[HN Gopher] Our model suggests that global deaths remain 5% abov...
       ___________________________________________________________________
        
       Our model suggests that global deaths remain 5% above pre-Covid
       forecasts
        
       Author : Anon84
       Score  : 119 points
       Date   : 2023-05-27 18:58 UTC (4 hours ago)
        
 (HTM) web link (www.economist.com)
 (TXT) w3m dump (www.economist.com)
        
       | tourgen wrote:
       | [dead]
        
       | hartator wrote:
       | Locking down people in their house can be also a root cause. Our
       | reaction to covid has been probably worse than actual covid.
        
         | someNameIG wrote:
         | Here in Australia we had pretty long lockdowns compared to many
         | other places. Our excess deaths are multiple times lower than
         | say the US or UK for example.
        
           | Gwypaas wrote:
           | "Tiny island nation which has extremely tough rules on
           | biological imports shielded itself from the rest of humanity
           | for two years" does not have the same ring to it.
           | 
           | Be careful to equate correlation, i.e. fewer deaths due to
           | stringent lockdowns to causation
           | 
           | Or just contrast what you said with what at the time came
           | known as the _" Swedish Experiment"_. You know, letting kids
           | and teenagers go to school.
           | 
           | https://ourworldindata.org/grapher/cumulative-excess-
           | deaths-...
        
         | andybak wrote:
         | How does that mesh with this article?
         | 
         | Also where do you live? I'm curious what your experience was.
        
         | tomrod wrote:
         | Respectfully, I think you're wrong and assuming a personal
         | speculation.
        
           | commandlinefan wrote:
           | I actually sort of enjoyed the lockdowns, but I have a job
           | that I can do from home and I'm not a particularly social
           | person. Pretending that they didn't or couldn't have harmed
           | other people - significantly - is arrogant.
        
             | tomrod wrote:
             | Pretending to no effect whatsoever of lockdowns on people
             | would be arrogant. I'm glad we agree. It's also not what
             | the parent commentator said, when they point to lockdown as
             | the root cause (not a cause) of the 5% increased death
             | rate. The activity you labeled as arrogant is denying the
             | antecedent to what the parent and my comment said.
        
       | LouisSayers wrote:
       | So 307 / 100,000 = 0.3% of the population above what would
       | naturally occur.
       | 
       | I wonder how this trend plays out in the long run. I.e. how many
       | of the 0.3% were due to die in the next few years because of
       | existing health conditions?
       | 
       | It's interesting how people reacted during the pandemic.
       | 
       | While I sympathise with anyone that has a loved one that is
       | vulnerable to disease (I certainly have some!), one could make
       | the case that many lives could be saved by banning sugar and
       | forcing mandatory gym memberships. You could argue that one is
       | within our control vs the other - but you could also argue that
       | many are not in control of their addictions (food for example) as
       | well.
       | 
       | The scariest part of it all for me was the way government quickly
       | attempts to rewrite the rules and gain control. Being in
       | Melbourne where the gov tried pushing through a bill to give them
       | seemingly unlimited power during "emergencies" (as defined by
       | them) was really crazy.
        
         | hoorible wrote:
         | > how many of the 0.3% were due to die in the next few years
         | because of existing health conditions?
         | 
         | "They were going to die anyways!" was always a common argument
         | one among the "muh freedoms!" crowd. When someone dies in a car
         | crash, we don't just shrug it off if the victim was terminally
         | ill. Why is this different? A preventable death is still a
         | preventable death and their life still has value whether it's
         | for another 20 years or 20 days.
        
           | pessimizer wrote:
           | > their life still has value whether it's for another 20
           | years or 20 days.
           | 
           | This is avoiding the question by being emotive and vague.
           | Would you trade the life of somebody who had 30 years more to
           | live for the life of someone who had 30 seconds to live? Why
           | or why not?
        
             | hoorible wrote:
             | Not giving a direct answer to a question isn't the same as
             | avoiding it; it's asked disingenuously, so the actual
             | answer doesn't matter.
             | 
             | Just like your follow up question, which is similarly
             | irrelevant, since changing behaviours to save lives isn't
             | at all the same as trading lives.
        
           | LouisSayers wrote:
           | Technically, everyone is "going to die anyways"...
           | 
           | What I'm asking is what the percentage difference is, of
           | those that are not vulnerable - which is still a valid
           | question to be asking.
        
         | pranjalv123 wrote:
         | If they were "due to die", you'd see negative excess mortality
         | in future years because the people who were going to die in
         | those years already died. And excess mortality has continued to
         | be positive and high.
        
       | kpennell wrote:
       | If anyone is reading this, please don't exercise very hard when
       | you're recovering from COVID. I went on two bike rides two weeks
       | after I got my negative test. I was so eager to get out of the
       | house and back on my goal of 3,000 miles for the year. And that's
       | when all my symptoms like tremors, brain fog, and memory issues
       | started. There were also a few times I struggled to understand
       | people. There are many similar anecdotes out there of formerly
       | athletic people trying to get back to training too soon, and
       | that's when their long COVID symptoms started. So, if you're
       | reading this, please give yourself at least a month of slow
       | movement and don't jump back into vigorous activities right away.
        
         | AgentOrange1234 wrote:
         | This is important advice. I was lucky to have heard this before
         | getting infected. The immediate infection hit me hard for a
         | week, but I waited a good couple of months before trying any
         | exercise more vigorous than a long walk. Even so, an hour after
         | my first (short!) run, my watch gives me a high heart rate
         | alert. Heart continues to clock 100bpm for the next three hours
         | while I lay around doing nothing. Freaked me out. Take getting
         | back to normal very slowly, and watch for weirdness.
        
       | lorddoig wrote:
       | There is a growing body of evidence to suggest that heart deaths
       | are up by a significant amount, that those deaths _may_ account
       | for most or all of excess deaths currently seen, and that they
       | _may_ be related to safety issues with some of the mRNA
       | vaccines.[0]
       | 
       | I resent the fact that statements like this have become political
       | and that I now have to explain myself. Nevertheless, here we go:
       | I have no vested interested in this being true. I've had two
       | doses of the stuff, I want it not to be true. However, there are
       | legitimate questions here that have not been satisfactorily
       | addressed. I'm raising this because reading the article and the
       | other comments I can see nobody else has.
       | 
       | I would encourage people to look at the link and scrutinise the
       | evidence presented themselves before deciding whether or not
       | there might be an issue here that needs looking at.
       | 
       | [0]: https://www.hartgroup.org/what-are-people-not-dying-of/
        
       | 29athrowaway wrote:
       | World population is larger than what the planet can sustain, so
       | 5% higher death rate, even if unfortunate and sad at the
       | individual level, helps humanity become more sustainable at a
       | collective level.
       | 
       | Also, 5% less demand for cattle and resources or so.
        
         | [deleted]
        
       | Wiki39366 wrote:
       | [flagged]
        
         | ceejayoz wrote:
         | That's a very modest proposal.
        
       | thwoerjwda wrote:
       | Wouldn't we expect this to be high with declining birth rates and
       | aging population?
        
         | simonster wrote:
         | Excess deaths are the number of deaths above the expected
         | number of deaths. The expected number of deaths usually comes
         | from a model that takes into account how the number of deaths
         | would normally change from one year to the next. This model
         | would incorporate the effect of changes in the composition of
         | the population that are occurring over long timescales.
        
       | fnordpiglet wrote:
       | I for one am sick of all the covid related back biting and second
       | guessing. There was no way a major pandemic was going to be
       | anything but an unmitigated natural disaster of global
       | proportions. Policies chosen as "least bad" are still bad. Maybe
       | they were worse, maybe they were just less bad. No one sold them
       | as good. Now the job of science is to pick out what was
       | efficacious and what was worse. But the moaning about policies
       | that were unpleasant to my mind ignores the fact that _it was a
       | global natural disaster_ and it was _never_ going to be ok, or
       | pleasant, or not inconvenience you. For some people the policies
       | were worse than the disease. For millions that didn't die, they
       | were better. As a species I wish we could put down our gripes and
       | figure out how to make the next time less bad, but we need to
       | realize even then it's going to be a global natural disaster and
       | those might interfere with your preferred daily routine.
       | 
       | Edit: to those who brought up ways that the inconvenience was
       | greater than disrupting their preferred daily routines (missed
       | funerals - same happened to me, loneliness, other tragedies).
       | First, I had my share as well and I empathize and mine were
       | fairly horrific with profound impact on me and my family I still
       | struggle with. That comment wasn't meant for you, but there are
       | many who just simply didn't like the inconveniences. The rest was
       | for you. It was a global disaster. Disasters are tragedies,
       | heaped upon tragedies. We made good decisions, bad decisions,
       | ineffectual decisions, but ultimately nothing would have made it
       | good, ok, or anything but a disaster of monumental proportion.
       | I'm sorry it was hard for you, it was for me too. It was hard for
       | _everyone_. I'm down with healing together. I'm down with
       | learning and evaluating. I'm down with building a better society
       | from our pain.
        
         | jiggawatts wrote:
         | I raised a child during the pandemic, during the lockdowns. His
         | grandparents missed out on most of the first year of his life
         | because of travel restrictions. They lived just across town.
         | 
         | What lesson did I learn from this?
         | 
         | I learned that toddlers will throw an epic hissy fit if they
         | don't get what they want, even if what they want is impossible,
         | impractical, or goes against either their own personal interest
         | or the interests of their family. They'll _insist_ on doing
         | things that have a very decent chance of killing them on the
         | spot.
         | 
         | "I want it!" followed by 120 decibel screeching is the
         | behaviour of a toddler.
         | 
         | We're teaching him better, of course. We're teaching about
         | sharing. About saying sorry. Telling him when to say "thank
         | you" and "please". I'm also teaching him not to poke metal
         | utensils into power sockets or to sneeze in my face.
         | 
         | Apparently not all parents bothered with this. Their children
         | grew up to be big children, unable the grasp these simple
         | concepts despite having adult bodies.
         | 
         | Yes, the speed limit on the highway is _inconvenient for you_
         | if you 're late for a meeting. No, nobody cares about you and
         | your stupid appointment, we care about the family of four you
         | might kill for your own convenience if we let you drive as fast
         | as you possibly can.
         | 
         | This is the crux of it. Some people think being allowed to
         | drive as fast as they can is _freedom_ , and any curtailment of
         | that freedom is _oppression_.
         | 
         | What's truly sad about all of this is not the political
         | polarisation over the type of health policy that goes back
         | _centuries_ [1]. No, it's that Katalin Kariko, the woman who
         | spent here entire life toiling away in obscurity, never got a
         | proper "Thank you!" from the world that she saved.
         | 
         | She should be more famous than Beyonce and richer than Bill
         | Gates, and instead she's a little-known scientist with a few
         | pats on the back from jealous colleagues mumbling "I could have
         | invented that" under their breath.
         | 
         | [1] Go look up how old the word "quarantine" is and where it
         | originated from.
        
         | pessimizer wrote:
         | I still can't get over how we shut down schools in a huge
         | amount of the world for a long period of time, and didn't come
         | out of that with high-quality, open source, government-
         | sponsored software for remote education. Instead, we just
         | waited it out on every level, while the rich got a lot richer.
        
           | adhesive_wombat wrote:
           | That we don't have that anyway is mind-blowing. An open-
           | source corpus of educational material seems like an obvious
           | social good in excess of many things that do get huge
           | quantities of money sprayed at them.
           | 
           | Why does every school need to figure out sourcing their own
           | worksheets for teaching kids about oxbow lakes or copper
           | sulphate or whatever? Half the time they look like a teacher
           | made them in 1993 using Windows NT clipart program, a
           | typewriter and a photocopier, the other half of the time they
           | are sloppily and half-heartedly cobbled together by some
           | educational company.
           | 
           | The BBC does do quite a bit of this with BiteSize, bit it
           | still seems limited compared to what I would really hope for.
        
             | abirch wrote:
             | Correct, not a lot has happened in Trigonometry or
             | introductory calculus for centuries but colleges are always
             | requiring newer editions.
        
           | MattGaiser wrote:
           | Has government done software well anywhere in terms of user
           | friendliness?
        
             | tomrod wrote:
             | Check out US digital services and 18F
        
             | tapland wrote:
             | Yes. Many examples in the EU
        
             | adhesive_wombat wrote:
             | The UK Government Digital Service has produced some pretty
             | excellent, useable and consistent online services, with a
             | particular focus on accessibility. Also great care taken to
             | keep the services functional on very old and low-spec
             | devices, far in excess of any private company I have used a
             | website from, which are usually so bogged down with JS
             | glitz that they barely actually work.
        
           | fnordpiglet wrote:
           | Outschool is pretty amazing. I think through a Darwinian
           | process a lot of remote education tools will emerge. I think
           | people ignore that remote education tech is helpful for
           | homeschooling, for extracurriculars, for people trying to get
           | a degree while working, people in very rural areas,
           | developing countries, and a whole host of other use cases.
           | There was definitely a "we will hack this stuff together and
           | throw it aside asap" mentality which baffled me as an
           | engineer, but I'm certain a lot of very capable and smart
           | people have learned amazing things and built great tech.
           | It'll take a while for the bitter after taste to wear off,
           | and as I discussed above, the back biting and second guessing
           | and the indignation that they had to sacrifice or suffer in
           | some way in a disaster. But as emotions cool, I think we will
           | see a resurgence of the techniques and technologies.
           | 
           | Re: governmental open source - the government is typically
           | bad at such things. It'll be private sector, educator, and
           | contributor sourced as with all great things in the space of
           | tech, for better or worse.
        
           | threeseed wrote:
           | Because nobody e.g. teachers, students, parents wants remote
           | education.
           | 
           | Attending schools is about 50% education, 50% social
           | development.
           | 
           | Many students don't have strong family structures at home and
           | fall behind academically and socially if not attending in
           | person.
        
             | ianlevesque wrote:
             | And for many parents 100% daycare.
        
               | quags wrote:
               | Perhaps but I'd argue society has moved to where this is
               | better (children must have an education) vs the
               | alternative say getting a job or whatever children did
               | 100 years ago. Also it is being paid for, at least in my
               | area, through quite high property taxes where over 60% go
               | to school. So if the alternative is find day care or
               | educate them myself I expect my taxes to go down where I
               | can use that money for education and day care.
        
           | 015UUZn8aEvW wrote:
           | When you observe school policy debates at the local level,
           | you come to realize that, for many parents, school's main
           | function is free daycare for the kids so that they can go to
           | work. Remote school doesn't help much on that front.
        
         | tmaly wrote:
         | I think Andrew Huff would contest your qualification of it as
         | "natural"
        
         | zmgsabst wrote:
         | [flagged]
        
           | AgentOrange1234 wrote:
           | What's your source on this? I haven't heard anything like
           | this.
        
             | zmgsabst wrote:
             | On what?
             | 
             | I cited the OECD data; I downloaded it, added up COVID
             | deaths, excess deaths, and subtracted COVID from excess to
             | get "non-COVID attributed excess".
        
           | someNameIG wrote:
           | Here in Australia our interventions were longer and more
           | sever that that of the US, our excess deaths are about 4
           | times less than youse over there.
           | 
           | https://www.reddit.com/r/CoronavirusDownunder/comments/13pgt.
           | ..
        
         | TechBro8615 wrote:
         | > No one sold them as good.
         | 
         | What? Why'd we implement them then? Plenty of people were
         | criticizing the policies, but they were generally overruled in
         | favor of vague goals which were "sold as good," like
         | "flattening the curve."
         | 
         | Relatedly, one of my pet peeves is when people talk about the
         | harms of lockdowns but frame it as "the damage that covid did
         | to children's education." It wasn't the virus that did that
         | damage. It was the policies.
        
           | jen20 wrote:
           | Less bad need not be good. One only need look at electoral
           | politics in the US for this to be obvious.
        
           | joshuamorton wrote:
           | > Why'd we implement them then?
           | 
           | Because they were, as the post you're replying to makes
           | pretty clear, still in the realm of less bad, or at least
           | very probably less bad. The point GP is making is that there
           | were _zero_ "good" options. In a global pandemic, every
           | choice has only bad options, and you try to pick the least
           | bad.
           | 
           | Or in other words, they're saying that the "correct" decision
           | was still ultimately a bad one. And you're trying to frame
           | that statement as though the decisions made were incorrect.
           | That's pretty rhetorically unkind of you.
        
           | lazide wrote:
           | Uh, they were sold as better than the alternatives.
           | 
           | And even without the policies, things were going to happen.
           | 
           | The initial economic impacts preceded any of the policies by
           | weeks, for instance, and the social changes (including WFH)
           | started rolling out before any formal policies did. The tech
           | companies started to do it weeks ahead of public policy on
           | the matter for instance, because _they didn't have any better
           | alternatives_ , and it would have been worse otherwise.
        
           | carlmr wrote:
           | While I agree with you that a lot of the damage we did wasn't
           | the virus, I feel like OP was quite clear in saying if
           | there's only bad and worse, pick bad.
           | 
           | Which logically I agree with, although I still think that
           | post CDC study on statistically negligible outdoor
           | transmission, any government that didn't allow people to
           | socialize and gather outside was not listening to science and
           | picking worse over bad.
           | 
           | I think we could have done a lot better, even with the
           | available evidence at that time, in finding ways to socialize
           | that wouldn't cause so much mental and economic harm.
        
             | Izkata wrote:
             | > was not listening to science and picking worse over bad.
             | 
             | The problem was anyone trying to say this, no matter how
             | much evidence they had, was censored and ignored. Called an
             | idiot. Asked "why they wanted to kill grandma". So on and
             | so forth.
             | 
             | "Worse" was treated as "good" for years in spite of the
             | science.
        
           | zizee wrote:
           | The GP means the policies were sold as the "least worst"
           | option.
        
           | geekpowa wrote:
           | The living complain about the adverse impacts they
           | experienced, while the dead remain dead.
        
             | TechBro8615 wrote:
             | I see this argument a lot but I don't understand it. Are
             | you suggesting the dead people would have been grateful for
             | the policies that didn't stop them from dying? Or are you
             | suggesting the policies didn't go far enough, and if the
             | dead people could complain, then we'd be convinced to
             | implement even stricter policies next time?
             | 
             | I think the argument would be more convincing if there were
             | a group of people who are still alive that could say they
             | would have been dead without the policies. Obviously this
             | is impossible for anyone to say with certainty, but given
             | that it's the corollary of the "if dead people could talk"
             | argument, perhaps that indicates that both arguments are
             | unfalsifiable and thus ineffective.
        
               | dmbche wrote:
               | It's not about what the dead would say - it's about the
               | difference in degree between inconvenience and death.
        
               | TechBro8615 wrote:
               | The implication of this argument is that if people are
               | dying, the government can implement any policy they want
               | with the nominal intention of "saving lives," and nobody
               | has any right to complain about "inconveniences" because
               | they're not dead, unlike the people who died _despite the
               | policies meant to prevent their deaths_.
        
               | dmbche wrote:
               | While I agree with your statement, I think you might be
               | projecting a little - this is a simple comment, kind of
               | like saying "nothing new under the sun". Not all
               | statements are necessarily prescriptive.
               | 
               | This is used to keep things in perspective when talking
               | about such emotional subjects, not be a final word, I
               | believe
        
               | geekpowa wrote:
               | It's an argument about survivorship bias in any critique
               | of Covid policies that imply Covid response was
               | unnecessarily harmful
               | 
               | My personal pandemic experience was luckier than many . 3
               | wilderness years of lost time only; of no growth. no loss
               | of business, work , home etc. more importantly I'm alive
               | and so is everyone I love
        
         | jfengel wrote:
         | Everything that went wrong is evidence that if everyone had
         | done my thing, it would all have been perfect.
        
         | commandlinefan wrote:
         | > Policies chosen as "least bad" are still bad.
         | 
         | But they deliberately chose the least _good_ policies, when it
         | was very obvious that the choices they were making were by far
         | the worst.
        
         | gd1 wrote:
         | [dead]
        
         | momirlan wrote:
         | [flagged]
        
           | londons_explore wrote:
           | There aren't many claiming it was deliberate...
           | 
           | The main claims seems to be accidental release of a virus. If
           | it was deliberate, you probably wouldn't release it right at
           | the lab that developed it...
        
             | zmgsabst wrote:
             | Okay, but if you're driving recklessly and cause a car
             | crash which kills someone, I don't say they died
             | "naturally".
             | 
             | There's a reason the US banned that variety of gain of
             | function -- and a reason why people are outraged Fauci and
             | EcoHealth Alliance sponsored it in China to circumvent
             | that.
        
         | hanoz wrote:
         | It makes me sick to my stomach to hear entirely reasonable
         | anger about the catalogue of ill-judged, immoral and inhumane
         | policy cooked up on the hoof by ignorant politicians, egged on
         | by should-know-better power-tripping scientists, belittled as
         | mere quibbles about interferences with thier _preferred daily
         | routines_.
        
           | Fgehono wrote:
           | Easy eays captain hindsight
        
           | saiya-jin wrote:
           | What if both of you are right? Or wrong for that matter?
           | Everybody acknowledges that some people got hurt pretty badly
           | by policies applied, and those people are in millions on
           | global scale. Clearly you are one of them.
           | 
           | Yet we saved by some estimates lower tens of millions of
           | lives, and we tested en masse extremely promising new way of
           | administering cures/vaccinations. Attacking that takes more
           | than just some emotional outbursts, better come with some
           | cold hard facts. Ie I don't know a single person who doesn't
           | have in circle of family or close friends somebody who passed
           | away directly due to covid.
        
             | zmgsabst wrote:
             | Go ahead and post a study that says we saved tens of
             | millions.
             | 
             | Not one intervention has been shown to reduce mortality by
             | 50% across the general population -- you're making facts up
             | to deny the harms caused.
        
               | tapland wrote:
               | No but we hsve things like Sweden with a demographic and
               | social systems very similar to its neighbors (norway,
               | denmark,finland) ending up with 2x the mortality of said
               | neighbors by choosing milder interventions.
        
               | the_third_wave wrote:
               | Sweden had a higher mortality at the start but ended up
               | with the lowest excess mortality in Europe starting
               | January 2021 [1]. The country had the lowest excess
               | mortality overall during the SARS2 years 2020-2022 [1].
               | 
               | [1] https://www.dagensmedicin.se/specialistomraden/infekt
               | ion/sve...
               | 
               | [2] https://www.europaportalen.se/2023/03/sverige-hade-
               | lagsta-ov...
        
           | peyton wrote:
           | Yeah, my grandmother was very social. She had dementia and
           | didn't understand what was happening. She cried about how
           | lonely she was every single day for months until she passed.
        
             | pessimizer wrote:
             | My grandfather had been holding off the worsening of his
             | vascular dementia for a long time because he had a lot of
             | family around him to remind him who he was. Cutting him off
             | from the world resulted in quick decline and death.
             | Lockdown killed dementia patients:
             | https://www.alzheimers.org.uk/news/2020-07-30/lockdown-
             | isola...
        
         | erulabs wrote:
         | You're missing the forest for the trees. It's not about if the
         | lockdowns were better or worse, not even a bit. It's about
         | whether or not governments should have the power and ability to
         | enact lockdowns in the first place. This was a somewhat mocked
         | perspective when the general idea was the lockdowns were
         | absolutely necessary. Now that the data, retrospectively, seems
         | muddled and unclear, the conversation can recenter on if the
         | government we want should even have the power to do what they
         | did.
         | 
         | It's not even a little bit about being inconvenienced, and
         | anyone who says that is either a straw man or an idiot. It's
         | about the basic principle of the individual and their rights
         | versus the group.
         | 
         | Of course it was a chaotic natural disaster. The question is,
         | in the face of a natural disaster, do you or do you not want
         | the ability to make your own decisions.
         | 
         | I'm no anarchist or libertarian, but if we can't understand why
         | those folks are _really pissed off_ and why it has nothing to
         | do with whatever the R-naught _actually was_ , we'll never make
         | progress.
        
           | discreteevent wrote:
           | It depends on what you mean by "your own decision". For
           | example: If someone wants to smoke in the office that should
           | be their own decision.
        
           | fzeroracer wrote:
           | I mean ultimately the answer is yes. People look at COVID and
           | say it's not a big deal, but I look at it and say that we're
           | lucky it wasn't something far worse. We're not at all
           | prepared if we have something like a Black Death 2.0 and
           | ultimately your ability to function as an individual depends
           | on society's ability to actually function. Even the half-
           | assed measures we took against COVID helped prevent our
           | hospital systems from completely collapsing which would've
           | led to far more deaths.
           | 
           | The fact that people don't see this means they've grown too
           | comfortable with modern society and how far we've become in
           | preventing disease spread. Maybe it'll take a Black Death 2.0
           | for people to understand this.
        
           | doug_durham wrote:
           | Public Health == Police == Fire fighting. They all exist to
           | protect the population. They are peers. That some how Public
           | Health would occur outside of the government is truly odd.
           | Would you be in favor of Fire Departments being left up to
           | individuals?
        
             | [deleted]
        
           | pupppet wrote:
           | I would argue it is the government's job to ensure there is
           | room in our hospitals.
        
         | was_a_dev wrote:
         | I agree. I was thinking today how during covid, my country was
         | short of PPE for doctors and nurses. As were many countries
         | 
         | One policy failing in this instance, was our reduction of
         | stockpiled PPE several years earlier.
         | 
         | Since COVID, there has been no discusion or suggestion of how
         | to prepare better for next time
        
           | lazide wrote:
           | We likely won't see any real retrospectives for another 5-10
           | years. It's still too raw and difficult to process the
           | reality, as you can see in some of the other responses.
        
             | ls612 wrote:
             | We realistically won't see a good retrospective until the
             | political leaders in 2020 have exited the political scene.
             | Until then reactions to Covid stuff will just be a culture
             | war reflex response of self-preservation.
        
               | TechBro8615 wrote:
               | There are many covid counterfactuals we'll never know the
               | answer to, but personally, I wish we could see the
               | timeline where Trump won the election. Would the
               | vaccination positions have been completely flipped? Pre-
               | election you had democrat leaders saying things like "I
               | wouldn't take a Trump vaccine." If we could only see that
               | play out, I think it would expose how arbitrary much of
               | the US political division really is.
        
               | ls612 wrote:
               | Or similarly what if Clinton wins in 2016, and gets stuck
               | with the mess and cratering economy in her re-election
               | campaign.
        
               | daveguy wrote:
               | This seems very inconsistent with what I remember. "I
               | wouldn't take a trump vaccine" is completely incongruent
               | with the fact that the vast majority of "the gubment
               | can't make me wear a mask or take a vaccine" were in the
               | middle of trump country. Trump got boo'd for promoting
               | the vaccine after he lost. They would have been just as
               | anti-gubment regardless. There was a brief period of time
               | I heard that about a month or two before the election. "I
               | wouldn't take a trump vaccine" completely disappeared as
               | soon as it was obvious that the FDA wasn't going to let
               | trump circumvent basic safety controls to push a vaccine
               | in 6 months (before the election) instead of 12 months
               | (after the election).
        
           | abirch wrote:
           | The difficult thing for the USA is that we treat healthcare
           | as a profit center. This leads to focusing on efficiencies
           | instead of extra capacity. You don't want extra beds, unless
           | you have a pandemic. There aren't hospital beds as a
           | services.
        
         | macinjosh wrote:
         | Missing my grandmas funeral or my parents missing the birth of
         | their granddaughter are not minor changes to a 'preferred daily
         | routine.' Lockdowns were a not only a useless public health
         | measure they caused additional damage on top of the damage the
         | pandemic was doing. Plenty of smart people warned against
         | lockdowns but those in power ignored them. Sorry not gonna let
         | this stuff go.
        
           | PlunderBunny wrote:
           | I don't wish in any way to minimise or attempt to refute how
           | you feel about the events your family missed, and I know a
           | great many other people had similar experiences. Lockdowns,
           | when done properly, do work. Here in New Zealand, we enjoyed
           | more than a year of _normal_ life between our first Nation-
           | wide lockdown at the beginning of the pandemic, and the
           | eventual emergence of omicron in the community. That period
           | not only provided time for the population to be vaccinated
           | (we got to 92% fully vaccinated) but also saved many many
           | lives, and allowed people to do things like attend funerals
           | and births which _they wouldn't have been able to do_
           | (safely) if there was no lockdown. History will record that
           | it was the right approach.
        
             | User23 wrote:
             | And Sweden did nothing and got an equally good outcome and
             | doesn't even have the benefit of being an island country.
        
             | 015UUZn8aEvW wrote:
             | The US has 70 times the population of New Zealand, an
             | underclass that's larger in percentage terms and less
             | functional than New Zealand's, a porous border through
             | which literally millions of people pass illegally-outside
             | of the government's control, and tens of millions of
             | illegal residents who have illegal or no ID and studiously
             | avoid being tracked by the government. New Zealand is an
             | island country with only a handful of international
             | airports. There was no possible way that the US could ever
             | have implemented New Zealand's policy successfully, even if
             | Americans wanted to do so.
        
               | PlunderBunny wrote:
               | Sure - I think I agree that the same approach wouldn't
               | have worked in the USA. But it's also not a binary choice
               | between 'lockdown until elimination' and no lockdowns,
               | but having said that, I don't know what the US or
               | similarly large countries should have done.
        
           | _Microft wrote:
           | My condolences for your loss.
           | 
           | GP certainly exaggerated by labelling the situation as minor
           | inconvenience. It was a major upheaval to all our lives.
           | There is no arguing though that curfews can and did help - at
           | least where conducted properly and with support of the
           | populace (there's little hope if people are not even trying
           | to cooperate though); the first "lockdown" (it was called
           | like that but actually there were only curfews here) in
           | Germany comes to mind - things went only downhill here after
           | the first partially re-opened summer when different states
           | and politicians discovered the situation as a way to compete
           | with each other.
           | 
           | This is hindsight though. In the beginning there was no
           | reliable information on transmission vectors or
           | infectiousness and the lack of tests, drugs, vaccines and
           | treatments (even simple things like positioning patients
           | prone to make breathing easier) or simply protection
           | equipment left imo little choice than to treat the situation
           | as severe as possible (better save than sorry).
           | 
           | All in all I think that most of it was unavoidable, although
           | I absolutely agree that this was in every way a situation
           | that was hard to deal with for all of us.
        
             | commandlinefan wrote:
             | > There is no arguing though that curfews can and did help
             | 
             | I absolutely argue that they did not "help". COVID is still
             | here. Everybody will still get it at some point in their
             | lives and it's no less deadly than it was when the curfews
             | started. They delayed some cases of COVID but did t prevent
             | anything. At enormous cost, any way you measure it.
        
               | terminatornet wrote:
               | i would argue they did help. i have not gotten covid yet
               | as far as I know. If and when I do, I guarantee I will be
               | much happier to have gotten it when vaccines, treatments
               | and therapeutics are improved compared to 3 years ago.
        
               | fzeroracer wrote:
               | The point was the delay of cases. During COVID many
               | people died of preventable diseases or issues because
               | COVID patients were siphoning our hospital and medical
               | systems of resources. This man died of something that
               | could've been prevented because hospitals were full and
               | he couldn't get an ICU bed [1]. There are many more
               | stories of this during the height of COVID of people
               | dying from things that were low risk emergencies that
               | became high risk ones because of hospitals being
               | stressed.
               | 
               | In a situation where we did not have any lockdowns or
               | curfews or measures in place, there would've been far
               | more deaths because of limited hospital capacity being
               | entirely consumed.
               | 
               | [1] https://www.npr.org/sections/coronavirus-live-
               | updates/2021/0...
        
               | PlunderBunny wrote:
               | Omicron is certainly less deadly that the earlier
               | variants, and the time gained with lockdowns allowed the
               | population to get vaccinated, and gave hospitals time to
               | build more ICUs. I think it's fair to say that these
               | things are facts, not opinions!
        
       | f6v wrote:
       | Just by looking at the map there might be some correlation with
       | vaccination rate.
        
         | Mesopropithecus wrote:
         | Meaningless statement unless you correct at the very least also
         | for demographics and infection rates.
        
         | zvmaz wrote:
         | Yes, there is [1]. I remember vividly this one cop that quit
         | his job of so many years over a vaccine mandate. He was invited
         | on TV, and was all proud and righteous of his great deed. He
         | died of COVID. His name was Robert LeMay [2].
         | 
         | I wonder how many deaths could have been avoided were it not
         | for vaccine skepticism.
         | 
         | [1]
         | https://www.deseret.com/coronavirus/2022/3/17/22979105/covid...
         | 
         | [2] https://www.independent.co.uk/news/world/americas/trooper-
         | co...
        
         | croes wrote:
         | Here you can see the excess death rate if Europe
         | 
         | https://twitter.com/BjornLomborg/status/1632003510274347010
         | 
         | Here the vaccination rate
         | 
         | https://www.statista.com/statistics/1196071/covid-19-vaccina...
        
         | Djeman wrote:
         | Completely opposite. Western Europe was highly vaccinated low
         | mortality in map. Eastern Europe low vaccination high mortality
        
         | draw_down wrote:
         | [dead]
        
         | awestroke wrote:
         | Yes, it's thoroughly documented that increasing vaccination
         | rates decreases mortality rates
        
           | Izkata wrote:
           | That would be a negative correlation. The map seems to
           | indicate a positive correlation overall, negative correlation
           | only if you ignore Africa and half of South America.
           | 
           | (Eyeballing it side-by-side with the vaccination map here:
           | https://fortune.com/2021/06/30/covid-vaccines-global-
           | vaccina... )
        
             | croes wrote:
             | And if you ignore east Europe and north europe.
             | 
             | East has low vaccination rates and high excess mortality,
             | north has high vaccination rate and low excess deaths.
             | 
             | Africa and South America could be different effects. I
             | don't know how thoroughly they do, can or want to track
             | excess deaths.
        
             | roywiggins wrote:
             | Wealthy countries have way more old people, and way more
             | vaccines. COVID is still more dangerous to elderly
             | vaccinated people than to unvaccinated teenagers.
             | 
             | You can sometimes even see this effect in one country, if
             | all the old people are vaccinated and none of the young
             | people are, you'll still probably get more COVID deaths per
             | old person. If you just look at mortality by vaccination
             | status you'll see lots more COVID deaths in the vaccinated
             | cohort, but that's because the vaccinated cohort is just
             | old.
        
               | nwienert wrote:
               | Why do you immediately jump to one conclusion as to
               | explain this?
        
               | pessimizer wrote:
               | Probably because while it's a simple observation, it's
               | not an intuitive one, so a lot of us had to have it
               | pointed out recently. It's the nature of the math, not
               | anything that has to do with covid or can be sensibly
               | argued with.
        
               | nwienert wrote:
               | Sure it's something to take into your model, but I find
               | the just so framing weirdly pressing in these types of
               | threads.
        
         | isoprophlex wrote:
         | Big red splotch over Russia, and data includes 2022-2023...
         | maybe there's also some other factor inducing excess death in
         | Russians?
        
           | ls612 wrote:
           | The upper estimates are that Russia has suffered 50k KIA in
           | the war which is a lot but in the grand scheme of things
           | won't show up much in excess deaths.
        
       | awestroke wrote:
       | Fourth leading cause of death. Wow. But we decided as a society
       | that, enough is enough, economic output is more important
        
         | hgsgm wrote:
         | Let's assume that eradicating covid (if somehow possible) via
         | lockdowns and distancing would cost a 25% quality of life
         | decrease for 2 years. That's equivalent losing 1% of all
         | current human life.
         | 
         | Or perhaps we would not eradicate COVID, but we'd avoid dying
         | from it, and we'd have reduced quality of life _forever_.
        
         | wizofaus wrote:
         | That's not so unreasonable given significantly reduced economic
         | output for long enough would inevitably result in a significant
         | number of deaths that wouldn't have otherwise occurred (and
         | yes, this would also be an argument for not being overly hasty
         | in winding down fossil fuel usage, but given there's almost no
         | indication any country in last 20 or 30 years has been willing
         | to do so at a "hasty" rate, I don't think it needs to be made).
         | Plus measures to prevent Covid spreading had a lot more
         | downsides than just being a brake on economic growth.
         | Ultimately you could see it as some sort of balance between
         | aiming for "quantity" vs "quality" of life, though of course
         | many have had the quality of their lives significantly
         | disrupted by becoming ill with COVID.
        
         | NotYourLawyer wrote:
         | At this point, the only people dying are the ones who refuse to
         | get vaccinated.
        
           | momirlan wrote:
           | absolute rubbish. your hate is blinding you.
        
           | terminatornet wrote:
           | quite wrong! as of august 2022, the majority of deaths, at
           | least in the US, were among the vaccinated
           | 
           | https://www.kff.org/policy-watch/why-do-vaccinated-people-
           | re...
        
         | ajmurmann wrote:
         | I feel very torn on this topic. I still wear a mask in
         | situations like a crowded airplane and likely always will. I
         | was for much tighter lockdowns and am vehemently pro-vaccine
         | and even people I highly respect cannot really convince me that
         | school shutdowns were a mistake. I'm also really worried about
         | long COVID and am worried what might happen with repeated
         | infections. Yet I personally lost three loved ones during the
         | pandemic. One person was my grandma. She was in her late
         | nineties, had advanced dementia and died of a COVID infection.
         | The other two were friends who died from causes related to
         | mental health and I think there is a good chance they'd still
         | be around right now if it wasn't for the pandemic and the
         | isolation that came with it.
        
         | abdabab wrote:
         | Yes, now return to office. /s
        
         | jehb wrote:
         | I don't think you intended economic output as a strawman, but
         | it seems like everyone replying to you turned it into one.
         | 
         | There are an awful lot of public health measures not being
         | taken that would have little to no impact on economic output,
         | yet, society still can't seem to be bothered.
        
         | colecut wrote:
         | Or, living is more important
        
         | coffeebeqn wrote:
         | I mean how many more years should we have been locked down?
        
         | raincole wrote:
         | But lockdowns don't solve it. Just delay it. Unless you're
         | going to implement global lockdown (including all the
         | developing countries), which will, almost guaranteed, cause
         | more death than any natural disaster.
        
           | coffeebeqn wrote:
           | And the vaccines didn't stop the spread of the virus. So
           | there never was a exit strategy other than basically what we
           | did. I'm quite confused what the COVID forever die-hards
           | would have us do
        
             | terminatornet wrote:
             | I'd recommend looking into the "swiss cheese" model of risk
             | reduction. The idea being that each method of prevention
             | has holes in different locations, but combining some or all
             | will be better at stopping infection than each on their
             | own.
             | 
             | https://www.coxhealth.com/newsroom/preventing-
             | covid-19-using...
             | 
             | as a forever covid die-hard, in my ideal world I'd like to
             | see:
             | 
             | better mask education - the US did an absolutely awful job
             | at recognizing that all masks are not created equal,
             | specifically that cloth and surgical masks are not as
             | effective as KN95 or N95 masks
             | 
             | free mask distribution - not everyone can afford to
             | purchase new, high quality masks for regular use.
             | 
             | free covid testing - if we're not giving people free access
             | to testing, then how can anyone make a proper risk
             | assessment of current covid levels?
             | 
             | mask mandates - this does not have to be legally enforced
             | by any means, but a mandate would show folks that masks are
             | encouraged and needed at this time. Some people wearing
             | masks is better than no one.
             | 
             | indoor air testing/filtration improvement - for everyone
             | who can't or won't wear masks, having minimum air quality
             | levels for large indoor spaces/events would also help cut
             | down on transmission.
             | 
             | there's probably some more here i'm forgetting, but my
             | point being is that an individual doesn't have to do
             | everything here for us to decrease transmission of covid,
             | nor do we have to shut down society to have that same
             | effect.
        
         | mjr00 wrote:
         | There is no conclusion that all of those deaths were due to
         | COVID, and the article is irresponsible for implying as much
         | even after repeatedly saying that attributing all the excess
         | deaths to COVID is jumping to conclusions.
         | 
         | Some other things that have happened since before COVID which
         | would cause an increase in pre-COVID forecasts include a war
         | between the world's two global superpowers, a global recession
         | and disruption of the supply chain, a massive shortage of
         | healthcare workers in many countries, and an enormous spike in
         | usage of fentanyl in the developed world.
         | 
         | COVID plus any or all of those factors are contributing to
         | excess deaths.
        
           | gtop3 wrote:
           | The direct losses between the war and fentanyl won't account
           | for much.
           | 
           | 100k of those are drug overdoses in the US (the place with by
           | far the highest rate of fentanyl use). There is a similar
           | number of killed in the first year of the Ukraine war. The
           | economist is pointing out the estimates are off by 3M lives,
           | so those two directly account for less than 10%.
        
           | spywaregorilla wrote:
           | > a war between the world's two global superpowers
           | 
           | Yeah I don't think Russia qualifies as a superpower
           | anymore...
        
             | amanaplanacanal wrote:
             | Pretty sure Ukraine isn't either.
        
           | gt565k wrote:
           | I agree. You lock everybody up. Cant go outside in some
           | countries but for certain hours. The stress from losing your
           | job too and not having income and seeing friends and family.
           | Lack of physical exercise from staying at home and watching
           | the news on the couch all day. It all adds up.
        
           | fzeroracer wrote:
           | Your points of a global recession, disruption of the supply
           | chain and shortage of healthcare workers could quite easily
           | be attributed to covid because excess deaths during the
           | initial outbreak contributed to massive burnout and a loss of
           | workforce.
        
             | mjr00 wrote:
             | As much as hospital administrators love to blame COVID for
             | underpaying and overworking healthcare professionals, a
             | person dying because they got a late cancer diagnosis
             | because they couldn't see a family doctor for 6 months
             | because of a shortage caused by burnout is too far removed
             | to attribute to COVID in good faith.
        
               | fzeroracer wrote:
               | From everything we know the opposite is true in that
               | deaths directly due to COVID are undercounted, not
               | overcounted. Multiple states in the US were directly seen
               | undercooking the numbers so that it looked better. See
               | here [1]
               | 
               | Also even in the scenario you post as a semi-gotcha
               | moment wouldn't be counted as COVID-related, but I would
               | hope it would be obvious to you that certain fast growing
               | cancers have significantly better prognosis if caught
               | early.
               | 
               | [1] https://news.ycombinator.com/item?id=23236613
        
               | AgentOrange1234 wrote:
               | Yup. Anyone in power has an incentive to say "we've got
               | this under control, trust us everything's fine."
               | 
               | This is true at every level. From downplaying mistakes in
               | nursing homes in NY, to fudging numbers in FL, to Trump
               | wishing we'd stop testing, to Biden proclaiming victory
               | upon the vaccine rollout, it's all the same incentive.
        
               | hgsgm wrote:
               | Why?
        
               | someNameIG wrote:
               | I don't see it as being far removed.
               | 
               | And it wasn't just medium-long term issues like cancer
               | diagnosis that was impacted but very time sensitive
               | medical emergencies also, like heart attacks. The
               | pandemic increased ambulance response times, time to
               | emergency room beds, stretching of healthcare resources
               | over emergency departments, even things like the added
               | PPE requirements slowed everything down.
        
         | prepend wrote:
         | Kind of surprised that society was able to make the decision.
         | It seems reasonable, right?
         | 
         | Is it worth a 50% gdp hit to reduce cases by 10%?
         | 
         | How many deaths are caused by reduced economic output?
        
           | spywaregorilla wrote:
           | > Is it worth a 50% gdp hit to reduce cases by 10%?
           | 
           | It is not. Fortunately those numbers aren't remotely close to
           | reality.
        
         | roywiggins wrote:
         | Economic output is also what keeps people fed and the lights
         | on, it's not really something people are going to tolerate
         | turning down indefinitely.
        
           | spurgu wrote:
           | Governments can just keep printing money forever, no one has
           | to work. /s
        
       | zvmaz wrote:
       | COVID has wreaked havoc in many aspects of life. There may well
       | be a pandemic of prolonged grief [1].
       | 
       | https://www.reuters.com/graphics/HEALTH-CORONAVIRUS/USA-CASU...
        
         | tines wrote:
         | > wrecked
         | 
         | I think the term you're thinking of is "has wreaked" which is
         | the present perfect tense of "wreak" which means to inflict or
         | avenge.
        
           | zvmaz wrote:
           | Corrected. Thank you.
        
       | CPLX wrote:
       | My problem with this is that there seem to be two related but not
       | really correlated points of opinion:
       | 
       | 1. How bad Covid was, like was it a big deal or not.
       | 
       | 2. The effectiveness of the means we had at our disposal to do
       | anything about it.
       | 
       | At least in the US everyone's responses are highly correlated.
       | 
       | For example: if you think Covid is a big deal you think we should
       | have taken all the measures we took and that relaxing
       | restrictions was a mistake.
       | 
       | If you're on the other team you feel like we shouldn't have done
       | the interventions and lockdowns because you think Covid is not
       | that big a deal and is overhyped.
       | 
       | I feel most attracted to the group that agrees that Covid is a
       | pretty big deal and very deadly and an incredible tragedy.
       | 
       | I also think that except for the vaccines we've never had much
       | control over it at all, and that for the most part the various
       | lockdowns and mandates were pretty pointless after the first few
       | months had passed and we knew what we were dealing with.
       | 
       | Not much of a constituency for this point of view in the
       | narrative, though I feel like it might be commonly held.
        
         | x86x87 wrote:
         | One thing that stuck with me since the early stages was the
         | remark that if by looking at it after it's over the measures
         | that were taken don't look like an overreaction it means we
         | didn't do enough. My guess is that we'll see the effects of
         | covid for decades both in the form of long covid and socio-
         | economic impacts.
        
           | CPLX wrote:
           | I remember that line too but it's just a slogan, it doesn't
           | really have normative meaning.
           | 
           | For example, closing public beaches was an overreaction. It
           | was pointless and had no positive effect at all. Noticing
           | that doesn't prove that we did enough.
           | 
           | It's still possible that we didn't manufacture vaccines or
           | staff hospitals fast enough for example.
        
             | andybak wrote:
             | I think broadly speaking there were plenty of outdoor
             | measures that quickly felt like overreactions. Indoor
             | measures often felt the opposite (at least in terms of how
             | they actually played out)
        
             | lazide wrote:
             | Eh, that's very much hindsight bias.
             | 
             | We didn't know at the time that closing beaches was
             | useless. Once we found out, those bans started to be
             | reversed.
             | 
             | That is why the 'slogan'.
             | 
             | If you take proactive precautions based on what _might_
             | help, you'll always look like you were overreacting
             | afterwards because not all of them will be true.
             | 
             | On the flip side, if you wait for solid evidence of what is
             | actually effective or not, you'll _definitely_ end up with
             | much larger spread and more damage, because it takes a lot
             | of time for that data to be gathered, confounding variables
             | to be identified, etc.
             | 
             | In the face of an unknown pathogen, (like an unknown enemy
             | in a war), it's important to defend against apparent
             | threats, not just wait to see which ones are real - as by
             | then it's too late.
        
               | peyton wrote:
               | I mean, coronaviruses are some of the most studied human
               | pathogens on the planet, especially after SARS. The whole
               | "we don't know what we're dealing with" shtick was hard
               | to swallow.
               | 
               | Health authorities should have been better prepared for a
               | respiratory pandemic, period. We spend too much money on
               | public health for the response we got.
        
               | lazide wrote:
               | SARS case fatality rate was 14-15% (roughly).
               | 
               | [https://www.cidrap.umn.edu/sars/estimates-sars-death-
               | rates-r...]
               | 
               | During the first year of the pandemic, figuring out much
               | of anything except that bodies were piling up faster than
               | they could be managed in all the cities was extremely
               | difficult, and there was a lot of clear political
               | manipulation of the numbers everywhere, so trust was...
               | thin. To put it mildly.
               | 
               | COVID was clearly not as bad as SARS, but it was also
               | clearly not the Flu.
               | 
               | So what was the correct policy exactly?
        
               | fzeroracer wrote:
               | By all means then, if you're an expert then why didn't
               | you tell us about the disease when it got started? Think
               | of all the lives you, personally, could've saved if you
               | shared your expert knowledge. Knowledge that no one else
               | in the entire world knew about apparently as the disease
               | transitioned to a pandemic.
               | 
               | I assume that at least one health authority on this
               | planet would've been prepared and know exactly how to
               | respond, according to your expertise.
        
               | CPLX wrote:
               | I'm kind of exhausted with public policy elites lecturing
               | me about hindsight bias.
               | 
               | Year after year we're treated to idiotic policy decisions
               | with obvious consequence like invading middle eastern
               | countries for no reason, allowing obviously illegal and
               | harmful market consolidation and mergers, mass delivery
               | of opiates to literally everyone, and so forth.
               | 
               | All the while people who gain massive amounts of power
               | and money from the system tell us we're just not
               | "serious" when we predict the consequences. We're told to
               | trust the experts but then the self apointed expert class
               | is not held accountable whatsoever when they come true.
               | 
               | Fuck that, if people want to be entrusted with policy
               | power they should get things right. And if they get it
               | wrong, fine, but let's hold them accountable and notice
               | who was right the whole time.
               | 
               | A lot of the Covid policy decisions were idiotic and
               | symbolic and wildly inconsistent, and many were based on
               | lies or conflict of interest. It's fine to notice that
               | this is a problem.
        
               | lazide wrote:
               | So I'm a public policy elite now? Sweet!
               | 
               | Those things you're talking about don't seem to have
               | anything to do with the topic at hand though?
               | 
               | I agree re: many of the Covid policy decisions you
               | mention at the end, but frankly given the options they
               | had available I'm not sure I (or anyone) could have done
               | anything different given the circumstances.
        
               | saiya-jin wrote:
               | I don't fully agree, some overreactions were simply crowd
               | management pointed at lowest denominator, or most
               | stupidly behaving individuals. In France, one of bastions
               | of freedom (liberte, at least on paper) there was a long
               | period when people could only go 1km from their permanent
               | residence. Even if you were a sporty person, wanted to
               | keep fit, and did completely alone with absolutely 0 risk
               | trail running in the alps around you, you were breaking
               | the law. Cops could get nasty if they caught you.
               | Neighboring Switzerland never applied similar
               | restrictions, they trust their population way more.
               | _That_ was smarter approach, and it sure as hell looked
               | as that even during those times.
               | 
               | In my crappy eastern europe home country, there was
               | curfew after 8pm long after most of western europe
               | abandoned any restrictions. I like to clear my head by
               | long evening walks. I simply couldn't when being home, it
               | felt I came to North Korea since cops back there are
               | overzealous and often enjoy flexing their powers on
               | common folks.
               | 
               | Many policies were good and at least somewhat effective,
               | some were outright restrictive or punitive bullshit with
               | 0 positive effect, just fucking up people mentally more
               | than they already were. That I think was the main point
               | of critique - policy makers looked hard on numbers alone,
               | not on psychological impacts of pushing too far. Its like
               | chasing everything that kills people, you soon end up
               | banning all cars since numbers alone are pretty horrible.
               | 
               | We have generation of kids who are subtly (or not) fucked
               | up, more than they should have been. Maybe 50 million
               | affected? Many grandmas would gladly increase their risks
               | a bit if they could see more freedom to their
               | grandchildren, you have different (often better)
               | priorities when older.
        
               | lazide wrote:
               | Every generation is subtly (or not) fucked up, near as I
               | can tell.
               | 
               | But most old folks I know were explicitly NOT visiting
               | folks, not because of policies, but because they didn't
               | want to die.
               | 
               | And some I know that did anyway did in fact die - and
               | their family has to deal with knowing they infected them
               | and caused them to die. Which also causes some serious
               | head fucking up.
        
         | ghaff wrote:
         | I pretty much agree with that. I think the evidence strongly
         | suggests that vaccines help to reduce the effect of COVID
         | especially in more vulnerable populations though it may not do
         | much in terms of spread--especially with later, more
         | infectious, strains.
         | 
         | In aggregate, other interventions probably did some good at the
         | margins? Especially early on? But it's easy to look at the
         | policies in some countries and declare success--so long as you
         | look at the right time window.
        
         | amanaplanacanal wrote:
         | I know where I live the concern was about overwhelming
         | hospitals. The early experience in Italy drove their thinking
         | about it. When it seemed like the hospitals were going to be
         | ok, "lockdown" measures were dropped.
        
       | isoprophlex wrote:
       | Well, anecdata, but I'm generally very healthy, vaccinated, what
       | not... I managed to not get covid until early this year.
       | 
       | I was so tired for two weeks, I literally spent a good hour
       | watching a shadow moving across the wall, hyping myself up
       | thinking "when that bit of shadow hits that spot, I will have the
       | energy to get up from this chair"
       | 
       | It was no joke, and with young kids, I caught my fair share of
       | other bugs over the last 6 years. I'm not surprised at all that
       | this pushes some people over the edge, like influenza.
        
         | Wiki39366 wrote:
         | Did you had all booster shots? Many people skip couple of doses
         | last year!
        
         | [deleted]
        
         | Toutouxc wrote:
         | I got it last year, reasonably healthy, late twenties,
         | vaccinated. Thought I was gonna die on the first day. Then two
         | weeks of really bad influenza and two months of having to catch
         | my breath after a flight of stairs. Since then -- heart
         | arrhythmias, irritable bowel, all kinds of pain in all kinds of
         | places, generally much worse mood. I was okay through the
         | lockdowns btw, but fuck Covid itself.
        
       | paganel wrote:
       | Maybe in Western Europe and in North America, here in Romania
       | we've had the month of March with the lowest number of deaths for
       | the last 10 years (maybe more, I didn't look further back), and
       | the same went for February. We also had a much higher number of
       | deaths during the height of the pandemic (October 2021 had about
       | 100% more deaths compared to a "normal" month of October), and
       | one of the lowest vaccinations rates in the European Union.
       | 
       | Which goes to say that many of the people who would have died
       | now, so to speak, have in fact died one or two years prior,
       | during the pandemic. Can't find the link, but a similar effect
       | was noticed in Netherlands after their great famine of 1944-1945,
       | which was followed by about a decade of bellow average death
       | numbers.
       | 
       | For those interested the Excel with the official data is in here
       | [1], it's in Romanian but relatively easy enough to understand
       | the data in there.
       | 
       | [1]
       | https://insse.ro/cms/sites/default/files/com_presa/anexa_dat...
        
         | momirlan wrote:
         | pai cine mai e tampit sa moara in Romania? au fugit sa moara in
         | alte parti...
        
       | DantesKite wrote:
       | One of the things that isn't talked about enough in a reasonable
       | and calm way is the impact COVID can have on the immune system
       | long term.
       | 
       | It's talked about in terms of Long COVID and whether or not it's
       | psychosomatic, the policies made during the lockdowns, and so
       | forth, but always with so much emotion, and sometimes for good
       | reason. I don't want to dismiss that or trivialize it. Those are
       | important topics to discuss for how we'll handle future
       | pandemics.
       | 
       | But the evidence is accumulating that COVID does seem to impact
       | CD8+ T cells, causing T cell exhaustion and reduced effector
       | response. One running hypothesis is that the impaired immune
       | response is caused by a persistent viral reservoir infection,
       | particularly in the gut (although not all people show signs of a
       | spike protein months after the initial infection) causing your
       | CD8+ T cells to express more inhibitory receptors (similar to
       | what happens in HIV or cancer with excessive and prolonged
       | exposure to cancer cells).
       | 
       | Another hypothesis that is lesser known but I find particularly
       | compelling is gut dysbiosis following a COVID infection causing a
       | persistent immune activation that leads to T cell exhaustion or
       | impaired T cell functionality especially through persistent
       | activation of the dendritic cells (which are important for
       | presenting antigens to the adaptive immune systems (i.e. T cells,
       | B cells, etc)).
       | 
       | I think a researcher put it best when they said COVID is roughly
       | halfway between HIV and the common cold in terms of the impact it
       | has on the immune system. It may also not be accurate. We have to
       | find out.
       | 
       | For context, think about how long it took to realize the Epstein
       | Barr virus was a causal factor in multiple sclerosis. It took
       | years of evidence collecting and data analysis to eliminate other
       | confounding variables.
       | 
       | We shouldn't rush to judgement or a narrative, but remain calm
       | and dispassionate here and examine what's going on, both for the
       | virus, the vaccine, and the actions taken during the pandemic.
       | It's important we get it right.
        
         | saiya-jin wrote:
         | Me & my family had covid at least 6 times, possibly 7-8. It
         | happens when you have small kids in kindergarten who yet don't
         | grok concepts of sanitation. Very anecdotal, but no observed
         | immunity impact. What I do, eat, train/workout, sleep, expose
         | ie to cold etc. has much higher impact on immunity. Sure as
         | hell hope that's also valid long term.
        
           | terminatornet wrote:
           | jeeze, save some for the rest of us!
        
         | Jabbles wrote:
         | Please provide some citations.
        
         | gtop3 wrote:
         | > It's important we get it right.
         | 
         | I really want to echo this. We are talking about millions of
         | lives a year right now, and basically every human has been
         | infected. We need a solid answer for why some people have long
         | term health impacts and others do not. There are many brilliant
         | people working on this problem. Let's accept that this might
         | actually be a complicated long term problem.
        
           | spywaregorilla wrote:
           | > basically every human has been infected
           | 
           | A majority, maybe. Certainly not "basically every human".
        
             | lazide wrote:
             | Know any sizable groups that _haven't_ been exposed?
             | 
             | It's pretty statistically unlikely at this point.
        
               | tomrod wrote:
               | A lot of vaccinated folks, perhaps.
        
               | lazide wrote:
               | So vaccination stops you from being exposed?
               | 
               | Pretty sure that's not true!
        
           | momirlan wrote:
           | never been infected. maybe I'm not "basically" human
        
             | x86x87 wrote:
             | Just accept it /s
             | 
             | Also, how did you manage to not get infected?
        
             | zwily wrote:
             | How do you know you haven't been infected?
        
           | x86x87 wrote:
           | Yup. Not every human. Exposed? Maybe. Infected? Nope.
        
         | smeeth wrote:
         | In the interest of being "calm and reasonable," I'd like to
         | point out that some of the language you used in your third
         | block might need a few caveats to be aligned with the state of
         | the research.
         | 
         | In particular:
         | 
         | - "COVID does seem to impact CD8+ T cells": the adjustment I'd
         | make here is that evidence exists that COVID *can* influence T
         | cells, not that it always does.
         | 
         | - "causing T cell exhaustion and reduced effector response.": a
         | quick google suggests there is some conflicting evidence on
         | this point, and most of the studies are done on t cell
         | responses to vaccines delivered after infections, which is a
         | very particular thing.
         | 
         | It seems like you're drawing very heavily from Anthony
         | Leonardi, who, while definitely a scientist and likely right
         | about some things, isn't exactly someone with median (or
         | emotionless) opinions on long covid. The HIV comparison in
         | particular is really out there and unnecessary.
        
       | rtz121 wrote:
       | [flagged]
        
       | netsharc wrote:
       | Geez, that deep red for Russia in the diagram, I wonder what the
       | official figures of deaths due to war is.
       | 
       | Radio Yerevan was asked: "Why does Russia have high excess
       | deaths, is it because of the what the government has deemed as
       | special military operation?"
       | 
       | Radio Yerevan answered: "No, it's because of Covid."
       | 
       | Radio Yerevan was further asked: "Is the government mishandling
       | the Covid-crisis?"
       | 
       | Radio Yerevan answered: "The government has successfully managed
       | the pandemic and ended Covid."
        
         | yarg wrote:
         | It might be worth generating a version that excludes Russia and
         | Ukraine.
         | 
         | https://github.com/TheEconomist/covid-19-the-economist-globa...
        
       | Anon84 wrote:
       | https://archive.md/PmmMY
        
       | [deleted]
        
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       (page generated 2023-05-27 23:01 UTC)