The target of Australia's medical authorities is not to reduce Covid transmission. Rather, the target is to reduce Covid mitigation measures - and then to ignore any negative effects of doing so
DR DAVID BERGER
| Twitter @YouAreLobbyLud
BROOME, WA - I want to make a really fundamental point. The way Covid policy is being pursued is ass backwards.
The success targets are the measures themselves. In other words, there are no meaningful targets, no valid measures of success.
As an example, in my hospital system Covid mitigation measures are being wound down ‘as we learn to live with Covid’ [of course]. But what does that mean?
Let's go back to the point of those mitigation measures in the first place.
It's ‘to prevent people inside a hospital - staff, patients, visitors - from catching Covid’.
I mean, isn't it? After all, there's no other plausible rationale.
So, if we accept that the point is to prevent transmission of Covid, we must gauge the success and necessity of those measures by how well they prevent transmission of Covid.
But that isn't what we do.
We just go ahead and reduce them in line with some kind of arbitrary external parameter, generally case numbers, even when we know case data is wildly (and deliberately) inaccurate.
The actual effect of those Covid mitigation measures, the very reason they are in place - to reduce intra-hospital transmission of Covid - is not measured at all.
No, the reduction or stepping up of Covid mitigation measures depends on an arbitrary factor - case numbers - entirely unrelated to the primary purpose of the measures concerned.
Put like that, it's laughable. So what do we conclude?
We conclude that partisan political considerations, namely the need to declare that the Covid pandemic is on the way out, directly drive infection control measures in hospitals.
The target is not to reduce Covid transmission at all.
Rather, the target is to reduce Covid mitigation measures.
And ignore any negative effects of doing so.
As I wrote at the beginning, the targets are the mitigation measures themselves, not the reduction of Covid.
This leaves healthcare in a chaotic whirl of purposeless, targetless, self-serving activity, with no focus on what it is actually trying to achieve.
With minor tweaks, this analysis can be applied across much of Covid policy-making, in which a politically desirable intended outcome (for example, get rid of masks or abandon isolation) is defined and then measures are trimmed to move towards that outcome.
The problem is that these outcomes are nothing to do with the Public Health.
The bigger problem is that our Public Health bodies and professionals appear to have sold their souls and become political patsies.
They seem to be dedicated to prostituting 150 years of advancement in Public Health to appease the short term goals of their political masters.
I don't know what happened to ethics in medicine.
I kind of thought there was a higher standard once, but I'm not even sure of that now.
It’s probably just a rosy nostalgia for a Golden Age that, like all Golden Ages, never really existed.