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Small-Scale Question Sunday for September 29, 2024

Do you have a dumb question that you're kind of embarrassed to ask in the main thread? Is there something you're just not sure about?

This is your opportunity to ask questions. No question too simple or too silly.

Culture war topics are accepted, and proposals for a better intro post are appreciated.

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At this point, the medical establishment and government don’t (or at least, I really, really hope they don’t) have enough credibility left to enforce anti-pandemic measures. Even if avian flu does become a human pandemic and is widely acknowledged as such, it’s probably just going to have to rip through the population like any other transmittable disease. Those who get sick, get sick; those who die, die; and those who survive eventually reach herd immunity.

People in Medicine are really nervous, you are right that public health entities burned through basically all the credibility they had last time, but at current expectations this Avian flu would be be worse than COVID and U.S. healthcare (and likely everywhere else) has basically burned through every ounce of slack it had including things like people's willingness to work and mental health. A lot of COVID-denier types were able to miss just how close we were to total collapse because everyone was locked up at home but this could be really, really bad.

People in Medicine are really nervous,

Can you say more about this? Do you know anything more than what has been in the MSM so far?

The good news: it's pure "oh shit this could kick of." So far. I don't have any particular special information at this time but haven't seen anything more than all the other times it almost happens and then doesn't.

The bad news: all the revision, hysteria, and poor decisions about COVID has resulted in most people forgetting just how bad COVID was, and this will likely be worse. Our healthcare infrastructure may not survive another hit of that magnitude.

This seems like an easy thing for a relatively young and healthy person (I assume) to say.

This seems more like a shallow dunk than an attempt to acknowledge the terrible job pretty much every Westernized government did at responsibly balancing the right of ordinary people to go about their lives versus the actual increased risk to the actually significantly more vulnerable population, rather than pandering to overblown fears stoked by social media culture and letting a bunch of low-information healthcare officials with no accountability to the actual population play tin-pot dictator.

I'd also like to know - many people have stoked fears about supposed healthcare "collapse", but did any healthcare systems anywhere actually do anything that could be described as collapse during the entire Covid era? Exactly what does a "collapse" look like, what are the real consequences of it? I mean things that actually happened, not somebody speculating about what could happen. I think this is a "The optimal amount of fraud is non-zero" thing - if no healthcare system anywhere actually "collapses", then we're being too restrictive and over-cautious, and we should ease up until there are a few.

Honestly, I kind of wonder whether the last century of health care have been like the 20th century fire prevention/suppression effort and humanity would be much healthier overall if pandemics were a more regular selection factor in reporduction.

While I won’t deny that, I’d rather put it that it’s an easy thing for anyone who saw the competency with which almost all Western governments handled Covid to say. After living through 2020–2022, do you really trust the CDC, the WHO, the federal and most state governments, the major medical journals, or any other group to get this one right?

No, but I suspect that the costs of not even trying would be higher than the costs of ham handed attempts at containing it or delaying it. It's not just about the virus itself, but about healthcare system collapse. If you get appendicitis at that point, good luck surviving.

Refusal to follow triage best practices in order to try to make people care says more about the medical system than it does about anyone victimized by that choice.