“Italy looked at the example of China … not as a practical warning, but as a ‘science fiction movie that had nothing to do with us.’ And when the virus exploded, Europe … ‘looked at us the same way we looked at China.’”
— Sandra Zampa, undersecretary of Italy’s Health Ministry,
The President is, by temperament, someone who has gotten through a lot of tight situations by whistling past the graveyard. He is best-acquainted with business, in which perception is reality. The thing with infectious diseases, on the other hand, is that they are not beaten by courageously wading into the danger they pose. They are not deterred in the way that human adversaries are. To be brave in the face of an epidemic, we have to be brave as we are with flood waters. We have to respect the power of nature. We cannot afford to be cavalier about the threat posed by 6 inches of flood water.
I want to be fair, though: He wasn’t alone in that. If I’m going to be as fair as possible, I’d say he was trying to prevent an economic stampede, which is an emotional thing, but which is also a
real thing. The economic damage that this pandemic is going to cause is and will continue to be very real. President Trump was, I think, confronting the danger of the pandemic that he understood the best. The problem is that I think there are other aspects that he still does not quite understand.
I do want to chide those who say things like Bill O’Reilly did: “
Many people who are dying, both here and around the world, were on their last legs anyway. And I don’t want to sound callous about that.”
Leaving aside whether or not that sounds callous for the moment, what it lacks is understanding of the situation in the hospitals, understanding of the situation for emergency medicine providers, understanding the situation in intensive care units. COVID-19 has made emergency healthcare centers into utter disaster areas. They are beyond overwhelmed. They have so many patients who are so sick all at the same time that they cannot do their jobs safely, let alone give the care that so many patients need. This is also an disease that can put seriously ill persons who survive it in the ICU for an extraordinarily long time.
That is why we need to take the economically crippling measures that we need to take.
That is the perspective we need to have. We have influenza every year, yes, and we have many more people dying of other things,
but all of those things, even taken altogether, don’t overwhelm the capacity of our hospitals to provide healthcare in anything like the way this disease does.
We really do need to understand why we are making the sacrifices we are making. It isn’t just some “calculus” about how many lives will be gained or lost. It is trying to mitigate an overwhelming flood of serious illness. The possibility of just letting the flood come on through was a non-starter: that
has to be understood.