[HN Gopher] Indiana life insurance CEO says deaths are up 40% am...
       ___________________________________________________________________
        
       Indiana life insurance CEO says deaths are up 40% among people ages
       18-64
        
       Author : wsc981
       Score  : 413 points
       Date   : 2022-01-02 15:59 UTC (7 hours ago)
        
 (HTM) web link (www.thecentersquare.com)
 (TXT) w3m dump (www.thecentersquare.com)
        
       | gumby wrote:
       | My uncle was outside that age group but died last summer of a
       | heart attack --- due to Covid. All the ICU beds in his area were
       | occupied by Covid patients.
        
         | MandieD wrote:
         | I'm so sorry. My father-in-law has had his "elective" surgery
         | to deal with a hernia cancelled twice due to hospital
         | overcapacity, and all we can do is pray that Germany's current
         | restrictions will have kept the numbers low enough for his
         | current appointment this week and likely follow up procedure to
         | deal with tachycardia to happen.
         | 
         | They're not even talking about rescheduling the hernia surgery
         | anytime soon - he's making do with a compression band.
         | 
         | This is why it _is_ other people's business whether someone is
         | vaccinated.
        
           | sm4rk0 wrote:
           | I assume your opinion is "more vaccinated people => less load
           | on hospitals", but this article hints it could be the
           | opposite.
        
             | gumby wrote:
             | The article says no such thing, and in fact doesn't even
             | address that issue.
             | 
             | The closest is the following: "It may not all be COVID on
             | their death certificate, but deaths are up just huge, huge
             | numbers."
             | 
             | The person quoted isn't commenting on hospitals at all. For
             | example my uncle doesn't have COVID on his death
             | certificate but his doctor says that his case was simple
             | enough that he _could_ have been saved had he been able to
             | be admitted.
        
           | diogenescynic wrote:
           | I don't disagree but I think we should also be demanding more
           | capacity from our hospitals and maybe just maybe demanding
           | actual universal healthcare. It's so bizarre to me that
           | that's not even on the table but it's because most just
           | assume we have to have a for-profit medical system.
        
             | SamoyedFurFluff wrote:
             | Increasing capacity for hospitals is actually a hard
             | problem, because the time it takes to train people to fill
             | the capacity is quite high.
        
             | ericd wrote:
             | Isn't Germany's healthcare system already universal, and
             | their support for elderly people quite generous?
        
             | gumby wrote:
             | Hospitals build out capacity based on projections of need.
             | So they look at the population of their catchment area,
             | other hospitals, demographics of the locals, and calculate
             | that they'll need about X icu beds / maternity rooms etc
             | etc and then build in a small overcapacity for surges.
             | 
             | If they routinely overbuilt then cost would go up even
             | more. I think this approach is reasonable for any
             | business,* whether private or public hospital.
             | 
             | The Covid surge isn't something you can plan for, nor could
             | you really build ICU capacity quickly enough for.
             | 
             | Also there's a systems issue: the ICU pressure shouldn't
             | even exist to the degree it does as we have a "defense in
             | depth": vaccination. But for some reason people aren't
             | using that defense, which simply makes things worse for the
             | rest of us.
             | 
             | * not getting into the cost issues in general, just
             | addressing your specific comment.
        
       | dukeofdoom wrote:
       | This examination of pfizer's own vaccine safety study, claims
       | that it shows an increase in all risk mortality.
       | 
       | https://www.canadiancovidcarealliance.org/media-resources/th...
        
         | LorenPechtel wrote:
         | Just from the name I strongly suspect it's one of the
         | disinformation spreaders.
        
           | incrudible wrote:
           | The information itself is neutral. The channel is not.
           | Unfortunately, this information isn't digested by the sort of
           | critical and investigative journalism that should exist in
           | our society. The obviously wrong or misleading information
           | gets "fact checked", but this just gets ignored. There's no
           | room for nuance when the prevailing belief is that "everyone
           | must get vaccinated or people will die".
        
       | Tycho wrote:
       | Well a few months back in official UK mortality statistics from
       | the ONS you could see a massive increase in the non-covid death
       | rate for vaccinated people, but no one in the health authorities
       | seemed to notice or feel the need to explain it.
       | 
       | Previous discussion here:
       | https://news.ycombinator.com/item?id=28532552
        
       | draw_down wrote:
        
       | smartplaya2001 wrote:
       | i wonder if it has anything related to the covid vaccine rollout?
       | The timing coincides.
        
         | Voloskaya wrote:
         | A much simpler explanation is that this is a side effect of the
         | pandemic itself.
         | 
         | The timing of the vaccine roll out is of course related to the
         | timing of the pandemic. So it's expected that we would see some
         | loose correlation in timing between the different events
         | related to the pandemic.
         | 
         | Things such as increase in mental issues and increased drug
         | consumption due to loneliness, lack of medical care due to
         | overflowed hospitals or loss of income etc. all took time to
         | build up once the pandemic started. Just as it took time to
         | manufacture and distribute a vaccine once the pandemic started.
        
       | throwawayboise wrote:
       | If they are comparing deaths in 2020 when everyone except
       | "essential workers" was stuck at home for 3/4 of the year, to
       | 2021 when many more people were back to their routine of driving,
       | work, recreation, etc. I would not be surprised to see a spike in
       | deaths for young people who are back into doing a lot more things
       | that can cause accidents.
       | 
       | If they are comparing 2021 to something like a 10 year average
       | death rate and seeing a 40% jump, then that is more interesting.
       | 
       | Also raw numbers matter. Two deaths from some rare cause this
       | year vs. one last year is a 100% increase, but doesn't really
       | mean anything in a state with 6.5 million people.
        
       | kyleblarson wrote:
       | He says it's going to cost the company more but could there also
       | be an increased incentive for covered employees to increase their
       | coverage and thus increase the premium revenue to OneAmerica? I
       | am generally dubious when the CEO of a (private) company that's
       | bottom line is so closely tied to death rates publishes an
       | article with such a nice round number increase in the death rate.
        
         | oneoff786 wrote:
         | Would you feel more at ease if he said 38.23%?
        
         | 1123581321 wrote:
         | It sounds rather like a public explanation for pricing changes.
         | The pricing changes would be based on changes to underwriting,
         | and reinsurance costs.
        
       | Flockster wrote:
       | Unavailable from the EU.
        
         | ur-whale wrote:
        
           | CoastalCoder wrote:
           | Why?
        
             | derefr wrote:
             | Presumably because sites not available in the EU aren't
             | legally obligated to annoy everyone with cookie consent
             | banners.
        
               | oneplane wrote:
               | They aren't legally obligated to track people with
               | cookies either. It's always their own choice.
        
               | dazc wrote:
               | But they have a cookie consent banner regardless of
               | whether they are tracking people of not.
        
               | hansel_der wrote:
               | Fixed that for you:
               | 
               | But they are tracking people regardless of whether they
               | have a cookie consent banner or not.
        
               | Xylakant wrote:
               | Why would a site available in the EU be obligated to
               | annoy everyone with cookie consent banners. Many probably
               | do, but it's laziness on their part, but there's no legal
               | obligation to do so.
        
               | rob74 wrote:
               | IANAL, but I doubt that sites not available in the EU are
               | legally obligated to annoy non-EU visitors with cookie
               | consent banners? Of course, it's easier to annoy
               | everyone, but if you can block EU visitors based on their
               | IP you can also show the cookie consent banner only for
               | these IPs?
        
               | derefr wrote:
               | Because the banners are targeted at EU citizens, not
               | people geographically within the EU. You're required to
               | show the banners to e.g. EU citizens living in the US.
               | 
               | ETA: under GDPR, blocking the EU geographically (e.g. via
               | GeoIP), in combination with requiring user registrations
               | to specify that they're not EU citizens, would be
               | considered a "good-faith effort" to avoid collecting the
               | data of EU citizens.
        
               | stickfigure wrote:
               | Good luck extraditing.
        
               | rob74 wrote:
               | Ok, that's pretty absurd and technically impossible, but
               | blocking users from the EU, as many US sites do, does not
               | "fix" for this issue, because EU users living in the US
               | will be able to use the site without getting a cookie
               | banner.
        
             | dazc wrote:
             | The burden of complying with EU privacy laws that benefit
             | no one aside from a powerful lobby group of EU-based media
             | businesses.
        
               | disgruntledphd2 wrote:
               | Huh? Personally, as an EU citizen, I like the laws, and
               | feel like they benefit me.
        
               | ur-whale wrote:
               | We're not talking about the laws here but about the dumb
               | pop-up you anyway click OK on systematically and
               | therefore serves exactly no purpose.
        
               | disgruntledphd2 wrote:
               | Well, actually what I do almost always is click reject
               | all on the GDPR ones, then tab over to the legitimate
               | interest tab and object to all of that too. I can't speak
               | for the behaviours of others.
               | 
               | If you have a _real_ legitimate interest, you don 't need
               | my consent, so I feel entirely justified in objecting to
               | their fake-ass "legitimate interest" (i.e. please let us
               | do what we want).
        
             | kreeben wrote:
             | To send a signal to the EU that US based web sites wish to
             | continue to steal their users' PII and sell it to whomever
             | they wish, without users having to give their consent,
             | because that's how you make money when you don't have good,
             | quality product.
        
               | dazc wrote:
               | This would be a good argument but for the fact that
               | everyone just clicks OK anyway.
        
               | OJFord wrote:
               | Unless they use an ad-blocker and don't even see it.
               | (It's (supposed to be) opt-in.)
        
       | ummonk wrote:
       | A sizeable chunk of this is from fentanyl poisoning, which is now
       | the leading cause of death amongst 18-45.
        
       | ilaksh wrote:
       | Well, I'm sure there is a little bit of significance, but you
       | have to take into account that it's a relatively small number of
       | deaths compared to the population size, and the person giving you
       | the news about "DEATHs ARE UP" sells LIFE INSURANCE.
        
       | throwaway4good wrote:
       | Life Expectancy in U.S. Declined 1.8 Years in 2020, CDC Says
       | 
       | https://www.wsj.com/amp/articles/life-expectancy-in-u-s-decl...
       | 
       | This is for 2020 - COVID-19 deaths are more for 2021.
       | 
       | Really wild numbers if you think about it.
        
         | throwaway4good wrote:
         | It also hints that covid-19 related deaths are undercounted in
         | the us.
        
           | Redoubts wrote:
           | The NY Times used to do a breakdown, and found yes they are: 
           | https://www.nytimes.com/interactive/2021/01/14/us/covid-19-d.
           | ..
        
           | lostlogin wrote:
           | The Economist article posted here a few days ago had the US
           | at a bit over 1 million deaths.
           | 
           | https://www.economist.com/graphic-detail/coronavirus-
           | excess-...
        
             | FabHK wrote:
             | Assuming that COVID deaths are fully accounted for, that
             | would mean about 200k excess deaths due to other,
             | presumably COVID related, factors (suicide, drug overdose,
             | ...).
        
               | lostlogin wrote:
               | That's a big assumption though. Some places had death
               | rates decline for many 'normal' causes of death.
               | 
               | Suicide, flu and car crashes caused less deaths than
               | usual where I am, and the lockdowns led a negative value
               | for 'excess deaths'. I'm in New Zealand.
        
           | cmurf wrote:
           | That's what the CEO is quoted as saying: _What the data is
           | showing to us is that the deaths that are being reported as
           | COVID deaths greatly understate the actual death losses among
           | working-age people from the pandemic. It may not all be COVID
           | on their death certificate, but deaths are up just huge, huge
           | numbers._
        
           | pclmulqdq wrote:
           | It could also hint that excess deaths from lockdown policies
           | are higher than expected. COVID deaths are almost certainly
           | undercounted by some factor, but suicides and drug overdoses
           | are skyrocketing. These numbers would make sense if the cure
           | is worse than the disease too.
        
             | ok_dad wrote:
             | Assuming that all covid deaths are accounted for and all
             | the rest of the excess deaths are from lockdown, there
             | would have to be at least as many excess deaths as covid
             | deaths to start saying the cure is worse than the disease.
             | From the numbers it seems like there would be about 800k
             | covid deaths to 200k excess (in the USA), so that would
             | indicate the disease was 4x worse than the cure. Of course
             | those are all assumptions that I don't think are accurate,
             | but using your own logic.
             | 
             | But one thing we probably can agree on is that at this
             | point covid is endemic and most people have given up trying
             | to get to zero cases.
             | 
             | For me, I personally just integrated into my worldview the
             | fact that I can't trust most humans to give a shit about
             | others (like following simple mask and vaccine guidelines)
             | and have to protect my family however best I can, even if
             | that means less social interaction for the rest of my life.
        
             | tedsanders wrote:
             | What is your source for the claim that suicides are
             | skyrocketing? How do you quantify skyrocketing?
             | 
             | In the US, it looks like suicides fell slightly, according
             | to provisional data:
             | 
             | https://www.cdc.gov/nchs/data/vsrr/VSRR016.pdf
             | 
             | Even if these statistics are updated upward, I don't see
             | how they can be interpreted as skyrocketing.
             | 
             | Please do your best to stick to facts and source them when
             | convenient.
        
           | adam_arthur wrote:
           | Or that second order effects from covid prevention policies
           | have led to many extra deaths. e.g. suicides, alcoholism,
           | drug overdose
           | 
           | Have to look at the numbers to understand
        
             | throwaway4good wrote:
             | If you look at the global numbers not all countries had a
             | similar drop in life expentency (ie. Denmark and New
             | Zealand had no drop) but went through similar or more
             | severe lockdown and vaccine policies.
        
               | Riseed wrote:
               | Yes, exactly. Lockdowns and vaccines are not the only
               | covid prevention policies. Stimulus checks and
               | unemployment compensation (along with their universality
               | and the ease and speed of obtaining them), testing
               | availability, and general healthcare access also fit into
               | the "covid prevention policies" category, and can be
               | reasonably suspected to have had some impact on life
               | expectancy.
        
           | diogenescynic wrote:
           | Missouri coroners proudly admit they aren't counting any
           | COVID deaths. It's definitely being undercounted. I know
           | someone who died in Wisconsin but the hospital said he didn't
           | have COVID then a year later they admitted they'd done the
           | test wrong and actually didn't know. None of the data
           | provided is reliable. More people should be worried about how
           | unreliable our healthcare system.
        
       | shadowgovt wrote:
       | With few exceptions, if you want to know what's really going on,
       | the insurance companies are the numbers to draw from. They have a
       | vested interest in knowing what's happening and people usually
       | have a vested interest in reporting to them to collect resources.
       | 
       | (The exception is when there are secondary effects. Auto
       | insurance reporting under samples minor accidents, because people
       | don't want to risk their perfect driving record rate bonuses on a
       | fender-bender. But there are no incentives to refrain from
       | collecting on life insurance.)
        
         | LorenPechtel wrote:
         | Note that life insurance isn't going to be a good model--there
         | are two selection biases at work here.
         | 
         | 1) Those in ill health likely can't afford life insurance.
         | 
         | 2) Life insurance is mostly to provide for dependents--which
         | means people in good enough shape to have dependents and people
         | are young enough to still have dependents. (Once the kids are
         | grown there's much less reason for term life insurance.)
        
           | shadowgovt wrote:
           | Good point. You've highlighted two ways in which these
           | numbers might under count COVID fatalities based on what we
           | know about correlation with both age and prior health
           | conditions and morbidity with this disease.
        
       | anttisalmela wrote:
       | https://archive.is/VIzFv
        
       | WriterGuy2021 wrote:
       | I don't know what's going on and I'm scared.
        
         | blihp wrote:
         | People aren't getting as much exercise, sitting around more
         | eating cheetos and drinking beer, doing more drugs and getting
         | more depressed. I'm not suggesting that all of those are
         | happening to everyone, but each of them is a risk factor and
         | due to the pandemic they're occurring to different segments of
         | the population at the same time.
        
           | [deleted]
        
       | netizen-936824 wrote:
       | Why should we believe this biased source?
       | 
       | >Davison said the increase in deaths represents "huge, huge
       | numbers," and that's it's not elderly people who are dying, but
       | "primarily working-age people 18 to 64" who are the employees of
       | companies that have group life insurance plans through
       | OneAmerica.
       | 
       | So he sees the data for non elderly people, because those are the
       | people who have his company's plans. So he doesn't have the data
       | to compare against to say elderly people _aren 't_ dying at
       | higher rates because _they aren 't his customers_
        
         | omosubi wrote:
         | Why must it be a comparison? A 40% increase in deaths for any
         | population is mind boggling
        
           | k2enemy wrote:
           | It really isn't if you are starting from an extremely low
           | baseline.
        
             | loeg wrote:
             | Depends on historical variance, no? The baseline was half a
             | percent _of hundreds of millions of people._ It's a lot of
             | additional deaths.
        
             | omosubi wrote:
             | So we should just ignore these numbers? Does this not
             | warrant more information about what is causing these
             | deaths?
        
               | CoastalCoder wrote:
               | I suspect you misunderstood the parent's point. Not being
               | mind-boggling doesn't imply we should ignore it.
        
           | netizen-936824 wrote:
           | Because the quoted source is literally making the comparison,
           | which I am saying is incorrect because his data is biased.
           | Please reread the piece I quoted to see the comparison
           | 
           | >that's it's not elderly people who are dying, but "primarily
           | working-age people 18 to 64"
        
             | zo1 wrote:
             | You're being oddly pedanti? He could mean any number of
             | things with that mention of elderly people.
        
               | netizen-936824 wrote:
               | Because he is making claims of fact based on his
               | available data. I am saying the statement is incorrect
        
               | zo1 wrote:
               | He also, in the article, mentions that he is looking at
               | other companies in the market. "We are seeing, right now,
               | the highest death rates we have seen in the history of
               | this business - not just at OneAmerica".
               | 
               | Anywho without more info about what access to data he is
               | making his observations on, we're just speculating.
               | Definitely can't say he is factually wrong with the vague
               | and open bits of info from the article. It's just quotes
               | that could mean almost anything.
        
         | jliptzin wrote:
         | Also this is a $100 billion company that is private and with
         | only 2400 employees? Something doesn't smell right.
        
           | erwincoumans wrote:
           | Roblox has a market cap of 60 billion and less than 1500
           | employees(it was private until less than a year ago)
        
           | gbronner wrote:
           | Life insurance is mostly a passthrough from the living to the
           | families of the dead Most people never use the product.
        
             | [deleted]
        
           | hnburnsy wrote:
           | Probably this is assets under management, not yearly sales or
           | net income.
        
           | carls wrote:
           | I think the $100bn number does not refer to the company
           | revenue. According to the company, in 2016 revenue was close
           | to $2bn [1]. It may instead refer to total assets under
           | administration (which was $74bn in 2016, according to the
           | same source).
           | 
           | -------
           | 
           | [1] https://www.oneamerica.com/newsroom/news-
           | releases/oneamerica...
        
           | [deleted]
        
         | xojoc wrote:
         | How many new young customers do they have? Maybe more people
         | than before think about getting a life insurance and for
         | whatever reason the more "fragile" ones are getting one.
        
           | hnburnsy wrote:
           | These are most likely group life policies where the employer
           | pays the premiums for a base amount for all employees. Since
           | there is no charge to the employee for the base coverage,
           | most would accept the coverage.
        
             | kevinmchugh wrote:
             | If the employee base changed it could end up being
             | unrepresentative of the broader population, but it's hard
             | to imagine what that might be. Healthier people quit?
             | Healthier people left Indiana? A competitor insurance
             | company signed all the healthier groups?
        
           | whatever1 wrote:
           | Big employers in the US offer group life insurance to their
           | employees without the need to opt in. Of course they have opt
           | in add ons to increase the coverage, but in any case if you
           | are employed and you die (knock wood) the insurance company's
           | phone will ring.
        
         | the_optimist wrote:
         | He is not saying that elderly people aren't dying. He's saying
         | elderly people are not in his sample set. In other words, you
         | read this incorrectly. Also, you do not justify your claim of
         | bias.
        
           | netizen-936824 wrote:
           | >that's it's not elderly people who are dying, but "primarily
           | working-age people 18 to 64"
           | 
           | "that's it's not elderly people who are dying"
           | 
           | Am I missing something? Is this _not_ a comparison?
        
             | the_optimist wrote:
             | Yes, you miss the context of the conversation. No, it is
             | _not_ a comparison.
        
               | netizen-936824 wrote:
               | If elderly people are not in the data set, why are they
               | mentioned at all?
        
             | maxerickson wrote:
             | It's a literary construction, emphasizing that the 40%
             | increase is not an observation about elderly people.
             | 
             | It's not intended to be taken alone as a statement about
             | the elderly.
        
               | netizen-936824 wrote:
               | He is making a statement on his data and saying that
               | elderly aren't dying at the same rate. How is it possible
               | to take that any way besides literally?
        
               | notreallyserio wrote:
               | I dunno what the disconnect is but you may be the only
               | one struggling with the meaning behind the words. I don't
               | see him referring to the death rate of people outside
               | 18-64 at all.
               | 
               | You could say his information is biased because it is
               | limited to folks that have insurance through his company,
               | but he's up front about that.
        
               | netizen-936824 wrote:
               | >it's not elderly people who are dying
               | 
               | Quoted verbatim from the source article. This is a plain
               | statement on the death rate of that specific age group.
        
               | notreallyserio wrote:
               | Do you think he's saying elderly people aren't dying?
               | Because that's what those precise words would mean when
               | you take them out of context. In context, it's clear that
               | he's not talking about elderly people at all.
        
               | netizen-936824 wrote:
               | I've had to chop up the quote to point out the exact part
               | I take issue with. The entire quote is a comparison of
               | age groups, of which he does not appear to have data for.
               | 
               | Also as others have mentioned, this part may have been
               | added by the reporter who definitely doesn't cite Amy
               | source for the comparison. Either option equates to poor
               | reporting.
        
               | the_optimist wrote:
               | As others point out here, this is a literary construction
               | flagging that in his specific context, he is not
               | referencing old people. He is making the very point that
               | he is above accused of not making. Just as if I were to
               | chop the quote in your sentence "this part may have been
               | added by a reporter" (which is not a self-reference to
               | your own quote possibly having been edited by a
               | reporter), the context is important. The reporting here
               | is causal but being able to interpret such statements is
               | part of basic reading comprehension.
        
               | netizen-936824 wrote:
               | It is a literary construction that makes the sentence
               | contain incorrect information. A correct statement would
               | have not mentioned elderly people at all because they are
               | not included in the data:
               | 
               | "There has been an increase in deaths of working age
               | 18-64 year olds."
               | 
               | Full stop. No need to mention the elderly.
        
               | the_optimist wrote:
               | Sure. Is this true: (WHERE 18 <= age <= 64) is the same
               | as (WHERE 18 <= age <= 64 AND NOT 64 < AGE) ? This is
               | what he's saying. It's emphatic, not pedantic to make
               | such a point.
        
               | hllooo wrote:
               | No, he's making a statement saying that his data shows
               | working age people dying at a higher rate. It says
               | nothing about elderly people.
               | 
               | The head of Indianapolis-based insurance company
               | OneAmerica said the death rate is up a stunning 40% from
               | pre-pandemic levels among working-age people.
               | 
               | ...
               | 
               | Davison said the increase in deaths (that his company
               | sees) represents "huge, huge numbers," and that's it's
               | not elderly people who are dying (to account for this
               | increase), but "primarily working-age people 18 to 64"
               | who are the employees of companies that have group life
               | insurance plans through OneAmerica.
               | 
               | Plus, he actually could say "that elderly people aren't
               | dying at the same rate" in his dataset and be technically
               | correct. The elderly are not part of his dataset, so it's
               | vacuously true.
        
               | netizen-936824 wrote:
               | Yes, he is making a comment on _his data_ and as an
               | insurer this data only includes working age people, not
               | the elderly.
               | 
               | So of course he doesn't see elderly deaths because _they
               | aren 't in his data set_
               | 
               | But since his data set is limited, we just can't draw
               | this conclusion
        
               | the_optimist wrote:
               | You are simply reading this wrong. If you want to prove
               | that to yourself, call up this guy and talk to him. He
               | will tell you you're stating something totally obvious
               | and making a very silly distinction. You're agreeing with
               | him violently. Come back in a couple of years and re-read
               | this, you'll realize your interpretation is wrong.
        
         | austinkhale wrote:
         | What claim do you believe is being made that utilizes this
         | source in a biased way? It seems to me that in his remarks he
         | was pretty clear about this data applying to the vertical of
         | participants in employer plans, in a specific age group.
         | 
         | I don't think it's any secret that the last two years have been
         | poor for people's mental & physical health. It stands to reason
         | that we're going to be feeling the consequences of the pandemic
         | & pandemic mitigation efforts for quite some time.
        
           | netizen-936824 wrote:
           | >that's it's not elderly people who are dying, but "primarily
           | working-age people 18 to 64"
           | 
           | He's literally claiming that elderly are not dying at the
           | same rates, based on his internal customer data
        
             | austinkhale wrote:
             | I think you're misinterpreting his statement. He isn't
             | making a claim about elderly death rates. He's saying the
             | pandemic (both the disease and other effects) is affecting
             | a younger, working cohort as well, based on their available
             | data.
        
               | netizen-936824 wrote:
               | I am saying that comparison is wrong, because he is
               | missing data for the age group that he is comparing
               | against.
        
               | austinkhale wrote:
               | I believe where you are interpreting it one way and the
               | rest of us are interpreting it another is perhaps due to
               | missing the quotation marks.
               | 
               | ...deaths represents "huge, huge numbers," and that's
               | it's not elderly people who are dying, but "primarily
               | working-age people 18...
               | 
               | Davidson, the CEO in question, directly said "huge, huge
               | numbers" and "primarily working-age people 18..." in his
               | address. However the author of the article, Margaret
               | Menge, added the "that's it's not elderly people who are
               | dying" piece.
               | 
               | Essentially Margaret, as explained in another comment,
               | used a literary construction to tie the quotes together.
               | The sentence is being used to convey that contrary to the
               | popular narrative that the pandemic is only killing the
               | elderly, here we have evidence that it's affecting other
               | cohorts as well.
        
               | netizen-936824 wrote:
               | If that is true, them this changes the meaning of the
               | quotes. In my opinion this is just as bad because the
               | entire article centers around these claims and she is
               | adding claims that her source did not make.
               | 
               | Horrible reporting
        
             | whatever1 wrote:
             | Are we reading the same sentence?
        
               | netizen-936824 wrote:
               | So how do you interpret it?
               | 
               | My interpretation is that this guy runs an insurance
               | company who insures working age people through their
               | employers. That is the source of the data, so he is
               | _missing data on elderly people_
               | 
               | Yet he makes a claim that the people he does not have
               | data on are dying at a lower rate than the people he
               | _does_ have data on. This makes no sense, as you can 't
               | make a comparison when you simply don't have data on the
               | group you're comparing against
        
               | GaveDrohl wrote:
               | Can you share the quote from the article that you're
               | referring to? Not saying it's not there, but I'm just not
               | finding it.
        
               | netizen-936824 wrote:
               | I have it quoted in multiple comments here, including my
               | top comment. Here it is again:
               | 
               | >Davison said the increase in deaths represents "huge,
               | huge numbers," and that's it's not elderly people who are
               | dying, but "primarily working-age people 18 to 64" who
               | are the employees of companies that have group life
               | insurance plans through OneAmerica.
               | 
               | Here is the specific part I take issue with:
               | 
               | >it's not elderly people who are dying, but "primarily
               | working-age people
        
               | [deleted]
        
       | littlecranky67 wrote:
       | Mortality rates are basically up in all countries (at least those
       | who can adequately measure it). My bet is that "after Covid" we
       | will see rates under the pre-pandemic value for a couple of years
       | as Covid was most lethal to those that would have died the next
       | 0-5 years anyways without it.
        
         | rkk3 wrote:
         | Yes excess mortality it will probably go down in the older
         | groups that died slightly pre-maturely. But the deaths in the
         | 18-64 is not just from Covid-19 but from things exacerbated by
         | it on the society level; Delaying treatment/tests, Drug
         | Overdose, Alcoholism, Depression, Suicide, Traffic Accidents
         | etc. Those are net-new and not necessarily ones that would have
         | happened in the next 5 years.
        
           | erichurkman wrote:
           | Don't forget to add in the folks who technically recovered
           | from COVID but are suffering lingering conditions like
           | scarred lung tissue, kidney damage, atrial fibrillation,
           | myocarditis, [...]. Those will add more sad stories over the
           | coming years as those conditions will make recovering from
           | other ailments harder.
        
       | ceva wrote:
       | And rate for age between 1-100 i 99,9% lol
        
       | nop_slide wrote:
       | I can already see this being used as a source that the vaccines
       | are the reason for the increased deaths.
       | 
       | Could anyone point out if how vaccines as the casue could be
       | ruled out by this data?
        
         | cced wrote:
         | Why are you asking to rule it out and not question wether or
         | not it _might_ be a contributing factor (however that might
         | be)?
        
           | nop_slide wrote:
           | Sure let me rephrase.
           | 
           | Does this data provide any support whether vaccines could be
           | or not be a contributor?
        
         | FabHK wrote:
         | You could check for excess mortality among vaccinated and
         | unvaccinated people. I think the data is very clear:
         | vaccination does not lead to excess mortality (unlike COVID).
        
           | nu11ptr wrote:
           | I think that would be very tricky to decouple variables here.
           | The vaccine seems to reduce mortality from COVID, but if the
           | vaccine were killing x% itself, the vaccine would only have
           | to be more effective at saving from COVID than killing for
           | that safety signal to be lost. In short, comparing vaxxed vs
           | unvaxxed mortality alone isn't likely to tell you if you have
           | a vaccine safety signal.
        
             | FabHK wrote:
             | You're right, you'd have to test whether people in each
             | group are infected with COVID, and correct for that. Should
             | still be doable. Would also need to correct for age and co-
             | morbidities (doable), and also for differences in behaviour
             | (hard).
        
           | sm4rk0 wrote:
           | What data are you citing?
           | 
           | There's official data showing the opposite (I personally
           | checked each data point in that graph):
           | https://alexberenson.substack.com/p/vaccinated-english-
           | adult...
        
             | Flankk wrote:
             | I'm convinced you could show data that every single person
             | that received the vaccine died and these people would still
             | say it's safe. Objectivity is gone and health care is now
             | political. The sheer irony that Trump was blamed for
             | everything except for the worst thing that he actually did.
             | Operation Warp Speed rushed the scientific process and
             | caused bad medicine to be released to the general public.
        
       | omosubi wrote:
        
         | wayoutthere wrote:
         | It's a mixed bag there; a lot of despair can come from being
         | forced to be around people who you don't like. Working from
         | home has definitely given me a new perspective and I don't
         | dread working the way I used to. To paraphrase Sartre,
         | sometimes hell is other people.
        
         | loeg wrote:
         | Additional deaths of despair are on the order of 1-10% of COVID
         | deaths. I agree they are tragic, but the numbers do not support
         | your conclusion.
        
           | msandford wrote:
           | Well how they are distributed is also important IMO. If you
           | kill one young person for every 10 elderly you save that's a
           | clear tradeoff situation. I don't know what the right answer
           | is of course but it's not as though lockdowns are cost free
           | as some have suggested.
        
             | loeg wrote:
             | Keep in mind, it isn't obvious that killing more of their
             | parents and grandparents would lower deaths of despair in
             | youth -- Covid itself is (IMO) depressing, not just
             | lockdown measures.
        
         | kenferry wrote:
         | Your comment made me interested to see what happened to the
         | suicide rate.
         | 
         | For 2020 it was down a touch.
         | 
         | https://www.statnews.com/2021/11/16/the-pandemic-didnt-incre...
        
           | [deleted]
        
           | theli0nheart wrote:
           | It's more complicated than that. Suicide rates for under 35
           | males were significantly higher.
           | 
           | Per the original source data from the CDC [1]:
           | 
           | > _For males, the age-adjusted suicide rate dropped 2%, from
           | 22.4 per 100,000 in 2019 to 21.9 in 2020. Rates for males in
           | age groups 10-14 and 25-34 increased by 13% and 5%,
           | respectively, although only the 5% increase for those aged
           | 25-34 (from 28.0 to 29.3) was significant. Rates for males
           | aged 45-54, 55-64, and 65-74 declined (Figure 3). Although
           | essentially unchanged from 2019, the rate for males aged 75
           | and over was the highest of all age groups at 40.2 in 2020._
           | 
           | [1]: https://www.cdc.gov/nchs/data/vsrr/VSRR016.pdf
        
           | yissp wrote:
           | On the other hand, overdose deaths were up significantly,
           | which I think would also be fair to categorize as "deaths of
           | despair" [1].
           | 
           | [1] https://www.cdc.gov/nchs/pressroom/nchs_press_releases/20
           | 21/...
        
         | ebiester wrote:
         | There are multiple interpretations here.
         | 
         | For example, if those disabilities are due to long COVID, then
         | that would indicate that the cure is indeed not worse than the
         | problem itself, but rather that the problem is even worse than
         | we thought.
         | 
         | Why is the total deaths up? Are cancer deaths going up because
         | the system is stressed by COVID? Are the people who are dying
         | people who had COVID, or people who didn't?
         | 
         | Are people dying because they have more stress and less
         | exercise? Are people dying because of the restrictions due to
         | the pandemic? Are people dying because they have lost their job
         | and no longer have access to health care? Are people dying
         | because of hidden effects of a vaccine? Are people dying
         | because social isolation causes follow-on problems?
         | 
         | That's not even to talk about Fentanyl and meth addiction, as
         | mentioned above, which seems to be a confounding factor that
         | started before COVID.
         | 
         | Perhaps there is a complex interaction of issues that will lead
         | everyone to their own interpretation.
         | 
         | This data doesn't tell us any of those things. And it certainly
         | doesn't say, one way or the other, if the cure was worse than
         | the disease, or even what cure we are talking about.
        
           | netizen-936824 wrote:
           | My point was the comparison between age groups is flawed.
           | Nothing to do with cause.
        
             | netizen-936824 wrote:
             | Apologies. I replied to the incorrect comment thread
        
               | loeg wrote:
               | FYI, you can delete comments less than an hour old. Click
               | the time stamp.
        
         | VincentEvans wrote:
         | I've read the article - I don't see where it specifies the
         | cause of the reported deaths.
         | 
         | I interpreted it as deaths caused by Covid. Do you have a
         | reason to interpret it differently?
        
           | notreallyserio wrote:
           | I don't think they provided enough information to say either
           | way. My gut hunch is that Covid and delayed health care are
           | involved but I don't have a guess as to what degree.
        
             | s1artibartfast wrote:
             | Cancer drug sales have been way down by a massive amount so
             | that and operation per year would be one method
        
           | goodcanadian wrote:
           | They didn't really specify the causes, but they did indicate
           | that COVID was generally NOT on the death certificates.
        
       | k2enemy wrote:
       | I'm actually surprised it is not higher. For 40-64 year old in
       | the US, the annual chance of death is about half a percent
       | (before covid) so a 40% increase is still a very low mortality
       | rate.
       | 
       | https://hdpulse.nimhd.nih.gov/data/deathrates/index.php?stat...
        
         | hn_throwaway_99 wrote:
         | Define "very low". I think the "half a percent" number can seem
         | "artificially" low because it's just looking at the probability
         | of death in a single year. Looking at US actuarial tables, even
         | an 80 year old has an annual chance of death of less than 5%.
         | Just looking at that number alone may make one think that is a
         | "low" death rate, but nobody is surprised when an 80 year-old
         | dies.
        
         | toss1 wrote:
        
           | spamizbad wrote:
           | People really need to multiply that death rate against a
           | population of people who are likely to be infected. And they
           | are skipping this step for whatever reason.
           | 
           | A death rate of 20% isn't bad if it's a rare disease that has
           | a 10 cases worldwide (2 deaths), whereas a 0.2% death rate is
           | devastating for a highly contagious virus that spreads
           | rapidly over the planet (millions of deaths)
        
             | toss1 wrote:
             | That was already done, and specified in the comment.
             | 
             | >>"Just to give you an idea of how bad that is, a three-
             | sigma or a one-in-200-year catastrophe would be 10%
             | increase over pre-pandemic," he said. "So 40% is just
             | unheard of."
             | 
             | In fact, it was the entire point of the article - this
             | disease is so bad because the entire population of people
             | is subject to infection, and the death and disability rate
             | is very substantial.
             | 
             | >>whereas a 0.2% death rate is devastating for a highly
             | contagious virus that spreads rapidly over the planet
             | (millions of deaths)
             | 
             | We've got that. Here. In this topic and case.
             | 
             | So, I'm really struggling to see the point of the comment.
             | ?
        
           | csee wrote:
           | > a significant portion end up losing 7-10 IQ points just
           | from dementia
           | 
           | There probably is an IQ drop, but I question this figure. I
           | recall a study doing the rounds here which showed this figure
           | as a ballpark and it was very low quality.
        
             | toss1 wrote:
             | From direct accounts, the figure is likely low. A good
             | attorney friend has a friend who used to be one of the
             | sharpest and most witty attorneys he knew. Months after a
             | "mild case" (no hospitalization), the friend is not all
             | there, fading in and out - he'll literally fade in and make
             | a witty comment almost like before, then seconds later not
             | remember it..., and hasn't been able to get back to work.
             | That sounds like a lot more than 10 points, more like
             | 140->95.
             | 
             | Even if the effects are temporary, and even if it's "only
             | five points", I'm not interested in that risk, and you
             | shouldn't be either.
        
               | csee wrote:
               | Was that attorney vaxxed?
               | 
               | > I'm not interested in that risk, and you shouldn't be
               | either.
               | 
               | Well, I share your anxiety about it at least. It's my
               | biggest concern about COVID as a young person. Even 2
               | points is too much given the asymmetric payoff at the
               | margin.
        
         | cma wrote:
         | Half a percent is Russian roulette with 2.9 do-overs.
        
         | [deleted]
        
         | jb1991 wrote:
         | I'm surprised it is as high as you claim! You're saying that
         | for that age group, in a given year, the chances are 1 in 200
         | of dying? That seems like pretty bad odds on something that is
         | literally life and death.
        
           | brilee wrote:
           | Assuming risk is evenly distributed between birth and death,
           | you would expect a 1 in 80 chance of dying in any given year.
           | But since the risk is loaded towards the later years of life,
           | 1 in 200 during the earlier years sounds about right. Perhaps
           | it's 2x higher than I would have guessed otherwise, but it's
           | the right order of magnitude.
        
             | brianwawok wrote:
             | No that is bad math around 1/80.
             | 
             | If the average person had a 1/80 chance to die each year,
             | the average life expectancy would be 40 years.
             | 
             | Think about this another way. You have a gun with 80
             | chambers and 1 bullet. How many times on average can you
             | point it at your head and pull the trigger before it goes
             | off? Would you still argue 80 times? On average it is the
             | last chamber?
        
               | leni536 wrote:
               | That's not how it works. For a geometric distribution
               | with p=1/80 the mean or expected value is indeed 80.
               | 
               | https://en.wikipedia.org/wiki/Geometric_distribution
               | 
               | Your gun example has a uniform distribution between 1 and
               | 80 with an expected value of roughly 40 if you don't spin
               | the chamber each time between pulling the trigger. If you
               | spin it each time, then it's again the geometric
               | distribution and the expected value is 80.
               | 
               | If you don't spin the chamber between each time, then
               | each time you pull the trigger the probability of dying
               | at that round is not 1/80, the probability goes up and up
               | at each round, it's only 1/80 on the first round.
        
               | capitalsigma wrote:
               | "evenly distributed" implies uniform distribution
        
               | notfbi wrote:
               | To be fair, they said the _risks_ are evenly distributed,
               | not that _deaths_ are.
        
               | adverbly wrote:
               | I had the same initial thought, but this isn't quite a
               | perfect model... that distribution averaging assumes that
               | the only factor at play is covid... but there are other
               | chances of death with highly irregular probability
               | distributions as a function of age... with other
               | nonlinear weightings as a function of age you could get
               | pretty different numbers in the end...
        
               | [deleted]
        
               | i_cannot_hack wrote:
               | Your last example is not applicable.
               | 
               | The question is comparable to a gun with _infinitely_
               | many chambers, each with a 1 /80 chance of containing a
               | bullet: How many times on average can you point it at
               | your head and pull the trigger? The differences are that
               | you have no guarantee that the first 80 chambers will
               | contain exactly 1 bullet, that more than one chamber can
               | contain a bullet, and that you can pull the trigger more
               | than 80 times.
        
               | adverbly wrote:
               | Are you sure? Is it not the same as this:
               | https://math.stackexchange.com/questions/1009490/average-
               | num...
               | 
               | E = p/(1-p)
               | 
               | So pretty close to 80 years, no?
               | 
               | I guess it gets more complicated because you'd die of
               | other reasons as you age so there's no point including
               | the eventualities where you reached 120 for example... I
               | guess it gets pretty complicated in the end...
        
             | minitoar wrote:
             | I think motor vehicle related mortality really shifts the
             | risk forward.
        
           | cm2187 wrote:
           | Probably highly skewed to the upper end of that age range.
        
           | thehappypm wrote:
           | Well, also consider that people live to be roughly ~100 years
           | old. The population is roughly stable, so every year ~1% of
           | the population must die and be replaced by a ~1% is born.
        
           | benlivengood wrote:
           | https://www.ssa.gov/oact/STATS/table4c6.html has the
           | actuarial table by age, which is indeed a base rate above
           | 0.002 from age 46 onward.
        
             | lordnacho wrote:
             | Wow, remarkably the Queen, who is 95, is unlikely to make
             | it to 100. In fact her annual hurdle rate is greater than
             | 1/5. Am I reading this wrong?
        
               | alisonkisk wrote:
        
             | zuminator wrote:
             | That's true, but 0.002 is 1/500, not 1/200.
        
           | kragen wrote:
           | https://www.ssa.gov/oact/STATS/table4c6.html confirms that.
           | In the US, it's about 1 in 400 for men at 40, 1 in 600 for
           | women; at 50 it's 1 in 200 for men and 1 in 300 for women;
           | and at 60 it's 1 in 90 for men, 1 in 150 for women. About 17%
           | of US men, and 11% of US women, who make it to 40 are dead
           | before 66. These are all pre-covid rates (from 02017).
        
           | vasilipupkin wrote:
           | think of it this way, 1 in 200 means the chance that you will
           | not die is 99.5% When put that way, sounds pretty good,
           | right?
        
             | chucksmash wrote:
             | Think of it this way, 1 in 200 means the chance that you
             | will die is 10x worse than that of someone base jumping[0].
             | When put this way, sounds pretty bad, right?
             | 
             | [0]: https://pubmed.ncbi.nlm.nih.gov/17495709/
        
               | vasilipupkin wrote:
               | No, I mean, 1 in 200 chance here refers to living, which
               | includes all activities, including BASE jumping
        
           | lordnacho wrote:
           | How old are you? How many people from your high school years
           | have passed? Say, in your year and the years adjacent, where
           | you might be told the news?
           | 
           | Out of about 90, I can count 4. Graduated 1999. 1 in 200 per
           | year sounds like it might be ballpark, though of course from
           | my limited set it's hard to tell. Assuming the rate is low at
           | around 40 but a fair bit lower when you've just graduated,
           | and a fair bit higher as you pass 60.
        
       | encoderer wrote:
       | > Just to give you an idea of how bad that is, a three-sigma or a
       | one-in-200-year catastrophe would be 10% increase over pre-
       | pandemic," he said. "So 40% is just unheard of."
       | 
       | Do we have an actuarial crisis on our hands? We've seen the same
       | thing in finance, disaster preparedness and other unrelated
       | industries. We have "once in 200 years" events happening it seems
       | far more often than once in 200 years.
       | 
       | And how does it even pass muster that a 10% increase in deaths
       | would be a "once in 200 years" event. When has there ever been a
       | 200 year period without major war, disease or disaster? What
       | exactly are they smoking?
        
         | hericium wrote:
         | > We have "once in 200 years" events happening it seems far
         | more often than once in 200 years.
         | 
         | Past performance is not indicative of future results.
        
         | joelbondurant0 wrote:
        
         | nn3 wrote:
         | Maybe it's similar to the well known "more likely to be hit by
         | a meteorite than to win the lottery" style statements.
         | Obviously that's completely wrong: i've never heard of anyone
         | being hit by a meteorite, but people win the lottery every
         | month.
         | 
         | I'm not saying that they're actively lying, but it seems some
         | assumptions in these frequentist's numbers are just not
         | correct.
        
           | irrational wrote:
           | https://astronomy.com/news/2020/05/death-from-
           | above-7-unluck...
           | 
           | Just last year a woman had just gotten out of bed when a
           | meteorite came through her ceiling and hit her pillow where
           | her head had been.
        
             | nn3 wrote:
             | I was actually aware of that story. But she wasn't hit, so
             | it doesn't invalidate my statement.
        
           | LorenPechtel wrote:
           | They're not lying. It's just meteorite kills are very clumpy.
           | 
           | I'm not a lottery player so I can't give a good estimate on
           | the number of lottery winners, but for the major jackpots
           | I'll guess many per year.
           | 
           | AFIAK we have no documented meteorite deaths--but it looks
           | like the destruction of Sodom (of biblical fame) was a
           | meteorite. While obviously we have no death toll it's
           | obviously a *lot* of years of major lottery wins. The
           | atmosphere stops most of the stuff but when something's big
           | enough to get through it makes quite a boom. (Chelyabinsk was
           | half a megaton but was high enough up the blast only caused
           | harm by throwing broken windows at people. Tunguska, however
           | was a few megatons and got low enough to be a city-killer.
           | All it blew up was forest for probably zero deaths, but had
           | it fallen 7 hours earlier the world would be a different
           | place because it would have wiped out Leningrad.)
        
             | nn3 wrote:
             | AFAIK the Sodom story was pretty much debunked
             | 
             | https://retractionwatch.com/2021/10/01/criticism-engulfs-
             | pap...
        
           | ehvatum wrote:
           | There's a confounding effect arising from the difficulty in
           | comparing false negative rates between person-meteor-strike
           | and person-lottery-jackpot. Whereas lottery-jackpot events
           | are rarely misinterpreted as some prat dropping rubbish onto
           | person, person-meteor-strike too often is.
        
           | withinboredom wrote:
           | A lot more people try to win the lottery than jump in front
           | of meteorites.
        
         | resoluteteeth wrote:
         | > And how does it even pass muster that a 10% increase in
         | deaths would be a "once in 200 years" event. When has there
         | ever been a 200 year period without major war, disease or
         | disaster? What exactly are they smoking?
         | 
         | I don't know if it's a once in 200 years event or not, but this
         | is a US insurance company, presumably talking about numbers in
         | the US. Aside from ww2, in which the US had around 400,000
         | deaths, the number of Americans who have died in wars or
         | disasters has been fairly small relatively.
         | 
         | Even the 400,000 for WW2 was over four years, whereas the US
         | has had around 400,000 covid deaths a year for the last two
         | years, and even more if you just look at excess mortality
         | (however the population is obviously larger now than during
         | ww2).
        
           | WalterBright wrote:
           | More than half of the covid deaths were the elderly.
        
           | uncletaco wrote:
           | I'm guessing your comment is about people who died since WW2
           | but an estimated 750k died in the civil war.
        
         | nkmnz wrote:
         | > We have "once in 200 years" events happening it seems far
         | more often than once in 200 years.
         | 
         | "Experts" making such a statement usually assume the variable
         | in question to be standard distributed - which is close enough
         | to the truth for non-extreme outcomes. But a lot of variables
         | do not behave like the perfect standard distribution at all:
         | due to non-linear effects and self-enforcing feedback loops,
         | their distribution deviates more and more from the standard
         | distribution the more extreme their values gets (they are "fat-
         | tailed"). Referring to the n-sigma of such extreme events is
         | plain and simple stupid, because there's no such thing as a
         | standard deviation (or variance) for a fat-tailed distribution.
        
           | red_trumpet wrote:
           | Many probability distributions have a variance[1], not only
           | the standard distribution. Why do you think there is no
           | variance for your "fat-tailed distribution"?
           | 
           | [1] https://en.wikipedia.org/wiki/Variance
        
         | cperciva wrote:
         | I doubt there's an actuarial crisis brewing, for the simple
         | reason that changes in life expectancy are a known risk which
         | can be hedged. In the case of life insurance companies, the
         | usual solution is to also sell life annuities; if insurance
         | payouts go up, annuity payouts go down.
        
         | s1artibartfast wrote:
         | >We have "once in 200 years" events happening it seems far more
         | often than once in 200 years.
         | 
         | I just don't take it seriously anymore. Track 200 factors, 200
         | businesses, or 200 industries and you will see 1 event per
         | year. Track all of the above and you will see 40,000 such
         | events in a year.
         | 
         | More to the point, their actuarial model was probably wrong,
         | not reality. Somewhere buried in their model were assumptions
         | excluding black swan events
        
           | peteradio wrote:
           | Ok, but the important ones are resource limited and possibly
           | highly correlated. So if you see 1/200 for all sorts of
           | (possibly correlated) events you might be misreading the
           | implication.
        
           | citizenpaul wrote:
           | You can pretty much blame six sigma for these braindead once
           | in 200 years predictions. When you beat your effecency
           | numbers into the ground then have to explain a .000001
           | varianc will only happen in 200 years based on this totally
           | detached from real world statistic model is hew you get here.
           | 
           | The person that sold that idea cashed out and left the
           | company long ago.
        
           | jeremyjh wrote:
           | I think the more thought-provoking question is what exactly
           | _is_ the Black Swan event? If only 37% of their ICU beds are
           | used for COVID patients then why are so many more people
           | dying right now?
        
             | fabianhjr wrote:
             | It is the US so unlike most of the rest of the world even
             | if there were a lot of surplus ICU beds most people can't
             | afford the 100K USD with insurance or 1M USD with under-
             | insurance or no insurance it would cost them out of pocket
             | to receive treatment.
        
               | baryphonic wrote:
               | > most people can't afford the 100K USD with insurance or
               | 1M USD with under-insurance or no insurance it would cost
               | them out of pocket to receive treatment
               | 
               | Where are you getting these numbers? I know multiple
               | people in the US who have needed a COVID ICU bed, and
               | they certainly weren't paying $100k out of pocket to do
               | so. In most areas of the US, $100k could buy you a small
               | house.
        
             | praestigiare wrote:
             | Three years ago, 0% of ICU beds were used for COVID
             | patients. Now it is 37%. If ICU admission correlates with
             | risk of death, and those beds would have been empty
             | otherwise, or used for lower risk patients, a 40% increase
             | in deaths seems reasonable. Certainly not a rigorous
             | analysis, but it passes the smell test.
        
             | hattmall wrote:
             | Homicides are up, In Atlanta it's 65% from 2019, other
             | cities are similar. I think car fatalities as well. Then
             | the isolation, COVID fears and economic issues have made
             | worse an already growing drug and suicide problem.
             | 
             | I've known of quite a few deaths of youngish people
             | recently and only one was COVID related. Car crashes, ODs
             | and other medical issues. Like I've known two girls both
             | about 30 that died unexpectedly of non-covid medical issues
             | last year.
        
             | LorenPechtel wrote:
             | 1) 37% of ICU beds for Covid means about a 50% increase in
             | ICU patients.
             | 
             | 2) If you go into the ICU for Covid you're probably leaving
             | via the morgue. The survival chance for a Covid patient in
             | the ICU is a lot lower than the typical ICU patient.
        
         | welcomealex wrote:
         | I'm not sure about the case at hand here, but one reason for
         | hearing about these events more often than once every 200 years
         | might be because they are uncorrelated.
         | 
         | E.g. a "once in 200 years drought" in California might happen
         | at the same time as a "once in 200 years over-mortality event"
         | in Indiana.
         | 
         | News would tend to report on these, so we see many of these
         | even though they are rare.
        
           | LorenPechtel wrote:
           | Yup. There are a *lot* of events to have a 1 in 200 chance
           | of. Each is a separate chance, the odds add up.
        
         | addaon wrote:
         | Keep in mind that "once in two hundred years" is (an estimate
         | of) the probability of a given event. The more events you
         | track, the more "once in two hundred years" events you'll see
         | in any given year. If you're tracking (or reporting on) many
         | events...
         | 
         | Think of the number of hundred year floods you see reported on
         | each year. Then look at the number of floodplains that your
         | news source would report on...
        
         | chiefalchemist wrote:
         | We might. Could be a Black Swan event. Just the same, all along
         | we should have been asking about "collateral damage." We
         | ignored it. That's sadly suspicious.
         | 
         | Obviously, we don't have other pandemics' data to lean on. But
         | we did have the economic crisis circa 2007 - 2008. There was
         | plenty of analysis about the socio-economic impact of that
         | event. That is, for example, poverty rate goes up, so does X, Y
         | and Z.
         | 
         | If we can model a pandemic, can we not also - at least try - to
         | mobel the impact of "the cure" and possible collateral damage?
        
         | jamses wrote:
         | I'd guess war is usually excluded from insurance policies.
         | 
         | I wonder if the 1 in 200 year example wasn't communicated very
         | well; it could be the actuaries view a long-lasting 10%
         | increase to be the 1 in 200 year event; it does sound low for a
         | single year stress.
        
         | hn_throwaway_99 wrote:
         | I commented on this elsewhere, but I think your point is fair.
         | Many real-world processes follow power laws, but they are
         | modeled as normal distributions. The issue with that is that a
         | power law can "look like" a normal distribution, except it has
         | fat tails, where you get these "once until the heat death of
         | the universe" type events much more frequently.
        
           | dukeofdoom wrote:
           | You might enjoy this video:
           | 
           | Nonlinearity Breeds Contempt
           | 
           | https://www.youtube.com/watch?v=C6eX6KaSBjc&list=LL&index=32.
           | ..
        
           | chmod600 wrote:
           | _Black Swan_ by Nassim Taleb is an entire book about this
           | very common mistake.
           | 
           | It's a case where highly-educated people often make errors
           | that laypersons would not.
        
             | [deleted]
        
             | richardw wrote:
             | I think Taleb's point was more that humans don't have a
             | good intuition for extreme events, layperson or expert. See
             | the housing crisis during which experts and laypeople were
             | equally fooled. We're good at understanding eg height of
             | people (small variation) but have no sense of wild scale,
             | eg stock market movements or a huge bank imploding within
             | days.
        
               | hn_throwaway_99 wrote:
               | > See the housing crisis during which experts and
               | laypeople were equally fooled.
               | 
               | Not discounting your main point, but there were _plenty_
               | of experts and laypeople that were completely unsurprised
               | by the housing crisis. If anything, I think the housing
               | crisis was more of a case that so many people had a
               | vested interest in thinking /pretending the music would
               | never stop.
        
               | richardw wrote:
               | Totally, I'll claim to have been very pessimistic before
               | it happened. Referenced the likely downturn in an
               | economics assignment that didn't impress my very
               | optimistic lecturer. I missed the bottom though, was
               | convinced we were going down a lot further. Don't fight
               | the Fed, I guess.
        
             | lumost wrote:
             | Anecdotally, I see a lot of pseudo-rigor in Business
             | oriented statistics. Leadership selects the statistics and
             | statisticians which make the most rigourous _plausible_
             | model that achieves the desired outcome.
        
         | [deleted]
        
       | setToNull wrote:
       | The excess mortality numbers: https://www.economist.com/graphic-
       | detail/coronavirus-excess-...
        
       | mcguire wrote:
       | Supporting data: 2020 all-cause mortality was up 20% over 2019.
       | (https://www.cdc.gov/nchs/data/databriefs/db427.pdf)
        
       | daenz wrote:
       | 18-64 is an extremely broad range. Does anyone have a breakdown
       | of smaller ranges? I'd like to know what is accounting for the
       | deaths of younger people, since supposedly, statistically covid
       | has a very mild effect on their health.
        
       | stakkur wrote:
       | What 'data' is he referring to? It's not mentioned in the
       | article, and for all sorts of reasons 40% for 18-64 sounds
       | statistically fishy.
        
       | johnnyApplePRNG wrote:
       | I imagine it has something to do with shuttering society for the
       | better part of two years now.
       | 
       | Spouses are known to die within weeks of each other, presumably
       | due to loneliness/lack of will to live/etc.
       | 
       | If you force people to stop congregating, stop working out, stop
       | having fun socially, etc... it's kind of the same thing, no?
       | 
       | It must have some effect on people's health.
        
         | whack wrote:
         | Luckily we don't need too vivid an imagination to find the
         | answer. The data shows that the main cause of higher death
         | rates is covid, not loneliness.
        
           | johnnyApplePRNG wrote:
           | Source?
           | 
           | The article does not have an answer or provide any data.
           | 
           | It only talks about the uptick in deaths not attributed to
           | covid.
        
             | fundad wrote:
             | The deaths could all be fire extinguisher attacks
        
       | andrewclunn wrote:
       | > "The CDC weekly death counts, which reflect the information on
       | death certificates and so have a lag of up to eight weeks or
       | longer, show that for the week ending Nov. 6, there were far
       | fewer deaths from COVID-19 in Indiana compared to a year ago -
       | 195 verses 336 - but more deaths from other causes - 1,350 versus
       | 1,319."
       | 
       | So last year more covid deaths (particularly among the elderly),
       | but while those numbers have declined, the numbers from younger
       | "working age" people have increased more than enough to make up
       | for it.
       | 
       | > "Just 8.9% of ICU beds are available at hospitals in the state,
       | a low for the year, and lower than at any time during the
       | pandemic. But the majority of ICU beds are not taken up by
       | COVID-19 patients - just 37% are, while 54% of the ICU beds are
       | being occupied by people with other illnesses or conditions."
       | 
       | Well a lot of people were avoiding medical care (precisely
       | because of Covid concerns), so this makes some sense. Couple that
       | with the increased death rate for younger people and something
       | has happened to worsen the health and outcomes generally for that
       | population. Cue wild speculation and theories.
        
         | divbzero wrote:
         | > _Cue wild speculation and theories._
         | 
         | There is uncertainty in many areas of life, but this seems like
         | one thing we don't have to speculate about. We will not only
         | have definitive data [1] within a couple years, but also annual
         | [2] and weekly [3] provisional data much sooner.
         | 
         | [1]: https://www.cdc.gov/nchs/fastats/leading-causes-of-
         | death.htm
         | 
         | [2]: https://www.cdc.gov/mmwr/volumes/70/wr/mm7014e1.htm
         | 
         | [3]: https://data.cdc.gov/NCHS/Weekly-Provisional-Counts-of-
         | Death...
        
         | redisman wrote:
         | Very anecdotal but me and everyone I know is in crappy shape
         | and fallen to different coping mechanisms during Covid
        
         | ganoushoreilly wrote:
         | Within my brothers circle of friends / former friends etc,
         | amongst those that participate in recreational drug use, there
         | have been a crazy number of Fentanyl related deaths. They're
         | all between the ages of 25 - 30. I can't help but wonder how
         | much this has an impact.
        
           | 3maj wrote:
           | Probably a big one. Drug overdoses have killed more 18-54
           | year olds in Canada than Covid has.
           | 
           | Hell, in British Columbia there have been more drug overdoses
           | than Covid deaths across all ages.
        
           | joe_the_user wrote:
           | US has had both a drug-addiction epidemic, a diabetes
           | epidemic and an obesity epidemic.
           | 
           | Each these conditions doesn't just reduce lifespan. They also
           | put people in a more fragile life-situation where they need
           | more support. And the US hasn't been at maintaining those
           | kinds of support during the epidemic.
           | 
           | Edit: The US life expectancy decline relative to other
           | advanced nations is relevant. Take a look at the following
           | chart in detail. US life expectancy was set back twenty
           | years. No other nation was set by more than ten years.
           | 
           | https://www.healthsystemtracker.org/chart-collection/u-s-
           | lif...
        
             | throwawayboise wrote:
             | And makes people more vulnerable when they contract other
             | diseases. COVID hits harder if you are diabetic and/or
             | obese, for example. The people who try to promote body
             | positivity are doing a disservice to the overweight. You
             | cannot be healthy and fat, and we should not pretend
             | otherwise to spare hurt feelings.
        
               | syshum wrote:
               | Body Positivity movement started out with a good goal,
               | but went off the rails with the obesity == healthy BS.
               | 
               | However if you want to solve obesity, especially the
               | morbid obesity shamming will never resolve that as
               | chances are the obesity is cased by an underlying metal
               | or medical issue. most often an anxiety disorder of some
               | kind, and socially shaming someone that suffers from
               | anxiety is not going to cure them, and in fact will most
               | likely make their eating disorder worse.
        
               | thebooktocome wrote:
               | The primary cause of obesity -- in my experience, as a
               | midwesterner -- is a lack of access to affordable,
               | healthy food. What people can afford (in terms of
               | money/time/opportunity cost) is primarily overprocessed
               | garbage. It's mostly impossible to maintain a healthy
               | weight in such an environment.
               | 
               | Yes, I'm aware of the twinkie diet guy. Most people
               | aren't the twinkie diet guy.
        
           | nerdbaggy wrote:
           | Correct!
           | 
           | " The synthetic and highly addictive drug has claimed more
           | lives than COVID-19, auto crashes, gun violence, cancer and
           | suicide in the year 2020."
           | 
           | https://www.abc12.com/news/fentanyl-number-one-cause-of-
           | deat...
        
             | woodruffw wrote:
             | Government data does _not_ say that. The CDC recorded 100k
             | drug overdose deaths in 2020[1], ~75% of which were from
             | opioids. They don 't have a breakdown of how many of those
             | 75k opioid deaths were fentanyl, but it's an order of
             | magnitude below just the _confirmed_ number of COVID-19
             | deaths in 2020[2].
             | 
             | Edit: The reporting in this article is _remarkably_ bad: it
             | confuses a two-year range (Jan-2020 to Dec-2021) with a
             | one-year range, and itself contains a number that 's
             | nowhere near the number of COVID deaths:
             | 
             | > The drug has taken just shy of 80,000 people's lives
             | between January 2020 and December 2021.
             | 
             | [1]: https://www.cdc.gov/nchs/pressroom/nchs_press_releases
             | /2021/...
             | 
             | [2]: https://www.webmd.com/lung/news/20211122/us-covid-
             | deaths-202...
        
               | mlyle wrote:
               | I agree the report makes its point poorly and phrases
               | statistics carelessly, but you made a similar mistake:
               | they explicitly state it exceeds COVID deaths over ages
               | 18-45.
               | 
               | All these media reports were all influenced by this
               | underlying factsheet from FAF.
               | 
               | https://drive.google.com/file/d/1S0szR2Ua9v0Sr91YhDD7gPrX
               | sDk...
               | 
               | Broadly, it appears true: fentanyl deaths look like they
               | outweigh all those things in the younger population. And
               | it doesn't look implausible that synthetic opioids could
               | have killed a total of 64k across the entire population
               | in 2021. (I think they were comparing trailing-twelve-
               | month data from two dates in each case..)
               | 
               | edit, 3mins: I was distracted and my previous version of
               | this reply was word salad.
        
               | woodruffw wrote:
               | Thanks for linking the factsheet. These deaths are a
               | useless tragedy, and it frustrates me to see them framed
               | against _another_ useless tragedy.
               | 
               | The CDC's death count with age breakdowns[1] shows that
               | over twice as many people aged 18-64 died of COVID-19
               | than drug overdoes, combined across 2020 and 2021. That
               | flips when you limit it to just 18-45, which is the
               | statistic FAF is using.
               | 
               | [1]: https://www.cdc.gov/nchs/nvss/vsrr/covid_weekly/inde
               | x.htm#Se...
        
               | evv555 wrote:
               | >it frustrates me to see them framed against another
               | useless tragedy.
               | 
               | The framing is relevant since the increase is arguably a
               | product of the lockdown/social isolation. Generally it's
               | not Boomers or the upperclass who are having to deal with
               | opiate addiction. Is it a coincidence that their needs
               | once again supersede the needs of others? Maybe
        
               | mlyle wrote:
               | > and it frustrates me to see them framed against another
               | useless tragedy.
               | 
               | You know, people need an anchor point for comparison very
               | often.
               | 
               | "Holy shit COVID and car crashes are bad, and among
               | younger adults -- believe it or not-- fentanyl is even
               | worse".
        
               | ineedasername wrote:
               | Anchoring like that is a problem when it's used to
               | dismiss something: _" Eh, more people die from fentanyl,
               | so X isn't so bad"_.
               | 
               | Which disregards that X may be a _new_ source of
               | _increased_ deaths, not to mention that when X == COVID,
               | the methods needed to mitigate the risk are antithetical
               | to a mindset of _" it's no big deal"_ because that
               | mindset pushes back against taking even some minimal
               | precuations.
               | 
               | So, anchoring can help people understand the magnitude of
               | something, but at the same time convey a
               | misunderstanding, or short-circuit reasoning as well.
               | 
               | This is precisely why it is a common sales tactic: Go
               | into a jewelry store asking for a nice watch as a
               | present, and you may be shown a $3k watch. Way over your
               | budget, so when you ask to be shown a something else a
               | $700 watch seems like a much better deal, even if it
               | might still be a bit more than you wanted to spend. Maybe
               | the third watch will be an ugly one for $400 to help
               | convince you that you need to spend more, putting both an
               | upper & lower bound on the purchase.
        
               | evv555 wrote:
               | >"Eh, more people die from fentanyl, so X isn't so bad"
               | 
               | The increase in deaths is being driven by lockdown/social
               | isolation so it looks more like medical triage. Who do
               | you save, upperclass/baby boomers who generally don't
               | have these problems or disenfranchised young?
        
               | SuoDuanDao wrote:
               | >Who do you save, upperclass/baby boomers who generally
               | don't have these problems or disenfranchised young? I
               | guess we know the answer to that, not that anyone in the
               | latter group had any doubt before we ran the experiment.
        
               | mlyle wrote:
               | > The increase in deaths is being driven by
               | lockdown/social isolation so it looks more like medical
               | triage.
               | 
               | This is an argument many make, but it's not a really good
               | argument.
               | 
               | - Fentanyl deaths were trending up before 2020.
               | 
               | - The degree to which fentanyl is lacing other street
               | drugs is unprecedented and seemingly independent of
               | lockdown.
               | 
               | - Look, we don't really have "lockdown" anymore.
        
               | evv555 wrote:
               | >- Fentanyl deaths were trending up before 2020.
               | 
               | They were trending up but there was a very sharp increase
               | once the epidemic started.
               | 
               | >- The degree to which fentanyl is lacing other street
               | drugs is unprecedented and seemingly independent of
               | lockdown.
               | 
               | There was precedent before 2019. Seemingly independent
               | growth that's also parabolic during 2020? Unlikely
               | 
               | >- Look, we don't really have "lockdown" anymore.
               | 
               | The genie is out of the bottle once people relapse. Maybe
               | you don't realize how dependent recovering addicts are on
               | rehab programs and social connections to stay clean. For
               | some people giving them a steady unemployment income and
               | forcing them to isolate is basically a death sentence.
               | This was a predicted outcome during the start of the
               | isolation.
        
               | mlyle wrote:
               | > They were trending up but there was a very sharp
               | increase once the epidemic started.
               | 
               | Opioid deaths increased 1014% from 2013 to 2019. This is
               | an average compound growth rate of 46.8% per year over
               | that span.
               | 
               | Opioid deaths increased by about 50% from 2019 to 2020.
               | 
               | It looks like they increased by less than 40% from 2020
               | to 2021. So over the past 2 years we have had the same
               | increase rate as from the entire span.
               | 
               | The data don't support your assertions.
        
               | mlyle wrote:
               | > Which disregards that X may be a new source of
               | increased deaths, not to mention that when X == COVID,
               | the methods needed to mitigate the risk are antithetical
               | to a mindset of "it's no big deal" because that mindset
               | pushes back against taking even some minimal precuations.
               | 
               | I don't think anyone has said, "fentanyl is worse for
               | 18-44, therefore COVID is no big deal".
               | 
               | I think the message taken was "two sources of premature
               | death shot way up, passing traffic accidents and suicide,
               | which we all know are really bad in that age group". And
               | maybe "wow, fentanyl is even bigger than COVID as a cause
               | of death among young adults".
               | 
               | It doesn't make me take traffic safety less seriously,
               | either.
               | 
               | Look, I ain't got time each year to compute loss-of-life
               | expectancy numbers, and decide how preventable each and
               | every cause is, and then come up with an analytical
               | ranking of each cause and its "importance" (I did this at
               | one point, but I'm not going to repeat it to understand
               | trends).
               | 
               | I don't work in public health, either. Approximation
               | based on reasonable anchor points and understood risks is
               | just fine.
        
               | woodruffw wrote:
               | I think it's valuable to have a reference point, and I've
               | done that myself in my comments. The frustration comes
               | not from the comparison or reference, but as a framing
               | designed to excuse irresponsible behavior during the
               | ongoing pandemic.
        
             | arcticbull wrote:
             | > "The synthetic and highly addictive drug"
             | 
             | Funny use of the word 'synthetic' to add extra spookiness.
             | Something like 60% of first-world medicines are natural
             | origin or secondary metabolites of natural origin - the
             | other 40% are all synthetic. [1]
             | 
             | [1] https://www.spandidos-
             | publications.com/10.3892/br.2017.909
        
               | jimmygrapes wrote:
               | I wondered this myself, since they usually spell out
               | "synthetic opioid" when referring to fentanyl and its
               | ilk, ostensibly to compare it against naturally derived
               | opioids. I have no idea how many in use today are
               | naturally derived; maybe "synthetic" was always a scare
               | term on that context?
        
               | philipkglass wrote:
               | The only two opioids naturally found in the poppy that
               | are also used in medicine are codeine and morphine. All
               | others are semi-synthetic (chemical modifications of
               | poppy alkaloids) or fully synthetic. Even most codeine is
               | made by methylating morphine, since the poppy under-
               | produces it relative to medical demand.
               | 
               | https://en.wikipedia.org/wiki/Opioid#Semisynthetic_and_sy
               | nth...
        
               | worik wrote:
               | "Synthetic opioid" is used to describe an opioid not
               | derived from the morphine in the opium poppy (or the
               | codeine in the dried poppy)
               | 
               | I am not a doctor: Of the very powerful "powder" drugs
               | heroin is the safest as it has very little effect on the
               | involuntary respiratory system which is the route that
               | opiates take to kill. "Nodding off" on synthetic opiates
               | leads commonly to death (which is why you always prod a
               | sleeping junky - wake up!!) but not so much on heroin.
               | 
               | But it is much safer to smoke opium, if you wish to have
               | such a habit. Much less chance of death and disease.
               | 
               | So, you cruel, nay, sadistic lawmakers: Legalise opium!
               | 
               | But people popping pills are nearly invisible and die
               | quietly - people smoking opium fill up establishments,
               | make funny smells and do not conveniently die off in the
               | corner.....
        
               | mlyle wrote:
               | Note that semi-synthetic is a category too that
               | "synthetic opioid" generally excludes.
               | 
               | Natural opioids: codeine, morphine.
               | 
               | Semi-synthetic opioids: heroin, hydromorphone,
               | hydrocodone, oxycodone, etc.
               | 
               | Synthetic opioids: methadone (though this is usually
               | excluded from the reporting of "synthetic opioid overdose
               | deaths" for various reasons), demerol, fentanyl, lots of
               | -fentanyl analogs, etc.
        
               | mlyle wrote:
               | Here it's reasonable to differentiate between natural
               | opioids, semi-synthetic opioids, and fully synthetic
               | opioids. It's not a perfect measure, but the degree of
               | potency tends to vary with the category and the fully
               | synthetic opioids do not rely upon poppies for
               | precursors.
        
               | viktorcode wrote:
               | In general, "synthetic" drugs are more of a menace due to
               | the ease of transportation and production. They don't
               | have to be produced in specific geographic regions and
               | can be very powerful, which adds up to dangerous
               | combination.
        
             | Bud wrote:
             | Not to be unkind, but a local TV station as a primary
             | source for such a sweeping conclusion on a very complex
             | issue is, well, basically worthless.
        
             | intrepidhero wrote:
             | Yikes. For ages 18-45, since heart disease and cancer still
             | lead overall but still yikes.
             | 
             | https://api.politifact.com/factchecks/2021/dec/23/facebook-
             | p...
        
             | jeffbee wrote:
             | No byline. No sources. Bad article.
             | 
             | The article appears to attribute _all_ accidental poisoning
             | to fentanyl. That seems like an error.
        
               | mlyle wrote:
               | > The article appears to attribute all accidental
               | poisoning to fentanyl. That seems like an error.
               | 
               | I don't think it does. Sure, they throw out the 100k
               | overdoses number at the end, which isn't specific to
               | fentanyl, but the other numbers they cite are around
               | 40k/year and a run rate of 64k/year by Deceber 2021.
               | 
               | Current data is here:
               | 
               | https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm
               | 
               | It's about 62k deaths from synthetic opioids/year
               | (excluding methadone) at the end of the series-- the vast
               | majority of these are fentanyl. Plus a bunch of heroin
               | deaths which are rapidly becoming "really fentanyl"
               | deaths. And that's up to April, not December.
        
               | jeffbee wrote:
               | That data is for all ages. If you go to WISQARS and
               | filter for ages 18-45, which is the subject of the news
               | site's article, it looks to me like the numbers they are
               | giving in the article are the same as the total number of
               | accidental poisoning.
        
               | mlyle wrote:
               | They're pulling from this fact sheet:
               | 
               | https://drive.google.com/file/d/1S0szR2Ua9v0Sr91YhDD7gPrX
               | sDk...
               | 
               | Topic 1 is on ages 18-45: more deaths from fentanyl than
               | from...
               | 
               | The later topics are on all ages.
               | 
               | The fact sheet attributes 24k deaths in the age range to
               | fentanyl in 2019. WISQARS accidental injuries from
               | poisoning in the age range were 38k in 2019. 2/3rds in
               | that age range being fentanyl is totally plausible.
               | 
               | https://wonder.cdc.gov/controller/datarequest/D157;jsessi
               | oni... has the broken down data. They have 36,907 deaths
               | in 2020 from 18-45 with T40.4-- "other synthetic opioids
               | excluding methadone". FAF is calling all deaths from
               | synthetic opioids fentanyl, which isn't quite true but
               | it's very likely close to true.
        
             | TrispusAttucks wrote:
             | [1] The person that many hold accountable for the opioid
             | crisis was made head of the FDA by the Biden administration
             | on his first day!
             | 
             | [2] Most fentanyl (+ precursors) is manufactured in China
             | and then comes across the southern border from Mexico.
             | 
             | [1] https://www.theguardian.com/us-news/2021/jan/28/fda-
             | janet-wo...
             | 
             | [2] (PDF) https://www.dea.gov/sites/default/files/2020-03/D
             | EA_GOV_DIR-...
        
             | sneak wrote:
             | A reminder: tobacco use kills 7x as many people every day,
             | week, month, and year as opiates in the USA.
             | 
             | If opiate deaths are a problem, tobacco ones are a 7x
             | larger problem.
        
           | reaperducer wrote:
           | At least the people you know are rational enough to admit it.
           | 
           | A tangential relative died a couple of months ago from a drug
           | overdose. Her immediate family tells everyone she died from
           | the COVID vaccine.
           | 
           | Apparently now it's a thing among families who can't come to
           | grips with a drug death to blame the new vaccines. I wonder
           | if this is where the conspiracy theorists get their
           | ammunition.
        
           | dillondoyle wrote:
           | And it's not just opiate users. People buying coke & 'molly'
           | are overdosing too from fent and analogues too.
           | 
           | Why in the world would a dealer put fent into coke. I guess a
           | speedball feels great but the average weekend partier doing a
           | bump or a pill are not looking to walk that death tightrope.
           | 
           | Just sad all around and we still have a long way to go with
           | stigma and science based treatment.
           | 
           | If you happen to be in that scene might be a good idea to
           | start carrying naloxone.
        
             | worik wrote:
             | A very powerful argument for legalising forms of those
             | drugs for recreational use.
        
           | PragmaticPulp wrote:
           | All of the non-COVID deaths I've heard of among younger
           | people (<60) from my extended social circle and their
           | family/friends have been drug related.
           | 
           | Working from home can remove a lot of the accountability that
           | keeps addicts in check. When your coworkers can't see you,
           | it's much easier to be inebriated or otherwise suffering from
           | addiction-related issues without feeling social pressure to
           | correct it.
        
             | syshum wrote:
             | This is one of the problem with all the people focusing on
             | "excess deaths" as a metric for COVID Deaths.
        
             | romanovcode wrote:
             | > Working from home can remove a lot of the accountability
             | that keeps addicts in check.
             | 
             | Not only that but the lockdowns making people low-key
             | depressed which would also be a reason for using addictive
             | substances since they often go hand-in-hand together.
             | 
             | I could be pretty much classified an alcoholic during most
             | of 2019-2020 because a six-pack a day keeps the boredom
             | away.
        
               | danielheath wrote:
               | That's... a substantial way past "pretty much".
        
               | romanovcode wrote:
               | I just realized that I was not a real alcoholic when I
               | stopped drinking altogether without any withdrawal
               | symptoms or anything like that. But yeah, it's a slippery
               | slope for sure.
        
             | jeffbee wrote:
             | That's pretty normal, at least for the last few decades of
             | American life. There is not a major natural cause of death
             | for people 18-65. They die of suicide, accidental
             | overdoses, and car crashes.
        
               | stavros wrote:
               | When we say "overdoses", doesn't it sound like the
               | person's fault, when it was probably that they were sold
               | a poisoned/cut batch? I wonder how many "overdoses" would
               | have been avoided if you could buy drugs at a pharmacy.
        
               | prirun wrote:
               | A lot of times an overdose occurs if a person got clean
               | for a while then went back to using. They tend to start
               | using at their previous levels even though their body is
               | no longer used to that level, so it's a sudden jolt that
               | kills them. So I've read - I have zero experience with
               | drugs, luckily.
        
               | stavros wrote:
               | Yeah, I've read that too, but I have no idea which is
               | more frequent. I'd assume the tainted drugs are more
               | frequent, just because getting tainted product is more
               | frequent than getting clean and relapsing, but I don't
               | know.
               | 
               | I'll definitely recommend LSD or mushrooms, though. They
               | are lots of fun.
        
               | worik wrote:
               | Almost all, if there were some sensible regulation.
               | 
               | People do not die from smoking opium, much. But die a lot
               | from popping pills.
               | 
               | Concentrated synthetic opioids are deadly.
        
             | woodruffw wrote:
             | > Working from home can remove a lot of the accountability
             | that keeps addicts in check.
             | 
             | This is a cruel twist, given that suicide deaths actually
             | decreased in 2020[1], probably for the reason you've
             | mentioned: spending nearly all of your time with others
             | makes you accountable and removes opportunities for self-
             | harm.
             | 
             | [1]: https://www.cdc.gov/nchs/data/vsrr/VSRR016.pdf
        
               | kirse wrote:
               | _spending nearly all of your time with others makes you
               | accountable and removes opportunities for self-harm._
               | 
               | Never would have seen it coming that encouraging people
               | to stay isolated for years at a time and actively fearing
               | their own proximity to one another would be detrimental.
        
               | fundad wrote:
               | Well economic anxiety you see...
        
               | woodruffw wrote:
               | I think you mis-read my comment. The irony is that people
               | are actually closer than ever to their family (or house-
               | mates) due to COVID, which is pushing suicide rates down.
        
               | kirse wrote:
               | I did not mis-read your comment, it was a continuation of
               | the commentary on how mandated WFH and government-
               | enforced isolation has essentially just moved deaths from
               | column A to column B over the long run.
               | 
               |  _people are actually closer than ever to their family
               | (or house-mates) due to COVID_
               | 
               | Yes, this is the perception for many people who have
               | family or housemates. In the same way the rich have
               | gotten richer, the socially connected have become more
               | socially connected, while the millions who already
               | struggled with disconnection or loneliness have become
               | even more strained at the behest of numerous politicians
               | who mandate their "rules for thee and not for me" under
               | the new anxiety-laced normal.
        
               | abyssin wrote:
               | I'm not a native speaker, but there seems to be something
               | inappropriately judgmental about the wording of "keeping
               | in check". Loneliness is hard for many and causes
               | suffering, and drugs are sometimes used to try to manage
               | suffering. More use is linked to more accidents.
        
               | MathCodeLove wrote:
               | It's not judgemental - it just is. Many addicts in
               | recovery themselves use similar language. I spend a lot
               | of time with recovering addicts and alcoholics and
               | accountability is an important component of treatment.
        
               | woodruffw wrote:
               | I can see the judgemental interpretation, but I don't
               | think that's what the GP intended. I read it as "most
               | people suffering from addiction benefit from
               | accountability, one form of which is the in-person
               | responsibilities of work."
        
             | jdavis703 wrote:
             | Coincidentally all the natural cause deaths in my circle
             | were "natural" diseases like cancer and COVID-19. I'm in my
             | 30s now, and no longer really hang out with (non-
             | functional) drug addicts anymore though. YMMV.
        
           | [deleted]
        
           | exdsq wrote:
           | I read fentanyl killed more people than Covid in SF last year
           | - don't think there were any age brackets on that either
        
         | mcguire wrote:
         | " _1,350 versus 1,319_ "
         | 
         | Without knowing anything else, I seriously doubt that is
         | statistically significant.
         | 
         | The normal pre-COVID ICU bed occupancy rate was somewhere near
         | 57-82% (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3840149/).
         | 54% is quite low. I suspect that the bar for getting into an
         | ICU bed has been raised by the number of COVID patients.
         | 
         | BTW, Indiana has ~1,940 ICU beds
         | (https://www.wfyi.org/news/articles/indiana-releases-
         | specific...). In numbers, that means
         | 
         | * ~173 are unoccupied,
         | 
         | * ~718 are occupied by COVID patients, and
         | 
         | * ~1048 are occupied by non-COVID patients.
        
         | Retric wrote:
         | > something has happened
         | 
         | Changes in death rates directly relate to relative vaccination
         | rates. Vaccination was initially rolled out to the elderly they
         | where also more willing to get vaccinated. It's strange to
         | think that 75 year olds grew up in a time period where several
         | horrific diseases disappeared due to vaccination efforts. It
         | it's clear they have a lot more faith in vaccination.
         | 
         | https://data.cdc.gov/Vaccinations/COVID-19-Vaccination-and-C...
        
         | joe_the_user wrote:
         | _Well a lot of people were avoiding medical care (precisely
         | because of Covid concerns), so this makes some sense. Couple
         | that with the increased death rate for younger people and
         | something has happened to worsen the health and outcomes
         | generally for that population. Cue wild speculation and
         | theories._
         | 
         | Not sure how your first two sentences above aren't speculation.
         | It's like you're preemptively attack all the other speculation
         | as "wild".
        
         | cik2e wrote:
         | It's strange that this article doesn't actually mention the
         | number of deaths for each year. They only mention the 40%
         | increase for the younger demographic and the source says "the
         | increase in deaths represents huge, huge numbers".
         | 
         | Let's assume deaths for older people haven't changed so the
         | increase is entirely among the younger group.
         | 
         | x: younger y: older
         | 
         | 1.4x + y = 1350 x + y = 1319 0.4x = 31 x = 77.5 (younger 2020)
         | 1.4x = 108.5 (younger 2021) y = 1241.5 (older 2020 and 20201)
         | 
         | So assuming no increase in non-COVID deaths in the older group,
         | we have 77.5 deaths in 2020 and 108.5 deaths in 2021 in the
         | younger demographic. The actual numbers would be even lower
         | since there have obviously been deaths in the older population.
         | 
         | Unless I am embarrassingly wrong on the calculation, these
         | figures don't make sense. The source says this 40% increase
         | figure is based on his life insurance customers who are
         | "primarily working-age people 18 to 64". This being just among
         | his policy holders could explain the tiny absolute figures in
         | the younger group. But where are the numbers for the older
         | group coming from? His statement doesn't exclude the
         | possibility of policies for ages < 18 and > 64. But if that's a
         | small fraction of their customer base, it would imply a huge
         | death rate for the older policy holders.
         | 
         | These numbers seem very fishy. Even if his older members are
         | dying at astronomical rates and his numbers are correct, this
         | is about as far from a representative sample as you could get
         | and cannot be extrapolated to the general population. And I
         | assume that's what the source means when he says "the increase
         | in deaths represents huge, huge numbers."
         | 
         | By the way, I am not implying that there hasn't been an
         | increase in non-COVID deaths among the young and old in these
         | last two years. We know that's the because there is actually
         | real data on this that the article could have included.
        
           | shrimpx wrote:
           | It could be due to random perturbations in the small data
           | size. Like if 10 people died last year, and 14 people died
           | this year, deaths are up 40%, but the 4 extra deaths could be
           | random. You'd have to look at a long trend to infer meaning
           | from such small data. But I'm not sure how big the data is in
           | this case.
           | 
           | Something similar happened in my town when I saw a huge-
           | looking spike in a graph of covid deaths. But when I looked
           | closer, deaths had spiked from 0 to 3 on a particular day,
           | and the average is 0.3/day. So that crazy looking spike is
           | probably meaningless over a longer time window.
        
       | nikkinana wrote:
        
       | hnburnsy wrote:
       | Just for background and not trying to malign the source, but the
       | was at a press conference where the Chamber of Commerce and
       | hospital leaders were imploring state residents to get vaccinated
       | as to avoid a vaccine mandate that the state legislature was
       | considering for employers
       | 
       | Feels like the insurance guy at this press conference is trying
       | to 'scare' young folks into getting the vaccine.
       | 
       | My question is, the life insurance company would see all the
       | death certificates, if they don't say Covid, what do they say?
        
         | seoaeu wrote:
         | You allege bias, but the CEO of your life insurance company is
         | like the textbook example of someone whose incentives are
         | aligned with yours...
        
           | maxerickson wrote:
           | How come they market whole life policies?
           | 
           | There's narrow circumstances where they might make sense, but
           | that's about it.
        
             | LorenPechtel wrote:
             | Good for locking in a customer.
        
           | whatgoodisaroad wrote:
           | Not strictly so. An example of misaligned incentives would be
           | an insurance salesman/CEO overstating the likelihood of
           | death, and thus overstating the likelihood of a payout to the
           | customer. This hypothetical would result in greater margin
           | for the insurer.
        
         | LorenPechtel wrote:
         | In a lot of cases we don't even have a good cause of death.
         | There are a lot of areas without a good medical examiner system
         | and the systems are overloaded even when they normally are
         | good.
         | 
         | Covid is quite capable of killing with a clot when your
         | symptoms aren't to the point that you'll be in the hospital
         | these days. This will show up as a stroke or a heart attack or
         | pulmonary embolism--and if the docs don't put in the effort
         | they won't know it was Covid (and for that matter it can't be
         | proven anyway--lethal clots happen even without Covid. While
         | it's a reasonable presumption that Covid caused the clot
         | there's no proof in any given case.) There's also a lot of
         | families that don't want Covid on the death certificate--even
         | more reason the clot won't be attributed to Covid.
         | 
         | (And, yes, there are plenty of other ways clots can kill--I'm
         | just looking at the cases that are likely to kill without ever
         | reaching the hospital.)
         | 
         | Undertakers have also been noticing this--lots of bodies
         | showing Covid clotting even though they aren't reported as
         | Covid deaths.
         | 
         | Edit: I forgot an additional factor. If you do survive your
         | Covid hospital stay you have a substantially elevated all-cause
         | mortality rate at least for the next year. AFIAK the mechanism
         | has not yet been identified.
        
       | yehosef wrote:
       | Here's an interesting video about an increase in sports-related
       | deaths and heart-attacks. Maybe it's related?
       | 
       | https://rumble.com/vpnxkr-are-these-side-effects-extremely-r...
        
         | [deleted]
        
         | BillyTheKing wrote:
         | it's not really a video about increase of deaths and heart-
         | attacks - it's just a video that compiles all sorts of sport-
         | related deaths and heart-attacks, we do not actually know if
         | there's an increase or not, since no data from before 2020 was
         | presented
        
         | JaimeThompson wrote:
         | [1] is featured on the channel you liked as an expert but it
         | appears that he has some issues / trouble being factual.
         | 
         | [1] https://byrambridle.com/
        
         | 542458 wrote:
         | Sudden cardiac death has always been surprisingly frequent in
         | healthy athletes, so there's a _lot_ of room for observational
         | bias here.
         | 
         | (2016) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4969030/
         | 
         | > A recent estimate of SCD incidence ranged from 1 in 40,000 to
         | 1 in 80,000 athletes per year.
        
           | daenz wrote:
           | https://en.wikipedia.org/wiki/List_of_association_footballer.
           | ..                 21 in 2021       3  in 2020       3  in
           | 2019       4  in 2018       7  in 2017       8  in 2016
           | 9  in 2015       5  in 2014       10 in 2013       8  in 2012
           | 3  in 2011       9  in 2010
           | 
           | Something is different about 2021. I'm not a data analyst,
           | but maybe somebody can quantify how 2021 is an outlier.
        
             | 542458 wrote:
             | That's not a complete list for any year, so comparisons of
             | counts is meaningless - again, lots of room for biases to
             | creep in here.
        
               | daenz wrote:
               | >comparisons of counts is meaningless
               | 
               | Even if the data is biased, it's still useful when you
               | account for the biases. What are you proposing is the
               | bias for 2021?
        
               | 542458 wrote:
               | A potential bias for 2021 would be that: In 2021 some
               | people are worried about a vaccine->heart link and for
               | any given event may be more likely to document it online
               | and/or add it to Wikipedia. As such we might not be
               | measuring number of cardiac arrests, and actually may be
               | measuring public attention paid to cardiac arrest.
        
               | daenz wrote:
               | What test could prove or disprove that hypothesis?
               | Creating some criteria by which to include a death in the
               | statistic? (eg, notability)
        
             | [deleted]
        
           | csee wrote:
           | > surprisingly frequent in healthy athletes
           | 
           | More common than in general population?
        
             | jack_squat wrote:
             | My understanding is cardiac deaths early in life are mostly
             | caused by congenital issues that are more likely to shake
             | out under stress, and those late in life are dominated by
             | issues acquired via lifestyle.
             | 
             | Among people under 35 (most athletes) athletes are at
             | significantly higher risk. It's possible tables turn later
             | in life, can't really find a source. Anecdotally I knew two
             | people growing up who died suddenly of congenital heart
             | issues, and both were athletes.
        
         | newacc9 wrote:
         | There's funeral directors on youtube and bitchute that say
         | their workload has increased 5x and the deaths are all heart
         | related.
        
           | truffdog wrote:
           | That's a potential COVID complication, right?
        
           | joenathanone wrote:
           | Link(s)?
        
             | newacc9 wrote:
             | https://www.bitchute.com/video/d8NJweAfvzEC/
             | 
             | Also I've seen Anglican ministers saying the same thing on
             | youtube, so not just funeral directors.
        
           | 542458 wrote:
           | That doesn't pass smell test to me. A 5x increase in workload
           | for funeral homes would mean ballpark 5x as many deaths. That
           | would be apocalyptic and impossible to miss. Every ER doc and
           | ambulance driver in the US would be talking about it. For
           | reference, the 2020 death rate is only about 1.15x the 2019
           | rate due to covid.
        
           | cycrutchfield wrote:
           | I too get my trusted news from random YouTube sources
        
       | agmsr wrote:
       | I wonder what the fentanyl factor is.
        
         | steelstraw wrote:
         | It was by far the top cause of death for 18 to 45 year olds in
         | 2020 and 2021.
         | 
         | https://www.snopes.com/fact-check/fentanyl-overdose-death/
        
         | whatever1 wrote:
         | Fentanyl factor did not start in March of 2020.
        
           | deepnotderp wrote:
           | Social isolation is well known to probably be the number one
           | factor driving drug abuse (see eg Rat park experiments).
           | Lockdowns, no school, etc...
           | 
           | In teenagers this has already caused a spike in mental
           | illnesses.
        
           | nick__m wrote:
           | Too many fentanyl shipments got sized in 2020, so they
           | partially switched to the 100x more potent (and lethal)
           | carfentanyl. Since it's so powerful a slightly badly mixed
           | product that would have been safe-ish using fentanyl become
           | assuredly lethal with carfentanyl.
           | 
           | Have a look at the picture on this page to see how much
           | lethal it is : https://www.bioonesantaclarita.com/biohazard-
           | and-crime-scene...
        
           | austinkhale wrote:
           | 2020 and 2021 both saw a sharp rise in fentanyl seizures at
           | the border.
           | 
           | https://www.nbcnews.com/politics/immigration/fentanyl-
           | seizur...
        
             | whatever1 wrote:
             | Not sure what fentanyl death rates did in a particular
             | neighborhood in the US, what I know is that CDC reported
             | 100k overdose deaths /year for 2020-2021. That pales in
             | comparison to the 600k excess deaths we had in the first 9
             | months of the pandemic in the US.
             | 
             | Specially if you consider that the overdose deaths did not
             | suddenly appear in 2020.
        
               | oneoff786 wrote:
               | Numbers are tricky though. There's much less than 100k
               | covid deaths for those under 50. Whereas I would guess
               | that's the lion share of opioid deaths. 50-64 is another
               | weird inflection point. It's totally possible for covid
               | to kill 6x as many people but for opioids to have a
               | bigger impact of life expectancy. One 20 year old death
               | is only offset by 60 or so 80 year old deaths.
        
             | wayoutthere wrote:
             | That's simply because fentanyl is cheap enough that the
             | drug syndicates in the golden triangle are flooding the
             | market with it. It's so cheap to produce in industrial
             | quantities using perfectly legal, easily acquired
             | industrial chemicals that they really don't care how many
             | shipments get seized because a small amount can be cut into
             | a whole lot of sellable product, so they don't try as hard
             | to smuggle it in.
        
             | bsza wrote:
             | You should remove markdown syntax from that link, it messes
             | it up.
        
               | austinkhale wrote:
               | Thank you. Done.
        
         | austinkhale wrote:
         | Fentanyl, P2P meth, and the world being turned upside down all
         | at the same time was really a bad combo.
        
           | jfim wrote:
           | > P2P meth
           | 
           | For those confused by the P2P acronym as I was, it's
           | apparently a synthesis route that was developed in response
           | to the crackdowns on OTC ephedrine products. It's apparently
           | a lot more pure than the older stuff, at least according to
           | https://dynomight.net/p2p-meth/
        
             | sudosysgen wrote:
             | Huh wasn't that a plot point in breaking bad?
        
               | black-tusk wrote:
               | Jesse and Walter steal a barrel of methylamine so Jesse
               | no longer has to boost ephedrine across the state. It
               | does not, however make the end product blue
        
               | truffdog wrote:
               | Yup. Apparently some of the broad strokes of the plot are
               | accurate, including the move to industrialized p2p
               | production.
        
             | throwawayboise wrote:
             | Sort of a little case study in how clamping down on
             | precursors just drives producers to change the formula,
             | while making things more difficult for all the legitimate
             | users of the precursor materials.
        
             | austinkhale wrote:
             | The Atlantic wrote a really good deep dive piece into the
             | differences recently. Highly recommend reading through it.
             | There are a lot of unknowns about the long term
             | consequences. Anecdotally, people close to me in the mental
             | health industry are really distraught about it.
             | 
             | https://www.theatlantic.com/magazine/archive/2021/11/the-
             | new...
        
               | [deleted]
        
               | martinpw wrote:
               | Book by the same author here
               | 
               | https://www.amazon.com/Least-Us-Tales-America-
               | Fentanyl/dp/16...
               | 
               | It's a devastating read.
        
         | jeffbee wrote:
         | Just idly wondering about information readily available from
         | primary sources (CDC WISQARS database) does not advance the
         | conversation.
        
           | agmsr wrote:
           | I was referring to the Indiana life insurance company's data,
           | which doesn't seem to be broken out.
        
         | lazyjones wrote:
         | It's the same here in Europe, where nobody talks about
         | Fentanyl.
        
       | lettergram wrote:
       | People tend not to die in that age range from natural causes.
       | Even covid has a relatively low impact in that range. For
       | instance, I'd expect higher deaths in 2020 from covid than this
       | year, assuming the vaccines are effective and not causing the
       | issues (perhaps they are...?)
       | 
       | I'm curious what factors are the major causes. I'm guessing
       | mental health, obesity and drugs. Although anecdotal, I know
       | multiple people who had a major downward spiral the past 12
       | months, particularly in mental health. Delaying treatment the
       | last 18-24 months for basic checkups could also lead to some
       | major issues.
        
         | throwntoday wrote:
         | >assuming the vaccines are effective and not causing the issues
         | (perhaps they are...?)
         | 
         | The numbers on vaccine complications are almost certainly
         | underreported, you could surmise this just by observing how
         | they have made every effort to shut down any negative media
         | about it to prevent "vaccine hesitancy".
         | 
         | Perhaps it's not the vaccines even, but mistakes during
         | administration from undertrained or exhausted medical workers
         | (i.e. malpractice). At any rate the media appears to be making
         | no fuss about the increasing number of young people getting
         | heart attacks.
        
       | colordrops wrote:
       | Another data point that the cure for the pandemic has been worse
       | than the disease.
        
         | ManuelKiessling wrote:
         | Well guess we have to build a time machine and run an A/B test
         | where we don't do any of the COVID-19 measures to have a fair
         | comparison, no?
        
           | Flankk wrote:
           | It's called a long-term study. B is the placebo group. The
           | Pfizer vaccine was rolled out after a two-month study instead
           | of the usual 5-10 years. Slide 12 of this document [1] shows
           | an increase in death following the Pfizer inoculation. The
           | Pfizer vaccine is causing acute myocarditis in people under
           | the age of 50. This is causing people to collapse months
           | later when the heart is put under strain with seemingly no
           | symptoms. But don't listen to me, I'm just a crazy conspiracy
           | theorist. In fact, go ahead and trust science and get
           | yourself a booster shot.
           | 
           | [1] https://www.canadiancovidcarealliance.org/wp-
           | content/uploads...
        
       | erdewit wrote:
       | Here in the Netherlands there's also a sharp increase in the
       | excess mortality that can't be explained by COVID deaths.
       | 
       | https://www.rivm.nl/monitoring-sterftecijfers-nederland
        
         | CodeGlitch wrote:
         | People not wanting to see a doctor or go to hospital for non
         | COVID related health issues out of fear?
         | 
         | Reduced capacity in the health service for stuff like cancer?
        
         | viktorcode wrote:
         | Different countries have different methods of determining if
         | COVID was the cause of death, but so far if I remember
         | correctly only Belgium has excess mortality equivalent to
         | attributed COVID deaths, thanks to their cause qualification
         | method (if COVID is only suspected but wasn't diagnosed, it is
         | attributed to COVID).
        
         | bazooka_penguin wrote:
         | Lockdown/wfh related perhaps? I would definitely say I've
         | become significantly more sedentary, likewise for many of my
         | friends and coworkers, given we're all in tech.
        
       | fundad wrote:
       | There's our labor shortage
        
       | hervature wrote:
       | My hypothesis is that this is caused from diabetes. I first
       | learned about this when my friend was diagnosed with diabetes at
       | the beginning of the pandemic. He said that Stanford was
       | investigating a potential connection. Now there is a bit more
       | literature [1]. If you go to [2] and select "Weekly Number of
       | Deaths by Cause Subgroup" and then "Other select causes" from the
       | dropdown, you will see that diabetes jumped up at the start of
       | the pandemic and has stayed at ~40% increased levels since.
       | 
       | [1] - https://www.nih.gov/how-covid-19-can-lead-diabetes
       | 
       | [2] -
       | https://www.cdc.gov/nchs/nvss/vsrr/covid19/excess_deaths.htm
        
         | yucky wrote:
         | Interestingly enough, over 40% of all COVID deaths are
         | diabetics. - https://nypost.com/2021/07/16/diabetics-make-
         | up-40-of-covid-...
        
           | snarf21 wrote:
           | Well, that makes a lot of sense since covid is particularly
           | lethal among those that are immuno-compromised.
        
         | yosito wrote:
         | The effects of covid on the pancreas are interesting to me. I
         | started having what appear to be pancreatic issues in May. I'm
         | wondering if it may have been triggered by an otherwise
         | asymptomatic covid infection but I'm not sure how to confirm.
        
         | NaturalPhallacy wrote:
         | A good chunk is fentanyl and suicide:
         | https://townhall.com/tipsheet/micaelaburrow/2020/07/28/redfi...
        
       | howmayiannoyyou wrote:
        
         | vmception wrote:
         | Fentanyl, most likely.
         | 
         | https://www.abc12.com/news/fentanyl-number-one-cause-of-deat...
        
       | TRossi wrote:
       | "Just to give you an idea of how bad that is, a three-sigma or a
       | one-in-200-year catastrophe would be 10% increase over pre-
       | pandemic," he said. "So 40% is just unheard of."
       | 
       | This sounds very strange indeed, I'd like to see the numbers. For
       | instance Euromomo https://www.euromomo.eu collects the statistics
       | about death rates, here is a plot for the Italian death rate and
       | you can see the mortality spikes with the covid waves, but those
       | are quite specific for the elderly https://imgur.com/a/8cUdNcb
       | 
       | It sounds very strange that the death spike is "over" 3 sigma,
       | which should mean over 3 standard deviations, which is really
       | unbelievable, to me this looks like an artefact of some sort
        
         | pletnes wrote:
         | If the dataset which went into the <<3 sigma>> had no major
         | catastrophes, like WW2 / covid / ... then such an event can
         | probably get you into <<3 sigma territory>>.
        
         | resoluteteeth wrote:
         | > It sounds very strange that the death spike is "over" 3
         | sigma, which should mean over 3 standard deviations, which is
         | really unbelievable, to me this looks like an artefact of some
         | sort
         | 
         | Why does the fact that it is larger than 3 standard deviations
         | suggest to you that it must be an artifact? If the death rate
         | is normally very stable then the standard deviation will be
         | small, so it will be easy for any unusual increase to exceed
         | that.
        
           | hn_throwaway_99 wrote:
           | I think the other thing that may be possible (just guessing,
           | I'm not a statistician or actuarial) is that by using the
           | term "3 sigma" I'm assuming they're modeling the data as a
           | normal distribution. But these types of outlier events often
           | follow power laws, such that you get "fat tails" when looking
           | at a bell curve.
        
             | sigstoat wrote:
             | > that by using the term "3 sigma" I'm assuming they're
             | modeling the data as a normal distribution
             | 
             | variance and standard deviation don't only apply to normal
             | distributions. and "sigma" is the symbol normally used for
             | variance regardless of the underlying distribution.
             | 
             | > I'm assuming
             | 
             | sigh.
        
               | hn_throwaway_99 wrote:
               | Yes, I'm fully aware that variance and standard deviation
               | apply to any sample or population, and that sigma is
               | normally used for standard deviation.
               | 
               | However, in everyday usage, saying something is a "2 or 3
               | sigma" event nearly always refers to a normal
               | distribution unless otherwise noted, because otherwise
               | that information doesn't really tell you anything. Is
               | only with a specific distribution that can imply a
               | percentage likelihood, e.g. 5% for a 2 sigma event or .3%
               | for a 3 sigma event. Also, if you're looking at at annual
               | probability, 1-in-200 year event would correspond to just
               | about 3 sigma on a normal distribution.
               | 
               |  _Sigh_
        
               | FabHK wrote:
               | And the number of people dying per (large) unit of time
               | is almost certainly well approximated by a normal
               | distribution, modulo seasonal variation and events such
               | as this (which break the "independence" assumption of the
               | CLT).
        
               | worik wrote:
               | The point is that you expect a normal distribution
               | without fat tails. Fat tails are a sign of non random
               | processes. Which lets you know some non random process is
               | happening.
        
               | hn_throwaway_99 wrote:
               | As the sibling comment wrote, it's not non-random
               | processes in this instance, it's processes that aren't
               | independent.
               | 
               | That is, when generally looking over any death rates in a
               | relatively large population, most deaths in a given year
               | are uncorrelated, so things look like a normal
               | distribution. Obviously with a transmissible virus, the
               | fact that two people died in the same year of Covid is
               | correlated.
               | 
               | Similarly, if you did the math from the insurance
               | company's data, I'd bet you'd find the chance of
               | everybody dying in the same year would be like 1 in many,
               | many trillions of years. But of course things like
               | supervolcanos or meteor strikes are possible. Those
               | aren't non-random, it's just that everyone's death would
               | correlate with that single event.
        
         | justinpombrio wrote:
         | > It sounds very strange that the death spike is "over" 3
         | sigma, which should mean over 3 standard deviations, which is
         | really unbelievable, to me this looks like an artefact of some
         | sort
         | 
         | It's not an artifact, it's incorrect modeling. If they're
         | talking about sigmas, then they're modeling deaths as being
         | normally distributed. But deaths aren't normally distributed,
         | as you can tell by glancing at a graph of deaths over time:
         | there's way more probability mass in the extremes than you
         | would expect from a normal distribution. This sort of thing
         | (modelling something poorly, then getting all surprised when
         | reality violates your model) is depressingly common.
         | 
         | https://www.macrotrends.net/countries/USA/united-states/deat...
        
           | jameshart wrote:
           | Overall death rates are highly affected by age distribution
           | in the population - the proportion of 80-100 year olds in
           | your population in a given year is going to have a big impact
           | on the death rate that year.
           | 
           | Death rates for an age range (like 18-45) are likely to be
           | much more stable.
           | 
           | Also, pretty dubious about that specific dataset - it looks
           | like it includes linear interpolations between a much smaller
           | set of actual datapoints, so not sure you can use it to infer
           | the actual distribution of death rate statistics
        
             | justinpombrio wrote:
             | > Death rates for an age range (like 18-45) are likely to
             | be much more stable.
             | 
             | Do you have a data set for this to look at? I'm skeptical
             | that death rates of any kind are close to normally
             | distributed. If nothing else, there are big spikes during
             | plagues, like the black plague and spanish flu.
        
         | chmod600 wrote:
         | Isn't sigma for normal distributions of data? Is death rate
         | normal on a 200-year timescale?
        
         | fallingknife wrote:
         | You can't assume a standard normal distribution for something
         | like death rates that are know to have a very high prevalence
         | of right tail events like famine, war, and disease.
        
         | michaelt wrote:
         | _> 3 standard deviations, which is really unbelievable_
         | 
         | People reporting on deaths have to average over a period,
         | otherwise you find deaths drop on weekends and spike on mondays
         | because that's when the paperwork gets processed. In this case,
         | they're averaging over an entire quarter.
         | 
         | I could well believe that the variance in death rates between
         | Q4 2008 and Q4 2018 had a standard deviation of 3% - an entire
         | quarter is a lot of averaging.
        
           | FabHK wrote:
           | If you did it annually, you'd get rid of seasonal effects and
           | probably get a smaller std dev. Using quarters gives you the
           | full variability of the seasons, so it is a more conservative
           | 3 sigma, in a sense.
        
         | hn_throwaway_99 wrote:
         | Doesn't seem that is unbelievable at all to me. Instead I think
         | it just highlights how humans can discount the severity of
         | something when it moves slowly and continues for years.
         | 
         | Remember the Boxing Day tsunami in 2004 that was a major
         | catastrophe around the world? According to a Google search it
         | killed 227,898 people. Last I checked Covid had killed about
         | 5.5 million, which is worse that every single war since WWII.
         | 
         | Of course, I think it's very fair to say the devastation from a
         | war is _much_ worse than Covid (a war destroys infrastructure
         | and primarily kills the young), but from a pure  "number of
         | deaths" perspective I think most people have a huge difficulty
         | comprehending the severity of the pandemic.
        
           | amelius wrote:
           | You probably should use this measure instead:
           | https://en.wikipedia.org/wiki/Life-years_lost
        
             | atom_arranger wrote:
             | Regardless of what measure you're using it would also be
             | good to make it per person.
        
           | lukeschlather wrote:
           | Covid has obviously caused infrastructure problems, though
           | the contrast with a war is similar. There are tons of minor
           | maintenance tasks where there are one or two people who need
           | to do some thing every week. Maybe all the people who are
           | responsible for the task are laid up for a week and incapable
           | of doing the maintenance. Multiply that by hundreds of
           | thousands of people getting infected every week you end up
           | with a lot of missed maintenance. And of course the risk that
           | those one or two or three key people die and the task never
           | gets done again until the system just hits the failure mode
           | that the task was intended to avoid.
        
             | SuoDuanDao wrote:
             | It was definitely a rickety system before Covid impacted
             | it. But I suspect any strong shock could have caused a
             | similar destabilization.
        
           | stickfigure wrote:
           | > but from a pure "number of deaths" perspective I think most
           | people have a huge difficulty comprehending the severity of
           | the pandemic.
           | 
           | Some 55 million people die each year. An extra 5 million is a
           | big deal, yes, but there's almost 8 billion people on the
           | planet. I think most people have a huge difficulty
           | comprehending just how many humans there are on earth.
        
       | whiddershins wrote:
       | I think these numbers are so extreme as to invite skepticism.
       | 
       | Too often (omicron is 72% of cases) unbelievable numbers are, in
       | fact, not to be believed.
        
         | yosito wrote:
         | Being skeptical doesn't mean that the numbers are not to be
         | believed. It means that the numbers are to be investigated.
         | Often, unintuitive numbers turn out to be accurate after
         | investigation, but unless we do the hard work of investigation,
         | we can't know.
        
         | LorenPechtel wrote:
         | The 72% figure was a computer prediction somehow gone wrong, I
         | don't know the details of what went wrong.
         | 
         | However, it's obvious Omicron is absolutely exploding--the
         | testing system is completely swamped at this point so we don't
         | know the real rate. That's enough to say that by now the 72%
         | likely is right.
        
       | paragisatool wrote:
        
       | amznbyebyebye wrote:
       | Careful there, don't want to give fodder to the anti vax crowd
        
         | pclmulqdq wrote:
         | If the data suggests that lockdowns are causing excess
         | mortality, that should be important to public policy
         | discussions regardless of how it feels.
        
       | dukeofdoom wrote:
       | I run the same trail for over 10 years. In the last year, I had
       | to call 911 for a guy with chest pains and twice for suicidal
       | women waiting on the train tracks for the train. Never happened
       | before.
       | 
       | I'm a little scared we may be entering a period of mass psychosis
       | which is more deadly than any virus. The psychological conditions
       | that lead people to burn witches and the rise of dictatorships
       | are here.
       | 
       | If I was richer I would probably be buying a home on some tiny
       | island in the Caribbean.
       | 
       | Great video on mass psychosis
       | https://www.youtube.com/watch?v=09maaUaRT4M
        
         | mellavora wrote:
         | huh, I thought New Zealand was the preferred bug-out island.
        
         | fundad wrote:
         | Definitely a period of mass misery
         | 
         | I see it also in the school vandalism, increase in shooting
         | deaths and general uncertainty about rule of law
        
       | spenrose wrote:
       | This story [1] (NYT paywall) is clearer IMHO:
       | 
       | 1. 600,000 more elderly Americans, or 1 of 100, have died during
       | the Covid epidemic than would have died had the epidemic not
       | occurred.
       | 
       | 2. 200,000 more non-elderly Americans, or 1 of 1,400, have died--
       | but that's mostly ages 15-64, so more like 1 in 1,000 adults of
       | working age.
       | 
       | 3. The CDC says adult death rates were up 20%. [2]
       | 
       | [1] https://www.nytimes.com/2021/12/13/us/covid-deaths-
       | elderly-a...
       | 
       | [2]
       | https://www.cdc.gov/nchs/products/databriefs/db427.htm#secti...
        
         | jtc331 wrote:
         | Worth noting that while there is a clear and measurable
         | increase, the CDC makes a nonetheless significant error by
         | assuming 2019 is the baseline when in fact we see a baseline
         | increase every year even without other factors (both because of
         | increasing population and because of slowing advances in
         | medically extending lifespans).
        
           | edmundsauto wrote:
           | Population growth is about 0.4% in the US, so that's probably
           | not a big factor. In 2019, the CDC estimated that age-
           | adjusted expected lifespan increased by 1.2% [0].
           | 
           | I think the population growth would indicate a lower death
           | rate than implied by direct counting, since total pop is the
           | denominator. However, I think the increased lifespan would
           | work in the counter direction - Americans should live longer
           | in 2020 than in '19 without C19.
           | 
           | So while the CDC made methodological mistakes, I don't think
           | it would affect the conclusion.
           | 
           | [0] https://www.cdc.gov/nchs/pressroom/nchs_press_releases/20
           | 20/...
        
         | Manuel_D wrote:
         | > 600,000 more elderly Americans, or 1 of 100, have died during
         | the Covid epidemic than would have died had the epidemic not
         | occurred.
         | 
         | The article does not say this. The substantial majority of
         | Covid deaths occur among people close to or beyond the typical
         | life expectancy [1]. It's hard to measure how many people would
         | have died during this time frame due to complications other
         | than Covid, and the NYT article you linked to did not claim
         | that these are additional deaths beyond what "would have died
         | had the epidemic not occurred."
         | 
         | 1. https://www.cdc.gov/nchs/nvss/vsrr/covid_weekly/index.htm
        
           | mcguire wrote:
           | The "typical life expectancy" is not a terribly useful number
           | (unless you are considering emigration). A much more useful
           | measure is the life expectancy _at a person 's current age_
           | (which will always be greater than their current age).
           | 
           | And I note it is quite easy to figure out how many people you
           | _would expect_ to die from complications other than Covid---
           | as a first order approximation it will be the same as in 2019
           | (unless you happen to know of a significant change other than
           | COVID).
        
       | dv_dt wrote:
       | I wonder if vaccination status is going to be an policy pricing
       | input
        
       | frellus wrote:
       | Pandemics are defined by "excess deaths" so nothing really
       | surprising here.
        
         | benjaminwootton wrote:
         | Covid is vanishingly unlikely to kill people in this age group.
         | I always find it hard to find a clear number when I Google for
         | a recent IFR, but it's a fraction of a fraction of a percent.
        
           | throwawayboise wrote:
           | Death from any cause is unlikely in this age group. When the
           | denominator is already small, small changes mortality can be
           | cast as an alarming-sounding "40% increase" you really need
           | to look at the raw numbers.
        
           | nu11ptr wrote:
           | The problem is the age group they gave is very wide: 18-64.
           | It would be helpful if they could sub-divide this to give
           | better perspective to which age group is seeing the largest
           | shift.
        
           | csee wrote:
           | What is your best guess based on what you've read, and for
           | what age group is that figure for specifically? I have also
           | been googling and have found no good source.
        
       | BillyTheKing wrote:
       | I feel like article like this one are commonly used by the anti-
       | vaccine community. They point to those ominous, rising death
       | numbers and understand them as evidence for the dangers of mRNA
       | vaccines. It would therefore (among other reasons) be helpful to
       | understand where exactly that rise in numbers comes from, is it
       | vaccines (which I don't think, else we'd be seeing a similar
       | spike in, say, Europe)? Or is it being caused by other factors,
       | such as fetanyl?
        
         | halfjoking wrote:
         | You're right - I'm anti-vaxx when it comes to mRNA vaccines and
         | I often link to mainstream articles like this:
         | 
         | https://www.yahoo.com/news/analysis-thousands-more-usual-dyi...
         | 
         | Mainstream articles are biased with the spin of the situation
         | but the facts are there. It goes over some causes of deaths -
         | mostly heart/clotting issues, exactly what you'd expect from
         | the vaxx. That's why we call it the "clot-shot"
         | 
         | In England people who took the vaxx are twice as likely to die
         | as those who don't:
         | 
         | https://alexberenson.substack.com/p/vaccinated-english-adult...
         | 
         | If you want an opposing view of that data read this fact-check:
         | 
         | https://www.reuters.com/article/factcheck-coronavirus-britai...
         | 
         | Notice how they don't deny the statistic. They just say it's
         | taken "out of context" because covid deaths, and vaccines save
         | lives. No matter how they spin it they can't deny government
         | data says vaccinated 18-59 are much more likely to die. That's
         | a fact, even though it's marked as false by Reuters.
        
           | jack_squat wrote:
           | Doesn't that all make sense? I'm not sure what the issue is
           | here.
           | 
           | The statistic that vaccinated people 18-59 are dying at twice
           | the rate presumably true, so of course the reuters article
           | doesn't deny it. The Reuters article presents a totally
           | believable explanation, which is also in the original
           | article's comments. What they are saying is that this can be
           | true for the age range 18-59, but simultaneously not be true
           | for any specific age brackets within that range.
           | 
           | This is called Simpson's paradox. The explanation is that
           | vaccination rates are higher among the elderly than among the
           | young, and that the elderly have a higher baseline rate of
           | death, and the Reuters article breaks out the numbers to
           | demonstrate this. What's the big mystery exactly?
           | 
           | https://en.wikipedia.org/wiki/Simpson%27s_paradox
        
             | joshuahedlund wrote:
             | Simpson's paradox is fascinating. If the result above does
             | not seem intuitive, think of an extremely simplified
             | version: imagine that half of everyone in their 50's is
             | vaxxed and no one on their 20's is. Next imagine that of
             | 1000 people in their 50's, 100 of 500 vaxxed people die
             | from non-covid sources, 100 of 500 unvaxxed people die from
             | non-covid sources, plus 50 unvaxxed people in their 50's
             | die from covid and no vaxxed people do. And imagine that 0
             | out of 2000 people in their 20's die from anything.
             | 
             | 150 out of 2500 unvaxxed deaths in 18-59
             | 
             | 100 out of 500 vaxxed deaths in 18-59 (higher rate)
             | 
             | But: 150 of 500 unvaxxed deaths in 50-59
             | 
             | 100 of 500 vaxxed deaths in 50-59 (lower rate)
             | 
             | It would be true that more vaxxed people died than unvaxxed
             | in the 18-59 age group without the vaccine causing any
             | death, but only because the larger number of surviving
             | young people swamps the higher relative death rates among
             | the higher relative vaxxed elderly.
        
           | [deleted]
        
           | jollybean wrote:
           | You are confusing your data badly.
           | 
           | Each of your references are saying completely different
           | things.
           | 
           | 1) non-covid excess mortality
           | 
           | 2) mortality _rate_ between those vaxxed and not vaxxed.
           | 
           | 3) Reteurs was not 'debunking' point 2 or point 1. They are
           | 'debunking' crap statements on Joe Rogan Podcast about the
           | absollute numbers of those dying from COVID in general.
           | 
           | Alex Berenson is terribly misrepresenting information.
           | 
           | So when you say "That's a Fact" - you don't even seem to be
           | sure what facts you're referring to, and they are obviously
           | taken out of context, at face value.
           | 
           | A)
           | 
           | For point 3, the Reuters debunking of 'Most of the COVID
           | deaths are those vaccinated' (Alex Berenson on Joe Rogan
           | Podcast misinformation).
           | 
           | Suppose 100% of the citizens of the UK are vaccinated.
           | 
           | The vaxx is good, but not perfect - so some will die.
           | 
           | Are you going to run around saying '100% of those dying were
           | vaccinated - therefore the vaxx is crap'.
           | 
           | That would be 'a fact' i.e. '100% of deaths are those who are
           | vaccinated'.
           | 
           | But how helpful is that fact? It's not.
           | 
           | It'd be like saying '99% of those dying from car accidents
           | were wearing seatbelts, therefore seat-belts are dangerous'
           | 
           | B)
           | 
           | Data point 2, which shows that 'Vaxxed people aged 10-59 are
           | dying at 2x the rate those unvaxxed' - is also misleading.
           | 
           | (FYI they are talking about 'death rates' not absolute
           | deaths, which is why it's different than the Joe Rogan
           | Podcast misinformation.)
           | 
           | The likelihood of someone being vaccinated goes up
           | dramatically with their likelihood of dying from COVID.
           | 
           | 59-year-olds are vaxxed at a much higher rate than 10 or 20
           | year olds.
           | 
           | Especially those with underlying conditions.
           | 
           | And it's going to be overwhelmingly people in those
           | situations that die from COVID.
           | 
           | Here's an analogy:
           | 
           | People aged 50+ and those 30+ with underlying conditions are
           | going for a 'dangerous car ride'.
           | 
           | Everyone else is going for a 'safe car ride'.
           | 
           | Everyone is asked to wear their seatbelts.
           | 
           | Some people, particularly those going on the 'safe car ride'
           | - are not wearing seatbelts.
           | 
           | As a result: all the 'big crashes' are in the 'dangerous car-
           | ride' cohort.
           | 
           | That means almost all of the deaths will be among those who
           | are wearing seatbelts, because, well, they were going on a
           | 'dangerous car ride'.
           | 
           | The kids who didn't bother to wear seatbelts, were mostly
           | going on the 'safe ride' and there were not many accidents at
           | all.
           | 
           | If we popularized the notion of 'People with seatbelts more
           | likely to die' - it would be totally misleading, because
           | people would come to believe that 'Seatbelts Kill You' -
           | when, the total opposite is true - seatbelts save lives.
           | 
           | ...
           | 
           | People that are smart enough to know the difference, and
           | continue to propagate it, are deliberately misleading people.
           | 
           | People that aren't bright enough (or don't have the time) to
           | spot the difference ... shouldn't be propagating information.
        
           | NaturalPhallacy wrote:
        
         | lazyjones wrote:
         | Official numbers for Europe are available at
         | https://euromomo.eu/graphs-and-maps/
         | 
         | They have graphs with excess deaths by age groups and you can
         | see that 2021 looks worse than 2020, with a noticeable upwards
         | trend starting around week 16 of 2021.
        
         | Spooky23 wrote:
         | The anti-vaccination people don't need facts, so anything that
         | creates FUD works for them.
         | 
         | I live in a protest corridor, and the "freedom lovers" were
         | demanding that we sacrifice the weak and old so that they could
         | enjoy not getting a vaccine. It's a gross type of mental
         | illness.
        
           | csee wrote:
           | > "freedom lovers" were demanding that we sacrifice the weak
           | and old
           | 
           | Isn't it the opposite? I recall various right-leaning figures
           | talking about 'sacrificing' the _young_. Release them in
           | order to get natural immunity, while locking up the old until
           | that process is done. I think that was a rather bad idea,
           | especially with the hindsight of knowing how quickly the
           | vaccines were ready, but that 's separate.
        
             | alisonkisk wrote:
        
             | Spooky23 wrote:
             | Like I said, they don't make a lot of sense. I think
             | there's a few different branches of that approach.
             | 
             | Why people were picketing a hospital with "sacrifice the
             | weak" signs was very puzzling. But they were!
        
           | dukeofdoom wrote:
           | The vaccine does not prevent anyone from getting or spreading
           | covid. In Ontario same case rate of covid per 100k residents,
           | in unxxed as vaxxed and heading higher. 3rd graph.
           | 
           | https://covid-19.ontario.ca/data?fbclid=IwAR2pRUq9GN9EEoDTm0.
           | ..
        
             | Spooky23 wrote:
             | I don't think that is seriously questioned with the Delta
             | and Omicron variants. Vaccines do seem, however, to reduce
             | the probability of having a serious infection that requires
             | hospitalization or ICU admission. It's a novel virus and it
             | and the situation around it evolves very quickly.
             | 
             | The anti-vax crowd conveniently ignores that detail, and
             | unfortunately the people who give them credence are paying
             | the price through needless suffering or even death.
        
             | sm4rk0 wrote:
             | "The anti-vaccination people don't need facts" but pro-
             | vaccination people will downvote the official data.
             | 
             | Edit: ...as the parent comment was downvoted when I wrote
             | this
        
               | manwe150 wrote:
               | The page also shows that vaccinated people are far less
               | likely to be in the ICU, which is an even more important
               | metric.
        
               | dukeofdoom wrote:
               | This is the only metric still left, which ma be just time
               | delayed.
               | 
               | Also people in ICU with covid may not be the same thing
               | as people in ICU because of covid. It may likely just be
               | that very sick people in hospitals are refusing the
               | vaccine and catching it. Hospitals are confined spaces
               | that aid in transmission of all kinds of diseases.
               | 
               | The difference is 40 people out of a population of 14.5
               | million. So small it could literally be people with
               | terminal diseases catching covid on their death beds.
               | 
               | To use this to advocate for any preventative effect in a
               | healthy individual in the general population would be
               | misleading. Very likely the difference is just sampling
               | bias.
        
               | Spooky23 wrote:
               | It could be many things.
               | 
               | The simple explanation, that getting a vaccination that
               | prevents or reduces the impact of a disease makes more
               | sense. To the point that it's a no-brainer.
               | 
               | It's a moot point now, as this phase of the pandemic is
               | played out. People embraced fear, ignorance and doubt in
               | the name of freedom. Many will needlessly suffer as a
               | result.
        
         | Developerx wrote:
        
           | sudosysgen wrote:
           | We can look at stats. The US isn't the only country with
           | vaccines.
        
             | Developerx wrote:
             | Stat from who? Are you sure you can believe the official
             | stats and so called opendata? I'm not
        
               | sudosysgen wrote:
               | So you don't trust any data from any country in the
               | world?
        
               | Developerx wrote:
        
             | nu11ptr wrote:
             | There are statisticians who have made such claims by
             | modeling many highly vaccinated countries. I am not
             | claiming they are right or wrong, but there are people who
             | claim they have found this signal in the data using
             | statistical methods.
        
               | sudosysgen wrote:
               | Link?
        
               | Developerx wrote:
        
       | civilized wrote:
       | This may well be true in some suitably qualified sense, but it's
       | odd to be hearing it from an insurance company first. General
       | population death records would enable government health agencies
       | to catch such large statistical shifts more quickly than an
       | insurance company. I suspect what they're seeing is real, but
       | they're exaggerating how representative it is of all geographic
       | regions and socioeconomic strata. Maybe there's another wave of
       | fentanyl ODs hitting the Rust Belt / Appalachia.
        
         | nu11ptr wrote:
         | Key word: should
         | 
         | I'm not suggesting they are suppressing or missing anything,
         | but I would suggest we stay open to both possibilities.
        
         | wjnc wrote:
         | Working as an actuary. The only way I can make sense of this
         | headline (GDPR block) is: normally for age X deaths Y. Of those
         | Y there are many with health preconditions that can't get life
         | coverage. Now a disease hits that kills some and effects
         | everyone (this is somewhat contrary to the usual view of
         | corona). You can have a massive increase in deaths without
         | preconditions even if the absolute rise is small. So their
         | deaths are up 40% compared to the expectation of the insurer
         | (not general mortality).
         | 
         | In other words: because of selection at the gate for long life
         | you can get up to 50-70% lower premiums than the standard table
         | assumes. So this insurer is having quite the scare.
         | 
         | It's one of the reasons why many EU insurers have balanced
         | portfolios (and are strongly favored by regulation to be
         | balanced). Long life, short life, pensions all in a basket with
         | reinsurance to get these risks of the books. Throw in some P&C
         | and A&H books as well (lower incidence of traffic accidents for
         | example) and the company could be robust to corona. Now the
         | interest rate and inflation, that's a different story.
        
           | [deleted]
        
           | red_trumpet wrote:
           | This let's you circumvent the GDPR block: https://web.archive
           | .org/web/20220102164149/https://www.thece...
        
           | civilized wrote:
           | They're in group life so selection should be limited. And
           | they said the deaths are mostly not COVID.
        
             | wjnc wrote:
             | From the article: "working-age people who are employees of
             | businesses with group life insurance policies" - that's a
             | quite comparable effect although indeed not via the
             | individual health screening thus less pronounced. Those not
             | working are quite more likely to die.
             | 
             | What I don't under from the article: they mention a $100
             | million loss on disability, but the effect of this size on
             | mortality should be many billions.
        
               | civilized wrote:
               | Somewhat smaller denominator, sure, but changes in the
               | numerator should also be smaller for similar reasons:
               | healthier population, employed, therefore more shielded
               | from socioeconomic stresses around the pandemic.
               | 
               | I sort of agree that the insurance financial risks
               | associated with a low mortality population can be high in
               | unusual situations, but it's not a blanket explanation
               | for any particular situation.
        
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