3DDRR update, April 22

Today, it edged up to 1.18 and outside New York it edged up to 1.22

As a reminder, this is the ratio of cumulative deaths as of today to that as of three days ago. The goal is to spot a dramatic drop in the spread rate as of a few weeks ago. My thinking is that testing protocols change too often to use reported cases as an indicator. But increasingly we read that reporting protocols for Covid deaths are variable. Some experts want to try to compute “excess deaths” by comparing each week to an average of the same week in past years. That is not a task that I want to take on.

Following the trend in the 3DDRR, I was much more optimistic two weeks ago than I am today. I want to see the ratio drop to something like 1.002, and it looks like it is going to take a long time to get there.

General update, April 22

1. Joshua Coven and Arpit Gupta write,

This paper uses mobile phone Global Positioning System (GPS) data to examine the mobility responses of neighborhoods in New York City affected by COVID-19. We show three key findings regarding differential mobility responses across neighborhoods. First, richer and younger neighborhoods see far greater increases in the propensity of individuals to leave the city, starting around March 14, 2020. These individual moves are well-proxied by networks of Facebook friends in the areas they move to, suggesting that richer and younger New York City residents are able to shelter in second homes and with friends and family away from the epicenter of the outbreak.

Which probably explains why Pennsylvania and Maryland have such high 3DDRRs right now. Just about every friend in Maryland that I have with kids who were living in New York has their kids staying with them right now. Pointer from Tyler Cowen.

2. In the WSJ, Daniel Michaels writes,

“People have realized that with all the differences in testing, looking at all causes of death is a much better proxy for the impact of Covid,” said Lasse S. Vestergaard, an epidemiologist in Denmark’s national institute for infectious disease

Read the entire article, which raises several important issues.

3. In an essay on the current political climate, I write

Controversy over lockdowns has drawn people on both sides to demonize one another. Opponents of lockdowns assert that the virus is “just the flu,” implying that lockdown supporters are overreacting. Supporters of lockdowns assert that “all it takes to beat the virus is to have the fortitude to stay home and play video games,” implying that lockdown opponents are wimps.

4. Alberto Mingardi says that Italians enjoy less liberty than they did under Mussolini, but not because fascism has re-emerged as an ideology. He calls it “unintended authoritarianism.”

I would say the same thing about Lockdown Socialism. The legislators who voted for the CARES act and the people who think it is a good thing are not socialists. That makes it even scarier. I would rather fight an ideology than a consensus.

We adopted lockdowns and socialism as desperate short-term expedients. Neither approach is sustainable. But at least people are thinking about an exist strategy for the lockdowns. No one is even considering an exit strategy for the socialism.

5. A commenter points to this story.

The Medical Examiner-Coroner performed autopsies on two individuals who died at home on February 6, 2020 and February 17, 2020. Samples from the two individuals were sent to the Centers for Disease Control and Prevention. Today, the Medical Examiner-Coroner received confirmation from the CDC that tissue samples from both cases are positive for SARS-CoV-2 (the virus that causes COVID-19).

February 6 is very early. It makes one wonder when the virus started infecting people there.

6. NPR story on the woes of colleges.

In the CARES relief package passed in March, Congress allocated about $14 billion for colleges and universities, though many have said that’s not enough. “Woefully inadequate” is what the American Council on Education called it. The group, along with 40 other higher education organizations, have lobbied Congress for about $46 billion more. And that’s a conservative ask, they say.

I predict that they get at least 75 percent of what they ask for. In Washington, you don’t mess with these guys.

7. Eyal Klement and others write,

Instead of using non93 discriminating measures targeted at the population as a whole, we propose regulated voluntary exposure of its low-risk members. Once they are certified as immune, these individuals return to the population, increase its overall immunity and resume their normal life. This approach is akin to avalanche control at ski resorts, a practice which intentionally triggers small avalanches in order to prevent a singular catastrophic one. Its main goal is to create herd immunity, faster than current alternatives, and with lower mortality rates and lower demand for critical health-care resources. Furthermore, it is also expected to be effective in relieving the huge economic pressures created by the current pandemic

They do some simulation exercises with a model and say that this will work. But the results are pretty much baked in, base on their assumptions that exposure creates immunity, that it will be easy to know when the people you expose have stopped shedding virus, and that people aged 20-49 are at low risk and thus can be safely exposed. Another assumption that I think is worth mentioning is that we don’t discover a good treatment for the virus over the next month or two. I wonder much we can trust those assumptions to be satisfied.

But note that lockdown is pretty much the opposite strategy. So implicitly we are making the opposite assumptions, and we should be wondering how much we can trust that.

Anti-fragile Arnold and Risky Randy

Arnold is anti-fragile. One house, one spouse. Defensive driver. He would rather not be infected with the virus now. He hopes that by the time he is infected there will be a safe and effective treatment.

Randy is a risk-taker. Likes to go 75 mph on his motorcycle. Thinks that people who eat to live have it backwards. He would rather meet friends at a crowded bar than worry about when he gets infected with the virus.

It is possible that Randy’s behavior imposes a cost on Arnold. That is, the more that Randy risks getting infected and infecting others, the more difficult it becomes for Arnold to avoid contact with people getting the virus. Instead of going to the grocery in the afternoon, Arnold feels like he has to order for delivery or else get up early in the morning to shop in the store while Randy and his friends are still hung over.

Is this additional cost enough to justify the government stepping in and closing the bar so that Randy cannot go there? I do not believe so. I think that government should stay out of it, and let Arnold and Randy make their own choices. Back when we were afraid that Randy could cause excess crowding in hospitals, there was a persuasive public-good argument to change his behavior. Now there isn’t.

Brian Doherty tries to steel-man “openers” (who want to end lockdowns) and “closers.”

Closers see and acknowledge the economic damage we are suffering, but see most of that damage already inherent in the unchecked spread of a disease that kills or seriously harms people to a greater extent than any we’ve dealt with in a century. They thus don’t see the economic problems solvable just by “opening up America.”

As an “opener,” I do not think that lifting restrictions will do a lot to help the economy. I have made that point repeatedly. I agree with the “closer” view that most of the damage comes from the virus itself and the understandable individual responses to it.

The “closer” side annoys me when their rhetoric is based on intentions rather than consequences. That is, they try to make it seem as though “openers” want people to get infected and “closers” don’t. But it is likely that the only margin on which lockdowns can make a difference is that they will make more people get infected later rather than sooner. The number of lives that can be saved by doing that is likely to be small, and it may even be negative. Particularly if almost all of the people whose infections get shifted into the future are healthy people who will get mild or asymptomatic cases, and meanwhile we fail to develop and implement an approach that protects nursing homes.

Overall, I am only mildly on the “opener” side. My problem with Lockdown Socialism is the socialism.

By socialism, I mean the money-printing orgy to have the government send feel-good stimulus checks to households while lavishing bailouts on banks and other large corporations, without raising taxes or cutting spending elsewhere. I also mean taking capital allocation out of the private sector and giving it to the Fed. Whatever the intentions of the backers of the “stimulus” or the “quantitive easing” might be, inflationary finance and turning the Fed into Gosplan are the most important consequences. And in this case, I am going to insist on judging the consequences, not just the intentions.

3DDRR update, April 21

Another forecast gets bitten by the Tuesday effect? The Texas people were sure that we had passed the peak in one-day death rates. But today was the biggest one-day death rate, at least according to this tabulation.

The 3DDRR only went up a bit, to 1.17. Outside NY, it is at 1.21

The main point of tracking the 3DDRR is to get an idea of what the trend in infections was a few weeks earlier. And I don’t see any point at which you can argue that “Aha, this was when the lockdowns got going, and you can see that a few weeks later the spread rate started to plummet.”

Lockdowns started to become widespread around March 20. So we would expect the big decline in the increase in deaths to begin somewhere between April 5 and April 15. But if you look at the chart, the big decline in the death rate was taking place from around March 26 through April 6, and subsequently the declines have been more gradual.

Perhaps the lockdowns failed to dramatically reduce the overall spread rate. But I think that a more likely scenario is that they did slow the spread rate–among the population that is least likely to die from the disease. The overall death rate remained high, because we have not figured out how to protect the elderly, particularly in nursing homes.

If my hypothesis is correct, then a weekly series of random-sample tests in the population would show a sharp decline in the spread rate, but a demographic breakdown of deaths by week would show an increase in the proportion of deaths among the elderly. I know we don’t have the former data. Are the latter data available?

General update, April 21

1. A podcast that Brandon Adams did with me this morning. He asked good questions. Maybe my answers were a bit long, but I think you will like it. I recommend listening at 1.5x speed.

1. Niall Ferguson writes,

let’s not pretend that the pandemic illustrates the case for big government. The US already has big government. And this is what it does: agencies, laws, reports, PowerPoint presentations… and then — when the endlessly discussed crisis actually happens — paralysis, followed by panic.

Today, the US has fallen back on the old 20th-century playbook of pandemic pluralism (states do their own thing; in some states a lot of people die), but combining it with the 2009-10 playbook of financial crisis management. The result is insane. A large chunk of the economy has been shut down by government order; meanwhile the national debt explodes, along with the balance sheet of the US Federal Reserve.

Pointer from John Cochrane. I am in the process of writing an essay tentatively titled “Changing the Playbook” The two paragraphs above are almost a precis of the essay, including his use of the term “playbook.”

2. Earlier, John Cochrane wrote,

The greatest financial bailout of all time is underway. It’s 2008 on steroids. Yet where is the outrage? The silence is deafening. Remember the Tea Party and occupy Wall Street? “Never again” they said in 2008. Now everyone just wants the Fed to print more money, faster.

Read the whole post. Of course, I have not been silent. Coining the expression Lockdown Socialism is about as loud as I can get.

3. A reader sends long the list of educational institutions receiving funds under the CARES act. I’m sure that as a taxpayer you are happy to contribute to this cause.

4. Christopher Avery and others write,

Some researchers have conjectured that exposure to a higher “viral load” can result in more severe illness. . .As American doctors Rabinowitz and Bartman comment, “Dose sensitivity has been observed for every common acute viral infection that has been studied in lab animals, including coronaviruses”

Pointer from Tyler Cowen, who recommends the whole paper. There are little nuggets scattered throughout. But I don’t think that the economist’s training to think in terms of mathematical models is the best way to approach the problem. “Patterns and stories” is a better framework.

5. Tyler Cowen quotes from a correspondent.

Protecting the most vulnerable effectively while infecting the least vulnerable quickly could theoretically save almost everyone for this particular disease.

That is a succinct statement of the results of my analytical matrix Sooner or Later, Mild or Severe.

3DDRR and general update, April 20

1. A University of Texas Modeling Consortium says that there is an 89 percent chance that we passed the peak in daily deaths. That seems right to me.

Also, that model predicts a sharper decline in New Jersey than in California, which is consistent with the heavy in, heavy out model.

Pointer embedded in a post from Tyler Cowen.

2. The 3DDRR was at 1.15 and excluding New York it was 1.18 The tendency has been for Tuesday to be a peak day for reporting deaths (the Texas people are betting that last Tuesday was the peak), so I am curious to see what tomorrow brings.

Lockdown Socialism will collapse

I’ve seen headlines about polls showing that people are afraid of restrictions being lifted too soon. To me, it sounds as if they prefer what I call Lockdown Socialism.

Under Lockdown Socialism:

–you can stay in your residence, but paying rent or paying your mortgage is optional.

–you can obtain groceries and shop on line, but having a job is optional.

–other people work at farms, factories, and distribution services to make sure that you have food on the table, but you can sit at home waiting for a vaccine.

–people still work in nursing homes that have lost so many patients that they no longer have enough revenue to make payroll.

–professors and teachers are paid even though schools are shut down.

–police protect your property even though they are at risk for catching the virus and criminals are being set free.

–state and local governments will continue paying employees even though sales tax revenue has collapsed.

–if you own a small business, you don’t need revenue, because the government will keep sending checks.

–if you own shares in an airline, a bank, or other fragile corporations, don’t worry, the Treasury will work something out.

This might not be sustainable.

General update, April 19

1. A study from Italy.

We found no statistically significant difference in the viral load (as measured by genome equivalents inferred from cycle threshold data) of symptomatic versus asymptomatic infections

Pointer from Megan McArdle.

Although the margin that I care about is mild vs. severe rather than symptomatic vs. asymptomatic, this is somewhat discouraging for those of us who would like to believe that getting the virus in low amounts would be ok.

Note the the study measures viral load among people after they have the virus, not viral load at onset. I think the only way to make guesses about viral load at onset is to do case studies that look at how people got the virus.

I think that what this study strongly reinforces is the hypothesis of asymptomatic spreading.

2. A case study that suggests being in the path of airconditioning flow and an asymptomatic spreader gave people the disease.

I now think that these sorts of case studies are going to be the best way to gather useful evidence about the virus. I would especially like to see case studies that can help assess whether there is anything we can do to affect whether one gets a mild or severe case.