Thanks - and a question. Shouldn't we learn from China how to do fast mass Covid-19 (the "Trump" virus) vaccination? We are extremely slow -- it will take by new reports about 14 weeks to vaccinate priority groups. How possibly we can be so slow and disorganized. China vaccinates million plus people essentially overnight. Is anybody studying this -- how they can do it? Many thanks
Thanks - and a question. Shouldn't we learn from China how to do fast mass Covid-19 (the "Trump" virus) vaccination? We are extremely slow -- it will take by new reports about 14 weeks to vaccinate priority groups. How possibly we can be so slow and disorganized. China vaccinates million plus people essentially overnight. Is anybody studying this -- how they can do it? Many thanks
Great question. US and China use different practices. Step one in the US is for a private company to spend more than $2B over twelve years before the first clinical dose can be taken. That's a result of ever-increasing demands from the FDA, that Trump spent four years fighting to get only a lowering of cost and shortage of length of time to bring new generics to market. Step one in China is that a government lab develops a medication and the government orders is manufactured and used.
China's vaccine is carried on an adenovirus so that it can infiltrate cells to prompt making antibodies. Adenoviruses are common cold viruses just like COVID19, they are just less contagious but create complications regardless of age. China tweaked a biowarfare weapon, an adenovirus carrying deadly infections, to carry bits of COVID19. If the patient has adenovirus antibodies from a prior cold, they will kill the vaccine. If the vaccine works, the first sign is usually symptoms that look exactly like COVID19.
US vaccines rely on messengerRNA, having no viruses at all. Much more expensive than China's vaccine to develop and manufacture, but far safer. Project Warp Speed was the first time in history that the FDA was part of the solution instead of part of the problem.
Logistics of mRNA vaccines are the hardest part. The science is relatively simple, every scientist to whom I've spoken concurs that the logistics are the hardest part. Our Federal form of government lets the central government manage delivery to the states to centers identified by the states. The planning was intense, very difficult, and pulled off well until states took possession. No US President has the authority to order state health departments what to do with the vaccines, and some states - noticeably California and NY, fucked it up. The Coronavirus Task Force and the CDC issued guidance, not orders, to the states. No change of name on the Oval Office will make this any different. My state, Tennessee, is vaccinating quickly without any wasted doses; NY had to destroy nearly half its vaccines.
I'm not a Trump supporter, I am a now-retired physician, guided by evidence. The COVID19 response by Trump was better than I could have hoped for. I don't like the guy, never voted for him, but this was a real success. Too bad you'll never read about it on Facespace or Whastwitinstagoogletube.
Thank you very very much. All in all -- US acted as a failed state. China has total of less than 5K dead -- we are now approaching that number daily.
After nine months we are still unprepared for mass vaccination. Moreover, we still don't information -- daily, weekly - by city, county -- how many people were vaccinated, percentage of total -- basic information. This is horrible incompetency for a country that wants to be "a shining example" and organizes coup after coup - to bring "democracy and freedom" (except in Saudi Arabia).
I never supported insane clown Trump but -- the rot appears to be MUCH deeper, starting with health for profit instead universal health care.
Once again, many thanks for your kind response. Stay well and my best regards, Boris
Boris, the nature of a federation is not well understood even among most US citizens. In 1776 thirteen sovereign nations surrendered a small part of their sovereignty to a central government, and wrote a constitution to keep power at the state level, closer to the people. The constitution was never written for efficiency, it was written for individual liberty. It contained many compromises, including two chambers of congress and the electoral college, to prevent the tyranny of either the majority or the federal government.
My friends in Europe and Asia point to how compliant their citizens are with government orders, never recalling that the U.S. was settled by people fleeing over-reaching governments. We don't have the submission gene built-in; we do have the freedom-to-dissent gene.
Compare annual deaths COVID19 to annual deaths from medical errors. Then recognize that a diagnosis of COVID19 and a cause of death of COVID19 are both rewarded financially, and you begin to squint. The cost of China's achieved efficiency was as many as 150M dead at the hands of authoritarian government during the 20th century. We can have another 149M plus die before paying the same cost.
Centralized control (like China) gets the details right and the big picture wrong. Democratic republics do the opposite. We have the big picture right but and drive the details off of profit motives or incompetent civil servants. Democracy needs to improve its candidate selection processes - right now it's resting on its laurels because it's good at its key innovation - ousting bad performers fairly quickly without blood, but it still hasn't learned how to pick good performers.
How China organize and do almost overnight vaccination of more than a million people in one city? They must have tens of thousands teams and superb organization to be able to do that. I thought that you perhaps know details...
Occam's razor should make it obvious that the Chicoms didnтАЩt vaccinate a million people in one city overnight and that they are simply lying about it. How would anyone know?
It helped that the virology institute in Wuhan was the center for Chinese biowarfare at least until a decade ago when I stopped following it. A couple tweaks to an existing bioweapon and presto, you've got a COVID vaccine. Tell the population when to be where to get the vaccine, and there's 100% compliance. Efficiency is one measurement and it considers only elapsed time and resources consumed. The end result and the means to get there are irrelevant, which is why professionals measure more than one aspect of a program.
US vaccinated almost 2 million with Salk's free polio jab and placebo, many of them kids, in one month in 1956. I think Americans under 40 have only seen our privatized, neolib systems. They cannot even envision a country with competent public logistics and citizen cooperation.
Thanks - and a question. Shouldn't we learn from China how to do fast mass Covid-19 (the "Trump" virus) vaccination? We are extremely slow -- it will take by new reports about 14 weeks to vaccinate priority groups. How possibly we can be so slow and disorganized. China vaccinates million plus people essentially overnight. Is anybody studying this -- how they can do it? Many thanks
Great question. US and China use different practices. Step one in the US is for a private company to spend more than $2B over twelve years before the first clinical dose can be taken. That's a result of ever-increasing demands from the FDA, that Trump spent four years fighting to get only a lowering of cost and shortage of length of time to bring new generics to market. Step one in China is that a government lab develops a medication and the government orders is manufactured and used.
China's vaccine is carried on an adenovirus so that it can infiltrate cells to prompt making antibodies. Adenoviruses are common cold viruses just like COVID19, they are just less contagious but create complications regardless of age. China tweaked a biowarfare weapon, an adenovirus carrying deadly infections, to carry bits of COVID19. If the patient has adenovirus antibodies from a prior cold, they will kill the vaccine. If the vaccine works, the first sign is usually symptoms that look exactly like COVID19.
US vaccines rely on messengerRNA, having no viruses at all. Much more expensive than China's vaccine to develop and manufacture, but far safer. Project Warp Speed was the first time in history that the FDA was part of the solution instead of part of the problem.
Logistics of mRNA vaccines are the hardest part. The science is relatively simple, every scientist to whom I've spoken concurs that the logistics are the hardest part. Our Federal form of government lets the central government manage delivery to the states to centers identified by the states. The planning was intense, very difficult, and pulled off well until states took possession. No US President has the authority to order state health departments what to do with the vaccines, and some states - noticeably California and NY, fucked it up. The Coronavirus Task Force and the CDC issued guidance, not orders, to the states. No change of name on the Oval Office will make this any different. My state, Tennessee, is vaccinating quickly without any wasted doses; NY had to destroy nearly half its vaccines.
I'm not a Trump supporter, I am a now-retired physician, guided by evidence. The COVID19 response by Trump was better than I could have hoped for. I don't like the guy, never voted for him, but this was a real success. Too bad you'll never read about it on Facespace or Whastwitinstagoogletube.
Thank you very very much. All in all -- US acted as a failed state. China has total of less than 5K dead -- we are now approaching that number daily.
After nine months we are still unprepared for mass vaccination. Moreover, we still don't information -- daily, weekly - by city, county -- how many people were vaccinated, percentage of total -- basic information. This is horrible incompetency for a country that wants to be "a shining example" and organizes coup after coup - to bring "democracy and freedom" (except in Saudi Arabia).
I never supported insane clown Trump but -- the rot appears to be MUCH deeper, starting with health for profit instead universal health care.
Once again, many thanks for your kind response. Stay well and my best regards, Boris
Boris, the nature of a federation is not well understood even among most US citizens. In 1776 thirteen sovereign nations surrendered a small part of their sovereignty to a central government, and wrote a constitution to keep power at the state level, closer to the people. The constitution was never written for efficiency, it was written for individual liberty. It contained many compromises, including two chambers of congress and the electoral college, to prevent the tyranny of either the majority or the federal government.
My friends in Europe and Asia point to how compliant their citizens are with government orders, never recalling that the U.S. was settled by people fleeing over-reaching governments. We don't have the submission gene built-in; we do have the freedom-to-dissent gene.
Compare annual deaths COVID19 to annual deaths from medical errors. Then recognize that a diagnosis of COVID19 and a cause of death of COVID19 are both rewarded financially, and you begin to squint. The cost of China's achieved efficiency was as many as 150M dead at the hands of authoritarian government during the 20th century. We can have another 149M plus die before paying the same cost.
Centralized control (like China) gets the details right and the big picture wrong. Democratic republics do the opposite. We have the big picture right but and drive the details off of profit motives or incompetent civil servants. Democracy needs to improve its candidate selection processes - right now it's resting on its laurels because it's good at its key innovation - ousting bad performers fairly quickly without blood, but it still hasn't learned how to pick good performers.
Don't understand your response. I asked:
How China organize and do almost overnight vaccination of more than a million people in one city? They must have tens of thousands teams and superb organization to be able to do that. I thought that you perhaps know details...
Occam's razor should make it obvious that the Chicoms didnтАЩt vaccinate a million people in one city overnight and that they are simply lying about it. How would anyone know?
It helped that the virology institute in Wuhan was the center for Chinese biowarfare at least until a decade ago when I stopped following it. A couple tweaks to an existing bioweapon and presto, you've got a COVID vaccine. Tell the population when to be where to get the vaccine, and there's 100% compliance. Efficiency is one measurement and it considers only elapsed time and resources consumed. The end result and the means to get there are irrelevant, which is why professionals measure more than one aspect of a program.
I thought he answered it quite well...
The answer at ground level is that they have tens of thousands teams and superb organization. The answer at 30,000 feet is what I said.
US vaccinated almost 2 million with Salk's free polio jab and placebo, many of them kids, in one month in 1956. I think Americans under 40 have only seen our privatized, neolib systems. They cannot even envision a country with competent public logistics and citizen cooperation.