The Paths Ahead.
Path A. The US government takes decisive and proactive actions today and leads the Western world to enforce aggressive social distancing measures to contain the spread. Looking at situations in China, this should be able to contain the virus in 4 to 6 weeks. Life should be able to return to normal by June or July. Economy should be able to quickly recover in a few months after that. Total number of cases in the US may be in the tens of thousands, with hundreds of deaths. There will be economic and other kinds of pains and suffering, but these are unavoidable.
Path B. Continue the current course of action. In no more than two weeks (by Mar 22), the number of confirmed cases will top 10 thousands. Health care systems in states starting with Washington, California, New York will be strained like Northern Italy today. US government may have to adopt drastic social distancing measures similar to locking down entire cities.
- The best case scenario is that the spreading can still be contained by these measures to be about 10 to 50 times the size as under Path A, i.e., with hundreds of thousands or a few millions of people infected, and thousands or more deaths. It will take longer for the lockdown effort to be effective because of the scale of spreading. It may be August or September before life can return to normal. And the economic damage will be a lot higher than Path A.
- Worst-case scenario is that spreading cannot be contained, and we are looking at situations predicted by some experts, with up to . Local communities will still try any conceivable containment method. Economic and social activities will be greatly disrupted. 20% of the population over the age of 70, as well as significant fractions of other age groups, will die while waiting for medical care, with family members desperately looking on. The situation looks to be at least as bad as the Spanish flu. We may be looking at the worst humanity and economic disaster since World War 2. The remaining hope after the devastation is that either virus mutates to a milder form, or effective vaccines can be developed before the next wave hits.
The Choice.
It appears that US officials have admitted
and moved to mitigation; however, it is unclear what is the mitigation strategy. The only rational choice is Path A. While this brings the disruption to the broader society earlier, the magnitude of the disruption will be less and it will pass quicker. Without decisive and aggressive actions now, the government will have to take these or even more drastic measures later, when the virus is much more widespread, which leads to thousands of preventable deaths, health care systems straining to the point of breaking, longer disruption of social and economic activities, and bigger scale of damage to the society and the economy.
Every day of delaying means more people die in the end.