Institutional Trust and Trade-Offs
It seems the public health establishment, the NIH and the CDC, are completely incapable of doing cost/benefit analysis. At least publicly. It shouldn’t be hard to reopen the schools in the fall, seeing as how minor COVID is to a vast majority of children under 12. But Fauci and Collins would rather scare the crap out of parents with thinly sourced anecdotal data. We need hard numbers to make accurate decisions or people will just flout their directives. A good chunk will anyway, seeing as free will is a thing. But these directives are not marketed to those people.
Institutional trust is a problem. Congress, the mainstream media, and various segments of the federal bureaucracy have horrendously bad approval ratings. We can blame some of this on the age of negative hyperpartisanship, but there is a reason for it. Building trust is hard, especially after losing it. The CDC and the NIH have decided to light their reputations on fire for little real benefit. I do realize politics and the bureaucracy attract Karens, meddlers, “This is for your own good” types. But this is ridiculous. COVID is almost surely here to stay. We have to learn to live with it. I assume it’ll become like the flu, with an annual shot and the whole nine yards. Life has to go back to normal at some point. Would someone please think of the movie theaters?
Seasonal lockdowns are stupid and can cause more harm than good, especially among kids and young adults. Murders, overdoses, and vehicular deaths caused by impairment all shot right up last year. The gang problems of Chicago and other major cities were put into even sharper contrast. The loosening of theft and bail provisions has led to an explosion of blatant daytime shoplifting in some major cities, most notably San Francisco. And mask mandates (when the type of mask isn’t specified to be the types that actually do anything) are largely pointless.
We need to address the unseen, the unintended consequences of any government action. Until we do that, garbage policies such as this will keep happening, with their attendant flimsy rationale. It’s all about control and power. People tend to love centralized government when it’s their side deciding the rules. Without the foresight to realize these same powers can be used against them in two to eight years.
Elected politicians and unelected bureaucrats have lost most people’s trust and respect going on several decades now, but people, of course, still tend to love their specific Congressman. I hate the collective machine, but my cog is fine! Congressmen have absurd reelection rates, likely due to the fact that a solid chunk if not a majority exist in enclaves where winning the primary just about guarantees a victory in the general election. We need a better class of politician, but we probably don’t deserve it.
Hell, Andrew Cuomo resigned as I was writing this. He deserves to be in prison but will likely live out his days comfortably. The biggest problem with institutional elites and institutional trust is that the rules they create and enforce just do not apply to them. Hard to trust the rules and laws politicians put out when the politicians themselves flout them whenever the rules conflict with their comfort. Rank hypocrisy is one of the greatest sins a politician can commit, somehow worse than killing thousands of nursing home patients by incompetence and neglect (and then covering it up.) Cuomo even had about half a dozen or more ongoing corruption investigations that ran the gamut. He was a big supporter of the #MeToo and Time’s Up movements. A lot of male feminists seems to do stuff like this to assuage their guilt for past, current, and future actions. Harvey Weinstein is only the most infamous example.
In conclusion, don’t follow the rules if the people creating and enforcing them don’t follow them themselves. That would be stupid.
This:
“The loosening of theft and bail provisions has led to an explosion of blatant daytime shoplifting in some major cities…”
Followed by this:
“In conclusion, don’t follow the rules if the people creating and enforcing them don’t follow them themselves. ”
Is just…delicious.Report
Yeah, I noticed too. With that logic, everyone who is nonplussed by the hypocrisy of the governors of California, Michigan, and New York (and of Fauci unmasked attending Obama’s birthday party of 400+) should also be shoplifting and looting major US cities. Obviously, that isn’t happening.
There is a lot more going on. Loosening bail provisions and revising petit theft laws in San Francisco is unsurprising for a city that has disparaged police authority for the past 55+ years. It isn’t necessarily a COVID-19 thing at all.Report
This “it’s here to stay” thing is why I’m against continuing the eviction moratorium.
This is the new normal. Any company or school that doesn’t want to deal with outbreaks needs to tell it’s subjects that they have to vaccinate.Report
Well sure but according to Russel that takes away feee will, which is apparently more important then actual physical societal health.Report
Letting an employer say you don’t have the “right” to endanger their other employees (both vaccinated and unvaccinated) seems like a reasonable thing.
Big picture, Collectivist solutions are also problems. Not the least because the tools needed to “fix” them are so easily abused.
For example high-ways need to be straight, which means you need to be able to force hold-outs to sell their land.
However the vaccine equiv isn’t letting employers tell at-will employees that they’re fired if they try to endanger their fellow employees. The vaccine equiv would be strapping someone down and injecting them.Report
The libertarian position should be straight forward. No one can force you to wear a mask or get the vaccine. Of course, private entities likewise have the right to insist that employees and customers wear a mask and have proof of vaccination.
This extends to government as well (as an employer, they can insist on masks/vaccinations for employees).
The only place where the unmasked/un-vaccinated have a right is that they can not be denied rights/protections because of it (they still have freedom of speech, a right to counsel, etc.), so government has to have a way to still provide protections and service. But that could mean that everyone uses online service, or the un-vaccinated are required to interact with government employees wearing biohazard suits.
About the only redoubt left to the hold-outs is the whole FDA approval thing, which IMHO, Will addresses nicely in this post.Report
Yes well that discussion is absent any references to the responsibilities of the unvaccinated. It also ignores the tendency of the unvaccinated to insist that they not be restricted in any other way.
As an example of the latter – several of the towns down here have effectively closed their small city halls unless you have an appointment and then wear a mask when you come. The local citizenry is beginning to agitate against this as an infringement of the right to enter government facilities Willy Molly since “we the people” pay for them. Such a response is completely absent any consideration of responsibility.Report
I don’t want to be vaccinated ergo there must be sound scientific evidence to support my choice and why that’s the correct choice.
This is using intelligence to justify what we want to do as opposed to making an intelligent choice.
And after we’ve convinced ourself that we’re making the correct choice, we end up with a bunch of other reasoning that follows from that.Report
I try to avoid talking about such things as a responsibility. As individuals, we have either duties or obligations to society. An individual has an obligation to not be a vector for disease. Society should have the ability to enforce that obligation. Individual rights collide with societal obligations all the time, and while all citizens have a right to enter public buildings, they still need to wrestle with the obligation at hand.
If they aren’t addressing the obligation, they aren’t being serious.Report
I am a fervent advocate of vaccination, and of public health. I have worked as a non-infectious disease epidemiologist for The State (of Arizona no less). This article is correct here:
Yet it concludes with this:
Institutional trust is vital, regardless of which side is making the rules. We had that trust during times of smallpox and polio vaccinations. We no longer do.
I want to believe the CDC and the NIH! It became very difficult to do so when our supposedly best and brightest medical doctors and researchers declared that race riots, arson, and looting were a greater danger to public health than COVID-19 in July 2020.
Here’s another example. I am a woman. Every COVID-19 advisory for pregnant women on the CDC website now describes them as “people who are pregnant,” because doing otherwise has been deemed transphobic. Each article is illustrated by a photo of a headless, heavily pregnant female. (No, not decapitation, but the face of the pregnant woman is NEVER shown). Check for yourselves if you doubt me. HOW can we trust our public health authorities when they deny human sexual dimorphism (i.e. men can’t give birth) AND more significantly, are in silent complicity with the cadre of prominent infectious disease denialists who insist that Black Lives Matter confers immunity to SARS-COV-2?!
I don’t blame Fauci for vacillating on the masks, nor Pelosi dancing in the streets of Chinatown in February 2020. With a new disease, it is a live and learn process. I balk at the excessive veneration of Fauci, but hey, he’s just one elderly guy despite being head of the NIH. It is the combination of Fauci unmasked and attending the Obama birthday celebration fete of 400+ attendees and the denialism I described in my prior paragraph that fuels COVID-19 vaccine hesitancy and distrust. Until this is addressed and eradicated, COVID-19 will be here to stay in its most virulent form, rather than attenuating like the Spanish influenza did.Report
There is an element of nut-picking to this complaint. This is a link going over “experts” who were doing that. https://www.politico.com/news/magazine/2020/06/04/public-health-protests-301534
First “expert” is a for-real doctor at some hospital (picked because of their tweets) biggest name is a former director of the CDC.
If the medical community has to pick between fighting racism and fighting Covid, some choose the former and not the later. We’ve been defining racism as akin to na.zism for decades, it’s hardly a shock some doctors flinch away from that value judgement.
If we look at the actual CDC advice for that time period it was something like “organizers should have everyone wear a mask” (idk if they also suggested social distancing).
More importantly, the anti-vac “science” seems to be roughly equiv to the science backing the flat earthers. The slightest checking of their “facts” shows that it’s nonsense.Report
Are you serious? “Nut picking”? Did you read the article you posted? It points are the obvious contradiction between advocating for mass gatherings that include singing and crowding of the sort inherent in large protests while disallowing funeral gatherings of 10 people with 6 feet spacing and wearing masks.
Here’s the full list of truly our best medical experts and disease researchers who
I didn’t realize the extent of it until now. They explicitly say that white people are a public health danger but black people are not:
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The key words from your list is “This letter is signed by 1,288 public health professionals, infectious diseases professionals, and community stakeholders.”
There are more than 4 million people employed in the first field by itself, and that list has the words “student”, “retired”, and “[no degree or title shown]” in there pretty often so we shouldn’t limit the potential pool to 4 million.
This is not a list of experts much less the official position of a major health org. This is a list of BLM supporters, some of whom are also HC professionals, just like millions of other people.Report
And what do the statistics tell us about the COVID 19 spread in those communities after those protests? Were these demands for social justice super spreader events or not?Report