1. A reader writes, “epidemiology as GDP-factory-ism”
So many epidemiology models seem to use THE value for R, or THE case fatality rate (CFR) or THE infection fatality rate (IFR). But these rates differ for different people and different circumstances. It seems the same kind of simplification that treats output as a single something. The simplification can be useful some times but there is such a temptation to use it without asking that question.
If you want to know why I am so adamant and ornery about the models, that is it. They remind me of macroeconometric models, which I am confident are misguided.
The modelers are still at it. The NYT reports,
The daily death toll will reach about 3,000 on June 1, according to an internal document obtained by The New York Times, nearly double the current number of about 1,750.
I would like to make the following bet with these modelers. I bet that the daily death toll in the last two weeks of May averages less than 2500. Whoever loses the bet has to shut up. If I lose, I stop blogging about the virus. If the modelers lose, then they have to stop reporting results from their models.
Note that Daron Acemoglu and others have disaggregated the typical model into more than one risk bucket. Tyler Cowen enthuses, “I would say we are finally making progress.” I say it’s just more social-engineering drunks searching under the lamppost.
2. Another reader points to an essay by Sean Trende. Difficult to excerpt, the essay seems quite rational to me.
No states are on anything resembling an exponential growth trajectory, almost all states are past a peak, and most states are substantially so. This would suggest that in many states, the question really should be how to reopen while keeping hospitals from being overwhelmed again.
As Tyler Cowen once predicted, we went from insufficient fear to excess fear. With excess fear, it will be difficult to re-start the economy. Even if restrictions are lifted, people will not be confident as consumers or entrepreneurs.
3. Alberto M. Borobia and others look at a cohort of patients at a major teaching hospital in Madrid. It is worth poring over the tables at the end. As I read table 3, out of 665 patients under age 50, only 5 died. That is a mortality rate of less than 1 percent among those hospitalized. To compute the overall infection fatality rate for those in that age group, one would have to multiply by the probability that an infected person becomes hospitalized. If the latter is 0.1, for example, then the IFR would be less than 1 in a thousand. Pointer from John Alcorn.
He also points to a study by Zichen Wang and others of patients in three New York hospitals. As I read the tables, obesity does not seem to be associated with a greater likelihood of death, but hypertension does.
And he points to yet another study, in the LA area. They find that a big difference of male vs. female.
One thing I would like to see from these cohort studies is a really careful analysis of the relationship between the risk from age and the risk from comorbidities, given that the high correlation between the two.
4. Robin Hanson writes,
We are starting to open, and will continue to open, as long as opening is the main well-supported alternative to the closed status quo, which we can all see isn’t working as fast as expected, and plausibly not fast enough to be a net gain. Hearing elites debate a dozen other alternatives, each supported by different theories and groups, will not be enough to resist that pressure to open.
Winning at politics requires more than just prestige, good ideas, and passion. It also requires compromise, to produce sufficient unity. At this game, elites are now failing, while the public is not.
I am not rooting for the elites to win. I don’t think any top-down solution is going to work well. Letting individuals decide which risks they are willing to take is probably the best approach. As someone who will be making risk-averse choices, I do not think others’ riskier choices pose a significant threat to me.
5. A commenter writes,
We shouldn’t be trying to conquer fear so we can go back to the old economy. We should be building the new economy that has an order of magnitude fewer casual human interactions.
Maybe this is overstating it. But I do think that we will see new patterns of specialization and trade, and we need a lot of capitalism to get there.