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2,500,415 Views | 20959 Replies | Last: 2 mo ago by Ciboag96
BMX Bandit
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Quote:

This is assuming you think 30-40% of America gets the disease...which seems like an incredibly pessimistic view of it considering even Italy still has a <0.1% infection rate today
Thats because Italy is "shutting down"

30-40% of the US population probably would get it if precautions were not being taken
jenn96
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Agree. Based on current numbers of cases the shutdowns are an overreaction. But infectious disease specialists seem to think that if this thing keeps running unchecked then that is likely the end result. I genuinely don't know. But a lot of very smart people (who are not Democrats or members of the media) seem legitimately concerned. And what does seem clear is that by the time the reality of the problem is big enough to be easily seen it will be out of control.
Zobel
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Think guys. What ends an epidemic?

What have you seen in the past three months, as this thing started from 1 case in China, that makes you think it's going to just stop?

If you want to be optimistic about something, don't hope for it to end. Hope for a large percentage of people to be asymptomatic carriers.
ChemAg15
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Turner profiting from his office is the rule, not the exception.
AgsMyDude
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BMX Bandit said:

Quote:

This is assuming you think 30-40% of America gets the disease...which seems like an incredibly pessimistic view of it considering even Italy still has a <0.1% infection rate today
Thats because Italy is "shutting down"

30-40% of the US population probably would get it if precautions were not being taken

It takes a week + of shut down to see any major impact because of the incubation period/delay. Italy went on lockdown on the 11th and is JUST now seeing a small decline in rate of new cases per day. Still seeing over 3,500 new cases each day despite being completely closed as a country.




gougler08
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jenn96 said:

Agree. Based on current numbers of cases the shutdowns are an overreaction. But infectious disease specialists seem to think that if this thing keeps running unchecked then that is likely the end result. I genuinely don't know. But a lot of very smart people (who are not Democrats or members of the media) seem legitimately concerned. And what does seem clear is that by the time the reality of the problem is big enough to be easily seen it will be out of control.
Agree, I don't think it would remain that low without something being done, but not sure shutting down our country for weeks was needed either. Oh well, it's done now so hopefully this nips it in the bud over the next few weeks and then we can rebuild
AgLiving06
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k2aggie07 said:

Think guys. What ends an epidemic?

What have you seen in the past three months, as this thing started from 1 case in China, that makes you think it's going to just stop?

If you want to be optimistic about something, don't hope for it to end. Hope for a large percentage of people to be asymptomatic carriers.

The only thing that's going to "stop" this is a vaccine or treatment option.

Nothing we've done so far stops it. We've merely slowed it down.

So based on current stats, we are willing to risk the livelihood between 97%-99% of the population to protect the fraction.

Instead we should be isolating the fraction while letting the majority build the necessary antibodies/immunities.

And yes, I realize the counter is the 'at risk" won't stay isolated, but that's the freedoms we give to people in this country.
aTm2004
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Italians also live on top of one another. Majority of Americans don't live in high rises with several hundred people in it. The comparison to Italy is just silly given the age demographics, lifestyle differences, etc.
CDUB98
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The NE, and especially NYC, is a good comparison though. Jammed packed people.
aTm2004
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Quote:

And yes, I realize the counter is the 'at risk" won't stay isolated, but that's the freedoms we give to people in this country.
Yep. My wife and I aren't aligned on what we feel the best thing to do is. She's all for shut it down and make us stay in where I'm against that and am looking at the long-term impact to the economy. One thing I've told her is that freedom can sometimes be uncomfortable.
Zobel
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Yes, you're very right about the endgame. And it may even become endemic like the flu, with periodic new pandemics. But we can't predict that or control it so there's really no sense in worrying about it.

All the smart people are saying a vaccine in 12 months would be moving heaven and earth, and even then our strategic make the vaccines fast program is designed to make 50 million in 4 months after the vaccine is ready. I hope for better irrationally, but I don't expect it.

I don't think you're looking at the correct two alternatives. The livelihood of the 97-99% are at risk, period. There is no option to go back to the economic climate of December.

That policy paper notes that people will engage in voluntary, spontaneous social responses to this. We joke about it all the time, but Karen and Brenda are not going to work if they think they're going to die. They're also not going to restaurants or bars. The instant this goes from something no one can see to something they can't avoid the economic impact happens anyway. Even if we say - ok, all the young people will assume they're not at risk (20 year old Karen is just as Karen as 45 year old Karen) the economic impact of the 50+ cohort is no joke.

If you read that policy paper carefully there is a middle way identified. Not suppression, but mitigation. It flattens the curve, but not nearly as much as the graphic going around does. Just shifts the peak, and reduces ultimate fatalities by half. That strategy, it's over in July-August.

So, half of how many deaths? Half of 100,000, you do nothing. Half of 2.2 million you take some action.

Pandemic viruses end with vaccines (12 months), spontaneous mutation (random chance), or enough people getting it that herd immunity reduces the R0 to below 1. That's it.
aTm2004
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So compare NYC and lock down NYC if you need to. Don't compare Italy to Kansas, Texas, Tennessee, etc because things are completely different.
Zobel
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Does the flu not go through Kansas, Texas, Tennessee, every year?
Bondag
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aTm2004 said:

Italians also live on top of one another. Majority of Americans don't live in high rises with several hundred people in it. The comparison to Italy is just silly given the age demographics, lifestyle differences, etc.
And there was rumor on at least one of these threads that most of the original Italian cases traced back to a single delivery driver. Something that will still happen if you have grubhub or other forms of social isolation.
cajunaggie08
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AgLiving06 said:

k2aggie07 said:

Think guys. What ends an epidemic?

What have you seen in the past three months, as this thing started from 1 case in China, that makes you think it's going to just stop?

If you want to be optimistic about something, don't hope for it to end. Hope for a large percentage of people to be asymptomatic carriers.

The only thing that's going to "stop" this is a vaccine or treatment option.

Nothing we've done so far stops it. We've merely slowed it down.

So based on current stats, we are willing to risk the livelihood between 97%-99% of the population to protect the fraction.

Instead we should be isolating the fraction while letting the majority build the necessary antibodies/immunities.

And yes, I realize the counter is the 'at risk" won't stay isolated, but that's the freedoms we give to people in this country.
And how do you propose you keep the at risk isolated? round them all up and put them in the astrodome? Are the elderly supposed to avoid contact with the hired or related care takers? Are those fighting cancer or with any other conditions that compromise their immune condition supposed to avoid all medical care and contact with their family members who are out "building immunity." Seeing how obese our population is, id be willing to expect many have weak or sub-optimal lung capacity where pneumonia would take them near death. My dad would consider himself healthy but he wheezes up a storm after any cold. Many who dont even think of themselves as being at-risk probably are.
aTm2004
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k2aggie07 said:

Does the flu not go through Kansas, Texas, Tennessee, every year?
Never said it doesn't. Let's take a stomach bug for example. Do you think it will spread more rapidly in a dormitory or a neighborhood with single family homes?
aTm2004
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Bondag said:

aTm2004 said:

Italians also live on top of one another. Majority of Americans don't live in high rises with several hundred people in it. The comparison to Italy is just silly given the age demographics, lifestyle differences, etc.
And there was rumor on at least one of these threads that most of the original Italian cases traced back to a single delivery driver. Something that will still happen if you have grubhub or other forms of social isolation.
Not sure about how it started in Italy, but I agree about GrubHub, etc. That's why I've asked that if it's so bad, why are airports and public transportation still open and operating?

I think enacting a travel ban from China back in January really helped the US.
aTm2004
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Quote:

Seeing how obese our population is, id be willing to expect many have weak or sub-optimal lung capacity where pneumonia would take them near death.
More Americans die daily from heart disease (per CDC) than have died total from the Kung Flu, but nobody thinks twice about stuffing a 1200 calorie lunch from Chick-Fil-A into their mouths and then sit down and munch on another 2000 calories for dinner at Pappasitos.
Zobel
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Asking whether a stomach bug or any virus spreads fast or slow in a dorm is a question that doesn't give any information by the answer. This kind of virus will spread quicker in some places - dorms, cruise ships, nursing homes, dirty chinese urban environments - and more slowly in others. But that only changes the time scale on the log curve, not the shape of the graph.

I have been screwing around with excel because my brain doesn't think in exponential growth. It's extremely counter-intuitive. A travel ban only saves you time, it doesn't change the final outcome (unless its complete). The early actions offset or delay the beginning of exponential growth, but one day early saves a doubling of a small number...one day late in the game is a doubling of an extreme number.

Yeah, the public response to this is totally irrational in a big-picture way. People die of heart disease, but it's not visible or dramatic, it builds up over a long chain of decisions.

Saying "than have died total" isn't a good comparison. In Pandemic terms we're maybe somewhere through the first two possessions of the football game.
CDUB98
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aTm2004 said:

So compare NYC and lock down NYC if you need to. Don't compare Italy to Kansas, Texas, Tennessee, etc because things are completely different.


I don't disagree at all.
cajunaggie08
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aTm2004 said:

Quote:

Seeing how obese our population is, id be willing to expect many have weak or sub-optimal lung capacity where pneumonia would take them near death.
More Americans die daily from heart disease (per CDC) than have died total from the Kung Flu, but nobody thinks twice about stuffing a 1200 calorie lunch from Chick-Fil-A into their mouths and then sit down and munch on another 2000 calories for dinner at Pappasitos.
In that case, their poor health choices impact only themselves directly. I wont get heart disease because someone else thinks the fajitas for 2 with extra butter sauce is a special cheat code in their quest for keto gold.
Ducks4brkfast
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aTm2004 said:

Quote:

Seeing how obese our population is, id be willing to expect many have weak or sub-optimal lung capacity where pneumonia would take them near death.
More Americans die daily from heart disease (per CDC) than have died total from the Kung Flu, but nobody thinks twice about stuffing a 1200 calorie lunch from Chick-Fil-A into their mouths and then sit down and munch on another 2000 calories for dinner at Pappasitos.


Making me hangry rn
aTm2004
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cajunaggie08 said:

aTm2004 said:

Quote:

Seeing how obese our population is, id be willing to expect many have weak or sub-optimal lung capacity where pneumonia would take them near death.
More Americans die daily from heart disease (per CDC) than have died total from the Kung Flu, but nobody thinks twice about stuffing a 1200 calorie lunch from Chick-Fil-A into their mouths and then sit down and munch on another 2000 calories for dinner at Pappasitos.
In that case, their poor health choices impact only themselves directly. I wont get heart disease because someone else thinks the fajitas for 2 with extra butter sauce is a special cheat code in their quest for keto gold.
If you think being an abnormally large fatty only impacts themselves, you're blind. Higher insurance costs to us all, calories identified on menus, etc.
aTm2004
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Ducks4brkfast said:

aTm2004 said:

Quote:

Seeing how obese our population is, id be willing to expect many have weak or sub-optimal lung capacity where pneumonia would take them near death.
More Americans die daily from heart disease (per CDC) than have died total from the Kung Flu, but nobody thinks twice about stuffing a 1200 calorie lunch from Chick-Fil-A into their mouths and then sit down and munch on another 2000 calories for dinner at Pappasitos.


Making me hangry rn
Now that you mention it...#metoo
htxag09
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You do realize that these measures aren't just to save the lives of a couple old people, right?

It's also to spread the burden on hospitals. Not just elderly or at risk have severe cases that require hospitalization, that's all ages.

I'm in a cycling group on facebook that has a lot of international members. Many of their countries have banned cycling and other activities because they don't have rooms in hospitals if they have are involved in an accident.
cajunaggie08
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aTm2004 said:

cajunaggie08 said:

aTm2004 said:

Quote:

Seeing how obese our population is, id be willing to expect many have weak or sub-optimal lung capacity where pneumonia would take them near death.
More Americans die daily from heart disease (per CDC) than have died total from the Kung Flu, but nobody thinks twice about stuffing a 1200 calorie lunch from Chick-Fil-A into their mouths and then sit down and munch on another 2000 calories for dinner at Pappasitos.
In that case, their poor health choices impact only themselves directly. I wont get heart disease because someone else thinks the fajitas for 2 with extra butter sauce is a special cheat code in their quest for keto gold.
If you think being an abnormally large fatty only impacts themselves, you're blind. Higher insurance costs to us all, calories identified on menus, etc.
I'm not blind to it. I know everyone's health choice affect my pocketbook as insurance companies pass more of the cost burden onto employers who pass that on to employees by enacting higher premiums. But as you said, "freedom can sometimes be uncomfortable."
TXTransplant
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This was the news out of NY yesterday:

Quote:

Based on modeling done by epidemiologists, the state expects the outbreak to peak in 45 days.

Given the current rate of spread of the disease in New York and the current hospitalization rate for people sickened by the disease, the governor said the state will need somewhere between 55,000 and 110,000 hospital beds and as many as 18,600 to 37,200 ICU beds for the number of people who will need hospital care at the peak of the outbreak.

The state has only 53,000 hospital beds statewide and they are, on average, 80% occupied, Cuomo said. That leaves 10,600 available hospital beds in the state.

The state has only 3,000 ICU beds, the governor said, with 600 available as of Saturday.

I'm a numbers person, so these numbers concern me. Are they correct? We don't know...but do we really want to find out?

The economy might be tanking now, but if the scenario above were to play out in all the major US cities, the economy would tank regardless. Panic would be worse because people with health conditions OTHER than coronavirus would not be able to get care. That's not a scenario I want to see play out.

I read an update on Italy this morning, and health care providers are well aware that the shutdown is reducing the number of people coming to the hospital with broken bones and other injuries from car accidents, skiing, etc. And they are grateful for that, because people with those injuries simply would not get adequate care right now.



aTm2004
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Quote:

Asking whether a stomach bug or any virus spreads fast or slow in a dorm is a question that doesn't give any information by the answer. This kind of virus will spread quicker in some places - dorms, cruise ships, nursing homes, dirty chinese urban environments - and more slowly in others. But that only changes the time scale on the log curve, not the shape of the graph.
The point is that it will spread much faster in one environment vs another, so giving a blanket "it's happened in X so it will happen in Y" is silly because Italy and the US are not similar in our way of lives. One can't look at what's happening in Italy and think we're going to follow the same path, because we're not due to several factors that differentiate us.
CDUB98
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Remember who the real enemy is here: FluManChu

People are never going to fully agree on the measures to take. Acknowledge that and work together to keep the economy afloat as much as you can.
txags92
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aTm2004 said:

cajunaggie08 said:

aTm2004 said:

Quote:

Seeing how obese our population is, id be willing to expect many have weak or sub-optimal lung capacity where pneumonia would take them near death.
More Americans die daily from heart disease (per CDC) than have died total from the Kung Flu, but nobody thinks twice about stuffing a 1200 calorie lunch from Chick-Fil-A into their mouths and then sit down and munch on another 2000 calories for dinner at Pappasitos.
In that case, their poor health choices impact only themselves directly. I wont get heart disease because someone else thinks the fajitas for 2 with extra butter sauce is a special cheat code in their quest for keto gold.
If you think being an abnormally large fatty only impacts themselves, you're blind. Higher insurance costs to us all, calories identified on menus, etc.
You and/or your elderly parents aren't going to die because of somebody else's uncontrolled heart disease...
TXTransplant
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CDUB98 said:

Remember who the real enemy is here: FluManChu

People are never going to fully agree on the measures to take. Acknowledge that and work together to keep the economy afloat as much as you can.
This! IF you have the funds available and your income is not at risk, now would be a GREAT time to hire local businesses to pressure wash your house, landscape your yard, get a new roof, put in that patio you've been wanting, etc.

I need a new fridge, and I'm hoping that the gold-plated model I ~really~ want will end up on sale.

Yesterday, I pre-purchased a treatment with a local business that I probably won't use for at least a couple of months (it's good for a year), but they offered a discount.

I have an appointment scheduled with my massage therapist, who comes to my home, and we both agreed there is no reason to cancel.

I am being cognizant of my spending, but I also want to help the small businesses that I routinely do business with stay afloat.
aTm2004
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txags92 said:

aTm2004 said:

cajunaggie08 said:

aTm2004 said:

Quote:

Seeing how obese our population is, id be willing to expect many have weak or sub-optimal lung capacity where pneumonia would take them near death.
More Americans die daily from heart disease (per CDC) than have died total from the Kung Flu, but nobody thinks twice about stuffing a 1200 calorie lunch from Chick-Fil-A into their mouths and then sit down and munch on another 2000 calories for dinner at Pappasitos.
In that case, their poor health choices impact only themselves directly. I wont get heart disease because someone else thinks the fajitas for 2 with extra butter sauce is a special cheat code in their quest for keto gold.
If you think being an abnormally large fatty only impacts themselves, you're blind. Higher insurance costs to us all, calories identified on menus, etc.
You and/or your elderly parents aren't going to die because of somebody else's uncontrolled heart disease...
My uncle's BIL spent a couple of months in ICU and will need a cane for the rest of his life because Ol Boy driving home after a drive thru stop at JITB had a heart attack and swerved into his lane, hitting him head on at 60+. You're right, he didn't die, just had his life changed forever.
txags92
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aTm2004 said:

txags92 said:

aTm2004 said:

cajunaggie08 said:

aTm2004 said:

Quote:

Seeing how obese our population is, id be willing to expect many have weak or sub-optimal lung capacity where pneumonia would take them near death.
More Americans die daily from heart disease (per CDC) than have died total from the Kung Flu, but nobody thinks twice about stuffing a 1200 calorie lunch from Chick-Fil-A into their mouths and then sit down and munch on another 2000 calories for dinner at Pappasitos.
In that case, their poor health choices impact only themselves directly. I wont get heart disease because someone else thinks the fajitas for 2 with extra butter sauce is a special cheat code in their quest for keto gold.
If you think being an abnormally large fatty only impacts themselves, you're blind. Higher insurance costs to us all, calories identified on menus, etc.
You and/or your elderly parents aren't going to die because of somebody else's uncontrolled heart disease...
My uncle's BIL spent a couple of months in ICU and will need a cane for the rest of his life because Ol Boy driving home after a drive thru stop at JITB had a heart attack and swerved into his lane, hitting him head on at 60+. You're right, he didn't die, just had his life changed forever.
Ok, two can play this little pedantic game. It wasn't uncontrolled heart disease that caused your uncle's BIL to be injured, it was the decision to drive with heart disease that caused the issue. Therefore we should just ban all people with heart disease from driving and the problem is solved. Thanks for playing!
Bondag
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AG
What is included in the bed count?

Ideally everyone that needs a bed gets a bed, but what is needed?

If you are at a nursing home with Medgas do you need a hospital bed, or can you get the same level of care where you are? I know Seattle had a poor track record with this, but we know a lot more about what they are dealing with now.
TXTransplant
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Bondag said:

What is included in the bed count?

Ideally everyone that needs a bed gets a bed, but what is needed?

If you are at a nursing home with Medgas do you need a hospital bed, or can you get the same level of care where you are? I know Seattle had a poor track record with this, but we know a lot more about what they are dealing with now.
The article didn't have that much detail.

But, I'm more concerned about the ICU beds, and nursing homes don't have ICU beds. That level of care is pretty much hospital-only (and not even every hospital can treat people who are that sick).
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