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Posts published in “COVID”

COVID Is About Done and America is Poised for Greatness

When looked at through the long lens of history, COVID will be just the latest disaster that we Americans confronted and defeated as we scaled new and unfathomable heights.

With nearly 500,000 American deaths attributed to COVID in the past year, the news has been  unrelentingly negative. Many of our friends, neighbors and loved ones are understandably frightened. They fear for themselves, for their families, and for the future.

But as the ancient proverb reminds us, “It is always darkest just before the dawn.” The ability of the human spirit to triumph over adversity should never be underestimated. And the spirit of entrepreneurship, ingenuity, and problem-solving that distinguishes the American character should never been given short shrift.

History. For the truth is that America has been down and out before. Many times in our history things have looked ominous, bleak and forbidding:

at Valley Forge during the War of Independence, throughout the Civil War, the 1918 Pandemic, the Great Depression, World War II and the darkest days of the Cold War, during the riots and assassinations of the late 1960’s, and during the decade-long decline and stagflation of the 1970’s.

But despite these earth-shattering historical events—or perhaps because of them—America has always picked itself up, fought back, triumphed, and emerged all the stronger. Of course, this is no guarantee of future success, but it is a compelling reason not to count America out.

Triumph. I say all this because, according to Dr. Marty Makary, a professor at the Johns Hopkins University School of Medicine and Bloomberg School of Public Health, our long national nightmare—COVID and the consequent closure of the schools and economic lockdowns—will soon be a thing of the past: yet another chapter in our nation’s history where the spirt of America endured, triumphed, and prevailed.

How is this possible? Well, as as Dr. Makary explains:

Amid the dire Covid warnings, one crucial fact has been largely ignored: Cases are down 77% over the past six weeks. If a medication slashed cases by 77%, we’d call it a miracle pill. Why is the number of cases plummeting much faster than experts predicted?

In large part because natural immunity from prior infection is far more common than can be measured by testing.

Testing has been capturing only from 10% to 25% of infections, depending on when during the pandemic someone got the virus. Applying a time-weighted case capture average of 1 in 6.5 to the cumulative 28 million confirmed cases would mean about 55% of Americans have natural immunity.

Now add people getting vaccinated. As of this week, 15% of Americans have received the vaccine, and the figure is rising fast. Former Food and Drug Commissioner Scott Gottlieb estimates 250 million doses will have been delivered to some 150 million people by the end of March.

There is reason to think the country is racing toward an extremely low level of infection. As more people have been infected, most of whom have mild or no symptoms, there are fewer Americans left to be infected.

At the current trajectory, I expect Covid will be mostly gone by April, allowing Americans to resume normal life [emphasis added].

Economic Boom. Moreover, as the New York Times’ Ben Casselman reports, once COVID is vanquished, or at least rendered no worse than the seasonal flu, America is poised for a “supercharged [economic] rebound that brings down unemployment, drive up wages, and may foster years of stronger growth.”

“There are hints, he writes,

that the economy has turned a corner: Retail sales jumped last month as the latest round of government aid began showing up in consumers’ bank accounts.

New unemployment claims have declined from early January, though they remain high. Measures of business investment have picked up, a sign of confidence from corporate leaders.

Economists surveyed by the Federal Reserve Bank of Philadelphia this month predicted that U.S. output will increase 4.5 percent this year, which would make it the best year since 1999.

Some expect an even stronger bounce: Economists at Goldman Sachs forecast that the economy will grow 6.8 percent this year and that the unemployment rate will drop to 4.1 percent by December, a level that took eight years to achieve after the last recession.

“We’re extremely likely to get a very high growth rate,” said Jan Hatzius, Goldman’s chief economist. “Whether it’s a boom or not, I do think it’s a V-shaped recovery,” he added, referring to a steep drop followed by a sharp rebound.

Credit the scientists and researchers who developed a COVID vaccine in record time. Credit American entrepreneurs and businessmen who created new and novel ways to supply goods and services amid the pandemic.

Credit President Trump and members of Congress, both Democrats and Republicans, for acting quickly and decisively to sustain and support American families and American consumers.

And credit the Federal Reserve and Department of the Treasury for taking extraordinary and effective measures that keep the economy afloat in treacherous and turbulent waters.

But most of all credit the American people who, once again, demonstrated their resilience and resolve at a time when a nasty pandemic unexpectedly struck and threatened to destroy all that we hold dear.

We never submitted; we never surrendered; and, God willing, we never will.

Feature photo credit: Dr. Marty Makary, Professor of Medicine at Johns Hopkins and author of The Price We Pay: What Broke American Healthcare—and How to Fix It, courtesy of the Washington Speakers Bureau.

What the Media Won’t Tell You About COVID

COVID data tell a different and more positive story than the fear and alarmism propagated by the media.

The media, the politicians, and the public health experts are all warning about a dark and dangerous winter ahead. The dreaded “third wave” of the virus, we are told, is about to crest and with potentially devastating consequences for us all.

“Wave Three of the pandemic continues its rise, and America continues to be blanketed with new cases of COVID-19. This month has seen a million new reported infections a week,” said Margaret Brennan on Face the Nation.

“For the next two or three months, we’re in the fight of our lives,” declared New Jersey Governor Phil Murphy on Fox News Sunday. “There’s a lot of private-setting transmission [of the virus] going on.”

“In the two days since Thanksgiving, there have been 346,000 new confirmed COVID cases in the United States and 2,700 deaths.

“Of course, we won’t know for a while how bad the surge of cases and deaths due to Thanksgiving weekend travel will be,” said Chuck Todd on Meet the Press.

Progress. Of course, no one wishes to downplay the pandemic, which has killed far too many Americans (an estimated 266,000, according to John Hopkins’ Coronavirus Resource Center). But as the old English proverb has it, it is always darkest just before the dawn.

A review of the data suggests that maybe, just maybe, things aren’t as bleak as the media, the politicians, and the public health experts suggest.

After all: since COVID hit our shores last February:

  • we have developed more effective treatment regimens and therapeutics;
  • increasing numbers of patients have been treated on an outpatient basis and correspondingly fewer, relatively speaking, have been hospitalized; and
  • the holy grail—safe and effective vaccines—are just a couple of months away from becoming widely available.

Perspective. No, this doesn’t mean all is well and that we’re “out of the woods,” as they say. But neither does it mean that that fear and alarmism should guide us.

What it does mean is that perspective is required; and that the assumption of reasonable risk is a necessary and integral part of life—with or without a pandemic.

President Trump has been a weak and inept leader, but he got many things right. He was especially right when, in October, he implored Americans not to let COVID-19 dominate them and ruin their lives.

“Don’t let it dominate you. Don’t be afraid of it,” Trump said.

You’re gonna beat it. We have the best medical equipment. We have the best medicines, all developed recently. And you’re gonna beat it…

Don’t let it take over your lives. Don’t let that happen. We’re the greatest country in the world. 

We’re going back to work… We’re gonna be out front… I know there’s a risk; there’s a danger, but that’s OK…

Don’t let it dominate your lives. Get out there. Be careful. We have the best medicines in the world… and they’re all getting approved. And the vaccines are coming momentarily. 

Admittedly, Trump blows a lot of smoke; but as the data shows, he’s not wrong. If you’re young and healthy, you have little to worry about. But if you’re older and have underlying health conditions, you are at heightened risk.

Either way, though, the mortality rate is remarkably low. Consider:

  • COVID-19 case fatality rate in Germany: 1.5%
  • COVID-19 case fatality rate in the United Kingdom: 3.6%
  • # of vaccines now being fast-tracked into development: 6

The following three charts are equally illuminating. Their source:

Risk Factors for COVID-19 Mortality among Privately Insured Patients: A Claims Data Analysis of 467,773 patients diagnosed with COVID-19 from Apr. 1, 2020, through Aug. 31, 2020

—Published Nov. 11, 2020, by FAIR Health, Inc., in collaboration with the West Health Institute and Marty Makary, MD, MPH, from Johns Hopkins University School of Medicine

COVID Mortality Rates

AgeAll COVID PatientsCOVID Patients With No Comorbidities
0-180.01%0.00%
19-290.03%0.02%
30-390.08%0.06%
49-490.21%0.14%
50-590.55%0.40%
60-691.23%0.97%
70+5.19%2.74%
Overall Mortality Rate Irrespective of Age0.59%
  • COVID-19 patients who died w/a preexisting condition: 83.29%

  • COVID-19 patients who died w/out a preexisting conditions: 16.71%

COVID-19 Diagnoses v. COVID-19 Deaths

AgeCOVID-19 DiagnosesCOVID-19 Deaths
0-186.61%.11%
19-2918.15%.94%
30-3917.35%2.40%
40-4918.51%6.72%
50-5921.43%20.05%
60-6913.13%27.35%
70-794.82%42.43%

COVID-19 Mortality and Hospitalization Rates February-August, 2020

Month
(Year 2020)
Mortality RateHospitalization RatePercent of Total COVID-19 Cases (Feb.-Aug. 2020)
February4.9%35.1%0.5%
March3.5%20.5%11.7%
April1.9%9.2%23.6%
May0.6%5.8%16.5%
June0.4%5.4%22.7%
July0.2%3.7%20.8%
August0.0%1.1%4.2%

Even though the percentage of COVID-19 cases was lowest in February, the mortality rate (percent of individuals diagnosed with COVID-19 who died) and hospitalization rate were at their highest.

 

Those rates declined in March but were still high compared to the months that followed.

In other words: the hospitalization and mortality rates have been decreasing even as COVID caseloads have been increasing. This suggests, clearly and compellingly, that the worst is behind us and better days lie ahead.

Feature Photo Credit: WUSA-9 (CBS Washington, D.C.)

Chris Christie’s WSJ COVID Op-Ed Leaves Too Much Fat on the Bone

Chris Christie wants desperately to get back in the good graces of the media and political elite. So he wrote a self-serving op-ed that misleads the public about masks, while failing to tell the truth about what really must be done to combat COVID.

Chris Christie thinks he erred by not wearing a mask. I’m here to tell you that his real problem is gross obesity; and that if he cares about his health, he needs to go on a diet and exercise, and worry less about wearing a mask.

And what is true of Christie is true of most Americans: Our biggest health risk, by far, is not that we fail to cover up (our faces); it is that we fail to cut back (on our consumption of food).

Christie, of course, is the former Republican governor of New Jersey. He contracted the coronavirus after huddling in close quarters with President Trump and other advisers as they prepared Trump for his Sept. 29, 2020, presidential debate with Joe Biden.

“I should have worn a mask,” Christie writes in the Wall Street Journal.

It was a serious failure for me, as a public figure, to go maskless at the White House. I paid for it, and I hope Americans can learn from my experience. I am lucky to be alive. It could easily have been otherwise.

Evidence and Data. In truth, there is no real evidence or data to demonstrate that a mask would have prevented Christie from contracting the coronavirus. His problem was not that he failed to wear a mask; it was that he failed to social distance by going to the White House in the first place. (Have you heard of Zoom or FaceTime, governor?)

And, as far as being “lucky to be alive,” this is hyperbolic. Again, the data show otherwise: According to Johns Hopkins University’s Coronavirus Resource Center, the case fatality rate in the United States for COVID19 is 2.6 percent.

In other words, more than 97 percent of those who get the virus here (confirmed cases) do not die as a result.

In fact, because physicians and patients understand the virus better and have developed better therapeutics and better treatment regimens, increasing numbers of Americans—including, for instance, President Trump—are recovering remarkably quickly and with fewer side effects and complications.

Obesity. But if you’re obese—as millions of Americans are—you are at heightened risk not only of contracting the virus, but of suffering serious complications as a result, including death. As Yale Medicine reports:

“We all know that older age is the greatest risk factor. But obesity is emerging as one of the next most important ones,” says Dr. Ania Jastreboff, MD, PhD, a Yale Medicine endocrinologist and obesity medicine physician.

“Additionally, if you consider other diseases implicated with COVID-19 severity such as type 2 diabetes, cardiovascular disease, or hypertension, obesity is a common contributor underlying all of them.”

And it looks like the excess weight itself is problematic, not just the other health conditions it causes.

“Early data support that obesity is an independent risk factor, meaning that if you control for diabetes, heart problems, hypertension, and other medical conditions, obesity—itself a chronic disease—may potentially be the unifying disease involved in exacerbating COVID-19,” Dr. Jastreboff says.

In fact, one study out of New York City showed obesity was a stronger factor predicting hospitalization for COVID-19 than high blood pressure, diabetes, or cancer—or even pulmonary, kidney, or coronary disease.

Another study, which looked at hospitalized COVID-19 patients under age 60 in New York City, found that individuals who have obesity were twice as likely to be hospitalized and even more likely to require critical care than those who do not have it.

This matters because obesity is an epidemic problem in America. Some 42.4 percent of adults, and 20.6 percent of adolescents (12-19 year-olds), are obese, according to the Centers for Disease Control and Prevention.

Christie is one of them. He has been chronically obese his entire adult life. Yet, nowhere in his Wall Street Journal mea culpa does Christie mention his weight—or obesity in general—as a problem or risk factor for COVID. But doing so, obviously, would have been a real public health service.

Nor does Christie mention the fact that patients who have taken Vitamin D and Zinc supplements have averted the worst outbreaks of the virus. But again, doing so would have been a real public health service.

Instead, Christie gratuitously attacks a straw man: people who don’t wear a mask because they supposedly think a mask is a sign of weakness or political virtue signaling.

Unmasked. In truth, there are perfectly legitimate reasons not to wear a mask. These include:

  • the fact that there are no valid scientific studies or data to demonstrate that masks are effective at stopping the spread of the coronavirus or any other virus;
  • masks instill in many people a false sense of confidence that they are safe and protected by a mask, worn either by themself or by others; and that they can refrain, therefore, from social distancing;
  • masks inhibit effective communication—including, importantly, non-verbal, facial communication; and
  • in places that have good ventilation, and which allow for social distancing, masks are, at best, superfluous, redundant, and unnecessary.

Polarization. Christie also laments the “polarization of something as practical as a mask.” But who has polarized the mask and made it a symbol of seriousness about COVID19?

The media and political elite, who have been on hair-trigger alert for whenever a political or public figure—especially President Trump—is or is not wearing a mask.

The President, by contrast, has been a model of tolerance and open-mindedness: by choosing sometimes to wear a mask and other times not to wear a mask. Trump, moreover, has allowed his staff to don masks without judgment or pressure from him either to do so or not to do so.

In short, Christie’s complaint about the polarization of the mask is misplaced; and his focus on the mask as the critical public health measure that we all should embrace is equally misplaced.

And Christie’s focus is deliberately misplaced because he is less interested in performing a genuine public health service than he is in getting back in the good graces of the media and political elite.

In truth, if you want to avoid coming down with a bad case of the coronavirus, go on a diet, exercise, and lose weight. Take Vitamin D and Zinc supplements. Social distance and avoid crowds.

Wear a mask if it makes you feel better, but as the data clearly shows: wearing a mask is the very last thing you should worry about.

Just don’t ask Chris Christie. He’s too interested in what the media and political elite think than in what the science demonstrates.

Feature photo credit: Chris Christie courtesy of Chance Dagger’s Notes on Contemporary Life.

When Biden Says ‘Follow the Science,’ He Means ‘Ignore My Politics’

The American people have a right to know what policies a President Biden would pursue to combat COVID. A politically self-serving declaration that he will “follow the science” is pure obfuscation.

“Let’s end the politics and follow the science,” declares Joe Biden.

Biden’s declaration is politically self-serving because it suggests that, as president, his policies to address COVID will be apolitical and simply science-based. However, nothing could be further from the truth.

As Faye Flam points out at Bloomberg:

Joe Biden’s promise to “follow the science” does not amount to a strategy. It’s just a slogan.

A strategy to deal with the pandemic needs to set priorities and incorporate values that science isn’t equipped to provide. If Biden and his fans think following the science is the plan, they misunderstand the nature of science and its limitations.

Science can give insights into the nature of the pandemic, but there is no scientific formula pointing to a solution

“This year has driven home as never before the message that there is no such thing as ‘the science,'” writes Matt Ridley in the Wall Street Journal. “There are different scientific views on how to suppress the virus.”

Sweden. As we’ve previously noted, for instance, Swedish scientists and public health authorities have taken a strikingly different approach to combating COVID than their counterparts in the United States.

The Swedes have eschewed lockdowns and mandatory mask orders and instead, have focused their efforts on protecting the most vulnerable members of the population. Thus schools, restaurants, and fitness centers have remained open.

Early on in the pandemic, as Ridley notes, the Swedish approach looked foolish and shortsighted. “Now, with cases low and the Swedish economy in much better health than other countries,” he observes, Swedish public health authorities look prescient and wise.

“Different countries,” explains Flam, “can ‘follow the science’ to different strategies.”

Science. Yet, “follow the science” resonates with us because it appeals to our belief that politics involves opinions and value judgments about which people can and do vigorously disagree. Science, by contrast, deals with facts and empirical reality which we all must acknowledge and recognize.

If only it were that simple! In truth, our scientific understanding of the coronavirus is not fixed and settled dogma; it is developing and evolving based on new discoveries and new empirical realities.

“In 2020,”writes Gideon Meyerowitz-Katz,

science has gone from a gradual accumulation of knowledge to a train at full steam.

It’s worth remembering that what is true today will almost certainly be proven false next week, and that when people appear to change their minds it is an inherently good thing—adapting to new evidence is the cornerstone of science.

Just last week, for instance, the Centers for Disease Control and Prevention (CDC) acknowledged for the first time that the coronavirus sometimes can spread through airborne particles “that can linger in the air for minutes to hours,” thereby infecting people “who are further than six feet apart.”

The implications of this finding, though, are a legitimate source of political debate. Is the risk of airborne infection serious enough to warrant a different public health strategy? Or is the risk sufficiently low that no change in strategy is warranted?

“The science” ought to inform how we answer these and other public health questions; but ultimately, policymakers must make value judgments that balance competing interests, assess what is most important, and determine how much risk the public should assume.

Politics. In short, the science of COVID cannot be divorced from the politics of COVID. It is, therefore, too glib and self-serving for Biden to declare that his strategy for combating the coronavirus will be simply to “follow the science.”

As Bruce Trogdon observes, this is a great political “sound-byte. But the scientists don’t even agree and the consensus is constantly shifting. Which scientist? Which study? Which day?”

We don’t know because Biden won’t say.

Bide says he’ll “follow the science,” because he wants us to ignore his politics, which mirror those of blue state governors like Michigan’s Gretchen Whitmer and New York’s Andrew Cuomo, who embrace lockdowns.

Joe Biden is the shutdown candidate,” explains the Wall Street Journal’s Daniel Hennninger. “At last week’s presidential non-debate,” he writes,

perhaps the most consequential remark by Mr. Biden was about living with the virus. “You can’t fix the economy,” Mr. Biden said, “until you fix the Covid crisis.” Virus first, economy later.

I take that to mean Mr. Biden’s coronavirus policy would be to support reviving shutdowns if the virus-case metric goes up, and support governors who push back against openings.

As such, his policy would reflect minimal adjustment of the Democratic party’s lockdown bias, no matter the country’s experience with the virus since March.

That’s a legitimate position to take, even if it is, as I think, seriously mistaken and misguided. What is utterly illegitimate and wrong is for Biden to continue to dodge the question in an effort to deceive the American people.

Voters have a right to know precisely what the former Vice President means when he says he’ll “follow the science”: because, as he surely knows, the meaning of that phrase is anything but self-evident and self-explanatory. It is, though, politically self-serving.

Feature photo credit: The Yeshiva World.

Unmasking the Lies About Masks

Our elites tell us ad nauseam that masks will stop the spread of COVID. There’s only one problem: they’re wrong, and Sweden shows why.

Now that President Trump has contracted the coronavirus, our elites have renewed their heavy-handed push to try and shame everyone into wearing a mask.

Of course, the efficacy of masks is always assumed and never questioned or challenged. But in truth, the scientific evidence for the efficacy of masks is utterly lacking.

The studies that purport to show masks work often conflate mask use with other practices (such as social distancing) that do work to conclude, erroneously and illogically, that masks are the independent variable which resulted in stopping or slowing the spread of COVID.

Or they point to other countries (such as Hong Kong, Taiwan, and the Czech Republic), where mask use reportedly is widespread and the coronavirus relatively contained, and conclude (erroneously and prematurely) that masks are the reason for these countries’ success.

But this assumption is a leap of faith. Association, after all, does not equal causation. In truth, as I’ve observed here at ResCon1:

there are too many other potential explanatory factors at work to explain why some countries and regions have been better able to avert or avoid the coronavirus.

Mask wearing populations may be more fastidious and disciplined about social distancing, which is effective at stopping the spread of the coronavirus.

Or they may suffer fewer medical complications and co-morbidities. Maybe they’re a younger demographic.

Sweden. Moreover, how do the mask zealots explain the relative success of Sweden and other Nordic countries, where masks are almost universally shunned?

As the New York Times reported last week from Stockholm, facemasks in Sweden are “nowhere to be seen.” Yet Sweden increasingly is seen as an exemplary model of how to manage a viral pandemic.

The Swedes made a critical mistake early-on by rationing care for nursing-home patients and failing to protect their more vulnerable elderly population.

However, Swedish leaders learned from their mistake and have since done a good job at containing the spread of the virus—and they have done so without economic lockdowns and mandatory mask orders.

“As I write this on 20 September 2020,” concedes Richard Smith in the BMJ Opinion Journal,

the difference in the number of cases in Sweden and most of the rest of Europe is striking. Most countries in Europe have a rapid rise in cases, whereas Sweden does not. Spain, which had one of the most severe lockdowns, has one of the steepest increases.

Adds the Medical Xpress:

Public health officials [in Sweden] argue that masks are not effective enough at limiting the spread of the virus to warrant mass use, insisting it is more important to respect social distancing and handwashing recommendations…

Sweden’s public health officials say they see no reason to change their strategy given the seemingly positive trend—including their stance on masks.

State epidemiologist Anders Tegnell of the Public Health Agency insists scientific studies have not proven that masks are effective in limiting the spread of the virus, suggesting they can do more harm than good if used sloppily.

“There are at least three heavyweight reports—from the World Health Organization, the (EU health agency) ECDC and The Lancet report that the WHO cites—which all state that the scientific evidence is weak. We haven’t carried out our own assessment,” he recently told reporters…

“Several countries that introduced masks are now seeing big resurgences [in COVID infections],” he said on August 14, 2020.

Politically Taintned Science. Why do Swedish public health officials have such a strikingly different view on the efficacy of masks than their American counterparts?

A big reason is that Swedish public health officials are much less politicized and tainted by political concerns. Recall that social distancing was a public health imperative in the United States—until it wasn’t because of the “Black Lives Matter” protests.

“Swedish health authorities,” explains Dr. Greg Ganske in the Des Moines Register, “are very independent and largely shielded from politics. They pride themselves on ‘following the science’ and are highly respected by the population.”

In the United States, by contrast, too many public health officials follow the political herd and say what is politically expedient, not what is scientifically necessary and warranted.

As a result, we get a lot of glib commands to “wear a mask!”—as if doing so is a self-evident truth that must be obeyed rather than a highly dubious edict that doesn’t pass scientific muster. President Trump, after all, was indifferent to masks, and look at what has happened to him!

But partisan political concerns and a desire to thump Trump in the court of public opinion should not sway or influence public health guidance. Follow the science, not the politically motivated herd.

Scrupulously social distance; avoid crowds (especially indoors); wash your hands; and practice good hygiene. And don’t worry about wearing a mask—and don’t worry about whether your fellow shoppers or neighbors are wearing a mask!

The science simply doesn’t show that masks work. Just ask the Swedes.

Feature photo credit: Washington Post.