COVID-19

Article

COVID-19 is a recurring concept in the Astral Codex Ten archive, appearing 14 times across 14 issues between February 16, 2021 and July 26, 2024. The archive places it in contexts such as ""little evidence for using vitamin D supplements to prevent or treat COVID‑19""; “confirmed Covid-19 deaths”; ""mathematical analysis of a vitamin D COVID-19 trial"". It most often appears alongside COVID, China, India.

Metadata

• Category: Concepts
• Mention count: 14
• Issue count: 14
• First seen: February 16, 2021
• Last seen: July 26, 2024

Appears In

• Vitamin D: Much More Than You Wanted To Know
• Mantic Monday: Mantic Matt Y
• Two Unexpected Multiple Hypothesis Testing Problems
• Your Book Review: The Wizard And The Prophet
• Your Book Review: Plagues And Peoples
• Highlights From The Comments On Aducanumab
• Long COVID: Much More Than You Wanted To Know
• 21
• 22
• California Gubernatorial Candidates From Z to Z
• Your Book Review: Viral
• The Government Is Making Telemedicine Hard And Inconvenient Again
• Highlights From The Comments On The Lab Leak Debate
• Your Book Review: Real Raw News

Related Pages

• • COVID (6 shared issues)
• • China (5 shared issues)
• • India (5 shared issues)
• • America (4 shared issues)
• • FDA (4 shared issues)
• • Scott (4 shared issues)
• • Twitter (4 shared issues)
• • Australia (3 shared issues)
• • Israel (3 shared issues)
• • Joe Biden (3 shared issues)
• • Metaculus (3 shared issues)
• • Trump (3 shared issues)

External Links

• • http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.502.4185&rep=rep1&type=pdf
• • http://www.philipcorr.net/uploads/downloads/48.pdf
• • https://apnews.com/article/52296e1ac72b4c699f5d2d1cad71461a
• • https://arxiv.org/abs/2403.05859
• • https://astralcodexten.substack.com/p/book-review-lifespan
• • https://astralcodexten.substack.com/p/book-review-the-cult-of-smart#comment-1292462
• • https://astralcodexten.substack.com/p/classifieds-thread-12022/comment/4731852
• • https://astralcodexten.substack.com/p/every-bay-area-house-party
• • https://astralcodexten.substack.com/p/how-trustworthy-are-supplements/comment/9666035
• • https://astralcodexten.substack.com/p/links-for-august-2023/comment/22127865
• • https://astralcodexten.substack.com/p/links-for-august-2023/comment/22133756
• • https://astralcodexten.substack.com/p/movie-review-dont-look-up

Source Context

Recovered passages from the original issue text. When the raw archive preserved outbound links inside the source passage, they are listed directly under the quote.

Vitamin D: Much More Than You Wanted To Know

February 16, 2021 · Original source

Most health articles ask you to act on their opinions. I am specifically asking you not to act on mine. In a moment, I'll tell you whether or not I think Vitamin D prevents or treats coronavirus. But I'll give you a free spoiler: I am less than 100% certain of what I'm about to say. So if you want to take Vitamin D, take it. If it does prevent or cure coronavirus, great. If not, the worst that will happen is you'll have slightly better bone health. I can't stress how much I don't want to be those people who said they couldn't prove face masks helped so you must not use face masks. Just ignore everything I'm saying, do a quick cost-benefit calculation, and take Vitamin D. That having been said:

Lots of people think Vitamin D treats coronavirus, and some of them have good evidence. For example, infection rate from coronavirus seems latitude dependent; in general, the further north an area, the worse it's been hit. Northern areas get less sunlight, and sunlight helps produce Vitamin D, so whenever you see a disease that's worse at high latitudes, Vitamin D should be on your short list of potential causes.

Inline links: latitude, dependent

Also - in the US, COVID seemed to remit with the summer and worsen over the winter. It's hard to distinguish this from general exponential growth and from the effect of playing ping-pong with gradually loosening/ tightening lockdowns, but the US spike this winter was pretty dramatic. Most Northern Hemisphere countries show such a pattern, most equatorial countries don't, and some Southern Hemisphere countries arguably show the opposite. Whenever you see a disease that's better in summer and worse in winter, Vitamin D is one of the possible culprits.

Inline links: seemed to

Mantic Monday: Mantic Matt Y

March 15, 2021 · Original source

...until recently! As far as I know, the first official journalists to do something like this were Dylan Matthews, Kelsey Piper and Sigal Samuel at Vox. They're trying again this year, but now they're joined by a pretty big name in traditional punditry - Matt Yglesias, formerly of Vox, now here at Substack. In theory you can read the relevant post here, but it’s paywalled. We'll start with the predictions themselves, then talk about what this means for journalism. Here are the questions to be predicted:

Inline links: Dylan Matthews, Kelsey Piper and Sigal Samuel at Vox, trying again this year, here

1. Jon Ossoff and Raphael Warnock win the Georgia Senate races 2. The same party wins both Senate races in Georgia 3. Joe Biden ends the year with his approval rating higher than his disapproval rating 4. Joe Biden ends the year with his approval rating above 50% 5. US GDP growth in 2021 is the fastest of any year of the 21st century 6. The year-end unemployment rate is below 5 percent 7. The year-end unemployment rate is above 4 percent 8. Lakers win the NBA championship 9. Joe Biden ends the year as president 10. Nancy Pelosi sets a definitive retirement schedule 11. A vacancy arises on the Supreme Court 12. The EU ends the year with more confirmed Covid-19 deaths than the US 13. Substack will still be around 14. People will still be writing takes asking if Substack is really sustainable 15. Apple releases new iMacs powered by Apple silicon 16. Apple does not release a new Mac Pro powered by Apple silicon 17. Monthly year-on-year core CPI growth does not go above 2 percent 18. Monthly year-on-year core CPI growth does not go above 3 percent 19. Lloyd Austin not confirmed as Defense Secretary 20. No federal tax increases are enacted 21. Biden administration unilaterally relieves some but not all student debt 22. United States rejoins JCPOA and Iran resumes compliance 23. Israel and Saudi Arabia establish official diplomatic relations 24. US and China reach agreement to lift Trump-era tariffs 25. Slow Boring will exceed 10,000 paid members

1. Jon Ossoff and Raphael Warnock win the Georgia Senate races (60%) 2. The same party wins both Senate races in Georgia (95%) 3. Joe Biden ends the year with his approval rating higher than his disapproval rating (70%) [83%] 4. Joe Biden ends the year with his approval rating above 50% (60%) [60%] 5. US GDP growth in 2021 is the fastest of any year of the 21st century (80%) [84%] 6. The year-end unemployment rate is below 5 percent (80%) 7. The year-end unemployment rate is above 4 percent (80%) 8. Lakers win the NBA championship (25%) [25%] 9. Joe Biden ends the year as president (95%) [96%] 10. Nancy Pelosi sets a definitive retirement schedule (60%) 11. A vacancy arises on the Supreme Court (70%) [50%] 12. The EU ends the year with more confirmed Covid-19 deaths than the US (60%) [80%] 13. Substack will still be around (95%) 14. People will still be writing takes asking if Substack is really sustainable (80%) 15. Apple releases new iMacs powered by Apple silicon (90%) [84%] 16. Apple does not release a new Mac Pro powered by Apple silicon (70%) [53%] 17. Monthly year-on-year core CPI growth does not go above 2 percent (70%) 18. Monthly year-on-year core CPI growth does not go above 3 percent (90%) 19. Lloyd Austin not confirmed as Defense Secretary (60%) 20. No federal tax increases are enacted (95%) 21. Biden administration unilaterally relieves some but not all student debt (80%) 22. United States rejoins JCPOA and Iran resumes compliance (80%) 23. Israel and Saudi Arabia establish official diplomatic relations (70%) [38%] 24. US and China reach agreement to lift Trump-era tariffs (70%) 25. Slow Boring will exceed 10,000 paid members (70%) [75%]

Two Unexpected Multiple Hypothesis Testing Problems

April 06, 2021 · Original source

Start with Lior Pachter's Mathematical analysis of "mathematical analysis of a vitamin D COVID-19 trial". The story so far: some people in Cordoba did a randomized controlled trial of Vitamin D for coronavirus. The people who got the Vitamin D seemed to do much better than those who didn’t. But there was some controversy over the randomization, which looked like this:

Inline links: Mathematical analysis of "mathematical analysis of a vitamin D COVID-19 trial"

I don't think there's a formal statistical answer for this. I think the informal answer is something like - suppose you test a hundred different confounders. By chance, you expect five to be significant. Maybe in fact you get five: amount of ice hockey played, number of nose hairs, eye color, percent who own Golden Retrievers, and digit ratio. Then you treat one group with Vitamin D, you don't treat the other group, and the Vitamin D group does much better. Now you have some extra evidence that one of (Vitamin D | playing ice hockey | having extra nose hairs | having green eyes | owning a golden retriever | having low digit ratio) treats coronavirus. After thinking about it for a second using common sense, you decide it's probably Vitamin D. And realistically, you shorten this process by not even checking for confounders such that, if you found them, you would dismiss them using common sense. If the list of confounders you wouldn't dismiss is shorter than 20, then probably you don't get any significant ones, in which case there's no problem.

Or to put it another way - perhaps correcting for multiple comparisons proves that nobody screwed up the randomization of this study; there wasn't malfeasance involved. But that's only of interest to the Cordoba Hospital HR department when deciding whether to fire the investigators. If you care about whether Vitamin D treats COVID-19, it matters a lot that the competently randomized, non-screwed up study still coincidentally happened to end up with a big difference between the two groups. It could have caused the difference in outcome.

Your Book Review: The Wizard And The Prophet

April 30, 2021 · Original source

I was a Wizard once, but then I took an arrow to the knee. I mean… then COVID-19 happened. If you had asked me before March 2020 whether I thought we could science our way out of a slow-grind, long-term disaster scenario like climate change, I would have said categorically yes. As long as we have some Borlaugs out there laser-focusing on the problem, there’s no actual danger that we’ll be constructing Waterworld-style life rafts over the flooded remnants of our formerly glorious civilization. But, uh, I’m no longer so sure.

If you look around, you’ll see lots of other COVID-like problems out there that are quietly but inexorably claiming lives and dragging down average utility worldwide – poverty, homelessness, economic stagnation – that Wizards haven’t found good solutions for. I don’t think it’s from a lack of trying; I think we may have hit a carrying capacity limit on our ability to deal with complexity. Systems in the modern world are complex. No, really complex. No, even more complex than that. Consider all of the different systems that interacted to form the giant clusterfuck that is the COVID-19 pandemic response: local politics, global politics, scientific knowledge production, scientific knowledge dissemination, the media, social media, business, regulations, logistics chains. Each of these contain multitudes of factors that no single human on earth, not even the Normanest of Borlaugs, could keep straight in his or her head and "fix" with a single quick hack like a better strain of wheat. And these complex systems aren’t just statically complex – they seem to be getting more complex over time in their interactions with each other. In the 1960s, Borlaug’s new wheat strain was used by virtually all Mexican farmers a year after it was released commercially; if it had been created today, it probably would have sat on a shelf for a decade while various global FDA-like agencies dickered over whether it was safe or not and anti-GMO groups launched a thousand frankenwheat memes; you’d definitely never be able to buy it at Whole Foods.

Inline links: really complex, even more complex than that

The problem with the concept of carrying capacity – impossible to define or know when we’ve surpassed, until after the proverbial moment when killing one mosquito or dovekie too many plunges us into everlasting fire and brimstone – is that it seems mostly like a mood affiliation thing. Consider this: when you look out at the bird feeder hanging in your backyard (Bay Area people living in closets, use your imagination here), do you see a blissful symbiotic coexistence of the human world and nature, with humans generously giving of our growth-accumulated abundance to help the birds flourish? Or do you see a dystopian struggle where innocent creatures pushed to the brink of death by our traffic and pesticides and housecats must rely on meager scraps for survival? There isn’t really a right view here, I don’t think, just a predilection for seeing what matches your intuition and telling a story about it. Given the life story Mann depicts for Vogt, it’s not hard to see why he would lean toward the pessimistic take. From the childhood marred by a philandering father who left his family in a cloud of scandal and ruin, to the adult life spent stumbling from one bourgeois non-occupation (theater critic, bird watcher, government mole rooting out Nazis in South America) to the next, to the childlessness and divorce, Vogt seems happiest when he is away from any humans, whether tromping through pre-suburbanized Long Island, or alone with the guano-producing birds on the desolate coast of Peru. Were he to live in an age of Facebook and Twitter, he would definitely be that guy reposting memes that COVID is finally letting our planet "heal."

Inline links: mood affiliation

Your Book Review: Plagues And Peoples

June 17, 2021 · Original source

I happened across this book last summer, literally on the floor of Buckeye Bend Books in Greenbrier County, West Virginia. An overarching history of humanity framed through the importance of viruses written in 1976 was exactly what I needed. Something to put the year 2020 in context and not hitting refresh on the John Hopkins’ virus tracker. While reading with the intent of relating everything to COVID-19, not too much really correlates super well.

Inline links: John Hopkins’ virus tracker

Ok, now I’ll talk about COVID-19

It really drives home what we all knew but did not want to talk too much about: COVID-19 and it’s mutations will be around for a long time. With public health, modern medicine, massive quarantining, and a vaccine in production we have quickly found what might be called a mutually tolerable relationship already. At least a bit more tolerable than in 1918 when the flu infected almost the entire world’s population and killed over twenty million people. The tricky part is that this virus is not mutating or evolving towards becoming ‘more mutually tolerable’; the virus just mutates at random and sometimes it is more deadly and more contagious. We could easily, it seems, have a COVID-24 pandemic.

Highlights From The Comments On Aducanumab

August 20, 2021 · Original source

Still, like every other good idea, doctors are prone to following this one off a cliff. Suppose a study proves that mask mandates decrease coronavirus cases. Can we assume that they also prevent coronavirus hospitalizations and deaths? Seems pretty obvious that they should - but this is the dreaded surrogate endpoint, so purists will insist we continue the study for months longer to get a big enough sample of COVID hospitalizations/deaths to reach significance. Supposing that we prove that mask mandates prevent COVID deaths, can we be sure that the people who die will still be dead next year? Isn’t “dead now” technically just a surrogate endpoint for “dead over the long-term”, which is really what we care about? At some point you have to have faith in Bayes, don’t you? So in the general case I’m kind of split on this. Still, in the specific case of aducanumab we actually have specific, positive evidence that the surrogate endpoint doesn’t capture the real endpoint, so obviously this is bad.

> [Texas Governor] Greg Abbott received a third booster dose of the vaccine, something not yet available to the public. Now he’s receiving monoclonal antibody treatment, something the FDA has only authorized for those with “high risk for progression to severe COVID-19.” Must be nice.

Even though I’m arguing against Scott’s recent post, I want to preface this by saying I don’t really disagree with his broad conclusion all that much, which is that if you could only increase or decrease the strictness of the FDA, broadly defined, you should probably decrease the strictness. However, I think the story is complicated and if you want the best reforms, you need a better sense of where the FDA has gone right and wrong in the past. Also, I completely agree that regarding COVID-19, the FDA has been far too slow on approving testing, vaccines, etc.

Inline links: recent post

Long COVID: Much More Than You Wanted To Know

September 02, 2021 · Original source

The British Office of National Statistics looks at people with a confirmed COVID test three months ago, and finds that 14% report having Long COVID symptoms, compared to 2% of a COVID-less control group. This is substantially lower than the earlier study, which found 33% at 6 months. Probably this is because the previous one asked about a bunch of symptoms, whereas this one just asked “Are you having Long COVID?” Lots of people who had some minor symptom or other might not have made the connection, or might have thought that their symptom didn’t qualify for a full diagnosis.

Inline links: The British Office of National Statistics

This is terrible. Recovery rates in the single digit percentages over the space of years. You would think at least some patients would get placebo recoveries, or forget how it felt to be well, or otherwise Lizardman themselves into fake complacency, but no. This is f@#$ing awful. Maybe COVID won’t be this bad? One ray of hope comes from this Australian study, where doctors record the rates of recovery from postviral fatigue after various rare diseases they encounter (Epstein-Barr, Q fever, Ross River virus). They find that 35% of these patients have postviral fatigue after six weeks, but only 12% after six months, and 9% after twelve months. This sounds a lot better than chronic fatigue. In fact, these people do the kind of weird task of figuring out how bad different diagnostic labels for fatigue are, even though some might argue that all the labels refer to the same underlying reality. They find an official diagnosis of “CFS/ME” (chronic fatigue / myalgic encephalitis) is much worse than “postviral fatigue”. Using the weird measure of “days per year of followup with diagnosis” (I’m not sure I fully understand their reasoning for why this is good), they find a median length of 80 for CFS/ME vs. 0 for PVF (…huh?). Using the more comprehensible measure of percent who still complain of fatigue after 7-12 months, they find it’s 24% vs. 10% (which super contradicts the above study saying that basically nobody with a CFS/ME diagnosis ever recovers). My guess is that this study had much lower criteria for a CFS/ME diagnosis (some doctor diagnosed it and put it on the insurance records) compared to the ones above (some specialist confirmed it by official criteria). The conclusion I draw is that, while official CFS/ME is horrible and hopeless, there are a lot of things that unofficially look kind of chronic-fatigue-ish which have pretty good prognoses. Since there’s no good reason to think post-COVID fatigue is official CFS/ME as opposed to just some chronic-ish fatigue-ish thing, probably it will have a better prognosis, more like weird Australian viruses. …which we still don’t know, because AFAICT nobody has done any good studies on postviral fatigue lasting more than a year. 5. Psychosomatic symptoms probably aren’t the majority of long COVID. I mean, I’m not seeing too many people claiming that they are. There are a lot more people worried that someone else might be claiming that, than people actually making the claim. Still, the Wall Street Journal opinion section is always up for slathering itself in glue and rolling around in a haystack until it becomes the straw man everyone else warned you about, and they do have an article on The Dubious Origins Of Long COVID. They point out that long COVID was first thrust into the public consciousness in surveys run by Body Politic, who self-describe as “a queer feminist wellness collective merging the personal and the political”. I agree this is a weird source for something to come from, but Hans Asperger was a Nazi and I still use his diagnosis, so I probably have to accept these people’s as well. More relevantly, WSJ points out that many of the people complaining of Long COVID symptoms test negative for COVID, or at least never tested positive. This complaint conflates the fact that not everyone was able to get a COVID test at all, with the fact that sometimes you get the acute COVID test after you’ve recovered from acute COVID and it’s negative, with the fact that COVID tests don’t have a 100% success rate, with the fact that yeah, okay, some people who didn’t have COVID are probably imagining Long COVID symptoms. I feel like some of the case-control studies above, which clearly show that seropositive people have higher rates of Long COVID than seronegative people, are pretty convincing here. But also - the people with lung scarring clearly have lung scarring, and most of them have weird x-rays consistent with lung scarring. If you have lung scarring, then you have trouble breathing, you’re fatigued, and you probably have lots of other stuff downstream of that. The people with smell/taste disturbances clearly have smell/taste disturbances, testable with the stupidly named but scientifically venerable Sniffin Sticks test - and also, who even cares enough to make up olfactory problems? Fatigue and brain fog are the only symptoms here that can’t be easily objectively confirmed, and, well, do you think those Australians who got infected with Q fever and had twelve months of postviral fatigue are faking? What about all those post-Epstein Barr fatigue people? Lots of viruses cause postviral fatigue, it’s not really surprising that COVID should also. (WSJ also spends a while arguing that CFS/ME is just a psychiatric disorder, which I think is not really in keeping with the best recent evidence. Also, as a psychiatrist, I’m very against this conclusion, mostly because if it were true, then people would expect me to cure CFS/ME patients.) One point WSJ didn’t bring up but could have was that most Long COVID patients are women. Probably this is somewhere between 60 and 80% - I suspect on the lower end of this, because I think women are more likely to talk about these kinds of things than men, and much more likely to eg join Facebook groups. This is noteworthy, because women are traditionally more prone to psychosomatic illnesses - so much that the ancients attributed these to the uterus and called them hysteria (note shared root with eg “hysterectomy”). Women are about 2x as likely to get diagnosed with panic disorder, anxiety disorders, phobias, etc, about 2.5x as likely to get chronic Lyme disease, widely regarded as an entirely psychosomatic condition, and 3-5x more likely to be diagnosed with fibromyalgia. So the female preponderance is suspicious. But women are also somewhere between 2x and 4x more likely to get autoimmune disorders than men (it varies by disorder - the ratio for Sjogren’s is as high as 16x). There are some pretty crazy hypotheses for why this is - for example, maybe women’s immune systems are permanently upregulated to be prepared for attempts by the placenta to secrete immune-downregulating chemicals during pregnancy, as part of the creepy shadow war between mother and fetus to regulate the maternal environment. I don’t know, do you have a better idea? Anyway, women have more autoimmune issues and more upregulated immune systems, so if there was any good way to assess gender ratio in true postviral fatigue excluding all psychosomatic cases, that would probably be female-biased too. Probably some Long COVID cases are psychosomatic just like some cases of anything are psychosomatic, but I don’t see too many signs that this is too important in explaining the phenomenon. …and please allow me a moment of preachiness here. Chronic fatigue sounds really fake to anyone who doesn’t have it. I think this is because it’s related to willpower. Willpower itself would sound fake to anyone who didn’t have to worry about it. “Oh, so you can go partying with your friends whenever you want, but as soon as it comes time to write a ten page report, your ‘lack of willpower’ prevents you from doing it? A likely story!” Still, all of us (except Bryan Caplan) recognize how real and important willpower is - how having more of it is better than having less of it, and how some condition that caused you to have pathologically little of it would be a huge disaster. In the comments section to the rough draft of this post, CJ wrote: I will say - I was one of those types of men to scoff with skepticism at people claiming to have chronic fatigue and the like. I would have called those people lazy and would have been adamant they were faking it or feeling like crap because of unhealthy lifestyle choices. Unfortunately I have learned the hard way the severity of neurological conditions, what it feels like to have brain fog, what chronic fatigue feels like, and how difficult it can be to communicate neurological symptoms to others. I now start from a position of listening to people who are willing to open up about their symptoms and trust that they are being honest. There are millions of people suffering in silence with untreated and undiagnosed disorders - those people are not all faking it or just dealing with psychosomatic conditions. I would recommend Jennifer Brea's documentary, Unrest. Thank you for shedding some light on the subject. Heron added: I second the suggestion to watch 'Unrest,' and to consider the many unseen ill whose symptoms are deemed to be imagined. Until this last year, I had little patience with, and doubted, people who I saw as hypochondriacs. Then I became the thing I hated. Myalgic Encephalomyelitis/Chronic Fatigue Syndrome and Long COVID do have similarities from what I've read, since becoming ill in August 2020. At that time, here in Northern Ireland, there was scant availability of COVID tests; after spending three days trying to get hold of one, (by which time I'd stopped teaching my post-grad online classes & I haven't worked since) I became too ill to do anything. I figured if this was COVID I'd gotten off lightly, mostly constant severe headache, inability to think, a new experience of fatigue, high temperature, insomnia, hypersomnia, paresthesia, no smell or taste etc Debilitated but not dead. Except for the fact that I still have the aforementioned symptoms a year on and whilst they fluctuate in type and severity, the fatigue, headaches and cognitive difficulties are real. A brain scan, an appointment for brain and spinal MRIs (waiting lists, even when going private [as NHS has 3-8 yr waiting lists here in NI] are lengthy), rare virtual doctors and neurologists suggest my ailments constitute a post-viral thing, maybe Long C, they can offer nothing but pills for pain. There is no test for ME/CFS yet, nor a Long C test, symptoms and presentation are so varied. Given a widespread lack of knowledge and resources regarding these ailments, you're on your own. Maybe I've developed ME, I certainly have post-exertional malaise which my very prominent neurologist hadn't heard of. Looking at the history of ME/CFS* and a dearth of research surrounding it, I hope that rather than dismiss the lives of sufferers of this or the long-lasting aftermath of COVID, that those experiencing such difficulties will be heard and learnt from. I only understood when I had no alternative. I don’t think I ever actively pooh-poohed CFS, but like everyone else who encountered it, I underestimated just how bad it was until I met some patients with the condition. It is real and really bad. For whatever reason it is hard to think about and take seriously, but it really is as bad as people say. </preachiness> 6. Long COVID is probably rare in children This matters a lot, because children are (currently) ineligible for the vaccine, and also likely to encounter the virus at school. But children usually have mild cases of COVID and don’t die from it, so it’s tempting to just not worry about them. But if they could get Long COVID, that would make it much less tempting. Preliminary Evidence On Long COVID In Children sounds like a good paper to draw conclusions from. It says 42.6% of children with COVID experience long-term follow-up symptoms, which would be higher than the rate for adults. But it has no control group, and most of the symptoms it finds don’t seem very COVID-related (eg rashes, constipation). The most common symptom (20%) is insomnia, which better studies in adults fail to associate with real Long COVID. The rate of known long COVID symptoms (eg taste and smell problems) is only about 3-4%, and no higher or lower than anything else. Probably these kids are just having problems at the usual rate and attributing them to their recent COVID. Blankenburg et al do the correct thing and ask a thousand children about potential symptoms, then compare the number who say yes vs. no among COVID-seropositive and seronegative subjects. They find no difference between the two groups. Both are reporting a lot of insomnia, etc. They reasonably attribute this to pandemics being a stressful event that it’s natural to lose sleep over. This is really reassuring, but it can’t rule out a somewhat rarer syndrome. The authors say that they might miss symptoms with a prevalence of less than 10%, and one of them gives his own personal guess that it’s 1%. An English team says there’s a Long COVID rate of 4.6% in kids. But there was a 1.7% rate of similar symptoms in the control group of kids who didn’t have COVID, so I think it would be fair to subtract that and end up with 2.9%. And even though the study started with 5000 children, so few of them got COVID, and so few of those got long COVID, that the 2.9% turns out to be about five kids. I don’t really want to update too much based on five kids, especially given the risk of recall bias (ie you might notice / care about your symptoms more if you know you had COVID before getting them). My overall conclusion here is that long COVID is rarer in children than adults, and may not exist at all. The studies tell us it’s probably somewhere less than 5% of kids, but so far we can’t conclude anything stronger than that. 7. Vaccination probably doesn’t change the per-symptomatic-case risk of Long COVID much Here’s a complicated Twitter thread about this. Of vaccinated people who got symptomatic COVID, about a third ended up with Long COVID symptoms, the same rate as in unvaccinated people. Of course, vaccinated people are much less likely to get symptomatic COVID. But even conditional on getting it, they’re still much less likely to go to the hospital, die, etc. It would have been nice if the same was true of getting Long COVID. But it doesn’t look that way. (all this information is from an online poll by a sketchy group of COVID “survivor” activists. But they wrote up their poll in the scientific paper font, as a PDF and everything, so I say we count it anyway) This NEJM study wasn’t exactly designed to look for Long COVID in vaccinated people. But they found it anyway, at a rate of 19% after 6 weeks. This also fits within the (wide) range reported for unvaccinated people. They don’t give a symptom breakdown beyond “prolonged loss of smell, persistent cough, fatigue, weakness, dyspnea, or myalgia”, which sounds like the usual set. These studies are pretty weak, and you could argue that given that vaccines decrease the average severity of COVID infection, and infection severity is linked to Long COVID risk, we should have a strong prior on vaccines decreasing Long COVID risk. And just before publishing this, someone sent me this study, which very preliminarily finds vaccines might decrease Long COVID risk by a factor of 2. I think a factor of 2-3 is believable; one of 10 or 20, less so. Weirdly, there are some claims that vaccines can help relieve symptoms of existing long COVID. Sounds kind of like sympathetic magic to me, but the researcher quoted in the linked article said it might “improve symptoms by eliminating any virus or viral remnants left in the body” or by “rebalancing the immune system”. So yeah, sympathetic magic. 8. Your risk of a terrible long COVID outcome conditional on COVID is probably between a few tenths of a percent and a few percent. My original calculation went like this: About 25% of people who get COVID report long COVID symptoms. About half of those go away after a few months, so 12.5% get persistent symptoms. Suppose that half of those cases (totally made-up number) are very mild and not worth worrying about. Then 6.25% of people who get COVID would have serious long-lasting Long COVID symptoms. After doing that calculation, I read this essay by Matt Bell, who tries to figure out the same thing. He is much more optimistic. He agrees that about half of long COVID cases go away after a few months, but adds another 50% decrease from “few months” to “lifelong”, kind of on priors, admitting there’s not too much positive evidence for this. Then he adds another factor-of-two decrease from vaccination, based on very preliminary studies from the UK. He estimates that someone with my demographics (vaccinated man in his 30s) has a 2% risk of Long COVID conditional on getting COVID at all. Then he divides by five for the true worst case scenario, based on studies showing that a fifth of people with Long COVID report that it affects their daily activities “a lot”. So by his final number, I have an 0.4% chance of getting really terrible long COVID, conditional on getting COVID at all. My friend AcesoUnderGlass also did a writeup of this, published after I did my first-draft calculation, which seems to be thinking of this very differently, based entirely on hospitalization rates (which of course are very low in vaccinated people our age). She accordingly concludes that risk is very low. I don’t really understand her reasoning here, but I trust her a lot and am working on trying to converge with her on this. What’s my yearly risk of getting COVID if I try to live a normal life? This site says only 0.1% of vaccinated Californians have gotten COVID after their vaccination. But vaccination was pretty new when that survey was done, so we might want to take this as a per one-to-two-months estimate. That would mean a risk of 0.5 - 1 percent per year. But not all these people are living normal lives, so my risk might be higher. MicroCOVID gives me a good sense of how careful I’d have to be to stay within a risk budget of 1% COVID risk per year. When I play around with it, I think I am about 5x - 10x less careful than that, which would mean a risk of about 5%/year. This tracker suggests my area has recently had about 1 new case per thousand people per week, which would imply 5% per year. But most of those people are probably unvaccinated, so my risk would be significantly lower than that. I’m going to round all of this off to about 1% - 10% per year of getting a breakthrough COVID case (though obviously this could change if the national picture got better or worse). Combined with the 0.4% to 6.25% risk of getting terrible long COVID conditional on getting COVID, that’s between a 1/150 - 1/25,000 chance of terrible long COVID per year. How does this compare to other risks? My ordinary risk of death per year, just from being a man in his 30s, is about 1/700 (though this includes drug abusers and stunt pilots, so my real risk might be lower, let’s say 1/1000). Here are some other risks, courtesy of the BMJ: In this context, I find the 1/150 risk pretty scary and the 1/25,000 risk not scary at all, so, darn, I guess there’s not yet enough data to have a strong sense of how concerned I should be. 9. This is hard to compare to other postviral syndromes Going into this, I wondered if we might be able to ignore Long COVID. The argument would go like this: all viral diseases have a risk of postviral syndromes. Colds, flus, mono, lots of stuff that’s going around all the time. Lots of people get those postviral syndromes, and either recover or don’t, but either way we don’t make a big deal out of it. Since COVID’s considered “newsworthy” in a way flu isn’t, we obsess over its postviral syndrome even though it’s no worse than anything else’s. This wouldn’t make Long COVID any less bad, and maybe we would be wrong to not panic more about colds and the flu, but it would at least give us some context and make things feel less scary. Unfortunately, I can’t find anything supporting or opposing this picture. The only relevant study is a meta-analysis by Poole-Wright et al, who (contra nominative determinism) don’t pool the studies by condition, which makes it hard to draw conclusions. I think all of their examples of postviral syndrome after flu are from severe hospitalized cases, so any comparison with COVID would be unfair. Although there do seem to be scattered reports of post-flu problems, they’ve never been formally studied or quantified. Mononucleosis is an infectious disease caused by the Epstein-Barr virus, affecting about 1/2000 people per year in developed countries. It has a famously nasty postviral syndrome, which this paper describes as “almost one-half of the group had substantial ongoing symptoms 2 months after onset and… ∼10% had disabling symptoms marked by fatigue lasting ≥ 6 months”. Flu is as common as COVID, but nobody really talks about it having a significant postviral syndrome so probably it’s not that bad. Mono has a worse postviral syndrome than COVID, but it’s rare enough that it doesn’t cause massive society-wide effects. COVID is right in the middle: more common than mono, and (probably) worse postviral syndrome than flu. I think it’s fair to say that we may not have encountered a condition with this exact combination of risk factors and can’t dismiss it as similar to conditions we currently ignore. One potential analogue might be the Spanish Flu of 1918. It was an equally widespread pandemic, and seemed to have some kind of postviral syndrome. From TIME: In what is now Tanzania, to the north, post-viral syndrome has been blamed for triggering the worst famine in a century—the so-called “famine of corms”—after debilitating lethargy prevented flu survivors from planting when the rains came at the end of 1918. “Agriculture suffered particular disruption because, not only did the epidemic coincide with the planting season in some parts of the country, but in others it came at the time for harvesting and sheep-shearing.” Kathleen Brant, who lived on a farm in Taranaki, New Zealand, told Rice, the historian, about the “legion” problems farmers in her district encountered following the pandemic, even though all patients survived: “The effects of loss of production were felt for a long time.” The 1918 flu seemed to have lots of psychiatric effects: “Norwegian demographer Svenn-Erik Mamelund provided such evidence when he combed the records of psychiatric institutions in his country to show that the average number of admissions showed a seven-fold increase in each of the six years following the pandemic, compared to earlier, non-pandemic years.” Coronavirus doesn’t - the excellent Amin-Chowdhury study above finds nothing. Still, this is the scale of thing I’m worried about. The worst case scenario here is really really bad. If a few percent of COVID patients get long-term unremitting genuine CFS/ME, that has the potential to overwhelm government welfare budgets and long-term depress the economy. I think there’s a 90% chance the real situation isn’t that bad, but it’s scary that we can’t entirely rule it out. Aside from the somewhat different 1918 case, I don’t think we have any historical experience of dealing with postviral syndromes at this scale. The medium case scenario is something more like “a few percent of infected people get moderate fatigue, which doesn’t really prevent them from working, and goes away after a few years”. I don’t know whether the level of media attention paid to this would converge on “boring and nobody notices” or “giant disaster”, and I think it would be compatible with either. 10. Conclusions 1. Long COVID is many different issues without a common mechanism. 2. Some of these are straightforward and not surprising, eg lung scarring and post-ICU syndrome from severe infection, and would happen in any disease of this severity. Others seem to be more like the poorly-understood postviral syndromes associated with several other diseases. While some symptoms may be psychosomatic, most are probably organic. 3 The three major categories of symptoms are straightforward cardiovascular-pulmonary issues, straightforward smell and taste issues, and more mysterious neurological issues. 4 Although these get better with time in some people, in a significant number (maybe ~50% of people who had them at six weeks) they persist for as long as anyone has been able to measure them (a few months in the case of COVID, a year or two in the case of comparable syndromes). 5. Post-COVID fatigue is particularly concerning. This would be very bad if we analogized it to CFS/ME, and still pretty bad if we analogized it to other known postviral syndromes. There is no proof that this always gets better over the long term, although no study has looked at them for more than a few years. Facing postviral fatigue on this scale is a new problem. 6 . Children probably get Long COVID less than adults, probably at a rate of less than 5% of symptomatic cases. But we don’t know how much less, and we can’t rule out that some children get pretty severe symptoms. 7. Although vaccination decreases the risk of symptomatic COVID, it probably doesn’t decrease the risk of Long COVID per symptomatic COVID case by very much, though it might decrease it by a factor of 2-3. 8. Your chance of really bad debilitating lifelong Long COVID, conditional on getting COVID, is probably somewhere between a few tenths of a percent, and a few percent. Your chance per year of getting it by living a normal lifestyle depends on what you consider a normal lifestyle and on the future course of the pandemic. For me, under reasonable assumptions, it’s probably well below one percent. EDIT: Here are some other people who tried to do this same analysis. I learned about all of these after I wrote the first draft of this, so you can consider the basic thought process here to be independent of them - but I edited some things to account for what I learned from them before writing the final version. AcesoUnderGlass: Long COVID Is Not Necessarily Your Biggest Problem

Inline links: Lizardman, this Australian study, these people, The Dubious Origins Of Long COVID, weird x-rays, Sniffin Sticks test, somewhere between 60 and 80%, somewhere between 2x and 4x more likely, for example, the creepy shadow war between mother and fetus, Bryan Caplan, wrote, added, Preliminary Evidence On Long COVID In Children, Blankenburg et al, one of them, English team says, Here’s, the scientific paper font, This NEJM study, infection severity is linked to Long COVID risk, this study, vaccines can help relieve symptoms of existing long COVID, this essay, a writeup of this, This site says, MicroCOVID, This tracker, the BMJ, https://substackcdn.com/image/fetch/$s_!yL40!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F1eea7cfa-df08-4c67-acf2-da24ce860ae3_713x373.png, a meta-analysis by Poole-Wright et al, scattered reports, this paper, postviral syndrome

In this context, I find the 1/150 risk pretty scary and the 1/25,000 risk not scary at all, so, darn, I guess there’s not yet enough data to have a strong sense of how concerned I should be. 9. This is hard to compare to other postviral syndromes Going into this, I wondered if we might be able to ignore Long COVID. The argument would go like this: all viral diseases have a risk of postviral syndromes. Colds, flus, mono, lots of stuff that’s going around all the time. Lots of people get those postviral syndromes, and either recover or don’t, but either way we don’t make a big deal out of it. Since COVID’s considered “newsworthy” in a way flu isn’t, we obsess over its postviral syndrome even though it’s no worse than anything else’s. This wouldn’t make Long COVID any less bad, and maybe we would be wrong to not panic more about colds and the flu, but it would at least give us some context and make things feel less scary. Unfortunately, I can’t find anything supporting or opposing this picture. The only relevant study is a meta-analysis by Poole-Wright et al, who (contra nominative determinism) don’t pool the studies by condition, which makes it hard to draw conclusions. I think all of their examples of postviral syndrome after flu are from severe hospitalized cases, so any comparison with COVID would be unfair. Although there do seem to be scattered reports of post-flu problems, they’ve never been formally studied or quantified. Mononucleosis is an infectious disease caused by the Epstein-Barr virus, affecting about 1/2000 people per year in developed countries. It has a famously nasty postviral syndrome, which this paper describes as “almost one-half of the group had substantial ongoing symptoms 2 months after onset and… ∼10% had disabling symptoms marked by fatigue lasting ≥ 6 months”. Flu is as common as COVID, but nobody really talks about it having a significant postviral syndrome so probably it’s not that bad. Mono has a worse postviral syndrome than COVID, but it’s rare enough that it doesn’t cause massive society-wide effects. COVID is right in the middle: more common than mono, and (probably) worse postviral syndrome than flu. I think it’s fair to say that we may not have encountered a condition with this exact combination of risk factors and can’t dismiss it as similar to conditions we currently ignore. One potential analogue might be the Spanish Flu of 1918. It was an equally widespread pandemic, and seemed to have some kind of postviral syndrome. From TIME: In what is now Tanzania, to the north, post-viral syndrome has been blamed for triggering the worst famine in a century—the so-called “famine of corms”—after debilitating lethargy prevented flu survivors from planting when the rains came at the end of 1918. “Agriculture suffered particular disruption because, not only did the epidemic coincide with the planting season in some parts of the country, but in others it came at the time for harvesting and sheep-shearing.” Kathleen Brant, who lived on a farm in Taranaki, New Zealand, told Rice, the historian, about the “legion” problems farmers in her district encountered following the pandemic, even though all patients survived: “The effects of loss of production were felt for a long time.” The 1918 flu seemed to have lots of psychiatric effects: “Norwegian demographer Svenn-Erik Mamelund provided such evidence when he combed the records of psychiatric institutions in his country to show that the average number of admissions showed a seven-fold increase in each of the six years following the pandemic, compared to earlier, non-pandemic years.” Coronavirus doesn’t - the excellent Amin-Chowdhury study above finds nothing. Still, this is the scale of thing I’m worried about. The worst case scenario here is really really bad. If a few percent of COVID patients get long-term unremitting genuine CFS/ME, that has the potential to overwhelm government welfare budgets and long-term depress the economy. I think there’s a 90% chance the real situation isn’t that bad, but it’s scary that we can’t entirely rule it out. Aside from the somewhat different 1918 case, I don’t think we have any historical experience of dealing with postviral syndromes at this scale. The medium case scenario is something more like “a few percent of infected people get moderate fatigue, which doesn’t really prevent them from working, and goes away after a few years”. I don’t know whether the level of media attention paid to this would converge on “boring and nobody notices” or “giant disaster”, and I think it would be compatible with either. 10. Conclusions 1. Long COVID is many different issues without a common mechanism. 2. Some of these are straightforward and not surprising, eg lung scarring and post-ICU syndrome from severe infection, and would happen in any disease of this severity. Others seem to be more like the poorly-understood postviral syndromes associated with several other diseases. While some symptoms may be psychosomatic, most are probably organic. 3 The three major categories of symptoms are straightforward cardiovascular-pulmonary issues, straightforward smell and taste issues, and more mysterious neurological issues. 4 Although these get better with time in some people, in a significant number (maybe ~50% of people who had them at six weeks) they persist for as long as anyone has been able to measure them (a few months in the case of COVID, a year or two in the case of comparable syndromes). 5. Post-COVID fatigue is particularly concerning. This would be very bad if we analogized it to CFS/ME, and still pretty bad if we analogized it to other known postviral syndromes. There is no proof that this always gets better over the long term, although no study has looked at them for more than a few years. Facing postviral fatigue on this scale is a new problem. 6 . Children probably get Long COVID less than adults, probably at a rate of less than 5% of symptomatic cases. But we don’t know how much less, and we can’t rule out that some children get pretty severe symptoms. 7. Although vaccination decreases the risk of symptomatic COVID, it probably doesn’t decrease the risk of Long COVID per symptomatic COVID case by very much, though it might decrease it by a factor of 2-3. 8. Your chance of really bad debilitating lifelong Long COVID, conditional on getting COVID, is probably somewhere between a few tenths of a percent, and a few percent. Your chance per year of getting it by living a normal lifestyle depends on what you consider a normal lifestyle and on the future course of the pandemic. For me, under reasonable assumptions, it’s probably well below one percent. EDIT: Here are some other people who tried to do this same analysis. I learned about all of these after I wrote the first draft of this, so you can consider the basic thought process here to be independent of them - but I edited some things to account for what I learned from them before writing the final version. AcesoUnderGlass: Long COVID Is Not Necessarily Your Biggest Problem

Inline links: a meta-analysis by Poole-Wright et al, scattered reports, this paper, postviral syndrome, Long COVID Is Not Necessarily Your Biggest Problem

21

November 08, 2021 · Original source

Throughout early September, Covid-19 cases surged on Roatán. After learning that Brimen planned to hold a public meeting to address community concerns, the new patronato sent him a letter, civil in tone, asking him to postpone the event. “We are open to dialog,” the letter read, “in hopes of a favorable solution, for all parties.” Brimen reacted furiously in a voice message sent to Cárdenas’ mother. He demanded the patronato retract its letter, which he characterized as an assault on free speech and the right to assemble. “They can end up in jail if they keep up this type of behavior,” he said.

In June 2020, Brimen, who was stuck in the U.S. due to Covid travel restrictions, sent villagers an almost hour-long voice message over WhatsApp. Próspera would never seek or accept expropriated land, he said. Brimen cataloged all that Próspera’s foundation had done for Crawfish Rock, finally turning to the water supply, for which Próspera had agreed to stop billing during the pandemic. His tone veered from disappointment to veiled threats. “Wow,” he said, in a breathy whisper of faux-astonishment, “how terrible, eh? To live in this modern age and lack running water.” He went on: “Running water to your home, such a basic yet transformative and essential service.” A pause for effect. “Who did that?”

22

April 18, 2022 · Original source

3: Will cumulative reported deaths from COVID-19 in China exceed 50,000 by the end of 2022?

Inline links: Will cumulative reported deaths from COVID-19 in China exceed 50,000 by the end of 2022?

California Gubernatorial Candidates From Z to Z

May 24, 2022 · Original source

In his spare time, Zink is the author of books including Signs: You’re In San Diego (a book of photos of San Diego signs), a book of COVID-19 memes, and educational books for children.

Inline links: Signs: You’re In San Diego, book of COVID-19 memes, educational books for children

He does have a wacky perspective on the COVID-19 pandemic:

We are now finding out that the COVID-19 pandemic is part of a global plan being orchestrated by the World Economic Forum, headed by Klaus Schwab. Read his book, published in August 2020, “COVID-19: The Great Reset.”

Your Book Review: Viral

July 30, 2022 · Original source

The main case for the natural origins hypothesis is that it should be our default belief, in the absence of convincing evidence otherwise. The vast majority of disease outbreaks like this, including previous coronavirus outbreaks SARS (2003) and MERS (2012), came from nature, not from a lab. So, before examining the evidence, we should begin with a strong prior in favor of natural origins.

However, what’s still missing is any direct evidence for an animal source of SARS-CoV-2. Chan and Ridley note that during the SARS (2003) and MERS (2012) coronavirus outbreaks, the animal sources were discovered relatively quickly. But with COVID-19, now more than 2 years into the pandemic, an animal source still has not been identified, despite the fact that we now have access to better investigative tools, like faster and cheaper genome sequencing compared to the SARS and MERS investigations.

Photograph of the famous Latané and Darley experiment, cerca 1968. So, what could those participants have been thinking? Maybe something like: Hmm, why’s the room filling up with smoke? Is this a problem? *looks around the room* Well nobody else seems to care, so I guess not. Looking back at the early stages of the COVID-19 pandemic, I think maybe this is why so many of us didn’t think twice about the location of the initial outbreak. Hmm, is it kinda suspicious that this virus broke out near a major virology institute that works on bat coronaviruses? Should we maybe look into that? *looks around* Well nobody else seems to think so, so I guess not. I can’t speak for everyone else, but this was at least my mindset. I had vaguely heard something about how there was a virology research institute close to where the pandemic broke out, and that some conspiracy theorists were claiming it was the source of the virus. I looked around and noticed that nobody was really taking this idea seriously, so I figured I didn’t need to take it seriously either. Also, I was thinking something like: Eh, probably every major city has labs and research institutes doing this kind of research. And I’ll bet they purposely built the virology institute close to where these viruses occur in nature, to give them easy access for sampling. Well, it turns out both of these things are wrong. The type of research conducted at the Wuhan Institute of Virology (WIV) is pretty rare and specialized. It includes things like creation of chimeric coronaviruses [1, 2], infecting humanized mice with bat coronaviruses, and other types of gain of function research, which Chan and Ridley devote a chapter to. The WIV is one of only a few institutions in the world doing this type of research. It’s not the case, as I had assumed, that every major university has a couple labs doing similar work. So it does seem like a pretty remarkable coincidence that the outbreak happened in Wuhan. But maybe they purposely built the Wuhan Institute of Virology close to where these viruses are found in nature? Well, this also turns out to be wrong. The areas where viruses most similar to SARS-CoV-2 are found in nature are Yunnan province and Laos, which are more than a thousand kilometers away from Wuhan. The authors put this distance in perspective by noting that it’s more than the distance between Orlando and NYC. Image source: https://www.bloomberg.com/news/features/2020-12-30/china-is-making-it-harder-to-solve-the-mystery-of-how-covid-began If SARS-CoV-2 originated in an animal somewhere around the Yunnan / Laos area, how did it make it all the way to Wuhan without leaving a trail along the way? 4. The story of RaTG13 Although I enjoyed the book, I do have one pretty major criticism. The authors repeatedly make the claim that a virus called RaTG13, which was being studied at the WIV before the pandemic, is the closest known genetic match to SARS-CoV-2. But this claim is outdated and no longer correct. In September 2021 researchers identified a virus called BANAL-52 in Laos that’s a 96.8% match to SARS-CoV-2, closer than RaTG13’s 96.2% match. (Important note: a 96.8% match is still a long way off in genomic space, and does not imply that this is the same virus as SARS-CoV-2, or even necessarily a progenitor.) At first I thought maybe the authors didn’t mention BANAL-52 because it was discovered after the book was published, but this isn’t the case – Viral was published November 16, 2021, nearly two months after the discovery of BANAL-52 was published. Although I’m writing an overall-positive review here, I don’t want to go easy on the book where serious criticism is warranted. It’s completely unacceptable that BANAL-52 wasn’t mentioned. Even if it would have been inconvenient from a publishing standpoint, the authors should have rewritten the RaTG13 chapter, or at least included an addendum about the discovery of BANAL-52. With that being said, I think the story of RaTG13 is still interesting and important, so I’ll give a quick summary here. At the start of the pandemic in 2020, SARS-CoV-2 was quickly sequenced, and the full genome sequence was published by Dr. Shi Zhengli’s team at the WIV. In this paper, they also briefly mentioned that the genome was a 96.2% match with another bat coronavirus called RaTG13 – the closest known match at the time. Oddly, the mention of RaTG13 did not include any reference, footnote, or link to any previously published sequence. Although the WIV didn’t provide details on this mysterious RaTG13 virus, a group of internet volunteers, including both amateurs as well as professional scientists working in their free time, began to investigate. This loose collection of open-source researchers, called DRASTIC, uncovered a medical thesis describing an outbreak of a mysterious disease in 2012. Six men who had been working in a bat-infested mine in Mojiang County, China, fell ill and were admitted to a hospital with symptoms including dry coughs, shortness of breath, fevers, muscle aches, headaches, and fatigue. Three of the men eventually died of this mysterious illness. In the years following this incident, teams of researchers (including a team led by Dr. Shi Zhengli of the WIV) were sent to investigate the cause of this illness and collect samples from the Mojiang mine. This sampling led to the discovery of a novel SARS-like coronavirus in 2013, and a part of its genomic sequence was published under the name BtCoV/4991 in 2016. The DRASTIC researchers discovered that RaTG13 was genetically identical to the BtCoV/4991 sequence from the Mojiang mine – it was the same virus, and had just been renamed for some reason, without any public record of the change. They also discovered that at least eight other closely related coronaviruses were also sampled from this mine and brought to the WIV. Although unhelpful throughout the investigation, the WIV eventually verified these facts when pressed on them, and an addendum was added to the original paper confirming DRASTIC’s account of the origin of RaTG13. So what should we make of this? Well, as I mentioned before, RaTG13 is no longer the closest known genetic match to SARS-CoV-2, so maybe the whole story is less important as it pertains to the origin of the pandemic. But the discovery of BANAL-52 doesn’t really resolve things either [2]. Laos is very far away from Wuhan (actually even further than Yunnan), so we’re left with the same question as before – how did SARS-CoV-2 make it all the way to Wuhan from such a distant natural reservoir without leaving a trail along the way? 5. Lack of institutional transparency and competence A lot of the book is devoted to criticizing the Chinese government’s lack of transparency during the pandemic. Some brief examples: In the early days of the initial outbreak in Wuhan, hundreds of people were investigated and punished for the crime of “spreading rumors”. This included whistleblowing doctors who attempted to warn others [3] about the spread of the disease and its human-to-human transmission, which was being denied by the Chinese government at the time.

Inline links: 1, 2, infecting humanized mice with bat coronaviruses, https://substackcdn.com/image/fetch/$s_!6khv!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2Fac0a8f26-8f26-4712-b245-797d478ae385_1246x642.png, https://www.bloomberg.com/news/features/2020-12-30/china-is-making-it-harder-to-solve-the-mystery-of-how-covid-began, virus called BANAL-52, published by Dr. Shi Zhengli’s team at the WIV., addendum

The Government Is Making Telemedicine Hard And Inconvenient Again

March 29, 2023 · Original source

Then came COVID-19. Suddenly important politicians were paying attention to questions about whether people could get medical care without leaving their homes. They yelled at the regulators, and the regulators grudgingly agreed to temporarily make telemedicine easy and convenient.

See also commentary from The Hill (“the DEA’s new telehealth rules are medical malpractice”), Fierce Healthcare (the ATA calls it a “potential public health crisis”), Senator Mark Warner (“Given the dramatic shortage of mental health providers nationwide, expanded access to prescribers through telehealth is key”), Fast Company (“This could actually be catastrophic”), health care law firm Foley & Lardner (“The initial reaction is the rules are more restrictive than necessary and impose concerning limitations and burdens on clinicians and the patients they treat”), and LGBT site Them.us (“the rule could have a devastating impact on trans people”).

Inline links: The Hill, Fierce Healthcare, Senator Mark Warner, Fast Company, Foley & Lardner, LGBT site Them.us

Highlights From The Comments On The Lab Leak Debate

April 09, 2024 · Original source

HKU1 might also fit these criteria. It’s a coronavirus discovered in 2004 that seems to have spilled over in China and spread globally (it’s fine; it just causes yet another subtype of common cold). The exact animal reservoir has never been identified, although Wikipedia says it “likely originated from rodents”.

In May 2003, Guan et al (2003) identified SARS-CoV-like virus in animals in a live-animal market in Shenzhen, Guangdong Province, China. Guan et al (2003) also tested for antibodies among workers in the market. They note that “8 out of 20 (40%) of the wild-animal traders and 3 of 15 (20%) of those who slaughter these animals had evidence of antibody, only 1 (5%) of 20 vegetable traders was seropositive.” This suggests that the majority of the infections of the 11 people with close contact with animals were zoonotic. Among 508 animal traders, 66 (13%) tested positive for IgG antibody to SARS associated coronavirus by ELISA, while the control groups including hospital workers, Guangdong CDC workers, and healthy adults at clinic had an antibody prevalence of 1–3%.

Secondly, a mystery of sars-cov-2 is how it acquired the furin cleavage site that makes it so transmissible. There are 850 known sars-like coronaviruses, and only one with a furin cleavage site. According to private messages exchanged by proponents of zoonosis, the furin cleavage site could not have been acquired in the market because the density of animals was too low (only 3-4 per cage). When avian influenza acquires a furin cleavage site that occurs on farms with thousands of chickens densely packed, i.e. not in the wild and not when there are a handful of animals in cages in a market. https://usrtk.org/covid-19-origins/visual-timeline-proximal-origin/

Inline links: https://usrtk.org/covid-19-origins/visual-timeline-proximal-origin/

Your Book Review: Real Raw News

July 26, 2024 · Original source

A chief goal of Biden’s not-really-in-power dictatorship is spreading Covid-19 vaccines, which are an evil plot to do…something. They contain ingredients like the “zombie drug” scopolamine, pesticides, HIV, and wasp venom. Vaccines variously cause heart attacks, mass sudden death, or berserker rage.

Inline links: “zombie drug”, pesticides, HIV, wasp venom, mass sudden death, berserker rage

The lack of evidence that all this is happening is entirely explained through coordinated media silence as well as the widespread use of body doubles and clones. The heart of Real Raw News, and the source of most of its entertainment value, is its accounts of the supposed secret military tribunals occurring at America’s Guantanamo Bay Naval Base in Cuba, better known as Gitmo2. For more than three years, the site has produced one article after another describing the arrest, trial, and execution of dozens of major and not-so-major figures in American life. Hillary Clinton? Arrested, tried, executed. Bill Gates? Arrested, tried, executed. Dick Cheney? Fled the country via a secret underground tunnel to a CIA airfield, but then returned to America on vacation for some reason3, arrested, tried, executed. George W. Bush, Hunter Biden, Anthony Fauci, Gavin Newsom, Mark Milley, Victoria Nuland, Tom Hanks (?), Brian Stelter (???) – All arrested and executed, in turn4. Almost all defendants are hanged, which actually is not the method prescribed by the Uniform Code of Military Justice, but has the advantage of being far more cinematic. It would be easy for all of this to get old, but like with variations in classical music, subtle differences to each iteration enrich the whole. Some defendants desperately try to deny responsibility for their crimes. Some arrogantly taunt the tribunal, assuming until the very end that they are untouchable. Some literally scream as though demon-possessed. Some fake senility or amnesia. But crucially, all of them face justice, one way or another. An entry published just before this contest’s deadline is a lovely example: Representing himself, [Fulton County Superior Court Judge Scott] McAfee in opening remarks talked himself into an early verdict. He said no one and nothing, not even imprisonment, would prevent him from destroying the Trump family. Handcuffed at the defense table, he glared at the panel and said he would topple the Trump empire, building by building, brick by brick, and wouldn’t rest until every Trump supporter was behind bars or dead. “Then I’ll take care of the people here and this place,” McAfee said. “Mr. McAfee, I’m told you are of sound mind and know where you are, right?” Admiral Stephens asked5. “I’m in a Kangaroo court in the Banana Republic of Trump, staring at a guy who couldn’t hack it in the real world, couldn’t run a private practice, get a partnership, or sit on a real bench, so he went into the military,” McAfee said. “Have you ever heard of Trump Derangement Syndrome, Mr. McAfee?” the Admiral asked. “Because you have the worst case I’ve seen, and I’ve seen several.” “Trump is finished. He’ll be in jail soon, and when he is, your house of cards collapses,” McAfee said. “It might seem that way, but it only seems that way,” the Admiral said. “You might as well find me guilty. I’ll never stop hating Trump and I’ll never stop working to demolish everything he stole. He was born guilty, and he’ll be guilty until the day he dies. That’ll be the only word on his gravestone: GUILTY!” McAfee shouted. The lead panelist, a Marine Corps major, politely interrupted: “Admiral, sir, we don’t have to hear any more. McAfee mocks this court, and we find him guilty of the treason charge. Additionally, we are in agreement he should hang for his crimes.” Admiral Stephens nodded contemplatively. “I side with these fine officers. Mr. McAfee, you are hereby sentenced to hang for treason against the United States of America.” His execution is scheduled for May 15. Yes, this is the judge of Trump’s criminal case in Fulton County. In the Real Raw News world, Trump’s various legal adventures are both real and fake at the same time. Apparently, Trump could completely ignore these proceedings, and the military in fact begs him to do so, but he chooses to place himself in danger from some unseen, Christ-like self-sacrificial motive. That motive, it appears, is getting evil judges to expose their bias by ruling against him, so that they can be arrested and executed for treason. The site often offers an alternative narrative regarding events in the official, Deep State-backed news narrative. When Colin Powell died, RRN was there to explain that he actually committed suicide, fearing arrest by the military. When former Tom Hanks co-star Peter Scolari died of cancer, RRN swooped in to attribute his demise to an unexpected military tribunal6. This pattern is one of the chief reasons fans cite for believing the site: Isn’t it incredible, they say, how some of the same people RRN reports the executions of just happen to have recently died or been hospitalized in the mainstream press? What are the odds? Perhaps surprisingly, the star figure in Real Raw News’s tapestry of blood is not Donald Trump; like Gandalf or Dumbledore, he is a heroic but distant and largely off-screen figure. Instead, the primary hero is Rear Admiral Darse Crandall, who dispenses lethal justice with shocking efficiency while always being ready with a good quip: Admiral Crandall ordered [Arizona Governor Katie] Hobbs not to intimidate the witness. “You lack decorum, detainee Hobbs, and your insouciance ends here. We revoke your right to further question this witness and ask the panel to render a verdict on the charges against you.” The admiral dismissed Jane Doe, and the panel unanimously found Hobbs guilty, recommending she hang to death. “I won’t let you do this to me,” Hobbs screeched. “It’s already done,” said Admiral Crandall. “And have a Merry Christmas—in whatever afterlife you wind up in.” He scheduled her execution for December 22. Adm. Crandall is in fact a real person, currently serving as Judge Advocate General of the Navy. Admiral Crandall seems like a nice and professional fellow, and I badly want to know what he makes of his alternate persona. I like to hope that he enjoys it; maybe he jokingly warns his subordinates to do their jobs right or else they’ll be arrested and executed. If anybody knows otherwise, please do not disabuse me of this fantasy. Lesser fake news auteurs will puke out lame one-and-done articles about the moon landing or JFK or whatever, with zero internal consistency. Baxter is better. His military tribunals are reported out in detail. Even the most minor figures receive dedicated articles for their arrest, their trial, and their demise, but the biggest names receive genuine weeks-long productions. Hillary Clinton’s tribunal spans five days, until damning testimony from her former aide (and lover) Huma Abedin sends her to the gallows. Former president Bush’s arrest and tribunal is a ten-part epic lasting nearly two months, and includes details that are eccentric even by 9/11 truther standards: Supposedly, the real death toll of 9/11 (which Bush orchestrated) was 7,000, but Bush deemed this number too high to win reelection, so the real number was suppressed and 4,000 families were silenced with enormous bribes that also served to stimulate the economy. Good thing all the plotting was caught on tape, or he might have gotten away with it. Baxter never rushes things. Remember how the Colorado Supreme Court tried to kick Trump off the primary ballot in late 2023? Lesser fake newsers might have had the entire 4-vote anti-Trump majority arrested at once, but Baxter is cannier. In his reporting, one justice was arrested immediately, but the other three went on the run , and took months to capture. As of this writing we’re still waiting for their tribunal. I hope it’s a barn-burner! Baxter knows that while crass wish fulfillment is easy, truly great stories need formidable villains. Amidst the many arrests and hangings of Baxter’s saga are cinematic setbacks. Sometimes, the Marines don’t get their man: [Biden White House Covid-19 response coordinator Ashish] Jha was five feet away from his vehicle when two Marines with an arrest warrant approached him, informing him that he was being placed under arrest on charges of mass murder. Jha erupted in laughter, saying, “You don’t even know who we are.” He exploded in a crimson fireball that blew his and the Marines’ bodies to bits throughout the parking lot. […] The Marines brought what remains they could to Fort Bragg, where medical examiners deduced that Jha was not Jha, but a clone in which someone had planted a subdermal detonator connected to HMX explosives. And then, there is the looming presence of RRN’s chief villain: Former U.S. President Barack Obama. Members of the deep state make a warped pledge of allegiance to “The United States of Ukraine” and to “one world under Obama.” Other arms of the deep state might be taken down, but Obama himself always lurks in the shadows, controlling and commanding. The occasional attempt to take him down runs into the kind of problems you’d expect: “Why?” Obama gurgled and died. Inexplicably, the body spontaneously combusted, starting at both hands and spreading to the arms and chest. Special Forces tried extinguishing the flames with sand and water, but their efforts were in vain—the flames were rapidly charring burnt flesh. “Check his feet,” the Special Forces lead, who had been trained to spot body doubles and clones, called out. They swiftly yanked off Obama’s socks and sneakers and saw he had flat feet, and that his sneakers had been augmented to fit people with fallen arches. They pulled down his pants; Obama had no genitals, a telltale indicator of cloning. The body became too hot to touch and was soon consumed by fire. Like Bob Ross, Michael Baxter has no mistakes, only happy little accidents. In late 2021, RRN reported on the conviction of the late Chelsea Clinton’s husband, Marc Mezvinsky. Being only a lackey in the Clintons’ plot to abduct children and sell them on the black market, Mezvinsky received a comparatively lenient life sentence. But wait! Two months later, Gitmo’s chaplain mentioned in passing that he had attended Mezvinsky’s execution. Eagle-eyed readers saw the discrepancy and cried foul. But Baxter didn’t miss a beat. When Baxter reported on the arrest of former Obama adviser David Axelrod, only to publish no follow-up, he had a ready explanation a year later: Axelrod had been executed without trial by being thrown out of an airplane, and it took months for Baxter to learn the truth. I’ll admit, I find Baxter’s efforts to maintain narrative integrity incredibly charming, given how they clash with the latent absurdity of the whole endeavor. Like most fictional universes, the Real Raw Newsiverse crumbles if you think about it too hard. If there are White Hat and Black Hat partitions of the military, how does military procurement work? How do newly-enlisted personnel know which faction they are joining? Do the two factions have separate recruiters? And when literally everyone carries a basic video camera in their pocket, and social media access is universal, how are major battles being fought on American soil with zero video evidence anywhere? At the meta level, the entire construct gets even sillier. The conceit of the site is that Trump has secretly left power to entrap his foes…yet then his allies go and blab the entire “real” story to an online blog. The cover for this is that the masses simply don’t believe it, but you know who would definitely know whether the blog is accurate? The Deep State! Yet despite this, in RRN lore sinister actors from Andrew Cuomo to Oprah are always caught off guard when Delta Force7 smashes down their door and zip-ties their hands for a one-way trip to Cuba. Okay, But So What? You might be tempted to think this is all irrelevant rambling into the void. But if you think that, you’re mistaken. The thing is, Real Raw News is popular. Really popular. It got more than 2 million page visits in January. It’s a lot more popular than this blog and even outdraws some established publications like The Nation. “Okay, views are views, but does anyone really believe this?” you may ask, perhaps derisively. Well, it falls to me to say that yes, yes they do. The typical RRN article gets hundreds upon hundreds of comments. And sure, a lot of them are “My mother is being paid $2,000/day working from home” spam, but most of them are not. Hundreds upon hundreds of comments are from readers grateful to Baxter for sharing the “truth.” Even more unsettling are comments from people who spot a problem with the occasional story, but still trust Baxter overall. Baxter has a donation page on Christian crowdfunding site GiveSendGo. It has raised more than $210,000 and donations continue to pour in on a daily basis. Sure, some donation messages clearly indicate people who are in on the joke…but many more do not. But I don’t just need to guess based on comments and donation messages. In this realm, I can appeal to personal experience. I work in the broader world of American right-of-center politics, and we encounter Real Raw News believers constantly. We get emails from people who confidently insist the public-facing news of the day is fake, and the truth about the events at Gitmo will soon be revealed. At public Q&A events, we’ve fielded questions from genuinely nervous and worried people, who complain about their friends losing hope and being blackpilled by the news, and want to know why there hasn’t been more effort to share what’s “really” going on. A friend of mine who served in the Trump administration has described attending parties where, when he mentioned looking for a post-admin job, he received knowing looks and wink-wink-nudge-nudge remarks from people signaling they knew what was “really” going on. Somehow and someway, a lot of people believe or half-believe or badly want to believe this stuff. And where a lot of people do anything, there are takeaways to be found! In my three-plus years of reading all news that is both real and raw, here is what I’ve found. Conspiracies Evolve Like Comic Book Lore In his review of the Alexander Romance, Scott remarked that figures like Alexander the Great or Hercules were, essentially, the pre-modern versions of Batman: Stories about them are a genre, with countless different variations and stylistic choices that evolve over time, with just a few set principles guiding all of them. The Real Raw Newsiverse, and other modern conspiracy theories, also function like comic book lore. Just like Batman, and just like Hercules, “Donald Trump” has become a genre. Fake news stories about him and his Deep State enemies have a few core premises (adrenochrome, pedophile cabals, there is a Plan and we should Trust It) but endless room for variation past that point. Fans of comic books, soap operas, or The Simpsons might be familiar with something TVTropes calls “comic book time.” Certain facets of a fictional reality are locked in place, and with the passage of time everything else is gradually retconned to maintain the status quo. In season 2 of the Simpsons, Homer and Marge started dating in 1974, in Season 3 Marge becomes pregnant with Bart in 1980 (after a date watching The Empire Strikes Back), and in season 4 it’s revealed that Homer missed the Moon Landing to listen to “Yummy, Yummy, Yummy.” Tragically, though, The Simpsons kept going past season 10, and if Homer was 18 in 1974 that would make him eligible for a full Social Security benefit today. So in 2008, the continuity changed so that Homer was in a Nineties grunge band just before marrying Marge8. The Simpsons writers have avoided rejiggering the canon since, but if they do, they’ll have to confront the fact that 30-something Homer and Marge are now millennials, and in a decade they’ll be members of Gen Z. You may live to see a Simpsons flashback episode about Homer and Marge living as hipsters in Brooklyn during the 2010s (truly, we live in cursed times.) But the same phenomenon exists in the world of conspiracies. Instead of a consistent, elaborate canon, what we have is a few story beats with a lot of customization and the occasional retcon. When Baxter first began posting his stories, a core part of the narrative was that Donald Trump still secretly had all the powers of the presidency and was still in command of the entire U.S. military command. Early articles promised that Trump’s apparent loss of office was only a temporary ruse, necessary to expose the worst elements of the Deep State, but that Trump’s triumphal return to power would take place by July 4, 2021. The national media might have put on a song and dance suggesting otherwise, but behind the scenes, loyal military forces were the real ones in control. This control even extended to the military helpfully house-sitting the White House and not letting Biden use it. Despite his illegitimate victory, Biden met an unwelcome surprise when he arrived at the White House on January 20. Instead of getting a ceremonial greeting, he and Kamala Harris were stopped by National Guard and U.S. Marines at the barbwire fence encircling the White House. The Marines informed them that the military had assumed control of the Executive Branch and instructed them to vacate the area. When Harris belligerently said, “Move aside, we’re president now,” the Marines locked the gate. […] To avoid shame and maintain an illusion of power, Biden’s people concocted a ruse, supported by his media allies, to deceive the American public into believing he had won a fair election and had moved into the White House on schedule. Inside Actor/Producer Tyler Perry’s 300-acre Atlanta estate sits a three-story stucco replica of the commander-in-chief’s residence, which he originally built as a set piece for a television show. […] Although the replicant White House is built to 80% scale, on television and in images it’s indistinguishable from 1600 Pennsylvania Avenue. Biden and Harris have been using the facsimile to feign leadership and impose despotic rule on the nation. Of course, July 4 came and went, with Trump’s return nowhere to be seen, so the canon simply updated: In the new narrative, the military had been conducting a year-long election fraud audit on Trump’s behalf, the results were nearly ready for public release, and Trump’s return would simply be “swift.” But no swift return has transpired, and so as the 2024 election has approached, the lore has evolved in the direction of Trump authentically running in this election and simply reclaiming power by winning it. As time has passed, more subtle changes have had to pile up. Early on, RRN reported that Joe Biden was a brain dead semi-corpse being held at Walter Reed, and any public appearances by “Biden” were one of several actors. But after four years of Let’s Go Brandon, Biden himself has become a more popular villain, and so quietly references to his brain-dead status have disappeared. In the early days of RRN, the military was firmly behind Trump and any implication that Biden held the powers of commander-in-chief was a media-fueled sham. But as time has passed, Trump being the “real” commander-in-chief over a loyal military has evolved into a reality where there are two American militaries, a “White Hat” faction loyal to Trump and “Black Hats” loyal to Biden. Early stories implied the White Hats were more numerous, but recent stories have implied the opposite, with the White Hats an elite force that often wins battles decisively while badly outnumbered. A secret purge has gradually become a secret civil war, specifically one with frequent war crimes: White Hat forces in Maui have eradicated or repelled all but a handful of the felonious FEMA agents who began terrorizing the tropical paradise in the aftermath of the inexplicable blaze that razed Lahaina and surrounding towns in early August, a source in General Eric M. Smith’s office told Real Raw News. Since mid-August, United States Marines have fought with FEMA patrols in Lahaina, Kaanapali, Wailuku, Maalaea, and Pukalani, and the skirmishes resulted in the deaths of approximately 475 federal goons and, alas, 34 valiant Marines. The Marines died upholding the Constitution of the United States; the feds died trying to defend the criminal Biden regime. […] “The Marines died valorously,” our source said. “We ain’t taking FEMA prisoners from the rank and file, only the key players. General Smith made it clear it’s weapons-free. Those bastards know damn well they’re following unlawful orders, and they’ll pay the price.” I think the ever-evolving nature of conspiracies is actually pretty important to psychologically grasping their appeal. I have a friend who is a big believer in 9/11 Trutherism. He once compelled me to watch the documentary “The New Pearl Harbor,” an exhausting 5-hour film promoting 9/11 conspiracies. If one actually watches, one quickly discovers that a lot of 9/11 conspiracy theories are mutually exclusive, or at least don’t mesh well together: One conspiracy argues that fighter jets were intentionally diverted the wrong direction to keep them from shooting down the hijacked jets approaching New York, while another conspiracy suggests that United 93 was shot down, and it was all covered up. In some versions, the planes didn’t hit the Twin Towers at all. Sometimes Bush did it, and sometimes Israel did it, and so on. Similarly, in my career I’ve worked adjacent to people who, like RRN, were very hostile to Covid-19 shots. That hostility made them sequentially endorse wildly different assertions about how the vaccines worked. Sometimes, the vaccines contain heavy metals. Sometimes, they contain hydra DNA to turn recipients into partially non-human chimeras. Sometimes, the vaccines are a depopulation agent. Sometimes, they’re a mind-control agent, or a killswitch that can be activated by self-assembling nanomachinery. One viral documentary in 2022 claimed that Covid was caused by snake venom in the water supply, and that Covid vaccines were an additional dose of snake venom to keep people sick (all this, of course, because the snake is Satan’s animal). What stands out isn’t the silliness of these particular theories, but that I saw them sequentially endorsed by the same people. Some of these people are smart enough to notice inconsistencies, at least when they’re pointed out, so why don’t they bother them? To some extent, I think it’s for the same reason people don’t care that every Batman story doesn’t perfectly line up. Consistency isn’t the point! What actually matters is enjoying individual stories and the wider genre they fit into. Covid vaccine haters don’t think too hard about any specific story. Instead, they’re driven by a core impulse of “distrust the new vaccine that people I distrust are promoting,” and every conceivably story or tale that feeds that genre of thought is, for them, worthwhile. Similarly, Real Raw News fans don’t think too hard about any specific story. Instead, I think their core impulse is, ironically, profound disappointment in how the Trump administration failed to deliver. Trump shook up the American political landscape more than anyone in living memory, and promised sweeping changes to every level of American government, yet his actual administration proved rather disorderly, changed far less than was promised, and then lost power after one term. For many, this simply prompted a revision in how they saw Trump. But for others, the preferred response is to embrace a fantasy reality where Trump is a superhero. I actually think the reverse side of this explains things like the durability of Russiagate: If you’re a normal American liberal, everything Trump says is offensive and piggish, but to justify their level of disdain for them, many needed to elevate his evil to the level of treason, even if that never really made any sense. It can't just be that Trump is an egotistical jerk or a narcissist or whatever. He's got to be a traitor who's going to end American democracy. People Crave Extreme, Over-the-Top, and Underhanded Solutions. At the height of the French Revolution’s Reign of Terror, the Committee of Public Safety pushed through the Law of 22 Prairial. The law simplified the procedures of the country’s Revolutionary Tribunal by: Defining a whole heap of activities as criminal treason, including “creating scarcity,” disparaging the National Convention, “inspiring discouragement,” and spreading fake news.

Inline links: 2, Arrested, tried, executed, Arrested, tried, executed, secret underground tunnel, for some reason, 3, tried, executed, George W. Bush, Hunter Biden, Anthony Fauci, Gavin Newsom, Mark Milley, Victoria Nuland, Tom Hanks, Brian Stelter, 4, variations, entry, 5, committed suicide, 6, real person, Supposedly, arrested immediately, months, Sometimes, warped pledge, kind of problems, conviction, https://substackcdn.com/image/fetch/$s_!5uuY!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcc5e8197-f02d-4221-9186-4bcc4f165c72_759x723.png, arrest, thrown out of an airplane, 7, more than 2 million page visits, this blog, The Nation., https://substackcdn.com/image/fetch/$s_!EJFm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F66137a9b-260a-4cfa-adf3-c02c069dabd9_712x351.png, donation page, https://substackcdn.com/image/fetch/$s_!AVfs!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F16499732-4a26-43a0-8cd2-9dc38d5c6ac5_971x306.png, review, “comic book time.”, in 1974, listen to “Yummy, Yummy, Yummy.”, in a Nineties grunge band, 8, take place by July 4, 2021, house-sitting the White House, “swift.”, civil war, snake venom in the water supply, Law of 22 Prairial

But I don’t just need to guess based on comments and donation messages. In this realm, I can appeal to personal experience. I work in the broader world of American right-of-center politics, and we encounter Real Raw News believers constantly. We get emails from people who confidently insist the public-facing news of the day is fake, and the truth about the events at Gitmo will soon be revealed. At public Q&A events, we’ve fielded questions from genuinely nervous and worried people, who complain about their friends losing hope and being blackpilled by the news, and want to know why there hasn’t been more effort to share what’s “really” going on. A friend of mine who served in the Trump administration has described attending parties where, when he mentioned looking for a post-admin job, he received knowing looks and wink-wink-nudge-nudge remarks from people signaling they knew what was “really” going on. Somehow and someway, a lot of people believe or half-believe or badly want to believe this stuff. And where a lot of people do anything, there are takeaways to be found! In my three-plus years of reading all news that is both real and raw, here is what I’ve found. Conspiracies Evolve Like Comic Book Lore In his review of the Alexander Romance, Scott remarked that figures like Alexander the Great or Hercules were, essentially, the pre-modern versions of Batman: Stories about them are a genre, with countless different variations and stylistic choices that evolve over time, with just a few set principles guiding all of them. The Real Raw Newsiverse, and other modern conspiracy theories, also function like comic book lore. Just like Batman, and just like Hercules, “Donald Trump” has become a genre. Fake news stories about him and his Deep State enemies have a few core premises (adrenochrome, pedophile cabals, there is a Plan and we should Trust It) but endless room for variation past that point. Fans of comic books, soap operas, or The Simpsons might be familiar with something TVTropes calls “comic book time.” Certain facets of a fictional reality are locked in place, and with the passage of time everything else is gradually retconned to maintain the status quo. In season 2 of the Simpsons, Homer and Marge started dating in 1974, in Season 3 Marge becomes pregnant with Bart in 1980 (after a date watching The Empire Strikes Back), and in season 4 it’s revealed that Homer missed the Moon Landing to listen to “Yummy, Yummy, Yummy.” Tragically, though, The Simpsons kept going past season 10, and if Homer was 18 in 1974 that would make him eligible for a full Social Security benefit today. So in 2008, the continuity changed so that Homer was in a Nineties grunge band just before marrying Marge8. The Simpsons writers have avoided rejiggering the canon since, but if they do, they’ll have to confront the fact that 30-something Homer and Marge are now millennials, and in a decade they’ll be members of Gen Z. You may live to see a Simpsons flashback episode about Homer and Marge living as hipsters in Brooklyn during the 2010s (truly, we live in cursed times.) But the same phenomenon exists in the world of conspiracies. Instead of a consistent, elaborate canon, what we have is a few story beats with a lot of customization and the occasional retcon. When Baxter first began posting his stories, a core part of the narrative was that Donald Trump still secretly had all the powers of the presidency and was still in command of the entire U.S. military command. Early articles promised that Trump’s apparent loss of office was only a temporary ruse, necessary to expose the worst elements of the Deep State, but that Trump’s triumphal return to power would take place by July 4, 2021. The national media might have put on a song and dance suggesting otherwise, but behind the scenes, loyal military forces were the real ones in control. This control even extended to the military helpfully house-sitting the White House and not letting Biden use it. Despite his illegitimate victory, Biden met an unwelcome surprise when he arrived at the White House on January 20. Instead of getting a ceremonial greeting, he and Kamala Harris were stopped by National Guard and U.S. Marines at the barbwire fence encircling the White House. The Marines informed them that the military had assumed control of the Executive Branch and instructed them to vacate the area. When Harris belligerently said, “Move aside, we’re president now,” the Marines locked the gate. […] To avoid shame and maintain an illusion of power, Biden’s people concocted a ruse, supported by his media allies, to deceive the American public into believing he had won a fair election and had moved into the White House on schedule. Inside Actor/Producer Tyler Perry’s 300-acre Atlanta estate sits a three-story stucco replica of the commander-in-chief’s residence, which he originally built as a set piece for a television show. […] Although the replicant White House is built to 80% scale, on television and in images it’s indistinguishable from 1600 Pennsylvania Avenue. Biden and Harris have been using the facsimile to feign leadership and impose despotic rule on the nation. Of course, July 4 came and went, with Trump’s return nowhere to be seen, so the canon simply updated: In the new narrative, the military had been conducting a year-long election fraud audit on Trump’s behalf, the results were nearly ready for public release, and Trump’s return would simply be “swift.” But no swift return has transpired, and so as the 2024 election has approached, the lore has evolved in the direction of Trump authentically running in this election and simply reclaiming power by winning it. As time has passed, more subtle changes have had to pile up. Early on, RRN reported that Joe Biden was a brain dead semi-corpse being held at Walter Reed, and any public appearances by “Biden” were one of several actors. But after four years of Let’s Go Brandon, Biden himself has become a more popular villain, and so quietly references to his brain-dead status have disappeared. In the early days of RRN, the military was firmly behind Trump and any implication that Biden held the powers of commander-in-chief was a media-fueled sham. But as time has passed, Trump being the “real” commander-in-chief over a loyal military has evolved into a reality where there are two American militaries, a “White Hat” faction loyal to Trump and “Black Hats” loyal to Biden. Early stories implied the White Hats were more numerous, but recent stories have implied the opposite, with the White Hats an elite force that often wins battles decisively while badly outnumbered. A secret purge has gradually become a secret civil war, specifically one with frequent war crimes: White Hat forces in Maui have eradicated or repelled all but a handful of the felonious FEMA agents who began terrorizing the tropical paradise in the aftermath of the inexplicable blaze that razed Lahaina and surrounding towns in early August, a source in General Eric M. Smith’s office told Real Raw News. Since mid-August, United States Marines have fought with FEMA patrols in Lahaina, Kaanapali, Wailuku, Maalaea, and Pukalani, and the skirmishes resulted in the deaths of approximately 475 federal goons and, alas, 34 valiant Marines. The Marines died upholding the Constitution of the United States; the feds died trying to defend the criminal Biden regime. […] “The Marines died valorously,” our source said. “We ain’t taking FEMA prisoners from the rank and file, only the key players. General Smith made it clear it’s weapons-free. Those bastards know damn well they’re following unlawful orders, and they’ll pay the price.” I think the ever-evolving nature of conspiracies is actually pretty important to psychologically grasping their appeal. I have a friend who is a big believer in 9/11 Trutherism. He once compelled me to watch the documentary “The New Pearl Harbor,” an exhausting 5-hour film promoting 9/11 conspiracies. If one actually watches, one quickly discovers that a lot of 9/11 conspiracy theories are mutually exclusive, or at least don’t mesh well together: One conspiracy argues that fighter jets were intentionally diverted the wrong direction to keep them from shooting down the hijacked jets approaching New York, while another conspiracy suggests that United 93 was shot down, and it was all covered up. In some versions, the planes didn’t hit the Twin Towers at all. Sometimes Bush did it, and sometimes Israel did it, and so on. Similarly, in my career I’ve worked adjacent to people who, like RRN, were very hostile to Covid-19 shots. That hostility made them sequentially endorse wildly different assertions about how the vaccines worked. Sometimes, the vaccines contain heavy metals. Sometimes, they contain hydra DNA to turn recipients into partially non-human chimeras. Sometimes, the vaccines are a depopulation agent. Sometimes, they’re a mind-control agent, or a killswitch that can be activated by self-assembling nanomachinery. One viral documentary in 2022 claimed that Covid was caused by snake venom in the water supply, and that Covid vaccines were an additional dose of snake venom to keep people sick (all this, of course, because the snake is Satan’s animal). What stands out isn’t the silliness of these particular theories, but that I saw them sequentially endorsed by the same people. Some of these people are smart enough to notice inconsistencies, at least when they’re pointed out, so why don’t they bother them? To some extent, I think it’s for the same reason people don’t care that every Batman story doesn’t perfectly line up. Consistency isn’t the point! What actually matters is enjoying individual stories and the wider genre they fit into. Covid vaccine haters don’t think too hard about any specific story. Instead, they’re driven by a core impulse of “distrust the new vaccine that people I distrust are promoting,” and every conceivably story or tale that feeds that genre of thought is, for them, worthwhile. Similarly, Real Raw News fans don’t think too hard about any specific story. Instead, I think their core impulse is, ironically, profound disappointment in how the Trump administration failed to deliver. Trump shook up the American political landscape more than anyone in living memory, and promised sweeping changes to every level of American government, yet his actual administration proved rather disorderly, changed far less than was promised, and then lost power after one term. For many, this simply prompted a revision in how they saw Trump. But for others, the preferred response is to embrace a fantasy reality where Trump is a superhero. I actually think the reverse side of this explains things like the durability of Russiagate: If you’re a normal American liberal, everything Trump says is offensive and piggish, but to justify their level of disdain for them, many needed to elevate his evil to the level of treason, even if that never really made any sense. It can't just be that Trump is an egotistical jerk or a narcissist or whatever. He's got to be a traitor who's going to end American democracy. People Crave Extreme, Over-the-Top, and Underhanded Solutions. At the height of the French Revolution’s Reign of Terror, the Committee of Public Safety pushed through the Law of 22 Prairial. The law simplified the procedures of the country’s Revolutionary Tribunal by: Defining a whole heap of activities as criminal treason, including “creating scarcity,” disparaging the National Convention, “inspiring discouragement,” and spreading fake news.

Inline links: review, “comic book time.”, in 1974, listen to “Yummy, Yummy, Yummy.”, in a Nineties grunge band, 8, take place by July 4, 2021, house-sitting the White House, “swift.”, civil war, snake venom in the water supply, Law of 22 Prairial

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