March 2020 in Review

To state the obvious, March 2020 was all about the coronavirus. At the beginning of the month, we here in the U.S. watched with horror as it spread through Europe. We were hearing about a few cases in Seattle and California, and stories about people flying back from Italy and entering the greater New York area and other U.S. cities without medical screening. It was horrible, but still something happening mostly to other people far away on TV. In the middle of the month, schools and offices started to close. By the end of the month, it was a full blown crisis overwhelming hospitals in New York and New Jersey and starting to ramp up in other U.S. cities. It’s a little hard to follow my usual format this month but I’ll try. Most frightening and/or depressing story:
  • Hmm…could it be…THE CORONAVIRUS??? The way the CDC dropped the ball on testing and tracking, after preparing for this for years, might be the single most maddening thing of all. There are big mistakes, there are enormously unfathomable mistakes, and then there are mistakes that kill hundreds of thousands of people (at least) and cost tens of trillions of dollars. I got over-excited about Coronavirus dashboards and simulations towards the beginning of month, and kind of tired of looking at them by the end of the month.
Most hopeful story:
  • Some diabetics are hacking their own insulin pumps. Okay, I don’t know if this is a good thing. But if medical device companies are not meeting their patient/customers’ needs, and some of those customers are savvy enough to write software that meets their needs, maybe the medical device companies could learn something.
Most interesting story, that was not particularly frightening or hopeful, or perhaps was a mixture of both:
  • I studied up a little on the emergency powers available to local, state, and the U.S. federal government in a health crisis. Local jurisdictions are generally subordinate to the state, and that is more or less the way it has played out in Pennsylvania. For the most part, the state governor made the policy decisions and Philadelphia added a few details and implemented them. The article I read said that states could choose to put their personnel under CDC direction, but that hasn’t happened. In fact, the CDC seems somewhat absent in all this other than as a provider of public service announcements. The federal government officials we see on TV are from the “Institute of Allergies and Infectious Diseases”, which most people never heard of, and to a certain extent the surgeon general. I suppose my expectations on this were created mostly by Hollywood, and if this were a movie the CDC would be swooping in with white suits and saving us, or possibly incinerating the few to save the many. If this were a movie, the coronavirus would also be mutating into a fog that would seep into my living room and turn me inside out, so at least there’s that.
https://www.youtube.com/watch?v=4chSOb3bY6Y

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