To reply as the devils advocate to this comment, what is the tolerance to social costs that society is willing to bear? Also why would one segment of society have to do something that it doesn't want e.g. not bear risk if they want to?
Should we tell people to get their BMI under 25 too? Overweight and obesity are going to cost much more in increased healthcare costs than COVID will in the coming decades (pls prove me wrong..).
What about drinking and smoking? Maybe we should also ban these because these people will probably go on government health insurance when they come down with chronic health issues from too much alcohol or tobacco.
I guess I don't see where your argument about societal costs doesn't become a slippery slope.
Also full disclosure I'm 100% vaccinated and will get the booster in Dec.
>Should we tell people to get their BMI under 25 too?
>What about drinking and smoking?
There's a lot of investment in trying to fix these problems already, or at least offset the costs. For example, there are "sin taxes" for things like cigarettes and alcohol, which means smokers and drinkers are paying disproportionately more taxes than those that don't.
You could argue that overweight folks are also paying disproportionately more simply by buying more food than someone who weighs 20% less.
All that aside though- forcing fat people to get skinny isn't a valid comparison to forcing people to take a vaccine. One takes a couple minutes and the other is something requiring an hour or more of dedicated time per day for potentially years (or a whole lifetime!).
Let's say, hypothetically, there existed a free shot which would immediately make its recipient a perfectly lean 20 BMI and grants all the benefits of health and exercise without the work. How many people would choose not to take it, and how would society view those that decided to walk around weighing 400lbs? That's really the apples to apples comparison here, and I think you'd find there would be very few folks walking around at 400lbs in that scenario.
>> All that aside though- forcing fat people to get skinny isn't a valid comparison to forcing people to take a vaccine. One takes a couple minutes and the other is something requiring an hour or more of dedicated time per day for potentially years
Well we could just tell the fat people they aren't allowed to eat in restaurants and can't keep their jobs. That way they won't be able afford or get the food that keeps them fat! </sarcasm>
Well, yeah. For all the complexities of nutritionist meal plans and fad diets, losing weight can be achieved leveraging nothing more than a caloric deficit.
>In an illustrative study of one, Mark Haub a professor of nutrition at Kansas State University, demonstrated to his students that he could lose 27 pounds in just 10 weeks by eating a high-sugar, high-fat, low calorie diet. Professor Haub ate Twinkies, Little Debbie snacks and other sugary fare every three hours, instead of eating meals. To add variety to his dessert regimen, he also chowed-down on Doritos, sugary cereals and Oreos. Despite eating mostly junk food, (plus one protein shake per day), he limited his intake to 1800 calories per day, about 800 calories less than necessary to maintain the body weight of a man his size.
>Interestingly, his body fat and cholesterol dropped after this diet, despite eating tons of fat and sugar. In other words, eating sugar and fat does not raise your cholesterol, provided that you are on a low-calorie diet and that you drop body fat. We see similar findings in people who lose weight on the Atkins’ Diet. Their cholesterol levels improve, even though they eat a diet very high in animal fat. This is because being overweight raises cholesterol.
>Not surprisingly, Haub showed what all doctors and scientists already know: Weight loss really is about the number of calories that you consume, not the composition of those calories.
So why are there so many diets and books about diets if that’s all it takes? Well it’s hard to package and brand the ‘eat less, fatso’ diet. And like everything else in this world, ‘science’ takes a backseat to money.
> Well, yeah. For all the complexities of nutritionist meal plans and fad diets, losing weight can be achieved leveraging nothing more than a caloric deficit.
I can keep going if you want, but these are just some of the diseases that can cause obesity when a person is eating less calories than they use per day.
And given some of these are very serious and life threatening, and you’re reducing a persons problems to an easily resolved issue, kindly keep your mouth shut about obesity until you learn more about it.
For every 100 obese individuals in the United States, you’re likely to find fewer than 1 on average that is caused by an autoimmune disease.
I’m also very familiar with ulcerative colitis. When not counteracted with the correct medication, those suffering from this disease typically lose weight due to their bodies vacating their food more quickly than they can process the nutrients. Add to that the reality that chronic sufferers are so miserably tired of living on the toilet that they simply forego eating as long as possible just to guarantee some measure of bowel relief—you mostly proved my point instead of yours.
Ulcerative colitis can cause both. As can every single one of those. And because you’re clearly a child and need further explanation and seem to hate fat people:
If ulcerative colitis causes wasting disease then this will cause anorexia which is another serious medical problem. Should we force these people to eat more and deal with the toilet life (btw that’s a real cute minor form of ulcerative colitis)?
Yes, overeating is the only reason for obesity. You consume energy and breathe out carbon just by being alive. If you don't replace it with food, you will lose weight, that's physics.
The hard problem is what makes you overeat. It can be a psychological problem, some kind of unbalance with the feeling of satiety, food that is too energy-rich for the amount of nutrients it contains,...
All diets only have one goal: make your effective energy intake lower than what you consume. It can be by simply making you eat less, or by making you eat food that triggers the feeling of satiety before you have eaten too much (ex: lots of energy-poor fiber).
I think there are exceptions, some people seem to store ridiculous amount of water in their body. They are not that fat, but their body is bloated by all that water. I think it is the case for extreme obesity.
> Let's say, hypothetically, there existed a free shot which would immediately make its recipient a perfectly lean 20 BMI and grants all the benefits of health and exercise without the work
I would be very skeptical and wonder what the downside is
If I was "skeptical" about something like say the covid vaccine - then I'd go and do some research. And do you know what the research (in this case) would turn up? That the covid vaccines are indeed SAFE AND EFFECTIVE. But you know what most of these "vaccine skeptical" people are NOT doing? They're NOT doing any research to resolve their skepticism. So spare me this vaccine skepticism argument.
Oh, I think they are doing what they think is "research", but they don't know the difference between anecdotal evidence and scientific evidence.
They hear about one pop star's cousin [1] in another country that had swollen testicles after his shot and that's someone that not only they can relate to, but even trust more that official sources because, hey, why would that star lie about it. While many are convinced that the government and health care industry in general has an ulterior motive.
It's a combination of disinformation and lack of critical thinking skills. I spent 2 hours on the phone with my brother one night, pointing out why his "sources" were not really authoritative sources - if you can't find the source of their data, don't trust it, "I know a guy who..." is not a "source". Not sure if that's what swayed him, but he got his first vaccination 2 weeks later. And it's a good thing he got it, he and his wife just recovered from COVID which they think their daughter brought home.
When I said, "Listen to the experts and believe the science", I should have stipulated, "Not those experts and not that science"
In fact, strike that. Only listen to the experts and believe in 'the science' when it aligns with my totally altruistic motives. No other incentives or motives exist. I am completely honest and have nothing to hide, but questioning my agenda is strictly out of bounds.
I believe this sarcasm is truly important in understanding this. There is very much an "appeal to authority" conundrum going on. Solid studies that deviate at all from what the US media and the Biden Administration are discredited.
This extends to policies and prescriptions that have been in place for months or a year in other countries and working to positive effect, i.e. Ivermectin use in numerous countries to assist in fighting COVID (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8248252/) or for instance most of Europe not locking down schools and requiring masks.
This information leads some to believe that a bias or, at worst, an agenda is applied to the science, discarding studies that don't fit the narrative of "the science."
There are several deaths formally acknowledged due to Myocarditis to otherwise seemingly healthy people after taking the vaccine. This is not disinformation.
That's the problem with anecdotal evidence, I have no idea how to make a statistically valid comparison of "several deaths" with the risk of death if no one is vaccinated. But I trust that the CDC and FDA did make that comparison and are still measuring and monitoring.
Hm, a thought - in a world where we are only in immediate contact with less than 200 people, an event happening to someone you know about carries meaningful information about the statistical likelihood of that event. We probably developed some heuristics based on that. Now we have a global telecommunications network which means that any strange event gets broadcast everywhere - this must surely break those heuristics, artificially inflating the perceived probability of rare events. There's also "celebrities", who feel like close acquaintances to millions of people. A single rare event happening to a celebrity gets amplified hugely.
To save others a click: CDC says to give ivermectin to kill intestinal parasites (with an exception due to risk to people who might be carrying loa loa). Not horse paste to treat a virus.
Can you tell me what the long term effects of the COVID vaccine are? I’ve done a lot of research on that specifically but the time seems to have not passed yet.
But plenty of bogus COVID treatments and prophylactics - some even promoted by the (former) president himself. I'll admit that I don't fully understand the thought process that leads someone to reject a vaccine that's supported overwhelmingly by doctors and the government, and then take a horse dewormer because they saw some guy on youtube recommend it.
there isn't a history of marketing vaccines for profit
Maybe not vaccines, but plenty of pricing abuse by Pharmaceutical companies that make them seem like they'll do anything, even let people die, if they can earn more money. Insulin and epi-pens are two of the more well known ones.
> then take a horse dewormer because they saw some guy on youtube recommend it.
Sigh. Your "HORSE dewormer" (thank you CNN) is one of the medications recommended by the CDC for refugees btw. I guess refugees are considered working horses, so your statement might not be false.
"All Middle Eastern, Asian, North African, Latin American, and Caribbean refugees should receive presumptive therapy with:
...
Ivermectin, two doses 200 mcg/Kg orally once a day for 2 days before departure to the United States."
There’s a YouTube video called “Ivermectin Horse Paste” that was published in January of this year and now has nearly 160,000 views. In it, a woman who goes by Self Sufficient Momma demonstrates how to portion out horse paste in order to make it a suitable dose for humans, depending on weight.
The fact that medical grade Ivermectin is prescribed for other ailments doesn't make it any less ludicrous that people are going to the feed store and buying tubes of horse Ivermectin to self-medicate for COVID at home.
That rumor got started because a study in mice showed it lessened the severity of infection. The doses were very high, close to lethal. There is no evidence of prophylactic use making a difference. Only early stage of infection use. Some doctors are prescribing it for covid cases. It is not surprising it would work a little, it causes an increased immune response. There are also studies linking it to melanoma shrinkage. There is a large enough parasite burden in even a developed population that a twice yearly dose might make sense for humans.
All that said, buying an oral syringe with enough ivermectin to kill people with low body mass and trying to get your dose right is a horrible idea.
It's YouTube. There is mildly popular garbage everywhere. YouTube regularly recommends videos like 'I Went Back To 1st Grade For A Day' by one Mr. Beast with 107M views, or 'CoComelon Songs For Kids' for 77M views. 160k views appears rather minor in comparison. Most of the views are probably bored teenagers looking for some novel debased spectacle.
Are you claiming peple are too smart to believe a garbage video on Youtube? I'd like to see a reference for that, because I'm not seeing much of it.
Don't forget that this is a country where people died from overdosing on aquarium chemicals because they thought the chloroquine on the label meant it would prevent COVID.
In Maricopa County, Ariz., a couple in their 60s watched politicians and news anchors on TV tout chloroquine, an anti-malaria drug that has shown the ability to disrupt some viruses but that has not yet been proved effective against the novel coronavirus.
That pharmaceutical name matched the label on a bottle of chemicals they used to clean their koi pond, NBC News reported. The fish tank solvent that treats aquatic parasites contains the same active ingredient as the drug, but in a different form that can poison people.
“Within thirty minutes of ingestion, the couple experienced immediate effects” that sent them to the emergency room, a Banner Health spokeswoman said in a statement Monday. They felt dizzy and started vomiting. The husband died at the hospital, and the wife is under critical care, according to the statement.
And states across the country are reporting an uptick in poison control calls for people that ingested Ivermectin, almost all from animal drugs, not prescriptions.
>And states across the country are reporting an uptick in poison control calls for people that ingested Ivermectin, almost all from animal drugs, not prescriptions.
You're spreading FUD man. These "upticks" you speak of are, in the case of one state, from 1 instance per year to 9. I guess its statistically a huge uptick, but, lets keep some perspective ey?
According to the National Poison Data System (NPDS), which collects information from the nation's 55 poison control centers, there was a 245% jump in reported exposure cases from July to August — from 133 to 459.
Ahhh, from the paper linked in your NPR article - 2020 cases = 435, 2021 cases = 1143. It's an even smaller increase than I originally thought - only 163%! Also, looks like 25% were from prescriptions.
What’s the difference between human and horse ivermectin? Dosage.
What you’re actually arguing without knowing is a position the CDC took to keep people from self dosing because the left media pushed the public into a mass panic. People overdosing on any drug, especially during a pandemic, is bad.
Dosage, and probably mixing -- how much do you want to trust that that ingredients are mixed so thoroughly that the little dab that gives you a human dose actually has that dose?
Plus the 98% fillers in horse dewormer of unspecified ingredients.
If you really think you need Ivermectin, get a prescription from a doctor so you'll be getting a known dose and have medical supervision.
Or, you know, just get the vaccine and reduce your risk of a serious case of COVID by 95%+
> Dosage, and probably mixing -- how much do you want to trust that that ingredients are mixed so thoroughly that the little dab that gives you a human dose actually has that dose?
It’s just dosage. Unless you’re getting your horse ivermectin from sketch sources. Who’s going to trust a multiple thousand to multiple millions of dollar animal on questionable ingredients.
> If you really think you need Ivermectin, get a prescription from a doctor so you'll be getting a known dose and have medical supervision.
Hey agreed, so tell your lefty buddies to stop causing mass panic so those without medical insurance or money won’t try treating themselves.
> Or, you know, just get the vaccine and reduce your risk of a serious case of COVID by 95%+
Tell me the long term risks of the vaccine. Also show me some medical credentials since you’re recommending everybody get the vaccine.
It’s just dosage. Unless you’re getting your horse ivermectin from sketch sources. Who’s going to trust a multiple thousand to multiple millions of dollar animal on questionable ingredients.
Since you seem to be expert in this, what human safe ingredients are used in the 98% of this paste that is not Ivermectin?
Hey agreed, so tell your lefty buddies to stop causing mass panic so those without medical insurance or money won’t try treating themselves.
It's not the "lefties" that are telling people to use Ivermectin and other questionable remedies -- the lefties are telling them to get the vaccine. The best bet for someone without medical insurance is to get the free vaccine.
Also show me some medical credentials since you’re recommending everybody get the vaccine
That's the great thing about quoting experts, I don't need credentials myself, I can just repeat the same expert advice:
"Dr. Anthony Fauci, the nation’s top infectious disease expert, pleaded Sunday for Americans to set aside politics and get the coronavirus vaccine"
I'd quote his credentials, but I suspect that you already know who he is.
As for long term side effects, I'm willing to bet my own health on "none":
Tractor supply would be a sketch source, try a vet or someone that specializes. And don’t use the paste. In fact don’t do it at all without a physician guiding you. But the fact remains, ivermectin is ivermectin.
> It's not the "lefties" that are telling people to use Ivermectin and other questionable remedies
Read my statement again, the lefties are causing mass panic. You’re doing it now and telling people not to trust a drug.
> Dr. Anthony Fauci, the nation’s top infectious disease expert, pleaded Sunday for Americans to set aside politics and get the coronavirus vaccine
He lost trust the second he lied to control people. Only the left listens to him now.
> As for long term side effects, I'm willing to bet my own health on "none"
Great, but not everybody is so careless with their life. And what you’re saying is you should have control over theirs for something we think may not happen.
Read my statement again, the lefties are causing mass panic. You’re doing it now and telling people not to trust a drug.
I don't know if you'd bothered to read my posts, but I specifically said Horse Dewormer, but then you and others started defending Ivermectin.
But yeah, if you're trying to prevent or cure COVID, don't use Ivermectin, and there's scant evidence that it helps, and if you're worried about long term effects of something, then be worried about the long term effects of COVID.
Presenting that table without an applicable denominator is misleading. The N on the table is a count of adverse events, not of people or does. The reported events occurred at a rate of between ~5 and ~70 per million doses administered for the highlighted age groups. Higher than background risk? Yes. High risk? No.
The CDC saw roughly 1300 cases of myocarditis or myopericarditis reported in mRNA vaccine recipients under 29 years old, after administering 52 million doses to that same age group, a minuscule risk and one much lower than that presented by COVID-19. [1]
And even then, in those cases, the vast majority resolve on their own with minimal medical intervention. [2]
But hey, have a link to the CDC source of that presentation so you don’t have to go to that .win site anymore to find your sources. They’re pretty bad at sourcing information over there [3]
> Post-vaccination CAE rate was highest in young boys aged 12-15 following dose
two. For boys 12-17 without medical comorbidities, the likelihood of post vaccination dose two
CAE is 162.2 and 94.0/million respectively. This incidence exceeds their expected 120-day
COVID-19 hospitalization rate at both moderate (August 21, 2021 rates) and high COVID-19
hospitalization incidence.
In short, COVID-19 is not very dangerous for younger people. So much so that the vaccine appears to pose a greater health risk.
I'm not familiar with "patriots.win” but the table image linked above is an accurate excerpt from this CDC presentation. The mRNA vaccines have caused a higher than expected rate of adverse cardiac events in young males. I encourage everyone to read the whole file for context.
You don't believe those sites are making a ton of money on ads? My whole family is anti vaxxers, I've seen the websites and the YouTube channels. All of these places are making tons of money off providing bad takes on statistics.
To be clear, I'm to the point where I think opening everything is okay. The people that wanted to be vaccinated are, and the people that aren't will get sick by their own choice.
Are you suggesting then that the US should adopt something like Japan's "metabo law"? It appears to be at least somewhat effective in coercing people into losing weight.
> You could argue that overweight folks are also paying disproportionately more simply by buying more food than someone who weighs 20% less.
Overweight people pay their tax in a significant decrease in their quality of life. Eating unhealthy is way way cheaper. I can confirm both after 170lbs of weight loss. My food budget quadrupled. Rice, pasta, and white bread are cheap. Meat and veggies, not so much.
It sounds good but I find this framing uncomfortable because tax is not a penalty. Overweight people pay a penalty in a significant decrease in their quality of life, yes. That is not a tax though - tax is a contribution to society, and a decrease in one persons quality of life is not a contribution.
I'd add to this that loosing weight simply requires a calorie deficit. There is no requirement that you must eat large portions of meat to loose weight.
With that being said, eating low carb may be an easier way for some. Don't want to discount that.
My understanding is that that is an old way of thinking that sounds good but doesn't work.
You need to put in the right type of calories: high GI foods will make it harder for you to lose weight by stimulating insulin production which in turns stimulates your cells to sequester all the sugar in your blood and turn it into fat (and you get lethargic and hungry as a bonus). You also need to exercise as your diet continues: your body will slowly burn muscle mass if your intake decreases for long enough, and with less muscle you burn less and eventually hit a wall. Exercise replenishes that muscle mass (assuming you eat enough protein). It's complicated.
I'm not a medical doctor, the above is just my understanding, so take it with a grain of salt.
While this is mostly true…there are other factors at play that can make this deficit difficult. I went for 2 months without losing a pound despite a net -1000kcal between diet, exercise, and my “probable” BMR. My suspicion is that my BMR dropped when my body realized it was basically in a famine state and decided to conserve every calorie it could any way it could.
That's almost certainly not what happened. While your body will get more efficient in starvation conditions it takes time and doesn't start instantly. There are certain biases that people have with weight loss and eating that are very common and result in less results than you expect.
There's a good chance your "probable" bmr was overestimating calorie burn. If you were basing calories burned in exercise from what a machine at the gym was telling you, it almost certainly overstated the calorie burn. Unless you meticulously weighed everything you put in your mouth you probably ate more calories than you think you did. Even if you did measure everything carefully and accurately, there's some degree of error in the nutrition data on packaging.
The truth is that you probably didn't have a 1000 cal daily deficit for 2 months. That kind of deficit should drop your weight by about 15 lbs in that time. Even fairly extreme fluid fluctuations wouldn't cover that weight loss unless you started dehydrated and fairly overweight.
> That kind of deficit should drop your weight by about 15 lbs in that time.
The fact that you think that there is a number like this shows you are using extremely old thinking about how even the CICO model works. There is no way to predict weight/gain loss amount based on calories across individuals.
Also, even if there is some error in BMR, calorie burn rate, calorie intake, I very much doubt it was `-1000 calories +- 1000 calories`. Exercising is at most 2-300 calories per day. If you are making an effort to count calories, you will notice if you're eating an extra 200 calories of food. So let's say from these that they were at 1000 +- 200. Unless they got their BMR extremely wrong, then something else was happening. And after a month, even if they were at a ~200 calorie deficit, they should have still noticed clear fat loss.
I can make any cardio machine at the gym tell me I've burned far, far more than this.
> f you are making an effort to count calories, you will notice if you're eating an extra 200 calories of food.
The person I was replying to mentioned in another reply that they managed to lose 170 lbs which is a huge achievement. Someone with that kind of weight to lose has been overeating for a long time. Dropping calories to the point that they will just maintain there weight may feel very restrictive. I'm not surprised someone in this situation might underestimate their intake. It also doesn't take much to eat an extra 200 calories. Thats less than 2 tbsp of butter or oil. Pour too much salad dressing on your kale and now you're a couple hundred calories over what you thought.
> And after a month, even if they were at a ~200 calorie deficit, they should have still noticed clear fat loss.
The usual numbers you hear for weight loss are 3500 cals per lb of fat. A month at a 200 calorie deficit would give you 6000 calories. To make this easy let's say this leads to a 2 lb loss of fat, muscle, etc. I'd argue that when undertaking a lifestyle change a 2 lb change in weight could be hidden by other factors like hydration, more/less food in your digestive tract, etc.
> The fact that you think that there is a number like this shows you are using extremely old thinking about how even the CICO model works. There is no way to predict weight/gain loss amount based on calories across individuals.
But that's one of the few numbers you can predict with pretty good accuracy.
Figuring out diet, exercise, and BMR is the hard part. Expecting a pound of fat to go away per 3000 calories is the easy part.
> Figuring out diet, exercise, and BMR is the hard part. Expecting a pound of fat to go away per 3000 calories is the easy part.
Well, here you've moved from "estimated deficit per day" to "exact total deficit". Sure, thermodynamics tells you with absolute certainty that if you've lost 1 pound of fat in 1 week, you've overall had 3000 Cal deficit in that month.
But that doesn't mean you can say "if you know your BMR at time t, eat exactly this much and exercise exactly this much, you will definitely have a 3000 Cal deficit over 1 week". This would assume already that BMR doesn't vary with exercise and diet. It also assumes that food digestion doesn't vary with exercise and diet. Both of these are assumptions that we don't really know. And even if they are true for 1 week, they are almost certainly not true for 1 year.
You're getting downvoted because, I assume, you didn't include the possibility of magic as a an explanation in your analysis.
Rookie mistake in these threads. While it may superficially seem like yours was the best explanation for lack of weight loss -- that OP made a simple error and over-estimated his caloric deficit (and further didn't adjust the deficit when receiving data to the contrary)-- what you need to account for are the "other factors" which currently exceeds our understanding of biology and physics.
Using these 'other factors' it's possible to do everything right, and still not lose weight (through no fault of your own).
There are all sorts of things that control weight gain/loss outside CICO. Most notably, BMR can vary wildly with hormonal and endocrine issues. It's not at all improbable that BMR can be affected significantly by dieting in some individuals, a priori. It could also be affected by other lifestyle changes that happened together with the dieting, such as medication.
> There are all sorts of things that control weight gain/loss outside CICO.
Not really, but that doesn't mean CICO is actionable.
> Most notably, BMR can vary wildly with hormonal and endocrine issues.
That's not outside of CICO, since BMR is a central element of “calories out”. Of course, it is a reason CICO is not as simple as advocates make it out to be (and there are more problems like that on both the CI and CO sides.)
> at's not outside of CICO, since BMR is a central element of “calories out”. Of course, it is a reason CICO is not as simple as advocates make it out to be (and there are more problems like that on both the CI and CO sides.)
That was basically my point. BMR can fluctuate making CICO a piss poor oversimplified explanation for weight loss. My example was real, it did happen to me. My calories in was meticulously recorded. Calories out is less accurate, but the calories burned in exercise were not dramatically inaccurate enough to explain the lack of progress. The only other factor outside my conscious control was BMR.
> CICO a piss poor oversimplified explanation for weight loss
Kinda reads like an embarrassing cope, tbh. Blaming mystical 'other factors' is stepping over dollars to pick up pennies. At the end of the day, CICO is all that matters. To deny this is to say that you have a metabolism not based on consuming external matter.
Your lack of progress can entirely be explained by just making a plain, good old fashion error with your in/out expenditure. Something we all literally do. We don't need magic involved to explain it. Your body gave you data that you were wrong, but you ignored it, threw up your hands, and now blame "other factors."
Want to lose weight? Use this One Weird Trick those dummy gym bros with no understanding of science have been using since forever.
1. Reduce your calories
2. monitor your weight
3. adjust 1. based on 2.
Hardly. I did adjust…I added calories, and my weight loss resumed. And like I said, if my BMR was not normative for my age, weight, and activity level, it was the culprit.
What you folks on here are referring as “mystical” and “magical” is not either. In fact the opposite. It’s evolution. Your body’s sympathetic nervous system evolved to react and adjust to help keep you alive during periods of stress. Starvation is a stressor, it’s ridiculous to think that our bodies simply shrug it off and keep operating business as usual. Once the stressor was removed the body decided to “resume normal processing” it became easier to lose weight.
FWIW, I am not saying that a prolonged period of starvation would not result in weight loss, but I am saying your body on limited fuel will conserve the fuel it gets any way IT can.
> The truth is that you probably didn't have a 1000 cal daily deficit for 2 months.
Uh yes, this is pretty much exactly what I said. But left out from my original post was how my weight loss began again when my caloric intake increased.
This was about at a 125lbs in to a ultimate 170lb loss. CICO doesn’t have a good explanation for plateaus in a long weight loss journey. It also doesn’t factor weight gain due to muscle build.
My ultimate point being it’s not a simple math equation.
The 'ill or obese' analogy isn't very good because it doesn't capture the contagious effects, which is the artifact of COVID that makes it different than other health and safety issues.
We don't stop people from going to the theatre because they have diabetes or cancer.
COVID is a highly contagious disease, that's what makes it a community problem, not an individual problem.
It's a more akin to having proper winter tires while driving: while it's mostly an issue of personal safety, there are other cars on the road who will mostly likely end up in an accident with you, and so there's an externalization there.
Now imagine if you got someone in an accident because you didn't have winter tires, and they also had some material degree of getting someone in an accident (i.e. if there is an R0 > 1, they will likely also crash with someone). Then the whole highways is jammed up, and everyone is affected.
Except the food you eat to get fat is often much cheaper than the food to stay healthy. Produce is expensive per calorie, lean meat is expensive per calorie, cooking takes time and effort, and a gym membership is expensive. This is one of the reasons why obesity is so prevalent, it's much easier than staying healthy. It's not just 20% more of what healthy people eat.
Thats kind of the point of eating fresh food, your filled with less calories. you eat less, your at a healthy weight.
That not the stuff getting people fat. Look how many calories are in mcdonals burgers. People are getting fat becasue they're uneducated. They drink sodas, sweet teas, eat candy and excessive alcohol
The point is that it's much cheaper to fill your belly with a McDonald's burger than artisanal bread, fresh tomato, minced lean meat. Much, much cheaper. If you are aiming to eat 2000 calories per day, you will do eat much more cheaply with a pizza and a burger than with good food.
> If you eat 2000 calories your not going to be obese, no matter what your eating
BMRs are estimated between typical ranges 1200-2400 across the population (with 1200 being short people with no muscle, and 2400 being tall toned people; body builders and athletes can be significantly above this). If you're 1.6m tall and are not working out at all, eating 2000 calories per day will quickly get you overweight.
> There's nothing really bad about a fast food burger. No one is getting obese eating a cheese burger.
> The problem is the fries, juice, milk shakes, sodas
Well, the burger bread, especially if its sweetened + sauces + the cheese are more than half the calories in the burger, and just as empty as the soda, fries, juice, milk shake. The tomato and pickles are fine, the meat is ok.
Even then, your deeper point, which I assume is that 2000 Cal is 2000 Cal, whether you get it from lettuce or burgers, is almost certainly wrong in practice. While in the short term it's true (i.e. someone with a generally healthy diet will not get any more fat by eating an extra burger than by eating an equivalent amount of extra apples), it's very clear that in the long term there is a significant difference in CI (appetite) or CO (BMR, sedentariness) for people on junk diets vs better food.
The reasons for this are unknown, and candidate explanations range from "delicious food" addiction, gut microbiome impact, sugar addiction, metabolism-impacting contaminant (with various candidates such as PFAS, trace mineral oils from industrial cooking equipment, etc).
2000 is pretty average, you dont need to make the post confusing by pointing out edgecases. yeah we all know if your short or workout you need slighty different needs
so the whole point in the last two paragraphs is based off of how much you eat. its education about food and eating in excess thats needed. not saying a fast food burger it self is bad. the problem is every other poor decision made at a drive through window
> 2000 is pretty average, you dont need to make the post confusing by pointing out edgecases.
It's not "slightly different needs", it's 2000 +- 50%, just in the average population. For example, most women eating 2000 Cal/day are overweight (since women tend to have less lean body mass than men at the same height and exercise level).
> so the whole point in the last two paragraphs is based off of how much you eat.
No, the whole point is that appetite and digestion and lifestyle may well be affected by what you eat. So what you eat almost certainly influences how much you eat. The fast food burger could be the cause of you also craving the milkshake.
are you just replying to argue with some one? Im using your comment talking about 2000 calories.
Were also smart humans that can learn how to control our selves, thats education about food. How to eat filling food and not over eat. that all goes into education about nutrition
Education and willpower only work to some extent. People have a natural lipostat that "tells" them how much they should eat, and it's very hard to eat significantly differently - either more or less. What exactly changes this lipostat is not well understood, though there are well-known cases: lithium and other psychoactive medications, thyroid hormones. It is extremely likely that specific diets (in the broad sense) can also affect this lipostat mechanism - either directly, or through effects on the gut microbiome.
> One takes a couple minutes and the other is something requiring an hour or more of dedicated time per day
1. No it doesn't. It only requires eating less.
2. One of these is invasive, the other is not.
> There's a lot of investment in trying to fix these problems already
Not really. We have culturally embraced "health at any size", we don't clamp down on unhealthy food advertisers, we install vending machines in schools. We are now FIRING people for noncompliance with vaccine mandates, but shrugging impotently when childhood obesity rises 9% in 18 months of pandemic lockdowns.
Further, the obesity issue isn't just a baseline problem: it's also the #2 comorbidity of COVID itself. If these tinpot tyrant vaccine mandate people were even remotely serious about actual harm reduction from the pandemic, we've had approximately 72 weeks since we knew of the obesity-COVID severity link to include weight loss as a preventative protocol along with masks and vaccines.
The fact that we've heard no significant public messaging on this front during a period of time that high-risk obese populations have had the chance to dramatically reduce their risk profile tells you everything you need to know about how serious "public health officials" are about actually reducing deaths. Hint: they're not.
You could even have mandates. Exclude them from eating at restaurants or fast food places and ensure they don't purchase too much or unhealthy food.
Not only would it be for Their Own Good™, but if it saved just one innocent life due to reducing the load on the healthcare system, it would have been worth it.
>Not only would it be for Their Own Good™, but if it saved just one innocent life due to reducing the load on the healthcare system, it would have been worth it.
There's so many people who seem to draw a completely arbitrary line between authoritarianism and paternalism despite them being exactly the same thing with different justifications. I don't care if it's "for my own good" or "because I said so", I oppose authoritarianism in general on principle rather than justifying authoritarianism towards things I happen to like with a different name.
Naturally the ruling class would be allowed to eat meat and desserts though. Their palates are sophisticated in ways you would fail to appreciate, pleb. And besides, you're just jealous that they're better than you.
Ask some of my friends that are otherwise healthy and they'll say quite the opposite.
(Full disclosure: I'm vaccinated and disagree wildly with them, but they are still my friends and these are very capable engineers/programmers, they just don't trust authorities in this case.)
Yeah, I don’t want to say bad things about people but…
I’ve very recently found that a lot of very smart people are still quite capable of doubling down on stupid.
It’s not even really wrong. They just weigh the risk disproportionately against the benefits (for the person themselves and society). I just cannot understand how a rational person can do that.
> I’ve very recently found that a lot of very smart people are still quite capable of doubling down on stupid
Being consistently the smartest person in the room can lull some to believe they are smarter than everyone, everywhere, every time.
Sometimes the lack of intellectual humility is an independent personality trait, but I've encountered a number of very smart people that held really weird beliefs which bordered on conspiracy thinking, but was self-reinforcing because they thought everyone else was not smart enough to cotton-on to "the man" (one believed in over-unity energy,the other one is basically synthesizing a new religion(/cult?) by gaining "insights" into "correct" aspects of multiple existing ones, whose current practitioner's "get it wrong" in one way or the other.)
Firstly, I hope you accept and understand that we are all fucking idiots. Every last one of us, yourself and myself included.
I'm not sure what specific nuanced position you believe equals "doubling down on stupid". I honestly can't tell from the previous handful of posts in this thread, what specific arguments yall are making.
It would seem, COVID is not a problem for 99% of humans (according to CDC Data Tracker numbers). The humans it is a potential serious problem for, are already stricken with obesity, hypertension, and diabetes (at the least), and likely have systemic chronic issues due to these diseases. With this in mind (very low risk of serious illness for most people), and seeing how studies show natural immunity is more robust (not just reactive to the spike protein, but "surprisingly" all 4 major proteins in the virus) and longer lasting than the vaccines we have available, it would seem counter productive for me and my family to get vaccinated.
I found when losing weight that the first 20 pounds was easy. After that every half pound was a major mental challenge to keep going. Then COVID-19 hit, I stress ate, my activity level fell to virtually 0, and yeah. Back to -0 from where I started. Time to start over.
I think there are pretty rational cases to forego a vaccination, especially young people under 20. And that there is advertising for them getting a vaccination might even be borderline irresponsible.
Add some political urge to stand out and make disproportionate regulations and I cannot call many of them irrational. I am vaccinated but surely that is irrelevant for the argument.
We will get the invoice for Covid in a few years in any case.
I have lost a lot of faith in people and their ability to argue and this doesn't really stem from the anti-vaccination camp, far more this comes from people asking for restrictions.
All of these are reasonable arguments. I personally agree with them. I am vaccinated (J&J), and was vaccine hesitant for 6 months prior to making my decision. I still stand far more in unity with the anti-vaccination camp than those asking for restrictions.
Many in the "people asking for restrictions" camp will not see these arguments as reasonable because they don't comply with "the science" (which is actually a crafted narrative).
Part of the problem is that we aren't just dealing just with a morphing dataset being communicated very imperfectly across digital mediums to the entire globe. We have all of that, and then that already fantastically complicated scenario is being ham-fisted into a narrative, and the narrative trumps all the data.
Yes, what's troubling to me in this imperfect communication, is the media reporting "COVID deaths", as if they were "deaths of COVID", instead of "deaths with COVID". The spin is palpable, and completely unnecessary.
Also not trivial, given the legitimate hunger and compulsion someone with an overeating problem may have after suffering with it for years.
So yes, not an explicit time dedication, but you’re being pedantic at that point and the practical reality that a vaccine is a minimal inconvenience is reasonably unavoidable.
Obviously exceptions exist, which is what medical exceptions are for etc etc.
> Also not trivial, given the legitimate hunger and compulsion someone with an overeating problem may have after suffering with it for years.
Yeah but you could just mandate it. Force them to eat small amounts. Fire them from their jobs, prevent them from traveling, and lock them out of civil society if they do not comply. Make them submit to weekly weigh-ins.
They wouldn't like it of course, but neither do the people being coerced into taking vaccines. Point is it's for the greater good, and if reducing their load on the healthcare system saves just one life, it all will have been worth it. Right? I mean while we're just here completely making up values and cost/benefit out of thin air, we can mandate pretty much anything.
Being fat isn't contagious. While it does increase medical load, it doesn't cause the people you meet at the restaurant to also increase medical load.
We aren't stopping restaurant and party access as some kind of punishment for the unvaxxed. It's because this is one of the major vectors for disease transmission.
But it does tend to result in worse outcomes when you catch covid, which you can when you go eat at a restaurant. From the vaccinated patrons who can still transmit it.
> it doesn't cause the people you meet at the restaurant to also increase medical load.
The vaccinated can contract covid and can transmit it to other vaccinated though. So this can't be the reason to ban unvaccinated, because allowing the vaccinated to restaurants will also increase medical load.
> We aren't stopping restaurant and party access as some kind of punishment for the unvaxxed.
Oh? It sort of seemed like it was since the science on natural immunity was being ignored.
> It's because this is one of the major vectors for disease transmission.
The probabilities are very different, and that compounds when infections are exponential.
Your argument could equally apply to DUIs:"Driving sober doesn't mean you won't be involved in an accident" - sure, but the likelihood is lowered by a measurable amount.
> The probabilities are very different, and that compounds when infections are exponential.
So? What are the numbers? You seem to have it all figured out, so all I'm asking is how the situations are different, and how exactly you arrived at the conclusion that one merited forced medical procedures and the other did not, based on those numbers.
Handwaving about more or different doesn't really cut it because I want clear, unambiguous hard criteria and step by step reasoning for why one particular set of numbers justifies this serious step and another does not.
The probability being very different argument above is based in massaged data; data fit to a narrative.
The narrative wants you to trust it and set aside such petty questioning! "The science" will prevail! The elites no better! How dare you ask for specifics, a practical dataset and explanations. You might be labeled a anti-vaxxer over such things! /sarcasm
> Being vaccinated doesn't mean you are not contagious.
Being vaccinated reduces contagion (with known variants other than Delta, it reduces probability of contagious infection, intensity (viral load) of contagious infection, and duration of contagious infection; with Delta it does the first and third.
You're again misrepresenting the situation. Taking the vaccine is a 2 x 30 minute process (maybe adding 3-4 sick days with mild fever and soreness, to be fair). Losing weight after being overweight/obese is something that you need to do every second of every day for the rest of your life.
Also, people who chose not to get vaccinated chose to expose others to their disease. People who chose not to lose weight hurt no one but themselves.
The amount of burden you put on someone when you make them take the vaccine is nothing like the amount of burden you put on someone when you make them lose weight. The risks for you if I don't get vaccinated is high, the risk for you if I remain overweight/obese is 0. So, one is an acceptable compulsion, the other is not. How is this so hard to understand?
You can also view it the other way around: there is no compulsion or punishment for those who don't get vaccinated. The government can and must mandate a quarantine for everyone. However, since some people are immune, they are exempted from this quarantine.
I think you're just doing everything you can to avoid acknowledging any similarities in the situations. The two situations are not exactly identical in every way of course. But getting bogged down in this minutiae with these construction of rules is missing the point, and such precise rules have never been a feature of covid policies.
Mandating overweight people lose weight would benefit their own health and it would take pressure of the healthcare system. Pretty straightforward analogy.
No, I am pointing out the 2 most relevant differences. You are doing your best to ignore those and look at the similarities.
The government, in practice, can only issue mandates and bans that are relatively easy to follow, and extremely urgent. That's why banning radioactive material is easy and has wide support, but banning alcohol or tobacco is not.
While the government is extremely corrupt and oligarchic, it's still not a dictatorship that can actually up and decide to ban dancing on some idiot's whim.
They aren't really relevant to the issue though. The matter at hand is that mandating overweight people lose weight would improve their health outcomes and take pressure of the medical system, improving helath outcomes for others as well. This is the justification for vaccine mandates and coercion.
I've never seen that weighing or justified anywhere. Do you have any sources on that?
Mandating overweight people lose weight is not more invasive than mandating people undergo unwanted medical procedures. Forced medical procedures are actually an incredibly serious and problematic issue with a long and dark history.
The problem I have is not any one particular procedure, it is the idea of coercion, and the bullying and excluding of people (disproportionately disadvantaged, non-white, etc too, I might add).
> I've never seen that weighing or justified anywhere. Do you have any sources on that?
You have to be kidding. The difficulty and invasiveness of different interventions for covid alone has been constantly under discussion.
> Mandating overweight people lose weight is not more invasive than mandating people undergo unwanted medical procedures. Forced medical procedures are actually an incredibly serious and problematic issue with a long and dark history.
You're being vague on purpose.
When you replace "unwanted medical procedure" with a much more specific "approved vaccine shot" that stops being true.
> The problem I have is not any one particular procedure, it is the idea of coercion, and the bullying and excluding of people (disproportionately disadvantaged, non-white, etc too, I might add).
You can't take a hard-line stance against coercion unless you're asking to abolish government. Any reasonable analysis takes the particular coercion into account.
> You have to be kidding. The difficulty and invasiveness of different interventions for covid alone has been constantly under discussion.
I'm not kidding. Who has weighed it? Where was it decided that coercion and forced medical procedures was the right balance? Because it wasn't long ago they were off the table. Where did this most recent re-weighing occur, can you give me a link.
> You're being vague on purpose.
No I'm not, that's what it is. You're minimizing the seriousness of it because "it's just a jab".
> When you replace "unwanted medical procedure" with a much more specific "approved vaccine shot" that stops being true.
What does "approved" have to do with anything. Medical experimentation, forced sterilizations, and things of that sort were all "approved" somewhere, and many were "just routine procedures". And it's not a slippery slope, these are things which all have happened within living memory, likely even with some of the same people still in positions of power in governments and institutions responsible.
> You can't take a hard-line stance against coercion unless you're asking to abolish government.
I certainly can and am.
> Any reasonable analysis takes the particular coercion into account.
And forced medical procedure of any kind whatsoever is a gravely serious issue to me.
How? Because I don't let implausible and unfounded claims go unchallenged?
I get the feeling that you wouldn't be quite so irritated with me (or at least less inclined to contribute nothing but namecalling) if you were capable of forming a coherent argument against what I wrote.
If you find yourself getting upset by something you disagree with, and are unable to explain why it is wrong, it might be helpful to have a more open mind. Or at least be more tolerant of different opinions. Just a suggestion. In any case I hope you feel better soon.
it's a logical fallacy to argue that because we don't do X already, we don't need to do Y because it's similar.
The reasons for not doing X (treating obesity as an epidemic and with the same harshness and forcefulness as covid) is that X is an existing, slow moving beast.
The covid situation is much more urgent. Making forceful vaccination would have immediate effects and begin a recovery of sorts.
> it's a logical fallacy to argue that because we don't do X already, we don't need to do Y because it's similar.
Sure, but it's reasonable to use to ask people who think we should do Y but not X to explain their justification and reasoning.
> The reasons for not doing X (treating obesity as an epidemic and with the same harshness and forcefulness as covid) is that X is an existing, slow moving beast.
> The covid situation is much more urgent. Making forceful vaccination would have immediate effects and begin a recovery of sorts.
I don't accept that as answering, I know they are not exactly 100% identical in every way, but there are enough similarities that I think it is reasonable to ask the question and I don't think I have seen any satisfactory answer other than this kind of thing which just points out where they are different.
Yes, there are some differences. No, just listing differences is not actually a reasoning for why they must be treated differently. I want to know why those differences matter, or at least what the criteria is.
It's much more urgent? How much? What are the numbers? Are you claiming the benefits to social health and the healthcare system from mandating overweight people to lose weight is less than covid, and what are your numbers? Under your criteria, after covid is under better control or endemic would we then move on to weight loss mandates? How about drug tobacco alcohol mandates? Ban extreme sports? Ban driving of cars made before 2011? Cut speed limits in half everywhere? Ban poor people from having babies?
What's the criteria and where does it end? These aren't extreme examples, you're looking to justify forced medical procedures here so I don't think it's even slightly unreasonable to ask for some pretty rigorous parameters and justification for this step. Not just handwaving about urgency (which is of course one of the staple justifications for all atrocities, e.g., Iraq).
> Under your criteria, after covid is under better control or endemic would we then move on to weight loss mandates? How about drug tobacco alcohol mandates? Ban extreme sports?
well, instead of relying on another fallacy (that of the slippery slope and whataboutism), why not judge an action by it's own merits?
I have no opinions on the obesity epidemic, but i'm sure that it's a good idea to try solve it. No one is arguing that they shouldn't, but for the costs involved.
At the moment, the pressing issue is covid. And the solution, which may seem "drastic" and "invasive", is deemed necessary by a majority of medical professionals - and indeed, looks to be fairly safe so far. A reasonable person would agree that taking the vaccine is both good for themselves personally, and good for the general health of society.
Mandating that vaccines be taken, or be excluded from certain public activities, is an incentive that can be used to push people over the fence, and i would agree that it's not an overreach of the state to implement such an incentive.
What merits? You haven't explained them. That's the whole problem.
The concern is just seeing a problem and thinking forced medical procedures are the right solution. Handwaving about urgency doens't cut it. If it can't be explained exactly why this is needed, why it can't be achieved without that coercion, what criteria need to be met, etc. then there has not been enough work done to justify it.
You say covid is urgent, so what if we find rates going down in future and therefore urgency reducing? Under what circumstances would forced vaccinations no longer be necessary?
I mean... I created a wearable device[0] that can detect when you're eating and deliver an electric shock. Why not just mandate every obese person to wear it?[1]
I'd seriously use something like that if it was stronger, tamper proof and would shock me whenever I'm browsing Reddit (and a blacklist of other garbage just in case).
Where did this "quick fix" clause ever come into it? It feels to me like it's something that you have retroactively made up to suit one particular argument but which has never been an important point before.
The point was always to save lives. I don't remember quick ever factoring into any calculations when people were forced to stay home, their workplaces shut, their education disrupted, their jobs lost, for indeterminate periods of weeks, months, years. Over this past two years we could have collectively lost many tons if only we had some mandates.
So I reject your assertion that quick is a material difference between these two scenarios, and my analogy stands.
But that has never actually been a thing in the public policy debate about it which is the wider context we're talking about. I think it was just made up now to exclude certain other inconvenient analogous situations like this.
How was that tradeoff decided, who decided it and where is the justification? And you can start losing weight in your own home, on day 1. That's faster than even a single shot of vaccine, let alone two shots with a delay, plus boosters etc. So that's not a very satisfactory answer as to why some mandates for the greater good are acceptable and yet others are not.
In this hypothetical scenario, the assumption is being made that the collection good is more important than individual liberty.
Another issue at play here in the US is that Americans are divided on where the line should be drawn between what can be allowed in the name of the collective good. I think it's quite obviously that the nation is very split on this. There isn't a constructive debate going on about the interplay between these two positions or a compromise.
One side (people mandating restrictions) are trying to brute force mandates without interacting, constructively discussing and persuading the other side.
By the way, sometimes I wish comments would not be deleted because I would have liked to reply to your reply to my reply, and ask what problem you have with what I said?
I hope it is obvious I don't actually feel this way toward overweight people -- it's hateful, discriminatory, divisive, bullying, and it goes against everything I believe about freedom people should have to live their lives.
And yet being overweight is a detriment to health. And it places additional burden on the healthcare system. So I think it is a good analogy to use, if there was an equally effective one that was less shocking, I would gladly use that instead.
See, I can see the "perfect" society where everything is done for "the greater good". Where the ruling class and their alleged experts hand down edicts by which we much live. Everything is mandated accordingly. Nobody may question the mandates or the rulers, lest they be bullied and branded grandma killers / fascists / baby killers / etc. And I can see how yes you might micro optimize this society by forcing people to take vaccines. And by forcing overweight people to lose weight. I don't deny that maybe some people could be "saved" if we had all these mandates. That is not the society I value or want to live in though.
And I think that's a very underhanded bullying argument to coerce people into giving up their freedom or having medical treatment they don't want, to suggest that they are responsible for killing others because of choices like this. Because there are hundreds of ways we could all change our choices and indirectly save people,it does not always mean we are responsible for them if we don't.
I mean, you take it to the limit and you might well say elderly have passed their used by date, no longer contribute to the greater good, and are increasingly a burden on the healthcare system, so let's turf them out. Every hospital bed they selfishly take up is stealing the life of a sick child who could not be admitted due to the shortage. Or that you are personally responsible for the death of anyone around the world who dies of hunger so long as you have not donated every last penny of your income beyond what you require to barely survive on in a tent.
My position is that actually the most dangerous thing facing our society and our children and their children is authoritarianism and the unaccountable and unchecked expansion of power of the ruling class over our lives. Unimaginably more dangerous than covid-19. And I think mine is quite a reasonable position to take.
So if someone can be bullied and told they are responsible for killing grandparents and responsible for continuing lockdowns for not wanting to take the vaccine then fine, and we can say with similar intellectual honesty that those bullies calling for mandates are responsible for the next Stalin.
EDIT: And one last thing, it's not "those hateful others", aka your fellow citizens, who are responsible for the breakdown of trust in authority and their "experts". It is entirely the fault of the ruling class. Their greed, lies, lust for power and willingness to divide has caused this. You really wonder why people might not have complete blind trust in the politicians, journalists and other self-proclaimed experts who told them we had to invade Vietnam, Iraq, Afghanistan, we had to destroy Syria and Libya, etc.? That it was for their best interest? Remember that? And then they stole their money and sent their sons and daughters away to die? And then they laughed all the way to the bank and did it again.
Do you believe people are responsible for spreading STDs? If you had sex with a partner that was suffering from an STD but they either didn't get tested themselves or did not inform you of their STD, would you consider them irresponsible?
If you would, then why not consider the same about the vaccine?
By any reasonable standard, just like you're not allowed to smoke indoors because it hurts others, you're not allowed to be indoors with a potentially lethal disease that can kill others. It's that simple. You can choose to not be indoors with others, or you can choose to take a vaccine to eliminate that risk. But it's not your right to choose to risk anyone else's life by being around them in a closed environment while potentially infected.
> Do you believe people are responsible for spreading STDs? If you had sex with a partner that was suffering from an STD but they either didn't get tested themselves or did not inform you of their STD, would you consider them irresponsible?
I'm a big believer in personal responsibility. Yes I think they would be responsible and even should be criminally liable in some circumstances (e.g., if they knew they had HIV). I would also bear responsibility for my own actions of course.
> If you would, then why not consider the same about the vaccine?
Consider the same what?
> By any reasonable standard, just like you're not allowed to smoke indoors because it hurts others, you're not allowed to be indoors with a potentially lethal disease that can kill others. It's that simple. You can choose to not be indoors with others, or you can choose to take a vaccine to eliminate that risk. But it's not your right to choose to risk anyone else's life by being around them in a closed environment while potentially infected.
First of all, we aren't talking about going somewhere if you are sick or not, we are talking about going somewhere without being vaccinated. And I don't think that's a reasonable standard. Before 2020, people weren't banned from society if they didn't have a flu vaccine for example. Nobody thought this was unreasonable despite the seasonal fl being potentially lethal disease that can kill others.
Some places, e.g., where certain vulnerable or compromised people were (nursing homes), would mandate vaccines presumably based on reasonable evidence.
Now covid may be worse than the regular flu, but I think the numbers involved matter and so I don't just blindly agree it's reasonable that people should be banned from their work or public places if they haven't had it. Fear mongering aside, I don't think the evidence is there.
Doing reasonable measures to avoid that. Driving can result at death, but we allow people to drive under some speed limit, with a lot of rules on how to do it. You're not supposed to break them, and if you do, then you're at least fined.
> And I think that's a very underhanded bullying argument to coerce people into giving up their freedom or having medical treatment they don't want, to suggest that they are responsible for killing others because of choices like this. Because there are hundreds of ways we could all change our choices and indirectly save people,it does not always mean we are responsible for them if we don't.
That is a frankly ridiculous and immoral attitude. If you refuse to make minor accomodations when presented with choices that can reduce the amount of risk you cause others, you ARE responsible.
If you choose to dive drunk, you are responsible. If you choose to lie about the the status of your STD testing, you are responsible. If you actively discourage people from taking a safe vaccine, you are responsible. If you choose to go un-masked and unvaccinated when there is significant local spread, you are responsible. I don't beleive the best response to this is vilification or shamming, but that doesn't change the moral truth here.
If you have "hundreds of ways" we can make minor changes to save the lives of others lives, please share them because that sounds likr really useful information.
I think communication is best done with honesty and politeness and without censorship. That does not mean we absolve people of the responsibility of theor choices
The descent into authoritarianism is also a significant risk, but vaccine mandates are NOT that start of a slippery slope. They have been around for many decades and they haven't resulted in any slipping. If anything, getting people riled up about vaccines is a way to justify censorship and distract from the ever growing power of the surveillance state.
> That is a frankly ridiculous and immoral attitude. If you refuse to make minor accomodations when presented with choices that can reduce the amount of risk you cause others, you ARE responsible.
I know that's what you believe, it's not what I believe. I believe it is ridiculous and immoral to coerce and force people into medical treatment for a relatively minor illness that others have freely available access to effective vaccines against. To be sure it is worse than the flu, but this is not smallpox, the bullies and fearmongers making comparisons like that were simply lying and spreading misinformation. And if it was similar to smallpox, I think it would be quite clear and people would be far more inclined to get vaccinated.
And I disagree with your idea of blame, as I said above the same argument can be made about overweight people and others. Maybe you are responsible for the death of starving children right now because you were browsing the internet instead of donating your time or money?
And it absolutely is authoritarianism because it is not about the virus or even the vaccine itself really. It is a totally politicized tool that authorities are using. That should have been clear when people were flip flopping between being skeptical of the "Trump" vaccine and calling border closures racist and refusing to acknowledge natural immunity and all that other nonsense. It's not the slippery slope because this is already authoritarianism. Telling people they can not go about their lives, they can't work or go to school, tracking and controlling where they go, who they meet, what business they do. It's already here.
If mandates were such a non-issue, why was it just a few months ago the experts and politicians were all lying and denying there would be mandates? Are they just pathological liars who will lie about trivial things that don't matter? Or did they know the seriousness of the issue and decide to lie and mislead until the opinion polls looked better for them? Neither option inspires a lot of trust in them.
Edit: my 10% number below is definitely wrong, even for CFR. I messed up some numbers.
> I know that's what you believe, it's not what I believe. I believe it is ridiculous and immoral to coerce and force people into medical treatment for a relatively minor illness that others have freely available access to effective vaccines against.
A minor illness??? This is the worse illness that has affected the world since the Spanish flu. It's worse than AIDS, malaria, it even beat tuberculosis in terms of raw people killed in 2020. Calling COVID19 a "minor illness" is simply delusional at this point.
And this death toll was only kept somewhat in check because of the biggest social disruption and curbing of liberties since WW2. If social isolation weren't forced, we would have seen situations like we did in Lombardia in the early days - not 1% death rates, but 10% or more because of overwhelmed hospitals.
Covid19 killed 1.89 million people worldwide by Jan 1st 2021, according to Our World in Data. HIV killed the most people per annum in ~2004, at 1.7 million worldwide, ~23 years after the first outbreak (1981).
If we can stop Covid19 with vaccinations, lockdwons, contact tracing, then hopefully it will not reach HIV levels of cumulative historical deaths. But otherwise, it would reach the same death toll as HIV did in 40 years in about 12 years like 2020.
And note, HIV was enough to completely change human sexual interactions maybe forever - at least for ~30 years.
I said relatively minor, comparison being to something like smallpox. And certainly compared with the unfounded fearmongering you've written here. There would absolutely not have been 10% death rates! Have unvaccinated hospitalization rates ever gone above even 1%?
Edit: my 10% is definitely wrong, even for CFR. I messed up some numbers.
> There would absolutely not have been 10% death rates.
But that's exactly what the death rates looked like in all regions that didn't impose lockdowns soon enough. The case of Lombardia is perfect - it's one of the richest regions on Earth, and while local hospitals were overwhelmed, it was surrounded by other rich regions that could accept patients. And even so, it had ~10% death rates in the early days of the pandemic, before lockdowns.
A lot of places around the world have had little or no lockdowns or vaccinations and have not seen anything like 10% fatality rate over the population. This is fear mongering.
Sure, because Covid has a vaccine that can actually be afforded by most of the population suffering from it. Malaria has been completely eliminated from all rich regions of the world, and it only festers in places that can't afford the vaccine.
> I know that's what you believe, it's not what I believe.
You honestly don't believe you are responsible for the knowable results of your own actions?
> a relatively minor illness
I don't see how you can honestly use this phrase to describe the worst pandemic since HIV.
> others have freely available access to effective vaccines against.
The vaccines both reduce spread and reduce the risknof serious illnessm. They do not eliminate that risk so choosing to remain unvaccinated bis choocing to increase the risk for both the vaccinated and the other unvaccinated people around you. This is risk that you ARE RESPONSIBLE for so you better make sure it is worth it.
As for the rest, please try reading what I actually wrote rather than making assumptions and arguing against partisan strawmen.
Where did I advocate for vaccine mandates?
Where did I advocate for continued lockdowns?
Where did I call border closures racist?
Where did I compare covid to smallpox?
Natural Immunity does seem superior to vacination alone, but having both is even better.
You seem to be projecting partisan talking points onto me to divert from the serious flaws in your moral philosophy and grasp of reality.
I don't see how you can conceivably believe that covid vacinations should be a choice but that the people making that choice are not responsible for the effects of that choice. Being responsible for the results is part of having choices.
>I don't see how you can honestly use this phrase to describe the worst pandemic since HIV.
I mean, according to CDC's data, it is a very minor illness. Affects very few seriously, and kills even fewer: CDC believes (they obviously don't know for sure) only about 5% of their "total COVID deaths (deaths with COVID), are actually attributed specifically to COVID. As of right now, that would put total deaths from COVID at around 33K, that's over 18 months that we've started tracking. Total deaths from car accidents, yearly, around 36K and rising quickly over the last two years.
I've had it twice, 18 months apart. Yes, it was not nearly as bad as the flu, and definitely not as bad as the antibiotic resistant strep I had picked up at a hospital.
I wasn't accusing you of those things, if that wasn't clear. And I used relatively minor in context (which you deleted). Hopefully that was clear, I'm not denying it may be on the order of 1% death rate among the unvaccinated which is not to be taken lightly.
And I know many people find it inconceivable that I have an anti authoritarian aversion to forced medical treatment, and that worries me for the future far more than covid. I'm not expecting to change any minds, but I'll put forward my position now and again.
I completely understand the other point of view, even if I believe a lot of people have arrived at it due to a campaign of fearmongering and politicization.
I see no part of the context makes that would make your statement accurate.
> And I know many people find it inconceivable that I have an anti authoritarian aversion to forced medical treatment,
That isn't what I find inconceivable. I entirely understand why people are opposed to this. What I find inconceivable is that you believe that people who choose not to get vaccinated don't bear a moral responsibility for the effects of that choice.
You seem fixed on thinking I am arguing something I am not.
> I see no part of the context makes that would make your statement accurate.
And yet you managed to cut it neatly away, what are the odds?
relatively minor illness that others have freely available access to effective vaccines against. To be sure it is worse than the flu, but this is not smallpox
> That isn't what I find inconceivable. I entirely understand why people are opposed to this. What I find inconceivable is that you believe that people who choose not to get vaccinated don't bear a moral responsibility for the effects of that choice.
I don't say they don't bear a moral responsibility for the effects of that choice. I said that choice does not make a person responsible for the death of another who might have died because they couldn't get a bed (for example). And accusing them of it is dishonest bullying.
Countles choices we make every day directly and indirectly affect the world around us including others.
Choosing to go to the beach and drive your car, increasing traffic on the road and contributing to the chance of someone else being in a wreck and dying does not make you responsible for that. You could quite easily have chosen not to go to the beach though. You had no compelling need to go. It was a selfish choice to go. And that's all fine.
> And yet you managed to cut it neatly away, what are the odds?
I cut away the rest of the sentence because it didn't provide any modifier or qualifier that change the meaning or strength of your highly inaccurate claim.
Take a look at how the sentence would read if you removed "relatively minor" from it? Your overall point would remain intact.
Point in fact, you haven't even tried to justify the "relatively minor" claim and instead complain about being taken out of context when that context is easily available to the reader.
> I said that choice does not make a person responsible for the death of another who might have died because they couldn't get a bed (for example)
If you choose to not get vaccinated and your area runs out of ICU beds to such a degree that people start dying due to lakc of care, then yes, you are partially responsible for their deaths.
> Choosing to go to the beach and drive your car, increasing traffic on the road and contributing to the chance of someone else being in a wreck
The choices you make affect your culpability. Were you tailgating, driving through residential streets, driving an unnecessarily large vehicle, did you let your elderly parent drive or were you texting while driving? Somehow your moral theory seems to end up excusing every possible contributory choice that increases the risks for others.
It is fine to make selfish choices, but you should make them with an attitude that minimizes the risks you place on others. If you don't want to get vaccinated, you should find ways to avoid indoor public spaces, maskless social gatherings and anything else you can do to manage those risks.
Personally, I find ways to minimize driving and when I do drive, I drive carefully and slowly. I think driving is an activity we tend to be unreasonably callous about the risks of. I think society at large should place more responsibility on drivers for the risks they create.
>If you choose to dive drunk, you are responsible. If you choose to lie about the the status of your STD testing, you are responsible. If you actively discourage people from taking a safe vaccine, you are responsible. If you choose to go un-masked and unvaccinated when there is significant local spread, you are responsible. I don't beleive the best response to this is vilification or shamming, but that doesn't change the moral truth here.
without trying to talk about vaccination and politics, a recent personal mandate, i'd like to bring something up.
there is a weird change in scope within your example.
You choose to drive drunk and are responsible. Sure, got it.
You personally lie about an STD and are responsible. Sure, got it.
You convince someone else to not take a vaccine and you are responsible.
Well.. wait a minute. Why does that responsibility fall one actor back?
Why isn't the actor who refuses the vaccine the guilty party?
If we can continue this line of thinking, when does it become OK to blame parents for the birth of murderers?
It occurs to me that liquor companies convince people to drink via advertisement, same as car companies woo potential customers over. And while not as legal as the under endeavors, the STD laden sexual partner certainly convinced their victims to continue.
Why not mention the role of the 'convincers' here, too?
In other words : I think 'moral truth' is kind of bullshit. More like "social truth".
> If you actively discourage people from taking a safe vaccine, you are responsible.
Just jumping in here to reply to this statement... if you're talking about someone expressing their opinion to others that they shouldn't get the vaccine, the person expressing that opinion isn't responsible if the other person decides not to get the vaccine; the other person is the one who is responsible for their own actions and decisions. It's on them to weigh that advice with whatever other advice they are hearing.
I do agree that people are responsible for consequences of driving drunk, or lying about the status of their STD testing.
Food prep takes time. Even if we abandon looking at it as as a strictly energy in energy out situation, we probably still recognize that healthier foods take more time than unhealthy foods.
>Even if we abandon looking at it as as a strictly energy in energy out situation
There is no reason to abandon looking at it that way. Eating healthier will not result in you losing weight if your caloric intake remains the same. Feel free to continue eating $1 burgers, just eat fewer of them.
Read an interesting piece here on HN that suggested weight had other, perhaps more important elements, and that consuming fewer calories while using fewer of them was the symptom of something else. Sort of rocked my world because I had always sort of accepted/repeated the argument from thermodynamics and it really upended that world view.
Nope. Doesn’t work that way. When you eat less, your body goes into starvation mode and burns fewer calories. And some bodies are extremely resistant to losing weight under any circumstances.
Try doing the German prisoner of war diet for a year, and accurately track on a daily basis how many calories you eat, and how much weight you lose.
Then you can come back and tell us your anecdote of how you personally respond to reduction of calories in your diet. And we can put that drop into the ocean of knowledge.
Starvation mode is only an issue when you're actually starving, like seriously undernourished for weeks. It's not a real thing for dieters who cut down by a few hundred calories per day.
The more I read about all the excuses obese throw out the more I realize they have so much in common with the anti vaxx do my research in on Facebook crowd.
The simple fact is they both put strain on hospital systems and with their ignorance are putting others in danger and risk of not getting the much needed hospital bed.
What in the world is that website? Why in the world would I read a website with zero credentials trying to push new ideas in science? There's not a single person or credentialed organization associated with the blog.
> You could argue that overweight folks are also paying disproportionately more simply by buying more food than someone who weighs 20% less.
You have a real incorrect view of obesity. Being obese does not mean excessive eating. There’s a whole slew of digestive and hormone issues that someone can have and be obese while eating less than 2000 calories a day.
> All that aside though- forcing fat people to get skinny isn't a valid comparison to forcing people to take a vaccine. One takes a couple minutes and the other is something requiring an hour or more of dedicated time per day for potentially years
The issue with being overweight is not so much the extra weight itself, but the fact that it is correlated with metabolic dysfunction. "TOFI" (thin-outside fat-inside) are just as unhealthy.
Metabolic dysfunction can be resolved in a matter of days to weeks by abstaining from high glycemic index foods and in general fixing modern-day malnutrition. This is with a more aggressive regimen often described as a "ketogenic" diet, although the term is abused by people who don't understand that ketosis is more of a side-effect of a species-appropriate diet that allows for healthy fat burning, and not simply hitting macros.
Again I stress that if public health officials had a clue the pandemic would have never happened, it was evident early on that this disease disproportionately affects the malnourished, people with poor blood glucose control, sedentary, and immune compromised. These all go together, although oftentimes the immune dysfunction is deliberately induced by pharmaceutical treatments to mitigate autoimmune disease.
Yes it is, it just spreads memetically rather than a virally.
"the researchers found that obesity spreads through social ties. When an individual gains weight, it dramatically increases the chances that their friends, siblings, and spouses will likewise gain weight. The closer two people are in a social network, the stronger the effect."
Children in families with obese parents are more likely to be obese, which ought to be obvious because they live on the same diets and same behavioural patterns. Overweight friends tend to have other overweight friends, and are naturally more tolerant of it. Pay close attention to social circles and try to figure out what the tolerance towards obesity is within groups of say, thin girls compared overweight ones and how that modulates their behavior.
This is not limited to obesity of course, drug use, smoking in particular behaviour that is addictive essentially spreads through social circles like a disease. Try to model the opioid epidemic (the word is chosen for a reason) like one and you would surely find the exact same patterns. These are not geographically or demographically random processes, they're transmitted within communities.
I'm not sure how the rate of spread makes it a bad comparison. the dynamics of contagion are what matters because it determines what interventions make sense.
you can use this pandemic frame to say, eliminate a drug 'super-spreader' cluster and it will have positive effects on a community at large. Likewise, changing the behavior of parents in regards to their diet will have real downstream effects on the health of the entire family.
No it doesn't. Israel and Singapore both have over 80% eligible vaxed, and the proportion of infectees who are vaxed is similar to the proportion of vaxed in the general population, suggesting vaxed are no less likely to get it. Moreover infection rates are greater after mass vaccination than before.
Actually no, we don’t even need a shot to lose weight you just eat less.
Also the government is actively promoting obesity by subsidizing cheap unhealthy food via agriculture subsidies like hfcs and soybeans.
So while there are some who have actually spoken out against obesity like Michelle Obama, most are silent as the issue is kinda politically inconvenient for both parties on a macro scale.
It’s disgusting and why I don’t support either major political party in this country.
Aside from DUI risk and passive smoking, most of these risks are specific to the person. I can't catch obesity from being in the same room as a obese person, and while public health costs go up from drinkers/smokers/heavy people, I haven't heard of ambulances being gridlocked outside a hospital due to a spike of lifestyle diseases.
This pandemic would be a blip if everyone was in shape.
>CFR (case fatality ratio) in the large cohort in China was elevated for patients with comorbidities, with 10.5% of those with underlying cardiovascular disease, 7.3% of those with diabetes, 6.3% of those with chronic respiratory disease, and 5.6% of those with cancer dying of COVID-related illness. [1]
That looks like a clean 17% reduction for cardiovascular disease and diabetes. So yes, hospitals are getting gridlocked during this pandemic because of lifestyle diseases.
>The NCHS statement broke down the death certificates mentioning COVID-19. For 94% of people who had COVID-19 also had other conditions listed. COVID-19 alone was cause of death for 6%.
>Dr. Maja Artandi ( here ), medical director of the Stanford CROWN Clinic for COVID-19 patients ( here ), told Reuters via email that the CDC’s numbers “are really not a big surprise,” as “patients who have a comorbidity such as diabetes, hypertension or obesity have a higher risk of getting seriously ill and dying from COVID-19.” [2]
Without COVID they would still be alive, but no doubt lifestyle disease has been a serious contributing factor to deaths during this pandemic.
Not to scare this mostly young group of people, but one thing you’ll find is that as you get older, there is no beating these co-morbidities over the long haul. You list them because you figure if people just took care of themselves it would all work out. That’s not how old age works except for a very limited, lucky bunch. The rest of us should think of life more like a game of Dungeons and Dragons: you start with a base set of stats that help you make saving throws against disease and such. Every year, your stats get worse, and they take away your advantage. No matter how much exercise you do, or how well you are off, you will lose on those dice. More importantly, you will lose a lot. The first couple times won’t kill you. But eventually, it catches up with you, and that’s that. Covid is a difficult saving throw without assistance from medicine.
> Every year, your stats get worse, and they take away your advantage. No matter how much exercise you do, or how well you are off, you will lose on those dice.
Plenty of people get into much better shape in their 30s and 40s than they were as teens or twenties because they take it more seriously. There is obviously a yearly cost, but it's highly, highly variable how much that decline has to be, especially when you are younger. Sleep better, exercise more, eat mostly vegetables and your decline rate will stay close to 0 most years and may improve in some years. You will catch fewer diseases and be sick for less time when you do catch one.
Father time always wins, but you can play defense and make it a competitive match.
> >with 10.5% of those with underlying cardiovascular disease, 7.3% of those with diabetes, 6.3% of those with chronic respiratory disease, and 5.6% of those with cancer dying of COVID-related illness. [1]
>That looks like a clean 17% reduction for cardiovascular disease and diabetes.
Sorry for not writing a complete reply but you can't add those numbers like that.
But doesn't a population's overall poor health contribute to the potential gridlock of the healthcare system? I mean, what is the percentage of non-accident emergencies in the system and has it increased with the overall decline in society's fitness? (assuming it has declined I suppose, I don't have any numbers as I am not in that field)
It probably adds some load, but it's a predictable amount spread out across decades, not a giant clump right now. It will consume more healthcare resources, but it's not going to overload the healthcare system and prevent other people from using it.
> Aside from DUI risk and passive smoking, most of these risks are specific to the person. I can't catch obesity from being in the same room as...
That's not entirely accurate. Human behavior is effectively viral (per any of the Jonah Berger books among others). What we see becomes the norm, a behavioral norm.
Smoking has decreased because it has become "less fashionable." And so on. So while you might not catch obesity in the strict virus sense, if you're exposed enough, that exposure can and often does influence your behavior.
Even though a large percentage of us adults are obese I don't consider it normalized since it'd a target of ridicule, there's a massive industry around losing weight, and I'm assuming if you ask most fat people if they want to be thin they would say yes.
For fitness I do want to be fair and point out general health and muscle building are parts of that health industry
What you're missing is...how did they get there? It wasn't overnight.
When you can be 20 to 30 lbs overweight...look around the room...and think "oh, I've nothing to worry about, I'm not as bad as most ppl here..." that has influence. When everyone sitting around your dinner table (i.e., family) is unhealthy...that has influence.
Yes, consciously they'd answer as you said. Of course. However, we're wired different subconsciously, and those signals and nudges are far more influential than most ppl realize.
And again I'll default to Jonah Berger. He's the scientist. I'm only the messenger.
Generally medical gridlock hasn’t been a problem, but this is a unique case in that ICU beds are filling up in some regions leading to _entirely preventable_ illness and death that is unrelated to covid.
Once that stops happening, I will care significantly less. But if I have the risk of not having an ICU bed if I get into a car crash because people aren’t getting vaccinated, that’s an unacceptable social outcome to me.
My personal take is that insurance should progressively cover less of covid treatment of unvaccinated (by choice- minors and immunocompromised being excluded from this policy) patients until it is having a minimal impact on our healthcare system. If people don’t want to get the vax, that’s fine, but I’m not pooling for your medical bills.
Sure, it could be played into a “forever war” by reducing hospital/ICU capacity, but I don’t really see a benefit to doing that.
One of the issues with that argument is: If Biden's workplace vaccine mandate goes through, many of the remaining people who decide not to get vaccinated simply won't have insurance, given they'll also be out of a job.
Instead of paying more into the system, they'll be paying less. They'll still end up in the hospital. Defaulting on the hospital bill doesn't seem unlikely for many in this situation.
This is the biggest reason why this move by Biden is an idiotic gambit, relying on the hope that most of the holdouts are simply on the fence and need a manipulative push. He may be right, but the cost of being wrong could quite literally be large swaths of the US Healthcare System.
What's more, we're seeing concerning numbers of healthcare workers leave the industry. ICUs are not, generally, overfilled because they're out of physical beds; they're overfilled because they're out of people. No one in power is talking about this. Hospitals lose nurses making $70k, then turn around and pay $8000/week for travel nurses. Those nurses that left? You guessed it: many are trying out travel nursing. The rest are burnt-out.
The crisis really is not in the unvaccinated; its in our healthcare system, and it was growing long before the pandemic. A fractionally small part of me actually believes what some in the really, really fringe-right are saying right now: the administration wants the healthcare system to fail, because its another crisis which can be pivoted into single-payer or even nationalized healthcare. Well, its their fear, but its conversely my hope, because at least that would mean the people in charge have a medium term strategy for what seems to be inevitable at this point.
A very large component of the "anti-vaxxer" crowd are medical staff who are now quitting in large numbers thanks to the mandate. Your beds are now going to be lowered.
This is an important point. While the media love to paint all "anti-vaxxers" are rural republicans or Trump supports, this simply isn't true. There are many racial minority groups (African Americans in particular) who are vaccine hesitant. There are healthcare workers in both rural and big cities of both political parties who are hesitant on the vaccines.
Also the phrase "anti-vaxxers" is an intentional conflagration of two separate groups: the original pre-covid19 anti-vaxxers and anti-COVID19-vaxxers.
>what is the tolerance to social costs that society is willing to bear? Also why would one segment of society have to do something that it doesn't want e.g. not bear risk if they want to?
Vaccines are already required to attend schools, daycare, college, to immigrate to the US, for many existing federal jobs, to join the military, most jobs in the medical field. These requirements have existed for 20+ years, society has tolerated these costs and benefited greatly.
I could see OSHA having a vaccine mandate that covers TDAP, MMR, polio and Hep B similar to the proposed covid mandate for large employers. But all of these are required to attend school and in other situations, so it isn't needed.
>What about drinking and smoking?
Drunk driving is a crime. Society doesn't tolerate it. We generally limit second hand smoke, banning smoking in restaurants and many other indoor buildings. Requiring vaccination to prevent the spread of infectious disease is analogous.
> Requiring vaccination to prevent the spread of infectious disease is analogous.
No, it isn't. Requiring someone to submit to a medical procedure that injects something into their body is very different from restricting the circumstances in which they can do things like smoke or drink.
Also, past vaccination campaigns (such as smallpox, polio, measles) have all been based on the expectation that mass vaccination would eradicate the disease (and that expectation has been realized with several of those diseases). There is no such expectation with the COVID vaccines we currently have; they are not going to eradicate COVID.
In someplace like Texas drunk driving is only a crime in limited circumstances, like driving in public. You could go to somewhere private, like an employer's private gated parking lot that is accessible to 100 employees but not the public, and you could not get a DUI. By the same token that it would be tyrannical for drunk driving to be a crime on private area of private property, it is quite tyrannical to enforce covid vaccines on facilities with 100 employees voluntarily engaging in employment on private property.
Sure, you should be able to take the risk (if an adult and mentally competent, and maybe also fully informed). It's a free country (or so they claim).
But when your choices rack up huge medical bills that the rest of us have to pay, then your freedom to do what you want collides with our freedom to not have to pay for it. If you're free to spend my money, then I'm less free.
But that isn't absolute, either. We let people drive, and emit carbon dioxide, and play loud music, all of which impose negative externalities on others. We even let people be obese and smoke, which impose financial costs on the rest of us. (And yet, there's been a massive anti-smoking campaign over the last 10 or so years...)
Societal costs is a slippery slope, or something like it. As a society, we're trying to find a place to stand on it that isn't "no healthcare for you because you make stupid choices", and also isn't "here's the public's checkbook for you to make full use of to try to undo the consequences of your bad choices". There are no simple answers. (And it's not just Covid.)
There are societal costs for obesity as well, but they aren’t socialized early enough in the USA, and their increased cost burden on Medicare is paired with a decrease cost burden on social security.
Not that it’s an excuse (we should mandate vaccines and also deal with obesity on a societal level, both are good, one is more urgent than the other).
You are assuming that getting vaccinated is a burden, and then comparing it to challenges that many people take years, or longer, to overcome. That makes absolutely no sense.
Getting vaccinated takes just a few minutes, and has no long term consequences for virtually everyone, and does not require ongoing effort of any kind.
In no way is getting vaccinated comparable to struggling with obesity, quitting cigarettes, or alcoholism. Sorry, but your comparisons are, frankly, bizarre.
> teenagers are more likely to be hospitalised for a side effect of the vax than they are to be hospitalised for covid
You're omitting a very important fact. The risk of hospitaliztion listed in the article is not based on the percentage of teenagers who had COVID; it is based on the percentage who might get COVID over the next 120 days. That's a very different number.
If things continue as they are, then almost everyone will either get COVID or get vaccinated (or both). It only makes sense to compare the risks based on actually getting COVID, vs. getting vaccinated.
I‘m not anti-vax, got vaccinated twice but I also have a health condition that was made worse by the second round and it took me 3 months to get back where I was. At times I was thinking checking myself into hospital to get support dealing with the fallout. Talking to a specialist who sees lots of people like me (with not so standard immune systems) she confirmed that my experience was not uncommon at all.
Here in Germany we have digitally signed vax certificates & photo ids but still count a PCR positive proven infection confirmed by a doctor as equivalent.
I struggle to understand any concerns in the US - considering the general state of IDs and certificates - about treating one infection like one shot. It makes no medical and no proof sense. And however good and generally safe a shot is it is still a medical procedure and medical ethics apply.
The argument that one shot is enough sends the wrong message should be dwarfed by concerns what message is sent by ignoring globally recognized insights and medical ethics.
We could choose to not sell pure sugar as food in grocery stores, cigarettes, alcohol, or firearms for that matter in the first place...
Funny enough, during the initial/strictest lockdowns in Ontario Canada, the liquor stores were one of the only stores allowed to be open to the public.
They haven’t studied these genetic therapies long term to know if what you assert is the case. We already know there are health issues associated now with the mrna shots.
We could see a rash of issues show up in the next couple of years.
“We already know there are health issues associated now with the mrna shots.” What issues? This is the first I’m hearing of this. Details and sources please.
Of course not in all cases can we prove that the health issues are 100% the shot, but it looks extremely likely the shot causes health issues in rare cases [1]:
-Anaphalaxysis in 2-5 per million peoples
-Thrombosis (2 reported cases from J&J)
-Myocarditis / Pericarditis : 854 confirmed
The benefits appear to far exceed the risk at the population level. But that's not much consolation at the individual level if you are someone predisposed to anaphylaxis or thrombosis, which are potentially life threatening, in which case at the individual level the vaccine may look to not be worth the risks. Better screening tools could help identify individuals with these risks.
I'm also not sure there are any mRNA vaccines for which we have to compare in humans that have been out few years and FDA approved. It is my understanding the COVID vaccine was the first widely distributed mRNA vaccine in humans. I have no reason to believe they are dangerous, but they are lacking any long term studies in humans on any large scale.
We are also lacking evidence for what happens after booster shots are given repeatedly. (Or even in the cohort that has been infected and double vaccinated.) We are participating in an open trial to find out. It's only rational to consider that there may be yet-unobserved risks.
Wasn’t that the whole point of Michelle Obama’s healthy school lunch drive? And the conservatives who are largely against mandated vaccines today also declared that initiative as government going too far. People living in conservative states are also far more obese than liberal ones (California vs Texas, for example). Conservatives, at least, are being consistent.
The social costs of forgoing the vaccine are unique in that they arrive all at once. Smoking, drinking, obesity, etc. increase lifetime healthcare costs, but realize those costs over a long period of time. Hospitals are sized appropriately, more can be built if projections indicate more need, doctors can be trained, etc.
A policy that accepts infection-recovery as equivalent to vaccination unconditionally and removes most/all other restrictions could result in lots of those social costs over a very short period of time, much shorter than the timescale on which resources can adjust. So much so that resources become exhausted, and the costs compound from merely high to truly awful. Personal choice resulting in an impaired standard of care for unrelated people in need for unrelated reasons should probably be discouraged or proscribed.
Once the risk of resource exhaustion is eliminated, a policy that's less than a full-court press for vaccination might be reasonable. But that risk is primarily determined by the size of the covid-naive population, which can only be reduced by vaccination or infection...
> To reply as the devils advocate to this comment, what is the tolerance to social costs that society is willing to bear? Also why would one segment of society have to do something that it doesn't want e.g. not bear risk if they want to?
It has been debated to death and one of the thing we can't negotiate with is time so at some points some actions have to been taken, some things conceded. We can keep on debating the benefits of smoking and individual freedom but we as a society (our institutions) have decided that smoking or not wearing shoes inside restaurants is not allowed.
At some points our society decided that it wants everyone (let's put aside the special immunodeficient, babies, etc. cases) to be vaccinated.
Now why should I be obliged to risk my health by going to restaurants, social events or work where I am taking the risk to get covid because other people are fine with the risk (or are not fine but refuse to get the vaccines on the ground that it's not a health matter but a compliance to law matter for them. I know one) ? It's like smoking, don't blow it in my direction. Vaccines/pass/etc. are a necessity for the vast majority to enjoy life as it was, to get some freedom back.
People willing to participate in society without following the rules that society put in place to participate safely should not be allowed to join in without restrictions. It's my opinion, not a logical conclusion to any reasoning about our laws and how we behave as as specie/culture.
It's fine if they don't get the vaccines but it's not fine to put others at risk.
We can debate the fairness aspect of this decision or the framework in which freedom and liberties are defined and understood but at some points reality force us to take a stance.
There'll never be a perfect solution that reconcile everyone's visions of freedom.
With all that being said I strongly believe that keeping on debating publicly these aspects of the situation 24/7 is harming our recovery or transition to a better situation. These `debates` are just maintaining the illusion that options are still on the table, that we have the luxury to debate them, that somehow the longer we beat the same old dead horse maybe covid problems will magically disappear, that debating and coming to the same set of possible conclusions is somehow useful.
From risk management perspective obesity and pandemics have completely different risk characteristics. Pandemics are contagious and deaths can grow exponentially, leading to catastrophic outcomes. Obesity is constraint to individuals.
On the other hand. A vaccine that is not as rigorously tested as normal and is used on 80% of the population can also lead to catastrophic results. No one really knows the long term effects for sure. So I understand the paranoia on two sides.
You actually want to use as many different vaccines as possible so no single vaccine can exterminate your population. That’s why I belief natural immunity should be counted as a valid ‘vaccine’, if the science shows it offers similar protection.
When I drink or smoke or I’m overweight, that doesn’t affect the health of my neighbor. It also doesn’t overcrowd hospitals causing innocent people to die because they can’t find treatment[1].
There also isn’t a vaccine for being overweight.
(We should probably mandate seasonal flu vaccines too.)
It does because you place disproportionate strain on the healthcare system, which limits its accessibility to others.
There also is a 100% successful method for losing weight, it's just that people can't or choose not to follow it, but we could mandate it and force them to. For their own good and the good of the healthcare system.
(We probably should not mandate that or any other drug or medical treatment)
Do you really believe that mandating people do a difficult, time consuming task for years is reasonably equivalent to mandating them to get two shots, which take about 5 minutes each?
If no, then whatever the merits of your conclusion it certainly doesn't follow from the comparison made.
No, it takes no time to eat less (it takes less time in fact), or stand on a scale once a week. In the weeks between the two shots (are we ruling out boosters?), a person could easily have lost several pounds and didn't even have to step out of the house into the risky possibly covid-filled environment -- already a significant improvement and reduction on the stress of the healthcare system. So losing weight is actually much easier, less time consuming task than to get vaccinated.
If it’s as easy as you say to lose weight (and it must be very easy if, as you say, it’s easier than receiving a vaccine that a majority of US adults have received). Then tell me, why are so many people still obese?
I didn't say it was psychologically any easier than it is psychologically easy for someone who does not want to get a vaccine to be forced to take one.
But the mechanism is perfectly simple and easy, easier than going out to get vaccines.
So just mandate and force them not to eat as much, and ban them from civil society if they fail their weigh ins.
> I didn't say it was psychologically any easier than it is psychologically easy for someone who does not want to get a vaccine to be forced to take one.
You just blanket said it was 'easier'. You pick one definition when it suits you - it's textbook bad faith argumentation.
It was a response to the insinuation that the vaccine is blanket easier.
Mechanically, losing weight is strictly easier. Psychologically you really can't say one way or the other and thinking you know people's mindset to say one is easier than the other is bad faith argumentation.
So, whether or not one is easy. That's what it all hinges on? Very flimsy.
So it hinges on how different the psychological difficulties of accepting vaccination vs. "just eating less for years" are. Given how many vaccinations people already accept vs. other diseases, and the fact that any such irrational fears need to be surmounted just twice, as opposed to resisting (irrational) urges to eat every waking hour for years, it strikes me as being unlikely that even a serious fear of needles is even remotely as high a hurdle.
The thing is: people that are overweight but try to lose weight will nevertheless struggle. But certainly from how they talk people resisting vaccination are not trying to overcome their own limitations; i.e. the problems are not really comparable.
While there's a hypothetical world imaginable where the two would be equally difficult, it seems hell of a lot more plausible that the issue isn't a psychological hangup, it's conscious intent.
But if this is about people choosing to impose costs on others, then it's totally reasonable to force the issue or otherwise ensure that those making those choices bear the burden of the consequences - rather than innocent bystanders.
Insofar as people have real hangups, rather than making poor (but conscious) choices - sure, it sounds reasonable to help them - and that actually happens! People with fears of needles and the like can get extra help to get through the difficult (for them) ordeal, and perfectly fair.
Yes, this is entirely about people choosing to impinge on others, and I don't see how it's been established that a weight loss mandate is fundamentally different than a vaccine mandate, except in the handwaving around details that really don't seem to be central to the issue. And I think people are taking the idea of forced medical treatments far too lightly.
Any argumentation amounts to handwaving if you squint just right.
The argument brought forth by various people is clear: it's more difficult because it involves effort much more consistently, for a much longer period of time. You don't have to appreciate the argument; of course.
As to objecting to forced medical treatments: while that discussion is relevant to the appropriateness of an (almost) mandated vaccination campaign; it's not related to how difficult it is to diet vs. be vaccinated. The fact that you bring it up makes it look like you've made up your mind on vaccine mandates and aren't considering various arguments on their merits to support a conclusion on mandates but rather the reverse: that you're picking and choosing arguments based on whether or not they support your pre-conceived notion.
Now, that doesn't really bother me, but it does make me curious: why do you oppose vaccine mandates? And why this mandate but not others we've had for decades?
I oppose forced medical procedures as a default position because it represents the ultimate violation of a person by the state, and has had a long and dark history of abuse and atrocities.
No it doesn’t. People have been smoking, drinking and being fat for decades now and we haven’t had a crisis or a lack of beds for the rest of the public.
That's ridiculous. Hospitals fill up on a regular basis, now and before Covid. They like to keep as close to capacity as they can - $$. If we have more need for beds, we build more beds. We don't take away personal freedom.
It’s a fact that before Covid we didn’t have a crisis for lack of beds (where I live) and after Covid we do. What hospitals like to do is irrelevant, I’m talking about reality
Where I live (Portugal) there is an ICU/beds crisis every single year due to respiratory diseases such as flu, pneumonia, etc. It even makes the news with patients in lying in corridors and such. This year it wasn't different at all.
If you care about healthcare costs, think about all those antivaxx idiots who end up on oxygen and ventilator before finally kicking the bucket. Way more money than obesity!
It is a slippery slope fallacy. You only have to look back through the history of vaccines and see. We have had vaccine mandates before and guess what? No dictatorship installed. It's easy to point at democracies all over the world. Mandated vaccinations never led to "okay now do this ______ to improve your health or else" . Also no one says bring in the police, just make it so that if you want a job then get the vax or bring in a reason from your doctor that says you can't take it because of some medical condition. Simple.
> Should we tell people to get their BMI under 25 too?
Overweight people can't transmit their overweightness to me through a virus or bacterium that they breathe into the air.
If they could, then yeah, we'd probably have some kind of legal mandate on it. Just like we have a bunch of restrictions on smoking now, because indeed, that's something that you push into the air.
The general rule is that your rights stop where others begin. Most issues of health are purely personal, but infectious diseases are not. Because they're infectious.
That's true, and certainly I'm in favor of national policies to encourage people to be healthy and fit.
That said, getting vaccinated is about a thousand times easier than staying in shape. It's free and quick to get over with, whereas fitness requires sustained effort indefinitely. It's reasonable to treat people's choice to refuse something easy different from people either refusing or struggling with something difficult.
The other important distinction is that we're not gonna suddenly have a shock of people coming down with obesity and flash flooding the hospitals. The country getting bigger is not a good thing, but as a gradual thing it can be managed much more easily.
I don't think it's whether the beds are filled up, I sure many injuries are carelessness, it's how easy is it to avoid it.
Losing weight is insanely hard getting a shot or two is easy. In fact if you had some kid who was speeding, got into a crash, and is now taking up a bed I'd argue that self control for young adults in related to reckless behavior is much more difficult to stop than not getting a vaccine.
Overweight people already have their costs internalized: that's what your insurance rates are.
This is also actually tremendously fair, because if you're fat but don't suffer any lifestyle illnesses, then your insurance rates are low - you are actually able to support your mass. But once those conditions start ticking up, so do your insurance rates.
The US basically leads the way on addressing the social externalities of obesity as they relate to the healthcare system.
it's not clear that people who smoke, eat, and/or overeat actually consume more healthcare over a lifetime. most people incur the majority of their healthcare expenses as they slowly die over the last several years of their life. the last few years just come sooner for unhealthy people.
Obesity tends to kill people before they get old enough to incur real costs in medical care. It's like cigarette smoking, it actually saves the healthcare system money and resources because smoking tends to kill people before they get very old.
Also, I can't catch obesity by simply sharing the same room with someone who is obese like I can with COVID.
And your chance of catching COVID from an unvaccinated person is, apparently (no real studies to prove or disprove yet that I know of) not very different from a vaccinated person.
Should we tell people to get their BMI under 25 too? Overweight and obesity are going to cost much more in increased healthcare costs than COVID will in the coming decades (pls prove me wrong..).
No matter how obese someone is, I'm not going to catch their obesity by breathing the same air as them.
Your drinking is regulated. When you step into a car drunk, you are putting others at risk and it stops being your problem and starts being society's problem.
The same is true here. You are stepping into society on a state of health that presents risks to everyone around you.
> Should we tell people to get their BMI under 25 too? Overweight and obesity are going to cost much more in increased healthcare costs than COVID will in the coming decades (pls prove me wrong..).
You are the one making this claim. Back it up with some evidence.
From the CDC's Morbidity and Mortality Weekly Report[1], March 12, 2021 (though I don't know if the CDC counts as a politically slanted source for you or not):
> Obesity increases the risk for severe COVID-19–associated illness.
> What is added by this report?
> Among 148,494 U.S. adults with COVID-19, a nonlinear relationship was found between body mass index (BMI) and COVID-19 severity, with lowest risks at BMIs near the threshold between healthy weight and overweight in most instances, then increasing with higher BMI. Overweight and obesity were risk factors for invasive mechanical ventilation. Obesity was a risk factor for hospitalization and death, particularly among adults aged <65 years.
That's just from the summary, there are many more details based on publicly available data and I'd suggest you read the full report. It's not the only one out there on this subject, not by a long chalk.
---
In the U.S. Almost 3 in 4 U.S. adults is overweight or obese. Nearly half of people have prediabetes or diabetes.
---
So basically, it's easy to say that COVID would be prevented IF those people didn't have those conditions... but those people are there, they are actually majority of your adult population. So we have to deal with that.
From the foreword to the World Obesity report, COVID-19 and Obesity: The 2021 Atlas [1]:
> As we show in this report, increased bodyweight is the second greatest predictor of hospitalisation and a high risk of death for people suffering from COVID-19. Only old age rates as a higher risk factor.
> Reducing one major risk factor, overweight, would have resulted in far less stress on health services and reduced the need to protect those services from being overwhelmed.
> We show that in those countries where overweight affects only a minority of the adult population, the rates of death from COVID-19 are typically less than one tenth the levels found in countries where overweight affects the majority of adults.
> We also show that the drivers of overweight – especially high levels of consumption of processed foods – are associated with mortality from COVID-19.
The report itself goes into much greater detail, is very readable and interesting, and I highly recommend it.
Well if you look at smoking, we did quite similar things. We let people smoke, it's not forbidden, but don't try to smoke within a restaurant, an indoor space, a flight, etc. Why? Because that's where your secondary smoke can start impacting other people. But smoke at home as much as you want!
The argument is that we're not saving those other lives because we don't think we, as a society, have the right to make those people's choices for them. If your argument is that we do and we'll get to the overweight after we get to the antivaxxers just say it.
What country do you live in? Can you criticize the leader without going to jail? Do union representatives get murdered? Are police there to help you or to extort you?
I live in an actually authoritarian country. Only the most privileged people here don't get vaccinated, and among them it's a very small group, and mostly foreigners. No one is forced to, and no one is being forced to do anything else with their body.
I find this jump to tyranny argument disgusting. How on Earth would that work? In a country where one man can order the military to kill its own citizens there is no logical connection between vaccinations and smoking or obesity.
Americans (and a lot of other nationalities in the West, but mostly Americans) need to gain some perspective on the difference between tyranny and responsibility. I got vaccinated (with a Chinese vaccine, the horror!) because I consider it my duty to my family, my adopted country, and the world.
And guess what? Vaccination has been stupendously effective and our country is almost back to normal. And still the government is not locking up smokers or fat people.
>Americans (and a lot of other nationalities in the West, but mostly Americans) need to gain some perspective on the difference between tyranny and responsibility.
You're right, we do. I for one am happy to take an experimental RNA therapy in hopes a new and better cure can be developed from the results. But it has to be my choice. If the government has the right to shoot me with a novel serum for the sake of public health, what's to stop them from forcing me to expose myself to the virus itself in the next pandemic? Or shooting me with something more permanent if they decide my thought harbours the next dangerous viral pandemic?
You've my sympathies for the state of your country, but I honestly believe if more of your fellow citizens had drawn a bright line around abstract concepts like bodily autonomy, the authoritarians who took it over would have, at the very least, had a much harder time when they were starting out. That's its own kind of responsibility for those of us who don't live in a genuinely authoritarian country yet
I live in the US. Here the police do extort, union representatives have been murdered, and Ben Franklin's own grandson was jailed for criticizing our president adams. However we are certainly pretty low on the authoritarian spectrum, compared to many other countries.
Our own military has done quite horrible things to US citizens, including killing and jailing them in foreign detention centers.
Having spent time in "authoritarian countries", I can tell you even in those countries the common man can often criticize leaders in private, and as I foreigner I have had them confide in me about problems in their country. So it isn't some defense to say that because the common man can complain, it isn't authoritarian.
>And guess what? Vaccination has been stupendously effective and our country is almost back to normal. And still the government is not locking up smokers or fat people.
Despite the dooms-dayers on the internet and media, virtually the same has happened in the US. Nowadays almost all the deaths are the unvaccinated, which for the vast vast majority of them that was their own voluntary decision.
Do strikebreakers get murdered in your country? Because they did, regularly, in the West, and the rhetorical victory of the mafia/socialist-infused labor union movement was so complete, that the murdered were dehumanized as "scabs", and those who protected them, villainized as "union busters".
In the US, you cannot be anti-union and not be under threat of violence, whether it's Larry Elder's staff being assaulted (with hardly any media outcry):
People here love decrying "tyranny" in America and I will either laugh or cry when they their principles come up against the slightest of inconveniences. "Oh I can't go to the closest movie theater unless I get vaccinated and I have to go to the one in another town? Fine I guess I'll get tread on just this one time".
Unfortunately I can't delete my account so I'm just going to change my password without looking.
The government forcibly causing you to be fired from your job because you do not want your body forcefully penetrated against your will, is far from an inconvenience -- it's being shoved into poverty. There are individuals who could die of anaphylaxis or thrombosis from the vaccine if they are predisposed, and issuing mandates that fail to adequately screen for these predispositions is tyrannical.
It would be tyrannical even if the vaccine posed virtually zero health risks, and massively reduced the danger posed by the coronavirus (both of which are true).
Freedom of Association is not some fucking luxury that only spoiled AmeriDumb brats feel entitled to. It's a basic human right, and no government, anywhere, should ever violate the people's to it, as you advocate so naively, and that applies even if it's Joe Biden and the Holy Church of the Democratic Party that is endorsing it. That something so basic to a free world has become associated with being a Republican, and ridiculed, is tragic.
Saving lives cannot be the only consideration. There has to be limits on the power of the state to restrict and compel human behavior. We shouldn't live under medical tyranny.
How about the tyranny of being forced to pay taxes to blow up little kids in Afghanistan at $40k+ a bomb, or the tyranny of being forced under penalty of prison to pay for hundreds of millions of dollars worth of weapons for the Taliban?
You don't think it's a little tyrannical that the tax man can say give us the money to blow up innocent little kids or I'm going to put you in a cage and take your own kids?
The market. I want to be free from it a la Freedom from the Market: America’s Fight to Liberate Itself from the Grip of the Invisible Hand by Mike Konczal[1]. As much as small government-types don't want to experience government in their everyday lives, I wish not not experience the market and its influence in my everyday life. As much as small government-types feel like they cannot escape government control, I feel like I cannot escape from market control.
>>The market. I want to be free from it a la Freedom from the Market:
So you want to be free from the state of others having the right to engage in mutually voluntary economic interactions? Their right to free assocation, is a tyrannical infringement of your right to dictate how they live? You can't just leave other people and form your own socialist commune somewhere?
I hear the term "gaslighting" used a lot nowadays. Its textbook definition is a specific form of interpersonal manipulation that occurred in a movie.
But I've never been able to connect the dots between the term's textbook definition, and the way that people actually use it. The effective definition seems to be: "expressing a different perspective."
The more general meaning is "making a person question their own sense of reality", without any specification on who is causing it.
It may or may not apply here, it depends on if the person being argued against already knows the larger context of 80% being normal. Everyone around them pretending that was never the case would be gaslighting. If they didn't know the larger context, it wouldn't be gaslighting, they're just ignorant of the context.
I find this interesting too, wondering what we called it 5+ years ago when I never heard anyone use the term. My wife is a few years younger and uses it. I think the only time I've used it in 40+ years is asking my wife what it means.
If an argument involves differing opinions, and participating in an argument is an attempt to persuade, is that manipulation?
Please avoid this style of interaction on HN — it's been my favorite place for 13 years because of what dang often refers to as the right attitude for discussion, "coming with curiosity."
We try to avoid accusatory language, especially accusing others of lying, not by omission, but by commission for the sole purpose of psychological abuse.
ICU capacity is generally bottlenecked by staffing and not by beds within suitable facilities. Basically there are required minimum ratios both legally and from a "we have to follow our on policy lest we create slam dunk lawsuits" point of view.
ICU staffing is less elastic than it's ever been because hospitals have cut staffing in response to people postponing elective care (where all the $$ is).
So ICU capacity as a percentage of full is as much a reflection of hospitals being tightwads as it is about Covid.
So the hospitals _are_ full but they're actually not full, their capacity is lower than last year?
Do you have any sources that can back that claim? It seems like a first order, simple, cause and effect thought, but it's unclear if this is anecdotal or there was a mass firing of nurses that's got under the radar. Let's signal boost it, if so.
He isn't serious about this. Guarantee he has a tweet or liked a tweet from 2020 raging about Cheeto Mussolini's White Supremacy Vax. It's just politics, and has been, since early 2020.
Let us put the gays to the camps, they impose external costs to the healthcare system too (but we won't, because they are a holy symbol for these people).
The thing that makes COVID dangerous is it's contagion not so much it's direct effects.
If COVID were not highly transmissible, then the relatively low risk of death would make it spooky, but it's not likely we'd even see it on the news.
It spreads to others quickly, and many people get very sick even if they don't die, hospitals fill up and it makes it very difficult to operate a healthcare facility.
Consider the 'no policy' effect: if we did nothing in response to COVID, it would spread like a fire, and without 'flattening the curve' - which we mostly have done, it would badly degrade our ability to function. People not able to tend for the older population because they themselves are sick, hospital staff going down, people in hospitals with other ailments going down etc..
So because of that it's a community problem.
If you want to think about it from an 'individual choice' perspective, consider what it would mean if you didn't take proper precautions while doing an activity, and ended up killing someone even by accident, that's manslaughter.
Given a rational population with some reasonable, conscientious objectors, we should be at about 95% vaccination, which is plenty. There's room for the serious objectors, the problem is there's way too much arbitrary and misinformed skepticism.
So it's not like wearing a seatbelt or eating too much carbs, which is mostly a personal issue.
> To reply as the devils advocate to this comment, what is the tolerance to social costs that society is willing to bear? Also why would one segment of society have to do something that it doesn't want e.g. not bear risk if they want to?
* The risk isn't just on that segment. The vaccine is not 100% effective without herd immunity to back it up.
* The unvaccinated will be the source of new variants, so a substantial of social resources will need to be continually invested in developing and trialing new vaccines.
> Should we tell people to get their BMI under 25 too? Overweight and obesity are going to cost much more in increased healthcare costs than COVID will in the coming decades (pls prove me wrong..).
I believe the jury is still out on whether or not obesity is contagious.
> What about drinking and smoking? Maybe we should also ban these because these people will probably go on government health insurance when they come down with chronic health issues from too much alcohol or tobacco.
Most countries ban smoking in confined spaces where it can impact the health of non-smokers. I suppose you'd support repealing such laws.
> I guess I don't see where your argument about societal costs doesn't become a slippery slope.
Should we tell people to get their BMI under 25 too? Overweight and obesity are going to cost much more in increased healthcare costs than COVID will in the coming decades (pls prove me wrong..).
What about drinking and smoking? Maybe we should also ban these because these people will probably go on government health insurance when they come down with chronic health issues from too much alcohol or tobacco.
I guess I don't see where your argument about societal costs doesn't become a slippery slope.
Also full disclosure I'm 100% vaccinated and will get the booster in Dec.