The difference between me and you is that I know I'm not qualified, and so when there's more than a 99% consensus of experts who are qualified, I listen to the experts rather than going off and forming my own theories on the topic, working myself up over it, then informing everyone about them as if it's truth. I also apparently have a much better understanding of probability, because "a thousand people died" has to be taken in context and, if you consider this to be unsafe, you'd better never walk out your front door again.
The UK is doing challenge trials, it's just way too late to matter and they needed to be doing this 4 months ago if not sooner. But with respect to "it would be horrifying if you were running things", well, go be horrified at the UK government, who apparently thinks what I'm proposing here is reasonable enough that they're doing it: https://www.bbc.com/news/health-56097088
We just gave a whole bunch of people a placebo and then said "in order to prove this vaccine works we'll have to wait until some of you get covid". This is a challenge trial dressed up nice and taking way longer. Cut the participants by a tenth or a hundredth and give them Covid and the same number of people get Covid total, same number of deaths etc. but with a shorter timeline. You always have to make a trade-off of how many people you're willing to let die for the sake of finding the treatment. The current medical establishment decided that the trade-off here was high double digit thousands of people, for the sake of not actively causing the deaths. But at the end of the day a death is a death, and it would have been better if we had let a comparatively very small number of consenting, informed, uncoerced volunteers take the risk. Could have done it with people in amazing health in their 20s and still known at least half of what we needed to know from it with basically no risks at all to the participants, being as by a few months in we did have the knowledge to know who was and wasn't going to die from it. You can hate challenge trials all you want, and in normal times we maybe shouldn't depending on exactly what it's for, but this is an emergency and at the end of the day giving people a placebo vaccine and then sending them back out into the world to see if they get covid is exactly the same, just with the ability for us all to pat ourselves on the back about it. We didn't have a choice about needing to do the research, but we did have a choice between "this feels good and lets us pretend we didn't cause a problem but is slow" and "this doesn't feel good but is fast", where either side of that choice is the same net harm from the perspective of the participants but very much not from the perspective of all the people we could have saved.
As for volunteers needing to be experts to know the risks, "This is a challenge trial. Here is what we think will happen. Worst case is you die horribly" from Dr expert PHD whatever seems pretty clear-cut. We've taken this whole "protect people from themselves" thing to a ridiculous degree. You don't have to be the expert to understand the risk of any clinical trial at all because a big part of the clinical trial is they tell you what those are. SO not really sure how having biology expertise comes into whether or not a volunteer should be allowed to volunteer for a thing? I mean, there has to be a reasonable belief that you're not going to die from it, etc. Doctors shouldn't just be murdering people, you should always consider the ethics. But this kind of thing shouldn't be a hard no in the first place, but especially not if the main argument you have against it is that we should be protecting people from themselves, because that's just treating the world like everyone is an idiot.
As for China and Russia I'm not happy about everything they did, but everyone in the US, UK, etc. has entirely failed to get into emergency pandemic people are dying mode and instead made the trade-off of destroying the economy and entirely taking the ethical high ground at the cost of everything else. We aren't really more defensible than them. For example, we could have done things like said "it's an emergency. You can get the vaccine before Phase III but you have to pay for it yourself and sign this you might die waiver" but we didn't. It's not more ethically defensible to be the guy who stands back and does nothing. They took a stance that I don't like and which is very much at odds with western values that I do support, but it's a pandemic. There's a place and time for ethical high grounds. Majorly bad emergency situation is not that time. Being as this is apparently devolving into you straw-man everything I say, I'm not saying we should throw out our ethics for it or anything like that. But we should have recognized the complexity and treated it like a complex situation. Instead, it's "U.S. good at pandemic, China bad at pandemic, also we must observe our magical this is ethical medicine protocols almost to the letter".
The result of us mishandling it is we have multiple strains. Multiple strains is really bad potentially. See also the 1918 Spanish flu. No one needs a biology anything to understand the thing in the history books about the last time something this major got out of control in this way. It can't get as bad as that because we have much better medical science--but yeah, yeah, it can get a lot worse and it's possible we haven't dodged that bullet at all.
If we had stopped putting our heads up our asses and made vaccines happen 6 months ago that wouldn't even really be a conversation point at all, instead it's "maybe we have to do all these vaccines again, oops". At some point you do have to have a threshold for when it's fine to start talking about breaking medical ethics standards that aren't that thought out in the first place. Is it 1000 deaths per volunteer you could have risked but didn't? 10000? How sure are you that that virus mutation clock wasn't ticking? No one honestly knows if that clock ran out or not at this point, but we have certainly cut it very, very close to the "and then it got way worse and welcome to Covid the sequel" line.
Like, I get it. It's nice and comfortable to think that do no harm is the be-all and end-all of medical ethics. You can just blame the illness for causing all the deaths. The deaths are never on you. A guideline like that prevents some horrible stuff, sure. But it does that at the cost of ever allowing us to respond when it's important. And yeah, we didn't *cause* the deaths. But if you see someone's house is on fire and it might burn down the block and all you can do is piss on it, you're still going to put the fire out because it's a giant fucking fire and it needs to be put out before the entire city is in ruins.
Also, please learn to spell vaccine. I have to say that it's really hard for me to take FUD argument rants about a topic seriously when you can't even spell the thing you're arguing about.
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