<story><title>Children develop robust and sustained cross-reactive immunity after Covid</title><url>https://www.nature.com/articles/s41590-021-01089-8</url></story><parent_chain><item><author>standardUser</author><text>The primary concern form day one has been the capacity of our healthcare systems. &amp;quot;Peak pandemic mortality&amp;quot; includes scores of people dying from unrelated illness due to lack of care. Does anyone truly think its acceptable to let people die in ambulances outside of hospitals because a highly contagious disease filled all the hospital beds and medical staff is too fatigued to work? Maybe people with a political axe to grind pretend to think that.</text></item><item><author>Amezarak</author><text>The question ever since it became clear that this coronavirus was endemic has been what a &amp;quot;manageable end game&amp;quot; is: that is, what level of risk and mortality are we prepared to accept, given that deaths from Covid will never be zero.&lt;p&gt;This is, in my opinion, the primary underlying disagreement. Some people think that no amount of deaths from Covid is acceptable. Some people believe that even the peak pandemic mortality is acceptable. And others fall somewhere in between, by, for example, focusing on hospital capacity. I don&amp;#x27;t think there is any long-term solution to Covid as a social issue, something we talk about and can&amp;#x27;t move past, until some kind of consensus is reached on this.</text></item><item><author>mikeyouse</author><text>Finally some glimmers of hope in moving past Covid.. if Omicron continues on its current track of highly infectious but less serious —- and infection confers reactive immunity to a variety of strains, we could be closer to the endemic but manageable end game. Good vaccines + mild severity illness are basically the best case.&lt;p&gt;What a stroke of luck that we are here vs a more infectious strain of Delta or some other nightmare that would keep this rolling.</text></item></parent_chain><comment><author>guimplen</author><text>I think the real problem is that in most countries the healthcare system was &amp;quot;optimized&amp;quot; to such extent that even seasonal flu was almost clogging it every year. And now SURPRISE, any disease, even a tad bit more deadly and contagious than the seasonal flu would make it collapse. TOTALLY UNEXPECTED.</text></comment>
<story><title>Children develop robust and sustained cross-reactive immunity after Covid</title><url>https://www.nature.com/articles/s41590-021-01089-8</url></story><parent_chain><item><author>standardUser</author><text>The primary concern form day one has been the capacity of our healthcare systems. &amp;quot;Peak pandemic mortality&amp;quot; includes scores of people dying from unrelated illness due to lack of care. Does anyone truly think its acceptable to let people die in ambulances outside of hospitals because a highly contagious disease filled all the hospital beds and medical staff is too fatigued to work? Maybe people with a political axe to grind pretend to think that.</text></item><item><author>Amezarak</author><text>The question ever since it became clear that this coronavirus was endemic has been what a &amp;quot;manageable end game&amp;quot; is: that is, what level of risk and mortality are we prepared to accept, given that deaths from Covid will never be zero.&lt;p&gt;This is, in my opinion, the primary underlying disagreement. Some people think that no amount of deaths from Covid is acceptable. Some people believe that even the peak pandemic mortality is acceptable. And others fall somewhere in between, by, for example, focusing on hospital capacity. I don&amp;#x27;t think there is any long-term solution to Covid as a social issue, something we talk about and can&amp;#x27;t move past, until some kind of consensus is reached on this.</text></item><item><author>mikeyouse</author><text>Finally some glimmers of hope in moving past Covid.. if Omicron continues on its current track of highly infectious but less serious —- and infection confers reactive immunity to a variety of strains, we could be closer to the endemic but manageable end game. Good vaccines + mild severity illness are basically the best case.&lt;p&gt;What a stroke of luck that we are here vs a more infectious strain of Delta or some other nightmare that would keep this rolling.</text></item></parent_chain><comment><author>throwaway55421</author><text>No, lots of people do actually think that, but we believe that three main methods can be employed to mitigate this:&lt;p&gt;1. aggressive triage based on chances and QALY remaining&lt;p&gt;2. increased healthcare funding&lt;p&gt;3. voluntary isolation of individuals who see lockdown as being preferable to their personal coronavirus risk&lt;p&gt;Will it result in more deaths than February 2020? Sure. But we don&amp;#x27;t have that choice because sars2 exists now.&lt;p&gt;We think it&amp;#x27;s better to ration healthcare and therefore doom an unlucky minority, versus rationing life itself for everyone (via lockdowns and restrictions) and slow killing everyone.&lt;p&gt;As far as I can tell, most of the lockdown debate centres around an erroneous idea that we can just do X, Y, Z, and then immunosuppressed Harriet can rejoin the world and avoid contracting coronavirus.&lt;p&gt;But she just can&amp;#x27;t. Even the original strain would have eventually infected her with high probability unless we continued to cycle lockdowns or she voluntarily isolated.</text></comment>