A very good article from Alex Massie that seems to hit the mark well.
Alex Massie
Tuesday April 14 2020, 12.01am, The Times
It seems we are all experts now, which means I’ve had enough of most of you. Everyone knows that the United Kingdom has blundered, let down by its political leaders who have been overwhelmed by this crisis. A thousand people a day are dying from Covid-19 and that doesn’t even include the numbers perishing in care homes. It could hardly be more horrific and it is a fiasco of historic proportions.
So why weren’t we better prepared? One possible answer to at least part of this important question is that the government was listening to its own expert advisers. The Scientific Advisory Group for Emergencies [Sage], which reports to the government, held its first formal meeting about Covid-19 on January 22. It followed a meeting the previous day of the New and Emerging Respiratory Virus Threats Advisory Group [Nervtag] which had raised the threat level posed by the coronavirus from “very low” to “low”. By the end of the month, the risk was considered only “moderate”.
On February 13 Chris Whitty, the chief medical officer for England, still talked about a UK outbreak as an “if, not a when” possibility. The first UK death from coronavirus was recorded on March 5 but as late as March 9 Sage rejected the idea of a nationwide lockdown. Three days later the threat level was finally raised from “moderate” to “high”. By then the virus was already at large. On March 23 we went into lockdown. Too late, perhaps, but better late than never.
Could an earlier lockdown have saved lives and limited the spread of the virus? It seems almost certain that it would have. Was a week lost amid overly optimistic assumptions? Perhaps. But would you, if you were charged with making this decision, have ignored or overruled the advice you were receiving from some of the country’s leading scientists? No, come on, be honest. I don’t think you would have.
That’s not a criticism of expertise, merely an acknowledgement that expertise exists in a realm of uncertainty. It is the best we have and much better than nothing; that does not make it perfect. Politicians must make a judgment based on the advice they receive and their estimation of what the country will accept. An earlier lockdown was rejected, in part, because the government — and its scientific advisers — thought that the public would not accept such restrictions. Indeed Downing Street has been surprised by the extent to which the British people have put up with, and honoured, their confinement.
There is another data point supporting this suggestion that the government has been paying careful attention to expert advice. That data point has a name: Nicola Sturgeon. Yesterday the first minister reminded the country that she had taken all her decisions “based on the best advice I had”. Those people who do not trust Boris Johnson might reflect that Ms Sturgeon, in general terms, agrees with the prime minister; some who mistrust the first minister might put aside their prejudices and note she is not doing very much that is very different from what is being done elsewhere in the kingdom.
This Scottish government, as an institution, has every incentive to diverge from UK policy wherever possible. That is a matter of instinct and reasoned preference. And yet, in the broad terms of how this crisis is being handled, Ms Sturgeon has not split from a carefully built pan-UK consensus. There has been an occasional difference of emphasis — the Scottish government moved a little faster on closing schools — but the bigger picture has been one of surprising uniformity.
Perhaps this consensus will crumble; it probably cannot hold for ever. And yet, even in the murky world of off-the-record whispering, it is remarkably difficult to pick up murmurings of dissent. The absence of disagreement is unusual and significant. Still, as Ms Sturgeon says: “If the evidence tells us that we need to do something different in Scotland than the rest of the UK, or on a different timescale, we will not hesitate to do that.” That moment is not yet here and this is revealing too.
Much of this crisis is horrific; little of it is easy. The experts disagree too. On the one hand, public health experts insist the lockdown must continue for weeks or even months; on the other, epidemiologists seem more likely to favour an earlier easing of restrictions. These are generalisations, of course; there is a lot of grey between black and white.
Because, bluntly, in the absence of a vaccine a lot more of us are going to have to be infected with the virus before we can get through this. That assumes immunity can be built up or reinfection minimised. “Herd immunity” is a dispassionate term, not a suggestion the public be the subjects of some wild public health experiment and it is, I think, irresponsible to claim otherwise.
If there is a second wave — and most people who know about these things seem to expect one — there may, subject to capacity, be an opportunity to do things differently then. That, to my amateur eye, seems likely to involve emulating Germany’s example of testing and contact tracing, to the extent that is possible. By the autumn you’d think it should be. All the while, those most susceptible to the virus will have to be shielded from it as best can be done.
And as time passes, the indirect impact of the lockdown becomes ever more apparent; Covid-19 deaths are not the only deaths and, even if they are stripped out of consideration, mortality rates appear to be spiking. Then there is the economic fallout, as yet unknowable in the sense we do not yet know if it will be cataclysmic or merely horrific. This is not some reductive choice between saving the economy and saving lives but, rather, a balance that must be found. For now the lockdown is more important.
The public inquiry which must follow this emergency will wish to examine all the decisions that have been made; it must probe for mistakes and weaknesses. Testing capacity and provision of personal protective equipment will, rightly, be part of that. That inquiry must be a full reckoning. We must be better prepared next time.
So by all means keep insisting the government should have moved more quickly. But as recently as a month ago the experts were telling the government a lockdown was either impossible or not required. The government listened to them. What they know now is not what they knew, for sure, then. If our politicians have blundered, they may have done so for the right reasons. This is little comfort amid the wreckage but it still matters.