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Topic: Coronavirus discussion and Quarantine ideas

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NorthernOhioBuckeye

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Re: Coronavirus discussion and Quarantine ideas
« Reply #1582 on: April 09, 2020, 07:10:21 AM »
On comorbidities, from Deborah Birx

“I think every time I’ve been up here about the comorbidities. Most of the people, and we have talked about the Italy data, the majority of the Italians who succumbed to this had three or more comorbidities. So this has been known from the beginning. So those individuals will have an underlying condition, but that underlying condition did not cause their acute death when it’s related to a covid infection. In fact, it’s the opposite. Having an underlying condition and getting this virus, we know it’s particularly damaging to those individuals.”

She reiterated for emphasis, “If you have asthma, if you have renal disease, if you have diabetes, if you have hypertension, these are pre-existing conditions that put you at a greater risk to having a worse outcome.”
While I believe it would be impossible to separate those that died WITH Covid from those that died FROM Covid, it would be interesting to look at trends in places like New York in regards to causes of death.

I wonder about this because the military sent the USNS Comfort to NYC to serve has a 1000 bed hospital for non-Covid patients. It has been there over a week now and the last I heard, they had less than 50 patients sent to the ship. In a city the size of NYC and with the emergency they claim they are experiencing leading to a lack of suitable hospital bed space, you would expect that the hospital ship would have filled to capacity rather quickly. It didn't. 

So what I would like to see is something that compares the avg number of patients admitted and resulting deaths from Heart disease, renal issues, etc. prior to the Covid outbreak and what those numbers look like during the outbreak. I have a suspicion that the numbers of people that died from other ailments would be greatly reduced during this Covid outbreak. But without those numbers, we have no idea. 

And that is my point. Is there a significant increase in deaths due solely to Covid or are people that have died during this outbreak that would have normally been coded as dying from other ailments, now all being attributed to Covid? 

I was listening to a doctor on some news show saying that when a patient on Medicare gets admitted to the hospital with Covid, the hospital is reimbursed at a higher rate than they otherwise would be. When those same people are put on a vent, the reimbursement is even greater. That sure looks like an incentive to code anyone and everyone possible as a Covid patient. 

But to reiterate, I am NOT trying to say that ignoring Covid or not taking precautions is not the right thing to do. As someone that would be highly susceptible to severe complications from this virus, I understand the importance of doing what is needed to avoid being infected. But I also believe that killing our economy in the process is going to be even worse than the consequences of the virus. I also believe that when the crisis is over, we will look back and see that this virus was not much worse than a typical influenza outbreak. 

Knowing that we see these types of things come around every couple of years or so (Swine flu, H1N1, Ebola, SARs, MERS, etc) are we going to start shutting down our economy every time it happens? That could get ugly fast. 




Cincydawg

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Re: Coronavirus discussion and Quarantine ideas
« Reply #1583 on: April 09, 2020, 07:11:52 AM »
The percentage of folks known to be COVID positive is quite low.  The vast majority of them did not die.  The intersection between those who are positive and those who died plausibly due to COVID is very small.

Cincydawg

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Re: Coronavirus discussion and Quarantine ideas
« Reply #1584 on: April 09, 2020, 09:28:02 AM »
Does this stock market rally suggest light at the end of the tunnel that is not an oncoming train?

FearlessF

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Re: Coronavirus discussion and Quarantine ideas
« Reply #1585 on: April 09, 2020, 09:36:36 AM »
I doubt it

just suggests that the guys that control the market want some movement so that they can make money
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Cincydawg

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Re: Coronavirus discussion and Quarantine ideas
« Reply #1586 on: April 09, 2020, 09:40:48 AM »
How does movement make "the controllers" any money?  They must have made a ton when the market went down 28%.

You can of course buy the VIX if you want.  Most of the money in the market comes from institutions who tend not to trade that often.  Many of them have limits as to what they can trade and how much they have to put into the market versus bonds or cash.  There are speculators of course.  At one point I was looking at doing some straddles (buying put and call options on the same stock) but when this hit the premiums were way too high I thought.

Most "investors" do better when the market goes up versus down obviously.  I think the move up is an indication of some optimism that the economic damage of COVID may be less than had been feared a week ago.  Stocks are up about 1.5% already today.  I have no clue where they will finish.

FearlessF

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Re: Coronavirus discussion and Quarantine ideas
« Reply #1587 on: April 09, 2020, 09:46:12 AM »
when the market is moving (going up and down) like it has recently in large swings, they sell early in the morning, driving the market down for the day, then buy like hell the next morning early driving the market up

Buy low, sell high
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bayareabadger

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Re: Coronavirus discussion and Quarantine ideas
« Reply #1588 on: April 09, 2020, 09:52:24 AM »
1. While I believe it would be impossible to separate those that died WITH Covid from those that died FROM Covid, it would be interesting to look at trends in places like New York in regards to causes of death.

2. I wonder about this because the military sent the USNS Comfort to NYC to serve has a 1000 bed hospital for non-Covid patients. It has been there over a week now and the last I heard, they had less than 50 patients sent to the ship. In a city the size of NYC and with the emergency they claim they are experiencing leading to a lack of suitable hospital bed space, you would expect that the hospital ship would have filled to capacity rather quickly. It didn't.

3. So what I would like to see is something that compares the avg number of patients admitted and resulting deaths from Heart disease, renal issues, etc. prior to the Covid outbreak and what those numbers look like during the outbreak. I have a suspicion that the numbers of people that died from other ailments would be greatly reduced during this Covid outbreak. But without those numbers, we have no idea.

And that is my point. Is there a significant increase in deaths due solely to Covid or are people that have died during this outbreak that would have normally been coded as dying from other ailments, now all being attributed to Covid?

4. I was listening to a doctor on some news show saying that when a patient on Medicare gets admitted to the hospital with Covid, the hospital is reimbursed at a higher rate than they otherwise would be. When those same people are put on a vent, the reimbursement is even greater. That sure looks like an incentive to code anyone and everyone possible as a Covid patient.

5. But to reiterate, I am NOT trying to say that ignoring Covid or not taking precautions is not the right thing to do. As someone that would be highly susceptible to severe complications from this virus, I understand the importance of doing what is needed to avoid being infected. But I also believe that killing our economy in the process is going to be even worse than the consequences of the virus. I also believe that when the crisis is over, we will look back and see that this virus was not much worse than a typical influenza outbreak.

Knowing that we see these types of things come around every couple of years or so (Swine flu, H1N1, Ebola, SARs, MERS, etc) are we going to start shutting down our economy every time it happens? That could get ugly fast.




I numbered the stuff above to make the response a bit clearer

1. If you think this is impossible, then naming any cause of death is sort of meaningless. You could die with AIDS, but you'll never die FROM AIDS, none the less, lots of people contracting it would be an issue. And if COD has no meaning when it comes  to anything with a slightly systemic element, then most deaths will just be listed as "a lot of things." 

2. As I read, there were a bunch of bureaucratic issues with the boat, issues with admitting, policies, hospital to hospital transfer. I believe it was reported ambulances couldn't just roll up to the thing with fresh patents for some reasons.

3. It would be interesting to have that chart of overall deaths to look for a jump. Unsure if that data is tabulated live. I found some data from 2017 that about 7,700 people die a day. So the napkin math would get interesting there. 

4. Who was the doctor and what was the news show? I would certianly allow for the idea that there might be some weird incentives. But if you assume lots of hospital systems are overhyping a global pandemic for profit, it would be weird to turn around and trust any doctor and hospital. And as a man who would be susceptible, I assume you trust some medical folks. (If this were the case, I can’t imagine some chunk of the medical community wouldn’t speak out super loudly. I know in my area, the hospitals are taking some level of a hit because everything elective, i.e. a lot of money makers, are all on hold)

5. You’re telling me you have some high-end comorbidities, and that it is important to not get it, but if you got it and things went south, it likely wouldn’t be because of the disease? (referring back to No. 1) Anyway, it seems like this is a process of believing this is overblown and looking for reasons that’s the case. The level of skepticism toward something saying it could be so serious is raised to levels that are almost unreachable. And that’s fine, but it might end with a high level of skepticism toward the little bits of evidence that support the idea it’s overblown.

This also underplays the effect on the economy if it is in fact bad. If we let it roll super unchecked, our hospitals would get pretty hammered, as they’re close to that already. And if you know you can get sick, and you see images of people on cots lining a hospital hallway, you’re not trying to congregate. So in the end, you’re only talking about the degree the economy gets hit, not if it takes a large hit.

If it turns out to be not much worse than the normal flu run, that’ll be great. It’ll mean the death count at the end is considerably below the average flu season (as insane precautions have been taken). And if that’s the case, then we won’t do this again going forward. (Ebola is not in the same class as those other diseases, as it is much harder to contract and worlds more virulent. It seems as if this particular virus spreads much more rapidly than those others)

bayareabadger

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Re: Coronavirus discussion and Quarantine ideas
« Reply #1589 on: April 09, 2020, 09:53:06 AM »
The percentage of folks known to be COVID positive is quite low.  The vast majority of them did not die.  The intersection between those who are positive and those who died plausibly due to COVID is very small.
How do you mean "plausibly"?

betarhoalphadelta

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Re: Coronavirus discussion and Quarantine ideas
« Reply #1590 on: April 09, 2020, 10:09:35 AM »
But I also believe that killing our economy in the process is going to be even worse than the consequences of the virus. I also believe that when the crisis is over, we will look back and see that this virus was not much worse than a typical influenza outbreak.

Knowing that we see these types of things come around every couple of years or so (Swine flu, H1N1, Ebola, SARs, MERS, etc) are we going to start shutting down our economy every time it happens? That could get ugly fast.
That's what I'm worried about... I worry that when this is all over, people are going to see the final death toll and say "hey, this thing was just the flu", not realizing that it was the enormous intervention to catch the spread before this got terrible that KEPT the final death toll low.

I think after >10 years on this site, people recognize that I'm not exactly prone to hyperbole. And politically, I'm not exactly a "trust the government" type that accepts their take on everything. 

I truly believe that COVID-19 is different. It has two things that make it particularly dangerous:

  • It's highly transmissible. Due to the longer incubation period and contagious period prior to showing symptoms, the number of contagious asymptomatic carriers, and just its natural makeup, the R0 of COVID-19 is much higher than most previous diseases of this type, including the seasonal flu and H1N1. (Note- R0 is a dependent variable, not independent. With social distancing, R0 goes down. So the actual R0 of COVID-19 might look lower in the final tally because we all worked so hard to contain the spread.)
  • It has significantly higher mortality rate than the seasonal flu, H1N1, etc. It's tough to know exactly what that rate is due to the number of unreported mild or asymptomatic cases, but the "crude fatality rate" [CFR], the ratio of reported deaths to cases, is about 3.5% in the US (much lower than flu), and over 5% worldwide right now. And because the confirmed case rate is ballooning so quickly and sometimes it takes a while for people to actually succumb, those rates are likely going to increase. 

I don't think the governments of the world would be taking these extreme economic steps to contain COVID-19 if their health experts didn't realize that this is the real deal. 

That's why I worry that if we do a good job, everyone will say: "Ha! I was right! We overreacted!"


Cincydawg

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Re: Coronavirus discussion and Quarantine ideas
« Reply #1591 on: April 09, 2020, 10:13:19 AM »
when the market is moving (going up and down) like it has recently in large swings, they sell early in the morning, driving the market down for the day, then buy like hell the next morning early driving the market up

Buy low, sell high
I would advise you not to try this "tactic" yourself.  It doesn't work for obvious reasons.

The market is up this morning.  If you think "they" will sell this afternoon, we'll see.  Most of the money in the market doesn't buy and sell.

847badgerfan

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Re: Coronavirus discussion and Quarantine ideas
« Reply #1592 on: April 09, 2020, 10:44:57 AM »
I would advise you not to try this "tactic" yourself.  It doesn't work for obvious reasons.

The market is up this morning.  If you think "they" will sell this afternoon, we'll see.  Most of the money in the market doesn't buy and sell.
The hedge guys and day traders have done a lot of "moving" the market in the past month.
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Cincydawg

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Re: Coronavirus discussion and Quarantine ideas
« Reply #1593 on: April 09, 2020, 10:49:57 AM »
I think it trades on fundamentals, not speculation, when viewed over a bit of time.  It's not that it's up today that is important, but it looks to be up strongly for the week.

I don't think that reflects speculation.

I do wonder a bit where folks invest money for retirement etc. without using the stock market.

847badgerfan

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Re: Coronavirus discussion and Quarantine ideas
« Reply #1594 on: April 09, 2020, 11:05:13 AM »
I have a self-directed Roth that holds a lot of real estate in California. So does my wife.
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MrNubbz

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Re: Coronavirus discussion and Quarantine ideas
« Reply #1595 on: April 09, 2020, 11:06:58 AM »
I doubt it

just suggests that the guys that control the market want some movement so that they can make money
Good Point if you were connected in congress you could have already dumped your sagging portfolio.With out reprisals of any sort legal or financial.Give them a fair trial followed by a 1st class hanging - the lot of them
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