How to reopen society using medical science and logic
From an article written by Scott W. Atlas, MD. Dr. Atlas is the David and Joan Traitel Senior Fellow at Stanford University’s Hoover Institution and a member of Hoover Institution’s Working Group on Health Care Policy. He investigates the impact of government and the private sector on access, quality, pricing, and innovation in health care, and he is a frequent policy adviser to government leaders in those areas.
The curves have been flattened – the stated goal of the isolation has been accomplished – for both hospitalizations per day and deaths per day.
We now have an even greater urgency, due to the severe and single-minded policies already implemented. Treating COVID-19 “at all costs” is severely restricting other medical care and instilling fear in the public, creating a massive health disaster, separate from a potential world
poverty crisis with almost incalculable consequences. Half of neurosurgery patients still refuse to come in for treatment of diseases that if left untreated risk brain hemorrhage, paralysis and death, even when their doctors directly reassure them. That’s just one subset of the latest reports of skipping two-thirds to three-fourths of cancer
screenings, most childhood
vaccinations and treatment for new strokes and known
cancer.
Here are specific and logical steps to end the lockdown and safely restore normal life:
First, let’s finally focus on protection for the most vulnerable — that means nursing home patients, who are already living under controlled access.
Second, those with mild symptoms of the illness should strictly self-isolate for two weeks. It’s not urgent to test them — simply assume they have the infection.
Third, open all K-12 schools. Children have nearly no risk of serious illness from COVID-19. Exceptions exist, as they do with virtually every other clinically encountered infection, but that should not outweigh the overwhelming evidence to the contrary. Again, standards for consciously protecting elderly and other at-risk family members or friends would still be employed.
Fourth, open businesses, including restaurants and offices, but require new standards for hygiene, disinfection and sanitization via enforceable, more stringent regulations than in the past.
Fifth, public transportation, the lifeblood of much of the workforce in cities, should resume. In addition to new standards of cleanliness and hygiene that passengers would welcome, regional authorities could require barrier masks for passengers.
Sixth, parks and beaches should open. The closure policy was aiming to prevent social mingling. There is no scientific reason to insist that people remain indoors.
Finally, implement prioritized testing for three groups: Nursing home workers, health care workers and first responders, and patients in hospitals with respiratory symptoms or fever.
Total isolation must now end to limit the enormous harms accumulating from sacrificing vital health care and imposing economic lockdown. Smart re-entry cannot be delayed by fear or hypothetical projections, because we have direct data on risk and experience with managing it.