Comment It's all about throughput (Score 2) 312
Looking at the data, we had three major spikes in caseload so far. The first was concentrated in the Northeast and I lived through it in NYC. Until things shut down and the volume went down it was pretty crazy...no one really knew how many people were going to get sick, hospitals were indeed overwhelmed and the city was digging temporary cemeteries. The second spike was more generalized in other parts of the country and for whatever reason the patchwork of rules and treatment improvements was able to keep hospital capacity to reasonable levels. This spike is way more generalized across the whole population and it seems like it's a throughput problem this time. Fewer people are dying for now because treatments are improving. Hospital stays are also shorter, and fewer people need to go to the hospital. (Either the first rounds got the most vulnerable, enough people are listening, and/or the virus is adapting to not kill its host.) But when you have even a small percentage of the population needing the services of a system not designed to cater to that level, all at once, you're going to have a problem.
Here in NY, they're planning for yet another round of insanity as all the idiots gathering for Thanksgiving and Christmas get each other sick. Ever since the beginning it's been all about reducing the influx and maintaining throughput without having to resort to measures like building more hospitals and finding healthcare workers from somewhere. Problem is since it's almost everywhere now, it's hard to move people around to keep up with the demand. Hopefully enough people will listen, people won't need hospital care, and we can hang on until most people are either infected or vaccinated.