Tag Archives: Covid-19

The myth of the free range human

… Is a myth that I, as much as anyone, wish were true. My dream is to have a little place in the middle of nowhere, off the grid, with a couple of greenhouses, a composting toilet, a 12gauge loaded with rifled slugs, and a pair of vicious dogs. The truth is though, the only way to realize my dream involves relying on things made on the grid. Even after I am established, I’m going to need things from town – in other words, from other people – to maintain my little homestead.

One might argue that my situation is artificially contrived. Nobody asked me to begin in the middle of a civilization, I was just born here. I had no part in constructing it, and I am quite justified in feeling that the whole thing could’ve turned out a lot better than it did. But that would be wrong too. We are all stuck with something like what we’ve got. It’s inscribed in our genome. When my children were born, I did not have to give them any special instruction in speech and language. I simply talked to them, and soon enough, they began to speak. That’s because they have special structures in their brains which are receptive to language learning. We are social animals, and there’s no getting around that.

We are stuck with a duality. We are fully individual, but we can only realize our individuality by way of our social nature. There are no arts, sports, or academics without other people. And as social creatures, we direct our communal effort towards the full expression of individuality. From the isolated point of view of the collective, arts, sports, and academics are a waste of resources, yet we pursue such things as a group because of their benefits to the individual participants.

The dialectic of the social individual permeates all of our institutions, even medicine. Medical professionals treat patients one by one, but on the basis of the statistical effectiveness of each treatment. In fact, our most effective treatments – interventions involving nutrition, sanitation, and immunization – purely play collective odds to benefit an individual patient’s health.

By the same token, our best treatments are not things done to the patient by the physician. Our best interventions require the participation of the individual, and the exercise of individual virtues like patience, generosity, and courage. The current pandemic is a perfect example. Public health institutions aim to immunize the population, in the hopes of preventing individual tragedies.

Libertarians object to such collective efforts, in defense of individual integrity. But this is where the dialectic flips. To exercise individual virtues, and so maintain individual integrity, each person should participate in the treatment. The failure to do so does not demonstrate rugged individualism, but mean spirited cowardice.

In defense of individual integrity, our society allows meanness and cowardice. Nobody is going to hold someone else down and give them a shot. But neither is anyone obliged to give credence to all the excuses and objections expressed when measures are taken to mitigate the collective effect of failed individual character.

Tagged , , , ,

For Anyone

…who believes that, “we have more cases because we have more testing”.

Testing for an infectious disease is like counting the number of balloons in a dark room by tossing darts through the doorway. Say you throw 10 darts in the room and hear two pops. There is still a good chance that a number of balloons remain uncounted. But if you throw 40 darts in the room and hear two pops, the likelihood of a two-balloon scenario soars. When the rate of pops drops below a certain proportion, you can be sure that you have counted most of the balloons in the room. A low percentage of positive tests is what you’re after.
Once you have established the adequacy of your testing, you can sort out what the results reveal about containment. The raw numbers don’t tell you that much. In the case of national case counts, it is reasonable to expect a country with a large population to experience higher numbers than a country with a small population given similar degrees of disease containment. A true measure of containment is cases per population, or in our analogy, how crowded the room is with balloons.
So when a pinhead like Trump says that we have more cases because we have more testing, that standalone statement is pure bull shit. What’s worse, it’s a distraction from what really indicates the adequacy of our understanding of the outbreak’s extent and the effectiveness of our efforts to contain it: percent positive tests and infections per population.

How is the US doing?

Top of the heap with >15,000 cases/1 million persons (European Centers for Disease Control)

Percent positive tests: 7.9 (an adequate percentage is less than 5%)

Tagged , ,