The question I want answered is what is the overall effectiveness of hospitalization for Covid19 compared to the effectiveness of home care even through the worst of the disease. In both settings some will die and some will survive. I imagine that hospitalization would save more lives than home self care. What is the marginal benefit of one versus the other?
We discovered the killer and in our attempts to put a stop to the villain we set off a world wide conflagration of the modern equivalent of the upper middle class, its comfort and its source of wealth. The story is still unfolding, but I wonder whether it may all end up like the Name of the Rose, the only thing remaining is the word itself.
Based on our current system of government based on democratic processes and product liability lawsuits, we deny ourselves an option to responding to this epidemic: availability of consumer life-support systems. This option potentially could save more lives or at least provide comfort to more people than what hospitals can dispense. It is because of our forms of governing that we have made such devices illegal or prohibitively expensive for consumers.
In a pandemic, there are primarily just a few conditions that need treatment, where pneumonia is probably the most common. So, part of preparation for a future pandemic should have focused more attention on preparing for pneumonia treatment instead of counting on processes to prevent the pandemic to spread in the first place. If we had better treatment for pneumonia and had better stores of equipment to manage the condition, we would have less to fear from pandemics.
As during the Prohibition where people moved their social gathering from public bars and saloons to their private residences, I think the same thing will happen now. Social gathering in comparable numbers will resume but they will be in private “speak easy” locations with restricted entry to those who have the right test results instead of knowing the right password.
With this more diffuse spread of the disease and early warning from experience out of China, we could be implementing their late-stage practices right up front. Require people to check-in/check-out of each public gathering space, have them record their names and times when the enter and leave, and record their responses to health questions along with a quick temperature reading.
I don’t think the rapid declaration of emergencies and the cascading declarations at every state and local government was a prudent decision. I would like to imagine a dedomenocracy would have come up with a wiser plan of action. A wiser plan of action would be to be much more selective about declaration of emergency and focused in such a way to minimize the impact.
The current practice of ghost flights by airlines is a great analogy to what needs to happen in the workforce. To protect the nation from large numbers of hospitalizations and deaths, we could remove the people from their positions when they are over 50 or have one of the identified preexisting conditions. Eventually (hopefully), the crisis will abate where we can allow these people to return to their original roles.
Why are the very young more resilient to this disease. Among their traits is an unawareness of various topics outside their immediate lives. They have not been educated to learn these topics, and their attention is not drawn to them even if they were able to learn them. These topics include politics and suspicions of what other groups may be plotting against them.
It is inevitable that there will be a point where we must abandon the hope of containing the spread through quarantines. Our best hope of minimizing the number of deaths and of those needing intensive care is to isolate the ones most at risk if they were infected. Instead of removing from the economy those who are suspected as being infectious, we instead remove those who have known preexisting conditions or age.