Friday, March 20, 2020
Love takes risks
Bob Cutillo is a Christian family physician. Crossway recently interviewed him about the coronavirus. I think the entire interview is worth a read if you have a few minutes. Here's an excerpt I appreciated:
I think what we see in Jesus's actions towards the leper, he didn't have to heal by touching. And yet, because he did touch it argues that somehow when we deal with people who are potentially contagious, there's a risk we're going to take if we're going to be able to love. But you really can't love faithfully if you're not willing to take risks. How do we judge that risk? I think we could further that conversation, but if we don't at least acknowledge the fact that the only way to love faithfully is to take risks, then we're not going to be able to get the conversation started.
...It's interesting because I think that when you read about how different societies have responded to contagions in the past, there's almost a universal in the particular: in every situation there are common reactions and the majority of people are not reacting in a loving way. Let me try to simplify it in this sense: right now, if you watch how people are reacting to the virus, there's two main ways—now, I realize that there's a lot of subtleties that people jump back and forth between—but there are two main ways of reacting and what's interesting is how extreme they are. One of the ways that people are responding is to be, I would call it, nonchalant about the situation. They're saying something like, This is not very important. This is nothing but an inconvenience. This is something that's bothering my schedule. This is something that really should not get in the way. It's just an accident waiting to go away and I'm just going to try to wait it out. There's this wonderful passage in Albert Camus’s book The Plague and if anybody has time—and you'll have a lot more time in the next few weeks—to read people's reactions to the Plague, they should read his book. One of the reactions is the reaction of the townspeople when the city of Oran first gets evidence that there's a Plague and it's not even getting quarantined. And he said this about the townspeople: “Our townsfolk were not more to blame than others. They forgot to be modest, that was all, and thought that everything still was possible for them which presupposed that pestilences were impossible. They went on doing business, arranged for journeys and formed views. How should they have given a thought to anything like Plague, which rules out any future, cancels journeys, silences the exchange of views. They fancied themselves free and no one will ever be free so long as there are pestilences.”
...I think the counter reaction is the one that has excessive fear about the presence of this virus that is able to kill people. I think that you see a lot of that in people's responses. There's a great deal of fear and anxiety and that, I think, is something that the people of God can look at and say, Is that the response that I want to have? Do I have that response? And I think you have to look for yourself a little bit to ask, Do I have that response? because I think everybody's a little more prone to, as they pass someone, seeing that person not as a human being but as a potential source of contagion to them. So there's a fear factor that's playing out. Honestly, there's always fear when there's contagion in the environment. So the question is How do you deal with that fear? And is it realistic or is it free-floating and you've lost it? The thing that's unique about our modern society is the last time we had a virus like this was a 102 years ago in 1918 with the Spanish Flu. That was a much different society. It might be called the Early Modern society, but it was before the age of antibiotics and so that flu spread in an extremely rapid way and killed many, many people. One hundred and two years later, most of us don't have a personal experience of that, so this is a new one for us. But for us as an American society and for many in the modern West, this is a real disturbance to our well-being because we have lived for quite a while thinking that we are immune to this kind of stuff, that we have a sense of security and a sense of confidence about our lives so this doesn't make sense to us. In a sense, we want to push it away and we want to say, This is not the way our life is supposed to be. There's something wrong with this. And so we have an excess fear of it because we have never dealt with anything like this. We've been in the process of denying death for many years because we have been able to keep it hidden away through our capabilities in society to stay healthy and stay well. And yet this is a shock to our system. It's almost like we've been floating in a balloon and it's been popped and we've hit the ground. So I see a great deal of fear and I will name it and maybe explain it later, but it's really the fear of death that is before us and that's where I think the Christian can say, Do I have that same fear, or do I know something that others don't know that would change how I think about death and this situation?
...Basically for many of us, because we have lived in a modern society for so long, I would say since that epidemic of 1918, these last hundred years have seen the most incredible growth of our medical capabilities and the possibilities of delaying death, denying death, and conquering disease that has ever been before. But what that's produced is sort of a false ability that we can deny death, that somehow we can exclude from the fabric of our normal life any evidence of decay or death or helplessness. We've done that in a lot of different ways, and so in many ways death is something we don't even think about. We don't see it even as a necessity to be accepted, but more as an accident to be avoided. And so when something like this comes to play it's a shock to our system. It's even something that we get angry about and think, How dare someone disturb our sense of well-being!
I also want to add as I'm saying this that this is a unique perspective of only certain people in our society and in our world. There are many people in other parts of the world that this is not a shock to them at all. The presence of death is a part of their lives every day, and this is just another added danger. But for many people in the modern West who have enjoyed many of its fruits, they have somewhere along the line thought that maybe they don't have to deal with death and all of a sudden, it comes knocking on their door or jumps in through the window and they’re shocked by it. And I think for many they respond in excessive fear because they have never had an ability to even contemplate this possibility.
The mist
1. Just in passing, I'm sure everyone has already heard California has declared a state of emergency and is on mandatory lockdown. The governor mentioned the possibility of martial law, but later issued "clarifying remarks". I guess California is taking Italy's strategy.
2. It's interesting how life imitates art in our coronavirus pandemic. I'm sure examples could be multiplied.
A recent one is the film Five Feet Apart. I've only seen the trailer. The main characters appear to have cystic fibrosis, but that's where the analogy breaks down, because cystic fibrosis isn't infectious. Rather it's a genetic disease. But the social distancing fits.
3. Of course, movies like Contagion and Outbreak are obvious. There's likewise some overlap with the apocalyptic genre in general.
4. I suppose the pandemic has some parallels with Stephen King's The Stand. Thankfully COVID-19 isn't Captain Trips.
5. Perhaps one of the more apt parallels is Stephen King's The Mist.
Basically the film is about a group of strangers stuck together in a supermarket while an impending mist gradually surrounds them and traps them inside.
Man-eating monsters lurk outside in the mist. So people can't venture outside without taking their life into their own hands. Without risking death.
However, as scary as the mist and its monsters are, there are monsters lurking inside with them too: their fellow human beings. Which monsters are worse? Both are bad, but one is in the open, while the other is hidden. The difference between a massive fire-breathing dragon and a slithering snake in the grass.
We can sympathize with their confusions and frustrations at the beginning. No one seems to know or understand what's happening. They're thrust into their predicament after a storm hits the town.
Some immediately take on a "survival at any and all costs" mentality. Others are more selfless at first, but that changes too.
As the story progresses, we begin to sense increasing mistrust and distrust. We begin to see the heightened fear in their eyes.
We feel the growing panic. The fevered paranoia. It breaks out in yelling and screaming and fighting. People take sides. Form factions.
So, in the end, one by one, individuals are picked off. Either by the monsters outside or by the "monsters" inside, as people realize there's no escape. Death - or a worse fate - awaits them all.
6. In short, it's instructive to witness how some people are responding to this pandemic.
It's like they're stuck inside a locked gas chamber with the gas diffusing across the room and inching toward them by degrees. There's nowhere to run, but some people will still claw and scratch one another to savor a few more moments in the corner farthest away from the steadily approaching poison.
It's also somewhat reminiscent of Camus' The Plague as well as Sartre's No Exit.
By contrast, Christians need not fear death. We know this life isn't all there is. Death isn't the end - or worse. There is an exit. There is a door. His name is Jesus: "I am the door. If anyone enters by me, he will be saved..." (John 10:9).
Swab tests and blood tests
Nicholas Christakis has a good Twitter thread about testing for the coronavirus here. Thanks to Steve for sending it to me. By the way, I've followed Christakis' work in the past. He's good in terms of the medical science.
However, in case people don't wish to read his thread, here are what I perceive to be the main takeaways in non-technical language:
1. Everyone has been talking about "testing". What this means is swabs. Like they'll swab the back of your throat and your nose with a Q-tip thingy, then send it off to a lab to process, and eventually send you back a result. Swabs reveal the presence of coronavirus.
2. However, if someone has had the coronavirus, but recovered, then a swab test won't reveal the presence of coronavirus inasmuch as their immune system would have more or less eliminated coronavirus.
3. Instead, we need a blood test (serology) in order to reveal someone who has had coronavirus but recovered. That's because blood tests will reveal antibodies our immune system has produced against the coronavirus. So blood tests are basically testing or looking for the presence of antibodies against the coronavirus.
(By the way, that's generally how vaccines work too. Vaccines provoke our immune system to create antibodies against a particular disease.)
4 We need to be doing both types of tests. Swab tests and blood tests.
5. If someone has recovered from the coronavirus (i.e. there are antibodies present in their blood), then they are effectively immune from the coronavirus.
6. Also, they aren't contagious.
7. They can go back to school or work, go shopping, run errands, whatever. As such, Christakis argues, it would be good for our economy and society if we can prioritize finding out who is immune to the coronavirus so we can send people back into the work force and so on.
8. What's more, as there are more immune people walking around, this will confer a degree of herd immunity on society at large. The immune will be like a buffer to keep others from getting infected with coronavirus.
(Again, this is the same with vaccination in general. For example, if some people aren't vaccinated against the measles, but if everyone else is vaccinated against the measles, then the greater "herd" will protect the "weaker" ones in the herd who aren't immune from the measles and prevent the "weaker" ones from getting the measles. That's because the measles can't spread through the entire population unchecked if enough people are vaccinated and immune to the measles. The measles can't cut through a community if it hits a wall of immune people.)
9. When we have tested a representative sample of people, we will be able to have more accurate statistics. Christakis states we might find the fatality rate is "much lower than we have been fearing".
Thursday, March 19, 2020
Unconcerned about constitutional rights
I recently saw a political conservative (as well as Reformed Christian) state the following on Twitter:
Given the current health crisis, no one is currently concerned about constitutional rights.
1. I don't understand how any full-blooded American could ever say something like this. The Constitution and Bill of Rights were forged in the wake of war. In the midst of a fledgling nation threatened to be torn apart from internal strife. Surrounded by opportunistic enemies (e.g. British, French, Spanish). Facing outbreak after outbreak of disease which afflicted Americans in general as well as American soldiers defending the nation. Perhaps the most fearsome of the diseases at the time was smallpox. Smallpox is scarier than coronavirus. It had a higher transmission rate (R0) and fatality rate (CFR). (Thankfully we eradicated smallpox a few decades ago.) Yet, despite all these real and present crises as well as crises waiting to happen, including public health crises, our Founding Fathers were keenly "concerned about constitutional rights".
2. In fairness, the statement could be saying "constitutional rights" aren't even on the table right now. Not that we should be unconcerned about constitutional rights. If so, that's likewise something I don't understand. Why shouldn't constitutional rights be on the table during a public health crisis? If not during a crisis, then when? Only during "normal" times? Perhaps he's alluding to something like Lincoln suspending habeas corpus during the Civil War. If so, it's arguable whether Lincoln should've done that.
Coronavirus public policy
I have no public health expertise (e.g. MPH), I'm just thinking out loud here:
1. As far as public policies go, I think it's a bad idea to have a one-size fits all policy. I think it's better to tailor a policy to certain locales. Some locales might have low risk of coronavirus transmission while others are hot zones of coronavirus. As Steve has pointed out in the past, we should treat like cases alike, but unalike cases unalike.
2. What's more, there'd be less harm to our economy overall if many or most places can keep things "business as usual". For instance, not that I'm necessarily advocating this, but I'm at least using this as an illustration: if only impacted areas in a city shut down, but other areas remain open, then the city could still be productive and our economy less hurt overall vs. the entire city on lockdown.
3. I guess there's a tradeoff between how much we should take preemptive measures vs. how much we should take reactive measures. Perhaps there's no need to take preemptive measures if there's zero evidence of anyone sick with the coronavirus in the area. Perhaps places with no evidence of coronavirus can get ready so if there is eventual evidence of coronavirus in their community, then they can react with speed and purpose.
4. People argue there could be asymptomatic coronavirus carriers walking around in our communities. However, should we take preemptive actions like closing down stores and restaurants for this possibility? Isn't that sort of like worrying there could be a serial killer in one's community, therefore shut down everything, and let's start a man hunt?
Granted, it's an imperfect parallel. For one thing, there (hopefully) aren't many serial killers as a percentage of the population, whereas I've seen high percentages of how many could be asymptomatic carriers. Still, I presume that would more likely cluster rather than be diffused across the entire nation. More likely be nearer to where the outbreaks and hot zones are rather than across the entire country or even regions of the country. At least at this point.
Of course, if the virus has spread across the entire country, then that may call for different strategies. My concern is people are already fearing this without hard evidence of this. My concern is we're getting ahead of ourselves. My concern is that people are acting like there's an asymptomatic carrier hiding behind every tree or bush when that's not entirely clear to me.
5. At most, if we want to take preemptive measures, then why not far less dramatic or drastic preemptive measures? For instance, point-of-care testing at clinics alongside wider surveillance of affected regions. Stuff like that. And otherwise more or less business as usual.
Is it wrong to want damnation to be true
“No evangelical, I think, need hesitate to admit that in his heart of hearts he would like universalism to be true. Who can take pleasure in the thought of people being eternally lost? If you want to see folk damned, there is something wrong with you!”
Is universalism the best possible news?
@RandalRauserThe second worst objection to Christian universalism: “If everybody is ultimately saved by Jesus, then why bother telling anybody?”Um, because it’s the best possible news.And God told us to.And no, I'm not a universalist. I just can't stand bad arguments.
Disguise and recognition
Let your peace return to you
Destroy the village to save the village
Which Resurrection Evidence To Focus On
A couple of areas I would recommend focusing on:
- Testimony from sources hostile to early Christianity. That can take two forms. You can cite individuals who were initially opposed to Christianity, but later became Christians. James and Paul are the two best ones to focus on, and the posts linked to their names explain some of the reasons why. Or you can cite sources who remained opposed to Christianity, yet corroborated one or more lines of evidence for the resurrection. See here regarding Jewish corroboration of the empty tomb and here concerning pagan corroboration, for example.
- Claims made by the early Christians that were difficult for them in some way. There's a lot that can be cited here. You'll have to choose which examples you want to focus on. Why did the early Christians claim that a resurrection had occurred, given how unexpected that was in ancient Jewish thought and given the alternatives available (a resuscitation, an apparition, a vision, etc.)? Why is the risen Jesus portrayed as having such an ordinary body, contrary to ancient Jewish expectation? Why are the early accounts so restrained? Why is the resurrected Jesus portrayed as retaining his crucifixion wounds? Why have a group of women discover the empty tomb while Jesus' male disciples are in a state of unbelief and fear? Why are female witnesses so prominent in Luke's gospel, yet so lacking in prominence in Acts? Etc.
Wednesday, March 18, 2020
Hope about coronavirus
Briefly:
- The bad news first.
Tim McGrew makes a great point here. This can't go on forever. It'd cripple us (if not worse) as a nation if it did.
- Peaks and troughs.
Right now the prediction is the coronavirus (i.e. SARS-CoV-2/COVID-19) will peak in May, then start to decline after that. (However, to be fair, some argue COVID-19 could have an endemicity and seasonality to it, which in turn could mean more outbreaks and even epidemics again even after it peaks and declines.)
- Herd immunity.
If the coronavirus infects enough people, which it looks like it will, and the vast majority recover, which is already the case, then we as a population would develop a degree of herd immunity to it. So this would delimit the coronavirus to a significant degree. Sure, there might be outbreaks in certain hot zones (such as with measles outbreaks over the last few years), but not an epidemic that consumes the entire nation like people fear now. It goes without saying it's comparatively much easier to control outbreaks than epidemics.
- Vaccines.
Prayer is the shortest distance between two points
Indefinite social distancing
3 top objections to Catholicism
Just because we don't know the mechanism by which something works doesn't necessarily mean that it doesn't work, so I don't have any clue at all of how a YouTube livestream...But I guess I'd say God makes the prayers known to the saints.