Agree with @richdavisphd and @SBtotheDub here, though I've not waded into this weird non-dispute for several reasons. Major one being that hospital-based clinical microbiologists (like me) aren't obstacles to the "grand vision" of repetitive at-home testing to detect those.. 1/n https://twitter.com/richdavisphd/status/1331428398111965185

...most likely to transmit virus in the hours between today's test and the next one. It's not like there are gov't warehouses with hundreds of millions of highly specific at-home tests ready to be equitably deployed to all US households by armies of public health workers...2/n

...equipped with educational campaigns to optimize their use & ensure the results aren't misinterpreted, & that follow-on test capacity is sufficient to adjudicate positive results in a low pretest probability population so that individuals livelihoods aren't jeopardized...3/n

by stay-at-home isolation orders followed by contact tracing what might be a false + antigen test. Hospital-based clinical microbiologists have enough shit going on right now. They are simply pointing out some of the potential unintended consequences of an approach that...4/n

..seems almost laughably unrealistic in a country where many locales have stopped even trying to contract trace, where the state and federal governments can't be bothered to provide sufficient financial support for failing small businesses & the unemployed, and where much...5/n

...of the population thinks COVID is some conspiracy theory and that wearing a mask is an untenable assault on our freedoms and threatens our precious bodily fluids. So anyway, if we have the technology and the resources to deploy it, by all means go ahead and implement...6/n

...a well -coordinated and adequately-resourced national at-home testing strategy. If done properly it could add to the many other layers of swiss cheese we must rely on to extinguish this pandemic

sorry I forgot to number my tweets in this thread because I'm about done with twitter. So this is the last one, right here.