[HN Gopher] Fine, I'll run a regression analysis but it won't ma... ___________________________________________________________________ Fine, I'll run a regression analysis but it won't make you happy Author : sieste Score : 180 points Date : 2023-10-01 18:04 UTC (4 hours ago) (HTM) web link (www.natesilver.net) (TXT) w3m dump (www.natesilver.net) | da39a3ee wrote: | There should be scatter plots or other data visualizations in a | post like this. | wilg wrote: | I'm excited to find out in 20 years what the deal was with Covid | once everybody has forgotten all their political opinions. | Aachen wrote: | To me on an individual level, it feels like there isn't much | unclear about covid if you know how to filter unlikely | conspiracy theories and such. In what way do you see politics | colouring the generally established information? | iwonthecase wrote: | Good luck, there's still academics debating about the 1977 | "Russian" flu [1] | | [1] https://en.wikipedia.org/wiki/1977_Russian_flu | Aachen wrote: | > The outbreak in northern China started in May 1977 | | Coincidence? Do they have a climate conducive to these sorts | of viruses combined with a large enough population to make it | likely they get infected first or is this my selection bias | in noticing when it says "started in China" versus any other | country? | pvg wrote: | It would be odd vs any other country if any other country | contained a quarter of the world population in 1977. | philjohn wrote: | Large population that lives very close to natural | reservoirs for viruses. | | Spillover is a great book to read about zoonotic diseases. | pierat wrote: | [flagged] | robertlagrant wrote: | > Republicans were frothing at the mouth over hydroxcloroquine | or whatever that horse dewormer was. | | No, they weren't. The foaming was from the other side of the | aisle, in a similar vein to your post. Hydroxychloroquine was | investigated quite a bit[0], found wanting, and dropped. | | The horse dewormer story you're confusing it with; I think this | was a Joe Rogan thing, where his doctor prescribed him the | human form of Ivermectin, and he mentioned it, and the left- | leaning media (even though, as usual, Joe Rogan is a left- | leaning guy on almost every issue) sent the story round the | world that he was taking horse dewormer, before the truth could | get its boots on. | | As for masks - who knows? The largest metastudy in existence on | the subject seems rather less sure than you about them[1]. | Maybe that metastudy is flawed, but it seems worth considering | at least. | | > My dark thoughts: hmm, let as many republicans die from | COVID. Maybe we can do better with govt with them killing | themselves. | | I'm not sure what to say about this, except I hope you can | stand down a little from your aggressive, hyper-partisan | emotionalism. You cannot contribute anything if you're just | regurgitating memorised emotional responses others have | installed in you. | | [0] e.g. https://en.m.wikipedia.org/wiki/RECOVERY_Trial | | [1] https://www.cochrane.org/news/featured-review-physical- | inter... | hwillis wrote: | > The foaming was from the other side of the aisle, in a | similar vein to your post. | | That's a WILD thing to say. People are _still_ going crazy | over ivermectin, an senators are still posting conspiracy | theories about it: | https://twitter.com/SenRonJohnson/status/1690009000857710592 | | > The largest metastudy in existence on the subject seems | rather less sure than you about them[1]. Maybe that metastudy | is flawed | | From Cochrane themselves: | https://www.cochrane.org/news/statement-physical- | interventio... | | > For example, in the most heavily-weighted trial of | interventions to promote community mask wearing, 42.3% of | people in the intervention arm wore masks compared to 13.3% | of those in the control arm. | | And the study _still_ found that they work, just not the 50% | reduction they considered statistically significant. Small | wonder given the above. | | > Joe Rogan is a left-leaning guy on almost every issue | | hilarious | fabian2k wrote: | There absolutely was an enormous amount of misinformation | around Hydroxychloroquine and Ivermectin. And as far as it | was picked up politically, that was almost exclusively by | Republicans. | | And Hydroxychloroquine was certainly dropped much later than | it should have. It was added to studies in the control branch | because people were expecting it to be the standard of care. | There never was justification for that, but it was | unreasonably hyped from the start. | Georgelemental wrote: | Did you read the article? Death rates diverged only after | vaccines became available. Which implies that vaccines work, | and (many) Republicans were wrong to reject them, but pretty | much all non-vaccine-related pandemic restrictions (pushed | mostly by Democrats) were useless, and Republicans were right | to reject them. Neither tribe was 100% right or wrong! | mcguire wrote: | Ok, so now I want to see the details of his first claim, " _Until | vaccines became available, there was little difference in COVID | death rates between blue states and red states._ " | flashback2199 wrote: | A regression analysis without one single graph _rolls eyes_ | Izkata wrote: | For the downvoters, we even have a name for this: Anscombe's | quartet. | | https://en.wikipedia.org/wiki/Anscombe%27s_quartet | | Always visualize your data. | Amorymeltzer wrote: | For those curious (as I was) what he's using, it looks like | Stata: | https://www.reed.edu/psychology/stata/analyses/parametric/Re... | Aachen wrote: | Was looking for a download, but there's precious little about | that on the website. The closest I got were these remarks: | | > On all Reed lab computers, Stata is located in the | Applications folder. | | > Stata can be found in the Applications folder of any school | machine. On a PC, it is most likely located in Program Files. | | Does that imply it's neither open source nor even commercially | available? Seems rather odd, surely it is either of those two | mb7733 wrote: | That isn't the home page for Stata, that is a page put up by | Reed about where to find Stata on their computers. Go to | stata.com | ikjasdlk2234 wrote: | Stata is fairly ubiquitous in statistical circles, especially | those working in econometrics. While I preferred using Stata | in academia, it is expensive and R is similar, just not as | easy to use. | Amorymeltzer wrote: | As noted in other replies, this isn't the Stata homepage, but | rather an academic page about the use of the program. | Apologies for the confusion, I chose it because it has images | that neatly match what Silver shows. | rcbdev wrote: | I don't know about other countries but in Austria nurses were | highly incentivized to report deaths immediately following a | vaccination or weeks after an infection has passed as a covid | death in the sense of national statistics. | | I would not be surprised if this "nudging" of on the ground | reports over the course of the pandemic has rendered the data | around covid deaths unreliable. | notjoemama wrote: | "Until vaccines became available, there was little difference in | COVID death rates between blue states and red states. After | vaccines became available, there were clear differences, with red | states having higher death rates, almost certainly as a result of | lower vaccine uptake among Republicans." | | These are the claims he makes and arguably the data shows these | to be true. The rest looks like whining where he objects to | failures like "ice cream causes drowning" then eventually comes | around to show the most applicable categorical statement is | "states with higher vaccination rates had lower death rates. | Sure. There's a political divide that causes differences in | behavior and outcomes. I don't know. I spent the time reading but | I can't find any value in that post. Seems like venting to me. | [deleted] | Mordisquitos wrote: | I have to nitpick Nate Silver on a tangential point here | (emphasis mine) | | > The more complications you introduce into an analysis, the more | confounding variables that you attempt to control for, the more | you expand researcher degrees of freedom -- in other words, | decision points by the analyst about how to run the numbers. | | > _I don't think it's quite right to say these decisions are | arbitrary_. Ideally they'll reflect a statistician's judgment, | experience and familiarity with the subject matter. | | But, according to the sentence immediately following the one I | highlighted, it absolutely _is_ quite right to say those | decisions are arbitrary! | | They are _arbitrary_ inasmuch as they are _arbitrated_ by the | statistician 's educated judgement and experience. That these | decisions are _arbitrary_ does not intrinsically strip away their | value. Rather, it subordinates their value to the presumed | ability of their arbiter -- in this case the statistician, whom | we presuppose is well trained and capable. | | I feel that in common parlance the word "arbitrary" is undergoing | the opposite process of the term "literally". Where one word is | losing its meaning by arbitrarily narrowing it down too much, the | other is literally losing its meaning by making it too broad. It | figuratively grinds my gears. | burkaman wrote: | I don't think the word "arbitrary" is currently undergoing any | change, it hasn't been used the way you use it in like 400+ | years. | diogenes4 wrote: | Wait, so what does arbitrary mean to you if not "the result | of a judgement or choice"? Is it just a synonym for random to | you? | staticfloat wrote: | Yes, that's what it means for me. I've never heard someone | use the word arbitrary to mean anything other than "a | random choice", or even "a poorly thought-out choice". | | My professors in grad school explicitly discouraged use of | that word anywhere in technical writing, as they felt it | would immediately give the reader the impression that the | actions taken in the research were not thought through. | Example: "This new technique enables arbitrary | manipulations of data" should instead be replaced by | something like "this technique enables a wide range of | manipulations of data". | diogenes4 wrote: | > I've never heard someone use the word arbitrary to mean | anything other than "a random choice", or even "a poorly | thought-out choice". | | That's shocking, I use it to mean "the result of a | judgement or decision" about a dozen times a day, such as | "it's not random, it's arbitrary". I had no clue people | had an alternative definition for it. I'm even more | surprised that otherwise ostensibly-educated people have | no clue about the traditional definition. | burkaman wrote: | Can you find any recent dictionary with your definition, | or modern printed example of the word used in this way? | | Etymonline cites a 1640s dictionary with the present-day | definition: https://www.etymonline.com/word/arbitrary | HWR_14 wrote: | Arbitrary can be used in a legal sense to mean "up to a | judge's discretion". But this is a term of art, not an | obscure use of the word. Maybe you are responding to a | lawyer. | diogenes4 wrote: | > Can you find any recent dictionary with your | definition, or modern printed example of the word used in | this way? | | sure, https://www.wordnik.com/words/arbitrary: "Based on | or subject to individual judgment or preference." is the | second definition. You clearly didn't even bother | googling. | [deleted] | lcnPylGDnU4H9OF wrote: | I'm not convinced by the argument in your second | paragraph. It actually makes it seem like arbitrary means | exactly "based on judgment or choice" if it can be | replaced so easily with "a wide range of". How was the | "wide range" chosen, if not arbitrarily? | umanwizard wrote: | For me, _arbitrary_ means something like "not constrained | by rules; able to be chosen at will". An arbitrary choice | doesn't have to be "random" in the strict sense of being | chosen by nondeterminstic chance, although people often use | "random" to mean something similar to "arbitrary" in | colloquial speech. | | It can have good or bad connotations: "Emacs's | configurability means you can extend it in arbitrary ways" | is good; "Russia is known for arbitrary detention of | political dissidents" is bad. | yashap wrote: | The first dictionary result when Googling says: | | > arbitrary (adjective) | | > based on random choice or personal whim, rather than any | reason or system. | | > ex: "his mealtimes were entirely arbitrary" | | Natural language is imprecise, so there are many | definitions, but that fits with how I interpret the word. I | wouldn't think of something like "the well researched | opinion of an expert", which certainly is the result of a | judgement, as being "arbitrary". | scubbo wrote: | Seconding, here, that I've almost-always heard | arbitrary/arbitrarily to mean (slightly differently than | the sibling commenter) "able to be chosen freely, without | any loss of generality"; though, yes, I have also heard | your usage of "by personal judgement, disregarding | established rules or convention". | todd8 wrote: | Here are a few observations. | | From the CDC [1], 2020 total covid deaths by state: West Virginia | 1318, Florida 21546, Maine 344, Vermont 134. | | The corresponding April 2020 census populations [2] for these | four states are: West Virginia 1793716, Florida 21538187, Maine | 1362359, Vermont 643077. | | Thus, before the vaccines for covid were available the deaths per | 100,000 persons for these four states are: West Virginia 73, | Florida 100, Vermont 21, Maine 25. | | Someone should probably check my math, but it looks like voting | for Trump causes over three times as many deaths even before | vaccinations were available. In other words, the analysis in the | original article may be affected by unaccounted for confounding | factors. For example, COPD is a significant medical risk factor | for serious covid complications according to the CDC. COPD | affects over 13.6% of the population of West Virginia (the worst | rate in the country) but affects only 5.9% of the population of | Vermont [3]. | | Personally, I chose to get vaccinated and boosted at the earliest | possible dates. I also caught covid during the initial big wave | of omicron cases in my state. | | [1] https://stacks.cdc.gov/view/cdc/99750 | | [2] | https://en.wikipedia.org/wiki/List_of_U.S._states_and_territ... | | [3] https://www.lung.org/research/trends-in-lung-disease/copd- | tr... | phkahler wrote: | >> This wasn't intended as any sort of super-duper hot take, and | I pared the post down to avoid having too much of an attack | surface. | | It is intended to shame Republicans. What other possible reason | is there to tie death rates to political party? So yes it was a | hot take. You planted a lightning rod. Making something like | vaccination a political issue does everyone a disservice. | RIMR wrote: | Yeah, let's not make this political. /s | mjmsmith wrote: | It certainly did a disservice to the people who died because | their politics convinced them that the vaccine was worse than | the disease. | autoexec wrote: | The idea that nobody should ever point that fact out seems | crazy to me. We should be using this as an example when | teaching critical thinking skills to kids in schools so that | they know not to let political ideology and lies manipulate | them into the grave. | Waterluvian wrote: | It was a hard thing to broach at the time without people frothing | at the mouth about how I must be anti vaccine or something: | | Has there been any attempt to calculate the cost-benefit of all | the various measures and how extreme we should go with them? | | I'm guessing it's hard to quantify and compare. A lot of things | like general depression, isolation, kids missing half a year of | school, etc. can't really be evaluated against people dying. And | on its surface it seems obvious: uh, people dying is much worse | than any of those things. | | But if I said that everything we did was to save one life, people | probably would generally agree it wasn't worth it (obviously so: | people don't seem too interested in preventing all kinds of | deaths at all costs). What about ten lives? One thousand? Ten | thousand? There's some subjective level where it starts to feel | obvious to more and more of us, until a majority of us agree. | | But do we have any general sense what that number is? How do we | decide how much to care? It might seem ghoulish to decide how | many dollars is worth a life, but we do it every day. | | With the data we have now, I imagine we can somewhat quantify | this given enough sample jurisdictions with different rules? | "Masking saves x lives per 1000." "Closing schools saves y lives | per 1000" etc. And perhaps then we're able to decide "is x lives | worth the qualitative harm done?" Probably. "What about y?" Maybe | not. | fhcuvuvuc wrote: | It doesn't matter. You can't have these conversations without | being censored anymore. | | My works HR department got sick of having people use "logic" | and "evidence" to argue against their policies. After kicking a | few people out the door and generally saying you can't talk | about this at work anymore, nobody talks about it. | fwungy wrote: | I really don't trust any of the numbers on covid. A vaccine for a | dangerous illness that can affect billions of people is a very | big payday. There's lots of money to spread around to | politicians, corrupt scientists, and corrupt media. | | I'd like to see a real scientific debate with adversarial inquiry | so we could know if numbers are being fudged and which ones they | are. | | I trust science, but not greed driven capitalists corporations. | Having a measure of distrust for pharmaceutical companies given | their historical record is prudent. | sarchertech wrote: | The Moderna and Pfizer vaccines have been approved by the | national health agencies of dozens of countries, and China has | approved a very similar home grown mRNA Covid vaccine. | | No amount of money in the world could pay to do that and keep | it secret. | Izkata wrote: | I don't know about the order/process elsewhere, by the time | they were up for the approval process in the US there really | wasn't another option simply because of the outcry after so | many people had taken it, if it wasn't approved. | sarchertech wrote: | As a counterpoint to that, 20 million people took the | Johnson and Johnson vaccine under the emergency | authorization, but the FDA didn't approve it. | | Also buying the emergency approval process in the first | place would have required an epically massive conspiracy. | fwungy wrote: | Corrupt government officials get a commission on big | contracts. It happens all the time. Why do you think people | spend so much campaigning for low paying political offices? | They can be quite lucrative investments. There are NDAs and | other threats to shutdown whistleblowers. | sarchertech wrote: | Think about how many people were involved in the approvals | across the entire globe? Most of the approvals processes | were conducted in public by career scientists and doctors. | There were tens of thousands of people involved that would | have to look the other way. | | Any company that's capable of pulling off a global | operation like that with absolutely zero exposure, is | already running the world and doesn't need to bother with | piddly $40 billion scams. | therealdrag0 wrote: | What does adversarial inquiry look like? | fwungy wrote: | A debate in real time between qualified adversaries. Treat | these things like you're making a major investment. Make both | sides answer hard questions from each other. | | For example have RFK and Fauci put together teams of MDs and | PhDs to debate in a live event. | MostlyStable wrote: | "live" debate selects far less for truth and far more for | "skill at debating" which is nearly orthogonal to being | correct. | | That is not to say that live debate has no place, or is | worthless. I'm just not sure I'd come even close to | agreeing that it's the ideal way to come to the truth. | danny_codes wrote: | Occam's Razer man. Covid is super infectious, so it infected | everyone. This is not that complicated. | SilverBirch wrote: | I think the funny thing is that Nate can be a flippant twit on | Twitter but has totally fallen for it in critiques of him. | Essentially this article is "a bunch of people baselessly | speculated about an assertion I made, so I'm going to spend lots | of time proving something they don't care about" | onthecanposting wrote: | Typical narcissist. I'll always think of Nate Silver as the | bedraggled man with a mid-range stare on election night 2016. | Silver's utility is limited to knowing what the establishment | talking points are. | Hammershaft wrote: | Considering the incredibly close vote margins that carried | 2016, Nate had one of the most accurate models of | interpreting poll data available. | galkk wrote: | Or he got lucky, as next time he wasn't even close in his | predictions | ramblenode wrote: | What should he have done differently to improve his analysis? | MauranKilom wrote: | As a bystander this seems accurate, but at the end of the | article Nate himself states that he has little hope that it | will convince people on Twitter/X. It's more about credibility | to his own readership, I suppose. | onthecanposting wrote: | I think he's writing to convince himself more than his | readers, if he has any. | SilverBirch wrote: | Look him up, he has readers. | abirch wrote: | Getting in an argument (vs disagreement) in real life is | worthless. Getting into an argument on the Internet has even | less value. | | Personally I think this was an easy article for him to write | because he already had the data and he wants more subscribers | (please take this take as neutral opinion and not a dis to | Silver) | xboxnolifes wrote: | It's worthless if your goal is to influence your direct | opposition. It's not worthless if your goal is to influence | the curious on-lookers. | sanderjd wrote: | Yep, always good to keep in mind that the audience for | public discussion is not the small number of people | you're discussing with, but the large number of people | reading the discussion. | stu2b50 wrote: | That depends on what the goal is. It's worthless if you're | trying to convince the other side. But in many cases, | you're actually trying to convince the _audience_ , and | certainly for something like a blogpost here, I'd argue | that it is not only the case, but successful, since at | minimum we know it got posted to hackernews and has | traction. | brianpan wrote: | "Bunch of people" doesn't seem like a good characterization | considering he's at least partially responding to Martin | Kulldorff, a professor of medicine and biostatistician at | Harvard and a co-author of the GBD. | KerrAvon wrote: | This is all fine, but the focus on deaths is sort of missing the | larger societal problem. The COVID devastation is also about long | COVID, and even people who had COVID but either recovered "fully" | or never displayed symptoms. None of this is over, and we are so, | so fucked. | | edit: Which is to say: The Great Barrington Declaration was wrong | directionally as well. We really needed to optimize to eliminate | COVID as much as possible to have a hope of a return to | normality. Death is not the only issue with COVID. Too fucking | late now, but anyone who supported that is a quack and should | have been stripped of their license. | [deleted] | cm2012 wrote: | Good news then that long covid is probably not a real issue | jsnell wrote: | Eliminating Covid stopped being an option roughly around | January 2020. The partial elimination you seem to be implying | with "as much as possible" was never an option. It was always | all or nothing. | EdwardDiego wrote: | Even NZ gave up on our island defence once Omicron got in. | We'd managed to stave off widespread Delta, but Omicron was | far more transmissible, but also, far less lethal, and its | arrival and spread came just after we started vaccinating. | | So by then the cost/benefit analysis made it clear that | reopening, while bringing more sickness, would ultimately | cost less than not. | | The isolation caused some havoc in our economy that we're | still recovering from, but large amounts of excess deaths | brings its own economic impacts that would likely have been | far worse. | dehrmann wrote: | and China tried really, _really_ hard to eliminate it over | the next 3 years. They couldn 't. | noirbot wrote: | I haven't read the specifics of the GBD, but isn't some of the | "it was clearly quackery" confounded by: | | 1. In 2020 especially, and even now, the specifics of long | covid and other side effects, as compared to other downsides of | lockdowns on mental health/delayed treatments are hard to | predict? We don't have the counterfactual of what would have | been the 3-5-10 year implications of a multi-year lockdown. | | 2. Does the general directionality of that change in a world | where it's obvious that global lockdown/elimination of covid | wasn't feasible because there isn't some global government to | impose it? As long as a large enough population wasn't going | along with the elimination strategy, it makes it less viable | and more costly for everyone else. If the "2 week lockdown and | it all goes away" had happened, then absolutely that would have | been right. If all of, say, Europe doesn't lock down and | everywhere else _does_ , then how long of a lockdown do you | need in order to have it do anything, and at that length, what | other major problems emerge? | | At least personally, the point I somewhat gave up on | elimination was when the first variants started emerging from | South Africa and Europe. It seems like that's generally borne | out too - I'd be curious what the infection/long covid rates in | the more successfully locked down countries like New Zealand or | Japan are at this point. | munch117 wrote: | The west did not go for a strategy of elimination through | lockdown. Rather, the strategy was to delay the spread, | initially only so that the health care system could keep up, | and later in the hope that vaccines would arrive in time to | curb the brunt of it - as they did. | | The GBD is easy to find and a short read | (https://gbdeclaration.org/), it does not refer to any | elimination strategy - instead it discusses the costs of | "Keeping these measures in place until a vaccine is | available". | | I don't see any quackery in the GBD. (Which is not to say | that they were right.) | bbarnett wrote: | The problem is, even lockdowns weren't lockdowns. | | There were endless people who had to work, just to keep | water, power, food flowing. And those people needed | transportation. | | And past 2 weeks, transportation means parts for vehicles, | maintenance, gas, oil, and food means transportation and food | processors and.... | | It was a good idea at the time, but doomed to fail. | newZWhoDis wrote: | Where I come from, "good ideas doomed to fail" are called | "bad ideas" | bbarnett wrote: | I recall clearly, at the time, the first two weeks of | lockdown. No one, anywhere, had a clue wtf was going on, | except that some new virus was spreading like wildfire, | that it spread before symptoms appeared, and it seemed | like Italy had a crazy high death rate. | | Blaming people with the knowledge of hindsight is just | plain wrong. | | Later lockdowns? Now that's a different conversation. | charrondev wrote: | Quebecs lockdowns continued for 2 years and were far more | draconian than the rest of North America. | | As far as I understand this was mostly a factor of our | public hospital systems being absolutely over capacity | and the government doing whatever it could to keep up. | | Needless to say I've since moved away to a region with a | more functional health care system and that allows | families to gather together as desired. | autoexec wrote: | Yeah, before we had any idea what we were dealing with | anything but a lockdown would have been madness. | mikem170 wrote: | Agreed. There's a lot of animals that can catch and spread | covid [0]: | | > many if not most mammalian ACE-2 receptors are | susceptible | | > the virus has gone from humans to the animals and back | again to human | | > found signs of antibodies against SARS-CoV-2 in | significant percentages of six urban wildlife species | | > found signs of the pathogen infecting 17 percent of New | York City sewer rats tested | | > Exposure could also occur following interactions with | pets such as cats and dogs | | Lockdowns were never going to be able to eliminate the | virus. | | [0] https://www.nationalgeographic.com/animals/article/how- | so-ma... | autoexec wrote: | I'm not too worried about a random sick deer in the | middle of some forest infecting a whole bunch of humans. | The worry with animals is that they could mutate the | virus into something much more nasty. Especially in | factory farm settings where animals aren't properly cared | for and are packed in like sardines while covered in shit | and open sores, and where workers who are also treated | terribly could end up getting exposed. | | Lockdowns could do a lot to reduce spread and protect | people from infection in large population centers, but | certain areas are basically breeding grounds for disease | and even before covid they were a risk for things like | antibiotic resistant bacteria. Ignoring them was always | going to be a problem. | glenstein wrote: | >This is all fine, but the focus on deaths is sort of missing | the larger societal problem. The COVID devastation is also | about long COVID, and even people who had COVID but either | recovered "fully" or never displayed symptoms. | | And to your point, it is about everyone else who couldn't get | the care they needed because COVID overwhelmed our | infrastructure. | CiteXieAlAlyEtc wrote: | > The COVID devastation is also about long COVID, and even | people who had COVID but either recovered "fully" or never | displayed symptoms. None of this is over, and we are so, so | fucked | | You're right by way of the literature available to evaluate | this claim. (Even jobs numbers are starting to note that some | amount of the worker shortage is likely related to long COVID) | Most of the "oh i got it [a few times] and i'm fine" posts are | ignoring the long tail risks here. | | Unfortunately, it will take 5-20 years for many of the worst | long tail consequences of mass spread of sars-cov-2 to become | imminently clear. (Enjoy access to your medical specialists | while you can! There's not enough slack in the system for | doubled-or-worse hazard ratios for most serious conditions, | lol!) Decision makers broadly prioritized public dining over | prudence. For this choice, we get at least an entire generation | picking up sars-cov-2, likely yearly, and our reward will be a | horrifying number of early deaths and disability. | | This tragedy is so senseless and so avoidable. Zero COVID was | and still is the rational strategy; "Let-er-rip" (and the GBD | by extension) is anything but rational. | | Poz rates in NY state have been sitting near 60ish percent, | don't forget your well fitted respirator, usps is doing another | round of free test distribution (RATs but better than nothing), | and good luck out there. solidarity. | amluto wrote: | > Zero COVID was and still is the rational strategy | | How? The vaccines are mediocre at best and are nowhere near | good enough to get R < 1 (except maybe in a population where | most people already had COVID, and that's a big maybe). Masks | might be effective enough if everyone wears a good one | correctly, but good luck -- even if you convinced people, | people like eating indoors. And seeing each other's faces, | etc. And the antigen tests are not terrible sensitive. | brazzy wrote: | >This tragedy is so senseless and so avoidable. Zero COVID | was and still is the rational strategy | | That statement is beyond ridiculous. Zero COVID was a pipe | dream (as in: flat out impossible to achieve by any | realistically implementable policy) by the time Omicron | appeared, which really means: by the time it was spreading in | Africa and India. | nradov wrote: | That is misinformation. The risk of "long COVID" has been | widely overstated. | | http://dx.doi.org/10.1136/bmjebm-2023-112338 | | Most any serious viral infection can potentially cause post- | viral syndrome, but there is nothing particularly dangerous | about SARS-CoV-2. And there is no realistic possibility of | eliminating that virus. There is no sterilizing vaccine. It is | now endemic worldwide through humans and multiple animal | species. It's time to move on. | | The notion of punishing people for exercising their freedom of | expression is horrifying. That is unacceptable in a modern | liberal society. | YeezyMode wrote: | It isn't misinformation. Here is a study that basically | rebuts every implication of the study you linked: https://twi | tter.com/VirusesImmunity/status/17063329657922727... | | Another link questioning the process behind the entire study | itself: https://www.sciencemediacentre.org/expert-reaction- | to-an-ana... | blueskies89 wrote: | [flagged] | lr4444lr wrote: | You have to stack long COVID against the long term mental | health and social effects of lockdown, including but not | limited to the atrocious loss of learning in school children, | domestic abuse situations that spiraled, and an already | alarming teen mental health problem that Jonathan Haidt has | been documenting for about a decade. | | Lockdowns did make sense initially, especially during the | dominance of the Wuhan strain. But some countries like Taiwan | and SK with experience dealing with respiratory virus pandemics | opened up way sooner, smartly, and did not suffer tremendously | for it. | walnutclosefarm wrote: | > The COVID devastation is also about long COVID, and even | people who had COVID but either recovered "fully" or never | displayed symptoms. None of this is over, and we are so, so | fucked. | | SARS-CoV-2 is certainly with us to stay, so in that sense it's | not over. But beyond that, I don't see how "we are so, so | fucked" as you say. Covid is no doubt taking a small nibble out | of life expectency, and yes there is some long Covid still | taking its own nibble out of productivity and life satisfaction | ... but it's not that big a part of the big picture. Covid is | killing less than half as many people in the US at this point | as lung cancer, and those deaths are overwhelmingly amongst the | elderly. I don't want to be overtly callous, but knocking a few | years of life off people well into retirement is hardly going | to bring the country to its knees. There are essentially no | Covid deaths among people under age 18, and among the working | age population, cases requiring hospitalization or leading to | long term debilitization are rare. | | Those who suffer, of course, suffer. We shouldn't be | unsupportive of them in their trials. But Covid as a public | health crisis is largely over. | gadders wrote: | You seem to have lived through a different pandemic than the | rest of the world. | | It's hard to say the GBD was wrong when Sweden didn't lock down | and they weren't exactly seeing bodies pile up in the street. | | Covid is now here to stay, ranking somewhere in severity | between the common cold, flu or pneumonia. | bugglebeetle wrote: | > Covid is now here to stay, ranking somewhere in severity | between the common cold, flu or pneumonia. | | I know it's ideologically motivated, but it's surprising | people just bold-faced lie about the impact of COVID, when | the stats are there for everyone to see. In the US, COVID is | on track to kill ~200K people this year: | | https://covid.cdc.gov/covid-data-tracker | | The cold and flu will not kill anywhere near this number, | pneumonia is a consequence of respiratory illness, not a | disease in itself, and before COVID, this would be considered | an absolutely insane amount of deaths. | pragmar wrote: | > COVID is on track to kill ~200K people this year | | Where are you seeing this? I'm eyeballing cumulative deaths | in the linked data tracker, it's about 50k through | September 23.[1] | | [1]: https://covid.cdc.gov/covid-data- | tracker/#trends_totaldeaths... | sokoloff wrote: | Is that tracking deaths _from_ COVID or deaths _with_ | COVID? I have doubts that the numbers are not overstated | (by how much, I 'm not sure). | | Looking at CDC data for excess deaths from Jan through July | 2023*, excess deaths have averaged around 1.7%. Deaths | reported as being due to COVID are running at 2.7%. | | Annualizing and turning the data back to excess deaths, | that means of the ~200K people that "COVID is on track to | kill", only about 53.4K total excess deaths are expected, | projecting from Jan-Jul, or projecting mid-Jan-Jul, excess | would be only 31.5K. | | Perhaps COVID is _saving_ 146K-169K lives and then killing | 200K this year? | | * This is to avoid the recent data incompleteness. If I | include more recent data records, my argument becomes | stronger, not weaker. Setting aside the first two weeks in | January, the average drops to 1.0% excess deaths overall. | sieste wrote: | The death from/with covid distinction is only relevant | here if there is a systematic difference in over/under | reporting of covid deaths between red and blue states. If | it's a constant bias regardless of state, it would not | change the conclusion of the article. And it could only | change the conclusion of the article directionally if | covid deaths in red states are significantly overreported | compared to blue states. | sokoloff wrote: | GP was claiming COVID was on track to kill ~200K in the | US this year * | | If that's the case, it seems reasonable to compare that | claim to the total excess deaths in the country. Nothing | to do with red or blue states. | | * - https://news.ycombinator.com/item?id=37729830 | FuckButtons wrote: | The statistics are that Covid is much worse than seasonal flu | and that's after vaccination. To say otherwise is to ignore | reality. | autoexec wrote: | people have been desperate to paint Covid as no worse than | the flu from the beginning of the pandemic, and it seems | like no amount of time or facts will stop them. | leksak wrote: | I think the severity of long Covid might be more debilitating | as it is my understanding that the long-term consequences of | pneumonia is not as long lasting. I've not known of people | that have had to change their whole way of life, and possibly | their career, because of pneumonia or flu but have met a few | that have had to do so as a consequence of long Covid. | gadders wrote: | Apart from having taste or smell affected, I don't know | anyone with "long COVID". | kenjackson wrote: | I know a few people who are impacted by it. But they all, | if I recall correctly, have confounding factors. For | example, I know two people with MS where Covid has | completely wrecked havoc -- and a year or so later are | still largely devastated. | marginalia_nu wrote: | There's also the fact that for a lot of people, COVID | isolation meant a precipitous decline in physical and | social activity that lasted for _years_. | | We know this stuff can fuck you up pretty bad both | mentally and physically. Depressive symptoms and a steep | decline in physical fitness is very much the expected | outcome from that. | zdragnar wrote: | My brother has it. Persistently elevated heart rate and | breathing issues, to the point that walking up a flight | of stairs would leave him winded when he was suffering | the worst. I believe he's gotten a bit better since, but | not fully recovered. | | His resting heart rate is up 20bpm, and it can take 10-15 | minutes after exerting himself for it to return to that | new normal. He's almost certainly at risk for a stroke | due to whatever caused the change, and it left him more | susceptible to being sick- he's gotten COVID 3 times | despite the vaccines, while the rest of his family has | only had it once or twice, on top of the usual flu and | colds going around that his kids bring home from school. | | Edit: noting the sibling comment, he also had no | confounding factors, aside from being slightly | overweight. Even our elderly parents have gotten COVID | with no lingering symptoms. | gadders wrote: | I'm not saying it doesn't exist, I'm saying it's a lot, | lot rarer than the COVID alarmists seem to think. | | People also get post viral fatigue from other virii. | jonstewart wrote: | To be clear, you're saying it's a lot, lot rarer than | Covid alarmists think... because you don't personally | know anyone with it? | ggm wrote: | Yes. That's how anecdata works. If enough people observe | they don't know anyone either with or post long covid, it | starts to move significance. I've known two people with | ME over 50 years and it doesn't alter my sense of their | personal anguish or its economic and wider health | consequences. | | I have no doubt long covid exists and will need | significant funding in research and targeted health care. | It won't need as much as, or return as much as the spend | on paediatrics or obstetrics, per capita. | jonstewart wrote: | I've never known anyone to justify an argument explicitly | using anecdata unironically. Amazing, no notes. | gadders wrote: | It's not the scientific method but if something is very | common, and I have several hundred friends, relatives and | work colleagues of various backgrounds and states of | health then I should have heard of someone experiencing | it, no? | | I've seen no evidence on this thread that proves it's | super-common so apart from funding my own research | project, what do you suggest? | zdragnar wrote: | Well, of the ten people I know who have gotten COVID, one | has long COVID. That makes my anecdatum a 10% rate of | people developing long COVID. | | Given the number of people who have been infected, that's | a very large number of people with potentially permanent | side effects. | zackees wrote: | [dead] | ahh wrote: | Psychosomatic illnesses are in fact quite serious, but they | require psychological treatment, not lockdowns of society. | bugglebeetle wrote: | The incidence of heart attack and stroke increases | significantly after COVID infection, so please spare us | your appeal to "psychosomatic illnesses": | | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8321431/ | | (I should get bonus points for this being a Swedish study | as well, since every COVID denier loves to wave around | their flag.) | gadders wrote: | "Results: Patients with post-COVID syndrome scored lower | for emotional stability, equanimity, positive mood, and | self-control. Extraversion, emotional stability, and | openness correlated negatively with anxiety and | depression levels. Conscientiousness correlated | negatively with anxiety." | | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8870488/#:~: | tex.... | AndrewDucker wrote: | https://www.latimes.com/business/story/2022-03-31/sweden- | cov... | umanwizard wrote: | > None of this is over, and we are so, so fucked. | | Some fraction of us are fucked, but surely not "we" as a whole. | The vast majority of people I know have had Covid (many | multiple times), and the vast majority are now perfectly fine. | | > We really needed to optimize to eliminate COVID as much as | possible | | This was already impossible by Feb. 2020 when it was spreading | like wildfire in China, Iran, and Italy. | | > to have a hope of a return to normality. | | We have already returned to normality, so reality doesn't back | up your assertion. | PheonixPharts wrote: | > None of this is over, and we are so, so fucked. | | I love doom more than the average person, by what I would say | is a quite significant margin... but I don't see this at all. | | I've had covid at least twice, including some awful symptoms a | month after recovery that had me convinced I had long covid as | well... a few months later (now years) not so much. | | While I do know many people of who have lost loved ones from | Covid, I don't know anyone, or know anyone who knows anyone who | has any serious "long-covid" symptoms. | | To be clear, I'm not doubting that long-covid exists. But I'm | very skeptical, based on my own observations, that "we are so, | so fucked" and _covid_ of all things is the source of that | "fucking". Personally I think a lot of the post-covid | strangeness is because, for a variety of other reasons (not the | least of which is rapidly progressing climate change), people | are under tremendous stress and at the same time can't quite | articulate what that stress is, nor find relief from it. | | A lot of people (not me) did believe there was going to be a | return to normal post-covid, and the increasingly obvious | impossibility of this is causing people to have tremendous | mental health problems. But long-covid itself being the source | is something that I just don't see anywhere. | | And, as I said, I'm not afraid of being labeled a "doomer", so | if you have some good sources to read up on, I'm all ears (er, | eyes). | mb7733 wrote: | > A lot of people (not me) did believe there was going to be | a return to normal post-covid, and the increasingly obvious | impossibility of this is causing people to have tremendous | mental health problems | | What is not normal in your opinion at this point? Covid still | exists as another illness that goes around, but from my point | of view everything else has been back to normal for quite a | while. | jrumbut wrote: | I don't know enough to comment on long Covid, but I think an | element of it is that for a long time we've denied that | sometimes illnesses require substantial recovery time. | | I remember reading a lot of old stories as a kid where | someone would get the flu or a generic fever and take | multiple months to recover. Industrial society made that | economically infeasible but our biology didn't change. | | I don't think it should be surprising to anyone that having a | massive population of a virus in your lungs and elsewhere has | long term effects. | scubbo wrote: | > I don't know anyone, or know anyone who knows anyone who | has any serious "long-covid" symptoms. | | You are fortunate. I know several who have those symptoms | (ranging in age from my own - mid-30's - to my parents' - | early 60's), and have had several friends relate their own | observations of loved-ones. If Long Covid isn't real, there's | an astonishingly-coincidental prevalence of fatigue and | impaired cognition from some other source, which is | correlated with those who (from my own observations) took | less precautions regarding Covid and/or who caught it more | often. | | I recognize the irony of responding to your anecdata with my | own. No, I don't have any hard data to provide - though given | the partisanship observed in the reporting of COVID _itself_, | I have somewhat lost faith in the availability of trustworthy | data about public health. | Racing0461 wrote: | [flagged] | bugglebeetle wrote: | [flagged] | postmodest wrote: | Yeah, we should vote for the other party to punish the--what? | That's their platform? Oh. | | Posts like this, which blame only the Democrats by name, are | practically agitprop. | umanwizard wrote: | The person you're replying to didn't suggest voting for | Republicans; that's just something you invented because of | the uniquely American habit of assuming politics is a zero- | sum game with exactly two players. | | I hate the state of our political system so much... | uoaei wrote: | The real fuckery is the system-wide insistence that there's | only two sides to every debate and that the line between | the two parties defines the terms of the debate. | cptskippy wrote: | What has the Republican party done exactly to support OSHA | protections or worker benefits? Nothing? Oh so perhaps it | isn't about the party but about how our politicians are | bought and sold by business interests. | | Please stop trying to make something partisan that isn't. | kingds wrote: | in what ways have we not already returned to normality? | bugglebeetle wrote: | I think we've returned to a new, more callous form of | reality, where mass injury, illness, and death are | normalized, and any real concern for public health or | intervention, including that which was considered entirely | rational before COVID, is now greeted as impossible or | insanity. | [deleted] | iwonthecase wrote: | Well flu vaccination rates are down from pre-covid levels, | I'd guess more antivax sentiment's also impacting other | common vaccines. | autoexec wrote: | This madness is impacting even vaccination rates for rabies | in pets! https://time.com/5538926/dogs-vaccines- | antivaxxers/ | cptskippy wrote: | I think it very much depends on where you live. Rural America | returned to normal a long time ago. Many cities, like San | Francisco and Atlanta, have not and are still feeling the | effects to varying degrees. | loeg wrote: | Urban American returned to normal a few months later than | Rural America, but we're talking like, April 2022. SF is | still suffering from some dynamics that started during | COVID but it's not like there are still lockdowns or | compulsory masking or anything like that. | umanwizard wrote: | > we're talking like, April 2022 | | Masks were mandated on the subway in New York until | September 2022. I'd consider this to not be "normality". | umvi wrote: | > None of this is over, and we are so, so fucked. | | In what sense? I'm in a deep red state, and I haven't noticed | much "devastation" in my community due to COVID. Seems like you | can work yourself up about anything. Doomscroll enough Type 2 | diabetes articles and you'll convince yourself that COVID is | the absolute least of USA's public health problems compared to | the complications resulting from that. | autoexec wrote: | Why not both? COVID outcomes tend to be worse for diabetics | and COVID infection increases the risk of developing diabetes | as well. ___________________________________________________________________ (page generated 2023-10-01 23:00 UTC)