We’ve never had the tools to even attempt to change the outcome of infectious diseases until recently, let alone a novel one doing is own adaptations, in all of human history. So since this is our first go at attempting anything like this, it will end the way all the previous ones have. The thing we have some ability to control is the damage. Lives lost, disabilities, functionality of our healthcare system. We never had the opportunity to worry about the preservation of last one before. ICU was the outcome of the challenges of Polio, we didn't start with it. And Polio existed before the 50s outbreak so there was some natural immunity. If we value healthcare, we have to not burden it.
If before, we were in a cart, careening down a hill on a curvy road hoping not to tip it over, what we have now are breaks. The buying time is still important because it gives us the ability to slow down and attempt to steer. To get us far enough down the hill that went we take our foot off the break, we won't speed up too fast again and tip over on the final curves. That's why I posted last week. We started at the top of the mountain with 100% population naïve, got down to 30% before Delta, 15ish% after Delta, Omicron will take out another chunk. Other countries have different numbers, but we're all getting closer to the zero end, we're not still hanging around the 100% end. We are getting off the steep mountain parts. The goal is to get us down the lower bound asymptote at a speed that doesn't overwhelm healthcare, same as it always was.
What we still have to learn is if there is enough inertia (breakthrough infection) that keeps us going up cresting smaller hills with occasionally fast descents (a bad COVID season). Way upthread I mentioned the Russian Flu, which there was some speculation might have been another coronavirus emergence. The significant outbreaks lasted 5 years (1889-1895). That was what the "let it rip" option meant. 5 years of increased disease burden during the winter months. Hospital care wasn't as integrated into people's lives so 5 years of interruption for that wouldn't be so devastating as it would be now. Everyone wants this over, but we still probably don't have the necessary tools (or will) to make it happen. We have introduced the option to have everyone run to FOP or ROTR at rope drop causing big problems with too many people, or to schedule FP (people take precautions to try to spread out how many people are sick on a given day or week).
The faster way available to us is vaccine mandates, but there is still too much resistance anywhere, because people think we can still just wait this out.