Time Is Running Out To Avert A Lost Decade Of Depression

With the effect of the federal CARES Act stimulus bill currently wearing off and people running out of money even as there are still not enough jobs for those who need them, the American economy and the American people (especially the poor and most vulnerable) will be in for an even greater world of hurt for the foreseeable future if we don't act very, very fast.  And not just America, but the whole world in fact is heading for a similar fate as well.

Sit down.  We are essentially looking at the prospect of not just a recession or even a depression, but a lost decade or more.  Within a few years or so the top 1% will fully recover and then some, enjoying a second Roaring Twenties of sports, while the bottom 99% would be mired in a second Greater Depression for a very, very long time.  The ultimate K-shaped recovery.  And time is running out to prevent the worst from happening, with yesterday not being soon enough!

Thus, a very, very big stimulus is necessary right now to prevent a long-term, full-blown depression of epic proportions.  Depressions are fundamentally caused by a shortage of money.  After all, GDP is literally just a spending measure, and most of that is consumer spending and government spending.  The caveat, of course, is that not even all the money in the world could fill (and can barely even briefly paper over) the inherently massive hole left in a shuttered-by-fiat economy until after the economy is fully reopened, at least not for very long.  Thus, the TSAP recommends the following steps be taken, yesterday:

• Expand the original $600 per week to ALL Americans period, not just those receiving unemployment benefits, no strings attached.  Anyone with an SSN or ITIN gets it.  Maintain such payments until at least January 2021.
• Create a permanent UBI for all Americans, of $230 per week ($1000 per month) for adults and half that amount for children and young people under 18, for when the temporary extra $600 finally expires.  Again, no strings attached.
• Pass the HEROES Act and all of its associated stimuli, not the cheap Republican knockoff version.  After all, without essential workers, civilization would have collapsed by now, so it is literally the LEAST we can do to thank them.  But failing that, at least pass SOME stimulus bill already!
• Extend the eviction moratorium until January 1, 2021 or until enough of the funds from the above are disbursed into the pockets of the people so they can pay enough to avoid eviction, whichever occurs later.  Consider also cancelling (and directly compensating  landlords with federal funds) rent for all past due rent dating from March 1 until October 1.
• More funding to shore up small businesses, which are the very bedrock of the economy.
• Keep the US Postal Service running with whatever federal funds are necessary.
• Increase aid to the states, and funding for hospitals as well.  And while we're at it, implement Medicare For All as well.
• Pass the Essential Worker's Bill of Rights.
• Three words:  Green New Deal.
• And of course, open up fully and DON'T shut down again! Like, EVER.

As for the so-called National Debt, that is really a non-problem for a Monetarily Sovereign government like our federal government, since they can literally just print the money.  And right now we have far more to worry about from deflation than we would from inflation.  Even if inflation did occur, all the federal government would have to do is resolve the shortages in goods and services that caused it, by directly purchasing such goods and services at a premium and selling (or giving) them at a loss.  And failing that, the FERAL Reserve (which, we gotta say, has been doing the heaviest financial lifting in terms of shoring up the economy just enough to prevent a total collapse thus far) can always raise interest rates and/or the reserve ratio (both of which are at rock-bottom levels), sell bonds to shrink its massive balance sheet (Quantitative Tightening), and/or drain and sterilze excess bank reserves if and when the "inflation dragon" ever does rear its ugly head at some point.  Thus, it would really be a non-problem.

That is, of course, with that caveat again: as long as we still have an economy to produce sufficient goods and services to act as the de-facto backing of our currency.  Thus, the idea that we can somehow return to a prolonged lockdown and hope to print enough money to paper over such a massive hole in the long run is physically and metaphysically untenable, as Argentina is currently learning the hard way.  Over 200 days of lockdown (to one degree or another) and counting, borderline hyperinflation (again!), and yet still utterly unable to conquer the virus (though not for lack of trying).  If that's "success", we would really hate to see what failure looks like.

So what are we waiting for? 

The TSAP's Updated "Back To True Normal" Plan

The True Spirit of America Party (TSAP) has since April strongly opposed lockdowns, or at least those that were excessive and/or lasting beyond the initial "15 days to flatten the curve", and strongly supported a phased reopening sooner than later.   That does not make us "COVID deniers" or right-wingers or anything like that, just supporters of basic common sense and human rights.  We have always taken this pandemic seriously, and support following the actual science, but we know that panicking and throwing the wisdom of the ages out the window like most of the world did back in March (and many places are still doing) has proven to do far more harm than good.

We originally proposed four phases of reopening:   Phase 1, Phase 2, Phase 3, and Phase Out.  And essentially all of the USA should have entered Phase Out by July 4, 2020 ("Reborn on the Fourth of July") at the latest per our original plan.

As of October 2020, the TSAP current supports the entire USA (all 50 states and all territories) to be in Phase Out.  Our current definition of Phase Out is roughly equivalent to Florida's current Phase 3 (i.e. everything reopened at full capacity, and generally pre-empting stricter restrictions at the local level), but with the following modifications:

• Until January 1, 2021, a hard limit of 500 people should remain in effect for all non-business and non-school gatherings that do not have numbered seats.  Indoor or quasi-indoor gatherings shall have a limit of 50, albeit with some exceptions.
• From November 4, 2020 onward, certain events that have numbered seats may exceed this threshold, provided that adequate physical distancing and airflow/ventilation are present, along with other precautions.
• Just because 100% capacity is permissible, that does NOT mean that it is OK to exceed 100%.  Existing health and fire codes from before the pandemic should be strictly enforced.
• Stricter restrictions may be imposed for limited times (two to three weeks) on local and carefully-defined "red zones" where significant local outbreaks are known to be occurring.  All areas are "green zones" by default unless such outbreaks are proven to be occurring.
• In green zones, no mask mandates outside of healthcare settings, except perhaps very narrowly-defined ones such as public transit and polling places until January 1, 2021.  Otherwise voluntary.  Red zones can still have broad mask mandates lasting no more than a few weeks.
• After January 1, 2021, no restrictions except in any bona fide red zones that remain.

It is long past time to phase out our COVID restrictions and return to the true normal.  And of course, refurbish the rule of law--something these arbitrary restrictions make an utter mockery of.

UPDATE:  See also here for a good piece on a rational reopening guide that fully respects individual rights, written by Megan Mansell at Rational Ground.  Additionally, the TSAP also recommends mathematically ending the "casedemic" problem by swiftly lowering the PCR testing cycle threshold to at most 34 amplification cycles, if not 30, to be considered positive, and also confirming all positives with a retest. Currently, many labs do as much as 40 or even more still, causing numerous false positives.

And speaking of Florida, more than a month after Florida went to Phase 3 on September 25, one can see from a cursory look at Worldometer that since then, their trends in cases, hospitalizations, and deaths have been virtually identical to those of California.  That is, one of the currently most open states in the USA has virtually identical trends to the very least open state as of November. Ditto for wide-open Georgia with no state or local mask mandate and also (with the notable exception of unusually hard-hit El Paso) wide-open Texas with a mask mandate still in effect.  It's almost like the virus really doesn't care about our policies at all, at least in the long run.

Seasonality, however, does appear to be a very real, and razor-sharp, double-edged sword.  Perhaps the idea of allowing a "safe spread summer" (instead of artificially suppressing it and inevitably pushing it into the fall and winter) wasn't so crazy after all?

And as of mid-November, California's trends have actually become worse than Florida's, even shattering their own previous case records despite increasingly tight restrictions in the former and the latter still being wide open.  Really makes you think.

The TSAP Supports The Great Barrington Declaration

More than six months after the COVID lockdowns and related restrictions began in March, it is becoming increasingly clear that that such an unprecedented "strategy" wasn't really the wisest idea, to put it mildly.  In fact, it was not even really a strategy so much as a panic move that was only supposed to last two or three weeks and was based on the (later revealed to be false) premise that it was somehow utterly necessary to keep hospitals from being overrun.  Fair enough, I guess.  But then they subtly moved the goalposts to a pipe-dream "zero COVID" strategy with no end in sight, which quite frankly makes about as much sense as a "zero flu" strategy.  If that isn't mission creep, I really don't know what is.  And such a sledgehammer approach really hasn't worked very well, and has had far too much collateral damage.  The "cure" was worse than the disease.

That's why a group of distinguished infectious disease experts (Prof. Sunetra Gupta, Prof. Martin Kulldorf, and Prof. Jay Bhattacharya) have come up with the Great Barrington Declaration, which calls for a change in strategy to what they call Focused Protection, in which young and healthy people (who are statistically at similar or less risk from COVID as they are from seasonal flu, traffic accidents, etc.) essentially go back to the true normal and build up herd immunity while carefully protecting older and more vulnerable people (who are at far greater risk) in the meantime, and still respecting human rights.

Sweden basically did such a strategy for the most part, as did some US states like South Dakota, and to a lesser extent Florida, Georgia, Texas, etc.  And despite being hit rather hard, they did not turn out worse than many of the strictest lockdown countries and states, but rather closer to the middle of the pack. Controversial and imperfect as that strategy may be, honestly in the long run it is really the only way out of this pandemic nightmare for good at this point, and we just have to accept that.  It is simply an inevitable outcome, and any safe and effective vaccine will come too late.  As for treatments, they apparently already exist, and many have existed for decades now.

(For more practically detailed versions of this general strategy, devised months ago, see here and here by Bill Sardi, as well as here by Dr. Shiva Ayyadurai.)

Objections can be very easily debunked here, by the way.  It is not a left-wing vs. right-wing thing, or even solely for libertarians, as a strong communitarian case can also be made for such a strategy as well.  Thus, it is more properly thought of as a humanitarian imperative that transcends politics.

Thus, the TSAP hereby supports the Great Barrington Declaration, with the caveats that its words not be misinterpreted and that such protections of the vulnerable be largely voluntary, nuanced, and not too heavy-handed.  It's not that COVID-19 shouldn't be taken seriously (it should be!), but we need to keep things in proportion, as a disproportionate response does far more harm than good in the long run.

As the authors of the declaration so eloquently say, "Public health is not simply the absence of disease.  Together we can restore it in full.  Do it now!"  And we at the TSAP couldn't agree more.

So what are we waiting for?  Let's stop making the perfect the enemy of the good, and get real already.

UPDATE: Dr. Mikko Panunio of Finland adds that Vitamin D may very well be the silver bullet we've all been looking for, reducing not only death rates from COVID but also likely slowing the transmission of the virus as well according to recent studies, effectively creating a sort of quasi-herd immunity in the meantime.  Thus, recommending Vitamin D supplements to the general population would be an excellent and highly practical addition to the Great Barrington Declaration strategy for returning to the true normal sooner than later.  This advice echoes Dr. Shiva Ayyadurai's and Bill Sardi's advice (which also notably include Vitamin A, Vitamin C, zinc, quercetin, selenium, etc. as well as Vitamin D) given months ago.  Too bad it took over six months for such an idea to even begin to enter into the mainstream, as far too many lives have been cut short and/or ruined from both COVID as well as the wrongheaded countermeasures that did more harm than good.

And regardless, it bears repeating:  the critics' apocalyptic estimates of mass death that would allegedly result from the Great Barrington Declaration strategy relative to the status quo can be very easily debunked by noting that 1) the status quo at best delays the inevitable and still presents us with all of the exact same dilemmas the critics rail against, but with added collateral damage on top of it, and 2) yet another study confirms that the actual infection fatality rate of 0.1-0.3% is globally far lower than the doomsayers claim it is, more like a really bad flu season, albeit with very wide variation and nuance.  Even the WHO inadvertently admitted as much.  And as of October 8, the WHO did a startling about-face and now strongly discourages the use of lockdowns due to their truly massive collateral damage.

Most ironically of all, the Great Barrington Declaration strategy is not at all unorthodox, but rather simply a reversion to the scientific community's time-tested pandemic playbook which prevailed for nearly a century up until the powers that be panicked and summarily threw it out the window in March 2020.  And in that playbook, large-scale quarantines and closures were dismissed as ineffective and counterproductive for these types of pandemics.  It is only because the Overton window shifted so much and so quickly that yesterday's heresies became today's orthodoxies practically overnight.  And now is our chance to shift it back to its rightful place, and yesterday is not soon enough.

Please note that the authors of the GBD have added an informative FAQ for clarification and more detail.  It should go without saying of course, but neither the TSAP nor the GBD authors advocate or condone anyone deliberately getting infected or infecting others.  Fortunately, the idea that this is a widespread practice (via "COVID parties" or otherwise) is apparently just another urban legend.  Which is good, because we want the effective herd immunity threshold to kick in at as low a level as possible, with as little overshoot as possible, thus minimizing total casualties of all varieties.  So keep calm and carry on, but still keep washing your hands, don't touch your face, stay home when you're sick, stay away from anyone who is sick or thought to be infected, and all that jazz regardless.  That is, use common sense.

See also "A Rational Path Forward" by the folks at Rational Ground as well.

As for how long immunity lasts, see here.

2021 UPDATE:  See the rebuttal here to the specious claims against the GBD.

Six Months Is More Than Enough

Here's a good (anti-)joke for you: What do Julius Caesar and America as we knew it have in common?  Both died on the Ides of March (aka March 15).

What is the cruelest April Fools joke in all of recorded history? "Fifteen days to flatten the curve", which began on March 16, 2020 (and by it's very own definition, should have ended April 1, 2020.)  

And six months later, in most of the country we are still not anywhere close to being back to normal, despite having "flattened the curve" months ago.  Not the New Abnormal, but rather the true normal.  America is almost a completely different country now than we were just a little over six months ago.

Keep in mind that the original strategy of "flatten the curve" was a very modest and short-term one:  to slow the spread of the virus just enough so that the same number of patients will arrive at the hospital but staggered out over a longer period of time rather than all at once, so hospitals would not be overwhelmed.  DONE.  Then, by early April, in a swift moving of the proverbial goalposts and mission creep, the strategy morphed into a suppression and elimination ("zero COVID") strategy.  Which is unrealistic once the proverbial horse is out of the barn, of course. Ditto with trying to suppress it until the vaccine, which may take years or never come at all, and will most likely not be the silver bullet that people hope it is.

All at a truly massive social and economic cost, the likes of which have not been seen since the 18...nevers.  For a disease which, for the most part, is in the ballpark of a strong seasonal flu in terms of deadliness and overall severity.  We may very well see that lockdowns and related measures will have actually caused more deaths than COVID itself ever could, making the "cure" far worse than the disease.

In any case, there were really only two choices:  transmission now, or transmission later.  Or more likely, a bit of both.  And many countries got the worst of all worlds by choosing lockdown. When it comes to viruses, you can run, but you can't hide.  At least not for very long, as nature always finds a way, even if such ways may not always be fully understood.  The ox may be slow, but the Earth is very patient indeed.

Thus, as the ever-insightful Dr. John Lee notes, the only viable strategy at this point is learning to live with the virus, kinda like we do with the flu and stuff like that.  That way the pandemic will simply end the same way others before it have ended, with herd immunity and attenuation (weakening) of the virus itself, after circulating so much. Meanwhile, as we noted in a previous post, we have also learned how best to treat the disease and prevent the very worst outcomes for the most part.  And the virus is currently fizzling out on it's own all over the world as we speak, including the USA, as we are already in the endgame now.  ("Casedemics" from increased testing, false positives, and lagged legacy deaths notwithstanding.)

Apparently a lot of people don't like the term "herd immunity" because it contains the word "herd".  No problem, we can simply call it "population immunity", "community immunity", "collective resistance", "community resistance", "heterogeneous group resistance", "saturation", or perhaps our favorite, "The Final Countdown", named after that famous Swedish song from the 1980s.  Either way, it is not a "strategy" so much as an inevitable fact, kinda like gravity.  And delaying it for too long ultimately hurts the vulnerable in the long run, by increasing their chances of exposure, to say nothing of the very harmful effects of extended isolation and loneliness. 

And such wrongheaded measures to delay it also end up disproportionately hurting the poor and working classes, a fortiori for people of color, who are bearing a disproportionate share of not only the massive social and economic costs of lockdowns, but also the inevitable burden of building collective immunity as well, while the elites easily "shelter in place" and work from home in their ivory towers.

Thus, it's long past time to lift or phase out the many authoritarian restrictions (which were largely ineffective) put in place that would've been unthinkable as recently as February 2020.  That is not to say that people should not continue taking precautions to one degree or another, but the time for such top-down coercion has come and gone long ago.

Let America Be America Again!

P.S.  This is NOT a left-wing vs. right-wing thing, so let's not fall into that trap.  In fact, our position is really the only genuinely progressive position there is overall, especially when combined with other progressive priorities like UBI and Medicare For All.

What If The Cure For COVID-19 Already Existed For Decades? (Part Deux)

DISCLAIMER:  The following article references third-party sources and is intended for general information only, and is NOT intended to provide medical advice or otherwise diagnose, treat, cure, or prevent any disease, including (but not limited to) COVID-19.  Consult a qualified physician before beginning any sort of treatment or prophylactic regimen and/or if you know or suspect that you currently have COVID-19.  Anyone who takes or does anything mentioned (or alluded to) in this or any other TSAP article does so entirely at their own risk and liability.  The TSAP thus makes absolutely no warranties, express or implied, and is not liable for any direct, indirect, special, incidental, consequential, or punitive damages resulting from any act or omission on the part of the reader(s) or others.  Caveat lector.

This is the updated, refined, and abbreviated Part 2.  For the original Part 1, please see here.

What if the cure for COVID-19 already existed, not just recently, but for decades?  What if the death toll past, present, and future could be or have been reduced to a mere tiny fraction of what it is and is predicted to be without it?  What if it was such a game-changer that it would make vaccines and expensive new drugs obsolete, to say nothing of returning very quickly, seamlessly, and fearlessly to the "old normal" that we all miss so much now (that is, if we would have ever even departed from it at all)?  And what if it consisted entirely of relatively safe and cheap generics and nutritional supplements all along?

Sounds too good to be true, right?  Well, apparently it is true after all, despite all the best efforts of hyper-partisan lockdown enthusiasts, Big Pharma, and their government enablers to suppress and sabotage it.  More and more doctors and scientists all over the world are learning about it every day, in fact.

First, let's define the term "cure" for the purposes of this article.  We do not mean a "silver bullet" type of treatment in the same way that antibiotics singlehandedly cure bacterial infections, since this type of virus, like the common cold and flu, is really defeated by our bodies' own immune systems.  Usually that does the job just fine, but clearly not always.  Sometimes it needs a little help from outside.  Thus, we define a "cure" as any treatment protocol that reduces the death rate and/or hospitalization/ICU rate dramatically (by at least 50%) compared to no such treatment, and can thus be considered a game-changer.  Anything that can save that many lives and/or free up that many hospital resources would indeed be a game-changer by definition.

There is in fact already such a certain alternative treatment protocol that has gotten such a bad rap in the mainstream due to grossly improper use (and its infamous guilt by association with certain politicians who promoted it) that some countries and states have even banned it (or at least a key component of it) despite its rather promising effectiveness in saving lives when used early, properly, and under the advice of a qualified physician.  For example, Switzerland briefly banned it and subsequently lifted the ban, effectively creating a natural experiment, and the results speak for themselves in terms of death rates (which rose fourfold during the ban and then dropped back to what they were before the ban when it was lifted).  And the Brazilian state of Para saw death rates plummet after introducing it, while India's rather low per capita death rate (despite their epidemic being out of control for months) can also perhaps be explained by such treatment.

In fact, it seems to be one of the strongest factors in predicting a country's (or region's) per capita death rate, especially after adjusting for the average age of the population.  Meanwhile, the presence or relative stringency of lockdowns generally shows no clear correlation and in fact, within Europe and within the USA, a rather perverse correlation with death rates.

So what is this treatment protocol?  There are several variants, but the one that seems to be the best of all is the one developed and further refined by a group of Swiss doctors, and is as follows in their words:

Treatment protocol

Prophylaxis

1. Zinc (50mg to 100mg per day)
2. Quercetin (500mg to 1000mg per day)
3. Bromhexine (25mg to 50mg per day)
4. Vitamins C (1000mg) and D (2000 u/d)

Early treatment

1. Zinc (75mg to 150mg per day)
2. Quercetin (500mg to 1500mg per day)
3. Bromhexine (50mg to 75mg per day)
4. Vitamins C (1000mg) and D (4000 u/d)

Ancillary (prescription only)

1. Hydr*xychlor*qu*ne (400mg per day)
2. High-dose vitamin D (1x 100,000 IU)
3. Azithromycin (up to 500mg per day)
4. Heparin (usual dosage)

Note: Contraindications for HCQ (e.g. favism or heart disease) must be observed. 

Addendum: Other prescription drugs with first reported successes in the early medical treatment of Covid-19 are ivermectin (read more) and favipiravir (read more).

Their original protocol prior to August 5, 2020 did not include Bromhexine, but that was added due to recently mounting evidence that it is at least as much of a game-changer as HCQ if not more so.  While it is typically used as a mucolytic expectorant for coughs and chest congestion, apparently it can also incidentally prevent the virus from getting into our cells in the first place, thus rendering the virus impotent in the face of treatment.  While Bromhexine is available over the counter (OTC) in most countries worldwide including the UK, EU, Australia, Mexico, and much of Asia, it is unfortunately still not available yet in the USA as the FDA has yet to approve it, so Americans would likely have to stick to the original five-component version for the time being unless they are currently abroad.  That is probably why most Americans have probably never even heard of it.

So how does the whole thing work?  This synergistic cocktail does the following, in their own words, with linked citations:

Mechanisms of action 

Zinc inhibits RNA polymerase activity of coronaviruses and thus blocks virus replication. Hydr*xychl*roqu*ne and quercetin support the cellular absorption of zinc and have additional anti-viral properties. Bromhexine inhibits the expression of the cellular TMPRSS2 protease and thus the entry of the virus into the cell. Azithromycin prevents bacterial superinfections. Heparin prevents infection-related thromboses and embolisms in patients at risk. (See scientific references below). 

See also: Illustration of the mechanisms of action of HCQ, quercetin and bromhexine

The Swiss doctors do note that early treatment is best, ideally before hospitalization, as is prophylactic use for high-risk and high-exposure persons.  The sooner, the better.  If taken too late, such as when already in critical condition, its usefulness is quite limited.  But even if already hospitalized, better late than never.

So exactly how successful are we talking here?  Again, in their own words: 

Treatment successes

Zinc/HCQ/AZ: US physicians reported an 84% decrease in hospitalization rates, a 50% decrease in mortality rates among already hospitalized patients (if treated early), and an improvement in the condition of patients within 8 to 12 hours. Italian doctors reported a decrease in deaths of 66%.

US physicians also reported a 45% reduction in mortality of hospitalized patients by adding zinc to HCQ/AZ. Another US study reported a rapid resolution of Covid symptoms, such as shortness of breath, based on early outpatient treatment with high-dose zinc.

Bromhexine: Iranian doctors reported in a study with 78 patients a decrease in intensive care treatments of 82%, a decrease in intubations of 89%, and a decrease in deaths of 100%. Chinese doctors reported a 50% reduction in intubations. Bromhexine is a mucolytic cough medication.

Vitamin D: In a Spanish randomized controlled trial (RCT), high-dose vitamine D (100,000 IU) reduced the risk of requiring intensive care by 96%. A large Israeli study found a strong link between vitamin D deficiency and covid-19 severity.

Pretty impressive, right?  Let those numbers sink in for a moment.  Talk about a game-changer!

And if one still needs to be hospitalized, they go on to recommend that ventilators be avoided as much as possible as they tend to be counterproductive, and opt instead for the far less-invasive high-flow nasal cannula (HFNC) to deliver live oxygen therapy.

The very most impressive part of all is actually the recently-added Vitamin D component, high bolus doses of which appear to nearly abolish the risk of ICU admission (96% reduction) and death (100% reduction) entirely when given to hospitalized COVID patients.  And lower doses can be also used for prophylaxis and early treatment as well, of course.

(Courtesy of Swiss Policy Research.  Worth reading in full from the original source.)

A word of caution about HCQ:  While it seems to work very well when used early, properly, and under the advice of a qualified physician, that does NOT mean that anyone should just take such heavy artillery willy-nilly.  Ditto for azithromycin or any other antibiotic.  These powerful drugs can have serious side effects when taken improperly, excessively, or when medically contraindicated, which is why they are still prescription-only in most (but not all) countries even after decades of being on the market.  Don't hoard them either, since plenty of non-COVID patients also depend on these medications as well.  Don't take (H)CQ with any drug that prolongs the QT interval either. And unless you really, really want to win a Darwin Award, do NOT ingest any fish tank cleaner just because it happens to be related and has a similar name!  When in doubt, stick with Quercetin and zinc, with of course plenty of vitamin C and D as well to further boost the immune system and synergize with the former.

(Quercetin, a naturally occurring plant bioflavonoid found in various foods, is readily available as a nutritional supplement in numerous stores nationwide and worldwide.  The TSAP likes to affectionately call it "Vitamin Q". And no one would dare to ban that, of course, since doing so would just give the game away at this point.  They'd rather simply ignore it and pretend it doesn't exist.)

And of course, for any critical cases, we know now (through clinical trial and error) that there are always corticosteroids to fall back on as well, particularly dexamethasone, and possibly inhaled ones like budesonide as well.  Their effectiveness in saving lives is apparently good but limited.  Given that they inherently suppress the immune system, they should NOT be given early, only for cases that are bad enough that respiratory support is needed.  That is, steroids are used to quell the dreaded "cytokine storm" of severe inflammation that occurs when the body basically nukes itself in a desperate (and counterproductive) attempt to rid it of the virus.  The fact that it took months to figure that out really speaks volumes.  And it is practically the only thing that both pro-HCQ and anti-HCQ studies seem to agree upon.

(The jury is still out on whether early budesonide use specifically has any additional benefits.)

But wait, there's more.  As of September 9, 2020, there is a new hypothesis, the bradykinin hypothesis, which posits that the main way that COVID-19 kills is via a bradykinin storm rather than a purely cytokine storm, though the two storms are likely intertwined.  If that's the case, then there are various additional existing drugs that target the renin-angiotensin system (RAS), and it also further strengthens the case for Vitamin D (which can apparently quell both kinds of storms) as a treatment and prophylaxis, for which evidence continues to mount as we speak.

There is also another treatment and prophylaxis protocol worth considering by Dr. Shiva Ayyadurai involving Vitamin A and iodine/iodide as well as Vitamins C and D to build up one's immune system as well.  And this was deduced way back in March!  Please do be careful with Vitamin A though, since unlike with C and D, it is fairly easy to overdose on.  Ditto for Lugol's iodine solution as well.

Bill Sardi also has his own take as well, also recommending Vitamins A, D, and zinc, selenium, as well as resveratrol and inositol.  He also notes that Glycyrrhizin, found naturally in licorice, is very promising as it has been found to have antiviral properties against many viruses, including the original SARS coronavirus whose RNA is 80% similar to SARS-2, the virus that causes COVID-19.

Also, please note that the TSAP is NOT a Trump-supporting party, in fact we despise him and want him to lose the 2020 election.  But as we know, sometimes a stopped clock can be right twice a day in regards to HCQ, albeit with the truth being a bit more nuanced.  And he could partially and belatedly atone for some of his misdeeds with the simple stroke of his executive pen, namely by passing an emergency use (if not permanent) authorization for the importation, manufacture, and use of Bromhexine.  If countries as strict as the UK and Australia can approve it long ago for OTC use, surely we can do the same over here.  And also, make low-dose HCQ OTC (or at least behind the counter) as well, like several countries already do, perhaps subject to rationing.

(And, of course, Trump can also use the Defense Production Act to force the production and distribution of PPE to hospitals, albeit belatedly, so nurses don't have to keep reusing PPE.  And then he can go do us all a YUUUGE favor and RESIGN.)

Nutrition in general seems to play a key role in who survives COVID and who doesn't.  And not just Vitamin C and D--there several other important nutrients worth considering as well.  For example, glutathione, and the supplement N-acetylcysteine (NAC), which is a key precursor to glutathione, also seems to have rather promising effects as well.  NAC is also a good liver detox and hangover cure as well, which is probably what it is most famous for.  Selenium, and also EGCG from green tea, look rather promising as well.  A multivitamin supplement containing both selenium and its synergistic "buddy",  Vitamin E, would likely be good to take daily.  And, of course, as noted earlier in this article, whatever you do, don't forget the zinc!

In fact, we will go out on a limb and make the following extremely audacious claim:  Had the United States government (as well as other countries) decided instead to avoid lockdowns and shutdowns entirely, let the virus run its course, and simply made all of the aforementioned drugs in this article readily available for free or cheap from the start to all those who needed them, especially for high-risk and high-exposure groups, while also recommending and providing the general population with vitamins A, C and D, Quercetin, zinc, et al., we would very likely have saved a LOT more lives at a tiny fraction of the cost.  And of course, no collateral damage either.  But that would have made far too much sense, of course.

Thus, the cure has apparently been right under our noses all along.  It is long past time to stop playing politics and put it to good use, ending this nightmare once and for all.  So what are we waiting for?

Stay healthy everyone,

The True Spirit of America Party

NOVEMBER UPDATE:  Some studies also suggest that the heartburn medication famotidine (e.g. Pepcid AC) is effective in reducing the risk of death and intubation in hospitalized COVID patients as well.  Another thing we forgot to mention is inositol (Vitamin B8), which may also be of benefit both physically and mentally.  Another good article can be found here as well.  Additionally, thiamine or benfotiamine (Vitamin B1) also appears to be important as well, ditto for Niacin (Vitamin B3).

It is also worth noting that Trump himself, who recently contracted and subsequently recovered from COVID-19, had received a cocktail of drugs and supplements early on that include several of those mentioned above.  In addition to Regeneron's now-famous experimental lab-created antibody treatment and Gilead's experimental antiviral drug remdesivir, he was also given Vitamin D, zinc, famotidine, melatonin, and a daily aspirin (a notable blood thinner), and subsequently given the steroid dexamethasone and oxygen therapy when his oxygen levels dropped too low.  Surprisingly, he was not given HCQ or azithromycin this time around, despite the fact that he had famously taken it prophylactically a few months ago.  And while he clearly got the royal treatment unlike the typical COVID patient, his advanced age (74) and obesity would have made him a dead man walking, thus there was clearly something about the treatment he received and the cocktail he took that had saved his life.  While Regeneron's experimental (and expensive) antibody treatment is the rockstar here, the other things mentioned most likely played a significant role as well, while remdesivir remains questionable at best.

(Regeneron's monoclonal antibody cocktail, by the way, is really just a fancy and expensive version of antibodies from convalescent plasma, by the way.  They simply make it in the lab as opposed to gleaning natural antibodies from recovered COVID patients.)

Please do note that if you take aspirin, be sure to take plenty of Vitamin C as well, since aspirin can deplete Vitamin C levels, which may very well be the actual root cause of its adverse side effects.  And, of course, don't overdo it on the aspirin either.  Nevertheless, the Swiss doctors also recently added aspirin (as an alternative to heparin) to their protocol as well.  

DECEMBER UPDATE:  Of note, the Swiss doctors, the Front Line COVID-19 Critical Care Alliance, and some others' protocols now include the increasingly promising, repurposed drug Ivermectin as well, to one degree or another.  This one alone is apparently quite the game-changer, for early treatment, late treatment, and prophylaxis, yet is underrated. Ask your doctor if that is right for you.

Oh, and by the way, Gilead's remdesivir, despite costing a whopping $5000/dose and requiring a hospital stay since it is administered by IV infusion, seems to be a failure.  At best, it's like another Tamiflu but with more side effects, basically.  Not surprising, since it is literally nothing more than a failed (and conveniently repurposed) Ebola drug that interestingly also happens to be a bunk version (loose analog) of a nicotinic acid (niacin) mononucleotide precursor according to Dr. Dmitry Kats.  Meanwhile, Dr. Kats himself apparently discovered months ago that the real thing, niacin (nicotinic acid, aka Vitamin B3) itself, at about 20 cents per 1000 mg dose, actually does work as prophylaxis and even as a practically overnight cure for COVID.  It has to be the immediate-release, "flush" kind in order for it to work, since the classic "niacin flush" reaction is a feature, not a bug.  And niacin has numerous other health benefits as well while being practically harmless when used as directed.  The censors, however, are not at all pleased with his findings.  Gee, I wonder why?

As for long-haulers (those suffering from longer-term COVID after-effects), many of the reported symptoms sound a lot like those of deficiencies in several of the aforementioned key nutrients, particularly Vitamin D (in general), Vitamin B1 (dysautonomia and recurring fevers), and zinc (loss of smell and taste).  Correcting these deficiencies would likely work very well to promote healing.  And according to Dr. Dmitry Kats, there is also at least anecdotal evidence as well that niacin (Vitamin B3) can be beneficial as well in healing from remnant COVID damage, which is not really surprising given how well it works to treat acute COVID (as he discovered in his RCT study).

Of note, Ivermectin also seems to work for long-haulers as well, to the tune of 94%.

FINAL THOUGHT:  As for HCQ, one reason why some studies have not found benefits (aside from treating too late or with excessive doses, if not deliberate sabotage) is that it was clearly NOT given with zinc, in which case it seems to be hit-or-miss.  In contrast, when it IS given with zinc, as per the Zelenko Protocol, and especially early enough, practically all studies find significant benefit.  HCQ is, among other things, a good zinc ionophore that carries zinc ions into the cells where they can work more efficiently in inhibiting viral replication.  That is, zinc is what actually does the real heavy lifting here.  And guess what?  As noted earlier in this article, Quercetin can do the same thing, and safer too, with additional benefits as well.  So what are we waiting for?

The Electoral College's Dirty Little Secret

Psst....wanna know a dirty little secret about the Electoral College?

As I noted in a previous post back in 2016, one of the reasons the Founders, especially Alexander Hamilton, designed the Electoral College was as a supposed fail-safe to prevent a dangerous and unqualified demagogue (especially one with foreign entanglements) from becoming President of the United States. (The 2016 election most ironically proved otherwise) Hamilton basically laid out the Federalist case for the Electoral College thusly, albeit combined with the sort of sneering elitism that even the most rabid Trump supporters would ironically claim to dislike today.

But there was also a much darker reason behind the creation of the Electoral College.  To put it bluntly, it was explicitly designed to protect--wait for it--SLAVERY.  In fact, that was the only way to get the Anti-Federalists in the southern slave states to sign on to the Constitution at all.  That is why less-populous states get a disproportionately large amount of electoral votes (since slave states often had as many slaves as free citizens and each slave only counted as 3/5 of a person in the census and was not allowed to vote).  And to this day, the Electoral College remains a bastion of white (sorry, "rural") privilege for the same reason.  Not all that surprising, really.

Thus, the Electoral College is obsolete and currently serves no useful purpose anymore.  In fact, the winner-take-all aspect, over and above the small state bias, was the primary reason Trump won the 2016 election despite getting nearly 3 million fewer votes than Hillary, so it actually does more harm than good to this country.  Allocating electoral votes proportionally in each state instead of winner-take-all would go a long way to fixing it, and indeed Hillary would have won the electoral vote by changing just this aspect of the system.  It would also make it harder to effectively cheat as well.  But it would not solve all problems, and would in fact create a new problem--third-party candidates throwing the election into the House of Representatives when no one gets 270 majority--unless candidates with a de minimis amount of the popular vote (say, 5%) are then denied any electoral votes and/or only the top two or three candidates actually counting. 

Therefore, all things considered, the very best and simplest solution is to abolish the Electoral College altogether, and elect the president by straight national popular vote going forward.  And yesterday is not soon enough, since it clearly gives Trump an unfair advantage this time as well.

Of course, abolishing it entirely would require a constitutional amendment, and would thus be quite a long shot indeed, but there is a way to make it irrelevant by 2020.  The National Popular Vote Interstate Compact (NPVIC) is the way to do it, making it so that that only the winner of the national popular vote would win 270 electoral votes and become President, while still technically keeping the Electoral College in place.  Sign and share!

Dear Illegitimate Son Of SARS

Dear Illegitimate Son Of SARS,

Look, you had a fairly long run, and a higher "score" (death toll) than the skeptics predicted (though still far less than the doomsayers originally predicted), but we know you are falling away and falling apart now as we speak.  You are getting progressively weaker and weaker just as more and more people are becoming immune to your nasty ravages.  And we have learned through trial and (mostly) error the best ways to treat the patients you so ruthlessly target.

From the get-go, you primarily picked on people that couldn't defend themselves very well, which is the mark of the coward.  In that respect you are far closer to a nasty seasonal flu than to the 1918 pandemic flu that you seem to idolize and aspire to be like.  Even children can easily quash you quite well, apparently.

And unlike your daddy, you couldn't even manage to stay on the UK's infamous High Consequence Infectious Disease (HCID) list for very long, getting kicked off of the list before you even really got started.  So much for being a chip off the old block!

You are a stealthy little bugger, we will grant you that.  But we know your game now.  You may have called most of the world's bluff at first, but when Sweden and Belarus both called YOUR bluff very early on, as did Japan and Taiwan, that was the beginning of the end for you.  Come to think of it, quite a few (though far too few) other countries did as well.

Even your fairly high body count may be less than meets the eye, along with all of the collateral damage that went along with you.  You are essentially taking credit for a good chunk of the damage and death that the lockdowns and their enthusiasts have wrought.  There is no way that you alone could have possibly turned one of the most vibrant and prosperous cities in the world into a burned-out empty shell without the unwitting help of its mayor (and the governor too).  Notice that I didn't even need to mention that city's name for the reader to know exactly which one.

TB or not TB?  That is the question, since you appear to be taking credit for a good chunk of the sickness and death caused by tuberculosis (posing as you) and/or co-infection with both you and TB.

And now, you seem to following in your daddy's footsteps just like in 2003.  An honest chart of your "progress" bears an uncanny resemblance to SARS-1 in terms of the patterns: first the higher latitudes in the spring (Europe, Canada, and Northern USA), then the lower latitudes (Sunbelt Spike, and tropical countries) in the summer, then simply phasing out entirely.  In other words, you do not seem to be aging very well at all, both literally and figuratively, and your days are numbered (no matter how much the powers that be may want to drag you out indefinitely to further exploit you for their own machinations).

As the lyrics to a famous Swedish song go, "It's the final countdown"-- for you, that is. 

Face it, you're washed up.  You bit off far more than you could ever possibly chew, and now you are choking on it.   Now go back to the pit (or lab) from whence you came!

Sincerely,

The True Spirit of America Party

P.S.  Don't forget to give special "thanks" to your common cold cousins, the Gang of Four:  229E, OC43, NL63, and HKU1.  Without previous exposure to them to provide some degree of immunity to you, you really could have been a contender.  You may very well luck out and end up like them instead of going extinct like your daddy.  But truly OC43 will always be the OG.

The TSAP's Current Position On Vaccines For COVID-19

Until recently, the TSAP has taken no official position on vaccines.  We have generally supported the concept as a rule.  We are NOT an anti-vaccine group by any stretch of the imagination, and still not.

But when it comes to a hastily-made COVID-19 vaccine, one that may very well be made mandatory at some point for practically everyone, we must note that there are new nuances to consider now.  We know that hastily-made vaccines in general carry unacceptable risk, with the 1976 swine flu vaccine debacle being the most infamous example.  Rushing vaccines to market before they are proven safe and effective is inherently unethical and foolish.  Worse still, making such vaccines mandatory, especially when the virus is clearly already on the run and circling the drain as we speak (as natural herd immunity is right around the corner if not already present) is a massive and unnecessary government overreach where the ends do NOT justify the means.

Even if the virus was still completely out of control for the foreseeable future, we have already noted that better treatment of patients while allowing herd immunity to develop naturally would be far more effective and timely than any vaccine, if we ever even get a vaccine that works at all, that is.

Make no mistake, we do NOT oppose the development and marketing of safe and effective vaccines with no funny business.  But anything beyond that is a no-go for us, plain and simple.

We absolutely oppose any attempt to create "immunity passports" or "vaccine passports" of any kind as well.  That is just far too Orwellian and potentially nefarious for us, especially for a disease whose actual infection fatality rate turns out to be in the same ballpark as seasonal flu.  And those who then reply "well, maybe we should make flu shots mandatory for everyone too!" are ironically SOOOO close to actually getting the point.  There is, after all, a reason we as a society have chosen not to do so--yet.

And while we support Universal Basic Income (UBI), we do NOT support Australia's plan to cynically use such a thing as a cudgel to economically coerce people to receive such hastily-made vaccines (i.e. no vaccine = no job and no UBI).  Not only is that highly unethical, but it is also a gross perversion of the very concept of UBI, which is supposed to be unconditional with no strings attached by definition.  And this is in a country that has just recently brought back even more draconian lockdowns to a good chunk of the country, despite very little problem with the virus.  It's almost like Australia was never really able to completely shake its history as a penal colony.

And finally, quite frankly, the whole idea of us all having to somehow put up with this inane and insane New Abnormal indefinitely until the vaccine (which may never work or never arrive) is widely available, is itself a form of social and economic coercion.  We believe that making civil rights, normal economic activity, and normal social interactions somehow contingent on nearly everyone receiving a vaccine is an unprecedented and unacceptable act of coercion.  Fortunately, at least some pundits are gradually walking back that idea, but it remains to be seen whether enough government officials will as well.

By the way, have you seen the ever-insightful author Ellen Brown's latest articles on the topic?  She is clearly one of US, basically.  And we are indeed honored to have someone like her on essentially the very same wavelength as the TSAP in that regard.

UPDATE:   For anyone who brings up the landmark Supreme Court case Jacobson v. Massachusetts (1905) in arguing that mandatory COVID vaccinations are in line with the Constitution, please recall that that case was regarding local vaccination mandates determined by local boards of health for smallpox, which was a far deadlier disease with an infection fatality rate of about 20-30%, about 100 times deadlier than COVID (about 0.2-0.3%).  And note that the penalty for not getting vaccinated under the law in question was a mere $5, or about $150 in today's money.  Proportionality is important here.

Dear Donald, Stop Sabotaging The US Postal Service!

Dear Donald J. Trump,

We know you are deliberately sabotaging the United States Postal Service, which until just a week or two ago has been the wonder of the world, in order to sabotage mail-in voting and thus desperately attempt to rig the election in your favor since you know you will lose otherwise.  BIGLY.  Sad.  It is so transparent what you are trying to do, and the delays and errors caused by wilfully and unnecessarily tampering with our mail system are more than a mere inconvenience.  People's lives literally depend on the USPS functioning properly even in normal times, let alone during a pandemic.  In fact, such deliberate tampering with the mail system is literally a FEDERAL FELONY OFFENSE, as if you really needed to make your miles-long rap sheet even longer.  Seriously.

Thus, we at the TSAP hereby demand that you do all of the following yesterday:

1. Reverse the cynical "Friday Night Massacre" firings of the top brass at the USPS, and replace the current Postmaster General with a non-crony non-campaign donor.
2. Restore full funding to the USPS.  If your GOP refuses or drags their feet, use your executive pen to do so in the meantime.
3. Do us all a YUUUGE favor and RESIGN. 
4. Don't let the door hit you on the way out.

Sincerely,

We the People of the United States of America

The TSAP's Updated Position On Face Mask Mandates

DISCLAIMER:  The TSAP still encourages everyone to continue observing official mask mandates in public places at the national, state, and/or local level, for as long as those mandates are still in effect, and does NOT promote or condone any civil disobedience in that regard.  Choose your battles very wisely, and don't be a Karen or Kevin either way (with apologies to people who actually have those given names.)

NOTE:  The following shall fully supersede any positions taken or advice given prior to August 1, 2020, and shall remain in effect until further notice.

As we now finally enter the endgame of the COVID-19 pandemic in the USA, and face mask mandates are now entering in their third, fourth, or even fifth month in many places, we at the TSAP feel it is time to start talking about how long these mandates shall last, and to what extent, before they are ultimately phased out.   Yes, you read that right.  There, we finally said the heresy out loud now, and we don't regret it.

While the TSAP has enthusiastically supported fairly broad mask mandates from late April onwards, that support was predicated on these policies being temporary, logical, and nuanced.  We have never supported permanent mask mandates (or ones that last until that ever-elusive vaccine), nor have we supported ones that apply to any places that are both not open to the public and and not workplaces (such as private residences and exclusive members-only clubs).  Nor have we supported any outdoor mask mandates that last for more than two weeks, unless an exception is made for situations where six feet of distance is possible to maintain between people.  And we have opposed all mask mandates that apply to children under two years of age, and have not (yet) taken a position on whether children between the ages of two and ten years of age should be required to wear masks in public either.  And penalties for individuals, if any, should not exceed a small civil fine similar to a parking or traffic ticket, with no criminal record.  After all, for most people, not wearing a mask is no more dangerous to others than speeding is.

We have generally considered New York State's mask mandate, and later California's, to be a good model for the nation.  In contrast, the local ones in Miami and Broward County, Florida, are too broad and harsh by our standards.  But even the very best of such mandates should still ultimately have a sunset clause.

Our current position is the same as before, with the following changes:

1. All broad mask mandates should sunset no later than January 1, 2021 at the latest, or six months after they began, whichever occurs first.  Even in areas currently designated as "red" zones (i.e. characterized by seriously widespread community transmission of the virus).
2. In areas that are currently designated as "yellow" or "green" zones, all broad mask mandates should sunset no later than November 4, 2020 (i.e. the day after Election Day).
3. Narrow mask mandates, covering only very selected situations such as inside retail shops and/or public transit, can last beyond the end of broad mask mandates, but after November 4, 2020 shall sunset no more than an additional 90 days later in any case.
4. Until the November 2020 election is over, masks should remain mandatory at all election locations and on all public transit, even if masks are no longer required elsewhere.
5. Going forward, all new broad mask mandates imposed after August 15, 2020 should only be imposed on areas with seriously widespread community transmission of the virus.  Otherwise, no new mask mandates.

Of course, in the event of a severe second wave in the winter, these mandates may very well need to be reimposed, and nothing written here shall preclude that, but the TSAP doubts very much that will happen, since "herd immunity" is likely to be reached nationwide by then if it hasn't already.  Yes, really.

As for children under the age of ten, the TSAP now believes that after August 15, 2020 they should be completely exempt from any mask mandates, with the possible exception of public transit and within 100 feet of a polling place, in which case only children under the age of two should be exempt.

Furthermore, deaf people and those communicating with them, and anyone for whom wearing a mask is medically contraindicated, should also be automatically exempt from such mandates.

Face masks do work to an extent in slowing (not stopping) the spread of the virus when used properly, though their effectiveness has likely been overstated and they should not be regarded as a talisman or a substitute for social distancing and hygiene, but as an additional modest layer of protection when they are widely used by the vast majority of people.  They protect those around the wearer more so than they do the wearer.  The "effect size" of universal mask wearing is relatively high when there is a high level of widespread community spread of the virus (i.e "red" zones), while it becomes practically negligible when the level of community transmission is at a very low baseline level (i.e. "green" zones).  And outdoor transmission is relatively rare with or without masks, while at least 99% of transmission occurs indoors.  Thus, the TSAP's nuanced position makes sense now.

Interestingly, none of the Nordic countries (including Sweden) ever saw the need to mandate the use of face masks, nor did the Netherlands, and yet they did not do any worse overall in terms of the the pandemic compared with other European countries that did (often belatedly) require them.  On the other hand, all of the East Asian success stories did involve widespread mask wearing, though not every country required it and often it was voluntary.  So unlike lockdowns, which turned out to be unequivocally counterproductive and thus worse than useless, the jury is basically still out on the effectiveness of mask mandates when looking at the international evidence.

(The debate on masks, after all, is well over a century old.  Really nothing new under the sun here.)

Make no mistake, mask mandates are NOT lockdowns, and are nowhere near as bad.  After all, the TSAP supported them as a way OUT of lockdown.  But they do come with their own downsides too, and as the weeks turn into months and the months turn into years, they don't exactly age very well either.

UPDATE:  It looks like there is yet another nuance to the centuries-old debate about the effectiveness of masks.  That is, the latest theory is that even though masks (especially cloth masks) are only partially effective as PPE and source control, they do likely reduce the viral load, which while it can still be somewhat infectious it would would make the wearer and those around them less sick and less likely to die than receiving a higher dose of the virus.  A lower dose of the virus is easier for the immune system to knock out quickly before it gets bad, while still enabling the infected to build some immunity going forward.  After all, "the dose makes the poison", and indeed the etymology of the word virus comes from and old word for "poison".  Another way to potentially reduce viral load is to gargle with an alcohol-based mouthwash regularly.   That said, these nuances do not materially change the TSAP's position, and in fact reinforces our middle-of-the-road approach.

Of course, to avoid further concentrating one's own potential viral load, be sure to change or clean your mask very regularly, and don't wear it 24/7 with no breaks.  Fresh air is also a good thing too, after all.  That is, use common sense!

And this begs the question once more to the lockdown enthusiasts who at first opposed masks but later embraced them:  if masks are so effective, why did we even lockdown at all?  Seriously, why did we?

OCTOBER UPDATE:  A cursory review of the empirical evidence so far reveals that while masks may very well be marginally effective at the micro level, they apparently are practically insignificant at the macro level, at least in the long run.  To wit, as the charts here so clearly show, broad mask mandates do not appear to have had any noticeable impact on the course of a country, state, or locality's epidemic curve.  To name a few, Hawaii, Illinois, LA, Miami, Kansas, Wisconsin, Israel, Japan, Spain, Argentina, and most notoriously Peru all have seen no beneficial long-run impact on cases (which actually increased at some point after implementation, even in conjunction with strict lockdowns in some cases), and the same was ultimately true for deaths and hospitalizations as well, except for Hawaii, Israel, and Japan whose death rates remain unusually low for reasons not yet fully understood.  As for Czechia, the crown jewel of early mask mandates, it appears to have only worked the first time in conjunction with their early suppression strategy in the spring, but not the second time around when the virus came roaring back in the fall.  Meanwhile, mandate-free Sweden, Denmark, Norway, North and South Dakota, Georgia, and the parts of Florida without local mandates don't seem to have had worse trends overall.  Thus, the TSAP no longer officially supports broad mask mandates as of October, except perhaps for a limited time (two to three weeks) in locally-defined "red zones". 

And we certainly do NOT support any federal mask mandates in the USA at all, period.  They are not only constitutionally dubious at best, but as noted above there is simply not nearly enough evidence in their favor to justify such unprecedented federal government overreach even temporarily.  Fortunately, even Joe Biden himself has largely walked back his initially strong support for such federal mandates.

NOVEMBER UPDATE:  On November 18, 2020, the much awaited Danish mask RCT study was finally released and published three months late in the Annals of Internal Medicine.  And the results were, shall we say, rather underwhelming, and not statistically significant (i.e. not statistically different from null).  Not necessarily the final word, but hardly a ringing endorsement for the effectiveness of general mask use in the community at the macro level.

A recent Cochrane review of the literature is not exactly reassuring either, to put it mildly.

But what about source control, you say?  That is, protection of people around the wearer, which most studies were not designed to look at?  Again, a cursory look at the data in the weeks and months following the implementation of mask mandates don't really support that either, at least not at a general population level.  Thus any such community benefit is likely either very small, very transient, or both.

Thus, we can conclude that even if there is some overarching benefit to wearing masks in some situations, universal community masking (or lack thereof) is nowhere near the game-changer it was originally sold as.  If it were, the pandemic would have been effectively over in a given locality, state, or country (even as it raged elsewhere) within two or three weeks following the implementation of a broad mask mandate.  And that has not happened anywhere in the world, even in places with very high (90%+) compliance, and even when combined with a ban on indoor restaurant dining (a behavior which might vitiate the results).  And as of November, the TSAP believes going forward that mask wearing (outside of a healthcare setting) should be largely (if not entirely) voluntary, and that businesses of any kind should be free to decide whether or not to require employees and/or customers to wear them.

Our best advice?  "Use masks judiciously, NOT superstitiously", pretty much sums it up.