Death focuses the mind but deeply distresses politicians. Especially when their actions can be blamed for unnecessary deaths.
Deaths from Covid-19 already are a political football. Expect the situation to progress with obfuscation, disinformation and eventually outright lying to take center stage.
There is a way to cut through the BS: calculating excess deaths.
For any given day, month, or year, a certain number of deaths are expected in any city, county or country. You witness a generally regular seasonal cycle, which allows hospitals, clinics, and mortuary homes to plan with potent predictability.
You expect national deaths to go up with winter and the infectious diseases that particularly bedevil the north. You don’t expect many skiing accidents in July, but do see more deaths from boating. Lots of factors change the numbers. And then there’s lockdown.
Lockdowns and Deaths
Lockdowns should really cut the death rate.
This is not immediately obvious, but much of human demise is predicated on normal activity that disappears in lockdowns. About one in 110 Americans dies in a car wreck – less when people are told to work at home and not visit relatives. People who might overdose on heroin or designer drugs cannot get to their fix, or afford one. Occupational deaths decrease when lots of people don’t make it to closed factories. With less elective surgery, overall deaths also temporarily go down.
So if you look at what should happen during lockdown, overall mortality should decline quite a lot.
What happens under lockdowns if you see death rates rise? Until proven as a result of cosmic rays or aliens zapping humans, a fine bet is it’s due to Covid-19.
Are present statistics accounting for this? In some countries, like Belgium, yes. New York City considers the actual numbers of deaths predicted versus what’s seen. In most places, no. Just like some American politicians wanted the Sars Cov 2 infection rate kept artificially low, denying the ability of researchers to test for weeks and months, lots of government leaders desire a death undercount. The Brits have been among the leaders in this statistical monkeying, generally not counting deaths in nursing homes.
It should be added that beyond the people dying alone in their apartments or suddenly in nursing care, many deaths due to Covid-19 will not result from people diagnosed with the disease. Many will die indirectly, as when heart attack and stroke cases could not be treated effectively because the hospitals they entered were overloaded with Covid-19 patients. Just as many future deaths will be indirectly related to Covid-19 due to numerous issues – like parents not getting their kids vaccinated because of closed medical offices.
However, under lockdown, expected deaths should go down. If they go up, that’s Covid-19’s doing, until proven otherwise.
If you were wondering, NYC’s death rate is running about 400% of expected.
Human beings are highly competitive animals. Many Americans worry about bank accounts and gyrating stock portfolios, snazzy cars, whether we have pretty eyes or nails or nicer smiles. We want to know how we stack up.
So when I compare the U.S. with Taiwan, whose official statistics declare 6 deaths in a country of 24 million, or South Korea, where at least 240 have died in a nation of 52 million, lots of people wave their hands. They say no, they’re too (you fill in the blanks – Asian, educated, organized, intelligent, whatever.) I disagree. I think humans are biologically remarkably alike around the world, have similar desires for health and the pursuit of happiness, and two democracies a stone’s throw from the epidemic’s source in China should have been much harder hit than the U.S., which had far more time to prepare.
But still. So lets look for a nation more “comparable.”
Let’s consider Australia. Another British colony which came across a vast land mass whose indigenous populations was then nearly wiped out, who declared themselves independent of the mother country which fought with it in two World Wars, which created a society marked by a love of freedom and independence. Australia today has a similarly conservative government, angry political division, a mixed capitalist economy with a highly spread out population many of whose citizens live in large cities, and an insouciant populace that doesn’t like to be told what to do – especially not to go to the beach.
Here are the numbers so far of deaths per million, according to Worldometer:
Australia – 3
U.S.A – 167
Also of note, Australia’s new Covid-19 cases are now rather rare, while ours are continuing to go up rapidly; many do not believe us to have reached peak rates.
Hopefully our death rates will decrease dramatically as the summer comes on. Statisticians will be then be able to better compare excess deaths in the U.S. versus Australia.
Or we can look at the numbers we have now, and recognize what they mean about how well we have comparably handled Covid-19.