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Culture War Roundup for the week of May 19, 2025

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Scott briefly observes, "The only thing about COVID nobody talks about anymore is the 1.2 million deaths.

That’s 1.2 million American deaths. Globally it’s officially 7 million, unofficially 20 - 30 million. But 1.2 million American deaths is still a lot. It’s more than Vietnam plus 9/11 plus every mass shooting combined - in fact, more than ten times all those things combined. It was the single highest-fatality event in American history, beating the previous record-holder - the US Civil War - by over 50%. All these lives seem to have fallen into oblivion too quietly to be heard over the noise of Lab Leak Debate #35960381.

Maybe it’s because they were mostly old people? Old people have already lived a long life, nobody can get too surprised about them dying. But although only a small fraction of COVID deaths were young people, a small fraction of a large number can still be large: the pandemic killed 250,000 <65-year-old Americans, wiping out enough non-seniors to populate Salt Lake City. More military-age young men died in COVID than in Iraq/Afghanistan. Even the old people were somebody’s spouse or parent or grandparent; many should have had a good 5 - 10 years left.

Usually I’m the one arguing that we have to do cost-benefit analysis, that it’s impractical and incoherent to value every life at infinity billion dollars. And indeed, most lockdown-type measures look marginal on a purely economic analysis, and utterly fail one that includes hedonic costs. Rejecting some safety measures even though they saved lives was probably the right call. Still, I didn’t want to win this hard. People are saying things like “COVID taught us that scientists will always exaggerate how bad things will be.” I think if we’d known at the beginning of COVID that it would kill 1.2 million Americans, people would have thought that whatever warnings they were getting, or panicky responses were being proposed, were - if anything - understated.1

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?)

Anecdotal but am I one of the few who was almost completely unaffected by COVID? I literally knew no one on a first name basis who died. My 90 y/o grandma went on a 8 hour road trip with my positive aunt and was never symptomatic. My hunch is COVID deaths tended to cluster amongst certain groups. My white, Evangelical, smoking and drinking are sins circle faired very well.

Similarly with the great opioid crisis I've never known anyone who has OD'd.

I have not had covid as far as I know. I did get antibody tests early on which were all negative. My wife had it twice and i slept in the same room with her. No issues.

I also know no one that died from COVID, other than a coworker who's very old mother allegedly died from it. This person is known for his tall tales so I cant know for certain.

I find this to be a reasonable heuristic for how much I should worry about something. I know many people who passed from cancer. Many from heart attacks. More than one from getting hit by a car when cycling. I reckon most people have a similar experience.

Its impossible for me to believe that 1.2 million people died from covid in 3-4 years and reconcile that with my experience.

It's a good point that "I don't know anyone who died of covid" is not the only part of their personal experience that people will use to form an opinion on its severity -- virtually everyone has had or been exposed to covid by now, and if their experience was that the disease itself was no big deal, it's hard to reconcile that with a large death toll.

Like -- I don't personally know anyone who's died of prostate cancer, but I do know lots of people who've died of other kinds of cancer, so I'm prepared to believe that prostate cancer is a serious problem. If my doctor had said to me five years ago "hey, you've got prostate cancer -- this is a big deal, you might die" and I just... ignored it and it went away with minimal symptoms, I'd be less inclined to think that prostate cancer is a serious thing.