[screye]

> masks aren't mandatory in public

Masks clearly have a measurable impact on mental health. Given what he know about aerosolization and cloth masks, masks are near useless in public spaces.

If we are talking about reducing the populations' micromorts[1] by reducing common freedom, then there are far better things to do. Enforcing helmets for drivers, breathalyzers ($70) as default in cars, banning right-turns on red are all significantly more effective at reducing total deaths than mask enforcement, with much lower costs to a civilization. Similarly, banning certain foods and mandating exercise would massively improve American health outcomes.

I find that 'masks for everyone and everything' have become more of a political rallying call driven by hysteria, than a principled outcome focused measure. It reeks of the same blind faith as those who shout 'trust science' while healthy discourse makes up a fundamental pillar of the process of science.

[1]https://en.wikipedia.org/wiki/Micromort#:~:text=A%20micromor....

[CharlesW]

> Masks clearly have a measurable impact on mental health.

> Given what he know about aerosolization and cloth masks, masks are near useless in public spaces.

Both of these claims are false.

Masks have had no proven impact on mental health.[2] Masks have proven to be one of the most effective tools we have for preventing the spread of COVID-19 in public places.[2]

Mask use is science-based, as countless studies have proven. Anti-mask rhetoric is politically- and emotionally-driven hysteria.

[1] "The evidence that we have does not point us to any concern that masks affect mental health negatively." — Jeremy Kendrick, MD, assistant professor of psychiatry, Huntsman Mental Health Institute https://healthcare.utah.edu/healthfeed/postings/2021/08/_mas...

[2] "In settings of very high mask use, in-school transmission of the coronavirus is less than 1%. The best way to protect health and safety—particularly of those that are not vaccinated—is to wear a mask." — Adam Hersh, MD, a pediatric infectious disease specialist at University of Utah Health and Intermountain Primary Children’s Hospital https://healthcare.utah.edu/healthfeed/postings/2021/08/_mas...

[screye]

> Both of these claims are false.

I will concede that there has been no peer reviewed study that explicitly tries to identity an association between mask wearing and mental health. Thus, no impact has been measured. It was not for lack of trying to find a study though. There are literally no good studies (from my cursory google scholar peek) that opined one way or the other.

> There is no evidence that a child wearing a mask causes depression or anxiety

But, saying this is not correct either. [1]

> transmission of the coronavirus is less than 1%.

These studies are strongly confounded with city policy, distancing measures, individual measures and odds of being vaccinated. It is really difficult to get exclusive numbers for mask efficacy using observational or questionnaire based studies of any kind.

As for my second claim, please evaluate it in context. Public spaces is usually taken to mean outdoor spaces or high ventilation large indoor spaces. My comments are also in time where covid's fatality has collapsed and hospitals aren't overwhelmed.

Almost every mask study I read makes assumptions of ideal wearing patterns that do not seem to be match real world observations. Even then, they project modest gains when using the most common forms of cloth masks in perfectly covid-favored situations. Vaccines can't ensure zero-covid. Masks can't ensure zero-covid. The end game is that it can become endemic or we wear masks forever.

Masks are 'useless' in the same way that seat-belts in school buses are useless. The risks for the concerned demographic are orders of magnitude lower. The ideal testing scenario is impossible to recreate in practice. It is impossible to enforce compliance. It has knock-on effects that no one seems keen to study. And lastly, if draconian measure are to be used, there are alternatives with greater effectiveness and lower social cost can should be tried first.

[1] https://astralcodexten.substack.com/p/the-phrase-no-evidence...

[fnordpiglet]

> Masks clearly have a measurable impact on mental health.

Bullshit. Citation?

[screye]

Thanks for the thoughtful response. /s

Anecdotally, I have yet to meet a single person IRL over 2 years of the pandemic who enjoys wearing masks. It varies from minor inconvenience to a thorn in your side.

For one, uncontrolled observational studies show that there is pretty strong correlation between the pandemic and depression. [1] In narrow studies, masks are shown to reduce interpersonal trust [2] , ability to evaluate emotions. [3] and might accelerate cognitive decline in older populations [4]

There is an alarming lack of studies directly targeting the mental health impact of masks. I couldn't even find a survey. On one hand, I understand that getting any good self-reported data from the hysterically polarized population is probably futile. I tried to find peer reviewed studies, but I am not a public health / psychiatry professional. On the other hand, silence can be deafening.

Tangentially, my trust in peer reviewed medical research has declined sharply over the pandemic. These folks need statistics, a sophisticated understanding of causality, experiment design and variable control. I can see why many of the best healthcare writers exclusively stick to meta-studies instead of individual studies.

[1] https://jamanetwork.com/journals/jamanetworkopen/fullarticle...

[2] https://www.nature.com/articles/s41598-021-96500-7

[3] https://www.frontiersin.org/articles/10.3389/fpsyg.2020.5668...

[4] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8418138/

[ornornor]

Wearing a seatbelt is inconvenient and restricts movement, yet anyone I know wears one. Why aren’t masks seen the same way? No one questions seatbelts anymore and they provably and dramatically improve your odds in a crash.

[jessaustin]

I enjoy masking, and many of the people you've met in the last two years do too. Masks are an issue for many children, but for adults complaining about masks is like complaining about the weather: something to talk about that doesn't require thought because lots of people we meet don't like to think.

[svnt]

Then go ahead and mask and enjoy yourself. No one will stop you.

[spoils19]

> No one will stop you.

In direct contradiction to what you say, there are many businesses in red state US who will stop you from wearing a mask if you try to enter.

[procombo]

Will "stop you from wearing a mask"? Doubt it. That's assault.

Or "stop you if you try to enter while wearing a mask"?

Or are you talking about wearing a ski mask inside Idaho Regional Credit Union in July?

Jerks are everywhere. And they exist in blue states too my friend.

[dijonman2]

I’ll need some supporting evidence, this sounds hyperbolic.

I live in a red state and have not seen this anywhere.

In fact my state encourages you to do what you want, including wearing a mask or refusing to do so. Nobody will bother you if you are masked.

[jessaustin]

No one will stop me from doing anything I damn well please. GP claimed that not "a single person" enjoys wearing masks.