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|    sci.med.cardiology    |    All aspects of cardiovascular diseases    |    72,684 messages    |
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|    Message 71,656 of 72,684    |
|    Michael Ejercito to HeartDoc Andrew    |
|    Re: (Frances) Greeting Michael Ejercito     |
|    07 Apr 25 07:17:48    |
      [continued from previous message]              >> government (2011) had all expressed ambivalence or caution about the       >> kind of quarantine measures that were soon taken.       >>       >> “We take a look at the state of the evidence as it was in early 2020,”       >> Lee said. “It was clear at the time that the evidence was quite       >> unsettled around all of this, and if policymakers had been more honest       >> with the public about these uncertainties, I think they would have       >> maintained public trust better.”       >>       >> They wanted there to be an answer – that if we do X and Y, we can       >> prevent this disaster. And so they’re kind of grasping at straws       >> The Johns Hopkins Center for Health Security hosted a wargaming exercise       >> in October 2019, shortly before the pandemic began, to simulate a deadly       >> coronavirus pandemic; the findings explicitly urged that “[t]ravel and       >> trade … be maintained even in the face of a pandemic”. Similarly, a WHO       >> paper in 2019 said that some measures – such as border closures and       >> contact tracing – were “not recommended in any circumstances”.       >>       >> “And yet we did all of that in short order,” Macedo said, “and without       >> people referring back to these plans.”       >>       >> He and Lee also believe there was a strong element of class bias, with a       >> left-leaning “laptop class” that could easily work from home touting       >> anti-Covid measures that were much easier for some Americans to adopt       >> than others. Many relatively affluent Americans became even wealthier       >> during the pandemic, in part due to rising housing values.       >>       >> At the same time, the laptop class was only able to socially isolate at       >> home in part because other people risked exposure to provide groceries.       >> Stay-at-home measures were partly intended to protect “essential       >> workers”, but policymakers living in crisis-stricken major metropolitan       >> areas such as New York or Washington DC did not reckon with why social       >> distancing and other measures might be less important in rural parts of       >> the country where Covid rates were lower.       >>       >> Lockdowns were intended to slow Covid’s spread, yet previous pandemic       >> recommendations had suggested they only be used very early in an       >> outbreak and even then do not buy much time, Macedo said.       >>       >> two people stand next to each other smiling       >> View image in fullscreen       >> Stephen Macedo and Frances Lee. Photograph: Courtesy of Stephen Macedo       >> Policymakers and experts often embraced stringent measures for reasons       >> that are more political than medical, Macedo and Lee argue; in a       >> pandemic, authorities are keen to assure anxious publics that they are       >> “in charge” and “doing something”.       >>       >> In strange contrast, policymakers and journalists in the US and       >> elsewhere seemed to take China as a model, the book argues, despite the       >> fact that China is an authoritarian state and had concealed the scale of       >> the outbreak during the crucial early days of the pandemic. Its regime       >> had obvious incentives to mislead foreign observers, and used draconian       >> quarantine measures such as physically welding people into their homes.       >>       >> When the WHO organized a joint China field mission with the Chinese       >> government, in February 2020, non-Chinese researchers found it difficult       >> to converse with their Chinese counterparts away from government       >> handlers. Yet the WHO’s report was “effusive in its praise” of       China’s       >> approach, the book notes.       >>       >> “My view is that there was just a great deal of wishful thinking on the       >> part of technocrats of all kinds,” Lee said. “They wanted there to be an       >> answer – that if we do X and Y, we can prevent this disaster. And so       >> they’re kind of grasping at straws. The Chinese example gave them hope.”       >> She noted that Covid policymakers might have been better served if there       >> had been people assigned to act as devil’s advocates in internal       >> deliberations.       >>       >> Lee and Macedo are not natural scientists or public health       >> professionals, they emphasize, and their book is about failures in       >> public deliberation over Covid-19, rather than a prescription for       >> managing pandemics.       >>       >> But they do wade into the debate about Covid-19’s origin, arguing that       >> the “lab leak” hypothesis – that Covid-19 accidentally leaked from the       >> Wuhan Institute of Virology, rather than spontaneously leaping from       >> animals to humans – was unfairly dismissed.       >>       >> The Wuhan Institute studied coronaviruses similar to the one responsible       >> for Covid-19, had a documented history of safety breaches, was located       >> near the outbreak, and is known to have experimented on viruses using       >> controversial “gain-of-function” methods funded by the US, which involve       >> mutating pathogens to see what they might look like in a more advanced       >> or dangerous form.       >>       >> If policymakers had been more honest with the public about these       >> uncertainties, I think they would have maintained public trust better       >> Perhaps because Trump had fanned racial paranoia by calling Covid-19 the       >> “China virus” and rightwing influencers were spreading the notion that       >> it had been deliberately engineered and unleashed on the world by China,       >> many scientists, public health experts and journalists reacted by       >> framing the idea of a lab leak – even an accidental one – as an       >> offensive conspiracy theory. Dr Anthony Fauci and other top public       >> health figures were evasive or in some cases dishonest about the       >> possibility of a lab leak, Macedo and Lee say, as well as the fact that       >> a US non-profit funded by the National Institutes of Health allegedly       >> funded gain-of-function research at the Wuhan Institute.       >>       >> Since then, though, the CIA and other US intelligence agencies have       >> cautiously endorsed the lab leak theory, and the discourse around Covid       >> has softened somewhat. The economist Emily Oster sparked immense       >> backlash by arguing against school closures in 2020. Now publications       >> such as New York Magazine and the New York Times have acknowledged the       >> plausibility of the lab leak hypothesis, for example, and there is       >> growing consensus that school closures hurt many children.       >>       >> The reception to In Covid’s Wake has been more positive than Macedo and       >> Lee expected – perhaps a sign that some of their arguments have       >> penetrated the mainstream, if not that we’ve gotten better as a society       >> at talking about difficult things. “The reception of the book has been       >> much less controversial [and] contentious than we expected,” Macedo said.       >>       >> cashiers putting groceries in shopping bags       >> Disposable: what Covid-19 did to those who couldn’t afford to fight the       >> virus       >> Read more       >> Yet the wounds fester and debates continue. Some readers of the New York       >> Times were furious when The Daily, the newspaper’s flagship podcast,       >> recently interviewed them, with subscribers arguing that the episode was       >> not sufficiently critical of their stance. And some coverage of the book       >> has criticized it for underplaying the danger of the disease.       >>       >> Macedo and Lee said that a few of their colleagues have expressed       >> concern that their critique could fuel political attacks on science – a       >> worry that crossed their minds too. “Our response is that the best way       >> to refute criticisms that science and universities have been politicized              [continued in next message]              --- SoupGate-DOS v1.05        * Origin: you cannot sedate... all the things you hate (1:229/2)    |
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