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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?)
He also just released The Evidence That A Million Americans Died Of COVID.
I went and looked into the death rate a little more. Found this graph of the trend. Here is a fun game: spot when covid starts.
There has been a year over year increase in the death rate by about 1% starting in 2014 and hasn't started shrinking much until 2024. What the hell is going on?
I have a suspicion that old people have just been getting older. And that those old people are dying more during flu season. And that the excess death chart from 2018-2019 would line up pretty well with an excess death chart from 2020-2021. But that would probably take a lot of effort to figure out. I dont even know where to get month to month death numbers, tried asking some AI to help me find it, but sounds like its not publicly available.
Your data is wrong. Actual data.
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There's a data quality issue in here, and I'm not sure on which side. Scott's "annual deaths" graph shows a sharp uptick for Covid. Yours does not.
There's also the "harvesting" effect - many people who died from Covid did not have long left. I am most interested in what effect Covid has on the 10 year moving average of total deaths.
If there's a harvesting effect, it has not shown up. The crude death rate just returned (roughly) to pre-COVID trend in 2023. It is possible COVID has added permanently to disease burden.
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Fuckin Boomers man -- the "annual % change" on your link flips positive (slightly) in 2009, 15 years before 2024.
Fifteen years into the baby boom was 1960, by which time births were well off peak and on the decline:
https://upload.wikimedia.org/wikipedia/commons/thumb/b/bb/United_States_Birth_Rates.svg/800px-United_States_Birth_Rates.svg.png
Sad!
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There are a ton of confounding variables here, but IIRC we're finally seeing a significant decrease in opioid deaths (a surprisingly high count) in ways that might be significant but were rising well before COVID. The reasons are a bit unclear (dark prospect: populations particularly vulnerable to addiction have largely died already).
But surprisingly few care substantially about overdoses (or traffic accidents) because, I suppose, that's something that happens to "other people". Nobody really cares about addicts in practice, judging by the relative alarm compared with COVID. I try to care, at least abstractly, about causes of death (and non-death harm) but I'm not sure the loud "harm reduction" advocates have actually been helpful either.
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