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YT Clips about Problems with Current Response to COVID-19 Pandemic

March 28, 2020 25 comments

Here are a couple of interesting YouTube clips about the absolute inadequacy, and highly magical thinking underlying, current official responses to the COVID-19 pandemic. In the first clip, Kim Iversen, correctly makes the case that the virus in question is already so well distributed in global human population that it is impossible to contain it without an effective vaccine- which won’t be available for at least a few months or a year. Her point is that you just cannot shutdown entire countries without very serious, and far worse, collateral damage to the lives of everybody else and the economy. It seems she got a lot of flack from virtue-displaying dumbfucks aka modern western nosy leftists aka proto-SJWs for pointing out the obvious.

Clip #1: Is THIS Really Our Strategy?

The second clip is about whether we should do a cost-benefit analysis for measures to control this pandemic, especially given its rather low mortality (at the population level). She correctly points out the hospitals and doctors who spend all their time on trying to help COVID-19 patients are doing so by neglecting others with much worse illness- from heart attacks and strokes to cancers. She also points out that short of shutting down the world economy till we develop a vaccine is a really bad idea with even infinitely worse consequences. Similarly the bullshit idea known as “social distancing” does not help in the long term- and, in fact, might make acquisition of herd immunity much harder. Some of you might like it, but she is correct. FYI- one of my degrees is in Microbiology and a lot of the stuff pushed by so called “experts” about controlling this pandemic has always sounded like a lot of wishful aka magical thinking to me.

Clip # 2: Plan B For #COVEXIT

What do you think? Comments?

Inept Western Response to COVID-19 Will Result in Public Backlash: 2

March 24, 2020 37 comments

In the previous post of this series, I promised to write about how the poorly thought shutdowns in combination with inadequate income support will likely cause epically bad public reactions all over USA in the next two to three weeks. Let me quickly update that prediction by saying that the bad public reactions to shutdowns in countries doing an even shittier job of income support, such as India, will be worse. Having said that, there will be far more public anger and discontent in this country than any other major developed country. So let us start talking about the many reasons that thoughtless governmental reaction to this pandemic is likely to discredit both them and other associated institutions even further.

1] One of the most important lessons that western governments have not learned is that, over past three decades, an increasing distrust of them by public as well as vastly increased flow of information makes lying a really bad choice. See.. it was far easier for governments to lie during first half of 20th century because mass media was new and people had not become so cynical and atomized. For example, analysis of the absolutely pathetic quality of military leadership during WW1 took over a decade to even begin entering into the sphere of public conversation. Something similar occurred with WW2 where it took almost two decades for critiques about it (especially for the “victorious” side) to start entering into popular culture. Public critiques about Vietnam war took a few years, Gulf War 1.0 about 2 years, Gulf War 2.0 less than a year.

But how is any of this relevant to the COVID-19 pandemic? Well.. by now I am sure you must have heard or read screeds by numerous media busybodies about how even young people can die from COVID-19 infection. This bullshit usually takes the guise of some breathlessly retweeted article about how one or two under-40s died of it in Italy or Spain, or how some unnamed doctor is tweeting about how there are many young people in the ICU because of respiratory symptoms due to this infection. But the hard data (graphed in this tweet) tell a very different story. To put it bluntly, less than 1 in 500 people under 50 years of age with symptomatic COVID-19 infection of any type (fever, cough to respiratory distress) verified by PCR -based tests end up dying. Even those under 60 experience a mortality rate of somewhere between 0.4 to 1.3%.

These patterns holds irrespective of country or continent. Don’t forget that a good percentage of infected people either don’t become symptomatic or the symptoms are mild or vague enough for them to not seek medical attention or testing. To put it another way, it is realistic to assume that the mortality rate for people with COVID-19 infection who under 50 is below 1 in 500 and likely closer to 1 in 1000, once you factor in the untested asymptomatic (or mildly symptomatic and untested) individuals. The same is probably true for those between 50 and 60 years, with the real mortality rate (for all infected individuals) in this group approaching somewhere between 1 in 200 to 1 in 400. Officials pretending that mortality is not low in individuals under 60 is going to hurt their public credibility- when they need it the most.

2] Now let us talk about the topic of money, or more specifically how most people are going to have enough money to survive let alone pay bills during this shutdown. Given that the economy and most jobs in western countries is based on mass consumption, it is darkly comic to see that not one government (even among the supposedly socialist nordic countries) seems to have a fucking clue about how they plan to replace the income of every person in their country. Yes.. you heard that right! Every person, not just every person who can file an unemployment claim. This is especially important since a pretty sizable minority of people under 40 in those countries do not have regular well-paying jobs. Given that this group is also the one least affected by COVID-19, any decrease in their already meager lifestyle will make them ask questions about the utility of boomers and older people- to put it mildly. Did I mention that western countries are already socially atomized and most of them just don’t care about old people.

Even paying 80% of the salary of those not yet been fired from jobs is insufficient. And I am also pretty sure that the neoliberal mindset which pervades political and bureaucrat types in these countries will not consider a worthwhile universal basic income (albeit, temporary) until it is too late. To put it bluntly, any governmental measure to replace lost income which does not actually put enough money in the pockets of people by mid-April in USA and mid-May in most European countries is going to be basically useless- as far as the longer term is concerned. Many idiots like to believe that crisis bring people together, however a reading of history suggest that this occurs only when the crisis is well-manged by governments in charge. Don’t believe me.. just read about what happened in the aftermath of WW1, where even countries that were on the winning side (Italy, Spain, many countries in Eastern Europe) experienced long-term civil strife which led to authoritarian governments. That is why so many dictators arose in 1920s and 1930s.

This is even more relevant today since the 2008 global financial crisis destroyed the faith of many people (especially those under 40) in the previous systems and its institutions. There is a reason why Trump is the president and Bernie can get donations from millions of supporters. Expect the trend of people under 40 (and even 50) distrusting institutions to increase, not decrease. Should also point out that a pretty significant number of those under 40 don’t have kids and family and are therefore likely to go much further than those who might have something to lose. It does not help that an open-ended shutdown of most parts of economy is a very bad idea, even when faced by something like pandemic. People will not come together in solidarity if there is no light at end of tunnel and have nothing to gain by playing nice.

Let me spell that out a bit more clearly. See.. unless most under 40s (and under 50s) see a much better future at end of this particular tunnel, they will stop complying and playing nice with the system- especially if they see no compensation for the loss caused by measures which might reduce the mortality among boomers and older people. And you can’t blame them- what do they have to lose? It should also be noted that social atomization in western countries has long since reached levels where majority of people don’t really care about their old parents. Now try making people care about the welfare of old people to whom they are not related. This is also why I believe that Trump’s idea of slowly opening economy will get far more public support than most LIEbrals realize, even if doing so resulted in the death of many old people.

Will write more in next part about why Trump’s idea of opening the economy much sooner than recommended by “credentialed experts” might actually be one of his best brainfarts. And yes, he is absolutely right to ask whether the human loss and ruin caused by shutting down the economy is worth the lives saved by controlling this specific open-ended but low-mortality pandemic.

What do you think? Comments?

Inept Western Response to COVID-19 Will Result in Public Backlash: 1

March 22, 2020 21 comments

Initially, I considered making this the next post in my previous series about how the coronavirus pandemic will cause the most damage to USA. But upon further thinking, I realized that while the USA is going to suffer the most direct and indirect damage from this pandemic, so would most other western countries- if on a smaller scale. Then it hit me.. the most important reason behind why the western countries would suffer far more damage than east-Asian counterparts has a lot to do with differences in how government is structured (and works) in those two systems. The west, especially in past four decades, have become truly capitalist in that the needs and demands of those who have capital (corporations and very rich) supersede those of everybody else. In contrast, east-Asian countries such as China, Japan, South Korea, Taiwan etc are not capitalist in the same way as western counties, because the demands and needs of society will frequently supersede those of their moneyed classes. Let me explain..

1] Initially, the provincial administration in Hubei tried to first minimize and then cover-up the impact of this outbreak, but failed. Once this became obvious, the central government in China just stepped in put and put incredible amounts of physical and monetary resources to control the outbreak. Most importantly, they did it without any concern to the cost of doing so or potential economic losses which their own moneyed class might suffer. To make a long story short, they put the welfare of majority above the needs and demands of their moneyed class. Their ability to marshal resources to get personal protective gear to affected areas, stop price gouging, maintain law and order, ensure people are fed and taken care of during the ensuing lockdown, remove affected people into quarantine, start dozens of clinical trials is very impressive. Most importantly, they let people who understood the problem (medical experts in infectious diseases) make all important decisions rather than let commercial interests and local capitalists hinder or dilute their recommendations for controlling the outbreak.

But they did not stop at just epidemiological measures to control this outbreak. Soon after the central government got involves, it ordered banks to stop collecting mortgage and loan payments and well as made sure that utilities stopped collecting bills. They made sure that people did not have to worry about pay rents or not having enough money for food and other necessities. To that end, they poured hundreds of billions (at least) into their economy to make sure that people kept getting paid even when they could not work due to being under lockdown. They went so far to make sure that food was regularly delivered to apartment buildings in areas under lock-down and that important functions such as garbage collection, food transport etc were not interrupted. My point is that the Chinese government did a lot to make sure that its own people (at least the majority) did not suffer from the consequences of not being able to work or move about freely when under lockdown because of the outbreak. To summarize, they did everything a competent government which cared for its own citizens would have done.

2] Now compare this to the shitshow currently playing out in western countries. First, they were delusional enough to believe that the outbreak would not spread to the west. This was also when their presstitutes were busy writing editorials about how China’s response was either too much, too little or otherwise “not correct”. They also spent the next two months doing almost nothing useful such as developing and distributing diagnostic tests etc. Then some of these idiots were spending time fantasizing about how this outbreak would destabilize China or Iran. Of course, China has never cared about what some idiots in declining western countries have been saying about them for decades. I remember how even two weeks ago, many credentialed losers in the field of biomedical research in west were busy writing editorials about how China’s approach to testing any drug which might have some therapeutic effect in those patients was a bad idea. We now know who was right, don’t we?

But it gets worse. When it became obvious that the virus had reached and was spreading in parts of northern Italy, governments in the EU were more concerned with potential losses suffered by their capitalist minority than the health of the majority. It does not take a genius to figure out that a sharp but brief shutdown of northern Italy along with a simultaneous massive increase in testing (perhaps with kits imported from South Korea) could have prevented much of the spread we are now seeing in Europe. While Italy, Spain and some other European countries have since implemented such socialist ideas such as freezing mortgage, utility, loan and in some cases rent payments, along with income support, it took them much longer than China to take these obvious steps. My point is that they could done this much earlier and with far better outcome, but a combination of magical racist thinking, obsession with interests of capitalist minority and general lack of competent people in their bureaucracies prevented them from making the right decisions at right time. But, at least, they are finally catching up with reality.

3] The response in USA has, thus far, been the biggest shitshow of them all. And let us be honest about something else- Trump’s contribution to this farce is minor, at best. Many features of the american system which contributed to this farcical response predate Trump, in many cases by a least a couple of decades. The current round of downsizing in public health institutions began under Obama- not unlike putting brown children in cages. Similarly, many governmental programs for developing drugs to treat emerging infectious diseases have been downsized for almost a decade now. Also, institutional sclerosis which prevents the government or companies from trying out new ideas under extreme circumstances has been a feature of biomedical research in USA for over two decades. We also cannot forget how concentrating research money into a few “prestigious” universities filled with mediocre credentialed but highly politically connected researchers has destroyed the quality of research in this country.

The response in USA to this pandemic has similarly been pathetic and comically inept. They have closed down the livelihood of over 100 million people (most of whom live paycheck to paycheck) without offering them prompt economic relief in the form of no-strings attached governmental money. They are still pretending that young people have the same risk of death from infection as boomers- something, which is going to backfire real soon. They are trying to bail out corporations without making sure that average people are bailed out first. They have offered no timeline for the return of normalcy. They have offered no hope to people in the form of of-label use of drugs which might reduce mortality in high-risk groups. Trump promoting Hydroxychloroquine or Chloroquine + Azithromycin to reduce viral loads and thus mortality is the probably the only good thing that has come out of the government, so far. And ya.. there is enough evidence that these drugs have some therapeutic effect- especially if given early in course of disease.

In the next part, I will write about how the poorly thought out shutdowns in combination with inadequate income and other support for most people will likely cause epically bad public reactions all over USA in the next two weeks. And yes, I am willing to bet that the legislative critters in Washington DC won’t be able to get their shit together and pass something that will stave off the beginnings of widespread social unrest in about two weeks. FYI- two weeks is about the length of time most people in USA can go without a paycheck. Did I mention that public trust in institutions (governmental or private) has never recovered since global financial crisis of 2008.

What do you think? Comments?

USA Will Likely Suffer the Most Damage from Coronavirus Pandemic: 2

March 18, 2020 22 comments

In my previous post, I wrote about how structural characteristics of the american economy and long-standing institutional decay will likely result in USA suffering the maximum damage from the Coronavirus pandemic. In it, I also promised to talk about other related issues which make USA especially vulnerable to the direct and indirect damage caused by the COVID-19 pandemic. These include the lack of a usable social safety net, staffing of nursing homes and elder care in general by precariat workers, ideological unwillingness of government to directly workers for lost earnings especially if they are temporary and part-time, the risk of shortages of medicines, chemicals, electronic stuff etc caused by temporary disruption of supply chains in China. So let us dive right in by starting with the issue of a social safety net, or more precisely its lack, in USA.

1] Even the most delusional ‘murican would agree that the social safety net in this country is very meager compared to what exists in other developed countries. While most west-European countries once had similar attitudes towards social safety nets, things changed a lot after WW2. There is a reason why the average European after 1945 decided that working under conditions similar to those found in USA today was unacceptable. And let us be honest about something, the European rich were (and are) not better human beings than their American counterparts. They just had to go along with what the majority in those countries wanted after WW2, or risk losing it all. However, since the USA experienced a long-boom in the aftermath of WW2 (1945-1975) most of its workers never experienced the socio-economic pressures which led to creation of the modern welfare state in European countries.

To make a long story short, socialism never took root in post-WW2 USA because the median american worker in the first three to four decades did not live through prolonged bad times. And this is also why all this current talk of socialism in USA only began after the majority experienced a full decade of stagnation and decline in aftermath of 2008 global financial crisis. So what does all of this portend for the public reaction to the fallout of this ongoing crisis. Well.. let me put it this way. Unemployment rates of over 20% (maybe even north of 30%), even if short-lived, are unworkable in a system without a decent social safety net and where the median person cannot afford to miss even a single paycheck because they have less than 500 dollars in the bank. Things will get very ugly in this country if the government cannot drop a couple of grand of ‘helicopter money‘ per household within the next two-three weeks.

2] To Trump’s credit, he is clever enough to see that this problem and seems to have embraced the idea of ‘helicopter money’. As I have mentioned many times in the past, He may not be a genius (to out it mildly) but the guy is pretty street-smart and is very ideologically flexible when he feels the need to save his behind. Mark my words, he will even channel FDR if necessary to keep the angry mob way from him. Ironically, it is loser establishment democrats such as Pelosi, Schumer etc who are talking about fiscal restraint, “deficits” and “means testing”. To be quite blunt- if Trump is successful with getting the ‘helicopter money’ thing done, along with massive stimulus for especially affected sectors of economy, democrats can forget winning anything let alone the presidency in 2020. Also, let me remind you that Obama did nothing along those lines in 2009 or 2010. And that is why he barely scraped by to win in 2012.

It does not help that between trying to nominate a used-car salesman with dementia (Joe Biden) as their candidate and shouting about Russia, Putin and Ukraine for over three years, they have not done anything big to actually convince potential new voters to vote for them in 2020. Their so-called “victory in the 2018 mid-terms was only possible because Trump was stupid enough to try repealing ‘Obamacare’ without replacing it with a better system. And in case you didn’t notice it, he has learned from that mistake. In my opinion, what happens in USA in the next few months depends on whether Trump can deliver somewhere between 2-4 k to most american households by mid April- at the latest. If he can do that + properly bailout major sectors hit by indirect effects of this pandemic- he will win in 2020. If not, he will be reviled for a long time.

3] Regardless of what he does within next 2-3 weeks, the american economy will enter a steep recession with economic contraction of somewhere between 15-20% in next few months. And no.. these are not the feverish dreams of somebody who wants to see USA fall, but conservative figures floated by people working in supposedly “respectable” banking institutions. I would not be surprised if the economic contraction (and unemployment rate) reached 30% for almost a year. This is great depression territory and much more deeper as well systemic than the GFC of 2008. You know something else, mass unemployment in a country with a functional social safety net at that time was a very important factor for the rise of Hitler to power. And not just him, since almost every strongman of the 1920s-30s (from Mussolini and Franco to many others in East-European countries came to power in the aftermath of mass unemployment and disillusionment with existing institutions and the status quo.

Since we are already close to a thousand words, I will write about the other issues raised in this post in a subsequent part of this unintentional series.

What do you think? Comments?

USA Will Likely Suffer the Most Damage from Coronavirus Pandemic: 1

March 14, 2020 45 comments

Some of you will remember that I have previously written four previous posts (link 1, link 2, link 3 and link 4) on the ongoing global coronavirus outbreak. Consider this post as the next part of that unofficial series. And yes.. there is a specific reason why I am not making it into an official series, yet. The situation is still evolving and could take a number of highly consequential turns. For example, it is possible that one or more of presidential candidates (Trump, Biden, Sanders) might catch COVID-19 and pass away by election day. Imagine the impact on political scene if Dementia Joe, who also has a long-standing cardiac arrhythmia (atrial fibrillation), dies within the next month. So let us now talk about the potential impact of the COVID-19 pandemic on USA- which I predict will suffer the most damage (direct and indirect) of any country.

1] It is, now, almost a given that there will be an economic recession in this country within the next three months. Sure.. Trump’s fucking up things will make it worse, but it would have been pretty bad even if a semi-competent loser such as Obummer was in office. One cannot just shut down or reduce the activity of so many businesses sectors (airlines, hotels, other tourism related business, restaurants, shops etc) without causing a serious economic downturn. Unlike during previous eras, most jobs in this country are now in the service sector. Did I mention that these jobs offer low job security and poor pay? To make a long story short, most people in the service sector and other business dependent on it are not going to get paid soon- which is a problem since over 60% of people in this country don’t have enough savings to cover their next month’s rent or mortgage payment. And it gets worse.

2] As many of you know, the so-called ‘gig economy’ which flourishes by exploiting ‘independent contractors’ has become a fixture of life in many larger cities over past decade. While these “jobs” are often not the only source of income for those who perform them, they often provide the extra money necessary for many people to “participate in the consumer economy”. So even if ‘Uber’ guy also drives for a regular Taxicab company, any reduction in his expected income from rise-sharing services is going to fuck with his ability to pay bills on time, let alone keep spending on stuff he would normally buy. But the numbers in the ‘gig economy’ pales in comparison to those employed as ‘independent contractors’ by large companies. These ‘contractors’ are often employed by businesses who themselves are dependent on contracts from large companies such as Google, FakeBook, Amazon, Walmart and yes.. even your local hospital, university, school etc.

3] Some democrat cultists (MikeCA?) will try to tell you that the Obummer administration would have done an infinitely better job than the Trump administration. But it is that really true? While the Obummer administration did face some pandemics such as the influenza pandemic of 2009, there is no way to accurately predict how they would have would responded to such a pandemic. See.. COVID-19, unlike Ebola or MERS, is far easier to spread. While it is likely that the Obummer administration would have behaved more professionally, it is unlikely this would have somehow translated into better policy. If you don’t believe me, just look at how that administration handled the foreclosure crisis in 2009-20210 or how it kept pushing outsourcing and globalization even when it was obvious that those policies were screwing over their voter bases. So ya.. there is no definitive evidence that a Obummer administration would have done screwed up any less- even if they would have acted more “professionally” while doing so.

4] Let us now talk about how the defects inherent in the american “healthcare” system, default neoliberal ideology among both political parties and Trump’s obsession with the stock market will fuck things up- even more than they have to be. For starters, consider the issue of testing. Ask yourself a simple question- how can countries such as South Korea and Canada quickly test a pretty high number of people for COVID-19? Well.. the simple answer is that healthcare in both those countries (and every developed country other than USA) is treated as a public good which is highly regulated by the government to make it available (rather than merely “accessible”) to all their people. In contrast, the “healthcare” system is a bureaucratic nightmare full of multiple powerful lobbies whose sole purpose is to extract the maximum amount of money for the least amount of actual healthcare. This intentional design choice makes the system almost incapable of responding or adapting to new challenges and pressures.

Then there is the issue of how people within the system work, or don’t work. See.. in all other developed countries, physicians and other people actually involved in running the system have considerable freedom to make decisions on the fly if conventional approaches don’t seem to be working. For example, in both South Korea and Canada, insurance companies have no role whatsoever in approving tests, treatments in hospital etc. Also the vast majority of hospitals in those countries are not run to make a profit. Consequently, they put the welfare of patients above considerations such as whether some test or medication will get reimbursed. That is why countries such as South Korea were able to put up scores of convenient testing facilities so quickly. However this is not the case in USA even today, and Medicare for all is still considered a pipe-dream by “centrists” such as MikeCA. Moving on to governing ideology..

5] Every developed country other than USA has far more competent governmental bureaucracies because their politicians and populace understand their necessity. However, in this country corporate-funded politicians a good percentage of their brainless subjects are more than happy to go along with the bullshit about governmental bureaucracies being inefficient and “bad”. Guess what.. once you assume that and defund government bureaucracies you will end up with hollow shells of once well-known institutions such as the NTSB and CDC. And this is how you end up with disasters such as the Boeing 737-Max fiasco and, now, the COVID-19 outbreak spiraling out of control in USA. While shills such as MikeCA would like to blame all of this on evil republicans, let me remind you that all the cutting and slashing of governmental bureaucracies which occurred from 1980 to today was largely supported by a bipartisan “consensus”.

Since this post is already above a thousand words, I will leave discussion about other issues such as the lack of a social safety net in this country, the staffing of nursing homes and elder care by precariat workers, unwillingness of government to directly compensate temporary and part-time workers, risk of widespread shortages of products such as medicines, chemicals, electronic stuff etc caused by temporary disruption of supply chains in China, to another post or a new series.

What do you think? Comments?

Some Thoughts About the Ongoing Worldwide Coronavirus Outbreak

March 1, 2020 5 comments

Most readers might have read my previous posts (link 1, link 2) about the ongoing Coronavirus outbreak in China. Since then the outbreak has become a bigger issue outside China than within it. The growth in numbers of diagnosed, and suspected, international patients have surpassed those within China. So, ironically it is supposedly “authoritarian” China rather than the allegedly “free and competent” West that has done a much better job of controlling the outbreak. And you know something, this outcome is not surprising because the Chinese system actually gives a fuck about its own people as opposed to the western “free market” system which only care about the quarterly profit of corporations. As of today, the official government policy is still to test as few people as possible that way, they can pretend the outbreak is not a problem in this country. Of course, this would be hard to conceal once people start dying by the hundreds- but till then they can use a combination of incompetence and malice to pretend that there are no problem.

Now some of you might say- “didn’t you also write that this virus was far less serious than many were saying in the first few weeks of the outbreak”?. And to that I say- well, that is still correct from a medical and population statistics point of view. There are however two, or three, issues which will make this outbreak especially problematic in USA. Firstly, there are far more old people in assisted living facilities in this country than in China or most other Asian countries. In case you don’t know, these places are staffed with poorly paid precariat labor and known breeding grounds for all sorts of outbreaks- especially of respiratory and gastrointestinal pathogens. I can bet that people working in such facilities, who are usually young and poorly paid, are not going to call in sick if they have a ‘mild case of the flu’. Guess what, this scenario has already played out in Washington State. Did I mention that this cluster of infections was community acquired.

In case you are wondering, epidemics become hard to control once the microorganism starts circulating in the general population rather than being restricted to easily identified travelers and other high-risk groups. So far countries where community acquired infections account for the majority of cases include South Korea, Japan, Iran and Italy. While I can predict with reasonable certainty that these countries will be able to control them (Yes, even Iran), the same cannot be said about USA. A system which prioritizes the infliction of precarity on the masses over anything approaching rationality is bound to become a hotbed of community-acquired spread of COVID-19. Given that super-spreaders play an important role in the dissemination of this virus, imagine what all those poorly-paid people who work in restaurants and fast-food outlets could do for the spread of COVID-19 in USA. While I am not a sadist, there is something to be said for a country with almost no paid sick-leave policies getting fucked over because of them.

Another important issue, which has been still neglected by countries other than Japan (at this moment) is the role of children in spreading the virus. We know from available Chinese medical statistics that children under 10 and youth under 20 account for an unusually small percentage of cases who show symptoms (fever etc) or require medical intervention. Given that these are the two groups most likely to get community-acquired upper respiratory infections, it is odd that they are so poorly represented in the statistics for COVID-19. We cannot, therefore, rule out of the possibility that a far higher number of children and young adults infected with COVID-19 either experience an asymptomatic infection or one with minimal symptoms and then go on to recover completely, but are capable of infecting others just as readily as those with serious symptoms. So far, Japan is the only country to recognize this issue and close schools– though I suspect South Korea might follow soon. USA is unlikely to do this until it is too late.

One of the other unanswered questions about COVID-19 concerns why it seems to cause serious illness in old people with cardiovascular disease. While this has not been shown beyond doubt, having heart disease increases the risk of death even more than having pre-existing respiratory illness. If that is holds true, why? Also, what is the most common proximal cause of death in those who die. Is it respiratory failure, cardiovascular dysfunction, secondary infection from prolonged hospitalization or something else? Do any of the antiviral drugs shown to have activity against similar viruses in animal models effective in human beings? So far, initial reports suggest that Favipiravir has some therapeutic effect in patients with COVID-19. Remdesivir is another drug which has known efficacy in animal models of coronaviral infections. But, as of right now, we still don’t know how much these drugs affect the course of illness, morbidity, mortality and ability to infect others. Hopefully, this state of affairs will change soon.

Then there is the effect on global supply chain- with two major potential consequences. Firstly, could such a disruption have serious effects on the availability of essentials such a drugs, which are usually synthesized from ingredient chemicals made in China. While some disruption is inevitable, the post-1980 tendency of american companies to maintain “lean inventories” is likely to bite them (and all of us) in the behind. We also have to consider the effects of such disruption on the broader economy in an election year. Almost all of Trump’s re-election campaign is based on the narrative that he has not destroyed the economy. But what if the downstream effects of COVID-19 on the supply chain of almost every single industrial sector in USA cause an actual recession, rather than just a partial stock market crash. If this were to occur, the orange buffoon would find himself in a very bad position and likely lose the presidential election. Of course, I am sure that the democrat establishment will try to snatch defeat from the jaws of victory.

Another interesting question is whether a widespread outbreak of COVID-19 in USA, with all of its attendant morbidity and morality might make Bernie Sander’s plan for ‘Medicare for All’ plan an even more popular idea than it is right now. It would certainly make a lot of idiots who support the present system think twice about supporting the status quo.

What do you think? Comments?