Tuesday, November 23, 2021

COVID Insights in a Divided America

 

In the two years since COVID began its attempt to dominate human activities across the globe, we have witnessed an ever-widening range of how humans and their societies react. This is especially notable in the US where COVID was not just a national healthcare crisis but also became one of the most inane and destructive of phenomena, a divisive political issue. As is almost always the case, the emergence of politics on an issue produces the host of symptoms, side-effects, and ailments that any infectious disease injects into a population.

Now while it is important to recognize that the nation has suffered much during the COVID plague and all evidence to date is that the harms done will continue for some time yet, there are lessons to be learned from the information being acquired and the knowledge that can be gained. This doesn’t diminish the pain, suffering and losses that many people and families have experienced and which the nation and our citizens should compassionately acknowledge. Just as the nation owes a great deal of gratitude to first-responders and healthcare workers, including the ‘essential’ workers who helped keep critical aspects of the economy going. These and many other responses to COVID’s ravages throughout the nation are outstanding examples of how a society and its members can collectively join together and demonstrate what it means to be an America of all its people.

Of course, then there are the politics and the politicians. For reasons passing all understanding, reasoning and sanity, COVID inflamed a fevered political contest over an unending list of issues that have weakened Americans’ resolve to end the plague and further divide people even more than ever. As foolish and counter-productive as these self-inflicted wounds have been, we must hope that despite our politics, political leaders, and political parties that the information, lessons and knowledge that can be gained is not lost, ignored or go unexamined.

To learn the valuable insights which are to be found amid the data and self-identified population sub-groups it is critical to acquire and preserve the data, to assess and analyze the data, and to provide comprehendible summaries and conclusions that the data reveals.

What are some of the insights that we have ample evidence on already? Well, we already know that the following issues have shown some distinctive divides:

·         Wearing a mask

·         Social-distancing

·         Remote learning for schools

·         Lock-downs

·         Vaccines

·         Vaccination mandates

·         Various forms of treatments for COVID

·         Economic relief packages

·         Ethnic, racial and other societal groupings like: age, sex, education, …

The insights that are available on these different topics of course come from different areas of expertise, or on some fronts from areas of non-expertise. Given how constantly many of these issues have been and continue to be covered in the news media and on social-media, there should be very few people who are not aware of the different views that surrounding each issue. What is learned on most of these issues will come from various entities, especially healthcare topic, that will present how aspects of COVID infections and outcomes varied by groups taking one side or another. Preventing and lessening the consequences of COVID has been shown for mask-wearing, social-distancing, vaccines & vaccinations, differential efficacies or inefficacies for given treatments, and on lock-downs or re-openings. This is all useful information and should enable STEM-oriented entities to use these learning to be more prepared and capable in dealing with COVID going forward and for other such epidemic/pandemic events in the future.

But those lessons are not the only things which we can learn; nor are they necessarily the more salient knowledge to be gained from our collective COVID experiences. What about factors/variables which logically should not be expected to show differential impacts and outcomes because of COVID? What about the irrational forces at play in this viral quagmire of infections, hospitalizations, and deaths? Yes, I am referring to politics.

But how would one demonstrate that politics has a meaningful and significant effect on COVID? Yes, we all hear politicians arguing over national policies. We see political leaders at all levels fighting over what they are going to do or not do, will permit or not permit, and claim is being done based upon the “science” and/or the data with or without providing where they got the ‘science’ or what the data is. But who in their right mind to trust politicians? There are even opportunities to see how some variable as mundane and inane as public school-boards’ policies.

How about we take a more STEM-oriented strategy and look at the data in ways that are not often if ever considered. Pick factors/variables which a priori don’t have any rational reason to be relevant to how COVID impact and outcome occur. Since politicians have taken up-front, in your face positions on various public policies doesn’t it make sense to use a political factor to assess the data? I am sure that you have heard someone from a news entity state that “COVID doesn’t care about your political alignment.” I am absolutely confident that that statement is true; but that doesn’t mean that politicians doesn’t have an impact on COVID.

What then does the data tell us about the latter “cause and effect” relationship? It tells a rather strange story. Take the publicly published data on COVID infections and deaths and hypothesize what you would expect to see if political affiliation has no causal relationship to COVID results. For COVID infections would there be roughly no difference in infection rates? Isn’t the same to be expected in COVID deaths? If these expectations are what you get than politics is unrelated to COVID just as COVID is unrelated to politics.

Let’s use the political alignment of each state’s legislature (which one controls the legislature) as a variable [Note: We could use the political party of each state’s governor as another variable.] Does that Legislative Party make any difference in COVID outcomes?

It does!

Ok, but how much does it matter? Well, with 60% of the states having Republican dominated legislatures what would indicate a difference of note? How about 22 or the worst 23 performing states in terms of infection cases are Republican. Of the 17 best performing states, 15 are Democratic legislatures, with 1 being a split legislature, and 1 being Republican. The random chance of this occurring is astronomically unlikely. If we examine the data once vaccines were available and promoted there is a slight improvement, but the unbalanced pattern persists [Jan. 1, 2021 was used as the start date.]. Of the worst 23 states, 3 are Democrats. Of the best performing 17 states, 4 are Republican and 1 is split. What about COVID deaths, does the legislative party matter there?

It does.

In looking at COVID deaths from the beginning, the worst 23 performing states had 6 were Democratic legislators, and of the best performing 17 states 4 were Republican and 3 were split evenly. Well these results are not as unlikely as the Infections, they are still not very probable. When a vaccine available analysis is examined, the results shift back to the very improbable results. Of the 23 worst performing states, 2 are Democrat legislatures and the rest are all Republican; and for the best 17 performing states, 4 are Republican, 3 are split and 10 are Democrats.

Now these results have to be telling us something relevant; and of course, the question is what? It’s not like there are only Republicans in Republican dominated states or Democrats in Democratic states, so there have to be factors which are more directly ‘causal’. The virus after all, really does not care or act differently because of your political alignment or the politically dominating legislative party. This leaves us with more to learn. Perhaps the secret ingredients reside in some of those divisive issues mentioned earlier.

But there is another insight that would seem obvious. It relates to whom is and who isn’t vaccinated. It is not a question of what the right choice is, but given the statistics on the differential outcomes for each choice, what can one predict? If unvaccinated folk are 5 times more likely to get COVID compared to vaccinated and the unvaccinated are over 10 times more likely to die than the vaccinated are. If you take the relationship of state legislatures and COVID and factor in these differential outcomes then one should expect that more Republican voters will die from COVID than Democratic voters. This seem to be a potential consequence for the Republican party that calls into question the wisdom of motivating their supporters to ‘resist’ vaccinations.

It will be interesting to see if the data continues to disadvantage one political party more than the other.

I suppose that the notion of the “wisdom of the crowd” has its limits.


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