Astral Codex Ten 05月21日 23:05
The Other COVID Reckoning
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五年过去了,新冠疫情的影响仍在持续,口罩、封锁、疫苗等话题争论不休。然而,120万美国逝者的声音却逐渐被遗忘。这个数字超过了越南战争、9/11事件和所有大规模枪击事件的总和,是美国历史上最致命的事件。或许是因为逝者多为老年人,他们的声音难以被听见。我们需要警惕这种对死亡的漠视,不要让统计数字掩盖了生命的价值,更不能让无休止的争论冲淡对逝者的哀思。

💔新冠疫情导致120万美国人死亡,超过越南战争、9/11事件和所有大规模枪击事件死亡人数的总和,成为美国历史上最致命的事件。

👵虽然新冠死亡者多为老年人,但仍有25万65岁以下的美国人丧生,相当于盐湖城的人口规模。甚至有比在伊拉克和阿富汗战争中阵亡的更多的适龄青年男性死于新冠。

📢对新冠疫情的讨论往往集中在封锁、病毒来源、后遗症和疫苗等争议性话题上,这些话题引发了激烈的争论,但却忽视了120万逝者的存在。逝者无法为自己辩护,他们的声音被淹没在各种争论之中。

💰人们在权衡生命与金钱时,常常会忽略实际死亡人数。如果一开始就知道会有120万人死亡,人们可能会支持更严格的防疫措施,但实际上,人们却对如此庞大的死亡数字视而不见。

Five years later, we can’t stop talking about COVID. Remember lockdowns? The conflicting guidelines about masks - don’t wear them! Wear them! Maybe wear them! School closures, remote learning, learning loss, something about teachers’ unions. That one Vox article on how worrying about COVID was anti-Chinese racism. The time Trump sort of half-suggested injecting disinfectants. Hydroxychloroquine, ivermectin, fluvoxamine, Paxlovid. Those jerks who tried to pressure you into getting vaccines, or those other jerks who wouldn’t get vaccines even though it put everyone else at risk. Anthony Fauci, Pierre Kory, Great Barrington, Tomas Pueyo, Alina Chan. Five years later, you can open up any news site and find continuing debate about all of these things.

The only thing about COVID nobody talks about anymore is the 1.2 million deaths.

That’s 1.2 million American deaths. Globally it’s officially 7 million, unofficially 20 - 30 million. But 1.2 million American deaths is still a lot. It’s more than Vietnam plus 9/11 plus every mass shooting combined - in fact, more than ten times all those things combined. It was the single deadliest event in American history, beating the previous record-holder - the US Civil War - by over 50%. All these lives seem to have fallen into oblivion too quietly to be heard over the noise of Lab Leak Debate #35960381.

Maybe it’s because they were mostly old people? Old people have already lived a long life, nobody can get too surprised about them dying. But although only a small fraction of COVID deaths were young people, a small fraction of a large number can still be large: the pandemic killed 250,000 <65-year-old Americans, wiping out enough non-seniors to populate Salt Lake City. More military-age young men died in COVID than in Iraq/Afghanistan. Even the old people were somebody’s spouse or parent or grandparent; many should have had a good 5 - 10 years left.

Usually I’m the one arguing that we have to do cost-benefit analysis, that it’s impractical and incoherent to value every life at infinity billion dollars. And indeed, most lockdown-type measures look marginal on a purely analysis, and utterly fail one that includes hedonic costs. Rejecting some safety measures even though they saved lives was probably the right call. Still, I didn’t want to win this hard. People are saying things like “COVID taught us that scientists will always exaggerate how bad things will be.” I think if we’d known at the beginning of COVID that it would kill 1.2 million Americans, people would have thought that whatever warnings they were getting, or panicky responses were being proposed, were - if anything - understated.1

Rather than rescue this with appeals to age or some other variable making these deaths not count, I think we should think of it as a bias, fueled by two things. First, dead people can’t complain about their own deaths, so there are no sympathetic victims writing their sob stories for everyone to see2. Second, controversy sells. We fight over lockdowns, lab leaks, long COVID, and vaccines, all of which have people arguing both sides, and all of which let us feel superior to our stupid and evil enemies. But there’s no “other side” to 1.2 million deaths. Thinking about them doesn’t let you feel superior to anyone - just really sad.

This is the same point I try to make in my writings on charity. A million lives is a statistic, but some random annoying controversial thing that captures the public interest is alive and salient - it’s easier to remember a story about a charity that turned out to be corrupt, or offensive, or just cringe, compared to the one that saved 1,000 or 10,000 or 100,000 lives. Even the people who do remember the 10,000 lives have to fight to avoid both-sidesing it - “Well, this charity saved 10,000 lives, but that charity said something cringe on Twitter, so overall it’s kind of a wash”. In the end people average out the whole subject to “Wait, you support charities? But didn’t you hear about that one that turned out to be corrupt? Can’t believe you’d be into something like that.”

I freely admit I don’t know where I’m going with this. If you ask what you should do differently upon being reminded that 1.2 million Americans died during COVID, I won’t have an answer - there’s no gain from scheduling ten minutes to be sad each morning on Google Calendar. I’m not recommending you do anything differently, just remarking how weird it is that this doesn’t automatically come up more of its own accord.

1

I’m being weirdly hypocritical or self-contradictory here. If people had known at the beginning that 1.2 million people would have died, they would have proposed policies much stricter than what actually happened - and I think those policies would have been wrong. But in the real world, it’s as if two opposite mistakes cancelled out - one, where people demand we choose lives over any amount of money when they’re explicitly making the comparison, and a second where people never make the comparison because they just sort of ignore any number of real-world deaths.

2

People can complain about their relatives dying, but I think you’re more likely to get told to “read the room” when complaining that your grandma died at 75 than when complaining that you lost your job or suffered learning loss or something.

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新冠疫情 死亡人数 社会反思 生命价值
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