3 ms·
Apart from the fact that, within the context of the other words of my post, your first sentence is plain not true, I'm not sure I (to paraphrase Babbage badly)
by roel_v 7y ago
Apart from the fact that, within the context of the other words of my post, your first sentence is plain not true, I'm not sure I (to paraphrase Babbage badly) I understand the level of confusion that is required to come to your conclusion.
When combating a large-scale crisis like this, you need well-coordinated action. The very basic thing you can not have is every Dick and Harry making their own decisions and improvising on what is the best course of action, each from their own (limited) knowledge of facts and circumstances. More concretely, you can not have every random call center employee decide for themselves whether or not to follow the explicit instructions they are given. That would devolve into chaos in a matter of hours. So no, nothing that happened here is 'negligent' or 'reckless'. ('harmful to human lives', we'll know in a few months or years, but it's a different matter all together). You need central control, and you suggesting that people should just make up their own course of action (call center employees, no less - the people tasked with the dissemination of the very protocol itself) is so far beyond my frame of understanding that I do not think we can have a meaningful discussion on this.
(and you 'recalling reading some paper on epidemiology' and basing your (seemingly very strongly held) opinion on everyone winging it on that, just confirms this view on how to manage large scale hazard events)
- PeterisP 7y agoWe need well-coordinated action but if the people on site see that the action is not actually coordinated well, then they need to take proper actions anyway. All other things being equal, central control has many advantages, but I strongly disagree that central control is the most important thing. A good example is the situation in Washington state - we only found out about the cases in Seattle because local labs defied CDC and tested themselves after being reportedly denied. It's definitely a good thing that they diverged from the central control, and it would definitely be a harmful thing to satisfy central control and let community spread in Seattle remain undetected. I'm not saying that a random call center employee should arbitrarily decide, but if a local institution has enough skills, expertise and information to make an informed decision in the best interest of their patients, then they definitely should defy central control.