I agree with most of what Gregg says here, but it’s important to note that “popular opinion” is markedly different from the elite capture of Covid policy. If you don’t have an NBC gig, research program, tenure at Brown, a WH gig, etc. You probably support stronger public health.
We’ve got data coming out that suggests that, especially among Americans with chronic illnesses (which is around half the pop) Covid fatigue has increased but support for interventions has not decreased. People are tired. But they are also angry. And abandoned.
“Getting back to normal” is in the interest of a small group of people who either benefit from forcing people back into pre pandemic conditions with the virus still circulating, or supporting those who do.
And before folks accuse me of ad hominem or whatever- nah. Folks like @jfeldman_epi have documented the movement of these elite interests for years now. proteanmag.com/2022/03/22/mot…
I don’t think Gregg is pointing fingers at ordinary Americans, but that can be a side effect of “popular opinion”. And we should resist that as another dive into losing personal responsibility arguments in public health. This is systemic, it is institutional.
The CDC isn’t “responding” to reality, and neither are Jha, Wen, Oster, Leonhardt, etc. They’re shaping it. That’s a critical difference. And if popular opinion doesn’t match they’ll change it, hide it, ignore it, or suppress it.

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More from @neva9257

Jul 29, 2020
The best scenario is this is the scientifically literate version of homeopathy. These folks don't know if it works, and there's strong reasons to think it doesn't, and they aren't exactly keen to challenge this outside. So this is more about feeling in control than anything else.
(I know the best best version is that it is a safe and effective vaccine candidate, but the best best version is COVID can be cured by wishes and crystals, too. And I think they know this given this ASTONISHING agreement on their website.)
Read 7 tweets
Mar 18, 2020
A friend of a friend died today. They died not of #COVID19, but from the #COVID19 outbreak. (I won’t reveal who. People deserve their privacy.) #FlattenTheCurve
They died because they were already ill, and when they got worse they attempted to seek medical help. They couldn’t get any, & were redirected to insufficient telehealth services. The got worse, and when they were finally seen in an emergency setting, they couldn’t recover.
I’m not here to tell you social distancing is unjustified. I’m here to tell you that the current arrangement we have is unjust. It burdens—it can kill—the already sick, the disabled, the un and underemployed.
Read 12 tweets
Mar 12, 2020
My University “went virtual” as all the kids on Twitter are calling it. That is, they moved classes to online and prepared to send students home. This is how that went down, from the perspective of someone involved. #COVID19 #FlattenTheCurve [thread]
UML contacted me three weeks ago to weigh in, as the on-campus public health ethicist, to discussions around two emerging issues: travel restrictions and “academic continuity,” which is state employee-speak for getting classes online and sending students home.
I was the last person added; much of the work had been started. The list of players was long: the provost and vice-chancellor’s office; health system; emergency management; fin aid; student advocacy; housing; research and travel offices, and international student office.
Read 28 tweets
Jan 30, 2020
This is a question my class asked, and we interrogated about #nCoV2019 today. This is what we found—and bear in mind we’re talking primarily about consequentialism this week, so we’re still in that lane. Sorry to my Kantian and adjacent peeps ;-) [thread]
A quick problem with this view is that “freaking out early” doesn’t really track stopping things in their track. At least, by any realistic measure of most if not all health systems in the world. Diseases move faster than surveillance.
(If you want to fix that problem, get your friends to support government investment in healthcare. That goes wherever you are. Universal healthcare is a public health issue.)
Read 18 tweets
Jan 29, 2020
Last thing about #nCov2019 tonight. In response to a few questions there seems to be a bit of confusion on an issue that, as a dude who works on public health ethics, I take really seriously: the role of uncertainty in a situation like this one.

[Thread]
Public health authorities, in China and elsewhere, are operating under extreme conditions of uncertainty. They are having to make decisions based on that, and sometimes their decisions are going to bad ones.
I tend to think acts under uncertainty are quite ethically complicated, and how we treat uncertainty (and its distribution) is really fraught. But what I think most people can admit is that we shouldn't act as if the worst possible outcome is the one that WILL happen.
Read 10 tweets
Jan 29, 2020
Dude didn't own his last panic-mongering, now "fact checking" the Canadians based on a single case of questionable authenticity. There's NO authoritative evidence of asymptomatic transmission of #ncov2019.

There is, however, strong evidence of a grift on @CBCNews
Dr. Ding doesn't work on infectious disease. (1 paper on HIV/HepC). At best, he works on all-cause mortality. Most of his personal work covers drug policy and nutrition. Important work, but not relevant. He's inserting himself into #nCoV2019 on purpose. scholar.google.com/citations?user…
He's also drawing people into conspiracies about the origins of #ncov2019. You'll note he says "no conspiracies please," but then defaults to language and rhetoric familiar to anyone who studies conspiracy spreaders: the "just asking questions" and "not the whole story."
Read 6 tweets

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