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So you might see something I've been working on in the news this week, a “Roadmap to
Pandemic Resilience”.
And this is a for-real thing that represents a consensus of people with every political
belief and expertise, like, republicans and democrats and libertarians, economists and
health officials and ethics and civil liberties folks (and at least one mathematician), all
agreeing.
So there's a few ways we could respond to this pandemic.
In the US we already closed down a lot of stuff for a while and it's hard, but now
it looks like the curve is starting to flatten and we know it's going to keep falling in
the near term and all of us want to get back to our lives.
We don't know exactly what this side of the curve will look like, you've probably
seen versions that are… optimistically symmetric but unrealistic, it'll probably look less
like this and more like this which I modeled off of Spain, ok so say we reopen soon, and...
whoops that's not ideal, ok say less-affected areas can reopen, NY is still closed, then
some of us at least get a month of freedom and economic activity before we have to re-shut
down and do it all again and again.
It would be a reopening rollercoaster, and it would at least spread out the cases, but
this plan has a lot of unknowns.
It wouldn't be back to business as usual when things are open, because businesses won't
be able to rely on each other to stay open, or on their workers to not all fall sick at
once.
Anywhere could be the next hotspot.
It makes it hard to plan, and hard to feel safe.
So here's another way to respond, the plan all these folks agree on is to reopen the
economy this summer in 4 phases, so that the curve keeps falling and we can stay open,
while protecting your health and civil liberties.
There's three things we need to do this:
Number 1 is testing.
We simply need more tests, a lot more, like millions a day.
And these tests will be fast, no one wants to wait days for their results.
Number 2 is tracing.
Contact tracing is how we let you know if there's a chance you've been exposed,
so you can get a test and find out fast whether you should isolate to stop it from spreading
further.
And number 3 is supported isolation.
Anyone who tests positive, or is waiting for their results, needs support to isolate at
home, with health care, supplies, and job protections.
Testing, tracing, supported isolation.
It's possible, but it takes resources, so we made our plan as epic as we need it to
be to get this done responsibly this summer.
Ok so first is Phase 1.
Here's where we see the curve flatten and fall by giving our essential workers the support
and care they need.
40% of the economy is already open, thanks to essential workers like nurses, grocery
store workers, utilities maintenance workers, police and firefighters, restaurant and delivery
workers.
They didn't ask to be put on the front lines of this crisis, but they have stepped up to
the challenges.
So in phase 1 we grow our resources to support our essential workers and turn our current
limited-economy into a pandemic-resilient foundation.
We'll hear from our neighbors and friends who work in delivery and law enforcement that
thanks to testing and tracing they don't have to wonder anymore if they might be spreading
this disease without even knowing it, and don't have to worry about coworkers having
it without knowing it.
When someone tests positive they get sick leave, they have other worker protections,
so no one is worried about getting fired for being sick if they take a test.
We'll hear from our elders in care facilities that now there's testing in place to be
sure that there's no chance for this disease to spread out of control.
That goes for anyone in frequent contact with essential workers, including folks in jails
and prisons.
Some folks will be going through online training to fill in for essential workers.
Maybe a teacher you know trains to do in-home childcare to sub in for someone who has gotten
ill.
And maybe a neighbor who has experience caring for an elderly relative decides to take the
course and is ready to fill in.
How and where testing gets done might also depend on the community.
We know that the best way to prevent spread is to find out who was in contact with someone
who tested positive, so that those people can be tested quickly and have results within
24 hours.
Some communities already have networks of contact tracers that people trust to do this
work in a way that protects their rights, while in some communities we might hear about
people working together to build these networks, maybe some will use technology to help.
The better we are at contact tracing, the faster we can move on to phase 2, but worst
case we just have to make a lot more tests, 'cause in phase 1 most of us are still isolating
at home so we only need to produce enough tests to keep those essential workers safe.
Meanwhile we'll hear about all the innovative ways communities and companies are expanding
contact tracing and making it work to bring down the number of cases to where we can move
to phase 2.
In Phase 2
Now we've got our stable foundation of 40%, now we expand essential workers to 70%.
Communities will be empowered to put programs in place to train and hire more people in
essential jobs, lightening the burden on the current essential workforce.
We'll be able to address supply chain problems, you can find toilet paper in stores and order
pasta online again.
We might see one city get more busses on the street and hire more folks to drive those
busses, so that expanded essential workers can get to their jobs safely without being
in a crowded environment.
Another city without busses to spare might invest in hiring a set of workers to build
out more public transit infrastructure.
More people will get hired to serve in roles in unemployment and retraining so more people
can access support.
A doctor who has tested positive and has to isolate might teach courses on how to do a
swab test.
A contact tracer with 20 yrs experience might partner with their county to start an online
training program for contact tracers.
Maybe the Bay Area leans heavily on app assisted contact tracing.
Maybe LA partners with an organization like the National Council of La Raza UnidosUS to
work with immigrants on community run contact tracing they trust.
In a rural county like mine maybe we do most of our contact tracing the old fashioned way
over the phone with one of our local figures that everyone already knows anyway, and we
can take a test at the old elementary school if we need to.
Maybe we apply for funding to expand our tiny hospital, and there's a demand for construction
workers to build it out.
During this phase, which will probably be most of June, we can allow a relaxation of
certain social distancing measures for those essential workers on the front lines.
We'll still have to cancel large gatherings, but the group of expanded essential workers
can safely visit and support each other.
We'll see restaurants that are currently doing takeout for the general population can
be open to serve essential workers on-site.
If there's any question of exposure, there's enough tests to find out and the health resources
to respond as necessary.
We'll see our friends and relatives in essential sectors go from stressed and scared to secure
and supported.
Before long, 70% of the population is part of a smoothly working pandemic resilient economy,
and so we move on to phase 3.
Phase 3
Phase 3 is short and sweet.
It gets our workforce back to 100%, though some of us will still be working from home.
It lasts just a week or two, and by the end there will be no corona-induced unemployment.
Phase 3 is where non-essential businesses like hair and nail salons, work that can not
be done remotely, will restart with safety precautions like public mask wearing.
Maybe a friend reopens his hair salon giving priority to essential workers in his community
like doctors and bus drivers.
He knows they are able to get testing if there's a chance they've been exposed, so that if
any of his clients do test positive he will be informed by a contact tracer that he should
get tested too in case.
He makes sure to only have one client in his shop at a time and takes special precautions
to clean down surfaces between clients.
Office workers and mathematicians like me will still be working from home in phase 3,
and asked not to go out for just this next week or two, but now I can get a home visit
from a hair colorist or a massage therapist.
I'll leave the on-location visits for the workers who don't have the at-home job security
I have, just until we've ramped up our supplies to where we can move to phase 4.
Phase 3 also increases support for the unemployed, homeless, and under-housed.
This phase is probably early July, so I'll be looking to my county for guidance on whether
it's safe to have a small 4th of July gathering, maybe keeping our distance outside on the
porch or following other recommendations.
And then, at the end of July, we enter:
Phase 4.
The last 20% of workers, still working from home, can start going to the office again.
You might start going in just a few days a week after taking a test, covered by insurance,
and then working from home for the rest of the week while a different group of workers
has in-office days.
Some industries might phase things differently, and different offices will make different
decisions based on guidance and resources.
We can plan for summer barbecues with our family and friends because we'll have clear
guidance about safety and access to tests.
We can go to parks and go shopping wearing a mask without fear that coronavirus is lying
in wait on every surface.
A restaurant owner in NY, where tables are usually spaced close together, might have
to reduce capacity, but they are happy to have office workers able to dine out again.
In my town maybe most restaurants have enough space that folks can keep a safe distance
at about the usual capacity.
Maybe our local club replaces the dance floor with safely spaced bar tables, and they hire
local performers to give live shows so that they can charge a cover to make up for reduced
capacity.
In phase 4, Students can go back to school.
Well, it's probably summer vacation for most, but some school districts might have
summer classes where students can get out of the house and catch up on what they missed
in spring.
Summer sports teams might have to get creative.
Football, hockey, and basketball coaches will be inventing and sharing drills that have
reduced contact.
Parents might take turns attending games so that they can fill every other bleacher seat
to maintain distance.
There's enough tests that professional sports organizations can pay to have players tested
every day to identify cases before they can spread, meaning we can expect to see televised
sports again.
We'll have enough tests for educational institutions to be able to get additional
testing support, like maybe my cousins' college dorms are pretty crowded so they can
expect to test more frequently if they want to stay there.
In phase 4, life enters a comfortable new normal for the year before a vaccine, with
communities receiving up to date information on what's safe and the economy coming back
into full swing.
Things won't be quite the same.
We'll be wearing masks in public, moving large events online, and keeping a bit more
distance than usual.
But some of our investments will benefit us in the long term, like expanding our public
transportation and health infrastructure.
Our economy will be pandemic resilient not just for this pandemic, but ready to hold
strong against future attacks.
Throughout these four phases, we're going to see communities being empowered to find
creative ways to reopen in ways that are safe, legal, and supported with the healthcare infrastructure
they need to do testing, trace those who have been exposed, care for the sick, and support
those who must isolate at home.
So you might be wondering, how do we get these resources available for states and local governments
to use?
Basically we need a national Pandemic Testing Board with strong but narrow powers to get
the supply chain moving, with $50-500 billion in funding over two years, depending on how
effectively we do contact tracing, plus an expanded Health Reserves.
It's a war-time-level investment that we are more than capable of, and it costs a lot
less than repeatedly shutting down the economy, in both lives and money.
We've done our homework on this so check it out along with the body of supporting work
if you're interested.
And people across disciplines and ideologies agree on this plan.
We can do this.
You can do this.
Connect with your communities, look for ways to be involved or create them where you are,
this is for real and I've never felt so encouraged and hopeful.
Everyone I've worked with on this project has jumped in to say what can I do, how can
I help.
People who disagree on everything else and who would ordinarily refuse to be in a room
together are working together on this in ways I would never ever have expected possible,
it's kind of miraculous, and I wanted you to know.
I wanted you to know it's real, that if you see it on the news with some big institutional
names attached claiming all this good stuff about partnership and cooperation, I've
been in the room with these folks, (I mean, virtually in the room but y'know), and it's
true.
People are working together, they are deciding together that we can do this.
And we can.
If you're the hashtagging profile picturing type, lemme tell you, hashtag, HowWeReopen.
We've got icons too, see links below like pandemictesting.org.
Let people know, including your local leaders and elected officials, that they should take
a look at this report sooner rather than later.
I mean we've already got a lot of momentum but things are moving so fast with this pandemic,
we could use all the momentum we can get, and I'm pretty sure time isn't obeying
the laws of physics right now so yeah, your help would be appreciated.
Ok, that's all for today, I send my best to you and I'm looking forward to seeing
the future you help create.