Hacker News new | ask | show | jobs
by IlyaMoroshkin 2248 days ago
With treatment so simple, we have effectively removed the healthcare system as a bottleneck on the rest of society.

I think we can safely reopen fully now and treat any serious cases using our existing healthcare systems in combination with this kind of new knowledge.

The longer we 'suppress the curve', when we are already far below hospital system capacity, the more economic and social damage we cause unnecessarily.

4 comments

First, this isn't a study; we don't yet know how truly effective this is for large number of patients.

Secondly, developing respiratory distress and requiring intubation is just one of several possible outcomes.

For example, it appears that strokes due to blood clots appear to be a significant risk with COVID-19 [1].

[1] https://www.washingtonpost.com/health/2020/04/24/strokes-cor...

Stronger pandemic response yields better economic recovery. http://news.mit.edu/2020/pandemic-health-response-economic-r...
Age difference in workforce from 1918 flu
Even if we open up legally, people aren’t going to take risks that can put them in a hospital on oxygen for weeks. It’s not a pleasant experience, ventilator or not. Restaurants will not be full, conferences will still be cancelled, etc.
Not sure why you’re being downvoted. Here’s an article that puts sources and numbers on your thought:

https://thehill.com/opinion/healthcare/494034-the-data-are-i...

I’d be curious to hear counterpoints. I could be wrong. It does anyone think this will go away with a long enough lockdown? Or is there any solution other than herd immunity?

You linked to an opinion piece, by a former chief of neuroradiology. The "facts" are, in fact, a lot of supposition.

We don't know if herd immunity works for this virus (there are reports of the disease resurfacing), we don't know the long term effects (there are reports of long term organ damage even for those not incubated) and we don't understand all the manifestations of the disease (there are reports of people 30-40 dying of COVID induced strokes).

The solution is isolate until we can do the hard work of getting mask and other PPE supply chains stabilized, get our health care system back on it's feet, start extensive testing, contact tracing and semi-isolated communities. None of which is possible as long as testing capacity is so limited and people keep exposing themselves unnecessarily.

The most important counterpoint is that the Stanford study cited there is really bad: https://statmodeling.stat.columbia.edu/2020/04/19/fatal-flaw...

The more recent numbers from New York put the IFR at 0.5 to 1%, which matches what most organisations (WHO, governments etc) have been assuming for a couple of months now. Also the actual death count from NY makes the Stanford numbers pretty much impossible (0.2% of people in NYC have already died).

We don’t know if people have long term immunity.
If we didn’t have immunity it would be unlike any other respiratory virus known to man. All other corona viruses have non-insignificant periods of immunity.

Further Fauci himself says it’s very likely there is immunity: https://www.google.com/amp/s/www.newsweek.com/fauci-really-c...

There was also a study performed on monkeys showing immunity: https://www.biorxiv.org/content/10.1101/2020.03.13.990226v1