A popular misconception about herd immunity is that it's a binary thing.
The goal is achieving broad *exponential decay* of the pool of coronavirus infections and then limiting the spread of further flareups.
The vaccination effort is like building firebreaks.
"We may never achieve herd immunity" is often written from the perspective of people who think that is akin to creating a solution to the problem of fire.
That isn't the goal; the goal is containing small fires such that they're tractable to standard firefighting techniques.
The *alternative* to this is that we spend the next several years watching for smoke and then Shut Down Everything if we detect a sudden increase in it locally.
We should urgently, urgently, urgently prefer accelerating the vaccination campaign.
Otherwise we can look forward to 2022 headlines like "Schools in X closed for weeks on account of covid-19 outbreak."
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"This is the most satisfying cow clicker I've ever played." -- @obra , our COO, on the UI which we use to dedupe locations, after we added e.g. a leaderboard to it.
I'm reminded a wee bit of that Neal Stephenson (?) book where you'd grind up experience hunting sneaky goblins trying to blend into the stream of visitors to a city except the goblins were actually fraudsters and the visitors were actual IRL e-commerce transactions.
After hearing some of Dad’s war stories (commercial real estate) over the weekend for the millionth time I think I should probably have a podcast with him sometime.
They’re entertaining and would be useful for software people.
Dad and a younger colleague are trying to put together an assemblage, which will require convincing an irascible old man to sell a house that has been in his family for several decades:
Colleague: these meetings are a waste of time. He’ll never sell. He ends every meeting w/ it.
Dad: “When a man tells you he will never sell at his first meeting with you, it can mean many things, but when he tells it to you at his fifth, it means ‘You just haven’t said right words yet.’ He *keeps taking the meetings.*”
I get asked reasonably frequently about international comparisons in the vaccination rollout.
With proviso that I'm much more informed about US and Japan than any other healthcare system and my only expertise is from working on this during the pandemic:
People know that the U.S. "does healthcare a bit differently" but almost everyone underestimates the degree to which this is true. In particular it leads to *massive* structural differences with regards to the distribution and physical location of where and when care provided.
The choice in the U.S. to allocate a very large percentage of all doses to the Federal Retail Pharmacy Program is a choice that I would predict less than 20% of nations will make. This is, again, heavily coupled with the structural setup of how healthcare is accessed in the U.S.
Seriously though from a marketing perspective I sort of like it.
Registered agents are a commodity; the service is (literally, in the literal sense of literally) being alive in a consistent location daily to perform a largely outmoded function the government mandates.
You'd expect there to be as much marketing differentiation for registered agents as you'd expect for soap, because the job to be done for soap has been a solved problem for hundreds of years, high margins, and a stupidly high LTV.
A useful rule of thumb for the vaccine is 10,000 dose-days : 1 life saved.
So if you hypothetically had a million doses of a vaccine sitting in the freezer, and you decided to keep them there for a week rather than injecting them, that's something like 700 lives.
This is sensitive to, among other things, the progress of the vaccination campaign (dose-days save exponentially more lives early when they're being administered to seniors than when they're being administered to the general population), presumed infection rates, etc.
But some calculation like this is very useful to remind us that there is a cost to waiting, and the cost for waiting on this particular topic, at this particular moment, is so wildly disproportionate to the costs to waiting we typically endure as to stagger our imagination.