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Episode 218: New data, Coronarivus Part 6
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I wanted to mmm just make a short announcement for some some of the listeners I just wanted to really say thank you mmm I had mentioned a few episodes in a row that I had got some nasty emails and I had a whole bunch of people email me some praise and for dr. Hawk dr. Lisle you and and the podcast itself so I just wanted to reach out and say thank you to those listeners I really appreciate it made my made my week good always good to hear that we're not offending everybody in fact it reminded me of a lecture dr. Lau that you gave one time where you drew a bell curve and you said because there was one question and one of the audience said well why do I keep offending people you know this wasn't my question somebody asked you dr. Lisle why do I keep offending people at lunch nobody wants to talk politics with me and you drew her bell curve he said well any time you take one position it's just like there's enough people there's gonna be somebody on the complete opposite end so be careful what you say at lunch very much you know you're offending some of the people all of the time just have to strike the right balance but we're always yes we're always just trying to tell the truth that's all we're up to yeah see if we live we'll just see how many people we can offend today we'll just find out that's right all right let's get out a goal and maybe one day they'll be like a little ticker you know and to be like alright well then we'll have a good truth - offense ratio okay there you go so yeah so today we're we're talking a little bit more about coronavirus and this pandemic going on and then also some coronavirus related questions of how people are dealing with this pandemic and any stay at home orders etc so but before we start dr. Lyle dr. Hawke do you have any updates for us about any new data that has come out that you wanted to share with us or in anything anything in that topic well I certainly would but I want to get give Jen the floor because as I wrap up I'd be a while yeah she ate that I don't think there's anything like anything new that we would want to share would be you know in watching the numbers which I know that you've been doing so I don't think I have any brand new observations on the social and of things I have sort of ongoing observations but I nothing nothing that is you know a burning topic that needs to be addressed it again I I put myself in the position of saying well we want to get ourselves sort of grounded in the new data first before we move forward but then you know 45 minutes later we'll see I yield the floor with some trepidation that will we'll get where we're supposed to be going eventually well good I've been silent long enough it's better that's right that's right I know it's really difficult yeah I think a great deal has come to light in the last week and so the lot last week has been an important week for our understanding the and so a few things happened that were important one one thing that was important was our friend aya need us at Stanford he and his his crew went out to gather data in in California in the Bay Area and by doing testing on antibodies and as best they can determine around three percent or so the San Francisco Bay Area was infected and which means they were infected and never knew it and had some mild symptoms and then passed on the they also then turn around and ran that same another group ran the same study in Southern California and LA area came back I think with somewhat higher numbers but more or less you know triangulating on something between three four five percent of people were infected as of probably April 1st so that from there that tells you that California very likely has seen through three or four percent of its population infected of you know 40 something million people so you're looking at just grossly maybe a million five infections and you have about 1200 fatalities so it that that is looking like point one in California at this at this moment the and I Anita says okay looks like the flu a similar ballpark to the flu and so that's that's a huge thing incidentally an entertaining side-effect of this I don't know you may remember the guys name Jen the political science guy in at Columbia how Hellman I God what is his name its Andrew something Gelman maybe yeah I believe it's an gentleman he's he's a yeah he's been sort of a stats adjacent Poli Sci guy for a long time let me just I will I'll confirm while you're describing him but I'm pretty sure it's Andrew Gelman yeah apparently he was all upset at this yeah well he doesn't like good news right right so we we wouldn't want to hear we wouldn't want to hear any good news just just when our big funding check was gonna come we write what we really needed it to be a big disaster if anybody starts indicating it's not then this is bad this is terrible and they're yes and he called he called out the Stamper group and said that they should apologize to Stanford University this is Terrell University to the Essex community more manatee yeah yeah just we're talking about one of the greatest statistical sciences scientists in medicine of all time here that he is criticizing so he's way out of line like a tip typical you know yeah obviously he has politicized not just politics politicized but personal competitive agendas that you will not see and I need us at all so yeah listen to yeah he's really made his career on I'm sort of you know talking about political polarization and you know why why rich people vote differently than poor people and so he's he's you know he's a political scientist with a particular political agenda and I think he's a well he's a fairly well regarded statistician and he's in Bayesian methods but he's no I not a fan of good news when no Politis so this this was extraordinarily important good news and it it's certainly there's certainly more to be learned about it and when you look at when you look at numbers like this essentially pointing to a death rate of one in a thousand when I look at the stats from New York and in New York they already have something like 20,000 fatalities and they only have 20 million people so they're already at one of the thousands so it gives me pause that it could be as good as a 1,000 it could be it could be double that and very very possibly is double that there's New York City I've had a number of listeners that are bunch of sharp people send me a lot of good good stuff over the last week so somebody sent me something about New York being the best potentially vulnerable city by by essentially how old folks are the also a lot a lot of folks sent me the IANA ayah neatest research and other research and so it looks there was an Oxford group that has done you know it's basically ground huge amounts of numbers and and everything in their database was triangulating for things to probably be south of 0.2 so again to use the numbers the way Jen would like us to use the numbers 0.0 0.2 percent would be that if you were infected on average you have a ninety nine point eight percent of survival if it's a point one or one in a thousand fatality you would have a 99.9 percent chance of survival so either way either of these numbers whether were now the debate the Lu debate now starts at point one point two maybe 0.3 1.0 is out and the World Health Organization discussion about this being two percent three percent two point seven percent one point seven percent this is these are all as I anita says these are astronomical mistakes they're not even close and so what we're dealing with is we're we're now dealing with what what appears to be in the United States it would look like we are past the midpoint and we are on the downslope so we have now had according to the University of Washington model were were probably three-quarters of the way through the fatalities that we're going to experience we probably had you know at least two-thirds of them or if not three-quarters of them so that's uh still a lot of fatalities clearly a nasty new virus on the scene once again though when we look at who the victims are this is this is important for all of us to understand who the victims are so that we understand really what the what the true cost is of this disease so this is not to minimize this is to be accurate as to what the true costs are the also I've had a number of people talk to me this week that you know are legitimately worried themselves because they can't they can't make heads or tails of of the all of the news and the the numbers and you should understand that according to the this evidence if you're if you're reasonably healthy at any age reasonably healthy you don't have to be like a picture of health just recently healthy your odds of a fatality of this are extremely low this is particularly true for for anybody's to who's around 60 or younger the these odds start to be on in the neighborhood of less than your risk this year of dying in an auto accident so if you're under 50 if you're fiftyish or under it is considerably less odds than you dying in Ottawa so hopefully that I mean and that's that's just this year I mean your odds of dying Occidental if-- time are massively higher than your then your odds of dying of the corruptors so let's keep in context as to what the risk factors are they are lower than you driving okay so let's keep that straight and it's not a matter of whether or not you're unlucky number comes up this is if you're infected if you are infected with the corona virus your odds of dying of the corona virus are a lot less than you dying in an auto accident this year okay so that's something to do to keep in mind so the another another way to look at this and then then we'll table this and go to other issues but a way to look at this is to step back and look at the total social well actually the total biological cost of this virus and in context to other biological costs that we face so for example so the the the virus doesn't even come close to the cost of possible fatalities with driving so that's that's not even so the total amount of fatalities that that could take place from this virus over the next thirty years you know are not going to come into the ballpark with how many people would die fatalities on the road the particularly when we multiply it out by the amount of number of years lost because the average person who dies on the road might be 40 years old but the average person that dies of this virus is in their 70s so there's a huge difference in the amount of life lost so if we were going to look at the the cost of this whole thing and right now if we were to take as an estimate probably the worst case scenario estimate right now is that it's a 0.2% fatality in other words ninety-nine point eight percent chance of survival if you're infected the the truth is is that that obscures some very important distinctions and that is that if you're over 70 it's probably more like 1% and if you're you know 50 or 40 it's going to be like 1 in 10,000 so the the people that are 65 and over or overwhelmingly over-represented here and the people as age climbs 75 is way more problematic than 65 and 80 is more problematic than 75 and 85 is much more problematic than 80 in other words this is a heavily age correlated disease so that means that the amount of life lost and remember that if you're 75 years old and you can track this virus there's a 99% chance that you survive it so who is the one percent that doesn't survive that's not a random individual folks remember that you know ten percent or so people of that age are smoking an awful lot of people of that age have stents in their heart many of them have multiple pathological conditions that they are in trouble they're medicated for a variety of ills diabetes is very significant so when we look add up all of the and incidentally the evidence very clearly implicates these things as major additive factors to the likelihood of death so as a result we know that if a person is a one out of a hundred who dies of an infection of this virus in their old age they are not a random individual they are absolutely they're not even close to a random individual there they're clearly in the bottom 10 percentile not a hundred percent of the time but they are very very statistically likely to be in the bottom 10 percentile for life expectancy so the way to think about this is if the average age of the average death of the coronavirus in the United States is maybe 75 it's 80 in Italy so if it's about 75 then and mostly male 60 40 the average male just in general at 75 years old may have a life expectancy of you know seven years the the person that is in the bottom 10 percentile of that life expectancy is probably half of that so if we actually look at the life expectancy of the typical individual that draw dies from the coronavirus it's probably no more than five years five years is probably very generous so if we were to look at that and we were to say okay let's suppose that the coronavirus has a cost if you are an individual victim of sixty months that's I think that's probably very reasonable and we believe that your odds of being such a victim or maybe 1% so we're going to divide 60 months by a hundred and we're going to find out the per capita cost for these older individuals and we're going to wind up with less than a month so the the cost and this is of our older individuals if you divide it now by the entire population it's going to be very small so we're talking days now contrast this for example and so as a public health issue how many days of life are lost per capita to the coronavirus we're gonna find out that it's a handful of days as we spread it out over the population the this is assuming that everybody in the population would ultimately contract the virus and that there would never be that there would never be heard immunity and that there would never be any vaccine or anything else under the Sun so this is assuming that 350 million people all of them sooner or later get the corona virus and in their road age if they get it that they a certain percentage wind up succumbing so that's that's how we would run that data now contrast that with so we have essentially two and a thousand people will die and of those people we have an birds cost of Navy Navy five years okay so that's one an one in five hundred times five years that's one way to think about this now let's contrast this with another public health cost and and we're going to contrast this with cigarette smoking so cigarette smoking is 14% of the population and of those people that will cost them about eight to ten years so it's it's probably close to twice as costly in terms of years and it's 70 times more prevalent so therefore what we're talking about is we're talking about a social cost that is like a hundred and forty to one in terms of the days lost so when we really look at this now some people might say yeah but it's got this capricious aspect that you catch this thing and then you die and it just doesn't seem fair because it was pushed upon you by the environment and I can understand that and I mean that has us all rattled and it has ass all feeling like you know we're sort of spinning the wheel of fortune and we don't want to be on the wrong side of it and it feels you know we all feel threatened and I understand that but the truth of the matter is is that number one the overall costs are low and and etc and also it's also the case that a substantial amount of the costs of coronavirus are self-inflicted in the same way that the cigarette smoking is so of course we also understand that people don't sort of know what they're doing and they they don't know about diet and lifestyle etc but they certainly know about cigarette smoking they also don't know how to manage their their diet and lifestyle issues generally very well but so there are costs there that are being imposed on people really out of ignorance but when we look at the total costs here I think we should keep these in mind particularly I mean I don't know that anybody is but when we really look at the total societal costs and biological costs individuals the the problem of and I'm no big anti-smoking person it's like if you want to smoke go ahead but literally the cost of secondhand smoke to secondary individuals and environments is considerably greater than than the sum total costs are the coronavirus so the this is the the context that I think is useful for people to keep in mind when you're staring out there now listening to the news bombard you with the horrendous fear and essentially the the neverending bad news and you look at the very substantial economic carnage this is resulting from this back up and realize that this whole thing is 1/100 of the the biological tragedy and costs associated with cigarette smoking in this country ok so now we start thinking of hmm is there anything that we could do as a society that might reduce cigarette smoking by 1 percent because if it was it would counterbalance the effect of the coronavirus so that's uh that's my rant for the day and it's a very interesting implications of that of that thought experiment dr. Lyle yeah oh well nobody cares yeah yeah I mean it's it's a it's a very like rational approach very very mathematically grounded like of course it makes all kinds of intellectual sense when you look at it this way but this is not what people's lived experiences because people are you know they're they're not irrational in the sense that their minds are coming up with ideas and assessments and inferences and cost-benefit analyses that are coming out of nowhere though all of those inferences and cost-benefit analyses are coming from distorted information ie outliers being over in the media you know at the friend of the friend who went into the hospital feeling a little sick and and didn't make it and people's personality distortion people just being more sort of a little more emotionally volatile a little a little more conscientious also the immersive existential experience of going out into the world and everybody's now required at least in Sonoma County and lots of places around the country now it's mandatory that you wear a mask in public and so this is like a really this is a an unprecedented sort of existential thing that is that is getting into people's it's it's tapping into whatever sort of baseline irrationality they have combined with the bad information that they're getting from a very distorted information media environment social media if CNN wherever it's coming from it's it's over representing outliers and it's designed to scare you so it keeps your eyeballs glued on the page it's just absolutely how it works and so it's people people need I know it feels like you're doing the wrong thing to turn away from the information to turn off the TV to shut down the social media feed because you have this we've talked about this before where it's information is so salient and important in the Stone Age if you've got a little bit of an advantage you know how something works a little better than the other guy this not only speaks volumes to your survival and reproduction capacity but your entire village and you may be greatly celebrated for for bringing this new information back home so we have this like inability to detach from the influx of information much of which is bad distorted skewed biased and it is having a very direct effect on how we are going going about our lives in the midst of this and we don't we don't have a lot of so-called rational control over that process so it feels like you are doing the wrong thing by detaching by turning off the news but you that is the only part of your environment that you can control there's no there's no piece of information that you're getting from watching over representation of outliers that's going to contribute to your ability to survive this thing in in any sort of measurable way there's there's nothing that you need no at this point it's gonna change your behavior and and give you better survival odds against this terrible menace and so the only thing that's happening by being tuned into constant bombardment of news is that you're making yourself crazy you're making yourself crazy and you're sort of contributing to ongoing distorted inferences about it so it's it's really important for people if they find themselves really bothered by this and really stressed out to just turn a turn off the news just turn away just stop stop talking about it constantly stop freaking out about it with with the additional pieces of information that you're getting I realized there's some irony in saying this on a podcast about anybody who's listening I'm effectively telling you to tune out right now but it really is like you you can't recognize the words you guys are actually giving us the accurate information right it's like pleasure trap sometimes you can't tell yeah we're talking about this the other day duck Rock is this is like an intellectual pleasure trap yes you know the right thing feels wrong and the wrong thing feels right yeah it sounds familiar dr. Lao from your planet wrapped up yeah yeah and there's so many people especially highly conscientious people which are very well represented in our listener population who really struggle with like oh I can't possibly not be up on the latest I've got to have the latest numbers of God and know that all the latest information and so they they just put themselves in this position where they're they can't they can't normally calibrate they're there permanently being distorted by an information environment over which they have zero control and it's really it's it's causing a lot of distress to a lot of people so it sounds to me and maybe dr. Lisle dr. Hawk you can you can you know tell me if I'm incorrectly assessing this but but the people who are really reacting this way are just in general very opportunistic and they're they're they're fierce competitors when it comes to normal life and so this is an opportunity to really really kind of showcase the personality traits that make there's a lot of that you know extreme you know the the sort of some of the loudest voices are the most disagreeable conscientious people I know so you get you get somebody who's very disagreeable and very conscientious and they are you know really like a big a big voice for this issue and they really want to make the case and talk about it all the time and highlight how destructive it is and how how problematic it is and how we're all doomed doomed it's terrible we're doomed so here you're running running into that a lot but I think also just people are sort of mostly conscientious and maybe a little you know they're not super stable that doesn't mean they're unstable they might just be average emotional stability average emotional stability is going to be rocked by this situation you're going you can't go to the post office without putting a mask on your face and watching everybody else and you know everybody's behind behind plastic and this is it you would you would have to be an extremely stable character to not be bothered by that so there's nothing about your personality that says that you're wildly unstable if you're disturbed by the changing value proposition of a world that you've never seen before that's absolutely appropriate that you would you would have some reaction to that and so most people are having a reaction to that so it becomes necessary when you're when you're looking at that kind of situation and it's causing you a lot of emotional distress it's like well what can I do about it what you can do about it is you can control your environment because you can't change who you are and you can't change the the fact that all of these purveyors of information or extremely incentivize to scare the crap out of you and and then the information entrepreneurs like you're describing Nathan who are disagreeable conscientious who are even more incentivized by virtue of their sort of disagreeable pushy personality so it's all the only leverage that you have over your life experience right now is to control your immediate environment and turn off your TV yeah unless it's I need us then you listen Yeah right yeah yeah yeah glad Nathan oh speaking of which is one comment that I got from a listener recently was was the following mmm dear doctors people on social media are using your analysis of the kovat 19 data to justify defiance of mitigation measures holding protests reopening the economy what say you you know I yeah well first of all um it's ludicrous cuz nobody's listening to me and then going in protesting we have a tiny little group of an intellectual elite group of people that isn't doing anything of the kind okay so that that's that that person's just setting up a straw argument to try to try to ding us a little bit the no the truth is is that all we're trying to do is speak to people's IQ and to get them to to try to help them actually analyze the real CV that's out there in the world which is important and I think we emphasize that you know a month ago the the it was very uncertain what we were looking at it was pretty uncertain you know certain enough to me even a week ago even though the curves looked awfully good they looked in other words it looked an awful lot more like a 1/10 of a percent than it looked like a percent and so the catastrophic version was starting to to fail as a model with respect to they collected evidence and so now that is now more firmly established despite the the nut from Colombia throwing a fit the but the truth of the matter is good good you know I mean so right but the but the thing is is that where this started was the following for prefer perfectly reasonably and that is early in the game you don't know what it is it just looks scary and bad and it's a very nasty illness and it kills people and it kills them brutally so right away you've got everybody super worried and so the first thing you have to do is you have to say whoa if this is a 1% this is a this catastrophe and so then so what do you do so now you you go overboard and you do what it is that that we've done in other countries have done and in the meantime you know that even if it's a tenth is bad or 2/10 as bad as you're deeply fearing it's going to be bad enough to overwhelm systems health systems in certain places where there's going to be a resource management crisis and people are going to die that didn't need to die because we didn't have enough ventilators or beds or doctors or whatever the thing was and so it makes sense in that regard to actually work in that the flat and the curve Theory flatten the curve theory with respect to stopping a virus in its tracks may or may not be long term particularly useful it might if you get a vaccine at some point but it certainly makes a lot of sense with respect to resource management crisis but now I think we can see now in later April the resource management crises I don't believe exists in the United States in other words I think the actions of the last several weeks have actually hit that thing head-on and very intelligently I don't know how intelligently an awful lot of brains have been working on that problem and there's been I'm sure you know huge overkill in all kinds of places more ventilators Ford Motor Company you're gonna make a hundred thousand more than we need you know all this sort of thing but that's fine it's like we didn't know what we were up against so why not you know why not go for broke and make sure that we can do everything or to not get what's that what's that so we're the king of ventilators now yeah so now we're gonna King a pen laters that's fine okay so on that's just an expense of facing a crisis and not having the parameters figured out and so such as life and now we can all be deeply relieved that this thing is intermediate-level problem and that's what it is and you know with an intermediate level costs is all that's necessary now we're going to get all kinds of it becomes a political resource management football that we're gonna watch now for the next few months all about that but but so I was not down on at all and trying to minimize what was reasonable to do but now we have a different issue so now now the public does not understand what we're talking about here public doesn't understand that this is 1% of the public health threat of cigarette smoking they don't know this they don't know anything close to this they don't understand that the the risk here is less than their odds of dying in a car crash which is not something they think about other than doing what then put it on their seatbelt then hopefully driving a safe car and not driving drunk so in other words be reasonable will be smart be prudent and then the right thing to do is understand that the the problems are overwhelmingly concentrated in the elderly and the ill elderly so the it makes sense as a society to think through and have expert advice as to how it is that we can we can close off will reduce the exposure of those people to this threat but not everybody else we know that 3 or 4 percent of the state of California has been exposed in the last 30 days we've got a million and a half people that don't even know they even had it ok so if that's what the situation is and that when the virus gets to an elderly sick person it creates an early and unfortunate death then obviously the thing to do is to protect them and otherwise you know not worry about it any more than you worry about any other you know in any reasonable amount of worry so that's we're not looking to have people protests we're looking for intelligent discussion about this incidentally I you know I'm actually not obsessiveness I think it's I think it's a fascinating and serious problem and obviously it warranted you know very high level you know attention here the last month the I read something in a major in a major outlet I can't remember what it was Atlantic or New York New York Times or I can't remember what it was but it was the the the author was complaining about anybody that says that that this is that this is that these people would have died anyway and they said well listen you can look at the data and it shows that this month you know there's the 30,000 more deaths than they were that this you know this time last year so therefore these are additive and if you look in Sweden it's 6,000 more whatever it is and they said so you see these are extra deaths these are not these are these people would not have died anyway well that is moronic analysis and I wish I could take the 130 IQ human being that went to Swarthmore and then wrote that article for that outlet and take them out to the woodshed and I don't know they need to be slapped around they need to use their brain because nobody said that they were gonna die today or this month what we said is that they are the those individuals are in trouble and that their length of life is not the same thing as an average member of the population so the thing to do to actually analyze the net effect to the coronavirus it's going to be to watch the death rates over the next two or three years that's what we're going to be looking at okay so when the death rates go up this year by 60 or 70 or 80 thousand people the question is do they go down next year by 20,000 that's what you need to be looking at okay once the virus has passed which is it probably will pass and go quiet for the remainder of the year it may or may not but let's suppose that it does then what we're going to be looking at is we're going to be looking at October November December January we're going to be seeing whether or not it's 3,000 a month less in the upcoming months because this of the 70,000 people that we lose here this spring but we I will believe that some of those people wouldn't have made it over this next couple years in fact it's probably a good percentage so of course the data doesn't indicate it now because it can't so hopefully anybody that was so don't be intimidated by that argument because that's a that's a fallacious and and you know abhorrent statistical analysis you of course are looking at that these individuals of course we are saying yes they there are people that are in trouble and their lives are are expected to be relatively short of course the virus is taking some of the last of their precious life but they are they are individuals that we can look at this total cost in this way that I'm describing not by looking at the score this month look at the score this month is no way to analyze the total cost oh that's wonderful dr. Lauer whenever you like explain these types of things and you know I can hear your voice in the background we were like all right let's back up the camera and take over take a wide-angle look at this No yeah and I think I mean it's gonna be actually quite obvious so we will but we won't know that story very well you know for the next year or two but you know two years from now we'll be able to look back much more accurately and look at the cost and you know it's going to be something like we're describing yeah but when you're when you're in the middle of a resource management surge like we are it doesn't there's no intuition and most people that it that it's a it's a bell curve and that it will ever diminish in its sort of pain right you just sort of imagine what you're looking at now is what you are going to project indefinitely into the future and that's a very alarming thing to think about and so then you do start thinking oh well it is people are dying who wouldn't have otherwise died and and right if it's your grandma it's like oh well you have this kind of bias that yeah I could have had another another 10 20 years with her but that that's just statistically not the case it may be the case for your specific grandma of course there's variation in the data and there are lots of outliers that but overall with the whole data pattern you you are looking at people who are you know in in the last six months to two years of their life and so yes they're there being there they're being punished earlier by something and at a faster rate that is overwhelming certain systems in certain places but it's not it this this is something that does rebalance itself over time so the long term data will tell the tale which will be which will be something to watch this is actually something that's come up with the there have been a lot of memes going around about the mass graves and so a lot of people are saying oh well this is particularly in New York this is you know we've never had mass graves before and this is proof that this is this you know unbelievable terrible thing and it's never gonna end well mass graves have always have always existed for unidentified unclaimed bodies and they're usually these these people are buried with the idea that it's temporary and that hopefully they will be claimed and re-entered somewhere else and so there's been more demand on those mass mass grave centers than normal because there is more resource use and and overwhelm in New York in particular but the concept didn't this it we haven't built trenches for mass graves as a society in a way that we never have before so this is the little nuances of information in the environment that really get to people and tap into like their greatest fears and they're the greatest unknowns and all of the kind of disgust mechanisms and in-group out-group mechanisms that accompany something like a invisible scary virus and lead people into inferences that are really self-destructive and contributing to great unhappiness yeah that's it's enough to make someone traumatized just kidding no they're going to know that Rolo not going to never interrupt you know I just go right ahead yeah what's up well it's it's one of the questions from a listeners about about these I'm so traumatized memes go flow around on social media because of this lockdown so if you want a cloud you want to make what you want to say what you wanted to say and then we can do that question oh no the the the I don't know this is this is something that that I guess I I don't have good intuition about this just because I don't as someone who's actually quite emotionally stable you know probably 90th percentile on a typical Big Five test I just don't have a lot of of bandwidth to to listen to this kind of disturbance the the truth is is that when I look back in him in history and I look at the tremendous struggles and challenges that human beings have had to go through this is like a joke sitting inside your air conditioned and heated home the with with the teeth with the color television on with your iPad iPod I with this insta base what you know Skype what whoever it is that you what okay that whether a full refrigerator I mean I guess yeah I guess I understand that there's some discomfort but really compared to the Romans attacking your town the I mean even quite frankly to like a major fire that is bearing down on your real estate and and your your life I took actually this just seems to me to be hmm I don't know maybe if I was in the middle of New York in the middle of this thing my anxiety certainly would have been higher not knowing you know what the parameters were likely to be but now the parameters are now better understood and I think the rest of us are not living in places where suddenly you know we have evidence or indication or fear that humans around us are going to be dying like flies I live in a state of over 40 million people okay 40 million people and twelve hundred people have died in another five or six hundred or so are expected to die I mean these are exceedingly small numbers so a thousand you know a thousand out of a million that's one in a thousand a thousand out of 40 million that's one in forty thousand so my odds of dying this year in an auto accident folks are one in five thousand that's what they are and their their cumulative over your lifetime it's one in five thousand every year keep going you keep going you keep going it's actually it's about one in sixty lifetime one in sixty coronavirus is gonna come this year and then it's going to mitigate and right now if you're a Californian you're staring down the barrel of maybe a one in thirty thousand chance you're staring down the barrel of a one in five thousand chance of an auto accident and it keeps coming back every year for the rest of your life to move into one in sixty so we're talking about a one in sixty against a one in thirty thousand so yeah I don't consider this to be you know something that that you know as a month ago we didn't know what we had now we do and as jen has been pointing out we're being pushed to keep the anxiety rolling for a variety of her one of her favorite phrases which is perverse incentives and so there's perverse incentives that are that are keeping essentially reassuring math from reaching us but it's going to leak out it's going to be you know essentially saturating slowly human consciousness over the next weeks no problem yeah I'm perfectly patient it's going to get there and pretty soon the world's going to figure out that the world in and we're all going to have a pretty clear vision of this by Jim the but me in terms of my my reaction to people's psychological upset about what it is that they're facing it's one thing if you're talking about finances I remember had a friend in grad school who's uh who said we were actually playing we were out playing golf and we're both we're both psychologists and he says oh man he says I'm listening to this person complain about their issues and he goes and I'm thinking to myself that's nothing compared to what I got going buddy I got student loans I never forgot bad just cracked me up if you got to financial anxiety about this that makes a lot of sense to me the you know your your lives can be derailed disrupted you know change I mean majorly inconvenienced and it can be really be you know a lot of a lot of situations can change for the worse as a result of this but the the the what else the social needs or something like this or the the fact that you're bored or somehow that this is super stressful I don't know I don't get it maybe maybe Jen can weigh in on this because my patience for that kind of complaint is very low well the question actually yeah the the the listener actually is saying it's so true what dr. Lao dr. Hawker said that it isn't stable people doing the whining it's people who have a low freaked out threshold and so this person says that they're very bummed about know happy hours plays movies etc no you know no no crowding into state parks and whatnot but it isn't traumatic so yeah the the question is is are there any suggestions for talking to these freaked out friends should we just let them freak out you know it seems like such a like from my perspective I mean I look at you know how this thing is playing out it just it just seems so strange how people are freaking out about this well actually the the I guess Jen what would you say just what they need anything they just need better information they need better information but some percentage of the population is beyond information you know some some percentage of the population is just kind of yeah less emotionally stable going to use a situation like this opportunistically to dodge out of competition you know we've talked about this a lot where it becomes kind of a I if you've got lower conscientiousness emotional instability various other personality factors may come into play here you're going to see an opportunity in in a situation like this which allows you to exaggerate the amount that you are suffering as a result of it and therefore present to the stone-age village that you are it is not reasonable to expect you to be able to live up to their standards so so that that is something that is going to be always present in certain personalities who are kind of always looking for loopholes and ways to avoid competitive pressures and when they get this sort of context of a big so-called disaster a big big crisis it becomes very very expedient to to leverage it in in self-interest and so a lot of that is going on so there there's this is another kind of perverse incentive where you're gonna exaggerate the degree to which something like this is directly affecting your life so there's lots of that going on there's also I think you know people it's it's a the amount that people are suffering is is relative to the degree of comfort that they've been living in so I very much appreciate what Doug is saying about you know it's nothing - this is not the siege of leningrad you know this is definitely not not the kind of situation that humans have collectively endured in the past but most people who are going through this moment have been have lived lives of tremendous comfort you know there's there's really not anything in you know the the history of most people raishin X and younger apart from you know a little bit of existential disruption around 9/11 and the in the end of the Vietnam War but it's really that like this has been this has been a very comfortable very abundant set of decades for most people alive today and so you know people have become accustomed to a very high standard of living very high degree of safety very high degree of comfort cheap abundant available goods and food and housing and everything else and and so even people who are facing financial disruption which is you know a lot of people are facing some kind of financial disruption they're not really understanding that even that is the disruption is sort of correlating with their expected level of comfort and so you know they may have enough money to live at the standard of living that their grandparents did but not at the standard of living that they're accustomed to and that is comfortable and that is you know what they what they feel entitled to and deserving of so that there's all kinds of all kinds of swirling stuff going on here where people are using a crisis it misinterpreting a crisis having the cognitive distortion of projecting it forever out in time without any end immersing themselves too much in bad information sources for media social media participating in a lot of groupthink with similarly freaked out people I think if you are a if you're a stable well-informed high IQ person like all of the people who listen to this fine podcast surely are then I I don't think it's your job to talk people who are freaked out off the ledge I think you should regard this very similarly to you what like like when we talk about the pleasure trap you know one of the most common questions we get with with healthy living and pleasure trap questions though how can I convince everyone in my life to to eat a whole food plant-based diet like I've suddenly learned about and it's changed my life and it's so great and it's like no you you really shouldn't be in the business of trying to convince anyone of anything for several reasons but the main reason is that you lording some some better position over somebody is a immediate threat to their status and if people are acting out and freaked out and you know claiming on on Facebook how traumatized they are and that they can't be possibly expected to to go back to work as a result of their trauma they are that is a status deficient person who is is screaming out to the village for for a little bit of recognition of their status deficiency and so if you come along and you try to talk them out of that all you're doing is you're threatening a scared animal and so some some people are gonna be you know they they might be in a situation where they really don't know they really have not encountered the information before and if they did encounter the information they they would suddenly feel much better about the situation and be able to go forth in their life but a lot of people are not a lot of people willfully have ignored the reality of the situation or you could you could present them with that data and they would find ways to deny it because they're so there they're just so connected and it's so important to them to leverage the situation in their own interests so yeah you look out for yourself you know take care of your own informational environment be a resource for people who who would benefit from that resource but don't don't get into the business of trying to persuade anybody convince anybody soothes anybody this is people are just exaggerating and amplifying their baseline personalities in a situation like this Wow absolutely wonderful yeah all right well part six of we wanted to talk a little bit more about other things but but coronavirus tends to have dominated the conversation to which I'm totally fine with but I I had a little point on that it's a there was a you know when I was on tweeter the other day somebody somebody actually went and ran did some sort of keyword analysis on the discussion around coronavirus on twitter in the last two months and that is also a bell-curve so so discussion of it has started to fall off somewhat people are some you know slowly getting less and less interested but they're not uninterested it's still obviously the the most common trending topic in basically any venue so I think it's as long as it remains predominantly relevant in the lives of people listening and we're gonna continue talking about it to some degree but it is eventually though there's a light at the end of the tunnel oh no problem me I like talking all numbers I like it that you guys just stick to the truth and nothing but the truth so help you I don't know the Flying Spaghetti Monster yeah I think that where I sit today with this is it looks like the models and looks like the evidence tells us that we're on the downslope and so I'm I'm feeling the relief that that that appears to be the case and I expect that a week from now it would be clearly the case and I'll feel one notch more over comfortable and one notch less interested in talking about coronavirus and so that's where I see us going and so just to let people know we're we're not gonna spin on this indefinitely and I and I have a feeling that we are actually right now this week at a very significant turning point in our degree of certainty so I believe that that a week from now we're going to feel a whole notch for than we do to be start exploring other things I do think no I think you're you're right about that but I I think that that misses the ways in which this will continue to be the most important topic of discussion at a sort of sociological and political level for the next sub months as as this whole like I was just talking about a second ago it continues to be used and interpreted and weaponized by different interest groups that are that are trying to use it as part of a pre-existing agenda and that that is only and you know you're beginning to see the of that with the protest michigan with the election in wisconsin yeah we're going into the rest of this election season and there's a lot of a lot of landmines built into this and very different interpretations of reality that are competing for attention and space and so for me it's just sort of as a you know social scientist it remains incredibly interesting sort of intellectually but also definitely really relevant to to daily life because it's not going away anytime soon even though the numbers are we we can reassure ourselves that you know we know what this looks like we know the rationality of it but it's going to continue to really directly affect our lives is that those numbers continue to be misinterpreted and deployed in suboptimal ways yeah it's as dr. Lao the the more the less that we know one notch less interested in talking about this and then as as the election gets near dr. Hawk I suspect you're going to have one more notch more interested yeah that's true we may be in an equilibrium around that where it Doug's like whatever the stats are in I'm done here and I'm like hold on now starting to get interesting now India well what is it what's the famous that's how people use those numbers yeah statistics oh yeah lies lies lies and more lies and propaganda and so that like it's it's yes in never more so than in our current dystopian information environment where people live in whirlpools of confirmation bias and so yeah we're get we're heading into fairly pitched information battles with very high stakes so yeah very interesting night well for our listeners if you haven't read the pleasure trap already there's a section in there called managing the misinformed and managing the irritated when it comes to socializing with people who have completely different ideas of you and they're trying to push it and so dr. Lila I can see how this can correlate to you know in the future when people are you know staring you down for not wearing the right type of mask in a store you know what I mean at midnight or something that that that might be a useful chapter for people to read
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