Posted in Disease Prevention, Economic Issues, Education, Evidence-based Medicine, Free Society, Free-Market, Government Regulations, Leadership, Liberty, outcomes, outcomes measurement, Patient Safety, Policy Issues, Prevention, Uncategorized

Gov. Cuomo Admits COVID-19 Projection Models “Were All Wrong,” Yet Clings to the Central Planner’s “Pretense of Knowledge” – Foundation for Economic Education

“There are a lot of variables,” Cuomo admitted. “I understand that.”

But does he really? If he truly understood how infinitely complex social problems are, he wouldn’t act as if they can be solved top-down by politicians, bureaucracies, and a government-connected expert class. He would admit that all central planners can do is stumble around in the dark, breaking things and people.

And if he understood economics, he would realize that the complexity of social problems are such that they can only be managed bottom-up by local actors with local knowledge and skin in the game interacting with each other in a free society and a free market.

https://fee.org/articles/we-all-failed-gov-cuomo-admits-covid-19-projection-models-were-all-wrong-yet-clings-to-the-central-planner-s-pretense-of-knowledge/

Posted in Disease Prevention, Economic Issues, Education, outcomes measurement, Patient Safety, Policy Issues, Prevention, Protocols, Uncategorized

The end of exponential growth: The decline in the spread of coronavirus | The Times of Israel

A similar pattern – rapid increase in infections to a peak in the sixth week, and decline from the eighth week – is common everywhere, regardless of response policies

The following is the text of a study by Prof Isaac Ben-Israel, first published on April 16, 2020. (Ben-Israel discussed his research on Israeli TV on April 13, saying that simple statistics show the spread of the coronavirus declines to almost zero after 70 days — no matter where it strikes, and no matter what measures governments impose to try to thwart it.)

Our analysis shows that this is a constant pattern across countries. Surprisingly, this pattern is common to countries that have taken a severe lockdown, including the paralysis of the economy, as well as to countries that implemented a far more lenient policy and have continued in ordinary life.

It turns out that a similar pattern – rapid increase in infections that reaches a peak in the sixth week and declines from the eighth week – is common to all countries in which the disease was discovered, regardless of their response policies: some imposed a severe and immediate lockdown that included not only “social distancing” and banning crowding, but also shutout of economy (like Israel); some “ignored” the infection and continued almost a normal life (such as Taiwan, Korea or Sweden), and some initially adopted a lenient policy but soon reversed to a complete lockdown (such as Italy or the State of New York). Nonetheless, the data
shows similar time constants amongst all these countries in regard to the initial rapid growth and the decline of the disease.

For example, our calculations show that the pattern of the daily new infections as a percentage of accumulated number of infections (weekly averaged), is common to every country around the globe. Typically, in the first phase of the spread, this percentage amounted around 30%, decreased to a level of less than 10% after 6 weeks, and ultimately reached a level of less than 5% a week later.

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Note: The exponential GF of 1.15 is used to show means of comparison of infection growth rate. Notice Italy peaks at about 30 days; Sweden peaks about 37 days, yet the two countries took drastically different approaches in response to the outbreak.

https://www.timesofisrael.com/the-end-of-exponential-growth-the-decline-in-the-spread-of-coronavirus/

Posted in Dependency, Disease Prevention, Economic Issues, Education, Free Society, government incompetence, Government Regulations, Influence peddling, Job loss, Liberty, NIH, Organizational structure, Patient Safety, Policy Issues, Poverty, Prevention, Rule of Law, Stress, Uncategorized, Unemployment, Wealth

Coronavirus and the Two Americas | International Liberty

“…the coronavirus has exposed the fault line between those who are subsidized by government and those who pay for government.

In her Wall Street Journal column, Peggy Noonan opines about how the “protected” don’t have to worry about the consequences of economic shutdowns.

…Since the pandemic began, the overclass has been in charge—scientists, doctors, political figures, consultants—calling the shots for the average people. But personally they have less skin in the game. The National Institutes of Health scientist won’t lose his livelihood over what’s happened. Neither will the midday anchor. I’ve called this divide the protected versus the unprotected. …

https://danieljmitchell.wordpress.com/2020/05/25/coronavirus-and-the-two-americas/

Posted in Disease Prevention, Free Society, Government Regulations, Liberty, outcomes, outcomes measurement, Patient Safety, Policy Issues, Prevention, Protocols, Rule of Law, Uncategorized, Unsettled Science

Bizarro World, COVID-Style

Does it seem like we’re all in a scene from the movie Idiocracy, or that Earth has suddenly turned into htraE, as in Bizarro-world? Here are a few headspinning examples.

Evidence indicates that summer sun kills the virus, but school-age kids – THE lowest risk group – are prohibited from congregating at the pool or baseball field or outdoor basketball court. If grandmother lives with you, then don’t attend or make adjustments to protect her.

Businesses can open, but stay-at-home is still in effect (no political fence-straddling going on here, no way). I guess it’s a Michigan thing.

Big-box and large sundry stores which sell “necessary” business products or food items are viewed as “essential” and people can go in/out by the hundreds without temperature checks or mandatory masks enforcement, but you couldn’t get a haircut or eye exam; even with temperature check, symptom screening and patron/client both wearing masks. And working-out at the gym at safe distance between low-risk patrons??? Forget about it!

On their days off, nursing home workers interact with family & go to the grocery store, then return to the facility where they interact with multiple at-risk residents; yet family of a elderly patient who is gravely ill with COVID in same facility are prohibited from doning PPE & visiting their dying loved-one.

Business are allowed to open by appointment-only, yet stay-at-home is still in effect? As if people are going to want to VOLUNTARILY be in a crowded store with strangers that might be infected! Appointments to browse for candles or running shoes?! Appointments for price comparing, really???

Never mind that the data shows absolutely NO correlation between the intensity of the lockdown measures and time to virus peak, number of cases per 100k population, or deaths as % of population. But yet we already knew that socioeconomic deprivation leads to major mental & physical health problems & family dysfunction, including drug abuse and even suicide. Despite these obvious contradictions, we continue to hear the mantra of “Stay home – Stay safe”. Never mind that 66% of 1200 COVID19 positive NYC hospital patients surveyed in April were made up of people sheltering at home. Never mind that 15 – 40% of cases are asymptomatic, or so mild, as to go undetected, which translates to a much higher prevalence than the number of confirmed cases would have us believe, thus a much lower case mortality rate than we were quoted initially.

So not only is much of the advice we are hearing not based on the evidence, but it is HURTING us is ways that will have negative effects long after the virus is gone. Our overseers have taken basic common sense guidelines designed to minimize spread of a very contagious virus and extrapolated them, stretched them, distorted them, magnified them and misapplied them. The citizens have suffered unnecessarily as a consequence of ceding our individual responsibilities & rights to these self-proclaimed experts and inept officials. The result has been a foul tasting layer-cake piled high with their mistakes.

It is time to take care of ourselves, our families, our communities and our businesses which sustain us all and allow us to weather this storm.

Criminalizing what used to be lawful, peaceful and productive endeavors should not be tolerated from our governing elites. If that means some peaceful civil disobedience, then so be it.

Posted in Disease Prevention, Free Society, Government Regulations, Influence peddling, Liberty, outcomes measurement, Patient Safety, Policy Issues, Prevention, Protocols, Rule of Law, U.S. Constitution, U.S. Security, Uncategorized, Unsettled Science

Covid-19 Science? | James Keena

“When will the pretentious proclaimers of Covid-19 “science” finally realize that the “science” has been wrong about almost everything so far? Despite their chronic wrongness, these elitists continue to use their unreliable “science” as a cudgel to put Americans under house arrest, destroy their businesses, put them out of work, trigger shortages of key commodities, burden them with trillions in federal debt, and imperil their lives.

What “science” has been wrong so far, you might ask? Let’s go through the specific claims.

We were told that millions were going to die in America if we didn’t shut down the economy to “flatten the curve” to prevent the medical system from being overwhelmed. Actually, after putting over 30 million people out of work, bankrupting countless businesses, and taking on trillions in new debt, we’re learning that the curves in states and countries that didn’t shut down “flattened” in almost the same manner as the curves in states and countries that did.

https://jameskeena.com/covid-19-science/

Posted in CDC, Disease Prevention, emotional intelligence, Government Regulations, Leadership, outcomes measurement, Patient Safety, Philosophy, Policy Issues, Prevention, Stress, Uncategorized

Memento Mori: Fear in the Age of Coronavirus | Intellectual Takeout

Some perspective…

[In late 1968]…the Hong Kong Flu was sweeping through the country, eventually killing around 100,000 Americans, most of them over the age of 65, at a time when the United States had more than 100 million fewer people than it does today.

Life went on as usual. Schools, churches, and businesses remained open. Neighbors held backyard barbeques, Scout troops continued meeting, we shook hands and shared hugs

When we compare ourselves to the British who endured the torments of the Blitz or to the Americans who seemed almost oblivious to the Hong Kong Flu, why are we so terrified of this virus?

I ask these questions sincerely and without rancor, and have no real answers, only conjecture.

Perhaps our 24-hour news cycle has inflamed our apprehensions.

https://www.intellectualtakeout.org/memento-mori-fear-in-the-age-of-coronavirus/

Posted in Access to healthcare, Disease Prevention, Economic Issues, Education, Evidence-based Medicine, Free Society, Government Regulations, Job loss, Leadership, Liberty, Organizational structure, outcomes measurement, Patient Safety, Policy Issues, Uncategorized

COVID Data and Governors’ Authority: Beyond Phase 1

By Robert Nelson, MD

The 14th Amendment to the U.S. Constitution states, in part, that…

“No State shall make or enforce any law which shall abridge the privileges or immunities of citizens of the United States; nor shall any State deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws.”

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Every state has its own criteria for declaring a public health crisis. The the Model State Emergency Health Powers Act that was was floated following 9-11, proposed a model legislation designed to update protocols among the states to account for bio-weapons and infectious agents; and to standardize the approach among the States. There were many concerns about infringement on civil liberties and over-reach abuse from Governors. But even though it never became law, most states already had similar, albeit outdated, protocols allowing their executive branch to declare health emergencies. These states’ laws currently on the books give governors the authority to varying degrees to deprive people of use of property (business closures, etc…), prohibit peaceful assembly of groups (religious gatherings, weddings, family events, etc…) and even confine citizens to their homes during times of public health emergencies (enforceable with fines or imprisonment) all without due process of law, if certain thresholds are met; and by extension of logic, those emergency measures may continue if those same threshold criteria remain operational.

Even if we set aside the contradictions between the 14th Amendment and the power granted to States’ Governors under EHPA-like laws — given the substantial knowledge amassed about the risk of COVID-19 infections, we must question whether the criteria for sustaining a “public health emergency” still meets operational thresholds.

Based on definitions in the original model state Emergency Health Powers Act, the original cases of human-to-human COVID-19 infections certainly met the criteria for “new…infectious agent” and initial reports out of Europe and Asia justified viewing the threat as having high potential for “…a large number of deaths…” and “…widespread exposure to an infectious or toxic agent that poses a significant risk of substantial future harm to a large number of persons…”

There was reasonable agreement among many experts, and based on the death and devastation we saw in Italy, that COVID-19 cases could overwhelm the hospital systems’ ability to provide care for the sickest patients. This was a valid concern and represented an unacceptable risk if the calculus was accurate. Most agree, the initial reaction to temporarily shut down normal societal operations was justified.

But data coming mainly in March and April strongly suggested the initially justified fear was over-stated. And despite evidence that predictive models repeatedly over-estimated cases and fatalities, even with distancing measured factored in, many Governors have not taken their foot off the regulatory gas peddle or seriously thought of changing directions even though the evidence shows that most people are not at high risk.

So given the criteria required for declaring a public health emergency detailed above, and in light of drop in case load and data showing a much lower over-all fatality rate than originally estimated, are we still at risk for…”a high probability of a large number of deaths, a large number of serious or long-term disabilities, or widespread exposure to an infectious or toxic agent that poses a significant risk of substantial future harm to a large number of persons.”(?)

According to the facts, the answer is “NO.” Here’s a summary of supportive data:

  • COVID-19 appears to have a very high infectivity, which means it spreads horizontally (not just close household contacts) within a population very quickly. It likely spreads quicker and easier than Influenza, which is highly contagious. It is very hard to effectively stop the spread as data from New York indicates.
  • Aggregate data from around the world and compiled by many government agencies indicates that over 80% of cases are very mild with virtually complete recovery.
  • Anywhere from 15 – 40% may be asymptomatic
  • A look at the New York data, undeniably the epicenter in the U.S., shows…
    • risk of death in people 18 – 45 to be about 0.01% or 10 per 100,000
    • For people under age 18 years, the death rate approaches zero
    • Two-thirds of fatal cases occurred in patients over 70 years of age
      • More than 90% of those fatal cases had underlying serious illnesses
    • Even for people ages 65 to 74, only 1.7 percent were hospitalized
    • For those who don’t have serious underlying medical illness, the chance of dying from COVID-19 is very small, regardless of age and especially if under 50
    • Nearly 25% of NYC residents tested show antibody to COVID, so real number of cases could be at least 12x more than the number of confirmed cases meaning that the true case fatality rate is much lower than we thought initially
  • Herd immunity helps act a human shield, or firewall so to speak, to protect those at risk by simply cutting down on the chance they will come in contact with someone who is infected. In the absence of a vaccine, herd immunity is the best way to protect the vulnerable and thus cut down the death rate.
  • In April, approximately 1,200 patients were surveyed from 113 New York hospitals over a three-day period and 66% of those admitted with COVID-19 infections were sheltering at home; most were over 51 years old, retired or unemployed; and 96% of the surveyed patients had co-morbidities, which means nearly all had another chronic medical condition prior to catching coronavirus.
  • “Authors of a new study conducted by researchers at the World Health Organization and Stanford University say there is no evidence of increased transmission of COVID-19 in Wisconsin following the state’s April 7 primary election.
  • The State of Georgia’s “shelter-at-home” order expired on April 30 and many businesses were permitted to re-open on April 24 providing they observed distancing guidelines and gloves and masks where appropriate. Between April 14 – 27th, the average daily death rate was 37. From 4/28 – 5/11, there were 29 reported deaths per day on average. There were 1,500 patients hospitalized with COVID on May 1, compared to 1,133 on May 11.
  • Sweden mandated very few closings and relied on voluntary compliance with distancing measures, allowing businesses and most schools to remain open throughout the pandemic. It’s death toll was somewhat higher and its Nordic neighbors who utilized mandatory shut-downs but Sweden’s death rate was lower than many western European countries such as Spain, France, Belgium and Great Britain which utilized very strictly enforced lock-down measures. And despite Sweden’s liberal approach, its healthcare system was never over-ran like in Italy.

Let’s summarize what we know.

There is no clear correlation to when various States went into lock-down and the time to peak or the magnitude of cases or deaths per 100,000. There is a similar non-correlation between countries across the same metrics.

Prevalence studies indicate number of infected people is MUCH higher than most realized suggesting COVID-19 is highly contagious yet very mild in vast majority of people. This also suggests restrictive lock-downs are minimally effective. A higher prevalence indicates a much lower case fatality rate than was originally published.

Herd immunity is vital to protecting the vulnerable. Prolonged distancing slows the herd immunity, which is likely to be the quickest and safest way to protect those most at risk.

Opening the economy gradually will be important to support the efforts of our communities to continue vigilant case monitoring and appropriate care for severe cases.

The goal of not overwhelming healthcare resources was successful. But many of those who had legitimate concerns which triggered an emergency declaration have failed to critically evaluate new data, and worse still, they have failed to fully come to grips with the consequences of keeping society and their economies locked-down.

The ability of millions of citizens to earn a living and provide for their families and keep businesses afloat (and the jobs that accompany those businesses) was/is severely compromised by overly aggressive, often coercive and sometimes punitive restrictions on basic freedoms. The negative fallout from the lock-down of 2020 will continue to pile up long after the risk from the virus has been forgotten. More people may end up being harmed by the disruptions in healthcare delivery and the loss of “non-essential” jobs, than were saved by trying to prevent the spread of a COVID-19. Ironically, the reaction to the threat of the virus could result in our self-inflicted death unless we learn to live with it.

Posted in Dependency, Disease Prevention, Education, emotional intelligence, Entrepreneurs, Evidence-based Medicine, Free Society, Government Regulations, Independent Physicians, Influence peddling, Liberty, Medical conditions and illness, outcomes measurement, Patient Safety, Philosophy, Policy Issues, Prevention, Technology, Uncategorized, Unsettled Science

Watch “What It’s Like to Believe Everything the Media Tells You” on YouTube

Another humorous but insightful perspective from J.P. Sears