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There are rare long-term side effects from many infectious viruses. Anyone who gets pneumonia from anything will be down for the count for a while, but they'll

by ls612 6y ago

There are rare long-term side effects from many infectious viruses. Anyone who gets pneumonia from anything will be down for the count for a while, but they'll get better, and that isn't unique to this virus. And myocarditis (the heart inflammation people are talking about) is a side effect of all sorts of viral and even bacterial infections (wikipedia lists basically every common human virus as a cause), it will normally get better on its own, although in rare cases it can cause issues. None of this is new! This coronavirus is a novel coronavirus, not a magical one. It has effects that are in line with other viral illnesses in humans. It's just a bit more virulent than them. It's a matter of quantitative difference, not qualitative difference.

alchemism 6y ago
Possible permanent smell/taste loss? Possibly permanent reduction in lung capacity? There is a qualitative difference as well. The lingering side effects of the Lyme-causing bacteria is on a level apart from what happens when you get food-poisoned.
reaperducer 6y ago
There are rare long-term side effects from many infectious viruses So it's all perfectly fine then? Because there are other viruses that do harm, we should allow this virus to run rampant. Guess how I know you're not a doctor.
- ls612 6y ago
  You’re right, I’m an economist, not a doctor. So I look at the world in terms of trade offs. And the trade offs western societies have made with this virus are so unlike the trade offs made with any other infectious disease in recent memory that it makes me concerned about what the new trade offs will be going forward.
  - zzzeek 6y ago
    that's what's known as the "slippery slope" argument. The response to this virus is just so shocking that oh wow, what if this is the new norm? It's not at all. this virus is not "the norm", this is a 100 year event. don't hurt your head on that slope!
    - ls612 6y ago
      Heh, despite the fact that you are being rude to me I'll still answer in good faith because the distinction is important. If we are spending hundreds of times as much mitigating a virus five times as bad as common illnesses (yes a once in a century event) are we now going to spend dozens of times more money/effort mitigating the flu every year? If yes then we will see lockdowns like this regularly going forward. If no, then the vast majority of the response to COVID is an emotional overreaction, not rational risk mitigation/pricing in externalities. I will say in mid-March, when things looked quite different based on our limited knowledge of the virus, that the response wasn't entirely unwarranted. But we've known for months that this isn't nearly as bad as feared. It isn't the second coming of smallpox. Yet we still have most of the restrictions and shaming from March, even to this day.
      - zzzeek 6y ago
        > If we are spending hundreds of times as much mitigating a virus five times as bad as common illnesses how do you quantify "five times as bad" ? if I run my car into a brick wall at ten miles an hour, vs. 50, one event damages my car the other kills me. is that "five times as bad"? > are we now going to spend dozens of times more money/effort mitigating the flu every year? If yes then we will see lockdowns like this regularly going forward. no, why would we? the flu does not overwhelm hospitals [edit: the 2018 flu season comparison is a counterpoint but there is no argument this is anything on the scale what covid has done in places like NYC], cripple the entire medical system such that thousands of patients are left to die in hallways and parking lots, and spread exponentially to kill hundreds of thousands of people within just a few months. > If no, then the vast majority of the response to COVID is an emotional overreaction, not rational risk mitigation/pricing in externalities. you have made no argument to support this case. > I will say in mid-March, when things looked quite different based on our limited knowledge of the virus, that the response wasn't entirely unwarranted. what exactly "looked quite different" ? the main things that were known in march, e.g. spreads exponentially, r0 is something like 2 or 3 if steps aren't taken, has a 20% hospitalization rate, has a high death rate for those hospitalized which has improved somewaht but that is predicated on the fact that hospitals are availble, are still true. There were a lot of tweets from people who work in public health about the argument you're making. "If people said we overreacted, then we will know we did our job". That's how it works when you prevent a horrible thing from going out of control. People who for whatever reason don't seem to understand what happened will crow about how unnecessary that was. Can you see how this looks to anyone who is actually trained in this area?
  - ardy42 6y ago
    > You’re right, I’m an economist, not a doctor. So I look at the world in terms of trade offs. And the trade offs western societies have made with this virus are so unlike the trade offs made with any other infectious disease in recent memory that it makes me concerned about what the new trade offs will be going forward. I would hope economists would make judgements based on more than aping what happened "in recent memory," but somehow I'm not surprised. IIRC the last time we had major pandemic like this, gathering places were closed (like now), social distancing was done (like now), masks were worn (like now), and some people chafed against the restrictions and decided that it was better to endanger others (like now).
  - bildung 6y ago
    1. The tradeoffs are mostly US-only, other western societies had the political will to prevent unemployment and evictions. This is not intended to mean "US bad, others good", just that the tradeoffs are not objectively there, but instead mostly a result of societal decisions (e.g. France had 1% lower unemployment in June 2020 than in June 2019 https://countryeconomy.com/unemployment/france?sc=LAB- https://countryeconomy.com/unemployment/france?sc=LAB- ) 2. Sweden tried this route. They now have the deaths plus the economic fallout (-6% GDP, just like the locked down neighbours Denmark and Norway), mostly due to the international interconnectedness (collapsing supplier chains etc.)
    - makomk 6y ago
      More specifically, other western societies had the political will to prevent all the people who weren't working and were being paid by the government at less than their normal wage from counting towards the unemployment stats - generally some sort of furlough scheme where on paper they were still employed by their original company. Still meant they weren't working, with no guarantee there'd be jobs for them to go back to, but it sure looked better on the stats. (At the cost of arbitrarily screwing over people who for whatever reason couldn't take advantage of furlough and ended up actually-unemployed.) The US tried something a little like this with forgivable loans to pay businesses' paychecks, but the trouble is they did this after rolling out an unemployment boost that left less well-paid people better off than if they were employed, so it was a little difficult to convince business owners who didn't want their employees to try and murder them in their sleep to take it up.
    - ls612 6y ago
      I wouldn't be so quick to proclaim Europe's victory over this virus. With what's happening in Spain, and now France and Germany, this may be a European "Mission Accomplished" moment in another month.

by ls612 6y ago

alchemism 6y ago

Possible permanent smell/taste loss? Possibly permanent reduction in lung capacity? There is a qualitative difference as well. The lingering side effects of the Lyme-causing bacteria is on a level apart from what happens when you get food-poisoned.

reaperducer 6y ago

There are rare long-term side effects from many infectious viruses So it's all perfectly fine then? Because there are other viruses that do harm, we should allow this virus to run rampant. Guess how I know you're not a doctor.

ls612 6y ago
You’re right, I’m an economist, not a doctor. So I look at the world in terms of trade offs. And the trade offs western societies have made with this virus are so unlike the trade offs made with any other infectious disease in recent memory that it makes me concerned about what the new trade offs will be going forward.
- zzzeek 6y ago
  that's what's known as the "slippery slope" argument. The response to this virus is just so shocking that oh wow, what if this is the new norm? It's not at all. this virus is not "the norm", this is a 100 year event. don't hurt your head on that slope!
  - ls612 6y ago
    Heh, despite the fact that you are being rude to me I'll still answer in good faith because the distinction is important. If we are spending hundreds of times as much mitigating a virus five times as bad as common illnesses (yes a once in a century event) are we now going to spend dozens of times more money/effort mitigating the flu every year? If yes then we will see lockdowns like this regularly going forward. If no, then the vast majority of the response to COVID is an emotional overreaction, not rational risk mitigation/pricing in externalities. I will say in mid-March, when things looked quite different based on our limited knowledge of the virus, that the response wasn't entirely unwarranted. But we've known for months that this isn't nearly as bad as feared. It isn't the second coming of smallpox. Yet we still have most of the restrictions and shaming from March, even to this day.
    - zzzeek 6y ago
      > If we are spending hundreds of times as much mitigating a virus five times as bad as common illnesses how do you quantify "five times as bad" ? if I run my car into a brick wall at ten miles an hour, vs. 50, one event damages my car the other kills me. is that "five times as bad"? > are we now going to spend dozens of times more money/effort mitigating the flu every year? If yes then we will see lockdowns like this regularly going forward. no, why would we? the flu does not overwhelm hospitals [edit: the 2018 flu season comparison is a counterpoint but there is no argument this is anything on the scale what covid has done in places like NYC], cripple the entire medical system such that thousands of patients are left to die in hallways and parking lots, and spread exponentially to kill hundreds of thousands of people within just a few months. > If no, then the vast majority of the response to COVID is an emotional overreaction, not rational risk mitigation/pricing in externalities. you have made no argument to support this case. > I will say in mid-March, when things looked quite different based on our limited knowledge of the virus, that the response wasn't entirely unwarranted. what exactly "looked quite different" ? the main things that were known in march, e.g. spreads exponentially, r0 is something like 2 or 3 if steps aren't taken, has a 20% hospitalization rate, has a high death rate for those hospitalized which has improved somewaht but that is predicated on the fact that hospitals are availble, are still true. There were a lot of tweets from people who work in public health about the argument you're making. "If people said we overreacted, then we will know we did our job". That's how it works when you prevent a horrible thing from going out of control. People who for whatever reason don't seem to understand what happened will crow about how unnecessary that was. Can you see how this looks to anyone who is actually trained in this area?
- ardy42 6y ago
  > You’re right, I’m an economist, not a doctor. So I look at the world in terms of trade offs. And the trade offs western societies have made with this virus are so unlike the trade offs made with any other infectious disease in recent memory that it makes me concerned about what the new trade offs will be going forward. I would hope economists would make judgements based on more than aping what happened "in recent memory," but somehow I'm not surprised. IIRC the last time we had major pandemic like this, gathering places were closed (like now), social distancing was done (like now), masks were worn (like now), and some people chafed against the restrictions and decided that it was better to endanger others (like now).
- bildung 6y ago
  1. The tradeoffs are mostly US-only, other western societies had the political will to prevent unemployment and evictions. This is not intended to mean "US bad, others good", just that the tradeoffs are not objectively there, but instead mostly a result of societal decisions (e.g. France had 1% lower unemployment in June 2020 than in June 2019 https://countryeconomy.com/unemployment/france?sc=LAB- https://countryeconomy.com/unemployment/france?sc=LAB- ) 2. Sweden tried this route. They now have the deaths plus the economic fallout (-6% GDP, just like the locked down neighbours Denmark and Norway), mostly due to the international interconnectedness (collapsing supplier chains etc.)
  - makomk 6y ago
    More specifically, other western societies had the political will to prevent all the people who weren't working and were being paid by the government at less than their normal wage from counting towards the unemployment stats - generally some sort of furlough scheme where on paper they were still employed by their original company. Still meant they weren't working, with no guarantee there'd be jobs for them to go back to, but it sure looked better on the stats. (At the cost of arbitrarily screwing over people who for whatever reason couldn't take advantage of furlough and ended up actually-unemployed.) The US tried something a little like this with forgivable loans to pay businesses' paychecks, but the trouble is they did this after rolling out an unemployment boost that left less well-paid people better off than if they were employed, so it was a little difficult to convince business owners who didn't want their employees to try and murder them in their sleep to take it up.
  - ls612 6y ago
    I wouldn't be so quick to proclaim Europe's victory over this virus. With what's happening in Spain, and now France and Germany, this may be a European "Mission Accomplished" moment in another month.