Ian Welsh

The horizon is not so far as we can see, but as far as we can imagine

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Mass Disabling Continues

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On March 16, 2026

31 Comments

Recently stumbled across a thread by someone who dug deeply into the most recent data from Britain. It’s pretty abysmal, but what’s most interesting is the notes:

  • There’s no systemic testing for either covid or long covid any more;
  • Long Covid is often diagnosed as something else;
  • You can have organ damage from Covid without it having symptoms (though you’ll pay for it later);
  • Covid damage often leads to other health events (like heart attacks and cancer) which will not be shown as Covid related.

And:

Final note: The charts of the GP-Patient survey data in this thread were created by me. They are not official charts from the survey report… …and that’s because the data on prevalence of Long Covid (Q40) was curiously *left out* of the national report.

Luckily, data from the Long Covid question (Q40) is still available in the raw data files which is how I’ve been able to create my chart. However, these LC stats will have been seen by very few people unless they’ve been digging around in the raw data.

If we just pretend it’s not a problem… so typical of almost everything in the West these days. Whistling past the graveyard is all our elites do except march a bunch of proles straight into graves.

The entire thread is worth a read, but I’ll pull out two more charts:

Second:

 

The date where it all goes… north, is instructive.

I would add further that I think in a couple generations it will be recognized that the greatest damage was done to children in school, where they were reinfected multiple times. It often doesn’t show up as “long covid” because of their youth, but I’m laying long odds that their lifespans and healthy lifespans took a huge hit.

We continue to refuse to do anything about this. Every time I suggest making proper clean air changes to buildings, especially public buildings like hospitals and schools, the comments are full of people saying “but it would be expensive, we can’t do it” as if we aren’t wasting trillions on war and AI and various corporate subsidies, or haven’t lost trillions in tax revenue thru tax cuts for the rich and couldn’t do it if it was important to us. It’s always amazing to me how many proles spew back up the same bullshit elites use to justify their depravity.

Anyway, hardly anyone’s talking about Covid, but I’ll keep doing so. And my advice remains the same as it has for years: if your children are in a school which doesn’t take this seriously, find another school or home school them if there’s any way you can. If you care about your children, this is worth making some sacrifices for.

Most people rant on and on about how they love their children, but I watch how they act, and it’s a love expressed in words, not action, let alone sacrifice. When I was sitting next to my mother’s bed for the last two weeks of her life the province had people helping care for her at home, and I talked to them. They said almost no children do what I did, and recounted stories of the most horrid behaviour imaginable. I felt I was doing the absolute minimum. They thought I was a Saint.

(I didn’t sit by my Dad’s bed. Part of it is that it wasn’t clear when he’d die, but frankly he was a horrid father and husband and made my mother and my lives hell and that’s the real reason.)

Judged by how children treat their parents when they’re old, I’d say most parents sucked. Try not to be one of those.

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Long Covid Disabling Continues

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On November 24, 2025

22 Comments

One of the predictions I made many years ago was that Long Covid would slowly cripple workforces. Covid still exists, and that we deliberately don’t try to count cases any more doesn’t change that.

This is typical of our handling of all problems. We just pretend they don’t exist and won’t have serious consequences if we ignore them. While China is somewhat better, with their hard push on clean tech, their willingness to deflate housing prices and their policies reducing the number of billionaires, they too have ignored Covid.

Ironically this is because the Chinese government IS quite sensitive to public opinion. Zero Covid was the right policy, but it was done stupidly and as a result huge demonstrations occurred and the CPC backed down.

Shutdowns made sense in the early days of Covid. This is public health 101 during a pandemic. But as with everyone else the Chinese did them too late and too long.

The actual solution is the one we used for water borne diseases. We cleaned up the water, and we have to clean up the air. All public buildings and all apartment buildings and condos need filters and UV to clean the air. It’s a huge project, to be sure, but it’s more than doable, for less than we are spending on the insane AI data center push. The result would be a lot less Covid, less disabling and at the same time less flu, colds and other airborne diseases.

It’s simple. We have the technology, and we aren’t doing it. Insanity. Not even in most hospitals. Emergency protocols like masks and isolation make sense, but they are emergency protocols and not for long term use. Find out the vector and find a long term solution to the vector.

This solution was understood as early as 2021. Many voices were raised. Nothing was done.

Our predecessors did what they could. If you remember the old steam and hot water heating systems, you know they usually ran too hot so that people had to open windows to cool down, even in the middle of winter. This was deliberate, the designers wanted those windows open to increase ventilation, because they knew the great post-World War I flu pandemic had been airborne.

We have better tech, and better solutions and we’re just sitting on our thumbs and rotating.

Pathetic.

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Get Ready For the Return of Serious Disease

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On September 4, 2025

35 Comments

You probably thought measles was a thing of the past. Along with Mumps, Rubella, Polio, Chickenpox and Heptatis B, kids are required to be vaccinated  for it as a requirement of going to school. (So the little disease spreaders don’t act as disease vectors, which parents and teacher s know they do.)

We hardly see most of these diseases any more, because we make sure everyone is vaccinated, so they can’t get a foothold. (That’s part of why vaccines prevent so many deaths, and that’s why vaccine denial is bad.)

But Florida has decided the days of effective disease control are over:

Florida will end vaccine requirements to attend school, making it the first state to do so. The state’s surgeon general said every vaccine mandate “drips with disdain and slavery.”

This is batshit insane. I don’t care what you think about the Covid vaccines, normal vaccines prevented vast numbers of deaths and crippling disabilities. If they are discontinued, the diseases will spread and be given a chance to mutate. They’ll mutate to defeat vaccines, putting everyone at risk.

(The measles vaccine was approved in the US in 1963.)

Well, what about Smallpox?

I know it’s nice to think “everyone should make individual decisions about everything”, but that’s bullshit when it comes to public health issues, especially dealing with contagious diseases. I warned, repeatedly, that fucking up the Covid response (which was NOT primarily about the vaccine) would discredit public health “well it didn’t work for Covid, so it must be bullshit!”

Anyway, the age of rationality in the West was, overall, nice. But as a friend quipped (exaggeration for effect, I hope), “We’re at most 10 years away from witchcraft trials resuming.” (Ten is too soon, I think, I give it twenty.)

America is descending fast, and much of the Western world is going with it. The very idea of effective mass action has been discredited, and we are all going to pay for that, including the rich, who will find that they can’t completely protect themselves from the demons their malign incompetence has released.

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Yes, Denial Of Care Improves Profits For Health Insurers

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On December 5, 2024

Insurance companies generally have a loss ratio: a percentage of income from insurance policies they must pay out. In health insurance this percentage varies: it’s lower for individual plans, and higher for group plans. Most commonly it’s 80%.

If they pay out less, in many cases they have to return the difference to policy owners. (Not always though. Often with Medicaid, for example, this isn’t the case.)

This doesn’t mean that they have no reason to deny care, however. They want their health care costs as close to that bottom number as possible without going past it.  If they spend, say, 83% rather than 80%, that will cost them billions. Denial of care is meant to get the margin as close to to loss ratio as possible.

This also means that the best way to increase gross profits (not the percentage, but gross) is to sell as much insurance as possible. Eighty percent of a 2X is more than 80% of X.

So the incentives align such that the best way to make money is to sell as much as possible, then deny the necessary amount of care to get as close to the loss ratio as possible.

It should not need to be pointed out that Americans, as a group, are a very sick people: lots of obesity and chronic illness and in this age of Covid, long Covid and the rise of illness caused by post-Covid, more and more denial of care will be required to hit numbers.

Insurance company profit ratios hardly move in percentage terms. But making more money is still better, and the more money they make in gross terms the larger executive salaries, bonuses and stock options can be.

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Why Assisted Suicide Bills Will Proliferate & Deaths Will Increase

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On November 25, 2024

15 Comments

Nothing saves money on people who are old, disabled and unable to work like just killing them.

Covid killed mostly old people. That saved the government money in the long run, although in the short run it was expensive, except for Sweden where they just euthanized their old people with Covid instead of treating them. (Gave them opiods even when they had enough oxygen and drugs.)

Since Covid, however, there’s been an unfortunate increase in people who can’t work because they’re chronically ill.

This isn’t hard to understand. Britain is massively importing young people who can work, or older people who have lots of money, but at the same time the number of people who are liabilities, financially speaking, is exploding. If you have a liability the easiest way to get rid of it is to… get rid of it.

Canada’s in the same boat, and these bills will spread.

Assisted suicide isn’t automatically a bad thing, mind you. If people were properly supported and cared for I’d support it. People who are in a ton of pain and won’t get better ought to have the option.

But when the government is whining about benefits and cutting them, as in Britain, one doesn’t expect this is being done from a humanitarian impulse. And the medical and social workers, in hospitals and palliative care centers that are overstretched and don’t have enough nurses or doctors or beds, well, convincing someone who’s taking up time or a bed to just die already will have to be pretty tempting, sometimes even with somewhat good motives: to free up resources for people who can be cared for.

But, of course, what will often happen is that chronically ill people or homeless types who could live for quite a long time and with proper care could be fairly happy will wind up dead because in Britain and Canada we don’t help them enough: to get enough housing, food, help and pain meds (given the way we’re so scared of opiates.)

Wikipedia lists some known cases of abuse of the law:

  • In 2017, a mother of a young woman with cerebral palsy was told by a doctor that not applying for MAID was “selfish”. Her daughter was in the room when the conversation took place and described the experience as traumatic.[71]
  • In 2018, Roger Foley was being treated for cerebellar ataxia at an Ontario hospital. Foley alleged that his only options were to be forcibly discharged from the hospital and then treated by an organization that had previously failed to provide him adequate care or apply for MAID. Foley hired a lawyer for a charter challenge.[72]
  • In 2019, Alan Nichols successfully applied for MAID while being hospitalized for suicide ideation. The reason given on his application was hearing loss.[1]
  • In September 2021, Rosina Kamis, a 41-year-old Malaysian woman, applied for MAID citing fibromyalgia as the reason. However, in conversations and recordings shared with friends, she mentioned financial hardship and social isolation as additional factors influencing her decision.[73]
  • In February 2022, an anonymous Torontonian suffering from extreme chemical sensitivity syndrome with the pseudonym Sophia had a medically assisted death after failing to find affordable housing that was free from tobacco smoke and other chemicals.[74] This case was addressed by her health care provider in testimony provided to the Special Joint Committee on MAID, and was referenced in their final report.[75]

One can safely assume there are many, many more. The fact is that even doctors and social workers think some lives are worth more than others. No one who’s spent time in the medical system believes otherwise.

The West is in decline. Our elites are wedded to austerity as a “solution”. They often, probably usually, feel that people who are non-productive are useless eaters and a burden on the state.

That combination is going to lead to a truly vast expansion of measures intended to get people off benefit rolls.

In a way assisted suicide, or euthanasia, is the most honest of those policies and maybe even the most merciful. There’s nothing honest about deliberate policies which make people homeless, leading to most of their deaths, after all. Politicians know that winding up on the street long term is essentially a death sentence, they know that policies like mass immigration without increasing the housing supply to match will cause homelessness, so they know their policies cause homelessness and death but they can pretend it’s an unintended side effect.

Just killing people is at least not hypocritical.

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The Most Important Issues Facing Humanity

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On November 19, 2024

28 Comments

There’s been a lot of attention, much of it apocalyptic, paid to Trump’s election, but Trump is just a symptom of one of our three main issues.

In order of importance, they are:

  1. Climate Change and Ecological Collapse;
  2. Mass disabling, largely due to Covid; and,
  3. The End of the Western Era, and the collapse of American hegemony.

If we manage a nuclear war during the collapse of American hegemony, it’ll turn out to have been the most important issue, but I’m betting we’ll avoid it. If I’m wrong, you won’t be able to tell me so.

Warming continues:

But just as important as warming is the collapse of biodiversity, loss of habitat and species. We are able to live and live well because other species form the network of life, which keep the atmosphere breathable, soil fertile and feed us. Worse, we just don’t understand these systems, we can’t create the simplest of biospheres: if it goes awry, we will have a hell of a time fixing it, and the loss of genetic diversity means a vast swathe of scientific advances will be cut off, especially medical advances.

(The below are from 2018, the situation is accelerating, and will be worse now.)

Average case scenarios for climate change and ecological collapse mean billions of deaths for humans a world with a significantly reduced carrying capacity. Recovery, especially of species, will take so much time that on the human timescale, it might as well be “never.”

Meanwhile, the Covid epidemic continues and we’re at risk for other viral plagues. If Covid just killed people, that would be bad, but the mass disabling is a huge problem and even people who aren’t symptomatic have suffered real damage.

This chart is from 2023, so it’s behind the curve, but it indicates the issues. (UK)

There’s no particular reason to expect this to end. We aren’t doing anything about Covid. Here’s a projection chart:

Having to care for large numbers of disabled people at the same time as everything else is going to shit is… bad. Very bad. There’s a reason why assisted suicide is becoming legal.

We could do something about Covid. Many things. But we refuse.

The End of the European Era is probably a good thing, but world hegemonic transitions are nasty. The last one led to two world wars. The Chinese are striving mightily to avoid “Thucydides trap.”

The Ukrainian and Gazan wars, plus the Yemen blockade which is part of the Gaza war are best seen as part of the death throes of the American empire. But it’s not just America which is losing power, Europe is shedding industry, has fallen behind on technology and is in serious, probably terminal decline.

The Western era, which is four to five centuries old, depending on how you count it (the case for 4 centuries is that in 1500 the Ottomans and Chinese were still vastly powerful) is coming to an end. China is re-taking its place as the most important nation in the world. I’d argue it has already done so. Russia, which has been Europe facing and European aspirational for centuries now looks East and is a junior ally of China’s.

China doesn’t want war with America. It doesn’t need a war. Absent a war, it’s already won, it just has to sit back and watch America continue its decline. Trump is not going to “make America great again”, that ship has sailed. What needs to be done to make it happen are policies (including real industrial policy and a collapse of asset prices and rent, plus increases in real wages) which are anathema to most of America’s elites, and which, in any case, they are incompetent to implement.

But hegemonic powers rarely go easy into that long night, and a world war is entirely possible. American elites don’t want to lose their pre-eminence, and they still have a powerful military (or think they do) and a lot of nuclear weapons.

So this transition period is one of great danger, potentially for everyone in the world.

These are the three big issues, everything else is trivial in comparison. Trans rights, wokeism, AI… whatever, are all rounding errors on these three issues.

 

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***

The worst of it is that we’re not going to handle the first one: climate change and ecological collapse. We’ve already made that decision. Even if we immediately started doing everything right, they’re now self-reinforcing, and we aren’t going to do everything right. Trump, after all, ran on drill, drill, drill. The Chinese are doing more than anyone else, with a massive build-out of renewable energy, but their system is still an extractive and polluting industrial economy with massive freeways and so on.

The only “good” sign is one that many are bewailing: collapsing birth rates. Human population is in clear overshoot, and it needs to be reduced. Yes, in theory we could increase Earth’s carrying capacity so that a massive population decrease wouldn’t be necessary, but we’re not going to.

Ecological issues are in the bucket of “fix them or nature will fix them for you” and we’ve chosen not to.

Keep these three issues at the forefront of your mind, your analysis and your planning for your personal future. Compared to them, everything else barely matters.

Pharma Charges 80K to cure Hepatitis C. The Manufacturing Cost is $78

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On September 6, 2024

7 Comments

Yeah.

Unlike many other drugs that treat viruses, Sovaldi does not suppress hepatitis C, a virus that kills roughly 250,000 people around the world each year. It cures it.

“Normally you have a virus, and your body fights it off or your body fights it to a standstill and you just have it forever, basically, and hope it remains dormant more or less,” Laufer said. “The holy grail for every virologist is to find a way to drain the viral reservoir, and Sovaldi does this. You take one pill of Sovaldi a day for 12 weeks and then you don’t have hepatitis C anymore.”

The problem is that those pills are under patent, and they cost $1,000 per pill.

“Literally, if you have $84,000 then hepatitis C is not your problem anymore,” Laufer said. “But given that there are other methodologies for managing hepatitis C that are not curing it and that are cheaper, insurance typically will not cover [Sovaldi]. And so we’ve got this incredible technology and it’s sitting on the shelf except for people who are ridiculously wealthy.”

So Four Thieves Vinegar Collective set out to teach people how to make their own version of Sovaldi. Chemists at the collective thought the DIY version would cost about $300 for the entire course of medication, or about $3.57 per pill. But they were wrong.

“It’s actually just a little under $70 (83 cents per pill), which just kind of blew my mind when they finally showed me the results,” Laufer said. “I was like, can we do the math here again?”

So, the laws should be changed and every pharma exec, board members and so on who prices like this should be locked up for life.

Next, all laws need to be changed to end the doctrine that only profit maximization for shareholders matters.

Third, pharma needs to move a bounty system. According to WHO there are 58 million people with Hep C around the world. Put up a bounty of 1,000 times that: 58 billion, for a cure, minus the cost per cure. Research costs can also be added to the bounty, once the cure is certified, not before. A consortium of rich governments can create the bounty funds, with poorer countries allowed in for free. A UN org reporting only to the general assembly should probably administer it.

Fourth, end pharma patents. All of them. All information, including manufacturing information is shared.

Fifth: for all palliatives, profits must be capped at 5% max.

Sixth: move most research to government and non-profits. Real non-profits, none of the Chat-GPT nonsense.

Seventh: remove further monetary incentives to just research forever: everyone involved is capped at a salary of 2xmedian income in the G-20 or something similar. You want the big pay off? You have to actually cure the disease.

Eighth: Force scientists and technicians to be “in on the bounty.” Some sort of fairly even split between people who worked on the cure.

There are other actions which should be taken, but these are the basics. Right now we aren’t curing people we can, and companies prefer palliatives to cures because they can charge until the person dies. We need to emphasize cures and make sure no one gets rich selling palliatives.

In the meantime the right to make your own medicines needs to be 100% legal and supported.

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Apparently Covid Didn’t Get The Notice That’s It’s Cancelled

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On July 12, 2024

16 Comments

I sometimes think the defining characteristic of our age is reality denial:

I suppose 1.37% may not seem high, but the point is that Covid just keeps rolling along. Each time you get it, odds are that it’s doing some damage to your organs, including your brain. Most of that is sub-perceptual, it doesn’t qualify as “Long Covid”, but it’s there. Then you get it again, and again, and again.

Meanwhile, in Britain:

I’m sure Labour’s program to get the back to work will do nothing but make people miserable. That chart doesn’t suggest “malingering.”

Spain’s numbers are particularly interesting

Now what’s visible here is that the numbers keep increasing. The long Covid continues to circulate, the higher the disability numbers. This is exactly what I’ve been predicting for years: as time goes by, people get Covid again and again. Eventually that causes enough damage to cause long term illness or disability.

I shudder to think what it will mean for kids, since those in school get Covid the most often. Since they’re young they have more resistance, but I’m willing to bet (and will not be wrong) that this will show up in very high illness and early death numbers as they age.

The solution to all this is fairly simple: we need to clean our air up: filtration, UV and so on. This isn’t that expensive, although it has to be done in all buildings. Numbers drop, once they’re fairly low, stop all non-essential travel for three months or so and track and trace. Do this is a group of countries and permanently ban travel from any country that hasn’t done it, until they do.

Yes, there is a cost to this, but it’s a lot less than the cost of having more and more disabled and sick people.

Covid is still a big deal, the only thing that’s a bigger deal (unless we have a world war) is climate change/ecological collapse. And we are failing to deal with an issue which is relatively simple because we won’t take a small percentage of our manufacturing and building capacity and refit all buildings to clean the air, then make such air cleaning permanent going forward. This is exactly what we did with water, in the past, to stop disease spread, but our current society is sclerotic and stupid.

This is true everywhere. China’s ZeroCovid policy was the right thing done STUPID. If any country had the capacity to clean air it was China, but they just stuck to shut-downs till the public lost patience.

It’s dismaying to live in societies where we know what’s wrong, we know how to fix what’s wrong and we simply refuse to do what is necessary.

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