Shutting down half the economy and losing half a million lives anyway is totally unacceptable.

If we're gonna have 1 pandemic per decade—as we have this century—the U.S. must develop "institutional memory" to ensure this horror show never happens again.

theatlantic.com/ideas/archive/…
I asked experts what they considered the "original sin" of our COVID response.

To my surprise, there was strong unison: Our testing fiasco was the early failure that made every other failure worse and every hard decision harder.

theatlantic.com/ideas/archive/…
With more and faster tests, the U.S. would have benefited, at least a little, in almost every thinkable capacity: We would have had greater and faster epidemiological knowledge, less stringent lockdowns, a more open economy, and fewer overall deaths.
Having faced 2 pandemics in 21 years, it's a certainty that this will happen again. That's the bad news.

The good news is that, as bodies have immunological memory, societies have the capacity for institutional memory. They can learn from shame and death and loss. Let's learn.

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More from @DKThomp

15 Mar
Seeing lots of people RT this and similarly gloomy analysis about how the US won't spend money in the pandemic. It's just wrong.

Many ways to evaluate a nation's response to COVID. But by fiscal impact—spending and tax cuts—U.S. relief is among the biggest in the world.
Here's the IMF global analysis.

imf.org/en/Topics/imf-…

Different countries use a variety of spending, tax,and loan program. But the U.S. fiscal response was the 2nd highest in the world in January—larger than any European country—before counting then entire Biden relief bill.
There is an unhelpfully doom-pilled approach to Twitter, where the game isn't to figure out true stuff, but rather to sign on with one's most pessimistic and disappointed opinion about the world, irrespective of accuracy, then collect some commiseration tokens and peace.
Read 4 tweets
7 Mar
i think it would help the discourse to have a more sophisticated theory of—and maybe a word for—instances when perceived cancellations create publicity and riches for the cancelled party
We have a Streisand Effect: efforts to remove information often ironically publicize that information

It needs a Cancel Culture Corollary: the perception of unfair cancellation often leads to more subscriptions, or purchases
what I need is a PhD student in Internet sociology to write the following dissertation asap: "Cancel Culture or Can-Sell Culture? On the Merchandization and Mendacity of Cultural Stigma in 21st Century America"

Read 4 tweets
17 Feb
I really appreciate the early responses to this article

theatlantic.com/ideas/archive/…

I think two somewhat related issues deserve amplification:

1) The surprisingly global decline of COVID cases
2) The possibility that these explainers are still staring into the fog of pandemic
The COVID retreat looks pretty global. Cases are falling in the U.S., and they're falling in Canada, and the UK. They're falling in Europe, and they're falling in Africa. They're even falling in .... South Africa.
I think that the 4 variables I analyzed—partial immunity, seasonality, behavior, and vaccination—together explain a great deal of why cases have declined in the U.S. so suddenly and why hospitalizations are likely to keep going down.

But clearly this is a global mystery.
Read 4 tweets
13 Feb
To vaccinate America by this summer, we don't face one challenge but rather 4 bottlenecks:

1. regulatory approval
2. vaccine supply
3. shot distribution/eligibility
4. demand for vaccines

This is my proposal to solve all four bottlenecks.

theatlantic.com/ideas/archive/…
1. Approve the AstraZeneca vaccine

@PeterHotez: “If we don’t accelerate the pace of vaccinations, we’re looking at an apocalypse ... The first out-of-the-box thing I’d do right now is release the AstraZeneca vaccine."
2. Test "First Doses First"

@ashishkjha: “I am really anxious about the next two months ... The best argument against FDF is that it goes off script from what the clinical trials suggest. But one way to solve the data shortage is to get more data.”
Read 5 tweets
8 Feb
One theme that's emerged from my reporting and writing recently across cash welfare, public health communication, and vaccine eligibility is that I don't think we have enough of an appreciation for the virtue of SIMPLICITY in public policy.
In economics, I think the last ten years have really taken a sledgehammer to the idea that, eg, complex nudges are always best for changing public behavior. The Obama WH learned you don't get credit for policies that are designed to be sneakily invisible.

theatlantic.com/ideas/archive/…
But the benefits of simplicity aren't just for "audiences" or "the public."

As @kjhealy argues, overcomplicated nuance can gum up our understanding of our own minds, our own theories, and our ability to communicate them to others. IOW: "Fuck nuance."

kieranhealy.org/files/papers/f…
Read 5 tweets
8 Feb
I wrote about Hygiene Theater and the challenge of navigating the fog of pandemic science.

theatlantic.com/ideas/archive/…

“Follow the science” is practically a cliche now. But who do you trust when scientific research is saying two completely different things at once?
In the last six months, it’s become near-consensus that surface-transmission of COVID-19 is very rare and that our efforts should be focused on masks, distancing, and ventilation.

But there are still new studies claiming to show that the virus survives for ONE MONTH on surfaces
The scariest fomite studies use too much virus and set ideal conditions for its survival. It's like wanting to prove you can grow mangoes in Vermont, so you build a $1b greenhouse in Burlington to produce one edible mango and say "Hey, mangoes grow in Vermont! Science says!"
Read 5 tweets

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