Wednesday, March 25, 2020

I Don't Get It!


None of my high school or college science teachers would remember me as a top student. I’m more on the other side of the brain, whichever that is. I did learn about the scientific method. I learned to trust science. A class in plane geometry taught me about postulates, theorems, and proofs, using a prescribed methodology. It irks me a bit when people try to replace science with personal opinion. I subscribe to the notion that you can have your own opinions, but not your own alternative facts. The nation’s approach to the COVID-19 has me flummoxed.

Our leaders at the national, state and local levels don’t have a united plan to conquer this silent enemy. That is not totally unexpected; lots of politicians often have lots of opinions. What I find appalling is the degree to which they ignore science, from one precinct to another. In some cases, leaders simply ignore the facts in front of them. The devil is always in the details, but at a macro level, the solution to this pandemic is relatively simple, and we have the data to prove it.

This virus, for which there is no cure, no vaccine, no anything, spreads from one person to another. The solution is obvious. Limit interactions between people, separate people from each other. The progress of the virus in other countries indicates that early intervention is needed, and it needs to be at a Shock-and-Awe level. We don’t have a national plan to fight the virus because we ignored the science. We were late implementing a national task force. We have scientist who has to correct the President during his press conferences. We have a few flat-earth governors who refuse to implement minimum requirements for distancing, for testing, for a scientific approach. We have a Lt. Governor of Texas that urges older people to go to work and be willing to die so that the younger cohorts can have a future. Glen Beck, a former talk show host called on the old to sacrifice their lives for the young. The owner of one of the largest home-goods chains in America is staying open because his wife had a vision that this curse will be over in a few days or weeks. Liberty University has called its students back for the rest of the semester. The Governor of Florida has yet to shut down the state, a place teeming with older people and rising hospital stays. Mississippi’s Governor refuses to shutter the state because “we are not China.” The President has called for crowded churches on Easter Sunday, with people shoulder to shoulder. What don’t people get?

China quickly shut down the city of Wuhan, all 20 million people, and the death rate slowly began to slow down. Italy shut down the northern part of the country, but too late. The entire country is now in lockdown and the death rate is still rising, hundreds each day. Iran was slow to shut down and its death rates are rising exponentially. The US death rate, and we are at the start of the epidemic, matches Italy’s increased death rates. In other words, it has only just begun. There is no way that any scientist, health expert, or doctor would recommend opening the nation for business-as-usual as early as two or three months, certainly not in weeks.

This crisis opened our eyes to how unprepared the nation is for a crisis. The President will have to take his lumps for his management of the crisis and for his mixed messaging, but it’s not all his fault. We have never experienced an event that closed the nation in a matter of days, and we were overwhelmed. Part of the problem is economics and part is logistics. The last twenty years or more has seen an almost religious reliance on technology to manage inventory to a finite degree, whether in companies or in hospitals. If a hospital uses 1,000 surgical masks a month, why would it buy and store 5,000 masks? The business plan does not allow for surpluses. If a drug store sells 12 items of a product each week, its inventory management system will tell it to buy five more when it has sold seven. It is so ingrained in our processes that the idea of a surplus just isn't thought about anymore. The states and the federal governments are supposed to have the large surpluses to be dispersed as needed. But we don’t provide the money for that either. The states don’t have the equipment they need to fight the virus, and the federal government is slow to send relief. New York needs thousands of ventilators and the federal government sends them 400. Hospitals are filling up quickly, but it took weeks to dispatch the Army and Navy to lend a hand. Why?

The governors of the states and territories have taken the leadership in this crisis. Maybe that is as it should be, but I question the efficacy of 55 different approaches to a national crisis. Let’s look at the simple issue of isolating in place. If we had uniform guidelines, every restaurant in the country would be shut down except for take-out; all non-essential businesses would be shut down including bars and weed shops. Schools, colleges, and universities would be shut down, gatherings outside the home of more than two people would be prohibited, and all transportation systems would be shut down to all by essential workers. If we had uniform guidelines, we would not have college kids celebrating spring break on the beaches. It wreaks havoc with the economy, but it saves lives.

Those returning home from spring break need to shelter in isolation for two weeks because they have all been exposed to the virus, simply by being that close to so many people. A lot of people are leaving New York City in an effort to avoid contamination. Whichever state they move to should require them to isolate for two weeks. Why is it so hard to convince people to do the right thing? Why don’t they listen to the scientists and doctors and take the situation seriously? The United States is increasing the number of virus cases faster than Italy.[i] Italy cannot handle the increase in deaths, which is growing exponentially. Yet, governments and individuals ignore the warnings, calling them a hoax, an effort by the Democrats to make Trump look bad and false news. It is none of those.

I don’t get it!