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Scott briefly observes, "The only thing about COVID nobody talks about anymore is the 1.2 million deaths.
A better comparison for 1.2 million Americans dying would be the Spanish Flu: An estimated 675,000 Americans died, while the total population was estimated to be round 106,000,000. (The 2020 estimated population was around 331,500,000.)
One problem I have with the online debates about covid policy is there's no clear counterfactual: 2021 deaths were higher than 2020 deaths, which is bad for arguments that containment policies were only protecting the most vulnerable at the expense of the general population, because the most vulnerable had disproportionately died in 2020 and management had improved. It's possible that a different set of policies would have resulted in disproportionately more QALYs lost by lower-risk demographics, due to the non-linear dynamics of disease transmission (don't forget rates of mutation). I don't really care to defend any policy, since there were a lot of avoidable mistakes, but I think the criticism should be more specific and measured.
(Edit: Scott's Lockdown Effectiveness: Much More Than You Wanted To Know, published July 1, 2021 - anyone know if there's been much change in the understanding of NPI effectiveness?)
The counter factual is Sweden, tge country that didn’t lock down at all. And to my knowledge, they didn’t really do any worse than their near neighbors.
And the reason it’s so hard to get talking about 1.2 million deaths on the radar is just how much the lockdowns cost the rest of us. People thrown into unemployment (and in the USA, it was hard to get unemployment because the systems were overwhelmed) with a small one time “bonus”. Businesses forced out of business because they couldn’t open, but their creditors could still demand payments. Children deprived of important social development because they couldn’t socialize with other kids. Those same kids given zoom classes instead of a real education. People denied the right to socialize, and when one of those 1.2 million people died, they were forced to die alone, with their families huddles around an iPad.
Scatter plots of measures of lockdown strictness versus disease impact tend to look like shotshell patterns. That is, no correlation. The lockdowns were on the close order of completely useless.
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Sweden and its neighbours are much less densely populated than most of Europe, meaning the virus generally has a lower transmission rate in those countries. I'm not sure lockdown lessons from Sweden can necessarily be applied to e.g Germany.
The Scandinavian countries have low levels of population density because vast tracts in the frozen north are empty, but that doesn't mean the people are spread out. Excluding city-states, Sweden is the 8th most urban country in Europe. It's significantly more densely populated than Germany by that metric.
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You forgot massive self-inflicted economic damage (inflation, shuttered businesses, layoffs) caused by the lockdown ands insane money printing. All for basically nothing other tha our leaders indulging their "don't just stand there, do something!!!" impulse. I think about that every few days and I'm still angry about it. Really fucked up my plans, and I think I got off better than most.
Oh, and the insane powegrabs by literal-whos at all levels of federal, state, and city bureaucracy. Pencil necked losers in gubmint jobs suddenly issuing edicts about what free citizens of republic can and cannot do. And people obeyed. I will never be able to unsee that.
Yes, I remember seeing people spray down their shoes with disinfectant when returning to the house. Or spraying down the table at a shared eating space (because what we really needed is a bunch of people touching the same squirter, squirting down their tape-demarcated part of the table).
There was a shocking level of hysteria.
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Certainly Sweden's excess death toll was lower than the European average, which seems like the most damning statistic for the efficacy of lockdowns.
It’s damning for the state enforced lockdowns which most other states were eager to implement. I think a lot of states used it as a compliance test *just how long can we get people to obey arbitrary rules and be shut in their homes without creating a backlash. Rather frightening to now understand that if you make the situation sound bad enough, you can get this sort of thing to go on for a long time. More than a year.
And other states were actually pretty upset that Sweden didn’t go along because it did provide an alternative to arresting people who dared to leave their homes.
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Scott's "more than you wanted to know" assessment was that Sweden most likely did worse, albeit by a difficult to quantify margin.
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Sweden did do a soft lockdown in the sense that businesses had reduced hours/density or encouraged people to work from home, and restricted the occupancy of certain public facilities like swimming pools. That, and I got the subjective sense that they have much less of a contingent of people who are young and severely unhealthy even compared to countries like Germany.
I mean as compared to much of the rest of the world, and certainly blue tribe areas of America, and as such I think it’s a reasonable counter factual case. They didn’t have to shut down everything, rope off playgrounds or cancel schools. Yes, they limited capacity, but for the most part, you could do what you wanted to.
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Sweden did better than any country in Europe on an excess death basis.
I continue to dislike that as the primary metric of doing better during Covid. The important way that Sweden did better is that they engaged in fewer human rights violations, which is much more important to me than how many elderly people passed away of natural causes.
I’m not suggesting that is the primary benefit. But if the stated rationale for the human rights violation doesn’t produce any benefits as evidenced by Sweden, then that’s even stronger argument against those violations.
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