of the past couple years.
         | What I mean is, did anyone think it made sense to massively
         | increase capacity before the pandemic began? I'm not in health
         | care so I don't have any special insight here; i.e. I'm asking,
         | not challenging. From an outsider's perspective it seems like
         | it would've been a tough sell to advocate for what was, in the
         | "before times," an unnecessary increase in capacity.
        
           | fileeditview wrote:
           | It's staffing. See my other comment. Germany lost > 4000 ICU
           | beds during the past year.
        
             | arrrg wrote:
             | Could you source that claim?
             | 
             | I'm comparing the numbers from the DIVI registry:
             | 
             | 2020-12-02: https://edoc.rki.de/handle/176904/7522
             | 2021-12-02: https://edoc.rki.de/handle/176904/9047
             | 
             | I'm getting 24,949 beds for today, 27,543 as the year ago
             | number (in both cases including a couple thousand ICU beds
             | for kids which were later split out in the more current
             | DIVI reports since ICU beds for kids aren't helpful for
             | this pandemic).
             | 
             | That's a difference of 2,594.
             | 
             | Also, as the DIVI themselves explain: "Consequently,
             | several factors play a role in influencing the number of
             | beds that can be operated. A deliberate reduction of beds
             | during the pandemic cannot be assumed. The reduction in
             | available beds can be explained by the various points
             | mentioned above, among others, and is supported by other
             | data collected. The decisive factor for the operability of
             | a bed is the medical staff."
             | 
             | This is under a FAQ entry where they list five different
             | reasons for the reduction in capacity: https://www.intensiv
             | register.de/#/faq/18af7107-e098-43e7-a9f...
             | 
             | Staff themselves being affected by COVID-19 and becoming
             | unable to work is just one of them.
             | 
             | The others are changes in how much staff is allocated per
             | patient (this was increased), hospitals being more precise
             | in their reporting and only reporting beds that can
             | actually be staffed, changes in the criteria for a bed to
             | be actually countable and the high effort ICU therapy of
             | COVID-19 patients requires.
        
               | fileeditview wrote:
               | So I had this number from the (reputable) news but I
               | googled it and found e.g. the Arzteblatt as a source: htt
               | ps://www.aerzteblatt.de/nachrichten/128476/Intensivmedizi
               | ... (German)
               | 
               | TBH I would not be surprised if the actually don't know
               | the exact numbers. But even if it's "only" 2594 it's
               | still too many.
               | 
               | You could call it deliberate however if the working
               | conditions for people under such heavy load are not
               | improved.
        
           | crooked-v wrote:
           | "Beds" means "staffed beds", not just physical places to put
           | patients. It's a combination of facilities and staffing.
        
             | _moof wrote:
             | Thanks for the clarification. (I'm a little surprised I
             | haven't seen this spelled out before, considering how much
             | ink has been spilled over this issue, but I digress.)
        
           | Tomte wrote:
           | Staffing, mostly. There are a lot of "beds" still available,
           | just nobody to tend to them.
           | 
           | But another thing that always gets scrambled in the
           | newspapers is the "level" of ICU beds.
           | 
           | The ICU at my town's hospital (and it's not small) has
           | patients that would lie in a normal station at a big
           | university hospital.
           | 
           | ICU bed != ICU bed. In smaller hospitals, ICU means "post-op,
           | needs surveillance" or "gets oxygen".
           | 
           | At a large hospital ICU means "ECMO" or similarly severe
           | conditions.
           | 
           | So when you're reading that there are x thousand ICU beds
           | still available in the country: most are not really up to the
           | task when it comes to a severe covid case, and furthermore,
           | an ICU bed at the other end of the country doesn't help you
           | much.
        
         | bellyfullofbac wrote:
         | Analog phone networks break down (you get no dialtone) if
         | everyone in the service area picked up their handset and want
         | to dial-out, they have much fewer lines than handsets, because
         | they calculated what capacity they might need (how many calls
         | would be ongoing at one time) and just have that many lines,
         | plus maybe a safety margin.
         | 
         | I'm guessing it's the same with ICU beds... And now we have a
         | situation where a high percentage of people have picked up
         | their handsets...
        
           | krater23 wrote:
           | Yes, but do you really think we should manage our health
           | system like a windy cell phone network provider? By the way,
           | the cell phone networks and internet connections in Germany
           | are on the level of some 3rd world countries.
        
         | fileeditview wrote:
         | So true and not mentioned enough by the media. The fact that we
         | lost more than 4000 ICU beds over last year (during the Corona
         | pandemic!!) because of personnel shortage is mind-boggling.
         | 
         | Instead of rewarding those who worked these horrible jobs and
         | maybe attract new workers with better conditions (e.g. more
         | holidays), better pay or tax reduction, our politicians did
         | campaigning and ignored the upcoming winter.
         | 
         | Now they blame it on the unvaccinated and want to force high-
         | speed vaccinating as many people as possible. But it won't help
         | now. And it won't work either because they also messed up the
         | whole vaccine supply chain.
         | 
         | I have long lost all hope in politicians. 99% of them are
         | ridiculous creatures without a spine and only interested in
         | their own progress.
        
           | crooked-v wrote:
           | With exponential spread, the actual number of ICU beds really
           | doesn't matter, because whatever you've got will be
           | overwhelmed across a similar timeframe anyway. The only way
           | to actually fix the problem is to get the R-value below 1,
           | which requires mass vaccinations.
        
             | krater23 wrote:
             | Not the only way. What is with the north korean way? Just
             | shot anyone that has covid?
        
             | WinstonSmith84 wrote:
             | wrong - many countries kept everything opened and the curve
             | subsided after a while. It doesn't go to the infinite.
        
             | angelzen wrote:
             | As of 12/02/2012, Robert Koch Institute, roughly the German
             | CDC, estimates 7-day R-value at 0.92
             | 
             | https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronaviru
             | s...
             | 
             | Index page: https://www.rki.de/DE/Content/InfAZ/N/Neuartige
             | s_Coronavirus...
        
             | marton78 wrote:
             | The spectre of exponential spread is summoned way too
             | often. Yes, an epidemic spreads exponentially when it
             | starts, but also it's self limiting after a while. The 4th
             | wave is wearing of already. Every wave so far has worn off
             | in every country, with our without measures. As a recent
             | example, compare Latvia and Estonia in the past few months.
             | The former imposed strict measures, while the latter
             | didn't, and yet the two curves match very closely.
        
               | fileeditview wrote:
               | Mankind has a tendency to not accept what it cannot
               | control. Our politicians and virologists often said
               | something along the lines: "we need to do X to keep
               | control of the situation".
               | 
               | In the end we never were in control of the situation but
               | people cannot accept that.
        
               | krater23 wrote:
               | During the complete pandemic I never heared a so good
               | fiting wise word like this.
        
               | spookthesunset wrote:
               | Most of the measures we took were nothing more than
               | modern day rain dances. Feeble attempts by humans
               | arrogant enough to think they could defeat or control a
               | natural phenomenon that is well beyond ours to control.
        
               | teeray wrote:
               | Yep... "There's nothing we can do" is just flatly
               | unacceptable to the majority of the population. That's
               | when religion gets invented to create rituals to ward
               | away evil.
        
               | cblconfederate wrote:
               | self-limiting by death?
        
               | Zanfa wrote:
               | Estonia re-imposed strict measures as well because the
               | ICU was becoming overwhelmed. This means mandatory masks
               | everywhere, no public activities without proof of
               | vaccination (restaurants, gyms etc) and limits on opening
               | hours and strong police enforcement of these rules.
               | 
               | The wave started leveling off about 2 weeks after and the
               | rules are still in force.
               | 
               | Not sure where you got your information.
        
               | uniqueuid wrote:
               | Why are you so certain that the fourth wave is leveling
               | off?
        
             | 2-718-281-828 wrote:
             | not true - infection rate grows sigmoidal and not
             | exponential. that's why at the moment you can observe a
             | stabilization despite few changes in regulation as of now
             | compared to the summer. infection spread saturates
             | periodically after suceptible clusters are depleted.
             | 
             | what would make sense is a steady and controlled
             | Durchseuchung with specific protection of vulnerable people
             | (like old and sick) - b/c the best immunity is gained by
             | infection.
             | 
             | but Durchseuchung never sounded good - that's why that term
             | got so popular. it sounds ugly and brutal. but it's what
             | was happening all the time with many diseases in the past
             | thousands of years.
        
               | 13415 wrote:
               | That's a bit misleading. As long as the R value is above
               | 1 the spreading _is_ exponential. That follows directly
               | from how the R-value is defined. What you mean is that
               | the curve will take a sigmoidal shape for a while once
               | the number of immune people has reached a certain
               | threshold. In that case, the R-value is slowly
               | approaching 1 again, and finally will go below 1 (which
               | finally results in a curve that is not sigmoidal, of
               | course). Other measures like lockdowns do the same to the
               | curve, as is easy to observe by overlaying the measures
               | over the curve, just not with an initial increase of
               | cases that leads to hundreds of thousands of deaths.
               | Estimated _Infection Fatality Rates_ during the first
               | Covid wave - where there was full hospital care available
               | - ranged from 0.5% to 2%. So for Germany 's 80M people
               | that would be in the ballpark of 400,000 to 1.6M deaths -
               | under medical care. Even if you take the original
               | estimates of around 0.3% the results wouldn't have been
               | flattering.
               | 
               | In a nutshell, the German government and every other
               | country on earth is doing what you propose, except that
               | they are vaccinating at the same time and try to keep the
               | curves flat (but your use of "slow" also suggests this,
               | so it's not clear what else you're suggesting).
        
               | crooked-v wrote:
               | > b/c the best immunity is gained by infection
               | 
               | That doesn't help if you die of the infection first, and
               | COVID is extremely lethal among the demographics that
               | most need the direct benefits of immunity.
        
               | gattilorenz wrote:
               | > the best immunity is gained by infection.
               | 
               | Source? I think there's plenty of peer-reviewed
               | scientific articles claiming the opposite.
        
           | oezi wrote:
           | It is mentioned enough by the media. Thank you.
           | 
           | But it seems strange to realize that people don't want to do
           | a job where you have to watch people die like flies over the
           | course of two to three weeks. No money in the world makes
           | that acceptable for many.
           | 
           | With the availability of the vaccines (at least in the
           | developed world) this has become a pandemic of the uninformed
           | know-it-alls ("Querdenker" = Crooked thinker, as they are
           | call here). If you work on an ICU to rescue people that tell
           | you that this is all a scam by the Pharma-Industrial Complex,
           | you would want to quit.
           | 
           | It is not the media's fault where we are now, nor are the
           | politicians (entirely) to blame. At least half the blame
           | should be frankly put on social media disinformation and the
           | usual tabloid press (Springer/Bild) that fabricate Fox-News
           | style lies.
        
           | _moof wrote:
           | I might be working from old info here but my understanding is
           | that vaccination reduces the ICU burden. Assuming that's
           | still good info, is it _totally_ unreasonable to blame the
           | unvaccinated for ICU overload?
        
             | makomk wrote:
             | Vaccination does reduce the proportion of people that need
             | ICU beds, but there are pretty rapid diminishing returns on
             | just vaccinating more; countries have reached the point
             | where the majority of Covid patients in their ICUs are
             | vaccinated at well below 100% vaccination. Also,
             | vaccinating younger lower-risk people doesn't help because
             | they're at substantially lower risk of needing the ICU even
             | unvaccinated than someone older or higher-risk who is
             | vaccinated and because the vaccines aren't really useful to
             | stop the spread of the disease either. Countries have
             | generally had significantly higher vaccine acceptance
             | amongst older people who need it more. (Though I think one
             | of the big problems Germany has is their vaccine uptake
             | amongst the elderly is somewhat low compared to other
             | countries.)
        
               | smnrchrds wrote:
               | Right now in my province, unvaccinated individuals make
               | up 11.2% of 12+ population but more than 66% of
               | hospitalizations. I don't expect the ICU rates to be more
               | favourable to the unvaccianted than total hospitalization
               | rates. If there is a point of rapid diminishing returns,
               | it is not at ~90% yet.
               | 
               | https://www.alberta.ca/stats/covid-19-alberta-
               | statistics.htm...
        
               | pigeonhole123 wrote:
               | Are they hospitalized for Covid or all reasons?
        
               | smnrchrds wrote:
               | These are only COVID stats.
        
               | Pyramus wrote:
               | > countries have reached the point where the majority of
               | Covid patients in their ICUs are vaccinated at well below
               | 100% vaccination.
               | 
               | Which countries are you talking about? It's certainly not
               | the case for Germany, and I don't know any other European
               | country for which this would be the case.
        
               | microtherion wrote:
               | > countries have reached the point where the majority of
               | Covid patients in their ICUs are vaccinated at well below
               | 100% vaccination
               | 
               | Which countries? I find it hard to get data at
               | vaccination prevalence in ICU population specifically,
               | but in Switzerland, the figures I see cited is 60-70% of
               | patients unvaccinated (With 90% of 80%+ year olds in the
               | population being double vaccinated).
        
               | kgwgk wrote:
               | > in Switzerland, the figures I see cited is 60-70% of
               | patients unvaccinated (With 90% of 80%+ year olds in the
               | population being double vaccinated)
               | 
               | For the 80+ group the latest data for hospitalisations is
               | 47% vaccinated, 31% non-vaccinated, 22% unkown.
               | 
               | https://www.covid19.admin.ch/en/vaccination/status
        
               | martneumann wrote:
               | Well yeah, for 80+ with a vaccination rate of 92 %.
               | 
               | If you look at the total value, it appears that only 11 %
               | of hospitalized are double vaccinated, though the latest
               | seven day average puts that number at 27 %.
        
               | kgwgk wrote:
               | I was just giving a number consistent with the 80+
               | vaccination rate quoted.
               | 
               | For the broad population is 28% vaccinated vs 57% non-
               | vaccinated. The remaining 15% is "unknown". But
               | Switzerland has a relatively low vaccination rate at 67%.
               | 
               | Edit: looking at deaths instead of hospitalisations in
               | the broad population:                 Fully-vaccinated
               | 46%, partially-vaccinated 2%       Non-vaccinated 41%
               | Unknown 12%
        
               | microtherion wrote:
               | Yes, those are the numbers for _hospitalizations_ in
               | general, but the higher percentages I've been seeing (and
               | for which I've been unsuccessful finding official
               | documentation) are for _ICU_ patients specifically.
        
               | kgwgk wrote:
               | But they were not for 80+ patients specifically, or were
               | they?
               | 
               | Edit: I can't find ICU numbers but the latest death stats
               | for 80+ are 46% vaccinated, 33% non-vaccinated, 21%
               | unknown.
        
             | throwntoday wrote:
             | Yes because no effort was made to increase ICU capacity
             | which was continues to be the biggest issue
        
               | fabian2k wrote:
               | No, that isn't the biggest issue. The ICU is the last
               | resort, it's the point where we throw incredible amounts
               | of effort and hardware at the problem to gain a chance of
               | still saving them. And even then 50% still die, and
               | others likely will have permanent damage from the severe
               | course of the disease.
               | 
               | The biggest issue is that not enough people got
               | vaccinated.
        
               | throwntoday wrote:
               | Vaccinated are still being hospitalized. How much longer
               | will you buy into the narrative that they are not when so
               | many countries are showing evidence to the contrary.
        
               | mthoms wrote:
               | >Vaccinated are still being hospitalized. How much longer
               | will you buy into the narrative that they are not when so
               | many countries are showing evidence to the contrary.
               | 
               | What "narrative"? What are you even talking about?
               | 
               | No-one, including the person you responded to, has
               | claimed that vaccinated people can't get sick. The claim
               | (backed by statistics) is that the unvaccinated are being
               | hospitalized at a much higher rate and for a much longer
               | duration.
               | 
               | You're arguing a point that no-one is disagreeing with.
        
               | fabian2k wrote:
               | Vaccines reduce severe courses of the disease by about
               | 90%. The number vary depending on what you look at
               | exactly, and for elderly people boosters are really
               | mandatory to keep the vaccine effective.
               | 
               | Reducing the number of severe cases by a factor of 10 is
               | very from from not working.
        
               | the_why_of_y wrote:
               | That's like saying, people are still hospitalized after
               | car crashes so seatbelts and airbags are useless.
        
               | the_why_of_y wrote:
               | Training an ICU nurse takes about 5 years. The only
               | realistic option during the pandemic would be to
               | encourage immigration of ICU nurses from poorer
               | countries, but that just moves the problem elsewhere.
        
               | mandmandam wrote:
               | I have a suspicion that ICU training for a COVID specific
               | nurse could be much shorter - if there were any will or
               | basic common fucking sense among policy makers, and if
               | there were fewer people making excuses for those who
               | ghoulishly and cynically privatized healthcare for profit
               | across the Western world.
        
               | crooked-v wrote:
               | A "COVID specific nurse" still needs the entire slate of
               | training that goes with respiratory disease, inflammatory
               | disease, etc, and all the secondary complications that
               | come from those.
        
               | deft wrote:
               | So does developing a vaccine usually. We should be taking
               | extraordinary measure not saying "oh that will take too
               | long don't even start"
        
               | crooked-v wrote:
               | Assigning ten teachers to a student won't make the
               | student learn ten times as fast.
        
               | deft wrote:
               | Modifying the procedures and allowing people to work
               | before they're through arbitrary redtape does. The EUA
               | the vaccine received is the same concept. The reason the
               | vaccine was developed faster wasn't just the number of
               | scientists working on it, but the amount of funding
               | directed towards it. Increasing money to education
               | programs would increase the amount of people they can
               | train, allow for further optimizations to be developed
               | etc.
        
         | j0057 wrote:
         | The same is said in the Netherlands, but if you double the
         | number of available IC beds, with associated staff (good luck
         | with that), all you've bought yourself is two weeks before
         | those are full as well - because of exponential growth.
        
           | nzk wrote:
           | Growth isn't exponential forever, cases appear to be going
           | down again in Germany already. Delta waves seem to be only
           | about 8 weeks long (check data from different countries, or
           | here: https://www.nytimes.com/2021/09/01/briefing/delta-peak-
           | covid...), so two extra weeks would help a lot.
           | 
           | I agree that vaccines are part of the solution. I disagree
           | that stripping citizens of their rights and insulting them on
           | TV is part of literally any solution for anything. If a
           | government feels the urge to do that, it should look for
           | alternatives instead. Maintaining ICU capacity from one year
           | before (decreased by 4000 in 2021, see:
           | https://www.intensivregister.de/#/aktuelle-
           | lage/zeitreihenht... - "Gesamtzahl gemeldeter
           | Intensivbetten"), is the lowest-hanging fruit, I'm sure there
           | are additional alternatives that I'm not qualified to comment
           | on.
           | 
           | Edit: It was pointed out to me that the DIVI numbers have
           | some complexity that I did not account for. So grain of salt
           | on the actual ICU number, but I've not yet seen anyone deny
           | the trend. Here's a fact check that confirms that beds were
           | lost: https://correctiv.org/faktencheck/2021/11/17/divi-
           | praesident...
        
             | lgreiv wrote:
             | I'll not take a stance on the correct number of free ICU
             | beds as I do not feel qualified to judge these numbers
             | without more insight on the intricacies of what would
             | qualify fully operational beds, but regarding the stalling
             | case numbers I feel confident enough (after looking at some
             | raw numbers from the municipalities themselves [1]) to
             | dismiss the apparent trend as a statistic artifact.
             | 
             | PCR test units and hospital bureaucracy are past their
             | limits - e.g. regions like Bonn, Essen or Recklinghausen
             | reporting zero cases on multiple consecutive days (Nov 29,
             | Nov 30), which is _very_ unlikely w.r.t. the case numbers
             | of the surrounding regions and those very regions reporting
             | more than one hundred cases today.
             | 
             | The published indicators do not count cases that are
             | reported late [2], which leads to apparently stalling case
             | numbers. Growths may not be exponential forever but given
             | that roughly one quarter of the population is not
             | vaccinated, I would not take bets that the virus runs out
             | of hosts before the health care system collapses.
             | 
             | I agree to the sentiment made that the balance between
             | economic efficiency and damaging austerity for profit
             | margin gains in the German health care system (especially
             | for worker's loans) has been tipping way too far to the
             | latter in the past decades.
             | 
             | [1] https://www.lzg.nrw.de/covid19/download/laborbest_faell
             | e_sar... (updated each day at 0:00 CET)
             | 
             | [2] https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Corona
             | virus...
             | 
             | edit: some formatting.
        
         | odiroot wrote:
         | > What we're seeing here is one of the wealthiest countries in
         | the world with a population of > 80M people crumbling over a
         | few thousand ICU patients because of long-standing issues that
         | were never addressed.
         | 
         | Also one that collects high income taxes and high health care
         | contributions (~14% of the income). So one can't really blame
         | it on lack of funds.
        
         | WinstonSmith84 wrote:
         | this!! It's unbelievable that these wealthy western countries
         | find "cheaper" to stop their economy than to build few more
         | hospitals, beds and employ / pay more these guys running this.
         | It's hundreds, maybe thousands, of billions wasted in Germany
         | alone, versus. no idea but definitely not hundreds of billions
         | to increase the ICU capacity to keep the economy open no matter
         | what.
        
         | fsh wrote:
         | This is such a bizarre take. If the ICUs are filling up, the
         | solution should be to prevent people from getting sick, not to
         | make the ICUs bigger. There are undoubtedly many problems in
         | the German healthcare system, but the current surge is clearly
         | due to the very large number of unvaccinated people.
        
           | spookthesunset wrote:
           | the two weeks were to build up health care capacity. We
           | erected field hospitals to manage the sick and then closed
           | them because they weren't being used.
           | 
           | If this truly is an energy and hospitals truly are at risk,
           | find a way to build more capacity even if it is temporary.
           | Blaming the public for the failure to do this is wrong. And
           | if you aren't building this capacity... maybe this really
           | isn't an emergency?
        
             | rytcio wrote:
             | But if we do that then the media doesn't have a scare
             | tactic
        
         | fabian2k wrote:
         | Something like 50% of the people in intensive care for COVID
         | still die.
         | 
         | Even if we were able to handle the load on the healthcare
         | system, that still would be a very large amount of unnecessary
         | suffering and death. And even though there are some fundamental
         | issues with working conditions and pay in this area, fixing
         | them would not be enough to be able to handle the load that an
         | exponentially growing viral disease could cause if it remains
         | unchecked. If you do not stop the exponential spread, even with
         | twice the capacity you'd only gain another 1-2 weeks until
         | you're at capacity anyway.
         | 
         | The vaccines work well and are safe. The problem is that too
         | many people didn't take them. There's plenty of problems with
         | how this was organized in Germany, but in the we simply didn't
         | manage to convince enough people to get vaccinated.
        
           | gizmo wrote:
           | The problem isn't simple and certainly not a matter of just
           | vaccinating. A big part of the problem is that govt was
           | confident that two jabs in the summer would be sufficient
           | because of two faulty assumptions: that immunity would last
           | and that fully vaccinated people would not spread covid.
        
             | crooked-v wrote:
             | Also, more broadly, that people would actually be willing
             | to get vaccinated at a rate high enough to reduce the
             | R-value below 1.
        
               | int_19h wrote:
               | What would be the rate in question for Delta? My
               | understanding is that it was feasible for earlier
               | variants, but Delta has R too high to begin with.
        
               | tremon wrote:
               | The vaccines were never proven to reduce virus spread,
               | were they? I mean, the clinical trials were about
               | reducing susceptibility, not infectivity. I don't think
               | there were any numbers available on the vaccine's effect
               | on virus transmissibility. It was implicitly assumed that
               | fewer symptoms would translate to fewer transmissions,
               | but was this ever proven?
               | 
               | Point being, we didn't know what vaccination rate would
               | reduce the R-value below 1, and FAFAIK we still don't
               | know. Not even for the original Sars-cov-2 virus, and not
               | for any of the variants.
        
               | TulliusCicero wrote:
               | > The vaccines were never proven to reduce virus spread,
               | were they? I mean, the clinical trials were about
               | reducing susceptibility, not infectivity.
               | 
               | Populations where people are less likely to get infected
               | are less likely to spread. You have to be infected before
               | you can spread.
        
               | neuronexmachina wrote:
               | Vaccination reduces transmission:
               | https://www.nejm.org/doi/full/10.1056/NEJMc2106757
               | 
               | > Cases of Covid-19 were less common among household
               | members of vaccinated health care workers during the
               | period beginning 14 days after the first dose than during
               | the unvaccinated period before the first dose (event rate
               | per 100 person-years, 9.40 before the first dose and 5.93
               | beginning 14 days after the first dose). After the health
               | care worker's second dose, the rate in household members
               | was lower still (2.98 cases per 100 person-years). These
               | differences persisted after fitting extended Cox models
               | that were adjusted for calendar time, geographic region,
               | age, sex, occupational and socioeconomic factors, and
               | underlying conditions. Relative to the period before each
               | health care worker was vaccinated, the hazard ratio for a
               | household member to become infected was 0.70 (95%
               | confidence interval [CI], 0.63 to 0.78) for the period
               | beginning 14 days after the first dose and 0.46 (95% CI,
               | 0.30 to 0.70) for the period beginning 14 days after the
               | second dose. ... Not all the cases of Covid-19 in the
               | household members were transmitted from the health care
               | worker; therefore, the effect of vaccination may be
               | larger.1 For example, if half the cases in the household
               | members were transmitted from the health care worker, a
               | 60% decrease in cases transmitted from health care
               | workers would need to occur to elicit the association we
               | observed (see the Supplementary Appendix). Vaccination
               | was associated with a reduction in both the number of
               | cases and the number of Covid-19-related hospitalizations
               | in health care workers between the unvaccinated period
               | and the period beginning 14 days after the first dose.
        
               | dragonelite wrote:
               | I was under the same impression that vaccine would not
               | reduce the spread or carrying of the virus. It would just
               | greatly reduce the change you landing on the IC.
        
             | red_trumpet wrote:
             | Also, the government knowingly ignored warnings by the RKI
             | (german institute for public health) saying that numbers
             | and hospital admissions will go up rapidly in autumn.
        
           | krater23 wrote:
           | You forget one, the people that are dying have taken the risk
           | for ther own and didn't want to get vaccinated. It's ok when
           | they die, it's their decision that's gone wrong. Other people
           | didn't got vaccinated and will never get covid anywhere. This
           | is a decision that not the government has to make for the
           | people.
        
             | discreteevent wrote:
             | Those people don't refuse to go to hospital and they don't
             | refuse the ICU bed.
        
               | jpttsn wrote:
               | Would you support a comprehensive healthcare opt-out,
               | where an unvaccinated person would forego right to
               | treatment, and also not have to pay taxes for public
               | healthcare?
        
               | CamperBob2 wrote:
               | No, because at the end of the day, we're not going to
               | literally let them die on the sidewalk outside the
               | hospital just because they can't pay.
               | 
               | That means that _somebody_ has to pay for them. Given
               | that unavoidable but inconvenient fact, basic health care
               | and life support might as well be organized under the
               | auspices of the state and the costs shared among all
               | residents.
        
             | pelasaco wrote:
             | those people still paid their taxes, health plan care and
             | they should be treated. Stuff like this https://www.aerzteb
             | latt.de/nachrichten/sw/Intensivmedizin?s=... should be
             | better investigated. I thought as German, something that we
             | learned from our past was not "oben buckeln und nach unten
             | treten" or something like "to crawl to the bigwigs and
             | bully the underlings". Winter 2021, and we still don't have
             | a plan, the schools still offline and the numbers are much
             | worse now than winter 2020 when the numbers of unvaccinated
             | were almost 90% of the population.
        
           | fileeditview wrote:
           | The argument always is that there are not enough beds for
           | non-corona patients. More beds would certainly help.
           | 
           | It is nonsense to vaccinate young and very healthy people,
           | especially kids. Their risk from COVID is minimal to non-
           | existent.
           | 
           | Also the spread is not stopped by vaccinating. Vaccinated
           | still spread the virus. If it is reduced is still unclear.
           | There was a study in GB that showed the incidence numbers in
           | vaccinated was just as high or higher than in unvaccinated.
           | The sample sizes of vaccinated and unvaccinated were equal as
           | they should be. Reports in Germany about these numbers forget
           | to mention that vaccinated people are basically not tested.
           | 
           | > The vaccines work well and are safe.
           | 
           | They do not work well enough. First of all people still
           | transmit the virus after only about 2 months after the
           | vaccination. Then the protection goes down extremely between
           | 2-6 months after the vaccination (that is why we need
           | boosters all the time). It is still unclear if we continue to
           | need boosters after the third shot.
        
             | TulliusCicero wrote:
             | Vaccines do reduce spread.
             | 
             | While vaccinated people who get infected still spread the
             | virus, they're less likely to get infected in the first
             | place, which is a necessary precursor to spreading.
        
           | Scoundreller wrote:
           | > Something like 50% of the people in intensive care for
           | COVID still die.
           | 
           | I don't think this is too far from the survival rate of those
           | admitted to intensive care in general.
           | 
           | But I think the point is that COVID really increases your
           | chances of being admitted there in the first place.
        
             | bduerst wrote:
             | ICU survival rate is highly dependent on the cause,
             | diagnosis, and/or disease that the patient is admitted for.
             | It can range from 70-10%.
        
         | wsc981 wrote:
         | I don't know why you are voted down. This is very much true for
         | The Netherlands as well. Ever since the year 2000, possibly
         | before, ICU beds have been scaled down.
         | 
         | Diederik Grommers, one member of the Dutch Outbreak Management
         | Team (OMG) states: "it doesn't matter if you're vaccinated or
         | not; 60% of the beds are occupied by vaccinated people; the
         | problems we will encounter in the coming weeks are caused by
         | the fact that we totally hollowed out our health care" [0].
         | 
         | The Netherlands has about 6 ICU beds per 100.000 citizens.
         | Germany has almost 30 ICU beds per 100.000 citizens [1]. Now I
         | know Germany did accept patients from The Netherlands on their
         | ICUs and perhaps Germany is doing the same for other countries,
         | so perhaps that is causing a capacity problem in Germany as
         | well.
         | 
         | ---
         | 
         | [0]: https://www.youtube.com/watch?v=yFg78PgDgu0
         | 
         | [1]: https://cdn.nos.nl/image/2020/03/30/640384/3840x2160a.jpg
        
           | wjnc wrote:
           | Counter argument: Medical personel is hard to find and
           | expensive, as is IC infrastructure. Why would we've needed to
           | keep spare IC capacity for decades only to find out we need
           | it in case of a pandemic? The German argument could be re-
           | constructed into an argument that any country will run into
           | IC shortages regardless of the level of IC availability. In
           | an exponential curve it's only three or four cycles (8-12
           | days?) away, regardless of capacity. Hence, keep your IC
           | capacity at regular efficient rates and use vaccination to
           | get out of the hot seat. IC's save some but lose many.
           | Vaccinations save many.
           | 
           | I can't say that I like the Dutch approach to covid in
           | general, but in my first job I was deep into governement
           | budgetting of hospitals (just before the introduction of the
           | current Dutch reimbursement system) and it was a whole lot
           | about 'keeping beds' and keeping patients in them to fulfill
           | the budget. That was not what I'd call a generally efficient
           | system. Even the health outcomes were worse since outpatient
           | treatments usually have fewer side effects. What I've learned
           | in that job is that doctors are like people. They respond to
           | incentives. If that incentive is to have beds filled with
           | people, you get just that. Beds with people.
        
             | AuryGlenz wrote:
             | You can't throw a stone without hitting a nurse in the US,
             | but I'm guessing they're paid far better here as well just
             | as doctors are.
             | 
             | I know Germany has a mixed system but it seems to me that
             | socialized medicine keeping costs down slowly erodes care.
             | The increase in costs in the US is also unsustainable.
             | There might be a happy medium in there but it might be too
             | early to tell.
        
               | scohesc wrote:
               | > I know Germany has a mixed system but it seems to me
               | that socialized medicine keeping costs down slowly erodes
               | care.
               | 
               | You can see this happening in Canada too. We have a
               | hybrid system in healthcare where the majority of
               | critical care is paid for via taxes/government subsidies
               | however secondary/tertiary stuff is either out of pocket
               | or through insurance agencies (prescriptions, out-patient
               | care like physiotherapy, etc).
               | 
               | Over the past 20-30 years, our system has seen the
               | typical government thought process of throwing more money
               | at problems but not actually having someone be
               | accountable for the actions of the government over
               | decades. You end up with a bunch of overpaid, under-
               | worked management at the top while the actual front-line
               | workers suffer with low staffing, not enough beds, budget
               | cuts for the front line but raises for management etc.
               | etc.
               | 
               | Not to mention the number of students coming here for
               | health education (doctor, nurse, specialist) - then
               | immediately saying sayonara for another country like the
               | US or in the case of foreign students, their home
               | country.
               | 
               | I don't understand why we keep cutting healthcare budgets
               | - one possible reason could be because corporations have
               | slowly been taking over every aspect of society as they
               | move faster and make smarter decisions than government
               | officials.
        
             | int_19h wrote:
             | How expensive is it as a percentage of overall healhcare
             | spending?
        
           | nzk wrote:
           | Thanks, that was an interesting video. I had to rely on auto-
           | translated subtitles but from the little Dutch I can
           | understand, it seems like they got the gist across.
           | 
           | Yeah, Germany has a ton of ICU beds in comparison, and yet,
           | we're struggling exactly the same as any other country. I
           | find it strange, too. In early 2020 I expected we'd see big
           | differences between different countries based on ICU
           | capacity, but we saw the same story everywhere (regional
           | overload around the peak of a wave), with a few minor
           | differences (whether some patients are transferred within the
           | country or to other countries). Perhaps countries have
           | different standards for when they put patients in ICU's,
           | allowing hospitals (and governments) to always operate close
           | to capacity? Would be one explanation, but I really don't
           | know.
           | 
           | High total number notwithstanding though, our ICU capacity
           | actually decreased during the pandemic, see:
           | 
           | https://www.intensivregister.de/#/aktuelle-lage/zeitreihen
           | 
           | The graph under "Gesamtzahl gemeldeter Intensivbetten" shows
           | total capacity (light blue) + emergency reserve (green), dark
           | blue is occupied beds. There was a pretty sharp drop-off in
           | the total capacity a year ago, and a slower decrease all
           | throughout 2021. Apparently, that's mostly due to nurses
           | quitting in droves since the pandemic made their already bad
           | working conditions even worse.
           | 
           | Our politicians didn't lift a finger to prevent or revert
           | this, and now they're blaming a minority for this massive,
           | massive failure. Just makes me really angry, I'll take
           | downvotes for that if I have to :)
        
             | wsc981 wrote:
             | _> Perhaps countries have different standards for when they
             | put patients in ICU 's, allowing hospitals (and
             | governments) to always operate close to capacity? Would be
             | one explanation, but I really don't know._
             | 
             | There's different standards in different countries for
             | sure. In The Netherlands there's a focus on quality of
             | life. If a patient cannot have a decent quality of life
             | after staying on ICU, there's a preference to provide the
             | patient with palliative care instead. In (e.g.) Italy this
             | approach would not be accepted.
        
           | ChuckNorris89 wrote:
           | _> "[...] we totally hollowed out our health care"_
           | 
           | Weird move for one of the richest countries in the world, no?
        
             | emsy wrote:
             | Privatization of infrastructure in Germany has always led
             | to a, at least perceived, decline in quality. This has been
             | true for postal service, railway, telcos and now health
             | care.
        
               | odiroot wrote:
               | Health care in Germany is a not-for-profit endeavour and
               | is strictly controlled by the law, with ministry of
               | health oversight.
        
               | mandmandam wrote:
               | People are dying friendo, please wise up.
        
               | ChuckNorris89 wrote:
               | It sounds like you read that off the government shill
               | brochure.
               | 
               | The decline in public healthcare quality has nothing to
               | do with the lack of government oversight but it's due to
               | the lack of funding and personel (which is also funding
               | related). Ask any overworked healthcare worker in the
               | public system.
        
               | int_19h wrote:
               | When was healthcare in Germany not private?
        
               | ChuckNorris89 wrote:
               | Except he was talking about the Netherlands.
        
         | poorjohnmacafee wrote:
         | Very insightful but doubtful more capacity would prevent the
         | mandates, given that state medias around the West are all now
         | calling for mandates, two tiers, and punishment for those who
         | don't follow. Like the next round of "war on terror" measures
         | where states get to shift their citizen management. Don't
         | forget to call a spade a spade.
        
         | periheli0n wrote:
         | Germany was long criticised for its overcapacity of intensive
         | care wards. Just up until the pandemic hit.
        
         | mattlondon wrote:
         | For what it is worth, in the UK there were similar concerns.
         | 
         | They set up "Nightingale Hospitals" (reference to Florence
         | Nightingale) - basically convention centres were converted into
         | field hospitals with ventilators. One in London had 4000 beds,
         | and there were others elsewhere in the country. It took 9 days
         | to build the London one (I was impressed!)
         | 
         | After all that, the 4000 bed one in London treated 20 patients
         | during the first wave:
         | https://www.bbc.co.uk/news/health-56327214 Most are now
         | shutdown or being used as vaccination centres from what I know.
         | 
         | If the UK can pull this off in 9 days, I am sure other more
         | sophisticated countries can do the same if they need to.
        
         | jacquesm wrote:
         | That's not really the problem though. See, no matter how many
         | ICU beds you have, the people going to the ICU are about 40% or
         | so likely to die from COVID and the remainder will recover but
         | will take a very long time to do so and have a significant
         | chance of having long term residual effects and/or
         | complications.
         | 
         | You don't really wish that kind of thing on anybody. So you try
         | to avoid people going to the ICU in the first place (assuming
         | you have a humane government, which unfortunately isn't always
         | the case).
         | 
         | That said, the pandemic has definitely taught a lot of
         | countries that stripping your health care system is probably a
         | bad idea.
        
         | arrrg wrote:
         | No country in the world has the capacity to take care of more
         | than "a couple thousand" ICU patients (well, it's more like a
         | couple of ten thousand ICU patients for the best equipped and
         | richest large countries in the world, like Germany). Simply
         | because "a couple thousand" is all that's needed during
         | ordinary times.
         | 
         | Yeah, there are issues with staffing and inadequate payment of
         | the staff, sure, and those problems are long-standing and
         | unresolved, but even if they were solved that wouldn't be much
         | of a help.
         | 
         | We would then maybe talk about a couple thousand (here in the
         | literal sense) beds in terms of increasing ICU capacity, if
         | that (simply because it's not as though Germany's existing ICU
         | capacity is somehow ridiculously small, it's quite large,
         | actually if you put it in context and adding a couple thousand
         | beds would be a massive increase). That would be helpful but
         | wouldn't really solve the underlying problem.
         | 
         | And either way: Increasing ICU capacity right now is not a
         | solution. It's completely misguided. Not least of which because
         | it takes forever to increase capacity. You have to train people
         | for that ...
         | 
         | Unvaccinated people are to blame for this, but especially
         | cowardly politicians who were too frightened to start
         | implementing vaccination mandates right away (summer 2021), as
         | soon as it was clear that you cannot reach good enough
         | vaccination numbers just based on pleas alone.
         | 
         | We do have a solution for this and the solution is vaccination.
         | However, in the very short term even that won't be good enough,
         | we need to break the 4th wave and for that contact reduction is
         | necessary (and already happening).
         | 
         | Think about time frames.
         | 
         | Contact reduction, will show its effects within a couple weeks,
         | vaccination mandates plus a logistical push for booster
         | vaccinations, will show their effects within one month to three
         | months, making healthcare more resilient in general, will show
         | its effects within a couple of years, maybe a decade.
        
           | nzk wrote:
           | In three months, the booster efficiency might start waning
           | again, we don't know that yet. These vaccines so far aren't
           | looking like they are the solution to the pandemic either,
           | better vaccines or better treatment might be. I'm not saying
           | it doesn't make sense to get vaccinated if you want to help
           | with the situation, but I do find the way our politicians
           | deflect blame and openly insult a not so small segment of the
           | population completely distasteful. They shouldn't be
           | surprised if the people they're insulting are not willing to
           | help anymore, now or in the future.
           | 
           | A strategy that would make sense would include BOTH
           | vaccination and ICU capacity, one of which could have been
           | started in March 2020, and it would have put us in a much
           | better position today. Letting capacity decrease while
           | waiting for vaccines that may or may not end the pandemic is
           | negligent. Not getting vaccinated may be seen by some as
           | negligent also, but different standards apply for governments
           | and citizens.
           | 
           | The pandemic comes in waves, we do not need to plan for
           | endless exponential growth. A few weeks of extra capacity
           | would make the whole thing much easier to handle, given that
           | we might be already at the peak and cases seem to be going
           | down again[0]. The RKI weekly report[1] currently lists 1700
           | ICU cases, a month ago it was 1100[2]. So the 4000 beds we
           | lost throughout the year[3] could have made a big difference.
           | 
           | [0]https://www.tagesschau.de/inland/rki-infektionen-103.html
           | 
           | [1]https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavir
           | us...
           | 
           | [2]https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavir
           | us...
           | 
           | [3]https://www.intensivregister.de/#/aktuelle-lage/zeitreihen
        
             | arrrg wrote:
             | Please source the 4,000 number properly:
             | https://news.ycombinator.com/item?id=29422105
             | 
             | As I point out in my other comment, you cannot interpret
             | that number in any to imply as though we ever actually had
             | those 4,000 beds.
        
               | nzk wrote:
               | Fair enough, thanks for the info, I'll check it out. But
               | let it be 2594 then, that is still too many given that we
               | should have increased it by any means possible before
               | starting to publically insult 20% of the population. I'm
               | not assuming a deliberate reduction, I am assuming
               | negligence.
        
               | arrrg wrote:
               | 20% of the population is, however, behaving stupidly and
               | irrationally and in a very antisocial way. Insulting them
               | is perfectly fine.
               | 
               | Just as with opposition to seatbelts it's important for
               | politics to create facts and just decide this issue.
               | Everyone should be vaccinated and that's just how it is.
        
               | nzk wrote:
               | ... yeah, okay, I disagree with everything. I don't think
               | it's acceptable for a government to insult its citizens,
               | and I do think boundaries should be respected.
               | 
               | Nothing more to say, our worldviews are too far apart.
        
           | Barrin92 wrote:
           | >Simply because "a couple thousand" is all that's needed
           | during ordinary times.
           | 
           | Yes but.. extraordinary times exist, if we were sane we would
           | prepare for crises before they happen, because we always knew
           | that it would hit us eventually, people have been warning
           | about this for ages, this is not some black swan.
           | 
           | More healthcare capacity would help, just like more supply
           | chain capacity would help, or the ability to manufacture some
           | masks, the entire problem is we've been running on the
           | idiotic 80s managerial efficiency mindset for decades and now
           | we're running on fumes on every front.
           | 
           | If we had any appreciation for crisis management, robustness,
           | redundancy and had some shock absorbers in our system many
           | people would not have needed to die. And no it's not just the
           | unvaccinated. Plenty of countries this year, including the
           | US, will lose more people in total to covid in 2021 than in
           | 2020. Vaccines help but they are not pandemic ending, and our
           | systems are deeply screwed up.
        
             | est31 wrote:
             | This is also about appreciation. The main bottleneck for
             | increasing capacity is not machines, rooms or beds, those
             | are available. It's hospital staff that's lacking. ICU beds
             | are the most staff intensive beds in a hospital. It's a job
             | that requires years of training, so you can't just scale it
             | up. Also, the willingness to be a nurse has _decreased_
             | during the last couple months. A lot of hospital staff has
             | burned out during the first few waves and either reduced
             | their contracts to part time, or quit entirely. The
             | remaining staff has to work hard, until exhaustion and
             | beyond, in order to fight for the patient 's lives. Covid
             | stations require proper hygiene which puts extra stress on
             | the hospital staff. And they put in all of this work
             | because some people couldn't be bothered to seek out
             | vaccination, often even the patients themselves. This is
             | the main difference to the first few waves where
             | vaccination has _not_ been available to everyone.
        
               | kazen44 wrote:
               | > Also, the willingness to be a nurse has decreased
               | during the last couple months
               | 
               | this was entirely preventable by providing nurses and
               | those keeping hospitals running with the support they
               | need to do suchs jobs during a time of crisis.
               | 
               | In the netherlands for instance, many nurses have been
               | running 12h shifts during the peaks, and there has been
               | very little practical support in helping those people.
               | 
               | I am not even talking about monetary funds, but mainly
               | practical stuff. (for instance, some volunteers decided
               | to do grocery shopping for nurses during peaks).
               | 
               | If people are busting their ass off to prevent the
               | healthcare systems from collepsing, maybe the goverment
               | should have done far more in its power to prevent those
               | people from quitting.
        
           | mandmandam wrote:
           | > Unvaccinated people are to blame for this
           | 
           | This satirical article from Ireland is probably applicable in
           | every Western country that has had its health system
           | systematically hollowed out by cynical neoliberal fuckheads:
           | https://waterfordwhispersnews.com/2021/11/19/unvaccinated-
           | be...
           | 
           | > Increasing ICU capacity right now is not a solution. It's
           | completely misguided
           | 
           | What you fail to understand is that the people who cut those
           | bed numbers across Europe are responsible for far more death
           | than a small percent of mRNA vaccine hesitant people. And
           | they're fucking delighted that so many people are so
           | misdirected.
        
             | stefs wrote:
             | the cynical neoliberal fuckheads didn't manage to cut ICU
             | beds in time in austria (they tried but the epidemic beat
             | them to it). we're still extremely close to running out
             | though. currently, patients are transferred to hospitals
             | across the country and surgeries are put off.
        
         | stefan_ wrote:
         | Is this the ventilator fallacy? You know, it's march 2020, and
         | everyone is rushing to make more of those damn ventilators?
         | 
         |  _If you end up on a fucking ventilator in an ICU bed, the
         | damage is long done_. The goal is not to maximize the number of
         | people we can have on ventilators. That is an absurd idea on
         | the same level of the  "natural immunity is better than the
         | vaccine!" insanity we got in 2021.
        
           | nzk wrote:
           | No, it's not the goal. The goal is also not to split society
           | in two and create a group that'll hate everyone forever, just
           | because our leaders can't own up to their mistakes. The goal
           | is to get through the pandemic best we can, and keeping
           | societal values and principals intact should be an important
           | part of that.
        
         | sleepysysadmin wrote:
         | >What we're seeing here is one of the wealthiest countries in
         | the world with a population of > 80M people crumbling over a
         | few thousand ICU patients because of long-standing issues that
         | were never addressed.
         | 
         | So I'm kind of surprised to see this. I was under the
         | impression Germany was the opposite.
         | 
         | https://tradingeconomics.com/country-list/hospital-beds
         | 
         | Germany is #2 out of those reporting. Crushing Canada by like
         | 300%.
         | 
         | https://tradingeconomics.com/country-list/medical-doctors
         | 
         | Germany #1 for doctors, beating Canada by 100%
         | 
         | https://tradingeconomics.com/country-list/nurses
         | 
         | Germany #2 for nurses, beating Canada by ~75%
         | 
         | I kind of step back, how terrible is Canada doing?
         | 
         | >The staffing problems in hospitals (and nursing homes) have
         | existed much longer than Covid. I heard a lot about them myself
         | when I did my FSJ (volunteer work) back in 2004, and it's only
         | gotten worse since then.
         | 
         | Oh ya big time. I can't remember a time when
         | nurses/psws/doctors weren't in huge demand here in Canada.
         | 
         | Before covid: https://www.blogto.com/city/2019/07/toronto-
         | hospital-fraud/
         | 
         | During covid pre-vax: https://toronto.ctvnews.ca/ontario-
         | hospital-lays-off-97-regi...
         | 
         | Antivaxxers fired:
         | https://www.thestar.com/news/gta/2021/11/28/were-on-the-brin...
         | 
         | You can't be on one side in huge demand for nurses but also be
         | firing them willy nilly.
         | 
         | Firing them for not getting the vaccine isn't true at all.
         | They've been reducing nurses and such for long before.
         | 
         | >Our government is in full CYA mode, and doing everything they
         | can to blame a scapegoat for problems they themselves have
         | willingly created over decades. It's despicable, and nobody
         | should support it.
         | 
         | I propose that Canada and Germany probably have the same
         | problem. That we are on the same page.
         | 
         | I am curious what you think is that problem?
        
           | dmix wrote:
           | > Furthermore Bill 124, introduced in 2019, disincentivizes
           | nurses by limiting wage increases. Many nurses have said
           | repealing the bill would go a long way in retaining nurses.
           | Others say removing barriers for internationally educated
           | nurses would help fill in gaps.
           | 
           | Wow, why is there the wage cap when nursing has long been an
           | issue in Ontario? I wonder who thinks this stuff up and
           | thinks they are somehow saving money by doing this. It just
           | generates inefficiencies and unintended side effects.
           | 
           | Whenever there's problems like this there's always seems to
           | be a long trail of government interference that's
           | counterproductive.
        
       | throw8965 wrote:
       | Additional problem is that when doctors that are against mass
       | vaccinations (like inventor of the mRNA vaccine) want to debate
       | no-one mainstream want to talk with them besides anti-
       | vaxxers[0][1].
       | 
       | [0]: https://stevekirsch.substack.com/p/my-team-of-vaccine-
       | safety... [1]: https://stevekirsch.substack.com/p/wed-love-to-
       | have-a-debate
        
       | disneygibson wrote:
       | Scary stuff. I think all of the authoritarian actions over the
       | last two years can be traced to a single event: the fall of the
       | Soviet Union. Without an enemy to compare itself against, the
       | Western world has forgotten the value of freedom.
       | 
       | If East Germany had implemented this forty years ago to fight X
       | disease, it would have been painted as evil, something we don't
       | do in the free West.
       | 
       | Edit: flagged in 8 minutes. I guess this website isn't the place
       | for intelligent debate and discussion anymore. That's
       | disappointing.
        
         | dang wrote:
         | Your comments are correctly getting flagged because you're
         | taking the thread further into generic ideological flamewar.
         | That's off topic here and clearly against the site guidelines:
         | https://news.ycombinator.com/newsguidelines.html. If you'd
         | please review them and stick to the rules when posting here,
         | we'd appreciate it.
         | 
         | Edit: actually, it looks like you've been using this account
         | primarily for ideological battle, and we ban accounts that do
         | that, regardless of what they're battling for or against. I've
         | therefore banned this one. Please don't create accounts to
         | break HN's rules with. It will eventually get your main account
         | banned as well.
        
           | beanjuice wrote:
           | Thank you for continuing to do such an excellent job.
        
             | throwaway224466 wrote:
             | ...of blatant censorship sitting in his ivory tower? smdh
        
           | throwaway224466 wrote:
           | "Idealogical flamewar" a.k.a. any non-leftist talking points
           | so downvoted into oblivion. You are a terrible human being
           | and there will likely soon be consequences for people
           | supporting this non-logical persecution.
        
             | dang wrote:
             | Everyone with strong passions on a topic feels like the
             | mods are against them, the moment they see any sign of a
             | post that they agree with getting moderated.
             | 
             | https://hn.algolia.com/?dateRange=all&page=0&prefix=true&so
             | r...
             | 
             | In reality, we ban accounts that do ideological flamewar
             | from the other side in just the same way, and they feel
             | like we're just as biased against them. They agree that
             | we're terrible human beings though. The striking thing is
             | how the passionate partisans and ideologues resemble each
             | other more than they resemble the rest of us. They see each
             | other as bitter enemies, yet they're close to isomorphic.
        
       | anotherPerson67 wrote:
       | Instead of believing the science, why not actually read and
       | understand instead?
       | 
       | For example:
       | https://www.thelancet.com/journals/lanepe/article/PIIS2666-7...
        
       | d1a2n wrote:
       | Looks to me like as time goes on and the vaccines show themselves
       | to be less and less effective, all we get is doubling down. There
       | is no way the anti vaxxers could have been right, and I wrong.
       | I'm a believer in science, I'm educated and sensible, and if it
       | was a mistake to take the vaccine, then those disgusting, selfish
       | anti vaxxers must make the same mistake!
        
       | Animats wrote:
       | Understand, we're in the second epidemic and headed for the
       | third. Plans made on the basis of the original virus may not be
       | valid. "The enemy get a vote", as the military says.
       | 
       | The original virus had a R0 rate of about 3, that is, in normal
       | conditions, each infected person infects three others. That's
       | about what the first generation of vaccines could control well
       | enough that eventually the virus would die out.
       | 
       | The delta variant has an R0 of about 8. The current vaccines can
       | slow down the spread, but not stop it. Which is why we've had a
       | second epidemic. By last August, delta variant cases were 90% of
       | the cases seen.
       | 
       | We don't know enough about the omicron variant yet.
        
         | krater23 wrote:
         | Which means, vaccination doesn't works. Sounds like the
         | antivaccers are right(?)
         | 
         | When you want to see it like this, we will never know enough to
         | do anything. The only thing we can do with things that we can't
         | change is to accept it. It's time to do...
        
           | halfmatthalfcat wrote:
           | No, vaccinations prevent you from getting sick. It's the
           | choice between a mild illness and potentially being admitted
           | into the hospital.
           | 
           | What we're starting to see is potential for further variants
           | to evade antibodies, reproduce inside you and thus you spread
           | it. Your immune system is still able to fight the virus
           | easier because the vaccine has trained your immune system to
           | look out for contagions _like_ this virus but for a while
           | you're still actively spreading the virus before you've
           | cleared it from your system.
           | 
           | Someone correct me if I'm wrong though.
        
             | Animats wrote:
             | Yes. Here's some tabular data on hospitalizations and
             | deaths vs. vaccination status[1] Those are easy to monitor.
             | How well vaccination prevents infection is harder to
             | determine.
             | 
             | Also remember, this is still the first generation of
             | vaccines. There are some nasal spray vaccines in testing
             | which look to be much more effective in preventing
             | infection.
             | 
             | [1]
             | https://www.cdc.gov/mmwr/volumes/70/wr/mm7037e1.htm#T1_down
        
             | felistoria wrote:
             | Fully vaccinated people still get hospitalized and some
             | times die. If you are old or have comorbidity, even the
             | vaccine won't save you. We need to get off this vaccine
             | obsession and start working on early treatments.
             | 
             | https://www.thelancet.com/journals/lanepe/article/PIIS2666-
             | 7...
        
         | timdaub wrote:
         | Delta's R0 isn't 8 [1]
         | 
         | - 1: https://pubmed.ncbi.nlm.nih.gov/34369565/#:~:text=The%20De
         | lt....
        
           | josefresco wrote:
           | From the link:
           | 
           | "The Delta variant is now replacing all other SARS-CoV-2
           | variants. We found a mean R0 of 5.08, which is much higher
           | than the R0 of the ancestral strain of 2.79. Rapidly ramping
           | up vaccine coverage rates while enhancing public health and
           | social measures is now even more urgent and important."
        
             | Animats wrote:
             | Oh, that's encouraging. That's from October 2021. Early
             | estimates were higher.
        
       | elmerfud wrote:
       | Germany classifying certain groups as undesirables and
       | restricting their movements. This seems very reasonable.
        
         | nazinazinazi wrote:
         | It is almost like Germany did this at one point in time,
         | sometime in the 1930s? What was that one guy's name? Schitzler?
         | Blippar? Nitler?
        
       | timdaub wrote:
       | Tons of misinformation and bullshit numbers as top comments here.
       | Scary to witness. HN, be aware, this is how fake news spreads.
       | Please stay safe and double check numbers in case the sources are
       | dubious or missing.
        
       | aarobot wrote:
       | If you don't wear a life jacket someone else will drown..
        
         | periheli0n wrote:
         | ... and this is where the analogy breaks down...
        
         | dewert wrote:
         | Yes, because you're all tied together for some reason?
         | 
         | Really, this analogy is too much of a stretch to be meaningful.
        
           | frockington1 wrote:
           | The vaccine is so effective everyone should get it but stay
           | away from the unvaccinated even if you're vaccinated because
           | its not that effective.
        
             | ZephyrBlu wrote:
             | This reminds me of the "no, not like that" meme.
        
         | lixtra wrote:
         | Remember the Titanic movie? Girl didn't take the seat in the
         | live boat. Di Caprio gave her his place on the floating wood -
         | and drowned.
        
       | lispm wrote:
       | as a German I agree, since I don't want to see another 100k
       | people die too early and see many more people suffer after being
       | rescued by long ICU treatments
        
       | timdaub wrote:
       | I find it ironic that there are plenty comments that paint the
       | picture of how mandatory vaccinations divide the country.
       | 
       | Hello? Have you been awake for the last month? How much more
       | divided can a country already be when the absolute democratic
       | majority has made their decision months ago to take the shot but
       | 30% are holding everyone back. Anyone in my family or from my
       | friends that has taken one for the team (and got vaccinated)
       | could receive worse-than-usual ICU treatment because of some
       | egoistic anti-vaxxers. Hell, even anti-vaxxers benefit from
       | better ICU treatment if vaccination numbers are higher.
       | 
       | Yes, this is a democracy and so it can also be deemed legitimate
       | and representative to govern according to the majority decision.
       | Besides, it's in everyone's best interest to get vaccinated.
        
         | xafnuaetrf8764 wrote:
         | You're just a piece of a fucking fascist, cunt.
        
         | TacticalCoder wrote:
         | > ... but 30% are holding everyone back.
         | 
         | Not at all and I can turn that argument back: I know non-
         | vaccinated people who stay at home and "evil" fully vaccinated
         | people who go out. It is a fact that vaccinated people can
         | still carry and transmit the virus.
         | 
         | It is also a fact that in the EU 40 to 60% of all ICU beds are
         | filled with fully vaccinated people (40% in Spain atm but the
         | number is going up, 50% in Belgium, 60% in the Netherlands, for
         | example).
         | 
         | So evil, fully vaccinated (like me btw), people going out,
         | spreading the virus, then falling ill and ending up on an ICU
         | bed.
         | 
         | Do you really want to shame people like that? Because if we
         | play that game, then I'll shame the vaccinated people who still
         | have a social life: they _do_ spread the virus.
         | 
         | How did these evil fully vaccinated people who are on ICU bed
         | get the virus? Who did they give it too? Why didn't they stay
         | at home / live less of a social life? They're putting an
         | unnecessary burden on the healthcare system...
         | 
         | Countries like Gibraltar with 100% vaccination rate still just
         | experienced a wave.
         | 
         | Same in Israel, one of the most vaccinated country on earth.
         | 
         | > Besides, it's in everyone's best interest to get vaccinated.
         | 
         | That is not clear at all. Why not lock down hard, very hard,
         | the old and those known at risk why letting the virus circulate
         | among the healthy population: this, and that is a known fact,
         | creates a much better immunity than the one conferred by the
         | "vaccine". The studies published showed 12x less risk to catch
         | the Delta variant if you had had Covid before compared to
         | someone who just had the shots.
         | 
         | If anything: maybe that that "vaccine" which still let people
         | carry and spread the virus is part of the problem.
         | 
         | The problem is the old and those at risk have been sold a lie
         | by politicians and big pharma: that by getting the vaccine
         | they'd be safe. So they let their guards down and now they're
         | fully vaccinated... on ICU beds.
        
           | glfharris wrote:
           | There are more vaccinated people than not, and people with
           | prior health conditions are more likely to be vaccinated so
           | it's not surprising they would be represented in the ITU
           | population.
        
             | native_samples wrote:
             | You'd think so but it's actually the other way around: the
             | people most likely to die are _not_ given vaccines (because
             | there 's no point). This can be seen in the UK data where
             | increasing vaccinations causes an increase in deaths in
             | unvaccinated people from _non-COVID_ causes. Clearly that
             | 's not a biological link - rather, what's happening is that
             | as the vaccinated population grows, the really sick and
             | dying people get concentrated in the unvaccinated cohort,
             | which then experiences higher death rates.
             | 
             | Data is tricky, especially with something like this.
        
             | walkhour wrote:
             | That's irrelevant to the points being made. We all know
             | this at this point, it's been said over a thousand times.
        
           | rrrrrrrrrrrryan wrote:
           | > 40 to 60% of all ICU beds are filled with fully vaccinated
           | people
           | 
           | Though correct, this is a dumb statistic used to peddle
           | antivax propaganda. As vaccination rates rise, this number
           | also rises.
           | 
           | If 100% of people were vaccinated, 100% of all Covid ICU
           | patients would be vaccinated.
           | 
           | Spain has quite high vaccination rates, which is why this
           | ratio is so high there.
        
         | forgotmyoldname wrote:
         | Last weekend I was at a Japanese history museum, and part of
         | the exhibit was on 1600s-1800s medical technology.
         | 
         | In the 1870s, Japan had vaccine passports and kept logs of
         | unvaccinated people in order to track them down. It was deemed
         | a huge step forward in developing the country.
         | 
         | It's interesting how some people today think mandatory
         | vaccination is some massive, unprecedented destruction of
         | freedom, when it's historically nothing new and something that
         | was essential to helping your country stay strong.
        
           | cbozeman wrote:
           | Given Japan was a nation where a certain class could execute
           | summarily anyone below them, for something as germaine as
           | insulting them, and given what Japan did to Chinese civilians
           | during World War II, you'll forgive me if I don't look to
           | their 1870s ideals as inspiration for living in 2021.
        
         | throwaway47292 wrote:
         | Do you think the % of unvaccinated would stay the same next
         | year? My gut feeling is that it will increase, every 6 months
         | when the new booster is needed we will get more and more people
         | not wanting it.
         | 
         | How long until the unvaccinated are more than the vaccinated?
         | 18 months?
         | 
         | What happens when they are the majority and ban all vaccines?
        
           | igorkraw wrote:
           | In that fantasy world they'd still need to provide evidence
           | that the ban us justified, otherwise people can challenge it
           | in court. The vaccine people have the "benefit" of a
           | collapsing medical system and am absence of a similar load
           | and collapse in countries with high vaccination rate.
        
             | throwaway47292 wrote:
             | Well if they are 30% now, they must have the 'evidence'
             | that convinces them they are right, when they are 60% they
             | would have even more 'evidence'. Why wouldn't they blame it
             | on, the eastern europeans or something?
        
             | native_samples wrote:
             | Why? No evidence is needed that vaccine mandates are
             | justified, as if evidence were required it'd fail
             | immediately given the low and falling efficacy, that
             | vaccines are individual protection so it doesn't matter
             | what other people do, and given that hospital capacity is
             | the problem of the hospital providers to solve and not
             | their customers (this is fairly basic).
             | 
             | But hey, if you disagree with that last bit and think
             | hospital staffing is everyone's problem, be aware that this
             | sword cuts in both directions. It actually makes it super
             | easy to argue for banning vaccines. Here's the argument
             | they'll use:
             | 
             | 1. Vaccines aren't entirely safe. They can cause blood
             | clots, strokes, heart attacks and many other kinds of
             | injury.
             | 
             | 2. The injured end up in hospital, consuming medical system
             | capacity which takes it away from the people who opted out
             | and didn't take the vaccines. Possibly for life, in some
             | cases.
             | 
             | 3. This is selfish because many of the people who took
             | vaccines and got injured are young and weren't at any
             | meaningful risk of COVID. They did it to themselves despite
             | knowing there were risks, because they were incorrectly
             | scared, or authoritarian, or whatever, but now society has
             | to take care of them anyway.
             | 
             | 4. And in addition the unvaccinated are now almost all
             | recovered, and they have natural immunity for life. The
             | vaccinated on the other hand, are now dependent on endless
             | booster shots which not only injure new people on every
             | round but are also are extremely expensive and taxing on
             | the hospital system, meaning less healthcare resources
             | available for everyone else.
             | 
             | Thus, the vaccinated are a drain on the healthcare system
             | and should have their freedom to choose endless boosters
             | removed - or at the very least, they should be forced to
             | pay for them themselves (and any subsequent healthcare
             | issues they experience).
        
         | helge9210 wrote:
         | > Besides, it's in everyone's best interest to get vaccinated.
         | 
         | No. Some are OK with the risk.
         | 
         | > this is a democracy
         | 
         | If all the possible choices for the vote are supported by all
         | the parties. If there are unacceptable choices, this is just a
         | dictatorship of the majority.
        
           | throwaway675309 wrote:
           | What about compulsory seatbelts?
        
         | black_puppydog wrote:
         | I think it's worth to point out here that _since_ "it's in
         | everyone's best interest to get vaccinated" you can't really
         | call it taking "one for the team".
         | 
         | People getting vaccinated are taking "one for the team" and at
         | the same time "looking out for number one". That's the beauty
         | of it, really: aligned incentives.
        
           | zizee wrote:
           | Perhaps this is true for covid19, as the vaccines do not seem
           | to stop the vaccinated from getting infected and spreading
           | the virus. But for vaccines that actually stop the majority
           | of vaccinated from becoming infectious the risk reward
           | calculation changes.
           | 
           | All vaccinations have some level of risk. If you are
           | surrounded by unvaccinated, your risk of not getting the
           | vaccine outweighs the risk of catching the disease from the
           | herd. In this instance you have aligned incentives.
           | 
           | However, if you are in a entirely vaccinated population, your
           | risk profile changes, and it is now possible for your
           | incentives to become unaligned with "the team", or at least
           | more blurry.
           | 
           | Unfortunately the average antivaxer's mental model is
           | probably not so well defined that they realise is what they
           | have been doing. I would not be surprised if the majority of
           | them don't realise/agree that they've been selfishly coasting
           | on the coat-tails of the crowd with other vaccines/diseases,
           | and therefore they have trouble realising their currently
           | "successful" strategy is not going to work so well this time
           | round.
        
             | ajsnigrutin wrote:
             | Well yeah, but what you said is exactly the problem here...
             | Vaccines were promised to be safe and effective against
             | infections... then astrazeneca killed a few people, Jansenn
             | killed a few people, moderna was stopped in finland,
             | sweden, denmark etc., and of course people lose trust. In
             | slovenia, for girls under 25, we currently have 1 death due
             | to the vaccine (jansenn) and zero deaths due to covid (with
             | a bit over 50% of the population getting covid - around
             | 1mio). Also the changing the definition, from "preventing
             | infection" to "preveting hospitalizations" doesn't help.
             | 
             | I got vaccinated to protect myself. I am aware that even
             | with 100% vaccination rates, sooner or later i will get in
             | contact with covid (and/or i probably already have), and
             | the vaccine is protecting only me. I am not afraid of the
             | unvaccinated, and I don't care if they choose a greater
             | risk, it's their life, and their choice.
        
         | newacc9 wrote:
         | How many footballers have to drop dead on the pitch before you
         | remove the scales from your eyes?
        
         | cblconfederate wrote:
         | > the absolute democratic majority has made their decision
         | months ago to take the shot but 30% are holding everyone back
         | 
         | Were people really asked to cast their vote by vaccinating
         | themselves?
        
           | timdaub wrote:
           | no. That was a rethorical device I used in my comment.
        
         | jpcfl wrote:
         | > this is a democracy and so it can also be deemed legitimate
         | and representative to govern according to the majority decision
         | 
         | Not if the decision violates the constitution.
        
         | belter wrote:
         | You have a strange understanding of democracy...But if we are
         | at it, would like to propose a public citizen petition:
         | Requesting by democratic mandate that we remove the only
         | immunity to come out of this process, the one from vaccine
         | producers....
        
         | worik wrote:
         | I agree that everybody should get vaccinated. Let's make this
         | virus extinct.
         | 
         | But what you describe is majoritarianism. It is a form of
         | democracy but a very weak form. For a lot of people, who are
         | from minority groups, it is indistinguishable from
         | totalitarianism.
         | 
         | Why do 30% of people refuse to get vaccinated? (here in
         | Aotearoa it is 5%). Something is happening, people are getting
         | left behind, in vast numbers. Forcing them to comply is
         | probably a cure worse than the disease - even a disease like
         | COVID
        
           | [deleted]
        
           | dhosek wrote:
           | In the US, it's because a bunch of demagogues have decided
           | that they will make a lot of money (or retain political
           | power) by saying that vaccines don't work and/or are harmful.
           | Fox News regularly spews this kind of nonsense in its
           | programming and a number of Republican politicians are happy
           | to go along with it.
        
             | rbanffy wrote:
             | We should remember that the freedom of the press exists
             | because a well informed population is necessary for a
             | functioning democracy.
             | 
             | The moment the press starts spreading disinformation, it
             | starts to be detrimental to democracy and should be treated
             | as that.
        
           | gojomo wrote:
           | Vaccinations are too leaky to "make this virus extinct".
           | Within a few months of vaccination, half or more of people
           | can get mild, but still transmissable, cases of Delta.
           | (Omicron is likely worse; there are already multiple reports
           | of mild cases among those with recent 3rd booster shots.)
           | 
           | Honest epidemiologists have been warning about this risk
           | since 2020, and more forcefully when confirmed by early vax
           | results in 2021. But many people are still on the warpath
           | against the unvaxed, as if that can make a difference.
           | 
           | Well, it can for the unvaxed themselves - winning them a
           | less-severe case.
           | 
           | But every vaxed person is going to be exposed to, and have
           | mild cases of, COVID - via waning immunity & multiplying
           | variants. There is no net increase in protection from
           | harassing the last ~15% (a more honest count of hardcore
           | holdouts) into a vax they don't want. (Most of them have
           | probably had COVID already, or soon will, giving them an
           | immunity just as good as vaccination.)
        
             | timdaub wrote:
             | Biontech has proven to have 93% efficacy against
             | hospitalization after 6 months [1].
             | 
             | - 1: https://www.thelancet.com/journals/lancet/article/PIIS
             | 0140-6...
        
               | jansan wrote:
               | Which has nothing to do with making the virus extinct.
        
             | omegaworks wrote:
             | >Most of them have probably had COVID already, or soon
             | will, giving them an immunity just as good as vaccination.
             | 
             | Immunity from prior-infection was worse than vaccination at
             | protecting people from Delta.
        
               | switch007 wrote:
               | By how much? It's really disingenuous to say "more" or
               | "less" or "better" or "worse" without qualification.
        
               | s1artibartfast wrote:
               | Source? The papers I have seen show the exact opposite!
        
           | EricE wrote:
           | > Let's make this virus extinct.
           | 
           | Here's the core problem - unrealistic expectations. Even the
           | CDC has backed off from the whole "make the virus extinct"
           | mantra; they haven't spouted it for over a year now. Which is
           | a good thing - it was utterly ridiculous from day one.
           | 
           | This virus isn't going away. It is carried by animals. You
           | going to vaccinate every animal that we all come in contact
           | with? Ha! You are not going to shelter in place or vaccinate
           | away this virus. We had better figure out how to coexist with
           | it in a rational and reasonable manner.
           | 
           | The good news with the Omicron variant there are no reported
           | hospitalizations in South Africa. So it's more virulent, but
           | less bad. Here is the perfect path to herd immunity - a
           | variant that people can get a mild infection from and have
           | stronger natural immunity to than the vax would give, as well
           | as broader protection to variants. Actually any protection to
           | variants would be an improvement over the current vax - there
           | has be zero confirmation from the CDC or vax makers that the
           | vax provides any protection against Delta, let alone Omicron.
           | All they make are vague promises about it reducing the
           | reaction. Big deal! If the reporting by South African doctors
           | is correct and Omicron is as mild as they have seen then what
           | exactly is the vax doing? Nothing - except exposing you
           | needlessly to potential side effects.
           | 
           | BTW that Omicron is more virulent but less bad is totally
           | unsurprising to anyone familiar with viruses and who wasn't
           | politically motivated or shamed to pushing the ridiculous
           | narratives around COVID right now; this is totally expected
           | behavior as viruses mature in the wild and was predicted by
           | many virologists last year. Virologists who were then quickly
           | derided as quacks, truthers and worse since they dared to
           | challenge the widely accepted groupthink. Same crap that
           | happened with the lab leak, changing stances on masks,
           | ignoring of massive spike in reports in the Vaccine Adverse
           | Event Reporting System (VAERS) and more - hot takes that
           | turned out to be VERY wrong later but amazingly the
           | corrections never get the same amount of publicity as the
           | initial propaganda.
        
           | Pyramus wrote:
           | > Why do 30% of people refuse to get vaccinated? (here in
           | Aotearoa it is 5%). Something is happening, people are
           | getting left behind, in vast numbers.
           | 
           | It's an interesting question and there is lots of debate in
           | Germany at the moment as to why. Some factors are:
           | 
           | * Germany did very well during the pandemic so people didn't
           | experience a Bergamo or Madrid moment
           | 
           | * Germany has a strong esoteric / anthroposophical movement
           | (Steiner, Waldorf et al.)
           | 
           | * Federalism: Vaccination rates vary a lot by state
        
             | native_samples wrote:
             | None of those are the right answer. These are the answers
             | people come up with having never talked to anyone who
             | disagrees.
             | 
             | The right answers are:
             | 
             | 1. They don't trust the medical authorities to be honest
             | about the risks.
             | 
             | 2. They don't feel a need for it because they're at low
             | risk of COVID and know it.
             | 
             | 3. They don't believe it will change anything.
        
               | jseban wrote:
               | And
               | 
               | 1. The recommendation to take the vaccine goes exactly
               | against anything the doctors said pre-covid. Before
               | covid, nobody would recommend you to take a vaccine
               | against something you are not in a risk group for, and
               | double doses and boosters were unheard of. This makes me
               | suspicious, and I don't think that is unreasonable. 2.
               | You get really sick from the second dose of the vaccine,
               | which also is not normal, you are not supposed to get
               | sick from vaccines, you are supposed to take them to
               | avoid getting sick
               | 
               | So the whole vaccination situation is something that's
               | new and confusing, why do what my doctor always said to
               | not do? Why get sick from vaccines, aren't they supposed
               | to stop you from getting sick? Why double and triple
               | vaccines?
        
               | Pyramus wrote:
               | > The right answers
               | 
               | The right answers, but for the wrong question ;)
               | 
               | Not disagreeing with you, but parent was asking why is
               | Germany so bad relative to their European peers.
        
           | prohobo wrote:
           | You _cannot make this virus extinct_. These vaccines do not
           | accomplish this goal, the end.
        
             | jermaustin1 wrote:
             | Yes the vaccine doesn't kill it, but what would kill it is
             | a REAL lock down.
             | 
             | Give everyone 2 months of salary, and 2 months of food.
             | Nationalize food production for a month, give everyone
             | shelf stable terrible food, the same crap that the majority
             | of the anti-vaxxers have been hoarding for decades.
             | 
             | Its like a pretend apocalypse. They should LOVE it.
        
               | 14 wrote:
               | I agree that is the only way but it better be my day off
               | when the lockdown happens. How would nursing home staff
               | stay locked down? Or other people critical to ensuring we
               | have power or that our water treatment plants keep
               | running. But I do agree a more aggressive lock down could
               | work but we will never be able again to do something like
               | that. Not unless it starts killing people like Ebola and
               | everyone in those jobs says screw it I quit and walks
               | away.
        
               | crooked-v wrote:
               | Unfortunately, that wouldn't really help long term,
               | because the disease has spread through animal populations
               | by now.
               | 
               | The only way to reliably stop this from being an ongoing
               | pandemic is measures that reduce the R-value below 1 in a
               | long-term manner, like mass vaccinations.
        
               | gojomo wrote:
               | The high rates of breakthroughs mean even very-highly-
               | vaxxed populations have had case surges. Rt is going to
               | oscillate around 1, forever.
        
               | rbanffy wrote:
               | Even if it's around 1 forever, if the effects are mild as
               | they are with vaccinated people, it'll be manageable as
               | flu is.
        
               | angelzen wrote:
               | As I already replied elsewhere in this thread, as of
               | 12/02/2021 German CDC estimates 7-day R-value as 0.92.
               | That is below 1.
               | 
               | https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavi
               | rus...
        
               | crooked-v wrote:
               | The 7-day R-value _with current vaccination rates and
               | local restrictions_ , yes.
        
               | gojomo wrote:
               | COVID fear creates that sort of warped fantasy. But few
               | nations are totalitarian enough to carry that out.
               | 
               | And large reservoirs of COVID would remain in wild
               | animals, and other countries, and groups (like the elites
               | & their children, or remote communities) that can't
               | practically be forced to comply.
        
               | systemvoltage wrote:
               | One leak in the population of 7 billion and the whole
               | plan is a waste.
        
               | prohobo wrote:
               | Utter insanity. Who told you a "real" lockdown would stop
               | the virus? Where did you get this "fact" from?
        
               | rbanffy wrote:
               | In theory, if no household has any contact with any other
               | household, the virus will be unable to propagate and will
               | quickly die off.
               | 
               | A perfect lockdown would stop a human-only pandemic
               | immediately by stopping all transmission.
               | 
               | Unfortunately, this virus infect other animals as well.
               | Good luck locking them down.
        
               | swader999 wrote:
               | You ignore that this virus lives and will persist in
               | animal reservoirs. It can creep right back in after any
               | real lockdown you could imagine.
        
               | Syonyk wrote:
               | How do you keep things like "power plants" and "water
               | systems" running in this proposal? Either you allow so
               | many exceptions that it's worthless, or you _literally_
               | shut down modern civilization. It 's far from clear that
               | it can be blackstarted.
        
             | Swenrekcah wrote:
             | The goal is to keep serious cases to a minimum so they
             | don't clog the healthcare system thus making people die of
             | all sorts of other things because they couldn't be treated.
             | 
             | Vaccines do help with that, tremendously.
        
               | prohobo wrote:
               | Do they? Can you prove that, or are you just saying
               | random shit everyone else says?
               | 
               | This was not the narrative at the beginning of the
               | vaccine rollout, by the way. The narrative changed every
               | month towards what you're currently saying.
               | 
               | From what I've heard, thousands of people have been
               | losing out on proper healthcare because of _governments_
               | blocking their access; I 'm talking people who should
               | have had cancer screenings not getting them and dying
               | because they were coerced into "lowering the strain on
               | healthcare services".
               | 
               | I also heard that thousands of healthcare workers have
               | been getting fired, and ICU beds removed because of
               | _governments_ deciding they weren 't heroic enough, and
               | not fit for treating patients.
               | 
               | Who are you trying to protect exactly?
        
               | Swenrekcah wrote:
               | You can look up all the statistics on vaccine
               | effectiveness against serious cases. They work really
               | well for that. They don't work as well as first hoped
               | against infection but data on third booster suggests
               | better results on that front.
               | 
               | Look it up instead of asking me for proof, while you
               | yourself are restating hearsay originating from who knows
               | where.
        
               | prohobo wrote:
               | I asked if you can prove that they stop hospitals from
               | being overwhelmed, not whether they were effective. So
               | far it's not looking very good, is that why you support
               | the decision to mandate the shots?
        
               | Swenrekcah wrote:
               | I'm not sure I support a vaccine mandate. I'm just saying
               | that the vaccines work and it's foolish to claim
               | otherwise.
               | 
               | I can understand hesitation to get vaccinated, but I'd
               | like to ask those same people if they take any other
               | medicine at all and if they have read the pamphlet that
               | comes with those.
               | 
               | Also I'd like to ask if they are fine with getting a
               | completely alien and known harmful substance into their
               | body, the substance we call Coronavirus.
        
             | mattzito wrote:
             | Sure, but we can make the virus largely irrelevant in terms
             | of its impact on peoples lives. We can reduce the number of
             | people who suffer long term consequences, the number of
             | deaths, and the load on hospitals. We can make it harder
             | for new, more dangerous, variants to arise.
        
               | runarberg wrote:
               | I do think it is important to use the correct terminology
               | here. This disease and the vaccines are already a huge
               | spread of misinformation, so lets expand on the "sure"
               | bit from this sentence a little. It is saying quite a
               | lot:
               | 
               | I don't think any expert nor any public health department
               | is working with the goal of eradication in mind. So we
               | should acknowledge the fact that these vaccines will
               | probably not eradicate COVID. We will have people getting
               | sick from COVID and we will have more COVID variants for
               | the foreseeable future. Even after most people have been
               | thoroughly vaccinated. And given the slow global spread
               | of vaccines we will also probably see more lockdown
               | measures to slow the spread of the virus beyond the
               | current vaccine capabilities.
               | 
               | Now that said, remember that with the vaccines:
               | 
               | > we can make the virus largely irrelevant in terms of
               | its impact on peoples lives. We can reduce the number of
               | people who suffer long term consequences, the number of
               | deaths, and the load on hospitals. We can make it harder
               | for new, more dangerous, variants to arise.
        
               | VoodooJuJu wrote:
               | >I don't think any expert nor any public health
               | department is working with the goal of eradication in
               | mind
               | 
               | I believe I speak for many when I say, "I have no idea
               | what the experts' have in mind" (and that's not a good
               | thing).
               | 
               | So they're trying hard to get everyone vaccinated - a
               | noble goal, perhaps, as our current roster of vaccines
               | diminish symptoms and greatly reduce hospitalization and
               | fatality rates. But..."Stop the spread, get
               | vaccinated"...what? Like the parent said, all of the
               | currently-approved intramuscular Covid-19 vaccines have
               | proven to have a negligible effect on transmission rate.
               | 
               | Early on, experts probably made an educated guess or wish
               | that these vaccines would be sterilizing and started
               | information campaigns on this premise. When this turned
               | out to be not true, their "Stop the spread, get
               | vaccinated" became "You unvaccinated are the problem, you
               | are holding us back, and you will be locked down
               | immediately". Rather than address their mistake, rather
               | than open up transparently, they doubled down on the lie.
               | Not a good way to build trust.
        
               | ajsnigrutin wrote:
               | We could do that for smoking too, but since smoking is a
               | choice, we let people smoke and die. Why not do the same
               | with the vaccines? As with smoking, the unvaccinated are
               | taking all the risks.
        
               | caeril wrote:
               | > We can reduce the number of people who suffer long term
               | consequences, the number of deaths, and the load on
               | hospitals.
               | 
               | Huh. Curious, what kind of insane abrogations of bodily
               | autonomy have you been advocating for the last 20 years
               | of the obesity epidemic?
               | 
               | I can't find anything in your post history advocating for
               | mandatory calorie restriction for fat people, to "reduce
               | the number of people who suffer long term consequences,
               | the number of deaths, and the load on hospitals" for a
               | condition that has not only killed FAR more people than
               | COVID itself, but is the second significant comorbidity
               | of it, and is likely responsible for more COVID deaths
               | than vaccine hesitancy.
        
               | crooked-v wrote:
               | Obese people don't take up literally the entirety of ICU
               | capacity in heavily-affected areas[1], nor does obesity
               | spread exponentially in a matter of months.
               | 
               | [1]: https://www.newsweek.com/indiana-covid-boy-cancer-
               | treatment-...
        
               | [deleted]
        
             | throwoutway wrote:
             | Thank you! It's this myth that keeps perpetuating that
             | makes people think mandates are acceptable.
             | 
             | And I say that as someone vaccinated.
        
             | crooked-v wrote:
             | However, they do accomplish the goal of stopping it from
             | being a pandemic. With enough people vaccinated to reduce
             | the R-value below 1, reinfections from animal reservoirs
             | will become inherently self-limiting.
        
             | pjc50 wrote:
             | Why not? We eradicated smallpox.
        
               | whiddershins wrote:
               | The smallpox vaccine is a sterilizing vaccine, meaning
               | you cannot be infected and cannot transmit it once you
               | are vaccinated.
               | 
               | The MRNAs are non-sterilizing, as are many vaccines. They
               | may reduce symptoms, reduce infections, and reduce
               | transmission, but they are not considered a sterilizing
               | vaccine.
               | 
               | Secondly, coronaviruses mutate much faster than smallpox,
               | and have other hard to deal with stuff like asymptomatic
               | transmission.
               | 
               | The only diseases we ever eradicated were polio and
               | smallpox. I think we got rid of the guinea worm too. Out
               | of all the many many diseases we have fought over the
               | years.
        
               | anonAndOn wrote:
               | Thanks to some Af-Pak mullahs, the world still has polio
               | in the wild. [0]
               | 
               | [0]https://www.gatesfoundation.org/our-
               | work/programs/global-dev...
        
               | glogla wrote:
               | > The MRNAs are non-sterilizing
               | 
               | The vaccines we have are non-sterilizing - and my
               | understanding is that the reason is mostly because we
               | needed at least something very quickly and sterilizing
               | vaccines for respiratory virus are harder to research. It
               | is not inherent property of the technology as far as I
               | know.
               | 
               | Sterilizing vaccines for COVID seem to be theoretically
               | possible. "Natural" infection generates stronger immune
               | response on mucus membranes as well as deep inside the
               | body and that provides higher protection against
               | infection. There's no reason why that wouldn't be
               | possible to replicate using a vaccine. But nobody
               | succeeded at making one yet, so we'll have to see if it's
               | practical.
        
               | Pyramus wrote:
               | Because unfortunately the current generation of vaccines
               | doesn't completely stop the spread - they certainly slow
               | the spread in the weeks after the second shot, but then
               | antibodies start to wane over the next months (which is
               | why booster shots are being administered). Vaccines still
               | protect from hospitalisation and death, though.
               | 
               | If you believe most virologists the only realistic
               | scenario is that the virus becomes endemic, similar to
               | most flu strains or other human corona viruses (which
               | makes vaccination even more important!).
        
               | standardUser wrote:
               | It's generally considered impossible to eradicate a
               | pathogen that can survive in "reservoirs" among wild
               | animals, which this virus can.
        
               | gjs278 wrote:
               | because that vaccine actually works. this one has
               | "breakthrough" cases
        
               | prohobo wrote:
               | Are you serious? Let me ask you why we haven't eradicated
               | influenza?
               | 
               | Not all viruses are the same, and neither are all
               | vaccines.
        
           | timdaub wrote:
           | No, it's not totalitarian.
           | 
           | In Germany we have a constitution that protects all human's
           | right equally. If there's good reasons why you can't receive
           | a vaccination, I'm pretty sure nobody can force you. Not even
           | the state. Go to your doctor to get an attest that exempts
           | you from the mandatory vaccination. Nothing easier than that
           | in Germany.
           | 
           | And again: You are just speculating. Nobody knows if a
           | vaccine mandate leaves people behind it tropes. You cannot
           | know it, because it hasn't happened.
           | 
           | I'd rather make decisions based on facts than just
           | speculating about hypotheticals.
        
             | cbozeman wrote:
             | Given Germany's track record on human rights, you'll
             | forgive me I don't believe you... or your government.
        
             | dane-pgp wrote:
             | > In Germany we have a constitution that protects all
             | human's right equally.
             | 
             | If Germany's constitution allows vaccine mandates, then
             | your insistence that it protects all human's rights will be
             | of little comfort to the people who are forced to take the
             | vaccination without their consent and in violation of their
             | conscience.
             | 
             | At best you are saying "Having control over what medical
             | treatments are done to you is not a human right", and at
             | worst you are saying "Antivaxers aren't human". Either way,
             | you are putting too much trust in a system that claims to
             | protect human rights, and totalitarians generally manage to
             | find a way to twist the law to justify what they are doing,
             | whether the excuse is "military necessity", "medical
             | necessity", or something else.
        
               | timdaub wrote:
               | It seems you're not understanding the German situation.
               | But also: consider that your theoretical argument made
               | out of anxiety for some imaginary totaliarism makes, in
               | today's context, no sense:
               | 
               | Triage is happening and people with better chances of
               | survival (e.g. everyone vaccinated) are getting the beds.
               | So already "antivaxers are treated less like humans".
        
               | Xylakant wrote:
               | In fact, germany had a vaccine mandate against smallpox
               | until 1975 https://de.m.wikipedia.org/wiki/Impfpflicht
               | and we have one against measles, though the mandate only
               | requires children and people in certain fields of work to
               | be vaccinated (teachers,caregivers etc.) The German
               | constitutional court ruled in 1959 that the vaccine
               | mandate against smallpox is constitutional.
        
               | Pyramus wrote:
               | > the people who are forced to take the vaccination
               | without their consent and in violation of their
               | conscience.
               | 
               | Your imagination got the better of you here - nobody will
               | be forced to vaccinate, especially not without their
               | consent. Similar to how nobody comes to your car and
               | forces you to wear a seatbelt.
               | 
               | Germany's constitution is quite clear about this, for
               | apparent, historic reasons.
        
               | ajsnigrutin wrote:
               | So, how is paying a fine (as in eg. greece) not a form of
               | "force"? In one way, if you're rich, you can pay for your
               | right not to wear a seatbelt.. i mean, get the vaccine,
               | but for normal people, the current measures are basically
               | them being forced to do something that they don't want to
               | do.
        
               | baggy_trough wrote:
               | You won't be physically forced to, but you also won't be
               | allowed to do most of the things we normally consider
               | that people have a right to do unless you comply. That's
               | really a non physical way of forcing compliance (like
               | saying I'll fire you from your job unless you agree).
        
               | daylp wrote:
               | So it will be "voluntary" by imposing successively higher
               | fines until you cannot pay. Then your credit score will
               | be ruined, you can't pay rent and join the homeless.
               | Completely voluntary, just like compulsory state
               | television fees.
               | 
               | Incidentally, both state radio fees and mandatory
               | vaccination were immensely popular in the Third Reich.
        
               | fartattack wrote:
               | The article says that Germany is planning to make the
               | shot compulsory, literally this article that these
               | comments are ostensibly discussing, in the second
               | paragraph, so I'm not sure where you got the idea nobody
               | is going to be forced to get vaccinated, but the
               | gaslighting isn't appreciated
        
               | Xylakant wrote:
               | You won't be forcefully vaccinated. But you can be fined
               | for not taking the vaccine and you can be restricted in
               | what jobs you work in. That's how it works with the
               | current limited vaccine mandate for measles.
        
               | lsiebert wrote:
               | I think I'd rather some people be vaccinated without
               | their consent with a safe vaccine than have some people
               | be infected without their consent with a deadly illness.
               | 
               | We know mask mandates, vaccines, and other medical
               | interventions save lives, reduce transmission, reduce
               | hospitalizations, reduce long term symptoms and long
               | covid rates, and reduce deaths, and they may even reduce
               | mutation rates. So the choice to vaccinate, that you
               | paint as one of conscience and consent don't just affect
               | the individual making the choice, but all the people
               | around them.
        
               | ajsnigrutin wrote:
               | Why?
               | 
               | I mean... we let people smoke and die due to that... why
               | not due to covid too?
               | 
               | The vaccines are too weak to actually achieve herd
               | immunity, so pretty much everyone will get in contact
               | with covid, sooner or later,... some will beat it by
               | themselves and some will, sadly, die.
               | 
               | If people want to take the risk of covid, why force them?
               | I got vaccinated and I don't care if some people don't
               | want to do it.
        
               | helge9210 wrote:
               | > I think I'd rather some people be vaccinated without
               | their consent
               | 
               | Read the book "Ordinary men" (by Christopher R.
               | Browning). Normal people, like you and me, had "very
               | good" reason to do what they did when they did it.
        
               | [deleted]
        
             | elvis10ten wrote:
             | > Nobody knows if a vaccine mandate leaves people behind it
             | tropes. You cannot know it, because it hasn't happened.
             | 
             | An immigrant friend went homeless after Berlin required
             | places like hotels & accommodation houses to be 2g (tested
             | or recovered) only.
             | 
             | He got his vaccine as he wasn't against them in the first
             | place, he was just a wreck less dumb person. I would argue
             | that other measures would have been less catastrophic while
             | still "punishing" the individual.
             | 
             | Isn't this an example of being left behind on a similar
             | policy? If I misunderstood you, then my apologies.
        
             | prohobo wrote:
             | So I could go to a doctor and ask for exemption on the
             | grounds that I'm a young male and I'm most susceptible to
             | getting Myocarditis from the shots? Or that I've already
             | had Covid and there's good evidence that I don't need a
             | shot?
             | 
             | I don't think so.
        
               | timdaub wrote:
               | I Germany you can go to a doctor and get an attest about
               | practically anything. If you fail, just visit the next
               | doctor.
        
             | helge9210 wrote:
             | > You cannot know it, because it hasn't happened.
             | 
             | I know of another case, when subset of citizens was labeled
             | as cause of all evil with following mandatory medical
             | procedures. It did happen in Germany long time ago and I
             | don't want to believe it can happen again.
        
               | klyrs wrote:
               | Then, the villain was Jews. Now, the villain is a virus.
               | Incomparable.
        
           | throwawaysea wrote:
           | It's a tyranny of the majority:
           | https://en.wikipedia.org/wiki/Tyranny_of_the_majority
           | 
           | I simply don't understand why one person needs to undergo a
           | medical procedure to enable someone else to experience the
           | safe conditions they want. These vaccines don't even grant
           | immunity in the traditional sense (see CDC's revision of
           | definitions here) - all the vaccines do is move things from
           | one nonzero probability of risk to another nonzero
           | probability of risk. If people are SO worried about their
           | health, they need to behave honestly and either quarantine
           | themselves or wear a full body protective hazmat suit
           | everywhere. But requiring others to get a vaccine to attain
           | some arbitrary risk ratio just doesn't make sense.
        
             | jseban wrote:
             | > I simply don't understand why one person needs to undergo
             | a medical procedure to enable someone else to experience
             | the safe conditions they want.
             | 
             | Me neither, I think it's completely unreasonable.
        
             | skeeter2020 wrote:
             | >> But requiring others to get a vaccine to attain some
             | arbitrary risk ratio just doesn't make sense.
             | 
             | Uhm, we do this all the time: licensing, seat belts, etc.
             | Welcome to modern society.
        
             | Pyramus wrote:
             | Admittedly, it's not a great example, but maybe it can
             | facilitate understanding a bit?
             | 
             | Why do we take away the right to drive a car (free
             | movement) from those who are intoxicated? All that banning
             | of drunk driving does is it slightly decreases a nonzero
             | probability of risk. The risk to be hurt by an intoxicated
             | driver is very low, and the risk to die is even lower. If
             | people are really concerned about street safety, and
             | traffic is inherently dangerous as it is, they should just
             | stay at home.
        
         | VoodooJuJu wrote:
         | >30% are holding everyone back.
         | 
         | What do you mean by this?
        
         | chippy wrote:
         | Its worth remembering that division is due to the other side
         | _always_.
         | 
         | This is an absolute statement as division is literally caused
         | by dividing between "sides". You get a divided country when the
         | people within it divides each other into sides. Its never been
         | the case when people have said "our side has caused the
         | division". never.
         | 
         | That is the irony you should be finding! If you do finally see
         | this irony you might find more nuance, but maybe more
         | frustration and more uncertainty and confusion but less anger
         | and possibly more empathy to the other. That's why its so easy
         | for people to divide, as its less painful. Dividing and
         | categorizing is how we make sense of the world, but it can be a
         | curse too.
        
           | timdaub wrote:
           | And how exactly does this statement now help to address the
           | situation?
        
           | op00to wrote:
           | No, vaccinations are how we get out and people who are
           | medically able to get them and don't are hurting each and
           | every human on this planet due to their own hubris.
        
             | guscost wrote:
             | Want a war? That's what you're going to get if you persist
             | with this paranoid hypochondriac fascism.
        
               | timdaub wrote:
               | A war with sneezers?
        
               | guscost wrote:
               | A war with the enormous majority that either has refused
               | this treatment, or just believes that others should have
               | the right to refuse.
        
         | fhany wrote:
         | If 70% of people have a tattoo of a cross the remaining 30%
         | have to get it because of the "democratic process"?
         | 
         | In Florida the summer outbreak stopped by itself and the
         | hospital capacity did not break down completely. The outbreak
         | will stop by itself in Germany, too. But of course Germans need
         | to dramatize everything ...
        
           | timdaub wrote:
           | Of course not. Why would that be? Nobody is clogging up ICU
           | beds over getting tattoos. smh.
        
         | whiddershins wrote:
         | One of the most salient thing about rights is that the majority
         | isn't permitted take them away whenever it suits them.
        
           | frenchyatwork wrote:
           | One of the most salient thing about rights is that people
           | constantly disagree about them and they often disagree with
           | each other. For example
           | 
           | * My right to speak freely and say cruel things vs the right
           | of someone else to live a peaceful life free of terror.
           | 
           | * The right of a privacy for a politician vs the right of the
           | pubic to know about their character & personal life.
           | 
           | * The right of a capitalist to buy out all the competition vs
           | the right of the consumer to have choice.
        
           | rrrrrrrrrrrryan wrote:
           | Access to healthcare is considered a right in Germany.
           | 
           | They're mandating vaccines so that they can continue to
           | provide all their citizens with this human right.
           | 
           | Sometimes rights clash, which is why you can't yell "fire" in
           | a crowded theater despite having the right to freedom of
           | speech.
           | 
           | An individual's right to do X on principle can absolutely be
           | overruled by the right for a larger group of people to
           | continue living on this earth.
        
             | floren wrote:
             | > Sometimes rights clash, which is why you can't yell
             | "fire" in a crowded theater despite having the right to
             | freedom of speech.
             | 
             | The decision about yelling fire in a crowded theater
             | originates from Schenck v. United States, in which the
             | Supreme Court decided it's OK for the US Government to
             | suppress anti-draft protests; consider if you wish to build
             | arguments on this foundation.
        
             | ghoward wrote:
             | > Access to healthcare is considered a right in Germany.
             | 
             | > They're mandating vaccines so that they can continue to
             | provide all their citizens with this human right.
             | 
             | This is exactly why those people are wrong. True rights
             | never clash.
        
             | ericd wrote:
             | Ironically, the ruling that spawned the "fire in a theater"
             | limits on free speech was largely overturned:
             | https://www.theatlantic.com/national/archive/2012/11/its-
             | tim...
        
           | mnd999 wrote:
           | They are in the UK
        
         | ericd wrote:
         | Well, there's always civil war. That'd be a bit more divided.
         | We should probably try going in the opposite direction, which
         | usually involves less trying to impose our wills on each other.
        
         | MarcoZavala wrote:
         | You should be stabbed in the throat repeatedly until you die.
        
         | pohl wrote:
         | _30% are holding everyone back_
         | 
         | Are you still talking about Germany, because that's exactly the
         | situation we have in the U.S., too. Same ratio, even.
        
         | paul7986 wrote:
         | I just became fully vaccinated and each day since I am dealing
         | with dizziness / lightheaded-ness spells.
         | 
         | Everyone should take one for the team you say but do you know
         | what the future holds for the team? You just trust emphatically
         | what the early science says vs. waiting over time to see all of
         | it's effects on a huge population? That and time is the true
         | bellweather but we are forced guinea pigs to join the
         | experiment or lose our livelihoods.
         | 
         | Can you tell me Why is the FDA want 55 years to process and
         | release all the vaccine data they have.... shouldn't they be
         | getting that out ASAP ... from Reuters (non-biased or sided
         | media) https://www.reuters.com/legal/government/wait-what-fda-
         | wants...
         | 
         | You either believe everything your govt says and the very early
         | science says (time is the bellweather and the large population
         | data that comes with it) or you live life on the fence
         | questioning things before making the best decision for yourself
         | or you go completely agaisnt the ones who just buy, soak up and
         | believe everything their side says.
        
         | cbozeman wrote:
         | LOL, "my body, my choice" right up until it's something that
         | the political left want, then it's, "Fuck you, get in line or
         | die."
         | 
         | Either we have autonomy over our medical choices or we don't,
         | period. This is the problem with having principles. You either
         | live by them and have integrity or you abandon them and you
         | don't.
        
         | elvis10ten wrote:
         | Not everybody who hasn't taken the vaccine is an antivaxxer.
         | 
         | I think a distinction needs to be made between anti vaxxers and
         | people who are just naive/"dumb".
         | 
         | I have seen more of the later group. Which is why I'm surprised
         | when someone here or in mainstream media says this has anything
         | to do with a political side.
         | 
         | This distinction is useful IMO in creating sound policies.
        
       | IG_Semmelweiss wrote:
       | I think the biggest unsung problems in this saga, is actually one
       | of marketing.
       | 
       | The average person has experience with vaccines that have 3
       | properties: (1) long lasting, (2) prevent contagion (3) and major
       | symptoms. By calling the mRNA shot a vaccine , the WHO and CDC
       | transferred such properties to the shot. That may have been great
       | for encouraging adoption, but also comes with consequences
       | particularly if two vaccine properties fail to hold, and a 3rd is
       | not flawless.
       | 
       | This was never made clear by anyone of relevance - instead the
       | mantra was "take the shots and all will be well". We oversold the
       | solution.
       | 
       | People took the shots, then behaved as if nothing else mattered.
       | Dropped masks. Started going nuts.
       | 
       | Now we see the results.
        
         | roywiggins wrote:
         | The flu shot needs to be updated yearly, and it mostly prevents
         | hospitalizations and deaths. Seems pretty similar.
         | 
         | The flu vaccine is about 70% effective against getting flu[0],
         | but it varies wildly by year. The two-dose mRNA vaccines are
         | about 50% effective against COVID five months later[1] (for the
         | delta variant, anyway), but the third dose seems to push that
         | up substantially.
         | 
         | [0] https://www.webmd.com/vaccines/how-effective-is-flu-vaccine
         | 
         | [1]
         | https://www.thelancet.com/journals/lancet/article/PIIS0140-6...
        
         | crooked-v wrote:
         | Regarding 2 and 3, it feels like a major factor here is the
         | huge number of people who have forgotten (or never knew) that
         | vaccines as a category aren't automatically 100% effective,
         | because all the hard work to wipe out diseases like measles
         | from the general population has already been done.
        
         | cblconfederate wrote:
         | this has been a worldwide problem - the fact that it even
         | happened in germany is concerning. Governments were looking for
         | easy way outs left and right, but more importantly, did not
         | take the time to create an international scientific task force
         | to research treatments. The Manhattan project started 2 years
         | after the start of WW2. Maybe the time is right to consider
         | large-scale responses to this war as well.
        
       | exabrial wrote:
       | This is pretty danged sad.
        
       | _Understated_ wrote:
       | This is pure bullshit of the highest order.
       | 
       | The science is crystal fucking clear: no one is dying from
       | COVID![0]
       | 
       | [0] -
       | https://coronavirus.data.gov.uk/details/deaths?areaType=over...
        
         | lolsal wrote:
         | Can you explain what you mean? The link you provided shows over
         | 150k deaths in the UK alone.
        
           | _Understated_ wrote:
           | The daily death rate is at around 100 people per day and
           | that's "100 people dying within 28 days of a positive COVID
           | test" - a meaningless statistic that does not tell you a
           | single thing.
           | 
           | Plus, the stats only show deaths with covid on the
           | certificate. That means they could have died from something
           | else.
           | 
           | This whole thing is a farce. A charade.
           | 
           | Make no mistake: they're coming for your children.
           | 
           | Also, there are approximately 450 deaths per day from cancer
           | - where is the government push to fix that?[1]
           | 
           | [1] - https://www.cancerresearchuk.org/health-
           | professional/cancer-...
        
       | throwaway47292 wrote:
       | I am double vaccinated, pro vax, would get booster if I can, but
       | if this happens in my country I will join the riots. I dont have
       | solution, but if people dont want to get vaccinated they
       | shouldn't be forced, period.
       | 
       | I am afraid this pressure will create people that are against all
       | vaccines, and when we get like 20% of new parents not vaccinating
       | their new lockdown babies (which are a lot, everyone i know who
       | can be pregnant is pregnant), the Pandora's box will open,
       | measles and polio and shit will come crawling back.
       | 
       | I feel we could do more to incentivize people to be less packed,
       | like taxing working from the office and incentivize working from
       | home, or subsidize working longer hours in retail and gyms. And
       | possibly we could do better with masks and more tests, e.g. send
       | families 1 test per week so they can stop the spread quicker.
        
         | mike_d wrote:
         | If you don't enforce vaccination, you have to ration medical
         | care.
         | 
         | Should someone come in to the hospital presenting with COVID
         | symptoms they get tested. If you pop hot and are unvaccinated,
         | you are sent home with your freedoms, liberties, self reliance,
         | and a pain management pack. People who got vaccinated will have
         | the now heavily unburdened healthcare system dedicated to
         | making them better.
        
         | zoe4883 wrote:
         | I had covid, but have no certificate with PCR test. I had
         | positive home self test. I did not want to ride bus and visit
         | hospital, with 38 degree fever, to get official PCR test.
         | Instead I just self isolated for 2 weeks like an idiot.
         | 
         | They will now force me to take a shot. I have to risk severe
         | alergic reaction.
         | 
         | I am also vaccinated, but Jansen does not count anymore.
        
           | endymi0n wrote:
           | Sorry to hear that, but you may overestimate your own risk:
           | https://pubmed.ncbi.nlm.nih.gov/34463744/
           | 
           | At this point, we're talking about the most-tested vaccine in
           | all of the world. Even if your chance of dying is increased
           | by 5x, that's equivalent to about 10 hours of driving a car
           | at average Autobahn speeds.
           | 
           | If you're prepared to take that kind of risk every year, I'd
           | invite you to just go do it.
        
             | zoe4883 wrote:
             | Look, some of my relatives had severe side effects and are
             | now chronically ill. When I got my shot, doctor had
             | adrenaline injection ready. My GP now says I should pay the
             | fines and not risk my life.
             | 
             | This vaccine is not tested, nobody knows how it behaves
             | with different medications, or even after 50 years.
             | 
             | And there is consensus vaccine will trigger allergic
             | reaction in people who recently passed hard form of covid.
             | 
             | Honestly, next time I encounter troll like you, I will just
             | socker punch him into face.
        
             | zoe4883 wrote:
             | Good you have better information than my GP!
             | 
             | Edit: allergic reaction would be from high level of
             | antibodies. I recently passed hard form of covid.
             | 
             | Please stop giving medical advices! You are not doctor and
             | you did not even read my post!
        
         | nitrogen wrote:
         | _send families 1 test per week so they can stop the spread
         | quicker_
         | 
         | This is a great idea, and I'm really curious why we don't have
         | something like this, just mail a free mask and a free test to
         | every address once a week, with a form to request more for
         | larger households, or to request that they stop.
        
           | DoktorDelta wrote:
           | The US postal service isn't nearly robust enough to handle
           | this. We saw that with physical unemployment checks last year
           | when nearly everyone became eligible.
        
           | mritchie712 wrote:
           | The people not getting vaxed voluntarily are the same ones
           | that would never sign up or take the test
        
           | throwaway47292 wrote:
           | 5 tests are 14Eur here, me and my wife test weekly, and our
           | daughter we test every 2-3 days, so we can isolate asap, but
           | none of my neighbours do that. And multiple times people
           | didnt even test with symptoms.
           | 
           | It would cost ~50 euro per family per month, which is quite
           | expensive, but possibly if they use some sort of model to
           | give tests to people with higher probability of getting sick
           | (e.g. if your child was in a school that got N positive tests
           | recently) maybe it can be reduced to 5 euro per family per
           | month.
           | 
           | Somehow I feel this is a missed opportunity to get things a
           | bit better, I dont think people will infect other people on
           | purpose.
        
         | 88840-8855 wrote:
         | I fully disagree; this matter is not a question of an opinion.
         | There is absolutely not a single convincing reason why shots
         | should not be mandatory.
         | 
         | If people like you will join the riot against it, I will join
         | the riots against the rioters. We finally need Ordnung in
         | society and it cannot be that opinionated people "iT sHoUlD bE
         | nOt MaNdAtOrY bUt I aM PrO VaX, iT iS bEcAuSe oF tHe
         | GrUndGeSeTz" or uneducated should disturb it. Yes, I am a
         | legalist on topics where the collective must work together and
         | not have "opinions".
        
           | throwaway47292 wrote:
           | > I fully disagree; this matter is not a question of an
           | opinion. There is absolutely not a single convincing reason
           | why shots should not be mandatory.
           | 
           | Isn't the the reason of "someone doesn't want it" enough?
        
             | glogla wrote:
             | Is "I don't wanna" ever a good reason to threaten safety
             | and health of others?
             | 
             | What if I don't want smoking ban in public places? What if
             | I don't want speed limit on public road or giving right of
             | way? What if run a restaurant and don't want food safety
             | laws?
        
               | throwaway47292 wrote:
               | What about [end to end] encryption? By using it we are
               | threatening the safety and health of others. (e.g. the
               | police is slower at solving crime because they don't have
               | access to all private information)
        
               | glogla wrote:
               | I don't see million of lives lost due to end-to-end
               | encryption, unlike with second-hand smoke, people driving
               | cars like idiots or COVID. Also police mostly doesn't
               | protect and help people and stop crimes, they arrest
               | people after crimes happened. Police being helpful to
               | anyone is mostly a myth.
               | 
               | I mean I generally agree that we should be careful with
               | sweeping "we need X to protect lives" but is global
               | pandemic that killed millions really the case?
        
               | throwaway47292 wrote:
               | But police is total, they would love to prevent crimes
               | before they happen if they could, and would do that at
               | all cost. If only those pesky encryption people stop
               | making this encryption things and we get access to all
               | the data..we will know every crime from domestic abuse to
               | terrorism, we would be even able to predict it, with like
               | 97% accuracy with this 'totally not racist state of the
               | art AI model'.
               | 
               | All jokes aside, of course I agree with you. Including on
               | the police point, but things like the oxy epidemic, or
               | the war on drugs, or the promotion of alcohol, makes me
               | question the "protective" incentives of the state.
        
           | ospzfmbbzr wrote:
           | > absolutely not a single convincing reason why shots should
           | not be mandatory.
           | 
           | what if you are wrong?
        
         | endymi0n wrote:
         | > e.g. send families 1 test per week so they can stop the
         | spread quicker.
         | 
         | I'm afraid you're missing reality, our kids are getting tested
         | 3 times per week already and still we're in quarantine right
         | now for the second week because an unvaccinated child care
         | assistant has infected half the place and now it's going
         | everywhere.
         | 
         | There is no dialogue or discussion going on anymore. We have
         | two factions in this country by now that don't talk to each
         | other anymore, one of which is despising science, empathy,
         | education and any common sense.
         | 
         | And frankly I'm sick of it by now. Like you I wouldn't force
         | anyone from this group to vaccinate against their will, but I'm
         | completely fine with offering intensive care only for the
         | vaccinated by this point.
         | 
         | German army can build up oxygen tents to offer the others a
         | decent chance to survival. I'm really not interested in saving
         | any Nazi or lunatic against their will.
        
           | endymi0n wrote:
           | Oh, and because some people told me that would be "unethical"
           | (and how to prioritize against smokers and motorbikers): It's
           | really not, at least not any less unethical than not getting
           | vaccinated.
           | 
           | These people aren't just fully prepared to still take the
           | risk of dying by Covid up to this day, they also
           | statistically kill 0.01 other people by getting infected.
           | 
           | We put people who kill other people in jail here, and
           | increase their risk of dying by suicide about 10x that way.
           | So far, everyone is fine with that.
        
             | zoe4883 wrote:
             | Even Fauci said vaccinated people spread covid at the same
             | rate for first few days.
        
           | tibu wrote:
           | As far as I know vaccinated people (like myself) can also
           | spread the virus, the vaccination helps only your immune
           | system to combat the disease. So don't blame the unvaccinated
           | for this. But I'm with you in the medical care part,
           | vaccinated people should get priority. But they won't...
        
             | endymi0n wrote:
             | By your logic, we should get rid of goalkeepers as well,
             | since all goals in football happen despite them being on
             | the playground.
        
             | glogla wrote:
             | Sadly lot of people (I don't mean you specifically) are
             | dumb and have black and white thinking.
             | 
             | Yes, vaccinated people can still get sick. But they get
             | sick order of magnitude less often and if they do get sick,
             | they are order of magnitude less likely to need oxygen,
             | hospital or ICU.
             | 
             | Yes, vaccinated people can still spread the virus. But they
             | are order of magnitude less likely to do so, and if they
             | do, they spread smaller amount of the virus over smaller
             | window of time.
             | 
             | Yes, one type of the antibodies (the short-term ones that
             | actively look for virus as opposed to the long-term ones
             | stored in bone marrow that look for your own infected cells
             | that take a while to activate) wanes as time passes but
             | that is property of all vaccines and of "naturally" gained
             | immunity as well - bodies don't want to waste energy
             | actively looking for something it hasn't seen in a while.
             | 
             | But in minds of black-and-white people, this means
             | "vaccines don't work!!!11!!!" and that is just sad.
        
         | pietjepuk88 wrote:
         | > they shouldn't be forced
         | 
         | I was under the impression that you'd just get fined if you
         | don't get your shot. It's not like they are going to take you
         | prisoner and stick a needle in you.
        
           | throwaway47292 wrote:
           | Until when? when the next wave comes and the unvaccinated are
           | 40% instead of 30%, do you think they wont start forcing the
           | needle?
           | 
           | How many people would get the booster? and the next booster
           | after that?
           | 
           | I think its reasonable to assume that every 6 months the
           | unvaccinated group with grow with 5% or so, how long until
           | they become more than the vaccinated?
           | 
           | What will happen when they elect the new government in 2
           | years
        
             | pietjepuk88 wrote:
             | I'm not sure what you mean by "until when?".
             | 
             | > do you think they wont start forcing the needle?
             | 
             | The article is about _fining_ people, i.e. negative
             | monetary incentives. Your reply outlined a bunch of
             | positive monetary incentives. There's probably enough
             | research out there which of the two works better (negative
             | or positive), so I won't get into that. I will say that I
             | think it's quite a stretch to say that either is a step-up
             | to "forcing a needle in you", and that I find it a bit
             | disingenuous to imply that this slippery-slope argument
             | only applies to negative monetary incentives.
        
         | [deleted]
        
         | soperj wrote:
         | >send families 1 test per week so they can stop the spread
         | quicker.
         | 
         | these things are incredibly cheap in Europe. Brother in law
         | tests his kids that are in elementary school twice a week. You
         | pick them up at the pharmacy for like $1.50 a pop.
         | 
         | No one is being forced. They're just being told to stay home if
         | you're not going to be part of the greater good.
        
         | MisterBastahrd wrote:
         | I would be fine with unvaxxed people remaining unvaxxed of
         | their own free will if it were also a situation where the law
         | said that anyone who does not get vaccinated during a pandemic
         | when a vaccine is available (and obviously has no underlying
         | medical condition that would put them at risk for a significant
         | injury due to vaccination) while incurring significant medical
         | bills for said pandemic would be liable for all medical bills.
         | The rest of us shouldn't have to pay for premium increases
         | because they're being stupid.
        
       | shoto_io wrote:
       | As a double vaccinated German, I am very disappointed and angry
       | about this move.
       | 
       | Our politicians have failed to prepare the country for the Winter
       | (who could have known...). We lack a basic strategy how to cope
       | with Covid.
       | 
       | And now they try to fix this by dividing the country in two. This
       | will have no effect whatsoever on the infections, it will just
       | continue to drive a divide that is already existing and will make
       | anti-vaxxers even more convinced that this is a big conspiracy.
        
         | politician wrote:
         | Blaming national problems on minority groups and enforcing
         | involuntary ghettoization is quite German, no?
        
         | ryandrake wrote:
         | > And now they try to fix this by dividing the country in two.
         | This will have no effect whatsoever on the infections, it will
         | just continue to drive a divide that is already existing and
         | will make anti-vaxxers even more convinced that this is a big
         | conspiracy.
         | 
         | You could say this about any law that enforces some
         | uncomfortable behavior change. Anyone who remembers when seat
         | belt laws became real, sees history repeating itself, down to
         | the exact same arguments about effectiveness and rhetoric about
         | choice and tyranny and government overreach.
         | 
         | COVID has been a challenge for the same reason Climate Change
         | is challenging: They both require collective cooperative action
         | from people, and you can't rely on everyone having a natural
         | desire to do the right thing. Laws can't make people want to do
         | the right thing--they can only provide incentives or
         | disincentives for specific actions or behaviors.
        
           | furgooswft13 wrote:
           | You can take the seat belt off when the car ride is over.
           | Also if you are caught without one you get a small fine, but
           | you don't lose your job and the ability to participate in
           | society.
        
             | wussboy wrote:
             | Because your refusal to wear a seatbelt presents no risk to
             | others. But vaccine refusal does present a risk. So the
             | stakes of the game are not the same.
        
               | ghoward wrote:
               | Refusing to wear a seatbelt does, in fact, present a risk
               | to others because in a crash, you can become a lethal
               | projectile should you fly and hit someone else.
        
               | furgooswft13 wrote:
               | "X poses risk to others therefore you have no choice" is
               | a statement that can be made for nearly any scenario. To
               | wit:
               | 
               | Uncontrolled flying bodies pose additional risks when
               | there are multiple people in the vehicle. There's also
               | the risk of driving to begin with, for people both in and
               | outside the vehicle.
               | 
               | The risks of harm to you _and_ others from crashing a car
               | are probably higher at this point than that of a vaxxed
               | person getting seriously ill from covid.
               | 
               | But anyway the point I was making was to refute GP's
               | statement that seat belt laws and the pushback around
               | them are the same as for the vax mandates. They are not,
               | because the vax is permanent, and the consequences for
               | non-compliance much higher. The fact that you can't "take
               | the vax off" is part of these stakes that are not the
               | same.
        
         | muttantt wrote:
         | You are missing the point - the division IS their end goal.
        
         | jstummbillig wrote:
         | Nah. Germans love to complain but not as much as they love
         | having things decided for them decisively and following the
         | rules begrudgingly. There will be no uprising. People are going
         | to complain, as per usual, no matter what the change, and then
         | fall in line without any upset that could begin to rival the
         | downside of them not doing so.
        
         | vletal wrote:
         | You feel like Germany is lacking basic strategy?
         | 
         | I'm Czech and we wish here we would be as prepared and forward
         | thinking as your representatives are. If it was not for one of
         | the highest rate of ICU beds per capita in the world and all
         | the high quality nurses and doctors we export to Germany, our
         | health care would have already crumbled.
        
         | bijant wrote:
         | Not only are they forcing the unvaccinated to get the shot,
         | they are also forcing everyone who is fully vaccinated to get
         | booster shots every 6 months for the indefinite future. When
         | the vaccines were first introduced their validity was fixed at
         | 12 months and their was talk about extending it ("because they
         | are so incredibly effective").
        
           | ZephyrBlu wrote:
           | > _booster shots every 6 months for the indefinite future_
           | 
           | This is the most stupid thing about vaccination plans. It's
           | one thing to get vaccinated once, it's another thing entirely
           | to need frequent boosters.
           | 
           | I expect a lot of confusion and operational carnage when
           | people who don't get a booster become "unvaccinated".
        
           | standardUser wrote:
           | You sound dismayed that vaccines don't work in a more
           | simplistic manner. These CDC charts on vaccine schedules may
           | provide a better picture of the general complexity of
           | immunization.
           | 
           | https://www.cdc.gov/vaccines/schedules/index.html
        
           | tchalla wrote:
           | > they are also forcing everyone who is fully vaccinated to
           | get booster shots every 6 months for the indefinite future.
           | 
           | There is no obligation (or force) to get a booster shot. It
           | is available and recommended but not forced. Some groups like
           | older age and immune-compromised people are highly
           | recommended.
        
             | shoto_io wrote:
             | Yes, and if they had boostered the old in September/
             | October we would not be in this situation.
             | 
             | Now, everyone wants to get a booster and many old people I
             | know need to wait until December or January to get a
             | booster.
             | 
             | It's the worst case that could have happened, because
             | politicians didn't do their job
        
           | serial_dev wrote:
           | Not sure what to say without being labeled an anti vaxxer...
           | 
           | I was very sick for a week after each shot. I'm 30, I work
           | from home, I work out, I'm lean and only go out when running
           | in the forest and buy food.
           | 
           | I can't possibly know what would happen if I caught covid,
           | but I wish the vaccination (I'm already vaxxed, but I mean
           | the boosters) was my choice. With my reaction to the
           | vaccines, it's two weeks a year guaranteed sickness vs a very
           | low chance of getting covid with an even lower chance of
           | getting very sick from it.
           | 
           | The pros and cons just don't make vaccination every six
           | months an obvious choice for me.
        
             | CountDrewku wrote:
             | Yes I had a horrible reaction to the 2nd dose. So did
             | everyone I know. Yes it's possible the real thing might be
             | worse for me but I'm going to take my chances. I will not
             | be taking a booster. I'm healthy, exercise regularly and
             | I'm not in the age group that's high-risk.
             | 
             | There are studies showing the vaccine isn't even effective
             | at 3 months. There's no way I'm dealing with that shot
             | every 3-6 months.
        
               | artdigital wrote:
               | This is the same argument my Germany friends made (and
               | used to get fake vaccination certificates). The studies
               | say it's not effective after 3 months!! People that are
               | vaccinated get infected again!! I'm young and healthy!!
               | 
               | Yes people get reinfected but how many die from it or run
               | into serious conditions? Vaccines don't block the virus
               | from entering your body, but they help with you not dying
               | or using up ICU beds, even after those 3 months.
               | 
               | Please do your part of the swarm and get vaccinated. If
               | you know you'll have a odd reaction you can prepare in
               | advance. Also Germany has sick-leave from work
               | everywhere.
        
               | vletal wrote:
               | Just please cite the studies you mentioned. There is way
               | too much nuance to be boiled down to such general claim.
        
               | basisword wrote:
               | Why do you assume you'll have the same reaction to the
               | booster?
        
             | scruple wrote:
             | My story is very similar to yours. As a result, I am also
             | reluctant to get the booster because I do not have a
             | support system whereby I can have _another_ severe reaction
             | that causes me to be incapable of helping the people who
             | depend on me every single day.
             | 
             | I am working on getting my mother in law to be on call to
             | stay with us for a 10-14 day period, if need be, so that I
             | can get the booster. It's quite ridiculous.
             | 
             | All of that having been said, I know that I need it.
        
             | basisword wrote:
             | I was also very sick after my first dose. Completely fine
             | with the booster. Don't assume you will react the same with
             | the booster as you did the first dose.
        
             | bllguo wrote:
             | if this is your body's reaction to the vaccine, what makes
             | you think your chance of getting very sick from actual
             | covid is very low?
        
             | ImprobableTruth wrote:
             | I think the key issue is hospitals being swamped. Once that
             | happens, death rates will skyrocket even among people not
             | at-risk. Until that point however young and healthy people
             | don't really benefit themselves from the vaccination. It's
             | essentially a tragedy of the commons situation.
        
           | threevox wrote:
           | Big whoop
        
           | arrrg wrote:
           | That's wrong information.
           | 
           | Twice-vaccinated people will have to get a booster shot and
           | there are discussions about a six month expiry date if you
           | don't get the booster shot.
           | 
           | What happens beyond that we do not know right now since can't
           | look into the future. We do not know how effective the
           | booster will be in terms of long-term protection.
           | 
           | All of that is not surprising. A bit annoying but not
           | surprising.
        
             | moistrobot wrote:
             | if it's the same shot as the originals, which is my
             | understanding, then it's reasonable to assume a similar
             | expiry
        
               | arrrg wrote:
               | No, not at all. That's not at all how it works.
               | 
               | Other vaccinations are also given three times (second
               | dose after a short interval, third dose after a longer
               | interval), so it might well be that this vaccine turns
               | out to be one of those, we just do not know. That's the
               | point.
        
         | [deleted]
        
         | yladiz wrote:
         | Genuine question: given the current situation, what's the
         | alternative? A lockdown for everyone? Vaccine mandate? Doing
         | nothing and removing restrictions? Something else?
        
           | musicale wrote:
           | Is it worse than last winter?
        
             | Arnt wrote:
             | Quite likely, yes. And no.
             | 
             | In the part of Germany where I live, 7-day incidence among
             | the unvaccinated is 1726, which is much worse than last
             | winter, and it's 112 among the vaccinated. Hospitalisation
             | tells a similar story: The unvaccinated are suffering.
             | 
             | If that 1726 would rise as it did last winter, a lot of
             | unvaccinated fools would die. A hundred thousand dead in
             | three months, perhaps.
        
           | disneygibson wrote:
           | Increase hospital staff? Encourage social distancing? I don't
           | know, _anything_ other than creating second class citizens in
           | a country with a horrible history of it?
        
             | yladiz wrote:
             | Increasing staff won't add more beds to already full
             | hospitals, though. And social distancing has been
             | encouraged for a while, even for the vaccinated, and it
             | hasn't seemed to help.
        
               | disneygibson wrote:
               | Then build new hospitals. Or learn to live with it.
               | 
               | Authoritarianism isn't somehow justified because current
               | actions "haven't seemed to help." That's the playbook of
               | every oppressive regime since the beginning of time: this
               | is an emergency so we don't need to follow laws or
               | respect rights.
        
             | yoghurt wrote:
             | You can't simply increase hospital staff - these are highly
             | trained people. That's an investment that takes years to
             | pay off. Encouraging social distancing doesn't work, people
             | are tired of it and many either didn't care in the first
             | place or don't care now that they are fully vaccinated.
             | 
             | Many western countries messed up big time by not investing
             | enough into their health care systems or into properly
             | educating their population. So now they're out of options.
        
             | Arnt wrote:
             | The hospitals have been hiring nonstop. Unfortunately
             | medical staff is also leaving the hospitals that treat
             | corona patients. As one said, speaking to a journalist, the
             | current patients are a "potpourri of difficult
             | personalities", so the nurses apply for jobs at things like
             | eye clinic and the hospitals can't even operate the beds
             | they have.
        
               | [deleted]
        
           | tinus_hn wrote:
           | Imagine a world in which the vaccine does not exist. What
           | would you do then?
           | 
           | That is the alternative.
        
             | yladiz wrote:
             | We don't live in a world without the vaccine, so I don't
             | see the argument.
        
               | tinus_hn wrote:
               | A possible answer to your question of what we could do if
               | we do not want to force people to get vaccinated is the
               | same as what we could do if people could not be
               | vaccinated.
               | 
               | You said it was your 'genuine question'. So I'm not sure
               | why you need to see the argument. It's an answer to your
               | question, not an argument.
        
               | detaro wrote:
               | So basically lockdown for all, because restricting the
               | rights of everybody is better than restricting the rights
               | of some. Good luck convincing the courts that that's the
               | minimal necessary restriction.
        
               | tinus_hn wrote:
               | There are more options than 'lockdown for all', but yes,
               | it would be one of the things you could do if
               | vaccinations were not available.
        
               | detaro wrote:
               | But vaccinations are available, so you likely can't do it
               | legally.
        
               | tinus_hn wrote:
               | That's for the courts to decide. Is a lockdown not
               | allowed because forcing people to vaccinate is an option?
               | Or is forcing people to vaccinate not allowed because
               | lockdown is an option?
        
               | detaro wrote:
               | Forcing people to vaccinate is not really a tool to
               | control infections _right now_ , and more of an
               | independent (also currently hotly debated) longer-term
               | question. (I'm fairly certain its going to come for some
               | jobs at least)
               | 
               | And if applied as here, I doubt many would argue that
               | "forcing people to vaccinate" is a weaker measure than
               | "impose some restrictions on unvaccinated" (although the
               | former is of course going to be a strong form of the
               | latter)
        
             | [deleted]
        
             | thedrbrian wrote:
             | Use my immune system, like people did for millions of
             | years. Unfortunately everyone can't but the vast majority
             | will be fine after having covid and will have built up
             | immunity.
        
           | musicale wrote:
           | Does managing indoor humidity help? It seems to with other
           | respiratory viruses.
        
             | yosito wrote:
             | Yes! Indoor humidity helps in at least two ways: 1)
             | Humidity prevents aerosol transmission 2) Humidity helps
             | the cillia in your airways function better and remove
             | foreign particles, including viruses faster before they
             | have a chance to infect you.
        
           | shoto_io wrote:
           | Probably not much. All KPIs are heading down now anyways,
           | just look into the RKI dashboard [1]. Doing a quick math
           | exercise underscores this: 70% are vaccinated, 6 million had
           | it (at least, the number is probably higher), so in total
           | 80-85% of the population already had it or is vaccinated by
           | now. Numbers should go down now from now, which they actually
           | start to do, if you look in the dashboard.
           | 
           | [1] https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavi
           | rus...
        
             | yladiz wrote:
             | It's not great, and I do wish that the current coalition
             | had prepared a bit more for this winter, rather than
             | assuming 1. enough people would get vaccinated, and 2. that
             | it wouldn't come back seasonally like last year. They
             | really should have prepared months ago.
             | 
             | I can't think of a better alternative given the current
             | situation if the end goal is to get people to reduce
             | contact and get vaccinated, short of a full lockdown for
             | everyone (which I think is a lot less preferable). Whether
             | this form of lockdown will have any effect remains to be
             | seen.
        
               | shoto_io wrote:
               | It's absurd to believe that this will actually do
               | anything additional to reduce infections on the short
               | term. People don't get infected while shopping. This is
               | just meant to pressure the unvaccinated to get vaccinated
               | which might help next year.
               | 
               | Unvaccinated people will just meet privately at home and
               | get infected. It's just the wrong move at the worst
               | possible time.
        
               | kitkat_new wrote:
               | > Unvaccinated people will just meet privately at home
               | and get infected.
               | 
               | they are anyways
        
               | InvertedRhodium wrote:
               | > People don't get infected while shopping.
               | 
               | What's so special about shopping that it prevents
               | transmission of a relatively communicable disease?
        
               | rocketbop wrote:
               | Mask wearing is well adhered too, and shop visitors stay
               | only a short time, leaving less droplets in the air than
               | maskless visitors to, say, a restaurant or bar.
        
               | yosito wrote:
               | While shopping, people wear masks, talk (and breathe and
               | cough) less, and are generally not packed into small
               | spaces breathing a lot of the same air, so the risk is
               | lower than at a house party or bar or dance club.
        
               | frockington1 wrote:
               | The same force that prevents covid from spreading while
               | you are sitting down at a restaurant but can get you as
               | you walk in and when you use the restroom
        
         | 2-718-281-828 wrote:
         | but they have their scape goats now. the infections rise b/c of
         | the unvaxinated.
        
       | rich_sasha wrote:
       | Is it, to some extent, a problem of naming and terminology?
       | 
       | When vaccines were first introduced in the UK, there was a great
       | deal of discussion about ethics of forcing people to get them.
       | One really cool view was, of course you can't force people to
       | inject a chemical into their bodies. But if people choose not to
       | get vaccinated, it's on them to reduce the risk to others - ie
       | basically subject themselves to lockdown.
       | 
       | I think this is harder to argue with than "forced vaccination".
       | Sure, don't get the jab if you don't want to, but what are you
       | doing instead to not endanger others?
        
       | lbj wrote:
       | In Denmark we have now reached 90% vaccination rate. We have more
       | infected, the same number of admissions in hospital and a 15%
       | higher death rate than all of 2020. I really fail to see why we
       | are blaming the unvaccinated and not Pfizer/Moderna.
        
         | rbanffy wrote:
         | Is the death rate as high among the unvaccinated or is it just
         | that the unvaccinated die 15% more frequently than before?
         | 
         | > I really fail to see why we are blaming the unvaccinated and
         | not Pfizer/Moderna.
         | 
         | I'd blame both the unvaccinated and new variants that seem to
         | be more lethal than before.
         | 
         | If it is the case that vaccinated are still passing the virus
         | but not dying from it, then isolation of the unvaccinated saves
         | their lives.
        
         | wiredearp wrote:
         | That's because two out of three that get hospitalized are
         | unvaccinated, or that's at least the case in Odense.
        
         | cmrdporcupine wrote:
         | What people aren't typically "mathing" right is that even if
         | you have 90% vaccinated, that's still potentially hundreds of
         | thousands (millions in bigger countries) of un-vaccinated
         | people who are prone to getting seriously sick.
         | 
         | The numbers here in Ontario are clear. Case rates among the
         | unvaccinated are far higher, and ICU admissions are far far far
         | higher.
         | 
         | I never fell for any line that said vaccination would just make
         | the disease go away. Frankly that was never said by medical
         | experts, only implied by certain politicians.
        
           | timdaub wrote:
           | Denmark has 76,4% vaccinated: check on
           | https://www.zeit.de/index
        
             | cmrdporcupine wrote:
             | Thanks, something really didn't smell right there.
        
               | t0mas88 wrote:
               | One is the rate in the total population, the other is the
               | vaccination rate for the 18+ part of the population.
               | 
               | The numbers in the Netherlands are similar but both a bit
               | lower.
        
               | cmrdporcupine wrote:
               | Wow both those numbers are lower than here in Canada.
        
         | angelzen wrote:
         | The vaccines, while not as effective as classics like polio
         | vaccine or measles vaccine, are definitely a net positive and
         | help significantly in reducing the epidemic burden. Perhaps
         | instead of internecine finger pointing we could blame covid
         | itself?
        
         | timdaub wrote:
         | Denmark has 76,4% completely vaccinated.
         | 
         | Source, the data on https://www.zeit.de
        
         | fsh wrote:
         | None of this is true. The vaccination rate in Denmark is 77%,
         | not 90% [1]. The number of hospital admissions and the death
         | rate are lower than during the first and second waves [2, 3]
         | despite a significantly larger infection rate [4].
         | 
         | [1] https://ourworldindata.org/grapher/share-people-fully-
         | vaccin...
         | 
         | [2] https://ourworldindata.org/explorers/coronavirus-data-
         | explor...
         | 
         | [3] https://ourworldindata.org/explorers/coronavirus-data-
         | explor...
         | 
         | [4] https://ourworldindata.org/explorers/coronavirus-data-
         | explor...
        
           | koonsolo wrote:
           | Probably the difference between vaccination rate in adults,
           | and vaccination rate over the whole population?
        
           | akira2501 wrote:
           | On 1: The discrepancy in percentages is usually the
           | difference between "Entire Population Vaccinated" and
           | "Eligible Population Vaccinated." Which, until very recently,
           | was only people 12 and older.
           | 
           | Given the exceptionally low incidence of death in the 12 and
           | under group, it's debatable which figure should be given
           | prominence.
           | 
           | On 2 and 3: The case rate is spiking significantly higher
           | than it has ever before, and the death rate is on an upward
           | trend. It is typically delayed behind the case rate, so we
           | can't be certain that this will be as bad as it gets. It's
           | still very possible for this wave to be more deadly than
           | prior waves, even though the Case:Death rate is lower.
           | 
           | Instead of showing 2 & 3 separately, perhaps the combined
           | chart [1] is a better visualization.
           | 
           | [1]: https://ourworldindata.org/explorers/coronavirus-data-
           | explor...
        
           | [deleted]
        
         | joshuamorton wrote:
         | Are hospital admissions and mortality rates similar among
         | vaccinated and nonvaccinated individuals?
        
           | berkes wrote:
           | No. Not at all. .dk is similar to .nl in this, and in .nl its
           | 55/45 unvaccinated/vaccinated (on a 12/88 ratio of
           | vaccinations).
        
           | liversage wrote:
           | There is a dashboard (in Danish) with current numbers: https:
           | //experience.arcgis.com/experience/aa41b29149f24e20a40...
           | 
           | The number of hospitalized patients per 100K are as follows:
           | 
           | Unvaccinated: 24.7 Started vaccination: 10.5 Fully
           | vaccinated: 5.9
        
         | throwntoday wrote:
         | No you don't understand, the unvaccinated are the reason the
         | vaccinated are getting the virus /s
        
           | more_corn wrote:
           | This is simply not true.
           | 
           | Don't get me wrong. I fully support everyone getting
           | vaccinated, and requiring it broadly. But your statement is
           | just not true.
           | 
           | Omicron is thought to have evolved in an immunocompromised
           | person. Vaccinating that person would not have helped.
           | COVID-19 is also known to cross easily between humans and
           | other animals. An alternate theory is that the startling
           | number of mutations in the Omicron variant evolved in an
           | animal host.
           | 
           | This variant appears to defeat previous immunity both from
           | prior infection and vaccination. The willfully unvaccinated,
           | while idiots and selfish assholes are not to blame in our
           | current troubles and vaccinating every person on earth would
           | not have prevented the Omicron outbreak.
           | 
           | Furthermore we need to take a global view. Just because we
           | have sufficient doses to fully vaccine everyone in Europe
           | we're not protected unless everyone everywhere gets
           | vaccinated. (And even then pockets of virus can mutate and
           | overcome the vaccine) I'll worry more about idiot Texans (who
           | are frankly mostly hurting themselves and their families)
           | when we provide enough doses to Bangladesh to vaccinate their
           | whole population. (And rinse and repeat for every developing
           | nation)
        
           | krater23 wrote:
           | Why you think this? People that are unvaccinated will have
           | harder covid symptoms that are earlier found and in best case
           | quarantined. With a cold maybee without the knowledge about
           | covid they just stay in the bed for some days. Vaccinated
           | people are more the ones with no symptoms and run everyday
           | through the city and infect other people without knowing that
           | they do it.
           | 
           | So I think that what you say is just not correct.
        
             | CountDrewku wrote:
             | The /s means they're being sarcastic.
        
         | _moof wrote:
         | I can't find any data to support your claim of a higher death
         | rate in Denmark than all of 2020. The data I have show:
         | 
         | - Denmark currently experiencing a massive new wave of
         | infections
         | 
         | - Previous large wave of infections was last winter, with rate
         | peaking on Dec 18
         | 
         | - Daily deaths peaked one month later at about 8 per 1000 daily
         | infections
         | 
         | - Current daily deaths, accounting for lag, is also about 8 per
         | 1000 daily infections
         | 
         | https://graphics.reuters.com/world-coronavirus-tracker-and-m...
        
           | cheeze wrote:
           | Yeah, but this is HackerNews. The antivax crowd is strong
           | here. Brandolini's law in full effect in this comment.
        
             | vorpalhex wrote:
             | Please actually post arguments and not just dismissals.
             | Nobody in this conversation is anti-vaxx, but this fantasy
             | of "If we vaccinate X more, covid will not be a problem"
             | simply does not align with reality. The vaccines are
             | effective, but they are not flawless, and we are dealing
             | with a very high R0 disease that is changing.
        
               | somewhereoutth wrote:
               | Except that the problem is exactly the unvaxxed. When we
               | have 100% coverage of all age groups, with boosters as
               | necessary (let's hope for continuing good data from
               | Israel), then we can suppress Covid.
               | 
               | Vaccination is something that everyone has to do for the
               | sake of everyone, which sadly is a somewhat alien concept
               | in certain parts of our society.
        
               | primitivesuave wrote:
               | Unfortunately, this may have been true in 2020, but at
               | this point the rate of SNPs (mutations) creating VoCs
               | (variants of concern), plus the break-through infection
               | rate, strongly suggest that no level of herd immunity
               | (even 100%) will lead to suppression. At this point we'd
               | all be better off focusing on ways to _slow_ the spread.
               | 
               | https://cov-lineages.org/lineage_list.html
        
               | vorpalhex wrote:
               | When we have 100% coverage of all age groups.. we will
               | still have covid hospitalizations. We will still have
               | covid spread. We may still even sometimes need to wear
               | masks and have lockdowns.
               | 
               | You should still get vaccinated and get boosters, but no
               | vaccination rate is going to make this go away anymore
               | than the flu shot has eliminated the flu.
        
               | belltaco wrote:
               | The difference is that the load on hospitals will be far
               | lower, which means better care for people that are
               | hospitalized for covid, and people who need to be in the
               | hospitals for other reasons.
        
             | 2-718-281-828 wrote:
             | rather the opposite
        
         | bocytron wrote:
         | Sources please?
        
           | timdaub wrote:
           | the 90% vaccination claims of the op are false.
        
             | koonsolo wrote:
             | Probably vaccination rate for adults, not everybody.
        
             | liversage wrote:
             | The 90% figure has sometimes been quoted in Denmark but it
             | doesn't include people not eligible for vaccination. Now
             | that smaller kids are offered the vaccine this ratio has
             | decreased and really shouldn't be used at all. The
             | percentage of people in Denmark that have started
             | vaccinations of the total population is 78% with 76% having
             | completed their vaccinations.
        
         | kareemm wrote:
         | What is the breakdown of unvaxxed/vaxxed in hospital admissions
         | and deaths?
         | 
         | Serious question. I wonder about vaxx effectiveness when I see
         | these numbers. But the breakdown matters.
         | 
         | I live in Nova Scotia, Canada. Our breakdown from Mar 15-Nov 26
         | is[1]:
         | 
         | - Hospitalizations: 84.4% unvaxxed, 9.6% 1 shot, 6% 2 shots
         | 
         | - Deaths: 69% unvaxxed, 7.1% 1 shot, 23.8% 2 shots
         | 
         | Total admissions and death rate numbers don't tell the whole
         | story - breaking them down by vaxxed/1shot/2shot will help
         | unpack "who to blame".
         | 
         | In fact, you can dig deeper. My province doesn't release the
         | numbers but from what I can tell the 2-shot people who die are
         | generally older and/or infirm. So I believe the 2shot numbers
         | are being thrown off by an atypical population... which means
         | the general population has less to fear from covid if they're
         | double vaxxed. My co-founder informed this is an example of
         | "Simpson's Paradox"[2].
         | 
         | What kind of vaxxed/unvaxxed breakdown are you seeing in
         | Denmark?
         | 
         | 1 -
         | https://experience.arcgis.com/experience/204d6ed723244dfbb76...
         | 
         | 2 - https://en.wikipedia.org/wiki/Simpson%27s_paradox
        
           | ImaCake wrote:
           | This is exactly simpsons paradox. It is a shame so few people
           | have heard of it!
           | 
           | This same breakdown implies that vaccinating half of the
           | currently unvaxxed would do a lot to reduce pressure on
           | hospitals. That is, if you have 80% vaxxed, a mere 10%
           | increase could halve the number of hospital beds needed. No
           | wonder governments are going so hard on vaccinating the
           | hesitant and antivax.
        
             | throwaway0a5e wrote:
             | >This same breakdown implies that vaccinating half of the
             | currently unvaxxed would do a lot to reduce pressure on
             | hospitals.
             | 
             | This ignores the demographic differences between the vaxxed
             | and the unvaxxed. The elderly and those with conditions
             | that made them high risk have a much higher vaccination
             | rate as one would expect.
             | 
             | If you cut the number of vaccinated in half you won't cut
             | hospitalizations in half because subgroups of the
             | population being hospitalized are not present in the same
             | ratios in the unvaxed.
        
             | makomk wrote:
             | No, this does not imply that going from 80% to 90%
             | vaccinated could halve the number of hospital beds needed -
             | that reasoning would only work if the vaccine completely
             | prevented Covid-related hospitalizations, in which case
             | zero vaccinated people would be hospitalized and Simpson's
             | paradox wouldn't apply. What it actually implies is that at
             | much less than 100% vaccination, you hit a point where
             | vaccinating the remaining population does very little to
             | reduce pressure on hospitals because most people who're
             | hospitalized have been vaccinated, despite the fact that
             | the vaccines do reduce the risk of hospitalization. That
             | is, the benefits of vaccinating the last few percent of the
             | population actually diminish rather than increasing like
             | they would do with a more effective vaccine.
        
               | root_axis wrote:
               | > _most people who 're hospitalized have been vaccinated_
               | 
               | Is this true? My understanding is that the opposite is
               | true, most people who are hospitalized are not vaccinated
               | by a large margin.
        
               | yosito wrote:
               | I haven't checked, but I think your understanding is
               | correct. Even if it's not, here's a good explanation
               | https://ourworldindata.org/covid-deaths-by-vaccination
        
           | cmrdporcupine wrote:
           | Your numbers are very similar to Ontario's, and in fact
           | Canada in general as a whole.
           | 
           | But what's strange is out the US doesn't seem to reflect
           | this.
           | 
           | There are states with fairly high vaccination rates where
           | vaccinated people are ending up in the ICU at rates many
           | times ours, and are only showing up as 2.5 or 3 times better
           | protected than the unvaccinated for hospitalization.
           | 
           | I don't know how to explain this other than length of time
           | since injection. But we're heading into 6-7 months here now
           | in Ontario and I'm still not seeing this trend. Boosters will
           | certainly help, I'm sure, but I don't feel it can be the sole
           | cause.
           | 
           | It's so ridiculous just driving across the border... look at
           | Vermont or New York compared to Ontario or Quebec in terms of
           | daily case rates and hospitalization. (Or Maine compared to
           | New Brunswick, etc.) The only way I can explain it is by
           | _masking_ , which is still rigidly followed here in most of
           | Canada, but not as much in the US.
           | 
           | PS congrats on having perhaps the most competent governments
           | in North America in terms of managing this disease. It's not
           | the first time I've found myself browsing for real estate in
           | Nova Scotia, but it certainly became more serious this past
           | year...
        
             | Tepix wrote:
             | My guess is that obesity plays a bigger role than many
             | people realize. Perhaps obese people who are vaccinated are
             | still at a substantially elevated risk? This also explains
             | why Africa is doing pretty well in terms of low casualties:
             | Young people and fewer obese.
        
               | novaRom wrote:
               | Most developed countries have populations with high
               | proportion of elderly people, just look at their
               | population pyramids. Their population is generally older
               | on average, as the country has long life expectancy, a
               | low death rate, but also a low birth rate.
        
           | noahtallen wrote:
           | > We have more infected, the same number of admissions in
           | hospital and a 15% higher death rate than all of 2020
           | 
           | Another really, really important piece of context is how
           | human behavior has changed. In 2020, many people were very
           | cautious about covid. For example, in liberal US cities like
           | Seattle and Portland, many indoor activities were restricted
           | pretty hard until 2021. People didn't dine out in person, or
           | didn't attend the movies. In 2021, people have more or less
           | returned to normal, less-cautious behavior. While masks are
           | still worn, people are comfortable dining out and going to
           | the movies and all sorts of activities.
           | 
           | My point is that this change in behavior is likely to "blame"
           | for the increased cases. If people were behaving the same way
           | a year ago as they are today, cases would have been
           | significantly worse then.
           | 
           | In other words, vaccinations have allowed us to return to a
           | mostly normal life while stopping cases from rapidly
           | increasing. At the very least, anecdotally, in places with
           | lower vaccination rates, a return to normal life has been
           | accompanied by more covid scares.
        
             | kgwgk wrote:
             | > People didn't dine out in person
             | 
             | I wonder how did they dine out :-)
        
               | pomian wrote:
               | Order out, take home? Sort of eating out. At least you
               | are not cooking. :)
        
           | thomasahle wrote:
           | > What is the breakdown of unvaxxed/vaxxed in hospital
           | admissions and deaths?
           | 
           | 85.6% of hospitalized in Denmark are either unvaccinated or
           | "half vaccinated". See https://experience.arcgis.com/experien
           | ce/aa41b29149f24e20a40... graph 2.
           | 
           | This means that if the vaccination rate grew from 90% to 100%
           | the hospitalized number would drop to very manageable levels.
           | 
           | Even with a 90% fully vaccinated population, the remaining
           | 10% are still enough to fill up the hospitals.
        
             | thomasahle wrote:
             | Edit: I think I misunderstood the graph. It is actually
             | already normalized by the size of each population
             | (Unvaccinated, Half-vaccinated, Fully vaccinated).
             | 
             | If you look at the raw numbers nearly twice as many of the
             | hospitalized are vaccinated.
             | 
             | When taking the vaccination rate into account, the
             | likelihood of hospitalization still seems to be a fifth
             | after vaccination.
             | 
             | But even if the remaining population got vaccinated it
             | wouldn't be enough to drastically reduce the hospital load.
        
               | yosito wrote:
               | > If you look at the raw numbers nearly twice as many of
               | the hospitalized are vaccinated.
               | 
               | This doesn't mean what you think it means. Imagine if
               | 100% of the population were vaccinated, what percentage
               | of the hospitalized would then be vaccinated?
               | 
               | https://ourworldindata.org/covid-deaths-by-vaccination
        
           | chrishynes wrote:
           | The other thing that doesn't show the whole story is using a
           | data set starting in March when there was a quite low percent
           | vaccinated but comparing totals of unvaxxed vs. vaxxed deaths
           | over the whole period, when fully vaxxed in March was only a
           | few percent.
           | 
           | It'd be much more interesting to see a straight comparison
           | over Oct-Nov, say, when the vaccination rate was stable and
           | get the unvaxxed vs 1 shot vs 2 shot vs 2 weeks after 2nd
           | shot vs booster numbers.
        
         | uptownfunk wrote:
         | Incredible statistic, would love to see the source on this
        
         | jltsiren wrote:
         | The vaccination rate in Denmark is less than 80%. The virus
         | does not care that vaccines have not been authorized for kids
         | yet. An unvaccinated person is an unvaccinated person,
         | regardless of whether the reason is bureaucracy or personal
         | choice.
         | 
         | Also, the effective vaccination rate is usually lower than the
         | average rate. Unvaccinated people tend to spend time with other
         | unvaccinated people, and this is particularly true for kids.
         | The people an infected individual encounters are more likely to
         | be unvaccinated than the general population.
        
         | berkes wrote:
         | 10% of 5,821,297 is still 58,212 people who potentially get ill
         | (and can die and can get into hospital).
         | 
         | I'm not sure where you get the 15% higher death rate: any
         | sources?
         | 
         | In .nl we are seeing the same numbers (but on a 3x population
         | of denmarks). Hospitals are so full now, they are rejecting
         | e.g. cancer-patients and other "plannable Intensive Care
         | patients". Over half of the patients on those ICs are
         | vaccinated; ergo, from a ratio of 10/90% the patients are
         | 55/45%; ergo: they work. Certainly not fully and certainly less
         | than (I) expected.
        
           | thinkindie wrote:
           | btw - 10% of 5,821,297 is 582k. Therefore even higher number
           | of people that could potentially end up in hospital, ICU or
           | dead.
        
           | marcusverus wrote:
           | I think he's confused about the data. Based on the Google
           | data (from the graph that's visible when searching "COVID
           | Denmark"), there are more Danish cases now than at the
           | previous 2020 peak (3500/day then vs 4300 now), BUT
           | hospitalizations (920/day then vs 430 now) and deaths (32/day
           | then vs. 11 now) are _down_ significantly.
        
       | nazinazinazi wrote:
       | Downvote all you want you FUCKING NAZIS!
       | 
       | I hope you all FUCKING DIE!
        
         | [deleted]
        
       | 0x_rs wrote:
       | A recent submission[0] makes me think politicians, media and so-
       | called TV experts should refrain from promising things that are
       | misleading, deceiving and may have disastrous results in the
       | short future. Vaccination shouldn't mean giving up on basic
       | measures, but I believe it has been broadly advertised as such in
       | this current year with, in a personal conclusion of mine,
       | devastating results. In a few countries (such as Italy) in an
       | ironic twist unvaccinated individuals were significantly more
       | monitored due to mandatory testing every 48hrs for any work,
       | while new spread and emerging variants seem to close the gap in
       | transmission between vaccinated and unvaccinated people, as
       | everyone minded their own business in overcrowded public
       | transportation, gatherings et cetera. As others have mentioned in
       | this discussion, hospitals and health services must still tend to
       | a large pool of vaccinated people (significant majority of
       | population in Western countries) that require medical attention
       | and can overwhelm systems in place.
       | 
       | Even if everyone in these countries that are rolling third doses
       | did get wholly vaccinated in a short amount of time to attempt to
       | halt transmission in its tracks, the majority of the world where
       | some of the latest VoCs originated (Delta, Omicron) are largely
       | unprotected.
       | 
       | Everyone wants this to end but most people are also led to
       | believe, willingly or not, something as basic as a vaccination
       | will bring everything back to normal. It doesn't, it hasn't so
       | far, has it?
       | 
       | [0] https://news.ycombinator.com/item?id=29412681
        
       | monksy wrote:
       | Just a heads up about what is happening in Germany: (Just got
       | back Monday from Hamburg)
       | 
       | 1. Entry restriction: You must be vaccinated to enter from nonEU
       | countries (Vaccation must be in the approved list)
       | 
       | 2. Most restaraunt/bars/outdoor gatherings are either 2G/3G. The
       | bahn is 3g (so testing as well). Nearly everything else is 2G.
       | This includes the food hall in the airport. Enforcement is at
       | entry. You must show your personal|lebenlingsausweiss and your
       | coronapass. (identity license, and vacination evidence.. CDC
       | vaccine card can work.. but get it converted and your life will
       | be easy)
       | 
       | 2g = genesen, geimpfung / recovered, vacced 3g = 2g+ gettestet
       | 
       | 3. Many restaurants expect or require you to use Luca to
       | participate in contact tracing. If that is not possible they do a
       | manual collection of info.
       | 
       | These rules are even enforced at outdoor gatherings such as
       | weihnachtmarkts.
       | 
       | Denmark/Coppenhagen: Only ate inside at one place. They only
       | wanted to see my coronapass.
        
         | detaro wrote:
         | Just to clarify on the 2G / 3G labels, since I don't think it's
         | 100% clear in your comment:
         | 
         | 2G is recovered (PCR-validated infection in past 6 months) or
         | vaccinated
         | 
         | 3G is that _or_ (quick-)tested
         | 
         | 2G+ is 2G _and_ tested (exception: I 've once earlier seen it
         | used for 2G or PCR-tested)
         | 
         | Quick-tests at test centers (which are all over the place) were
         | free for residents for a long time, then that got removed (IMHO
         | a mistake), then made free again.
         | 
         | Actual proper checking of requirements was pretty terrible for
         | a long time, from what I hear that's gotten a bit better.
        
       | sarsway wrote:
       | time to flee ...
        
       | wolverine876 wrote:
       | I would be very happy if my government did the same. What a
       | relief it would be!
       | 
       | It's a public health measure, like public sanitation
       | requirements, and driving a car that meets safety requirements.
       | Unvaccinated people should be free to do whatever they want,
       | short of risking infecting other people. Your freedom ends where
       | your fist ends and my nose begins.
        
         | tonfreed wrote:
         | So your vaccination only works if others are vaccinated too?
         | 
         | That sounds like you're getting scammed,bro
        
         | hunterb123 wrote:
         | You might have a point if the vaccine fully prevented
         | transmission or infection, but it doesn't.
        
           | idiotsecant wrote:
           | If your goal is exclusively to prevent transmission in itself
           | vaccines aren't always they best way to do it. Isolation or
           | biohazard suits are the way to go there.
           | 
           | If you require society to still keep working _and_ for people
           | to not die vaccines generally do a pretty good job of that.
           | 
           | If your goal is to prevent mutation of dangerous new variants
           | vaccines are wildly effective.
           | 
           | I'd say just having the last 2 is pretty good.
        
             | hunterb123 wrote:
             | Vaccines generally DO prevent transmission, just not this
             | one, coronaviruses mutate too fast, and the vaccines only
             | target the spike.
             | 
             | This vaccine can spark new mutations since vaccinated
             | people can get it and the virus would mutate to attempt to
             | work around the vaccine immunity.
             | 
             | GPs main point was people's freedoms should be restricted
             | to stop the spread. My point was it doesn't stop the
             | spread. So why restrict freedoms?
             | 
             | Vaccinated people will continue to spread the virus,
             | whether it's slower or faster doesn't matter in the end, it
             | will spread until it's endemic. (I believe it already is)
        
               | birdyrooster wrote:
               | I like the personification of the virus as attempting to
               | work around immunity.
        
               | wolverine876 wrote:
               | Can you back that up? Reducing infection reduces spread,
               | often to the point where the disease dies out.
        
           | wolverine876 wrote:
           | > You might have a point if the vaccine fully prevented
           | transmission or infection, but it doesn't.
           | 
           | No health or safety measure is perfect. By that standard, we
           | wouldn't have any at all - we can't prevent all contamination
           | of the food supply, so we would prevent none?
        
           | hospadar wrote:
           | Passing a driver's test doesn't fully prevent all car
           | accidents, and yet we still require potential drivers to pass
           | a test. Just because something isn't perfect doesn't mean it
           | isn't worth doing.
        
             | Fricken wrote:
             | Across Canada, thousands of people have died as a
             | consequence their elective surgeries have been delayed to
             | make room for Covid ICU admissions.
             | 
             | In Alberta ICU admissions are 60x higher for the
             | unvaccinated than the vaccinated in their 50s.
             | 
             | https://www.cbc.ca/news/canada/calgary/alberta-severe-
             | outcom...
        
               | hunterb123 wrote:
               | Nothing to do with covid and everything to do with
               | socialized medicine.
               | 
               | Canada has always had very long surgery wait times:
               | 
               | https://www.ctvnews.ca/health/health-care-wait-times-
               | hit-20-...
               | 
               | edit: not irrelevant, it's yet another problem being
               | blamed on covid when it's really Canada's mismanagement
               | of their healthcare system.
        
               | Fricken wrote:
               | That's irrelevant. I'm talking about what's changed since
               | the pandemic began.
        
             | hunterb123 wrote:
             | Forcing a standardized test is not the same as forcing an
             | injection that people still have to sign a legal waiver
             | for.
             | 
             | If you're talking about taking away freedoms and forcing
             | injections, it better solve something, not "meh it probably
             | helps".
             | 
             | -- edit --
             | 
             | To below, the 14th amendment. Why do you think they keep
             | losing court cases with the vaccine mandates?
             | 
             | My body my choice. Ring a bell? If it's a good enough
             | argument to kill life inside you, it's a good enough
             | argument against forced injections.
             | 
             | Don't be a useful idiot, don't advocate for your own
             | oppression: https://en.wikipedia.org/wiki/Useful_idiot
        
               | halfmatthalfcat wrote:
               | There is no "freedom from being injected" or "freedom
               | from spreading a virus" or "freedom from denying a
               | vaccine, getting sick and straining the healthcare
               | system".
               | 
               | People just love making up "freedoms".
        
               | ghoward wrote:
               | > There is no "freedom from being injected" or "freedom
               | from spreading a virus" or "freedom from denying a
               | vaccine, getting sick and straining the healthcare
               | system".
               | 
               | Actually, any authority not explicitly given to the
               | government in the US Constitution is implicitly a right.
               | See the Tenth Amendment. Also, wouldn't those fall under
               | the right of privacy used to justify abortions or the
               | right to due process protected by the Fourth and
               | Fourteenth Amendments?
        
           | hadem wrote:
           | My understanding is it's not going to prevent transmission
           | but it can help in reducing transmissions, thus reducing
           | infections.
        
         | mattrighetti wrote:
         | > Your freedom ends where your fist ends and my nose begins.
         | 
         | I see this used every time, if you pay close attention to the
         | phrase you will notice that it can literally be used every time
         | by every party.
         | 
         | There will be people thinking that you can't limit their
         | "freedom" because a vaccine is out there at this point and
         | those who fears for their lives can take it and forget about
         | the virus (in most cases).
         | 
         | There will be people thinking that unvaxxed people should loose
         | their "freedom" because they apparently have an increasing
         | probability to infect others (which in most cases are
         | vaccinated and would get a mild infection in most cases?).
         | 
         | I personally don't care about my unvaxxed friends, I hang out
         | with them as I've always had and I do respect their choice. But
         | I am biased towards individuals rights than "public health".
        
         | cheeseomlit wrote:
         | >Your freedom ends where your fist ends and my nose begins.
         | 
         | The governments freedom ends where my epidermis begins.
        
           | wolverine876 wrote:
           | Your government can imprison you, it can do body cavity
           | searches, it can force medical procedures on you, all
           | depending on the circumstances.
        
             | hunterb123 wrote:
             | You can lose rights after due process, nothing to do with
             | this scenario.
             | 
             | The due process is the important part, you must be
             | convicted by a jury of your peers.
             | 
             | Forced mandates are not due process.
             | 
             | Your lack of understanding of how your rights work is
             | troubling.
        
       | johnteller wrote:
       | I'd be more open to getting vaccinated when I see people actively
       | making use of hand sanitizers in stores. When people learn to
       | cover their whole faces with their masks. When they learn to keep
       | distance. Vaccinated people who are old, sick or born with bad
       | luck in the genetic lottery are still at risk. Vaccination
       | doesn't mean people can go back to doing whatever they want. The
       | vaccination itself can be a risk to certain individuals too. It's
       | ludicrous to expect everyone to get the shot for the rest of
       | their lives and call that situation a success because "at least
       | everyone is vaccinated".
       | 
       | If you want to force vaccination, start with the people that have
       | a history of covid infection. Why piss the people off that have
       | been actively avoiding to come into contact with the virus and
       | carrying it around?
        
         | MaxHoppersGhost wrote:
         | Hand sanitizer? We've know for over a year now that hand
         | sanitizer does nothing against covid because that's not how it
         | spreads.
        
         | Invictus0 wrote:
         | Dude, it's nearly 2022. How do you _still_ not know that covid
         | is an airborne virus and hand sanitizer doesn 't help anything?
        
       | nazinazinazi wrote:
       | Fauci funded gain of function research in the Wuhan Lab and
       | repeatedly lied about it to Congress which is a federal felony.
       | His own agency admits this.
       | 
       | Fauci must face execution for his war crimes.
        
       | rwaxm wrote:
       | '"We have understood that the situation is very serious and that
       | we want to take further measures in addition to those already
       | taken," Merkel told reporters at Thursday's news conference. "The
       | fourth wave must be broken and this has not yet been achieved,"
       | she added.'
       | 
       | You do not need special measures. Florida and Sweden didn't have
       | any and have the best graphs right now. Outbreaks stop by
       | themselves.
       | 
       | Of course, if you lock down the unvaccinated right when the bell
       | curve is at its natural top, you can take credit when the numbers
       | go down. This is exactly what is happening right now.
        
         | throwaway47292 wrote:
         | in the netherlands they just implemented measures to shut down
         | non essential things at 5pm.. that lead to
         | gyms/restaurants/swimming pools PACKED with people.. half the
         | space, twice the density. in the very same day they implemented
         | the measures the cases stopped growing..
         | 
         | the fact that a scientist can recommend "lets shut down gyms at
         | 5pm" instead of "lets make gyms 24/7" makes me distrust the
         | whole corona committee
         | 
         | when i look at the lockdown+cases graph, i dont think there is
         | any causal link between them. e.g. https://www.uni-
         | konstanz.de/polver/zuber/covid-19-student-wi...
        
           | lambdaba wrote:
           | It was myopic cargo-culting since day one. I used to think
           | that over the years I'd gotten smarter and subtler from my
           | initial libertarian leanings, but this has opened up my eyes
           | on how bad authorities can mess up, and more worryingly
           | convince their people they're doing the right thing.
        
             | MadSudaca wrote:
             | As libertarian leaning and someone who wants the state at a
             | good distance, I believe that in many cases people are
             | doing what they can, sadly, it fails to be enough. However,
             | what's the alternative?
        
               | [deleted]
        
       | dempseye wrote:
       | This is wrong, evil and authoritarian.
       | 
       | One would think Germany would have learned some lessons about
       | that kind of thing.
       | 
       | Evidently not.
        
       | jansan wrote:
       | Note that "unvaccinated" will included all not fully vaccinated
       | 14 years or older. This means that if you have an unvaccinated
       | teenage child, you will not be allowed to meet other families
       | anymore.
        
       | musicale wrote:
       | What are the major root causes for the surge in Germany? Low
       | humidity/temperature? New variants? Something else?
       | 
       | IIRC last winter in the US at least, health officials and the
       | media were quick to blame irresponsible citizens and social
       | gatherings - but the major root cause seemed to be a new, more
       | transmissible (delta) variant.
        
         | shmel wrote:
         | Delta emerged in late spring 2021 though. You must be thinking
         | about Alpha. However, it became dominant in the US only in late
         | March 2021 according to Wikipedia[0]
         | 
         | [0] https://en.wikipedia.org/wiki/SARS-
         | CoV-2_Alpha_variant#Sprea...
        
         | bellyfullofbac wrote:
         | Probably cold weather, Delta, and people getting lazy about
         | their precautions, after 18 or so months of pandemic.
        
         | jeffbee wrote:
         | Would love to know the effect if any of being surrounded by
         | countries with lower vaccination rates. Germany may have 70%
         | vaccinated but how much does it help them when Poland has only
         | 50%? Is there enough mobility between Poland and Germany to
         | make it matter?
         | 
         | Of concern to a Californian who is surrounded by other states
         | with lower vaccination rates. Even internally in California
         | there is a steep gradient between the coastal counties with
         | 80-90% and the inland counties as low as 50%.
        
         | FiberBundle wrote:
         | Another factor is that the German government tried to keep
         | infection rates low at all times, leading to very little
         | natural immunity in the population compared to other countries.
        
           | _Microft wrote:
           | We have 57 million fully vaccinated [0] people and 6 million
           | infected/recovered [1] out of 83 million inhabitants. The
           | recovered even have to get a shot later to keep their status
           | as recovered/vaccinated (which exempts from the restrictions
           | that are imposed now), so they might even be considered as a
           | subset of the vaccinated group. More infections therefore
           | would not have increased the total number of immune people
           | but only cost more lives.
           | 
           | Beside that we can vaccinate a multiple of the number of
           | newly infected people per day just fine. It's been about
           | people being unwilling to get the shot, not availability of
           | vaccines for quite a while now. Example: _one day of
           | vaccinations_ like yesterday (~1 Mio) [0] equals _two weeks
           | of new infections_ at levels like today ( >73000).
           | 
           | [0] https://impfdashboard.de/
           | 
           | [1] https://experience.arcgis.com/experience/478220a4c454480e
           | 823...
        
             | FiberBundle wrote:
             | I disagree, over the summer they aimed for low infection
             | rates, explicitly coupling openings to certain infection
             | rate thresholds, knowing full well at that time that the
             | virus was going to be endemic and without any good reason
             | at all believing that sufficiently many people would be
             | vaccinated in order to contain the pandemic in the winter.
             | Other countries such as France or the Britain simply didn't
             | care about high infection rates over the summer and face a
             | smaller wave this winter.
        
             | shoto_io wrote:
             | This is not logical. More infections in the younger age
             | groups would have boosted the defense systems of many while
             | keeping lethalities low. This would have helped
             | tremendously.
        
         | chinathrow wrote:
         | Yes, Delta combined with cooler weather and high percentage of
         | antivaxxers.
        
           | progfix wrote:
           | Antivaxxers, but also unvaccinated children. In the current
           | Covid wave in Austria children 5-14 years old have the
           | highest 7-day incidence.
        
             | nwellnhof wrote:
             | School children in Austria are tested three times a week,
             | so the numbers can't be compared to other age groups.
        
       | LatteLazy wrote:
       | God I wish we (Brits) could do that.
        
         | guilhas wrote:
         | Me too, also other government mandated medical procedures like
         | abortions, to combat the climate emergency!
        
       | atsaloli wrote:
       | I was born in Soviet Russia, where the party line was: there is
       | no God, there is no Soul, there is no Truth, and truth is what we
       | tell the people. My family came to America to get away from that
       | savage society and to live in a free country, based on voluntary
       | cooperation (free market) not force and violence and coercion. In
       | communism, the group is all and the individual is nothing.
       | 
       | I do not believe it is okay to violate my individual liberties
       | (such as forcing me to undergo a medical procedure) for the
       | common good.
        
         | Invictus0 wrote:
         | The legality of the government forcing a medical procedure for
         | the common good been decided by the supreme Court nearly 100
         | years ago. There is no specific "liberty" that is being
         | violated here.
        
         | standardUser wrote:
         | Vaccine mandates are already ubiquitous across the Western
         | world (and the non-Western world). In most cases, it is infants
         | and children having a "medical procedure" forced on them. Your
         | point still stands, but in reality an overwhelming consensus
         | exists that vaccines are an acceptable exemption to bodily
         | autonomy.
        
         | vax1nat0r wrote:
         | My neighbors are political refugees from Russia. They were not
         | allowed to leave and had to escape - they have never been back
         | because of that.
        
         | e40 wrote:
         | Where is the line (for the common good)? Prevent you from using
         | indoor public spaces? Your right to not want the vaccine
         | infringes my right to life and safety, does it not? I'm
         | seriously curious where you draw the line.
        
         | jfengel wrote:
         | _based on voluntary cooperation (free market) not force and
         | violence and coercion_
         | 
         | Yeah, that's also an untruth. Western capitalist societies are
         | no more pure capitalism than the Soviet Union was pure
         | communism.
         | 
         | Democracy is fundamentally coercive: the majority gets to rule,
         | and everybody else lives with the result. Some of those rules
         | force people to do things they don't want to do in the name of
         | being able to live together: pay taxes, obey police, obtain
         | permission to operate a motor vehicle. Those who don't obey are
         | subject to force.
         | 
         | It's the worst system except for all of the others. It works
         | best when there's voluntary cooperation, and there's a lot of
         | it. But there are limits to it, and anybody coming to it
         | thinking that they're absolutely free and without obligations
         | and restrictions is going to fare very poorly. Such people
         | force them to pass even more rules to codify what is and isn't
         | allowed, and make the system worse for everybody.
        
         | purerandomness wrote:
         | I was also born in Soviet Russia.
         | 
         | It's hard to unlearn toxic ideas and relearn to trust in
         | rational thinking, but it can be done. Don't let your
         | upbringing fool you.
        
           | xafnuaetrf8764 wrote:
           | Drugimi slovami, kogda vse vokrug sosut khui radi obshchego
           | blaga, ne zapadlo i samomu pososat', tak vykhodit?
        
       | vax1nat0r wrote:
       | Just keep in mind that these shots cause heart attacks[0] and
       | nervous system damage[1] for a non-trivial amount of people.
       | 
       | So if you are ok with casually murdering a few hundred thousand
       | or million people - murder away.
       | 
       | [0]
       | https://www.ahajournals.org/doi/10.1161/circ.144.suppl_1.107...
       | 
       | [1] https://www.zerohedge.com/covid-19/over-42000-adverse-
       | reacti...
        
       | rasengan wrote:
       | This doesn't make sense. What about antibodies? What about the
       | fact that vaccinated still catch and spread the virus?
       | 
       | None of this adds up and it's likely it all goes back to
       | Wikileaks.
        
         | ipspam wrote:
         | It's not meant to make sense. You are being told that your body
         | is no longer yours. It's owned by the state.
        
           | yladiz wrote:
           | As of right now people are not forced to get vaccinated in
           | Germany, so you still "own your body". This is mainly making
           | those that choose not to get vaccinated to make a choice -
           | don't get vaccinated and basically be restricted from doing
           | most nonessential things, or get the vaccine.
        
             | mythrwy wrote:
             | I didn't force the teller to give me the money. I only head
             | a gun to his head and told him to give me the money. He was
             | free to refuse at all times.
        
         | arrakis2021 wrote:
         | What about antibodies? How will Pfizer get paid with your
         | antibodies? You sound ridiculous.
        
           | detaro wrote:
           | just FYI, previously infected don't count as "unvaccinated"
           | in this regulation.
        
       | locallost wrote:
       | As a foreigner living in Germany I could live with it if there
       | were otherwise sound measures, but it's mostly been a bunch of
       | wishful thinking. There was a rush last summer to open everything
       | up despite it being relatively clear it was way too early and a
       | lot of people really understood it as "corona is over". Even this
       | I could understand, but this year they do the same thing again!
       | Surprise, surprise that there is a record wave now. People have
       | mostly given up and follow no rules other than the most basic
       | ones (masks etc).
       | 
       | I am also starting to think this country is not really built to
       | work in a crisis like this. Regulations are maybe good in
       | general, but this tendency to regulate every possible detail does
       | not work when you have to change the rules every month because
       | almost nobody really knows how to fix this.
        
         | oezi wrote:
         | Two major components for this winter wave:
         | 
         | 1.) We just had our federal election so politicians were super
         | cautious not to alienate anyone with though measures. Because
         | we didn't have the transition of power to the new chancellor
         | yet, this is still holding us back.
         | 
         | 2.) If vaccination rates would just be another 5% higher
         | (meaning 20% less unvaccinated people), the speed of the 4th
         | wave would have been so much damper that we would have gotten
         | through this winter without any hard restrictions (see France).
         | I think there was a lot of wishful thinking involved that
         | thought that those 5% would come around eventually.
        
         | lbj wrote:
         | "open everything up despite it being relatively clear it was
         | way too early"
         | 
         | It probably wasn't. There have been 2 major studies on the
         | effects of covid-lockdown measures, they show a small increase
         | in total mortality. So we should have done as the Swedes and
         | kept everything open from beginning to end.
        
           | GVIrish wrote:
           | Sweden did worse than the other Scandinavian countries that
           | enacted stricter Covid restrictions, including lockdowns.
           | Sweden had roughly 5-7x as many deaths per capita as its
           | immediate neighbors of Norway and Finland. Germany had less
           | deaths per capita as well:
           | 
           | https://www.worldometers.info/coronavirus/
        
             | tomohawk wrote:
             | What is this obsession with limiting comparison of Sweden
             | with "other scandanavian countries"? Is there some sort of
             | special risk factor that only applies to scandanavia? Does
             | COVID know what people look like? Why not compare stats of
             | major metro areas with other similar metro areas in the
             | world?
        
               | jseban wrote:
               | Yeah and avoiding looking at the statistics for mortality
               | to see if it's actually higher than usual, which it
               | isn't. I looked at the statistics of mortality for
               | sweden, 2020 was high but well within standard deviation,
               | and there were several more deadly years in recent
               | history, 2008 and _much_ more deadly years in the 1990s,
               | without this ever even making headlines.
               | 
               | What stood out the most in the statistics, actually, was
               | that 2019 had an unusually low death rates, if you add up
               | 2020 and 2019 they basically even out to an average death
               | rate.
               | 
               | I bet mortality has been abnormally low during 2021 so
               | now we have a bunch of dry tinder again which will cause
               | another "crisis" and lockdown as soon as weather is cold
               | and viruses making the rounds again. Never ending cycle
               | of panicking when old people die.
        
               | jseban wrote:
               | It's always cherry picking to deliberately misinterpret
               | statistics to make the most dramatic headline, it has
               | been during the whole pandemic. Nobody is even trying to
               | make accurate and relevant conclusions with the numbers,
               | quite the opposite it's like a sport now who can lie the
               | most with statistics.
        
               | mijamo wrote:
               | Because the density of the metro areas are similar.
               | Stockholm is not comparable to Paris or London when it
               | comes to density for instance.
               | 
               | Culture is also very similar between Scandinavian
               | countries and much different from western Europe, with
               | people much more isolated (which is tough to adjust to
               | for immigrants there actually).
        
               | vcdimension wrote:
               | Sweden has much higher ethnic & cultural diversity than
               | Norway & Finland, and hence more people passing through
               | it's borders potentially bringing in new infections from
               | abroad. It also has fewer hospital beds per population,
               | and higher population density. All these factors and more
               | need to be taken into account when doing country
               | comparisons. We won't really know how much effect the
               | difference in policies had until someone has done a
               | proper causal analysis using some regression model or
               | other econometric technique.
               | 
               | I got the stats from here: https://www.indexmundi.com/fac
               | tbook/compare/norway.sweden/de...
        
               | pigeonhole123 wrote:
               | People work in offices and go to shops in Scandinavia
               | too. Maybe compare to the dozens of US states with lower
               | population density than Sweden?
        
               | onlyrealcuzzo wrote:
               | For the same reason that their vaccination rates and
               | wealth and gini coefficients and all types of other
               | metrics closely resemble each other more than some random
               | country like Ethiopia or Peru.
        
               | pigeonhole123 wrote:
               | We're talking about Germany and France. Right across the
               | water. Sweden had lower deaths in earlier years than
               | their neighboring countries and this was a reversion to
               | the mean. Speaking as a Norwegian people in this country
               | like to look smart but they're not getting the last laugh
               | this time.
        
               | notahacker wrote:
               | Because they have similar risk factors, which are much,
               | much lower than the other countries people are noting
               | Sweden appeared to have fared better than. The UK, which
               | imported a lot more cases, has more crowded commuter
               | trains and bars and probably a less sensible population
               | tried the Swedish strategy for a few weeks, but gave up
               | because the deaths were mounting.
        
             | onlyrealcuzzo wrote:
             | A lot of that can be attributed to a relatively huge early
             | spike in deaths at nursing homes.
             | 
             | Rightly, Sweden decided it was a bad idea to do go about
             | business as usual at nursing homes. After this, their
             | relative difference to other Scandinavian countries is much
             | smaller.
        
               | jseban wrote:
               | And are those spikes in deaths at nursing homes not
               | normal? Is that not how things always and usually work?
               | Do people at nursing homes not die mostly in the winter
               | and flu season, since forever? What are the statistics of
               | excess mortality, is it higher than usual or not. Old
               | people die. I read headlines in the papers "10 people
               | have died since moving into a nursing home" That's what
               | nursing homes are for. Everyone who moves into a nursing
               | home dies...
        
               | onlyrealcuzzo wrote:
               | The average death rate for people in nursing homes for an
               | entire year wasn't even as high as the death rate was for
               | just a few week period:
               | https://www.reuters.com/article/us-health-coronavirus-
               | sweden...
               | 
               | Almost ~3200 people died in nursing homes in a couple of
               | months at the beginning of the pandemic. There's ~95k
               | people in nursing homes. That's 3.3%...
               | 
               | These deaths still account for ~1/5th of all Sweden's
               | covid deaths.
               | 
               | Hence, when people say 5x as many people died in Sweden -
               | a full 1x of that is from the early nursing home no-
               | strategy.
        
               | jseban wrote:
               | Doesn't say anything, death rates are not constant, it
               | always varies a lot ever year by year. Did 2020 have
               | excessive mortality per capita compared to other years or
               | not? No it didn't. It doesn't matter if you find some
               | anecdote.
               | 
               | Everyone knows death rate was high in peak covid. As it
               | always is in peak flu season, so what, the year was well
               | within standard deviation
        
               | Swenrekcah wrote:
               | This is false, you have been misinformed. See here, and
               | compare for instance Sweden with their neighbours Norway
               | and Finland.
               | 
               | https://www.euronews.com/2021/02/17/eu-excess-deaths-
               | in-2020...
        
               | jseban wrote:
               | It doesn't make any sense to compare it to neighboring
               | countries, you need to compare the same country to
               | previous years. That's the real interesting statistic,
               | and the one that nobody is showing you. Because it's not
               | dramatic enough..
        
               | Swenrekcah wrote:
               | The graph is exactly that. Each country's excess
               | mortality compared to that countries previous years.
               | 
               | The comparison with neighbours is to gleam the effects of
               | their differing mitigation strategies.
        
               | crooked-v wrote:
               | > Did 2020 have excessive mortality per capita compared
               | to other years or not? No it didn't.
               | 
               | Yes, it did. The statistics are pretty obvious: https://w
               | ww.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.htm
        
               | jseban wrote:
               | I'm saying compared to other years. That link does not
               | compare to other years, it only compared 2020 to itself.
        
               | crooked-v wrote:
               | > Counts of deaths in the most recent weeks were compared
               | with historical trends (from 2013 to present) to
               | determine whether the number of deaths in recent weeks
               | was significantly higher than expected, using Farrington
               | surveillance algorithms (1).
        
             | mythrwy wrote:
             | I'll be curious to know what these numbers are in 5 years.
        
               | [deleted]
        
             | jseban wrote:
             | And what is expected deaths per capita? That relative
             | measure is irrelevant unless you compare it to some kind of
             | normal death rate in the past. Are you expecting deaths per
             | capita to drastically drop and be kept much lower from 2020
             | and forward, compared to the past?
        
           | howinteresting wrote:
           | Mortality isn't the only negative outcome.
        
             | bobthechef wrote:
             | Indeed, and the lockdown and other impositions have
             | introduced numerous ills that don't necessarily register,
             | at least not immediately, as deaths.
        
             | spookthesunset wrote:
             | What about all the negative outcomes from continuing all
             | the restrictions?
        
               | xg15 wrote:
               | Still less severe than long covid, sorry.
        
               | adolph wrote:
               | _Persistence of various symptoms in people who recovered
               | from COVID-19 (collectively called Long COVID) is a major
               | health issue worldwide. It could be due to various
               | mechanisms such as post-intensive care syndrome, post-
               | viral fatigue syndrome, permanent organ damage or others.
               | Proper clinical evaluation will help identify the
               | etiology, and to customize treatment. As the disease is
               | new, it is too early to know the true long-term outlook._
               | 
               | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8056514/
        
               | xg15 wrote:
               | Your point being?
        
               | bduerst wrote:
               | That's saying long covid is bad but we don't know just
               | how bad until more time passes.
        
               | howinteresting wrote:
               | I think mask mandates and ratcheting up the pressure to
               | get vaccinated is a far better use of the "restriction
               | budget" than full lockdowns on the entire population,
               | yes. Lockdowns on people who aren't yet vaccinated by
               | choice seem pretty great to me.
        
               | spookthesunset wrote:
               | Why should a vaccinated person wear a mask? Do vaccines
               | not work? What is the point of getting one if I still
               | have to wear a mask?
               | 
               | Naw. Masks need to go away.
        
             | Eelongate wrote:
             | If the plan is to continue lockdowns until every last
             | hypochondriac stops complaining about 'long covid', then
             | lockdowns will never end. There needs to be a cutoff
             | somewhere.
        
               | airza wrote:
               | As far as I know, the latest research says that more than
               | half (!) of people experience fatigue and other symptoms
               | after 6 months. I don't know if lockdowns are the right
               | solution, but if the modal outcome is chronic fatigue
               | than it seems a little flippant to call someone a
               | hypochondriac.
        
               | Eelongate wrote:
               | When people claiming to suffer from long covid are tested
               | for antibodies, a substantial portion of them are
               | revealed to have never had covid in the first place. And
               | anecdotally, every last person I personally know that
               | claims long covid is a person I already knew to be a
               | hypochondriac.
               | 
               | I do believe some people will have lingering respiratory
               | problems, as is the case for _all_ viral respiratory
               | illnesses. But I don 't think there is much more to it
               | than that, and I think most of the complaints come from
               | the sort of people who always think they have the latest
               | trendy affliction.
        
               | xg15 wrote:
               | > _When people claiming to suffer from long covid are
               | tested for antibodies, a substantial portion of them are
               | revealed to have never had covid in the first place._
               | 
               | Source?
        
               | leesalminen wrote:
               | https://jamanetwork.com/journals/jamainternalmedicine/ful
               | lar...
        
               | xg15 wrote:
               | As a counterpoint, I can find this meta-study:
               | 
               | https://evidence.nihr.ac.uk/themedreview/living-with-
               | covid19...
               | 
               | > _There is a widespread perception that people either
               | die, get admitted to hospital or recover after two weeks.
               | It is increasingly clear that for some people there is a
               | distinct pathway of ongoing effects. There is an urgent
               | need to better understand the symptom journey and the
               | clinical risks that underlie that. People, their families
               | and healthcare professionals need realistic expectations
               | about what to expect._
        
               | lambdaba wrote:
               | There was a study recently published that showed that
               | long covid was correlated with personal belief of having
               | had covid and not having actually had it (antibodies), in
               | other words, vast majority is psychosomatic which is
               | frankly what you'd expect in the current climate of
               | hysteria.
               | 
               | Conversely another very real phenomenon is fear induced
               | immunosupression, to which all of these overreactive
               | measures and constant media bombardment are greatly
               | contributing.
        
               | MisterBastahrd wrote:
               | Parasmia, phantosmia, chronic fatigue, and narcolepsy
               | (and I am an incredibly stubborn person when it comes go
               | "keep on keeping on"). It's always an interesting new day
               | when I'm sitting at my desk at the office and don't know
               | whether I'm going to smell diesel fuel, dog shit, burnt
               | toast, or one of another random smells. Also, tap water
               | tastes like ditto paper used to smell, so that's fun.
        
               | rytcio wrote:
               | I would like to know who in the world ISN'T fatigued. I'd
               | go into work and everyone is tired and fatigued...
        
               | arsome wrote:
               | A vague symptom like "fatigue" is also one of the most
               | commonly reported symptoms of placebos.
        
             | hogFeast wrote:
             | And lockdowns can cause mortality too. In England, the
             | waiting list for operations (these are procedures that a
             | doctor has determined are required medically, some are
             | elective but England doesn't do many electives because of
             | cost) is expected to hit 12m in a few years...the total
             | adult population in England is 56m. Ignoring the economic
             | turmoil that they cause, ignoring the social turmoil.
             | 
             | There are no very good choices. But the high cost of
             | lockdowns should dictate that they only be used when the
             | alternative is extremely large numbers of people dying (at
             | least in the UK, this was probably met at some point last
             | year but hasn't been met for the majority of the Covid
             | period).
        
               | Pyramus wrote:
               | How many people is "extremely large" in your opinion? And
               | who?
               | 
               | Or to put it another way: Would you be okay to go, while
               | we keep everything open? How about your parent, or grand-
               | parent?
        
               | hogFeast wrote:
               | I don't think you need to outline a number in advance (if
               | you are familiar with the UK's response, one very big
               | problem has been that forecasts of deaths has
               | consistently undershot estimates even when England wasn't
               | in lockdown and had no mask mandate). We had excess
               | mortality around 10k/week in April, that probably did
               | require a lockdown (to be clear though, if the govt had
               | handled the care home situation better than maybe not
               | necessary) but the bump in December last year was very
               | minor. I am not sure what you mean by who...whoever gets
               | Covid.
               | 
               | Yes, no issues at all. I support lockdowns and have had
               | relatives who became very ill because of lockdowns
               | (delayed/ineffective hospital treatment, I am actually
               | not well myself either for the same reason). I think
               | trying to argue that someone should only support/oppose
               | something because they have something to gain personally
               | is the reason why politics in some countries is totally
               | fucked (the UK is probably the worst for this, somewhere
               | around 2017/18 most of the media became tabloids and
               | every politics story contained some hyperbolic bullshit
               | from some random person claiming their life would be
               | destroyed by X minor policy change...it is just a waste
               | of time and energy for all involved).
        
               | jseban wrote:
               | Isn't this exactly what measuring excess mortality is
               | for? But it's not reported anymore since there is none,
               | and media has instead shifted to infection rate.
               | 
               | If you were old and had little time left, and had a
               | compromised immune system that made any slight infection
               | possibly lethal, and you had the choice to close down
               | society to lower your risk of infection, would you do it?
        
               | sdenton4 wrote:
               | Replying to sibling: There's PLENTY of excess mortality: 
               | https://www.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.
               | htm
               | 
               | Summer of this year was close to normal again, though it
               | is of course easy to imagine it wouldn't have been in a
               | zero-restrictions scenario.
        
               | jseban wrote:
               | That doesn't say anything, it only counts death during
               | one single year: 2020. And concludes that the death rate
               | is excessive during the flu season, compared to not in
               | the flu season.
               | 
               | It expects death rate to be constant over the year, which
               | is wrong.
               | 
               | You need to take the total number of deaths per capita,
               | for 2020, and compare that to the same number for 2019,
               | 2018, 2017 etc. And look at the standard deviation.
        
               | sdenton4 wrote:
               | What on earth are you looking at? The default view is US
               | weekly excess deaths for 2018 through October 2021, and
               | uses historical estimates from 2013 to present to
               | estimate per-week thresholds: it's most certainly NOT
               | using a single threshold per year. Go read the
               | methodology section, please!
               | 
               | You can clearly see bumps due to flu season in previous
               | years, but because flu season happens every year since
               | before 2013, this becomes a regular seasonal effect and
               | don't show up as 'excess' except in late 2018. We also
               | happen to know that flu was greatly suppressed by anti-
               | Covid measures these last two years.
        
               | howinteresting wrote:
               | I agree that the NHS is fucked, but that's because of:
               | 
               | * COVID itself
               | 
               | * its funding and delivery model making it vulnerable to
               | politicians acting in bad faith
               | 
               | far more than restrictions on gatherings.
               | 
               | By the way, an "elective" surgery is one that can be
               | scheduled in advance. Most elective surgeries are not
               | optional.
               | https://www.hopkinsmedicine.org/health/treatment-tests-
               | and-t...
        
               | hogFeast wrote:
               | Right, and how do you explain what has happened in
               | Scotland then? The SNP gave ample rope to the NHS, and
               | they promptly hung themselves with it. I agree there are
               | structural issues but those aren't separable from the
               | funding issues. A few months ago, the Tories said the NHS
               | was getting PS20bn in extra funding, and journalists were
               | being briefed by NHS lobbyists/BMA that weekend that it
               | wasn't enough...at some point, the public has to
               | recognise that the resources problem isn't separable from
               | the structural problems.
               | 
               | My comment about electives was for the US audience. The
               | US does a huge amount of quality-of-life, elective
               | surgeries that don't happen in the UK (i.e. giving an
               | 85-year old a knee replacement). So when you write
               | something like: the waiting list is long, people from the
               | US might not understand that the mix of surgeries in the
               | UK is very different from there, and it largely
               | represents people who need prompt care (for example, I
               | have a relative who is a high bowel cancer risk and needs
               | a regular screen, in the US this would likely happen
               | annually but hasn't happened for about three years now
               | because they were overdue in early 2020 and then
               | everything stopped).
        
             | boringg wrote:
             | You should add Mortality + mortality in the following year.
             | Studies coming out that people who survived severe covid
             | had over twice the risk of dying within the next year.
        
               | latchkey wrote:
               | https://www.cidrap.umn.edu/news-
               | perspective/2021/12/severe-c...
        
               | lbj wrote:
               | Interesting, I did not know. Have a source?
        
               | user764743 wrote:
               | https://www.theguardian.com/world/2021/dec/01/severe-
               | covid-i...
        
               | jseban wrote:
               | Yeah because people who get severe covid are immune
               | compromised, and that means they get are at high risk for
               | severe illness/death from _any_ infection, not just
               | covid. And remember that most people who  "die from
               | covid" are old and frail and more or less at end of life.
               | Median age for covid deaths in germany is 85.
        
               | boringg wrote:
               | You are missing point to the study.
               | 
               | Even if I use your position that people were to die
               | without being infected due to their health already being
               | somewhat compromised (which isn't the case here but I
               | will suppose it for your trollish statements) - the point
               | is that COVID-19 has serious and significant impacts on
               | the cardiovascular system beyond your immediate infection
               | and more so than we previously thought.
        
               | JoshuaDavid wrote:
               | > Studies coming out that people who survived severe
               | covid had over twice the risk of dying within the next
               | year.
               | 
               | I'm curious how those studies would disentangle the
               | effect of "COVID damages your health, and severe COVID
               | damages your health more so you're more likely to die in
               | the next year" from the effect of "if you are in worse
               | general health, a COVID infection is more likely to be
               | severe, and also you are more likely to die in the next
               | year". Even if you try to control for factors like age,
               | sex, smoker vs nonsmoker, BMI, etc etc you're likely to
               | miss something. But maybe they did something clever with
               | their control group that serves as a good proxy for
               | "people who would have had severe covid and survived, but
               | didn't get infected".
               | 
               | I'm interested to see which study you're referring to.
        
               | boringg wrote:
               | Agree there are disentangling challenges.
               | 
               | However if you think about it logically from a health
               | perspective - if your respiratory system goes under
               | severe stress that will likely exacerbate any respiratory
               | issues that were in your system beforehand. It is
               | surprising that the risk is so great for the following
               | year, but not shocking considering how taxing this
               | disease is on peoples health.
               | 
               | https://www.cidrap.umn.edu/news-
               | perspective/2021/12/severe-c...
        
               | JoshuaDavid wrote:
               | Hm, I think that article references this paper[1]. It
               | looks like their "control group" was patients who were
               | tested for COVID-19 for any reason. They then checked
               | whether the age distributions and distributions of
               | Charleson Comorbidity Scores were the same for people who
               | tested positive vs those who tested negative (of positive
               | tests, 65.3% were under 65 vs 64.5% of negative tests,
               | 53.5% had a comorbidity score of 0 or 1 among positives
               | vs 49.4% among negatives). However, they then checked the
               | age distributions between mild and severe cases, found
               | very large differences (54.5% of severe cases were over
               | age 65 vs 20.3% of mild cases, and 74.2% of severe cases
               | had a comorbidity score of 2 or more vs 26.4% of mild
               | cases)[2]. And then if I'm reading correctly, they just
               | decided that was fine and they'd calculate the hazard
               | ratios for mild vs severe COVID without adjusting for
               | underlying confounders anyway?
               | 
               | Their methodology doesn't look _super_ sketchy when it
               | comes to COVID vs no COVID, but I am not sure what they
               | 're trying to do by comparing mild with severe COVID
               | without even controlling for counfounding factors.
               | 
               | [1] https://www.frontiersin.org/articles/10.3389/fmed.202
               | 1.77843...
               | 
               | [2] https://www.frontiersin.org/files/Articles/778434/fme
               | d-08-77...
        
               | [deleted]
        
           | standardUser wrote:
           | If Swedish hospitals exceeded capacity as has happened in
           | other nations (like the US) then there would have been more
           | severe restrictions. The name of the game is and always has
           | been "don't let this very contagious virus collapse our
           | healthcare systems".
           | 
           | The "we should have never shut anything down" contingent
           | doesn't seem to understand this.
        
           | zibzab wrote:
           | Sweden did not keep _everything_ open.
           | 
           | We found a sweet spot between "business as usual" and
           | "everybody stays at home". For example, big gatherings and
           | sport events were not allowed. Schools were open only for
           | younger kids.
        
             | matsemann wrote:
             | Sweet spot being 3-5x as many deaths as
             | Norway/Denmark/Finland?
        
               | SergeAx wrote:
               | Please check out this data, section "z-score by country":
               | https://www.euromomo.eu/graphs-and-maps
               | 
               | Sweden indeed has a worse z-score compared to Norway or
               | Denmark, but better compared to France, Netherlands or
               | Belgium (or Germany, for that matter). And much better
               | than Italy or Spain. I say they indeed found a sweet spot
               | and escaped lockdowns.
        
               | jseban wrote:
               | People in scandinavia live in warm houses, in continental
               | europe people live in cold and damp houses in the winter.
               | I think that has a big impact on how sick people get
        
               | namdnay wrote:
               | > People in scandinavia live in warm houses, in
               | continental europe people live in cold and damp houses in
               | the winter
               | 
               | huh?
        
               | SergeAx wrote:
               | Denmark, Belgium, Netherlands, north of France and
               | Germany had a closer climate (and more accustomed to
               | heating), that's why I looked up their z-score first.
        
               | pmontra wrote:
               | > [People] in continental europe people live in cold and
               | damp houses in the winter.
               | 
               | Really?
        
               | yodsanklai wrote:
               | Every country had to find some balance between freedom
               | and health. I don't think Sweden is to blame more than
               | anyone else. They had less death than most European
               | countries.
               | 
               | Following you reasoning, how many more death did the US
               | have compared to China? would you advocate to lock up
               | people like China did?
        
               | savingsPossible wrote:
               | Did china get less freedom because of covid lockdowns?
               | That is, surely people faced absurd restrictions, but
               | given the _length_ of the restrictions, which is better
               | for people?
               | 
               | I know that I would prefer 1 month hard lockdown than 1
               | year soft. But idk how it actually went there (curious to
               | know!)
        
               | jseban wrote:
               | And not just freedom, but more important things such as a
               | functioning society in general with regards to childrens
               | education, babies being born, the economy doing well etc
               | etc. It's not like lockdowns are only affecting some
               | dude's ability to go and drink beer. And they are
               | actively harmful to people's health too, so actually it's
               | about finding a balance between everyone and everything,
               | and the immune compromised people at risk from cold
               | viruses.
        
               | danans wrote:
               | The death rate in Sweden is more like 2x higher (1.3% vs
               | 0.6% for the other countries) [1], since its population
               | is double the other countries. Still signficantly worse
               | than its Nordic neighbors, though.
               | 
               | 1. https://coronavirus.jhu.edu/data/mortality
               | 
               | EDIT: I stand corrected - I confused the case-fatality-
               | rate number with the mortality rate, which is much worse
               | for Sweden than its neighbors.
        
               | op00to wrote:
               | Why would the rate be higher in higher population
               | countries?
        
               | danans wrote:
               | That's not what I said. I just said that the rate more
               | like 2x higher in Sweden when considering population -
               | but I was incorrectly reading the case-fatality rate. The
               | actual mortality rate is much worse in Sweden.
               | 
               | The GP was comparing raw mortality counts, which isn't
               | meaningful without dividing by population.
               | 
               | The difference in mortality rates is complex, but public
               | policy around masking and gathering in groups has a
               | significant effect. Sweden's relatively lax restrictions
               | probably play a big role in their higher mortality rates
               | and case fatality rates
        
               | ajross wrote:
               | That's a CFR study, it reports how likely a detected
               | infection is to result in death. It's intended to measure
               | how effectively a nation's health care system treated
               | infections.
               | 
               | Total per-capita covid deaths in Sweden covid are indeed
               | about 3x those in Denmark, and closer to 5-6x those in
               | Norwan & Finland. Sweden did a little bit better than the
               | USA (about 50% higher still), but not relative to its
               | neighbors:
               | 
               | https://91-divoc.com/pages/covid-
               | visualization/?chart=countr...
        
               | pigeonhole123 wrote:
               | Where do you think these deaths come from? Do you think
               | the health services in Sweden were overwhelmed?
        
               | danans wrote:
               | You're absolutely right. I should have looked at the
               | deaths per 100k population column.
        
               | [deleted]
        
             | kgwgk wrote:
             | With "big gatherings" being defined as 50 people.
        
             | PicassoCTs wrote:
             | A sweet spot, were the elderly first were not properly
             | protected, and then euthanized instead of given at least a
             | treatment effort? Not even C-Pap, just panic-relieve and
             | pain-medication. Not even given a choice, just scratched
             | out of the book by politics.
             | 
             | https://www.reuters.com/article/idUSKBN2841CG
             | 
             | It was a reckless betrayal of the elderly population of
             | sweden.
             | 
             | I'm all for the freedom of self-euthanization, if a person
             | longs for that and no, this can not be compared with what
             | went down.
             | 
             | Which can be best described as a remnant from a horrific
             | pre-worldwar 2 "survival of the fittest" mindset being
             | dragged into the light.
        
               | [deleted]
        
             | jollybean wrote:
             | And by 'Sweet Spot' we mean a materially higher death rate
             | than immediate peers ...
             | 
             | The lockdowns were imminently effective.
             | 
             | In Canada, when we had big waves, we shut things down, the
             | wave faded, we opened up gradually, if another wave hit we
             | cloistered again and the numbers came down.
             | 
             | If you look at 'Our World in Data' graphs you can see any
             | number of 'spikes' for various countries, most of which
             | were handled with lock-downs, which brought numbers down
             | drastically.
             | 
             | Here you go [1]
             | 
             | In almost every case when there is a spike up, there are
             | serious measures put in place, and the spike comes down.
             | 
             | [1] https://ourworldindata.org/covid-cases
        
               | annexrichmond wrote:
               | Lockdowns in Canada were ridiculous, particularly in
               | Ontario. People weren't even allowed to go to parks or
               | hikes. My parents couldn't drive to their cabin up north
               | in fear of being ticketed.
               | 
               | My mom was telling me a story of her colleague's husband
               | who resented her for going to work because he thought she
               | was going to get him killed.
               | 
               | Are unreasonably strict lockdowns a good idea? Does it
               | drive unnecessary fear? What if it causes more people to
               | disregard rules later on?
        
               | throw10920 wrote:
               | > People weren't even allowed to go to parks or hikes.
               | 
               | If this is true, it's some pretty impressive science
               | denialism - it's pretty obvious that there's an extremely
               | low chance of transmission outdoors (assuming that you're
               | not, you know, breathing right into someone's face, or
               | next to 20k people in a stadium).
        
               | xg15 wrote:
               | It isn't. Closing off certain places isn't done just
               | because those particular places have an increased risk of
               | infection but also to stop people from traveling to and
               | from those places.
               | 
               | I live in western Germany. Home office mandates in my
               | country were for a large part to stop people from
               | commuting in crowded trains every day, even if their
               | actual workplace might not have had a high infection
               | risk.
               | 
               | I live near a busy shopping street. Back in march 20,
               | there was a blanket order to close _everything_ in that
               | street - cafes, malls, mom &pop shops, etc. The street
               | consequently was deserted for a few months. Later,
               | restrictions got more targeted, with an overall goal to
               | keep untested and unvaccinated persons out. And this may
               | lower the infection risks for individual stores, but I
               | can just observe that the street itself is as busy again
               | as before the pandemic.
        
               | CamperBob2 wrote:
               | So shut down the trains. If someone is driving to their
               | cabin, there is no reason to stop them. It was always
               | completely irrational to prohibit solitary or family-
               | oriented outdoor activities. They did that around here
               | for a while, in a largely rural state in the US Pacific
               | Northwest region.
               | 
               | Senseless "do something!" edicts like that give a lot of
               | rhetorical ammunition to the denialists and antivaxxers,
               | while doing nothing to address the spread of COVID.
        
               | gebruikersnaam wrote:
               | Another reason to keep people from traveling is to make
               | sure they stay where there's available healthcare. If
               | everyone traveled to their cabin and got sick, the local
               | hospital wouldn't be able to handle all the cases.
        
               | CamperBob2 wrote:
               | Sorry, that's unconvincing at best.
        
               | [deleted]
        
               | bduerst wrote:
               | People were allowed in parks. The hyperbole comes here in
               | that the parks closed during certain seasonal events that
               | tend to draw huge crowds.
        
               | yonaguska wrote:
               | So those videos I watched of teens being arrested for
               | skateboarding or playing hockey weren't real?
        
               | TravHatesMe wrote:
               | Or the guy drinking coffee in a timmies parking lot
        
               | dmix wrote:
               | That's not true. I tried to go to provincial parks in
               | Ontario and they were gated off and closed...
        
               | annexrichmond wrote:
               | https://globalnews.ca/news/7757913/cherry-blossoms-high-
               | park...
               | 
               | > During a news conference at Toronto city hall Wednesday
               | afternoon, Mayor John Tory said the three main
               | concentrations of cherry blossoms at High Park would be
               | fenced off to "discourage" people from gathering.
               | 
               | to be fair the park closures might not have been as
               | general as I made it sound in my original comment but
               | there were definitely some degree of closure of parks in
               | addition to general sentiment of people being afraid to
               | even go outside
               | 
               | https://www.cbc.ca/news/canada/toronto/horseshoe-resort-
               | ski-...
               | 
               | > Ontario ski resorts were closed for seven weeks from
               | Christmas Day 2020 through to February of this year.
               | Ontario was the only jurisdiction in North America to
               | close its slopes, according to the Canadian Ski Council.
               | The province had said the closures were needed out of an
               | abundance of caution and at a time when cases were
               | soaring and vaccines were new.
        
               | jollybean wrote:
               | It's a tiny bit glib to lament 'science denialism' in a
               | pandemic for which we do not have any living memory of
               | dealing with, a new kind of disease for which there are
               | many unknowns, serious concerns with equipment and
               | personnel shortages, high mortality, time constraints, a
               | state of emergency, and most evidently the very low
               | social cost of 'not gathering in groups' outdoors.
               | 
               | In hindsight, they probably didn't need to go that far,
               | but that's hindsight.
               | 
               | Along with the vaccine denialism, the other thing that
               | has surprised me among the concerns of the plebes, is how
               | they have difficulty grasping what an emergency implies.
               | 
               | There is a term called 'Fog of War' that military people
               | are aware of, hinted at in the term 'No Plan Survives
               | Contact With The Enemy'.
               | 
               | Running government is like running a company - it's
               | operational. But governing in an Emergency is more like
               | running a startup but where all your personnel are 9-to-5
               | functionaries not used to such situations. It's managed
               | chaos at best, nothing will be optimized.
        
               | sdenton4 wrote:
               | I think it actually took quite a while for outdoor safety
               | to be firmly established. Canada was meanwhile having a
               | very hard time sourcing medical supplies (and eventually
               | also vaccines), meaning there was fear that a real blowup
               | could be much worse than in the US.
        
               | FpUser wrote:
               | >" People weren't even allowed to go to parks or hikes"
               | 
               | This is total BS. I live in Toronto and I've never seen
               | so many people in parks as I have during COVID lockdowns.
               | What was discouraged is big companies having party in the
               | parks.
               | 
               | I cycled every day in various Toronto's parks so speaking
               | from experience.
        
               | jollybean wrote:
               | Nobody has ever dealt with these problems before in
               | living memory there are far too many unknowns, and there
               | are very serious consequences i.e. death, hospitals
               | overflowing, staff shortages, it's a very real emergency.
               | 
               | If part of your job is to sit there and watch the numbers
               | come in, and hear the reports fro the Health Officers,
               | it's visceral.
               | 
               | It's managed chaos at best.
               | 
               | Personally, the 'no parks' thing was a bit much, and they
               | should have encouraged 'strong distancing' at the same
               | time encouraged people to 'get out'.
               | 
               | But lockdowns are ham-fisted and crude in every way but
               | if we can bring a national emergency down to something
               | more bearable, so be it.
               | 
               | If COVID strikes again this winter, hopefully we can be
               | more nuanced about it (i.e. probably encourage people to
               | get outdoors).
        
               | jollybean wrote:
               | "Are unreasonably strict lockdowns a good idea? Does it
               | drive unnecessary fear?"
               | 
               | ???
               | 
               | If you look at the data fro Our World in Data you see
               | exponential spikes, implying any group facing them is on
               | the precipice of disaster.
               | 
               | The lockdowns decisively killed the spikes and prevented
               | untold harm.
               | 
               | That for a few weeks 'you couldn't go to the park' is
               | relevant, but not hugely material, neither is that they
               | caused a bit of fear.
               | 
               | The 'no parks' bit is maybe an excessive feature taken in
               | an emergency context but it's not a big deal.
               | 
               | Whatever we want to call them and whatever the mechanism,
               | they were mostly useful.
        
               | annexrichmond wrote:
               | I think it's material if people felt certain rules were
               | invasive (which they were). And that was my point -- such
               | people may be less inclined to follow certain guidelines
               | in later phases of the pandemic.
               | 
               | > The lockdowns decisively killed the spikes and
               | prevented untold harm.
               | 
               | I don't think that is definitively true. Florida hasn't
               | been locked down _at all_ with zero mandates since last
               | June and while it 's certainly not rainbows, it's not
               | nearly "untold harm" either.
               | 
               | Did it "kill spikes" or just delay them to some degree?
        
           | xg15 wrote:
           | What exactly do those studies compare? How countries without
           | lockdown coped in the same wave?
           | 
           | Lockdowns were called because hospitals were at capacity and
           | immediate risk of failing to keep up service - as is
           | currently again the case e.g in Germany.
           | 
           | Remember, the first lockdowns in Europe were mandated after
           | hospitals in Italy were forced to conduct triage. (The "who
           | do I have to let die" kind of triage)
           | 
           | Why did that not happen in whatever control groups the
           | studies were looking at?
        
           | santoshalper wrote:
           | The Swedes wore their masks and got vaccinated. What worked
           | for them would not necessarily have worked for us.
        
             | rory wrote:
             | I'm not sure who "us" is for you, but Swedes are not
             | vaccinated at an especially high rate.
             | 
             | They're at about the EU average. 8-10% above the US
             | average, 5-7% above California, but a few percent below New
             | England, for example.
        
               | ghaff wrote:
               | And two of those New England states have among the
               | highest case rates in the country right now (which isn't
               | the same as death rates of course).
        
               | jseban wrote:
               | Why would you get vaccinated for something that you're
               | not in a risk group for anyway, it doesn't make any
               | sense. And even double vaccines and boosters. If you did
               | this pre-covid the doctor would have diagnosed you a
               | hypochondric
        
               | ahahahahah wrote:
               | Do you know that it's very normal for people not in a
               | risk group for the flu to not only get double vaccines
               | but to actually get a new one every single year? OMG,
               | doctor's must be going crazy with all the hypochondriacs
               | doing that.
        
             | throw20211202 wrote:
             | We certainly got vaccinated, but it could be better. But
             | masks are few and far between. There was a recommendation
             | to wear them on some public transport for a while (and
             | might come back, due to Omicron), but my very unscientific
             | anecdata I'd say less than 1% of people I see wear masks.
             | Going through the central station in Stockholm in rush
             | hour, seeing hundreds if not thousands of people, and you
             | can probably count the number of mask wearers on your
             | fingers.
             | 
             | I would follow any mask mandate, but the experience here
             | (from my point of view) is that they don't seem to help
             | that much. Otherwise we should have an absolute explosion
             | of cases right now, compared to other European countries.
             | My personal theory is that people don't use them properly;
             | look at people on tv, constantly adjusting them, or wearing
             | them under the chin, reusing single-use masks, etc.
             | 
             | There's been an uptick in cases during the last week or
             | so[1], but compare it to eg. Germany[2] that have had a
             | strong mask mandate for a long time. I don't understand it
             | either.
             | 
             | [1]
             | https://www.worldometers.info/coronavirus/country/sweden/
             | (do note that when looking at the chart for deaths, we have
             | always been lagging a couple of weeks)
             | 
             | [2]
             | https://www.worldometers.info/coronavirus/country/germany/
        
               | jseban wrote:
               | And everyone always forgets those politicians who had to
               | resign after making millions on the mask deals, and
               | pretend that this corruption has nothing to do with why
               | Germany has the mask mandates...
        
             | rightbyte wrote:
             | > The Swedes wore their masks
             | 
             | No such thing happened.
             | 
             | Cumulative death per 100k for Sweden in Covid is about
             | 1500, compared to 1750 for France and 1200 for Germany. And
             | far worse then the neighbouring countries.
             | 
             | I would not say anything "worked" but rather that the
             | policies were not worse than other bad policies.
             | 
             | https://ourworldindata.org/explorers/coronavirus-data-
             | explor...
        
               | arthur_sav wrote:
               | Such a relief to live in Sweden. No one is pretending to
               | wear masks and we're doing just fine. If i wasn't reading
               | the news i wouldn't even know there was a pandemic.
               | 
               | As opposed to the rest of EU where everyone is pretending
               | to wear masks but only as chin diapers.
        
               | 13415 wrote:
               | You get used to wearing masks very fast and it's no big
               | deal. They can be inconvenient. So what. Independently of
               | the question whether masks are needed or not, it's
               | bizarre and unreasonable that people still get heated
               | about this topic. There are plenty of things worth
               | discussing other than minor inconveniences like wearing
               | masks or washing hands.
        
               | fvdessen wrote:
               | I personally don't think wearing masks are a minor
               | inconvenience, and never got used to it. I like to see
               | people's faces.
        
               | 13415 wrote:
               | Blessings to you, all that tells me is that you've never
               | had a real inconvenience in your life.
        
               | spookthesunset wrote:
               | Wearing masks are huge deal. They are depressing as fuck
               | and make everybody look ugly. We aren't doing heart
               | surgery... masks are silly rain dances.
               | 
               | I really hate mask religion. Especially the branch of it
               | that likes to gaslight and minimize the idea that masks
               | suck.
        
           | user-the-name wrote:
           | Sweden had mortality rates nearly 10x those of their
           | neighbours.
        
             | [deleted]
        
             | throw20211202 wrote:
             | Not really, though:
             | 
             | * Sweden: 1,485
             | 
             | * Denmark: 500
             | 
             | * Finland: 244
             | 
             | * Norway: 199
             | 
             | * Iceland (not really a neighbour, being a 1000 miles away,
             | accross an ocean): 102
             | 
             | Some more random cherrypicking:
             | 
             | * USA: 2,414
             | 
             | * Italy: 2,221
             | 
             | * Belgium: 2,322
             | 
             | * UK: 2,124
             | 
             | * Russia: 1,901
             | 
             | * Peru: 5,984
             | 
             | Deaths per million capita, as of 2nd december 2021,
             | from[1].
             | 
             | [1] All numbers from
             | https://www.worldometers.info/coronavirus/
        
               | [deleted]
        
               | vkou wrote:
               | The numbers in Russia cannot be believed. My entire
               | extended family (in Moscow) caught what was almost
               | certainly COVID (Most of them twice, my grandfather was
               | at death's door over it), and not a single one of them
               | got a positive diagnosis.
        
               | user-the-name wrote:
               | Pretty sure 1485 is nearly 10x 199.
        
               | 1cvmask wrote:
               | Sweden has the highest density pockets of all of them.
               | Meanwhile Norway has more fjords than people.
        
               | ch4s3 wrote:
               | The VAST majority of deaths there are people over 70, and
               | Sweden like the US warehouses old people in cramped
               | retirement homes where the virus can spread rapidly
               | regardless of the public health approach outside. Their
               | deaths fell off precipitously once vaccines got to the
               | old.
               | 
               | The lesson here seems to be that nursing homes probably
               | cause some amount of excess mortality, and need special
               | attention during epidemics/pandemics.
        
               | user-the-name wrote:
               | You think that is different in any other country?
        
               | ch4s3 wrote:
               | Yes, very different. Starting in the 90's Norway started
               | transitioning from large crowded buildings with long
               | corridors to more home based care and other approaches
               | that seek to keep people out of settings that look like
               | nursing homes. In southern Europe more people live with
               | family when they're old. This is common in lots of Asia
               | as well. In the US it varies a lot regionally and by
               | income.
        
               | jseban wrote:
               | What difference does it make, they all get the virus
               | eventually anyway
        
               | ch4s3 wrote:
               | The crowding can cause a lot of morbidity before anyone
               | knows what's going on or how to treat the new infection.
               | This is what happened in New York, the pandemic ripped
               | through nursing facilities killing thousands of seniors
               | well before any treatment was available.
               | 
               | If things unfold more slowly, you have more time to
               | develop treatments. A lot of the deaths in NYC occurred
               | before we figured out that just laying people on their
               | sides reduced the risk of dying significantly.
               | 
               | Moreover, now that we have the ability to rapidly produce
               | vaccines, it isn't a forgone conclusion that everyone
               | will necessarily "get the virus eventually anyway."
        
               | ajvs wrote:
               | You said "neighbours", when in reality you mean "one
               | neighbouring country".
        
               | [deleted]
        
           | oezi wrote:
           | No, we should have strived to get everyone vaccinated (by
           | making it mandatory) and _then_ this pandemic would be over
           | in Europe.
           | 
           | "Opening up" would have killed more people than it killed in
           | the UK.
           | 
           | The people driving this wave, who are getting seriously ill
           | and dying are the unvaccinated.
        
         | hogFeast wrote:
         | It is worth remembering the "let people get on with it and they
         | will work out" viewpoint within Europe was widely discredited
         | by April 2020 (and ignoring the fact it worked in countries
         | like Japan that have quite significant constraints on govt
         | power).
         | 
         | My conclusion from this is that, in this area, regulations are
         | path dependent. In some countries, people will make the right
         | choices themselves. In others, they won't. I am in the UK, in
         | 2020 it was evident that the hands-off approach really wouldn't
         | work. But it did work this year.
         | 
         | Also, I don't think there is any question about fixing it. You
         | have to test (most countries still don't test enough), you have
         | to give people the information to make a choice, and you have
         | to keep vaccinating. Imo, and I thought the opposite in 2020,
         | lockdowns/heavy regulations aren't a long-term strategy
         | (outside of China).
        
           | creato wrote:
           | I think in general, the gap between what regulations say and
           | what people will do anyways will be small (as long as the
           | regulations are more strict than "default" behavior).
           | 
           | At the beginning of the pandemic, where I was, people mostly
           | stopped going to restaurants before regulations said they
           | couldn't. When restrictions have been relaxed, I couldn't
           | really observe any changes in behavior.
        
         | est31 wrote:
         | Germany had elections at the end of September, and I feel that
         | this is the main reason for the catastrophy that is unfolding
         | now. It has prevented the ruling parties from imposing stricter
         | vaccination requirements more early on. They could have easily
         | required everyone to be vaccinated by November first, and this
         | current situation would have been spared. Now the government
         | still has to do it, but they need to rush it, and they impose
         | unrealistic goals like 30 million vaccinations until christmas.
         | 
         | After Macron's speech in July to put vaccination requirements
         | for the medical industry, there was a major surge to the
         | vaccination centers. Meanwhile Germany was in pre election
         | mood.
         | 
         | https://ourworldindata.org/grapher/daily-covid-vaccination-d...
         | 
         | You can see the effect of Macon's speech clearly on this graph:
         | it led to a major surge in per-day vaccinations in mid July
         | 2021 while Germany stayed in steep decline, and the "corona is
         | over" mentality spread. Germany has reduced its distance to
         | France in the last few weeks, but France still has more
         | vaccinations than us, and it's far away from european leaders
         | like Portugal.
         | 
         | At the start of covid, everyone in europe admired Germany for
         | its good covid response. They flew ICU patients from Italy to
         | Germany as the italian hospitals were way beyond their
         | capacity. Now we might have to fly Germans the other way.
         | 
         | Yes, you can say that there has barely been public support for
         | vaccination requirements up until the start of the current
         | wave. And indeed it's been quite unpopular in the autumn. But
         | if politicians had been more courageously trying to sell
         | vaccination requirements, maybe it'd have worked out.
        
           | dham wrote:
           | Everyone will get this virus. Countries that do good now will
           | do bad later and countries that did bad now we do good later.
           | It's all inevitable. All you can do is take it on the chin or
           | delay it. Every country has predetermined number based on
           | their population demographics and health, that they will hit
           | and there's no thing we can do about it.
        
           | novaRom wrote:
           | This current wave moves from the east to the west. In fact,
           | Germany has probably peaked, we have 4 days in a row of
           | declining number of infections. France is at the beginning of
           | the next wave, their number of today's infections is
           | approaching German numbers.
           | 
           | source:
           | https://www.worldometers.info/coronavirus/country/france/
        
             | est31 wrote:
             | Note that German infrastructure is at its limits in terms
             | of how many tests can be done or whether the health office
             | can track down the people a known covid case has been in
             | contact with. Due to the sheer size of the wave, the
             | percentage of unknown covid cases has increased.
             | 
             | source (German): https://www.tagesschau.de/inland/rki-
             | zahlen-corona-125.html
             | 
             | But yes, there is a strong west/east and north/south
             | gradient in terms of incidence.
        
               | ascar wrote:
               | I'm not so sure how valid the argument about test
               | capacity limits and underreporting is. While laboratories
               | for PCR tests might be above capacity the 2G+ requirement
               | (recovered or vaccinated AND tested) must have increased
               | quick antigen tests dramatically, which also get
               | registered and positive tests reported. E.g. to enter a
               | public pool I had to get tested and they had a test tent
               | right next to the entrance. The week before I could just
               | enter with my vaccination certificate. Many people have
               | to get tested more extensively now for work or travel. So
               | I would be very surprised if the test coverage hasn't
               | actually increased and declining numbers with more tests
               | certainly looks like a good sign.
        
         | jll29 wrote:
         | Ex-paramedic turned comp sci researcher here.
         | 
         | > There was a rush last summer to open everything up despite it
         | being relatively clear it was way too early and a lot of people
         | really understood it as "corona is over"
         | 
         | I totally agree. Last week saw a dentist and this morning
         | (10:02) two sales ladies at a baker's embedded in an EDEKA
         | supermarket with no mask, one of them coughing. When pointing
         | out politely that they should really put their masks on, my
         | comment of mine was ignored. The unfair thing is that it won't
         | be these people dying, but likely third parties that did
         | nothing wrong (like the elderly couple behind me in the queue).
         | 
         | There is a huge debate focusing on vaccination, about forcing
         | people to do it etc., but schools are open, kindergardens are
         | open (every parent knows that's where stuff spreads), people
         | shop, socialise, eat together, work together almost if there
         | was nothing going on.
         | 
         | The government failed to point out that vaccinated people can
         | still get CoViD because they were afraid it would stop people
         | from getting the jab, so they assumed they were safe and went
         | back to pre-CoViD behavior patterns. The government is reducing
         | the testing regime, so future numbers will be less reliable.
         | 
         | Public TV station ARD/Das Erste started to lose credibility
         | with me when they claimed on Twitter that medical masks don't
         | protect. That is false/"fake news": the truth is they are
         | designed to protect the patient when worn by staff, so their
         | protection is asymmetric and biased against the wearer and in
         | favor of the person talking to the wearer. But they do provide
         | a little protection even for the wearer, as the larger droplets
         | get caught by them, and catching a virus also depends on the
         | amount and concentration of viral material exposed to. (The
         | reason the posted the tweet was because at the time, there was
         | a shortage and they did not want that non-medical staff buy
         | them up so there was enough of a supply for medical staff. It's
         | okay to ask people to stop buying them for that reason but not
         | feeding them with false information to make them stop.)
         | 
         | The new government put a general in place to run a task force
         | and instead of saying "fantastic, why didn't the previous
         | government think of that?" the press questioned why leaders who
         | all declined military service on the grounds of conscience
         | appointed a military man (the candidate seems to be a supply
         | chain expert, so not a bad choice - although I personally would
         | pick a paramedic because pandemic training is part of one's
         | education, at least it was back in the 1990s when I did mine).
         | 
         | Despite all of this, in fairness the situation in Germany is
         | much better than in other countries (I can only say that from
         | personal knowledge about the UK, France and the US), and I
         | would say that at the beginning, the government did a good job
         | in absolute and relative terms.
        
         | elorant wrote:
         | No democratic country is built to handle something like a
         | pandemic. That much became clear the last two years. You need
         | to be able to mandate strict laws that take away a lot of
         | liberties that we have learn to consider as standard.
        
           | novaRom wrote:
           | Many countries do currently mandate strict laws that take
           | away a lot of liberties. Australia, Canada, Europe, parts of
           | US. Are they still democracies?
        
             | jseban wrote:
             | No they are not. If you can declare a state emergency in
             | the name of public health without quantifying it in any
             | way, and bypassing any forms of debates or elections or
             | votes (one expert said something), that's for sure not a
             | democracy.
        
             | furgooswft13 wrote:
             | North Korea also claims to be a democracy.
        
             | LilBytes wrote:
             | Absolutely not, have you seen Fox News. Us over here in
             | Australia are absolutely needing to be liberated by the US.
             | I can't wait till the Marines roll in.
             | 
             | Its terrifying, over here in Brisbane, Queensland. We've
             | had one locally acquired case from Covid in the last few
             | months.
             | 
             | We're going to pubs, no masks, No Covid. But we're sorely
             | missing our freedom. /s
        
               | vinay427 wrote:
               | While I don't believe this was true across Australia at
               | certain points in the pandemic, your point is definitely
               | taken and I would agree with the message.
               | 
               | However, I don't understand the US-centric (satirical)
               | perspective in a comment like this. The article is about
               | Germany, the person you replied to made no specific
               | mention of the US as far as I can tell, and their view is
               | not unusual in many other regions of the world (such as
               | the one I live in). Does the radicalism of Fox News
               | really need more attention or notoriety?
        
           | [deleted]
        
         | Krasnol wrote:
         | There was a paper recently circulating the media which shows
         | the immense amount of "esoteric" people in German speaking
         | countries. Those people are responsible for the staggering
         | vaccination numbers and spreading of conspiracy myths around
         | this crisis. It's so prevalent, I can't remember anyone who at
         | least once spread some unscientific bullshit in the last 2
         | years here.
         | 
         | The handling of those people in the media and the way their
         | opinions are presented equally with scientific facts result in
         | this reluctance politicians displayed in this crisis. Now we
         | all have to suffer because of it. I hope we finally mandatory
         | vaccinations...it's overdue.
        
           | TulliusCicero wrote:
           | By esoteric you mean pseudoscience believers, homeopaths and
           | the like?
           | 
           | Recently moved back from Germany after five years there,
           | homeopathy depressingly common and accepted there, even by
           | many medical professionals.
        
       | dbkal wrote:
       | Cases in super vaccinated Portugal are also rising. If one is
       | looking for scapegoats, how about locking out Romanian migrant
       | workers, who are everywhere in construction and cleaning inside
       | family's homes? Look how the Romanian outbreaks precede the
       | German ones multiple times:
       | 
       | https://ourworldindata.org/explorers/coronavirus-data-explor...
       | 
       | Also look how fast the Romanian numbers dropped. The same will
       | happen in Germany in some weeks and politicians will take the
       | credit.
        
       | The_rationalist wrote:
       | I sense a disturbance in the force..
        
       | yosito wrote:
       | At least they're not making the same move as Austria and locking
       | down literally everyone, 24/7. What's the point of vaccines if we
       | all have to sit at home anyway?
        
       | president wrote:
       | After 2 years of Covid, I find it extremely suspect that the
       | covid vaccines are still touted so hard as the only way to manage
       | or exit the pandemic despite it clearly not being the silver
       | bullet it was originally promised to be. The fact that the media
       | and government can't talk about anything other than vaccines
       | tells me people are not really interested in solving for anything
       | other than selling more vaccines.
        
         | csee wrote:
         | It's close to a silver bullet. Yes they don't completely stop
         | transmission but who cares about that? All we should care about
         | are severe cases and deaths.
         | 
         | Add the new therapeutics on top and we actually do have the
         | silver bullet. Vaccine + Paxlovid, if widely distributed
         | enough, ends the pandemic, barring some new, more severe
         | variant.
        
       | blub wrote:
       | Very thought-provoking this mistreatment of the unvaccinated.
       | 
       | The process started with demonizing them to the point of being
       | singled out and blamed for how the disease is impacting society.
       | When the discrimination started, there were very few willing to
       | speak for them. Particularly malicious was the expansion of the
       | term anti-vaxxer typically used for a fringe minority which
       | "rejects all vaccines for everyone" to all of those that "reject
       | one single vaccine for themselves".
       | 
       | Now a measure that will come too late and impact the entirety of
       | society is sold as a means of finally forcing _them_ to conform.
       | 
       | From the outside, this may look like a perfectly executed
       | propaganda campaign. One can't exclude that the government (like
       | the Canadian gov which actually got caught I believe) took
       | advantage of the chaos and flexed its propaganda muscles a bit.
       | But the more scary possibility is that a frightened and
       | manipulated population + incompetent government in CYA mode is
       | enough to try to override the constitutional principle of bodily
       | integrity.
       | 
       | And it's precisely this principle which seems to be the last
       | thing preventing the state from forcing or punishing the
       | unvaccinated too hard, limiting them to a fine.
        
         | brummm wrote:
         | I think this is a ridiculous opinion to have.
         | 
         | I actually think unvaccinated people were treated way to well
         | in Germany. They are a very loud minority in society and have
         | managed to really hamper the progress against covid.
         | 
         | Compare this to Canada where the government implemented much
         | bigger restrictions on unvaccinated people (no restaurants, no
         | train travel, no air travel) and the overall vaccination rate
         | is ~10% higher. And the current rise in cases is nowhere near
         | Germany.
        
         | Broken_Hippo wrote:
         | Being willfully unvaccinated signals that you simply don't care
         | about the people you come in contact with. I'm not sure how,
         | exactly, I'm supposed to treat someone well if they won't care
         | if I live or die from something they can prevent.
         | 
         | Yes, I understand the vaccine isn't perfect, but none of them
         | are. Yet here I am, not catching polio and other things because
         | of them. (Polio was less lethal, btw, and some folks were fine
         | - yet others lived out their lives in an iron lung).
        
         | joeman1000 wrote:
         | I'm not vaccinated, this is how I feel. I am not militant or
         | political about it. My wife and whole family are vaccinated and
         | I helped them to do it. As a young man, the risk of heart
         | issues does indeed outweigh the risk of hospitalisation from
         | the virus (as I've weighed it, anyhow). Victoria, Australia has
         | hit 90% double vaccinated and case numbers have not changed
         | here. To see this underwhelming effect in light of the anxiety
         | the mandatory vaccination has caused, it is sad. I am lucky
         | enough to be studying remotely, and so I just stay at home, I
         | don't go out other than to exercise in a park. I am not able to
         | go anywhere with my wife right now (shopping, restaurants
         | etc.), which is difficult, but it was my choice. If I am
         | further forced to undergo vaccination I'm really not sure what
         | I would do. I would want to leave Australia and live somewhere
         | that I can have my own decisions. I don't care if you think I'm
         | selfish. Where did freedom of choice go? I'd like to move where
         | it's gone.
        
           | ceesharp wrote:
           | "Das Recht, mit der Faust um sich zu schlagen, hort auf, wo
           | die Nase des Mitmenschen anfangt."
        
             | joeman1000 wrote:
             | And what about my nose?
        
             | Aldipower wrote:
             | This counts for everybody. Being forced to be vaxxed with
             | mRNA is probably also very "fisty" for some people.
        
           | librish wrote:
           | What makes you think the risk of heart issues is higher from
           | the vaccine than the risk of heart issues from a non-
           | hospitalized incidence of covid?
        
         | givemeethekeys wrote:
         | Train left the station as soon as orders were placed for
         | massive amounts of vaccine well before it was ever developed.
        
       | throwawaysea wrote:
       | Bodily autonomy and health privacy are fundamental human rights.
       | No just society should be able to violate a person's body in this
       | manner or coerce them through methods like lockdowns. It is
       | simply not compatible with a free and just society. And I say
       | that as a pro vaccine person with my booster.
        
       | MrDresden wrote:
       | My partner was diagnosed with cervical cancer a couple of months
       | ago and is now on the brink of starting radio- & chemotherapy.
       | 
       | Due to the covid situation here in the Netherlands the treatment
       | may not go ahead as planned, and treatment might get delayed, due
       | to the new measures.
       | 
       | I then know of people who's heart surgaries have been delayed 5x
       | times due to the stress covid is putting on the health care
       | system in another country.
       | 
       | Please, get vacinated/boosted and if possible convince a close
       | one to do too.
        
       | danieldevries wrote:
       | Overrun healthcare system and lack of ICU beds is serious cause
       | for concern. No, the vaccine is not sterilizing but it will
       | improve your chances of not getting seriously ill / dying. simple
        
       | somewhereoutth wrote:
       | Realistically:
       | 
       | 1) Mandatory vaccination, all age groups, boosters etc.
       | 
       | AND
       | 
       | 2) permanently reconfiguring our society to reduce social
       | contacts such that with the vaccines, COVID is suppressed. If the
       | vaccines work well, then small (maybe no) changes will be needed.
       | If they don't, then large changes. WFH, no indoor hospitality
       | etc.
       | 
       | We can cycle through lockdowns, we can wring our hands about
       | vaccinating children, we can even pretend it isn't happening, but
       | the formula is the same:
       | 
       | vaccines+restrictions=suppression
       | 
       | We don't know what the LHS needs to add up to, and we don't know
       | how much vaccines can give us, but this equation must hold, as
       | the alternative to suppression is complete failure of our
       | healthcare system.
       | 
       | To put another way, suppression is the only steady state. If you
       | allow the virus to run unchecked, then eventually restrictions
       | have to be reimposed. If you release restrictions, then the virus
       | ramps up again. Either you tailor restrictions to suppress, or
       | you bounce up and down around that point. Vaccines move that
       | restriction point down.
        
         | renewiltord wrote:
         | Despite the wide variety of US state responses, no one is
         | experiencing "complete failure of our healthcare" so I think
         | we'll be all right.
        
           | Gasp0de wrote:
           | Because half the population can't afford to see a doctor and
           | would rather die than leave a pile of debt to their families?
        
           | drewg123 wrote:
           | I spent over 2 weeks in a US hospital in 3 separate stays
           | this fall, and while its not "complete failure", it is pretty
           | close. ER overflowing, nurses with 2x the patient loads of
           | 2019, etc.
           | 
           | It is not 100% clear to me if this was because of an excess
           | of COVID patients draining nursing staff, or it was because
           | of staff leaving because they did not want to deal with COVID
           | paitents, vaccine/testing requirements, etc, and taking other
           | jobs elsewhere (or just quitting). I suspect that it was a
           | combination, and some of the problems could simply be solved
           | by the hospital paying staff better.
        
           | MauranKilom wrote:
           | German hospitals are currently transferring patients with
           | severe cases from high incidence regions to lower ones (and
           | the military has to help with nursing roles) because they
           | simply can't stem the number of severe cases in some regions.
           | The situation is as close to "complete failure of our
           | healthcare" as it could be. If you take that as evidence of
           | "we'll be alright", you're playing the white hat guy in
           | https://xkcd.com/2278/.
        
             | prohobo wrote:
             | Do you think, maybe, that has something to do with Germany
             | losing 4000 ICU beds? https://www.dw.com/en/germanys-icu-
             | medics-expect-covid-surge...
        
               | ascar wrote:
               | That actually has a lot to do with the pandemic itself,
               | as intensive care personnel quit their jobs due to the
               | extended stress.
               | 
               | https://correctiv.org/faktencheck/2021/11/17/divi-
               | praesident...
        
               | prohobo wrote:
               | Is that excuse something you'd use as a defense in court?
               | Because that looks like mismanagement to me, and changes
               | nothing. After two years, there should be _more_ ICU
               | beds, not thousands less.
        
               | ascar wrote:
               | You posted a tangentially related source to your claim
               | and I posted the correct context of this claim.
               | 
               | It clearly shows that ICU beds decreased involuntarily
               | and actually as part of the healthcare system starting to
               | fail due to exhaustion. It actually underlines the point
               | of GP you responded to.
               | 
               | But yes, German public funded organizations are
               | notoriously inflexible when it comes to attracting
               | employees due to tons of bureaucratic red tape.
               | 
               | I don't see the relevance of a defense in court here. How
               | about we stay on topic?
        
               | boston_clone wrote:
               | In TFA from the parent comment, it states that the
               | reduction is directly correlated to not having
               | appropriate staffing; not necessarily a count of physical
               | beds.
               | 
               | I'm not sure what you're referring to about a "defense in
               | court", but I also don't know what the appropriate
               | solution is for that situation. Teaching / training
               | people takes time, and compulsory service at the
               | direction of the government seems like overreach.
        
           | nawgz wrote:
           | I think it would be pretty inaccurate to argue that because
           | it's not "complete failure" that it's not a failure. People
           | are dying of medically preventable situations on the basis of
           | triage, and it is fairly widespread in places where COVID is
           | unchecked. I think that's really not ok; especially not when
           | it's unvaccinated COVID patiences.
        
         | pokepim wrote:
         | Nah, what you saying is not realistical. This is more like
         | wishful thinking and would only work in suppressive utopia (if
         | that's a thing).
         | 
         | We as a society had only one shot at doing a lockdown that
         | could work and it was at the beginning of march 2020. Some
         | countries actually managed to have almost no cases but they had
         | to do harsh lockdowns and everyone needed to comply. After that
         | with 2nd and 3rd waves we have seen less and less countries do
         | lockdowns and people already worn out stopped to comply. Now
         | everything is half assed and on top of that vaccinated people
         | are extremely unwilling to participate in lockdowns as it was
         | promised that vaccines will help us avoid the disaster of
         | lockdowns we have seen earlier (i got vaccinated based on that
         | as many of my friends).
         | 
         | So no. This is not realistical, nope.
        
         | TacticalCoder wrote:
         | > 1) Mandatory vaccination, all age groups, boosters etc.
         | 
         | 50% to 60% of all the people in ICU with covid related symptoms
         | in the EU atm are fully vaccinated.
         | 
         | It's been lies from day one: "masks do not protect" then "masks
         | are mandatory because they protect" (I don't know which one is
         | correct but at least one is a lie), "you're a conspiracy
         | theorist if you think there's any link between a virus research
         | lab in Wuhan and the fact that the outbreak started there" then
         | now "a lab escape is a possibility", then Fauci commited a
         | crime by lying in front of congress (he then retracted himself
         | after having been called out by senator Rand paul) "I had no
         | idea there was gain of function research done in the Wuhan
         | lab", then "we will never discriminate between vaccinated and
         | non vaccinated people", etc. ad nauseam.
         | 
         | Then the mRNA vaccine (which I got) was sold us as major
         | scientific discovery and as a panacea. Turns out that "vaccine"
         | doesn't confer a long lasting immunity at all (otherwise there
         | wouldn't be 50 to 60% of ICU beds in Europe filled with fully
         | vaccinated people).
         | 
         | I don't think suppression is possible with a non-sterilizing
         | vaccine. I think it's even less possible that it's even less
         | possible with something that is called a "vaccine" but that
         | isn't really one (Merriam-Webster recently changed, by sheer
         | chance, the very definition of what a vaccine is, but I need
         | time to adapt to the new definition).
         | 
         | The virus is here to stay and we won't get rid of it with snake
         | oil (I'm not saying the mRNA Pfizer shots don't work _at all_ ,
         | I'm saying their effectiveness is _extermely_ limited seen that
         | ICU beds are filled with vaccinated people).
        
           | MauranKilom wrote:
           | > 50% to 60% of all the people in ICU with covid related
           | symptoms in the EU atm are fully vaccinated.
           | 
           | I'm trying to find a reliable/official source for this
           | statistic (not your numbers in particular but numbers at
           | all), but am coming up empty-handed. Can you tell me where
           | you found this?
        
           | pjc50 wrote:
           | That's a statistical effect: far more people are vaccinated
           | than not, so they are more likely to show up in the ECU _even
           | if_ the vaccine reduces their infection rate.
        
         | prohobo wrote:
         | Let me be clear: no place that has _not_ put these measures in
         | place has, or will, experience  "complete failure" of their
         | healthcare system. What you stated is a false dichotomy.
        
         | spookthesunset wrote:
         | So uh, maybe we decide that life doesn't need to be permanently
         | centered around Covid and just move on?
         | 
         | And realistically that is what society will do. Move on. There
         | are infinitely more problems in the world than just Covid.
         | Solving for exactly Covid to the exclusion of literally
         | everything else is complete madness. Any rational person will
         | tell you that. Life is to short to maintain a Covid centric
         | lifestyle... life is meant to be lived.
         | 
         | Oh yeah, and we've been wringing our hands about hospital
         | capacity for 2 years now. Perhaps we should ask why there isn't
         | any effort at all into increasing it? Forcing society to do all
         | these restrictions to "protect hospitals" while doing fuck all
         | to increase capacity is also madness... perhaps hospitals are
         | actually just fine? If they were actually "full" why has
         | nothing been done to address the problem? This is an emergency,
         | right?
        
           | datameta wrote:
           | Spoken like an able-bodied individual of young(er) age and/or
           | someone with zero co-morbidities. Fuck the rest, eh?
        
             | prohobo wrote:
             | He said what most poor people have been saying the entire
             | time. They're willing to take the risk, because the risk is
             | lower than all the other problems they have now.
             | 
             | Now, the question is: should you care what poor people say?
        
               | datameta wrote:
               | People from lower socio-economic backgrounds are
               | statistically more predisposed to develop co-morbidities.
        
               | prohobo wrote:
               | They also have bigger problems than this virus, get it?
        
               | ascar wrote:
               | This and your other comments in this thread are really
               | not the kind of attitude one likes to read at HN. You
               | shouldn't be surprised if you get downvoted for it.
               | 
               | This community strives from intellectual discussion and
               | not aggressiveness.
        
           | labster wrote:
           | > Oh yeah, and we've been wringing our hands about hospital
           | capacity for 2 years now. Perhaps we should ask why there
           | isn't any effort at all into increasing it?
           | 
           | Yeah seriously, it's been two years, why haven't we doubled
           | the number of doctors and nurses by now? Just add more
           | conveyor belts to our factorio.
        
             | twofornone wrote:
             | You could start by not laying off workers who refuse to get
             | vaccinated.
             | 
             | You know, the same workers who have been on the front lines
             | exposed to the virus for two years and have unquestionably
             | developed immunity. Forcing mandates onto them is insanity.
             | They are not spreading covid.
        
           | chki wrote:
           | Increasing hospital capacities is almost pointless because
           | new cases will be exponential. So doubling your ICU-
           | capacities (which is extremely difficult to do, mainly
           | because you don't have the staff) will buy you two-three
           | weeks until the hospital is full again.
        
             | whiddershins wrote:
             | It peaks though, and comes back down. Every. Single. Time.
             | Regardless of interventions.
             | 
             | The real world can't sustain exponential growth for too
             | long, other limiting factors come in to play.
        
           | MauranKilom wrote:
           | So what do you do with the infected people that turn up at
           | the overcrowded hospital? Let them die on the street?
           | 
           | Overall COVID19 mortality is still around 2%. In Germany, for
           | example, we currently have 100k deaths. That would increase
           | _fivefold_ if you let every currently unvaccinated person get
           | infected, and that 's assuming we can provide the same level
           | of care for all of them (i.e. hospitals are _not_ over
           | capacity).
           | 
           | > Perhaps we should ask why there isn't any effort at all
           | into increasing it?                 - Building hospitals
           | generally takes more than 1.5 years.            - Training
           | nurses does too, although at least there is some elasticity
           | in supply.            - Mortality among patients hospitalized
           | with COVID 19 is around 10%. Keeping them out of the hospital
           | in the first place is much more effective than increasing
           | hospital capacity.
        
         | fhany wrote:
         | The winter outbreaks in the northern hemisphere seem to
         | disprove these conjectures:
         | 
         | https://www.standard.co.uk/news/world/christmas-cancelled-gi...
        
       | guilhas wrote:
       | The future looks grim with governments mandating health
       | procedures on the population against their will
        
         | Broken_Hippo wrote:
         | I'd rather be vaccinated than someone force Covid on me. To me,
         | if you choose to be unvaccinated, you are showing how little
         | you care about those around you and how little you care if they
         | die.
        
           | guilhas wrote:
           | Those around me, or are vaccinated so it does not matter, or
           | chose not to be vaccinated in which case also does not matter
           | 
           | I would rather no one forces anything on anyone
        
       | pezzana wrote:
       | > Many hospitals are struggling to cope with the increasing
       | number of intensive care patients. There could be around 6,000
       | Covid-19 patients in intensive care by Christmas -- regardless of
       | any measures implemented by Germany's leaders -- the country's
       | Interdisciplinary Association for Intensive Care and Emergency
       | (Divi) warned Wednesday.
       | 
       | The article doesn't really talk about the rate of change to date.
       | An article from The Guardian puts this into perspective:
       | 
       | > Daily new infections in Germany have broken records in recent
       | weeks, with many hospitals operating at or over capacity.
       | Authorities said 73,209 new cases were recorded in the past 24
       | hours. Deaths have surged from a rolling seven-day average of
       | just over 10 a day in August to nearly 300 this week.
       | 
       | To enforce something like this policy requires:
       | 
       | - laws and penalties
       | 
       | - a method for identifying those who get special treatment
       | 
       | - verification procedures
       | 
       | You'd think a country like Germany would be especially sensitive
       | to the idea of segregating 1/3 of the population for special
       | treatment. I'm going to assume this isn't lost on anybody there.
       | 
       | The question then becomes: what if this doesn't work? What if
       | biology overtakes the law (i.e., a new variant begins sending the
       | vaccinated into hospitals as well)? What if biology has already
       | overtaken the law?
       | 
       | If it does work, when does it end? If it ends, under what
       | circumstances is it Ok to re-impose? What precedent does this set
       | and what unintended consequences might result (e.g., a new strain
       | of a virus with a vaccine emerges)?
        
       | nazinazinazi wrote:
       | Total fucking NAZIS!
       | 
       | In Austria they are arresting and throwing into prison people who
       | refuse to get the vax.
       | 
       | In Australia they have concentration camps for people who are
       | testing positive.
       | 
       | Anyone cheering this on is on the WRONG FUCKING SIDE OF HISTORY.
       | You all will perish and if it is war you want - WAR IS COMING!
       | 
       | NAZIS! NAZIS! NAZIS! NAZIS! NAZIS! NAZIS!
       | 
       | NAZIS! NAZIS! NAZIS! NAZIS! NAZIS! NAZIS!
       | 
       | NAZIS! NAZIS! NAZIS! NAZIS! NAZIS! NAZIS!
       | 
       | NAZIS! NAZIS! NAZIS! NAZIS! NAZIS! NAZIS!
        
       | jasonhansel wrote:
       | Good. Here's hoping the US follows suit. Thankfully the Supreme
       | Court has already settled the constitutionality issue:
       | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1449224/
        
         | UnpossibleJim wrote:
         | https://coronavirus.jhu.edu/data/mortality
         | 
         | This is "A law that authorizes mandatory vaccination during an
         | epidemic of a lethal disease".
         | 
         | Now, I'm vaccinated and support vaccination (though, I'm on the
         | fence about forced vaccination - though I do think it can be a
         | fire-able offense, if you can't telecommute). However, does
         | 1.6% reach the bar of a "sufficiently lethal" disease,
         | especially now that our medical system has regained its footing
         | and is more capable of handling the number of patients now that
         | vaccination rates have reached 70%?
         | 
         | Bodily autonomy is an important right. Forced sterilization, as
         | referred to in the article, was a nightmare. Forced mental care
         | facility commitment, was/is fraught with abuse, especially when
         | we consider lobotomies. Granted, this is nowhere near that, I
         | will agree. But, as you say, precedents will be set about what
         | is or is not legal to circumvent for body autonomy due to an
         | epidemic of a lethal disease.
         | 
         | Is social unrest use a lethal disease, caused by social media?
         | Should steps be taken to "inoculate" us from ourselves?
        
       | fabian2k wrote:
       | 71% percent of Germans support mandatory vaccinations for COVID,
       | this is from a poll published today.
       | 
       | Our governments failed pretty hard in this wave, which is why we
       | now need to take more drastic measures again when the entirely
       | predictable course events would take this winter became apparent
       | even to our politicians. But at a point were planned operations
       | for other diseases like cancer get cancelled all over the place,
       | when people requiring acute care get long delays until they find
       | a free intensive care bed somewhere, you can't ignore this any
       | longer.
       | 
       | Requiring vaccinations for non-essential activities with many
       | people is something we should have done much earlier, it's long
       | overdue. It's the least restrictive measure that has a good
       | chance of doing both, reducing the spread and encouraging more
       | people to get vaccinated.
       | 
       | The failure to organize the vaccine boosters is another big
       | issue. It is clear now that the vaccines require 3 doses to be
       | effective, the delays here cause increased load in intensive care
       | and were to some degree avoidable.
        
         | krater23 wrote:
         | >It is clear now that the vaccines require 3 doses to be
         | effective
         | 
         | Looks like you are really a optimist. I would say, 'It's clear
         | now that the vaccines require one dose every 5-6 months to be
         | effective against hard covid symptoms'.
         | 
         | Additionally I would not say 'Our governments failed pretty
         | hard in this wave', instead I would say 'Our governments failed
         | hard during the complete pandemic'.
        
           | cblconfederate wrote:
           | 4 months or could be even less. I don't know if we need to
           | debate that vaccines are not the way out and we need heavy
           | stress on therapies
        
           | fabian2k wrote:
           | We simply don't know. There are other vaccines that require a
           | delayed third dose, so I don't think it is that unlikely that
           | the boosters could cause a much longer-lived immunity. But it
           | could also be that we'll need yearly boosters, or maybe only
           | for the elderly.
           | 
           | I'll accept "Our governments failed especially hard this
           | wave", the problems were more predictable this time and the
           | responses were worse.
        
           | notjes wrote:
           | Our governments should have done nothing. People, doctors and
           | clinics would have taken care of this easily. Also, it would
           | be a good community building exercise. But no. Once the
           | Governments stepped in, it was all lockdowns, prohibition and
           | ban of repurpose drugs, soldiers marching through streets, 80
           | years of ethics preaching tossed out the window in a heart
           | beat.
        
             | arsome wrote:
             | While I do feel the restrictions have been widely
             | overzealous, to say "People, doctors and clinics would have
             | taken care of this easily." is an absolute falsehood. The
             | failure of the healthcare system to keep up in many places
             | is what caused many restrictions to become a necessity in
             | the first place.
        
             | martneumann wrote:
             | It's not the government who cried for help because of
             | overflowing ICUs, it was the hospitals.
        
             | [deleted]
        
           | zibzab wrote:
           | In the very beginning Germany was doing _extremely_ well,
           | until the protesters showed up.
           | 
           | Which is crazy, because Germany managed to do well by good
           | organisation and mass testing, not by lockdowns.
        
             | retromario wrote:
             | Uh, Germany locked down pretty hard, several times. "Good"
             | organisation and mass testing came later.
             | 
             | Source: my last two years with three kids at home
        
         | notjes wrote:
         | Via polling, you can conjure a majority for most stupidest
         | shit. That is why founding fathers invented the constitution
         | and the bill of rights.
        
         | 2-718-281-828 wrote:
         | > 71% percent of Germans support mandatory vaccinations for
         | COVID, this is from a poll published today.
         | 
         | how does that match up with only 68.7% being fully vaccinated?
         | 
         | me f.x. I am fully vaccinated and do not at all support
         | mandatory vaccinations. I doubt I'm the only one.
         | 
         | (https://impfdashboard.de/)
        
           | rory wrote:
           | I'm not sure I buy that the 71% number is representative
           | either but-- presumably they don't poll children, who have
           | lower vaccination rates.
        
           | stnikolauswagne wrote:
           | Your own link puts it at 79,3% of eligible adults with at
           | least 2 shots, from this I would strongly presume that the
           | poll was mostly asking adults and excluded (pre)-teens.
        
         | StanislavPetrov wrote:
         | >71% percent of Germans support mandatory vaccinations for
         | COVID, this is from a poll published today.
         | 
         | From the article:
         | 
         | >Germany, much like Austria, has one of the lowest vaccination
         | rates in western Europe, with 68.4% and 65.6% of eligible
         | adults vaccinated respectively, according to the ECDC.
         | 
         | More Germans support mandatory vaccinations than are actually
         | vaccinated? Seems like it should be the opposite. There are
         | many vaccinated people (like myself) who oppose mandatory
         | vaccinations, but are there unvaccinated people who support
         | vaccine mandates? If so, I haven't met one.
         | 
         | >It is clear now that the vaccines require 3 doses to be
         | effective, the delays here cause increased load in intensive
         | care and were to some degree avoidable.
         | 
         | That's not clear at all. In fact, all the data shows that
         | incidence of mortality and severe illness among those with 2
         | vaccine doses and 3 is virtually nil. Reducing your chance at
         | mortality while fully vaxxed from 1 in 50,000 to 1 in 100,000
         | is hardly significant, even though its technically correct that
         | your chances of dying are "double" without the "booster". Nor
         | is there any data that multiple shots reduce transmission
         | rates.
        
           | arrrg wrote:
           | These political polls are typically only include people 18+
           | (people who can vote), and among those the vaccination rate
           | is around 80 percent.
        
           | [deleted]
        
           | nwellnhof wrote:
           | The 68.4% number is wrong or outdated or maybe relative to
           | the whole population including minors. Currently, 79.3% of
           | German adults are vaccinated. This is according to official
           | numbers with actual numbers estimated to be up to 5
           | percentage points higher.
        
         | caeril wrote:
         | I bet on the order of 71% of Germans supported mandatory
         | discrimination against undesirables in 1940 too, but here we
         | are yet again, claiming that what a majority of the population
         | supports is indicative of moral correctness.
         | 
         | If these measures don't work, like literally every
         | authoritarian measure undertaken by governments so far, maybe
         | Germany can put all the un-vaccinated into camps, too. We need
         | to keep the unpure away from us.
         | 
         | Sure, the R0 value of the contagion amongst a 100% vaccinated
         | population is still >1.0, and there are early indications that
         | Omicron has a sufficiently mutated spike protein as to render
         | the vaccine immune response ineffective, but why let
         | epidemiological facts stand in the way of exercising power over
         | one's inferiors?
        
           | jjoonathan wrote:
           | It's really hard to sympathize with people fighting for the
           | "right" to infect me with a disease.
        
             | bavent wrote:
             | And really hard to listen to people compare vaccine
             | mandates to the holocaust.
        
               | [deleted]
        
             | commandlinefan wrote:
             | If you're vaccinated, how can anybody infect you with it?
        
               | ceejayoz wrote:
               | How did you and a whole bunch of other people apparently
               | hear "95% efficacy against severe disease" and somehow
               | decide that meant "100% efficacy against infection"?
        
               | UnFleshedOne wrote:
               | They did loudly proclaim 100% efficacy against infection
               | when vaccines were firstly introduced. Like many other
               | such proclamations that turned out to be wildly
               | incorrect. No surprise people learned to discredit all
               | such claims and their sources.
        
               | ceejayoz wrote:
               | No, they really didn't.
               | 
               | November, 2020: https://www.pfizer.com/news/press-
               | release/press-release-deta...
               | 
               | > Primary efficacy analysis demonstrates BNT162b2 to be
               | 95% effective against COVID-19 beginning 28 days after
               | the first dose;170 confirmed cases of COVID-19 were
               | evaluated, with 162 observed in the placebo group versus
               | 8 in the vaccine group
               | 
               | November, 2020: https://investors.modernatx.com/news-
               | releases/news-release-d...
               | 
               | > This first interim analysis was based on 95 cases, of
               | which 90 cases of COVID-19 were observed in the placebo
               | group versus 5 cases observed in the mRNA-1273 group,
               | resulting in a point estimate of vaccine efficacy of
               | 94.5% (p <0.0001).
               | 
               | April, 2021: https://www.pfizer.com/news/press-
               | release/press-release-deta...
               | 
               | > Thirty-two cases of severe disease, as defined by the
               | CDC, were observed in the placebo group versus none in
               | the BNT162b2 vaccinated group, indicating that the
               | vaccine was 100% efficacious in this analysis against
               | severe disease by the CDC definition (95% CI,
               | [88.0,100.0]). Twenty-one severe cases, as defined by the
               | FDA, were observed in the placebo group versus one case
               | in the BNT162b2 vaccinated group, indicating 95.3%
               | efficacy by the FDA definition (95% CI, [71.0, 99.9]).
               | 
               | They've been clear since the very beginning that
               | vaccinated people could still get infected, and that
               | efficacy was regarding severe disease.
        
               | detaro wrote:
               | Then you surely can link such an announcement?
        
               | [deleted]
        
             | mythrwy wrote:
             | It's hard to sympathize with people who still believe this
             | series of vaccines prevents others from spreading
             | infections and thus all measures to require compliance are
             | fine.
        
               | krastanov wrote:
               | See sibling comments for the citations. Vaccines
               | significantly lower the chance for transmission.
        
               | mythrwy wrote:
               | Maybe. One non peer reviewed study. Reduces transmission
               | some. For a brief period.
               | 
               | How does this translate into force everyone to take an
               | experimental shot (with some number of side effects and
               | deaths) every X months?
               | 
               | We see, right now, outside of "studies", I've seen in my
               | own family and I'm not the only one, these vaccines do
               | not stop transmission. They do not stop infection. Maybe
               | they "reduce". They do not stop.
               | 
               | So parent posters histrionics about "right to infect me
               | with disease" is just.. histrionics. The vaccinated can
               | also infect him with a disease.
        
             | jimmygrapes wrote:
             | That's what they said back then, too.
        
             | blub wrote:
             | They're really not, they don't know you nor do they care
             | about you.
             | 
             | That was just a reframing you did to make them seem
             | malicious, when they're mostly indifferent, afraid or
             | misinformed.
        
             | CountDrewku wrote:
             | How are they infecting you if you're vaccinated?
             | 
             | It's really hard to sympathize with people that think it's
             | their right to force something on other people's bodies.
             | This isn't polio.
             | 
             | I'm vaccinated. I stay healthy. I have no fear of un-
             | vaccinated people and neither should you. If you are
             | fearful you've fallen victim to your own anti-science
             | mental health anxiety with a load of media brainwashing on
             | top.
        
             | mandmandam wrote:
             | People saying this are being flagged, but the fact remains
             | that COVID vaccines don't stop transmission.
             | 
             | The CDC themselves state that viral load is similar in
             | fully vaccinated and unvaccinated individuals.
             | 
             | And yes, people have the right to refuse medical treament;
             | that's a human right. It's there for very good reasons, and
             | there is broad agreement among civil liberties experts on
             | that point.
        
               | ceejayoz wrote:
               | > The CDC themselves state that viral load is similar in
               | fully vaccinated and unvaccinated individuals.
               | 
               | You missed a pretty important bit of that statement.
               | 
               | https://www.cdc.gov/coronavirus/2019-ncov/variants/delta-
               | var...
               | 
               | > However, like prior variants, the amount of viral
               | genetic material may go down faster in fully vaccinated
               | people when compared to unvaccinated people. This means
               | fully vaccinated people will likely spread the virus for
               | less time than unvaccinated people.
               | 
               | As for transmission, the CDC _actually_ says the vaccines
               | do help here. (Not stop, but reduce.) https://www.cdc.gov
               | /coronavirus/2019-ncov/vaccines/keythings...
               | 
               | > And yes, people have the right to refuse medical
               | treament; that's a human right.
               | 
               | Most states in the US require a variety of vaccinations
               | to enter public school. New York requires it even for
               | private/religious schooling (https://www.health.ny.gov/pr
               | evention/immunization/schools/sc...). Measles, DTaP,
               | polio, etc. have widespread existing requirements
               | predating COVID.
        
               | mandmandam wrote:
               | I didn't miss any part of that statement.
               | 
               | Everything I stated is factual, and I insinuated nothing
               | else.
               | 
               | The person I was replying to clearly inferred that
               | vaccinated individuals don't infect others, and that's
               | dangerously wrong.
               | 
               | As for schools requiring vaccines, there is a lot to take
               | issue with there - mRNA vaccines are different, with no
               | long term data, for a different virus. The mandated
               | vaccines don't require biannual top ups, and are for
               | viruses that actually threaten children themselves -
               | school agechildren have a near-zero mortality risk form
               | COVID.
               | 
               | But the fact remains, regardless of all the weeds we
               | could get into there, and NY state law notwithstanding,
               | ** _human beings have a fundamental right to not be
               | forced into medical treatment**_.
               | 
               | As I said, civil liberties groups have written on this at
               | length, and been largely ignored. I think ignoring them
               | requires a level of stupidity bordering on evil.
        
               | ceejayoz wrote:
               | > Everything I stated is factual, and I insinuated
               | nothing else.
               | 
               | You left a pretty important bit out. Lying by omission is
               | still lying.
               | 
               | > human beings have a fundamental right to not be forced
               | into medical treatment
               | 
               | Thought experiment: If SARS-CoV-2 were as transmissible
               | as it is currently, but 50% fatal, would you still hold
               | that position?
               | 
               | Do human beings perhaps _also_ have a right to life and a
               | certain level of protection from others who might do them
               | harm?
        
               | krastanov wrote:
               | This study (respectable institution, large sample, not
               | yet peer reviewed) seems to claim vaccines significantly
               | lower the chance of transmisson. https://www.medrxiv.org/
               | content/10.1101/2021.09.28.21264260v...
        
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