I think the #coronavirus #COVID19outbreak is going to be particularly bad in the US. Below are some reasons why, based on my experience living in New York, which is now one of the top global epicenters of this crisis. My analysis is sociological, not medical 1/14
Reason #6a: Lack of public health infrastructure. We have a very well funded health system, it's just not a public health system. What does this mean? It means that many individuals will receive excellent care but community-level management of the epidemic could be poor 11/14
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#6b What happens when you have excellent healthcare for individuals who can pay but poor community-level management? First the poor suffer, then private hospitals get overwhelmed by the sheer numbers. Better public health with "just OK" hospitals might be better 12/14Show this thread -
Reason #7 Poor social safety net. This means that the aftershocks of
#covid19 are being felt immediately throughout society and could undermine community resiliency during a 12+ month "war on Covid". I do have some optimism here that action will be taken quickly 13/14Show this thread -
Reason #8 Optimism. I love Americans for their optimism. American optimism will be an asset as we all rebound from this thing, but it does tend to slow down the initial response when hours and days make a difference. "It couldn't happen here" makes people slow to catch on. 14/14
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