There is now a surge of cases in my workplace making everything suck. HR recently promoted the vaccines because of it, which is a little too late, but isn't encourage masking. Wastewater covid levels in my region are the highest they've been in over a year. I guess the herd immunity hasn't kicked in yet.

With the wars we are starting, the response to global warming, and the response to covid, It feels like Biden's generation is determined to take as many human beings to the grave with them as possible, like some deranged pharoah being buried with their slaves. It's all just the logic of the "free market" ruining fucking everything, but still.

The Covid-19 pandemic is not a state of mind—and telling us not to panic isn’t healthcare.

This claim—that more disease risk and contagion means the end of a disease event—runs contrary to the science. Many have claimed that widespread SARS-CoV-2 infections will lead to increasingly mild disease that poses fewer concerns for an increasingly vaccinated (or previously infected) population. In fact, more disease spread means faster evolution for SARS-CoV-2, and greater risks for public health. As we (A.C. and collaborators) and others have pointed out, rapid evolution creates the risk of novel variants with unpredictable severity. It also threatens the means that we have to prevent and treat Covid-19: monoclonal antibody treatments no longer work, Paxlovid is showing signs of viral resistance, and booster strategy is complicated by viral evolution of resistance to vaccines.

But these efforts to manage and direct public feelings are not just more magical thinking; they are specifically intended to promote a return to pre-pandemic patterns of work and consumption. This motive was articulated explicitly in a McKinsey white paper from March 2022, which put forward the invented concept of “economic endemicity”—defined as occurring when “epidemiology substantially decouples from economic activity.” The “Urgency of Normal” movement similarly used an emotional message (that an “urgent return to fully normal life and schooling” is needed to “protect” children) to advocate for the near-total abandonment of disease containment measures. But in the absence of disease control measures, a rebound of economic activity can only lead to a rebound of disease. (This outcome was predicted by a team that was led by one of the authors [A.C.] in the spring of 2021.)

A pandemic is a public health crisis, not a public relations crisis. Conflating the spread of a disease with the way people feel about responding to that spread is deeply illogical—yet a great deal of the Biden administration’s management of Covid-19 has rested on this confusion. Joe Biden amplified this mistaken perspective last September when he noted that the pandemic was “over”—and then backed that claim by stating, “If you notice, no one’s wearing masks. Everybody seems to be in pretty good shape.” The presence or absence of health behaviors reveals little about a threat to health itself, of course—and a decline in mask use has been shaped, in part, by the Biden administration’s waning support for masking.

Separately, long Covid poses an ongoing threat both at an individual and a public health level. If our increasingly relaxed attitude toward public health measures and the relatively unchecked spread of the virus continue, most people will get Covid at least once a year; one in five infections leads to long Covid. Although it’s not talked about a lot, anyone can get long Covid; vaccines reduce this risk, but only modestly. This math gets really ugly.