PROJECT FORTRESS 5.7.20
BY ALAN W. DOWD
As the worst of the public-health crisis spawned by COVID19 recedes,
some leaders and organizations are looking ahead. They are sprinkled
throughout the country, across disparate sectors and vocations—physicians and other scientists, CEOs and thinkers, Major League Baseball and NASCAR, policy analysts and even some policymakers who initially supported the lockdowns. Also included among this group
are a growing number of college presidents. Not surprisingly, Mitch
Daniels—current president of Purdue University and former governor of
Indiana—was one of the first to offer a roadmap back to some semblance
of normalcy.The President’s Plan
In his plan to reopen Purdue’s campus, Daniels calls the initial COVID19 lockdown a
“necessary step.” But he adds, “Like any action so drastic, it has come
at extraordinary costs, as much human as economic, and at some point,
clearly before next fall, will begin to vastly outweigh the benefits of
its continuance.”
That’s why Daniels is outlining how to return to on-campus
instruction. “Assuming governmental authorities permit reopening of our
schools by the customary August start,” Purdue will “accept students on
campus in typical numbers this fall, sober about the certain problems
that the COVID19 virus represents, but determined not to surrender
helplessly to those difficulties but to tackle and manage them
aggressively and creatively.”
Toward that end, Daniels is developing new policies to protect the
Purdue community, including: “pre-testing of students and staff before
arrival” and throughout the year, quarantining and caring for anyone who
tests positive, “spreading out classes across days and times to reduce
their size,” using “online instruction for on-campus students,”
enlisting Purdue’s laboratories to deliver high-speed results, and
employing “a data-driven…research-based strategy” throughout.
At less than 1,200 words, the plan sketched out by Daniels—succinct, straightforward, realistic—underscores why George Will once wrote, “Purdue has the president the nation needs.” (Before
President Trump’s defenders fire off angry emails, Will wrote those
words long before Trump was elected.) Moreover, Daniels’ reasoned,
data-driven, common-sense plan provides a contrast to much of what we’ve
seen from well-meaning policymakers during the COVID19 crisis.
Reactions
If that sounds harsh, consider that the COVID19 lockdowns quarantined
328 million healthy people. That’s not how quarantines generally work.
Throughout history, authorities have quarantined the sick, those in contact with the sick and those in high-risk groups,
while instructing or requiring the healthy to take needed
precautions—thus allowing society to keep functioning to the greatest
extent possible. That’s what South Korea and Taiwan did in response to COVID19. Both experienced far better health outcomes and avoided the crushing long-term economic consequences Americans are now beginning to face.
Or consider that New York City included in its COVID19 death toll “people who had never tested
positive for the virus but were presumed to have died of it” as well as
cases “not explicitly linked to the virus.” Related, Dr. Deborah Birx
(White House COVID19 coordinator) concedes that in “other countries…if you had a preexisting condition and, let’s
say, the virus caused you to go to the ICU and then have a heart or
kidney problem, some countries are recording [that] as a heart issue or a
kidney issue and not a COVID19 death,” while in the U.S., “if someone
dies with COVID19 we are counting that as a COVID19 death.” According to
other medical experts, when there are multiple
“comorbidities”—preexisting conditions like COPD, heart disease,
obesity, diabetes, chronic smoking—the attending physician lists them
all in the cause-of-death report. Thus, as physicians and
microbiologists based in southern California explain, in many instances, COVID19 didn’t kill the deceased, “25 years of tobacco-use killed them.”
Or consider that the Imperial College models, which understandably terrified policymakers, predicted COVID19 would claim 2.2 million Americans if we went on with life as usual—what the experts call an “unmitigated”
environment. Importantly, those same models predicted that even under
“the most effective mitigation strategy examined…surge limits for both
general ward and ICU beds would be exceeded by at least eight-fold” and
that 1.1 million to 1.2 million Americans would die. These models proved
wildly incorrect,
thus achieving the opposite of what statistical modeling is supposed to
do. In fact, the U.S. adopted sweeping mitigation measures. Yet the
vast majority of hospitals were not overwhelmed, the healthcare system was not crippled, and we
did not lose 1.1 million to COVID19. Instead, COVID19 will claim
somewhere between 72,000 and 130,000 Americans (even employing the expansive accounting methods used by New York and Dr. Birx).
By way of comparison, that falls within the same range as the U.S. toll from the 2017-18 influenza season (which claimed up to 95,000), the 1968 H3N2 flupandemic (which claimed 100,000, out of a population of 200 million) and the 1957-58 Asian flu pandemic (which claimed 116,000, out of a population of 171 million). That’s of
little comfort to those who have lost a loved one to COVID19. But the
numbers do put COVID19—and the policy reactions it triggered—in
perspective.
Those policy reactions, spurred by well-intentioned experts in
infectious disease, remind us why we elect politicians—not topic
experts—to craft and carry out public policy: Topic experts base policy
recommendations on their area of expertise. Politicians base policies on
a vast array of constitutional, economic, political, cultural and
health factors, plus at the federal level, calculations related to
diplomacy, national security and international stability. To be sure,
effective leaders consider the advice of topic experts. As Proverbs
reminds us, “Plans fail for lack of counsel, but with many advisers they
succeed.” However, topic experts are not equipped to take into account
all the factors that an elected chief executive is expected to consider.
Think of it this way: We want our presidents to listen to what the
generals recommend, but we wouldn’t want the generals to be in charge of
federal policy. We want our governors to listen to what labor, business
and environmental experts recommend, but we wouldn’t want the AFL-CIO,
Chamber of Commerce or Sierra Club to be in charge of state policy. Yet
during the COVID19 crisis, many elected chief executives, in effect,
deferred policymaking to topic experts. Advocates and critics of this
course of action would agree that the results were far-reaching. The
former will argue that we successfully “flattened the curve.” The latter
will argue that in doing so, we flattened America’s economy and
trampled individual liberty. The irony is that both sides of this debate
will fall back to the same defense: “Just imagine if we had done
nothing.”
Both sides need to consider the motives of the other. We may disagree
about how and when to “reopen America,” but we should do so with
charity toward motives. There are thoughtful people of goodwill who view
COVID19 as similar to influenza outbreaks,
who criticize the government’s response as drastic, who believe life
must go on to preserve individual liberty. And there are thoughtful
people of goodwill who view COVID19 as more dangerous than any influenza
strain, who applaud the government’s response as prudent, who believe
life must change to preserve public health.
Service
This tension is evident in Daniels’ roadmap and in how his peers are
approaching this issue. Their various reactions suggest that efforts to
reopen campus are important for at least three reasons.
First, it sets an example and provides hope. Purdue University
enfolds a community of 50,000 students and staff, with thousands of
daily visitors and uncounted commercial, cultural and social
interactions. It is, like many campuses, a city unto itself. If Purdue
can reopen and return to something that looks and feels like normal,
then it can be done elsewhere. That alone would be a great public
service.
Second, there are practical factors at play. As Brown University’s Christina Paxson explains, the financial costs of the COVID19 lockdowns on higher
education already reach into the billions. “Remaining closed in the
fall…would be catastrophic,” she warns, adding: “It’s not a question of
whether institutions will be forced to permanently close, it’s how
many.” She notes that many students face technological and economic
barriers to remote learning. Indeed, while we should be thankful for
Zoom and other technologies that allow us to experience a sense of
connection, we must remember that many millions of college and K-12
students cannot learn from home, and that many millions of Americans
cannot work from home. Even those of us who can are discovering that
these computer-screen connections are no substitute for gathering
together. What was true in the beginning is true today: “It is not good
for man to be alone.” We are made for real connection—for hugs,
handshakes, high-fives and as Daniels understands, for hands-on
learning. “The learning experience is enhanced not only by being closer
to faculty, labs and classrooms,” he contends, “but also by being closer
to other students.”
Third, there’s a philosophical debate to be had. Purdue’s
“return-to-operations strategy,” Daniels explains, “is undergirded by a
fundamental conviction that even a phenomenon as menacing as COVID19 is
one of the inevitable risks of life…It is a huge and daunting problem,
but the Purdue way has always been to tackle problems, not hide from
them.”
Soon after Daniels shared his vision, the University of Missouri announced plans to reopen campus. Arizona, Baylor, Clemson, Iowa,
Maine, Maryland, Michigan, Nebraska, N.C. State, Ohio St., Oklahoma,
Utah, Wake Forest, Washington St., West Virginia, Virginia and others
are planning to return to on-campus instruction in August/September. The list grows by the day.
Still, college administrators are highly risk-averse (Daniels being
the exception that proves the rule). Given the litigiousness of today’s
America, it’s hard to blame them. COVID19 liability issues have to be addressed to shield colleges, workplaces, theaters, restaurants and stadiums from unwarranted lawsuits. Federal legislation on COVID19 liability-protection is an essential step on the pathway back to normal commercial and cultural activity.
Living
Some will bristle at the haphazardness of what the 2020-21 school
year may look like—some schools opening campus, others offering hybrid
instruction, still others hunkering down sticking with online-only
instruction. But in a sense, this would be a reflection of what
America’s founders envisioned. The COVID19 crisis reminds us that our
federal system makes it difficult to force everyone in every state to
get on the same page. Yet this very system encourages the sort of
flexibility and creativity needed to address challenges in a targeted
way. In other words, what makes sense for New York in responding to
COVID19 may not for North Dakota—and what makes sense for Princeton may
not for Purdue.
Daniels’ plan—premised on the notion that the lockdown’s costs are
beginning to outweigh its benefits, that America and Americans cannot
thrive in a reactive crouch, that living carries risk—calls to mind
something President Theodore Roosevelt said. Even as we care for the
sick, protect the at-risk, and bolster our hospitals to prepare for
another wave of COVID19 or influenza or H1N1, we must “live in the
harness, striving mightily; let us rather run the risk of wearing out
than rusting out.”