I sort of think that people still have a fundamentally cinematic view of pandemics--it is either the Walking Dead, or everything is basically fine. And on the health care side, they imagine labor shortages can be solved with a fundamentally 19th c surge of unskilled "nurses".
Giving a severely ill covid patient anything other than palliative care is a skilled endeavor--there's a lot of technology, including stuff you really, really need to get right like medication dosage and ventilator settings. This isn't Scarlett O'Hara mopping brows.
You don't acquire that kind of knowledge in a four-hour orientation, even if overworked and exhausted staff had time to give it. So to a first approximation, we're going into the second wave with the same amount of staff we had in the first.
On the disease side--hey, I'm glad it's not the Walking Dead, but the death rates get pretty gnarly when hospitals hit their staff-dependent capacity limits, and start diving into younger age groups. That's decades of life lost, which is bad!
One other way that we are still suffering under cinematic illusions, at least on the left, is the idea of technocratic omnicompetence at institutions like the CDC, which performed astoundingly badly in the early days of this crisis, and not Because Trump.
Also, from the movies you'd have expected that the main problem would be people trying to flee the danger and being quarantined for the sake of others -- not people insisting on their right to book a restaurant reservation for 8 in the middle of the hot zone.
Anyway, I think we'd have a more productive conversation about this stuff if we all ditched our movie-driven expectations.

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More from @asymmetricinfo

7 Dec
Seeing a lot of this circulating on the right, so let me explain why folks are worried even though it is not literally true that every ICU bed in the country is occupied at the moment.
#1, the big worry is ICU space, not hospital beds, and as you can see from this very thread, ICU utilization is running well above hospital utilization generally.
#2 The constraint on ICUs isn't beds, it's staff. ICU beds are (relatively) easy to build. They're not much good if the only people you have to staff them are the cafeteria workers.
Read 18 tweets
2 Dec
I'm back to writing almost exclusively about the pandemic, often with no very obvious political valence--how to think about testing, what sorts of things might change as a result.

One thing I've noticed is that many readers get really angry when I *don't* make it political.
It's like they cannot conceive of ever wanting to write about the pandemic through any other lens except Donald Trump's failures (Which are many! I have written about them!) They interpret any attempt to speak about anything else as some sort of crude attempt to evade The Truth.
It's really weird.
Read 4 tweets
25 Nov
The last nine months should have demonstrated that there's a lot of ruin left in our nation. If China cut off our supply, electronics would be scarce and expensive for a while, and then we'd build chip fabs here. We would not turn into Argentina.
There are plenty of ways America could enter permanent decline. "Can't figure out how to domestically manufacture semiconductors" seems very unlikely to be among them.
To expand on this thought: this is kind of a variant on what that Japanese managed in WWII, getting their hands on pretty much the entire global rubber supply. (Fun fact: we rationed gasoline less because it was scarce than because TIRES were scarce & rationing gas reduced wear)
Read 4 tweets
24 Nov
I didn't like Hillbilly Elegy, the Movie nearly as much as the book. However: I watched it right after Queen's Gambit. And while QG is objectively better written/styled, I found myself thinking about it a lot, while QG dissolved like the cotton candy it is.
I've been wondering why that is. Part of it, undoubtedly, is that HE had the same struggle as all memoirs: real lives don't have clear plots. (Or rather they have too much; Howard struggled to pick out one clean thread.) But the people felt real, particularly Close/Adams.
QG, by contrast, was a superficial gloss that scrubbed away all the actual deep struggles of being neuroatypical and turned the protagonist into a too-pretty Mary Sue whom everyone leaps to help despite the fact that she's kind of miserable to be around.
Read 5 tweets
20 Nov
Confronted with the past remarks of Clinton and Abrams, large portions of lefty twitter have started insisted that Trump's major violation is the lawsuit--which is the most normal, acceptable thing he is doing. It's his extrajudicial activities that are unprecedented and horrific
The problem is not that Trump is going to court. The problem is that he is stating, as a fact, that a vast electoral fraud occurred in order to avoid admitting he lost the election by the rules then in place for holding the election.
(And also that this vast electoral fraud did not occur, or if we want to go all "You can't prove a negative", that he has offered no good evidence it did.)

The duty to concede is separate from the structure of the system, in a way too few people seem to be appreciating.
Read 4 tweets
19 Nov
So Democrats are going to be tempted to be quiet about the prior antics of Hillary Clinton and Stacey Abrams, on the (absolutely true) grounds that what Trump is doing is so much worse, and how dare you take the focus off him?

Understandable instinct, but a disastrous mistake.
The correct move here, both politically and ethically, is to utterly repudiate those earlier, dangerous flirtations with refusing to accept the legitimacy of a democratic election, and do your best to force the perpetrators to do so as well.
Undercut the best rejoinder Republicans have, which is that Democrats don't care about the norms of democratic legitimacy, and will hypocritically tolerate abuses from their own side.
Read 5 tweets

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