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This author is asserting 5 years of lockdown but gives no reasons why specifically 5 years. They talk about the possibility of no vaccine working and herd immunity not working if the immune window is too small, etc. But how does that equate to 5 years of lockdown? Why 5 years and not just say indefinitely then? Am I missing something?
Also I don't think the global economy can afford 5 year lockdown, it will cause starvation among with other cause of death, which might end up 'killing' more than covid-19
No idea why it would be 5 years. But a lockdown would not result in starvation. Why would it? We "only" lock down social life (bad enough with all kinds of negative impacts on people, society and economy), but the food supply won't brake down. Why would it? All necessary things will be kept open.
I think the point was not that food distribution would fail, but that the more disadvantaged slice of the population would not have money to buy food anymore.
Shut down the pubs and focus on the important stuff.

It's already surprising how much of the activity turned out to be "non-essential". And we can have oil at half-price to do the essential. :D

> All necessary things will be kept open.

Worldwide, that's not to be taken for granted. Here in Russia, the police is sometimes stopping agricultural workers from planting their crops because of the lockdowns. (Source in Russian: https://www.kommersant.ru/doc/4311038)

We've had a few incidents of idiocy in the far reaches of the state but it soon gets dealt with.
Worse thing is, starvation will be the lesser concern if it were to happen. People won't let themselves die of starvation, they will kill for food. Food scarcity will be nothing compared to the ensuing violence.
I don't get the "starvation" point. As far as I know, nowhere in the world does "lockdown" mean "farmers aren't allowed to tend to their fields and animals". I live in Austria, which has been in "lockdown" for almost six weeks now. The shops are full of fresh food: Both food production and distribution are working exactly as before. There are non-staple foods where production is endangered -- asparagus and strawberries, I think -- because they depend on obscenely cheap foreign labor, which will now be flown in and given special exemptions. But even without that, we wouldn't starve without asparagus and strawberries.

Could you explain what kind of lockdown model you are thinking of that would prohibit production or distribution of food?

I think the point of the title is just to get your attention.
That's a nice way of saying "the title is clickbait."
AKA, fear based clickbait? Probably the worst kind of clickbait, when people are already scared and anxious.
Maybe it’s taking a page from the or riffing on the infamous soviet bloc 5-year plans, since those were such great successes in planning ahead.
It’s a finger in the air estimate, based on “a vaccine is 12-18 months away”, expanded to “2 years for widespread deployment”, padded a bit for contingency.

As an intentionally pessimistic estimate, to counteract all the over-optimistic estimates, I think it makes sense.

Would you prefer it as “5 years until a return to normality”?

But the argument "These estimates are way to optimistic; don't pay attention. Here's my equally ridiculous pessimistic estimate. Pay attention!" carries no weight. It's that annoying person who always stakes out the contrarian position just because.

So the headline and thesis have been successful in getting us discussing the situation, but the content is weak with no evidence from a source with zero credibility.

I see what you mean, but I’m not sure how it could be improved.

For me personally, just saying “prepare for a much longer lockdown” wouldn’t be better; without a concrete number it makes much less of an impact.

With a concrete number in there, even if it’s very clearly just a guesstimate with huge error bars, it makes you think about what the effects might be in the real world, which I think is helpful (in fact it’s the very point of the whole post).

Don't be ridiculous. There's no way the country could afford that, nor would people agree to it.

There's no way a lockdown like this will go on for more than a year even if it means more people die.

You've been down voted but I agree with your position. Humans will prioritize their well-being over others survival; this is an unpleasant truth. I think everyone has a different threshold of what they will accept & rationalize, but at some point they will no longer shoulder personal hardship for the greater good. They will collapse their support to a sub-tribe, like country, community or family and choose "us" over "them", even though the differentiation is very recent.
I think this is not true and lot of people are living out of moral superiority, fake altruism, based on the ego. They want to be a cultural hero by saying stuff that imply moral superiority and people with other opinions are evil!

There are good reasons to be sceptical about locking down a complete economy, but everybody is afraid to speak out, because they know they will be destroyed by the moralists!

The communists believed in altruism... they thought they were right and people around them evil. The human mind is corrupt. Some people simply live in a fantasy world. The christians, communists and fascists had 1 thing in common... they thought they were right and used the truths as a weapon against other people.

Speaking about other people as "evil", is sometimes projection or an egoic illusion.

I don’t think so. The world at large will much rather take the death count than five years of mass unemployment, no one getting basic medical services and cancer screenings … and there is the whole part where economic output is sorta needed to pay for things (like rent and food for the 20%+ unemployed).

My own mother still needs urgent dental surgery. It’s going on two months now.

You hear the trite content free version of this tradeoff in people whining “you just want to protect your 401(k)”. Imagine after five years, all 401(k)s are wiped out, most hospitals are bankrupt for lack of running any profitable procedures, and the US is throwing together some emergency single-payer system ... but it is struggling with recruitment because there’s not enough tax revenue to get the budget to pay enough doctors. (You want to sell bonds? Who has money to buy bonds?) How many die in this scenario?

You can add to the list that all schools and universities, so no more learning to read or to count for kids, no more graduates.
I would bet you that, at least in the modern day West, taking away schools wouldn't reduce basic literacy and numeracy by even a tenth of a percent.
Don’t be ridiculous. Parents would have to teach their children how to read and write, which I can assure you is skilled work and takes a lot of time and effort. (We may all have to start doing this, but it certainly won’t happen by default.)
Here’s the thing, and I suspect I’m not alone in feeling this way:

I really think I would agree with you in normal circumstances. But there is so much political pressure from groups who are downplaying the virus altogether, to just ignore the virus and go back to business as usual, that I suspect a lot of less-than-ethical ulterior motives are at work. So I feel a very real “allergic reaction” to anyone who says we need to just reopen things.

Maybe it’s because politicians in the US have turned the whole question into a wedge issue to oversimplify things and get voters on their sides, I dunno. But the question on when/whether we can return to normal is a very serious one that needs to be something we all understand and agree on, and I’m worried that’ll never happen. Our priorities are simply too far out of alignment.

No, you're not alone in feeling this way. But I would assert that most people who feel this way are currently employed or have significant savings. It's easy to comment on hacker news from your cushy WFH job about "those silly protestors who want to re-open the economy." But there is a reason they are so frustrated. They are people who have been living paycheck-to-paycheck and suddenly find themselves without a job, but with bills still arriving and kids still asking for food on the table. They want the world to be healthy, too. They don't want to endanger you or themselves. But they want to feed their families.
Well said. I think there are valid arguments from both sides. I wish it was not drowned out by the extreme flag flying gun toting, virus is a hoax folks.

I think there is a middle ground. We cannot be on lockdown for a year, lets be realistic. Even if the virus persists, the world or even a single country just could not sustain that. And on the opposite side, we cannot open up too quickly. I know China's data is not accurate but we can at least communicate with people inside of the country and we know life is getting more back to normal there. So we can see that we also have to stay closed enough that the first large wave does not devastate the system.

It is just a shame though that we can not have dialogue about the science and data behind this. And instead it becomes an extreme from both sides.

> They want the world to be healthy, too. They don't want to endanger you or themselves.

From outside the USA watching these protests -- it's possible more weight is being given to certain (less favourable / sensible) aspects of the message they're trying to send, but we're seeing things like 'If you're sick - come along to the protest' and 'We don't want people wearing masks'.

> But they want to feed their families.

That doesn't explain the prevalence of "I WANT A HAIRCUT!" and "I WANT TO GOLF!" signs. The protests seem to mostly be "I want people to work for me", rather than "I want to work".

The people choosing which photos to publish clearly want to discredit the protests. I haven't seen a single photo of a sign making a persuasive point.
If you find some, please share. Absence of Evidence is not Evidence of Absence, sure, but Absence of Evidence is also not Proof of Presence.
Ok, I went looking, instead of merely seeing photos in the media I usually read, and I found several. Here are a couple in one photo [1]:

> Earning a living is essential

> I want my job back

Or [2]:

> Free people make their own risk assessments

Shame we have to look to the Indian press for fair coverage of these protests in the US.

1: https://c.ndtvimg.com/2020-04/b70u23q_us-protest650_625x300_...

2: http://www.dailyaddaa.com/world-news/us-covid-19-live-free-o...

Well, that's some—good find. It's a shame that the person who led the protests in my city was a wealthy real estate mogul.
We don’t need to “just” reopen things as a kneejerk reaction. We will need to reopen things sometime.

But from the earliest lockdowns, all the forecasts have been that about 60% of the world population ultimately gets infected anyway. The lockdowns are about making that happen in a more orderly way, one that doesn’t absolutely crush our hospitals, ICUs, ventilator capacity, and our stocks of PPE. That’s what we’re buying with the lockdowns. That’s where the lives are being saved.

That makes sense, for a while. That doesn’t make sense for five years. The question is where the line goes in between, and I really don’t know exactly where. We may have passed it or it may be months ahead.

Just remember that even if we are right to call for a much longer lockdown, we shouldn’t go all William Bligh about it, condescending to abuse people who are stubborn and wrong for their stupidity on the matter. Such an approach is anti-leadership; it gets you senseless mutinies instead of buy-in.

(See also: Bill de Blasio enjoying the amenities of the Park Slope YMCA mere moments before shutting down all the gyms. Not a great way to build solidarity.)

> The world at large will much rather take the death count ...

What part of the world are you in, and what part do you speak for?

I'm struggling to understand this comment. The GP is entirely correct here: any thinking adult knows that 5 years of lockdown would cause human suffering on a scale unheard of in modern history. There is no correct choice here for policy makers, but an extended lockdown will cause death and suffering as well.
'This comment' was asking with what authority fennecfoxen was claiming to know what 'the world at large' would prefer.

There was mention of 401k's (something I believe is peculiar to <5% of the world's population). The claim that emergency surgery was impossible during any kind of lockdown (not true, in my understanding). The claim that hospitals would be bankrupt without profitable procedures (something that simply doesn't make sense outside of the USA).

The GP is entirely speculative, and claims to speak for an audience that doesn't necessarily agree with them.

My question - in response to the claim that the world agrees with them - is what part of the world they are in, and what part do they claim to speak for. I don't understand what there is to understand with this question.

Maybe everyone doesn't have 401k, but pretty much every pension scheme around the world is in some way linked to the performance of the stock and bond markets. Even the ones that aren't rely on people being employed and paying taxes.
This may well be true, but it's only a small part of the equation.

The equation evidently (according to OC):

take the death count ... versus ... mass unemployment, no basic medical services and cancer screenings

Part of the RHS was also most hospitals are bankrupt, and the weird claim that tax revenues are the only way to fund essential services. (I'd suggest cutting costs in other areas - defence, for example - is one way to rediscover funds for essential services.)

Anyway, I expect that where you are right now, what you're seeing going on around (aka the level of incompetence exhibited by your leaders / government) along with the usual way your society and economy work, is going to significantly affect which way you lean on that equation.

Also if you run the stats and conclude you personally are not likely to be part of the death count, but you would be inconvenienced by a cautious approach, you're probably going to lean towards the '[other] people dying ain't so bad' camp.

Will it? How do you know? Have we done that before to have an example?
Unemployment peaked at 23% in the US during the Great Depression, and that's without many types of business being illegal to operate as is currently the status quo for areas under shelter in place orders right now. Its certainly not a perfect comparison, but the effects of mass unemployment are hardly unknowable, and we'd be lucky to see only 23% unemployment if lockdown orders persist for half a decade.
That's the authors A5) in the post.

> "In the end, I suspect the only way out of lockdown in anything like the short or medium term is if we can assert something new:

    A5) The social and economic damage caused by lockdown is going to cause more unnecessary deaths than those caused by ending it."
> most hospitals are bankrupt for lack of running any profitable procedures

That's a very American problem due to having private hospitals...

The UK equivalent would be more orderly, but they still need to pay for the NHS with finite supplies of tax dollars and borrowing. They had staffing and recruitment and budget issues before the crisis, and some lockdown approaches might deprive them of seeking any more talent from major sources like India.
You ignored the rest of that point.

What happens to the European hospitals when tax income falls way below what the government needs to operate?

Tax income is already way below spending. Countries are going deeper and deeper in debt every year.

The healthcare budget is a rather small part of the total government budget, a small increase is probably too small to register on the radar. But if it does, one might assume that the government would rather keep healthcare running, especially given the circumstances, and cut money anywhere else.

To make a comparison for US readers. Healthcare in Europe is like freedom of speech in the US. It's deeply ingrained in each citizen and cannot be taken away.

> The healthcare budget is a rather small part of the total government budget, a small increase is probably to small to register on the radar.

According to the commonwealth fund[1], Germany spends over 10% of its GDP on providing health insurance. This insurance is funded by a tax on income.

If GDP contracts, and there are less income earners, this can become a very large part of the budget which would require cutting other programs. Obviously healthcare would be a priority. But in a country where people rely heavily on their government, cutting out social programs will really hurt.

> Tax income is already way below spending. Countries are going deeper and deeper in debt every year.

This is what I am concerned about. Governments fund their debt by selling bonds. In the USA, roughly 70% of the federal debt is in the form of bonds held by the public. If people stop buying bonds (because their returns are awful right now, or because people have much less income to be investing), then the governments of the world cannot continue to operate the way they have been.

[1] https://international.commonwealthfund.org/countries/germany...

It's still a problem, though. "Haha, told you so." is not a solution.

Besides, publicly funded hospitals and healthcare systems in general need money, too. If there's hardly any tax income anymore because there's hardly any taxable income anymore funds for publicly funded hospitals will dry up, too.

In the American case, we might have to end one or two of the many foreign wars that we are waging, but we would get by.
I agree with you. People are ignoring the very serious consequences of lockdown, and trying to frame it like the only reason you could want to end lockdown is because you're evil and greedy.
At worst, some countries get communist revolutions forcing distribution of wealth. This is the path of least death.
If you really believe "Communist revolutions" are the path of least death, I have a Great Leap Forward to sell you.
You're thinking of the Bolshevik revolution.
Five years is not realistic. More likely is one to two years of lockdowns broken up with periods of 'relief' to allow a degree of economic recovery.

The supply chain will just disintegrate otherwise.

I actually think the supply chain largely has been upended. That’s the real story here...

I tried to buy a part for my dryer two weeks ago and it was going to take >2 months. I ended up then trying to buy a dryer and the only one I could purchase was already in store. If I tried to order one again it was >2 months (on an unknown timeline).

China is having massive production issues, there are import fees/inspections and now a 2 week quarantine on incoming goods.

It’s all kinds of messed up and now there’s a good reason to change production location.

Rumor has it that power plants are having a hard time getting replacement parts, too.

I expect, though, that these sorts of things will get sorted out. For one, no government is going to be keen on letting people who are confined to home and dependent on computers and the Internet to keep their little corner of the economy going go without power for long just because it's suddenly next-to-impossible to get some special precision bracket from the overseas factory that got the contract to make it back in 2005, while at the same time the domestic economy has hordes of ex-machinists who aren't quite ready to retire yet yet, and would be more than happy to quit their jobs as greeters at the local big box store in order to return to a job that pays more and reduces their risk of exposure to SARS-CoV-2.

Worst case scenario, perhaps we won't return to the "easily availability of basically everything so everything's basically disposable because the global supply chain is so fluid that it's easier to buy new broken crap than replace old broken crap" that we enjoyed so far this millennium. But I doubt it'll get much worse than the level of availability that developed economies enjoyed when I was a kid. Which is still pretty good. It would take a bit longer to rejigger the design of consumer products so that they return to using more standardized parts that can easily be stocked locally instead of all this fragile, disposable, special snowflake industrial design. But I could see that shifting fairly quickly, too, if things are still looking bad in 5 years.

> a 2 week quarantine on incoming goods

Huh, this is the first I hear of such a thing. Is this in the US? I thought the scientific consensus was that even under the most favorable circumstances the virus isn't viable on any surface after two or three days. And typically much shorter and very unlikely to be sufficiently concentrated in the first place, e.g., the person manufacturing your dryer in China won't be sneezing into it constantly. So locking things up for two weeks seems surprising.

The trouble is if we ease off too early (which I think the US is likely to do) then then next wave will be worse and sooner than it needed to be. Then the people who are currently arguing for an end to lockdown won't have a leg to stand on.

Personally I'd much rather a slightly longer lockdown now than a long painful cycle of repeated lockdowns.

(comment deleted)
A 2020 A.D. blog post. Title has nothing to do with the content and the content itself is a bunch of speculations and pessimistic predictions that are so far not based on any scientific evidence.
Without commenting on the merits of the article content...

> Title has nothing to do with the content

You might be misparsing the title in the same way that I originally did. It's not "[this is the] plan for 5 years of lockdown", but "[you should] plan for 5 years of lockdown" which is a correct summary of the position argued by the article.

(comment deleted)
At some point you have to assume people get sort of religious satisfaction out of being pessimistic.

God ("nature"?) is punishing us, because we have sinned.

There are so many variables in play right now, which we don't know about.

Things that could help us are:

* unrecognised infections make the mortality compute to flu levels

* we find a vaccine timely

* we find treatment timely

* we find specifics about transmission and can avoid it with low-impact responses instead of lockdown

* there are explanations for why it's so regionally different (NYC/Italy vs. Singapore/Germany)

* some sort of seasonality

* we find more specific risk factors which can be remidiated (air pollution?)

Probably more.

Why point out it could all go bad? That seriously can't count for an intelligent assessment of the situation. It's an expression of fear. Why don't you read the optimistic reading more often? It's almost like people think fear was virtuous.

(comment deleted)
> Why don't you read the optimistic reading more often? It's almost like people think fear was virtuous.

Being pessimistic is not the same thing as being afraid. Being cautious is not the same thing as being afraid. Acting on negative prediction does not mean one is acting out of fear.

Being pessimistic just means having negative bias.

Being cautious is emotionally neutral, we should strive for it, for sure.

Acting only on negative predictions without weighing in positive predictions or the uncertainty of the original prediction is stupid and unscientific, and likely the result of fear. That you see all the time right now.

Where do people discuss the postponed cancer operations and their casualties, what is the cost of livelihoods destroyed, like yoga studios and hair dresser small businesses? How do you even measure it? Who's stating their opinion on coronavirus lockdown, while also adding the disclaimer about their steady and safe monthly salary as a conflict of interest? People who want to reopen don't care about the "money," they care about economical survival, most probably in most cases.

I can do this too. Being optimistic just means having positive bias.

My point was about optimistic bias you get when you frame every discussion about negative aspects of something as fear. Which is exactly what you was doing there. This rhetorical trick:

> Why point out it could all go bad? That seriously can't count for an intelligent assessment of the situation. It's an expression of fear. Why don't you read the optimistic reading more often? It's almost like people think fear was virtuous.

Buying this, there is no way to rationally point out that things could be bad. You just ruled out arguments of the people you disagree with without engaging with them. Only optimistic prediction or information is allowed in rational discussion.

> Where do people discuss the postponed cancer operations and their casualties, what is the cost of livelihoods destroyed, like yoga studios and hair dresser small businesses? How do you even measure it?

I distinctively remember those being discussed. You can discuss them. I am not saying that these should not be discussed.

But they are not optimistic. They are pessimistic and if I wanted to frame them as "fear", I could. And it would be equally dishonest rhetorical trick.

The "rhetorical trick" is your construction here, possibly even unaware. I didn't argue for taking only positives into account. I could go on an say you use the straw man fallacy against me now, but let's skip that part and talk like grownups.

I'm arguing for balanced assessment of risk and opportunities.

Because that's what is meant with "why point out it all go bad" part. The lack of counter arguments. You created the "only good" bit in your mind.

I'd challenge you to perceive opposing views not as bad faith, deceptive or dishonest. The world has far less of those types than current media and political climate makes you think.

> * we find specifics about transmission and can avoid it with low-impact responses instead of lockdown

I think this is a very important point, and I have some hopes that we will. Austria reopened smaller shops (below a certain number of square meters; supermarkets and other "essential" stores were open all the time) eight days ago, with a limit on how many customers may be admitted at a time, and a requirement to wear masks. If this were dangerous, we should have started to see a rise in new cases per day, but they have mostly been sinking over this period. Further businesses will follow in the coming weeks, with the numbers being monitored. I think that over the next few months we should get pretty good data on what seems to work and what doesn't.

The solution will not be limited to "wash your hands, don't touch your face" like we thought in early March, but neither is this virus impossible to keep in check using some hygienic and distancing measures.

Thanks for sharing and thinking through the worst case which will possibly help to think what other measures we can take in order to keep ourself survive through this pandemic
Why should anyone trust an article like this written by someone who knows nothing about infectious diseases?
Sign me up for early vaccine trials then.
I don't think I'll be rushing to volunteer. Things done in a hurry have a tendency to go wrong.
Those developing vaccines are professionals and are going through all the necessary steps. Phase I human clinical trials are already 6-7 weeks in for the Moderna vaccine. By the time there’s enough vaccine for Phase III trials, I’ll be comfortable enough with the risk. Besides, by volunteering early, I’m doing a service to others. Any additional risk I’d be taking would be buying-down risks for others later, so I’d be happy.
I think humanity is going to learn to accept coronavirus, just like we have accepted pneumonia or the flu. There will always be some cases and some deaths every year. The uncomfortable question is when those numbers are low enough that its not worth it to quarantine anymore.

Lockdown has very real costs. We are seeing crazy unemployment, a huge spike in calls to suicide hotlines, and very likely an increase in all-cause mortality as people are unable to get regular preventative care. Someone who would have had that weird lump checked out last year isn't going to right now.

We are already seeing protests pop up all over the place. And as most places have seen daily new cases start to fall, lockdown will become unenforceable as people get too restless.

Sorry to be saying this but the post seems so smug and smarter-than-thou.

> I know. I know. No one wants to hear this.

> But, but… vaccine?

Would this kind of antagonism really convince anyone?

Great job with a sensationalist unrealistic title. This isn't a scenario grounded in fact and it's written by a speculative software engineer. Not a medical professional or epidemiologist.
It seems that everyone has become an epidemiologist in the past two months, despite never having even heard of concepts like R0 or herd immunity before 2020.
Sooo this post is flagged, but patio11's conspiratorial epic gets a long day of front page discussion. I'd prefer hn flagged any amateur covid19 policy discussion, it's just a bit embarrassing.
Countries that end their lockdowns early will be seen as a problem and we will see travel bans.
It will be an interesting experiment to observe, from a distance.
In the 80s, the USA was an exporter of HIV because Reagan refused to address the "gay plague".

I'm laying odds that the USA will be an exporter of COVID cases around the world. Assuming the rest of the world will accept travelers from the USA without mandatory quarantine.

The thing about viruses, especially Corona viruses is that they mutate. The chance of mutation grows with infection rates.

So letting the virus run its course is not as simple as people would like to believe. If we do let the virus infect 60 to 70% of the population, we vastly increase the risk of a much worse pandemic.

Personally I think that the people who want to re-open the most are rich people who realize that they stand to lose a lot of money both by not getting the income from an active economy and secondly by higher taxes and asset nationalization from governments who are going to have to support lost income and social services.

My final thought is that many people now perceive the virus as mainly targeting elderly, poor, frail, drug addicted and ethnic communities; which sadly many people consider to be acceptable losses.

It could mutate to become less deadly although I'm not sure what pressures would cause that. The Spanish flu got worse in the second wave, it killed many more otherwise healthy 25-35 year olds.
The evolution dictates that it should become less deadly because dead host mostly means dead virus and live host may mean more live viruses.
Except it's showing to mutate pretty damn fast and some of the mutations are way deadlier, don't know which 'came first' or how that proves one way or the other that it'll get worse or better.

The are currently > 30 known mutations: https://nypost.com/2020/04/21/coronavirus-has-mutated-into-a...

But a lot of deadliest viruses kill fast and are less viral, so only way to spread is become less lethal.

This virus has the luxury of being both deadly AND extremely viral (because it takes it's time killing people).

Even if you don't die, nobody knows the long term effects of the virus on lungs, kidneys, heart, etc...

So, while a lot of diseases do mutate to be less severe, that doesn't need to be the case with Sars-cov-2.

So how about 2months of lockdown every 6mths? How sustainable is that? How about 2mths every year?

How long before we realise its not going away? At the 3 year mark when no successful vaccine is found???