I found this discussion illuminating and stressful (because it was hard to know even where to start unpacking the somewhat strange takes on the current realities) - I can’t watch it because I can’t watch myself (cringey!!) but I learned a lot...
/1 https://twitter.com/drslmd/status/1329935469971349504

People really seem hung up on ??misrepresentations of health care capacity (why should your mismanagement make us lock down) rather than
1) it’s all us - health care is people and for all of the people, and uncontrolled COVID 19 hurts people and businesses simultaneously
...
/2

2) the initial health care need projections were for an apocalyptic event and we assumed every able bodied HCW would just do what they could. We didn’t think we’d PLAN for that scenario, keep everything open, and watch it coming.
/3

3) Many seem to think hospital and ICU capacity are the security blanket but really, treatments and support are pretty limited for this virus. Steroid reduce the very high death rate of people needing ventilation to still very high. All of the chat about high tech treatments-
/4

Obscures that these are modest effects, and there is limited availability.
4) around a 1/100 chance of dying (1/10 if older) sounds less good than “99% recover”.
1/20 hospitalization also no cakewalk, and possible long term symptoms.
/5

5) We can’t manage huge COVID surges without HAVING to compromise care for other people. We run a very lean system and staff are sick, leaving, stressed.
That has always been clear. Maybe people didn’t want to believe that but it’s the truth.
/6

6) Businesses struggle while we are “open” because consumers are avoidant in uncontrolled COVID -without benefits of lockdown supports or lockdown control of cases.
7) Finding loopholes in restrictions benefits only the virus. Biology is not a lawyers game. We all lose.
/7

7) We need to look ahead and strategize together. We have seen how this goes elsewhere and doing the right things now will save more pain later.
-Fewer contacts. - #DistanceHandwashMask
-Circuitbreaker.
/fin