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Ask HN: Is UK government insane or genius?

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Re: Ask HN: Is UK government insane or genius?

#201

The other countries are going for herd immunity too. The goal of all lock-downs and red zones is just to prevent the health system from collapsing.

Merkel apparently is trying to (or tried to), but was more coy about it. But none of the technocratic Asian governments seem to.

Re: Ask HN: Is UK government insane or genius?

#202
post #199

Earlier quoted context omitted.

Indeed, which is why it's on them not to go out. So long as nobody who has contact with old folks goes out, we're basically doing the UK plan ad-hoc. The rule shouldn't be "nobody go out" the rule should be "nobody with exposure to the vulnerable should go out" -- and if they do, they're being totally irresponsible. I, however, am not, and I'm supporting the local economy.

Is the pub the only place where you get in contact with other people?

I mean, I'm not allowed into the office and I get my groceries delivered from a CSA box ^_^

Re: Ask HN: Is UK government insane or genius?

#203

Here is a discussion on Channel 4 on the approach taken by the UK government. https://youtu.be/C98FmoZVbjs?t=590 Debating are: - John Edmunds: a professor in the Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine - Tomas Pueyo: his modelling of the pandemic has gone viral on the web: https://medium.com/@tomaspueyo/coronavirus-act-today-or-peop... During the debate,…

A more cynical question: can a PM win the next elections or politically survive the next weeks if a lot of people die and he just shrugged his shoulders, when the rest of the world did their best to keep people alive, successfully or not? I bet he'll have to change course pretty soon.

And that’s the real calculus here: how will this be perceived after the dust settles? If the population doesn’t think their leaders did enough, there’s risk of reprisals. If the government does the wrong thing but people think it was right, everything is fine. But if the govt did the right thing and people think it was wrong, correctly or incorrectly, there may be reprisals.

Re: Ask HN: Is UK government insane or genius?

#204

Here is a discussion on Channel 4 on the approach taken by the UK government. https://youtu.be/C98FmoZVbjs?t=590 Debating are: - John Edmunds: a professor in the Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine - Tomas Pueyo: his modelling of the pandemic has gone viral on the web: https://medium.com/@tomaspueyo/coronavirus-act-today-or-peop... During the debate,…

I'm going to go with the guy who was awarded an OBE for his work in infectious disease control: https://www.lshtm.ac.uk/newsevents/news/2016/leading_infecti...

Re: Ask HN: Is UK government insane or genius?

#205

Here is a discussion on Channel 4 on the approach taken by the UK government. https://youtu.be/C98FmoZVbjs?t=590 Debating are: - John Edmunds: a professor in the Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine - Tomas Pueyo: his modelling of the pandemic has gone viral on the web: https://medium.com/@tomaspueyo/coronavirus-act-today-or-peop... During the debate,…

That's almost a BBC level of "debate". An expert, plus some dude who disagrees and makes good television. Could they not find an actual qualified person with a different opinion instead of a "SV Tech Executive"?

Re: Ask HN: Is UK government insane or genius?

#206
post #31

I’m going to try and lay out the case in as neutral terms as I can, although to be clear I think they are probably right. They’re going to take an awful lot of stick for it though, and indeed already are. They believe that there are basically two mitigation strategies. One is to have a very drastic early lockdown that shuts down the virus before it spreads widely. The problem with that is, once you lift the lockdown…

The lockdown as implemented by Italy and France aims at slowing down the spreading of the virus. It is not meant as a strategy to overcome the virus. It is meant to flatten the curve of the exponential growth of infection to minimize overloading the health system and to provide more time for preparation and for the acquisition of best practices regarding the situation. There is no disillusion that this might somehow stop the virus. The expected total infected percentage of population, with lockdowns is still in the range of 50-60%. Italy went into lockdown on March 9th when # of new cases reached 1791 and total deaths was 463. This does not seem to qualify as a very drastic early lockdown, as stated by parent.

Given everything we know regarding exponential spread, the high percentage of cases requiring icu treatment, and the mortality rate, I fail to see how the absence of any measures to mitigate the spreading of the virus makes sense.

The assumption that there are only two viable strategies, lockdown & no measures, is a plain wrong oversimplification. There is a wide range of intermediary steps that can be taken in between to attempt to slow down the virus.

Attempting to minimize the degree of overload on the health system by applying such measures in a coordinated fashion is meant to reduce casualties caused by system overload.

Re: Ask HN: Is UK government insane or genius?

#207

It looks like to me just a comfort pill for the public. They basically acknowledged that they can't handle the crisis already. So what they gonna do? They want it to appear to be an advice from expert, to persuade the public, rationalize a forced decision. The uncomfortable truth is, the British government have weighted cost and benefit, and they have decided, the death of thousands or more is not worth the cost of n…

Thousands already died in Italy over the last several days with less than 20,000 cases (most of those cases are still active so thousands more will die in the coming days before the lockdown even shows effect, if it is effective). You're looking at millions dead if a significant portion of the population is infected.

Re: Ask HN: Is UK government insane or genius?

#208

Earlier quoted context omitted.

Defense in depth is a thing. Your strategy is only as strong as the weakest link. Only one person between you and someone vulnerable.

Right, but as I personally am not exposing myself to anyone over the age of 31, and I am not sick, I don't see the harm, or myself as contributing.

But if you are in contact with someone under 31 who has no choice but to be in contact with someone over 31... I guess the question you have to consider is how much to blame is each individual who chooses to ignore recommended procedures yet passes the virus on to someone who ends up dying.

Re: Ask HN: Is UK government insane or genius?

#209
Their reasoning is that if the only things you can do are China-style lockdown or nothing, then the disease will just resume exponentially growing the second lockdown ends, so it's pointless to do it at all.

While that may be technically right (under some optimistic, unverified assumptions, e.g. no reinfection), it's a false dichotomy. Singapore, Hong Kong, and South Korea aren't under lockdown, they're stopping the spread by just having good testing and case tracking capacity, and good hygiene. And the longer things go on, the better they're getting at doing that. If things are getting out of hand, a temporary lockdown is effective (as it was in China), to get the numbers down while building up this kind of capacity. But lockdown doesn't have to last forever; China has already lifted restrictions in most cities.

The UK seems to be ignoring this, and I don't understand why. I suspect the real logic, as some government officials have outright said, is that a completely failed response would free up money for the NHS by killing off "bed blockers".

The social signalling around it is "prudent caution", in the sense that they are talking slowly and confidently while using big words. This gives some people the gut feeling that this must be the "rational" thing to do, but it's just window dressing. The plan is neither prudent nor cautious; it's recklessly endangering millions of lives. Experts in the UK are horrified; there's an hours-old petition against this with hundreds of academics already signed on [0]. The WHO has condemned it, and half the people I know studying abroad in the UK have fled the country over it.

0: http://maths.qmul.ac.uk/~vnicosia/UK_scientists_statement_on...

Re: Ask HN: Is UK government insane or genius?

#210

This strategy is not insane only if there is also a concerted effort to protect those who are vulnerable while the virus spreads. The problem is there isn't one. At all. None. Zip. Zero. Some care homes are, off their own back, banning visitors but apart from that the old and the vulnerable are not being asked to self isolate or engage in social distancing, only those who have symptoms themselves are being told to se…

^^^ 2000% this, a large proportion can't change their ways, is not paying attention or simply doesn't care. It's shocking to still tonight walk past a packed pub on a Saturday night

Several did, and they either reduced the mortality rate or slowed the spread of infection.

Some made the changes during SARS, some did it now.

A large population CAN change it's ways.

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