I agree that with re-opening, we will see a bump in infections, and therefore deaths. However, there is only one path out of this and that is herd immunity. We can accelerate herd immunity via vaccine, but either way its herd immunity. That means that we want as many people sick as our hospital system can handle, but not more. That means playing a game of optimization. Further, different states (New York vs. Arizona) should have different plans because their situations are vastly different (population density, current herd infection status, etc).
Further, we can't just optimize for Covid19 deaths, we have to look at the whole situation, which includes suicides due to shelter-in-place orders, child abuse and other domestic violence, malnutrition due to hunger from unemployment, negative impacts of poverty.
this will certainly be a case study for future generations.
> That means that we want as many people sick as our hospital system can handle, but not more.
This would be the optimal situation, but it requires at least:
* Widespread testing available to any who need it for any reason;
* Careful, centralized monitoring and resource allocation;
* Plenty of PPE, critical care equipment, and disposable goods;
* A cooperative public willing to follow a constantly shifting set of recommendations.
And the country as a whole has basically none of those things. California is better-resourced and managed (for this particular thing) than other states, so they're gonna give it a shot. The rest of the country is just gambling.
This disease does not cooperate with this kind of response because of the lag time from initial infection to critical illness. Reports on this vary from like 3 days to 20-odd days. Coupled with the disease's high rate of infection, this means that a hospital can go from 50% full to 150% full very quickly. If a state government with an impossibly obedient population set a tripwire at 50% hospital capacity and shut everything down the minute they hit that mark, then they're still going to overflow a couple of weeks later as symptoms progress for those that were infected just before the shut-down.
The virus needs to be studied in further detail before we haphazardly aim for herd immunity. There is still no proof that the immunity gained from it, lasts more than a few months.
Imagine the fall out if a government pushes for herd immunity, knowingly sacrificing 5-10% of the population, and it turns out that country gets wave after wave of fatalities due to the herd not having a lasting immunity.
Further, we can't just optimize for Covid19 deaths, we have to look at the whole situation, which includes suicides due to shelter-in-place orders, child abuse and other domestic violence, malnutrition due to hunger from unemployment, negative impacts of poverty.
this will certainly be a case study for future generations.