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Apr 2020

It is noble to be willing to put oneself at risk for the good of others. Probably most of us who are parents would do that for their children, and many of us would do it for larger groups of people, and some of us for the general good of society. That is a laudable perspective.

The problem, though, is that individual sacrifice or risk doesn't seem to reduce the potential tragedy. To not only prevent the spread of the virus but also to do our best not to overwhelm or medical system, large scale sacrifices are needed for the short term. I can say I am willing to risk my own health or my life so that others can live a more fulfilling life, but it is not for me to say that I am willing to risk the health of many others by allowing less at risk persons to live more normally. Am I willing to risk the lives of medical professionals to achieve that normalcy sooner? For me that is a clear no.

It makes sense to continue to make sacrifices as a society as long as we believe they are temporary, even if that temporary means many months. And, really, as a society, we have decided to do that for the time being as most governments have taken these actions, and there hasn't been widespread revolt. While there will always be those who won't go along, as long as we can try to understand the benefits of the severe actions we are taking, and we believe that they will be temporary, it is best to continue to make these sacrifices as a society. There hasn't been any crisis exactly like this before, but there have been other times in history when society as a whole made sacrifices to achieve a greater good, and some members made huge sacrifices, or the ultimate one. I do think we'll get better at spreading out the amount of sacrifice among people though there will always be some who bear a much greater burden.

I think the important thing to remember is that the measures we are taking are temporary, even though they will go on for longer than originally thought.

The analogy that I thought of is that in the absence of speed limits, I could choose not to drive at 100 mph, so as not to endanger myself or others on the road at the same time as me. But even with my actions and the actions of others who are of a similar mind, we wouldn't have acceptable risk. A law requiring people not to drive an excessive speeds is required. Sure, there are still people who speed, but not as many as if we had no sped limits, and the risk is lower for everyone who is on the road.

The economic consequences over the next 18 months are undoubtedly going to be as rough as the pandemic could be. But I don't think anyone is suggesting life will shut down for 18 months. The NBA isn't life, even if it's a lucrative business and large employer. School in the fall is going to be a tough one but for the most part I think we'll be back at work (though telecommuting will be a lot more common where possible) and in restaurants etc. in a different way, and we'll probably still have to go through several more periods of shelter-in-place along the way to keep it under control, mostly to keep the medical infrastructure functioning. And we simply won't be gathering in crowds of 80,000 (or 15,000, or, probably, 500).

The willingness of any one person to die, or a societal willingness to just accept people are going to die, is meaningless unless all those people actually stay at home if they get sick or update their end-of-life instructions to refuse care (which I'm not sure is even possible until they need a ventilator and in the meantime they'll still have taken up space and put health care workers at risk).

In the end I'll be really surprised if any of the players unions go along with any attempt to play this year. Really it will only take a few prominent players refusing. Having all 30 teams in Florida or Arizona doesn't seem that safe (latest Rosenthal article says it would be like turning all of MLB into a cruise ship). And I'm not sure I really think having weird dystopian fan-less TV-only sports is going to be as "healing" or "returning to normal" as we'd want.

There's now talk of the NCAA playing football in the spring of 2021. Basically, they would sacrifice the entire winter and spring schedule to play the only sport that generates $ for them, because most of non-revenue sports won't exist otherwise. How they would then expect to turn around and play again in the fall, I do not know.

A "hear no evil, see no evil, speak no evil" approach to PED and painkiller usage?

I wonder if the collegiate sports will need some kind of Federal bailout. If so, I would hope that the NCAA essentially becomes nationalized under the auspices of the Department of Education and that the shady stuff that goes on in collegiate athletics becomes criminalized.

bkox and Boston, I appreciate you engaging in discussion without impugning my motives.

If we are saying, long-term, that we can't resume any "assembling" kind of activity until there are literally no cases (as the NBA Dr. stated) this is a lot less temporary than people believe.

And I remain convinced that there are intelligent, intermediate solutions we need to explore. We can protect most people as we do with other risks while not bringing the entire world to a halt.

And, honestly, it's way easier for people with means to put up with a shut down than it is for others in more dire situations. There is only so much money the government can give out without plunging the US into a post-WWI-type German inflation. And there is only so much social isolation that the country can experience without outsize consequences. The consequences of a near-complete shelter-in-place are life altering and can be fatal as well. I think we should be looking diligently for a "third way".

I realize this is a minority viewpoint, but it's what I strongly believe.

z and Philsmania, I also thank you for your thoughtful replies.

That would just be replacing one bureacracy with another. If anything it should lead to the privatization and professionalization of college sports (football and basketball, anyway). Any bailout will probably be needed more for the universities themselves (since athletics only supports athletics, except intangibly/symbolically).

I don't have kids, just teenage nephews, but to me the long-term view is 18 months of suffering for a better world in their lifetime. Until there is a vaccine neither approach is going to be pleasant or sustainable.

Exactly, I don't impugn your motives at all, phillychuck. I appreciate your role as a moderator on this forum where we can respectfully disagree and engage in informed and intelligent discussion.

I think we will indeed eventually have intermediate solutions, and that we won't have to wait for an "all clear" to resume some activities. I do think it's too early to consider reopening things yet since things are still evolving. It doesn't seem that we have peaked yet, and we are also still learning about the virus/disease, the impacts on our medical and other infrastructure, and the effectiveness of the measures that have been taken. It seems to me that being more cautious while we are still learning is the best approach, especially since we have places where the medical system is being severely burdened now, and the medical people are at risk.

If we were to learn that a near-worst case scenario was likely where the current measures would have to be in place for many years, we will have to have some hard discussions about how we will proceed as a society. I think we are capable of making the hard choices. We chose to send many thousands of good young men to their deaths during World War II for the greater good.

I am convinced that there will be a vaccine in a lot fewer than 18 months. It certainly will not be an American-discovered vaccine which has gone through all of the standard American testing procedures prior to being mass produced, but there will be a vaccine. We need to have another month of strict distancing and see how far we come down from the peak. If we play this right, and many state have not, which is going to be a problem, because they likely peak a month or more later than the resto of us, then the final decision should not be a choice between sacrificing senior citizens or sacrificing the intermediate- to long-term economy. It will be a choice of do we or do we not use a vaccine which was created overseas or an American vaccine which has had less than the normal testing, or do we wait for an American vaccine which has gone through all of the normal protocols prior to approval. My guess is we will waive the protocols, grant liability protection to the vaccine manufacturer, allow people to make their own decision whether or not to take part in the immunization program, and move to mostly reopen the economy. The normal protocols seem to have been bypassed by biomedical science in any case. We are about to start testing for antibodies to the coronavirus, both to gauge level of asymptomatic spread and to determine who is safe from serious infection. If that testing is valid, then testing the vaccine with a quite small (and diverse) test population should be all that is needed: do they show presence of adequate antibodies a couple weeks after inoculation, what was the prevalence of side effects, how serious were side effects?

the sort of gold standard testing of drugs/vaccines which the FDA prefers is becoming more obsolete and more immoral with each passing month. Science marches on. How long do we delay breakthrough pharmaceuticals because of the old thalidomide fears? Don't we have enough history of how diseases progress for various population groups that testing against a control group should be less relevant? Approval time needs to be related to the importance of a new drug/vaccine, with conditional approvals requiring tracking of patients using the treatment, success rates, side effect rates.

I think I can predict with 99% certainty that other nations will be administering coronavirus vaccine to those who want it no longer than 12 months from now and very likely within 6 months.

Some may chortle at me saying this, but I think the government is better at bureaucracy than the private sector which is driven by profit motive. A government bureaucracy is driven by the bureaucracy's mission, although it may execute that mission in a sloppy, haphazard manner which is marked by occasional proverbial "waste, fraud and abuse."

And yes, it will be interesting to see if the NBA's development league becomes a bigger deal and if the NFL starts a player development system if that comes to pass.

My wife and I met too late for us to realistically have children and sometimes that saddens us. However, at the same time, I am glad that we are not bringing children into the world we live in. Besides, there are too many people for this planet to handle.

PhillyChuck,

Since you singled out others for thoughtful replies which did not impugn your motives and you left me off of the list, I assume that you felt insulted by my post.

I apologize if my tone was too sharp. It was not intentional. I thought that I could characterize the argument that compared the risks of smoking, driving, etc, to the risks posed by the coronavirus as a ridiculous one (which has also been advanced by others) without it being regarded as a personal insult. That was a mistake on my part.

I was wrong and I will be more careful in the future. I value your input here. I will try harder to disagree without being disagreeable.

There's no GOOD reason why an American-developed vaccine could not be on the market much sooner. This would require a decision to move to human trial more rapidly than usual, and to shorten the times of such trials. Example: University of Pittsburgh has in hand an experimental vaccine that has shown efficacy in animal trials. So, let's find out if it's safe in humans - how long need that take? Is it toxic? Short-term trial. Is it mutagenic? Again, mass-dose tests in animals don't take very long - and long-term human issues can't be determined in trials anyway. Then, is it efficacious? It seems to me that once safety is determined, you can inoculate people, and measure efficacy over time - for instance, inoculate health-care workers (if you know it's safe), but maintain current protective measures - if infection rates go down or go to zero, you have a winner - quickly.

PC - I would agree that we need to find ways to return to some normalcy - but with a large caveat: Most large gatherings (thousands of people in one place) are, more or less, for entertainment purposes. I would argue that large public entertainments should be the last things we worry about getting back online. This would be concerts, sporting events, movie theaters, etc. We all used to get by just fine without attending these things - and I'm not talking about centuries ago, but about in my own lifetime, growing up in rural PA a long way from the mass venues.

We can get people back to work (in most kinds of business) with what I would characterize as acceptable risk - but we don't need to have large groups of people gathering in close quarters just to be entertained or amused. We just don't.

Religious gatherings will present a special challenge, because for many people, actually being there and participating is important, is fundamental to their beliefs. It would be harder to keep the churches closed for an extended period than to shut down arenas, theaters, etc.

The issue with Trump is not that everything he suggests is necessarily wrong. It's that he generally doesn't know what he's talking about - so some comments may be OK, but a lot are very wrong. Hydroxychloroquine, for example - his promoting this is causing shortages that will kill Lupus sufferers, but he just will not shut up. He doesn't give a damn about the impact on Lupus patients - or he doesn't comprehend, which in a President is as bad (or worse). With Trump, the issue is also the reality that we had to go through several weeks when he was (or to a large degree, may still be) in denial about the nature of the problem here, and his inability to think long-term about much of anything. He's been characterized as a toddler, and to a significant extent, he seems to function at that level. It's all about him, it's all about now. As a result, necessary measures are delayed, are half-hearted when finally agreed to... and silly side trips to satisfy irrational whims are mixed in.

But yes, over time we need to strike a balance between risk reduction and "everything else." Personally, I come down on the side of keeping a range of completely non-essential entertainment businesses shut down. Arenas, theaters, amusement parks, casinos (gasp!), etc. We can do without mass entertainments for a while; people might even remember how to read! :wink:

And, to return to where I started, bend the FDA rules for testing/approving vaccines. Federally indemnify producers and those who administer such vaccines, if necessary. Apply the Shakespearean solution to ambulance-chasing lawyers who might attempt to profit should a vaccine prove (in the long run) to be less than hoped. But get moving. Or else resign ourselves to the fact that the vaccines that we end up using will be Chinese intellectual property.

I think you are setting up a straw man. Most people aren’t suggesting we shut down the whole economy for several months. I do think large groups have to be banned until we have a vaccine. Does anyone believe that Mardi Gras isn’t the reason Louisiana is a hot spot? The two political conventions aren’t going to happen, sports and concerts aren’t happening. But stores and restaurants will be open with more distancing. Travel will continue to be a problem. The Courts can’t be closed for more than a couple of months, and my daughter has to go a couple of days a week for sentencing, bail reductions and such to clear the prisons, most of this is by teleconference. But we are going to have to have trials. 5here will be social distancing practices at courthouses, too.

But as to politics, I’m okay with dying, but not to save this corrupt economy. God forbid millionaires and billionaires are losing money. The economy changing is a good thing and I hope we don’t go back to normal oh and lastly, it’s not just about seniors dying. Lots of younger people and we are doing terrible harm to the medical and first responder communities.

I agree with your time estimates, it's just that every person who speaks publicly about the timeline has said 18 months, at least those that I've heard who were in a position to know these things. A J&J rep said that they were still expecting mid-year next year with their traditional vaccine even with accelerated protocols.

I am not anti-government by any means. To me we're basically living with the consequences of Reagan's "I'm from the government and I'm here to help" joke, with the compounded impact of a chief executive who is both anti-government and bad at governing. I just don't think it needs to run college sports (or any sports). But obviously the D of E already has a lot of impact on college sports. Truth be told if we have the same people in charge come January it wouldn't surprise me if they suspended Title IX, which is obviously going to be a huge factor in deciding which non-revenue sports survive in 2021 or 2022 (assuming there's no football).

Always glad to hear your intelligent, articulate voice SF!

I'd disagree with certain points here...I'm not worried about Mark Cuban or Jeffrey Lurie losing money on their teams. I'm worried about marginal athletes losing their entire careers, I'm worried about people employed by symbiotic businesses losing their entire incomes, I'm worried about students and teachers and professors relying on what is essentially a counterfeit educational remote-learning model (at least in terms of accountability and legitimate educational support) for another year(?) or so, and I'm worried about what happens to social organizations and churches that are ESSENTIAL features of our communities if they can't assemble. And I'm not in favor of dying for any economy, no matter how corrupt. I'm OK with dying for the people who will be irreparably damaged by a long shut-down. We are already seeing a large spike in suicides...already. And suicides do a boatload of peripheral damage to the lives of friends and relatives (spoken from personal experience...). And, honestly, I'm worried about social unrest. I saw two people almost come to blows today about whether one should be wearing a mask in a particular situation. It was seriously nasty--people have lost their patience. As a scientist who often deals with unanticipated consequences of even small changes in regulations, I'm predicting that the negative unintended consequences of this shutdown will be enormous. I'm not sure that the cure (LONG-TERM) would not be worse than the disease.

I am also resigned to the fact I'm probably not going to convince anyone in any decision-making capacity of this, and all the decision makers (even Trump's people) are extremely risk-averse, so I'm anticipating they keep the lid on until there are almost no existing cases, as the NBA doc suggests. He's not just speaking for the NBA, he's speaking with the voice of almost all administrative risk managers and health-care people (at least those I know). I know you have all dealt with those people--I do seminars for them, and they still don't get that there is no such thing as a risk-free world.

Read this interesting article which includes a information about the owner of the Sixers and Hanhnemqnn aHospitql.

I think we can find some happy medium. I’m not opposed to risks. The problem is I can take risks it’s my own life, but it’s not fair to risk others. I just don’t trust most business leaders, particularly people like Bezos and those discussed in the article. I won’t take risks for profits.

I completely agree with this. It's very easy for business leaders to rationalize keeping their businesses open because of the benefit to their workers and customers. I want to see them donating a big part of their salaries first. Politicians and the mega-rich need to share in the costs of any shutdown.

BREAKING: A tiger at the Bronx Zoo has tested positive for Covid-19. 6 other tigers and lions at the zoo are also showing symptoms. Believed to have been infected by an asymptomatic zoo worker. All doing well. To my knowledge, this is the first animal to test positive in the U.S.

— Natasha Daly ( @natashaldaly ) April 5, 2020

El Pietro will probably want to comment more on this but here is a nation's leader in action. A real MD; not a guy who slept at at Holiday Inn last night and claims to exude medical knowledge.