I hear this question often: why didn’t all countries just lockdown for a month and extinguish COVID-19?
The principle is sound - a global response. Our leaders didn't try, it seems, due to the fear of economic instability.
Is it time then, for a new economic model?
1/6
Essential services adapted. Food networks were secured. People worked - often successfully - from home. Healthcare services utilised emerging technologies to maintain care. But, apart from printing more money, where were the intelligent economic solutions?
2/6
And it is not just about the Fat Cats needing the workers to get back to making them rich. Billions rely on daily earnings to survive. The rickshaw driver in India can’t afford the month off, nor can the piecemeal factory worker in England.
3/6
There remains many modern threats: a breakthrough strain of Covid-19 or an entirely new pathogen; the calamities in store as we move too slowly to address Climate Change.
The fragility of the economic rules we impose seem unlikely to fair any better than they have so far.
4/6
Yet it remains a human construct, under conscious control. Surely, there is an economist somewhere who can design an economic system that:
1. Provides security.
2. Can weather periods of low productivity.
3. Permits hard-work to lead to greater opportunities.
In the last 100 yrs my profession has discovered insulin, penicillin, aspirin, artemisinin, vaccines, chemotherapy, cardiac angiograms, MRI’s…
To the economists in the room…what innovation has your profession made?
End.

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More from @danielgoyal

12 Nov
The NHS needs REFORMED.
Indeed, the NHS needs serious overhaul.
It is no longer providing world-class universal care [IMO].
It seems to not even be providing ‘value-for-money’ anymore.
But it is our money and our health, so we must have a say…
🧵1/n
RT pls. Image
The NHS once provided the most cost-effective healthcare of all developed nations. Indeed despite consistently spending the LOWEST percentage of GDP (national income) of similar nations (graph), up until the last couple of decades it still provided world-class outcomes. Image
In the 70s the UK had one of the lowest infant-mortality rates in the world. But by 2010 it looked like this (source BBC):

news.bbc.co.uk/1/hi/health/86… Image
Read 23 tweets
11 Nov
I fear we have not learned how to respond to a pandemic. Both clinical and public health responses in many nations have been chaotic, inconsistent and had disappointing results. So what would a decent response look like? Pls add your own…
#Covid19
1. Early “circuit-breaker”.
Debate remains as to the justification for lockdowns. The argument being that lockdowns cause more damage to non-Covid problems than the lives saved from the virus. I think that depends on a few things:
a) Healthcare capacity
A new pathogen will lead to extra strain on health services. Unless the health systems in place had capacity prior to the pandemic, then the additional burden will impact all diseases. The UK is a good example of this. All cause mortality = +1400 per week.
Read 12 tweets
8 Nov
▪️How to tell if a Covid-19 patient is deteriorating at home?
A cross-discipline team reviews the signs and symptoms to watch for.

(1/10)
Share pls.
2/10
The majority of Covid-19 resolves without event. Typical symptoms are similar to the cold or flu and tend to start improving after two or three days.
3/10
The public should exercise the same judgement for who and when to contact if concerned as they did prior to the pandemic.
[The British Thoracic Society CAP guidelines remain unchanged.]
Read 13 tweets
6 Nov
Why are so many willing to let the NHS go under?
I have found a lot of bad assumptions at the heart of those who want to see the NHS fail and a new system take its place. A few tweets to add to the debate..
#YourNHSNeedsYou
#SaveOurNHS
@NHSMillion
@EveryDoctorUK
Some argue that no health system has copied the NHS.
The reality is that most high-income countries have copied the NHS-model and have a very similar model. Few have however, managed to make healthcare provision the sole duty of the state...
Although in 2012, I believe this current government pushed through an amendment to make it NOT the responsibility of the Health Sec.
@JolyonMaugham
@ChrisCEOHopson
Read 11 tweets
4 Nov
More people will die this week from COVID-19 than died of FLU in the whole of 2019.
And just to be clear: if you are in hospital you will be tested for the flu. And excess deaths last week = 1400. That is, 1400 people are no longer here that would be here if we stopped behaving like spoiled children - gov and others included. Norway excess death = -6.
Ok. Just to be very very clear!!!

FLU and COVID are like Ghandi and Boris Johnson….yes, both human but one causes much more damage and destruction.

Thread explaining the ACTUAL facts!!!! Happy to answer any reasonable question
Read 4 tweets
4 Nov
#
When government policy is not evidence based and is not in the interest of the patient...we must speak out.

🧵
#YourNHSNeedsYou #FBNHS
@dgurdasani1 @trishgreenhalgh @doctor_oxford @theAliceRoberts @mikegalsworthy @YourNHS2021 @NHSMillion @docrussjackson @PeoplesNHS @NurseSayNO
As panic gripped a rudderless nation, worst-case scenarios were being projected and simulations cast doom over the healthcare service’s ability to cope, the relative unknown fatality of this new infection foraging the globe loomed over our heads.
It was March 2020, and within this culture of fear, speculation became an acceptable basis for decision-making. Fear of needing to ration became rationing itself; protecting the NHS became failing to protect the people, and government policy suddenly became 'clinical guidelines’
Read 13 tweets

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