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United States Medicine

Economic Shutdown Is Estimated To Save 600,000 American Lives (bloomberg.com) 447

An anonymous reader quotes a report from Bloomberg: President Donald Trump is considering easing health directives that prevent the spread of the coronavirus in an attempt to contain economic fallout. A new analysis suggests that those measures are helping to save hundreds of thousands of lives. Economists led by Northwestern University's Martin Eichenbaum wrote that keeping social-distancing measures in place before the number of new virus cases declines -- in other words, before a peak in the infection rate -- could limit infections and prevent as many as 600,000 additional U.S. deaths. While the economic damage is deeper when optimal health measures are taken, a recession is unavoidable even without them, as infected people would stay at home to recover and millions die, the report shows.

Under a worst-case scenario, with stores remaining open and no social isolation policies, as many as 215 million Americans could become infected and 2.2 million could die from the spread of the virus, the economists' data shows. That's based on an estimate from German Chancellor Angela Merkel that up to 70% of that country's population could become infected without a vaccine. It also matches the worst-case global estimate from Harvard University epidemiology professor Marc Lipsitch.

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Economic Shutdown Is Estimated To Save 600,000 American Lives

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  • by Anonymous Coward
    There's 600,000 of them, surely they can cover the rent for the THIRTY PERCENT UNEMPLOYMENT that's projected if this shit keeps up.
  • by khchung ( 462899 ) on Monday March 23, 2020 @10:49PM (#59865362) Journal

    The pattern is becoming clear.

    If you want to maximise the damage to the US with covid-19 epidemic, it would be useful to confuse the public, make them reluctant to follow government advisory, and to downplay the seriousness. Then the virus would spread wider, increasing the damage done, and make it last longer.

    Not surprisingly, in the last few days, even as the US infection count shot up like a rocket and on-track to be #1 in a few more days, more and more AC are yelling how these predictions are false, how it is just like the flu, etc.

    Cue the trolls who will come out in force claiming these estimates are bunk and there is nothing to worry about.

    • by shanen ( 462549 ) on Monday March 23, 2020 @10:59PM (#59865392) Homepage Journal

      The pattern is becoming clear.

      If you want to maximise the damage to the US with covid-19 epidemic, it would be useful to confuse the public, make them reluctant to follow government advisory, and to downplay the seriousness. Then the virus would spread wider, increasing the damage done, and make it last longer.

      Not surprisingly, in the last few days, even as the US infection count shot up like a rocket and on-track to be #1 in a few more days, more and more AC are yelling how these predictions are false, how it is just like the flu, etc.

      Cue the trolls who will come out in force claiming these estimates are bunk and there is nothing to worry about.

      Deserves the insightful mod. Apparently the trolls are running low on mod points? Going to go ahead and quote you [khchung] as a precaution against their censorship...

    • by Anonymous Coward on Monday March 23, 2020 @11:25PM (#59865462)

      January 22: “We have it totally under control. It’s one person coming in from China. It’s going to be just fine.”

      February 2: “We pretty much shut it down coming in from China.”

      February 24: “The Coronavirus is very much under control in the USA Stock Market starting to look very good to me!”

      February 25: “CDC and my Administration are doing a GREAT job of handling Coronavirus.”

      February 25: “I think that's a problem that’s going to go away They have studied it. They know very much. In fact, we’re very close to a vaccine.”

      February 26: “The 15 (cases in the US) within a couple of days is going to be down to close to zero.”

      February 26: “We're going very substantially down, not up.”

      February 27: “One day it’s like a miracle, it will disappear.”

      February 28: “We're ordering a lot of supplies. We're ordering a lot of, uh, elements that frankly we wouldn't be ordering unless it was something like this. But we're ordering a lot of different elements of medical.”

      March 2: “You take a solid flu vaccine, you don't think that could have an impact, or much of an impact, on corona?”

      March 2: “A lot of things are happening, a lot of very exciting things are happening and they’re happening very rapidly.”

      March 4: “If we have thousands or hundreds of thousands of people that get better just by, you know, sitting around and even going to work — some of them go to work, but they get better.”

      March 5: “I NEVER said people that are feeling sick should go to work.”

      March 5: “The United States has, as of now, only 129 cases and 11 deaths. We are working very hard to keep these numbers as low as possible!”

      March 6: “I think we’re doing a really good job in this country at keeping it down a tremendous job at keeping it down.”

      March 6: “Anybody right now, and yesterday, anybody that needs a test gets a test. They’re there. And the tests are beautiful. the tests are all perfect like the letter was perfect. The transcription was perfect. Right? This was not as perfect as that but pretty good.”

      March 6: “I like this stuff. I really get it. People are surprised that I understand it Every one of these doctors said, ‘How do you know so much about this?’ Maybe I have a natural ability. Maybe I should have done that instead of running for president.”

      March 6: “I don't need to have the numbers double because of one ship that wasn't our fault.”

      March 8: “We have a perfectly coordinated and fine tuned plan at the White House for our attack on CoronaVirus.”

      March 9: “This blindsided the world.”

      March 13: [Declared state of emergency]

      March 17: “This is a pandemic,” Mr. Trump told reporters. “I felt it was a pandemic long before it was called a pandemic.”

      • Re: (Score:3, Informative)

        You forgot the one where he blocked flights from China and people called him racist.

        • Re: (Score:3, Informative)

          by thegarbz ( 1787294 )

          You forgot the one where he blocked flights from China and people called him racist.

          Except people didn't call him a racist. People claimed other people did and have yet to actually provide a citation for it. Maybe you can do better than all the previous people on Slashdot I've asked for actual evidence.

          • by Trailer Trash ( 60756 ) on Tuesday March 24, 2020 @10:10AM (#59866702) Homepage

            You forgot the one where he blocked flights from China and people called him racist.

            Except people didn't call him a racist.

            I know it's fun to gaslight, but, you know, Google exists, right?

            https://www.nytimes.com/2020/0... [nytimes.com]

            Doesn't actually call it racism directly, but this "article" has aged like a ripe banana:
            https://www.politico.com/news/... [politico.com]

            World Health Organization chief Tedros Adhanom Ghebreyesus said Tuesday that widespread travel bans and restrictions weren’t needed to stop the outbreak and could "have the effect of increasing fear and stigma, with little public health benefit."

            https://www.theguardian.com/co... [theguardian.com]

            "Or did it spring from a crudely racist worldview that divides the globe into a clean, acceptable Anglosphere set against a tainted, diseased “abroad”?"

            https://thehill.com/homenews/h... [thehill.com]

            “The Trump Administration’s expansion of its outrageous, un-American travel ban threatens our security, our values and the rule of law. The sweeping rule, barring more than 350 million individuals from predominantly African nations from traveling to the United States, is discrimination disguised as policy,” Pelosi said in a statement.

            https://lulac.org/news/pr/Trum... [lulac.org]

            "Trump Continues To Fulfill Racist Agenda With Addition Of New Countries To Travel Ban"

            Should I stop now?

            • by omnichad ( 1198475 ) on Tuesday March 24, 2020 @10:55AM (#59866884) Homepage

              Do you know the difference between a "widespread travel ban" and a targeted one?

              And some of your links are regarding Muslim-related bans which have nothing to do with this statement.

            • by Actually, I do RTFA ( 1058596 ) on Tuesday March 24, 2020 @02:04PM (#59867586)

              You forgot the one where he blocked flights from China and people called him racist.

              Except people didn't call him a racist.

              I know it's fun to gaslight, but, you know, Google exists, right?

              I know it's fun to snarkily reply and lie, but, you know, reading your citations exists, right?

              Of all your links, only one references any coronavirus related travel at all (the politico article) and that refers to EU restrictions. None refer back to the original point you are responding to about the restrictions on flights from China being considered racist. Was that because you weren't willing to read your own sources, were you confused, or did you think you could put one over on everyone?

              Most refer to Trump extending his anti-travel restrictions in his Muslim ban, and most of those only prohibit permanent residency, not temporary visits. That is, even if it was Coronavirus related it wouldn't stop people from visiting the US, bringing it, and going home.

              The politico article asks why the restrictions weren't broad enough to include the UK and Ireland. It posits several reasons being thrown around as rumors, including that Trump has extensive business investments in the UK and Ireland. But it also includes the option that Trump believes the virus is somehow "foreign" and therefore feels safer letting people in from English-speaking countries. Was that the reason? I honestly don't know. But the question was "why weren't the UK and Ireland included." Again, very different from what you are claiming "direct flights from China was called racist."

              The Politico article also points out the disaster of his speech. Accidentally saying that all cargo was going to be cut off instead of saying the exact opposite which was written in thespeech. Or that US citizens were going to be unable to reenter instead of the exact opposite, which was also written in his speech. The main point was it was a badly delivered speech at a time when it needed to be a good speech.

    • This virus is definitely not like the flu. Flu kills 0.1% of the people, while in Germany - a country with a high standard of education, where most people can read, write and do arithmetic - the death rate is 0.3%. Note that the flu is treated with inoculations, while SARS Covid is not - so in reality, flu is much worse than SARS Covid.
    • Right now USA is 4K confirmed active cases behind Italy. They will likely pass that in hours, not days. I'm not happy about that because I know people in USA and I am going to miss them when they're gone.
    • by Rick Schumann ( 4662797 ) on Tuesday March 24, 2020 @12:22AM (#59865610) Journal
      The 'infection rate' itself isn't up, the detection of infected people is up because testing is finally ramping up.
      • by Opportunist ( 166417 ) on Tuesday March 24, 2020 @05:50AM (#59866054)

        Don't look at the number of infected, look at the number of dead people. You can't not notice them, and it's usually quite easy to determine whether they died of Covid. Then go and compare that with other countries (of a similar medical standard, of course) death:infected rates that had/have better testing records. You will notice that the US would still have about 2-4 times the number of infected compared to the official numbers.

        The infection rates are also up. You can tell by the number of people dying, as cynical as this may be, it's the best indicator you have for the actual figures.

  • by avandesande ( 143899 ) on Monday March 23, 2020 @10:51PM (#59865370) Journal
    Our local grocery has cut their hours from 24 hours to 8 to 8, compressing the time when we can go so it is always crowded. They just shutdown non-essential business, but because walmart has grocery they are open and the only place to get non grocery so more crowding. The more scarcity you make the more crowding and panic you create.
    • by Rick Schumann ( 4662797 ) on Tuesday March 24, 2020 @12:21AM (#59865608) Journal
      They're not cutting hours to make things less convenient for people, they're cutting opening hours because everyone is over-buying everything because they're panicking, and they're having to restock literally twice as much every day just to try to keep up with the demand.
      Vis-a-vis: I spoke to a Winco employee when I was in there 2 weeks ago. He told me that even then they were having to restock 2000 cases more every night than they'd do during the Thanksgiving holiday. It's gotten worse since 2 weeks ago, too, if you haven't noticed.
      So again: They're limiting hours because otherwise they'd never be able to keep up with the demand, and never have time to sanitize the store so the store itself doesn't become a vector for the virus.
  • Actually, that's just Trump as a stand in for most Americans not understanding exponential growth, but especially the ones who voted for Trump. The country is clearly in the bad part of the exponential growth curve. So far no country has gone all the way to the top of the S-curve, but the US is apparently going to be first. While the politicians are squabbling about the money, it appears that the only thing that's going to stop this thing is when the coronavirus runs out of fresh Americans to infect...

    Did y

    • by shanen ( 462549 )

      Actually, that's just Trump as a stand in for most Americans not understanding exponential growth, but especially the ones who voted for Trump. The country is clearly in the bad part of the exponential growth curve. So far no country has gone all the way to the top of the S-curve, but the US is apparently going to be first. While the politicians are squabbling about the money, it appears that the only thing that's going to stop this thing is when the coronavirus runs out of fresh Americans to infect...

      Did you know that the penalty for not understanding exponents could be so high? I think I do, but I also think I can't live in a cave long enough for it to blow over... I just have to hope that I don't get too sick, eh?

      Let's be optimistic and hope the mortality is only in the 1% range, even after the hospitals are completely overwhelmed. That's only 3 million dead Americans, more or less. But probably more, when the gun-play starts.

      Lots of censorious trolls out today, eh? Not surprised. Or maybe it is surprising that Slashdot seems to be attracting so much of their attention? Even as a soft target.

  • Under a worst-case scenario, with stores remaining open and no social isolation policies, as many as 215 million Americans could become infected and 2.2 million could die from the spread of the virus, the economists' data shows. That's based on an estimate from German Chancellor Angela Merkel that up to 70% of that country's population could become infected without a vaccine. It also matches the worst-case global estimate from Harvard University epidemiology professor Marc Lipsitch.

    And again, the 215 million number is useless, because WE ARE closing stores, practicing social isolation policies. IF we were not doing anything, the 215 million number might be relevant. It is oddly fascinating that the US and Germany - two wildly different cultures with very different lifestyles and living situations/customs have the IDENTICAL 70% infection rate.

    • It is oddly fascinating that the US and Germany - two wildly different cultures with very different lifestyles and living situations/customs have the IDENTICAL 70% infection rate.

      I haven't spent a whole lot of time in Germany, but it seems to me that the US and Germany are pretty similar culturally....I mean, Germans drink beer and Americans drink piss-beer.....and Germans wear these weird pantaloons and Americans wear cowboy hats, but other than that.

      • Seriously, even the half-truth jokes aside, a large part of America is Germanic by background. It is not that different, unless you're comparing, say, Miami.

      • by kenh ( 9056 )

        What percentage of Germans live in apartments vs. percentage of Americans in apartments? What percentage live on farms? Ride public transit? Germany has single-payer healthcare, America does not, etc.

        Thinking about the vectors that this virus exploits to be transmitted between humans, America and Germany have some significant differences.

  • Great Depression those 600,000 will be small potatoes.

    We can't just shut down the economy and leave it at that. That means the moderates and right wing will have to either accept the fact that every retail and restaurant worker is getting a 3-6 month paid vacation. But good luck getting folks to go for that. Not after decades of Neo-liberalism. It just doesn't sit with people that they're getting up and going to work everyday at a job they hate while somebody else gets to stay home and play XBox.

    I s
    • by kenh ( 9056 )

      But like I said, I don't know how you're gonna get 80% of Americans to agree to let 20% of Americans sit on their butts for 3-6 months.

      What you describe is nothing more than 20% unemployment - normal unemployment provides 26 weeks of payments, just as you describe.

      I think the 80% is OK with unemployment benefits - they might object to the government assuming their student debt AND monthly bonus payments as some politicians are proposing.

      • it's about $800/mo tops. Median income for a Waitress is $19k/yr. You're talking about cutting their pay in half.

        The assumption with normal unemployment is that you've got a house with 2-3 breadwinners of which 1 is unemployed at any given time. This will likely be everybody in the household out of work.

        Also baring emergency action (that hasn't happened) you're limited to 6 months of unemployment in your lifetime. A sizable percentage have blown through that. The economy has sucked since the .com bo
  • by WhoBeDaPlaya ( 984958 ) on Monday March 23, 2020 @11:01PM (#59865400) Homepage
    You see, the Chinese virus has a preset kill limit. Knowing its weakness, I sent wave after wave of brave Boomers at them until they reached their limit and shut down. Pence, show them the medal I won....
    • the virus is only likely to kill 8-10% of the boomers even worst case. Long before that they'd freak out. They're still the dominant voting block. Do you really want millions of old, bitter, frightened angry folk who fear for their lives demanding action? What sort of insanity would they get up to at the polls? What sort of psychopathic mad man would they put in charge to save them? It's not the sort of thing I really want to think about...
    • A study in Iceland showed that 50% of people with no symptoms tested positive for SARS Covid. That indicates that a large percentage of the population is immune to the virus.

      I am sorry to confuse everyone with facts: https://www.government.is/news... [government.is]

      • Where does the article you've linked say anything like what you're claiming here?
  • by raydobbs ( 99133 ) on Monday March 23, 2020 @11:04PM (#59865406) Homepage Journal

    One cannot really keep an economy shut down for long, certainly not 18 months like the White House was throwing out there. You wouldn't have an economy (or country) to return to - literally there would be no production left, no economic worth left - no one but a very sliver of society would have the purchasing power to buy anything (and even fewer still would have survived up to this point). Sure, you might wait out COVID19, but the starvation, rampant crime, disorder and sociopolitical chaos would likely consume the nation - killing tens of thousands of people. Without jobs, people have no purchasing power, without purchasing power, they can't acquire necessities without stealing it from others, those who won't or can't out-muscle the haves will die. Handing money to the businesses doesn't really solve the problem - they will just store it and wait. Without consumers, most companies won't survive - they'll die out. All that production going idle will mean supplies will dry up. It would make Detroit look like a summer vacation on Fantasy Island comparatively. Think Somalia or the world of Mad Max - except without all the hope.

  • by JoeyRox ( 2711699 ) on Monday March 23, 2020 @11:12PM (#59865428)
    One of the unpleasant realities of running a government is the need to determine the value of a human life in order to make reasonable public policy decisions. Without it they'll be boundless costs that no government or populace can support. Each government department calculates their own number - it currently ranges from $7 million to $9 million. Some scale the value based on the expected remaining life expectancy, which imputes a lower value on the elderly. 600,000 people @ $8 million each comes to $4.8 Trillion, which is in the ballpark of what this will wind up costing us. This of course assumes the 600,00 life-saving estimate is accurate.
    • by kenh ( 9056 )

      It is being reported that Italian doctors are being told not to put any patients over 60 yrs old on a ventilator - they have apparently determined the older patients are not worth that level of care, they need to focus scarce resources on younger patients.

  • by Jarwulf ( 530523 )
    Why is the article conflating removing any restrictions by evil Drumpf to the worst case scenario numbers? Its not like people are going to freely mingle and cough on each other if trump allowed some restaurants to stay open longer.
  • ... about whatever random numbers you feel like pulling out of your ass today:

    https://cmmid.github.io/topics... [github.io]

  • bull fucking shit (Score:2, Insightful)

    by DanDD ( 1857066 )

    The testing in the United State is so far behind the "spread" that the data it generates - and the conclusions reached by use of this data - is pure bullshit. Just like sampling a signal to slow [wikipedia.org], the COVID-19 testing in the US is only measuring aliasing - bullshit data.

    To be meaningful at this point, testing should include the presence of anitbodies, here [unitedbiomedical.com] and here [prosci-inc.com], and probably many others available as well. Only then would we really know how far and wide this has already spread, how many have already re

  • by nospam007 ( 722110 ) * on Tuesday March 24, 2020 @06:06AM (#59866074)

    They want those people slaving for them, no matter how many die.

  • by jschultz410 ( 583092 ) on Tuesday March 24, 2020 @09:49AM (#59866642)

    "Under a worst-case scenario, with stores remaining open and no social isolation policies, as many as 215 million Americans could become infected and 2.2 million could die from the spread of the virus, the economists' data shows."

    I don't understand why these estimates are so low. In China, they had 70,420 recoveries and 3,245 deaths with the rest of the confirmed cases still in progress. The number of new cases each day there is nearly zero. They've also instituted mass testing so the number of actual cases shouldn't be vastly greater than the number of confirmed cases.

    3245 / (3245 + 70420) = 4.4% mortality rate

    Even if the confirmed cases are an underestimate of the actual cases by a factor of 2, then we are still looking at a basic mortality rate north of 2%.

    But if 215M Americans catch this, then the mortality rate is going to be far worse than that because with something like a 14% hospitalization rate, you are looking at more than 30M Americans requiring hospitalization and/or intensive care beyond normal. The average Covid-19 case stays in the hospital for WEEKS before they either recover or die. The number of open hospital beds in the USA is a few hundred thousand. The number of open ICU beds is a few tens of thousands.

    Simply put, our hospital system will implode. Virtually no one will be able to access a hospital bed, much less intensive care. So, either your body will clear the infection on its own without medical help, or you will die. In this situation, the mortality rate could easily be north of 5%.

    215M * 0.05 = 10.75M dead

    If we don't do what China did in Hubei followed up with a testing regime similar to S. Korea's, then we are headed for that kind of disaster.

    https://www.cnn.com/2020/03/20... [cnn.com]

Prediction is very difficult, especially of the future. - Niels Bohr

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