I.
Vox asks What Went Wrong With The Media’s Coronavirus Coverage? They conclude that the media needs to be better at “not just saying what we do know, but what we don’t know”. This raises some important questions. Like: how much ink and paper is there in the world? Are we sure it’s enough? But also: how do you become better at saying what you don’t know?
In case you’ve been hiding under a rock recently (honestly, valid) the media not only failed to adequately warn its readers about the epidemic, but actively mocked and condescended to anyone who did sound a warning. Real Clear Politics has a list of highlights. The Vox tweet saying “Is this going to be a deadly pandemic? No.” Washington Post telling us in February “Why we should be wary of an aggressive government reponse to coronavirus (it might “scapegoat marginalized populations”). The Daily Beast complaining that “coronavirus, with zero American fatalities, is dominating headlines, while the flu is the real threat”. The New York Times, weighing in with articles like “The pandemic panic” and “Who says it’s not safe to travel to China”. The constant attempts to attribute “alarmism” over the virus to anti-Chinese racism. Etc, etc, etc.
One way people have summed this up is that the media (and the experts they relied on) did a terrible job predicting what would happen. I think this lets them off too easy.
Prediction is very hard. Nate Silver is maybe the best political predicter alive, and he estimated a 29% chance of Trump winning just before Trump won. UPenn professor Philip Tetlock has spent decades identifying “superforecasters” and coming up with complicated algorithms for aggregating their predictions, developing a prediction infrastructure that beats top CIA analysts, but they estimated a 23% chance Britain would choose Brexit just before it happened. This isn’t intended to criticize Silver or Tetlock. I believe they’re operating at close to optimum – the best anyone could possibly do with the information that they had. But the world is full of noise, and tiny chance events can have outsized effects, and there are only so many polls you can scrutinize, and even geniuses can only do so well.
Predicting the coronavirus was equally hard, and the best institutions we had missed it. On February 20th, Tetlock’s superforecasters predicted only a 3% chance that there would be 200,000+ coronavirus cases a month later (there were). The stock market is a giant coordinated attempt to predict the economy, and it reached an all-time high on February 12, suggesting that analysts expected the economy to do great over the following few months. On February 20th it fell in a way that suggested a mild inconvenience to the economy, but it didn’t really start plummeting until mid-March – the same time the media finally got a clue. These aren’t empty suits on cable TV with no skin in the game. These are the best predictive institutions we have, and they got it wrong. I conclude that predicting the scale of coronavirus in mid-February – the time when we could have done something about it – was really hard.
I don’t like this conclusion. But I have to ask myself – if it was so easy, why didn’t I do it? It’s easy to look back and say “yeah, I always secretly knew it would be pretty bad”. I did a few things right – I started prepping half-heartedly in mid-February, I recommended my readers prep in early March, I never criticized others for being alarmist. Overall I give myself a solid B-. But if it was so easy, why didn’t I post “Hey everyone, I officially predict the coronavirus will be a nightmarish worldwide pandemic” two months ago? It wouldn’t have helped anything, but I would have had bragging rights forever. For that matter, why didn’t you post this – on Facebook, on Twitter, on the comments here? You could have gone down in legend, alongside Travis W. Fisher, for making a single tweet. Since you didn’t do that (aside from the handful of you who did – we love you, Balaji) I conclude that predicting it was hard, even for smart and well-intentioned people like yourselves.
Does that mean we can’t put everyone’s heads on spikes outside the Capitol Building as a warning for future generations? I would be very disappointed if it meant that. I think we can still put heads on spikes. We just have to do it for more subtle, better-thought-out reasons.
II.
I used to run user surveys for a forum on probabilistic reasoning…
(I promise this will become relevant soon)
A surprising number of these people had signed up for cryonics – the thing where they freeze your brain after you die, in case the future invents a way to resurrect frozen brains. Lots of people mocked us for this – “if you’re so good at probabilistic reasoning, how can you believe something so implausible?” I was curious about this myself, so I put some questions on one of the surveys.
The results were pretty strange. Frequent users of the forum (many of whom had pre-paid for brain freezing) said they estimated there was a 12% chance the process would work and they’d get resurrected. A control group with no interest in cryonics estimated a 15% chance. The people who were doing it were no more optimistic than the people who weren’t. What gives?
I think they were actually good at probabilistic reasoning. The control group said “15%? That’s less than 50%, which means cryonics probably won’t work, which means I shouldn’t sign up for it.” The frequent user group said “A 12% chance of eternal life for the cost of a freezer? Sounds like a good deal!”
There are a lot of potential objections and complications – for one thing, maybe both those numbers are much too high. You can read more here and here. But overall I learned something really important from this.
Making decisions is about more than just having certain beliefs. It’s also about how you act on them.
III.
A few weeks ago, I wrote a blog post on face masks. It reviewed the evidence and found that they probably helped prevent the spread of disease. Then it asked: how did the WHO, CDC, etc get this so wrong?
I went into it thinking they’d lied to us, hoping to prevent hoarders from buying up so many masks that there weren’t enough for health workers. Turns out that’s not true. The CDC has been singing the same tune for the past ten years. Swine flu, don’t wear masks. SARS, don’t wear masks. They’ve been really consistent on this point. But why?
If you really want to understand what happened, don’t read any studies about face masks or pandemics. Read Smith & Pell (2003), Parachute Use To Prevent Death And Major Trauma Related To Gravitational Challenge: Systematic Review Of Randomized Controlled Trials. It’s an article in the British Journal Of Medicine pointing out that there have never been any good studies proving that parachutes are helpful when jumping out of a plane, so they fail to meet the normal standards of evidence-based medicine. From the Discussion section:
It is a truth universally acknowledged that a medical intervention justified by observational data must be in want of verification through a randomised controlled trial. Observational studies have been tainted by accusations of data dredging, confounding, and bias. For example, observational studies showed lower rates of ischaemic heart disease among women using hormone replacement therapy, and these data were interpreted as advocating hormone replacement for healthy women, women with established ischaemic heart disease, and women with risk factors for ischaemic heart disease. However, randomised controlled trials showed that hormone replacement therapy actually increased the risk of ischaemic heart disease, indicating that the apparent protective effects seen in observational studies were due to bias. Cases such as this one show that medical interventions based solely on observational data should be carefully scrutinised, and the parachute is no exception.
Of course this is a joke. It’s in the all-joke holiday edition of BMJ, and everyone involved knew exactly what they were doing. But the joke is funny because it points at something true. It’s biting social commentary. Doctors will not admit any treatment could possibly be good until it has a lot of randomized controlled trials behind it, common sense be damned. This didn’t come out of nowhere. They’ve been burned lots of times before by thinking they were applying common sense and getting things really wrong. And after your mistakes kill a few thousand people you start getting really paranoid and careful. And there are so many quacks who can spout off some “common sense” explanation for why their vitamin-infused bleach or colloidal silver should work that doctors have just become immune to that kind of bullshit. Multiple good RCTs or it didn’t happen. Given the history I think this is a defensible choice, and if you are tempted to condemn it you may find this story about bone marrow transplants enlightening.
But you can take this too far. After highlighting the lack of parachute RCTs, the paper continues:
Only two options exist. The first is that we accept that, under exceptional circumstances, common sense might be applied when considering the potential risks and benefits of interventions. The second is that we continue our quest for the holy grail of exclusively evidence based interventions and preclude parachute use outside the context of a properly conducted trial. The dependency we have created in our population may make recruitment of the unenlightened masses to such a trial difficult. If so, we feel assured that those who advocate evidence based medicine and criticise use of interventions that lack an evidence base will not hesitate to demonstrate their commitment by volunteering for a double blind, randomised, placebo controlled, crossover trial.
Did you follow that? For a good parachute RCT, half the subjects would have to jump out of a plane wearing a placebo parachute. The authors suggest maybe we enlist doctors who insist too stringently on RCTs over common sense for this dubious honor.
(good news, though, a parachute RCT did eventually get done)
Sometimes good humor is a little too on the nose, like those Onion articles that come true a few years later. The real medical consensus on face masks came from pretty much the same process as the fake medical consensus on parachutes. Common sense said that they worked. But there weren’t many good RCTs. We couldn’t do more, because it would have been unethical to deliberately expose face-mask-less people to disease. In the end, all we had were some mediocre trials of slightly different things that we had to extrapolate out of range.
Just like the legal term for “not proven guilty beyond a reasonable doubt” is “not guilty”, the medical term for “not proven to work in several gold-standard randomized controlled trials” is “it doesn’t work” (and don’t get me started on “no evidence”). So the CDC said masks didn’t work.
Going back to our diagram:
Goofus started with the position that masks, being a new idea, needed incontrovertible proof. When the few studies that appeared weren’t incontrovertible enough, he concluded that people shouldn’t wear masks.
Gallant would have recognized the uncertainty – based on the studies we can’t be 100% sure masks definitely work for this particular condition – and done a cost-benefit analysis. Common sensically, it seems like masks probably should work. The existing evidence for masks is highly suggestive, even if it’s not utter proof. Maybe 80% chance they work, something like that? If you can buy an 80% chance of stopping a deadly pandemic for the cost of having to wear some silly cloth over your face, probably that’s a good deal. Even though regular medicine has good reasons for being as conservative as it is, during a crisis you have to be able to think on your feet.
IV.
But getting back to the media:
Their main excuse is that they were just relaying expert opinion – the sort of things the WHO and CDC and top epidemiologists were saying. I believe them. People on Twitter howl and gnash their teeth at this, asking why the press didn’t fact-check or challenge those experts. But I’m not sure I want to institute a custom of journalists challenging experts. Journalist Johann Hari decided to take it upon himself to challenge psychiatric experts, and wrote a serious of terrible articles and a terrible book saying they were wrong about everything. I am a psychiatrist and I can tell you he is so wrong that it is physically painful to read his stuff (though of course I would say that…). Most journalists stick to assuming the experts know more about their subject of expertise than they do, and I think this is wise. The role of science journalists is to primarily to relay, explain, give context to the opinions of experts, not to try to out-medicine the doctors. So I think this is a good excuse.
But I would ask this of any journalist who pleads that they were just relaying and providing context for expert opinions: what was the experts’ percent confidence in their position?
I am so serious about this. What fact could possibly be more relevant? What context could it possibly be more important to give? I’m not saying you need to have put a number in your articles, maybe your readers don’t go for that. But were you working off of one? Did this question even occur to you?
Nate Silver said there was a 29% chance Trump would win. Most people interpreted that as “Trump probably won’t win” and got shocked when he did. What was the percent attached to your “coronavirus probably won’t be a disaster” prediction? Was it also 29%? 20%? 10%? Are you sure you want to go lower than 10%? Wuhan was already under total lockdown, they didn’t even have space to bury all the bodies, and you’re saying that there was less than 10% odds that it would be a problem anywhere else? I hear people say there’s a 12 – 15% chance that future civilizations will resurrect your frozen brain, surely the risk of coronavirus was higher than that?
And if the risk was 10%, shouldn’t that have been the headline. “TEN PERCENT CHANCE THAT THERE IS ABOUT TO BE A PANDEMIC THAT DEVASTATES THE GLOBAL ECONOMY, KILLS HUNDREDS OF THOUSANDS OF PEOPLE, AND PREVENTS YOU FROM LEAVING YOUR HOUSE FOR MONTHS”? Isn’t that a better headline than Coronavirus panic sells as alarmist information spreads on social media? But that’s the headline you could have written if your odds were ten percent!
So:
I think people acted like Goofus again.
People were presented with a new idea: a global pandemic might arise and change everything. They waited for proof. The proof didn’t arise, at least at first. I remember hearing people say things like “there’s no reason for panic, there are currently only ten cases in the US”. This should sound like “there’s no reason to panic, the asteroid heading for Earth is still several weeks away”. The only way I can make sense of it is through a mindset where you are not allowed to entertain an idea until you have proof of it. Nobody had incontrovertible evidence that coronavirus was going to be a disaster, so until someone does, you default to the null hypothesis that it won’t be.
Gallant wouldn’t have waited for proof. He would have checked prediction markets and asked top experts for probabilistic judgments. If he heard numbers like 10 or 20 percent, he would have done a cost-benefit analysis and found that putting some tough measures into place, like quarantine and social distancing, would be worthwhile if they had a 10 or 20 percent chance of averting catastrophe.
V.
This is at risk of getting too depressing, so I want to focus on some people who deserve recognition for especially good responses.
First, a bunch of generic smart people on Twitter who got things exactly right – there are too many of these people to name, but Scott Aaronson highlights “Bill Gates, Balaji Srinivasan, Paul Graham, Greg Cochran, Robin Hanson, Sarah Constantin, Eliezer Yudkowsky, and Nicholas Christakis.” None of these people (except Greg Cochran) are domain experts, and none of them (except Greg Cochran) have creepy oracular powers. So how could they have beaten the experts? Haven’t we been told a million times that generic intelligence is no match for deep domain knowledge?
I think the answer is: they didn’t beat the experts in epidemiology. Whatever probability of pandemic the experts and prediction markets gave for coronavirus getting really bad, these people didn’t necessarily give a higher probability. They were just better at probabilistic reasoning, so they had different reactions to the same number. There’s no reason generic why smart people shouldn’t be better at probabilistic reasoning then epidemiologists. In fact, this seems exactly like the sort of thing generic smart people might be.
Zeynep Tufekci is an even clearer example. She’s a sociologist and journalist who was writing about how it was “our civic duty” to prepare for coronavirus as early as February. She was also the first mainstream media figure to spread the word that masks were probably helpful.
Totally at random today, reading a blog post on the Mongol Empire like all normal people do during a crisis, I stumbled across a different reference to Zeynep. In a 2014 article, she was sounding a warning about the Ebola pandemic that was going on at the time. She was saying the exact same things everyone is saying now – global institutions are failing, nobody understands exponential growth, travel restrictions could work early but won’t be enough if it breaks out. She quoted a CDC prediction that there could be a million cases by the end of 2014. “Let that sink in,” she wrote. “A million Ebola victims in just a few months.”
In fact, this didn’t happen. There were only about 30,000 cases. The virus never really made it out of Liberia, Sierra Leone, and Guinea.
I don’t count this as a failed prediction on Zeynep’s part. First of all, because it could have been precisely because of people like her sounding the alarm that the epidemic was successfully contained. But more important, it wasn’t really a prediction at all. Her point wasn’t that she definitely knew this Ebola pandemic was the one that would be really bad. Her point was that it might be, so we needed to prepare. She said the same thing when the coronavirus was just starting. If this were a game, her batting average would be 50%, but that’s the wrong framework.
Zeynep Tufecki is admirable. But her admirable skill isn’t looking at various epidemics and successfully predicting which ones will be bad and which ones will fizzle out. She can’t do that any better than anyone else. Her superpower is her ability to treat something as important even before she has incontrovertible evidence that it has to be.
And finally, Kelsey Piper. She wrote a February 6th article saying:
The coronavirus killed fewer people than the flu did in January. But it might kill more in February — and unlike the flu, its scope and effects are poorly understood and hard to guess at. The Chinese National Health Commission reports 24,324 cases, including 3,887 new ones today. There are some indications that these numbers understate the situation, as overwhelmed hospitals in Wuhan only have the resources to test the most severe cases. As of Tuesday, 171,329 people are under medical observation because they’ve had close contact with a confirmed case.
It is unclear whether China will be able to get the outbreak under control or whether it will cause a series of epidemics throughout the country. It’s also unclear whether other countries — especially those with weak health systems — will be able to quickly identify any cases in their country and avoid Wuhan-scale outbreaks.
The point is, it’s simply too soon to assert we’ll do well on both those fronts — and if we fail, then the coronavirus death toll could well climb up into the tens of thousands. It also remains to be seen if vaccines or effective antiviral treatments will be developed. That’s just far too much uncertainty to assure people that they have nothing to worry about. And misleadingly assuring people that there’s nothing to worry about can end up doing harm.
“Instead of deriding people’s fears about the Wuhan coronavirus,” Sandman, the communications expert, writes, “I would advise officials and reporters to focus more on the high likelihood that things will get worse and the not-so-small possibility that they will get much worse.”
She concluded that “the Wuhan coronavirus likely won’t be a nightmare pandemic, but that scenario is still in play”, and followed it up with an article urging people to prepare by buying essential food and supplies.
If we interpret her “likely won’t be a nightmare pandemic” sentence as a prediction, she got the prediction wrong. Like Zeynep, she has no special ability to predict whether any given disease will end in global disaster. But that didn’t matter! She gave exactly the correct advice to institutions (prepare for a worst-case scenario, stop telling people not to panic) and exactly the correct advice to individuals (start prepping). When you’re good enough at handling uncertainty, getting your predictions exactly right becomes almost superfluous.
The Vox article says the media needs to “say what it doesn’t know”. I agree with this up to a point. But they can’t let this turn into a muddled message of “oh, who knows anything, whatever”. Uncertainty about the world doesn’t imply uncertainty about the best course of action! Within the range of uncertainty that we had about the coronavirus this February, an article that acknowledged that uncertainty wouldn’t have looked like “We’re not sure how this will develop, so we don’t know whether you should stop large gatherings or not”. It would have looked like “We’re not sure how this will develop, so you should definitely stop large gatherings.”
I worry that the people who refused to worry about coronavirus until too late thought they were “being careful” and “avoiding overconfidence”. And I worry the lesson they’ll take away from this is to be more careful, and avoid overconfidence even more strongly.
Experts should think along these lines when making their recommendations, but if they don’t, the press should think along them as part of its work of putting expert recommendations in context. I think Kelsey’s article provides an shining example of what this should look like.
Maybe other people got this right too. I’m singling out Kelsey because of a personal connection – I met her through the same probabilistic reasoning forum where I did my cryonics survey years ago. I don’t think this is a coincidence.
[Related: Book Review: The Precipice; Two Kinds Of Caution]
The “probability” of the pandemic seems weird to me as a meaningful prediction. I think it would make more sense to phrase the prediction as a “death estimate” (pretty dark, i know), with a confidence interval. This makes more sense and is much easier to operate with, because it instantly “means” something: a very clear cost prediction.
The confidence interval must have been huge in the beginning, so the prediction is basically irrelevant. Looking back at the previous ~10 pandemics that never were (SARS, MERS, Ebola, all the H1 & friends), the initial estimate back in early February, even for the most pessimistic would have been something like: 1 million dead! (95% confidence: 1000 to 10 million) – I’m making up these numbers to illustrate the point.
The low bound of the interval is so low because in most of the previous cases we saw small numbers of fatalities (thus, for the outcome of those to fit into “95% of the observed outcomes”, the interval must stretch). For what it’s worth, I think this fact fully explains the media coverage at the time.
So, what do you plug into the cost-benefit analysis? As a cost-averse government, given the estimate above, I imagine you go for something close to the lowest bound and decide it’s worth investing in developing a test for this and then you wait.
As thing evolve, again, the precise estimate is not that important. It’s the size of the confidence interval that encodes information relevant to decision making. Towards mid-March the interval had narrowed considerably, and the low-bound was in the 100,000s. Plugging that into the analysis made higher costs acceptable. Mind you, by this time the media was also fully onboard. But obviously, that was “too late”.
The takeaway then would be, that at the early stages of such events, there is no meaningful information. The estimate of number of dead is a mirage, because the confidence interval is just huge. Thus, no decision can be based on this estimate.
The only point I want to make in all these calculations, probabilities is: Epidemiology is hardcore science, and science only follows facts, not opinions or beliefs. I’m pretty sure no emergency preparedness or epidemiology class teaches to first calculate the probability if anyone can be infected or die…..and let the situation gets out of hands. CDC knew the viral genome sequence since January 2020, they couldn’t even develop a screening kit. This also after they have seen SARS, MERS, H7N9 avian flu. The travelers were being monitored on the basis of flu symptoms. How bizarre is that? They didn’t even think of carriers. What if this virus was being transmitted during the incubation phase? Now we know both of those scenarios came to pass.
Low risk, no fatalities, low infection rate? of course, CDC didn’t test anyone until March so yes let’s just show the data. Look, “this virus is no match for us.”
This is how unbelievable this is: A new virus breaks out in China, they reported as pneumonia-like symptoms, what does that tell anyone? Hint: Airborne. CDC responds: Really? Oh please don’t wear any masks they are only a fashion statement. How can a mask prevent the droplets from a sneeze or cough…
Regarding the reporters, again who were they talking to for information?
In 2018, John Hopkins published a report specifically saying “We need to get serious about respiratory viruses”. Here is the predictions they made from thoroughly reviewing literature and following ALL Scientific steps that are laid out:
The report found that, in addition to being airborne, a pathogen with the potential to cause a global pandemic disaster would likely have the following traits:
“It would be contagious during the “incubation period,” before people show any symptoms, or when people have only mild symptoms.
It would be a microbe that most people are not immune to, so there would be a large population of susceptible human hosts.
It wouldn’t have an existing treatment or prevention method.
It would have a “low but significant” fatality rate.”
I copied the above imp points from that report. So, the 2018 report and CDC in 2020 still didn’t know what to do? They could have just read this report and made a plan. There is only one way you take care of this kind of epidemic, and that is with hardcore science and you stick to the facts: you screen, trace, isolate, treat, Repeat.
It seems everyone wanted to follow wishful thinking but this is what I call is being a ‘pigeon’. That’s the only bird who closes his eyes when he sees a cat. He thinks if he can’t see the cat, she can’t either and gets eaten.
We have an opportunity to remedy this right now. Look at the way the media is interpreting the antibody studies coming out of Santa Clara and New York.
If I had to ask myself what is the actual confidence that the antibody studies’ initial conclusions are valid, I would say that they are in the ballpark of 10%.
We should take as much stock in them as the chloroquine results. Or we should look at some common sense mis-matches between the studies and reality, and suggest that they might be off by a factor of 10. (The studies are definitely not accurate, because the infection death rate would be higher than the un-infected death rate, which should be impossible).
I really enjoyed the framework Goofus/Gallant, but regarding expert opinion, I still find myself a little confused about the best way to move forward (or who to raise in status, who to lower).
Regarding face masks: the CDC changed its mind, suggesting either (1) someone has incontrovertible (or at least overwhelming) proof that masks work, or (2) the CDC is more Gallant than you give it credit
And on the flip side, a lot of the Gallants around face masks (who are now claiming “I told you so”) point to the CDC’s flip/flop as if that provides additional support for the underlying fact of whether masks work, suggesting (1) they think the CDC found new data supporting masks, or (2) the Gallants of the world are more Goofus than you give them credit for (in the flip side, of treating things as true, as long as there isn’t incontrovertible evidence suggesting otherwise)
It’s possible that there is no change in the data, but people were looking for something to do, lots of them wanted to wear masks, so the CDC got ahead of the crowd and said “wear masks.”
I’m in the “wear masks” crowd.
This is going to sound like it’s coming out of left field, because it is. While reading this, I couldn’t help feeling confronted by my own statements that I’ve made recently.
For instance, I argued to my pizzagate-believing brother that it is irresponsible to say that John Podesta is a pedophile satanist Illuminati member, because in my view the evidence is not strong enough for it to be true. Before even entertaining the notion, I asked for incontrovertible proof that there is a subgroup of humanity that controls anyone with any large amount of influence, practices Satanic rituals, and abuses children.
Even if I would put the probability of the theory being correct at extremely very low, if it is true, the consequences for how I ought to change my life are equally extremely very high. Reading this post, I am more unsure than before how to combat the kind of reasoning that are used by conspiracy theorists, because it would seem to advocate against rejection of a theory based on its improbability alone, instead advocating for a cost-benefit analysis.
But I don’t really know how to apply a cost-benefit analysis to a black swan, even less for one that I consider to be basically insane to believe in.
If I endeavor to bring this back to the cost/benefit of coronavirus predictions, I can’t help but wonder if people in the media really got it so wrong? What would have been the consequences if they predicted a pandemic, advocated a nationwide lockdown, and been wrong? If we had shut down the major part of the economy over the Ebola outbreak in 2014, the consequences would have been devastating and we would have been wrong to do so.
Even when applying probabilistic reasoning, it seems to me that there is a small probability of occurence with a very high downside for being wrong on either side of the prediction. Further, it is not obvious to me that we aren’t just living in the wake of a black swan and praising the people for being right when they’ll be wrong on all future calls.
All that said, I agree that reporting confidence is a better tack than making a call in the first place.
See also, the French health minister who prepared assiduously for H1N1 only to get ruthlessly mocked work when the flu turned out to be milder than expected. In politics, doing the right thing at the wrong time can be just as dangerous as doing the wrong thing.
So, I predicted it. I made money off of this; I shorted oil, traded on volatility, etc.
But I didn’t write it anywhere when I was doing this. Why? Because I wanted to be *reassuring*. I eventually told my closest friends, but much, much later than I personally knew it was happening myself – I wrote a guide on prepping for a pandemic in early February but didn’t share it on Facebook until Italy suffered its first food shortages (late Feb). Even my own parents lost tons on the stock market – I told them what I was doing, but I didn’t go so far to make strong recommendations to tell telling them to sell.
I think where I *failed* was I wanted to be reassuring to people. I didn’t want to worry them. This, in retrospect, was a mistake. I didn’t want to hurt them, when the real hurt was coming, and by hurting them now I could save them hurt later.
The interesting thing is as I was recognising this in myself, I recognised it in others – I have a few friends who are doctors and they both said reassuring things about the capacity of the hospital they work at.
It’s hard to understand why some comments get responses and others don’t. I didn’t respond because I didn’t have any particular expertise or insight. Maybe others felt the same, or maybe it just dropped through the cracks. In any case, don’t be too discouraged. It was a good comment, please keep posting.
+1.
Also, a lot of the discussion moved onto other threads.
One aspect that’s being ignored is the difficulty of dealing with uncertainty correctly if you respond quickly to new, unusual information. The problem is that your mechanism for reasoning has to be resistant to deceit on the part of people who are giving you information. People can extract vast resources out of the populace if they can convince the populace that there is a large risk, and so — if this can be done easily — there’s a huge incentive to manufacture false evidence. So there’s a strong “evolutionary” incentive to be very skeptical of risks of which one hasn’t received evidence from many independent sources, spread over a long period of time.
(I might note that the two most popular religious systems in the world are, fundamentally, to protect people from the risk of Hellfire.)
Also, all real questions are not, What is true? but, What should I do?, or rather, What do I think we should do? And that depends a great deal on the personal costs and benefits of alternative courses of action. E.g., as a high-tech worker, I can perform at approximately 100% working from home, and I have no fear that my paycheck or employer is endangered. So a state-wide lockdown has low costs for me. But if I was a restaurant worker, my cost-benefit analysis would be more biased against a lockdown. And if I was a restaurant owner, I would be extremely biased against a lockdown, and consider that a 6% risk of death was preferable to a 90% risk of losing everything I had worked my whole life for.
Let’s also add that a plague that kills a random 6% of the populace (the highest estimate I’ve heard for Covid) has no evolutionary consequences. More subtly, a plague that hits other demographics harder than your own is an evolutionary benefit.
In regard to prediction, I remember precisely when I started to worry: On a Monday in early March, I saw the phrase “doubling time of six days”. At that point, I didn’t expect any effective society-wide actions and started thinking of how I could remain completely in my home for a month (as the last month would contain over 90% of the risk). Little did I know then that six days was a drastic over-estimate of the doubling time.
This inspired me to look back at my Twitter to see when I first posted something about coronavirus, which turns out to be Feb 15. In retrospect, I definitely let the popular sense (and media/government claims) that it was unlikely to spread significantly in the US drown out the pretty real worry I had at the time.
I tend to be very, very pessimistic to the point of maybe catastrophizing a lot of things, so it’s easy for me to second-guess my predictions if they are pessimistic like that…
A lot of people edged up to this, but the problem here is expert vs authority. The WHO and the CDC downplayed things, but epidemiologists who weren’t censored by political organizations generally got things right.
The most disturbing example is Scott Gottlieb, Trump’s first and longest-serving FDA commissioner. He got everything right and tweeted about what the FDA should do.
Was it just bad luck that he wasn’t still in charge? Or was there some substantial reason that outsiders do better?
1. If he had still be in charge, would being in a bureaucracy have hobbled him? Maybe it would have been hard to speed up vaccine trials, but it seems like it should have been easy to force it to open the floodgates on LDT, rather than shutting them down with EUA.
2. Does power corrupt?
3. Was he pushed out for reasons related to his getting things right? 3a Did he rub Trump the wrong way? 3b Did his fights with the bureaucracy burn him out?
I do really continue to see no evidence that the FDA bureaucracy can be tamed. And I do think the BOP is on someone to demonstrate it, because its a very bold claim from my POV
But that’s preposterous. We have a whole field devoted to making inferences from observational studies. In economics that’s, to a high degree, the only kind of studies you can do, and people get Nobel prizes and shape policies of countries and NGOs based on them.
You’re not inspiring the confidence you think you are.
I’m not sure he intended to inspire confidence.
Climatology is also an observational field. The arguments for climate change and predictions of its effects are based on observational data. Nobody has done a controlled experiment with multiple planets, varying the CO2 output.
There is a body of experimental data — physics — underlying it, but that’s true of medical conclusions based on observational data as well.
From NN Taleb:
Also…
Second-hand quotes from here.
I don’t buy the “the media was just parroting experts line”. I think the media has been VERY selective on which experts they listened to. Some things, like politics, are really complicated feedback systems that are difficult to predict, and hard to reduce to numbers. I want to argue that infectious disease is a bit easier to predict, breaks down to numbers quite well, and that the media could have done better by actually just listening to a fair sample of actual experts.
I believe this mostly due to my personal anecdote: in this case, my uncle IS the media. He is a reporter for the New York Times, and his specialty has been infectious disease his entire career. He was the primary correspondent for the NYT reporting on AIDS, SARS, Zika, and Ebola as they were happening. If you are an NYT reader you’ve read his stuff lately because he’s been all over the place. He tells me that he first dug into the numbers for the virus in mid-January, and his immediate conclusion was “this WILL go pandemic. It’s practically unavoidable”. His editors would not let him publish that, because it was too alarmist. He proceeded to go around presenting every epidemiologist he could find with his analysis, and asking for their opinion. 11 out of the 13 he contacted in the following two weeks agreed. It still took some time to get the Times on board. I believe the first thing he was able to get out were part of the Daily podcast. I realize this is all an anecdote, but it makes it hard for me to believe that this was something nobody could have foreseen, especially by January. I think there’s a difficult problem in journalism of hooking yourself up to actual experts and listening to them, and there’s probably something systemic to learn here.
A rational way to deal with decision-making under uncertainty, is to follow procedures aimed at gradually reducing the degree of uncertainty.
One of the many things we do not know about the present pandemic is how effective lockdowns really are in limiting the spread of covid-19, and/or how effective they are in bringing down death rates (relative to a situation with no lockdowns).
A suggestion in this regard is to randomize the easing of lockdowns. Randomize which municipalities/areas that first open schools, and/or kindergartens, and/or something else. And then observe what happens.
It is a policy proposal discussed in the Nordic countries (except in Sweden which does not practice any lockdowns), but it is a procedure that can be followed in all countries that presently have lockdowns in place, and now contemplate gradually lifting them.
I think you need extensive testing in both your treatment and control cities, in order to quickly figure out how that’s working out. Without that, I think you might have community spread with little visible signal in hospital statistics for a month or so, until you have a big number of people who’ve been infected and spent a couple weeks going from nasty cold to flu to pneumonia and turned up at the hospital.
One way I can imagine this being done is to select a set of likely high-exposure people and then test them once a week, and see if you can see a difference between cities this way. But I’m not sure how well this would work in practice.
Thank you for writing this.
I mostly follow SSC for fun and leisure, but occasionally there will be a post that is extremely personally useful to me. This is one of those.
I’m 23 years old and Israeli, and I work in the defense establishment (details unavailable for very obvious reasons). As usual in Israel, all crises end up being handled with a great deal of help from the military. One of the really unique things Israel has done during the crisis is that we’ve set up a lot of research groups that advise policy makers, and staffed them with analysts from the army and defense ministry. My colleagues and I have been working on this thing around the clock for about a month and a half straight with no weekends, holidays or time to sleep.
Other countries find this strange for a whole lot of reasons. So does our health ministry. A large part of the weirdness is that a lot of the people involved are very young (early twenties or sometimes younger) and have little to no domain expertise in epidemiology, virology or medicine in general. As you might imagine, this can cause communication problems, and some of us have had a hard time explaining how the hell we’ve ended up in positions that we’re in.
This post explains why. Doctors are great at understanding viruses, vaccines, tests, patients and most other details of the pandemic. (At any rate, they’re definitely better than I am.) But most of them don’t know how to make policy decisions under uncertainty, or how to do research that balances between “precise and methodical” and “get it done yesterday, I don’t care if it’s quick and dirty”. Both of those things are exactly what military operations researchers, intelligence analysts, staff officers and generals do for a living. It’s what my friends and I do for a living.
And we’re good at it – IDF analysts notified the government about the risk of a pandemic back in December. Not that the government acted on it then, but they did get moving faster than Europe/the US so I’m giving them a solid B-. IIRC, the CIA also warned the US government around December or January, and I’m assuming they succeeded for the same reasons (being good at their jobs) and also failed for the same reasons (government being bad at making decisions).
(Side note: if any young Israelis are reading this – being an analyst of any flavor in the IDF is a fantastic opportunity to essentially become a professional rationalist. If you can aim at any of those positions, do it. Or let me know, and we can discuss it in more detail.)
When you’re fighting wars you make decisions under uncertainty – or people die. And it turns out that the same is true of pandemics. I have been trying to explain this to doctors for six weeks, but now I’m just going to quote this post instead. So, thanks.
Israel, probably more than any other nation, has had to deal with how to track “giant list of low-probability-but-potentially-disastrous” over its entire history.
Will we have the same soul searching should the balance of probability become overwhelming that the virus emerged from the Wuhan Lab?
https://project-evidence.github.io/
99.9% probable.
A tragic accident.
(And a cynical cover up).
It was always too OR.
Looking at this probabilistically I have a death rate of 0.4%. Seems pretty low and nothing to worry about. What’s all the fuzz here?
And if I look at all these older people with a death rate of 15% roaming around unconcerned, my guess is for them 15% probability of dying seems a risk worth taking.
So the question is not about how bad COVID-19 will be (for me) but is the health care system able to handle it?
I don’t get why this is such a big post like isn’t it common sense? In Jan I saw China closed down an entire fricking city, of course no one does that unless they really, really need to. Unless you think an their entire government is stupid, that should be a really strong sign that things are serious. And the only mitigation I had to take as an individual was to go out less, wear a mask and make free money on shorts so yeah duh… its like probability of being right is one thing but the cost of action is important too – if it costs almost nothing, and it could be worth a lot.. just do it.
I feel like more people don’t understand this because its presented in a high brow manner in 10 paragraphs when its really a few sentences worth of common sense.
The government/media/institutions have other incentives – they prefer to treat people like babies so as “not to cause panic”, and they have to weight the cost of closing down the economy and looking like fools vs. being right, so they always react late.
The U.S. is doing that for most of the cities in the country, and you can find lots of people right here on SSC who deny that they really, really need to. I’m not one of them, but it seems like that means there is a step missing.
A failure of Bayesian reasoning….
Can I post the facebook old ladies meme?
Fascinating as always. Thank you! Curious when you will write an article about how we should balance the risks of coronavirus with the risk of a Great Depression greater in magnitude than we’ve ever faced before.
There seem to be different numbers that are relevant when discussing asymptomatic carriers. 1. The percent of infectious people who are currently showing no symptoms. This seems to be 25%-60%. 2. The percent of infected people who will never show any symptoms. I am unclear what this number is.
The difference seems to me to be very important. In a place instituting heavy shelter-in-place, someone who is obeying all guidelines may come down with symptoms, get tested, test positive, and be able to identify all 3 people from outside their home that they came into contact with in the past 2 weeks (an emergency plumber, etc.). There is some hope of contract tracing. Whereas if a person is never symptomatic, they will not get tested, and contact tracing becomes virtually impossible.
We can catch the asymptomatic people from the other end.
If my son is completely asymptomatic, and gives it to me, contact tracing will lead to him being tested, found to be positive, and them he gets contact traced.
True, we’d rather be able to tell one step earlier. But it’s still something.
If person A is asymptomatic, infects person B who is asymptomatic, who then infects person C who eventually becomes symptomatic, then by the time you test B, A is long gone (and probably tests negative).
I think there is a substantial fraction of cases where the person never realizes they’re sick. This has included people in apparently high-risk groups–there was a news story I read the other day including an 80-year-old man whose family had gotten sick, he’d tested positive for the virus, but never felt any symptoms at all.
In at least one case, that wasn’t really true: That infamous “No handshakes, please” article was written after the WHO had already declared a global public health emergency and an important Mayo Clinic person said it was “basically a pandemic now”. Actually, from what I remember of reading epidemiologists, basically all of the ones I remember commenting were saying “shit could totally get real” back when the media was saying “calm down, the flu is worse”. (Note that Vox interviewed an “infectious disease physician”, maybe not an epidemiologist, in their infamous article. Based on real world experience interviewing many credentialed professionals on their technical knowledge, I find it totally plausible that this guy took one epidemiology course in college and only has a fuzzy memory of what R0 means. But you probably already noticed how docs like to speak confidently on anything and everything. A perfect match for the journalist who loves a feeling of smug certainty.)
Speaking for myself, I started bulk buying food on Amazon right around Feb 1. My reasoning for early concern was something like:
* I looked online and the disease seemed to fit the profile of a deadly pandemic. Asymptomatic spread seemed especially concerning. I didn’t see any convincing argument for why it shouldn’t be a disaster.
* China was locking places down. I have a great deal respect for the PRC government from Deng Xiaoping onwards. (In terms of their competence, not necessarily their ethics.) Even before this entire business, I’d occasionally been thinking things like “China is gonna kick America’s butt” and “it’s too bad they won’t let me become a citizen”. If you want an example of anti-Asian racism, I’d say it was all those news outlets who implicitly thought that some sort of Western magic was gonna save us from a lockdown when China was locking down.
* China is populous as fuck. With a bag that huge, the cat will find a hole somewhere and get out.
* Cost-benefit analysis like you advocate in this post. Had been thinking about buying all my food in bulk to save money anyways.
One item which might be relevant: During that period, I was adopting a strategy of minimizing my news consumption. As Bryan Caplan puts it, the news is the lie that something important happens every day. I’d rather spend my time reading statistics textbooks. (Andrew Gelman’s epistemics are about 1000x better than that of the average journalist. Why waste time trying to decode clickbait when you could be learning from the master?)
However, sometimes important things do happen. So I tried to brainstorm a big list of important things that could happen (severe weather in my locale, nuclear war, large scale terrorist attacks, etc.) and set up non-news-based ways of making sure I was notified about those. One of the things I did is subscribe to some CDC mailing lists. The CDC actually sent out its first email about an “Outbreak of Pneumonia of Unknown Etiology in Wuhan, China” in Jan 8. I ignored it at the time. However, it’s possible that an early start on repeated exposures / being primed to look for potential actually important news events helped put COVID on my radar early.
BTW, if you want an unsung hero, here she is: The Government Employee Who May Have Saved a Million American Lives.
Another in the short list of people who seem to have done the right things in this crisis.
London Breed – mayor of SF did a good job too.
What a name!
I don’t know if you are being nice and polite so as to reduce emotional resistance to whatever you are trying to suggest ( I can’t really tell, is it that it’s better to be Gallant than Goofus?), but was it really that hard? There were people with 1/3 of your education, and maybe 1 or 2 standard deviation IQ below yours who successfully predicted how the coronavirus would unfold back in late December 2019 and early Jan. Mid Feb is behind the game and your options are severely limited by then.
By mid Jan, the news was already out that the virus spreaded asymptomatic, and soon after China quarantined Wuhan, a city of about 18 million people, and then Shanghai and another city, totaling somewhere in the neighborhood of 30 million people if I remember right. We know China’s leadership does not normally care about the lives of it’s citizens, and so doing something as drastic as locking up 30 million people should signify something really serious going on.
With these two pieces of information, do we really need anything more to map out the consequences of the outbreak? We know it’s serious and deadly, from China’s actions (nobody paying attention cared at all about what China was saying. We know they lie, but their actions spoke volumes). The fact that it spreads asymptomatic should automatically raise alarm bells in anyone with average intelligence. Added to the actions China took should make anyone sit up and take notice…..if you’re paying attention.
I think it comes down to vigilance. The people who correctly “predicted” the outcome was being vigilant, while the people who were complacent missed it entirely. Vigilance is hardly an outcome of intelligence or domain expertise in my opinion.
That’s easy to say in hindsight. Were you making similar comments in January? If so, can you point to one?
The world is big enough that people make all sorts of predictions all the time, most of which end up being wrong. Even if 1 million people predicted exactly how the epidemic would progress, that means nothing if it wasn’t obvious ahead of time that we should trust those 1 million people and not the 100 million making different predictions.
Personally, I wasn’t worried at the time because I assumed that whatever was necessary to contain the disease early, the health authorities would do. It was a bit of a shock to me, shall we say, how every single Western country (though not East Asian countries) dropped the ball in this regard.
Eh, the fact that all the Western countries had trouble containing the virus is more absolution than incrimination.
Covid-19 can spread silently. You need certain kinds of population level behaviors to contain it, and we aren’t exactly sure what they are. I think this was going to be bad no matter who was in charge, it’s just different levels of bad.
I expected better from US health authorities, too, but the evidence at this point is that keeping COVID-19 from circulating in your country requires a 99th percentile public health response, not a 50th percentile one. (And we probably got a 10th percentile one.)
The fact that all East Asian countries contained the virus indicates that it’s not *that* hard to do.
I’d like to see more evidence for the theory that experts got it wrong and definitely for the theory that experts got it wronger than the people mentioned in Aaronson’s blog. I tried to look at the Twitter feeds of people in Janury and it didn’t seem this way though admittedly didn’t do a very comprehensive research
https://windowsontheory.org/2020/04/09/experts-shmexperts/
Also talking about “the media” as if it’s a single entity doesn’t make much sense. The fact that media outlets printed (or posted) articles saying the novel Coronavirus won’t be a big deal is not surprising or a failure of the media. The failure is that less about printing wrong things and more about not giving the story the attention it deserves. However if the public is not interested in story X then the media won’t highlight it.
P.s. The masks thing is also different than what you make it to be. As far as I can tell, the reasons for the changes recommendations on masks have very little to do with the knowledge on their effectiveness: it was always known that cloth or surgical masks are useful in preventing you from infecting others and have little utility in protecting you. What was not known was the psychological response of people in societies where masks are not common, and particularly whether people will adopt them and will masks lead to a false sense of security. This is really something that experts couldn’t tell in advance. (I still think they were wrong but it’s not the same kind of wrong as the parachute example)
It was obvious to me that China Flu and the epidemiologists were much closer than the larger class of people I think Scott is referring to.
The majority of claims China Flu made about the virus turned out to be correct and China Flu was consistently 1 month ahead of the newspapers. There were lots of incorrect claims but I feel like those were easy to detect and the media’s lies or mistakes were far more serious.
I’m completely convinced the German government initially tried to paper over the virus and it is ironic to me they are seen as good boys today. They were norming too hard.
The DW newspaper reported – I have a screenshot – that there was no evidence for asymptomatic transmission and that the reports of this were all misinformation. Their government had scientists from Robert Koch out denouncing their own scientists. At the time the Chinese scientists had public information from video cameras proving asymptomatic transmission was real and later the Canadians had video cameras showing a man infected a waiting room filled with people in just 19 seconds. For the longest time this was #fakenews and now it is being forgotten.
Wut. Where is this video, and…how was this determination made?
I don’t have a direct link but I think it was worked out from video evidence – it was done with a video of some people in a Chinese bus too. The epidemiologist Ralph Baric on the This Week in Virology podcast mentioned the incident – let me see if I can find a timestamp so you can get a lead on it.
From 08:00
“The R0, or the number of people who become infected from an infected individual, is estimated somewhere between 2.5 and 3.2. That’s actually quite high. That means that for every case there is two and a half to three additional cases. Contemporary flu is much closer to 2 or 1.8, 1.6. So this is very explosive spread and rapid transmission. It’s even more explosive because you have rare individuals or maybe not so rare individuals who are superspreaders, who can infect 15, 20 people just passing through a room.”
38:00
“In Canada there was one example of a superspreader who simply walked through an emergency room that was packed that was fairly packed with individuals and infected 19 people in the less than the 15 seconds they were in the emergency room as they walked through it.”
TWiV 591: Coronavirus update with Ralph Baric
http://www.microbe.tv/twiv/twiv-591/
I wonder how the right preventative measures change if it turns out that most of the R_0 is accounted for by a small number of superspreaders instead of a large number of people who occasionally spread the virus.
If it’s mostly about superspreaders, then you can open everything up as long as there are only small groups present, and individuals only go to a few such places per day. If the virus is usually spread by 1% of patients spreading it to 200 people, and you make it so that no individual can possibly spread it to more than 20 people, then you cut out most of the spread.
On the other hand, if the virus is usually spread by most people spreading it to two other random contacts over the course of a few weeks, then you don’t eliminate much of that risk unless you eliminate most contacts, so we have to stay in lockdown.
@keaswaran
I think we wish we had that kind of power but probably don’t.
This might seem off topic but being a superspreader could be linked to personal habits and it occurred to me during the pandemic that the health guidance was being coy about masturbation – they keep saying ‘don’t touch your face’. This is too diplomatic.
The virus doesn’t get from your face surface to the ends of your lungs by magic. It goes from your hands into your eyes if you rub them, your nose if you pick it, your mouth if you put it in there – any mucous membrane could be vulnerable – so a blunt public service message might have been less socially correct but might have been more accurate by saying before you jerk off Mr Jack or Miss Jill you should wash your hands.
Am I wrong about that anyone?
I think you’re right that “don’t touch your face” is really about “don’t touch your eyes, don’t pick your nose or teeth, don’t suck your thumb”. I’ve never heard anyone allege that the virus can get to the respiratory system through the mucous membranes of the genitals though. I feel like I’ve even seen things saying that blood injections wouldn’t spread it effectively. It really has to get to the respiratory system.
The question I’ve had is mainly whether the ears should be considered just as bad to touch as the eyes. I don’t know if the outer ear is as easy for a virus to traverse as the eyes.
Also, even the very blunt coronavirus sexual health recommendations don’t suggest that vanilla sexual contact without kissing is a likely source of spread:
https://www1.nyc.gov/assets/doh/downloads/pdf/imm/covid-sex-guidance.pdf
@keaswaran
The answer for ears – seems it has no effect. There’s a topic on /r/covid19 about virus having to get past the earwax and eardrum.
I’m not a doctor but I thought the mucous membranes were all part of one system so when the virus gets into one of them it gets a free ticket to the lungs. Somebody who knows what they’re talking about tell me if this is bullshit.
High certainty that COVID19 causes new fetishes – we should have invested in the white gold and sex shop stocks months ago.
Does it even make sense to express “likelihood” of a one-off event as a percentage? Seems a bit like pressing a statistical term into service where it doesn’t really fit.
So I’ve noticed a lot of commentary about Sweden being a “case study” for a more relaxed COVID response – but can anyone provide hard evidence that things in Sweden are substantially different on the ground as opposed to in other countries?
My take is that Sweden has enacted less hard bans or restrictions but that in terms of people movement, gatherings etc actually happening, and in terms of economic repercussions, they are on a similar path as neighboring countries. For instance, if we look at Google’s mobility data (a good indicator of how much people are coming in contact with one another) its trends aren’t very dissimilar from those of Denmark and Norway.
https://www.gstatic.com/covid19/mobility/2020-04-11_DK_Mobility_Report_en.pdf
https://www.gstatic.com/covid19/mobility/2020-04-11_NO_Mobility_Report_en.pdf
https://www.gstatic.com/covid19/mobility/2020-04-11_SE_Mobility_Report_en.pdf
https://www.gstatic.com/covid19/mobility/2020-04-11_NO_Mobility_Report_en.pdf
Interesting data. I agree that seems to show that the populace and businesses are voting with their feet, so to speak. Although the effects are certainly larger in the other countries.
One unexpected stat is Sweden’s grocery/pharmacy trips dropping when everyone else’s are basically normal. Seems weird.
Sweden mostly hasn’t enforced its rules. But it’s breaking away from the pack in terms of the number of cases and number of deaths. There might be a real difference between a ‘voluntary’ and ‘mandatory’ lockdown.
Not the best source but one I happened to have open in another tab
https://twitter.com/AGHamilton29/status/1250806349203755009
According to Anders Tegnell, the top-dog epidemiologist (“stats-epidemiolog”) in Sweden, the higher death rates in Sweden compared to the other Nordics is primarily, or only, due to more nursing home deaths.
For yet-unknown reasons the virus has invaded nursing homes, in particular around Stockholm, to a much larger degree than in Norway, Denmark and Finland. According to Tegnell, the higher death rate is not related to the softer Swedish policy strategy as such (no lockdown, plus schools and kindergartens remain open).
Tegnell has taken a lot of flak for his handling of the crisis, but has not yielded so far. (Politicians, including the prime minister, have taken the back seat and been strangely absent from the show.)
Swedes have a reputation for high self-confidence and pride in political rationality, aka “modernity”. In this case: a belief that the policy response in the rest of the world is dominated by populist fears, and not by cold-headed, rational (“modern”) thinking.
Be that as it may, the rest of the world should be thankful that at least one country – which is good at collecting reliable statistics – has chosen a different path than all the lemmings. That will be of great value post-covid19, when we can finally sit down and compare notes and statistics concerning the efficiency of different policy responses.
Having country variation in policy responses to covid-19 will give us a sounder basis for choosing rational policy responses when the next pandemic hits the world, 10-50 years from now.
So regardless of whether Sweden turns out right in the end, the rest of the world should pray that Tegnell is not defeated.
+1
I’m also glad to see a diversity of approaches.
Okay, that’s valuable information. I can, for now, attribute the nursing home hits to an unlucky initial start.
I’m trying to wrap my head around the difference in the case and death numbers, given the similarity of the mobility numbers. My only theory is that having even a statistically insignificant number of people who “break ranks” is enough to lose control of the disease, and that official, “mandatory” lockdowns actually serve to dissuade those people, even though I would guess that in the non-Swedens the “mandatory” lockdowns are enforced by consensus rather than by arrests.
I sort of would not have guessed either of those, let alone both.
Guess who wrote this – published 1st of February
https://americanmind.org/essays/rip-globalism-dead-of-coronavirus/
Listening to the Urbit Podcast has also been interesting during this pandemic.
https://urbit.libsyn.com/rss
Finally I get to work out what this is about!
It’s good that dissidents like Moldbug were out there in February sounding the alarm that liberals wouldn’t, with a few obscure exceptions.
I reject your reality and substitute my own but will magnanimously award you some points because cookie production is becoming serious over here.
Wow, that Biden editorial is amazing. I suppose it’s the result of my intrapartisan bubble that I heard nothing about it at the time. It’s not like an Elizabeth Warren 15-step plan, or a Pete Buttigieg style inspirational vision about how we will lead into the future, but it still shows that he wasn’t just the doddering old fool he played on the debate stage.
I was surprised to see it too.
As a cynic, I feel compelled to point out this is almost certainly a ghostwritten editorial. My guess would be Ron Klain, who was the “Ebola czar” for Obama.
But ultimately that would be my lesser-evil case for Biden: He is aware of his decrepitude, and cedes authority to competent technocrats. We sure could’ve used some of those this year.
I wanted to say this also but I couldn’t figure out how to say it without sounding mean so I backspaced it out before posting.
If there were a School of Civil Service as an elite meritorious institution that every elected official and every major civil service employee had to attend I’d be feeling a lot better about our system.
Sure. I assume the same is true of the Twitter feeds and e-mail blasts of nearly all politicians (though Trump probably mostly controls his own Twitter feed directly). Doesn’t really matter though – the candidate is no more in charge of the presidency than they are of their writings, but the team as a whole is in charge of all of it.
The stutter only makes you look like a fool when you’re speaking, not when you’re writing.
Writing also might be more heavily influenced by another from editing all the way to literal ghost writing.
Prediction – the next ‘expert miss’ will have identical characteristics.
Thesis is this.
Probability theory is only useful when your telescope is not pointed into the mud – that is to say I believe Scott is overestimating the relevance of probabilistic analysis when we should be thinking about why our instincts might be consistently screwed up. Trump, Brexit, Coronavirus – I can’t be the only person sensing a theme.
Worse – probability theory can be a distraction that stops us being coherent, to make strong, swift moves and prioritize. All decision becomes smeared out and decisiveness becomes impossible. The best reasoning engines developed to date are the product of spaghetti code evolution and don’t map to anything like the kind of algorithm a human computer scientist produces. We’re thinking animals but we keep forgetting the animal part because we differentiate ourselves by our thinking for status. You’ve all seen the nerd sniping.
There is a common theme with all the recent ‘expert misses’. A far right wing faction would have heavily emphasized all of them. Brexit, Trump, Deglobalization, Dark Age, Technological Stagnation, Coronavirus. I know that because we were on this from January with no special access to information or analysis. You can bet your butt Peter Thiel saw this coming a thousand miles away. The preppers are famous for being Hedgehogs and not Foxes like Liberals. We would also have made inaccurate predictions along the way – but I’m not getting at us being the best predictors all of the time – something more interesting is happening.
Partisans of the Left, Right and Liberal factions are hardwired to be so. They have different instincts. The far right are the first to see external threats. The left see internal threats first. Being a Liberal has been a successful strategy for our institutions for a very long time and that is why we are being blindsided now.
It looks to me like right wing authoritarians reacted quickly with few exceptions. Then more liberal democracy type countries reacted slower. Does anybody dispute that? People like big Yud and Bill Gates have unusual thinking styles and probably have emulators for multi-faction instincts – and of course Curtis Yarvin saw it right away.
Why are we surprised that our society is slow to recognize some failure modes when there are fewer right wing people in positions of power? It doesn’t surprise me. The right wing should be the guards of the society and the left wing should be the caretakers of the vulnerable. We have systemically selected against the right and left factions in our society and that is why we are discovering the failure modes of Liberalism.
The best society should have an equilibrium between the factions. We should use what evolution gave us – we’re partisans for a reason.
Bonus – I believe the book the Three Body Problem is a Straussian description of this political science topic.
You should look into “South Korea” and “Taiwan”
(This entire post is risible “libs dumb, righties smort” Manicheanism but I am electing to snark at the obviously worst bit rather than do some super-cereal line-by-line rebuttal this late in the comment thread)
Go ask Bolsonaro whether right-wing authoritarian leaders uniformly handled this well. But I strongly recommend wearing full PPE before going into his presence.
I’m not making a strong form claim of that kind. I said in my thesis that I didn’t expect the right wing to be always right all the time.
I will make the claim that the list of countries late to the party have their heights monopolized by one political faction. That is incontrovertible to me.
The most right part of the State is the military. They knew about this back as far as November. The messages didn’t reach the center – that is where our focus should be.
For the record – I also believe a Left faction would have spotted the threat faster as it hit the hospitals.
I am claiming it is specifically the Liberal faction that is dropping the ball.
How would we test this idea? Where would we look for evidence either way?
@albatross11
We would rank order the world’s states on the dimension of how close to the cosy heart of liberalism they are – and then look at the outliers. I expect to see the more left and right wing states to recognize the pandemic threat the fastest – the confounding factor will be separating economic ability to move from government political orientation. A liberal government might be less effective but still move faster because it was wealthier or had legacy systems. Richer countries also have more aircraft flying about so it goes the other way too – maybe you have an idea for me.
I’m not attacking liberalism on all dimensions – I think it does well on some dimensions and worse on others.
One model for this might be unified vs divided government. The intuition here would be that someplace with unified government, there’s a small set of people who can make decisions–someplace with more divided government, it’s a bigger set needed and so it’s usually going to take longer and involve more convincing and horse trading.
The US is divided both by design (federal vs state vs local, House vs Senate/President) and because the current president is not all that close to most of his party or advisors. Would we expect to see, for example, better outcomes from parliamentary systems with one party governing than from parliamentary systems with coalition governments? Or US style systems where the same party has the legislature and the executive?
@albatross11
You might be onto something – I feel frustrated by the topic because I feel I see some answers but lack the language to explain what I think I see.
I must sleep – good night!
The Asian states are all highly centralized authoritarian and to the right of our liberal faction.
There has not been changes of power in most Asian states for many decades – they are defacto one party states.
I know the propaganda we swallow doesn’t point this out – but if they were not our allies and rich then we would be calling them names.
This is extremely literally untrue of both Taiwan and South Korea but don’t let two trips to Wikipedia pages for their Presidential elections stop you from doubling down with some ignorant-ass bullshit about “Asian” states
The same families have always run Japan, Korea and Singapore – but I admit to ignorance of Hong Kong and Taiwan because I have not studied them. My prediction would be that the same families of high competence civil servants run the show and power superficially changes hands.
I expect more than name calling from SSC commentators. This isn’t just my opinion – I’ve been told this before by Japanese and Korean people and I take their word over yours unless you have a compelling point to make.
And you got it. I don’t care what your indeterminately extant friends told you, breezily making such an elementary and easily fact-checked error as referring to Taiwan and South Korea as “de facto one-party states” in the course of making some gross overgeneralization about “Asia” is something that our Bayesian readers should use to update on the rest of your geopolitics views accordingly.
Having probed your point I am declining to engage this retreat to some vague argument that would take hours of research on “families of high competence civil servants” just to run into your inevitable definition-games about “running the show.”
@Anonymous Bosch
It doesn’t need to be hard or nerd sniping – this is not physics and I’m not interested in that kind of debate either – I’d be content with a low resolution answer that comes from just asking some Japanese and other Asians what they think with basic questions about politics a child might ask. The people of those countries will know things that don’t appear on paper (by on paper I mean from civics classes, newspapers or anything from a formal academy because in our society I would expect one species to interpret the world) so you’d just have to ask around. The only qualifier I request if you find this topic interesting – which is to only ask people older than 50 your questions. The important things are tacit and don’t present in the information sphere – one of our important ideas is that information can be useless because of social hiding.
I think you’re just wrong here. Taiwan’s leadership has changed hands via election between different leaders and parties several times since the first non-KMT president was elected in 2000. South Korea impeached their president and sent her to prison in 2016. As best I can tell as an outsider without a lot of careful study of the matter, Japan and the Phillipines have real elections and power can and does actually change hands.
I could be just wrong – as you said.
I will address that at the end of this comment because I think my central point about instinct of the factions is not being addressed and that is my important point.
I followed this show since the third week of January. We all saw the USA and Sweden’s disappointing reaction. Less well understood is Germany – Germany engaged in deep nonsense where the Robert Koch Institute and DW (government propaganda ministry) were attacking their own scientists who claimed asymptomatic transmission was possible. For reasons I do not understand they were very late to the party – much later than Italy, and still pulled off a respectable retreat and so appear innocent of my claims. I would claim that Germany, Sweden and the USA are all in the same category.
On your point –
I do think it is interesting that the same types of people have holding the reins for very long periods of time compared to our western liberal republics.
The Yews have ruled over Singapore for 61 years.
The PKK has ruled Japan, with one minor exception for 65 years.
Until 3 years ago the Park Family with one minor exception ruled for about 51 years.
I know less about other Asian states so possibly I shot my mouth off – but I’d be interested to know if the same pattern holds up.
This cannot be brushed off. I don’t claim they are dictators but it doesn’t look like us does it. My idea is that these people select for one party faction – I don’t mean parties – I mean faction – the one they see to be most competent and then run with it.
All this is just picking up on one thing I said though – I’m more interested in talking about the nearly universal slow speed of reaction our countries had – does anybody here dispute that claim?
I’m confused about what the supposed theme is supposed to be connecting Brexit and Coronavirus. I see the theme connecting Brexit and Trump – right-wing populism is polling a few points below a win and ends up barely winning. And we have France and Germany the next year, with right-wing populism polling a few points below a win and end up not winning.
But coronavirus seems completely different, since it’s about anticipating viral growth, not electoral outcomes.
The comment is about outlooks. Some people look at the world on one way, some in another way. In both instances the “authoritative sources” almost all look at the world in one way. That’s the theory, a lack of intellectual diversity.
That’s it. I prefer the Garden model. Lots of different plants and animals to be found and sometimes handholding or cutbacks are required. The problem is figuring out the Gardener because there are not that many people or groups of people who can hold more than one idea in their heads at the same time.
Our instinct should be to start to worry when our tribe looks like we’re winning most of the games most of the time. Peter Thiel suggested – we become disposed to ideas like exceptionalism instead of greatness and then stagnation follows.
I want to be like Gallant. But I am also scared of Pascal’s Mugging. Every time I want to take small probabilities of big consequences seriously this trips me up. I tell myself that if I keep thinking like this, my life will be dominated by tiny probabilities of big consequences? Goofus-reasoning seems like a good defense against Pascal’s Mugging, even if it sometimes misfires and makes us ignore real threats like the coronavirus.
Is there a way to deal with this? Like establish a threshold where you switch from Goofus to Gallant-type reasoning?
This is very good, and has helped me organize my thoughts about my own failures. I have always been constitutionally worried about a pandemic since I was a kid. And yet when one was basically staring me in the face, I missed it. Sure, I was nervous and worried, and I panicked before most people I knew did, and cancelled all my flights the first week of March. Deep down I knew it could get bad but I fell for the Goofus dynamic— there’s only ten cases, flu is obviously a bigger deal *right now*, etc. It really has exposed some psychological flaws and my general risk assessment. This was a very helpful piece. Thanks Scott.
I was in the, roughly speaking, ‘just the flu bro’ camp until mid March.
When I think back why…it’s probably because of all the failed predictions around Ebola, swine flu etc. And my failure to appreciate that these predictions were based on % chance… and not binary (I/we of course were not helped by the way these predictions were communicated).
(Something that the death statistics have taught me is that: how on the verge of death certain demographic groups actually are.)
—-
The stock markets are Keynesian beauty contests. I am now starting to grasp that so much else in life is too (at least up to the point that things become smashingly apparent).
My guess about why they failed is that even if something makes sense to someone that knows what a expected value is, to the average reader the impression they get is “you were wrong”, which produces reputation damage. I assume the reputation damage is greater or smaller depending on how big the mistake was, but the end result does not correspond exactly with the true expected value (however much that even makes sense). The reason being the familiar biases. So in summary I would assume that newspapers are close to optimal for maximizing reputation and any failing is more a reflection of their readers.
As far as I can tell, hardly anyone actually goes back and looks at what people said a year or two ago to see how well they understood things. (And those who do are usually quote-mining their political opponents or ideological enemies, not trying to make any kind of honest assessment.) Instead, when I make claims or predictions today, most people evaluate them based on their beliefs today, and update their opinion of me accordingly. So in most ways, it’s better for me to say the same sort of things other people around me are saying.
Tetlock’s work is largely about just doing the work of going back and checking who got it right, and doing that in a systematic way that requires people to make predictions that can be graded up front.
Well, I’m one from the crowd “I was sure it will be news, but too afraid to look like a nut to my friends”. In January I started to stock some necessities (toilet paper 😀 and food). I posted my first Covid19-related post only on Feb the 4th, when I reposted,without comment, this: https://www.reddit.com/r/China_Flu/comments/exe552/coronavirus_faq_misconceptions_information_from_a/?utm_source=share&utm_medium=ios_app&utm_name=iossmf – this was one of the most reassuring threads on r/china_flu and I didn’t want to look like a nut.
I continued to buy necessities for my house in suburbia, but, though I was following r/china_flu and other, my next covid19-related post on my facebook wall was dated Feb the 7th, when I reposted https://twitter.com/ImARuN123/status/1225260223205715969 Only at Feb the 15th I gathered the courage to tell people, half-jokingly, that I once thought a story about global pandemics starting in China, killing mostly man, and I am now no longer amused reality conforms to my story.
But the very same day I read bunch of articles by experts and I started to be more optimistic. I wrote in one forum that other people in that forum are overly panicking, that this is not end of world and even in the absolutely worst scenario there could be 200.000 excess deaths over two seasons. Next day I computed the possible number of deaths and estimated them to 5000 in Poland, saying (in the same anonymous forum) that it’s serious, but nothing which would cause real problems. At February the 22.02 I revised down the worst possible scenario saying it would be at most 25.000 deaths in Poland. At 4-03 (March the 3rd) I posted an estimation of 8.000 deaths in two seasons (8000 in each). By that time I had the supplies for two week long quarantine and I thought this should be enough (except toiler paper; I still have toiler paper from my original stock :D) – I expected my government would close schools and university and announce a quarantine – but I never advised my friends to do the same. I was affraid they would think I am nut. By the time my friends started to confide me that maybe it’s time to prep, I was already prepped and I felt guilty I have not told them to prep when I was doing that.
I would say then that when I was reading the fringe contrarians I was more rightly worried than when I started reading experts saying this is all BS. Scaling by population number and looking at outcomes in Italy, seems my worst possible scenarios could be in fact not just realistic, but overly optimistic. Damn those experts.
Though I never thought this would be some end-of-time event and I always thought – and even now I am still thinking that! – that there was a lot of overreaction.
Some random thoughts:
1. I agree w/ other commenters that Scott is cherry-picking here. The broader problem is that journalists (and the rest of the crowd whose income resides in clicks from legacy media institutions) are financially incentivized to publish their opinions, regardless of their personal epistemic certainty (and, on a meta-level, whether that certainty is justified). The timid among them will repeat the “institutional consensus”, since that minimizes their reputational risk. Then there are those who are more honest, like Zeynep, who will communicate the uncertainty of the situation. But maybe this is the best we can do given that journalists typically have little-to-zero domain expertise on the subjects they report on.
2. The CDC shot itself in the foot with its long-standing recommendation that masks are not effective. I would welcome any details about why there is a mask-wearing culture in East Asia but not in the West. If we lived in a universe where the CDC treated us like adults with functioning brains, then maybe 15 years ago they would have changed their stance to something like “Masks MAY inhibit the spread of respiratory diseases, but don’t get too cocky if you wear one” and every household has 50 sealed masks in their disaster preparedness kit, and there isn’t a crazy run on masks. Instead, back on Earth 1, frontline healthcare workers don’t have PPE, and the CDC only overturned their initial non-recommendation because of clever people like Scott pointing out that their stance that masks only work for healthcare workers is ridiculously condescending in addition to being probably wrong. It is hard for me to imagine them reversing this position without social media.
3. The ultimate problem for governments and institutions is that you can’t just bury your head in the sand under uncertainty. You still must act. The difference in this crisis is when the proverbial music finally stopped for certain leaders – when it became unavoidable that they must respond somehow. Trump, de Blasio, Johnson all come to mind as leaders for whom the music stopped far too late (though I credit the UK government for stepping back from its original plan), while Mayor Breed of San Francisco appears to have gotten it closest to right. The problem is that, the higher your position and the closer to the problem you are, the more costly your errors: Trump has a lot more power to dictate policy than state governors; the WHO wasted time and energy propping up the Chinese propaganda line about there being “no human to human transmission” and then doubled down once that was proven to be false by saying “China has performed a heroic deed and bought the world some time”; the CDC ordered the Seattle Flu Project to cease-and-desist while they were uncovering when community spread began in Washington to comply with silly bureaucratic red tape that should have been rendered irrelevant by the magnitude of the disaster heading our way.
I’ve been saying this everywhere, but what’s the chance of Biden picking Breed as his VP? She fits the demographic criteria, and has the potential to be a very topical pick, given how well the Bay Area has come out in all this. I’m not-so-secretly hoping for a YIMBY in the White House.
Wouldn’t he prefer someone from a state that is not already reliably voting for him?
Only on the theory that geographic location of the VP is relevant. I don’t think this is usually considered to be very relevant by candidates. If we look back at recent elections we see the following picks:
2016 – Kaine (VA – not really a swing state any more), Pence (IN – solid red)
2012 – Ryan (WI – swing state)
2008 – Biden (DE – solid blue), Palin (AK – solid red)
2004 – Edwards (NC – not really a swing state yet)
2000 – Lieberman (CT – solid blue), Cheney (WY, solid red)
It looks like Paul Ryan was the only VP pick that could at all have been intended to aim at swinging his home state. Even though audiences love to consider this in their speculation, it looks like actual candidates don’t worry. To the extent that they want the VP candidate to help with the election, they want to placate some party faction other than that of the nominee (Pence, Ryan, Lieberman), or else just shake things up (Palin).
I started to look at elections from the 1990s and then realized that I had no idea if Tennesse (Gore) or New York (Kemp) might have been swing states at that time, given how much the electoral map has changed in recent decades.
Rather than Monday-morning-quarterbacking what went on in the first quarter, how about we try our hand at predicting what will happen going forward?
Here are some questions for everyone to answer and to lock down our opinions for prosperity.
1). Will total all-source flu deaths for the US and Europe be above, at or below average for the final three quarters of the year?
2). How much of an effect will this (the virus and all responses) have on GDP for Europe and the US?
3). Will the main stream media narrative in the final quarter of this year be that we were foolish for re-opening the economy too soon, or that we were foolish to keep it closed for so long (or something else)?
4). What will the major stock market indexes be at by year end compared to YE 2019 (up, down, way down, etc?)
5). What will the unemployment rate be in Europe and the US?
I have my predictions and will post them here. But first, what are YOUR predictions and levels of uncertainty?
If this comment thread has shown anything it’s that what is and isn’t “the main stream media narrative” is a very subjective and intractable topic and thus probably shouldn’t be an element of predictive questions due to the temptation to backfill and the sheer breadth of sources to pick from. One might say you could fill an entire screenshot with headlines and still not actually prove your point.
Respectfully, wouldn’t it be more accurate to say that about the media’s ability to prepare us for the future? I think there is a pretty solid mainstream consensus now that we should have done more, sooner better and that this is currently a terrible catastrophe.
Note, I am not disagreeing or interested in discussing disagreement on whether they are right or wrong on the above. I am just saying that this is what ABC news is trumpeting 24/7.
My 3rd question is what will the consensus, ABC/NBC/CBS nightly news narrative be in the 4th qtr? That we overdid it and destroyed the economy and politicians and experts need to pay, or that we loosened too soon and didn’t do enough and needless lives were lost, and politicians and experts need to pay? Or perhaps a Goldilocks position right in the middle, and politicians and experts deserve credit and our thanks?
That $OTHER_TEAM screwed things up by the numbers and cost both lives and money by their every action and inaction, and the only reason the disaster wasn’t worse were the brave actions of the people on $OUR_TEAM, who if we’d listened to in the first place we could have avoided all of this. The Fox narrative will, of course, be exactly the same with different teams.
1 Flu deaths will fall dramatically, because everything you do to avoid the flu is also something you do to avoid COVID-19. (High confidence)
2 I think we will see a more serious recession than the 2008 recession in the US. I think the economies of Spain and Italy in particular will be utterly clobbered this year because of the lockdowns. (Medium-high confidence)
3. I expect the media narrative will be driven heavily by electoral politics, with the majority (center-left/establishment) media organs finding a narrative that makes Trump to blame for both the epidemic and the economic downturn, and the Fox aligned media finding a narrative that makes Trump the victim of an unforseeable pandemic and the guy who made the right hard choices even when it hurt his electoral chances. (Medium confidence)
4. I expect them to be down, but I’m not sure about that–I think most of the easily-reachable tools for trying to push the economy out of recession tend to help the stock market and the financial industry more than anyone else, so that may push stock prices higher. (Low confidence)
5. Higher unemployment in the US than at the beginning of the year, probably also true for Europe. (High confidence)
Thanks for playing along.
Anyone else want to step out there and offer judgement before, rather than after the fact?
Oddly I agree for the most part with all of your answers.
1). I predicted a slightly higher flu death rate for all of 2020 back in March, but would revise it at this point to a slightly below average flu death rate for the final three quarters. When we add in lower death rates from other communicable diseases and Substantial drops in auto accidents, the net effect of the pandemic will be fewer unnecessary deaths in 2020 (albeit in good part because it is so scary and so modified human and institutional behavior). I still have no idea how long it will take the mainstream media to notice this (assuming it does play out). Medium confidence for me.
2) I too think we will see a recession (US and globally) which is deeper than 2008. High confidence.
3). I agree that the mainstream media will do everything possible to make Trump look bad (and I am the antithesis of a fan — I find him to be the human equivalent to finger nails on a chalk board). However, I suspect that the media will start engaging in revisionism and begin focusing on all the stupid things local politicians did to undermine the economy and the recovery. I have very high confidence in the anti-Trump part of the forecast (it is now in their DNA) but low confidence in the General narrative. There are too many moving parts and political angles.
4). I think That by year end the stock market will still be down but coming back (it is forward looking). Also, I suspect that it will go lower than it was on March 23rd before the end of the year. In March I was predicting that the market would drop 50%, and I am frankly dumbfounded that it is as high as it is now. I will Say medium to low confidence. The market is making no sense to me on this.
5) I am expecting higher unemployment than at any time in my 60 years on this planet, and for a while as high as any time ever. This is for both continents. i suspect it will be recovering by year end, but there is a lot of ground between 20% plus and where it started. This is why I suspect the dominant news story will be the economy, rather than the virus. Medium confidence.
Re 1) – do you expect any offsetting of this from deaths of despair (suicides, drug overdoses) or deaths due to unavailability (real or perceived) of normal medical treatment?
I would be very interested to see any attempt in earnest at an evaluation of current mitigation measures in units of DALY.
I am not sure, but all these are good points. It is entirely possible that the secondary effects, both positive and negative will dwarf the death rate from CV19.
1: Likely below. High confidence. The measures currently being taken seem to have caused us to stop losing ground to the virus for now, and varying degrees of increased caution are likely to continue in the future. I believe that flu transmission is similar enough that the lockdown will supress it.
2: I think there will be a significant recession, High confidence in recession, but low confidence in how significant (i.e. 2008 tier? 1929 tier? I don’t know.)
3: Here I have a subtle answer: If we essentially get the good outcome, where the virus is effectively surpressed and deaths are not an order of magnitude or more higher than they are now, then the media will say that we were foolish for keeping it closed. If we reopen and there is a second wave, they will criticize that, but that criticism will be more halfhearted, since it seems like in general sentiment people are really down on the lockdown in a weird way. Unless the deaths are 1918-tier or greater, in which case it probably will be full-hearted. The other possibility is that people will say we never should have locked down because we were never going to be able to stop it.
what do I think is most likely of those? I think we will reopen too early and without good countermeasures. and there will be a devastating second wave, and because of committment and stickiness of decision, we will take too long to choose the apparently painful option of going into lockdown again, but we will be forced to do it eventually. I’m not sure how things will play out after that point, or what the general sentiment during a second lockdown would be.
4: down to way down.
5: When? End of 2020? If so, I say higher than end of 2019 but I can’t say by how much, because I think it is reasonably possible that we will still be facing the virus at that time, possibly to a strong extent (second wave).
One complicating factor for going back into lockdown will be the election–anyone standing for election will be very worried about the voter response.
“I think we will reopen too early and without good countermeasures. and there will be a devastating second wave…”
OTOH, I wonder if we can’t get R under 1 by being smart rather than by brute lock down.
Work from home whenever possible
Temperature check at arrival to work
Masks and social distancing firmly enforced
Absolutely zero point zero mass transit
Disinfecting when entering leaving
No meetings in confined spaces at all.
Windows and or blowers pulling out micro particles
Meetings virtual or in the outdoors.
Mass testing when appropriate
No aggregation allowed in break or lunch areas
Continue to prohibit movies, parties, conferences, indoor dining, or close contact in service professions (hairdressers and such)
I am no expert, but I believe doing these kinds of things will make the lock down superfluous. Instead of designating critical from non critical jobs we just eliminate actions and situations where the virus spreads. Businesses should be held accountable to do so (and they in general will rise to the occasion).
But I really could be wrong.
That’s more-or-less my take, too.
Transmission by surfaces seems pretty easy to handle–all high-touch surfaces disinfected several times a day, hand sanitizer bottles everywhere, everything gets disinfected at the end of the day, etc.
Transmission by close contact (my respiratory droplets land in your face) is also relatively easy to handle in an office setting–we sit further apart, everyone wears a mask, keep your office door closed unless there’s a reason it should be open, etc.
Airborne transmission where I’m putting out tiny repiratory droplets that can hang in the air for a couple hours waiting for you to inhale them, that’s hard to prevent. Better ventilation might help; I’m almost certain that moving a meeting outdoors would help. Maybe put a HEPA air cleaner in any room where more than two people are going to sit? Or make everyone wear properly-fitted respirators.
And sending anyone symptomatic home is common sense, and pretty easy to do.
“creepy oracular powers”:
Why “creepy’?
Because they only work on truths that make other people uncomfortable.
It’s one of those cursed blessings, you know, like Cassandra had.
For America’s political, journalistic, and management class, using algebra, basic statistics, and a basic understanding of science to predict the future is Voldemort-level use of the dark arts.
I know there are examples of both, but I think people here underestimate the degree to which politicians are playing dumb rather than being dumb.
True. When the Georgia governor said it was a surprise to learn there was asymptomatic transmission, that was a lie. He obviously knew about it.
You almost seem to be saying predictions don’t matter, since it is still possible to make the right recommendation for action using probabilistic reasoning even if you get the prediction wrong. Assuming this is true, would you mind delving more into how one might be able to do this? I think “[w]hen you’re good enough at handling uncertainty, getting your predictions exactly right becomes almost superfluous” is a bold statement that deserves more probing. Thanks!
I had assumed, same as several other commenters upthread, that most or all governments (including mine, Spanish) would not be able or willing to dictate a mass lockdown, for fear of disrupting an economy that was already showing signs of being ripe for a recession (and a long overdue one, at that).
When I first heard about coronavirus-as-a-threat (might have been on Putanumonit, 27th Feb) I simply assumed it was already too late. Never before has an epidemic been successfully contained after going transnational unless it was high-mortality (Ebola) and/or low-asymptomatic. In those days, we already know that, other than mortality, it spread on a pattern not entirely unlike “common” flu, or other colds. That being: spreads fast, incubation period, very contagious, almost everybody catches it once or twice per season. There was no chance for it to be contained until herd immunity. I just assumed it was a given that we were going to lose a % of population, and that was that. I’m still not convinced we’re not, in the course of the whole infection (which may take several “rounds”, like 1918 when there were three main waves), going to get there eventually.
What I’m curious about is, did anybody else think this? Not only “I was surprised at the intensity of response / lockdown / quarantine”, but “we’re going to get from A to B, most of the travel description is unneeded”.
I thought this when it was clear it had gone global, then revised away when South Korea got it under control, but then when the New York numbers started going up like crazy (due to them finally testing), went back to that.
I too had a glimmer of hope with South Korea. Then GDPR happened and I lost hope at all.
I mean, when your country views “lock you down in your house, fine you if you try to leave” as a less harsh measure than “control where has your smartphone been, and only to trace back your contacts”, you start to question if we have finally achieved complete civilizational inadequacy. Reality trumping fiction, 1984 undershooting reality, etc.
I think this is super weird too. I’m a hardcore libertarian and like, yeah, all else equal, I think it’s probably not a great idea to allow the government to force us all to have tracking software on our phones and to institute mandatory temperature checks and whatever else…
But that said, if you aren’t already in the street taking up arms against the state for them locking down most of the economy and prohibiting you from visiting your relatives and everything else… the notion that cell phone tracking is a bridge too far is just absurd.
I’ll vote for someone who runs on the Lucius Fox platform of a mandatory nationwide tracking app (probably just mandate a common data sharing standard for the wireless companies or something since the government itself is a terrible app developer) with a server infrastructure that must, by law, be dismantled after 18 months or FDA approval of coronavirus vaccine, whichever is sooner.
One reason to feel differently about the phone tracking app is that, judging from how things went after 9/11, the “temporary emergency measures” we accepted for the war on terror quickly became permanent. It’s not feasible to make everyone stay in all the time forever, but it’s certainly feasible to have laws that require everyone’s phone to track them and make detailed logs of whom they’ve been in contact with available to the authorities on demand.
The Android/Apple bluetooth tracker looks pretty solid from a privacy standpoint. You automatically trade tracking numbers (rotated frequently) of people you are near. If you get sick, you[1] upload the list of numbers to a central database. Everyone regularly checks the central database to see if they have a match.
If people have privacy concerns, it’s not implemented yet, so speak up.
[1] You can’t do it by yourself. The central database is managed by health agencies, so you need both your permission and a health agency to make uploads.
How does cell phone tracking actually help? It reeks of blind technocracy that doesn’t improve much (or at all) on the current system of self-report and contact tracing, with added downsides, and whose only purpose is to have an excuse to lay off the workers currently managing self-report and doing all the legwork.
The current method of “contact tracing” has a safety check built in, insofar as when you ask someone to list all their recent contacts, they’re likely not going to even remember most of the people they shared sidewalks with, which filters out a ton of noise. But I wouldn’t expect anyone in a reasonably-urban area to self-quarantine based on “according to the ~App~, at some point in the past week you came within 6 feet of someone who has tested positive for COVID-19 (appreciate this app? Click here to leave a review)”.
Even telling me where and when doesn’t help much (oh, it was on the corner of X street and Main Ave during my evening commute – so was it the guy standing next to me on the subway, the lady who used the turnstile next to me on my way out, the guy who held the door for me when I stopped in the bodega, someone on the sidewalk… or (ominous music) the old lady who hugged me when I gave up my seat for her?).
Much more detail beyond that, and it’s a major privacy concern and still doesn’t help much (“ahh, Morgan J. Cosine… a name I don’t recognize, but shall add to my personal list of suspected unhygienic face-touchers and other vermin for future reference”).
Any steps to “enforce” this limited/individualized quarantine (“scan your ~App~ QR code to enter this place of business”) would quickly turn the “voluntary” nature that these apps are banking on into something very Hobson-ian, much like how auto insurance is “voluntary”.
So basically it amounts to spamming people’s hearts with pings of fear to no good effect – and that’s the “plus” side we’re supposed to consider as a trade for our privacy and the inevitable slippery slope that would follow.
(Note: My rather-pessimistic attitude towards the likelihood of individualized self-quarantines being adhered to is deeply steeped in the American government (and not just the Trump administration, but dating back to Reagan and possibly beyond) having a heinously piss-poor track record when it comes to providing a safety net for any individual or small/moderate group who doesn’t work for AIG or another large financial institution. If you’re asking Joe Schmoe to voluntarily give up two weeks of wages while the rest of his local community is not only out there making money, but is now disincentivized to come anywhere near Joe to help him out… that’s a pretty big ask, to put it mildly. I accept that people in countries with stronger social safety nets would be more willing to self-quarantine out of an abundance of caution).
“What I’m curious about is, did anybody else think this? Not only “I was surprised at the intensity of response / lockdown / quarantine”, but “we’re going to get from A to B, most of the travel description is unneeded”.”
I believe I made a Facebook post or comment some time in early February saying something like “we’re probably all going to get this virus over the next year or two, but the mortality rate seems low enough for most of us not to care about our own risk, even though it’ll be a disaster for society”, but it wasn’t until early March that I suddenly realized that the path from spreading local infections to everyone is infected was going to go through this awful period that we could actually make a lot less bad by doing something completely unprecedented and putting much of the global economy on hold.
I remember trying to get people I know to take it seriously early on, and one response I got a lot was “the media overhypes things for profit – don’t worry”, which is a fairly longstanding meme but didn’t hold up to scrutiny this time; while the same rags who are alarmist over absolutely everything were being alarmist, most of the respectable mainstream press was underplaying it, not overplaying it.
The idea that bad news sells seems true though. I think we might have taken a useful hueristic and blown it out of proportion. The bad news with a horrible disease is the existence of the disease per se, so I would honestly doubt that you need to do anymore than make an article about the horrible disease to get clicks, regardless of what your stance is on how deadly it’s going to be. Moreover, it could be that we’ve internalized this meme so thoroughly that it has undone itself; people gradually gained a smug sense of satisfaction from headlines of the form “Why X isn’t as bad as they say”, as it provided them with a way to feel cool and sophisticated, and so in the long run news that debunked bad news had an outside advantage.
It’s the same with the word “panic”. Panic implies blind uncontrollable reactions without reason behind them, but it seems like the word has crept from its original meaning to cover entirely reasoned through actions that are too “extreme” for the one laying the charge. Letting people know how bad it was going to be earlier would have led to prepping instead of panic buying, and markets would have had time to adjust. The WHO avoided calling it a pandemic early on because it didn’t want panic to spook markets. Even during the lockdown when my mother was briefly in hospital, doctors and nurses weren’t wearing masks, and some hospitals specifically had or still have a policy of not wearing masks because of not wanting to cause panic among patients.
An underappreciated aspect of modern Western culture is this fear of panic, where panic acts as a vague signifier for undignified alarm.
Okay, I’m done commenting on this thread — fell off the wagon here. I quit commenting back in October. This comment is as commitment device.
A few thoughts on how different legal systems incentivize either Gallantry or Goofusness : http://www.thebigquestions.com/2020/04/15/goofus-gallant-and-the-law/
Re: masks
It’s probably a good rule of thumb to consider a failure to prove the effectiveness of a measure that experimenters consider unethical to randomize pretty weak. For one thing, there’s the pesky common sense aspect (which manifests at least in terms of casually-observable effects: wearing masks isn’t as dangerous as, say, eating arsenic or nobody would mistake it for a good idea).
But, more vitally, you’d expect a bias against the effectiveness of the ‘common sense’ measure in a non-randomized trial: if you’re just measuring people who have chosen to refuse to use masks in a context where using masks is expected to help, that group is going to include the perpetually reckless (who just add to the variance & make this group bimodal), folks who underreport symptoms because they underrecognize them, and folks who are relying on other (possibly uncontrolled-for) mechanisms to protect themselves (like existing good hygene habits or an exceptionally effective immune system).
By the way, I do slightly disagree with Scott’s post about the main factors behind the predictive failure here. I think that the root problem is that most people have difficulty accepting the possibility of things outside their direct experience, where “direct experience” means things that have happened or very nearly happened to them or to people in their social circle. And that a thing happens in history (you could read it in a book), or is an implication of logical or mathematical reasoning, does little to overcome this barrier.
I would say that one thing the people who “got this right” have in common is that they think that things that happened in history (to other people), and that are implied by logic and math, can *actually happen*, even if they’ve never experienced them to happen. In Scott Aaronson’s words, they are “bullet swallowers”. As Michael Vassar would say, their brains consistently implement modus ponens.
By the way, this model also helps explain why many east asian countries did relatively well — many of them had direct experience with SARS (or it had happened to people ‘like them’), and so were mentally prepared for the possibility that such a thing could actually happen. By contrast, many westerners learned the opposite lesson from SARS.
I’ll admit that the claimed prescience of the Kelsey Piper article was completely ruined for me by this line:
When you get the “bad outcome” wrong by several orders of magnitude, well…
(~10k worldwide really would be “just the flu”, and not the 1918 variety.)
Karlin also wrote “The coronavirus will kill millions and crater the world economy” on Feb.24.
Since it’s a crossover trial, wouldn’t *all* the subjects have to take the placebo parachute eventually?
Yeah but the cost-benefit analysis for this virus is already dubious. Supposedly something like $6 trillion has already been spent on a disease that’s ultimately projected to kill about 80,000 Americans. How many lives have been saved for that $6 trillion? That is, what would be the number killed if we’d spent, say $1 billion instead? Unless the answer is something like 10 million ($600,000 per life saved, which is roughly in line with what actions of people generally imply a life is worth), then a reasonable cost-benefit analysis suggests we have already over-reacted.
Now, I’d be willing to stipulate that this giant lockdown and all the other measures have had some effect on the total death count. But reducing it by 99.2%? That defies common sense. It would require that in the absence of the lockdown, relying only on voluntary measures, say, everybody in the country gets it — no herd immunity effect ever — plus a case fatality rate of 3%.
My WAG is that it could easily have a factor of 10 effect, which means without those measures we’d see 800,000 deaths, which means in turn we’re spending $7.5 million per life saved. That seems well over the top. I’m pretty sure we could find better healthcare bargains elsewhere.
That projection is a) time limited, and b) contingent on having spent the money/instituted the lockdowns.
The proper measure is a) not how many lives have currently been lost, but the difference from how many would have been lost, and b) again, the difference in costs, not the current cost. Because when people start dying fast enough to make mass graves, there is going to be costs. It won’t be avoidable.
Where are you getting that $600K number? The DOT, FDA, and EPA officially cluster around ~$9M and we routinely spend money to save lives at the bargain rate of $7.5M.
https://en.wikipedia.org/wiki/Value_of_life#United_States
The EPA did try to discount that for seniors at one point and the public relations response was as you’d expect.
If we encouraged young people to go about their normal lives and just let the pandemic run its course, I’d expect 1.5M dead Americans, +/- a factor of 3. Perhaps our willingness to pay to save each life should decrease when there are so many of them at risk – if so we should, for example, divert highway safety and dialysis funding to pandemic response instead (though there might be bad second-order effects, e.g. if we’re trying to stimulate the economy maybe highway infrastructure spending is particularly useful right now).
I’m glad people are seeing if our mitigation efforts are worth it.
But don’t forget that even if governments had closed down nothing, the people and businesses would still have reacted by shutting things down on their own.
Domestic air travel has seen nearly no official shutdown. And it’s at levels of traffic last seen in the 1950s!
We were going to take a hit in loss of lives even with serious mitigation efforts.
We were going to take a hit in loss of money even with no mitigation efforts.
I don’t know what the best place along the curve is to be, but I seriously doubt it’s at one extreme or the other. (But I can believe that one extreme or the other might be better than half-assed measures near the extremes.)
Sure, because the places to go are shut down, both business and entertainment. This is extremely poor evidence that there would be significant shutdowns in the absence of government action.
Why not? If we’re going to lose the same amount of lives regardless, and the shutdown measures just stretch it out for a longer time while wrecking the economy and flushing the Bill of Rights entirely down the toilet (OK, except the Third Amendment), the extreme of “shut down nothing” is the best.
You can look at restaurant reservations, which were way down even before localities started issuing
You can look at South Korea, which has done little in terms of mandatory shut downs but has still seen a significant economic hit.
If we’re going to lose the same amount of lives regardless
Big if true.
If we’re going to lose the same amount of lives regardless
I used to be firmly on that camp. Now I think the data are so horribly muddled as to make knowing that a practical impossibility. However, I still think there are many people which are improperly and out-of-hand disregarding that possibility. I still think there is a too good chance that we’ll get there. We’ll have to wait for the next waves of infections + development time of vaccines. Not a matter that will be settled in weeks, but a year as a minimum.
Also, the right decision is very seldom at the straight end of a series of options. Which of course doesn’t mean the current lockdowns are the optimal course. If anything, lockdowns diffuse the cost into more actors, while still saving (on aggregate) mostly only the same population-at-risk
Delaying most cases until we have clinical experience and some notion of the right way to treat SARS2 will decrease fatalities, as will delaying most cases until the critical doctors and nurses have mostly been exposed and are immune. That’s true even if exactly the same number of people catch the virus and all we can affect is when they catch it. I’m not sure how big an impact all that has (probably that depends on whether we evolve a really effective protocol for dealing with COVID-19 pneumonia), but it’s surely a positive number.
@albatross11, you’re right, of course. Fatalities will decrease compared to the rampaging disaster that would have been the “business as usual” scenario. Strictly speaking, not the very same number of lives will be lost. Surely, lives saved will be a positive number
However, if the number is within 1%, or even 5%, of the “unmitigated disaster” route, then for all practical purposes it’s “the same amount of lives”, and at a great cost. I find frankly difficult to believe that moving the timing of infection will change things so much. Moreso since the supply of ventilators seems to be not the critical issue that was once thought, and it’s even possible that not even ICU beds are. And the few analysis of benefit/cost I’ve seen all default to numbers like 50% of lives saved, which I find implausible, barring a complete stop of contagions.
I think it’s very overly pessimistic to expect that *none* of the drugs and treatments that are under investigation will have a significant effect on mortality.
Lockdowns actually *mitigate* the costs. If there’s a pandemic raging, then lots of people will shut down many specific parts of their lives, and take the economic hit as a result. But if there’s a lockdown, then governments very often also create funds to specifically compensate the people affected by the lockdown, and the plans around the lockdown can be far more coordinated.
It’s much better for every restaurant worker to be unemployed simultaneously, with a massive government boost to unemployment benefits, than to have all restaurants lose 75% of their business and 75% of restaurant workers to be unemployed with only half-hearted boosts to unemployment benefits in some places.
If economies actually worked this way the world would be a much different place.
Economies certainly don’t automatically mitigate all costs of official coordinated actions. But they do a non-trivial approximation of some of it. Lots of organizations I know had events scheduled in March and waited for local government authorities to order events to be canceled, because they were worried about losing their deposits or otherwise not being reimbursed if they chose to cancel on their own.
I’m finding it hard to imagine Congress passing something like the CARES act at the time they did, with its huge expansion of unemployment benefits, if there hadn’t already been many states and localities ordering businesses to close, so that the unemployment was institutionally foreseen. That act was passed before the first report showing 6 million new unemployment claims.
Air travel also fell off dramatically before lockdowns started.
I think it’s pretty damn likely that we’d get into the realm of 50% getting it if there were no containment measures. I think we still might get there anyway unless we’re VERY careful about how we handle reopening.
I think I wasn’t too inaccurate in my guesses from around early Febuary re: how the virus would spread.
But I think I can pinpoint where I went wrong and I think some of it was the same as the stock markets prediction failures.
So, once it was clear that it had escaped china I was pretty much assuming it was going to keep spreading because even if all western countries contained it well for a while there were still going to be cases spreading in poorer countries that were going to start importing it into everywhere else.
Basically I had considered and discarded the idea that the government would institute a lockdown like the one now in effect, even the international travel bans I thought would only be half hearted.
I jumped straight to basically worrying that there was about a 15% chance I’d lose one of my parents and how I could convince *them* to self-isolate.
I didn’t give credence to the idea that the government would actually lock everything down because it seemed too impractical and expensive. Roll back time a few years and I doubt governments would have. They simply wouldn’t have the resources for it for the sake of saving less than 1 in 300 working age healthy people and a boat load of elderly or sick people.
I underestimated how much the government would bend towards trying to save people over cold indifferent maximisation of GDP.
In essence I expected most world governments to think more like trump.
I think this also surprised the stock market, it’s not that the stock market expected the pandemic to not spread. It’s that the stock market expected it to have minimal effects on industry along the lines of losing 1 in 300 workers, needing some extra sick leave and needing to give more funeral leave to employees who’ve just lost parents and similar.
I expected the tiny minority of rich and powerful in at-risk groups to snap up early survivors of coronavirus and pay them for regular antibody-rich serum donations, I’m not sure if I can discount this one yet but I was surprised when Boris Johnson went to hospital because I’d fully expected that he, like some kind of elder vampire, would be bleeding someone to keep himself healthy.
I’ve seen some talk about economists pointing to the spanish flu and it’s economic effects and areas locking down harder doing better afterwards…. but it feels like they’re kind of ignoring the demographics of who dies. Spanish flu was economically devastating because it wiped out the healthiest working age people all at once and left the elderly to care for orphans.
>like some kind of elder vampire, would be bleeding someone to keep himself healthy.
I think you’re getting mixed up with Peter Thiel.
He denies doing that. I think it’s a popular meme.
This strikes me as basically insane
how so? it’s a known option that can’t be easily used on a large scale because it doesn’t scale and has to be used prophylactically.
However, if you have some key person who’s very high risk it’s an option.
Most people care very deeply about whether their spouse/friends/colleagues think something is a “normal” thing to do.
Politicians care about whether the press will find out about something and have an absolute field day. You’d need a few people involved, recruiting etc. There’s a pretty high risk that you’ll try to recruit someone and they’ll squeal to the daily mail. Or the doctor you tried to get to do this.
“PM consumes the blood of young man” is probably going to be hard to spin. Like the pig-fucking, no one is going to forget it.
I think it’s actually really heartening to see the world going all in on attempting to defeat this pandemic. As far as I can tell, it’s the first time in human history that this sort of thing has really been attempted. (It’s hard to say how to compare things like smallpox, polio, HIV, and SARS – as far as I can tell there was basically no moment at which ordinary people engaged in anything more significant than vaccination or a little bit of prophylaxis, or temporary travel bans to a few specific cities.)
This is probably because we now have a new combination of foresight about pandemics, high value of human life, and large ability to organize international cooperation, as well as ability to mitigate some of the costs of shutdown through video communication with loved ones, work, and exercise.
It’s a soft splash down compared to what would have happened without the internet.
I remain worried about bioterrorism accelerating a natural disaster – I’m surprised I haven’t heard of any groups doing it – only Aum Supreme Truth has done anything like it.
I can’t fault the media for doing badly, when nearly every Western government did just as badly, despite their access to more information and expert advice. (Meanwhile, every East Asian government did pretty well.)
The real question for me is why governments did so badly.
EU structure is set up to fail in such situation. I mean, it is a huge area of nearly completely open borders with low coordination among about 30 independent national public health authorities. If one of them fails at its job, then massive spillovers to the rest of the area are practically guaranteed. I leave it Americans to discuss failures of the US government.
That can be closed. What was done, probably too late.
It was certainly done too late for border closures to work without intrastate lockdowns.
You seem to be mostly referring to the Schengen Zone (in which borders are typically open), not to the EU. However, the Schengen Zone allows for border restrictions between countries when necessary, and some of these were present even before coronavirus. More could have been instituted. Also, right now Switzerland is doing much worse than southern Italy, which suggests that massive spillovers are not inevitable even within a single country.
I was using EU as a shorthand for a whole area with free movement of workers, which is not only wider than actual EU, but also than Schengen. Britain and Ireland are not in Schengen, but they in this area. Border restrictions in it were so minor that for the purposes of coronavirus, it counts as open borders; until they were closed, of course.
Switzerland is actually doing quite well given that it is in this area of free movement and right next to the disaster zone of Lombardy; far closer to it than, like, Apulia, or even Rome. Swiss have lower death rate per capita than UK, and their curve already flattened.
The United States is an equally large area of far more open borders with relatively low coordination among about 50 independent state level public health authorities, most of which do much less than the national health authorities of Europe. It’s probably true that there is more national-level coordination in the United States than EU-wide coordination in Europe, due to things like the CDC and NIH. But I’m not sure which actual measures either the state or federal authorities can take in the United States.
In any case, the fact that on March 12, Trump was willing to announce a travel ban to the Schengen area but wasn’t willing to announce a travel ban to Seattle or San Francisco made clear that thinking at the nation level was just missing the point entirely.
Not that it matters to Trump, but the US Constitution demands free movement among the states.
People in Idaho have the right to travel to Seattle. People in France have no right to travel to the United States.
I am not an expert on US federal bureaucracy, but there were discussions here how CDC or FDA (I am not sure which one) banned testing on coronavirus. That is an example of the the thing that EU authorities cannot do. I think that it speaks to the fact that in the US, public health measures against epidemics that can cross state borders are centralized to far more than in the EU. Which is good for the US! In the EU, proper reaction ala South Korea was institutionally impossible. In the US imho it was very possible if people in charge were competent.
I’m less interested in the probability distribution of our priors, and more interested in how we update the probability distribution of our posteriors.
What have we learned that we hadn’t previously considered?
– That we’re bad at predicting a rare event, even as it stares us in the face?
– That we’re bad at conceptualizing exponential growth?
– That arrogance clouds our judgement when we see pictures of the lockdown in China and consider ourselves differently?
The thing about predictions is that, yes, we can see the error in our previous ones, but what about current ones? We What will be the blog post in 6 months referring to present day? Any gamblers in the audience?
Shouldn’t the journalists have asked to see or at have explained the model that the experts were using to conclude there was low probability.
People with mathematical talent rarely go into journalism…
https://www.youtube.com/watch?v=3ZxFgRk4u9M
As a parent of young children, this analogy occurs to me:
My kids are horsing around and doing acrobatics on the top bunk of their bunk bed. I’m worried they’ll fall and start to nag them to get down. They say, “relax, I’ve done it safely 6 times already! I won’t fall.” As the responsible adult, I’m thinking, “They’ll not fall 99 times, and then on time 100, they fall, and maybe I just give them an icepack on the head, or maybe I take them to the ER. I’d better stop them from playing up there or at least put some pillows around the bottom of their bed.”
The responsible adults in the room should have been taking some precautions in February, and we should definitely be putting some stockpiles of PPE and medicines and knowledge in place for the future.
problem re:PPE, back in january when the news went public the world supply of face masks and similar was sucked up while the supply chains out of china closed.
there’s papers published years ago basically predicting this exact lack of PPE.
Given the compact size and not-very-perishable nature of facemasks and similar PPE personally I was shocked that world governments don’t keep a few really big warehouses stacked to the rafters with them. since in normal times they’re pretty cheap and there’s a few different types of emergency where that sort of thing is needed and even with things that do expire in a few years you can use a first-in-first-out system to keep a relatively huge quantity in stock without it being wasted.
> not-very-perishable nature of facemasks
I’ve seen several stories mentioning large supplies of facemasks whose elastics had become unusable after sitting for two years in a warehouse somewhere. This definitely happens to my old socks and underwear.
A BRIEF REVIEW OF THE RUCKUS:
One of the reasons for the current outbreak, as far as I can tell, is people ignoring WHO recommendations and not aggressively testing, monitoring, and containing COVID-19, instead going for various mitigation strategies in February, when the outbreak might have been contained to East Asia.
The reason the Trump Administration is so confused and angry at the WHO is precisely because the WHO advised that COVID-19 was bad but containable, and urged everyone to contain it back in February. To many policy-makers, “containable” sounded like “harmless”, for idiotic semantic reasons, even when what the WHO was saying was “this is very bad and containment is essential”. Europe and North America were lazy with containment efforts, containment was lost, and now the Trump Administration is blaming the WHO for advising that it was containable.
As it turns out, containable or not, containment-esque methods are apparently the bare minimum necessary to control COVID-19. That was not immediately clear at the start of the outbreak, since China’s containment efforts were highly successful, and there were messaging difficulties.
The experts certainly knew that COVID was very very very bad, but couched the strongly worded need for harsh measures in the language of “we want to achieve containment and everyone should put 110% into containment”, not “this is the bare minimum to survive the ultimate doom-plague COVID”. This was because the WHO knew that containing the virus would be the best outcome for the globe, and more importantly, because nobody had ever seen a pandemic virus that could spread this fast even under containment-type strategies. SARS-1, from 2003, would have been stopped in its tracks by our current response. Basically, nobody knew in their gut what a doom-plague looked like, and didn’t know when to break out the right tone of impending DOOM. And while the PRC’s lockdown should have been adequate red-flagging of the DOOM, everyone assumed the Chinese overreacted – and overreacted expertly, hence the WHO praise. Sure, the numbers looked pretty bad and scary to me – but I didn’t know what DOOM looked like either.
Also, if the WHO had used the hyperbolic “unstoppable DOOM-plague”, would anyone even have tried to contain it? Of course they called it “containable”! The WHO was very concerned about governments deciding to give up because containment would be too hard. Many of them gave up anyway, and look where they are now.
The moment someone talked about mitigating COVID-19, the WHO and the PRC strongly strongly denounced the move towards mitigation, and advised harsh containment and contact tracing time and time again. The WHO did not downplay the outbreak. What happened was a phrasing and messaging issue which did not get through the thick skulls of unspecialized politicians.
If the WHO loses legitimacy… imagine this sort of thing happening every time a new pandemic rears its ugly head, with everyone slinging geopolitical mud.
That is because this virus is far from some doom plague. Yes, it is bad. But as far as novel global pandemics go it is far from the worst case.
absolutely.
Hell, part of the issue is the low death rate.
If it had a 50% mortality rate then countries would have immediately closed their borders, complete quarantine would have been enacted around every suspected case and it would have been enforced with gunfire.
Which is why, as of today, counting only confirmed cases, COVID has killed 135K people while ebola killed 11K total.
50% mortality and confirmed simple spread. The spread is the main factor for ebola, because the disease is terrible but doesn’t spread easily. At the height of the last ebola epidemic there were a slew of articles that we shouldn’t shut down travel to affected areas. Is linking to the subreddit(s) verboten? I’ll risk it since I have a convenient comment with a couple links to those articles.
In light of those, I was rather surprised that the media turned as swiftly as they did on COVID, and it makes me slightly more optimistic they would do so in the event of a worse disease (hopefully sooner, as you suggest).
The problem isn’t the low mortality rate, it’s the high rate of asymptomatic spread. A disease with a 50% mortality rate a month after you caught it, with mild cold symptoms until then and contagiousness similar to measles, would burn down the world.
Ebola doesn’t spread easily and also when you’re contagious I think you’re visibly ill.
Based on what we now know about the R0, I don’t think a pandemic was preventable in February. It was January or nothing. Once those embers caught fire in Italy, Korea (especially that one crazy death cult), and Iran it was game over.
Indeed, you’ve already proven via deductive reasoning that one couldn’t have kept that fire from spreading to America…
Yes? I think by February 1st we would’ve been clearly better served marshaling resources for mitigation and beginning a massive public information campaign rather than fucking around with travel bans, even hypothetically well-designed ones. This does not contradict my earlier point so please don’t bite my ankle about it elsethread before grokking it.
Travel bans obviously help in effective efforts because they reduce the # that you need to track and trace by a huge amount. I think all the critiques of responses suffer from various problems. The first is that there are only a few examples of countries preventing widespread community spread. These countries are all east asian and generally hate china. In other words the only thing that protected you from C19 was not institutional competence, it was built in hatred for china that permeates through even a majority of the institutions and elites who normally are the least nationalistic of any populace.
Bullcrap. It was containable well into late February. Sufficiently aggressive contact tracing in Seattle, Italy, and elsewhere would have been more than adequate, since China was exporting single-digit cases per foreign country per day (or even less). Wuhan was locked down, there were under ten thousand cases outside Wuhan in a nation of 1.4 billion. Competent public health systems should have been able to contact trace and contain the 1-2 cases/country/day that would have been running around back then. That was the entire point of locking down Wuhan – to keep exports to single digits, and thus keep contact tracing viable.
Various EU and North American governments decided to be lazy with contact tracing, try mitigation, and pop went the weasel.
Heck, even Korea contained a thousand-person outbreak with contact tracing. It could have been done with sufficient national will. The WHO tried to stiffen national will, but the nations were unwilling or unable.
But South Korea seems to have done an ok job containing it….
They may end up regretting that. They now have to cut themselves off from the rest of the world until a vaccine is available. Though maybe they can get away with rapid PCR tests for everyone entering the country.
Why does South Korea need to cut themselves off from other countries any more than other countries have already cut themselves off from each other?
If every other country had gone the Herd Immunity route, okay, I could see how South Korea becomes the odd man out. But that’s not the situation.
@Edward Scizorhands
Because if you happen to be the one that succeeds in containing the virus, then you’re at risk from your neighbors and partners, in a way that the ones who went the herd immunity route (either voluntarily or through failure of containment) are not
Unless, of course, everybody managed to contain their domestic outbreaks. I consider that scenario very improbable.
It’s possible, but requires an unusual boolean combination of success and failures for most other countries to go through Herd Immunity while South Korea manages to crush the virus.
And even weirder to say that South Korea should change their strategy now to avoid that. If other countries bite the bullet, go Herd Immunity, and come through okay, South Korea can then do it, too, with the added benefit of being able to watch the lessons learned in all those other countries.
What does “cut themselves off from the rest of the world” mean here? They can still trade stuff with the rest of the world. They can still communicate and coordinate with people in other countries. The one thing that would be seriously restricted in the situation being described would be international movement of people. Why is that a big problem for a country that doesn’t largely depend on tourism?
For one, business travel, which there certainly is a lot of between South Korea and the rest of the world. For another, it means South Koreans can’t engage in international tourism for the forseeable future either (unless they could handle being quarantined when they returned), which I think they’d find undesirable.
@Nybbler:
1. Isn’t business travel mostly about information, hence can be largely substituted for by online interaction? Not perfectly, but well enough so that doing it isn’t a massive problem.
2. Not being free to do tourism is an inconvenience, but it isn’t cutting themselves off from the rest of the world.
Business travel is mostly about collaboration, whereas online interaction is more suitable for the lecture+Q&A type of information transfer. And I’ve seen plenty of formerly valuable collaborative exercises turned into rather less valuable lecture+Q&A presentations since the lockdown began.
And in business “well enough” is defined competitively. If my lecturing at my subcontractors and answering their questions is “enough”, but the other guy’s roundtable collaboration with his partners is better, then he gets the profits and I don’t. That’s going to motivate a lot of people to resume business travel as soon as they can, and it’s going to mean the people or institutions that can’t do that may be left behind.
If my lecturing at my subcontractors and answering their questions is “enough”, but the other guy’s roundtable collaboration with his partners is better, then he gets the profits and I don’t.
If we all have to run faster and faster just to stay in place, maybe locking everyone out of business travel is a net benefit?
(I’m not sure how seriously I mean this, but you make it sound like mostly a zero-sum game.)
Yeah, the South Koreans have been extremely aggressive and effective, but even they aren’t sure right now that they actually have this contained. I think the long infectious timeframe, with low symptom levels, is the thing likely to be determined as most responsible for spread when all of the post-mortems are written.
And that particular aspect isn’t even captured by R0. If infect 3 people in the course 1 day, it’s way easier to do contact tracing than if I infect 3 people over 10 days.
Why didn’t I get it more right? Because I was surrounded by people who took it seriously.
My employer took it seriously. (They sent out the first email about “coronavirus” on January 29th. Travel bans to China soon followed, as well as clients wanting to know our remote work plans. Large meetings were soon banned and domestic travel needed VP sign-off.) Twitter was constantly taking it seriously. You guys were taking it seriously.
My parents weren’t and stocked up on supplies just to humor me. (That attitude changed.) But I figured the relevant parties knew what was up. I figured the stock market knew what was up and had already priced it all in.
I should have realized more people were like my parents.
I’m with you on a greater need for probabilistic reasoning at all levels of society, including in media. However, I don’t think this post should have been framed as a critique of either the media or epidemiologists.
First, ‘the media’ is presented rather monolithically, rather than divided into journalism and editorials. Admittedly, the distinction breaks down a bit with many new online outlets, but I generally wouldn’t label most of them ‘journalism’, which, at its best, doesn’t make normative statements and it’s certainly shouldn’t be in the prediction game. What about fact-based reporting on our inadequate preparedness for a pandemic? I’ve seen excellent journalism on that since at least 2018. You can point at a lot of missed opportunities here and there, but really the big fix would have come from policymakers making newsworthy statements about the seriousness of the situation. Instead we had Fauci coming out in February saying that we should really be worried about flu. Sure, we could have done with more editorials painting a more dire picture, but there were many, and the purpose of editorial boards isn’t necessarily to elucidate the truth, but to provide adequate space for all viewpoints to be expressed.
Where were the warnings from epidemiologists? There were many, but again, the purpose of academic epidemiologists isn’t supposed to be the early warning system for impending pandemics. It’s to do research on the basic research on the nature of pandemics. The approximately 1.5 trillion preprints about coronavirus tells me they are doing their best.
The breakdown was with officials at institutions like the CDC, FDA, WHO who are supposed to be our coalmine canaries (I’ve been ranting to anyone who will listen that heads need to roll and the whole place burned down at all three) but who actively stood in the way of monitoring efforts. That doesn’t mean we should let elected officials off the hook though. Does anyone seriously believe that another plausible president would have ignored November intelligence reports on the emerging epidemic, dismantled the pandemic monitoring unit on the NSC, ignored the Obama pandemic playbook, fired the CDC staff working in China, and failed to ramp up PPE and ventilator stocks into late March? Be it Jeb! or Hillary, I think there would have been more proactive measures taken on this pandemic and the resulting media coverage would have been more accurate.
I think I was the first one to worry about it on this comment section. Do I get a cookie?
EDIT:
Yep, first one to mention the virus here, though to be honest I really started to freak out when the first cases of community spread were discovered in Italy in late February.
I might have initally underestimated the virus mortality though. Reasonable Bayesian error or wishful thinking on my part? Dunno, but I think I guess I should become more pessimistic about these kind of things anyway.
Here you go – https://blogs.library.duke.edu/wp-content/uploads/2015/04/cookies5.gif
I think you were a week ahead of me.
I’ll be following Chef John’s recipe – I love that guy – if you ever feel bummed out in the pandemic just watch Food Wishes.
https://www.allrecipes.com/recipe/244631/chef-johns-chocolate-chip-cookies/
Well, I don’t understand what a prediction is any more. Thanks! Useful to know.
But I wanted to talk about behavior change in the medical profession. The mask thing. Here was an action that common sense, informed by the Germ Theory of Infectious Disease, says is helpful, and is low cost and low consequence to the user or anyone else. (Unlike bone marrow extraction!) But there’s no solid evidence for it, or against it.
So what would it take to have Gallant medical authorities, ones who would say “we have no idea whether cloth masks are useful, but a handkerchief doesn’t cost much and wearing one won’t hurt anyone. Wear one if it makes you feel better. Just wash it frequently!”? * How do we bring about that behavioral change?
* Replace “wearing a scarf” with any other low cost germ-theory-common-sense behavior as you please.”Wiping your fingertips on your sleeve or skirt after touching money”. Whatever.
I’d like a more general discussion of why Western medicine is so against prophylactic medicine.
We claim we are for diet and exercise – but rarely honour that sentiment in the way the Japanese do with Ningen Dock. If we were getting a D- for our livers and kidneys from our doctors every year we would take notice and change our lifestyles. The Ningen Dock is an amazing idea and nobody in the West has heard of it.
I would like to see more research into it too – I have found very few English papers on the topic.
My intuition is if I put 500 euro p.a into my car to check its health it’s weird not to take the human vehicle as seriously – I’d only need to be correct occasionally in a lifetime for it to pay off – but that is only if I’m not prompted into unnecessary surgeries or drugs – which I would be wary of in our system because I wouldn’t put it past us to take a good idea and trash it with our magic pill complex. Japanese doctors prescribe walks in forests, chide you with lifestyle advice – that is the real point I think.
The western GP I talked to was very skeptical of Ningen Dock – to which I find it hard to be generous – I think their training causes them to miss the point which is to cause pro-health behavior and I just don’t really care how scientific we’re being if the result is real. You went jogging on a false premise – wow – the real question is whether you would have adopted that behavior otherwise.
Ningen Dock is probably a medicine + psychosocial system – I’d hazard demonstrating that Ningen Dock was placebo wouldn’t damage the case for Ningen Dock.
Ningen Dock is inexpensive – at least to me and I don’t perceive myself to be rich. I found a place in London which offers it. I think it’s about 500-1000 euro a year depending on your choices and it might be less in Japan.
The annual physical has been found to have few, if any, health benefits, for a person not suffering from a chronic condition.
A bunch of NYT links, just cause
https://www.nytimes.com/2003/08/12/health/annual-physical-checkup-may-be-an-empty-ritual.html
https://www.nytimes.com/2015/01/09/opinion/skip-your-annual-physical.html
Yes I already know – but the annual physical doesn’t map well onto Ningen Dock. In the Ningen Dock each body part is getting a grade – as in a school grade. This is totally different to simply being checked for errors.
I strongly suspect it’s less about science and more pyschosocial – and pyschosocial things are important because they come out of real experiences people have which affects their judgement and choices.
It’s similar to a traffic cop checking your insurance. Your doctor being that for your health gives your analytical brain something work with when making diet or exercise choices.
I am very struck by how western doctors are constantly whining about their patients ignoring their advice – but western doctors are dying at the same rates of the same lifestyle diseases with the exception of smoking.
This says to me it’s not about pure information – it’s about cornering the dumb panicky animal part of your brain and making it submit to the rational part that already knows the right thing to do because our strong instinct of on being watched changes our behavior.
So your Japanese doctor is going to give you a stern look, and give your liver a C+ – this is bad news for you and you might be chided for not changing your behavior. They might write you a prescription for walking in a forest as they do. You will be seeing that doctor again in the future.
I’m confident I brush my teeth more frequently because I visit a dentist who says nasty things to me.
Sure, but I think of the WHO more as a political organization than a collection of experts. As a United Nations agency it is an organ for all political leaders in the world.
The CDC is different, it’s a government agency, but I don’t know how political it is in practice.
So I’d want journalists to challenge them the way they would any other political power, though probably not so much on any scientific details.
I’m not sure about “political”, but someone I know who works at the CDC recently described it as “a bureaucracy that also does science”.
No, predicting this was not hard at all. Anyone that was paying attention knew that this was going to be bad. All of the following pieces of information were freely available in late January:
– This was the first novel virulent contagion in the age of widespread globalization and international travel.
– The virus was more transmissible than the flu as well as more deadly.
– There was at most a possible two week incubation period where infected were completely asymptomatic.
– Those on flights arriving out of China were not being screened properly. There was no 14 day quarantine period, just temperature checks which would not have caught asymptomatic carriers.
– Chinese New Year was occurring around the same time, significantly increasing domestic and international travel of the infected population.
– Hundreds of thousands of Chinese fled Wuhan BEFORE the lock down was enacted due to early warning from the Chinese government.
– There were many popular blogs in China with detailed instructions on how to skirt travel bans by, for example, flying to Airport A, then taking a ferry to B, then a plane C to your desired destination.
– The establishment media class was not taking things seriously, downplaying the crisis despite the above information. Same with many governments and experts. This suggests that many nations around the world would miss their chance to nip the virus in the bud as nobody was properly sounding the alarm.
These facts combined made any reasonable person converge more towards the “shit’s about to go down” hypothesis than towards any other. So either you didn’t know these facts—that is, you failed to do your due diligence before making proclamations about “just a flu”—or you did, and were for some reason obstructed from exercising proper judgment. Whether that judgment was obstructed by normalcy bias or out of fear of social backlash for going against the “experts” varies from person to person, but the result is still the same.
The problem wasn’t that this was a “hard” prediction to make, there were for example, no uncertain variables that would wildly alter the validity of the prediction. The problem was that the people in charge were unable to either acquire the proper information or exercise proper judgment with that information. The idea that this was a hard prediction to make is nothing but cope. The vast majority of “rationalists” failed, while the vast majority of “fringe lunatic ring wingers” like myself were correct. This was in some ways, the giant litmus test. Just who in the world, in a crisis can you depend on? Who can see through the bullshit? Whose views more accurately correspond with reality? While we can say that you did better than the criminally incompetent MSM, the majority of you just weren’t up to par with akarlin or xXxepicgroyper69xXx. So sad! Better luck next time.
What about SARS, caused by SARS-CoV-1?
BTW, COVID 19 is caused by SARS-CoV-2
There were also other novel virulent contagions.
Which was in 2003. There has been a doubling of the 2003 number of global flights since then. And in China, where SARS began, a sextupling since then. So things are much worse now than then, which was my point.
https://www.statista.com/statistics/564769/airline-industry-number-of-flights/
https://www.ceicdata.com/en/china/air-passenger-traffic
You should probably define this in advance because there’s enough predicates like it in your argument that people will be disinclined to engage if you’re just going to backfill with whatever threshold makes you right. Yes there’s a lot more travel now than in 2003, but this is true of any 17 year gap since WW2, it doesn’t lend itself to defining “the age of widespread globalization.”
Alright fair enough. There was a very large country, a large portion of the world’s population that was not fully on board with globalization, they are now 13 years later.
SARS had outbreaks in Hong Kong and Singapore, which caused outbreaks in Canada as well. Whether or not mainland China was globalized in 2003, Hong Kong, Sinapore, and Canada most definitely were.
It is not changing that 2003 was in age of widespread globalization and international travel.
What makes
claim clearly untrue.
If you are using weird definition of “widespread globalization” and “widespread international travel” then it would be a good idea to be explicit.
Depends on your threshold for widespread. Yes, I did not explicitly define that. Okay. We’ve cleared that up. The fact that was known in late January was that air travel from China and around the world was significantly higher than in other times, up to six times as high and twice as high respectively if we were comparing this to SARS in 2003.
What I meant, and did not state was something like:
“As China, a very large portion of the world was not yet fully globalized, the relevant subsection of the thing “being globalized” I define as high international air traffic… the odds of this being worse are significantly higher.”
Is that good enough?
It makes more sense and makes it more clear. Though “high international traffic” is still a bit unclear.
@EMP:
Not really.
You have to explain why SARS-Cov-1 didn’t spread widely from all of the places besides China it did get to, and why it was successfully contained. It hit not just China, but many other Asian countries.
HeelBearCub, that’s a valid counter argument to make, but I don’t think I should have been expected to address it up front in my initial reply.
To answer your question, the short of it is that SARS was easier to contain. Why was SARS easier to contain? Because people were most infectious on the 3rd or 4th day after they were symptomatic. Not the case with Corona, where people were contagious while asymptomatic. Again, that piece of information not only was known in late January, but freely available to the general public.
Apples and oranges – you’re comparing when SARS was most infectious, with when COVID-19 is any bit infectious. Every source we were able to find here the last time the issue came up, agreed that presymptomatic COVID-19 transmission represented a minority of cases. And 3-4 days after symptoms is a pretty good guess for when COVID-19 carriers are most infectious.
@EMP:
Then blaming increased air travel for the spread of the disease seems pointless. Pandemics were able to spread in 1918. At most you can say increased air travel gave us slightly less time to react, but people didn’t react “in time” anyway.
The virus can spread relatively silently, that makes the challenge of containment much harder if your society doesn’t already have population level behaviors that will inhibit it.
@John Schilling:
But the progression of Cov-2 is slower than Cov-1, your symptoms are far milder at that point. I think that matters a fair amount, at least until the full extent of the outbreak becomes apparent.
Also, I believe there is a substantial fraction of patients who never actually have symptoms, or whose symptoms are so mild they barely notice them. I think that wasn’t the case with SARS, and I think that makes a big difference in both getting people to self-quarantine and in making things like “do you have a fever or look obviously very ill” useful for screening.
They tested everyone on the Teddy Roosevelt and found 600 cases. 60 percent of them had zero symptoms. https://taskandpurpose.com/news/uss-theodore-roosevelt-sailors-coronavirus-asymptomatic
All this discussion of the subtle differences between SARS-1 and COVID-19 in terms of what day people are infectious and so on is very relevant now, but not really relevant to what people should have believed in January, when none of these differences were known.
It isn’t clear that these “patients” are transmitting the disease in any significant numbers. Last time I checked, there hadn’t been any confirmed cases of asymptomatic (as opposed to presymptomatic) transmission, and with some places doing reasonable contact tracing we should probably have more than a few anecdotes and “it’s theoretically possible” by now.
It would help if we could trust WHO to collect and collate that sort of information, to be sure.
May I ask where you said this in January, or, alternately, why you didn’t say it in January when it was obvious and you could have had bragging rights forever for doing so?
https://twitter.com/Nihlogos/status/1221072161563201538
https://twitter.com/Nihlogos/status/1221442630917206016
While these aren’t direct proclamations of “the pandemic is going to spread world wide” I think the tone is pretty obvious. I mean, I could pull from Facebook, but that probably risks breaking anonymity.
“My gut is telling me” is a really, really weak claim.
Impressive, and obviously much better than many people including me. But that tweet still sounds pretty uncertain. My whole point is that it is obvious in hindsight (to me also) but doesn’t seem to have been obvious to most people (including us) at the time.
Why didn’t either of us write a public and obvious “I am predicting coronavirus will be really bad, check back in three months and see how right I was”?
For one, I’m not a public figure. I made that tweet to my grand total of at the time sub 50 followers. Perhaps there was no point in making grand public proclamations if nobody was going to listen. But perhaps there was. Who knows.
Another more serious problem being that, your identity as Scott Alexander is concentrated into one entity, Scott Alexander. It’s easy to verify that you did not make grand public proclamations. My identity as a non public facing intellectual is fragmented into different parts. I have many different names and accounts and etc. It’s possible that I did in fact make such proclamations under a different name or in private. But establishing that those identities are linked to the root identity, i.e, person behind the keyboard is difficult.
Now, maybe my private proclamations aren’t as weighty as your public ones. Maybe you have more to lose than I do, fair enough. But I don’t think this detracts from the general point I’m trying to make here that those outside of convention reliably predicted pandemic. Even if you don’t necessarily think I qualify, the others remain.
I’m in this boat, too. I’m an intermittent tweeter so all my prescient takes are Discord screenshots. The most forward-looking thing I bothered to tweet was a one-fingered salute to the People’s Daily. (Which is realistically an evergreen Tweet.)
I actually did use Remind Me! on China Flu early Feb – but I deleted all of my prognostications.
I went to my local Catan club wearing a FFP3 mask for six weeks from middle of Feb – I was preparing all of Feb for this pandemic – so they can confirm I nailed it. This is probably the biggest I told you so in my life.
Now I’m water glassing eggs, waxing cheese and popping O2 absorbers into my flour canisters (allows me to have raw eggs, cheese and bread a year later). I don’t think food shortages are likely but because it is cheap to do and it’s the side affects of corona that could be Big If True. Probably this is a waste of time but it gives me some psychological reassurance.
Whole wheat flour? I thought white flour was good for over a year with no special precautions other than a sealed container to keep out insects and such.
@DavidFriedman
I sent an email with a breakdown of the prep and explanations for the choices. I’m guessing you’ve heard of some interesting medieval preservation techniques from the SCA.
There is still reason to prep – not for Corona – that has happened – but for the possible downstream repercussions. One dimension is having lots of unemployed house bound young men with nothing to do in cities and advocating for everybody to wear masks – I like the other Friedman called Lex well enough but that is how two good ideas become a bad idea in politics.
Completely agree with EMP. A reasonably high likelihood of a pandemic was the right interpretation of the evidence by late January. If you didn’t get there, you either weren’t paying attention or screwed up the analysis. That’s excusable for most people, but not for government officials or the media.
This is a deadly serious matter — a lot of people have died, and many more will. But at the end of the day, this is easy mode compared to what humanity is facing, so our failure here is a *very bad sign*, and not something anyone should blow off. We (in a collective sense) missed this, and that was very bad, and inexcusable.
(Why “easy mode”? We’re talking about something that happens periodically throughout history and that’s a direct implication of well understood simple science. “Global pandemic” is in almost any list of global threats put out by mainstream organizations. Governments literally have plans for this. Lots of people have worried about this. We’ve had close calls recently. There’s just no excuse at all here.)
50% ?? I think that’s way too much. No one with a net worth above a moderate threshold (say $50,000) can get such high rewards unless they’re taking the kind of crazy risks (all-in in all or most predictions) that will ensure them the poorhouse en short order.
That is, not to mention anyone owning any real state.
Now, if we were talking 10-20%… I might say you’re right
I’m not saying you couldn’t make money. There were lots of ways, as there are always. What I say is there is no way you can make that much without taking crazy risks. Which is what you acknowledge (no reasonable person would do). I don’t read the OP as claiming to have been able to predict just how bad it was going to get. Just “this was going to be bad”. To correctly price that you need to bet by how much
Plus: Selling real state is no picnic, as it’s neither quick nor cheap. And even in the best case, that would save you the depression on prices, but would not have made you money. Thus, it’s a drag on performance (a 50% real estate / 50% stocks portfolio would need a 100% gain on stocks, while selling the real estate at fair price, to make for a 50% gain). Don’t forget how much of total wealth is in illiquid assets
“There’s no way a pandemic doesn’t depress housing prices.”
I don’t think that’s at all obvious. I think it clearly makes urban living less desirable in the short-to-medium term, which may depress urban real estate prices. But it’s hard to tell what it does to real estate prices over the 10 year time horizon, or what it does to real estate prices outside of cities over any time horizon. It only depresses real estate prices overall if it results in a reduced demand for land, and I don’t see how it does that unless you get reduced demand for almost everything else you could put your wealth in (including cash).
@keaswaran
Most of the housing market is never liquid and a lot of old people are about to die. When the black death happened it was a giant transfer of wealth.
I think you are overestimating how entrepreneurial and money-driven people generally are. I don’t know of any of these ways to make free money from knowing that a pandemic is about to happen. And before you made this comment I didn’t even know that any such ways existed, so I wouldn’t have thought to look any such ways up. Even now, I have the feeling that if there were such opportunities to make such large amounts of money that were available to me, I would likely pass on taking them up for various maybe not-so-rational reasons, such as laziness, neophobia due to never having made money in an entrepreneurial way before, attachments to my current self-image and place in society that could be disrupted if I ended up having so much more money, or a feeling that making money out of this would be dishonourable in some sense.
> Hundreds of thousands of Chinese fled Wuhan BEFORE the lock down was enacted due to early warning from the Chinese government
I want to follow up on this, because I remember it happening and we didn’t see the results I expected. Sure, Wuhan got locked down, but the rest of the country didn’t. So why didn’t all of these people who fled and took the virus with them lead to an all-out epidemic in China? Even taking into account the CCPs general adversity to sharing information, stuff leaks out, especially when it is body bags lining the streets.
I wondered about this, too.
The virus was not that endemic in Wuhan by the time word got out. Even assuming an order of magnitude more than their confirmed cases, only a small fraction of the people who fled were contagious and were probably contained by the CCP’s surveillance/testing regimes (there were lots of stories about people who had traveled from Hubei being physically locked into a quarantine by local politicos).
I don’t consider it a contradiction to say that China’s authoritarian system (1) caused the epidemic in the first place (2) allowed China to recover from it very quickly. (I tend to agree that while China is probably bullshitting their numbers, they can’t really be bullshitting by that much, given the genetic evidence and how unsustainable the initial cover-up in Wuhan was.)
Agree with the interpretation of the last paragraph – I think our media is now hammering the Chinese or CCP but it all sounds a bit try hard to me – and a distraction from our own failures.
Opinion –
A lot of people should have resigned by now and scapegoating a nuclear power to an extreme is not smart. On reddit the anti-chinese sentiment is blowing up and even the right wingers are starting to become uncomfortable – not a good sign.
Is anti-Chinese sentiment on Reddit right now worse than it was in late January? I remember a period in January where there were repeated hate-fests against the Chinese government, first for not locking people down, and then for people dying when they were locked down, sometimes even on the same day talking about different stories.
@keaswaran
This is my perception – I see more of it in the main subs, I don’t know what subs you were frequenting in January.
Simple answer is that the second half of this sentence is wrong (or at least misleading). China as a whole wasn’t as locked, but several additional cities (and one province) had Wuhan like lock downs and most of the country had some sort of enforced social distancing and/or super local travel bans (e.g. you can travel freely within your neighborhood or village community but nobody gets in or out without specific permission).
https://en.wikipedia.org/wiki/2020_Hubei_lockdowns#Lockdown_timeline
That’s a bizarre standard for accurate predictions. My standard for accurate predictions is more simple. You say that something is going to happen, and it does. Not everyone is hustling all the time to make money. It is too much of a hassle to monetize, and frankly money isn’t worth that much to me. Could I have bought up a bunch of masks and hand sanitizer and sold them for outrageous prices overseas? I suppose, but I have better things to do.
“infected were completely asymptomatic”
Take a look at this DW propaganda about that – I saved it in pdf to make sure they couldn’t edit it online.
https://docdro.id/PtuAexk
Steve Bannon also deserves credit. He started a podcast series called “War Room: Pandemic” in late January, predicting COVID-19 would become a pandemic that changes human history. The strange thing is, I’ve listened to many of his podcasts, and he has nothing but praise for Donald Trump–whose position on the pandemic was almost diametrically opposite to his.
I don’t deserve credit. I’ve been consistently way too optimistic about COVID-19, starting from early January when I thought human transmission may not be possible and that even the few worrying posts on Zhihu (Chinese Quora) were overblown, to late January when I thought the Wuhan lockdown was a drastic overreaction, to January 31 when I thought Trump’s travel ban was alarmism, to early March when I thought stay-at-home lockdowns were politically impossible in the US and in any case a bad idea. As late as mid March, I thought the total number of US deaths wouldn’t exceed 20,000 (it’s 28,000 and counting). I got this one badly wrong.
This doesn’t really apply to the people named by Scott, but when you start crediting people in the far-right/nationalist cluster for being especially perceptive about the danger of the foreign virus outbreak, you quickly end up with a sackful of stopped clocks. A good sanity check there would be to look into how they treated the Ebola outbreak in 2014 (I don’t know off the top of my head anything specific to Bannon except that he running Breitbart at that time, but uh, big yikes).
If you mean nationalists systematically overestimate foreign dangers–yes, that’s pretty much the defining feature of nationalists. But anti-nationalists systematically underestimate foreign dangers. For exponentially growing dangers like pandemics, you pretty much have to be paranoid to have any chance of stopping them before they get out of control.
Yes. I say you want rightists to be looking at external threats and leftists to be looking at internal threats. I’ve argued we don’t want liberals in those positions – not as liberal bashing as Anonymous Bosch thought – but because they are just less suited for the roles – they do better on business. It’s unhealthy for any faction to have a monopoly for a long time – I can’t be the only one who has noticed our liberals of the past were just more intelligent than the versions we have today – the faction has been successful for too long. What you want is a nice ecology – like a garden with a variety of species – you want some to get cut back and some to be nurtured to bring out the best from everything.
You can imagine a kind of societal slider bar, where one end is “runs well during good times” and the other end is “handles crises well.” At the same level of general competency, your whole society is at some point on that slider bar. Being all the way to the “runs well during good times” side means you’re wealthier and better off most of the time, but you tend to get clobbered by crises. Being all the way to the “handles crises well” side means you weather crises admirably, but you leave a lot of money on the table in good times.
My guess is that more centralized control is in general a way to move the slider bar toward “handles crises well.” In good times, the centralized control probably makes things worse (the Generalisimo decides he likes VW bugs and so the car plants make them, even though nobody much wants them), but in crises, decisive leadership from the top, if it’s competent, makes everything work out better.
Just in time inventory and international webs of suppliers/parts for manufacturing are ways we move the slider bar toward “runs well in good times.”
@albatross11
I see your point but I’m more optimistic that it’s less about a trade off so we could get to an equilibrium where mostly the liberals manage business, the left runs caring and the right runs defense – this is very crude but we could have most of the best of most of the worlds.
We have trouble in economics because the left is too marginalized because of the failures of marxism. The right is too marginalized in social areas because of the obsession our society has with racism. This is all becoming unbalanced – it’s almost a relief when I see some rightist who admits inequality could be a problem or a leftist who would admit characteristics are heritable.
I think it may depend on the nature of the crisis.
As an economist, I think of the question in terms of how much of the cost and benefit of individual action goes to the individual. If all of it does then a decentralized system works fine, since the interest of the individual with regard to his choices is the same as the interest of the society. If none of it does, the decentralized system doesn’t work at all.
A centralized system with an omnipotent, omniscient, benevolent ruler would give the optimal result, but we don’t have any of those. Real centralized systems have decisions made by people who do not bear much of the cost or receive much of the benefit of those decisions, so perform much worse than the decentralized system, if the actors in the latter bear the bulk of the net cost of their actions.
In the current case, I bear most of the cost of my getting the disease, receive most of the benefit of quarantining, and do. A healthy twenty-year old receives some of the benefit of avoiding contagion, but it isn’t that large, given that he is not likely to suffer serious effects from the disease. He receives almost none of the benefit of not spreading the disease to others. So he receives a much smaller fraction of net benefit than I do, is less likely to make the right decisions for us when he makes the right decisions for himself.
Someone who has a mild form of the infection receives almost none of the benefit of taking precautions not to spread it.
As in most cases, the comparison is not between a system that works perfectly and one that doesn’t but between imperfect alternatives. I am by no means sure that in the current situation the net effect of centralized decision making over the alternative of individuals taking precautions is positive. And I think it would be less likely to be positive if it were more centralized, done, in the U.S. case, at the national rather than the state level.
It isn’t really a crisis vs non-crisis issue. Air pollution isn’t a crisis, just a routine problem of many societies, but it is a case where the decentralized solution doesn’t work very well for the reason described. If anything, the less flexible nature of our
centralized system suggests that it may work worse in a crisis. Consider the ways in which the CDC and FDA have made responding to this one harder.
One could posit this as part of an effort by Bannon to get back into a position of influence. But I have a feeling that the real explanation is an unhealthy and one-sided man-crush on Trump.
It will never work – American Rasputin is exiled from the Capitol!
Washington looked at that relationship and declared it unhealthy. Forgive me if I find that funny.
The first I heard of the virus was from Paul Kedrosky in early Jan, I believe on Twitter but he unhelpfully delete all his tweets. He has a great email today detailing how his experience of being very concerned, taking action, and still not really profiting. https://kedrosky.org/sendy/w/JnPAwW2lOtN892JYgO2LUSEg/EIcX0BqqvQK8qooT55g892jA/JnPAwW2lOtN892JYgO2LUSEg
Scott I don’t see if you assigned a probability to the chance of a global pandemic, even if it was just to yourself? I realised this was a great opportunity to prediction, even if I rated the chance it turned into a global pandemic as about 10-20%.
I also did a weak expected value calculation. I assigned 80% chance nothing would happen, 20% chance 50% decline. So for $100 the EV in this situation is: (100 * 0.8) + (50 * 0.2 ) = 90. To me wasn’t exciting enough to overcome my personal inertia. I bought N95 masks on Feb 6, if only I’d bought portfolio protection instead of personal protection.
I should have, but never got more specific than just thinking it sort of might happen. Looking back I feel like I would have given it 30% or so, but there’s obvious hindsight bias there and I can’t claim I thought about it much at the time.
I did prep, which implies taking it seriously, but only because everyone else in my house was prepping too, which made it obvious and salient.
Huh. I didn’t think that forecasting this was all that hard a problem for a rationalist. I’m surprised so many people whiffed.
By my count I got this right twice over: I worked it out on my own in late January, and then I listened to Greg Cochran’s podcasts with James Miller when they came out (looks like the first one was Feb 9). So even if I hadn’t figured it out on my own, I would have by then.
Maybe I just got lucky. That’s probably a reasonable explanation for me, but not for Greg, who has quite a track record.
I’m afraid that a public self-description like this is advised to be doubted, in my experience. Only a locked-in track record from before the event, without explicit numbers, can work as good evidence someone “got it right”. (e.g. Metaculus, GJP)
I really don’t care about my “predictive reputation” on this website; to the degree anyone recognizes my username, and thinks I am trustworthy, they can update accordingly.
Greg Cochran’s track record is public (at least on this issue and others). You would do better listening to him anyway.
The claim that I listened to his podcast with James Miller is not the least bit unbelievable: I comment on his blog under this username, and I often mention him here, so I’m clearly a fan.
I was simply expressing my honest surprise that (apparently) this was a harder thing to forecast than I had thought. I’m happy to discuss that further with anyone interested in the matter of making accurate predictions. If not I’ll just leave it there.
if there’s anything I’ve learned from this event, it is to presume people are dart-throwing chimps until proven otherwise. That includes epidemiologists, unfortunately. If a prediction is given publicly, it’s trash, unless it’s associated with a verifiable log score track record.
One problem here is that there are huge amounts of uncertainty around most of the variables you need to build a decent epidemiological model of COVID-19, but the results of those models tend to be given a lot of credence because they’re what the {experts, math, computer} said and so smarter than us. I don’t think many mainstream news stories made it clear how much uncertainty there was about these models.
Something similar happened with financial models of risk in the 2008 financial crisis. Lots of people took the outputs of those models, cranked them into their own models, and we got some very big surprises when things started to unravel.
Peak Prosperity totally nailed this right from the start. This video is the first I think and is from 26 Jan but it is pretty clear they’d been getting worried about it before that. I remember watching their videos and not being able to understand why nobody else was talking about it. One thing they did was to go through the newspapers especially financial one pointing out the lack of coverage with total incredulity. https://www.youtube.com/watch?v=Nk5P_iRYwTY&list=PLRgTUN1zz_oeQpnJxpeaEkFimDeepqyWf&index=71&t=0s
One more for the competent predictors list: siderea, who was strongly recommending prep on January 30. More recently, she’s been saying that getting a garden started is a very good idea.
As she mentions there’s already been runs on garden supplies. Baker Creek Seeds shut down for a while though they seem to be back up now, and Seed Savers Exchange is doing limited order windows because they can’t keep up.
That’s going to be the real test of how the government and the public handles this whole thing, if it comes to food supply shortages rather than paper-goods delivery shortages. As the curse goes, interesting times.
I think the rationalist community has a huge blindspot when it comes to Nassim Taleb’s contributions to risk management under uncertainty, which I’ve always found very frustrating. Scott has reviewed Black Swan and I got the impression he wasn’t too impressed, which is a pity.
Nassim Taleb in my opinion is the leading expert on risk and probabilistic thinking, but I can understand why people don’t want to listen to him. He is extremely opinionated, acerbic and likes to make extreme statements that can get under the skin of the people who happen to be in his crosshairs. He is also correct to a remarkable degree, in a way that allows him to win repeatedly and consistently.
I was extremely disappointed to see that Scott didn’t even include Taleb on the list of people who got the Covid crisis very right, very early, and at first there weren’t even any comments pointing this out. I’m heartened to see that quite a few people have now corrected this omission.
Scott and Taleb are two of the clearest thinkers I know, and I’ve often dreamt of what would happen when they combine their insights. Scott, please for the love of God, read Antifragile and give it a shot!
Taleb has zero regard for a lot of the rationalist-approved authorities like Silver and Tetlock, and Taleb also has the irritating habit of being right about the big things in material, profitable ways. It’s not good match I suppose.
Hah, well said. I’ve always thought of the rationalist community as being irreverent, so it’s been surprising to see them reject somebody for being dismissive of authorities and elites. The rallying cry of “systemized winning” does sometimes ring a bit hollow, especially when we see somewhat obvious missed opportunities in the rationalist community.
Edit: fixed link and changed a couple of words.
I think Bill Gates might genuinely be a domain expert. He’s been worrying about a pandemic for over a decade and spent billions of dollars and talked with the best minds in the field to find out if he’s spending his money wisely.
+1
Also, Gates is definitely smart enough that if he’s taken an interest in the field, he’s probably got a deep understanding of it by now–perhaps as deep as most of the more highly credentialed experts. You don’t need a degree to read the literature and understand it, and spending serious time discussing what you’ve read about with genuine experts and trying to use your knowledge to do stuff are both very good ways to become a real expert yourself.
I was trying to avoid the crazy runs on stores that we got. This was predictable, and like the bank runs in the 30s about as avoidable.
And yet even you were telling people to prep (e.g. hoard). Why? And more importantly, who, and of what?
I got coronavirus wrong in January. And I don’t take any prediction the journalists at Vox make as likely.
Didn’t you ask that question with your first paragraph?
I think your point is that it helps the individual but harms society. I say that’s wrong and the product of zero-sum thinking. If more people buy, more will be produced.
Being prepared for a society-wide problem or disaster is a public benefit-you make your neighbors better off. This is true because you decrease the size of the problem, the number of people who need someone else to save them (whether that’s government or private charities), and the number of people doing last-second urgent preparations.
Prepping, as long as it didn’t make other people panic-buy, was entirely pro-social. It bought up goods at a time when the supply chains had a lot of slack in them.
(I didn’t know this at the time, though. I hadn’t heard news stories about various bottlenecks in our supply chains, because there was no need for news stories about the various bottlenecks in our supply chains, because the grocery store created an abstraction layer where I didn’t need to care about it.)
I agree with this, in moderation, and that thought was partly behind my “why?”. However it does take time to ramp up. So it’s seemingly good to tell certain more-in-danger people (can’t recall the right term) to stock up early. This will encourage more production, while not causing a run that does more harm to society than the good of increased production.
Edit: Thanks albatross and Edward.
Edit again:
I mean I did my best to refrain from stocking up in order to avoid adding to any runs on stores, with the consequent negative societal effects. Even now I’m trying to just buy typical quantities (though did get somewhat more toilet paper than usual).
To be a bit of a prepping pedant, Scott wasn’t really telling people to prep or hoard in the “official” sense of prepping. I guess you’d call it more like a very mild panic-buy, but “official prepping” is being the ant instead of the grasshopper: lay up your stocks when times are good, so you’re ready for the downturn. If you’ve waited long enough for significant warning signs, you’re probably too late for proper prepping, and the best you can hope for is softening the blow a little.
Okay.
I’m not totally fond of the ant/grasshopper fable, as in it the ants are working together to build up a supply. Most instances I’ve seen of quoting this fable ignore this part, and talk about self-sufficiency, or as you say “official prepping”.
Working together is an important feature, yes, and an often underrated one. One should have a community; as much as “self-sufficiency” tends to be a tagline one can’t survive alone. I see it as about doing what you can for yourself, and having neighbors/friends to do what you can’t (and you support them as well).
This isn’t really a “nightmare pandemic”. We just have to stay indoors and a lot of at-risk people are, most unfortunately, dying.
Maybe you are being sarcastic? In addition to, you know, dying, a lot of people are out of work, scared, powerless, sometimes hungry, and taking it out on the folks they live with. Legally or not, people are losing homes. People are losing futures. A lot of businesses are closing that will never open again. Communities are falling apart. A generation of kids are learning to be scared of human interaction. “We just have to stay indoors” is the lighthearted reality for I don’t know, 20% of people? 50%?
I suspected it’s more of a rationalist quirk, like the other comment that pointed out it’s not even close to an X-risk.
There were some good comments on the subreddit or the other subreddit to the effect that most people are considerably more risk-averse than in times past, and that’s contributed to this response. So for most people it is a nightmare, but some rationalists have a quirk of “if it doesn’t kill LITERALLY EVERYONE or leave us with a non-viable remnant population, is it even that bad?”
I am curious what percent of the population can telecommute or otherwise not be jobless. I suspect this lighthearted reality is much lower than 50%; probably lower than 20%.
It’s definitely not an extinction event. But any event that causes morgues to simultaneously overflow in multiple countries to the point that dozens of refrigerated trucks are brought in seems squarely nightmarish to me. I do agree that’s semantics.
I find the last question really interesting. There are a few ways to look at it.
* What percent of people can work from home in the current environment?
I downloaded data from the U.S. BLS. My guess is that at a minimum, 80% of workers in the “government”, “professional and business services, “information”, and “financial activities” sectors can be home and get a paycheck, even if they are not able to do their full jobs. That works out to a minimum of 37% of the people counted as workforce participants in the table as of January 2020. I feel very comfortable that it’s more than 20% of workers that can work from home, though I think that if you include all the industry closures it is probably below 50%. It doesn’t matter if you can do your job from home if no one is paying for your job anymore (e.g. payroll or HR at a company that has furloughed everyone).
* What percent of people can “not be jobless”?
I think this is approximately those working from home – essential or not – plus those essential workers working not from home. I put some rough guesses into the table from the above link and came up with 70% of people included in the table being “not jobless.” My estimates were 100% government; 90% education & health, transportation and warehousing; 50% manufacturing, retail trade, other services; 10% leisure and hospitality; 80% everywhere else.
* What percent of people can still do something kind of like their normal day-to-day currently, either by doing it at home or because they are an on-site essential worker?
I’m going to be really generous to normalcy here.
• All kids are usually spending their day playing and napping (if they are 2) or studying (if they are 15). Let’s say they are all now doing this at home. That’s 75 million Americans under 18.
• All retirees are usually spending their day watching TV, gardening, and napping. Let’s say they are all now doing this at home. That’s 50 million retirees.
• All incarcerated people are probably mostly doing what they’ve always done, but more confined. That’s 2 million people.
• U.S. labor force participation is 63%. That means 37% of working-age individuals are not labor force participants. Some are students, some are full-time caregivers, some are ill, there are plenty of other explanations. Let’s say they are all now studying, caring, and being ill at home. Assuming everyone not retired, under 18, or incarcerated is part of the denominator I get (330 million – 75 million – 50 million – 2 million)*0.37 = 75 million in this category.
• My previous estimate was that 70% of remaining people (i.e. the workforce) are still employed. That’s (330 million – 75 million – 75 million – 50 million – 2 million)*0.7 = 90 million. Not this includes hospital workers, who are still doing hospital work but probably would not describe their day-to-day as normal.
• With all those generous assumptions, we can claim that only the remaining 38 million people have had their daily lives fundamentally disrupted. About 11% of the U.S. population. Up to 89% are still doing basically what they would be doing otherwise.
* What percent of people definitely don’t experience the impacts of the coronavirus or the coronavirus mitigation approaches as a “lighthearted reality”?
I think this is the more relevant question. I’m going to say it’s a “lighthearted reality” if you experience no additional or limited additional insecurity around basic necessities, no one in your household gets a severe case of COVID, you do not know anyone well who dies of COVID, and you are in a housing situation that is safe and that you have some control over.
There are 128 million households in the U.S. for an average household size of 2.6. While it’s not always true, for example in cases of domestic abuse, in some of these cases I am going to simplify and say that either the household is doing ok or it isn’t.
• There have been ~30,000 deaths from COVID in the U.S. (officially). Let’s assume 20 severe cases for every death. That’s 600,000 severe cases. Assuming no more than one per household, that’s say 600,000 households have had someone with a severe case –about two million people who had or lived with someone who had a severe case, so far.
• I will approximate that each COVID death has people in 50 households who know them well. That’s another 1.5 million households, 4 million people.
• The incarcerated population (2 million) and homeless population (0.5 million) are highly vulnerable and losing whatever small support they had.
All of the above totals just less than 9 million people.
• I expect most essential workers working on site are having a rough time of it. I am not sure how to estimate that number. A third of all those still working would be 30 million people, plus their families gets us 75 million.
• I expect those who are not secure in their housing, food, and other basic needs are having an extra rough time of it, whether they are still working or not. 18 million households received notices of utility shut-off due to missed payments in a pre-coronavirus world, I think that’s a reasonable proxy for the hardest-hit set currently.
• Those in households with abusers aren’t doing well. If 12 million people are subjected to domestic violence in a given year, how many of those live with their abusers? I’ll guess half. That’s another 6 million miserable households.
• Putting this together I am getting 2.6*(6 million + 18 million + 1.5 million + 0.5 million + 30 million) + 2 million + 0.5 million = 148 million people who are very decidedly not in a “lighthearted reality”. That’s about 45% of the U.S. population.
Now, there may be some double counting in there. Essential workers may also be getting utility shutoff notices. Domestic violence victims may also know someone who died of COVID. A single household may have multiple severe COVID cases or multiple on-site essential workers. Worst case, this is a factor of two and the actual floor is 23%. But, there are large, hard to quantify categories I am not enumerating here. Recovering addicts who are relapsing, folks struggling with mental health who are isolated from their support networks, folks who are seeing new mental health issues surface from the isolation and uncertainty, cancer patients whose treatments have been canceled, the list goes on. I think 23% is the absolute minimum number of Americans who are experiencing anything but a “lighthearted reality” at the present moment and 45% is much closer to the true number.
We all agree it is bad – but the most serious risk from this is political – something like a confrontation between the US and China taking us to billions dead.
The situation should be defused by the scapegoat mechanism – the surgeon general in the US and the heads of the CDC should all be resigned. It’s more important somebody harmless is scapegoated than this to be fair.
I think it’s worth comparing this to other major global and regional events of the past few decades. My impression is that even in most of the hardest-hit areas, like Lombardy or New York City, this is *far* less of a hit to daily life than that faced by people in Syria or Libya starting about ten years ago, or the Balkans or Central Africa in the 90s, or everywhere in the world during the world wars or the depression. Probably not even as big a hit to most communities as major hurricanes or wildfires.
This is definitely in the worst 10% of times. But for any particular community, it is (so far) relatively mild compared to many other things that usually get called disasters.
> So the CDC said masks didn’t work.
Sorry to be that guy, but this is false. The CDC said they don’t recommend that the general public wear masks – because, as you noted, and I’ve said before that the CDC isn’t doing decision theory, it’s being stupid and playing by the NHST book. They weren’t even recommending against it. I know the difference here seems like a minor point, but after extensive debate, I’m very confident that while others said this, saying that the CDC said it is simply false.
Other than that, I almost completely agree with the points you made – though I’ll point out that the cost of false positives for public health officials is very high in terms of reputation and ability to galvanize response when it is needed, so even at the point where a naive cost-benefit calculation says we should start responding, the actual costs to the CDC and similar organizations for publicly saying that people should worry are far higher than just the direct costs of a (justified) false alarm.
The Surgeon General did say it.
Lots of journalists said that the CDC said it. The CDC deserves some blame for journalistic interpretation. If the CDC talks directly to the public, it’s bullshit for it to say “that’s not what I mean.” Journalists are a good proxy for the public meaning of its statements.
You’ve responded without reading the links posted that explicitly say, or noticing on your own that, the CDC and the Surgeon General are different.
And if you didn’t notice, Scott explicitly points out how badly journalists screwed this up – but I haven’t even seen a journalist claim that the CDC said masks don’t work, rather than saying (still incorrectly) that they recommend that the public not wear masks.
That’s also the scientific method vs Bayesian reasoning. Bayesian allows you to draw conclusions from incomplete data. Incidentally, if you want a practical example of how this works in action there’s a new fitness class by Menno Henselmans coming up. Fitness is great in this respect because if you go by the golden standard of evidence you can’t even say that eating less makes you lose weight. But if you put together lots of studies, each incomplete, you end up with a model robust enough that new information just updates the model a tiny bit.
Also Nassim Taleb has a lot to say about paying attention not just to the probability of an event, but to the magnitude of the effect. That’s why he isn’t riding a motorcycle.
No, this is what Tetlock calls the “wrong-side-of-maybe fallacy.”
From Superforecasting:
Even sophisticated thinkers who have already read that passage and written a review on the book!
(I also suspect you made a similar mistake when talking about Zeynep Tufecki. I am not sure what exactly you mean by “her batting average is 50%”, but it seems like you’re implying that what she “predicted” about Ebola was wrong (whether we call it a prediction or not). However, I would emphasize Tetlock’s point above that you can’t tell whether she was wrong that “there could be a million cases [of Ebola] by the end of 2014” merely from observing that it wasn’t the case that there were a million cases of Ebola by the end of 2014.)
That’s part of the point I’m trying to make in this article.
I agree that part of the point you’re trying to make in the article is the same point I am making–you implicitly make the same point when you say that Silver and Tetlock’s superforecasters were “operating at close to optimum” despite giving <50% forecasts for events that did happen. Saying that they were close to optimum implies that their forecasts were not substantially under- or over-confident, i.e. not "wrong," despite how they were on the "wrong-side-of-maybe."
However, ironically the particular sentence "If we interpret her “likely won’t be a nightmare pandemic” sentence as a prediction, she got the prediction wrong" is the sort of thing we're both arguing against. Technically that statement is incorrect–it's exactly the wrong-side-of-maybe fallacy. It's the sort of sentence that we're both saying people ought to rephrase with nuance. Here's what I would have said:
"If we interpret her “likely won’t be a nightmare pandemic” sentence as a prediction, many would think that she got the prediction wrong. But in reality, knowing that a nightmare pandemic has occurred is not enough to know that her prediction was wrong, so we cannot judge her prediction like that. Anyway, I'm not looking to critique her; I'm looking to praise her. So I'm going to praise her for recommending the right actions (preparation) even though her forecast was that there was a <50% probability of a nightmare pandemic."
Re-reading what you actually did write, you ended your paragraph with another sentence that makes me believe you indeed are unaware of the error you are making throughout the article:
This sentence implies that Kelsey did not get her predictions exactly right. But we don’t know that. We don’t know it (1) because she didn’t state her forecast precisely, but (2) even if she had stated it precisely (e.g. as 23.7%) knowing that a nightmare pandemic did actually occur is not sufficient to judge that 23.7% was a wrong forecast. For all we know, 23.7% was over-confident and the “true probability” (if we could re-run the universe a million times) was that coronavirus would develop into a nightmare pandemic in only 17.3% of futures.
So it still seems that you’re not realizing or acknowledging that the fact that coronavirus developed into a nightmare pandemic is not enough to tell us with certainty that forecasts that there was an X% chance that coronavirus would become a nightmare pandemic are wrong. We simply can’t judge forecasts like that based on the outcome–per Tetlock.
Two relevant stories:
Many years ago I observed a highly intelligent elderly man ignore evidence of an approaching forest fire until he went out and saw it himself — at which point he took rapid and prudent actions to get his family somewhere safe. Thinking about it afterwards, I remember a distinction, I think in something Richard Posner wrote, about the distinction between fluid and crystalized intelligence. Fluid intelligence figures out a solution to a problem. Crystalized intelligence looks at the solution figured out in the past and uses that. As people get older, they accumulate more past solutions, have less time in which to benefit from finding new solutions, shift from fluid to crystalized intelligence. If you have lived somewhere for many years and never observed any hint of a forest fire, it’s natural to assume it isn’t happening until you have clear evidence it is.
About two months ago I was part way through a speaking trip in Europe. My younger son, communicating via email, urged me to cancel and come home in order to avoid the risk of what seemed to be becoming a serious epidemic.
My initial response was that he was over reacting — especially given that my next talk was to be in Ljubljana, an interesting city I had never visited. Thinking about it, I remembered the first story and concluded that I was making the same mistake my father had made, relying on crystalized rather than fluid intelligence. I had traveled over much of the world, never had to cancel my plans to avoid an epidemic, hence took it for granted that it wasn’t necessary this time. I cancelled my last two talks, booked a flight from Lisbon to Paris and another from Paris to SFO, got home on March 13th and have been self-quarantining with my family ever since.
The leading experts media writers go to are likely to be established people, hence late in their careers, hence old. Anthony Fauci is 79.
Now I recall that you wrote that you had a scheduled talk in Prague. I assume that it was cancelled, since lockdown here started around the time of it. But I totally forgot to check that out, despite my original plans.
Ex post, I don’t think I could have gotten to Prague — the border closed after I decided to cancel but before (I think) I was scheduled to fly there. But at the point when I cancelled, the people in Prague where still planning to host the talk.
The people in Ljubljana were planning to hold the talk in a mostly empty room and live stream it. The talk (more a panel) in Lisbon had already been canceled. I ended up doing five talks out of a planned eight.
And Donald Trump is 73.
Are you saying that Fauci’s cautionary warnings are likely to be wrong? It seems to me that he’s the one who is trying (at least when the President is not looking directly at him) -not- to ignore the forest fire.
I am saying that people like Fauci are likely to make the same mistake I was making, failing to update their view of what was happening and what to do about it in a novel situation, and that the media largely depend on such people. I haven’t followed the timing of what Fauci said when to know if it is true of him in particular.
Undoubtably there is, as you note, an age-related tendency here. But that factor can easily be drowned out by others relating to general nature of intelligence. Experience suggests that the number of formerly highly flexible people whose minds become rigid with age is far outweighed by the number of younger ones who never were that flexible to begin with. To accuse, even if speculatively and only by implication, an older man of high reputation and continued competence, merely on the grounds that he’s 79, does not have a good look.
kalimac:
It may indeed have a bad look. But personally, I don’t care so much about whether it has a good or bad look as whether or not it is true.
I accused both myself and my father of the particular error I was describing, although in both cases the error was corrected before it had serious consequences.
I did not accuse Fauci of anything other than being old.
“About two months ago I was part way through a speaking trip in Europe. My younger son, communicating via email, urged me to cancel and come home in order to avoid the risk of what seemed to be becoming a serious epidemic.”
I asked somebody here to email you about this actually (prompted by an RSS update you were travelling to Europe while China Flu was ringing the bell), you may not have received it but I’m glad you made it out of there safely! 🙂
What you’re saying about age rings true – people are starting to notice all the frontrunners for president were born in the 1940s or 1950s. We should all add the question “do I need crystal or liquid” to the metacognitive stack – ironically triggered for you to do liquid from a crystallized memory.
Gwern is also fine. I worry terrible things could happen if he runs out of oolong tea though. I don’t know if you’re into loose leaf tea but it’s really a joy in a pandemic.
There are other reasons to eschew cryonics besides thinking that a 12% chance that it’ll work is too small to bother with. (Besides the fact that my own guess as to the likelihood of it working is a microscopic fraction, not anything like 12%.)
And that it that I don’t -want- to be frozen for an indefinite period and then wake up in a strange future.
Ever read a science fiction story called “Ozymandias” by Terry Carr? It’s in Again Dangerous Visions. That pretty much is my answer to why I’m not interested in cryonics.
Why not? If the world started descending into madness, how bad would it have to be before you would refuse further medical treatment?
Would a future where they are able to resurrect you be that bad?
I don’t consider a speculative experimental therapy with only a microscopic chance of working to be worth it to preserve a life which is ending anyway. I’ve even taken the DNR order, because that’s not worth it either, for similar reasons. And if the reason for going is that the world is descending into chaos, all the more reason not to go.
“Would a future in which they are able to resurrect you be that bad?”
As I said: Ever read a science fiction story called “Ozymandias” by Terry Carr? It’s in Again Dangerous Visions. That pretty much is my answer to why I’m not interested in cryonics.
freezing your brain is risky. that’s why we use cryoprotectant.
Do you have any good resources criticizing Johann Hari’s book? I concluded I didn’t trust it, but I’d like some comprehensive information to give me a more informed opinion on it.
I’d love to hear more about this as well.
Now Goofus and Gallant discuss God
I wish people could do cost-benefit reasoning with uncertainty about other things as well, e.g. tonic water (unclear benefit, negligible cost)
Unclear benefit? How do you make a G&T without the T? /s
I have spent a lot of time thinking on the subject of “what would have been reasonable for a person to think if that person didn’t obsessively read the depths of the internet like I do?”. This is a hard thing to do, because it involves emulating not-knowing something. My gut instinct is to call attention to media failures in the face of this pandemic as an example of how they are so incompetent it borders on malice, but that’s not really fair, because I don’t know what the journalists actually did know when they wrote their articles. But I think I can identify three categories of error that they made. I think they are 100% morally responsible for these failures and I think that holding them accountable with punishments up to and including things I can’t say on this blog are appropriate given the severity of the current situation. I don’t expect this will ever happen, but this is to frame my thought processes.
1) I am not so concerned about them “saying what they don’t know”. I would rather they _don’t_ say what they don’t know. There was a lot of reporting in January and February about how this plague is totally fine don’t worry about it. They were wrong. Meanwhile I was reporting to everyone who would listen, hey 20 million Americans are gonna die, we need to do something. I appear to have also been wrong. What is the difference? When the media said hey don’t worry about it, they said that very confidently. When I said hey, worry about it, I said it explicitly as “hey there’s massive uncertainty here and I’m just delivering the facts but you should know that this thing is happening in China and if it keeps its current trajectory it will happen here so we should probably all start prepping”.
I know this seems like kind of a petty concern (my first predicted criticism is “it’s the media’s job to say things with confidence or else why would anybody trust them?”) but I think it’s a serious concern, precisely because of the chaos and ambiguity of the circumstances. I know it’s a meme, and I’m not trying to make a wider political argument, but just pointing out: four weeks ago, the official line out of almost every government agency and almost every media outlet I can think of, was that masks don’t work and you don’t need them. Meanwhile, as of Monday, it is now a crime punishable with six months in jail for _anybody_ in my city to be outside _anywhere for any reason with two very small exceptions_ without a mask.
Data evolves and we learn new things. It’s entirely possible that we didn’t have data supporting mask use until this week. But there’s a significant difference between “hey we don’t have strong evidence that masks work so maybe it’s not needed” and “hey dumbass why are you buying masks don’t you know they don’t work”. Our media was reporting with the second tone, and that means that the credibility authorities just craters every time they change their tune. There’s a creepy “we were always at war with the maskless” vibe to it, and I’m not the only person who reacts negatively to this
2) This is kind of the same as (1), but not only were they stating falsehoods with way too much confidence, but they were also stating falsehoods with smugness and that makes the problem worse. To roll with the mask example, it would be one thing if we had a bunch of articles that said “we have no evidence masks work so don’t buy them”. That would be overly confident but not smug. But instead we get a million articles like “we have no evidence masks work and so if you buy one you’re a crazy idiot who believes in pseudoscience and everyone should mock you”. Now I get it that the driving force here is nothing more nefarious than “gawker-style writing sells” but I’ve been opposed to gawker-style writing for so long that I’ve had a hit piece written on me about it (which apparently is no longer online so you’ll have to take my word for it). In the wake of current crisis, this stops being socially erosive and starts being a critical threat to peoples lives. Because it wasn’t just that the media was reporting that you shouldn’t/don’t need to prepare for this. It’s that they were levelling the full force of weaponized smugness to put everyone in a situation where they perceive a strong level of social pressure not to prepare for anything. If they reported exactly the same things that they did, but without the smugness, I would have much less problem with it
3) It is clear, to me at least, that most of these journalists do not think their job is “tell people true facts”. They don’t even think their job is “tell people true _stories_”. They think their job is to be social engineers. They think their job is to decide what people should think and then make them think it, by saying whatever needs to be said in order to make them think it. This is why we get things like “the real risk isn’t the pandemic, it’s anti-asian racism”. There is absolutely no reason under the sun why, if you were truthfully and sincerely reporting that “hey this plague isn’t a big deal”, that you would couple it to an anti-racism narrative. But of course what is going on here is that they have already decided in advance that their job involves a moral obligation to push anti-racism, and as a consequence they completely destroy all credibility regarding reporting on the plague in order to push anti-racism. Now, I’m not trying to say that they shouldn’t push anti-racism (I mean, I think they shouldn’t push anything but I am not pro-racist). What I’m trying to say is that they can have a goal of “accurately report true information” or they can have a goal of “push support for social policy” but they can’t do both; each goal necessarily conflicts with the other. If these people could have put their social engineering agendas down for one second to just rally and be like “hey, it’s crisis mode, different rules apply now”, that would be a lot more understandable and foregiveable. They wouldn’t even have to stop pushing their anti-racism entirely! It’s just that there’s a tone and emphasis difference between what they reported (“Racism is really really really bad and we’re not going to let these crazy conspiracy theorists who think there’s a disease in Wuhan use that to justify their hatred”) and what I’m saying (“Hey there’s a disease is Wuhan and it’s really spooky and we should all prepare, but just keep in mind that this thing spreads so fast that it’s definitely in non-asian populations now and so taking actions aimed at Asian communities, in addition to being kind of racist, would not be helpful”)
For another small example along your lines, someone has already quoted a NYT piece which, along with some serious warnings about the epidemic, threw in a note about how it was the fault of global warming (I exaggerate literal meaning but not tone).
Ironically, on the one hand, this plague has done more to fight global warming than anything else we have ever done, and on the other hand, if the people who say global warming is an X-risk to humanity actually believed that, they would be ok with measures as drastic as “global plague” to avert it
As someone who does think global warming is a (minor, tail-end) x-risk, this is an time-compressed object lesson in “if you wait until it’s obvious to the man on the street, it’s too late.” I don’t think drastic measures are advisable or necessary right now, but if we continue the rest of this century without even bending the emissions curve (assuming this year will be an outlier), then by 2100 you will definitely be seeing governments doing some crazy authoritarian shit and their populations being frightened enough to back them (wars over resources/migration can have that effect).
I hold out some hope that the world can be the equivalent of Taiwan or South Korea and implement modest measures now to stave off drastic ones later. For instance, with fossil fuel prices at a historic low and extrinsic reasons to discourage travel, I think now is as good a time as any for governments to look at carbon taxes.
I´d like to point out that major flaw with that Vox article is that it is asking “What went wrong with the media’s coronavirus coverage?”, as if “the media” would be some meaningful entity. SSC might also be considered as part of “the media”. They should instead ask simply what went wrong with Vox´s coronavirus coverage and do some soul searching.
I deleted my comment but I did actually tell people in the SSC reddit that Coronavirus was going to blow up and my sense was they weren’t taking it seriously. My pet theory is the subgroups of society are too synchronized because of the internet and the synchronization is making us blinder than we would otherwise be.
Trump, Brexit, Coronavirus – these are big misses and I expect more of them in the future.
If you had asked me, in late January, what I thought the probability was that COVID-19 would become a global pandemic causing hundreds of thousands of deaths, I would have said something like 80%. Just because I turned out to be right doesn’t mean that was a good guess; maybe there really was still a high probability of containing the outbreak at that point. But anyway, my problem – the reason I didn’t react with more foresight – isn’t that I insisted on too high a standard of evidence; it’s that even when I guessed correctly, my default sense of normalcy prevented me from thinking seriously about the implications of what was about to happen. It was a failure of imagination.
I saw a few Facebook posts and comments I made in late January and early February that accepted the likelihood that the disease would be a global pandemic and eventually settle into an endemic seasonal disease like the flu. However, I didn’t fully imagine what the early phases of that process would look like (i.e., March and April), so I didn’t anticipate what sorts of reactions were reasonable for me and for the world to start taking. I was thinking that a 2% fatality rate is high, and would mean millions of deaths, but relatively low risk to any particular individual, but I didn’t do the statistical value of a life calculation to realize that this very clearly justified a vast economic shutdown that would knock a dozen percentage points off the world economy to prevent the worst of the damage during the transition process.
I’ve been developing an alarm bell for the next pandemic. It’s a model to assess early evidence for whether it’s pointing to an economy-crashing pandemic or something serious but not world-shaking.
I don’t know why Scott thinks the market didn’t crash til mid-March. Here’s a selection of articles from the NY Times explaining the stock market from the week of Feb. 20th to Feb. 27th, 2020.
Feb 20th: Why the Stock Market Isn’t Too Worried About Coronavirus (whoopsie!)
Feb 24th: U.S. Stocks Plunge as Coronavirus Crisis Spreads
Feb 26th: Stocks Fall Again as Coronavirus Spreads
Feb 27th: Coronavirus Fears Drive Stocks Down for 6th Day and Into Correction
All of these articles clearly, confidently attribute the stock market decline to Coronavirus.
I wrote:
“The stock market is a giant coordinated attempt to predict the economy, and it reached an all-time high on February 12, suggesting that analysts expected the economy to do great over the following few months. On February 20th it fell in a way that suggested a mild inconvenience to the economy, but it didn’t really start plummeting until mid-March – the same time the media finally got a clue.”
It sounds like you’re talking about the relatively mild fall on February 20. Given that it later fell much, much more than that, I think it’s fair to say that underestimated the extent of the problem.
He is very clearly talking about the fall throughout the week of February 24-28?
Scott, this is silly. The equities markets fell something like 15% in the week February 24-28th. It *is* a mystery why it held up so well in early February (preference cascade?), but there is no way the sentence you wrote (“On February 20th it fell in a way that suggested a mild inconvenience to the economy, but it didn’t really start plummeting until mid-March”) makes any sense at all.
If you want an answer to “when did the market react?” then it is basically here: link text
And the answer is about February 24th
The S&P 500 fell from 3373 points on Feb. 20th to a low of 2237 on March 23rd. It had fallen 50% of that distance (to 2805) on March 10-11. Saying “it didn’t really start plummeting until mid-March” is just not factually accurate. As I point out, the NY Times already identified the stock market correction as COVID-linked on Feb. 27th. They had a clue at least by Feb. 24th, and definitely by Feb. 27th.
The basic gist of your piece is that the stock market more or less accurately represents our state of world knowledge.
For that to be true, we must have been learning information from Feb. 20th-27th that justified an 11% drop in stock prices. Can anyone point to specific data that came out during that week that seems so significant?
And after that happened, what further information did we learn from Feb. 27th-March 23rd that justified a further 20% or so drop in stock prices?
And remember, there’s a difference between predicting stock prices and predicting that the pandemic was going to be a world catastrophe. The latter is a lot easier than the former.
It’s so easy and obvious, frankly, that this was a case of
a) Misguided optimism trying to shore up political support or “prevent panic”
b) Everybody watching each other waiting for permission to act
c) Conservative policy in orgs like the WHO for the threshold for a pandemic declaration
For me to believe that the market prices accurately characterized our world state of knowledge about the course of this pandemic, you’d really have to show me what data the investors were basing their judgments on. We knew all the fundamentals well in advance of Feb 20th – COVID’s more deadly than swine flu, more transmissible than SARS, it’s all over the world, they shut down an 11-million person city over it, we’re low on basic medical supplies even in the industrialized world, and we’ve got no proven drugs.
The only thing that I could see investors wondering is whether we were just going to let all the old people die. Once it became clear that we were going to actually shut some things down, they sold their stock.
But that, again, is a separate question from whether the pandemic was going to be a world catastrophe. I just can’t see what we learned intellectually in that span of time that justified that flipped reaction.
As with my earlier comment, I will recognize that my impression is a subjective gestalt as an active observer (or at least I’d like to think so) and merely offer it on that basis:
You have to think of the 🌈correction🐻 in two phases: the impact of the coronavirus, and the impact of our response. Earlier in the thread I criticized Trump for not taking the threat seriously “until the stock market cried uncle” and that is my impression: that the first week or two of correction was mostly factual reality about the coronavirus soaking in, and then at some point it became more about the markets drawing some conclusions about what Trump’s hardheaded “all is well” response portended for a disease with such a :monkas: growth rate.
The perspective of equities traders can be narrow in certain respects, but you can’t accuse them of not understanding exponential growth.
Maybe. But unless you’re a very precocious child, you should know from experience that doesn’t stop them from occasionally being systemically and catastrophically wrong (or in this case, just a bit late). Part of that is the fallibility of man, like bog-standard herding, and another part is the increasingly purified incentive of maximizing revenue in the next quarter.
Isn’t that when he should have started taking things seriously?
The government has access to non-public information. Ask Bill Barr.
On February 20, there were 4 known cases in Italy and 5 known cases in Iran. On February 27, it was 645 in Italy and 289 in Iran. So I think before that week, it was thought that this was still like SARS – human-to-human spread in China, spread in Singapore and South Korea that had been detected and successfully isolated, and individual travel-related cases popping up in other parts of the world.
On Feb. 20 it may have been plausible for many people to think this would continue to play out like SARS – East Asia would solve their problem, everyone else would watch airport arrivals and quarantine them effectively, and within a few weeks everything would stabilize and gradually go away. By Feb. 27 it was clear that this wasn’t happening, since community spread was very clear from the public data in Italy and Iran, and probably also clear from genetic data in the United States and elsewhere.
Incidentally, I think this is the week that I realized this – I was giving talks at three universities over the course of that week, and I remember that at the beginning of the week I was treating it like a normal trip, but by the end of the week (when I was coughing and had had a little fever) I was greeting everyone with elbow bumps and had planned to talk to my students about it on my first day back in the classroom. It’s possible that my argument now that this is the week people should have reasonably realized it was going bad is actually just a post hoc attempt to justify my own reaction (which may have been driven by the stock market dives that week just as much as by the news stories and numbers coming out of Italy and Iran).
I think you are right. I found a day-by-day chart on Wikipedia of new cases by country.
It shows that Feb. 20th and the few subsequent days really were the tipping point when it became clear that we were seeing international community spread. The first day when there were 10+ cases in 3+ countries outside China was Feb. 21st (in South Korea, Japan, Italy, and Iran).
Was the early coronavirus writing even about coronavirus, though?
To me, very few of the articles listed were really about coronavirus. I know that’s not an intuitive take when the articles are headlined things like “there’s not going to be a coronavirus pandemic”, because it really feels like that’s what it’s about. But, the media (A) aren’t epidemiologists (B) aren’t probabilistic (C) probably aren’t great at learning a logical system and extrapolating out the consequences. And I think the response to that is to actually write about Something Else, where coronavirus becomes a metaphor / allegory for Something Else.
And Something Else is usually about your position relative to others.
So, “Is coronavirus going to be a pandemic” =
“Are the [other] media prone to unduly panic?”
“Am I on Team Adult or Team Panic?”
“Is my character/brand/tone cool and sceptical or is it alarmist?”
“How do I situate myself relative to the political poles and their stake on the politically important question of Wether It’s A Pandemic”
^ that’s the kind of question that Vox et al. were writing about.
I think it’s a structural issue where passing factual information makes less financial sense than editorialising; editorialising is a political process; and people aren’t interested or don’t know much about the fact, which is a subject of new and sudden importance, so they don’t have the staff for it.
Yeah, a huge amount of low-quality internet writing is me writing about my personal hobby horse or my favorite bit of meal-ticket clickbait, but somehow relating it to whatever else is in the news today. Ostensibly, I’m writing an article about X, but really, I’m writing it about my hobby horse, and X is just an excuse to talk about it.
So maybe I’m writing about the latest YA book, or about the recent Ghostbusters movie, or Trump’s latest offensive tweet[1], or this weird SARS-like thing that’s arisen in China, or whatever. But really, I’m not writing about any of those things, so I probably haven’t spent much time thinking deeply or digging into what I say about them. The latest clickbait article about the unbearable whiteness of hockey isn’t about hockey and isn’t going to be a good source of information about hockey, in the same way that a talk radio rant about how the boy scouts have been co-opted by the gay agenda isn’t actually a good source of information about the boy scouts. Quite often, I so much want to make my point about my hobby horse that I’ll get details wrong, omit important things, or even make things up to make a better argument. (You can see this in news stories all the time when you pay attention.) And people who read that and think they’re being informed about hockey or the boy scouts or whatever are mainly just absorbing misinformation and lies in a format that they find emotionally satisfying, which probably makes the information go down more easily.
[1] This has replaced “unrest in the middle east” as the world’s most reliable evergreen topic.
I’m surprised to see people still repeating the meme that complaints about racism were misplaced. Isn’t it clear that our response to the virus has been severely damaged by its racist nature? The United States imposed two major travel bans – starting on Jan. 31, they banned travel to the United States by foreign nationals that had been in China over the previous 14 days, and starting on March 15, they banned travel to the United States by foreign nationals that had been in the Schengen area over the previous 14 days. Isn’t it now obvious that both of those bans were major failures prompted by racism? In both cases, they did nothing more than shut one half of the barn door after the horses were already gone. The outbreaks in Seattle and California were seeded by travel from China in January, and the outbreak in New York was seeded by travel from Europe in February, and I believe in both cases, US citizens were major parts of the seeding.
As far as I can tell, all the travel bans did is cause mass crowding at airports on March 13-14, and this is precisely because of the racist nature of the bans (technically, it’s a xenophobic nature, since it discriminates officially by nationality rather than by race, but the distinction between racism and xenophobia isn’t very clear at all).
In the case of the Europe ban in particular, things would have worked much better if they had either imposed an immediate ban on *all* travel (by US citizens as well) or else just let the market pull back on flights. But because of Trump’s long-stated goals of putting racist travel bans in place, they ended up doing the worst thing by seeding major international airports with long lines of probably-infected people.
And those were the only outbreaks that were ever going to happen, right? It would have been impossible for any to be seeded by travel from China after January…
At the end of the day a “travel ban” that only applies to one country’s nationals is useless. If anything a Chinese citizen visiting the US was less likely to be a vector than an American citizen visiting China, because the latter returns home after one-to-many proximity with millions of potential asymptomatic transmitters.
Trump’s edict was purely political theater in any universe except one where American citizenship confers immunity to COVID. (To say nothing of the five-week gap between it and any other federal action.)
There are greater costs to stranding an American citizen in China than preventing foreigners from entering the country. Your comment is the logical equivalent of saying “it makes no sense to shut down non-essential business X if essential business Y is not also shut down.”
That the cost of doing only half a travel ban was less than a full one is not compelling when it also renders a near-null benefit.
Closing down travel to China on both sides may well have been too costly (since by then it was also already in Korea, Japan, various cruise ships, etc.) and I leave to others the exercise of constructing alternate histories favorable to their points. Mine is simply that if you don’t close it both ways, the benefit is reduced to the point where you may as well not do it at all.
‘
You have offered zero support for this position, the East Coast is have a vastly harder time than the West Coast.
I offered what I considered to be fairly clear deductive reasoning for considering one-sided travel bans worthless from a disease perspective.
You, by contrast, are offering inductive, post hoc reasoning based on one data point (the East Coast has it worse) with near-infinite inputs (among them the relative timelines of state/city lockdowns, the differing demographics of the coasts, etc.)
To draw a parallel to another Golden Age Scottpost, this is a bit like replying to someone criticizing the minimum wage with a post hoc argument about unemployment not falling after place X raised it (when unemployment, too, is an outcome with near-infinite inputs).
Yeah, not seeing that.
You can repeat it as often as you want, but the travel ban effected travel to the West Coast more severely and the outbreak has been vastly worse on the East Coast. Your ‘deductive’ logic would imply that a single infected person getting into the US is equivalent to zero restrictions on travel into the US indefinitely.
You don’t seem to have offered any argument in support of that claim. If half a travel ban cuts in half the number of people coming from an infected region to the U.S. it should cut roughly in half the number of subsequent infections coming from people coming from that region. The costs, both political and human, of preventing Americans from returning to the U.S. were substantially higher than the cost of preventing foreigners from visiting the U.S., so it made more sense to keep out foreigners than to keep out returning Americans.
If you can’t reliably screen, quarantine and contact trace people coming in, it makes very little difference whether you let in N or 1/2 N. You’ll reliably get local infection and community spread.
It’s like putting leaches on someone with sepsis on the premise that you are removing some of the bacteria in the blood.
I don’t know why someone would think a travel restriction applied to Americans has to “strand Americans in China.” You still let Americans back in, but quarantine any that have passports indicating a visit to China in the past 14 days.
In fact, once you announce this policy, you immediately will get a big drop-off in Americans doing any casual travel to China, because they don’t want to get caught in that.
My sense is that by the time anyone was seriously talking about banning foreigners coming from China, Europe, etc., it was mostly too late.
If you were going to do this, Edward Scissorhands has the right idea: you’d need to add some kind of quarantine.
And there is good reason to treat your own citizens better besides plain chauvinism (and chauvinism is fine). You know where your own citizen lives. You can check on him easier with a cop visiting his house to verify a stay-at-home deal. You can enforce punishment against him easier in case of violation. You can count on him, on average, to place a higher value on American safety than a foreigner. It’s more conceivable that an American would want to stay at home for 2 weeks than that a foreign visitor would want to sit in a hotel for 2 weeks.
I don’t know exactly what the line should have been for each of (a) foreigners coming to the US and (b) American returning home. I can buy them being significantly different. But no enforcement at all on Americans was the wrong call.
That’s an argument against any travel ban. Whether it is correct depends on whether the number of contagious people coming is or is not substantial relative to the number already here.
But I was responding to the claim that distinguishing between foreigners and returning Americans was racist — that “a ‘travel ban’ that only applies to one country’s nationals is useless” because keeping out half the people had “a near-null benefit.” (quotes from two posts by one poster).
The quotes are mine, but the term “racist” before the em-dash isn’t, it’s the guy two posts up. I think Trump’s (literally) half-assed travel ban had more to do with politics than race. He wanted the appearance of doing something, but only things that wouldn’t panic the stock market or possibly threaten his China trade deal, which excluded anything that could’ve made an actual difference.
@David Friedman:
No, it is most certainly not. It’s an argument against a half travel ban, something that accomplishes nothing. If I said that closing the bottom half of a Dutch door was no use in keeping flies out, you can’t say that this is an argument against closing the entire door.
There are times and places when a full travel ban may be exactly what you need to do.
Unless you think that quarantines are ineffective as a rule, it’s very clear that travel bans, in a general sense, may be called for. When you don’t have some other way to stop the spread of an infectious disease, you sometimes have to impose a barrier of time between when you have been in a place where you are likely to have been in contact with infection and the general populace.
So your claim is that keeping ten thousand people, a hundred of whom are contagious, from arriving in (say) New York, substantially reduces the problem, but keeping five thousand, fifty of whom are contagious, doesn’t?
Back before there is significant herd immunity, wouldn’t you expect the number of infected people at time t+20 to be roughly proportional to the number at time t? If so, if X is the number of people in NY already contagious, then the number infected at a later time, prior to the point at which a large fraction of the population is either infected or immune, will be AX if you let nobody in, A(X+50) if you let in five thousand, A(X+100) if you let in ten thousand.
So how can you argue that keeping all of them out accomplishes something, keeping half out accomplishes nothing?
By using the words in casual conversation where they are shorthand for “this thing would matter several orders of magnitude more than this other thing” rather than literally all or nothing.
In this case it’s the difference between a 50% effective NPI (the NPI being a travel ban) and a (100-X)% effective NPI, where X is your estimation of the rate of people who would successfully evade a travel ban applying to both countrys’ citizens. If you’d like to continue jousting you can propose an unrealistically high X value but this seems like an awful lot of effort at not getting the point.
@David Friedman:
I know you understand math, and exponential growth also.
Tell me, oh exceedingly wise professor, how many extra days have you bought yourself by halving the number of entrants if the number of infections doubles every 3 days?
It’s not as if we haven’t been going over this lesson ad infinitum recently.
Whereas, if there is no one currently infected in the community, the current number of infections is zero. How many doubling does that take to get to 100?
I was going to argue that the American going to China is a bigger risk (to the US) than a Chinese visiting the US. But then I wasn’t sure. The Seattle case, which happened before the travel ban, came from an American citizen. Italy happened because a Germany citizen took the virus from China and then it into Italy. That’s, like, natives being 50% more dangerous.
This isn’t exactly like screening radiation, where a bunch of particles are flying at you stochastically and blocking 50% reduces your risk 50%. Some particles are much more dangerous. Other particles will react based on the blocking. If there is business between Chinese Company C and American Company A, and Chinese Company C is unknowingly a hot spot, they’ll send a Chinese citizen instead of an American citizen.
@ HBC:
If you are assuming that people coming in are the only source of infection, then stopping all of them is indeed much better than stopping anything short of all of them, but your doubling argument is unnecessary. Is that your assumption?
If you assume that there are a substantial number of contagious people already here, and if you think the only relevant question is how many days difference one policy or the other makes, then keeping all of them out has only a minor effect for precisely the reason you have just argued. If, for instance, X in my equations is 50, then no immigration gives you 50 contagious people, restrictions only on foreigners gives you 100, and no restrictions gives you 150. By your criterion those are all about equally bad, since the best is only a factor of 3 better than the worst.
On the other hand if your criterion is not how many days extra you have but how many people are at any instant infected, then my calculation goes through.
@David Friedman:
No, your argument is specious nonsense.
The fact that diseases can grow quickly and exponentially is precisely the problem. If disease growth is linear to those being admitted, well, I don’t know that you have an infectious disease, but you definitely don’t have a pandemic.
If you can’t reliably screen and quarantine, but do not yet have known community spread, then imposing a complete travel restriction might be warranted.
If you have in place the means to reliably quarantine those who are ill from those who are not, then allowing limited travel, to keep the load on your procedures under its maximum, does something. If you already have unchecked community spread, are not screening and quarantining, the differences between N cases let in and 1/2N cases let in is the doubling time of the disease.
Your criteria of measuring “how bad it is” by the number of known cases is exactly the mistake Trump made when he said “we have 15 cases that will soon be down to zero”.
You are misreading my claim.
Disease numbers are linear in number initially infected, as long as most people are neither infected nor immune. That’s linear as a function of number infected, not as a function of time. And it is just as true if growth over time is exponential.
Assume growth is exponential, most people are neither infected nor immune. My claim is that:
Number infected(t) = (Number infected (to))(B^(t-to))
That’s linear in number earlier infected, exponential in time. It isn’t precisely true because the number who can get infected is falling over time, but it’s close to true as long as most people are neither infected nor immune.
@DavidFriedman
The goal of the government should have been to contain the outbreak, or failing to do so, delay the peak long enough to buy time deploy mitigation measures.
A half-hearted travel ban that only halves the number of initial carriers does nothing to achieve containment and only delays the peak by 3 days or so. Hence it’s close to useless.
A ban that is 98.5% effective, on the other hand, delays the peak by 36 days, and more importantly allows the government to attempt effective containment by contact tracing and screening.
@David Friedman:
Say what?
Disease growth numbers become asymptotic as you get to herd immunity rates. That’s the opposite of what you are saying. Diseases can grow fastest when the number of infected/immune is low.
Of course any exponential curve looks linear in the early phase,
if you also graph later growth. But that’s an illusion.
The most you can say is that, if you are early in the infection, such that the number of cases you would let in without a ban swamps the number currently infected, then the effect of a complete ban may save many doublings. But letting in 1/2N still only saves one doubling, and 1/2N still swamps the number of currently infected.
While delaying a peak for 38 days is obviously what we want, delaying the peak for 3 days is not completely useless. I remember all the graphs showing that starting social distancing even 1 day earlier can make noticeable changes to the curve.
@HBC:
As best I can tell, you have still not figured out what I was saying, hence are making arguments that, true or false, have nothing to do with mine. Having explained it once, I don’t see much point to doing so again.
On the contrary. That is why I wrote “as long as most people are neither infected nor immune”, explicitly restricting my claim to a point at which you were not approaching herd immunity.
“Isn’t three days earlier action what separates NY from CA?”
I would say three days is pretty minor compared to disgusting subways, and congested densities.
@David Friedman:
You claim infection rates ARE LINEAR when people ARE NOT approaching herd immunity.
Whereas I am saying the only time in an uncontrolled infection progression we start to see linear progression is AS WE APPROACH herd immunity.
We are saying the opposite thing. And I have no earthly idea why you are trying to say a geometric progression is the same as linear one.
@HeelBearCub
If a disease is progressing exponentially, the number of people with the disease at any given time is linear in the number of initial infections. So if 4 people are initially infected, you get a two-doubling-period head start on the exponential curve compared to one person being infected.
@TheNybbler:
I don’t think that’s what his point is. I already addressed that. The absolute worst case is that the number currently infected is much smaller than N. In that case so is 1/2N. In three days we are at ~N anyway. In cases where N is smaller than the number infected, it matters even less.
The number of infections being linear as a function of previous infections is … sorta pointless. You need smaller and smaller slices of time to observe that linear growth. Trying to remove time from the equation doesn’t make sense.
There are M infections. There will be M+x infections. If you add N infections there will be M+x+N infections. OK that’s linear.
But who cares?
That linear growth is completely swamped by the growth over time. Adding a fixed number of infections at some point has essentially no effect compared to what happens over time.
You still are misreading me.
“Infections are linear” means they are a linear function of something. You keep assuming I am saying they are a linear function of time, when I have, I thought, made it clear that is not what I am saying.
@David Friedman:
As I said in the reply to Nybbler, infections being linear to previous infections is essentially pointless.
That would be why adding N or 1/2N infections doesn’t matter. The geometric rate of progression is essentially unchanged over time, regardless. When you have uncontrolled infections, time is what matters. Until you put in place measures to control the infection, everything else is noise.
So I still have no idea what point you are trying to make.
One counterpoint is that it’s generally considered a violation of international law and various treaties and whatnot to prevent a US citizen (or Person or National or whatever, but you get the idea) from entering the US. The President has vast powers, recently confirmed by SCOTUS) to bar foreigners from entering the country.
So the argument would be that Trump should have broken the law to bar US citizens from entering the country, which is also insane. Alternatively, he should have stopped all international flights, which is more likely to have been legal.
CBP can’t prevent US citizens from entering the US, but it can detain them on entry on a “reasonableness” standard. He wouldn’t have needed to ban anyone, just a brief quarantine like what was imposed on the returning cruise ship passengers in February. According to multiple people I talked to, though, CBP was only even bothering to give extra warnings when someone was coming directly from Hubei and even then it was just a vague flyer.
This is, of course, grossly specific Monday-morning quarterbacking. Given the scant reliable information about the virus in late January, I’m sure there would’ve been a great hue and cry from the media if he had taken such a drastic measure, although he’d be coming out roses on the other end now. (I also think Trump’s established willingness to assert wholly illegal executive orders and narrow them into a Roberts-shaped hole as the appellate cases progress makes this something of an isolated plea for legal modesty; by the time anything was decided the quarantine period would be over and it would be moot.)
But ultimately I don’t blame Trump that much for failing to do even the stuff entirely within his power, like pausing international flights, in January. The shit he was talking in February and March while failing to update until the stock market cried uncle is much more concerning.
@Anonymous Bosch:
It’s worth also noting that Trump didn’t even take any material action with the ban he enacted.
Nor did Democrats take particular umbrage at the actions taken:
OMG. It’s like the reverse of authorizing governors to re-open if they want.
No.
It reads, based on your argument, more like a government having a higher bar for keeping out foreigners than keeping out its own citizens. Given that the latter have an actual claim on the government’s protection, this seems reasonable.
Given the exponential nature of this sort of epidemic, a ban on a large fraction of visitors does very little, compared to a ban on all visitors. The costs of bans are linear in the number of people banned. The benefits are highly non-linear. If you’ve decided that banning the Americans is too high a cost to bear for that extreme benefit of cutting off all travel, then the only way that banning foreigners could be worth the tiny benefit of cutting off half of travel is if the rights of foreigners count only an extremely tiny amount compared to the rights of Americans. But that seems to go against the Constitution, which only distinguishes between the rights of citizens and non-citizens in a few specific places.
Your calculation differing from the administration doesn’t indicate racism to me, especially given the regions banned.
Yes, it would have been more reasonable to quarantine and test US travelers upon their return. Government incompetence is no surprise, particularly now. Giving it an increasingly ill-defined boo-word, though, isn’t terribly helpful.
To be honest, I wasn’t considering legal residents in your complaint. A legal resident citizen of another nation kept out of their home would be understandably upset by this and possibly have some sort of case.
Foreigners traveling for business or tourism do have basically no claim on the country, imo, and complaints about being kept out by xenophobia aren’t going to get a lot of sympathy when we’re nearly confined to our homes.
if the rights of foreigners count only an extremely tiny amount compared to the rights of Americans
America should absolutely be prioritizing the rights of people who live here.
There are also many reasons we can be easier on people who live here.
This doesn’t excuse doing no enforcement on people who live here. The absolute bare minimum is giving people a card that says “if you feel sick in a few days, call this number.”
How do you get “severely damaged”? The travel bans may have been too late to do much good, and maybe you can even convince me that they were “racist”, but strictly on the pandemic-mitigation front they don’t seem to have done any harm and I don’t think they displaced any plausible alternatives that would have done more good.
> strictly on the pandemic-mitigation front they don’t seem to have done any harm
Look at the photos from O’Hare Airport on Friday, March 13, and see if this sort of hastily imposed travel ban did any harm on the pandemic-mitigation front.
https://www.bbc.com/news/world-us-canada-51895246
Yeah, this raises another issue that’s important to factor into your predictions about the world, and your policy prescriptions: much of the time, whatever policy is implemented will be implemented in an inept, hamfisted way.
A travel ban from some country can be implemented in a sensible way–give everyone as much notice as possible, allow some exceptions that are going to be necessary and make sure there are enough humans with decisionmaking authority to grant the exceptions, etc. And similarly, mandatory screening for symptoms or virus testing or quarantine could be implemented in a sensible way. But that requires competent people implementing the plans, with enough time to plan and prepare and enough resources to do them well.
One aside, though–going through passport control into the US and many other countries is usually stupidly crowded and slow. There’s not any inherent reason for this–they could probably ask whatever questions they needed to on the plane or as you got off the plane, they could certainly hire enough clerks to scan everyone’s passport, etc. And yet, just about every time I come into the US from overseas, I’m stuck in a long dense crowded line that’s pretty-much optimal for spreading disease. And very often, that’s also true coming into other countries. Since they weren’t set up to avoid long delays and crowding and lines when they were just scanning a passport and asking you a couple perfunctory questions, they surely couldn’t manage to avoid them when they needed to add a fever scan and a few questions about your health and whether you’ve been around any sick people lately.
give everyone as much notice as possible
Mostly agree, except for this. You never say “we will make restrictions tighter in a few days,” especially in a confusing way. Because it makes people flee for borders right away. The whole goal is to slow down travel, not speed it up.
So you announce new screenings on people coming in, and you implement it within an hour or two of that. This requires competence, and not your son-in-law coming up with the plan earlier that day.
But not all countries. Last time I arrived in the U.K., I concluded that the U.S. should subcontract passport control to them. It took very nearly no time at all.
That’s gonna be illegal. Like, Constitutionally illegal. If you do that, you’re going to have a lot more people than just the anti-racists petitioning the courts to say that it’s illegal, and the courts are going to rule in their favor.
They basically took your plan, carved off the parts that would be illegal to do, and did what was left. It seems like if we follow your plan in a legal way, we get to racism. Sorry, but you’re the racist now, dawg.
I’m pretty sure the right of the government to restrict personal freedoms in the case of a genuine threat to the health of the public is fairly well established in constitutional law.
But if you’ve got some relevant precedent, I’d like to know.
There’s very little that’s truly on point for this (CFNV v. Louisiana and Jacobson v. Massachusetts come close) but from a pragmatic standpoint of “Constitutional is whatever John Roberts says it is” rather than my own view if I were on SCOTUS, I just don’t see where you get 5 votes to overrule a state lockdown provided it applies equally to religious and secular public gatherings. Things like penning up protestors in “free speech zones” miles from an event have already had SCOTUS’ blessing for a while and that’s without a state of emergency.
And how will you make an argument, if the courts are closed, Mr. Anderson? Get arrested for a quarantine violation, you just disappear into the system at least for the duration.
I could make one, but without a background in Constitutional law I’d just be citing a bunch of meaningless case names at you. It is a feature of Anglo common law that the literal words are rarely informative because they sit atop a mountain of sometimes conflicting precedent, and the sort of radical textualism you describe has never really been the order of the day in America.
For example, “incorporating” the Bill of Rights to apply against the states as well as the feds is a (relatively speaking) recent development; it’s still not a universal rule although most of the important ones have precedent by now. The first time this happened was in Gitlow v. New York and you’ll note that while the court held that the First Amendment did theoretically apply, they also held that a law criminalizing anarcho-communist literature didn’t qualify as an infringement.
In your specific case lack of a qualifier in the assembly clause hasn’t stopped the courts from blessing TPM (time/place/manner) restrictions which is why a protest of sufficient size can be broken up if you don’t seek approval from the sheriff or city council. (If they stonewall you and refuse any time or place, then that would be a colorable 1A claim, but again, this is the degree of restriction they allow under normal circumstances, and while the case law on “emergencies” is pretty thin, it’s also pretty generous to the states as far as their police powers.)
I’m afraid I have some bad news…
keaswaran asked for a broad ban on US citizen entry into the US. That would be illegal.
Yeah, I’m pretty sure a law or directive saying “US citizens currently living in France may not return home” would not survive a challenge, whereas “US citizens currently living in France must undergo a 14-day quarantine upon returning home” would be upheld.
*sigh* Xenophobia, maybe. Idiocy and security theater – probably. But if the motivation had been racism, in what universe are Europeans a different race from Australians, Canadians etc.; Thai et al. a different race from Chinese; and Africans (sub-Saharan or Middle Eastern) not targets of a “racist” measure.
Quite fair. It’s really xenophobia rather than racism. But those two mentalities often feed off of one another in slippery ways. And my main point is that too many people seem to see the specter of “people complaining about racism” as something worth more comment on than xenophobia itself, which is an actual problem.
I’ll admit, I don’t see how calling the travel bans racist adds any light or insight at all to the situation.
a. It’s pretty obviously not true[1].
b. It mainly serves to load up the travel bans with negative emotional associations.
c. It secondarily serves as an attractor for some derail of the conversation into whether Trump is really racist or merely evil.
Now, if you want to argue that the travel bans were ineffective, yeah, I suspect you’re right. But you won’t get any smarter on the factual question of how effective they were by amping up the emotional or tribal appeals.
[1] The ban on flights from overwhelmingly white parts of Europe is supposed to be an instance of Trump’s racism? And previously the ban on flights from China that didn’t include any other Asian countries? This doesn’t make any sense.
For the record and to avoid to be that guy who only punches in one direction, I agree “Trump’s racism hurt our response” isn’t a terribly cogent point despite (1) agreeing that Trump is probably more racist than a replacement-level President (2) agreeing he’s shit the bed on our coofid response more than a replacement-level President
(Nate Silver really should get around to constructing VORP-but-the-P-means-President)
In what way were the travel bans, as implemented, effective at preventing uncontrolled/untraced transmission from either Europe or China? Thousands of people travelled, with no screening at all, by dint of being American.
If you grant that they were not effective, then why would they be implemented in this fashion? Sure, there is the basic impulse to be seen as “doing something”, but why would this be seen as “doing something”?
There is a long, long, long history, everywhere, of viewing foreigners as the source of contagion. These bans did nothing to meaningfully stop broad scale transmission of the virus. All they did was keep foreigners from coming in to the country.
In the early phases, a contagion grows exponentially once it is at a non-zero value. Allowing travel adds a linear term as well as the exponential one. Very early in the process, that linear term is significant. But once you’re more than a few days into the doubling, the linear term is basically irrelevant compared to the exponential one, even if it is technically non-zero.
If indeed there were very few cases in the US and many cases in {China, S Korea, Italy, etc.}, then imposing any of {a travel ban, mandatory RNA testing on entry, mandatory fever and symptom check on entry, mandatory quarantine on entry} could help by not introducing a bunch of new cases into the country. However, my impression is that the European travel ban in particular was probably quite a bit too late–we’d had community spread going on in several US regions for weeks by then. And the China ban was probably late (it had spread to other countries by then) and also was leaky (you could get here from China if you flew via another country).
That was a great response, keaswaran. I never thought of it like that.
That also depends on the R0.
With an R0 that is quite low, the linear part could give you days or even weeks of doubling, but with a high R0, it will be completely swamped.
Nobody really knows the genuine R0 of COVID-19 (lots of guesses out there), but it seems to be at the level where 50-100 new cases early on really did advance us several doublings.
Which is why the largest transit hub to Europe is also the largest nexus for the USA.
I think the way we implemented nationwide shutdowns and bent the hell out of the exponential curve makes a case that slowing the expansion of cases down, even just by a few days, can make a real difference.
If we were just looking at an exponential and our actions could do nothing to change it, then yeah, travel bans couldn’t help much–the ultimate result would be the same. But if we were suddenly moving as fast as we could to slow the spread down and try to drop R_0 below 1 or at least below 2, in hopes of avoiding having a Northern Italy style meltdown in the hospitals in NYC, then an expensive action that stopped a significant number of new cases being introduced made sense.
Sort of. The problem with travel is that travelers very often travel in ways that cause lots of spreading. They are on a plane. Planes are C19’s favorite. Then in a big airport like LaGuardia, LAX, Ohare you have to take a mini subway to get out of the international terminal. Sometimes then you take the subway/light rail away from the airport. Then you, a traveler are probably going to want to go to either an attraction like a museum, or an office building, because why else are they a traveler?
So, sure, an infected traveler is only a linear addition, but he’s also likely to be an addition that spreads more than your average infected citizen. Plus, because of the kinds of activities they engage in, even uninfected travelers are going to act as force multipliers for the virus.
I would feel a lot better if we’d at least implemented fever checks and a quick set of questions like “have you been ill recently” and “have you been around sick people recently,” for both Americans and foreigners, with the wrong answers leading to a polite insistence on quarantine in a nice paid-for hotel room until we can manage to get someone here to test you for the virus.
This is a flawed way of approaching the issue, it works if the only possible way of slowing the contagion down is travel bans and its either full travel ban or no ban and it also ignores how people move.
@HBC did you see that clip – the American woman in Japan during the cruise ship debacle who admitted lying on television about being tested negative for Corona and the State department stuck her on a commercial flight back to the US. The infected Americans were supposed to be sealed off from the other passengers.
My jaw hit the floor when I watched that. https://www.youtube.com/watch?v=9J6FdOmpA8Y
It was an extraordinary admission because it proved on video the State department didn’t confirm the list of repatriated from the cruise ship and the list of tested from the Japanese Health Ministry were related. Somebody should have resigned over that.
I’m not surprised that people, when confronted with an uncaring bureaucracy, would rather lie than do the right thing. Admit something and the low-level drone puts you in a windowless room for 8 hours, because fuck you that’s why.
I’ve heard many people say that their “screening” was just being asked if they had been to a hotspot, and if they say “no” they continue with their lives so they say “no.”
If you want the public’s cooperation, you need the public to trust you.
Yeah, I’m pretty much at the point where I no longer see “lying to the government” as a moral harm, ever, in any case.
@Edward Scizorhands, Matt M
I would hope people would be more civic minded. I went to a local hospital and donated my spare masks – it didn’t make my life easier to do that and I could have made money online selling them. I feel a certain amount of contempt for the lady and think that reasonable.
My real ire is directed at the State Department managing the operation – they should have double checked the lists from the Japanese Health Ministry and compared them to the repatriated instead of taking people at their word – that was just unintelligent. The infected – I think they were sealed off with plastic on the aircraft – but both infected and uninfected went into quarantine on an army base when the plane landed and if I remember the other passengers were commercial so they could have easily been infected by one of the liars sitting next to them.
It’s like the “Muslim ban” which didn’t actually affect most of Muslims in the world. Orange Man Bad.
A racist would be happy to claim we should have been more racist sooner and more consistently?
I agree with how nonsense it was for people at airports to get clumped at the worst possible time – I feel like that should have been anticipated by policy makers.
N.B. and a bit of a tangent — I’ll toss out a complicated example for Scott’s list of people who got this right. One of the best calibrated people on Twitter, judging by late January / early February tweets on coronaviruses in Asia, was @IAMIRONMAN7.
Aside from prescient early warnings about the looming medical and economic crisis, he mostly seems to tweet… Bible verses and Avengers memes? That is not strictly mutually exclusive with well calibrated predictive capacity. But it’s not the sort of signalling typical of the other folks in Scott’s list.
Maybe there’s something to be said for smart generalists who know how to aggregate and filter info from both specialists and particularly prescient outsiders. I guess that’s the point of a lot of Tetlock’s work.
I think you are downplaying another, highly likely scenario for the media’s response: Malice/Opportunism.
The best explanation I would suggest for the media’s timeline was that they downplayed the risk when they thought that was politically good for them, and started hyping the risk when they thought that was politically good for them.
I complained about this is early March. There was plenty of alt-Media that gave me enough information to convince me to personally buy rice and wipes. There was not enough legacy media confirmation (at the relevant times that people could have meaningfully done things on the nationwide level) that I had the confidence to short the market.
The theory of politics is useful because it works on all levels. Conformity and signaling the ingroup are both known quantities. The political calculations are quite easy to deduce, etc. And this also incorporates most of the experts, because they belong to the same social class.
ISTM that the more plausible model is that media types are mostly not very good sources of information on something like this, and that mainstream media types are just going to parrot the official line–and that’s mostly about as much as they can do, really. A J-school grad who barely passed her one mandatory stats class isn’t going to be critiquing epidemiological models.
Does not compute with what we’ve seen. No public health experts aside from perhaps the imperial people have been as “11” as the media has been ever since it switch stances on a dime.
I think the issue is that the media only has “11.” When the balance of expert consensus was “this probably won’t be a big deal” their reporting was “This is absolutely nothing to worry about and anyone saying you should worry is a bad person that deserves derision.” And as soon as the balance of expert consensus switched to “this is worth implementing some sort of preventative measures” their reporting was “This requires us to shut down everything immediately and anyone who opposes that just wants your grandma to die!”
They seem quite capable at not being at 11 when politics so demands. The Joe Biden story is being treated quite tamely.
Hey, he is describing the stock market right now, how prescient!
I’m from the UK and the whole Brexit prediction thing makes me wonder if it wasn’t just one group of people (more or less Blue Tribe, although this being the UK they vote for the Red Party) going “I’m really confident that no-one I know would vote for Brexit”. I mean sure, Tetlock and the likes will have been more sophisticated than that, but in the half a year or so before the referendum, you could see something building up in the non-university-going social classes if you knew where to look. Especially if like me, you have friends and relatives in those classes.
Superforecaster here, though I stopped participating in Tetlock’s research prior to the Brexit vote. I think that played a much smaller role than you’re imagining. 29% would have been a pretty reasonable estimate if you just looked at polling if I recall correctly – maybe you’d have been slightly higher?
I’m definitely not a superforecaster and I don’t read too much into getting this single one right, but I did switch to “I really don’t want it to, but it’s going to happen” about a week before the referendum. Most of my work colleagues thought I was insane.
I’m sure there’s accurate polling out there, but all the polls in the kind of media that it’s ok to discuss at my workplace have been massively biased in a single direction for a while now – brexit vote, Trump vote, US midterms, several UK general elections. I don’t know if they’re being dishonest and writing what their audience wants them to hear, or whether there’s lots of people their polling just doesn’t reach (if I had to guess, I’d say the latter).
What polls are you looking at? Polling I saw on Brexit, Trump, US midterms, etc., was always within a few points of the final result. It just so happened that for Brexit and Trump, the polling was always 2 points on one side and the end result was 2 points on the other (in Trump, the popular vote result was actually in agreement with the polls! just that errors of four or five points in several states put those states on the opposite side of 50-50 but canceled out overall).
Brexit polling changed a lot. Over six months leading up to the election, a lot of people moved from undecided to leave.
Normal polling is much simpler because it’s the same parties every cycle, but this was a new choice, so it’s much harder to interpret the undecideds.
Polling averages (ideally adjusted for the kinds of things that 538 adjust for) are pretty accurate, up to historical margins of errors of polling averages. News outlets like to cherry pick individual polls that they’re able to hype up.
The last few election cycles, polling averages have been slightly more accurate than average (2012 they were off by more than normal I think, but nobody really pays attention when it doesn’t change the outcome).
Taleb is certainly an interesting case, he wrote that a pandemic like this was likely in The Black Swan 14 years ago, but his media attention is far less right now than it was during the 2008 crisis.
A strong vindication of the particular point that experts have trouble reasoning about high impact small probability events, and that the blindspot is related to their confidence bounds being too narrow to include such outsize events. I think this gives us concrete heuristics for knowing how much to trust experts in the future.
What are the odds of this being just a another case of corruption? Everyone kinda trusted WHO and many gave it credibility because it was a global institution and did not share the same incentives for bias as a nation state would have. I mean, has WHO:s current leadership ever taken a position that would something else than the current official position of china? Stuff like refusing to use the word “Taiwan” in public or supporting opening of wet markets are a bit weird positions to take for a truly global institution.
Other things that might have caused the media and most pundits to fail is all the time and energy that was invested on critizising Trump. What are the odds that you are open to accepting that a bigger threat is on the horizon if you believe that a destructive dictator has risen to power and needs to be stopped? What if they were unable to panic because they were already in a panic?
Also one could question if the current rightist and leftist mental models of the world are really that open to taking new emerging threats seriously, since they are already convinced on what the real threats are, and thus focus more on “activism”.
Speak for yourself.
Next we’ll learn the UN Human Rights Committee doesn’t care much for human rights…
WHO declared a global emergency on 30 January.
Also the position it took on travel restrictions seems really weird: Support restrictions from Wuhan to other parts of china but discourage restrictions from Wuhan to other countries. Also memes
Did they discourage restrictions on travel from Hubei to other countries? My understanding is that they always recommended targeted travel bans – they only rejected blanket bans of countries when other areas with similar infection rates were still allowed.
I’ll accept someone who was fooled by WHO and China for January (although our intelligence community wasn’t). But now you have to explain February and March.
If anything, anti-Trump bias made the left *more* insistent on sounding the alarm, since Trump positioned himself in the CV denialism camp.
I recall most of the early media coverage being along the lines of “look at what happens when a clueless idiot is in charge during a crisis”.
Another striking illustration is this FiveThirtyEight survey of experts mid-March, asked to predict cases March 29th in the US:
https://fivethirtyeight.com/features/infectious-disease-experts-dont-know-how-bad-the-coronavirus-is-going-to-get-either/
Prediction: around 19k
Actual: around 140k
I suspect this is likely due to memory bias (the US didn’t face viruses the same way that Asian countries did in recent year, we recall overreactions rather than under-reactions from those) and exponentials. What is surprising is how narrow the confidence intervals they claimed.
Because nothing is a coincidence.
I think there is something fundamental that this article gets wrong.
I think many people who thought about this weren’t hinging their bets on the virus being contained in China, but rather they decided that western governments won’t take similarly drastic and arguably draconian measures to CCP. That they would look at the mortality charts, notice that not a lot of QALYs or GDP would be lost if no action is taken, conversely lockdowns would highly likely hurt GDP quite a bit, and therefore would choose not to have lockdowns.
What’s unforeseen then is that they choose to have lockdowns anyway. Why? Do they value elderly lives more than thought? Are they aware of larger adverse effects to GDP of non-lockdown that is not widely known? Are they sufficiently fearing non-reelection that makes them value human lives more? Something else?
“That they would look at the mortality charts, notice that not a lot of QALYs or GDP would be lost if no action is taken, conversely lockdowns would highly likely hurt GDP quite a bit, and therefore would choose not to have lockdowns.”
This seems very strange to me. I’m not sure how you can look at the past two weeks and still say this. We’ve lost substantially over 10,000 American lives so far, which at standard actuarial accounting is worth about $90 billion. If the reactions have prevented 100,000 deaths, then we could afford it taking a $900 billion hit to the economy. But there’s good reason to think that in fact the reactions are saving on the order of a million deaths, which is worth about 33% of annual US GDP. It seems like the lockdowns are a no-brainer, unless you think there’s a way to cut the deaths without having the economic hit. (Most likely, *not* having a lockdown still gives you much of the GDP hit, as individuals choose to stay home in an uncoordinated way, without the mitigation efforts like the CARES act.)
But we aren’t losing “average” lives. We are mostly (no, not exclusively, but mostly) losing lives of people who are already old and/or in poor health.
And doctors and nurses! With significantly higher fatality rates than the general population.
It’s a pandemic, it’s all hands on deck. So you’ve got 60 year old expert ophthalmologists (who represent a significant store of expertise) doing front line care for covid-19 patients. Losing 2% of your medical experts in the course of a few months is a huge problem, both in the short term and in the long run.
And “underlying condition” is not the same as “in poor health”. Someone with diabetes or hypertension is probably employed, likely to exercise regularly etc. This is not people so ill they can’t work. This is more than half the population in some places.
Do we? I was wondering in another thread if doctors were so interchangeable in an emergency situation.
“Healthy 60 year old doctors” are not the majority of COVID deaths, or even close to that, and it’s incredibly disingenuous for you to imply otherwise.
No, diabetes is not a death sentence. But it does lower your life expectancy by a significant amount, and your overall quality of life by some amount as well.
That example specifically was taken from an article I read. He’d written on his scrubs identifying himself as a first year junior doctor, because that was what he was for all practical purposes in the ICU. Despite being an extremely well regarded expert and highly paid consultant in his field.
They’re sort of interchangeable. Sort of. Better than a non-doctor, but probably on the same level as someone just out of medical school.
No, healthy 60 year olds are not the majority of covid-19 deaths? Or even the majority of doctors. I didn’t imply that they were, and it’s incredibly disingenuous for you to say I did.
But a 60 year old doing front line medical care is at hugely increased risk – medical staff are more likely to get severe illness. Healthy medical staff are more likely to die than people who aren’t medical staff. A lot of the examples of healthy young people dying are medical staff. Losing a significant chunk of your doctors is really worrying – they’re hard to replace.
And plenty of doctors have underlying health conditions. Asthma doesn’t stop you from being a doctor.
Does a 5 year shortened life expectancy actually matter? Particularly when you’re talking about medical staff. “die after you retire (age 78)” and “die after you retire ( age 73)” doesn’t seem like a big difference. Statistically significant, but not really important. Especially when you’re, IDK, 40?
The “quality of life” decrease from most of these conditions is really, really minimal. How much does hypertension or asthma actually decrease your quality of life? More or less than eg. a 10k income difference?
I think putting too much focus (or gaining any real reassurance) from the idea that people dying are mostly already ill or have shortened life expectancy is disproportionate. They’re not that ill, their life expectancy isn’t that much shorter.
Being male also reduces your life expectancy, and increases your risk of death from covid-19.
If someone offered you 10k a year to intentionally give you diabetes or asthma, would you take it?
Yes. Absolutely and without question.
Moderate, controllable health impacts vs. not having to stress about whether I can pay the rent or afford to take the tube? I’d take the money every time. I’m pretty sure my mental health would improve, and I’d be able to do more with my free time.
The amount of stuff you actually can’t do because you have asthma or diabetes is really, really minimal. Like, the major impact is that you have to take insulin or use an inhaler. This is pretty true even for more significant disabilities – most of my life would be completely unaffected.
I mean, I’m a gig economy worker in a country with decent universal healthcare (and you don’t even have to pay the £10 prescription charge for insulin) so that probably changes things, but yeah, I would.
I think that would be a serious net improvement to my quality of life.
Yeah. I don’t think I was super on top of this issue, but for about ten years I’ve commented to people occasionally that I expected to see a pandemic in my lifetime, probably along the lines of 1918. It seemed obvious to me that in this timeframe, we would see something big, just by chance, if not from antibiotic resistance or other things related to modern life. But I never acted on it, and while I was unusually worried about the issue relative to most people (but hardly thinking of it on a daily basis), when Covid-19 popped up, I didn’t feel much more urgency. I definitely thought there was a chance it could be crazy, and I think I started spending less money and put a moratorium on buying concert tickets or planning trips, figuring cancellation risk was high. But I didn’t say much about it, and got totally dismissed when I did. I’ve felt we were due for a systemic shock for a while, and had really not wanted to take out a mortgage (believing we would soon have a crash, and that the economy could be iffy) and some other things that involve long-term commitments, especially in one location. I allowed myself to be talked into it by a relative (long story), and have been kicking myself ever since. I’ve also had a nagging feeling that I should be saving like crazy, but did not do that as much as I should have, though I’m okay enough right now. I finally canceled my cable recently to help with that, which I retained way too long because people around me reacted badly to the idea and had bought me a TV and all that—very spineless on my part. I knew I had relatives who would help me if disaster struck. I didn’t think the systemic disaster would hit everybody at once, making this less of a back up plan. For the last year, I’ve been telling myself to sell my place and get into the most stable/independent possible situation, but I’ve been overwhelmed for the last few years and just froze. I thought I was being ridiculous, and that was what people were telling me. Now I’m just really mad at myself for not having the strength to act and not just go along.
But, though I thought the pandemic could wreak havoc and damage the economy by shutting down global travel, I never thought we’d have a shut down like this. I simply assumed the costs would never be accepted, and I assumed the dismissiveness the leadership class reflected the reality that they’d simply decided to downplay the issue and let the deaths happen. I thought that if it got bad, they’d have to shut down global travel and some other such things, and tell the vulnerable to stay inside, advise masks, all of that. I never thought they’d do this. I think I would have prepared more had I thought they would ever shut down the economy so suddenly and completely. And I assume the reason this happened is because they realized the disease was a lot harder to contain and a lot worse than they hoped, in ways that make it hard to cover up, and they don’t know what to do, but fear unrest. But to me that is the craziest part of all of this, and by the time I was really scared, it was too late to act other than to avoid getting the virus itself, which may well be inevitable eventually. I’m far more afraid of the systemic effects than the virus, though I’m certainly not eager to try my luck with the virus.
Yes, in my case, I was hoping the Constitution and the protection of our freedoms it offers was strong enough the government wouldn’t shut down the whole economy and lock people inside.
I thought the maximum a Western government would do was ban large gatherings, encourage filing stuff online, do things like extend deadlines for things (passports, taxes, inspections), quarantine flights, encourage voluntary distancing.
So, Taiwan and Sweden, not China.
Weren’t these questions already answered during America’s various wars?
Yes, but most of those things didn’t affect people very obviously and directly. I didn’t have much hope in our freedoms being upheld, but I just figured the obsession with economic growth and spending and all that would still be strong enough to make this untenable, plus many people’s resentment of things that very directly affect them. Of course, some people will always be eager to surrender freedoms for any promise of safety, but many won’t.
I figured most influential people would spend their energy trying to find scapegoats and rationalizations to make the deaths an issue of personal irresponsibility as much as possible. I still think it is likely that a lot of people at the top supporting this are doing so desperate attempt to pause us prior to collapse while they attempt to find a miracle, rather than accepting a hit to the economy because they are so worried about saving lives. I’m not saying they don’t care at all about whether people die and are evilly plotting to sacrifice, just that they pretty much see everything in terms of the economy and use wishful thinking about other concerns. Some level of collapse was going to happen even if we remained open, awkward and visible trade-offs were going to have to be made–control over “the narrative” was going to be lost. I think many are still in denial and telling themselves that they can make things go back to normal if they keep things in what they imagine is suspended animation. And I think some of the public is playing along in part because of the same kind of thinking—a hope that they can avoid any kind of net loss in the long run if they stay put and let experts try to figure it out.
Please read up on the home front during WWI and WWII.
Good point–I need to read more about that. For some reason I assumed you were referring to post-9/11 Patriot Act/TSA/etc. type issues related to Iraq and Afghanistan, but “various wars” should have sent me in another mental direction.
Note that ana isn’t American. She’s Spanish.
People freak out when they see death counters ticking higher, faster, daily.
“We couldn’t do more, because it would have been unethical to deliberately expose face-mask-less people to disease.”
The very fact that it’s recognized that it’s unethical to expose the control group to the danger of not using masks is evidence that, regardless of what experts said, many really believed that masks work.
Maybe a good rule of thumb is that when there are no good RCTs because it’s unethical to have a control group, the thing in question should be assumed to work in the absence of evidence to the contrary?
+1
Anyone who legitimately believes it’s reasonably likely that masks provide no meaningful benefit whatsoever should have no ethical qualms about running such an experiment.
The fact that we won’t run such an experiment suggests that masks are much more like parachutes than they are like Dr. Frank’s Miracle Snake Oil or whatever.
Scott’s piece hit hard. I put one cryptic tweet out saying this would be bad and liquidated my (unimpressive) stock holdings in February. Not with gusto, but kicking myself the whole time: “Timing the market runs against conventional wisdom you dolt! Who am I to ignore all those people who work so tirelessly to bring us wise conventions?”
I came off lucky, better than most, but emotionally I’m just as full of regret that I didn’t have greater certainty. My lack of conviction thankfully hasn’t risked anyone’s life, but why didn’t I push my family and friends to leave the market, or not to travel?
I really like your gloss. It’s not about perfect certainty in uncertain times, don’t wring your hands over that. Focus on how to act under uncertainty.
I take it that’s not just “always round probabilities upward,” which might seem like the wrong lesson to take from this event. It’s in line with that old saying about how if you’re holding a sapling when you hear the Messiah has come, plant first, then go meet him. Also, though, if you’re heading to a concert when you hear about a possible global pandemic, maybe go stream it instead? I don’t know much about messiahs, but I take it the consequences of being a few days late are pretty different.
One wrinkle that makes it hard to calibrate here is that “just in time” reactions are so often the right ones, in a lot of more banal situations. They just happen to be catastrophic when wrong. Why weren’t companies just stockpiling cash and medical supplies for a rainy day? That… might not have been the best use of capital for the century between 1918 and 2020.
“Just in time” reactions defend us against Pascal’s Mugger-lite situations. And committing real resources makes this all so much harder. If we have an extra billion, how do we distribute it between the HILF risks of asteroid prevention, a 200-year sunspot wiping out our thin backup supply of large transformers, and preventing an outbreak of ebola? What resources would you say we should divert right now from containing this emergency to hedge against other high impact uncertain events?
And N.B., we’re always dealing with some “emergency” that seems biggest in our minds. How many resources would 2018 you pull away from “ensuring the recovery leads to wage growth?” How much would you have defunded Australian wildfire response efforts to prep for this? How much should we divert from THIS crisis to prepare for the next one?
Ok, ok, that got a bit unfair. You don’t shop for flood insurance while your house is on fire. But there are weird thresholds and tradeoffs at play. When exactly do we stop worrying about precision and just get on with acting under uncertainty? I ask this NOT/NOT as a critique, but because I agree with you, and this just strikes me as the next important question in the series.
I think your answer might be… “Just get on with it! You do cost benefit calculations under uncertainty. Nobody promised they would be easy!”
That gets us to a weird dilemma though. If you’re consoling people who were less than omniscient predictors, because that’s to be expected, but urging us to focus on acting under uncertainty, and it turns out that too is also incredibly hard… though much easier if we can at least nail the probabilities… then I worry we might end up going in a bit of a circle.
Ok, that admittedly sounds like more of a critique, but it’s halfhearted, I don’t know where it gets me. I still get the thorough sense that you’re heading the right direction and have worked this out much farther than I have.
Thanks for the post, definitely though provoking.
My personal heuristic regarding experts is that you should defer to experts unless (a) the situation is actually subtly outside of the scope of their expertise or (b) the topic concerns something about which personal incentives might be relevant to the expert.
First, (a). I am an expert on a particular technical thing. You could describe me as a top, world-class expert on this thing. There is, unfortunately, an invisible-to-you boundary that distinguishes “the thing I am an expert at” from “very similar-looking adjacent things where my intuition would be no better than the average professional in my field.” There is another invisible-to-you boundary that distinguishes “things that professionals in my field are likely to be right about” from “very similar-looking adjacent things where the intuition of a professional in my field would be no better than the average smart person on Twitter.”
This reminds me of how some of the very worst takes in this whole episode came from virologists; virologists are not epidemiologists, any more than expert drywall installers are architects.
Next, (b). I am not actually talking about corruption when I say “incentives”. I am talking about the kind of Molochian traps that make everything stupid even if individuals are doing almost as well as they can.
Pretty much every expert in the universe exists in a state of constant frustration. The world is dumb and is not designed to actually take your expertise and process it into the appropriate end result. Experts will deliver the Right Answer to a corporation or government, and the corporation or government will take the Right Answer and process it through a bureaucracy which inevitably manages to use the Right Answer as a kind of prop to justify doing something entirely different for its own bureaucratic reasons. Some experts may anticipate this and shape their delivery of the Right Answer in order to increase the odds that the actual Right Action will be taken after the information is processed by the bureaucracy. This *might* be what happened with the mask recommendation, but I think your own analysis is actually more accurate; they didn’t know makes were helpful and lie about it, they are just not very good at thinking.
Scott’s point about reacting appropriately to a significant-but-less-than-half probability of some very bad thing happening is worth repeating. The way I like to think about it is this: if you estimated a 10% chance of some catastrophe happening, wouldn’t it be prudent to raise the alarm? But notice that if that is your consistent policy, 9 times out of 10 you will be crying wolf. So maybe we should be careful about dismissing the concerns of people who have previously warned of dangers that did not come to pass, so long as the warnings were couched as significant possibilities (preferably with reasonable attached probabilities) rather than as certainties.
I’m not sure you need to raise the alarm so much as you just need to be prepared. If there’s a 10% chance of wolf, the correct answer is “buy a gun” but not “fire wildly into the bushes every time you hear them rustle.”
This is the worst part of the whole thing. Opportunistic people trying to increase their influence or build their lifestyle brand will try to make an early outlandish prediction to get the ‘bragging rights forever’, and of course suffer no consequence for the 100 times they are wrong. Meanwhile Silver’s expertise is called into question because a *gasp* 29% event happens.
Yeah, this is definitely a problem in a modern society where “influence” is increasingly the most valuable currency, and where the best way to gain influence is to make a really crazy prediction too early and be right, whereas when you make a really crazy prediction too early and are wrong, everybody just shrugs and says “well nobody could have known.” It definitely incentivizes people to make increasingly extreme predictions, as there’s basically zero reward for predicting anything that’s anywhere close to what the average person is already predicting.
The way to do this is to demand pundits keep their predictions in one place, as I do:
https://alexanderturok.wordpress.com/predictions/
Archive.org and google cache prevent me from tampering with it. One wonders if it ever occurs to the people at the archive sites to tamper with past pages in order to “predict” things. In the future, if they perfect deepfakes, one could create one and then insert it into an archive and claim it originates before perfected deepfaking existed.
Your opening paragraph about how much the media blew it strikes me as being a little unfair. In particular, you shit on Vox for one tweet on January 31, but if you search Vox for “Coronavirus” in February you see a slew of headlines taking it seriously; and IIRC, the actual article that that one tweet links to was more alarmist than the tweet itself. So the idea that Vox was downplaying the pandemic this whole time isn’t true.
Your WaPo example is an opinion piece. WaPo publishes a range of opinions, including from pro-Trump people. If you search for Washington Post coverage of Coronavirus on that same day you get like 20 hits, mostly straight news stories that seem to take it seriously.
Many critiques of media coverage of coronavirus collapse the timeline and collapse different levels of non-alarmism. I see many of them coming from the right and I think that part of the reason is that the reactions from, e.g., Trump and Fox News were so dismissive, so hostile even to the idea that there’s anything to worry about, and so late in the timeline, that some people want to muddy the waters and make it seem like Vox saying in a tweet in January that there won’t be a pandemic is the same as, say, Rush Limbaugh in mid-March saying it’s the same as a cold.
Precisely! +1
There was once a Scott who was *especially* likely to interrogate/criticize a hot take when it played to his existing biases rather than just mindlessly passing it along.
As best I can tell he died of attention surplus disorder sometime in 2016.
It wasn’t just a tweet from January 1st, here’s an article from Feb 13 explicitly comparing it to the flu:
https://www.vox.com/recode/2020/2/13/21128209/coronavirus-fears-contagion-how-infection-spreads
I’ve gone back and forth on whether that article is mocking the people worried about corona or not. I think it depends on how hostile I’m feeling to the media that day.
Notably, Scott completely neglects to mention that the media outlet that published the pieces he praises most at the end of this article was… Vox. It’s very interesting that he attributes the bad predictions to Vox (ignoring the author) and attributes the good predictions to the author (ignoring the outlet that published it).
This sort of bad take cherry-picking is akin to burning the commons with Milo-style hot takes. If the media is committed to publishing a variety of voices, then inevitably some of those voices will get things howlingly wrong. Compiling those into screenshots with no overarching theme except “lol media dumb” is a great way to incentivize them not to encourage this variety of perspectives, for no benefit other than looking smug to other people who share your disinclination for nuance.
The problem is that, in general, these outlets don’t portray themselves as “just throwing some competing ideas out there from various voices.” They come on very strong and tend to signal boost each other, then when they screw up in concert they pretend nothing happened. Then they portray themselves as the only legitimate, reliable sources, who have been far more correct than the reckless sources of misinformation who got us here, and obviously must be listened to by all decent people. They don’t acknowledge fallibility nearly enough–if they were less intense about it, I don’t think people would be taking such glee in putting together these screenshots. (I agree this can go overboard and become more about signaling superiority, and that it can present an inaccurate view–the problem is that the mainstream media also does these things, and you can’t only let one side slide). They could easily say they got it wrong, as many did, and that they are still generally reliable. But they are going after others who got it wrong in the same ways, cherry-picking, and then arguing that people should put more trust in them (MSM)–close to total trust as a result. Pretty much everyone had a record of mixed good and misleading or just reckless information. It’s important not to allow a rewrite of events by anyone, but especially of the press itself.
I think I disagree with about half of what you just said, but it’s hard to tell given how it’s couched in nonspecific generalities. Cherry-picking is bad, but the response ought not to be to make claims both broader and less falsifiable.
Yes, that response is no solution to the broader problem, though it is an inevitable quick retort in an environment like Twitter. But Scott’s argument has much more to it than the screenshot, and it shows these mistakes were widespread. I don’t think Scott’s point lends itself as well to charges of cherrypicking because he is illustrating something more specific. It’s not a “Vox sucks” piece, but he’s using them as representative of a larger dynamic. I do think he should make clearer that the February 6 piece was published on Vox as well, but I don’t think his point was “Vox refuses to post good information and just sucks,” but rather that “Vox published various takes, some downplaying concern with a tone of dismissive certainty, and then acted like taking it seriously was obviously the only right answer.” That’s why he just gives one quick example of each source being wrong–the point isn’t that they were unusually or deeply inaccurate, but flippantly and moralizingly off-base in the same way most outlets were. It would be unhelpfully broad to use these examples to dismiss the media as all nonsense, because of course they also contain a lot of good information. But they are inconsistent in predictable ways, and it is important to know that so you can try and separate good from bad.
Scott has a history of bagging on Vox in particular, so the charge of bias here has more context than just this post.
Wasn’t aware of that, so thank you for the context. I’m not saying this piece is totally fair to Vox, just that the same argument could have been made without any criticism of Vox. It doesn’t hinge on the matter.
The other thing is that this particular kind of … oversight is exactly the kind of thing Scott would call out others for as evidence they were being dishonest in some way.
Sauce for the goose and all that.
And the argument, such as it is, does depend to a great extent on looking for evidence of ignorance and then portraying the media as a monolith, in opposition to the few individuals who “got it right”. Given Scott’s basic enmity for the media, and institutions in general, and strong preference at promoting the iconoclastic individual, I think his argument actually does somewhat hinge on it.
@HBC
I think that is a misreading of Scott. It seems to me Scott reads a lot of Vox, and seems to put faith in them generally. But because he reads so much Vox (I derive this from him citing them often in posts), he notices their mistakes a lot.
@Clutzy
I think part of the reason Scott focuses on Vox (for better or worse) is an association with “his area.” They’re based in DC officially but they’re reasonably big on reporting on tech/San Fran/etc, and Scott comes across as having a deep emotional connection to the area, so he takes their reporting more personally than perhaps he should.
Plus, as HBC alludes to with his enmity of media, Vox writers often takes position that are completely antithetical to Scott’s and touch on those subjects that rile him up most. They did run that Voxplainer about monogamy being foolish and outdated; I’m sure he appreciated that.
He used to cite a lot of Current Affairs, probably not because he trusts their reporting, but he thinks CA has too much popularity for their low quality and the interactions he’s had with Robinson. Though maybe he’s decided reading CA is bad for his health to very little benefit and he avoids it now; perhaps wise to take the same route with Vox.
@ mtl1882:
The kind of systematic media survey that is needed to make cases like this is difficult, expensive, and prone to any number of basic conceptual failings. It should not be surprising that it is consequentially rare, and the best you are going to get without making a concerted effort is a bare handful of anecdotes from a specific individual’s consumption. Be more skeptical about taking them as representative.
(And that’s even without going into the matter of click-through rates. The whole intro reads very differently if you stop reading at each link to check what’s being summarized.)
@ Clutzy:
I would be very interested in the specifics of how Scott gets his inputs, and generally put a high level of importance on the exact chain of transmission. I take it an unspoken heuristic (and should probably be shouting it from the rooftops) that if I see a retweet by Joe Average linking to a Vox piece by Kelsey Piper, the correct order of attribution is 1) Piper, 2) Joe, 3) Twitter, 4) Vox. Details are context dependent, but there are very few circumstances where social media signal boosting cannot overpower publication quality filters.
This is an important point.
I suspect Vox “the organization” would almost definitely claim “it” didn’t have a take, period. Individual contributors had takes, some of which were reasonable and some of which were terrible.
Someone could try to average it together and say “Vox the organization” doesn’t do a good job of editing/following up/distinguishing contributors/etc, and this is probably true (note that I do not trust Ezra Klein and that probably colors my perception of Vox-the-organization as founder/editor at large (I also find that a silly phrase; it makes him sound like a criminal that Vox is hunting)), but it’s still good to highlight that distinction.
I think this leads to a good general rule: When you can, follow individual writers and thinkers, rather than institutions. Kelsey Piper is worth listening to in ways that the median Vox writer isn’t.
Seconded. Requires more attention, but likely worth the benefits over giving bad actors cover for being associated with a good institution, or missing out on good information from good people due to an association with an institution/others you don’t trust.
There is a not-Vox-specific pattern of Scott attributing pieces that he’s praising to individuals and pieces that he’s criticizing to organizations. I kind of remember him saying that he felt bad criticizing people by name but I can’t find it.
And then we go and bemoan outgroup homogeneity bias and wonder how we can change things.
This reminds me of the East German political scene. Few are aware of the fact that there was a “Liberal Democratic Party of Germany” officially espousing liberal ideology(as in classical liberalism) and even a “National Democratic Party of Germany” intended to represent former members of the Nazi Party, the Wehrmacht and middle classes. Outside observers wonder why they bothered. Didn’t everyone see the difference between these parties and the ruling Socialist Unity Party? Didn’t everyone realize there was no real difference between East Germany and other communist one-party states? I think the answer is that some really did believe they lived in a “multiparty” system. After all, the statement “East Germany has multiple parties with distinct ideologies” was true in a literal sense.
If what I said is like saying “East Germany has multiple parties with distinct ideologies”, then what Scott said is like saying “East Germany is a liberal democracy because look at this political party, the Liberal Democratic Party of Germany, espousing liberal democratic ideals!”
>So the idea that Vox was downplaying the pandemic this whole time isn’t true.
Ehh… I tend to wear my anti-Vox bias on my sleeve but I’d like to build on the other commenter that pointed out Scott not making an organization versus contributor distinction.
For one, it would be more useful if we had readership numbers. Given the rate they change headlines, delete tweets, etc, I’m sure Vox has detailed information on the popularity of their articles. Vox posts dozens of articles a day by dozens of contributors, and even early on they were posting at a fairly steady rate. If they have one author posting solid articles that get a handful of readers, and multiple authors posting BS articles that get the majority of readers, then the organization as a whole was still doing a poor job with just enough coverage to say “ah, we were going both sides, we covered our ass” even though the general perception is that they were doing poorly.
This notoriously bad Recode article got lots of attention, especially in hindsight, so how much of “Vox was crap” was due to this one article and Kara Swisher’s defense of it? (For why it’s bad, see actual expert and non-journalist Bajaji Srinivasan).
Julia Belluz posted good articles containing actual science (1, 2, 3) and I’d enjoy knowing how much attention those received and the impact they had over the… let’s say less scientific and more politically-motivated articles (1, 2, the Recode one above).
>I see many of them coming from the right and I think that part of the reason is that the reactions from, e.g., Trump and Fox News were so dismissive, so hostile even to the idea that there’s anything to worry about, and so late in the timeline, that some people want to muddy the waters and make it seem like Vox saying in a tweet in January that there won’t be a pandemic is the same as, say, Rush Limbaugh in mid-March saying it’s the same as a cold.
Good point, and the thoroughness and “sidedness” of the flip was bizarre. I suspect, and I may be projecting, that part of Scott wanting to smack on Vox et al specifically is their general smugness, and that they deleted the tweet to hide the history rather than admit they were wrong.
My Feb 6th “don’t tell people they’re overreacting” got about as much traffic as that Recode article, and far more traffic if we don’t count Twitter traffic (which was disproportionately from people who were there from Balaji’s takedown of the article). Julia’s January coverage got 20x more viewers than both those combined. Most people who read about the coronavirus on Vox read Julia’s articles.
Interesting, thank you!
I had considered Recode one of the more popular… subheadings? verticals? of Vox and expected that that one would’ve gotten more attention. Perhaps my circles just share Recode articles more often, historically speaking, and my perception of its relative popularity is way off.
I’ll continue to work on focusing on specific authors rather than lumping together the whole organization when possible (both in supporting/paying attention to authors I respect, and not allowing specific authors/subsections to completely negatively color perception of a publication writ large). Treating it as too cohesive and too centered on a couple big and controversial names leads to too much disrespect and distrust towards lesser-known writers doing actual good work.
Ehhhh… not sure I buy it.
On the one hand, yes, it is technically true that most large media organizations publish pieces from a variety of perspectives, and that typically, they do not publish any official “the organization’s view on X” or anything like that.
But come on man, we know that Vox has a different worldview than Breitbart. And we’re right about that. In the extreme case, I think it would be entirely fair to say that an organization who publishes 10 “COVID is no big deal” stories for every 1 “COVID is a threat” story has a very different view on the threat of COVID than an organization who publishes 10 “COVID is a threat” stories for every 1 “COVID is no big deal” story, would it not?
These organizations get to pick who they publish and who they don’t. And if you “stray from their organizational values” too much, they stop publishing you.
I don’t follow Vox closely, but I know many who do, and as far as I can tell, the consensus is generally something like “Their coverage was despicably awful, except for Kelsey.” Should they get some amount of credit for hiring Kelsey in the first place, and not firing her despite her abnormal opinions on COVID early on? Yeah, sure. That’s better than the alternative. But it’s not better than a hypothetical alternative where everyone they published was a lot more like Kelsey…
How many saying that also have a personal or at least non-Vox association with Kelsey?
I mean, I agree that she was one of few good Vox contributors on the topic (Julia Belluz seemed to do well also) but I think that’s an important factor to keep in mind.
The issue isn’t that Vox was abominably bad–I don’t think it was that much of an outlier. It’s that Vox claims to be exceptionally good, so even if it just screwed up on average the same amount as other outlets, that’s still a big deal. That’s what is prompting much of the backlash (of course, this is partly driven by culture war rivalries on both sides, not just an objective concern about information quality, but they aren’t separable).
IME Vox is an okay source of information (probably better than the average media source) except where the information touches on some kind of culture war issue, at which point their quality falls dramatically.
I really don’t think this is factually true. I searched “coronavirus site:vox.com” on Google for stories between 2/1/2020 and 2/15/2020, inclusive. Here is what I got on the first page of results, by headline + first paragraph of story:
I really don’t think this is a bunch of “COVID is no big deal” stories.
Honestly the more I think about this, the more it bothers me. Scott writes an entire post about how horrible the media is for allegedly screwing this up, cites vox as an example, cites one (1) tweet, ignores all of the above, and meanwhile nothing about Fox News whose hosts were saying it’s all bullshit and there’s no greater danger to anyone than the flu well into March. On March 9, Sean Hannity said it was a hoax. On March 11, Rush Limbaugh said it was like the cold. When Vox’s tweet happened, there were 7 cases and 0 confirmed deaths in the US (the first death would be 29 days later), and very few cases outside China. When Hannity and Rush said their things, there were 645 and 1205 cases in the US respectively, and Italy had 10,000 and was locking down.
I like to hate on Vox as much as lots of others here, but the real difference is that guys like Ezra have more integrity than guys like Hannity, and will respond to these accusations with introspection instead of “fuck you what about Hannity”; whereas Fox will ignore and lie about its own actions and then try to portray the left-leaning media in the worst way possible.
Please read the article, this quote is severely out of context.
On the last article I quoted that Alexander Turok says is “severely out of context”: I selected the stories/quoted a portion of them according to a set rule and not selectively so that I couldn’t be accused of selectively quoting out of context. I wasn’t cherry-picking alarmist stories or anything like that. But I also don’t think this story is particularly dismissive. It portrays some of what people are doing as unnecessary/going too far, but also treats sympathetically the idea that people should be preparing. Would be bad if it was the extent of their coverage, but if it’s the worst one out of 10 then this whole “vox’s coverage was completely dismissive” thing is wrong.
Link so people can judge for themselves:
https://www.vox.com/recode/2020/2/13/21128209/coronavirus-fears-contagion-how-infection-spreads
Anyway Rush Limbaugh said it was like a cold a month after this story ran, so it’s a little weird to split hairs over this.
Bringing up Ezra specifically is a terrible way to defend Vox; he’s a smug Californian but that does not give him more integrity than Hannity. Not to mention they delete tweets and articles where they “got it wrong,” which is the equivalent of lying about their own actions. Don’t get me wrong, I think Fox is still much worse, but I think Vox sets a much higher standard for themselves and they still consistently miss it. Not in the sense of “perfection is an impossible standard,” but along the lines of “IFL Science but really only care when it’s convenient;” they’re claiming a high standard to provide cover for their mediocre clickbait and outright lies (which is not all, and perhaps not even a majority, of their coverage, but it’s enough to be concerning).
I even changed my mind on judging Vox-the-organization too harshly (see below), but Klein, Swisher (founder of Recode; defender though not author of that handshake article), and at least a handful of other contributors are the ones that give them the bad name. There are good contributors, and it looks like you quoted several of Julia Belluz’s articles, who I think was doing a great job of handing this reasonably, with an appropriate level of concern, and reporting the science well (which she’s apparently been a science reporter most/all of her career and is, so far as I can tell, leaps and bounds better than the average).
On the handshake article, what sections of it are sympathetic to people preparing? It calls techies paranoid and racist, then goes on about the rich buying hidey-holes in New Zealand and fortifying their houses.
As one of the people mentioned in this post, Scott’s assessment of me is exactly right.
I did exactly zero armchair epidemiology. I have never written a single thing about COVID-19 epidemiology, except to uncritically copy the estimates of experts. I don’t even have an especially good amateur knowledge of epidemiology.
Here’s what actually happened: we were all seeing a bunch of news about Wuhan in late February, and my husband Andrew said “what’s the point at which we should get out of town?” (Because it’s common sense that you don’t want to be in a dense city in an epidemic.)
I looked up the CDC numbers, saw that there wasn’t community spread in the US, and “Ok, we’ll leave town when there’s community spread in the US.” Then, when I saw the first case of person-to-person spread between people who had never been to China — and in Northern California, at that — I said “ok, I guess we gotta go.” I felt silly, but as my husband likes to say, the right time to GTFO is before all your friends are doing it.
Well, it turns out, exponential growth is fast, and pretty soon we didn’t feel stupid at all.
And then I had some friends/colleagues who were working on relief efforts for COVID-19, and I helped in the best way I could from small-town New Mexico: by doing literature review and connecting people to each other.
Exactly none of this depended on *my* prognostications. And in fact I was late to the party compared to people who work on infectious disease for a living; they started working on vaccines as soon as the SARS-CoV-2 genome was published.
The people on Scott Aaronson’s list weren’t the first to figure out that COVID-19 is a big deal. (That would be epidemiologists, virologists, and…Chinese people, who were living through the worst of the crisis, and making absolutely savage memes back in February.)
We’re the people Scott Aaronson mentions because we’re the people *he follows on Twitter* who were saying it was a big deal when news outlets were still writing hot takes about racist techies. I think it is fair to say we beat the media, and the official pronouncements of government and intergovernmental agencies. We did not beat the experts. We *actually listened* to the experts.
Right. As I’ve said above, “heard about community spread within the US” is when I flipped from “this will probably be nothing” to “this might be something big” as well.
So I guess while it’s fair to say that you don’t need to be an expert epidemiologist to have made some good moves or accurate predictions in this environment, you did need to know enough to at least understand what community spread is, what it implies, why it is important, etc. And that’s hardly common knowledge. “We now have community spread” was covered in the media, but the media’s sense of urgency didn’t update until much later. And I still don’t think the average person even comes close to understanding it.
When do you think you might flip to “this is something big?”
It depends. My life has definitely been highly disrupted, although I would argue that it has been disrupted because of state-enforced shutdowns rather than because of the direct effects of the virus.
I’m a simple man. I’ll probably concede that the virus itself is something big if anyone I know either under 60 and otherwise in good health dies of it.
That is as perfect a crystallization of the flawed thought process as I could have hoped for.
I think a healthy 60 year old in the US expects about another 20-30 years of life, so a lot of 60 year olds dying is actually pretty significant.
I think you possibly mean “Scott Alexander” when you say “Scott Aaronson”?
No, Alexander’s list above comes from Scott Aaronson.
No, see this later post: https://slatestarcodex.com/2020/04/14/a-failure-but-not-of-prediction/#comment-880789
Almost all Scott’s links are to articles written in late Jan or very early Feb. I don’t think you get much credit for realizing this was a big deal after mid Feb, the mainstream view had already shifted by then.
Timestamped.
Links.
To *any* of this.
This is in many ways the best thing about the internet–you can hear from actual experts yourself rather than trusting in the interpretive powers of someone writing for the New York Times.
But how did you decide that community spread was the threshold? You didn’t get that from the CDC. Maybe the CDC would have said that was the threshold for lockdowns, but their job isn’t to tell the public, so you had to do epidemiology on your own. You relied on the CDC for testing, not for predictions.
Community spread is a striking choice because it isn’t part of the territory, but part of the map: it is defined as losing track of what’s going on. Without changing actual transmission, contact tracing reduces community spread and community surveillance probably increases it.
“We’ve lost track of all the places the virus is” seems like an excellent time to start thinking the virus may be spreading uncontrollably.
I’m not sure I understand your point.
It wasn’t a call I put much thought behind. Just seemed like a good Schelling point guess at a time when I didn’t know much about the disease at all. The thought process was something like “if the only people who are getting the disease are people with some contacts in China, that doesn’t apply to my family; but if random Americans are getting it, we’re in theory at risk, and it grows fast, so better safe than sorry.”
If the government orders a lockdown early, and it works to the extent that the disease is completely contained and very few people catch it, is Vox going to print “Thanks President Trump for saving us from a pandemic!”? They are not. Even setting aside partisan fighting, people in general are not going to appreciate preparation for a disaster that works and prevents the disaster from ever occurring. Look at the general interpretations of Y2K. Any politician that had enforced business shutting down (and therefore people getting laid off) when few people got sick would have been run out of town on a rail.
And the thing of it is, the people are probably right to think that. “Trust me, tanking the economy was necessary to prevent a pandemic that didn’t happen” sounds just the same as “Trust me, buying this tiger-repelling rock is necessary to prevent tiger attacks”.
Predictions are hard, especially about the future.
On a similar note, lockdown is heavily dependent on compliance and voluntary measures in the population. Unless you expect everyone in the country to be good probabilistic reasoners, you simply can’t declare a lockdown much earlier than we did, because barely anyone would have respected a “don’t leave your house except for groceries” order issued early February.
The other side of that is that the difference between a lockdown and how your citizens normally depends on how seriously they take the situation. Air travel, hotel stays, and restaurant reservations all fell off dramatically before any lockdowns, because people were scared of catching the virus.
The difference in death tolls between San Francisco and NYC is the difference between a relatively-early lockdown an an inexcusably late lockdown.
Extremely right.
That also depends on how your local population usually responds to the authorities’ “suggestions”. In Spain, full lockdown was probably needed because any lesser action would have been, if not futile, at least not completely followed (and I live here, in Madrid). But even with that we have our share of people risking €600 fines (on PPP, about $950) for going out on “non-authorized errands” like going to a supermarket further than necessary. Which I suppose puts also a ceiling on the effectiveness of any possible measure, short of full-scale “tanks in streets” military takeover.
I don’t think this is true at all, you only need 1 Italy to be able to say ‘see, it worked’ even spuriously. The fact that the US would have Spain, Italy, the UK and others as significant examples of really bad outcomes would make it very easy to hold the position ‘the lock down worked’ if it in fact did appear to work
This assumes every other country followed Trump’s advice and locked things down at his direction so he can’t say “look at Lombardy, that is the carnage I saved you from.”
Also, there’s a big universe of steps that could have been taken short of “shut everything down.”
Say what you want about the rationality of sports fans, but they have a handle on the distinction between the likely outcome and the likelihood of an outcome. At least in the domain of sports.
“The Dems have a 75% chance of winning the 2016 Election”. That’s like having a 1-point lead and the ball in a basketball game with one minute left on the clock. You feel good about your chances, but it’s hardly the time to slack off on defense or to make poor shot selections. Those outlier events when your team was almost certain to lose(or win) but then a miracle happened are never far from the front of your mind. The outcome has to be very certain before a sports fan will give up on the possibility of other outcomes.
Do you think Nate Silver classifies Trump winning as a “bad beat”?
Not at all, and I think he said as much after the election. It was an upset — the kind you’ll see about once a night when there is a full slate of NBA games — but hardly a shocking upset.
Silver is a sports fan and his site has plenty of sports analysis. I think the “1 point lead and the ball” stat I quoted above came from him.
I want to challenge an assumption here (apologies if it’s been challenged already). This seems to be written from a position of “the costs of action are known and small (possibly negligible?), the benefit of action is uncertain but has a sizeable probability of being huge, we should take the action”. This seems fair when you’re recommending taking a parachute when jumping out of a plane, probably fair when you’re recommending universal cloth mask wearing (assuming risk compensation is insignificant, e.g. because you’re maxed out on risk already), likely fair when you’re recommending publishing more alarmist articles (although I’m not in the publishing business and can’t estimate the costs), but a lot less defensible when you’re talking about things like stay-at-home orders where the costs are definitely not small. It would’ve been nice to see the media push more premonition-of-doom media stories, but I’m not sure I’d be sold on “let’s take bold action that’ll give the US a 15% unemployment rate” actions (https://fortune.com/2020/04/09/ureal-unemployment-rate-jobless-claims-this-week/, sorry about the paywall) before we determined that the correct model for what would happen wasn’t SARS, Ebola, or the flu.
Yeah. I predict that when this is all said and done, the story won’t be “the media underreacted!” but rather “the media underreacted until late March, at which point they pivoted to overreacting.”
The IHME model has been impressively transparent about the assumptions behind the model and explaining the reasonings behind the changes in subsequent updates.
The hospitalization estimate was based on extrapolations from too little data and was revised down as better data came in.
Whether this initially substantial overestimation is worth a spike or merely the best yet transparent guess aavailable at the time is beyond my intellectual prowess.
Personally I wonder how much of the collective terror about running out of hospital beds was not really so much based on fully trusting a model that no one had previously ever heard of but rather on the actual reality of seeing that China had rushed to build pop-up hospitals and that Italy was running out of room too and thinking, “well, crap, seems like that could happen here too!”
The fear that we could run out of ICU beds and ventilators was based on the assumption that ventilators were a quite effective treatment for COVID-19, which turned out to be optimistic: e.g., the IMHE model started with only 1 death per 11.1 hospital admissions, but has since been worsened to 1 death per 7.1 hospital admissions.
Not surprisingly, doctors have responded by being more reluctant to put patients on ventilators (which are immensely staff time-consuming), patients have been more reluctant to go to the hospital, and the non-infected have been more reluctant to risk infection by going out in public.
I’m pretty sure there is a middle ground between ‘ignore it’ and ‘the sky is falling’.
Maybe limit sizes of gatherings to 500, ramp up testing ability, restricting travel (which Trump did do, but more and earlier) and testing those who do travel. Ask China for a sample of the virus to start work on vaccines. Just-in-case measures
I. Your point is mostly spin. The question isn’t who said what when. The question is who, as evidence mounted that this was a big deal, continued to insist that it was not in fact a big deal. I’ve seen a number of people try to cover their tracks by saying, “Yes I said it wasn’t a big deal on March 16th. But the NYTimes also said it wasn’t a big deal.” The fact is of course that the NYTimes said it January 21st and had changed its tune by March 16th. Those who were still claiming, on March 16th, that this was not a big deal were very very wrong.
I think there’s an important difference that separates masks and parachutes on the one hand and drugs and bone marrow transplants on the other. Mechanical effects like barriers to particles on the effects of speed on the danger of a collision are easy to reason about and you can guess with pretty good accuracy what is going to work. Bodies, on the other hand, are working towards homeostatis with all sorts of weird feedback loops which evolved under selective pressure to not let pathogens mess with it. So we should be far more willing to entertain new ideas about the former.
You say the correct response to the threat of a pandemic is to prepare, but it’s unclear what personal preparation one should have taken in Jan/Feb? At least here in rural New Hampshire, our grocery store is still well stocked, so stockpiling food or household goods would have been ineffective. I just got an Amazon package yesterday. I suppose I wish I had gotten a haircut more recently, so I wouldn’t have had to do it myself. I could have bought N95 masks in Feb, but our entire household is home and not coming into contact with other people (except at the grocery store once a week), so they would be of limited value. Looking back, it’s not clear what I should have been prepared for then that I can’t still do today? Is the worst still to come? Do people genuinely think the food supply chain will break down? Or utilities won’t be able to deliver water, electricity, or broadband? If so, wouldn’t the advice be to prepare now? As opposed to “Don’t you wish you had prepared in February?”
Unless the lockdowns are lifted soon, yes, I believe this is a distinct possibility.
All the local stores in my area were out of toilet paper for about two weeks, and I heard anecdotes about very long lines at the stores and shortages of other items. So yes, I’m glad I prepped early.(proof here: https://lionoftheblogosphere.wordpress.com/2020/01/28/crazy-low-airfare-prices-to-asia/#comment-249894)
I think it’s possible there will be temporary shortages of lots of goods, sometimes unexpectedly (e.g. some food plants have recently gone offline when their workers contracted the virus – not enough to cause shortages at the moment, but perhaps some disruptions). I wish I’d bought powdered milk and hand sanitizer in February. Everything else I want to stock up on I’m still currently able to I think, but I’m glad to have done so when infection risk of shopping in a store was lower than now.
Personal prep may also have included setting up infrastructure to be able to work from home.
Hand sanitizer is still unattainable here, as far as I can tell. Apparently this is partly about dumb regulations, though.
These do not have individual links, in your post or Other Scott’s.
When someone asserts multiple points and doesn’t back up any of them, I check one. If it’s bullshit, I assume the rest is bullshit. So I checked the last one: Eric Weinstein. He has one (1) tweet about the coronavirus in February, explicitly saying he doesn’t have a take. Then in March he started burning down the wires about how he and others were “right.”
I’m not disappointed in you for chugging the “these dozen articles mean the media hivemind got it wrong” chum. I’ve long since inferred that the person who wrote the Chinese Robbers blog and the person who substantiates their points with Twitter dot com slash shit virus takes are no longer the same person. But I am disappointed that you (and Aaronson) didn’t even feel the need to substantiate this alleged superiority over “domain knowledge” with *cherry-picked* links. It’s just asserted that the media was wronger and you and your buddies were righter. I’ll believe that when you show me all of them being concerned at the same time as the shit virus takes (i.e., no credit for coming around in March).
To me it seems like you and most other soi-disant rationalists have an outsized talent at being more righteous and *selling* it as being more right.
I think this might the Eric Weinstein tweet you’re looking for: https://twitter.com/ericrweinstein/status/1234300424804429824?lang=en
Yes, from March. The “shit virus takes” are from January and the first two weeks of February. Neither Scott should be expecting anyone to suck some general-domain-intelligence dick for hitting the panic button after the stock market had already fallen 10% and the media woke up. Either you were provably ahead of the curve or you weren’t.
Hi — I’ve now removed Eric Weinstein from my list, because as you and others pointed out, I was misled by his later self-confidence in criticizing those who got it wrong, and by the fact that others in his circle got it right early on, into imagining that he himself must have. Thanks. The others on my list were sometimes later than I remembered (which partly makes me feel better about taking until late February myself!), but were also earlier than most, in a way that was important for my own personal evolution on this issue. Robin Hanson, for example, blogged on Feb. 14 about how we should consider deliberately infecting people in waves so as not to overwhelm the medical system. I DON’T think that’s the best possible take, but whatever it faults, that played a role in helping to precipitate my own “oh shit” evolution over the following two weeks. Balaji Srinivasan and Bill Gates were both totally right from I believe late January and deserve enormous praise for that.
(1) I’m genuinely glad you did that and admitted error. (Hopefully you appropriately discount his bluster in the future.)
(2) Full marks to Srinivasan and Gates, but for the rest, late February is at best keeping pace with conventional wisdom, not beating it. Acknowledging that gestalt impressions of “the media” are inescapably subjective: from what I saw they were mostly there by late February too. In fact, late February is where I remember the MSM and rMSM decisively inverting from their tentative priors, probably because that’s when Trump started getting peppered with questions about it and getting defensively Panglossian.
I don’t know how things are with Eric–I assume his primary interaction with the public is through Twitter–but I am not sure where to put people like myself, who are deeply enmeshed in the in-person community and were preparing and talking about it in person, but weren’t posting about it publicly. [Like, at least one person has since thanked me for being upstream of them worrying about COVID and preparing for it.]
Obviously I don’t get “I told you so” credits, because I didn’t tell you so. To the extent I get “I was right” credits, presumably those credits are mostly stored in the food and essentials I stockpiled by acting early. But also if I should be saying “I was wrong”, I should mostly be saying it about “I was wrong for keeping my opinion to myself” instead of “my opinion was incorrect, and I should trace my opinion construction machinery.”
Razib Khan and Paul Graham were talking about this early and were very worried about it–I read their stuff regularly and watched it.
For what it’s worth, my response to originally reading that list on Aaronson’s blog had been:
-Balaji Srinivasan, Greg Cochran, Robin Hanson: “I remember that.”
-Paul Graham, Eliezer Yudkowsky, Sarah Constantin, Bill Gates: “Sounds about right.”
-Eric Weinstein: “Not what I was expecting, I’d better update in his favor.”
I think you just got unlucky with your random selection. Before this, I had taken Eric as more of a blustery hothead than a source for rare original insight.
For completeness sake, I’ve never heard of Nicholas Christakisand.
I had to check Eliezer’s twitter to decide whether to put him in the first or second category. I remembered him joining the dogpile once the canaries in the coal mine were proven right, in late Feb, but don’t follow him, so hadn’t seen anything from him earlier.
And he did not in fact tweet any early predictions.
Late February is still about two weeks before mainstream opinion converged on “this is a real crisis,” but I guess he also doesn’t get to qualify as a societal Early Warning System.
I quoted Scott Aaronson because I didn’t have a specific list of names and recognized several of the people on there as genuinely prescient. It sounds like he’s removed Weinstein from his quote, so I’ve removed him from mine.
Some of these people were actually quite early, others – as you said – came around in late February and early March. I still give them some credit because of how many didn’t. Dr. Fauci, who is a smart guy and *mostly* handled this well, was still saying there was no reason to cancel your cruise vacation as of March 9. I talked to a tech founder who did a survey of other tech founders and found that most of them were still having their employees come into work as of March 15. If you feel like as of late February / early March people had already figured this out, I think you’re living in a bubble of well-informed people. I’m not claiming that the names on Scott’s list are anything more than other people in the same bubble who talked about it loudly and helped set its consensus – see Sarah C’s comment below.
Re: the media, I’m mostly drawing off of my own experience as someone who lived through this period and consumes a lot of media. I feel like those links were unusually bad but representative (in terms of the sign) of coverage more generally. If you have some stronger evidence that the media mostly got this right, let me know.
I definitely am, but I was referring to the same bubble of well-informed “people” as the topic of your post; the media, the domain experts, stonk traders, etc., not the hoi polloi. Sorry if twas unclear.
He’s limited in what he can say by his boss.
It’s his job, and his cruise comment was surely not necessitated by Trump.
Well, you said they beat the epidemiologists. By second week of February there were already epidemiological models saying there would be widespread transmission (with up to 70% of the population infected) without intervention. I follow a lot of epidemiologists on Twitter and my strong impression is that this was the mainstream view.
To the extent that the people on your list got it right before this point you can make a plausible case that the contrarians beat the experts, but if they got it right after all you can really say is that they figured out the experts were correct before some other people did. That’s a pretty different story and not the one I got from your post.
I suppose a survey is more representative than an anecdote, but for what it’s worth, my company told everyone to work from home starting March 1st, and made it mandatory on the 4th. It was a bit weird working from home for two weeks while seeing kids walking home from school and all. For me, the 15th was when the panic went mainstream – schools closed, the supermarket shortages started, the lockdowns started, etc.
I don’t know about the rest, but Greg Cochran (who, as Scott said, has both domain expertise and creepy oracular powers) did this podcast on February 9. The first few minutes should be sufficient to demonstrate the claim — he gives a “headline” quantitative estimate fairly early.
Actually, I invite anyone who hasn’t heard it to listen to the first 5 minutes of that podcast. Before doing so, consider your estimate of global deaths under the “10% worst case scenario” under current information, and what your prediction would have been back on Feb 9.
James Miller knew enough to call up someone like Greg to get his take on this new virus in China. Our media and government officials apparently didn’t call up Greg or someone like him. I think that is a problem.
Yes, Cochran was saying the right things (I only listened to the first five minutes). But compare to this Vox article from Feb 6. Are they really saying such different things? Both Cochran and Belluz emphasize there’s still a high degree of uncertainty and the worse case scenarios may still be avoided. Both make clear that there’s a plausible scenario that is quite bad with many deaths worldwide.
The biggest difference I see is that Cochran is quantitative in a way most of the media refuses to be, which is frustrating. But it’s not the case that no one in the mainstream figured out there was a reasonable possibility this could be a huge crisis.
My theory is that media will never ever tell you to prep for a disaster or anything without the state explicitly signing off on it. So the failure of the media is just a detail, it was a failure of the state and we shouldn’t expect media to do better than they did.
The fact that some journalists were in fact prepping while they said everything was gonna be fine is evidence that the problem was not one of reasoning.
Heh, I remember when the panic buying first hit my area… the local news sent out a reporter to give us LIVE coverage from the grocery stores, where there were huge lines, and people were coming out dejectedly and giving interviews saying “there’s no meat or toilet paper or cleaning products.”
The reporter gave a confident smile to the camera and assured the viewers that there was no cause for concern, the stores all reported that more supplies were coming soon, and that there was absolutely no need for you to go out and try and buy all this stuff.
It was like a non-humorous version of the “nothing to see here” scene from the Naked Gun…
Of course, there now is more toilet paper, cleaning products, and meat. I can go to my local grocery store and buy all of those things. The reporter was completely correct.
The only paper product I can get at my usual store is the expensive napkins.
The NPR did really well by my estimation. They simply stated the facts, no opinion pieces or punditry masquerading as news. See a list of their articles since January. They never stated what we should do next, they never mention lockdown. But I do not think that is the job of the media.
Nassim Taleb also predicted the Covid-19 outbreak. He sounded the alarm on Twitter. Apparently his memo informed Trump on the travel ban with China.
“The frequent user group said ‘A 12% chance of eternal life for the cost of a freezer? Sounds like a good deal!’” Mr. Pascal would like a word with these people.
In all seriousness, I would love to see a justification for the idea that some “cryonics” company has a 12% chance of maintaining you frozen for the requisite time. Set everything else you need to 100% and I’d be fascinated to see support for a 12% probability there.
Institutions can be long-lasting. We see it in history, a history that has been more violent and unstable then the world is now and will probably continue to be.
Surely the lowest probability in that calculation is hat people in the future will be able to reconstruct you at a cost they’re willing to bear.
You’re right, of course. I intended my challenge to isolate one arbitrary component of the analysis, but I realize the way I wrote it makes it sound like I viewed that as the single greatest hurdle.
But Alex, it seems to me that the more relevant question is not whether some institutions may survive long-term but rather whether any particular business is likely to be such a long-surviving institution, and in particular whether a little cryogenics company is likely to do so.
The top two providers are non-profit institutions, not businesses.
I appreciate the correction. I’m not sure how responsive it is to the underlying issue, though!
If you’re wrong, isn’t it at least plausible that you were wrong because of a large number of small corrections like that?
Cwillu: Certainly! If someone identifies further errors, it might absolutely affect my judgment on this question.
I can barely keep paying a server company to keep a website up. The notion that my descendants (who, after all, will have inherited my semi-competent genes) will keep paying to maintain great-grandpa’s frozen head seems like a fond hope.
You should crowdsource this. I’d consider donating $5 a month in exchange for a 1/1000th share in Steve Sailer’s Frozen Brain.
This article reminds me of the alarm that some people have raised about solar flares. It doesn’t seem like someone will be able to predict the next major solar flare occurrence in time to prepare the electrical grid for it. But since the risk of a large solar flare will remain low right up until it happens, we will do nothing to prepare for an event which sounds like it could knock out the electrical grid for months.
When I started prepping in the second half of February, I ended up doing a number of things that (hopefully) won’t be useful in the coronavirus crisis, like setting aside 110 gallons of water in my backyard, but which could be very useful after the next Los Angeles earthquake.
It’s perhaps an odd psychological quirk to prep not for the imminent crisis that you don’t really understand but for the expected one that you feel guilty for not having prepped adequately for before.
But if the Big One breaks the California aqueduct, I will be raising a toast to my lack of focus from my water stash.
Another unfortunate reality in all this is that people in a position to actually make and institute policy decisions aren’t just dealing with probabilistic reasoning about how effective a given policy or strategy is likely to be. They also have to engage in probabilistic reasoning about how people will respond to a particular policy and how that will impact their willingness to cooperate with later policies.
Say you put in harsh quarantine measures early because there’s a 20% chance coronavirus develops into a horrible pandemic, and you mostly succeed in mitigating the death rate but you also tank the economy. Is it unreasonable to be afraid that a hefty percentage of people will respond to this with “We tanked the economy over a virus that only caused 10,000 deaths?” and to think those people will be gunshy about committing when the real, unambiguous big one (SARS, MERS, whatever with a 30%+ mortality rate) comes along?
This has certainly been a concern of mine though I’m in no position to implement policy.
What if the only way to get people to understand the gravity of the problem is with incontrovertible evidence? What if you can’t get anybody to cooperate with policy *until* they see what’s happening in Lombardy?
In this case, early warnings are nice, but they are no particular guarantee that policy gets enacted sooner.
I think this is another reason to look for low-cost stuff and implement that first. Masks, hand sanitizer, 6 feet distance, and fever checks are all pretty cheap, and could have been put into place fast.
If you know there’s a 10% chance of a house in town catching on fire today, you don’t run out and douse random houses with water. But you do make sure your fire engine is fueled up and you have all your supplies.
In my normal (pre-lockdown) life, I could manage 6 feet of distance nearly 100% of the time. You can run stores and offices and many workplaces like this, with a few changes, but they can still function. Public transit, including air travel, elevators, and most things you have to stand in line for are harder to fit to that rule, though. Still, I suspect we could get most of our normal society running again with rules that say that everyone keeps 6 feet of distance from everyone else as much as possible, everyone wears a mask, and everyone gets a fever check when they come in and gets turned away if they’re running a fever.
By contrast, right now, we *can’t* get our society running again with a requirement of everyone getting a negative on a viral RNA test once a week or getting two positive antibody results a month apart, because we don’t have the tests. But if we can get the testing online, that’s another way we could get ahead of this crap. If every workplace requires a negative RNA test once a week and a fever/symptom check every day, and a positive test sends you into quarantine, we can probably reopen most of the world and things will work.
Similarly, we can’t reopen most of our current businesses and shops and such if everything has to redesign its ventilation system to incorporate the filtering they do in hospitals to prevent spread of the virus. That would probably take a long time and a ton of money to do. (Though this makes me wonder–could you swap in some kind of antimicrobial filtration into an existing HVAC system without having to upgrade the whole system? My not-very-informed guess is that you couldn’t do this for HEPA filtration, but you might be able to do some kind of UV thing at the air intakes or something. But I don’t know much about HVAC systems–someone here probably knows more….)
The testing, mask and quarantine situations could have been improved dramatically in February. Testing was a botch by the CDC, while pretty much the entire public health establishment had seemingly ideological prejudices against masks and quarantines that took disaster to overcome.
Also, the number of masks in inventories in the US during the winter were drained by Chinese people in the U.S. going around to American stores and buying them up to ship to China. As far as I can tell, nobody saw that coming. Heck, I didn’t believe it until I saw the evidence.
One of the worst aspects is that stores have shortened hours. Costco went from 10-8 to 10-6, Jewel went to a 9-10 schedule instead of 7-2am. I used to do a lot of shopping in an empty store at midnight if I was having trouble sleeping.
Really important point, but it’s honestly still too generous to the intentions of policymakers. The tacit assumption is that policymakers are ready to do what’s best for the electorate, rather than what’s best for getting them re-elected/promoted. You rarely get points for an epidemic avoided, and don’t get punished very hard for a delayed response (just look at how the media is lionizing Andrew Cuomo right now even though NY had a horrifically bad early response). A lot of decisions by decision-makers start looking a lot more rational when you factor in their perceived inability to act except in response to public demand, as well as their general rational self-interest.
I’ve been thinking along these lines for a while, too, though in another direction.
My model for politics / policymakers is that they are (relatively) powerless to take harsh actions unless the danger is very real, and quite close, simply because those who would take such measures would be culled (with extreme prejudice, “pilloried” might be a better word) every time they were wrong. Thus, a) Very conservative, on average (don’t act until you’re very, very sure) b) Cannot act too far in advance, because if you avoid the danger, you don’t get the credit unless a big majority agrees your actions were the ones which avoided the danger. And still, you can get burned if your actions are then considered to be either too mild or too extreme, which further incentivizes to act moderately, no matter how great the danger, until and unless there is again the majority consensus of needing such actions (and by that point, you’re usually at the “reactive”, not “proactive” part of the response).
In short, if there are advance measures with any degree of cost, to be taken under conditions of uncertainty, they won’t be taken at the government / policymaking level. With the possible exception where the costs are born by few, or when it’s become entrenched culture (say, the FDA requisites for new drugs). And even then, expect the costly measures to be single-mindedly directed to ensure it’s not the policymaking authority who takes the blame
While I’ve been very critical of the Trump response, I acknowledge that he was going to be limited by the public’s willingness to respond to unknown threats and take measures that they’ve never experienced in their lifetimes.
Still, a leader can lead.
When I try to look back to how I felt before, I think I can probably summarise it as:
* If Covid19 starts to spread here, it will probably go exactly like it did in Italy and China because those are the examples we have and we’ve no reason to think our government will act significantly differently. [Correct.]
* Surely having seen what happened in Italy the government will pounce on new outbreaks coming off airlines and not risk that happening here. [Incorrect.]
* There’s not much I can do personally other than having a couple of weeks of canned food just in case [Partly correct I couldn’t get the government to take it seriously all by myself but I should have tried!]
So I feel like I get credit for #1. But I was really complacent on #2, I thought with all their planning departments the government would do SOMETHING, they didn’t want to end up in this situation either, but I was just wrong, this got ignored just like many other important things 🙁
Indeed, the government were complacent much later than that: about the ides of march when it was obvious to anyone paying attention that it would probably sweep the country without drastic action they were still making jokes and “oh, don’t worry so much” and relying on a not-entirely-applicable model which said something else.
Reading your post, I wonder if “if then” predictions would resonate with public opinion more: instead of “a pandemic COULD happen”, tying it to an event where public perception and actual fact of likelihood happen to accurately coincide like “if it gets to N cases, we’ll either have a national lockdown or it will get to 75% infections”
I had a workshop mid February where somebody had to give an impromptu talk about the Corona virus. He knew a great deal about it, having by chance just read the RKI-report about it. I told him afterwards that my version of the talk would have been much more alarmist.
I started prepping soon after, though not very seriously. I don’t own stock, but I also underestimated the probability that Western nations would instantiate a full lockdown a la China, so I wouldn’t have been very confident predicting that an epidemic that hits mostly elderly crashes the economy.
I’m also on record (just ask my wife 😉 ) saying that schools shouldn’t reopen after the holidays end of February.
A few weeks back I came across a blogpost by one of my favorite fantasy authors, written February 10:
“Personally, given the way Chinese authorities bungled the outbreak at the start, and given the alarming tendency of the WHO and CDC to communicate only the most optimistic appraisals of 2019-nCoV, I think this will be the biggest thing to hit humanity since World War II.”
Very impressive. Should probably read that viral thriller of his.
Science fiction authors are really good at correctly predicting 8 of the last 3 disasters.
SciFi isn’t really about predictions, imo. It’s about exploring possibility space through a story — a conflict playing out, a coming of age, solving a mystery, …
Of course, some of the author’s ideas can later come true, sometimes because they directly inspire real world scientists and engineers (tricorders are an example, death stars are hopefully not).
Common sense said that they worked. But there weren’t many good RCTs. We couldn’t do more, because it would have been unethical to deliberately expose face-mask-less people to disease.
As with parachutes, RCT are not the only way to see if masks/parachutes work or not. We can look for a natural social experiment as another option.
There have certainly been cases of two very similar populations during an epidemic, the only difference being that one was wearing ma