Lockdowns’ High Costs and Murky Benefits

“If legislators were determined to “save lives, period, whatever it costs,” they would set the speed limit at 5 miles per hour, or perhaps ban automobiles altogether, which would prevent nearly 40,000 traffic-related deaths every year. Those policies seem reasonable only if you ignore the countervailing costs. In public policy, economist Thomas Sowell famously observed, there are no solutions; there are only tradeoffs.

“Logically,” Bourne writes, “there must be some negative consequences of government lockdowns, and some point at which they might become self-defeating.” To figure out when that might be, policy makers needed to estimate the public health payoff from lockdowns and compare it to the harm they caused.

Contrary to Cuomo’s framing of the issue, this is not a matter of weighing “the economic cost” of maintaining lockdowns against “the human cost” of lifting them, as if those categories were mutually exclusive. Even in life-and-death terms, lockdowns had a downside, since they plausibly contributed to a spike in drug-related deaths, discouraged potentially lifesaving medical care, and inflicted financial and psychological distress, neither of which is good for your health. And as Bourne emphasizes, “economic welfare” goes beyond household finances or GDP, encompassing everything people value.”

Biden’s incoherent immigration policy

“During his early days in office, Biden seemed on track to dismantle the Trump administration’s most restrictive immigration policies. He ended the travel ban on people from mostly Muslim-majority countries, halted most new border wall construction, and reversed the “zero-tolerance policy” that enabled family separations and the “Remain in Mexico” program that kept asylum seekers waiting in Mexico for court hearings in the US. He also released an expansive reform proposal with a path to citizenship for the more than 10 million undocumented immigrants living in the US as its centerpiece.

Then, within weeks of his inauguration, record numbers of unaccompanied migrant children began arriving from Central America, and Biden’s border policies came under scrutiny from both the left and the right.

Suddenly on the defensive, the administration’s posture shifted. It reopened temporary, jail-like facilities — the same “cages” that drew condemnation in 2019 under Trump — to house migrant children. On a June trip to Guatemala, in what would become a common refrain for US officials, Vice President Kamala Harris told migrants, “Don’t come.””

“Biden’s primary tool to manage the border has been a controversial policy that one ex-Trump official, referring to the architect of the former president’s restrictive immigration policy, called a “Stephen Miller special.”

In March 2020, at the outset of the pandemic, Trump used a special legal authority called Title 42, a section of the Public Health Service Act that allows the US government to temporarily block noncitizens from entering the US in the interest of public health. Though Centers for Disease Control and Prevention (CDC) scientists initially opposed the policy, arguing that there was no legitimate public health rationale behind it, then-Vice President Mike Pence ordered them to implement it anyway.

Under both Trump and Biden, the policy has allowed US immigration officials at the southern border to rapidly expel migrants more than 1.1 million times, without a hearing before an immigration judge. (The exact number of people expelled is unknown because many have been caught trying to cross the border multiple times.)

Even when a federal judge recently blocked the policy from being used to expel families, the Biden administration chose to appeal the ruling, and has continued (with court permission) to enforce the policy while litigation continues.

Biden has carved out some exemptions. Unaccompanied children and people subject to the “Remain in Mexico” policy under Trump are allowed to enter the US while their cases are adjudicated. The Mexican government has also refused to take back some Haitian and Central American families, who have been allowed to enter. But everyone else, including people facing real persecution and danger in their home countries or in Mexico, can be expelled.”

“Haiti has been in a state of upheaval since at least July, when Haitian President Jovenel Moïse was assassinated and, amid the power vacuum, gang violence sharply escalated. When a magnitude 7.2 earthquake and tropical depression devastated Haiti in August, the country’s political crisis was compounded by a humanitarian one.

About 30,000 Haitian migrants arrived in Del Rio, Texas, last month, setting up a temporary encampment under the international bridge that connects the US and Mexico. There has also been a dramatic increase in Haitians attempting to cross the Caribbean by boat to reach the US. More than 1,500 such migrants were intercepted by the US Coast Guard over the last year, up from about 400 in the previous year.

Many of the Haitians seeking refuge in the US lived in Latin America for years after fleeing earlier crises in Haiti, including an even bigger 2010 earthquake. But the Covid-19 recession, racial discrimination in Latin America, the realization that going home was no longer an option, and the perception that the US would offer them humanitarian protection all played a role in their decision to move north.

At first, the Biden administration did offer protection. Mayorkas decided to extend Temporary Protected Status — typically used to enable citizens of countries that have experienced violent conflict or natural disasters to live and work in the US — for Haitians who arrived in the US prior to July 29. This offer was designed to cover those who fled the country in the aftermath of the political crisis stemming from Moïse’s killing.

At the time, Mayorkas said “serious security concerns, social unrest, an increase in human rights abuses, crippling poverty, and lack of basic resources, which are exacerbated by the COVID-19 pandemic” had made it dangerous for Haitians to return home.

But the administration maintained a strict stance toward those arriving by boat. Mayorkas said in July that any migrants intercepted off US shores will be turned back or, if they express fear of returning home, repatriated to a third country.”

“Most of the Haitians who were staying in the camp have since been expelled. The US has sent 7,000 back to Haiti since September 19 through the Title 42 policy, despite continued turmoil on the ground. Others voluntarily returned to Mexico to avoid being sent back to Haiti or were allowed to enter the US, at least temporarily.

It’s not clear how US authorities determined which Haitians were to be expelled and which permitted to stay. Some 12,000 Haitians are currently facing deportation proceedings in which they will be able to make their case before an immigration judge for why they should be allowed to remain in the US, via asylum or other humanitarian avenues.”

“Biden has sought to provide legal status to at least some portion of America’s more than 10 million undocumented immigrants.

He backed Democrats’ latest but so far unsuccessful attempt to include a pathway to citizenship for certain categories of immigrants — including DREAMers who came to the US as children, TPS recipients, farmworkers, and essential workers — in a budget reconciliation bill. His administration also recently published a proposed regulation seeking to codify protections for DREAMers who have been allowed to live and work in the US under the Deferred Action for Childhood Arrivals program, which is meant to guard against ongoing legal challenges.

Biden has also attempted to expand legal aid resources for immigrants and limit the reach of immigration enforcement inside the US. The administration recently launched an initiative to provide unaccompanied children facing deportation with a government-funded lawyer in eight cities across the US, and has sought to narrow the categories of undocumented immigrants who should be prioritized for arrest, issuing new US ICE guidance meant to focus resources on those who pose public safety threats. And on Tuesday, the administration ended mass worksite raids, which the Trump administration used to arrest hundreds of undocumented immigrants at once.

Such policies, Psaki said during a September 20 briefing, show that Biden remains “absolutely committed” to “putting in place long-overdue measures to fix our immigration system — to make it more moral, humane, and workable.”

But his actions on the border have told a different story: a push to improve the lives of only certain immigrants who are already integrated into American society, while keeping others out of sight and out of mind — even if that means embracing policies designed by the Trump administration.”

No, the supply chain mess is not a war on Christmas

“these shortages and delays are the product of many cross-cutting problems that have existed for years, including the Covid-19 pandemic, rising consumer demand, and a global and highly optimized manufacturing network that doesn’t adapt to change quickly.”

“What the pandemic did do was cause factories to shut down, usually because there weren’t enough workers, and that created shortages of products and components. Those shortages led to bottlenecks and delays in product manufacturing (if factories don’t have the parts to build something, it doesn’t get made and doesn’t get shipped).

As more shortages lead to more bottlenecks, the disruption causes problems in other parts of the supply chain, creating even more shortages, new delays, and higher prices. For example, automotive manufacturers haven’t been able to make cars and trucks, because they can’t get their hands on enough computer chips. Ikea can’t ship furniture parts from its warehouses to its stores thanks to the trucker shortage. A supply crunch for petrochemicals has driven up the cost of making anything that includes plastic, including children’s toys.”

“US companies have been moving more and more manufacturing abroad for decades, which means a growing amount of the stuff American consumers want to buy needs to be imported. Meanwhile, worsening conditions for truck drivers in the US have made the job incredibly unpopular in recent years, even though the demand for drivers has gone up as e-commerce has become more popular. That means that as Americans relied more on online shopping during the pandemic, getting goods from ports to doorsteps has been challenging.”

“Covid-19 has also affected consumer demand — namely, which products they want to buy and how much — creating constant changes that the supply chain just hasn’t been able to keep up with, especially lately.”

“This record number of imports is slowing down product deliveries. Cargo ships carrying holiday merchandise are waiting to unload their stock along the California coast, but there aren’t enough port workers to do the job. Those delays mean there are fewer containers available for manufacturers trying to send more products to the US, which only sets the supply chain back even more.”

“Pushing the Port of Los Angeles to operate 24/7 is Biden’s most direct action to date, and it’s supposed to ensure that an additional 3,500 cargo ships are unloaded each week. The Port of Los Angeles and the Port of Long Beach, which expanded its operations last month, are responsible for 40 percent of the containers brought into the US, so expanding their operations is supposed to speed up shipping nationwide, the White House says.”

“it’s not clear what Biden can do to fix the bottlenecks occurring higher up in the supply chain, like manufacturers running low on components and factories getting shut down abroad. While the White House has convened task forces to address these underlying problems, those efforts probably won’t bear fruit in time for the holidays.”

“In the long run, it’s possible that the US government can change policies that contributed to this situation in the first place. Politicians could shift their approach to trade, which has historically encouraged US companies to manufacture products abroad. Improving labor standards might boost working conditions for truckers and factory workers to make those jobs more appealing — boost global vaccine manufacturing and ensure that workers in other countries are safer from Covid-19 outbreaks. Admitting more people into the US could address a shortage of delivery and port workers.”

Scientists Fight a New Source of Vaccine Misinformation: Aaron Rodgers

““Aaron Rodgers is a smart guy,” said David O’Connor, a virus expert at the University of Wisconsin-Madison and a Packers fan. But, he added, “He’s still vulnerable to the blind side blitz of misinformation.”

In the interview, Rodgers suggested that the fact that people were still getting, and dying from, COVID-19, meant that the vaccines were not highly effective.

Although imperfect, the vaccines provide extremely strong protection against the worst outcomes of infection, including hospitalization and death. Unvaccinated Americans, for instance, are roughly 10 times more likely to be hospitalized and 11 times more likely to die from COVID-19 than vaccinated Americans, according to a study by the Centers for Disease Control and Prevention.

“As far as the people who are in the hospital with COVID, overwhelmingly, those are unvaccinated people,” said Angela Rasmussen, a virus expert at the Vaccine and Infectious Disease Organization at the University of Saskatchewan. “And transmission is being driven overwhelmingly by unvaccinated people to other unvaccinated people.”

Rodgers also expressed concern that the vaccines might cause fertility issues, a common talking point in the anti-vaccine movement. There is no evidence that the vaccines affect fertility in men or women.

“Those allegations have been made since the vaccines first came on the scene, and they clearly have been addressed many, many times over,” said Dr. William Schaffner, a vaccine expert at Vanderbilt University. He added, “The vaccines are safe and stunningly effective.”

There are a few potentially serious adverse events that have been linked to the vaccines, including a clotting disorder and an inflammation of the heart muscle, but they are very rare. Experts agree that the health risks associated with COVID-19 overwhelmingly outweigh those of vaccination.

Rodgers said he ruled out the mRNA vaccines, manufactured by Pfizer and Moderna, because he had an allergy to an unspecified ingredient they contained.

Such allergies are possible — a small number of people are allergic to polyethylene glycol, which is in the Pfizer and Moderna vaccines — but extremely rare. For instance, there were roughly 11 cases of anaphylaxis, a severe allergic reaction, for every 1 million doses of the Pfizer vaccine administered, according to one CDC study.

The public health agency recommends that people with a known allergy to an ingredient in one of the mRNA vaccines not get those vaccines, but some scientists expressed skepticism that Rodgers truly had a known, documented allergy. Even if he did, he may have been eligible for the Johnson & Johnson vaccine, which relies on a different technology.”

Los Angeles Orders Local Businesses To Serve as Vaccination Enforcers

“What the city is actually doing is outsourcing responsibility for getting people vaccinated to private local businesses. Fines for failure to comply with the law fall not on the unvaccinated people attempting to get into restaurants and movie theaters, but on the businesses that fail to catch them. Fines start at $1,000 (beginning with the second violation) and can reach as high as $5,000 per citation.”

Even If Requiring People Who Have Recovered From COVID-19 To Be Vaccinated Is Legal, That Doesn’t Mean It Makes Sense

“when it comes to vaccine mandates, the relevant question is whether an unvaccinated person with natural immunity is substantially more likely to catch and transmit the coronavirus than a vaccinated person without natural immunity. On that point, medical experts disagree.

Peter McCullough, a Dallas internist and cardiologist with a public health degree who testified in support of psychiatrist Aaron Kheriaty’s unsuccessful challenge to the University of California’s vaccine mandate, argued that the coronavirus “causes an infection in humans that results in robust, complete, and durable immunity”—a protective effect that is “superior to vaccination-induced immunity.” McCullough emphasized that antibody tests reflect only part of the immune response to a COVID-19 infection, which includes “antibodies to the nucleocapsid and to the spike protein, as well as T-helper cells, natural killer cells, B-cells, and innate immunity.”

By contrast, the Berkeley epidemiologist Arthur Reingold argued in the same case that the university’s blanket vaccine requirement was justified because the strength and longevity of natural immunity are unclear. “While individuals who have had a documented case of COVID-19 typically have antibodies to the SARS-CoV-2 virus detectable in their blood and are believed to have a reduced risk of getting COVID-19 again in the months that follow,” he said, “neither the completeness nor the durability of protection against a second case of COVID-19 has been established. The extent to which any such immunity resulting from having had COVID-19 provides protection against new variants of SARS-CoV-2 is also unknown.””

“A private employer might conclude that a blanket vaccine requirement is easier to administer than one that makes an exception for previously infected people. The latter approach presumably would require documentation of prior infections. It might also require evidence, similar to the tests cited by Norris, of a robust immune response—although vaccinated people don’t have to produce such evidence, even though their immune responses also vary.

As a matter of public policy, however, that added complication does not seem unreasonably burdensome. The OSHA order described by the Biden administration already includes an exception for employees who agree to be tested at least once a week, which is more expensive and harder to arrange than a one-time requirement that employees document their COVID-19 histories.

Jeffrey Klausner, a clinical professor of population and public health sciences at the University of Southern California, co-authored a systematic review in the journal Evaluation & the Health Professions last month that found “the protective effect of prior SARS-CoV-2 infection on re-infection is high and similar to the protective effect of vaccination,” although “more research is needed to characterize the duration of protection and the impact of different SARS-CoV-2 variants.” While the existing evidence is incomplete, Klausner thinks it is strong enough to justify an exception to vaccine requirements. “From the public health perspective,” he told Kaiser Health News, “denying jobs and access and travel to people who have recovered from infection doesn’t make sense.””

Texas Gov. Greg Abbott Bans Private Businesses From Mandating Vaccines for Workers

“”Private businesses don’t need government running their business,” an Abbott spokesperson told the Tribune in August.

Apparently, Abbott now thinks they do. By sticking his nose into the affairs of private businesses, Abbott is setting up a potential conflict with some of his state’s biggest employers, including Southwest Airlines and American Airlines—both of which are based in Texas and recently told employees to get the shot if they want to keep their jobs. Mandatory vaccination policies should always include carveouts to cover those who have had a previous COVID-19 infection or have religious or medical reasons for not getting jabbed, of course, but those issues are better worked out between employers and employees.

Abbott’s new mandate also puts some businesses in a tricky situation where they must choose between disobeying state or federal law. President Joe Biden announced last month that all businesses with more than 100 employees would be required to mandate vaccines for their workers (or conduct weekly tests), with the Department of Labor’s Occupational Safety and Health Administration (OSHA) enforcing the mandate.”

“Vaccines remain by far the best strategy for saving lives and ending the pandemic. It makes sense that businesses would want their employees to be vaccinated. Those who refuse the shot should be free to do so, but they do not have a right to any particular job. None of those decisions should require the coercive efforts of state or federal officials.”

Why people who don’t trust vaccines are embracing unproven drugs

“Some Americans who are reluctant to get vaccinated believe they are living through a very different pandemic — one where the approved Covid-19 vaccines are ineffective and dangerous, and where a long list of “miracle cures,” ivermectin among them, are critical to patients’ health and safety.

From the outside, these positions can seem not just dangerous but incoherent. What would lead a person to say they won’t take a vaccine approved by federal regulators, then take an off-label medication because they read about it online?

Of course, not all Americans who are reluctant to get vaccinated have embraced supposed miracle cures: The reasons that people give for not getting a Covid-19 vaccine are varied and complex. But over the past year, among some refusers, a community of intense vaccine denialism has developed and created a sort of psychological scaffolding to support their views. As a group, the most fervent vaccine deniers construct and perpetuate an alternative narrative of the pandemic. And when inconvenient facts — from a news report to a friend’s or relative’s decision to get vaccinated — challenge that narrative, they give them a place to take refuge.

This phenomenon has its origins in America’s political polarization. One of the best predictors of whether someone is resistant to getting the Covid-19 vaccine is whether they identify as a Republican, and we know those partisan bonds are powerful. But they are not sufficient to explain the intransigence. Most Republicans have gotten the vaccine by now, but about 12 percent of Americans say they will never get vaccinated under any circumstances. (Roughly six in 10 of those people are Republicans, but a small minority of Democrats also say they won’t get the vaccine.)”

““When you really want to believe something — like ‘you can’t trust the vaccines’ — you’ll come up with any number of rationalizations,” Van Bavel said. “It’s like whack-a-mole. You falsify one premise and they just create a new one.”

This is a well-documented social phenomenon. In a new book by Van Bavel and Lehigh psychology professor Dominic Packer, The Power of Us, the authors recount one controversial work of social science in the 1950s. Social psychologists infiltrated a doomsday cult to find out how the members would react when their promised date of salvation — the day that a UFO would come to Earth and take them away — came and went without the prophecy coming true.

The researchers found that when the prophecy failed, most people didn’t quit the cult. They didn’t discard their old beliefs, protest that they had been lied to, and desert the cult’s leader. Instead, the leader offered his followers a brand new narrative, which many of them accepted: Their fervent faith had been so powerful that the apocalypse had been averted.”

The CDC Made America’s Pandemic Worse

“The root of the problem is the agency’s self-conception: It sees itself as the ultimate arbiter of what is true and what to do on all matters of infectious disease. In essence, the CDC believes there is no other authority besides the CDC, so it shuts out private labs from the testing process, insists that its faulty tests actually work pretty well long after problems arise, sticks with overly complicated plans that bog down processes, and resists calls to update its guidance, even when that guidance makes living ordinary life difficult or impossible. In a pandemic, where information is scarce and evolves rapidly—and when hundreds of millions of people have to make decisions right now—the agency’s preference for deliberative slowness and absolutist pronouncements would be a problem even if it were largely competent. And as it turns out, the agency isn’t that competent at all.”