“Of course we are trying to keep the mortality rates as low as possible, but at the same time we have to look at the draconian measures you are talking about. Are they going to produce even more deaths by other means than the disease itself? Somehow we need to have the discussion of what we are actually trying to achieve. Is it better for public health as a whole? Or is it trying to suppress COVID-19 as much as possible? Because getting rid of it I don’t think is going to happen: it happened for a short time in New Zealand and maybe Iceland and those kind of countries might be able to keep it away, but with the global world we have today, keeping a disease like this away has never been possible in the past and it would be even more surprising if it were possible in the future.”
Even more impressive was Tegnell’s humility. Several times during the interview he said “we don’t know,” and he qualified many of his answers with uncertain terms such as “seems” and “might.” I thought that was exactly what experts should have been doing all along, communicating nuance and even uncertainty to a terrified public. Either that wasn’t happening at all, or the media was filtering out all the nuance and uncertainty any expert might offer and just went with certain doom.The more I thought about it, the more I realized that I was the outlier. Most people don’t want nuance and uncertainty when they are scared. They want to know that there are experts that know everything that is going to happen and how to stop it. They want to know that all risk of disease and death can be eliminated with simple and sustainable countermeasures, and they are quite willing to trade away many of their freedoms, even for an illusion of control. Many experts and the media that promote them are perfectly happy to sell that illusion when the public is frantically buying.
Because experts failed so miserably to live up to the public and media’s magical thinking the last three years, the word “expert” has lost a lot of its meaning, and that’s not necessarily a bad thing. Experts are terrible at predictions and don’t have much knowledge outside of their often narrow fields of interest. In a very complex situation such as a pandemic, there will not be any one person who has a deep understanding of what’s happening at any given moment, much less the ability to predict what will happen next. It’s like asking the CEO of a car manufacturer to build a car by himself from scratch—it’s nearly impossible because it requires the coordinated efforts of hundreds of people specializing in the construction of each part and assembly of the finished product. Not even a CEO could perform each step.
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In the early days of the pandemic, the amount of coronavirus “experts” was limited, and there was a lot of competition for the few that might have qualified in media circles. One of the unquestioned experts was my former PhD advisor, Dr. Stanley Perlman, a coronavirologist/immunologist at the University of Iowa. Stan had been thrust into the world of human coronavirus research after the SARS1 outbreak put the spotlight unexpectedly on human coronaviruses. He had helped start a BSL3 lab at Iowa and began working on SARS1 infection in mice, while also paying attention to other coronaviruses with potential to cause serious disease, like the Middle East Respiratory Virus, or MERS.
When only two cases of SARS-CoV-2 infection had been confirmed in the United States, an Iowa TV station sought out Stan for a prediction about how the U.S. would be affected by the novel virus. People were already seeing horror stories from China, which had just locked down the day before. They wanted some reassurance. Thinking about how SARS1 had been contained over the course of several months in 2003, Stan told the reporter he thought Iowa would never see a case. Obviously, that prediction didn’t age well.Two years later, when I asked him about his early recollections, he brought up that interview, “The biggest mistake I made in my initial impression is that the number of cases was increasing but I thought it was still consistent with a SARS and MERS-like spread, whereas mostly lower respiratory tract. So, in the beginning I thought that this was going to be like SARS1 and MERS and that quarantining will work. And within five weeks we knew that wasn’t going to work. When you’re asked that question as an expert you really have to walk the line and not being really sure where you are with two cases, do you say, “Well, I think we all have to be really worried because it seems to be spreading quickly,” when there really wasn’t that much evidence for that or do you say, “Well, it’s only two cases.” And I opted for saying “It’s only two cases, and I think we should just see how it plays out.” Not only were most people clueless about how SARS-CoV-2 would behave, experts like Stan didn’t know either. His expertise was actually problematic at such an early time point.
Once U.S. states began to reopen, models again wrongly predicted massive COVID resurgence. Georgia’s reopening was criticized in the press as an “Experiment in Human Sacrifice.” A model developed by researchers at Massachusetts General Hospital in Boston predicted that even a gradual lifting of restrictions on the planned date of April 27th would result in over 23,000 deaths, while keeping current restrictions until July would result in ~2,000 deaths. Keeping restrictions wasn’t what the modelers recommended, as additional results showed a stricter 4-week lockdown would have the best outcome.
None of that even remotely happened. One month after Georgia reopened, instead of 23,000 deaths, 896 were recorded. Georgia was not an isolated example. All over the U.S., states that reopened were predicted to have surges in cases that rarely materialized in the predicted time frame. “Just wait two weeks, and you’ll see,” maximizers would say, ad nauseum. When two weeks and more passed, maximizers would explain the discrepancy by pointing out that the apocalyptic forecasts were made to show what would happen if there were no lockdowns, restrictions, or mandates. The outcome could be therefore easily explained by “It could have been so much worse without government action.”In hindsight, it’s very clear that numbers aren’t substitutes for arguments, yet that’s exactly how predictions were viewed early on in the pandemic. For maximizers, cataclysmic predictions generated by models and experts served to promote lockdowns, mandates, and behavioral changes—they scared the crap out of people and made them stay home and away from others. It simply didn’t matter if the predictions were correct, the ends were justified by the means. For minimizers, large numbers only increased the potential for collateral damage, because they knew the bigger the numbers, the more draconian restrictions would be accepted. Thus, less catastrophizing would result in less hasty and damaging decisions by leaders. Ultimately, both groups were both right and wrong. COVID mortality was high in the United States, with over a million recorded deaths, but it happened over the course of two years and through several waves which few predicted.
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The pandemic opened the curtain to expose the folly of expert worship. Experts are just as fallible and prone to biases, toxic groupthink, and political influence as anyone else. This recognition might make people uneasy. However, it should also force a sense of responsibility to search for the truth despite what the experts might say, and that’s a good thing.