Thursday 7 May 2020

This is what we need right now to call Government to account


For many decades I have been an avid reader of Private Eye and right now it is doing a far better job of holding Government to account than either the mainstream, the digital or the social media.
Their medical writer(s?) under the pseudonym MD have (has?) this edition done the best job yet of examining the actions - and too many failures - of our national policy. And given I am no expert I am pleased to find that as I have said, following the science does not describe it at all.
From the moment this pandemic reached Britain (whenever that actually was!) errors of policy have followed. For a start of course the emergency supplies of PPE and the 'reserved spare' emergency capacity in the health service had been allowed to wither during ten years of Tory inspired austerity.
On that basis the knee-jerk herd immunity was a disaster. Then came the PPE problem and a devious downgrading of coronavirus to allow lesser protection to, apparently, be allowable.
Then there was the message to care homes – "you have nothing to worry about". In terms of Government intervention they were right. In terms of Covid-19 infection they were woefully wrong.
(MD does not say it but I believe it. That this decision was a cold-blooded means of protecting the weakened and ailing NHS to cope with what was coming. And it now appears to have continued with infected and allegedly recovering care home patients being sent from hospital to care home without testing or tested with a 30% fallible test.)
Testing started. Then stopped. Track and trace started. Then stopped. Yet we all know, from South Korea and others, that this was an essential step in protecting the NHS and saving lives.
Then 'stay home' came two weeks too late and after huge public gatherings. And was not rammed home hard enough to begin.
Now we come to loosen the lockdown. Am I confident we shall get that right? Don't even ask. But they cannot let the likes of me loose yet: too old, too complicated, too vulnerable, too much part of the 0.5%....

AND finally I'd like to share the Eye's leading article this edition. And this I shall quote at length:

LOSE-LOSE SCENARIO
PANDEMIC planning is the ultimate lose-lose scenario. The lives and livelihoods lost from the virus have to be balanced against the lives and livelihoods lost from the "treatment".
This virus is causing a surge of deaths particularly in the sick and elderly, whereas lockdown is causing a smaller surge in non-Covid deaths and a steady, sustained increase in harm to those who have their whole lives ahead of them.
Brutally put, 100 percent of us are making sacrifices to save 0.5 percent of us (or less).
Children are being harmed to save adults; the poor are being harmed more than the rich; and some people have become so conditioned to "stay at home" that not even a medical
emergency will tempt them to seek help.
Given such staggering complexity, the best one can hope for is an overall "harm minimisation" strategy. To get there, experts from all disciplines need to subject their models and data on the benefits and harms of any strategy to full public scrutiny. And politicians need to admit their errors in real time.
It has taken us more than three months to move from Patient Zero to mass testing and tracing. It would be churlish not to welcome Matt Hancock's 100,000 tests a day (even
though they included requests and promptly fell again), but thousands more lives might have been saved by earlier action. It is time for an apology.
Meanwhile, after the mothballing of the little-used Nightingale hospital in London, questions will be asked about the money and precious resources spent on the hospital — but it's worth noting that the NHS needs extra capacity in case it gets a second spike in infection.




To read it all go to this link in a day or two when it goes live (we subscribers get a bonus) : 
https://www.private-eye.co.uk/current-issue
 Or order your copy now...

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