President Joe Biden gave a decent State of the Union address, and in places it was a very good speech. But I am not here today to talk about that. I am here to talk about the endemic post-pandemic party that broke out on the floor of the House. Before the speech began, the floor of the House was crammed full of members of Congress, Supreme Court Justices, the Biden administration plus their staff, invited guests and security. They were mask-less, greeting each other, talking and laughing loudly, shaking hands, hugging, whispering in each others ears, handling each others cell phones as they took photos. A tiny smattering of people wore masks, like the man in a wheelchair. The party atmosphere was a shock to my pandemic-primed senses. During the speech, there in the front sat all the Supreme Court justices, none with masks, even Justice Sonya Sotomayor, who has diabetes and other high risk conditions. After the speech, there was Biden in the midst of the crowd, shaking hands, hugging, and talking closely with scores of people. And I was like, hey, none of y’all can get sick, none! All those octogenarian Democrats in that room, if just one of them get a serious infection, our agenda is dead meat. We need all of you! I could not help but visualize this becoming a super spreader event. Yup, party pooper, that’s me. I would not have been caught dead at such an event – ok poor choice of words – but I am not ready to take off my mask yet.
Sure I read about the CDC’s new guidelines and intellectually understand the science and public health approach behind them. I also know it is predicted we will experience another 2 variants this year, that no one knows how mild or virulent they will be; and therefore we might soon be advised to increase precautions again. I trust the basic integrity of the CDC, in a way I could not under the former president. Unlike some Republican critics who accuse Biden of doing what they do when they hold the reins (1), I do not believe that the CDC guidelines were the result of political pressure from this President. But only history will tell whether they made the right call or if it was premature – like last summer when they advised lifting mask mandates, then Delta roared in, and sent us all 2 steps back (if we were lucky; others got sent to the hospitals or morgue). Governor Ige kept Hawaii’s indoor mask mandate in place last summer and was proven right. He is doing the same now, saying they will reassess at the end of March. I am grateful for his caution, so frustrating in other policy arenas. Hawaii has emerged from 2 years of the pandemic with the second lowest mortality rate in nation, after Vermont, and as of March 1, our 7-day hospitalization is was one of the lowest, and our vaccination rate one of the highest.
I am encouraged that the administration has a new endemic plan (which Congress must fund and pass), that has some promising elements – like setting up a network of pharmacies where you can get a Covid test and if positive get anti-viral medication on the spot.
The assumption of the CDC disease modeling is that because there is now adequate community protection from widespread background vaccination, immunity, availability of PPE, Covid-19 treatments, and medical care services, the choice of which precautions to take can now shift to the individual. This means, each of us is left to do our own personal and family risk benefit assessment – and then decide what precautions we take. My go-to gal for all things Covid-19, Epidemiologist Katelyn Jetelina says: “Throughout the pandemic, public health practitioners (including myself) have been doing a terrible job of accurately communicating risk…. and that’s partly because it’s complicated”
Anyway, I am re-assessing. But in the meantime, I ain’t taking off my mask yet.
(1) https://www.nytimespost.com/ted-cruz-mocks-the-biden-administration-for-abandoning-mask-mandate-before-state-of-the-union/,