RobWDW1971
Well-Known Member
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That being said, what is our appetite for both economic devastation and panic to slightly or
even moderately improve those situations?
Is it worth shutting down society, causing panic so that grocery stores are overwhelmed, and people are fighting over toilet paper? For the market to lose trillions of value, for hundreds of thousands if not millions to lose their jobs and financial stability?
Is all of that worth it so that hospitals are not temporarily overwhelmed and there isn't some collateral loss of lives due to lack of care?
Again, all "abundance of caution" has a price. We should be openly and clearly debating that price and what we are getting for it.
Don't disagree with any of that - the disease will overwhelm our medical facilities in the short term and more than likely cause every issue you raise.Thats what you don’t understand. The country would not just move on. The reason that having 500k die from cancer or 66k from drunk driving or whatever current disease you pick is an acceptable loss is because we know within a reasonable margin of error how many we have every year. For that reason we are prepared. We know how many ventilators we need. We know about how many nurses we need staffed.
The census of my ICU is reasonably stable. There are peaks and troughs and times when I can run out of beds for a period of time, But for the most part we have the equipment to handle the situations we are presented with 95 percent of the time. I know with a small margin of error how many admissions a year I will get to my ICU.
This is a brand new virus, of which about 20 percent require admission and around 10-8 percent become critically ill. The length of stay of these patients appears to be quite prolonged and can easily be 10-14 days at minimum. Longer if they end up on the vent in an ICU. Let’s say you just get 10 patients. They lock down 10 beds from 10-14 days. That is 100-140 patient days. A hospital can only absorb so much. This then trickles down to interruption of regular healthcare. Our hospital has already stopped elective procedures come Wed. In anticipation of the potential need to use the ORs for possible ICU use. You can run out of EMS staff as they are to busy transporting patients. They may not be able to respond to a car wreck or an emergency call as they are out on transport. Your regular PMD may not be available because he has been drafted to manage Covid patients because to many of the other doctors have been quarantined and are now sick.
Eventually if this disease becomes endemic there will be some innate immunity in the community. It will eventually become like the measles, chicken pox, HIV, TB, car wrecks, etc. In that we will be able to predict how many a year die and also adjust our hospital capacities accordingly. The issue is we don’t know what is going to happen, and with something like this where NO ONE has immunity it will crush our healthcare system if we don’t slow it down. The moment it overwhelms the system all aspects of life will be affected. Not just the old and dying.
That being said, what is our appetite for both economic devastation and panic to slightly or
even moderately improve those situations?
Is it worth shutting down society, causing panic so that grocery stores are overwhelmed, and people are fighting over toilet paper? For the market to lose trillions of value, for hundreds of thousands if not millions to lose their jobs and financial stability?
Is all of that worth it so that hospitals are not temporarily overwhelmed and there isn't some collateral loss of lives due to lack of care?
Again, all "abundance of caution" has a price. We should be openly and clearly debating that price and what we are getting for it.