Assuming that he read your comment and the comments of people on his FB saying similar things, I think Rob is confident that aggressive testing and social distancing measures will arrest the spread (as they already have in at least 3 countries!), along with expansion of capability (already happening w.r.t. masks!), will ensure that we get sort-of-adequate access to healthcare, even if things are somewhat overwhelmed, like in Wuhan, so doubling or 5x-ing their mortality rate is a better guide to what is likely to happen, rather than guesstimating based on no treatment.
But I also think it’s possible that the US (where I live) would be worse-off (in terms of hospital overwhelmed-ness) than the heart of Wuhan. The logic is: Hubei is <5% of the population of China, and the central government could draw on the resources of the other >95% of the country to marshal a response. And the other 95% was unencumbered by the extreme social distancing that Hubei was undergoing.
By contrast, as far as I know, there could be exponentially-growing community transmission in every city in the USA right now. (After all, we know about the Seattle outbreak because there happened to be the Seattle flu study checking random people in Seattle, not because we were checking random people in every city and only found community transmission in Seattle. If I understand correctly.) If there’s a crisis everywhere at once, then obviously marshaling a response is harder, not least because the people trying to marshal the response are hampered by the social distancing measures.
Not to mention various other differences between the US government and Chinese government and South Korean government etc. :)
Assuming that he read your comment and the comments of people on his FB saying similar things, I think Rob is confident that aggressive testing and social distancing measures will arrest the spread (as they already have in at least 3 countries!), along with expansion of capability (already happening w.r.t. masks!), will ensure that we get sort-of-adequate access to healthcare, even if things are somewhat overwhelmed, like in Wuhan, so doubling or 5x-ing their mortality rate is a better guide to what is likely to happen, rather than guesstimating based on no treatment.
Well, that’s entirely possible.
But I also think it’s possible that the US (where I live) would be worse-off (in terms of hospital overwhelmed-ness) than the heart of Wuhan. The logic is: Hubei is <5% of the population of China, and the central government could draw on the resources of the other >95% of the country to marshal a response. And the other 95% was unencumbered by the extreme social distancing that Hubei was undergoing.
By contrast, as far as I know, there could be exponentially-growing community transmission in every city in the USA right now. (After all, we know about the Seattle outbreak because there happened to be the Seattle flu study checking random people in Seattle, not because we were checking random people in every city and only found community transmission in Seattle. If I understand correctly.) If there’s a crisis everywhere at once, then obviously marshaling a response is harder, not least because the people trying to marshal the response are hampered by the social distancing measures.
Not to mention various other differences between the US government and Chinese government and South Korean government etc. :)