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Old Mar 11, 2020, 10:13 am
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In order to reduce noise in the Coronavirus / Covid-19 : general fact-based reporting thread, and to create a central place to invite any member to ask a basic question about the impact of COVID-19 on travel, your moderators have decided to open this separate "lounge" thread for related discussion that isn't strictly fact-based reporting.
Any member who can provide a constructive, helpful answer to a question; or post constructively in reply to a member's point-of-view, is welcome to post.

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Discussion of general economic impacts of Covid-19 belongs in the OMNI forum, not here.
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This is a protocol for posting adopted by the forum Moderator team:Please follow this protocol, based on FlyerTalk Rules and long-standing FlyerTalk best practices. Doing so will help keep the thread open, and allow our moderator team to aid members, rather than having to resort to discipline.

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Old Mar 22, 2020, 8:28 am
  #1276  
 
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Originally Posted by trueblu
As I've mentioned before, serological testing will be really important, but will really only come into play once at least 5% of the population have been infected. Italy will be there very soon, rest of Europe in a month or maybe less, and US in about 45 days...

If we can develop a point-of-care serological test, and then somehow issue a 'pass' to that person, it would be really useful to martial a volunteer workforce (honestly, my priorities are on service to society than personal freedoms, ymmv). Gosh, brings back memories of "contagion", which I took my then newly-wed wife to over a decade ago so she could see what may be around the corner!

tb
Also vital for healthcare staff at the moment. We really need to know who has been exposed and who might have developed some immunity to better protect the medical workforce. But the caveat is we still don't understand the immunological correlates and even with antibodies I think medical staff need to continue to take great care when treating COVID-19 patients.
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Old Mar 22, 2020, 8:39 am
  #1277  
 
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Originally Posted by doctoravios
Also vital for healthcare staff at the moment. We really need to know who has been exposed and who might have developed some immunity to better protect the medical workforce. But the caveat is we still don't understand the immunological correlates and even with antibodies I think medical staff need to continue to take great care when treating COVID-19 patients.
Yes, but too early to roll out just yet, too few people infected (outside Northern Italy). But we need to perform rapid R&D and QC _right now_ since we'll have the numbers in the next few weeks. I have a friend who is a professor (in UK), almost certainly infected, her husband, a surgeon, also has to quarantine. But he has no symptoms (yet), is that because he's not infected, and therefore still vulnerable, or because he was asymptomatic. Makes a huge difference to know...

I'm reasonably confident that most people will have at least short-term (months) immunity, which will be enough to protect from 'casual' contact, but who knows if it's enough to protect from massive 'force of infection'..._most_ viral diseases, that's not an issue. I have treated multiple nosocomial measles and mumps and varicella outbreaks and never had any concerns, but those are examples of superb, life-long immunity, so not exactly the same.

tb
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Old Mar 22, 2020, 9:01 am
  #1278  
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Originally Posted by doctoravios
Also vital for healthcare staff at the moment. We really need to know who has been exposed and who might have developed some immunity to better protect the medical workforce. But the caveat is we still don't understand the immunological correlates and even with antibodies I think medical staff need to continue to take great care when treating COVID-19 patients.
Some hospitals may not proceed with autopsies for dead COVID-19 patients as a sort of force protection measure for the medical staff.
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Old Mar 22, 2020, 9:17 am
  #1279  
 
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Originally Posted by cockpitvisit
Plus there is a general distrust towards science and technology. Even now the society is pretty much divided between those who understand exponential growth (and thus are horrified about the outlook), and those who don't (and thus don't get why there is a problem at all).
At least in the US, science departments mostly rely on private and Fed grants, all sales/marketing adopt a similar approach, where the most effective tactic to raise funds is to sensationalize their work triggering a fear response. So, to me, it's just the boy who cried wolf too many times...

Concern over this thing is fully justified, but the panic is unfortunate, yet both predictable and unavoidable. When I read potential solutions of "no matter the cost," I'm of the opinion that we're no longer dealing with serious people. There's always a cost, and it must always be weighed against the potential benefit, even if it's human lives. The sooner we get used to that grim reality, the sooner we can make a rational decision as a nation here. The most frustrating aspect of all of this has been how many around me (in RL) are just driven by their emotions. I just don't get it, and never will. While I believe in vigorous mitigation, we are way pass suppression/containment. Most simply are completely unaware or indifferent (some are probably cheering on our stupidity here) that the damage caused by the fear or overreaction will exact a far higher long term cost/sacrifice than any damage this virus could or would have caused on its own, in my view.

PS - We have many problems, and many unknown ones will arise in the future. All these problems require resources, which even for the United States is *not* unlimited. Simple question. Are we to do this for every future novel outbreak? With the alarmingly low mortality threshold, we would have to, right? Just maybe, we should save a few rounds in the chamber for the big bad grizzly (the true existential threat, as they like to say), and not a little squirrel who squeaks too loudly.
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Last edited by Visconti; Mar 22, 2020 at 9:36 am Reason: added PS...
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Old Mar 22, 2020, 9:28 am
  #1280  
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There should be no doubt that there can be a level of economic damage that damages health cares systems and longer-term human well-being. And it’s something that should be considered. But this also means considering the long-term economic value produced from persons who are saved or spared from the worst of the health implications arising from this virus.
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Old Mar 22, 2020, 10:00 am
  #1281  
 
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Originally Posted by GUWonder
There should be no doubt that there can be a level of economic damage that damages health cares systems and longer-term human well-being. And it’s something that should be considered. But this also means considering the long-term economic value produced from persons who are saved or spared from the worst of the health implications arising from this virus.
This is going to be indelicate, but, as they say, it is what it is. Earlier in a prior thread, someone observed that the "economic value" is defined by a Court settlement against on an Airline crash trial. This is incorrect, in my view. A person's economic value is the aggregate amount of future income/production he/she has remaining in his/her life. Currently, the data suggests the demographics most adversely affected by this thing are those 1) whose production has long passed, and 2) the already sick who are unlikely to produce much in the future. There are exceptions, I know; but, generally, that is true. It's why no one buys life insurance, aside from estate planning purposes, when he/she no longer as an income.

As a society, if our measure is that a human life is worth any cost, than it would be impossible to make any rational decisions. Our Gov't has equated this to war, which, in my view, is an exaggeration. Small pox would be a war, I'd agree; but, from what we know, not this. During times of war, a true existential threat, any society would need a General, such as Patton, with the temerity to what is necessary and make all those decisions that the overwhelming majority in prosperous western societies lack the intestinal fortitude to even contemplate.

I'm not suggesting we need one here, since I don't view this virus the end of the world.
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Old Mar 22, 2020, 10:04 am
  #1282  
 
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Originally Posted by Visconti
At least in the US, science departments mostly rely on private and Fed grants, all sales/marketing adopt a similar approach, where the most effective tactic to raise funds is to sensationalize their work triggering a fear response. So, to me, it's just the boy who cried wolf too many times...

Concern over this thing is fully justified, but the panic is unfortunate, yet both predictable and unavoidable. When I read potential solutions of "no matter the cost," I'm of the opinion that we're no longer dealing with serious people. There's always a cost, and it must always be weighed against the potential benefit, even if it's human lives. The sooner we get used to that grim reality, the sooner we can make a rational decision as a nation here. The most frustrating aspect of all of this has been how many around me (in RL) are just driven by their emotions. I just don't get it, and never will. While I believe in vigorous mitigation, we are way pass suppression/containment. Most simply are completely unaware or indifferent (some are probably cheering on our stupidity here) that the damage caused by the fear or overreaction will exact a far higher long term cost/sacrifice than any damage this virus could or would have caused on its own, in my view.

PS - We have many problems, and many unknown ones will arise in the future. All these problems require resources, which even for the United States is *not* unlimited. Simple question. Are we to do this for every future novel outbreak? With the alarmingly low mortality threshold, we would have to, right? Just maybe, we should save a few rounds in the chamber for the big bad grizzly (the true existential threat, as they like to say), and not a little squirrel who squeaks too loudly.
I agree there is never a "no matter the cost"...in the same way that I never believe "the end justifies the means". However, a month ago, I posited that if we could prevent what I said would be a catastrophe for $100B, you were unsure whether it was worth it "for an unknown quantity", and compared with e.g. Ebola. I don't mean to single any one person out, so apologies if it comes across like that.

The reality is no matter all the talk about rear-view mirrors, the majority of people have been unprepared for the scale of what's happening, and will continue to escalate.

tb
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Old Mar 22, 2020, 10:14 am
  #1283  
 
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Originally Posted by trueblu
I agree there is never a "no matter the cost"...in the same way that I never believe "the end justifies the means". However, a month ago, I posited that if we could prevent what I said would be a catastrophe for $100B, you were unsure whether it was worth it "for an unknown quantity", and compared with e.g. Ebola. I don't mean to single any one person out, so apologies if it comes across like that.
I recall the exchange. Of course, if the future had been revealed, then it would have been worth $100 billion. But, even then, it would have required the $100 billion to have been allocated in a way that would have stopped the origination of this virus. In other words, I'm not sure if any amount of money would have changed the source from where this thing originated. Now, as to the future projections, I didn't and still don't believe the far right of the parabolic outcomes would materialize. And, even if it had, while it had occurred to me, I felt the probability of the US Gov't taken such an extreme approach were remote. And, finally, how would that $100 billion have stopped this? Travel bans, they said, would never work. Mitigation isn't followed by all. Aside from allocating that $100 billion to possibly stop pathogens from third world countries not named China, how would it have helped?

Originally Posted by trueblu
The reality is no matter all the talk about rear-view mirrors, the majority of people have been unprepared for the scale of what's happening, and will continue to escalate.
You plan for likely events, not unlikely ones. Assuming this will be similar to 1918, would we have been better off allocating resources for an event that "may" occur once every 80 years? It's here, fine. We deal with it the best we can, and we move on. Let's not make the matter worse by adopting a cure that may be more deleterious than the illness.
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Old Mar 22, 2020, 10:16 am
  #1284  
 
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Originally Posted by Visconti
This is going to be indelicate, but, as they say, it is what it is. Earlier in a prior thread, someone observed that the "economic value" is defined by a Court settlement against on an Airline crash trial. This is incorrect, in my view. A person's economic value is the aggregate amount of future income/production he/she has remaining in his/her life. Currently, the data suggests the demographics most adversely affected by this thing are those 1) whose production has long passed, and 2) the already sick who are unlikely to produce much in the future. There are exceptions, I know; but, generally, that is true. It's why no one buys life insurance, aside from estate planning purposes, when he/she no longer as an income.

As a society, if our measure is that a human life is worth any cost, than it would be impossible to make any rational decisions. Our Gov't has equated this to war, which, in my view, is an exaggeration. Small pox would be a war, I'd agree; but, from what we know, not this. During times of war, a true existential threat, any society would need a General, such as Patton, with the temerity to what is necessary and make all those decisions that the overwhelming majority in prosperous western societies lack the intestinal fortitude to even contemplate.

I'm not suggesting we need one here, since I don't view this virus the end of the world.
This is fair...in fact, the reality is that COVID-19 will reduce pension/ medicaid etc liabilities. BUT I don't agree that because someone is old, we shouldn't spend money on helping them. In fact, it's well-known that in health economic terms, everyone's most "expensive" time is the last 6 months of their life, no matter what age that occurs in, which makes sense. BUT the reality of triage in the next few weeks is that older people WILL be denied care, in the US and it's already happening in Europe.

One last thought, I agree that no matter the cost...but why is it that 6 months ago, the average American would be willing to pay (via insurance etc and supporting pharma lobbies) $500k for cancer immunotherapies that help only a minority of patients, but we aren't willing to pay $100 for tuberculosis treatment for destitute people. The latter mostly affects people in the prime of their economically productive lives, the former, much more after they've stopped "producing". If we reduce all arguments to economic ones, we've rather lost sight of what it is to be human.

tb
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Old Mar 22, 2020, 10:29 am
  #1285  
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In Australia, the US is now the biggest source of new cases of this virus. The US being a bigger source of new cases in Australia than Italy and China.
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Old Mar 22, 2020, 10:30 am
  #1286  
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Originally Posted by trueblu
This is fair...in fact, the reality is that COVID-19 will reduce pension/ medicaid etc liabilities. BUT I don't agree that because someone is old, we shouldn't spend money on helping them. In fact, it's well-known that in health economic terms, everyone's most "expensive" time is the last 6 months of their life, no matter what age that occurs in, which makes sense. BUT the reality of triage in the next few weeks is that older people WILL be denied care, in the US and it's already happening in Europe.

One last thought, I agree that no matter the cost...but why is it that 6 months ago, the average American would be willing to pay (via insurance etc and supporting pharma lobbies) $500k for cancer immunotherapies that help only a minority of patients, but we aren't willing to pay $100 for tuberculosis treatment for destitute people. The latter mostly affects people in the prime of their economically productive lives, the former, much more after they've stopped "producing". If we reduce all arguments to economic ones, we've rather lost sight of what it is to be human.

tb
Probably the most important words on this thread. I might also note that those economic numbers attached to human life after a plane crash for instance, are numbers attached after the loss of the life, when there is no other option, not before the loss of life.
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Old Mar 22, 2020, 10:33 am
  #1287  
 
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Originally Posted by trueblu
This is fair...in fact, the reality is that COVID-19 will reduce pension/ medicaid etc liabilities. BUT I don't agree that because someone is old, we shouldn't spend money on helping them. In fact, it's well-known that in health economic terms, everyone's most "expensive" time is the last 6 months of their life, no matter what age that occurs in, which makes sense. BUT the reality of triage in the next few weeks is that older people WILL be denied care, in the US and it's already happening in Europe.
There's a difference between macro and micro decisions. A rational decision for a Nation that's best for itself (nation states primary objective is survival) isn't necessarily the best for me as an individual. As such and without any hesitation, I am free and would be willing to expend whatever meager resources I have on the lives and well being of my family whatever their age, and even my closest friends.

Originally Posted by trueblu
One last thought, I agree that no matter the cost...but why is it that 6 months ago, the average American would be willing to pay (via insurance etc and supporting pharma lobbies) $500k for cancer immunotherapies that help only a minority of patients, but we aren't willing to pay $100 for tuberculosis treatment for destitute people. The latter mostly affects people in the prime of their economically productive lives, the former, much more after they've stopped "producing". If we reduce all arguments to economic ones, we've rather lost sight of what it is to be human.
Agreed. It' not that I favor capitalism so much over other approaches, but, in my view, it's better than the alternative. I just think it's a better system than others to allow for creation and prosperity than can then be used to address broader human needs. In order to "help" people, we first must produce and create enough of an abundance from which we may be in a position to help others. As to cancer treatment, the free market dictates capital flow to those areas with the highest return, and the assumption that private individuals allocating their own money are more efficient, since it's determined by supply and demand. At least in America, the private sector is both smarter and much more capable than the public sector, in my view. I'm not suggesting it's an ideal system, but it has worked pretty well for wester societies.
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Old Mar 22, 2020, 10:47 am
  #1288  
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Originally Posted by GadgetFreak
Probably the most important words on this thread
I would balance that out to say that humans need both health and prosperity. Not one or the other. Yes we take care of our sick at any age and yes we do our best to keep our economy active so we have the means to take care of our sick.
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Old Mar 22, 2020, 10:54 am
  #1289  
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Originally Posted by GUWonder
In Australia, the US is now the biggest source of new cases of this virus. The US being a bigger source of new cases in Australia than Italy and China.
Soon to be the same for Canada too as snowbirds return from Florida. The governor of Florida's inaction on closing the beaches during spring break borders on criminal neglect.
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Old Mar 22, 2020, 11:00 am
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Originally Posted by stimpy
I would balance that out to say that humans need both health and prosperity. Not one or the other. Yes we take care of our sick at any age and yes we do our best to keep our economy active so we have the means to take care of our sick.
Agreed.

But we also desperately need to realise that in this interconnected world, "my" prosperity depends on others, even outside one's nation state, but also within. My wife forwarded a blog post to me a few weeks ago, which stated (I'm paraphrasing) that my own well-being now, in this crisis, also depends on the minimum wage earner handling my food in the supermarket. I'm most definitely NOT advocating a communist approach that we all earn the same etc. But we also need to realise, now more than ever, that "WE" is very much all of us.

Good health!

tb
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