Tag Archives: public health

The Pandemic Lives

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When I press pause and reflect on the covid pandemic years, I can’t help but conclude we overcompensated for the very real public health risks. For example, now that we know more about the virus, I’m with a lot of people who have concluded we errored in closing schools for as long as we did. One weekend, our former governor even closed an outdoor park.

Like our former Luv Guv, except for the elderly, immune compromised, and otherwise physically vulnerable, many of us kind of lost our minds.

I can’t help but wonder if a covid pandemic “abundance of caution” mindset lives on in ways that might be related to the widespread conspiracy thinking that is so prevalent these days. Why? Because of the way some educated people spent September spreading fear about the safety of our pristine local lake.

First, an admission. Yes, sporadically, usually in the spring, Ward Lake has algae blooms that make swimming unhealthy and unwise.

In early summer, a member of Facebook’s Olympia Triathlon Training Group posted this missive, “FYI, possible but not confirmed toxic algae bloom at Ward Lake.” That’s all it took for lots of people to lose their minds. Rightly or wrongly, I blame the covid pandemic.

Here’s what the County reported about the lake.

So, nevermind that there wasn’t enough algae present to even warrant a sample/reading, and that actual swimmers said the lake looked perfectly fine, an “abundance of caution” took hold to the point that triathlete meet ups were cancelled because “of a potential toxic algae bloom”. That phrase was like a spark that started a wildfire. People repeated the phrase, which acted like a wind whipping up the flames.

Fast forward to yesterday when someone organized a meet up. Then this from another member, “Have you checked their contamination levels – a couple of weeks ago they had high levels and said no swimming. Just FYI.”

Sigh. This is the fire jumping a demarcation line. Despite the County saying very matter of factly that there was NO reading, this person inexplicably lobbed “high levels” and “no swimming” into the mix. What the hell?!

I spent a glorious hour in the lake yesterday morning minutes before this back-and-forth. But maybe my lived experience isn’t a credible counterfactual to the abundance of caution. I don’t even believe in QAnon.

How Is It Playing?

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According to “insiders”, that is the Mad King’s default question. Not, what is the right thing for the common good, how is it playing?

Cut to John Gruber:

“Having an ignorant conspiracy nut lead the Department of Health and Human Services is angering and worrisome, to say the least. But it’s also incredibly frustrating, because Donald Trump himself isn’t an anti-vaxxer. In fact, one of the few great achievements of the first Trump Administration was Operation Warp Speed, a highly successful effort spearheaded by the US federal government to “facilitate and accelerate the development, manufacturing, and distribution of COVID-19 vaccines, therapeutics, and diagnostics.” Early in the pandemic experts were concerned it would take years before a Covid vaccine might be available. Instead, multiple effective vaccines were widely available — and administered free of charge — in the first half of 2021, only a year after the pandemic broke. It was a remarkable success and any other president who spearheaded Operation Warp Speed would have rightfully taken tremendous credit for it.

But instead, while plotting his return to office, Trump smelled opportunity with the anti-vax contingent of the out-and-proud Stupid-Americans, and now here we are, with a genuine know-nothing lunatic like RFK Jr. as Secretary of Health and Human Services. God help us if another pandemic hits in the next few years.”

Of course, as we’re already seeing in places like West Texas with a measles outbreak, the public health threat isn’t limited to a possible pandemic.

Wrong, Wrong, Wrong

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After a bit more lively Michigan-Ohio State second half, and a relatively low-scoring Apple Cup, some PressingPausers had the audacity to call my football acumen into question. Dare we ask, maybe I don’t know what I’m talking about?

I’m glad I was wrong about the fate of the hostages. Granted, those released so far are just a fraction of the total, but I was afraid all of them were going to be killed. Dare we ask, are the humble blogger’s geopolitical smarts right up there with his football perspicacity?

Being so young-in-spirit and healthy, I figured why get jabbed this fall. So now that I’m sick, dare we consider the fact that my medical science/public health aptitude leaves a lot to be desired?

We Know the Real Cause of the Crisis in Our Hospitals.

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It’s greed. That’s the headline of this powerful six and a half minute long New York Times documentary. I concede, given the Gray Lady’s size and stature, it’s important to read and/or view her with a certain skepticism, but as this short video illustrates, the “paper of record” continues to produce a lot of outstanding journalism.  

When it comes to the New York Times, I am in the habit of reading the top “reader picks” comments. At present, this video has generated 1,562 comments. Here’s a portion of the top rated one, from someone living outside the (dis)United States:

“Hey, your politicians passed and signed federal law 9 years ago to allow private equity (wall street) to buy and own healthcare systems and physician groups. Prior to that it was illegal. Now private equity is the largest employer of emergency room physicians in America and as owners of healthcare system employees many many doctors and nurses of all specialties. Private equity is buy a company reduce costs increase profit and sell it in 5-7 years. That is who owns many of your doctors and hospitals. Federal law was changed to allow that to happen and where was the objection from the people. My guess probably almost no one knew. How funny to watch your media avoid these topics when they happen and fill it with the latest on the celebrity politicians over there.”  

The nurses in the video confirm that our fetishization of corporations is the root cause of their untenable work conditions. And the reason people admitted to U.S. hospitals often receive poor care. 

It reminds me of how powerfully later seasons of “Orange Is The New Black” depicts the negative consequences of private prisons.

Because we’re complexity adverse, we don’t connect dots, like our “avoid taxes at all costs” myopia and our near religious beliefs in “free” markets. Those neoliberal pillars are as solid as they’ve ever been. To question them is to be labelled a “socialist”. 

In the end, we have the public health system we deserve. A public health system that an increasing percentage of nurses don’t want anything to do with. 

How To Get The ‘Rona

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Sane people now know the vast majority of cases are the result of people congregating indoors without masks. I’ll continue to be outdoors or inside with a mask on, but if you want to get the ‘rona, some of our Canadian brothers and sisters are here to help.

At least 61 COVID-19 cases tied to ‘very large’ outbreak at Hamilton spin studio, Spinco.

A tutorial.

Step 1. Go to an indoor spin class with LOTS of other people.

Step 2. Conform to what everyone else does—after clipping into your bike, take your mask off.

Step 3. Lean on the pedals hard for an hour.

Step 4. Wait.

Sentence to ponder from the article.

“Hamilton Public Health Services isn’t calling it a ‘super spreader’ event, but Richardson described it as a large outbreak with lots of transmission.”

That’s the funniest thing I’ll read all day.

How to Reign in Health Costs—Build Sidewalks and Bike Lanes

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If I promised to give you two dollars five years from today, for one dollar right now, would you give me the dollar? What if I promised to give you twice as much of a much larger sum right now? Could you scrape together the funds and muster up the self-discipline to wait for your return? What about your family and friends?

Great article by Mike Maciag in “Governing the State’s and Localities”. Thanks to “Dan Dan the Transpo Man” for forwarding the link.

In short, cities with more walkers and cyclists are less obese. Key excerpts:

• An estimated 35 percent of U.S. adults are obese, and another third still maintain weights exceeding those deemed healthy. This doesn’t bode well for governments and individuals paying insurance premiums, especially with the country’s aging population.

• Historically, studies have linked trails, sidewalks and bike lanes with an increase in walking or cycling. As medical costs continue to rise and evidence mounts that such infrastructure also improves well-being, more officials might look to give health consideration greater standing in transportation planning.

• While only a fraction of workers in an area may opt to bike or walk to work, having the necessary infrastructure in place compels others to use it more regularly.

• . . . the correlation between commuting and residents not considered obese nor overweight was strong–16 percent greater than the relationship with median household income.

• When cutting expenses, health costs are an easy target. A recent study by two Lehigh University researchers reported obesity-related costs accounted for $190 billion annually in U.S. health expenditures, nearly 21 percent of the country’s total bill.

• Those looking to move can use the popular walkscore.com website to measure how accessible an apartment or home’s various neighborhood amenities are on foot.

The problem is we’re not financially savvy enough to tax ourselves—say in terms of raising the federal gas tax by a $1/gallon—in the short-term to fund the necessary walking and cycling infrastructure in the medium-term that would lead to health cost savings in the long-term. Collectively, we’re unwilling to pay a little more for a hybrid when the “buy back” is somewhere down the road.

In our Southeast Olympia corner of the world, the Byrnes family’s walkabililty score is a pathetic 18 out of 100. On the other hand, we’re blessed with wonderful sidewalks and bike lanes almost everywhere. Maybe I should start using them. Maybe I should walk more. Or run. Or cycle.

Just one of many nice bike lanes in the State capitol.

Despite the blue, cars still pass cyclists then turn right. Too often, out of sight, out of mind. Ride defensively my friends (said the most interesting man in the world).