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As my regular readers know, I work in medical technology and IT. It won’t surprise you that I am putting a lot of thought into Bird Flu right now and what kind of responses will be needed. Some of the responses are going to involve me and people like me so I think about it, and by that I sometimes mean panic in a very organized manner.
Now I’m not an infectious disease expert – I’m a Project Manager with a psych degree. I can’t predict the chance of this kind of thing or that or A-3 versus A-6 swaps and so on. I’m more interested how we respond and what I need to worry about to keep things running. I’ll let the medical experts tell me when to worry – well worry, more as I’m also a hypochondriac.
What can I say, I fit my job.
And since I like to talk Project Management, because it relates to my career and to current events, let me share one of my big fears about Bird Flu – what I call The Disjunction. I am very concerned that the response to Bird Flu becoming a pandemic will be a bunch of completely incoherent, disconnected responses which will make it much worse.
We’re a pretty dis-unified country in many ways. I don’t think we can have a unified response to a new pandemic. We have states fighting with and trying to show up each other, and some states basically owned by their political machines. Imagine the response to Bird Flu . . .
One state makes its own vaccines, another finds some loopy lawmaker try to outlaw 5G, one does lockdowns, another bans masks, etc. I’ve seen pretty diverse COVID responses and fluctuations among states now, and considering the amount of B.S. surrounding health these days, I expect if Bird Flu gets to pandemic level, it’ll be worse.
We’re not going to easily get to the truth considering the state of communications. Many news agencies don’t do their job, “both sides things” and of course kiss up to whoever their billionaire owners need to kiss up to. Social Media is awash in conspiracy theories easily monetized, and I don’t even know what’s going on at Meta anymore. We’re not going to have any unified viewpoint or sane, broad method of discussion – there’s no adults in the room.
Social media and quisling news will make it worse.
Speaking of, I don’t expect our “leadership” to handle it. I’ve not exactly been thrilled with the CDC for the last few years anyway. With the promise of RFK and others of his ilk as medical leaders, I’m even more cynical – even if they don’t get in they and their replacements will cause problems. I also expect assorted self-interested politicians and pundits will happily stake out their territories, rile people up with conspiracy theories, and try to take advantage of people. Oh, and I expect lots of people to try to do the right thing but it will be hard.
I think the future response to Bird Flu in the US won’t be a bad response but fifty different state responses, with multitudes of local responses, many of them conflicting. Which might not sound as bad as one unified really bad response, but it’s going to be disconnected and incoherent and that leads to its own problems.
I can see a lot of ways this breaks.
States and cities and so on that take the right measures will still have to deal with the results of others taking bad ones. Having people mask, or get vaccinated, or whatever is great, but when your neighbors are finding new ways to get infected then it reduces your efforts. We share a viral destiny here in this world, and very bad policy can reduce good policy – and that makes for other conflicts.
These disjunctions will generate confusion. Where is it safe to travel? Where do you ship things? How should a hospital respond to emergencies from places of radically different measures of protection? How will people figure out the best response when people are confused, disjointed, and of course deranged or lying?
These disjunctions and confusion will lead to conflicts. States will sue each other, sue the government, cities suing states, personal lawsuits, etc. Do you put in a travel ban on a state awash in Bird Flu? Plus there will be the crazy conspiracy theories, like folks who thought the COVID vaccine made you spread disease.
Some conflicts will doubtlessly get violent. People are primed for it. We’ve seen a lot of disinhibition in this country (which I may comment on more).
As all of this happens, we won’t have accurate numbers. One state will scrupulously measure everything, another won’t report for, I dunno, religious reasons or something. Getting a handle on the pandemic and its impact will be hard. I also expect attempts to cover numbers up by unscrupulous politicians, and you can imagine how that’ll backfire. When your next election comes up, many a politician will want to hide that pile of corpses or the failing hospitals.
Finally all these problems will be exhausting. Remember COVID? Remember that grind? Remember the wearing stupidity? Ready for it again, only with even more to wear you down because now people are primed to discuss how Ivermectin protects you from Chinese bioweapons created by a secret cabal to make you sterile so FInland can seize control? We’re ready to be dumb faster.
So if Bird Flu goes pandemic in the new few years, I don’t just expect an inappropriate federal response, I expect a disjunction among responses all over. It’ll make it harder to manage, ensure more suffering, and scar us pretty badly. Well scar us badly, again.
So me, I’ll be doing doing what I do, keeping things running – find and focus on real goals. Make sure those I work with can do real medicine. I’ll also be ready to stay informed and build my behavior around the idea a lot of people are not coordinated and many are wrong if not malicious. I’ll also be ready to deal with the disjunctions.
A lot of this will be with me buckling the hell down, trying to stay sane. Trying to survive so I can help.
And of course to say “I told you so.” But that part I hate.
I hope I’m wrong.
Steven Savage