Thursday, November 26, 2020

Giving Thanks


Year after year Thanksgiving is a special day.  It's a day to pause, reflect and give thanks.  In these troubled times that is sometimes difficult.  After all, 2020 is a year like no other that most of us have experienced.  The pandemic has brought with it a level of trauma and angst that is just not a normal part of life.  The death, isolation and fear is with us all every day.  And it's difficult to escape as it's invaded almost every facet of life.  

Adding to the trauma caused by a virus, the fabric of our culture seems torn.  After the last election, and really the last four years, we are clearly a country divided down the middle in how we view almost every aspect of our government, our people, and how we live our lives.  Whole sections of the country view other sections with disdain.  Many government decisions that impact us every day seem arbitrary, capricious and designed to favor a few over the many.  Frustration abounds.  

We are told constantly that there are large portions of the population who are racist, hateful, prejudiced against those not like them, and mysogynistic that want to turn back the clock and throw many of their fellow citizens in chains.  Or that there are whole sections of the country who are weak, socialistic, unappreciative, lazy, corrupt takers who want to destroy the country.  Instead of working together to solve problems we seem to have let our differences dominate our thinking about each other.  Instead of looking ahead we tend to look backwards.  And the historical perspective can be used in many devious ways by those ascribing to the validity of our ills.

And yet....we are all still Americans.  We all come together to overcome trials and tribulations.  It's been proven to be the case over and over.  December 7, 1941 and September 11, 2001 come to mind.  But it's also present in every day life.  Visit an area that's just been hit by a natural disaster be it hurricane, tornado, or wild fire.  You'll see an incredible coming together of people helping other people.  Often people they don't even know.  Or visit a place offering help, shelter and food to the homeless and disadvantaged.  Chat with a volunteer about why they are there.  You'll find the dominant answer is because helping people is what we should all be doing.  

So I'm optimistic for the future.  And I give thanks for many, many people, relationships and things in my life.  But I was thinking about the uniqueness of this year.  We hear every day about the heroes among us going above and beyond to help others.  But my primary thanks this year are the ordinary, every day people just doing their best.  Doing their best to keep it together.  Doing their best to be kind. Doing their best to maintain a sense of normalcy when nothing is normal.  The nurses, doctors, ambulance drivers, grocers, truck drivers, small business owners, gym owners, yoga studio owners, restaurant workers, farmers, migrant workers, landscapers, carpenters, electricians, private school teachers and administrators, preachers, and on and on and on.  They are all Indiana Jones!  They all are faced with seemingly insurmountable challenges, are thrown curveballs by local and state governments, have a dedication to the people who work for them that is incredible and get up in the morning and do it again all while keeping it together for their families.  It really comes down to ordinary people doing extraordinary things.  They didn't ask for this pandemic but they are doing their best.  They are Indiana Jones personified.  And they deserve everyone's thanks.

Sunday, November 15, 2020

It's Getting Embarrassing

The election is over.  Done.  Finished.  Determined.  And that Trump won't concede is getting more embarrassing and in fact appalling by the day.  Calling it a rigged election, whining that his observers didn't get to observe, and sulking in your corner is just one more item in the four year history of items that have been embarrassing and cringe worthy.  It's un-American and small.  Period.  

Here's the deal.  Like everything else, you can find info on any website or news site that caters to your beliefs to confirm what you think.  But if you make a half assed attempt to find an unbiased and fair analysis, you can't come to any other conclusion than Biden won.  Fair and square.  And it wasn't that close.  In fact, it'll be just about the margin that Trump won in 2016.  And I've said this before but I believe it more and more with each passing day.  Trump lost to...Trump.  He lost because there were a ton of people who liked his policies but were embarrassed and exhausted by his by his actions, tweets and abrasive manner.  Simple as that.  They held their nose and voted for Biden because they yearned for some form of normalcy.  

Now we need to watch the Senate races in Georgia.  If the Republicans keep control of the Senate then what comes in the next 4 years won't be nearly as bad as it could've been.  So let's see how that goes and then start watching or gnashing our teeth.

Tuesday, November 10, 2020

The Great Barrington Declaration

Have you read The Great Barrington Declaration?  If not, you need to check it out.  Of all the things I've read since the pandemic descended upon us in March, this might make the most sense.  You can find out more info at the website.  

The Great Barrington Declaration

The Great Barrington Declaration – As infectious disease epidemiologists and public health scientists we have grave concerns about the damaging physical and mental health impacts of the prevailing COVID-19 policies, and recommend an approach we call Focused Protection. 

Coming from both the left and right, and around the world, we have devoted our careers to protecting people. Current lockdown policies are producing devastating effects on short and long-term public health. The results (to name a few) include lower childhood vaccination rates, worsening cardiovascular disease outcomes, fewer cancer screenings and deteriorating mental health – leading to greater excess mortality in years to come, with the working class and younger members of society carrying the heaviest burden. Keeping students out of school is a grave injustice. 

Keeping these measures in place until a vaccine is available will cause irreparable damage, with the underprivileged disproportionately harmed.

Fortunately, our understanding of the virus is growing. We know that vulnerability to death from COVID-19 is more than a thousand-fold higher in the old and infirm than the young. Indeed, for children, COVID-19 is less dangerous than many other harms, including influenza. 

As immunity builds in the population, the risk of infection to all – including the vulnerable – falls. We know that all populations will eventually reach herd immunity – i.e.  the point at which the rate of new infections is stable – and that this can be assisted by (but is not dependent upon) a vaccine. Our goal should therefore be to minimize mortality and social harm until we reach herd immunity. 

The most compassionate approach that balances the risks and benefits of reaching herd immunity, is to allow those who are at minimal risk of death to live their lives normally to build up immunity to the virus through natural infection, while better protecting those who are at highest risk. We call this Focused Protection. 

Adopting measures to protect the vulnerable should be the central aim of public health responses to COVID-19. By way of example, nursing homes should use staff with acquired immunity and perform frequent PCR testing of other staff and all visitors. Staff rotation should be minimized. Retired people living at home should have groceries and other essentials delivered to their home. When possible, they should meet family members outside rather than inside. A comprehensive and detailed list of measures, including approaches to multi-generational households, can be implemented, and is well within the scope and capability of public health professionals. 

Those who are not vulnerable should immediately be allowed to resume life as normal. Simple hygiene measures, such as hand washing and staying home when sick should be practiced by everyone to reduce the herd immunity threshold. Schools and universities should be open for in-person teaching. Extracurricular activities, such as sports, should be resumed. Young low-risk adults should work normally, rather than from home. Restaurants and other businesses should open. Arts, music, sport and other cultural activities should resume. People who are more at risk may participate if they wish, while society as a whole enjoys the protection conferred upon the vulnerable by those who have built up herd immunity.

On October 4, 2020, this declaration was authored and signed in Great Barrington, United States, by:

Dr. Martin Kulldorff, professor of medicine at Harvard University, a biostatistician, and epidemiologist with expertise in detecting and monitoring infectious disease outbreaks and vaccine safety evaluations.

Dr. Sunetra Gupta, professor at Oxford University, an epidemiologist with expertise in immunology, vaccine development, and mathematical modeling of infectious diseases.

Dr. Jay Bhattacharya, professor at Stanford University Medical School, a physician, epidemiologist, health economist, and public health policy expert focusing on infectious diseases and vulnerable populations.

Co-signers

Medical and Public Health Scientists and Medical Practitioners

Dr. Alexander Walker, principal at World Health Information Science Consultants, former Chair of Epidemiology, Harvard TH Chan School of Public Health, USA

Dr. Andrius Kavaliunas, epidemiologist and assistant professor at Karolinska Institute, Sweden

Dr. Angus Dalgleish, oncologist, infectious disease expert and professor, St. George’s Hospital Medical School, University of London, England

Dr. Anthony J Brookes, professor of genetics, University of Leicester, England

Dr. Annie Janvier, professor of pediatrics and clinical ethics, Université de Montréal and Sainte-Justine University Medical Centre, Canada

Dr. Ariel Munitz, professor of clinical microbiology and immunology, Tel Aviv University, Israel

Dr. Boris Kotchoubey, Institute for Medical Psychology, University of Tübingen, Germany

Dr. Cody Meissner, professor of pediatrics, expert on vaccine development, efficacy, and safety. Tufts University School of Medicine, USA

Dr. David Katz, physician and president, True Health Initiative, and founder of the Yale University Prevention Research Center, USA

Dr. David Livermore, microbiologist, infectious disease epidemiologist and professor, University of East Anglia, England

Dr. Eitan Friedman, professor of medicine, Tel-Aviv University, Israel

Dr. Ellen Townsend, professor of psychology, head of the Self-Harm Research Group, University of Nottingham, England

Dr. Eyal Shahar, physician, epidemiologist and professor (emeritus) of public health, University of Arizona, USA

Dr. Florian Limbourg, physician and hypertension researcher, professor at Hannover Medical School, Germany

Dr. Gabriela Gomes, mathematician studying infectious disease epidemiology, professor, University of Strathclyde, Scotland

Dr. Gerhard Krönke, physician and professor of translational immunology, University of Erlangen-Nuremberg, Germany

Dr. Gesine Weckmann, professor of health education and prevention, Europäische Fachhochschule, Rostock, Germany

Dr. Günter Kampf, associate professor, Institute for Hygiene and Environmental Medicine, Greifswald University, Germany

Dr. Helen Colhoun, professor of medical informatics and epidemiology, and public health physician, University of Edinburgh, Scotland

Dr. Jonas Ludvigsson, pediatrician, epidemiologist and professor at Karolinska Institute and senior physician at Örebro University Hospital, Sweden

Dr. Karol Sikora, physician, oncologist, and professor of medicine at the University of Buckingham, England

Dr. Laura Lazzeroni, professor of psychiatry and behavioral sciences and of biomedical data science, Stanford University Medical School, USA

Dr. Lisa White, professor of modelling and epidemiology, Oxford University, England

Dr. Mario Recker, malaria researcher and associate professor, University of Exeter, England

Dr. Matthew Ratcliffe, professor of philosophy, specializing in philosophy of mental health, University of York, England

Dr. Matthew Strauss, critical care physician and assistant professor of medicine, Queen’s University, Canada

Dr. Michael Jackson, research fellow, School of Biological Sciences, University of Canterbury, New Zealand

Dr. Michael Levitt, biophysicist and professor of structural biology, Stanford University, USA. Recipient of the 2013 Nobel Prize in Chemistry.

Dr. Mike Hulme, professor of human geography, University of Cambridge, England

Dr. Motti Gerlic, professor of clinical microbiology and immunology, Tel Aviv University, Israel

Dr. Partha P. Majumder, professor and founder of the National Institute of Biomedical Genomics, Kalyani, India

Dr. Paul McKeigue, physician, disease modeler and professor of epidemiology and public health, University of Edinburgh, Scotland

Dr. Rajiv Bhatia, physician, epidemiologist and public policy expert at the Veterans Administration, USA

Dr. Rodney Sturdivant, infectious disease scientist and associate professor of biostatistics, Baylor University, USA

Dr. Salmaan Keshavjee, professor of Global Health and Social Medicine at Harvard Medical School, USA

Dr. Simon Thornley, epidemiologist and biostatistician, University of Auckland, New Zealand

Dr. Simon Wood, biostatistician and professor, University of Edinburgh, Scotland

Dr. Stephen Bremner,professor of medical statistics, University of Sussex, England

Dr. Sylvia Fogel, autism provider and psychiatrist at Massachusetts General Hospital and instructor at Harvard Medical School, USA

Dr. Udi Qimron, professor of clinical microbiology and immunology, Tel Aviv University, Israel

Dr. Ulrike Kämmerer, professor and expert in virology, immunology and cell biology, University of Würzburg, Germany

Dr. Uri Gavish, biomedical consultant, Israel

Dr. Yaz Gulnur Muradoglu, professor of finance, director of the Behavioural Finance Working Group, Queen Mary University of London, England


 

Monday, November 9, 2020

Don't Be This Guy


Conspiracy theories about the election are really getting out of control.  Everywhere you turn and depending on the source, you can find a story that fulfills any belief that you have.  I am watching otherwise intelligent adults spout stuff that makes me scratch my head pretty hard.  Of course, we all know  that the election was a doozy.  The run up was full of acrimony and accusations like I'm not sure I've seen previously.  Of course, with Trump that's something you'd expect.  But it was pretty bad.  And then Election Day was pretty anticlimactic.  Everyone, literally everyone, wanted to know the outcome.  But it was not to be.  And that isn't necessarily unique.  There have been plenty of times when it took longer than desired to count the votes.  Of course, the mail in ballot scheme was new and bound to result in problems.  Then you add in the media calling winners at various times when there was still uncertainty.  Stir that all with a bunch of protestors on the streets of major cities causing problems and it was a mess.  

It looked like there were 6 states, Nevada, North Carolina, Georgia, Pennsylvania, Michigan and Wisconsin that were slow  in counting...and some are still counting.  Meanwhile the media called Pennsylvania, Michigan, and Wisconsin for Biden and that put him over the top.  Of course, there is no official announcement until it's done but that didn't dissuade the Biden camp from claiming victory.  And, surprise, surprise, Trump dug in.  So now he has an army of lawyers out looking for shenanigans and filing lawsuits.  Will they go anywhere?  I'm not buying it.  I've looked at the numbers and I don't see how Trump overcomes the lead unless they find major, major irregularities.  Of course, if you want there to be irregularities you can find a source to feed your paranoia.  If that's your schtick, knock yourself out.  But please...stop sending me conspiracy theory videos, memes and stories via email, text, FB Messenger and any other medium you can think of.  I'm not opening them.  I'm deleting them.  So save yourself the effort.  

So I think it's essentially over.  I could be wrong, but I don't see any way that Trump is the President on January 20.  If there's something you want to be passionate about, be passionate about the two Senatorial elections in Georgia.  That's where it's at now.  If the Republicans hold the Senate, the game is very different for the next two years.  So watch that.

Everyone one has been stressed by this election.  Incredibly stressed.  Add in Covid and it only makes it worse.  So take my advice and give it a break.  Here's the top ten things you can do instead of acting like "this guy" over the election that you can't do one thing about anyway.

10.  Go fishing, or golfing, or running or whatever
9.  Get that project done around the house that you've been putting off
8.  Work on learning a new language or musical instrument
7.  Give your kids more help than they need with their homework.  You'll like it.
6.  Put more effort into your work.  Do something above and beyond.
5.  Take some time to read something that you've been putting off
4.  Volunteer at a local food bank or something similar to help people
3.  Knock on your neighbors door and ask them if they'd like to go for a walk
2.  Play with your kids.  Doesn't matter what.  Just play with them.
1.  Hug your wife, husband or significant other.  The days are short.  And they are limited.  Remember what Budda said..."The trouble is, you think you have time"

Friday, November 6, 2020

Three Days Later

The run up to the 2020 general election was excruciating for most of us.  At least the people I've talked to have been disheartened.  There could be a lot of ways to describe it.  "The gloves came off" might be a good one.  The vitriol, the hate, the low-blows, the wailing and gnashing of teeth were omnipotent on both sides.  Whether it was Trump at his rallies or his surrogates on media or Biden when he raised his head out of his bunker or his surrogates doing the same thing as Trump's, it was ugly, disheartening, and exhausting.  At least it was for me and many others.  At some point I just stopped paying attention and tried to live my life.  But the pervasiveness of it was a big distraction.

I guess the good news is that I recognize that this isn't some unique aspect of this year's election.  It's happened before.  Do a little studying about our history of elections and you can't help but find some really bad behavior.  So in some sense, this is business as usual, especially when there is a candidate that raises as much angst as Trump.

When Tuesday came around I had some amount of hope that the counting would proceed as it always has, and we'd have a winner forthwith.  But alas, it was not to be.  And of course, I knew that.  I just hoped it would be cut and dried.  

So now we're in limbo awaiting the continuing count in 4 or 5 states.  It's looking like, as I write this (Friday at Noon) that Biden has multiple routes to the 270 votes needed for the Presidency and Trump only has one or two.  In other words, it's not looking good for Trump.  However, that doesn't take into account any lawsuits and court decisions.  

It's perplexing to me that there are just a handful of states that are having difficulty.  And of course, that raises suspicion.  The conspiracy theory nuts are crawling out of the woodwork to stir the pot.  And normally I'd discount them.  But this is 2020 and the year of Trump so I'm not so sure.  Hatred drives people to do strange and desperate things.  Some of the stories about ballot irregularities seem credible and are certainly cause for investigation.  But, it's difficult for me to think that whatever they are that they would make a difference.  In any state the margin favoring the winner is usually not just a few votes.  Or even a few hundred.  There is usually a more substantial margin for victory.  But we have to let it play out.  There is a lot of drama, accusations, protests, and weird visual imagery.  It's messy.  But it's also democracy.  Above all else, the integrity of the system needs to be upheld.  And before you say that the one side or the other is to blame for lack of integrity, save it.  Both sides are to blame.  Both sides have tried shenanigans.  Both sides have made outrageous claims.  So the best thing would be for everyone to just calm down and let it play out.

I have some takeaways from this election, and really our whole political atmosphere.  

  1. Trump lost to...Trump.  I've said in this blog previously that he is a gigantic jackass and he proved it over and over during the run up to the election.  His tweets and continual half-truths turned a lot of people off.  Not just a few, a lot.  If I were voting for just the two men, I would've voted for Biden.  Because Trump is an obnoxious jerk.  But, and it's a big but, I believe his policies were much more in tune with what the average American wants and needs.  So I stuck with him.  And I have to say I will not be surprised at all if he ultimately doesn't win.
  2. There is no mandate.  Not even close.  If Biden prevails at least he won the popular vote.  But no one on either side can claim a mandate.  If this isn't the time to reach across the aisle and and try to work together, I don't know when it would be.  But Biden will have enormous pressure to move farther left.  If that happens, there'll be a Republican sweep in 2024.  The country is simply not there.
  3. Trump and the Republicans blew it when they railed against the mail in ballots.  That was clearly going to happen.  Instead of embracing it, they tried to obstruct and denigrate it.  They could have turned it to their advantage, but instead it probably beat them.  
  4. Biden isn't the ogre and monster he was made out to be.  Oh he's a swamp dweller and has never really done anything in 47 years in politics, but by most accounts from colleagues over the years, he's a pretty good guy.  The big dust up about his son was clearly political theater.  At least that's how it appeared to me.  
  5. Kamala Harris is the most unlikable politician in America.  And that's just not me folks.  She has never done anything substantive.  She has mannerisms that are like nails on a chalkboard.  She blows with the wind.  And when she was climbing to the top in California, that's not all she blew.  We all better hope that Joe's health hangs in for 4 years, because she would be a nightmare.  Unless there is a miracle, I don't see her as a force in 2024
  6. The media?  Well, what I can say about the media?  They (all of them) have lost me.  I essentially don't believe them.  A few months ago I started watching several different channels a day for a few minutes to get the flavor of their reporting.  After a very short time I could predict the spin that they would put on their stories.  The most obnoxious (NBC) are now unwatchable for me.  Their smugness turns my stomach.  The vast majority of the media today are telling a story that is aligned with the messaging of their corporate owners.  Figure out who owns them (and that isn't difficult) and you'll know how they are going to spin.  Finding objective, honest reporting is almost impossible.  They should be ashamed of themselves, but of course they aren't.  Most media types on the national stage care about accolades, power, fame and money.  Full stop.
  7. The polling companies should be hanging their heads in shame.  And I don't know how they recover.  They were wrong about virtually everything!  At their worst, some of these polls caused people to stay home.  And that is shameful.  They also contributed to media lies.  
  8. 2020 (assuming we lose the Presidency) isn't all bad for conservatives.  We picked up members of the House, we picked up state legislatures, and most importantly, I think Senate will not flip or at least wind up 50-50.  In a republic such as ours with checks and balances, that is a huge check.  We'll have to see in the coming months how it plays out (because of runoffs in Georgia) but I'm hopeful.  The other thing to anticipate is 2022.  Assuming Biden screws up enough and tradition of the incumbent party losing seats in the mid-terms, it is likely that the Republicans will pick up seats in both houses in 2022.  So the checks will continue. 
  9. There's a story out there that Pelosi may lose her Speaker's job.  Don't count on it.  She is smart and cagey.  She'll likely remain in power at all costs.
  10. 2024 should be very interesting.  Kamala will try to be the presumptive Democratic nominee but I just don't see it.  I think Buttigieg will be the favorite.  Maybe Cuomo.  Maybe Booker.  The Republican side will be interesting once again.  I think Nikki Halley, Tim Scott and Marco Rubio will be favorites.  Like Kamala, I don't see Pence as a serious player.  Could Ted Cruz gain traction?  Whoever it is on the Republican side will have a built in difficulty in that they will not be able to whip up the emotions of being an outsider like Trump did.  It's a long way to 2024 but the nature of our political life is that it starts today.  Distressing isn't it?
  11. I think (hope) that the last 4 years and 2020 should discourage multi-billionaire businessmen to enter the fray for the Presidency.  Tom Steyer and Mike Bloomberg embarrassed themselves.  And wasted a lot of money and their message fell flat.  Andrew Yang did okay but wasted a lot of money.  Trump won because he was Trump.  Larger than life and tough as nails.  Don't know that there are any others out there like that.
  12. The nuts on the fringes of both parties didn't prevail.  Whether it's Antifa or BLM on the left or the Proud Boys on the right or all the other kooks out there causing division, they just stirred up a lot of trouble and ultimately were not a force.  The 150M Americans that voted were the force.  If we start to move back to some sort of normalcy and civility, my most fervent hope is that both parties will repudiate the radicals, looters and rioters.  
So it is evolving.  I'm pessimistic that Trump will win, but there could be court action that will delay what I think is inevitable.  It would be nice if he would take the high road and concede after a decent amount of time and the outcome becomes obvious.  But...that's not Trump.   Not even close.