Showing posts with label Jay Bhattacharya. Show all posts
Showing posts with label Jay Bhattacharya. Show all posts

Monday, April 27, 2020

WHO Are These Anti-Lockdown Medical Quacks That Keep Doing Dotard's Work For Him?


Health worker blocks Trumpie wackjobs over the weekend in Denver. One WSJ op-ed twit claimed the protester "risked contamination" of the ER - not realizing he was wearing a costume designed for the purpose of protest.


The chaotic, reckless, and  incompetent American response to the coronavirus pandemic, especially in a politically polarized and dysfunctional landscape, has spawned a formidable propaganda push.  On some days I swear the intensity is nearly as much as that mounted against serious, anti-Warren Commission JFK assassination researchers - like the late Mark Lane, Peter Dale Scott and  James Di Eugenio.   But we should not be  surprised at the level of propaganda - or that some scientists have been recruited to abet it - much like climate denier scientists willing to be paid whores for the fossil fuel industry.  This is the nation we inhabit, riven by a "partisan" pandemic - so you need to take care where you get your information.

As with any serious propaganda effort, if it is to gain "clickbait" in the competing media environment, there must be willing shills and quacks ready to sell out.  The sellout depends upon their spewing enough balderdash and bollocks to confuse the casual reader and make their arguments/ complaints seem plausible.  In this case, the arguments and complaints are against the medical specialist majority who point out that in the absence of a vaccine - or effective treatment- the only weapon left in the quiver is the social lockdown.  As prime evidence these genuine experts have  cited the example of the Spanish flu pandemic in 1918.  Specifically, how those communities that opened up for business too soon saw inundated  hospitals, morgues, funeral homes and even ordinary homes (where residents had to store the corpses in closets and basements ).  As noted in The Colorado Springs Gazette yesterday, p. 1A:

"In the fall of 1918, the number of cases finally appeared to be leveling off in Denver. Business owners pressured government officials to let them open back up, according to a history by Stephen Leonard, a professor at Metropolitan State University of Denver. 

Theater owners marched on the mayor’s office complaining that restrictions were costing them $50,000 per week. The mayor relented. On Nov. 11, Denver residents flooded back into the streets to celebrate the end of World War I. It turns out, they were playing Russian roulette with the virus. Two weeks later, the city recorded 605 cases of Spanish flu and 22 deaths on a single day. Stay-at-home orders and other restrictions went back in place and the economy stalled anew."

Do the quacks that are trotted out now for positive spin get any of that?  Have they seen the 21 pages of obituaries  (with photos)- all Covid patients- such as recently appeared in The Boston Globe?  I doubt it. Else they'd not make stupid comparisons to "seasonal flu" or try to suggest "data" that indicates the severity isn't much worse than that.  I already cited one quack,  Joseph A. Ladapo (of UCLA),  who claimed in a recent op-ed that "the shutdowns if prolonged will only make matters worse."      Adding that even when restrictions are lifted "we will emerge right back where we started.... and no matter what our hospitals will still be overwhelmed."

 In  response to Ladapo's  loose nonsense I noted his obsession with the fatality rate -which, yeah, can be reasonably debated given our too low testing - but must not be conflated with the potential of this virus to overrun medical resources.  (Especially in the wake of the most recent finding of "silent hypoxia" seeded by the virus).  I use the same argument against the more recent anti-lockdown shills, including Dr. John Ioannidis  (WSJ, op. cit. p. A13, 'The Bearer of Good Coronavirus News') and  Dr. David Katz who appeared on Real Time Friday night - mostly as Bill Maher's  politically incorrect pet.

In the case of Ioannidis, we read (ibid.) - according to his WSJ PR - propaganda shill  Allysia Ginley (author of the piece):

"He's published more than 1,000 papers yet he's now found himself pilloried because he dissents from theories behind the lockdowns - because he's looked at the data and found good news." 

What's this 'good news'?   Well, in a March article published in Stat News he's argued that Covid-19 is "far less deadly than modelers were assuming" - with a likely fatality rate "comparable to that of seasonal flu."    The study on which the piece was based used data from some 3,300 people in San Jose, CA, to do an antibody test analysis.  The finding was that the actually number of infected people was 50-85x greater than actually found with the antigen tests (which most people are seeking and for which there exists a dearth of reagents, swabs etc.) Anyway Ioannidis & Co. thereby concluded that because the number of infected was so much greater then the actual fatality rate had to be vastly lower - from 0.12 % to 0.20 %, or about the same as a bad seasonal flu.

That's pretty cool considering that - as critics have pointed out - the study was "not random in selection"  and "disproportionately weighted toward white women under 64".  Jeezus Peace! He leaves out the demographics most susceptible to the virus (African Americans and the elderly) then has the nerve to trot out this B.S.  that the fatality rate is comparable to seasonal flu?   I call quackery! Indeed, given newly released data in a separate antibody study (using professional statistical standards) discloses the Covid-19 virus is "far more lethal" than flu, it pretty well proves Ioannidis is a quack.

We further learn he's  taken issue with the Imperial College study announced some 6 weeks ago., i.e.  "If data are limited or flawed their errors are being propagated through the model".

That's pretty choice - leveling charges on "flaws and data errors" when his own study is rife with selection bias. It did try to correct  for the selection bias  by "weighting the results according to sex, bias and ZIP code",   but everyone who's done serious statistical research knows that sort of ex post facto tweaking is mostly B.S.  In an analogous sense, I pointed out the multiple selection biases introduced in relation to the research of  an astrophysics quack,  Jason Lisle.  This character (who also believes in a "young Sun")   attempted to substitute 'local correlation tracking' (LCT)  for a failure to resolve granules in his work and thereby obtain accurate data  e..g.

Why Jason Lisle is wrong in his Solar Super-granul...

Meanwhile,  unlike Lisle, this guy Ioannidis has earned much of his status and renown doing "meta - analyses", i.e. analyzing the foibles, flaws in others' research.  Maybe it's time to reintroduce  Ioannidis to the old saw "Physician, heal thyself".  Or in this case, medical researcher learn from your own critiques!

Back to the WSJ  PR puff piece, we further see Ioannides  unloading on the pro-lockdown medical specialists, i.e.:  "There's just some sort of mob mentality operating here that just insists this has to be the end of the world, that the sky is falling".  Here, I had to again call "Q-U-A-C-K"  and would have even if he had published 1 million papers .  Too harsh?   Not at all! Ioannidis'  bollocks about the "sky is falling" sealed it for me that he's either a  witting (or unwitting) Trump tool or willing quack.  Because none of the medical specialists and epidemiologists who've advised that the lockdown is our only weapon, including: Drs. Anhony Fauci, Harvard's  Ashish Jha   and Penn State's Zeke Emanuel, have said "it's the end of the world" or the "sky is falling".  They have said that no social distancing or lockdown  risks the inundation of the medical care and health system, the realistic nightmare scenario.  Especially in an environment in which the number of respirators, N95 masks and general PPE are so critically low - thanks to the incompetent and criminal Trump bunch - so that front line ER and ICU docs, nurses are having to re-use masks week after week.  

Another dumb remark of Ioannidis was:"We have some evidence that negative news is more attractive than positive news, gets more clicks."  Which makes me wonder which parallel world he inhabits.  Because at least on Brane Space, whenever I've posted anything on the pandemic the reads are 40- 50 percent fewer than other topics, including for the mathematical and physics diversions. Go figure!  There is also something to be said - as NY Times' Jennifer Senior points out ('In Praise of Pessimism'), for being a "defensive pessimist" in a time like we're in.   As she writes:

"What, you may ask, are defensive pessimists? They are people who lean way into their anxiety, rather than repress it or narcotize it or allow it to petrify them into stone. Because if things start going downhill, defensive pessimists will be the ones with their feet already on the brakes."


I've also found defensive pessimists  - among whom are most of my friends, acquaintances- are more able to separate noise from signal in our saturated media realm. They are also more likely to spot BS from a mile away, and avoid being snookered like too many in the population.  They also tend to have more active agency and critical thinking skills.  So, yeah, they are drawn to more "negative" accounts because they suspect (rightly) they are more likely invested with reality, as opposed to Pollyannish propaganda like Ioannidis tries to foist on us.


 Further research discloses that Stanford harbors a nest of these quacks (not surprising given it's the site of the Hoover Institution) who are carrying water for FOX, and "making Trump's talking points for him."  In fact, all the work of these ideologically contaminated bozos needs to be ignored, like Jason Lisle's bunkum in pseudo-astrophysics. In line with my objections (above)  Marm Kilpatrick, an infectious disease researcher at the University of California Santa Cruz has noted in respect of the antibody-based Stanford study. “The authors have made no efforts to deal with clearly known biases and whole study design is problematic.”  Other critics have contended the Stanford  (antibody) analysis is troubled because it draws sweeping conclusions based on statistically rare events, and is rife with sampling and statistical imperfections.

Perhaps  it ought not surprise anyone that two other Stanford quacks (Eran Bendavid,  Jay Bhattacharyahad earlier received prominence in another WSJ op ed  ('Is COVID-19 As Deadly As They Say', p. A16, March 25).  Indeed,  the  pair's nonsense was widely circulated on pro-Trump websites,   and you got the same screwball analysis as Ioannidis. They wrote, “A universal quarantine may not be worth the costs it imposes on the economy, community and individual mental and physical health. We should undertake immediate steps to evaluate the empirical basis of the current lockdowns.

The Imperial College  report, was released  by an epidemic modeling group at Imperial College London..  The bottom line conclusion from one of its lead authors - Neil Ferguson - was that: the potential health impacts were comparable to the devastating 1918 influenza outbreak.  Also, and this is the kicker, would “kind of overwhelm health system capacity in any developed country, including the United States unless measures to reduce the spread of the virus were taken."

 That is the core  aspect for lockdowns, not the death or fatality rate per se, which none of these goofballs gets. One indeed wonders if any of these "rebels"  has seen the evening news coverage showing the interior of ERs with a shortage of ventilators, and the dead bodies having to be put into refrigeration trucks for storage. This was revealed via a jarring video released 2 weeks earlier showing the inside of an overwhelmed ER at Elmhurst hospital in Queens.  This was compliments of Dr. Colleen Smith - who became a COVID-19 victim herself- probably from not having adequate protective equipment.

 Yet another medical quack not yet discussed is David Katz, who appeared on Bill Maher's isolated setting version of Real Time in a one on one.  Katz bloviated for 10-15 minutes along similar lines to Ioannidis, and mostly just reinforcing Maher's confirmation bias. That is,  that this virus isn't much worse than flu and certainly that a lockdown  is an overreaction.   

All Maher succeeded in doing is reveal "even more dangerous quackery" -  his own - in hyping Katz. This from a guy (supposedly high IQ) but still leery of vaccines, e.g.

https://www.thedailybeast.com/bill-maher-believes-people-should-want-to-get-coronavirus

As noted from the above link:

On Friday night, instead of opting for a despicably racist rant against China over the novel coronavirus or blaming the media, Bill Maher welcomed Dr. David Katz, a doctor and ex-instructor at the Yale School of Medicine, onto his show Real Time.

Dr. Katz, who consistently flaunts his Yale ties despite the fact that they were severed in 2016, has become something of a right-wing darling after penning a controversial New York Times op-ed on March 20 titled “Is Our Fight Against Coronavirus Worse Than the Disease?” In it, Katz argues against the self-isolation policies put in place by most of the U.S., instead saying the country should isolate the elderly and infirm, which would thus “allow most of society to return to life as usual and perhaps prevent vast segments of the economy from collapsing. Healthy children could return to school and healthy adults go back to their jobs. Theaters and restaurants could reopen, though we might be wise to avoid very large social gatherings like stadium sporting events and concerts.”

Following his op-ed, Katz has made appearances on Fox News touting his hole-filled theory, thereby co-signing a network that’s called the pandemic a “hoax”; repeatedly downplayed it; and spent hours and hours pushing hydroxychloroquine as a miracle cure, even though it’s been determined by most of the medical community to do way more harm than good following a series of poisonings and deaths. On top of that, a convincing refutation of Katz’s ill-advised piece was published in The New York Times from those currently at the Yale School of Public Health that read, in part: '
it is not yet known who all of the most vulnerable people are. We believe that  it is easier, quicker and more efficient to reduce transmission over all than to permit high levels of transmission in the community but somehow keep it from afflicting susceptible people in our highly networked world.'

Despite all this, there was Katz on Maher’s HBO show regurgitating the arguments he made in his ridiculed Times piece—which he wrote when we were at 200 deaths nationwide; we’re now at 52,400 deaths and climbing with strict shutdowns and social distancing in place. "

To Katz’s argument that everyone should want to get infected with COVID-19, Maher actually  replied, “Yeah, I think you make a lot of sense there. And I think it’s a shame—you talk about politicization, that people like you who sound reasonable, maybe it’s not the exact one true opinion you hear somewhere else, has to go on Fox News.”     Seriously, Bill?  He has to go on FOX News because that is the place for pushing hoaxes, hoax "cures" (like hydroxychloroquine) and quacks like Katz.

 Another aspect of Katz I learned: He was rightly pilloried by skeptics back in 2008 for propounding the concept of  "fluidity of evidence".  In fact there is no such thing. Evidence either exists in an objective form or it does not, there is no 'fluidity' about it.   As noted from Science Blogs (June 18, 2008)

"No, he is not happy at all. Specifically, he is not happy with the skeptical blogosphere. He apparently feels that we nasty, close-minded skeptics have been so very unfair in our discussions of him. Specifically, he is not happy how several of us have called him to task for his remarks at the 1st Annual Integrative Medicine Scientific Symposium held in April at Yale University. In particular, what stood out (and provoked the sarcasm and contempt of several bloggers devoted to discussing scientific medicine and going after quackery) was Dr. Katz's fanatastically Orwellian advocating for a more "fluid concept of evidence" in evaluating so-called "complementary and alternative medicine" (CAM) or "integrative" medicine. His remarks were lambasted in particular by Professor David Colquhoun (who characterized his remarks as "not science" and "not even common sense"), 

Incredibly,  Katz also claimed  on Real Time that it’s “the liberal ideology that seems to be so resistant to talking about unemployment and the economy,” when amid the COVID-19 crisis, the progressive left wing of the Democratic Party—Bernie Sanders, AOC and the like—have been fighting hard for workers and arguing for rent cancellation as well as giving $2,000 a month to each household during the shutdown.  Maher's response? A bot -like nod of the head, no challenge, no criticism - despite having interviewed Sen. Sanders only a few weeks earlier (April 3rd Real Time) and being told first hand the mission. 

All of which explains why Janice is no longer able to watch Maher, as he  has allowed an original welcome independence of thought to descend into a form of stupidity in the name of misplaced political incorrectness.   The reason Katz is not on stations other than FOX is that he is a transparent quack, a useful idiot for the lowbrows and spin masters that infest Trump TV - and useful for the Trump bunch to exploit. 

Sadly, Maher seems to be going along this same arc as the useful (to Trump, FOX) medical quacks.  No doubt Ioannidis isn't appearing on sober  and serious cable sources for the same reason. Why have that Trump tool babbling his bullshit  on All In or Maddow  when you can have Harvard's Prof. Ashish Jha  relating sound data and research instead?   

People need to be aware of these aspects when they choose their sources of information, media. Don't get suckered into the Trumpian bullshit orbit!

See Also:




And:


Friday, March 27, 2020

ERs Like "War Zones" So How Did Two Stanford "Medical" Profs Misfire On COVID-19's Real Threat?



"If you people and your governors treated me nicer I'd make sure you had enough masks!"

"It's just keeps getting worse and worse, today we had to get a refrigerated truck to store the bodies for the already dead patients.  The frustrating thing about all this is it just feels like it's too little. too late.  Like we knew it was coming and did little or nothing. Five ventilators is all we have." Dr. Colleen Smith, Elmhurst Hospital, NYC

"I fully recognize I am choosing between saving peoples lives and saving peoples' livelihoods. But ultimately you can't have a livelihood if you don't have your life." - Illionois Gov. J. B. Pritzker

"Nurses who are testing positive are actually being asked to come in and care for patients and to wear garbage bags for protective gear." - Dr David Agus, CBS, March 26

"We are standing on the edge of the ocean in the dark. We’re waiting for the wave to hit and we have no idea how high the wave is going to be.... You have trusted the system your whole life to keep you safe.  You keep waiting for the system to kick in. But you realize no one’s coming to save us.” Dr.Vicki Jackson, head of Palliative Care, MASS General, quoted in NY Times

"Have you seen the HBO show ‘Chernobyl’? There are invisible risks that trail you, just like with this virus...”  -   Dr. Michelle Au,  Anesthesiologist, Emory St. Joseph’s Hospital in Atlanta, Ga., quoted in NY Times

"We've ended up being far more unprepared than anyone expected,  and one of the main reasons for that is the failure of testing. None of the experts I talked to expected that America -with its biomedical power- would completely fail to roll out widespread testing for a new pathogen. The scope of that failure has really cascaded through the country's preparedness measures."  Ed Yong, Staff writer, The Atlantic


"When Trump stands in the White House briefing room and — in a performance that is played live for millions of viewers across the country — acts as though the situation is under control, there’s no sense of the devastation that is sweeping the country.  He fights with governors, he insults reporters, he attacks China, and he boasts about his own (rather disastrous) performance. Often, he flat-out lies. He misrepresents the science, frequently contradicting his own experts, and he twists facts to suit his preferred narrative." - Cody Fenwick, smirkingchimp.com

"The inability of so much of the public to remember what Trump was saying just a month ago suggests that, in addition to the coronavirus crisis, we’re also experiencing a national amnesia pandemic."   - Bret Stephens, NY Times

Even as we learned yesterday the U.S. has now attained the dubious distinction  of having the most confirmed COVID-19 infections, millions of citizens remain stupefied like zombies in Trump's perverted orbit.  See e.g.



What gives?  One Gallup Poll - totally unbelievable given the times and Trump's total incompetence-  saw 60 % of voters now approving of Trump's shitstorm response.  As I read it I decided not to mention a word to Janice as it would be another piece of evidence for her that most Americans are cretins and morons. How could they not be? There is something especially infuriating as well as depressing when one beholds the interior of ERs with a shortage of ventilators, and the dead bodies having to be put into refrigeration trucks for storage. This was revealed via a jarring video released on CBS yesterday morning showing the inside of an overwhelmed ER at Elmhurst hospital in Queens.  This was compliments of Dr. Colleen Smith, who believes - as I firmly do - Americans need to see what the hell is going on in our overwhelmed hospitals, ERs.  (Described by one EMS worker as a "war zone" on CBS this morning.  Of course, yesterday we beheld the sorry spectacle of these front line doctors, nurses, having to use Hefty Trash Bags as protective gowns.)

ERs are overloaded specially in NYC now at the epicenter of this COVID-19 eruption, but New Orleans is soon to follow and likely Miami too. All over, but at different levels, medical personnel in the U.S., are still being victimized by the incompetent buffoon in the White House. A buffoon and traitor who insists on conducting a state vs. state  social Darwinian "free for all".  Having states  try to outbid each other for desperately needed N95 masks and ventilators, instead of delivering these critical supplies via a national coordination.  But see that would take too much leadership skill, and devotion to the welfare of the nation as opposed to oneself- which Capt. Bonespurs lacks. 

So this derelict, deranged  pretender would rather play favorites in a crisis - giving supplies to those like Reepo Gov. Ron Desantis in Florida (still keeping his state mostly open) -  but denying resources like N95 masks, ventilators  to the Blue states like NY, NJ and California. As he told FOX news Wednesday:  "I'd help these Dem governors but it's a two way street. They have to treat us well, also."

Seriously,  Bonespurs?  They must  "treat you well"?    Are you suffering from the virus, on a ventilator? Are you having to wear trash bags in place of surgical protective gowns?  Are you having to re-use N95 masks over and over? Or  ask your relatives to sew them for you using Youtube instructions? Or is it you're not being "treated well" because those Blue state governors are more concerned with their citizens' lives than kissing your fat, orange ass? 

 But what would you expect from this narcissist, megalomaniac traitor who now asserts the media wants to keep the country shut down to hurt his re-election chances?  In the Turd -in -Chief's own words when asked about it:

"I think there are people in the media who want the country to do financially poorly because they think that would be very good in defeating me at the polls."

This shows the fetid, feral  imp cares more about resuming four more years of his traitorous, unconstitutional, authoritarian fascist regime than keeping Americans alive during this pandemic.  He is more obsessed with retaining unearned power than actually acting the part of a president who can coordinate national resources in a crisis. So ER Drs. like Colleen Smith don't have to make covert videos to reveal the actual situation in overwhelmed hospitals.

Meanwhile, on his 'All In' show Wednesday night, Chris Hayes featured ER Dr. Craig Spencer who noted:

"I've worked in West Africa during the Ebola outbreak, but there's something about this that feels palpably worse. One is knowing we're just at the beginning of this. Case numbers are increasing and you're already seeing hospitals without personal protective equipment, and ventilators and making these temporary morgues outside of hospitals.  This idea that in two or three weeks we're going to be somehow past this is just crazy, magical thinking."

And yet two Stanford medical professors (Eran Bendavid,  Jay Bhattacharya) in a recent WSJ op-ed ('Is COVID-19 As Deadly As They Say', p. A16, March 25) evidently think this is all huff and puff, no biggie. They write:

"If it's true that the novel coronavirus would kill millions without shelter- in -place orders and quarantines, then the extraordinary measures being carried out in cities and states around the country are surely justified. But there's little evidence to confirm that premise - and projections of the death toll could be orders of magnitude too high."

Going on to write that the fatality rate:  "is misleading because of selection bias in testing. The degree of bias is uncertain because the available data are limited."

Uh, whose fault is that? Three guesses, the first two don't count.  They then go on to make the point that "the differences in computation could make the difference in fatality rate, say between 20,000 and 2 million being killed.   Also "if the number of actual infections is much larger then the true fatality rate is much lower as well."

No argument from me there, but these two are guilty of overthinking re: fatalities,  and not keeping their eye on the actual "ball": COVID-19's  calamitous effects on hospitals, overrunning them with critical care patients - most of whom need to be on ventilators for 11-21 days. This compares to 3-4 days for patients recovering from ordinary flu, say, or other respiratory conditions.  The length of time for respiratory convalescence (on ventilators) means other patients - say suffering from cardiac arrest, car accidents, etc. are given short shrift- since there's no space in intensive care.  But when hospitals are slammed - everyone coming in at once- then too many will lose out, including COVID-19 patients.  As one nurse from a Madrid hospital  put it in a recent WSJ piece (March 24), referring to the surplus patients - many of them older:

"In normal conditions, we could have saved their lives. But now there's not enough space in the intensive care unit."

Reading the op-ed by the Stanford pair,  I concluded they have zero conception of the principle of  flattening the curve, the essential need to do so,  in order not to overwhelm health capacity to which the Madrid RN referred, e.g.

Image may contain: text
Hence, the putative basis for social sequester  is not  totally preventing deaths per se  - as horrific and terrible as that aspect is - but rather avoiding an inundation of the health care system itself.  Often described by many drs. and nurses as an oncoming "tsunami". See for example:


With a Doctor in a Brooklyn E.R.: ‘We’re in Disaster Mode’

Inundation of medical treatment capacity arises from a sudden surge in COVID-19  patients needing critical care in ICUs. (See e.g. 'Intensive Care Bed Shortage Looms' WSJ,  March 25,  p. A6)  This is the aspect, including use of ventilators - which are in short supply-  these two supposedly educated profs miss. Evidenced on writing further:

"A universal quarantine may not be worth the costs it imposes on the economy, community and individual mental and physical health."

But if one grasps that the universal quarantine IS working, in relation to keeping medical resources from being surged into oblivion - then the claim is pure codswallop.    We KNOW it's working because one can easily see the data presented at the Johns Hopkins website, where it's glaringly obvious which nations (and states) are practicing successful social separation and which aren't.   E.g.

https://coronavirus.jhu.edu/map.html


 Further, one can also go to the Kinsa Health website,  e.g.
https://www.inputmag.com/tech/kinsa-coronavirus-live-tracking-is-ahead-of-its-time-but-we-need-more-data

And see clearly where (using the company's smart thermometer real time data) the atypical fevers are surging and which states are facing hospital and medical resources apocalypses - such as described by Dr. Colleen Smith at her ER in Queens, NY.


The two Stanford Profs are also clueless in respect to two, cold brutal facts that cannot be diminished by use of a PR puff piece on the op-ed pages of the WSJ (always glad to get PR from those with any medical credentials eager to play into the Murdoch company's spin game.)

1) It will take over a million confirmed cases and a ghastly number of deaths before we reach any "herd immunity" - the threshold pivot at which people can really be expected to return to open, non-quarantined living.

2) It will be from 12-18 months before we get a workable, feasible vaccine  And we know from  existing Kinsa fever and Hopkins data that if we rush back like Dotard wants, 2.2 million Americans alone could pay the price. Again, the fatalities are only one part of the story. With such a scale of deaths from COVID-19 the infections and critical patients would be 10-20 times more, from 10 - to 22 million. Effectively sending the U.S. health system as it is into the dumpster.

Again, it is the inundation of medical resources and hospitals that these two clowns fail to appreciate.    For example, as Atlantic Health Staff writer Ed Yong pointed out to Chris Hayes on 'All In' last night, because of the flubbed testing rollout we never got a handle on the virus' whereabouts. Hospitals with stored supplies to be distributed (and especially in case of a pandemic) had plans  "but which couldn't be enacted because we had no idea where the virus was or how many people were infected."

Adding: "By the time we did know it was everywhere  which sent states into a situation where they had to compete with each other for precious few resources from dwindling international supply chains."

Yong also observes, as I have, that too few Americans are able to process exponential growth, especially in terms of a disease quickly overrunning medical resources even if relatively few die. As he told Hayes:  

"Too few understand how quickly things can go wrong. This is exacerbated by the nature of this virus itself.  The virus has a very long fuse to it. So it takes a long time for symptoms to show up during which time people can spread the virus. Then it takes a long time for those symptomatic cases to end up in the ICU on ventilators.

What that means is we underestimate the proportionality of the response that's required. People see social distancing, they stay in their homes for several days and they think:  'What is this for?',  'Why am I doing this?'.  The reason we're doing this is to give the rest of the health care system enough time to prepare themselves.  

It takes so long for these events to develop and unfold that we need to instigate these social distancing measures  ahead of time, before they feel proportionate and for a long time during which they might not feel like they're working. Only then can we slow the spread enough.''


Incredible that an Atlantic Staff journalist has more depth of insight and understanding than the two Stanford medical profs, but there it is.  He gets it, and why we need the quarantine, they don't.  Neither does Dotard, who ought to be issuing an Executive order for a national quarantine, not calling for a premature end that will cost many more American lives.

Johns Hopkins real time data currently shows the actual number of Americans infected  by COVID-19 is probably 500,000.   If 80 percent have only light symptoms, but 20 percent are "moderate to severe" (including any respiratory distress) that is already 100,000 likely needing ventilators for at least 10 days- 2 weeks That is an incredibly intense hit on ICUs, given the total ventilator supply in the U.S. is estimated at only 160,000 - and if the worst infections soar to 2 million (not deaths just moderate to severe effects) the medical system is totally overwhelmed.  

They also fail to recognize a universal quarantine would not have been required if we had acted early and competently - with actual leadership- as opposed to frittering away the 40 odd day head start the Chinese provided with their strict lockdown, e.g. of Wuhan.  Having wasted that time, the only tool left in the tool box became the blunt one of quarantine.  It is the only one we have left now to prevent 160- 210 million Americans being infected - in the worst case projection of the CDC.  If even 5 % of the lower limit become critical, needing ICUs and ventilators, we are looking at 8 million critical care COVID -19 patients, enough to overrun and scuttle the whole U.S. health system. (Let us also please bear in mind while the COVID -19 patients occupy hospital beds there is no chance of other critical procedures being done. These may range from cardiac procedures, to gall bladder removals, to appendectomies, to cancer surgeries.  Hence, the more COVID patients occupying rooms the more the ancillary deaths will increase, i.e. from delayed but critical operations. )

A Harvard Global Health Institute analysis released last week examined several scenarios to estimate how hospitals in each of the U.S. health regions wold cope with surging COVID-19 patients.  It focused on adults and the results revealed the biggest shortfall in ICU capacity were consistent with those in an earlier WSJ analysis.  

The latter in tandem with the Harvard analysis disclosed the greatest vulnerabilities - chances of running our of bed space in ICUs-  were in those areas with the fewest existing ICU beds.   These are currently the states with the preponderance of Trump voters, rural voters who are given to believe any quarantine is a case of "liberal media hysteria."  Well thanks to their boy Donnie, they will soon find out just why that "hysteria" exists.

The report by Dr. Colleen Smith,

 In her jarring video at Elmhurst hospital in Queens NY,  showed how dark those WSJ, Harvard projections really are - and also how many other hospitals (in Louisiana, Michigan, New Jersey etc - in last night's news) - are near the breaking point.  Once that breaking point is reached, as it will be throughout the nation because of Bonespurs' failure at national coordination, will we see more twaddle from the likes of the Stanford geniuses? Time will tell.

All of which also underscores the argument (by Jeffrey Lewis of the Bulletin of the Atomic Scientists) that the COVID-19 pandemic  is akin to a slow moving nuclear war or disaster, e.g.


Recognition of this by Scripps infectious disease researcher Kristian Anderson, led her to acknowledge (WSJ, March 26, p. A8):

"Life is not going to be back to what we consider normal for years to come. We need to figure out how we are going to function as a society for the next three years."

This sober take, let us note, is also one that any professional medical person would take in the wake of a limited nuclear war, or one in which a Chernobyl -scale accident occurred on every continent. Sadly, too many still are not processing this pandemic in those stark terms, for whatever reasons. Among those is the WSJ hack and flake Kimberley Strassel ('Big Government Contagion',  today, p. A15), who unleashes petty howls of objection at the House Dems for including (in the emergency aid package):

"$25 billion more for food stamps and child nutrition, $12 billion more for housing, $3.5 billion for child care,  and $900 million more for low income heating assistance."

Which she condemns as "a massive expansion of the welfare state."  In other words, let the lower tier unemployed plebes starve, go homeless, and freeze, but don't give the money proportional to the crisis we're in.  But why be surprised? All you need to know about Strassel is how she pumped the cockeyed conspiracy twaddle about Hillary, Fusion GPS, the FBI, Mueller and the Dems plotting to bring Dotard down, i.e.



Meanwhile, the latest poster boy for pandemic imbecility  - or maybe the "Kim Strassel Buttbrain Award of the Day"- goes to Mississippi Gov. Tate Reeves. This cornpone yokel with maybe three brain cells in all, recently issued an executive order to keep his state open for business - even overriding a local lockdown ordered by Tupelo mayor Jason Shelton. Shelton was trying to do the right thing for his citizens, in line with current science as opposed to Trumpian fantasy, and was overturned by Little Boy Tate.  As Janice put it, "I just hope that redneck has enough ventilators, and if not, then body bags."  

The U.S. and many of the other nations now on the exponential  upswing could have avoided mass shuttering had they not fumbled the response at the outset.  That fumbling included screwing up delivery of proper tests - without which we are blind to the virus' whereabouts-  as well as capable contact tracing.  See, e.g.
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Thus our stats will grow worse while those nations (like Taiwan and Japan)  that had the sense to enact a national response and organized  a timely distribution of medical supplies are already recovering. Alas, the U.S. is not in that company as one can see by noting the infections curve which has a slope higher than even Spain and Italy.  Hopefully,  the two illustrious Stanford profs will process all these stats (and Ed Yong's points) which overwhelmingly confirm the benefits of social distance.  Yes, we can remove these restrictions - the "universal shutdown" (or what ought to be if Trump wasn't such an ignorant, compromised dolt) - but that can only be when either: a) herd immunity arrives, or b) an effective vaccine emerges.


See Also:


And:


And:

Trump Wants to ‘Reopen America.’ Here’s What Happens if We Do.