“Blaming China soothes an America fighting COVID-19”

Larry Kummer:

The age-old race for leadership between East and West may have begun a new phase, as revealed by the response of each to COVID-19. East Asia was hit first, having neither warning nor knowledge of the threat. China, a large and relatively poor nation, was hit first – while in the midst of a flu epidemic (both have roughly similar symptoms). The epidemic quickly spread to its neighbors, and became an epidemic in South Korea. All successfully fought it off despite lacking any pharmaceutical tools – and in China, without the lavish supply of advanced medical equipment (e.g., ICU units with ventilators) taken for granted in the West.

They used the ancient tools of lavish testing (using both clinical methods and kits), contact tracing to identify who was exposed, quarantines for the sick and exposed, cordons sanitaire around areas with raging infections (to prevent spread). As the leaders of WHO have repeatedly said, China’s response was record-setting. Compare this timeline of China’s respsonse to COVID-19 with the CDC’s timeline of the US response to the 2009 H1N1 (swine flu) epidemic – remembering that the US has almost 4x China’s per capita income and spends 2x to 3x more of its GDP on health care than its peer nations. The Swine Flu epidemic emerged in the US and spread across the globe.

“From April 12, 2009 to April 10, 2010, CDC estimated there were 60.8 million cases (range: 43.3-89.3 million), 274,304 hospitalizations (range: 195,086-402,719), and 12,469 deaths (range: 8868-18,306) in the United States due to the (H1N1)pdm09 virus. Additionally, CDC estimated that 151,700-575,400 people worldwide died from (H1N1)pdm09 virus infection during the first year the virus circulated.”

The West began vastly better prepared than China for an epidemic. The US was considered the best prepared in the world (see here). We had two months to prepare and the models of East Asia’s successful defenses. Yet we appear to be on track to suffer far more from it. After action analysis will determine why, but three things are now obvious.

First, we were arrogant. Asia was hit but we are great, without need to mobilize or even plan. The rest of the world used effective kits, but the CDC and FDA had to produce their own better kits.

The Coming Age of Dispersion

Joel Kotkin:

Living in dispersion may not save you from contagion, but being away from people, driving around in your own car, and having neighbors you know, does have its advantages in times like these. Even the urban cognoscenti have figured this out—much as their Renaissance predecessors did during typhus and bubonic plague outbreaks, wealthy New Yorkers today are retreating to their country homes where they struggle with the locals over depleted supplies of essentials.

Back to the Dark Ages?

In classical times, plagues devastated Athens, Alexandria, Constantinople, and Rome. Along with barbarian invasions, they reduced the population of the Eternal City from 1.2 million at its height to barely 30,000 by the sixth century. Outside Europe, pandemics devastated cities such as Cairo, Canton, and Harbin. Following the conquest of the New World, the indigenous population suffered massive casualties from exposure to European diseases like smallpox.

The Real-Life Costs of Bad Regulation

James Copland:

Entrepreneur Elon Musk, President Donald Trump, and New York’s Governor Andrew Cuomo have each touted chloroquine, a drug used to treat malaria, as a promising treatment option for those infected with Covid-19. Some media quickly pounced on the president’s statement. The commissioner of the Food and Drug Administration, Stephen Hahn, quickly clarified that the agency had not in fact approved the drug as a safe and effective treatment for the new disease, shortly after the president claimed that the drug was “approved very, very quickly and it’s now approved by prescription.”

Chloroquine is in fact available for prescription in the United States. It’s already being tried as a treatment for the new virus in U.S. hospitals. And multiple manufacturers are rushing to produce more and get it to doctors.

The confusion over chloroquine—along with the broader performance of U.S. regulatory agencies during this epidemic—highlights how our federal process for reviewing and approving drugs and medical devices still leaves much to be desired. Our regulatory regime is costing lives. The early administrative failings of the FDA and Centers for Disease Control, which greatly worsened the crisis in the United States, show how ugly that can be.

Posted in Uncategorized.

Fang Fang: Wuhan Lockdown Diaries

Claire:

Fang Fang is the pen name of Wang Fang, a Chinese writer based in Wuhan. Some of her works include the novel “Feng Jing” and “Wan Jian Chuan Xin” She was the chairman of the Hubei Writers Association and won numerous accolades for her writing. Now, she is one of the 11 million people under strict quarantine in the capital of Hubei province due to the recent deadly coronavirus. Since the first day of the city-wide lockdown, Fang started a journal detailing life under the quarantine, publishing it on the Chinese social media site-Weibo, but the sensitive content is quickly deleted.

Civic: Privacy after Coronavirus

Yuval Noah Harari:

Under-the-skin surveillance

In order to stop the epidemic, entire populations need to comply with certain guidelines. There are two main ways of achieving this. One method is for the government to monitor people, and punish those who break the rules. Today, for the first time in human history, technology makes it possible to monitor everyone all the time. Fifty years ago, the KGB couldn’t follow 240m Soviet citizens 24 hours a day, nor could the KGB hope to effectively process all the information gathered. The KGB relied on human agents and analysts, and it just couldn’t place a human agent to follow every citizen. But now governments can rely on ubiquitous sensors and powerful algorithms instead of flesh-and-blood spooks. 

The First MBA Course on the Longevity Economy

Carol Hymowitz

A sneaker designed for runners who want to move slowly, rather than sprint. An app that helps caregivers keep track of their schedules and communicate easily with their older clients. A company that helps retirees who want to reenter the labor force — and encourages employers to give them a chance.
These are just a few of the existing products and services that MBA students analyzed in a new Stanford Graduate School of Business course, “Longevity: Business Implications and Opportunities.” The course — likely the first given on the subject of the longevity economy at a business school — explored why business executives and entrepreneurs should focus on the 50+ demographic.
“Whether you want to launch a start-up or work for a large established company, the longevity market is a huge and still mostly overlooked opportunity,” said Robert Chess,  a business school lecturer and serial entrepreneur who co-taught the course this winter with Laura Carstensen, director of the Stanford Longevity Center.

My Wisconsin DHS Emergency Order #12 Open Records Request

I sent the following to dhsdphopenrecordsrequests@dhs.wisconsin.gov:

Hi:

I hope that you, your family and colleagues are well.

I write to see who drafted (partial and complete) Emergency Order #12, the “Safer at Home Order”? Were non DHS employees involved with the drafting? If so, who?

Thank you and best wishes,

Jim

A friend mentioned that Governor Evers’ chief legal counsel is Ryan Nilsestuen, who, according to his Linkedin bio, spent 6 years, 8 months at the Wisconsin Department of Public Instruction (DPI).

Governor Evers ran the DPI amidst declining reading scores [Compare] and the extensive administrative use of teacher mulligans.

Posted in Uncategorized.

The Defiance of Florence Nightingale

Joshua Hammer:

She’s the “avenging angel,” the “ministering angel,” the “lady with the lamp”—the brave woman whose name would become synonymous with selflessness and compassion. Yet as Britain prepares to celebrate Florence Nightingale’s 200th birthday on May 12—with a wreath-laying at Waterloo Place, a special version of the annual Procession of the Lamp at Westminster Abbey, a two-day conference on nursing and global health sponsored by the Florence Nightingale Foundation, and tours of her summer home in Derbyshire—scholars are debating her reputation and accomplishments.

Detractors recently have chipped away at Nightingale’s role as a caregiver, pointing out that she served as a nurse for only three years. Meanwhile, perhaps surprisingly, some British nurses themselves have suggested they are tired of working in her shadow. But researchers are calling attention to her pioneering work as a statistician and as an early advocate for the modern idea that health care is a human right. Mark Bostridge, author of the biography Florence Nightingale, attributes much of the controversy to Nightingale’s defiance of Victorian conventions. “We are very uncomfortable still with an intellectually powerful woman whose primary aim has nothing to do with men or family,” Bostridge told me. “I think misogyny has a lot to do with it.”

Posted in Uncategorized.

Germany’s “Corona Aid Package” for Entrepreneurs and Small Businesses

Der TagesSpiegel:

The “Bazooka” – this is what Federal Minister for Finances Olaf Scholz (SPD, also Deputy Chancellor) calls the Corona Aid Package, announced on Monday. The cabinet has set aside a sum of €122.5 billion to help individuals and businesses. Solo entrepreneurs and small businesses are set to receive financial aid of €9,000 to €15,000.

Civic Technology Can Help Stop a Pandemic

Jaron Lanier & E. Glen Weyl:

The spread of the novel coronavirus and the resulting COVID-19 pandemic have provided a powerful test of social and governance systems. Neither of the world’s two leading powers, China and the United States, has been particularly distinguished in responding. In China, an initial bout of political denial allowed the virus to spread for weeks, first domestically and then globally, before a set of forceful measures proved reasonably effective. (The Chinese government also should have been better prepared, given that viruses have jumped from animal hosts to humans within its territory on multiple occasions in the past.) The United States underwent its own bout of political denial before adopting social-distancing policies; even now, its lack of investment in public health leaves it ill-equipped for this sort of emergency.

The response of the bureaucratic and often technophobic European Union may prove even worse: Italy, although far from the epicenter of the outbreak, has four times the per capita rate of cases as China does, and even famously orderly Germany is already at half China’s rate. Nations in other parts of the world, such as information-manipulating Iran, provide worse examples yet.

Taiwan’s success has rested on a fusion of technology, activism, and civic participation. A small but technologically cutting-edge democracy, living in the shadow of the superpower across the strait, Taiwan has in recent years developed one of the world’s most vibrant political cultures by making technology work to democracy’s advantage rather than detriment. This culture of civic technology has proved to be the country’s strongest immune response to the new coronavirus.

TECH FOR DEMOCRACY

The value of Taiwan’s tech-enabled civic culture has become abundantly clear in the current crisis. Bottom-up information sharing, public-private partnerships, “hacktivism” (activism through the building of quick-and-dirty but effective proofs of concept for online public services), and participatory collective action have been central to the country’s success in coordinating a consensual and transparent set of responses to the coronavirus. A recent report from the Stanford University School of Medicine documents 124 distinct interventions that Taiwan implemented with remarkable speed. Many of these interventions bubbled into the public sector through community initiatives, hackathons, and digital deliberation on the vTaiwan digital democracy platform, on which almost half the country’s population participates. (The platform enables large-scale hacktivism, civic deliberation, and scaling up of initiatives in an orderly and largely consensual manner.) A decentralized community of participants used tools such as Slack and HackMD to refine successful projects. (Much of our analysis is based on open interviews through these tools with leaders in the g0v community of civic hackers.)