2) Ask every American to test on Dec 25, 28, 31, Jan 3
3) Simultaneous mass severing of transmission chains can collapse outbreaks
@POTUS@PressSec I'm suggesting that US literally gives tests to all Americans & do so WITH A STRATEGY
No Insurance Reimbursements (this is public health, not medicine!)
Have a plan (I suggested a useful and doable one above) and get the tests out.
It will help curb spread
2/
And Before ppl say "Not enough supply, impossible"
It's not true.
We CAN have the supply
There are billions of rapid tests across the world.
A small fraction come to the US. Why? Bc our FDA places massive barriers, foregoing millions of data points collected globally.
3/
And, it doesn't have to be by Xmas
If you need more time, do it Mid-January. That's good too!!
The Virus cares about whether it's a holiday just about as much as tests care about symptoms (they don't... )
4/
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It conveys what I consider deadly beliefs. But it’s so representative of the thinking of very many citizens that I also think it’s good for many people to read - to gain understanding of how people are thinking - regardless of the data
2/
So I’m really on the fence. Perhaps it should be published w a warning on top. But that is a very slippery slope of censorship and Reenforcing divisions and information bubbles on both sides
3/
We have to be thinking of tests used for public health with population metrics:
If delay is 3 days to get results:
Then for every 2 infectious ppl detected, the wait time alone (6 person days of the person spreading while waiting) is equal to missing 1 full infection
2/
So the EFFECTIVE SENSITIVITY of a 3 day delayed PCR approaches only 50-60%
You miss ~half of the infectious days - even if you ultimately diagnose nearly everyone. But it is the infectious days averted that is important for public health. Not identifying ppl afterwards
3/
My goal is to say simply -
Focus on the science and the data and what we know of biology. Then message and create policy off that.
Yes we want everyone vax’d. But really we want everyone protected. With >50% of Americans exposed/infected… we should at least consider this…
2:
We absolutely do not want ppl to intentionally go out and get infected. But we also can’t reverse time. We know a majority of Americans have been infected. Given that protection is derived from infection - assuming you do OK through it - we should leverage that, not ignore it
I’ve been working w vax hesitant and anti vax groups for years BEFORE the pandemic
Blame and Shame has never, ever, been the appropriate tactic to change minds. This is a pandemic of a virus
Ppl are either scared or misinformed,
First thing is GAINING TRUST
1/
Shaming and blaming does the exact opposite of gaining trust.
We cannot overlook that we had and still have leaders who have confused the shit out of ppl. Scared them of vaccines. Told them over and over that the virus is not bad.