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  • So you might see something I've been working on in the news this week, a “Roadmap to

  • Pandemic Resilience”.

  • And this is a for-real thing that represents a consensus of people with every political

  • belief and expertise, like, republicans and democrats and libertarians, economists and

  • health officials and ethics and civil liberties folks (and at least one mathematician), all

  • agreeing.

  • So there's a few ways we could respond to this pandemic.

  • In the US we already closed down a lot of stuff for a while and it's hard, but now

  • it looks like the curve is starting to flatten and we know it's going to keep falling in

  • the near term and all of us want to get back to our lives.

  • We don't know exactly what this side of the curve will look like, you've probably

  • seen versions that areoptimistically symmetric but unrealistic, it'll probably look less

  • like this and more like this which I modeled off of Spain, ok so say we reopen soon, and...

  • whoops that's not ideal, ok say less-affected areas can reopen, NY is still closed, then

  • some of us at least get a month of freedom and economic activity before we have to re-shut

  • down and do it all again and again.

  • It would be a reopening rollercoaster, and it would at least spread out the cases, but

  • this plan has a lot of unknowns.

  • It wouldn't be back to business as usual when things are open, because businesses won't

  • be able to rely on each other to stay open, or on their workers to not all fall sick at

  • once.

  • Anywhere could be the next hotspot.

  • It makes it hard to plan, and hard to feel safe.

  • So here's another way to respond, the plan all these folks agree on is to reopen the

  • economy this summer in 4 phases, so that the curve keeps falling and we can stay open,

  • while protecting your health and civil liberties.

  • There's three things we need to do this:

  • Number 1 is testing.

  • We simply need more tests, a lot more, like millions a day.

  • And these tests will be fast, no one wants to wait days for their results.

  • Number 2 is tracing.

  • Contact tracing is how we let you know if there's a chance you've been exposed,

  • so you can get a test and find out fast whether you should isolate to stop it from spreading

  • further.

  • And number 3 is supported isolation.

  • Anyone who tests positive, or is waiting for their results, needs support to isolate at

  • home, with health care, supplies, and job protections.

  • Testing, tracing, supported isolation.

  • It's possible, but it takes resources, so we made our plan as epic as we need it to

  • be to get this done responsibly this summer.

  • Ok so first is Phase 1.

  • Here's where we see the curve flatten and fall by giving our essential workers the support

  • and care they need.

  • 40% of the economy is already open, thanks to essential workers like nurses, grocery

  • store workers, utilities maintenance workers, police and firefighters, restaurant and delivery

  • workers.

  • They didn't ask to be put on the front lines of this crisis, but they have stepped up to

  • the challenges.

  • So in phase 1 we grow our resources to support our essential workers and turn our current

  • limited-economy into a pandemic-resilient foundation.

  • We'll hear from our neighbors and friends who work in delivery and law enforcement that

  • thanks to testing and tracing they don't have to wonder anymore if they might be spreading

  • this disease without even knowing it, and don't have to worry about coworkers having

  • it without knowing it.

  • When someone tests positive they get sick leave, they have other worker protections,

  • so no one is worried about getting fired for being sick if they take a test.

  • We'll hear from our elders in care facilities that now there's testing in place to be

  • sure that there's no chance for this disease to spread out of control.

  • That goes for anyone in frequent contact with essential workers, including folks in jails

  • and prisons.

  • Some folks will be going through online training to fill in for essential workers.

  • Maybe a teacher you know trains to do in-home childcare to sub in for someone who has gotten

  • ill.

  • And maybe a neighbor who has experience caring for an elderly relative decides to take the

  • course and is ready to fill in.

  • How and where testing gets done might also depend on the community.

  • We know that the best way to prevent spread is to find out who was in contact with someone

  • who tested positive, so that those people can be tested quickly and have results within

  • 24 hours.

  • Some communities already have networks of contact tracers that people trust to do this

  • work in a way that protects their rights, while in some communities we might hear about

  • people working together to build these networks, maybe some will use technology to help.

  • The better we are at contact tracing, the faster we can move on to phase 2, but worst

  • case we just have to make a lot more tests, 'cause in phase 1 most of us are still isolating

  • at home so we only need to produce enough tests to keep those essential workers safe.

  • Meanwhile we'll hear about all the innovative ways communities and companies are expanding

  • contact tracing and making it work to bring down the number of cases to where we can move

  • to phase 2.

  • In Phase 2

  • Now we've got our stable foundation of 40%, now we expand essential workers to 70%.

  • Communities will be empowered to put programs in place to train and hire more people in

  • essential jobs, lightening the burden on the current essential workforce.

  • We'll be able to address supply chain problems, you can find toilet paper in stores and order

  • pasta online again.

  • We might see one city get more busses on the street and hire more folks to drive those

  • busses, so that expanded essential workers can get to their jobs safely without being

  • in a crowded environment.

  • Another city without busses to spare might invest in hiring a set of workers to build

  • out more public transit infrastructure.

  • More people will get hired to serve in roles in unemployment and retraining so more people

  • can access support.

  • A doctor who has tested positive and has to isolate might teach courses on how to do a

  • swab test.

  • A contact tracer with 20 yrs experience might partner with their county to start an online

  • training program for contact tracers.

  • Maybe the Bay Area leans heavily on app assisted contact tracing.

  • Maybe LA partners with an organization like the National Council of La Raza UnidosUS to

  • work with immigrants on community run contact tracing they trust.

  • In a rural county like mine maybe we do most of our contact tracing the old fashioned way

  • over the phone with one of our local figures that everyone already knows anyway, and we

  • can take a test at the old elementary school if we need to.

  • Maybe we apply for funding to expand our tiny hospital, and there's a demand for construction

  • workers to build it out.

  • During this phase, which will probably be most of June, we can allow a relaxation of

  • certain social distancing measures for those essential workers on the front lines.

  • We'll still have to cancel large gatherings, but the group of expanded essential workers

  • can safely visit and support each other.

  • We'll see restaurants that are currently doing takeout for the general population can

  • be open to serve essential workers on-site.

  • If there's any question of exposure, there's enough tests to find out and the health resources

  • to respond as necessary.

  • We'll see our friends and relatives in essential sectors go from stressed and scared to secure

  • and supported.

  • Before long, 70% of the population is part of a smoothly working pandemic resilient economy,

  • and so we move on to phase 3.

  • Phase 3

  • Phase 3 is short and sweet.

  • It gets our workforce back to 100%, though some of us will still be working from home.

  • It lasts just a week or two, and by the end there will be no corona-induced unemployment.

  • Phase 3 is where non-essential businesses like hair and nail salons, work that can not

  • be done remotely, will restart with safety precautions like public mask wearing.

  • Maybe a friend reopens his hair salon giving priority to essential workers in his community

  • like doctors and bus drivers.

  • He knows they are able to get testing if there's a chance they've been exposed, so that if

  • any of his clients do test positive he will be informed by a contact tracer that he should

  • get tested too in case.

  • He makes sure to only have one client in his shop at a time and takes special precautions

  • to clean down surfaces between clients.

  • Office workers and mathematicians like me will still be working from home in phase 3,

  • and asked not to go out for just this next week or two, but now I can get a home visit

  • from a hair colorist or a massage therapist.

  • I'll leave the on-location visits for the workers who don't have the at-home job security

  • I have, just until we've ramped up our supplies to where we can move to phase 4.

  • Phase 3 also increases support for the unemployed, homeless, and under-housed.

  • This phase is probably early July, so I'll be looking to my county for guidance on whether

  • it's safe to have a small 4th of July gathering, maybe keeping our distance outside on the

  • porch or following other recommendations.

  • And then, at the end of July, we enter:

  • Phase 4.

  • The last 20% of workers, still working from home, can start going to the office again.

  • You might start going in just a few days a week after taking a test, covered by insurance,

  • and then working from home for the rest of the week while a different group of workers

  • has in-office days.

  • Some industries might phase things differently, and different offices will make different

  • decisions based on guidance and resources.

  • We can plan for summer barbecues with our family and friends because we'll have clear

  • guidance about safety and access to tests.

  • We can go to parks and go shopping wearing a mask without fear that coronavirus is lying

  • in wait on every surface.

  • A restaurant owner in NY, where tables are usually spaced close together, might have

  • to reduce capacity, but they are happy to have office workers able to dine out again.

  • In my town maybe most restaurants have enough space that folks can keep a safe distance

  • at about the usual capacity.

  • Maybe our local club replaces the dance floor with safely spaced bar tables, and they hire

  • local performers to give live shows so that they can charge a cover to make up for reduced

  • capacity.

  • In phase 4, Students can go back to school.

  • Well, it's probably summer vacation for most, but some school districts might have

  • summer classes where students can get out of the house and catch up on what they missed

  • in spring.

  • Summer sports teams might have to get creative.

  • Football, hockey, and basketball coaches will be inventing and sharing drills that have

  • reduced contact.

  • Parents might take turns attending games so that they can fill every other bleacher seat

  • to maintain distance.

  • There's enough tests that professional sports organizations can pay to have players tested

  • every day to identify cases before they can spread, meaning we can expect to see televised

  • sports again.

  • We'll have enough tests for educational institutions to be able to get additional

  • testing support, like maybe my cousins' college dorms are pretty crowded so they can

  • expect to test more frequently if they want to stay there.

  • In phase 4, life enters a comfortable new normal for the year before a vaccine, with

  • communities receiving up to date information on what's safe and the economy coming back

  • into full swing.

  • Things won't be quite the same.

  • We'll be wearing masks in public, moving large events online, and keeping a bit more

  • distance than usual.

  • But some of our investments will benefit us in the long term, like expanding our public

  • transportation and health infrastructure.

  • Our economy will be pandemic resilient not just for this pandemic, but ready to hold

  • strong against future attacks.

  • Throughout these four phases, we're going to see communities being empowered to find

  • creative ways to reopen in ways that are safe, legal, and supported with the healthcare infrastructure

  • they need to do testing, trace those who have been exposed, care for the sick, and support

  • those who must isolate at home.

  • So you might be wondering, how do we get these resources available for states and local governments

  • to use?

  • Basically we need a national Pandemic Testing Board with strong but narrow powers to get

  • the supply chain moving, with $50-500 billion in funding over two years, depending on how

  • effectively we do contact tracing, plus an expanded Health Reserves.

  • It's a war-time-level investment that we are more than capable of, and it costs a lot

  • less than repeatedly shutting down the economy, in both lives and money.

  • We've done our homework on this so check it out along with the body of supporting work

  • if you're interested.

  • And people across disciplines and ideologies agree on this plan.

  • We can do this.

  • You can do this.

  • Connect with your communities, look for ways to be involved or create them where you are,

  • this is for real and I've never felt so encouraged and hopeful.

  • Everyone I've worked with on this project has jumped in to say what can I do, how can

  • I help.

  • People who disagree on everything else and who would ordinarily refuse to be in a room

  • together are working together on this in ways I would never ever have expected possible,

  • it's kind of miraculous, and I wanted you to know.

  • I wanted you to know it's real, that if you see it on the news with some big institutional

  • names attached claiming all this good stuff about partnership and cooperation, I've

  • been in the room with these folks, (I mean, virtually in the room but y'know), and it's

  • true.

  • People are working together, they are deciding together that we can do this.

  • And we can.

  • If you're the hashtagging profile picturing type, lemme tell you, hashtag, HowWeReopen.

  • We've got icons too, see links below like pandemictesting.org.

  • Let people know, including your local leaders and elected officials, that they should take

  • a look at this report sooner rather than later.

  • I mean we've already got a lot of momentum but things are moving so fast with this pandemic,

  • we could use all the momentum we can get, and I'm pretty sure time isn't obeying

  • the laws of physics right now so yeah, your help would be appreciated.

  • Ok, that's all for today, I send my best to you and I'm looking forward to seeing

  • the future you help create.

So you might see something I've been working on in the news this week, a “Roadmap to

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再開方法 (How We Reopen)

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    林宜悉 に公開 2021 年 01 月 14 日
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