What are your thoughts? Just remember, the truth doesn’t matter. All major institutions will have to conform to the narrative that gets written by the powerful. As I have said before, no one in power will ever want a cost-benefit analysis of their policy choices—what is the incentive to prove yourself an idiot to the world? If anything, there will be some reports written that have obviously implausible counterfactuals and these will become the standard reference point for the official writing of the history of 2020. The story and the fear will live on through these. It will be decades before the true lessons are learnt. Such is the power of the story.…
What are my thoughts. First, I think that the author is a first-rate economist based on past posts. Secondly, he is wandering from his field here. Thirdly, it's more complicated than he makes out.
While there is truth to narrative control as a causal factor socially, that control has been loosened by the Internet and especially the proliferation of social media. So the narrative is no longer monolithic, which blunts his major premise.
In addition, the "narrative control" syndrome has become a conspiracy theory. While there are elite factions that exert powerful influence on the narrative through the media, these factions are not always aligned because their interests are not completely congruent. So always look for the winners and losers and "follow the money and power."
Moreover, the factors involved are more complex than just the narrative. There are real factors, too, like the availability of real resources that can be brought to bear at scale. For example, the weak link in the chain of addressing the pandemic is medical resources, including plant, personnel, equipment and pharma. While this is not evenly distributed, it is widely enough felt to be an issue. A good deal of the dynamic is driven by the condition of the medical system.
There are other factors influencing the narrative, too. Fear sells and the corporate media is an industry. The incentive is to maintain and increase market share and this means providing customers with what they want to buy. It is well known in marketing and advertising that FEGG sells. FEGG = fear, exclusivity, guilt and greed. These are chief motivators in the consumer society.
Even without lockdowns, commerce has been affected negatively by people avoiding risk. While this is benefitting ecommerce, it is hurting other firms. Winners and losers.
Cameron Murray mentions another point that probably is not widely recognized when he writes, "It will be decades before the true lessons are learnt." I was discussing this recently with my physician, a med school professor. She was saying that not enough is known yet about this disease and so they are have to guess about many things that won't become clear until longer term studies are in. Some guesses turn out right and others wrong. The wrong ones reduce public confidence when they see policy changed.
The way I see it, the health care system is similar to the economic system. We understand how to manage both when the trend is stable, but not so much when the trend is unstable. A pandemic is to health care as a depression is to economics, and in fact, they can go hand in hand as a pandemic takes its toll on an economy. If it were not for fiscal liberalization, the US would be in much more economic difficulty, for instance.
In conclusion, as usual I think that all social major issues have to be addressed at the systemic level. The temptation is to get overly analytic and ignore relevant factors. I think that Cameron Murray puts his finger on an important factor but I also think that he does so at the expense of a more systematic approach.
For one thing, it is not the narrative that is the most prominent causal factor. It is the nature of the global pandemic as a complex social phenomenon requiring adaptation to changing conditions for survival. And being in the throes of it, we have not yet even started to figure it out. There are just too many issues in dispute, for instance.
The COVID story is ideal political cover, regardless of the truth, which never mattered
Cameron Murray | Post-Doctoral Fellow in the Henry Halloran Trust at The University of Sydney
See also
COVID-19: Politicisation, “corruption”, and suppression of science
Kamran Abbasi, Executive editor
British Medical Journal (November 13 2020)
BMJ 2020; 371 doi: https://doi.org/10.1136/bmj.m4425 (Published )
Cite this as: BMJ 2020;371:m4425
Kamran Abbasi is a physician, visiting professor at the Department of Primary Care and Public Health, Imperial College, London, executive editor of the British Medical Journal (BMJ), editor of the Journal of the Royal Society of Medicine (JRSM), journalist, cricket writer and broadcaster, who contributed to the expansion of international editions of the BMJ and has argued that medicine cannot exist in a political void. — WikipediaSee also
Policymakers have faced a crucial trade-off between curbing the spread of the Covid-19 pandemic and minimising further damage to economic activity. Employing reduced form econometric estimates of the Covid-19 pandemic, this column seeks to quantify the impact of government interventions on disease progression and mobility. It finds that a wide-ranging package of public health policies – including comprehensive testing, tracing and isolation, mask-wearing, and policies directed at vulnerable people in care homes – are crucial to avoid full lockdowns while also containing the spread of the virus. Such policies may, however, need to be complemented by selective containment measures such as restricting large public events and international travel or localised lockdowns....
vox.eu
Epidemiological and economic consequences of government responses to COVID-19Balázs Égert, Yvan Guillemette, Fabrice Murtin, David Turner
02 January 2021
16 comments:
Yes, the abuse of power is very complex. It will take us decades to figure it out, since this sort of phenomena has never been seen before. It will take decades to rediscover history, such as what measures were taken in a pandemic a century earlier.
It will take decades for health care systems to reinvent the wheel, namely triage.
Countless studies will be required to determine what went wrong, and how to be better prepared. Major breakthroughs in applying risk management to public health policy will have too be carefully and painstakingly crafted. If only this were as simple as rocket science.
Wash, rinse, and repeat.
Until there is an actual crisis, on the level of bubonic plague, or perhaps ecosystem collapse. The kind of complex debacles that take centuries to 'figure out'.
“such as what measures were taken in a pandemic a century earlier.”
Vaccines were not available back then... so people expectations of what our response can be will be different now..,
Other thing is with this mRNA process we might be able to collapse the implementation time for vaccines...
Or it may end up operating on all corona viruses because we synthesize only the spike protein so it may never happen again...
“The quadruple HS graft Dr. Prodromos uses is initially approximately 2.4 times stronger than the ACL it replaces. Ultimately this graft (and all implanted grafts) loses about half its strength so that its ultimate strength, based on animal studies, is estimated to be about 1.2 times stronger than the original ACL.”
https://www.ismoc.net/acl-reconstruction-graft-choice.html
ie better than brand new,,, we do stuff like this all the time.., improving the material original of the so called “intelligent design”... we do it all the time... since 1860...
Just under three million Americans vaccinated after Federal Government announced target of 20 million for December. Trump still not signed up partnership with major pharmacy chains one important reason for shortfall:-
https://www.cnbc.com/2020/12/29/us-to-fall-short-of-goal-to-vaccinate-20-million-by-years-end.html
Peter Pan
'It will take decades for health care systems to reinvent the wheel, namely triage.'
I'm not sure why you say this. For instance Arizona worked out a state and regional wide Covid 19 case transfer system within a few months.
@ Matt
Lack of vaccines at the start of a pandemic is the norm. It may even be a requirement.
@ hoonose
Why wasn't that plan already in place?
Why weren't there more ICUs per hospital?
The first question relates to lack of preparedness/contingency planning. The second relates to use of resources. There is a cost/benefit analysis that is supposed to be done beforehand. Everyone, including the public, should be aware of it and agree/disagree with it.
But I’m saying a century ago we didn’t even have vaccines or antibiotics...
So people would never say “let’s shutdown until vaccine”...
“ It may even be a requirement.”
Let’s see how this mRNA technique works out... might preclude viability of whole classes of pathogens...
@Peter Pan
All hospitals have various preparedness plans. But the Pandemic has finally exposed so many major deficiencies, all over the world. Space, equipment, staff and training. Space must include local off loading facilities, and that could include ICU space. But more likely recovery space and transition to home space.
I will never forget the night I was the ER doc at Ingalls Memorial south of Chicago when we got the call of a nearby Illinois Central crash with potentially over 100 patients. I quickly was informed that a plan had been established, including other ER's and less local hospitals. As it turned out there were only 4 serious enough cases that required hospitalization.
Covid 19 disasters popping up here and there all over the world are whole different ballgames due to the contagiousness.
When I had to send my wife back to the hospital with her Covid 19 case in April, I gave the EMS team some of my office PPE supplies that I still had since retiring in December.
"Public health is not commonly understood as a security issue, but it should be. Pandemic disease can destabilize regions, undermine economies, and create fertile territory for social and political unrest...We need to break the cycle in which our own public health system is beholden to emergency appropriations for specific epidemics... lacking the long-term budget certainty we need to shore up our defense for long term, accelerate development of vaccines..... bolster America's public health infrastructure to deal with the new challenges facing our communities and our families, including a new Public Health Rapid Response Fund to better respond to public health emergencies.....Hillary Clinton July 2016.
"That is why as President, I will create a Public Health Rapid Response Fund, with consistent, year-to-year budgets, to better enable the CDC, HHS, FEMA, state and local public health departments, hospital systems, and other federal agencies to quickly and aggressively respond to major public health crises and pandemics. I will also ensure that our government has strong leadership and is organized to better support and work with people on the ground facing public health challenges. Doctors and public health officials......Hilary Clinton August 24, 2016.
"....in addition we need to do more to boost our preparedness for biological threats and bioweapons; to support research for new diagnostic tests, therapeutic treatments, and vaccines for emerging diseases; to build capacity in public health departments; to train the next cadre of public health professionals and ensure that public health and environmental health practices are standard to the educations of medical students; and to provide resources for states and local governments to plan for complex, multi-faceted public health threats, like the impacts of climate change and pandemics and build more resilient communities."....Hillary Clinton October 2016
@ Matt
A century ago the argument that the curve must be flattened could be used, then allow the pandemic to run its course. People wouldn't say anything, they'd be amenable to whatever government officials told them.
@ hoonose
Material deficiencies are a symptom of what?
What would have come of Hillary's promises if she'd been elected?
Trump and other officials are criminally negligent, but will escape punishment. No accountability = no incentive to change. The risks posed by globalized travel are known, but they're eclipsed by economic concerns.
ICUs per hospital are determined by MBA types. It is all about keeping health systems profitable, not making sure ALL public medical contingencies are covered. Things like national emergency responses are the purview of federal govt and we have had plans for all types of emergencies from nuclear attacks to pandemics on the books for decades. We didn’t need to reinvent the wheel, just acknowledge the threat and put the appropriate level of response into place.
“A century ago the argument that the curve must be flattened could be used, “
But it wasn’t because there was no alternative...
Look at conventional warfare... people back then would say “let’s invade”... now we have nukes... so they say “uhhhh.. let’s not”...
Advances in Technology changes the options available ... and the public and their representatives in govt respond to those technology advancements...
If we didn’t know we could have vaccine in a few months we wouldn’t have locked down.., that’s why we never did it before..,
On the contrary, they could have locked down to flatten the curve more effectively than we can, given our dependence on global supply chains and 'just in time' production.
Once peak deaths occur, the lockdown can be lifted. That was the original strategy from last spring.
“On the contrary, they could have locked down to flatten the curve more effectively than we can,“
This is only known thru the present knowledge of epidemiology... it wasn’t known back then...
You are positing 20/20 hindsight..,
We proceed in the present with the knowledge we have in the present...
“Gee if the Wright brothers would have made an F-100 instead of that thing made out of wood they could have broken the sound barrier in 1903....”
https://en.wikipedia.org/wiki/Farr%27s_laws
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