Michael. First of all, it's heartwarming that you at the National Review have become such strong proponents for public health and the health of all Americans. I am sure we can count on you as we boost public health funding in the wake of this pandemic and expand the ACA. 1/
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Replying to @gregggonsalves @michaelbd
In January-May, we had a different epidemiological setting--the pandemic was at its height. Closures then and closures now are not equivalent. 2/
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Replying to @gregggonsalves @michaelbd
AND in fact, ALL states have re-opened weeks before these protests emerged with the idea that risk can be managed in many settings. 3/
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Replying to @gregggonsalves @michaelbd
And in fact, outdoor settings, masked are far, far less risky than re-opening places that operate daily in close quarters, with high density of people. That is why re-opening is being triaged. 4/
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Replying to @gregggonsalves @michaelbd
I think the frustration stems from a sense that the triaging, both legal and (as it were) rhetorical, has been shaped by political bias. The George Floyd memorial service on Thursday was indoors, and some high-profile attendees were not wearing masks.
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Replying to @JamesSurowiecki @michaelbd
And assumes there is also a position of neutrality, free from political bias. Yes, the memorial indoors, with some in attendance not wearing masks wasn't great. But we've also had weeks of the President modeling bad behavior and policies and how we're all arguing about not-that.
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I think there are few legitimate complaints here. There should have been greater explicit discussion that it was always a trade-off and that "essential" activity is not a universal definition. Plus, should have been more acknowledgement of the emerging evidence on outdoors/risk.
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Replying to @zeynep @gregggonsalves and
Public health folks probably should have spoken out more when people in parks/beaches were shamed (not by public health people always! But still) even into May and June. I personally would never risk a pool party but went to a protest myself. But both do risk transmission chains.
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Replying to @zeynep @gregggonsalves and
Plus, personally, I think it's unconscionable that we did not let people visit their dying relatives with whatever PPE they could personally muster, if or a few minutes, or with the promise of quarantine afterwards. We did that to break transmission chains, I get it but...
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Replying to @zeynep @gregggonsalves and
I can hardly believe that people stood for this. I remember hearing about people being not being allowed to visit their parents & grandparents as they died and thinking, "I don't care what they say. If my parents or grandparents are dying, I'm going in. I'll quarantine after."
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My biggest regret that I did not drop everything to campaign on this. I was busy working on where I thought I could make a difference and I had no personal example, nor am I a medical doctor. But the zero visit to the dying policy should never have been allowed to stand as is.
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Replying to @zeynep @gregggonsalves and
I think we started to see relatively early into that policy that despite remaining PCR positive most terminal patients were likely no longer actively infectious from a couple of weeks post infection. But there were also so many people catching SARS-Cov2 in the hospital...
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Replying to @ImmunoFever @zeynep and
So I think there was indeed a huge risk having people walking into the hospital who could have themselves been asymptomatic/pre-symptomatic, without proper PPE and spreading the virus to people who were in the hospital for other causes.
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