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

Category: health care Page 7 of 35

On Respirators, Masks, and Getting Through the Pandemic

With permission, I’ve elevated this comment, as I think it may be helpful to those trying to get through Covid.


Here’s how you get through this pandemic:

I buy N95 from Uline in bulk 300 respirators (15 cartons) at a time. It works out to less than a $1 per day for a fresh respirator everyday per person. The link is right here: https://www.uline.com/Product/Detail/S-9632/Disposable-Masks/Uline-N95-Standard-Industrial-Respirator . Where I live, Uline delivers in 1-2 days direct from their warehouse.

These Uline respirators are a ‘manly’ man’s respirators. They are itchy and rough but are a very tight fit on my face and I can endure. Working without taking time for sickness is important to me (+ I perform mentally very challenging tasks and can not lose any IQ points to COVID even if I otherwise have no severe symptoms). If you are not into that, these Korean DOBU respirators are the softest thing you will ever find:
https://www.amazon.com/DOBU-NIOSH-Foldable-Medium-Respirator/dp/B08ZYDH36H/ref=pd_lpo_1?pd_rd_i=B08ZYDH36H&psc=1

They are as soft as a plush toy but a bit too small for me. Women and children love these respirators.

We have tested close to a dozen of brands of respirators (blowing between 2-3K to purchase samples), and most were wanting in one aspect or another. LG health Patriot Mask (https://www.alg-health.com/industrial-non-surgical/) just has this nasty plastic smell that I can’t stand but otherwise is rather soft and well-fitting. Some are willing to overlook the smell (or air the respirator for a couple of days before using it).

I have a shelf on the inside side of my home door where I keep boxes of respirators. Before I step out I put one on, always. On the outside side of my home door, I have a trash bag, when I come back, I put the respirator I have on in the trash bag. Always and everyday, by now it is an instinct, a reflex, like putting pants on. I also have special glasses but I wear those only in transit. I do not take the respirator off outside of my home — never. So, no eating in restaurants, no lunch. I also discourage and shut down any parties at work and minimally participate in parties or events thrown by the superiors (which luckily the superiors seem to be on the same page) . When I get home, I wash hands and face, spray hair with 70% alcohol and change into home clothing. Too much you say? To me, it is better than being sick, even mildly. I hate being sick, I am never sick, I don’t remember when I was sick last time. Plus, as I point out above, what my colleagues and I do is intellectually taxing — any IQ point counts.


Ian – please use the comments to discuss getting through the pandemic.

Get Ready for More Shutdowns

Omicron is VERY contagious. Where I am, we have doubling of cases every three days, and that seems typical.

No matter how much politicians don’t want more closures, this is going to overwhelm ICUs and force closures — unless politicians are willing to see people dying in the streets (which some may be).

So, expect new closures, soon. I would suspect that most governments will try to hold off until after Christmas, but even that may not be possible.

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Elementary School Covid Outbreaks in Ontario

So, for a couple years now, almost, I’ve been warning about schools and Covid.

https://twitter.com/Billius27/status/1467528981754826755

In Ontario, teenagers can be vaccinated and children under 12 only became eligible November 24th.

Vaccines do reduce cases; children are not immune, and they do spread it to others.

Ontario’s overall policy has been deranged. Currently, large sporting events and casinos are operating. Before they were, R wasn’t over 1, now it is.


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In any case, if you reside somewhere where children aren’t vaccinated and can reasonably, and you can legally keep your kids home, I’d do so unless the schools are properly ventilated (almost none of them are). Remember, again, that long-Covid is a thing, and could fuck you or someone you care about up for life, even if you don’t die from Covid.

Generally speaking, the most important thing is that Covid is airborne. Proper ventilation is a must. Buildings which just centrally recirculate air are delivering Covid directly to you, which is why most hotels aren’t a good place to quarantine people.

Personally, I’ve been keeping outside air circulation going where I live since Covid started, since otherwise I live in a central air building. Insufficient, but better than nothing.

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Be well and be safe.

 

 

A Few Words About the Omicron Covid Variant

We don’t know a great deal about this with any certainty yet.

It appears:

  • To have milder symptoms in the young. We don’t know if it does in the old.
  • To be more transmissable.
  • Less cough, no loss of taste.

Many are suggesting this is a good variant: mild, everyone gets it, gets immune — or it turns into a new flu.

Maybe. (“Appears” is the word I used for a reason.)

What I want to know is how deadly it is for the old, how long any acquired immunity lasts, and whether it spawns long Covid.

If it does spawn long Covid, how does that work? If you don’t get Long Covid the first time, can you get it another time? If you can, and Omicron is chronic and widespread, the odds of eventually getting Long Covid go way up.


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And, of course, if Covid, in general, continues to mutate fast, will a high virulence variant lead to other variants? If so, the next one might be high virulence with worse symptoms.

In the meantime, I’d suggest being careful, still. N95 masks, and let’s see how this plays out.

The ACA (Obamacare) Has Performed As Predicted

So, Tony linked to a the abstract of a study of ACA cost:

As a measure of affordability, we calculated potential Marketplace premiums as a percentage of family income among families with incomes of 401–600 percent of poverty. In 2015 half of this middle-class population would have paid at least 7.7 percent of their income for the lowest-cost bronze plan; in 2019 they would have paid at least 11.3 percent of their income. By 2019 half of the near-elderly ages 55–64 would have paid at least 18.9 percent of their income for the lowest-cost bronze plan in their area.

Back in 2009 I wrote:

My current belief is that what will be passed will mandate everyone buy insurance but because of inadequate cost controls and subsidies will leave ordinary people forced to buy insurance which will increase in price faster than wages.

I also wrote:

..get ready to pay out for insurance you can’t afford, with co-pays so high you can’t afford to use it even after you’ve been forced to cough up for it.

This only half a “I told you so” because it was obvious. Anyone who didn’t know, who was paying attention, was an idiot, but most of those who said otherwise were liars.

Obamacare was always intended primarily as an insurance company bailout. The expectation was always that it would look OK for a few years, then prices would spiral.

There are a few ways to do healthcare that make sense, they all involve universal healthcare. The simplest is single payer. Cleaning up US healthcare requires more than that, since there are a lot of bad actors using oligopoly power to jack prices up artificially, but a single payer can force-set prices and drive companies out of business who won’t play.

The majority of Americans want universal health care, it’s not at all contentious. The reason Americans don’t have it is that part of the rich don’t want it, because it makes some of them wealthy, and they can afford to pay the inflated prices, so it isn’t a personal problem to them.

What the majority of Americans want is irrelevant, and as the Princeton study found, has zero impact on whether anything becomes government policy. This is as true when Democrats are in charge as when Republicans are.


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Once More Unto Covid and Schools

Given the state of testing, all numbers should be assumed to be significant understatements, yet…

Colorado, “more than half of all outbreaks are in K-12 schools.”

US overall:

“Well over a quarter-million children contracted COVID just last week, according to a joint report from the Children’s Hospital Association & the AAP which tracks all cases at the state level. It is the highest number of child COVID cases ever reported.

More than 18,000 Mississippi students have caught COVID-19 in the first month of the school year.

Florida:One out of every four COVID-19 infections recorded by the state in the most recent seven-day period were 19 or younger.

Texas schools have amassed more than 50,000 confirmed coronavirus cases in students in just a couple of weeks. More than a dozen school districts have closed temporarily as a result of the disease

Modeling of how many students can be expected to be infected under different conditions:

What matters the most is proper ventilation, but I’m guessing the assumption is that most schools have done nothing about this and will do nothing.

It’s unclear what percentage of children get Long Covid. I’ve seen numbers as high as ten percent, but it seems likely to be less. Assume, say, five percent, and that your kid WILL get Covid if sent back to school. Sound like a good chance to take? And that assumes the damage is easy to spot, and you won’t realize it exists later, as with more subtle brain or heart damage.

This looks like mass-insanity to me, a crime of vast proportions. Despite all the squealing, not going back to school won’t cripple kids for life, and won’t expose everyone in their family and social circle to Covid when they get it, crippling and killing many of them.

But I guess we’re just going to keep doing Covid the stupidest, longest, and most inhumane way we can. It’s who we are; it’s who we elected, and I daresay, it’s what we deserve.

But the kids don’t deserve it, it’s just their bad luck to be born into a depraved, incompetent, psychopathic late-imperial society.


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As Employers Cut Their Own Throats: How They Could Save Themselves

From the Washington Post:

You will remember that employers squealed they were having trouble finding workers, so Republican states ended extra EI benefits.

The end result? No more workers, but businesses were harmed by reduced spending.

Whoops?

One of the many fundamental “errors” in neoliberal thinking is that you want workers and recipients of government aid to not have a lot of money. After all, they’re a cost.

But every business’s employee is a bunch of other businesses’ customer, and every aid recipient is also a customer. Smart businessmen, or ones who have learned from experience (a.k.a., those who remembered the Great Depression) know this, and want high wages. It’s not a competitive disadvantage if everyone has high wages. Likewise, generous government benefits are good for business.

So smart businessmen want a high minimum wage without exceptions, and generous benefits.

One of the few real insights of modern economics is “marginal” thinking. For decision making, it doesn’t matter what the average cost of something is; what matters is the cost of the next unit — the next widget you make or the next employee. This means that supply matters a lot. For a job for which 100 people are applying, every open position puts employers in the cat seat.

If there are three, a lot less so. If there is one job-seeker per three open slots, well, you’re going to have to raise wages, both to compete and to increase the pool. I recently read an article where a homecare business was complaining that there was one person per ten open positions, but they also noted they paid a couple dollars less an hour than retail and menial labor jobs.

Anyway, even if the Covid death toll seems large, it’s the effect on marginal workers that matters. Add to that that many workers who kept their jobs are not going back to offices and the geography of jobs has also changed. People who run businesses in fancy, high-priced suburbs without any real transit, can’t expect nearly as many cheap workers, because they can’t afford to live in that suburb and traveling to it is hard. You create enclaves that price out blue collar and service workers, you need to go to them, and not vice-versa.

In the larger picture, an ongoing pandemic that just keeps killing and killing, and is killing the poor and minorities in much higher numbers, is naturally going to lead to a tighter job market. While the rich have gotten a lot richer because of Covid, the long-term affect is going to be higher wages.

There will be attempts to avoid this, as with making homelessness illegal, mass-evicting people, then throwing them in prison and using prison labor, but even that has its limits, when there are just less people.

This is a lesson Europe learned during the Black Plague (the people who survived were treated much better than those who lived before), but Europe didn’t fuck up the Black plague deliberately because it was making rich people richer.

Our wealthy are fundamentally stupid in fairly awe-inspiring ways, because they’ve spent the last 40 years destroying the very environment they will need — social, economic, and physical — for their own future prosperity, and indeed, survival. They think their money will protect them from the wasteland they’re creating, but that’s a bad bet.

Oh, I guess the older ones weren’t stupid, but if you’re filthy rich and not at least 60, I wouldn’t be fucking up Covid, destroying the social fabric of the West by encouraging right-wing authoritarianism, destroying democratic legitimacy, and crashing biodiversity while screwing up the climate.

Might come back to bite you on the ass. If you actually care about your kids (obviously you hate everyone else’s kids), you might find all this foolish, too, if you weren’t someone whose only talent is making money by hurting other people.

Anyway, one of the few silver linings coming out of this will be increased wages, unless the rich and their politicians can move hugely to forced labor. Understand that forced labor is the play: That’s why they’re cutting benefits, to force people back to work. It just didn’t work. That’s why they’re criminalizing homelessness, and there will be more policies along this line.

You’re a unit of production, expected to work for poverty wages, and they want to keep it that way even during a plague, even if they have to force poor people to keep working and send your kids back to schools w/out masks or proper ventilation.

This is who the rich are. Who we are, as a group, is people who accept this or even support it.

Meanwhile, employers of low-wage workers should be asking governments to increase the minimum wage significantly ($24/hour in the US, minimum, with automatic increases based on cost of living), not to help workers, but to help themselves. They could ask for transition subsidies for a couple years, and most of them would be fine, and making more money.

But we’ve trained our employers to be idiots, concentrating only the bottom line and not the top line.


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China is “Totalitarian,” We Couldn’t Do Zero-Covid

Oh?

Here’s a report on how New Zealand handled their latest outbreak. Their contract tracers contacted 13,000 people and stopped 110 chains of transmission (in a week.) They tested ten percent of Auckland’s population in a week.

The outbreak has been going on for only ten days, which means they caught it early and jumped on it. They tested wastewater and found infections only in two cities; those two cities get a 14 day lockdown (because that’s the virus cycle) and the rest of the country ten days, which is long enough for anyone who has it to show symptoms.

There is some opposition, but overall support is very high. Communications are clear and not constantly changing and, most importantly, are backed by success: The government says what it will do, does it, and it works.

New Zealand is not yet high-vaccination. The doctor whose account I am summarizing notes that Taiwan has also done very well against Delta.

So, we now have accounts of three countries that have done well: China (yesterday’s post), New Zealand, and Taiwan. All used the same essential playbook: Jump hard on the first reports of infection, lockdown, and quarantine. China’s lockdown was more local than New Zealand’s but China is a much larger country.

China is totalitarian, and Taiwan and New Zealand are democracies, but they are all following essentially the same playbook, because it is the playbook that has been proven to work.

As with much of what is wrong in the world, Covid is a problem because we refuse to do the right things that we know work, and, in this case, that are proven to work.


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