How long should the lock down last?

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You don't think Arizona, Florida, and Texas will face the same issues as New York? Arizona and Florida have plenty of nursing homes which may or may not have adequate PPE and protocols. The virus is still peaking there, no? Canada also had a disastrous nursing home policy, but still has done better, no?

Why do you think the West in general has had higher fatalities, and do you think it could have been prevented?

It's simply NYC. You can't replicate the filth, density, and public transit anywhere else in North America. As I've repeatedly said, remove NYC and the numbers look vastly better.
 
We will see. Looks like Imperial County is getting crushed pretty hard. Also treating people in tents. I'll be curious if the numbers rise.

Deaths are up today....
 
The idea was to immediately and rapidly impose lockdowns and travel bans once covid-19 arrived in the US. This meant a complete travel ban on China and Europe should've been implemented very early on to minimize arrivals of asymptomatic carriers. The economic damage of a national lockdown can be contained with massive economic stimulus (including a basic income) with every state providing for huge unemployment benefits and expanding Medicaid. The federal government would then subsidize the states to help pay for the costs.

With this approach combined with clear, nonpartisan health advice and masks and rapid test/trace/isolate, we would've gotten covid-19 well under control already with the economy well on its way to recovery.

This didn't happen and so the prolonged effects of covid-19.
 
I thought most hospitals were out of remdesivir.
Agreed NSHs should not take Covid patients. But my guess is those nursing homes are already full of Covid.

In my area nursing home patients were quarantined in the hospital. In the meantime nursing homes specifically for covid popped up and they got sent there instead. Haven't seen any NH patients in any remarkable number recently. Almost all 40-60 year old minorities of varied backgrounds. So either our nursing homes are doing well at quarantine or it already swept through.
 
In my area nursing home patients were quarantined in the hospital. In the meantime nursing homes specifically for covid popped up and they got sent there instead. Haven't seen any NH patients in any remarkable number recently. Almost all 40-60 year old minorities of varied backgrounds. So either our nursing homes are doing well at quarantine or it already swept through.
In my state it's the former. A few cases popped up in NHs early but it's been reasonably quiet since then.

Had a patient just yesterday who is a nurse at a nursing home. Weekly staff covid testing, all wear n95s at all times. Special wing devoted to Covid patients with another for post-hospital covid patients.
 
You don't think New Zealand, Germany, and Canada have prevented deaths?


You're comparing apples to oranges. As far as public health goes, we're a 2nd-rate nation. European and Asian countries were able to suppress and contain the outbreak (for the time being, at least) because they possessed the capability for a robust response followed by an aggressive test/trace/isolate response.

We just don't have that capability. We don't have the social safety net necessary to allow for an aggressive suppressive strategy and we don't have the public health capacity to allow for an aggressive containment regimen. And we lacked the leadership necessary to create these.

So people get sick and some die, and will continue to do so.

It's a virus. It's not political.
 
You're comparing apples to oranges. As far as public health goes, we're a 2nd-rate nation. European and Asian countries were able to suppress and contain the outbreak (for the time being, at least) because they possessed the capability for a robust response followed by an aggressive test/trace/isolate response.

We just don't have that capability. We don't have the social safety net necessary to allow for an aggressive suppressive strategy and we don't have the public health capacity to allow for an aggressive containment regimen. And we lacked the leadership necessary to create these.

So people get sick and some die, and will continue to do so.

It's a virus. It's not political.

That's my point, exactly. We are second, maybe 10th rate. We could have that capability if we chose to. But we have elected incompetent leaders.

I agree with you 100%, except I think that we could ramp up our response if we elected decent people, but we don't.
 
That's my point, exactly. We are second, maybe 10th rate. We could have that capability if we chose to. But we have elected incompetent leaders.

I agree with you 100%, except I think that we could ramp up our response if we elected decent people, but we don't.

We’re also obese, metabolically deranged, and chronically inflammed. It’s a wonder the CFR isn’t much higher.
 
Which are also the result of us electing incompetent leaders and not investing in public health etc.

That we can agree on (so much profit motive in keeping the status quo food environment).
 
Looks like it's blasting the RGV in TX (where I used to work). Every patient I saw there had a BMI > 27, diabetes, HTN and kidney problems. I suspect their CFR is going to be astronomical. These were super unhealthy people with relatively bad access to medical care.
 
Looks like it's blasting the RGV in TX (where I used to work). Every patient I saw there had a BMI > 27, diabetes, HTN and kidney problems. I suspect their CFR is going to be astronomical. These were super unhealthy people with relatively bad access to medical care.

Yup. A deprived and socially complex community that will pay the price.

Is 27 obese now? Uh oh 🙂
 
'All the hospitals are full': In Houston, overwhelmed ICUs leave COVID-19 patients waiting in ER

The increase in ambulance diversions, coupled with the spike in patients being held indefinitely in emergency rooms, are the latest indicators that Houston hospitals are straining to keep up with a surge of new coronavirus patients. ProPublica and NBC News have previously reported that a public hospital in Houston ran out of a medication to treat COVID-19 patients and that a spike in at-home deaths from cardiac arrest suggests that the death toll from the coronavirus may be higher than official statistics show.

On Thursday, 3,812 people were hospitalized with COVID-19 in the region, including more than 1,000 in intensive care units, a record since the pandemic began. At the same time, since Texas officials have not issued another stay-at-home order to slow the virus’s spread, hospitals are also still seeing a steady flow of patients in need of care as a result of car accidents, violent crime and heat-related medical emergencies.
 
Yup, that's what happens when people to go parties and the beach and don't care about disease transmission.

Yeah let's 100% keep blaming people living their life, while completely exonerating any responsibility from the patients that are morbidly obese with metabolic syndrome, are medically non-compliant, completely sedentary, etc. There should be blame on both sides. If anything there should be national incentives and education on this is why you don't be a lazy ass and unhealthy.
 
Yup, that's what happens when people to go parties and the beach and don't care about disease transmission.
Let's not forget the other thing that has to be contributing to the current surge:

From Wikipedia:
May 29: Large numbers protested in George Floyd's hometown. Mayor Sylvester Turner made calls for unity and peace.[40] Over 200 people were arrested[when?], most with obstructing a roadway.[41] According to police reports four officers suffered minor injuries[when?] and eight police vehicles were damaged.[41] Houston police explained that they were investigating a video that appeared to show a female protester being trampled by a police officer on a horse.[42][43]

On Tuesday, June 2, thousands of people gathered for a march and rally in downtown Houston.[44] Family members of George Floyd joined the march, which one source estimated at 60,000 people.[45]

June 8: Thousands of mourners gathered for a viewing of George Floyd's body at The Fountain of Praise Church. Texas Gov. Greg Abbott and Mayor Sylvester Turner and George's younger brother Rodney were among the 10,000 expected to attend the visitation.

Many (most?) of the people who participated in those events were part of the demographics (black and/or hispanic/latino) that are at highest risk and are currently experiencing the highest rates of infection in Harris County. Source: ArcGIS Dashboards
 
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Let's not forget the other thing that has to be contributing to the current surge:

Many (most?) of the people who participated in those events were part of the demographics (black and/or hispanic/latino) that are at highest risk and are currently experiencing the highest rates of infection in Harris County. Source: ArcGIS Dashboards

Funny, most outlets are reporting that there has been no correlation with positive spikes. This hasn't stopped the supposition from being used as a talking point.

The disgust from those same commentators on the protestors not wearing masks (which a large proportion of them have been) followed by railing against masking requirements is also hilarious.

 
Funny, most outlets are reporting that there has been no correlation with positive spikes. This hasn't stopped the supposition from being used as a talking point.

The disgust from those same commentators on the protestors not wearing masks (which a large proportion of them have been) followed by railing against masking requirements is also hilarious.

It does go the other way around too.

"Protests aren't causing spikes but we just know that all those beaches being open are".
 
Plainly obvious fact: A virus relies on hosts and transmission for survival. Therefore, so long as humans allow this virus to pass from one another, its future is assured.

Imposing lockdowns was the correct method of halting virus transmission. Unfortunately a percentage of every countries population cannot be relied on to act responsibly, ignoring social distancing/lockdown/hand hygiene; For this reason the virus has a greater chance of remaining in circulation.

While my comments here may seem blatantly obvious, it never ceases to amaze me how many people do not understand (or unwilling to admit, for whatever reasons) these facts.

An attitude I have heard from too many people is "oh it's nothing serious, it only affects unhealthy people" - b******s! The vast majority of general public think being ventilated in ITU (MICU) involves "wearing a breathing mask"! I'm sure if they knew the reality of invasive ventilation, then attitudes would soon change! Makes me so angry how selfishly ignorant people are!!

Oh I almost forgot, in response to the OP's question, lockdowns will continue until eradication or a vaccine developed.
 
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Plainly obvious fact: A virus relies on hosts and transmission for survival. Therefore, so long as humans allow this virus to pass from one another, its future is assured.

Imposing lockdowns was the correct method of halting virus transmission. Unfortunately a percentage of every countries population cannot be relied on to act responsibly, ignoring social distancing/lockdown/hand hygiene; For this reason the virus has a greater chance of remaining in circulation.

While my comments here may seem blatantly obvious, it never ceases to amaze me how many people do not understand (or unwilling to admit, for whatever reasons) these facts.

An attitude I have heard from too many people is "oh it's nothing serious, it only affects unhealthy people" - b******s! The vast majority of general public think being ventilated in ITU involves "wearing a breathing mask"! I'm sure if they knew the reality of invasive ventilation, then attitudes would soon change! Makes me so angry how selfishly ignorant people are!!

Oh I almost forgot, in response to the OP's question, lockdowns will continue until eradication or a vaccine developed.
What is "ITU"? I'm guessing that that is the abbreviation (or acronym, if you say "it-oo") for what here in the US is called the MICU. However, the rest of your post does not belie anything that I can see to form a pattern of non-US (except that I just realized that your starred word was "bollocks", which is Commonwealth/UK).
 
What is "ITU"? I'm guessing that that is the abbreviation (or acronym, if you say "it-oo") for what here in the US is called the MICU. However, the rest of your post does not belie anything that I can see to form a pattern of non-US (except that I just realized that your starred word was "bollocks", which is Commonwealth/UK).
EBME is a UK acronym too as it turns out
 
Plainly obvious fact: A virus relies on hosts and transmission for survival. Therefore, so long as humans allow this virus to pass from one another, its future is assured.

Imposing lockdowns was the correct method of halting virus transmission. Unfortunately a percentage of every countries population cannot be relied on to act responsibly, ignoring social distancing/lockdown/hand hygiene; For this reason the virus has a greater chance of remaining in circulation.

While my comments here may seem blatantly obvious, it never ceases to amaze me how many people do not understand (or unwilling to admit, for whatever reasons) these facts.

An attitude I have heard from too many people is "oh it's nothing serious, it only affects unhealthy people" - b******s! The vast majority of general public think being ventilated in ITU (MICU) involves "wearing a breathing mask"! I'm sure if they knew the reality of invasive ventilation, then attitudes would soon change! Makes me so angry how selfishly ignorant people are!!

Oh I almost forgot, in response to the OP's question, lockdowns will continue until eradication or a vaccine developed.

why did lockdowns not save the states who lockdowned the hardest?

excess death data as of 7/10.



CDC excess deaths:

United States 105% = ~64,000

First column is worse than national, second two are better.

Under 100 means less than expected total all-cause deaths.

Also, the UK has lockdowned the HARDEST and LONGEST of countries. They are in the 15th week of the initial “it’s just a 3 week lockdown”. Why is their excess death the highest as well, at 152%?

could it be that lockdowns do nothing other than force people to stay indoors where they CAN’t wear masks or social distance? Just like how winter season = indoors = more respiratory infections in general? Not to mention the excess mortality from people not seeking care for MI, CVA, etc. And FUTURE excess deaths from loss of preventive cancer screening.

Why did we allow millions of jobs lost and extra deaths happening with these nonsensical shutdowns?

 
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It does go the other way around too.

"Protests aren't causing spikes but we just know that all those beaches being open are".

I'm willing to bet there are more masks and less drunken spit swapping at a protest.

Unless beaches aren't cool like that anymore?
 
could it be that lockdowns do nothing other than force people to stay indoors where they CAN’t wear masks or social distance? Just like how winter season = indoors = more respiratory infections in general? Not to mention the excess mortality from people not seeking care for MI, CVA, etc. And FUTURE excess deaths from loss of preventive cancer screening.

Why did we allow millions of jobs lost and extra deaths happening with these nonsensical shutdowns?


There's evidence that "essential workers" who still went out to their jobs have a lower infection rate than those who were locked-down at home. It does make sense, especially in NYC, since families locked down in close proximity for long periods would transmit the virus readily.

 
why did lockdowns not save the states who lockdowned the hardest?

excess death data as of 7/10.



CDC excess deaths:

United States 105% = ~64,000

First column is worse than national, second two are better.

Under 100 means less than expected total all-cause deaths.

Also, the UK has lockdowned the HARDEST and LONGEST of countries. They are in the 15th week of the initial “it’s just a 3 week lockdown”. Why is their excess death the highest as well, at 152%?

could it be that lockdowns do nothing other than force people to stay indoors where they CAN’t wear masks or social distance? Just like how winter season = indoors = more respiratory infections in general? Not to mention the excess mortality from people not seeking care for MI, CVA, etc. And FUTURE excess deaths from loss of preventive cancer screening.

Why did we allow millions of jobs lost and extra deaths happening with these nonsensical shutdowns?

What are your thoughts on the increased probability of viral transmission between two adults living together for 24 hours a day for 6 months, compared to those two people living together for 15 hours a day over same period while going out to work for the other 9 hours?
 
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You don't think New Zealand, Germany, and Canada have prevented deaths?

Check out this data, and then it starts to make sense to me why the USA is not comparable to EU nations anymore.


It ranges from 40-50% OBESITY (not just overweight) in the USA and It’s under 20% in the EU. Couple this with our knowledge about Coofid-19 hitting heavy people and those with HTN worse, and welll... maybe USA has far far worse epidemiological issues than cofid-19.
 
There's evidence that "essential workers" who still went out to their jobs have a lower infection rate than those who were locked-down at home. It does make sense, especially in NYC, since families locked down in close proximity for long periods would transmit the virus readily.

FLASHBACK: "Cuomo says it’s ‘shocking’ most new coronavirus hospitalizations are people who had been staying home"
 
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Which are also the result of us electing incompetent leaders and not investing in public health etc.
Obama and Democrats has their turn to do this too, but they couldn’t prevent us from our gluttony. This chart is so embarrassing. Prevent disease, including severe covid, by getting weight back in check.
23894973-4E46-4D12-879D-9079124BBD54.jpeg
 
FLASHBACK: "Cuomo says it’s ‘shocking’ most new coronavirus hospitalizations are people who had been staying home"

Man with all the GOP covid bashing going on in SDN and social media, i just point to all the crap Cuomo did with his response. Also de Blasio is terrible
 
If you got rid of all fast food, sugary junk food, soda and tobacco, as well as all hospitals at the same time, I would bet the overall population health in the US, morbidly and mortality would improve. We aren't getting rid of health care obviously. My proposal is more of a comically theoretical idea to illustrate the ridiculousness of our health in this country. We could make a drastic impact through taxation and/or regulation on the negative side of the fulcrum of health. Open to other ideas though from the more conservative and Libertarian minded folks. I don't trust the average person to consistently choose a health lifestyle if given the option. To me it mainly depends on if both sides of the aisle are willing to work in a bipartisan fashion to ignore powerful lobbying interests to better our country.

They aren’t. A significant proportion of people in medical and pharmaceutical industries would literally be out of work if we took a full court press approach to prevention of lifestyle diseases and I tend to agree that most people won’t make that choice for themselves for a multitude of reasons that would fuel an interesting discussion in and of itself.
 
They aren’t. A significant proportion of people in medical and pharmaceutical industries would literally be out of work if we took a full court press approach to prevention of lifestyle diseases and I tend to agree that most people won’t make that choice for themselves for a multitude of reasons that would fuel an interesting discussion in and of itself.

At some point you have to sit back, relax, and enjoy the RVUs..

I once saw a nine-fer because one of their kids was exposed to strep at daycare.

Nine patients. Asymptomatic.

Took probably 20 minutes and billed about $400..
 
why did lockdowns not save the states who lockdowned the hardest?

excess death data as of 7/10.



CDC excess deaths:

United States 105% = ~64,000

First column is worse than national, second two are better.

Under 100 means less than expected total all-cause deaths.

Also, the UK has lockdowned the HARDEST and LONGEST of countries. They are in the 15th week of the initial “it’s just a 3 week lockdown”. Why is their excess death the highest as well, at 152%?

could it be that lockdowns do nothing other than force people to stay indoors where they CAN’t wear masks or social distance? Just like how winter season = indoors = more respiratory infections in general? Not to mention the excess mortality from people not seeking care for MI, CVA, etc. And FUTURE excess deaths from loss of preventive cancer screening.

Why did we allow millions of jobs lost and extra deaths happening with these nonsensical shutdowns?


Why do you construct posts that are ****ing *****ic? You are quite the asshat. going on ignore.
 
If you got rid of all fast food, sugary junk food, soda and tobacco, as well as all hospitals at the same time, I would bet the overall population health in the US, morbidly and mortality would improve. We aren't getting rid of health care obviously. My proposal is more of a comically theoretical idea to illustrate the ridiculousness of our health in this country. We could make a drastic impact through taxation and/or regulation on the negative side of the fulcrum of health. Open to other ideas though from the more conservative and Libertarian minded folks. I don't trust the average person to consistently choose a healthy lifestyle if given the option. To me it mainly depends on if both sides of the aisle are willing to work in a bipartisan fashion to ignore powerful lobbying interests to better our country.
The only way to stop it is if the government bans the stuff. American citizens provide us ample evidence for what happens when there is a bounty of sweets, sugar, cheeseburgers, and pizza. The results are in, and displayed in the charts above. So many cancers, heart disease, COVID complications, kidney disease, joint problems could all be solved if we poured our energies into weight loss. Instead we rack up the RVUs, surgeries, medications, and quick fixes.
 
The only way to stop it is if the government bans the stuff. American citizens provide us ample evidence for what happens when there is a bounty of sweets, sugar, cheeseburgers, and pizza. The results are in, and displayed in the charts above. So many cancers, heart disease, COVID complications, kidney disease, joint problems could all be solved if we poured our energies into weight loss. Instead we rack up the RVUs, surgeries, medications, and quick fixes.

giphy.gif
 
Why do you construct posts that are ****ing *****ic? You are quite the asshat. going on ignore.

Wait... using data and facts offends you? what.


The only thing truly effective in controlling a viral respiratory illness pandemic, is initial contact tracing and swift localized targeted quarantining, like how Taiwan, South Korea, Germany did it.

America failed to do it early on - indiscriminate shutdown can’t alter the trajectory other than lost jobs/more deaths. Think of it like gun control. Banning guns today is absolutely useless, as there are already millions of guns floating around in circulation.

Lockdowns. Don’t. Alter. Behavior.

Lockdowns destroy livelihoods and jobs. They don’t force people to socially distance effectively or wear masks. That is up to the culture of the people.

And why is that Florida has far less excess deaths than states that lockdown hard anyway? https://pbs.twimg.com/media/Ecqzfx3XgAAwWEw?format=png&name=medium

Oh, and how did lockdowns help with the BLM protests? Did we forget about those conveniently? A mass surge of people gathering around, against lockdown orders. People will do whatever they want. Blanket shutting businesses down don't stop them.



I apologize if facts offend you, but here are some more data:

Comparing the epidemic curve in Belgium (11.5m pop), which locked down early on 17 Mar, and Sweden (10.2m pop), with no lockdown.
Chart depicts deaths by date of occurrence, with Sweden per capita adjusted. Total per million: Belgium (844); Sweden (547).
Lockdown did nothing for Belgium, as they actually had worse outcomes.


Brazil had no real lockdown. Chile meanwhile has THE HARSHEST lockdown measures implemented of anybody out there. Yet Chile has just as bad an outbreak as Brazil. Why?
Chile deaths per million: 354
Brazil deaths per million: 331
Total confirmed COVID-19 deaths per million people

Chile tightens lockdowns as coronavirus cases surpass 200,000

Surprise surprise, orders to shutdown do not alter people’s behavior other than cause businesses to collapse, riots, looting, more deaths.



Again - lockdowns do not alter people’s behavior of mask wearing which is one of the few measures that effectively stops spread.

There is a reason why us doctors, nurses, healthcare workers are LESS LIKELY ( Amid Ongoing COVID-19 Pandemic, Governor Cuomo Announces Moratorium on COVID-Related Evictions Will Be Extended Until August 20th) to have gotten covid despite being in and out of multiple covid+ patient rooms day in and out. And that is with simple facemask use in the rooms, NOT n95 which is the policy at nearly every hospital. N95 is not worn except if aersolizing procedures like bipap/nebs or mechanical ventilation is occuring. So......why would shutting a business down alter anything if the key is mask wearing?


Here is the other thing. Even if lockdowns did work, the fact that covid is only as deadly as a seasonal flu still means lockdowns are not worth it. Look at the data: https://pbs.twimg.com/media/EccBlJ3WAAAo3Ql?format=png&name=900x900
US age-adjusted death rate from 1900 w/2020 est. 1916-18 pandemic is very visible. 1957 pandemic US deaths adjusted for population growth would have been ~200,000. 1968 pandemic US deaths adj. for population growth: ~165,000. No economic shutdown, no school closures, life went on
REMEMBER. Covid kills old. Flu kills young. Covid is not deadlier. Why didn’t we shutdown for swine flu then?

“Swine Flu” 2009 H1N1 Pandemic

The US Centre for Disease and Control Prevention (CDC) estimated that 150, 000 to 575,000 people died from (H1N1) pandemic virus infection in the first year of the outbreak.
80% of the virus-related deaths were estimated to occur in those < 65 years of age.
Meanwhile, Covid deaths occur in 19% of those <65 age. Provisional COVID-19 Death Counts by Sex, Age, and State | Data | Centers for Disease Control and Prevention
 
How bad are they? The processed food subsidies?

It's the agricultural commodities (corn, wheat, and soy) that are subsidized and their abundance and "cheapness" is what enables the processed food industry to thrive, as corn, wheat, and soy derived products are the major ingredients in nearly all processed foods. We have significant portion of kids getting NAFLD from all of the junk. It's grossly disturbing. Robert Lustig (pediatric endocrinologist out of UCSF) is probably the best guy to look up for more information on this.
 
It's the agricultural commodities (corn, wheat, and soy) that are subsidized and their abundance and "cheapness" is what enables the processed food industry to thrive, as corn, wheat, and soy derived products are the major ingredients in nearly all processed foods. We have significant portion of kids getting NAFLD from all of the junk. It's grossly disturbing. Robert Lustig (pediatric endocrinologist out of UCSF) is probably the best guy to look up for more information on this.

I agree completely. America's main problem is not lack of universal health insurance......it's lack of universal health. Our culture of excess, immediate gratification and proscrastination has made our population unhealthy and costs us many multiple of dollars on health care.

I don't have an answer how to fix that. I do my part by staying healthy, maintaining muscle mass, and staying out of the sun. How can we convince fat, lazy Americans to do this?

I know it sounds bad, but really don't have much sympathy for the 100 lb overwight type II diabetic with kidney failure who is claimed by Corona. Just because society and consumerism is a bad influence doesn't obviate individual responsibility.
 
I agree completely. America's main problem is not lack of universal health insurance......it's lack of universal health. Our culture of excess, immediate gratification and proscrastination has made our population unhealthy and costs us many multiple of dollars on health care.

I don't have an answer how to fix that. I do my part by staying healthy, maintaining muscle mass, and staying out of the sun. How can we convince fat, lazy Americans to do this?

I know it sounds bad, but really don't have much sympathy for the 100 lb overwight type II diabetic with kidney failure who is claimed by Corona. Just because society and consumerism is a bad influence doesn't obviate individual responsibility.

Addressing the dietary guidelines would be another area we could address as well as dismantling the notion that a calorie is just a calorie, regardless of its source. The last sixty years of nutritional advice doled out by "experts" and adopted as public policy has clearly been a disaster based on faulty assumptions and crappy epidemiology.
 
High fructose corn syrup due to corn subsidies are absolutely criminal.
There's no reason that every single processed food like bread has to have it as its 1st or 2nd ingredient.
I lived overseas and it's crazy the stark difference to being able to buy ketchup, bread, etc without unnecessary added sugar.

In addition, the poor wages and overworked culture is also to blame. If you're working 70 hours a week for minimum wage to make ends meet, of course you're going to pick up fast convenience type food instead of spending 1 hour to cook fresh ingredients every night. When it comes to families, most are reliant on 2 incomes to make ends meet, so that leaves no one home to cook health meals, encourage exercise, etc.

No good policies surrounding family leave mean that people go back to work immediately after birth at times or 2 months later and yeah it's pretty hard to focus on losing weight if you're also working with a 2 month old at home and can't get a full night sleep. So many multifactoral issues that governments could help us with that have been shown to be helpful in other countries.

It's not all due to people being lazy.
 
High fructose corn syrup due to corn subsidies are absolutely criminal.
There's no reason that every single processed food like bread has to have it as its 1st or 2nd ingredient.
I lived overseas and it's crazy the stark difference to being able to buy ketchup, bread, etc without unnecessary added sugar.

In addition, the poor wages and overworked culture is also to blame. If you're working 70 hours a week for minimum wage to make ends meet, of course you're going to pick up fast convenience type food instead of spending 1 hour to cook fresh ingredients every night. When it comes to families, most are reliant on 2 incomes to make ends meet, so that leaves no one home to cook health meals, encourage exercise, etc.

No good policies surrounding family leave mean that people go back to work immediately after birth at times or 2 months later and yeah it's pretty hard to focus on losing weight if you're also working with a 2 month old at home and can't get a full night sleep. So many multifactoral issues that governments could help us with that have been shown to be helpful in other countries.

It's not all due to people being lazy.

Although I understand your point, I don't think complete societal change is in the cards, or even practical. Some people work 70 hrs/week and have kids and still eat healthy and stay fit.

I have family members who are overweight and I've had this discussion with them. They tell me they are happier when they can be obese and eat whatever they want, and are miserable when dieting/watching weight. They understand that they will likely die earlier, and die a slow painful death from the effects of a chronic disease but they simply don't care. They are so into eating, and the emotional gain that they get from it that they don't want anything else.
 
In addition, the poor wages and overworked culture is also to blame. If you're working 70 hours a week for minimum wage to make ends meet, of course you're going to pick up fast convenience type food instead of spending 1 hour to cook fresh ingredients every night. When it comes to families, most are reliant on 2 incomes to make ends meet, so that leaves no one home to cook health meals, encourage exercise, etc.

I don’t necessarily disagree with most of your points but this one I feel the need to call out. There are quite a few people on this board that have experience working 70 hours a week at minimum wage and somehow I or my wife (also a resident) still managed to cook rather than eat whataburger (most) days. I will admit that Waffle House was pretty damn good on some post-call mornings though.

Would it have been easier to grab Burger King? Sure, but then it would lead to all that crap that goes along with eating so unhealthily. I’ll admit though that our profession does select for people that can delay their immediate gratification for the long term good which I think is really the core of the issue for most people.
 
why did lockdowns not save the states who lockdowned the hardest?

excess death data as of 7/10.



CDC excess deaths:

United States 105% = ~64,000

First column is worse than national, second two are better.

Under 100 means less than expected total all-cause deaths.

Also, the UK has lockdowned the HARDEST and LONGEST of countries. They are in the 15th week of the initial “it’s just a 3 week lockdown”. Why is their excess death the highest as well, at 152%?

could it be that lockdowns do nothing other than force people to stay indoors where they CAN’t wear masks or social distance? Just like how winter season = indoors = more respiratory infections in general? Not to mention the excess mortality from people not seeking care for MI, CVA, etc. And FUTURE excess deaths from loss of preventive cancer screening.

Why did we allow millions of jobs lost and extra deaths happening with these nonsensical shutdowns?

you do gloss over some finer points

Being from the UK i can tell you they ran a horse racing festival with 60k people just as things really were kicking off. It was a cess pit and likely the cause of lots of their deaths. Also Liverpool played Ath Madrid at home and allowed 1000s of fans to travel to it from Spain on March 22nd again just at exactly the wrong time.

So their lockdown wasnt really the longest and hardest of countries.
Didnt the chinese did send the army into wuhan? That sounds pretty hard to me
 
I don’t necessarily disagree with most of your points but this one I feel the need to call out. There are quite a few people on this board that have experience working 70 hours a week at minimum wage and somehow I or my wife (also a resident) still managed to cook rather than eat whataburger (most) days. I will admit that Waffle House was pretty damn good on some post-call mornings though.

Would it have been easier to grab Burger King? Sure, but then it would lead to all that crap that goes along with eating so unhealthily. I’ll admit though that our profession does select for people that can delay their immediate gratification for the long term good which I think is really the core of the issue for most people.

Ok but again it's multifactoral. Most residents and doctors are privileged.
Residency is a finite time. In addition, it's pretty much a guaranteed job. Unless you really mess up, you're going to continue making a salary.
Being poor and working a minimum wage job is not like that. Stress is directly linked to poor sleep and obesity.
Residency ends, being poor often doesn't. Improving the overall health in this country which includes things like living wages, clean water, accesss to food without unnecessary high fructose corn syrup, parental leave, paid time off to go to the doctor, sick time, health insurance not tied to employment, etc, would likely be helpful. I hate the fact that people, especially doctors who are supposed to be "educated" just say welp people are lazy, so they deserve to die.

This is a totally a tangent, but I'm switching jobs. My new insurance won't start for 2.5 months. Thankfully I'm not on any life saving medication, but I am on medications that I want to continue to take, yet I'm stressed about how I'm going to pay for them for the next 2.5 months. I am in the position to pay for Cobra, but it's approximately $600 and obviously most people can't afford to pay $600/month (and that's just for me, a single person with no kids). I talked to my pharmacist today and luckily I go to a small pharmacy and he said "don't worry, I won't charge you much now that I know you won't have insurance, " but most people will go without medications if they're not easily accessible and affordable. Then people blame people with htn and DM for being unhealthy when the system isn't set up to support these people to get the care and medication they need. So maddening.
 
Wait... using data and facts offends you? what.


The only thing truly effective in controlling a viral respiratory illness pandemic, is initial contact tracing and swift localized targeted quarantining, like how Taiwan, South Korea, Germany did it.

America failed to do it early on - indiscriminate shutdown can’t alter the trajectory other than lost jobs/more deaths. Think of it like gun control. Banning guns today is absolutely useless, as there are already millions of guns floating around in circulation.

Lockdowns. Don’t. Alter. Behavior.

Lockdowns destroy livelihoods and jobs. They don’t force people to socially distance effectively or wear masks. That is up to the culture of the people.

And why is that Florida has far less excess deaths than states that lockdown hard anyway? https://pbs.twimg.com/media/Ecqzfx3XgAAwWEw?format=png&name=medium

Oh, and how did lockdowns help with the BLM protests? Did we forget about those conveniently? A mass surge of people gathering around, against lockdown orders. People will do whatever they want. Blanket shutting businesses down don't stop them.



I apologize if facts offend you, but here are some more data:

Comparing the epidemic curve in Belgium (11.5m pop), which locked down early on 17 Mar, and Sweden (10.2m pop), with no lockdown.
Chart depicts deaths by date of occurrence, with Sweden per capita adjusted. Total per million: Belgium (844); Sweden (547).
Lockdown did nothing for Belgium, as they actually had worse outcomes.


Brazil had no real lockdown. Chile meanwhile has THE HARSHEST lockdown measures implemented of anybody out there. Yet Chile has just as bad an outbreak as Brazil. Why?

Total confirmed COVID-19 deaths per million people

Chile tightens lockdowns as coronavirus cases surpass 200,000

Surprise surprise, orders to shutdown do not alter people’s behavior other than cause businesses to collapse, riots, looting, more deaths.



Again - lockdowns do not alter people’s behavior of mask wearing which is one of the few measures that effectively stops spread.

There is a reason why us doctors, nurses, healthcare workers are LESS LIKELY ( Amid Ongoing COVID-19 Pandemic, Governor Cuomo Announces Moratorium on COVID-Related Evictions Will Be Extended Until August 20th) to have gotten covid despite being in and out of multiple covid+ patient rooms day in and out. And that is with simple facemask use in the rooms, NOT n95 which is the policy at nearly every hospital. N95 is not worn except if aersolizing procedures like bipap/nebs or mechanical ventilation is occuring. So......why would shutting a business down alter anything if the key is mask wearing?


Here is the other thing. Even if lockdowns did work, the fact that covid is only as deadly as a seasonal flu still means lockdowns are not worth it. Look at the data: https://pbs.twimg.com/media/EccBlJ3WAAAo3Ql?format=png&name=900x900

REMEMBER. Covid kills old. Flu kills young. Covid is not deadlier. Why didn’t we shutdown for swine flu then?

“Swine Flu” 2009 H1N1 Pandemic


Meanwhile, Covid deaths occur in 19% of those <65 age. Provisional COVID-19 Death Counts by Sex, Age, and State | Data | Centers for Disease Control and Prevention
Using data is a waste of time without applying some common sense, and adding social and behavioural factors. It can be short sighted to think the data is pure. Some of those who should have been completely locking-down at home (non essential workers), in reality will have still been meeting up with friends etc, and a percentage of those will have unwittingly spread the virus. The only valid explanation might be because essential workers have been less likely to meet up with friends to socialise because they are fulfilling the need for social interaction at work, where PPE/social distancing/hand sanitisers are utilised.
 
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