WEBVTT - COVID Data Findings and the Impact of Teleheatlh

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<v Speaker 1>You're listening to the Bloomberg Opinion podcast count US Saturdays

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<v Speaker 1>at one and seven pm Eastern on Bloomberg dot Com,

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<v Speaker 1>the iHeartRadio app, and the Bloomberg Business App, or listen

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<v Speaker 1>on demand wherever you get your podcasts.

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<v Speaker 2>Welcome to Bloomberg Opinion I Amy Morris. This week we

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<v Speaker 2>look at COVID. We got a lot right about the risks,

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<v Speaker 2>but we talk with Bloomberg's Justin Fox, who says we

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<v Speaker 2>got the response wrong, and we'll look at the benefits

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<v Speaker 2>of telehealth and how it can be especially helpful for teenagers.

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<v Speaker 2>Bloomberg's Lisa Jarvis explains how the COVID pandemic highlighted how

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<v Speaker 2>telehealth can fit in as part of your healthcare routine. Plus,

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<v Speaker 2>the US might want to consider changing it's COVID booster

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<v Speaker 2>strategy because whatever they're doing now just doesn't seem to

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<v Speaker 2>be working. But we begin with another holdover from COVID,

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<v Speaker 2>working from home. While companies are getting more serious about

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<v Speaker 2>their return to office policies, more employees are looking for

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<v Speaker 2>that flexibility in their careers. Karen Cambro is LinkedIn's chief economist.

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<v Speaker 3>Employers are now gradually pulling back on that they would

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<v Speaker 3>like to see people back in the office. We're seeing

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<v Speaker 3>an upswing in hybrid work where people are coming in,

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<v Speaker 3>say it's three days out of the week, and we're

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<v Speaker 3>seeing a decrease in job openings that offer fully remote works.

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<v Speaker 3>So there's definitely a trend of getting back into the office.

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<v Speaker 2>But is that the way to go? Is there any

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<v Speaker 2>room for flexibility. Let's talk with Bloomberg opinion columnist Sarah

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<v Speaker 2>Green Carmichael. She joins us now. Sarah, always a pleasure.

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<v Speaker 2>Thank you for taking the time in your column on

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<v Speaker 2>the Bloomberg terminal. You use Amazon as an example because

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<v Speaker 2>that company has gotten really serious about its return to

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<v Speaker 2>work policy.

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<v Speaker 4>Yes, Amazon has been tightening the screws now for months

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<v Speaker 4>on employees, and last week Business Insider got hold of

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<v Speaker 4>a memo that they had sent to their managers asking

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<v Speaker 4>them to first talk to anyone who has not been

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<v Speaker 4>coming in three times a week and give them a

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<v Speaker 4>sort of an official war. Follow up with an email

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<v Speaker 4>sort of documenting a dolores Umbradge sort of type memo

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<v Speaker 4>of you know, you haven't been coming in and there

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<v Speaker 4>will be consequences, and then if things haven't improved after

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<v Speaker 4>a week, or two to really start termination proceedings. So

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<v Speaker 4>this is really like exercising the nuclear option on hybrid work.

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<v Speaker 4>You know, they're really saying you've got to be in

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<v Speaker 4>three days a week and if you're not, you could

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<v Speaker 4>be fired.

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<v Speaker 2>So what is this push and pull over working from

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<v Speaker 2>home due to middle managers?

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<v Speaker 4>I think it puts them in a really tough spot.

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<v Speaker 4>You know, middle managers are in my uh as. I've

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<v Speaker 4>sort of talked with them. Yes, would they like some

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<v Speaker 4>of their employees to come in more often?

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<v Speaker 5>Yes they would. Do they want to be firing people?

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<v Speaker 6>No?

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<v Speaker 4>Are they trying to manage employees who have real needs

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<v Speaker 4>for flexibility?

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<v Speaker 6>Yes?

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<v Speaker 4>Are they also trying to get people, you know, to

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<v Speaker 4>do their best at work? Of course? So I think

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<v Speaker 4>sort of asking middle managers to kind of become the

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<v Speaker 4>enforcer of this policy really does put them in a

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<v Speaker 4>bind on top of everything else that middle managers are

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<v Speaker 4>asked to do.

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<v Speaker 2>Now, why is there still so much disagreement about whether

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<v Speaker 2>working from home actually works? Didn't we prove this in

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<v Speaker 2>twenty twenty and beyond amy?

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<v Speaker 4>That is the key question. That's really what the debate

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<v Speaker 4>is here. A lot of managers will say that they

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<v Speaker 4>don't think that people are as productive at home. They

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<v Speaker 4>see the primary benefit of hybrid work as work life balance.

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<v Speaker 4>Employees who are working in a hybrid or remote way

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<v Speaker 4>see it differently. They are Yeah, the work life balance

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<v Speaker 4>is nice, but actually one of the most important benefits

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<v Speaker 4>is that I feel so much more productive at home.

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<v Speaker 4>So there's this real perception gap based on your position

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<v Speaker 4>in the organization. I think part of that gap is

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<v Speaker 4>to do with trust. Employees feel like they're getting locked

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<v Speaker 4>done at home, managers cannot see them doing it, and

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<v Speaker 4>so managers, I think, are more skeptical. And it could

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<v Speaker 4>also be that, you know, there are some types of

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<v Speaker 4>managing that are actually more difficult when employees aren't right

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<v Speaker 4>under your nose. So even if the employee is more productive,

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<v Speaker 4>it makes the manager's job a little bit tougher.

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<v Speaker 2>And this isn't supposition on your part. You've found in

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<v Speaker 2>writing this column on the Bloomberg terminal is that there

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<v Speaker 2>is research out there that shows when the employee has

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<v Speaker 2>some power over their workspace, they do better.

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<v Speaker 4>Yes, I talked to an interesting expert in teams and performance,

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<v Speaker 4>David Burkis, and he was saying, you know, he's looked

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<v Speaker 4>at he's followed this research really closely. A lot of

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<v Speaker 4>it's coming out of Stanford, from Nicholas Blooms group at Stanford,

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<v Speaker 4>And I asked him, you know, why are we seeing

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<v Speaker 4>now such disagreement between these studies. You know, work from

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<v Speaker 4>home is more productive if actually the office is more productive.

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<v Speaker 4>He said, a lot of it has to do with

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<v Speaker 4>people sort of sorting into categories. So if someone prefers

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<v Speaker 4>the office, they will actually be more productive at the office.

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<v Speaker 4>If someone prefers working from home and has some control

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<v Speaker 4>over their schedule and can do that, they'll be more productive,

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<v Speaker 4>you know, in that arrangement. So what we're seeing now

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<v Speaker 4>post COVID is that when people have the option to

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<v Speaker 4>control their work environment, it actually does improve their performance.

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<v Speaker 4>And that's I think what so many employees are trying

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<v Speaker 4>to hold on to and what is so challenging for

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<v Speaker 4>so many managers.

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<v Speaker 2>And we are talking with Bloomberg opinion columnist Sarah Green

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<v Speaker 2>Carmichael about working from home and the push to return

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<v Speaker 2>to work. Sarah, is there any indication that there's some

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<v Speaker 2>sort of relevance to the timing of why there's been

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<v Speaker 2>this big push of late of the past few months.

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<v Speaker 4>I think there's probably a confluence of different factors. You know,

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<v Speaker 4>companies have invested in their office spaces, and I'm not

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<v Speaker 4>sure that they expected them to be this empty for

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<v Speaker 4>this long. That's kind of a huge sub cost. And

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<v Speaker 4>there is this assumption of like, well, we were working

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<v Speaker 4>in person for the last hundred years, surely that's got

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<v Speaker 4>to be the best way. But actually, if you look

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<v Speaker 4>back further, you know, people used to work from home

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<v Speaker 4>all the time. You know, any farmer was working from home.

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<v Speaker 7>You know.

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<v Speaker 4>It's really only until we got these big factories in

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<v Speaker 4>the industrial rebel that people started working outside the home.

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<v Speaker 4>Any cobbler, any smith, all these people worked right out

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<v Speaker 4>of their homes. A lot of shopkeepers lived above the shop.

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<v Speaker 4>So actually work from home is the norm, you know,

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<v Speaker 4>over the course of centuries, and it's only relatively recently

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<v Speaker 4>that we invented these sort of massive office buildings. So

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<v Speaker 4>from my perspective, you know, I think it's worth taking

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<v Speaker 4>the long view on this and thinking, you know, what

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<v Speaker 4>do we want work to be like one hundred years

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<v Speaker 4>from now, rather than trying to preserve sort of what

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<v Speaker 4>it's been like for most of the twentieth century.

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<v Speaker 2>Well, let's get into that a little bit. We've seen

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<v Speaker 2>so many changes with COVID, and I think there's no

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<v Speaker 2>question that the workplace dynamic has changed. And from what

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<v Speaker 2>you've just said, it sounds like it's always changing. So

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<v Speaker 2>would COVID then be one of those little shoves that

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<v Speaker 2>helps change the workplace as we've known it for the

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<v Speaker 2>past few decades.

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<v Speaker 4>I mean, we'll see.

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<v Speaker 5>I think it will.

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<v Speaker 4>I think what's hard about this moment is that there

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<v Speaker 4>were big changes that happened during COVID, and now there's

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<v Speaker 4>a lot, a lot of growths, growing pains, anxiety exactly.

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<v Speaker 4>And I think what's hard about us sort of policy

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<v Speaker 4>like amazons if you know, come in this many days

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<v Speaker 4>a week or we will summarily fire you, is that

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<v Speaker 4>that even if you're happy to come in three days

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<v Speaker 4>a week, that creates that tension, creates a really challenging

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<v Speaker 4>work environment to feel good about, not only for managers,

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<v Speaker 4>but for all kinds of people, you know, for people

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<v Speaker 4>who've been happily coming in three or four or five

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<v Speaker 4>days a week but are now going to see some

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<v Speaker 4>colleagues fired. And so I think that part of what's

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<v Speaker 4>hard about this particular moment is not just the debate

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<v Speaker 4>over remote work, but the fact that this debate has

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<v Speaker 4>created so much tension that is then infecting the workplace

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<v Speaker 4>and affecting people's performance and affecting people's enjoyment of their work.

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<v Speaker 2>Now you have referred to something called return to managing.

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<v Speaker 2>We all know rto return to office. You use the

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<v Speaker 2>acronym RTM in your column.

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<v Speaker 4>Yes, I think what's happening here is that a lot

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<v Speaker 4>of companies have con used returning to office with returning

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<v Speaker 4>to managing. You know, a manager's job is to motivate people,

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<v Speaker 4>to inspire them, to give them feedback, to hold them accountable,

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<v Speaker 4>to set.

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<v Speaker 5>Big goals to move the work forward.

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<v Speaker 4>And you can do a lot of that if you

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<v Speaker 4>even without having your eyes directly on people, even without

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<v Speaker 4>sitting next to them. And of course we know this

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<v Speaker 4>because we have companies that are global companies where people

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<v Speaker 4>on a team might be dispersed all over the world,

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<v Speaker 4>and you know, we're somehow fine with that. But then

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<v Speaker 4>if people are within commuting distance or within fifty miles

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<v Speaker 4>of the office and not coming in, suddenly it's like,

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<v Speaker 4>but how can we possibly manage them? So I think

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<v Speaker 4>that really what needs to happen here is companies should

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<v Speaker 4>just sort of think to themselves, Okay, like what do

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<v Speaker 4>we really need to do in person? And can we

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<v Speaker 4>manage people without seeing them in person, and really put

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<v Speaker 4>some of the effort they've been enormous effort they've been

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<v Speaker 4>putting into getting people back to the office and reallocate

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<v Speaker 4>that just to managing, just to managing to basic management skills,

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<v Speaker 4>giving feedback, holding people accountable, setting goals, holding deadlines, you know,

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<v Speaker 4>all those sort of back to basics management stuff. You

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<v Speaker 4>don't need to get people back in the office to

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<v Speaker 4>start managing them. You don't, So let's not confuse the

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<v Speaker 4>two things.

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<v Speaker 2>So then, is there any concern about what this would

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<v Speaker 2>do to morale? You yourself are talking about how some

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<v Speaker 2>people may be perfectly happy to come into the office,

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<v Speaker 2>but then when you see your colleagues get fired because

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<v Speaker 2>they would rather have a more flexible schedule, what does

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<v Speaker 2>that do to morale? What are the concerns there?

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<v Speaker 4>I think there are big questions about morale right now.

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<v Speaker 4>Forcing people to adopt a work arrangement that they don't

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<v Speaker 4>like is going to be bad for morale. It's going

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<v Speaker 4>to be bad for their morale. Their morale is going

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<v Speaker 4>to affect other people's morale. That's a challenge. I also

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<v Speaker 4>do think that when you look at some of the

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<v Speaker 4>research on remote work, you know it's not always like

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<v Speaker 4>sunshining kittens for the people doing it. You know there

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<v Speaker 4>are real trade offs.

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<v Speaker 5>It can be you know that you.

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<v Speaker 4>Work really hard and you're super productive from home, but

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<v Speaker 4>you're also more likely to burn out and feel maybe

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<v Speaker 4>less connected to your colleagues, you're lonelier. We do need

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<v Speaker 4>sort of these social bonds with each other. So I

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<v Speaker 4>think that to my mind, accepting that and figuring out

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<v Speaker 4>how do we make this work for the largest number

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<v Speaker 4>of people is a key question for management. I also

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<v Speaker 4>think employees have responsibilities to ask themselves, how do I

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<v Speaker 4>really work best? And if you really do work best

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<v Speaker 4>in an office, I think you owe it to yourself,

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<v Speaker 4>never mind the company. You owe it to yourself to

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<v Speaker 4>put yourself in a position where you can do your

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<v Speaker 4>best work. But given that, given the trade offs people

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<v Speaker 4>have to make in their real lives, I do think

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<v Speaker 4>this is a moment of great fluidity. It's going to

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<v Speaker 4>be challenging to manage. It's going to be challenging for

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<v Speaker 4>each of us to figure out out of all the

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<v Speaker 4>options we have, how do we work best? But it's

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<v Speaker 4>also a moment of enormous opportunity where we really have

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<v Speaker 4>a chance, for the first time in decades, to think

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<v Speaker 4>about how should we make this work.

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<v Speaker 2>Bloomberg Opinion columnist Sarah Green Carmichael, and coming up, we're

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<v Speaker 2>going to take a look at the risks and the

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<v Speaker 2>response to COVID. What did the country get right and

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<v Speaker 2>what did everybody get wrong. You're listening to Bloomberg Opinion.

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<v Speaker 1>You're listening to the Bloomberg Opinion podcast. Catch us Saturdays

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<v Speaker 1>on demand wherever you get your podcasts.

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<v Speaker 2>You're listening to Bloomberg Opinion. I'm Amy Morris. As we

0:11:31.440 --> 0:11:34.040
<v Speaker 2>take a closer look at the COVID pandemic this week,

0:11:34.160 --> 0:11:37.400
<v Speaker 2>Let's consider the risk factors and the response. Now, you

0:11:37.520 --> 0:11:40.520
<v Speaker 2>might remember when doctor Anthony Fauci, then head of the

0:11:40.600 --> 0:11:45.120
<v Speaker 2>National Institute of Allergy and Infectious Diseases, testified before Congress

0:11:45.320 --> 0:11:48.400
<v Speaker 2>about the risks of the spread of COVID nineteen. This

0:11:48.520 --> 0:11:50.440
<v Speaker 2>is back in June of twenty twenty.

0:11:50.679 --> 0:11:54.960
<v Speaker 8>We are now having forty plus thousand new cases a day.

0:11:55.520 --> 0:11:57.760
<v Speaker 8>I would not be surprised if we go up to

0:11:57.840 --> 0:12:01.160
<v Speaker 8>one hundred thousand a day if this does not turn around,

0:12:01.480 --> 0:12:03.040
<v Speaker 8>And so I am very concerned.

0:12:03.200 --> 0:12:05.360
<v Speaker 2>Well, that does feel like a long time ago, even

0:12:05.400 --> 0:12:08.679
<v Speaker 2>though we are still feeling some residual impact of the

0:12:08.720 --> 0:12:12.079
<v Speaker 2>illness and the loss and the risks involved. Bloomberg opinion

0:12:12.120 --> 0:12:14.640
<v Speaker 2>columnist Justin Fox joins us now to look at what

0:12:14.679 --> 0:12:18.160
<v Speaker 2>we got right and what we got wrong. And Justin,

0:12:18.240 --> 0:12:21.360
<v Speaker 2>when you say risk in your columns on the Bloomberg terminal,

0:12:21.400 --> 0:12:24.959
<v Speaker 2>you're talking about the risk of catching COVID or hospitalizations

0:12:25.000 --> 0:12:26.520
<v Speaker 2>or fatalities. What are you referring to.

0:12:26.800 --> 0:12:29.199
<v Speaker 6>The risk of dying of it if you get it,

0:12:29.440 --> 0:12:32.640
<v Speaker 6>the infection without fatality rate? And what did you find

0:12:33.120 --> 0:12:37.160
<v Speaker 6>so very early on back in March twenty twenty, I was,

0:12:37.280 --> 0:12:39.480
<v Speaker 6>you know, I'm not a medical journalist or anything, but

0:12:39.559 --> 0:12:41.800
<v Speaker 6>I like to make charts, and I was concerned and

0:12:41.800 --> 0:12:43.839
<v Speaker 6>I wanted to I was a little frustrated with how

0:12:43.840 --> 0:12:47.240
<v Speaker 6>it was being covered, so I just went out to find, Okay, well,

0:12:47.240 --> 0:12:51.040
<v Speaker 6>what's the best estimate of how deadly this disease is?

0:12:51.080 --> 0:12:55.440
<v Speaker 6>And it was a paper from February twenty twenty from

0:12:55.720 --> 0:12:59.120
<v Speaker 6>Imperial College in London, Neil Ferguson, a guy who later

0:12:59.160 --> 0:13:03.080
<v Speaker 6>became a little for some reasons. But it said it

0:13:03.120 --> 0:13:07.040
<v Speaker 6>was approximately one percent of people who got it died

0:13:07.120 --> 0:13:10.760
<v Speaker 6>in China, and when you looked in the details of

0:13:10.800 --> 0:13:13.959
<v Speaker 6>the text, it was point eight or point nine percent.

0:13:14.080 --> 0:13:17.960
<v Speaker 6>I was, and so you know, I wrote a column

0:13:18.000 --> 0:13:20.560
<v Speaker 6>then using that a bunch of other numbers to sort

0:13:20.559 --> 0:13:23.560
<v Speaker 6>of throw out this ballpark of three hundred thousand to

0:13:23.600 --> 0:13:26.480
<v Speaker 6>six hundred thousand people could die of COVID in a year,

0:13:26.559 --> 0:13:33.040
<v Speaker 6>and that's what happened. And so this whole backdrop is

0:13:33.080 --> 0:13:35.760
<v Speaker 6>I'm reading this new book by a couple friends of mine.

0:13:35.760 --> 0:13:38.160
<v Speaker 6>Actually it's called The Big Fail. It's a history of

0:13:38.200 --> 0:13:45.200
<v Speaker 6>the pandemic. And there's this discussion of Ja Bodachari at Stanford,

0:13:45.240 --> 0:13:49.000
<v Speaker 6>who was early on pushing this idea that maybe it

0:13:49.040 --> 0:13:52.640
<v Speaker 6>was a lot less dangerous than people thought that COVID was,

0:13:52.880 --> 0:13:58.199
<v Speaker 6>and it just sort of misstated. What you know, there

0:13:58.200 --> 0:14:00.840
<v Speaker 6>were these case fatality numbers going around where they just

0:14:01.080 --> 0:14:03.600
<v Speaker 6>took confirmed cases and divided deaths and it was like

0:14:03.640 --> 0:14:06.079
<v Speaker 6>three percent. And I think everybody knew then that that

0:14:06.160 --> 0:14:08.679
<v Speaker 6>was much that was too high because most people weren't

0:14:08.679 --> 0:14:15.400
<v Speaker 6>getting tested, and so basically my Bodachari was arguing that

0:14:15.520 --> 0:14:18.480
<v Speaker 6>maybe it was as low as point zero one percent

0:14:18.640 --> 0:14:21.320
<v Speaker 6>and twenty or forty thousand people would die of the

0:14:21.360 --> 0:14:24.480
<v Speaker 6>disease in the US, and that was clearly wrong. And

0:14:25.360 --> 0:14:29.400
<v Speaker 6>yet in the book it was sort of discussed as

0:14:29.440 --> 0:14:32.760
<v Speaker 6>if Baudachari had been right and the consensus had been wrong.

0:14:32.840 --> 0:14:37.000
<v Speaker 6>And actually the consensus of how dangerous COVID was was

0:14:37.120 --> 0:14:39.840
<v Speaker 6>pretty spot on. You look at the early papers that

0:14:39.920 --> 0:14:42.280
<v Speaker 6>tried to make a serious estimate of it, and it

0:14:42.360 --> 0:14:45.040
<v Speaker 6>was that, you know, in a population with you know,

0:14:45.200 --> 0:14:48.800
<v Speaker 6>an age spread like the US when it first hits,

0:14:48.840 --> 0:14:51.400
<v Speaker 6>it would kill around one percent of people who got it,

0:14:51.680 --> 0:14:55.960
<v Speaker 6>which is exactly what happened in New York. It's less

0:14:56.080 --> 0:14:59.720
<v Speaker 6>if it's not everywhere like it was in New York.

0:14:59.760 --> 0:15:02.720
<v Speaker 6>It's less if the population is younger, like in Sub

0:15:02.760 --> 0:15:07.080
<v Speaker 6>Saharan Africa. And so what was sort of interesting to

0:15:07.120 --> 0:15:09.560
<v Speaker 6>me is I still think, you know, the initial reaction,

0:15:09.640 --> 0:15:11.560
<v Speaker 6>who knows what the right thing was to do, But

0:15:11.600 --> 0:15:13.960
<v Speaker 6>it does seem pretty clear in retrospect that sometime in

0:15:14.360 --> 0:15:20.720
<v Speaker 6>summer twenty twenty, things took this weird turn where you know,

0:15:20.760 --> 0:15:23.560
<v Speaker 6>a lot of places decided to keep schools closed for

0:15:23.600 --> 0:15:26.960
<v Speaker 6>the whole year, and just so a lot of ways

0:15:27.000 --> 0:15:29.480
<v Speaker 6>have decided to just sort of keep a lighter version

0:15:29.560 --> 0:15:33.600
<v Speaker 6>of the lockdowns going indefinitely, and I just all the data,

0:15:34.120 --> 0:15:36.080
<v Speaker 6>there's just not much evidence that that was the right

0:15:36.120 --> 0:15:36.600
<v Speaker 6>thing to do.

0:15:37.320 --> 0:15:40.200
<v Speaker 2>And we are talking with Bloomberg opinion columnist Justin Fox

0:15:40.240 --> 0:15:43.640
<v Speaker 2>about how we got COVID's risks right, but the response

0:15:43.960 --> 0:15:47.119
<v Speaker 2>was wrong. And let's get back to that. The pandemic

0:15:47.160 --> 0:15:50.920
<v Speaker 2>shutdown is it. Is there any way to measure whether

0:15:50.960 --> 0:15:51.920
<v Speaker 2>that was worth it?

0:15:52.400 --> 0:15:54.840
<v Speaker 6>I mean, there are lots of people who run lots

0:15:54.880 --> 0:15:58.760
<v Speaker 6>of regressions and done studies, and I think overall the

0:15:59.440 --> 0:16:04.080
<v Speaker 6>argument is if you did it early enough that maybe

0:16:04.120 --> 0:16:07.120
<v Speaker 6>it was worth it, Like in New York, It's a

0:16:07.160 --> 0:16:09.560
<v Speaker 6>little hard to say, because I had my own I

0:16:09.640 --> 0:16:13.000
<v Speaker 6>attempted to sort of reconstruct the pandemic for a column

0:16:13.040 --> 0:16:15.520
<v Speaker 6>a couple of years ago, like when when it hit,

0:16:15.600 --> 0:16:18.480
<v Speaker 6>when people got it when and it looked like it

0:16:18.480 --> 0:16:22.760
<v Speaker 6>had already peaked and was receding when the strictest of

0:16:22.800 --> 0:16:25.520
<v Speaker 6>the lockdown measures came in because people were scared and

0:16:25.560 --> 0:16:30.600
<v Speaker 6>had already changed their behavior and so but I think overall,

0:16:30.680 --> 0:16:33.280
<v Speaker 6>the idea that when it was first coming, you didn't

0:16:33.320 --> 0:16:37.640
<v Speaker 6>have enough mass hospitals risk being overwhelmed. It made sense

0:16:37.760 --> 0:16:41.400
<v Speaker 6>to take a few weeks off from things. But I

0:16:41.440 --> 0:16:44.400
<v Speaker 6>think a lot of places, really and the US seems

0:16:44.400 --> 0:16:47.080
<v Speaker 6>to have struggled the most. I mean, I guess in

0:16:47.080 --> 0:16:50.480
<v Speaker 6>one sense we some places opened up again very quickly,

0:16:50.560 --> 0:16:52.440
<v Speaker 6>lots of other places didn't. But it seemed like we

0:16:52.520 --> 0:16:54.800
<v Speaker 6>kind of got the worst of both worlds, whereas there

0:16:54.800 --> 0:16:57.880
<v Speaker 6>were other countries like Germany or Denmark that opened up

0:16:57.920 --> 0:17:00.880
<v Speaker 6>pretty quickly but were more careful about it, had more

0:17:00.920 --> 0:17:04.320
<v Speaker 6>testing and stuff, and were able to mostly live their

0:17:04.359 --> 0:17:07.680
<v Speaker 6>lives normally with some brief shutdowns in the winter.

0:17:08.040 --> 0:17:11.400
<v Speaker 2>And it does seem like the biggest mismatch involved schooling

0:17:11.640 --> 0:17:14.720
<v Speaker 2>and kids. And how did the US get that wrong?

0:17:14.840 --> 0:17:16.920
<v Speaker 2>What other what else could they have done?

0:17:17.600 --> 0:17:20.600
<v Speaker 6>I mean, I you know, it was funny. I was

0:17:20.640 --> 0:17:24.120
<v Speaker 6>watching a bunch of Faucheet videos from that summer, and

0:17:24.240 --> 0:17:27.520
<v Speaker 6>you know, he knew that there was very little risk

0:17:27.680 --> 0:17:33.280
<v Speaker 6>to children, and he clearly his default was that schools

0:17:33.280 --> 0:17:37.320
<v Speaker 6>should reopen. But I don't know for whatever reasons he

0:17:37.440 --> 0:17:40.840
<v Speaker 6>wasn't willing to push people to do that, And definitely,

0:17:40.880 --> 0:17:43.320
<v Speaker 6>as the summer went on and case numbers went up

0:17:43.359 --> 0:17:45.560
<v Speaker 6>again in parts of the country, he was like, maybe

0:17:45.600 --> 0:17:48.160
<v Speaker 6>you shouldn't reopen in those places where cases were really high.

0:17:48.200 --> 0:17:50.800
<v Speaker 6>But what's kind of funny is what happened is schools

0:17:50.840 --> 0:17:53.399
<v Speaker 6>reopened in all the places in the South where cases

0:17:53.400 --> 0:17:56.600
<v Speaker 6>were really high, and they didn't reopen in places on

0:17:56.640 --> 0:18:00.600
<v Speaker 6>the coasts where they weren't so And and I don't

0:18:00.640 --> 0:18:03.120
<v Speaker 6>think it was disastrous in those places in the South

0:18:03.200 --> 0:18:06.199
<v Speaker 6>where it reopened. It definitely, I mean, you look at

0:18:06.240 --> 0:18:09.719
<v Speaker 6>the numbers, like comparing Florida in California, there were some

0:18:09.920 --> 0:18:12.760
<v Speaker 6>you know, more children died in Florida than in California,

0:18:12.800 --> 0:18:14.720
<v Speaker 6>but it was very few in both places.

0:18:15.760 --> 0:18:18.119
<v Speaker 2>While we were in the thick of this, before we

0:18:18.160 --> 0:18:20.840
<v Speaker 2>had the testing and the vaccines, and while everyone was

0:18:20.880 --> 0:18:24.639
<v Speaker 2>staying home, there was that debate though over how nasty

0:18:25.200 --> 0:18:26.399
<v Speaker 2>this virus could be.

0:18:27.119 --> 0:18:30.240
<v Speaker 6>One they nailed it down pretty well, but the fact

0:18:30.320 --> 0:18:35.560
<v Speaker 6>that there's this huge variance by age that extremely dangerous

0:18:35.600 --> 0:18:39.920
<v Speaker 6>if you're above sixty, not so dangerous if you're below fifty,

0:18:40.040 --> 0:18:42.960
<v Speaker 6>and sort of hard to know if you're in your

0:18:42.960 --> 0:18:47.040
<v Speaker 6>fifties like now, And I just think that was hard

0:18:47.119 --> 0:18:49.600
<v Speaker 6>to you know, and with schools obviously very low risk

0:18:49.640 --> 0:18:53.520
<v Speaker 6>to children, but you know, some teachers real risk. So

0:18:54.880 --> 0:18:58.080
<v Speaker 6>the knowledge was there, and in the public health community,

0:18:58.160 --> 0:19:01.040
<v Speaker 6>you know, people knew what the where, they knew the

0:19:01.080 --> 0:19:03.760
<v Speaker 6>profile that it was much lower for children. I know,

0:19:03.800 --> 0:19:05.960
<v Speaker 6>you could see it in the CDC data that it

0:19:06.000 --> 0:19:08.240
<v Speaker 6>was putting out as not optimal at all.

0:19:08.720 --> 0:19:09.600
<v Speaker 2>What have we learned?

0:19:09.960 --> 0:19:10.400
<v Speaker 5>Huh?

0:19:10.520 --> 0:19:12.600
<v Speaker 6>I mean that's the most interesting, I mean one thing

0:19:12.640 --> 0:19:14.679
<v Speaker 6>since I've written it, there's still all of these people,

0:19:14.720 --> 0:19:17.560
<v Speaker 6>including Jay Boditaria, still arguing that they were right, that

0:19:17.960 --> 0:19:20.800
<v Speaker 6>it was much less dangerous than people thought, and I

0:19:20.800 --> 0:19:23.280
<v Speaker 6>I just I run the numbers and they're wrong. I mean,

0:19:23.280 --> 0:19:25.800
<v Speaker 6>it was about as dangerous as people thought. Obviously got

0:19:25.880 --> 0:19:29.520
<v Speaker 6>less dangerous over time, less dangerous whether there or any

0:19:29.520 --> 0:19:33.679
<v Speaker 6>old people, et cetera. And so it's interesting that that

0:19:33.880 --> 0:19:36.840
<v Speaker 6>was done spectacularly well, and figuring out what to do

0:19:36.920 --> 0:19:39.480
<v Speaker 6>about that was really hard. And you know, I think

0:19:39.520 --> 0:19:44.240
<v Speaker 6>it's it's the age gradient. And it's also you know,

0:19:44.280 --> 0:19:46.280
<v Speaker 6>what do you do about a thing that has a

0:19:46.320 --> 0:19:49.520
<v Speaker 6>one percent chance of killing people overall? It's like, do

0:19:49.520 --> 0:19:52.760
<v Speaker 6>you completely shut down society or do you totally go normal.

0:19:52.800 --> 0:19:55.080
<v Speaker 6>It's probably neither of those. It's somewhere in between. And

0:19:55.119 --> 0:19:58.359
<v Speaker 6>I think the countries that were most successful sort of

0:19:58.480 --> 0:20:01.320
<v Speaker 6>kept up this in between where changed behavior, but it

0:20:01.400 --> 0:20:05.440
<v Speaker 6>wasn't super dramatic like Japan or Sweden or wherever.

0:20:06.200 --> 0:20:08.280
<v Speaker 2>All Right, Justin, thank you so much for sharing those

0:20:08.359 --> 0:20:11.960
<v Speaker 2>numbers with us. Glad to do it, Bloomberg Opinion columnist

0:20:12.160 --> 0:20:14.520
<v Speaker 2>Justin Fox. And coming up, we look at a different

0:20:14.600 --> 0:20:18.520
<v Speaker 2>impact of COVID on kids' mental health and how telehealth,

0:20:18.560 --> 0:20:21.800
<v Speaker 2>which grew in popularity during the height of the pandemic shutdown,

0:20:22.280 --> 0:20:25.280
<v Speaker 2>might help. And don't forget We're available as a podcast

0:20:25.320 --> 0:20:29.760
<v Speaker 2>on Apple, Spotify, or your favorite podcast platform. This is

0:20:29.800 --> 0:20:30.760
<v Speaker 2>Bloomberg Opinion.

0:20:41.800 --> 0:20:45.600
<v Speaker 1>You're listening to the Bloomberg Opinion podcast. Catch us Saturdays

0:20:45.640 --> 0:20:48.800
<v Speaker 1>at one and seven pm Eastern on Bloomberg dot Com,

0:20:48.840 --> 0:20:51.960
<v Speaker 1>the iHeartRadio app, and the Bloomberg Business App, or listen

0:20:52.040 --> 0:20:54.280
<v Speaker 1>on demand wherever you get your podcasts.

0:20:56.000 --> 0:20:59.240
<v Speaker 2>This is Bloomberg Opinion. I'm Amy Morris. Studies have shown

0:20:59.520 --> 0:21:03.359
<v Speaker 2>the COVID pandemic seemed to worsen teens in adolescents, mental

0:21:03.400 --> 0:21:06.080
<v Speaker 2>health pediatrician, doctor John Brownstein.

0:21:06.240 --> 0:21:11.480
<v Speaker 9>Yes, systematic gaps, limited community and specialty resources, staffing challenges

0:21:11.680 --> 0:21:14.040
<v Speaker 9>that really accentuate this problem. So the bottom line is

0:21:14.080 --> 0:21:17.280
<v Speaker 9>our health systems are not there to improve care for

0:21:17.320 --> 0:21:19.960
<v Speaker 9>our kids in mental health crisis right now, but.

0:21:19.960 --> 0:21:22.800
<v Speaker 2>There may be some hope. Telehealth appears to give more

0:21:22.880 --> 0:21:26.119
<v Speaker 2>young people more access to support. Let's talk about this

0:21:26.160 --> 0:21:30.360
<v Speaker 2>with Bloomberg opinion columnist Lisa Jarvis. She covers biotech, healthcare

0:21:30.680 --> 0:21:34.560
<v Speaker 2>and the pharmaceutical industry. Now, Lisa, you heard that cut

0:21:34.600 --> 0:21:37.080
<v Speaker 2>from the doctor, and you've referred to a new study

0:21:37.200 --> 0:21:40.560
<v Speaker 2>by Rand in your column which found that telehealth really

0:21:40.640 --> 0:21:43.920
<v Speaker 2>does help you feel more connected, at least for their

0:21:43.960 --> 0:21:45.640
<v Speaker 2>mental and physical health.

0:21:45.680 --> 0:21:48.280
<v Speaker 7>How so, you know the study, the RAND study tried

0:21:48.320 --> 0:21:52.600
<v Speaker 7>to look at what happened with mental health use before

0:21:52.920 --> 0:21:56.159
<v Speaker 7>in Duram and you know, towards the tail end of

0:21:56.200 --> 0:21:59.399
<v Speaker 7>what we would consider the kind of peak pandemic, and

0:21:59.440 --> 0:22:04.880
<v Speaker 7>found that overall, if you looked from January twenty nineteen

0:22:05.320 --> 0:22:08.560
<v Speaker 7>through August twenty twenty two, overall mental health use was

0:22:08.680 --> 0:22:12.040
<v Speaker 7>up twenty two percent, and that was really largely driven

0:22:12.080 --> 0:22:16.800
<v Speaker 7>by telehealth, which you know most people may recognize prior

0:22:16.840 --> 0:22:20.399
<v Speaker 7>to the pandemic was almost at zero. You know, a

0:22:20.400 --> 0:22:23.119
<v Speaker 7>lot of insurers wouldn't cover it. It was just not

0:22:23.400 --> 0:22:26.560
<v Speaker 7>a routine part of practice when it came to mental

0:22:26.560 --> 0:22:27.919
<v Speaker 7>health services.

0:22:28.400 --> 0:22:30.800
<v Speaker 5>And so you know, there were a number of things that.

0:22:30.760 --> 0:22:32.600
<v Speaker 7>Kind of enabled that, and I'm happy to get into it,

0:22:32.640 --> 0:22:35.480
<v Speaker 7>but you know, essentially, what their data showed was that

0:22:35.720 --> 0:22:38.760
<v Speaker 7>both usage went up, the cost did go up as well,

0:22:38.800 --> 0:22:41.520
<v Speaker 7>but in parallel, so it wasn't like it was more expensive,

0:22:41.560 --> 0:22:44.720
<v Speaker 7>and it did seem to provide a lot more access

0:22:44.720 --> 0:22:45.679
<v Speaker 7>to care for kids.

0:22:45.840 --> 0:22:47.840
<v Speaker 2>Yeah, let's get into it. You said that there are

0:22:47.880 --> 0:22:50.440
<v Speaker 2>some X factors and some reasons why this is happening.

0:22:50.760 --> 0:22:53.639
<v Speaker 5>Yeah, I think, you know, beyond insurers.

0:22:53.760 --> 0:22:56.479
<v Speaker 7>Essentially, some of the pandemic eraor rules made it so

0:22:56.520 --> 0:23:02.080
<v Speaker 7>that insurers would cover telehealth, both public and private. But

0:23:02.280 --> 0:23:05.440
<v Speaker 7>you know, I think a few other factors happened. When

0:23:05.600 --> 0:23:08.280
<v Speaker 7>kids moved to remote school, there was a huge push

0:23:08.400 --> 0:23:12.080
<v Speaker 7>to make sure that everyone had devices and internet access,

0:23:12.160 --> 0:23:14.119
<v Speaker 7>which allowed a lot more people to be able to

0:23:14.200 --> 0:23:17.400
<v Speaker 7>participate in things like you know, telehealth, whether or it's

0:23:17.440 --> 0:23:18.119
<v Speaker 7>for mental health.

0:23:18.040 --> 0:23:19.960
<v Speaker 5>Or behavior, you know, physical health.

0:23:20.040 --> 0:23:24.160
<v Speaker 7>So you know, I think that increased access, and then

0:23:24.680 --> 0:23:27.520
<v Speaker 7>you know, I think people became more accustomed to the

0:23:27.600 --> 0:23:32.359
<v Speaker 7>idea of you know, seeing someone virtually rather than in person,

0:23:32.400 --> 0:23:34.000
<v Speaker 7>and that it could be just as good. And for

0:23:34.040 --> 0:23:37.000
<v Speaker 7>this generation, it really can be meeting them where they are.

0:23:37.040 --> 0:23:40.280
<v Speaker 7>They're used to interacting with their friends that way and

0:23:40.359 --> 0:23:43.280
<v Speaker 7>so it's not such a stretch to interact with the

0:23:43.400 --> 0:23:44.640
<v Speaker 7>mental health provider that way.

0:23:44.880 --> 0:23:47.920
<v Speaker 2>He let me ask about that, is there was concern

0:23:48.080 --> 0:23:51.879
<v Speaker 2>that maybe an in person meeting might be more effective

0:23:52.119 --> 0:23:54.800
<v Speaker 2>than a telehealth meeting or is that an issue?

0:23:55.000 --> 0:23:57.800
<v Speaker 7>So there's been a lot of studies about that kind

0:23:57.800 --> 0:24:00.679
<v Speaker 7>of dating back to when people for starts to do

0:24:00.840 --> 0:24:04.640
<v Speaker 7>phone type of you know, mental health visits and they're

0:24:04.600 --> 0:24:08.119
<v Speaker 7>an adults, granted, but they suggest that the quality of

0:24:08.160 --> 0:24:11.119
<v Speaker 7>care people are getting is just as effective. I think,

0:24:11.240 --> 0:24:14.879
<v Speaker 7>you know, certainly there are times when an in person

0:24:14.960 --> 0:24:17.399
<v Speaker 7>meeting you might need a follow up or you know,

0:24:17.520 --> 0:24:20.320
<v Speaker 7>that shouldn't be a piece of our health care that

0:24:20.359 --> 0:24:23.080
<v Speaker 7>we get rid of, you know, and everyone needs different things,

0:24:23.080 --> 0:24:24.720
<v Speaker 7>so we need to have a lot of different ways

0:24:24.720 --> 0:24:27.800
<v Speaker 7>to deliver mental health care to kids. But you know,

0:24:27.880 --> 0:24:31.479
<v Speaker 7>the evidence suggests that it's just as effective and that

0:24:31.640 --> 0:24:35.080
<v Speaker 7>the retention rate is better, so people there's a much

0:24:35.840 --> 0:24:38.800
<v Speaker 7>lower no show rate when it comes to telehealth, probably

0:24:38.800 --> 0:24:40.720
<v Speaker 7>because people just it's easier for them.

0:24:40.720 --> 0:24:42.800
<v Speaker 5>They don't have to take an hour.

0:24:42.720 --> 0:24:44.720
<v Speaker 7>Two or three out of their data commute to go

0:24:44.800 --> 0:24:47.879
<v Speaker 7>to the office, you know, the mental health provider's office,

0:24:47.960 --> 0:24:50.359
<v Speaker 7>and they can just sort of pop in where they are,

0:24:50.440 --> 0:24:54.440
<v Speaker 7>so they saw. There's data to show that kids are

0:24:54.880 --> 0:24:57.640
<v Speaker 7>going more adult kids and adults are going more consistently

0:24:57.720 --> 0:25:00.440
<v Speaker 7>to their appointments, which suggests that, you know, maybe they're

0:25:00.480 --> 0:25:01.480
<v Speaker 7>getting more out of it too.

0:25:01.600 --> 0:25:03.920
<v Speaker 2>That makes more sense because it would be private, it

0:25:03.960 --> 0:25:06.480
<v Speaker 2>would be more convenient, you wouldn't have to worry about

0:25:06.520 --> 0:25:10.080
<v Speaker 2>getting to and from the location. You talk about in

0:25:10.119 --> 0:25:12.399
<v Speaker 2>your column though, that there are kids who need help

0:25:12.720 --> 0:25:14.680
<v Speaker 2>and there are kids who get help, and that there

0:25:14.760 --> 0:25:17.480
<v Speaker 2>is a gap. Is that something new because of the

0:25:17.560 --> 0:25:20.399
<v Speaker 2>pandemic or is this the gap we've been always seeing.

0:25:20.800 --> 0:25:22.440
<v Speaker 5>Yeah, that's a gap we've been always seen.

0:25:22.640 --> 0:25:25.200
<v Speaker 7>You know, it's a racial gap and access to mental

0:25:25.200 --> 0:25:28.159
<v Speaker 7>health care. You know, in the pandemic, one thing that

0:25:28.200 --> 0:25:31.400
<v Speaker 7>happened is with schools closed, Kids who might have typically

0:25:31.440 --> 0:25:34.080
<v Speaker 7>received care in the environment of the school might not

0:25:34.160 --> 0:25:37.040
<v Speaker 7>have been getting it. But when it comes to telehealth,

0:25:37.119 --> 0:25:39.240
<v Speaker 7>one of the things that really needs to be improved

0:25:39.760 --> 0:25:42.280
<v Speaker 7>is that in this Rand study, they found that black

0:25:42.320 --> 0:25:47.280
<v Speaker 7>and LATENX kids just weren't switched to telehealth as often

0:25:47.359 --> 0:25:51.040
<v Speaker 7>as white kids, and so you know, that sort of

0:25:51.119 --> 0:25:55.040
<v Speaker 7>mode of care and ease of care was just wasn't

0:25:55.080 --> 0:25:57.520
<v Speaker 7>being offered to them at the same level. And so

0:25:58.119 --> 0:26:02.320
<v Speaker 7>you know, that needs to be fixed. And you know,

0:26:02.640 --> 0:26:04.200
<v Speaker 7>I think one of the things that I talk about

0:26:04.240 --> 0:26:06.440
<v Speaker 7>and I mentioned earlier is just this idea of making

0:26:06.480 --> 0:26:11.800
<v Speaker 7>sure that everyone has Internet, everyone has a device that

0:26:11.840 --> 0:26:14.400
<v Speaker 7>they can access their provider, you know, interact with their

0:26:14.400 --> 0:26:19.080
<v Speaker 7>provider on and so all all of the modes are important,

0:26:19.200 --> 0:26:21.399
<v Speaker 7>but telehealth can be one that can be you know,

0:26:21.560 --> 0:26:23.560
<v Speaker 7>really useful, and so we need to close that gap.

0:26:23.800 --> 0:26:26.760
<v Speaker 2>And we are talking with Bloomberg Opinion columnist Lisa Jarvis

0:26:26.800 --> 0:26:29.640
<v Speaker 2>about the impact of the pandemic on kids mental health

0:26:29.720 --> 0:26:33.359
<v Speaker 2>and access to mental health care. So the study that

0:26:33.440 --> 0:26:37.120
<v Speaker 2>you referenced, actually you referenced several within your column when

0:26:37.160 --> 0:26:40.159
<v Speaker 2>it comes to the use of telehealth, how are kids

0:26:40.240 --> 0:26:42.040
<v Speaker 2>able to take advantage of it?

0:26:42.760 --> 0:26:46.000
<v Speaker 7>Yeah, I mean, I think it's a multi factorial, but

0:26:46.240 --> 0:26:50.040
<v Speaker 7>you know, sometimes they might that might be their first

0:26:50.080 --> 0:26:50.920
<v Speaker 7>visit with the provider.

0:26:51.080 --> 0:26:52.399
<v Speaker 5>Maybe that's a way that they switch.

0:26:52.840 --> 0:26:55.400
<v Speaker 7>You know, I think I've talked to folks who are

0:26:55.640 --> 0:26:58.560
<v Speaker 7>you know, child psychiatrists who have suggested that one thing

0:26:58.600 --> 0:27:00.600
<v Speaker 7>that could happen. There's a big push right now to

0:27:00.680 --> 0:27:04.359
<v Speaker 7>put more mental health providers inside schools. Could it be

0:27:04.600 --> 0:27:07.480
<v Speaker 7>that kids can get pulled aside and do their provider

0:27:07.600 --> 0:27:10.959
<v Speaker 7>visit while they're at school via telehealth, you know, so

0:27:11.000 --> 0:27:13.160
<v Speaker 7>that they don't have to miss a chunk of their day.

0:27:14.119 --> 0:27:16.280
<v Speaker 7>Those are all things that need to be considered, and

0:27:17.040 --> 0:27:20.320
<v Speaker 7>you know, the Biden administration is trying to put a

0:27:20.359 --> 0:27:24.959
<v Speaker 7>lot of money into ensuring that there's better services, particularly

0:27:25.000 --> 0:27:27.439
<v Speaker 7>for kids, as we all recognize as crisis. So that's

0:27:27.480 --> 0:27:28.880
<v Speaker 7>an area that we should be looking at.

0:27:29.040 --> 0:27:31.640
<v Speaker 2>And you make a really good point about insurance companies

0:27:31.680 --> 0:27:34.800
<v Speaker 2>and how they might be responding once telehealth is starting

0:27:34.800 --> 0:27:37.959
<v Speaker 2>to catch on, do you think it'll still be covered?

0:27:39.000 --> 0:27:39.840
<v Speaker 5>Ash? I hope.

0:27:39.840 --> 0:27:42.520
<v Speaker 7>So every person I talked to for that column was

0:27:42.560 --> 0:27:45.800
<v Speaker 7>worried about that, you know, just because you saw the

0:27:45.840 --> 0:27:48.959
<v Speaker 7>cost of overall care go up because usage went up,

0:27:48.960 --> 0:27:51.359
<v Speaker 7>which is good, it wasn't like it went up in

0:27:51.400 --> 0:27:53.879
<v Speaker 7>an outsized way. But you know, kids really need to

0:27:53.920 --> 0:27:56.639
<v Speaker 7>be accessing this more, you know, and I think what

0:27:56.760 --> 0:27:59.760
<v Speaker 7>can be confusing is, you know, different plans cover different

0:27:59.760 --> 0:28:05.000
<v Speaker 7>things if you switch insurance the extension. Though the pH

0:28:05.080 --> 0:28:09.080
<v Speaker 7>the Public Health Emergency has ended, Congress has ensured that

0:28:09.119 --> 0:28:12.880
<v Speaker 7>telehealth will still stay part of our access for people

0:28:12.920 --> 0:28:15.560
<v Speaker 7>with public insurance through the end of twenty twenty four.

0:28:15.960 --> 0:28:19.000
<v Speaker 7>We really want to make sure that that continues beyond

0:28:19.119 --> 0:28:22.359
<v Speaker 7>that because though I think there's mixed evidence when it

0:28:22.400 --> 0:28:25.320
<v Speaker 7>comes to our physical health and telehealth, when it comes

0:28:25.320 --> 0:28:27.600
<v Speaker 7>to mental health, it really feels like this is an

0:28:27.600 --> 0:28:30.080
<v Speaker 7>important way of delivering care.

0:28:30.640 --> 0:28:33.520
<v Speaker 2>And in a more thirty thousand foot broader view of this,

0:28:33.720 --> 0:28:37.840
<v Speaker 2>you reference a study by Harvard that makes this grim point.

0:28:38.760 --> 0:28:42.880
<v Speaker 2>All kids, all demographics across the board, the different ages,

0:28:42.960 --> 0:28:45.120
<v Speaker 2>the race, how much money your mom and dad have

0:28:45.240 --> 0:28:49.280
<v Speaker 2>do not matter. They're struggling. Is this also a result

0:28:49.360 --> 0:28:50.280
<v Speaker 2>of the pandemic?

0:28:51.000 --> 0:28:54.280
<v Speaker 7>Yeah, I mean it preceded the pandemic for sure. I

0:28:54.320 --> 0:28:57.680
<v Speaker 7>think the pandemic exacerbated it. You know, we've seen some

0:28:57.720 --> 0:29:02.800
<v Speaker 7>really disturbing survey results the CDC's Youth Risk Behavior Survey,

0:29:02.840 --> 0:29:06.320
<v Speaker 7>which comes out once a year. You know, you probably

0:29:06.320 --> 0:29:10.040
<v Speaker 7>saw all the headlines, including one that I wrote about

0:29:10.040 --> 0:29:12.240
<v Speaker 7>that survey at the beginning of this year, you know,

0:29:12.320 --> 0:29:16.680
<v Speaker 7>sixty percent of teenage girls reporting persistent feelings of sadness

0:29:16.680 --> 0:29:17.560
<v Speaker 7>and hopelessness.

0:29:17.600 --> 0:29:20.320
<v Speaker 5>You know, it is hitting all kids.

0:29:20.360 --> 0:29:25.000
<v Speaker 7>It does not matter, you know, their their socioeconomic situation,

0:29:25.160 --> 0:29:29.320
<v Speaker 7>their race, their gender, their ethnicity, like it's just across

0:29:29.360 --> 0:29:31.800
<v Speaker 7>the board. And so I think there's a lot of

0:29:31.840 --> 0:29:35.760
<v Speaker 7>effort to try to mobilize and address the kids that

0:29:35.800 --> 0:29:36.440
<v Speaker 7>are struggling.

0:29:37.080 --> 0:29:41.840
<v Speaker 2>Are you able to gauge yet how popular telehealth is becoming.

0:29:42.080 --> 0:29:42.959
<v Speaker 5>That's a good question.

0:29:43.240 --> 0:29:45.040
<v Speaker 7>One of the things about their rand study that was

0:29:45.080 --> 0:29:48.240
<v Speaker 7>a little tough, and they you know, fully admit that

0:29:48.280 --> 0:29:52.440
<v Speaker 7>they can't parse the number of users that might have

0:29:52.640 --> 0:29:55.080
<v Speaker 7>increased versus the number of people who might have been

0:29:55.320 --> 0:29:58.800
<v Speaker 7>visiting their provider more often. And so that's the next

0:29:58.840 --> 0:30:01.200
<v Speaker 7>step and what their research, and I think that'll help

0:30:01.280 --> 0:30:04.920
<v Speaker 7>us understand, you know, who is benefiting on a little

0:30:04.920 --> 0:30:07.800
<v Speaker 7>more granular level in how many more people are benefiting

0:30:07.880 --> 0:30:11.120
<v Speaker 7>versus whether there's like some portion that are just getting

0:30:11.120 --> 0:30:15.520
<v Speaker 7>more consistent help and versus new users of telehealth. So

0:30:16.120 --> 0:30:18.520
<v Speaker 7>I think there's still more studies to be done, but

0:30:19.040 --> 0:30:21.000
<v Speaker 7>so far, it really does feel like the evidence is

0:30:21.040 --> 0:30:22.520
<v Speaker 7>that this helps kids a lot.

0:30:22.880 --> 0:30:26.120
<v Speaker 2>And if you can take advantage of it, why not exactly?

0:30:26.400 --> 0:30:28.680
<v Speaker 7>You know, we all have computers. We're used to zoom

0:30:28.720 --> 0:30:29.800
<v Speaker 7>by now kids included.

0:30:30.520 --> 0:30:34.120
<v Speaker 2>Bloomberg Opinion columnist Lisa Jarvis covers biotech healthcare in the

0:30:34.120 --> 0:30:38.200
<v Speaker 2>pharmaceutical industry. You're listening to Bloomberg Opinion. I'm Amie Morris.

0:30:38.640 --> 0:30:41.960
<v Speaker 2>Have you gotten your COVID booster? Chances are you have not.

0:30:42.520 --> 0:30:45.360
<v Speaker 2>In fact, less than three percent of eligible Americans have

0:30:45.480 --> 0:30:48.040
<v Speaker 2>gotten a COVID booster this fall. Faith Lamb is a

0:30:48.040 --> 0:30:51.720
<v Speaker 2>Bloomberg Opinion columnist covering science and host of the Follow

0:30:51.840 --> 0:30:55.680
<v Speaker 2>the Science podcast, and she joins us, Now, faye, what

0:30:55.800 --> 0:30:57.360
<v Speaker 2>is the hold up? Why are numbers so low?

0:30:57.720 --> 0:30:59.560
<v Speaker 10>Some of it is said, I don't think people have

0:30:59.600 --> 0:31:02.160
<v Speaker 10>a clear idea of why they should get these boosters.

0:31:02.200 --> 0:31:05.000
<v Speaker 10>I think it was a lot clearer why people should

0:31:05.000 --> 0:31:09.320
<v Speaker 10>get the initial shots, because there was evidence that they

0:31:09.400 --> 0:31:14.360
<v Speaker 10>might protect our whole communities by you know, reducing the

0:31:14.360 --> 0:31:16.959
<v Speaker 10>odds that you would get infected and also if people

0:31:17.400 --> 0:31:20.920
<v Speaker 10>were at risk of having severe disease. These shots were

0:31:20.960 --> 0:31:24.240
<v Speaker 10>really very effective at keeping people out of the hospital.

0:31:24.280 --> 0:31:26.480
<v Speaker 10>But now that we're many people are on you know,

0:31:26.600 --> 0:31:30.560
<v Speaker 10>shot number six or seven. I think for you younger

0:31:30.600 --> 0:31:33.360
<v Speaker 10>healthy people, it's a little unclear what the point is great.

0:31:33.400 --> 0:31:35.360
<v Speaker 2>Do healthy people even meet these boosters?

0:31:35.720 --> 0:31:38.240
<v Speaker 10>A lot of doctors will say no. And there was

0:31:38.280 --> 0:31:41.280
<v Speaker 10>actually a piece that caught my eye because I'd seen

0:31:41.360 --> 0:31:44.840
<v Speaker 10>some controversy on Twitter about this, but there was a

0:31:44.880 --> 0:31:48.120
<v Speaker 10>piece of commentary piece in Science by two really prominent

0:31:48.680 --> 0:31:53.040
<v Speaker 10>immunologists saying no, we should actually, if we really want

0:31:53.040 --> 0:31:56.440
<v Speaker 10>to save lives, we should be focusing these shots on

0:31:57.120 --> 0:32:00.480
<v Speaker 10>the people we know are most vulnerable to severe disease,

0:32:00.600 --> 0:32:04.760
<v Speaker 10>because the evidence that they prevent mild disease is pretty

0:32:04.800 --> 0:32:08.120
<v Speaker 10>weak right now. But that people in nursing homes, that

0:32:08.280 --> 0:32:12.640
<v Speaker 10>the really elderly people, they haven't all gotten this booster

0:32:12.720 --> 0:32:14.200
<v Speaker 10>and they should now.

0:32:14.280 --> 0:32:17.240
<v Speaker 2>Is this all part of the mindset that the pandemic

0:32:17.360 --> 0:32:20.040
<v Speaker 2>is all over, We're done. Boy got through that?

0:32:20.800 --> 0:32:23.520
<v Speaker 10>Well, it's a little bit. But I also think it's

0:32:23.800 --> 0:32:26.600
<v Speaker 10>that there was a sort of a public health strategy

0:32:26.760 --> 0:32:30.680
<v Speaker 10>that was to be blunt, you know, to try to

0:32:31.640 --> 0:32:34.680
<v Speaker 10>try to oversimplify things, you know, even though they knew

0:32:34.800 --> 0:32:38.640
<v Speaker 10>that not everybody was at high risk, they felt like

0:32:39.280 --> 0:32:42.600
<v Speaker 10>somehow that people wouldn't get the message or wouldn't take

0:32:42.600 --> 0:32:46.920
<v Speaker 10>it seriously unless they said everybody is equally at risk.

0:32:47.400 --> 0:32:48.760
<v Speaker 10>And I think people realize.

0:32:48.480 --> 0:32:49.120
<v Speaker 5>It's not true.

0:32:49.280 --> 0:32:51.400
<v Speaker 2>So is that a strategy that has then failed they

0:32:51.400 --> 0:32:52.120
<v Speaker 2>need to fix it.

0:32:52.840 --> 0:32:53.800
<v Speaker 5>I think so, yeah.

0:32:54.000 --> 0:32:56.640
<v Speaker 10>I think people are smarter than that, and I think

0:32:57.000 --> 0:32:59.320
<v Speaker 10>it can fail the people who really are at high risk.

0:32:59.760 --> 0:33:02.720
<v Speaker 2>Do you remember during the height of the pandemic, those

0:33:02.840 --> 0:33:06.280
<v Speaker 2>mass vaccination sites that popped up, and they seemed to

0:33:06.320 --> 0:33:10.080
<v Speaker 2>work quite well. It was military precision to get everybody

0:33:10.160 --> 0:33:12.480
<v Speaker 2>in and out. Can they do that again?

0:33:13.000 --> 0:33:15.280
<v Speaker 10>Maybe? But I think we're just it would cost a

0:33:15.320 --> 0:33:17.600
<v Speaker 10>lot of money, and we're in a very different situation

0:33:17.760 --> 0:33:21.960
<v Speaker 10>right now. You know, back then, the vaccines really had

0:33:22.120 --> 0:33:26.520
<v Speaker 10>a huge effect because there were still a massive proportion

0:33:26.560 --> 0:33:29.120
<v Speaker 10>of the population that had no immunity to this virus.

0:33:29.160 --> 0:33:32.240
<v Speaker 10>And now there's messaments to say, ninety nine percent of

0:33:32.320 --> 0:33:35.840
<v Speaker 10>us either have had COVID or had the shots or

0:33:36.320 --> 0:33:40.080
<v Speaker 10>some combination of BULK, And so we're not in the

0:33:40.120 --> 0:33:42.920
<v Speaker 10>same position we were in where we had this huge

0:33:42.920 --> 0:33:46.160
<v Speaker 10>percentage of the popular majority of Americans still had no

0:33:46.240 --> 0:33:49.360
<v Speaker 10>immunity to this and there were you know, there were

0:33:49.360 --> 0:33:53.040
<v Speaker 10>clinical trials showing that that we were much less likely

0:33:53.120 --> 0:33:55.760
<v Speaker 10>to get severely ill if we got these shots, and

0:33:55.800 --> 0:33:58.600
<v Speaker 10>that there was some evidence that we were less likely

0:33:58.640 --> 0:34:00.479
<v Speaker 10>to get a mild case and give it to so

0:34:00.520 --> 0:34:03.280
<v Speaker 10>that there was a sense that you were doing your

0:34:03.320 --> 0:34:06.640
<v Speaker 10>civic duty to protect the immune compromise the people that

0:34:06.800 --> 0:34:09.759
<v Speaker 10>were less likely to get protection by just cutting down

0:34:09.880 --> 0:34:13.040
<v Speaker 10>on the number of cases and the risk to those people.

0:34:13.400 --> 0:34:15.279
<v Speaker 2>Is that the same attitude that we have with the

0:34:15.320 --> 0:34:16.520
<v Speaker 2>flu A little bit.

0:34:16.640 --> 0:34:16.960
<v Speaker 5>Yeah.

0:34:17.040 --> 0:34:19.279
<v Speaker 10>I think people sort of feel like, well, you know,

0:34:19.400 --> 0:34:22.080
<v Speaker 10>I might be less likely to get You can still

0:34:22.120 --> 0:34:24.319
<v Speaker 10>get the flu after you get a flu shot. But

0:34:25.120 --> 0:34:27.759
<v Speaker 10>I think that people feel like, well, they're at least

0:34:27.760 --> 0:34:29.879
<v Speaker 10>doing what they can, you know, so that they don't

0:34:29.920 --> 0:34:32.640
<v Speaker 10>get a mild case and give it to someone they're visiting,

0:34:32.719 --> 0:34:36.239
<v Speaker 10>an elderly relative. So I think that there is a

0:34:36.280 --> 0:34:38.719
<v Speaker 10>sort of a sense also that nobody wants to get

0:34:38.760 --> 0:34:40.760
<v Speaker 10>a nasty case of flu, and if the flu shot

0:34:40.960 --> 0:34:43.160
<v Speaker 10>means that what would have been a nasty case of

0:34:43.200 --> 0:34:46.319
<v Speaker 10>flu is a very mild case of flu, that's, you know,

0:34:46.400 --> 0:34:48.240
<v Speaker 10>that's desirable for a lot of people.

0:34:49.000 --> 0:34:52.600
<v Speaker 2>Faith Lamb is a Bloomberg opinion columnist covering science and

0:34:52.680 --> 0:34:55.560
<v Speaker 2>host of the follow the Science podcast that does it

0:34:55.600 --> 0:34:58.120
<v Speaker 2>for this week's Bloomberg Opinion. We are produced by Eric

0:34:58.200 --> 0:35:00.480
<v Speaker 2>Molow and you can find all of these columns on

0:35:00.520 --> 0:35:04.600
<v Speaker 2>the Bloomberg Terminal, and we're available as a podcast on Apple, Spotify,

0:35:04.719 --> 0:35:08.080
<v Speaker 2>or your favorite podcast platform. Stay with us. Today's top

0:35:08.120 --> 0:35:12.240
<v Speaker 2>stories and global business headlines are just ahead. I Mammy Morris.

0:35:12.480 --> 0:35:13.320
<v Speaker 2>This is Bloomberg.