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

Category: health care Page 16 of 35

How Covid Will Play Out in America

Almost every day this blog publishes the John Hopkins Covid-19 numbers. They are undercounts of both deaths and cases, but they give the trendline. Recently the trendline has very slowly started to move down.

Meanwhile, Trump and many governors have started to move to ease isolation requirements. This map shows that only five out of 50 states (and Puerto Rico) aren’t easing.

There are three problems here.

First, the curve hasn’t been crushed. In fact, in some states, it’s still increasing.

Second, even once a curve has been crushed, to keep it under control without a vaccine, you need to test and trace. The US would need to hire hundreds of thousands of tracers to do this, and would need many more tests than are currently available. If you don’t test and trace, one person can infect many other people, and then all those people infect many other people.

Third, Covid-19 takes about two weeks from infection before people show symptoms, and two weeks more before they start dying. During that asymptomatic period, carriers are contagious.

What this means is you can have a significant outbreak going on and not know it is happening. That’s why countries that got Covid-19 under control crushed it into the dirt, then put everyone coming in from outside the country into quarantine, and they test like mad.

Humans are really bad at making decisions where the consequences are delayed. (See Change, Climate). Even a two week- to month-long delay is more than the decision makers in many countries, including the US, can handle.

So, the numbers seem to be in decline, and there will be removal of restrictions, and then the numbers will start increasing again in two to six weeks. Because infection rates will be moving off a larger base, they will create a second wave where people start dropping like flies–much larger than the first wave.

This is acceptable to the people who run the US because they have jobs where they can work from home, and if they don’t, like in the White House, they can test every day. It is the lower class who will be forced to go back to work and to die.

That’s not a problem for American elites; killing unimportant people for money is pretty much what they do for a living.

It’s possible this narrative can be cut off if those states which are handling Covid properly close their borders to non-isolating states, presumably by calling up the national guard. There is also some hope because Americans are generally not flocking back to venues like restaurants–even in States which have re-opened.

But overall, this looks like the first wave passed its peak, is slowly declining, before the second wave comes in and culls the poor for the rich. Numbers of deaths will be in the hundreds of thousands at a minimum. If this is bungled completely, it could be that 80 percent of the population will have to get Covid-19 to create herd immunity, and that a little under one percent will die. The rich will isolate and test throughout all this, of course.

This is a worst case scenario, and many mocked the possibility even two months ago. Surely, they said, American elites couldn’t fuck this up that much?

They can, and they are. But it isn’t fucking up. They’re now isolated and in little danger. They’ve bailed themselves out, given themselves even more control over the economy than before. If ordinary Americans get sick, die, or can’t pay rent and go hungry, well, why should American elites care? It doesn’t effect them.

That’s their bet.

As for you, do what you can to prepare. We may get lucky and get a vaccine earlier than expected, but if not, the US has made the choice to let Covid-19 continue to wend its way through the population.

And remember, Americans, if you decide you’d rather not die so the top one percent can own more of the US, they have names and addresses.

Never riot in your own neighbourhood.


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May 11th US Covid Data

Our benefactor notes:

Today is the lowest number of cases and deaths recorded since the end of March. It’s Sunday data, but still positive.

 


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May 10th US Covid Data

Our benefactor writes:

The slow decline in cases and deaths continue, led mostly by NY and NJ. Weekend underreporting does not look too severe.

I’m going to discuss Covid-19 in a bit more detail next week. US policy is about to turn this into a real catastrophe.


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May 9th US Covid Data

Our benefactor writes:

The seven-day average for new cases is about to dip below 25,000 per day. The seven-day average for deaths has been below 2,000 per day for one week. Both are relatively good news and a reflection that the vast majority of people in this country are still taking this quite seriously.


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May 8th US Covid Data

Our benefactor writes:

We inexorably climb to 80,000 deaths. The lack of broad testing just results in the mortality rate continuing to go up. The number of cases is totally under-counted.


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May 7th US Covid Data

Our benefactor writes:

States must reconcile their data on Thursdays and Fridays, when we typically get our highest numbers. NY is now down to 12 percent of the total new cases. They started out at over 50 percent. The rest of the country can stop blaming NY.

At the current doubling rate, we will be at 140,000 deaths by the end of May. Positively genocidal.


The results of the work I do, like this article, are free, but food isn’t, so if you value my work, please DONATE or SUBSCRIBE.

 

May 6th US Covid Data

Our benefactor writes:
We’ve crossed 70,000 deaths. The spate of re-openings will likely lead to an increase of new cases and deaths over the next month. This is forecast by US leadership, even as they proceed. Those of us in sane states should proceed with extreme caution.
I ran the numbers on the states to compare consecutive seven-day averages using the color coding similar to the linked map. Two more states, PA and MI, have moved into the decreasing categories (light and dark teal) just in the last two days. Don’t believe Arkansas’ numbers for a minute. They are one of the most retrograde states in the US, and it would not be surprising if they were cooking their numbers. Four more states, LA, OR, AL, and CA have moved into the worsening categories (light and dark brown), CA significantly.

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May 5th US Covid Data

So, multiple states are moving to reopen, despite not having crushed their curves.

In about two weeks after reopening, the effects will show up as new cases, and in about four weeks, as deaths.

As I suggested April 21st, this means that states which have dealt, or are dealing, with Covid responsibly will have to move to border controls, limiting access to those from states which have chosen to simply let people die. I expect this will mean using state police and calling up the National Guard.

There is simply no way the current policy mix in the US allows for sub 200K deaths this year, and half a million by fall is likely. It is not possible to reopen before crushing the curve, and, once you’ve reopened, you need sufficient testing, tracking, and quarantine, which the US does not have.

Other countries should close or keep closed their borders against US visitors, as well.


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