Thursday, April 9, 2020

39. Coming Soon: Collapse of Federal Debt and the U.S. Dollar (Demographic Doom Podcast)

This is the script for my Demographic Doom podcast episode (#39) released on 10 April 2020. It may differ slightly from the final broadcast. This episode is available on major podcast platforms, including PodbeanApple Podcasts and a video version on YouTube. See the description on the YouTube version for annotations, links and corrections. You can also comment on this episode there. (If you leave comments on this blog post, I might not see them.) The main website for this project is DemographicDoom.com



I’m Glenn Campbell. I call myself a demographic philosopher. I’m looking at life and trying to predict the future through the lens of demography, or the study of human populations.

Today I'm going to talk about the timebomb of U.S. government debt and the terrible things that will happen as it becomes less and less sustainable. This isn't a new topic to this podcast. I've talked about it before the virus, but it was mostly academic back then. Federal debt has been unsustainable since at least 2009, and something bad was destined to happen, but it was hard to pin down a timeline. As of late 2019, unpayable Federal debt had been building up for a decade, and for all I knew it could have continued to build up for years more before there was a reckoning.

Now, thanks to the virus, the day of reckoning is close at hand, and I predict that by the end of 2020, we will see major cracks in both the viability of U.S. debt and the value of the U.S. dollar. So in today's podcast, I am going to revisit Federal debt in the light of a crisis happening this year as opposed to some vague time in the future.

The bottom line is this: I expect significant inflation by the end of 2020, spiced with a healthy dose of deflation. The price of all the things you need will rise, while the price of all the things you don't need will drop. This will be a fine time to buy a luxury car but not to go grocery shopping. Meanwhile, the US government will become more and more dysfunctional as it's financial underpinning erode. The next Presidential administration, be it Trump or Biden, could be America's last.

I know these are outrageous claims, which is why I need a whole episode to back them up.

This is April 9, 2020, and the world is still in the midst of Lockdown Mania in response to COVID-19. However, the biggest event on the planet right now is not the epidemic itself. The truly epic, world-changing event—the biggest since World War II—is the collapse of the world economy. The virus didn't cause this collapse; it was merely the trigger. It turned out to be a very efficient trigger, but even if coronavirus had never happened, the world economy had built up so much dynamite that something would have set it off.

The dynamite took the form of massive worldwide debt and absurdly elevated asset prices, powered  by the desperate policies of central banks in response to the Global Financial Crisis of 2008. Yes, central banks and big government saved the world economy in 2008, but only at the cost of kicking the can down the road toward an even bigger crisis in 2020.

In a wider view, there is a demographic source of dynamite, a sort of super-cycle stretching back some 70 years. Following WWII, there was a Baby Boom, and those babies grew up to fuel a huge economic boom in the late 20th Century. In the 21st Century, the fuel started getting depleted. The Baby Boomers began retiring in 2011, moving from being assets to society to liabilities. No matter how you slice it, we can't reproduce the breakneck growth of the late 20th Century, because we don't have enough workers to power it, but the whole financial system is still geared on the assumption that past growth will continue.

The rise and fall of the Baby Boomers is sufficient in itself to cause a financial collapse, but there are many other kinds of financial dysfunction afoot. I can't hope to cover them all in this episode, so I'm going to focus on one key area: US government debt. Part of this debt crisis is demographic, and part of it is due to years of political stupidity, because there is no penalty to politicians in borrowing from the future.

Before the virus arrived, the world economy was already an interlocking series of Ponzi schemes, paying off present investors at the expense of future ones. Ponzi schemes can go on for years in apparent stability, as did Berni Madoff's famous one, but when they collapse, they do it catastrophically, and one Ponzi scheme tends to pull down all the others, and that's what's happening today. 2020 is the year all the Ponzi schemes collapse. In this episode I'm going to talk about only one of them, Federal Debt and monetary policy, because of all these harebrained schemes, this is probably the easiest to understand.

I got into demography because it is the only social science that can make hard and reliable predictions. There is one fundamental, unbreakable law of demography: there won't be more people in the future than are born today. In other words, if your country makes a million babies this year, than it can have no more than a million native-born citizens of that age group 20, 40 or 60 years from now. There can be less than a million in each age group, because people die, but there can never be more. This fact sounds obvious, but it is a very powerful tool when predicting what the world will look like in the future.

Likewise, in economics, there is one fundamental law: In the long run, you can't spend more money than you make. You can't do it as a private citizen, and you can't do it as a government. There is no free lunch. You can borrow money from banks, credit card companies, family and friends to support a more extravagant lifestyle than you can afford, but you can't do it forever, because sooner or later, people will stop loaning you money.

If you're a consumer, there's usually a hard limit when credit is cut off. On a certain date, you're credit cards get maxed out, and no bank will give you a new one. You can default on your credit cards by simply not paying them, but now you have no choice but to live within your means. At best you'll have to go back to living hand to mouth. At worse, you'll have all your creditors knocking at your door trying to confiscate everything you own.

With a government, the limits are much more elastic. There's no hard date when credit is cut off, because the government or its surrogates control the money supply. In a pinch, they can print new money to pay off their debts, which is essentially how the US government is funding itself now. The only downside to money printing is inflation, or the devaluing of the currency. Consumer inflation has been more-or-less absent from the US economy for some 30 years, but it will be back, because you can't flaunt the laws of nature forever.

You can't spend more money than you make. If you don't believe this axiom already, there's probably nothing I can say to change your mind. There's all sorts of economic slight-of-hand theories, like Modern Monetary Theory, that allows otherwise intelligent people to believe it isn't true, you can spend more money than you make. I'm not going to go down the rabbit hole of arguing with these theories, because there's no way I can win. It's like arguing with someone about their religion. No logical argument will work.

You can't spend more money they you make. Either you believe this, or you need to stop listening. If you do spend more money than you make, and do it consistently over time, there will eventually be a Day of Reckoning, a day when the credit cards max out. You may be able to extend the date by borrowing money, but it only makes the reckoning more brutal.

For almost 20 years, the US government has failed to balance its budget, consistently spending more money than it makes. It does this by issuing bonds to the public, promising to pay in the future, which is just like spending on your credit card except at a much lower interest rate. Spending greatly accelerated during the Global Financial Crisis in 2008. The deficit was gradually brought down over the course of the Obama Administration, but it exploded again under Trump.

In 2019, before the virus, the math was pretty simple: The government spent about $4 trillion a year and took in only $3 trillion. You don't have to know what a trillion is to understand the math. 25% of the money the government spent was added to its credit card bill. Before the virus, the total outstanding debt was $22 trillion, or more than seven times the annual tax income of the government. By some measures, it could have been several times higher, maybe even $100 trillion, when you consider the government's future obligations for things like Medicare and Social Security. The exact trillions don't matter as much as the qualitative fact that the government always spends more than it makes, with no realistic prospect of ever paying down its outstanding debt.

And that was before the virus, which is an unprecedented economic disaster the likes of which the world has never seen. People are losing their jobs in vast numbers, which ultimately means less tax revenue for the government in 2020. Meanwhile, virtually every national response to the virus involves massive government spending, well beyond the previous $4 trillion. It's unclear yet what the damage will be, but it is reasonable to guess that taxes revenues will fall to something like $2 trillion, while the total government budget rises to $5 trillion or higher. In other words, the government will be borrowing more than half the money it spends in 2020, and perhaps into the following years as well. The government is closing the shortfall by issuing bonds, which investors around the world are expected to buy.

So how are investors responding to this glut of bonds? You would think they'd be running for the hills, but no. They're running directly into the fire. As of today, investors are eagerly buying all the bonds the government can issue and paying a premium to do so. It's the craziest thing. You've got an insolvent debtor, obviously living off his credit cards with no hope of every paying them down, and investors are lining up to loan him even more money. Max out one credit card? No problem. Here's another at a low introductory interest rate.

The eagerness of investors to buy US government debt is reflected in the yield, or the effective interest rate on the bonds. Although the government issues the bonds with a nominal interest rate, the actual interest rate is determined by the open market, and right now investors are willing to accept an interest rate on 10-year bonds (or T-Notes) of between 1/2 percent and one percent per year. In other words, if you loan the government $10,000, you'll receive at most $100 in interest for the entire year.

Clearly, investors aren't buying these bonds for the income. They are buying them as a perceived safe haven. In periods of market chaos like we've seen over the past month, investors are bailing out of stocks and other investments, and when they do, they have to put their money somewhere, and US government bonds are seen as the safest investment there is. US government debt can never fail, the reasoning goes, because the government controls the printing presses and can always print more money to pay its bills.

Yes, but... there's a cost to money printing, which is inflation. In other words, you can loan $10,000 to the government for 10 years and feel reasonably confident the government will pay you back at the end of this period, but $10,000 may not buy you as much as $10,000 now.

Despite 30 years of apparent stability, $10,000 does not have a fixed value. It is worth only what the parties who exchange it think it is worth at the time of the transaction. In other words, you can walk into a store with $10,000 in your pocket, and maybe you can buy the whole store, or maybe you can buy only a single egg. This has really, truly happened in many a banana republic. If you flood the market with too much of your own currency, the value of each unit of the currency goes down, and the price of products and services in terms of your currency go up. This is a law of nature that for the time being the US government seems to have evaded, but it's still a law of nature.

The main risk people are taking when they buy a government bond is not so much that the government doesn't pay, but that inflation erodes the value of the capital. In the beginning, you can buy the whole store, and at the end you can only buy a single egg. Properly speaking, the government hasn't defaulted and has held up its side of the bargain, but you still get screwed in the end.

If you were born USA in the 1980s or later, you have almost no experience with inflation. You think a dollar is worth a dollar. I, on the other hand, came of age in the 1970s and had a personal relationship with inflation. At the beginning of the 1970s, I could go into a candy story with a dime  or two and come out with a lot of candy. Back then, they had something called "penny candy." There were a whole range of candy items under a glass case, each for a penny. A small Tootsie Roll was a penny, or a Mary Jane taffy. A stick of licorice was a penny. Candy cigarettes were three for a penny, and they were good! You would pretend to smoke them like a grown up. When you went to the candy story, you'd point out the things you wanted, and the lady behind the counter would put them in a bag for you. If you walked in with a quarter, you came out feeling like a millionaire in candy.

Standard-sized candy bars—the same Snickers and Hershey bars we buy today—were 5 cents at the beginning of the 1970s, but they didn't stay that way. Over the course of the 70s and early 80s, I saw their price rise to 7 cents, then 10 cents, 15 cents and 25 cents. Eventually, it stabilized at something around 60 cents sometime in the late 1980s. Today a Snickers bar is about $1 at the supermarket checkout, but I regard that as opportunism, not inflation. If you go to the back of the store and buy a multi-pack, the 60 cent price still holds.

I don't really remember when penny candy ceased to exist, because I aged out of the market anyway, but I distinctly remember the price of a standard-size Snickers, identical to the ones today, going from 5 cents to 60 cents in what seemed like short period of time. It was almost to the point where you would buy an extra Snickers right now, knowing that the price could go up next week.

That's what you youngsters don't understand. A dollar is not a dollar. It is worth only the number of Snickers bars it will buy. We've had inflation before, and believe me, we're going to have it again.

When will it happen? Well, apparently not right now, in April 2020. In this era of national lockdowns, no one is raising their prices for anything, especially when it's hard to get people into stores. McDonalds still has its dollar menu—for take-out only—and you can still go to a Dollar Tree store and buy things for a dollar that are pretty much the same things you could have bought there 30 years ago.

If anything, we're in a period of deflation now, especially for things you don't really need. No one is in the market for a car right now, and dealers are hurting, so maybe they'll cut you a deal. The Great Depression was a period of rampant deflation, called a deflationary spiral. The price of an apple kept going down because there were too many apples and too few buyers who could even afford an apple. Luxury cars were being sold on the street for pennies on the dollar by investors who lost everything in the crash. Deflation is a self-fulfilling prophesy, because it encourages people to hold onto their cash. Why buy a washing machine now when you know its going to be even cheaper in six months?

But back in the Great Depression, the government wasn't printing money like there's no tomorrow. Back then, the US dollar was supposed to be based on gold. It got a little flaky, but essentially the dollar in your pocket represented gold stored at Fort Knox, so the government couldn't just print money at will. Inflation took off only after 1971, when Richard Nixon took the US dollar off the gold standard. The dollar became a "fiat currency", meaning that it's not inherently worth anything. It can't be converted into gold. It can only be sold to another sucker for however many apples he chooses to give you for it. Going off the gold standard untethered the dollar and set the stage for the inflation of the 1970s and 80s.

So what this means today is that the government, or its surrogate the Federal Reserve, can print money at will without any restrictions. And the current environment makes it mandatory that the Fed prints more money. It simply has no choice. You may think of the Fed as an independent entity, but it isn't. If the government spends more money than it makes, the Fed is obligated to print more money to make up the shortfall.

I want to explain how money is created in the American system. It's actually quite simple. There are all sorts of fancy debt bubbles out there, debt Ponzi schemes, but most of them are hard to understand, because they are so obscure and complicated. US government and the US currency are not complicated. The system is completely open, and all the numbers are available at your fingertips.

So let's start with that basic 2019 calculation. The government spent $4 trillion and and took in $3 trillion in taxes. It's actually $4.5 trillion and $3.5 trillion, but I like round numbers and the exact amounts don't matter. The extra trillion has to come from someplace, and that's government bonds, notes and bills. I'll just call them government bonds. Periodically, the government issues bonds and offers them to the market at auction. Investors buy the bonds, and then they pass them back and forth between each other in a secondary market. Bonds are seen as highly liquid, meaning you can buy them one day and sell them the next, unlike an fixed asset such as real estate where you might not find a buyer at all.

As I said, investors around the world love US bonds right now. In an era of crashing markets, US bonds seem like the prettiest house on an ugly street. If you've got cash, US bonds seem like the safest place to stash it. There's gold, but that's a quagmire I really don't understand and don't care to get into. The point is, investors perceive US bonds to be a safe haven, whether or not it truly is.

You've got what seems to be the perfect symbiotic relationship: The government needs to borrow money, and investors are eager to loan it money at ridiculously low interest rates. What could possibly go wrong?

What could go wrong is that the government eventually issues more debt than than the market can bear. As of the end of 2019, the government had $22 trillion in outstanding bonds. At what point has it issued to much? $40 trillion? $60 trillion? I have no idea. This isn't like the fixed credit limit on your credit card. There's not clear cut-off point, but there will be a point where things start falling apart. And once things disintegrate enough, there's usually a catastrophic failure.

US bonds are really no different than any other commodity, like watermelons. If they are relatively rare, each watermelon can command a high price. If you flood the market with watermelons, then eventually the price falls. If there's a glut of watermelons, to the point where every grocer has a ton of them, then the price can truly plummet, because they got to move these watermelons before they rot.

For a bond, the price is reflected in the "yield" or the interest rate that investors are willing to accept to hold the bond. If bonds are desirable, as they are today, the yield is low, between 1/2 and 1 percent. Those are wonderful watermelons! When bonds are more plentiful and less desirable, the yield goes up. Investors expect to receive more interest in exchange for loaning the government money. The yield also rises on anticipation of inflation. If you expect the $10,000 you give the government to be devalued to the buying power of $8,000 over the course of the bond, you're going to demand a higher interest rate to compensate.

I visited Ukraine about 5 years ago, and I saw a billboard for a Certificate of Deposit at an interest rate of some 40% per year. My jaw dropped at that, and I double-checked my translation. This implies that the inflation of the Ukrainian hryvnia was running at something like 35% per year. In an economy like this, you definitely don't want to keep your hryvnias in a mattress, because they will be devalued by 35% in a year, and in 10 years they'll hardly be worth more than the stuffing in the mattress. If you've got hryvnias in your pocket, you want to get rid of them as quickly as possible, because the coins and bills are losing value every day. Instead, you'll buy a CD or a foreign currency or some commodity like Snickers bars that you know you can resell later and retain your buying power.

This little diversion into hryvnias actually has some relevance to my thesis, because I want you to imagine if US inflation went that high. People would want to get rid of their dollars as quickly as possible, which actually accelerates inflation. People aren't keeping anything in their mattress or piggy bank. They are dumping every dollar they get back into the market, preferring commodities like Snickers bars instead. This is called the "velocity of money", or the number of times a unit of currency changes hands in a given period. As the velocity of money increases, so does inflation.

I'm not just playing mind games here. I truly believe that at some time in the future—I'm not saying when.—the US dollar will match Ukraine's inflation rate. You can call me a fool, because it certainly isn't true today. If investors are willing to commit now to loaning the government money for ten years at a yield of 1% per year, it implies not only that general interest rates will remain low for those ten years but that inflation will be virtually nonexistent for those ten years.

This is a truly insane proposition. Right now the official inflation rate is 2%. There all sorts of ways you can argue with that number, but it's not zero, and it is probably higher than the 1% yield on the bond. This means effectively that investors are loaning money to the government at a negative interest rate. They are getting less out of the deal than the money they put in. This is truly insane, and although markets can sustain their insanity for a long time, eventually reality crashes the party.

Reality will take the form of investors say, "I already have all the US bonds I want, I don't want anymore. I already have enough watermelons." At this point, the yield rises and the government has trouble selling all the bonds it issues. The market doesn't want them anymore unless they are a true money maker. I might still loan $10,000 to the government for 10 years, but I might expect a 10% interest rate to compensate for potential inflation and a potential government default.

Could the government really default? It wouldn't happen tomorrow, but over the course of 10 years of financial chaos, who knows? In any case, if I were to loan money to a dodgy debtor, I would expect a yield that is high enough to justify the risk.

So what happens when the government reaches the point where it has issued so many bonds that the market can't absorb them and yield rises? Is there any recourse? As a matter of fact, there is. There's the Federal Reserve, which is a supposedly independent bank that manages the money supply. If you look a dollar bill, you'll see that it isn't issued by the US government proper. It is issued by the Federal Reserve. It's a Federal Reserve Note. The government issues government bonds, but the Fed issues the currency and controls how much of it is in circulation. In theory, it can increase inflation by issuing new currency and decrease inflation by taking currency out of the system.

It is the Fed, not the government, that prints the money, although "printing" is a misnomer. The Fed creates money simply by adding digits to the account of a member bank, but "printing money" is still a pretty good analogy. The Fed can print money whenever it wants for whatever reason it wants, because it is nominally independent of the US government.

The way money printing works is the Fed buys something from the marketplace. In most cases, it is US government bonds, but in practice it could probably buy anything. The Fed could buy Snickers bars. I'm sure there are rules against the Fed buying Snickers bars, but there's no one to enforce the rules. When the Fed buys something, usually bonds, it creates new money out of thin air to give to the seller. It is increasing the money supply and risking inflation.

So how the process works is the government issues bonds to fund its deficit and sells the bonds to the public, then the Fed buys the bonds from the public and creates new money to gives to the seller. Money supply increases. So how is this different than the Fed just buying the bonds directly from the government? The truth is, it isn't. For all practical purposes, the Fed is buying the bonds directly from the government. The government is spending money and the Federal Reserve is printing the money to pay for it.

The amount of money printed is reflected in the Fed's "balance sheet" or the assets it technically holds. Right now, the balance sheet is roughly $5 trillion. This isn't all government bonds, but it's an artificial support. The Fed has printed $5 trillion in new money, quite recently for the most part, to prop up both the government and the financial sector, and at this point there's virtually no hope of the money printing ever stopping.

If government issues too many bonds, to the point where investors lose their taste for them and start demanding higher interest, the Fed is essentially obligated to step in and buy bonds. It has to buy watermelons to reduce the supply and prop up the watermelon market. It creates new money that in essence the government uses to pay its bills. It's a perfect system: The government spends more than it makes and the Fed prints the money to fund that spending.

It's a perfect system except for... inflation! If any government keeps printing money to pay its bills, eventually inflation rears its ugly head. It's true in any Latin American banana republic, and it's true in our banana republic. It's just that in our republic, there's been a delay. The Fed has been printing money with abandon, but there's been little apparent inflation. What gives? Where is the inflation gone?

The answer is, it's hiding. In two places that I am aware of. One hiding place is in plain sight. It's called "asset inflation." The price of a Snickers bar may not have changed, but housing prices have gone way up, especially in the desirable places where people most want to live. If you live in San Francisco, you've seen massive inflation in your housing costs. Before the virus, virtually all assets, from stocks to bonds to fine art, were vastly inflated. All of those assets are now in the process of deflating.

The second hiding place is mattresses in Ukraine. If you're a shady businessman in Kiev, dealing only in cash, you're not going to keep hryvnias in your mattress, because they'll lose value instantly, but you might keep US dollars in your mattress, because they are perceived to be stable. For decades, the US $100 bill has been the preferred store of value for drug lords everywhere. The US dollar is also a haven currency for legitimate investors. It's seen a safe haven at least compared to other currencies. So what might be happening here is the Fed is printing money, but if investors are stockpiling dollars at about the same rate, then there's no net excess of dollars and no inflation.

This just speculation on my part. I'm not sure that it's Ukrainian mattresses that are soaking up the extra dollars. All I know is that there's a certain market for dollars, just like watermelons, and once the watermelon market reaches saturation, the price is going to take a drive. What a price crash means for the dollar is inflation, where the dollar in your pocket doesn't buy what it used to. You can't buy a dollar cheeseburger at McDonalds anymore. It's now a 2-dollar cheeseburger.

Once you start to get substantial inflation in the US dollar, then a switch gets flipped, and everything changes very quickly. All those folks in Ukraine with dollars in their mattresses suddenly don't want to keep them anymore. They sell their dollars into the market to buy some other store of value, like Snickers bars. Suddenly the velocity of dollars increases dramatically. Dollars aren't just sitting in mattresses or dresser drawers. They are immediately returned to the market to buy something else. This in itself causes inflation, since there are so many dollars seeking too few buyers.

That's what is behind the hyperinflation of places like Venezuela and Zimbabwe. Not only is the government printing money to pay all its bills, but consumers don't want to hold onto their money for for more than two seconds. They immediately use their money to buy some tangible thing that will hold its value.

I got a sense of this mindset in the 1970s. There was always a pressure to buy something now, rather than later, because you didn't know when the prices was going to rise again. People got rid of their dollars, or at least put them into high-yielding bank accounts, because you didn't want to hold onto your cash for too long.

I predict that all will this will be coming back sooner or later, and I'm placing my bets on sooner. I'm thinking of 1970s-style inflation, like 10-20% by the end of 2020 and Ukrainian-style inflation, 30-40% sometime thereafter. Don't hold me to the timetable, because I don't know the saturation point where the world has absorbed all the dollars it can. I will only predict that inflation will not be a gradual process. It will happen very quickly, because once you reach a certain key threshhold, it starts triggering all sorts of feedback loops, like people emptying their mattresses of dollars.

So why is the Fed obligated to print dollars.  It is supposed to be an independent agency, so why can't it just tell the government, "We're not going to fund your spending anymore." It could do that, but then we'd have a bond crisis instead, which is just as bad for the economy as inflation. So at some point the bonds issued by the government are going to run into market saturation where the supply exceeds the demand, and the price drops. The "price" is actually reflected in an increased yield. Investors expect a higher interest rate to loan money to the government.

Historically, the interest rate on long-term government bonds tends to hover around 5%, but following the Global Financial Crisis, the yield has been artificially low, bottoming out at the below-1% yields we see today. This is great for the government, at least on the surface, because it mean that for all the debt it has outstanding, it is paying relatively little total interest. This like getting a new credit card that offers you a "Low Introductory Rate" of 0%. This is great for as long as the low rate lasts, but it sucks as soon as the introductory period ends and you're paying 18%.

So an excess of bonds means a rising interest rate, and the government has to spend substantial tax revenue on interest alone. If the government has $22 trillion in debt, which it has to roll over at periodic intervals, and the interest rate rises to the normal level of 5%, the government now has to pay over $1 trillion in annual interest payments alone. If tax revenue is only $3 trillion a year, and even down to $2 trillion during 2020, the government is now spending something like half its tax revenue on interest payments alone. Of course, it doesn't have the money, so it will borrow the $1 trillion for interest payments, further adding to the supply of bonds and driving up the yields.

This is a vicious feedback loop that eventually ends in the collapse of the government, which the Fed can't allow. Instead, the Fed is going to buy the excess bonds to drive down the yield to a manageable interest rates. The money it prints to buy the bonds eventually results in inflation, which isn't good either, so the Fed is between a rock and hard place. It has no control over how much money the government spends or how many bonds it issues, but it is obligated to print money to fund it.

It's a doom loop, no matter how you look at it.

So that's about as far as I want to go right now. There are all sorts of questions like, what happens when inflation comes back, and what happens when the government can't borrow money anymore at ridiculously low interest rates? My only answer right now is "Bad things will happen" but it is hard to say exactly what will happen and when.

It's like the Titanic is sinking, taking in more water than it can pump out. You know it's going down and there aren't enough lifeboats, but you don't know who's going to be saved, who's gonna die, when the event will happen or how the ship is going to break apart as it sinks.

Once a doom loop has started, it's difficult to predict where it will end.


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Written recorded and edited by Glenn Campbell. For annotations, links and corrections, see the description on the video version of this podcast. You can also leave comments there. 

Wednesday, April 8, 2020

38. A Sorry Time for Humanity: How Lockdowns Are Digging Our Graves (Demographic Doom Podcast)

This is the script for my Demographic Doom podcast episode (#38) released on 8 April 2020. It may differ slightly from the final broadcast. This episode is available on major podcast platforms, including PodbeanApple Podcasts and a video version on YouTube. See the description on the YouTube version for annotations, links and corrections. You can also comment on this episode there. (If you leave comments on this blog post, I might not see them.) The main website for this project is DemographicDoom.com



I’m Glenn Campbell. I call myself a demographic philosopher. I’m looking at life and trying to predict the future through the lens of demography, or the study of human populations.

Today is Wednesday, April 8, 2020. We're now about two weeks into the lockdown phase of the COVID-19 epidemic when states and countries outside of Asia have essentially shut down their economies to try to combat the virus. I've got other episodes in the works on the long-term economic collapses we are facing, but these results for the most part have little to do with the virus. The virus was the spark that set off a pile of dynamite that was destined to go off anyway. Many of us predicted in 2019 that some sort of Black Swan would come along in 2020 to crash the economy, but we never could have predicted such an effective and efficient Black Swan that would strike human nature in just the right way to cause maximum economic damage.

In previous and future episodes, I will talk about the economic and demographic dynamite that was set in place long before the virus turned up, but for now, I want to record this short episode to explain as clearly and succinctly as I can how humanity as a whole is utterly botching and mismanaging its response to the virus.

Right now, most governments and individuals have one blunt, monolithic response to COVID-19: shut everything down. Close all nonessential businesses, send all workers home, maintain a six-foot distance from everyone else, avoid all forms of direct contact between you and anyone outside your immediate household. These restrictions are open-ended. There is no end date and no indication of how the shutdowns can ever be rolled back. It's just a blanket disabling of the economy with no end in sight.

I'm not saying that the shutdowns will be ineffective. I believe, in fact, that they will work. The virus will be beaten back and new cases will peak in the not-too-distant future. The problem, then, is dealing with the devastating effects of the shutdowns themselves, which are going to cause far more human misery than any virus. I predict the virus itself will be under control by the end of 2020, but the economic collapse will go on for years, made all the worse by the blunt and devastating way it started. No foreign foe could have caused more damage to our society than our own economic self-sabotage.

What is wrong with blanket lockdowns? They are blind and indiscriminate. They are conflating real threats with unlikely or imaginary ones, and they trying to provide absolute protection from both. The ultimate solution to the COVID epidemic is reducing the major vectors. It's vitally important to stop shaking hands, stop going out in public when you have a cough, stop touching things that a hundred other people have touched without some kind of sanitation or protection. If you reduce the major vectors, the things most likely to spread the virus, the epidemic dies out because it can't reach enough victims. You don't need to eliminate every single possible vector, which is what lockdowns are trying to do. Yes, the lockdowns are going to work, and lives will be saved, but in the long run the cure is going to be far worse than the disease. Human society cannot function without its economy, and humans seem to be doing everything in their power to destroy theirs. As the world economy continues its downward spiral, I wouldn't be surprised if more people die of outright starvation than died from the virus itself.

It's like you have a mouse loose in the walls of your house, and this mouse is potentially deadly because its droppings cause disease. So you take a sledgehammer and you start smashing the walls wherever you hear a sound. You keep smashing and smashing, and sooner or later, by shear luck, you kill the mouse. Yes, the threat of the mouse has been neutralized, but you've destroyed your own home in the process.

The effective, sustainable solution is something called a mousetrap. You got to put yourself in the position of the mouse, understand how he behaves, then you plan a solution that will precisely target the mouse's vulnerabilities. Maybe you try a piece of cheese on a spring-loaded trap, and thereby you kill the mouse without destroying your own home. Humanity right now seems entirely incapable of this kind of foresight and strategizing. It can only blindly smash at the walls til the mouse is dead.

Here's a more realistic analogy: the 9/11 attacks. 3000 people were killed and thousands more more affected in aerial bombing of the World Trade Center. It was a truly tragic and horrific event, but it was nowhere near as deadly or costly as the two quagmire wars the US started in response. Even if you only look at the American costs, in lives lost and trillions spent, the wars far dwarfed the costs of the original attacks. The costs multiply many fold when you factor in the costs and suffering to people of Iraq and Afghanistan. To be sure, these were despotic regimes at the time and deserved to fall, but after all the trillions spent and lives destroyed, you can't say that America made things better. Most importantly, you can't say we achieved the intended goal of reducing terrorism. Yes, terrorists are no longer crashing into buildings in hijacked planes, but this goal was accomplished by simple, targeted changes in TSA security. The two expensive quagmire wars did nothing to improve our security.

If you lived through the post-9/11 era, you may remember just how unstoppable the call to war was. Nearly everyone in Congress voted for it. Nearly everyone in the street seemed to be in favor of it. The natural kneejerk human reaction was that we were attacked, so we has to attack back, and it seemed that everyone in the country was on board. If you didn't believe the wars were a good idea, you kept your ideas to yourself, because you would be labeled a traitor if you spoke out. Some entertainers were essentially blacklisted for opposing the war. Whenever you get 80% or 90% of the American public supporting something, with no dissent allowed, something is seriously wrong. I remember thinking at the time, "This is going to end badly."

You may remember the mindset of the day after 9/11. The airline network completely shutdown. People used whatever means possible to get home, where they essentially locked themselves down, just like they are doing today. People saw terrorists everywhere, in even the most innocuous events. Every package delivered was carefully screened for a possible bomb. Innocent people were treated as terrorists for no other crime than having foreign-looking features. If you talked in Arabic on a cellphone, you were a terrorist planning an attack. It was sorry time in human history.

People didn't realize at the time how limited the attacks really were. Terrorists with very little resources had discovered a clever loophole in security, and they exploited it. The loophole was quickly closed and the threat instantly ended by changes in airport security, but the global damage caused by the overreaction to the threat went on for two decades and is still with us today. If nothing else, the US racked up huge debts pursuing those fruitless wars, contributing to the tragic government debt crisis I'll talk about in my next podcast.

We are repeating the same exercise with the coronavirus. Everyone is seeing viral particles everywhere, even in places they cannot possibly exist. People are hunkering down at home as though the virus was everywhere and can do everything. Yes, the virus is insidious, as viruses go, but it can't do all the supernatural things that people's paranoid actions imply. It's not going to get to you in a state park or on a breezy beach where the nearest beach-goer is 20 feet away. It's probably not even going to get you when you're in a room talking to someone from a normal distance. You're going to get it from shaking hands. You're going to get it from touching door handles that a hundred other people have touched . There are probably a dozen key vectors that spread 90% of the disease. If you can address those major things with simple remedies, then you don't need to worry about the other 10%, because the transmission is so limited that it won't sustain itself over time.

As with the march to war in 2001, you are treated as a traitor today if you say anything against the lockdowns. If you try to add an nuance to it, like suggesting that one assumed vector isn't worth worrying about, people get upset. "What are you trying to do, KILL MY GRANDMOTHER???" And the media is cheerleading all of this. News anchors are dutifully reporting from their home instead of the studio as though they were contributing to the War Effort. The universal message is stay at home, no matter what the cost; trust no one, eliminate all risk. All that matters now is saving lives.

Lives do matter, but they have to be put into perspective. Saving your civilization matters even more, and you can't have a civilization if you don't have a functioning economy where people go out and do things. If no one goes out and buys cars, your auto industry collapses and millions lose their jobs. If no one travels, vast segments of the economy fall to ruin and will probably never be revived.

Some of the worst advice comes from medical professionals, because they have been trained to eliminate all risk, no matter how slight. If you work in a hospital, you live in an environment where the aim is to eliminate every conceivable disease vector no matter the cost. This kind of perfect sanitation is impossible in the outside world. When you see a doctor recommending that healthy people wear masks in public at all times, he isn't considering the costs to society. That's not his department. He's not trained in evaluating social or economic costs. He has been trained in eliminating all forms of disease risk. Doctors live in sterile bubbles and can't be expected to understand the needs of a complex economy.

I also think computer modeling of the virus is absolutely useless. A computer model is only as good as the assumptions you put into it, and the Number One variable in virus distribution is human behavior, The virus is the virus. It has stable characteristics, but human behavior can change in a minute, especially if people think their lives depend on it. If everyone continued to behave exactly as they did before the virus, the computer model is going to tell you one thing. If they suddenly decide, en masse, not to shake hands anymore, you're going to get an entirely different result. With our instantaneous media, voluntary changes in behavior can sweep through society in a matter of days, but there will always be a delay in the disease statistics. Deaths and serious cases today may reflect human behavior 2-3 weeks ago, before many people were taking precautions. As widespread changes of behavior take hold, I think we'll see a drop in cases.

This puts governments in a bind, because they won't know what caused the drop. If they congratulate themselves and say, "Whoo-hoo, our shutdown worked!" what are they going to do next? This "success" implies that if they relax the lockdowns, the disease is going to come right back again. On the other hand, if the drop was caused by a simple change of behavior, like not shaking hands, then the lockdown was irrelevant all along. It's a Catch-22: If governments claim the lockdowns were successful, then they can never be ended. If the real success was simple behavior change like not shaking hands, then the lockdowns were overkill, and the government would have to admit its error. That's why there's no easy exit from Lockdown Mode.

In the coming months, studies will reveal the true infectiousness of various forms of transmission. I predict that shaking hands will be found to be a major, major form of transmission, perhaps even the biggest. This is the reason a disproportionate number of politicians seem to be getting the disease: They shake a lot of hands. I also predict that commonly touched surfaces will turn out to be a major vector. When you pull a door handle to enter a store, hundreds of people might have touched the same door handle that day. If just one of them has the disease, there's a good chance you will get it. If someone who has the disease coughs in your immediate vicinity, they spew droplets into the air, which you could breath in. This is probably an important vector, but it requires a cough or sneeze.

There are many other vectors that are real but probably not statistically significant. Asymptomatic transmission, where someone shows no symptoms but distributes the virus anyway, is probably real but I predict that it will not be seen as major vector. To distribute the virus effectively, you need a lot of your lung cells to be infected and spewing out particles. Remember that a virus can't reproduce on its own. It has to co-op and kill your body's own cells, which produces symptoms.

I also predict that aerosolization will be seen as a trivial vector. When someone with the disease coughs in your general vicinity, the risk is high that you will breathe in his droplets and they will go directly to your lung cells without any intermediate steps. These droplets fall to earth quickly, however, and you're not a risk if you are more than a few meters away. Aerosolization refers to the virus attaching to even smaller droplets or objects in the air, like dust particles, and traveling long distances in the air to reach their target. In the aerosolization scenario, you can be walking through an airport terminal with no one around you and catch the disease from the ambient air. This is people's usual excuse for never leaving home. Just breathing the air outside might kill you. While this may be technically be possible, I predict it will be a trivial factor.

In terms of mitigation, I suspect that many of the generally accepted lockdown rules are having only trivial effects. Studies are already beginning to show that school closings are counterproductive. If you keep kids in school, you can control them; you can manage their contact behavior, and you can train them in good hygiene practices. If you kick them out of school, you've lost any control whatsoever. You've just let them loose on society.

I suspect that universal use of face masks by healthy people will not be proven cost-effective. Yes, it will probably save a life or two, but is the benefit great enough to even justify the cost of the mask?

My predictions will be proven true or false over time. The point is, there are only a few major vectors, and you can control those vectors by fairly simple and low cost methods like not shaking hands. If you control the major vectors, you don't need to worry about the minor ones. No one seems be talking about this. I don't see any intelligent conversation about the cost-benefit ratios of various mitigation methods. Right now, it's all about locking everything down, cutting everyone off and stopping all forms of economic activity. All that matters now is saving lives, the economy be damned.

Well, if you damn the economy, the economy will damn you.


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For annotations, links and corrections, see the description on the video version of this podcast. You can also leave comments there.

Sunday, April 5, 2020

37. How I'm Spending the Apocalypse: In a Hospital Bed in Boston (Demographic Doom Podcast)

This is the script for my Demographic Doom podcast episode (#37) released on 5 April 2020. It may differ in detail from the final broadcast, which was recorded more spontaneously. This episode is available on major podcast platforms, including PodbeanApple Podcasts and a video version on YouTube. (Only the video version shows you scenes from my hospital bed.) See the description on the YouTube version for annotations, links and corrections. You can also comment on this episode there. (If you leave comments on this blog post, I might not see them.) The main website for this project is DemographicDoom.com



I’m Glenn Campbell. I call myself a demographic philosopher. I’m looking at life and trying to predict the future through the lens of demography, or the study of human populations.

Today is Sunday, April 5, 2020. I had intended to talk about next economic crisis: the collapse of U.S. Federal debt. As bad as things seem right now, they're going to get far worse as the U.S. government progressively becomes insolvent. The simple calculation with this Covid crisis is that U.S. government is gearing up to spend roughly twice as much money as it is taking in, probably on a sustained basis, and this can only end tragically. The government is issuing bonds like there's no tomorrow, and really, truly there is no tomorrow. There's no way to resolve this apart from a currency and sovereign debt crisis on top of all our other crises. The practical effect for you and I is that I'm expecting the return of massive inflation very soon.

But I'm not going to talk about that in this episode. I'm saving that for my next podcast a day or two from now. This episode is a personal one, with only a little demography involved. This is a sort of personal oral history of "Where were you during the shutdown?" Everyone has their own story of how they spent this days when they've been ordered to stay home, and mine is a big exotic and unexpected. For the past 13 days, I have be weathering the Apocalypse is a very comfortable cancer ward at Beth Israel Hospital in Boston.

I'm recording this podcast my hospital gown in the most comfortable possible reclining bed, in nearly perfect health, at least on the surface. I have a blood cancer called lymphoma, which has relapsed since being beaten back in 2018. I'll have to go through about 4 months of chemotherapy, including 30 days in absolute isolation, but I expect the practical discomfort to be mild, and I should be able to type on my computer and work on my podcasts all the way through it. In the short term, my risk of mortality are low—about the same as yours given that I'm protect from Covid epidemic. But in the long term, we all die, sometime before the age of 100, so I'm doing my best to get ready for that.

So to put this moment into historical perspective, we are now in the lockdown phase of the coronavirus epidemic were most U.S. states and European countries have ordered nonessential businesses to close and those workers to stay home. Schools, offices and most stores are closed. Apart from essential things like food and alcohol, the economy has all but stopped, and the streets are nearly empty. I know they're empty because I can see them from my seventh floor window. I spent a lot of time in this hospital ward in 2018, so I know this view, and the intersection below me, in front of the hospital, is a eerie void. This main road, Brookline Avenue, is carrying only tiny fraction of the cars that it normally does, even for a Saturday.

The empty streets are my only visual indication of anything wrong in the world, because I've never personally experiences the lockdowns. I came into the hospital about 13 days ago just as they were getting started. I came into the Emergency Room is Boston on March 23, which was the day before a statewide stay-at-home order in Massachusetts, so I've spent the whole lockdown right here, in the luxury of a private, in a cancer ward I know well. I'm in a bubble right now. The only way I know what's going on is through the media, and there's so much news, so many things collapsing all at once, that is difficult to keep track of it all.

So in this podcast I'm going to focus on my own microscopic issues, not the big picture, I want to talk about my two things: First, own medical condition, because folks like me just love talking about the medical conditions. I also want to talk about how this big-city hospital is dealing with the Covid epidemic, as seen from the inside. Spoiler alert: Things are pretty damn calm from my viewpoint, with none of the chaos you would expect. A hospital is a very compartmentalized place, and much of it continues to operate unchanged.

So let me talk about my medical condition, because I love all its intricacies. Honestly, if you're more interested in the collapse of human civilization as we know it, you should move on to the next pdcast, which will be out in a couple of days. I do have cancer, a blood cancer called lymphoma, but my state is not particularly fragile. In fact, I look and feel perfectly fine on the surface. For the past 9 or 10 days, I would call myself a "malinger." I'm a healthy guy lying in a hospital bed who is only pretending to be sick. To prove how healthy I am, I put in over 10,000 steps on my FitBit on a closed hospital floor, three days in a row. They've since hooked me up to an IV, which slows me down a bit, This means that when I walk the halls, I've got to haul a noisy wheeled stand with me, so it's hard to pick up 10,000. If I didn't have the stand, I certainly could. I could do 20,000 or 40,000 steps, except that I've got better things to do on my computer.

Things were different two weeks ago when I came into the Emergency Room. At that point, things were pretty dicey. Clearly I would have died had I not received prompt medical intervention. I had a fluid build up around my heart, which was restricting its activity, moving in the direction of a complete and fatal shutdown. The problem was quickly diagnosed and easily solved.  The day after I came into the E.R., they inserted a catheter in the middle of my chest to drain the fluid. I was awake for the procedure, because I really love that stuff. Honestly, if I could stay away for open heart surgery because I love participating.

So they put this catheter in my pericardium, drained all the fluid, and almost immediately my symptoms were relieved. The main systems were fatigue, a racing heartrate and a bunch of other minor symptoms relating to my poor circulation. They sucks about a liter of fluid out of my chest in two big glass syringes. It looked to me like blood, but when the fluid was analyzed, is was found to contain lymphoma cancer cells, consistent with my old cancer in 2018.

So back in July of 2018, I came into Beth Israel in pretty sorry shape. PET scans showed tumors everywhere in my body, from my head to my toes. I appeared that the cancer had metastasized and that I would surely die, but they pulled out all the stops with a very aggressive chemotherapy program, and within about two months all the visible tumors had been cleared from my body. It turns out blood cancers like this tend to be widely distributed, and "metastasis" didn't really apply. It took another 3 months of chemo to complete treatment, and in December 2018, I was officially declared "in remission".

I then spent all of 2019 cancer-free. I was physically weak in January from the effects of chemotherapy, and by December, I had regained full strength. This healthy state persisted until around March 18, when I was driving in New Mexico and I began experiencing some unusual symptoms: Fatigue, fast heart rate and a sense that my lungs weren't working like they should. So what was my first self-diagnosis? Why COVID-19 of course. It must be in its early stages. Over the next few days, however, I eliminated that possibility, and reverted to the more logical alternative: My cancer had returned and was causing some kind of anemia.

So on Monday, March 23, I stumbled into the E.R. at Beth Israel. The next day they inserted the catheter, and the day after that I recorded my first in-hospital podcast. It was the last one about Japan and Italy, and it was written, recorded and edited inside the cardiac ICU while I had a tube coming out of my chest and a bunch of wires attached to my body. Now that's dedication!

For the my first 36 hours in the ICU, I was being cleared for COVID 19. Unlike most of you, I've actually been tested for it, twice, and I know definitely that I don't have it. Furthermore, I'm in a cancer ward that's COVID-sterile, so the chances of my getting it here are extremely slim.

So I spent three nights in the ICU getting my cardiac problem resolved and getting cleared for COVID, then I was moved to my favorite cancer ward, Feldberg 7, where I have been in nearly perfect health ever since. It was only yesterday, Day 12, when I actually received my first dose of chemotherapy. It's all on Instagram and Facebook, if you care to check it out. I record everything on social media, in excruciating detail. If you want to find the links you should go to the description in the video version of this podcast.

My treatment is likely to proceed in two phases. In Phase One, lasting about 2-1/2 months, I'll go through 2-week cycles of what I anticipate to be the the most painless, non-intrusive chemotherapy I've ever experienced. The drug is called methotrexate, and in combination with other drugs it's intended to kill cancer cells without killing everything else in my body that divides, like blood and hair cells.

This is not your grandfather's chemotherapy which killed everything that moved and made the patient miserable. It is conceivable I could get through this with little of the weakness or pain associate with traditional chemotherapy. At the beginning of each two-week cycle, I will have to come into the hospital for about four days. This isn't because I'll be sick but because this treatment requires very close monitoring in its early stages. There is always opportunity for things to go wrong, and past performance is no guarantee of future results, but there's a good chance I'll get through the first 2-1/2 months with little pain or weakness.

The main aim of all chemotherapy is to stop cell division. Cancer cells, by definition, are rapidly dividing, so if you can interfere with the biological processes of division, the cancer cells die. Traditional chemo stops all cells in the body from dividing, including blood cells, immune cells and hair follicles, which is why people lose their hair during chemo. This methotrexate method, along with some other chemicals like leucovorin, ought to stop the cancer cells from dividing without interfering much with good dividing cells like red blood cells.

So after 2-1/2 months of this low-impact chemo, sometime around June I'll probably move to Phase Two, which is the radical part. It is called an "autologous stem cell transplant", and if it happens as planned, I'll be locked in a room for 30 days while my immune and blood systems are wiped out and rebooted from scratch. This involves removing stem cells from my own blood and putting them in the fridge. Stem cells, as I understand it, look like blood but they're not. They are the primitive cells from which all other blood cells are made. Once they have a supply of them in the fridge, they will use heavy-duty, scorched-earth chemotherapy that essentially kills everything that divides. This includes my entire bone marrow, where all my blood cells come from.

For a few days, I will be a "boy in the bubble" with absolutely no immune system, which is why I have to be locked in a room for 30 days. After this massive kill-off, they give me back my own stem cells, hopefully without any cancer cells. The stem cells are given intravenously, and they know what to do. They automatically head for the bone marrow and start repopulating it with new blood cells. Hopefully, after this reboot, I get a whole new blood and immune system, minus the cancer.

At this moment, I happen to be assigned to one of those transplant rooms. It's just like any other private hospital room, except that I have my own shower. The main difference is that I'm never allowed to leave during the roughly 30 day period. Staff can come and go from the room, but only in full gowns, gloves, masks and visors. This isn't dehumanizing, because I know all the staff so well. Even behind the masks I know who they are.

Wiping out and reconstructing my immune system sounds terrible, but I'm not too worried. It turns out that most cells in the body do not divide. Brain cells, muscle cells and heart cells never divide once you reach adult, so they are not affected by those scorched-earth chemicals. I expect that my brain and typing fingers will continue to function as normal throughout the 30-day quarantine. This would seem like a prison cell except that I will have my computer and wifi, which makes all the difference in the world. I can still eat regular food, so long as it is cooked. I'm probably going to need a few blood transfusions along the way, until my bone marrow repopulates. Risk of mortality is quite low, but not trivial. Whenever you compromise someone's immune system, there's a risk of an opportunistic infection, which is the main threat here.

In all, I'm not terribly worried. Like everyone else on the planet, I'm going through a period of great uncertainty, but at least I know where I'm going to physically be for the next four months: either in my favorite hospital or out on bail for 10-day stretches. I just need the medical system to hold together for the next four months, to possibly give me a few more years of life.

So is the medical system going to hold together for the next four months? From my standpoint, yes. In spite of the COVID crisis, I see no chaos here. A hospital is a very compartmentalized place. Everyone continues to do their job with various accommodations for the virus.

There are only a couple of obvious differences in my hospital ward between today and the 79 nights I spent here in  2018. The biggest is that no more visitors are allowed in the hospital. None. Only patients and staff, and they all have to pass through a screening checkpoint to get in. It used to be that an average hospital was an open place. Anyone could walk in and go just about anywhere on campus. There was essentially no security two months ago, but now there is. I am told that the hospital entrances looks like Fort Knox now.

This sounds bad for the patients, who lose the in-person support of their family members, but it's a huge boon to the staff and to the relative calm of the ward. Back in 2018, many of the patient rooms would have 3 or 4 people in them. There would be the patient themselves and 2 or 3 family members. Family members can be a management problem for the staff, and now they don't have to deal with them anymore. It's wonderful for them, and it's wonderful for me, because I get more attention from the staff. The corridors are emptier and things are much more relaxed.

They have also banned all the volunteers who used to, quote, help, unquote lift the spirits of the patients. For example, there's no more Reiki program, where volunteer practitioners would provide some kind of New Age energy therapy but gently touching key parts of the body. It did it once, and it was relaxing in the sense that I had to lie still for 15 minutes, but I didn't care to repeat the experience because I had better things to do. Nonetheless, they kept return every time I was readmitted to the hospital, and I had to shoo them away. Now there's no more Reiki, no more visitors, no more unnecessary noise. Everyone on the staff can now be focused on the core medical issues at hand.

They've also eliminated shared hospital rooms. Every patient gets their own private room, which I love. While I adore the staff here, I'm not particularly fond of the patients, who tend to be old and watch a lot of TV. I never relished the times in 2018 when I had to share a room with someone, and now that curse has been eliminated. Since room doors remain closed, I have the illusion that I'm only patient here. It's just me and the staff and a few old patients watching TV who I only see from the distance. Occasionally, I pass another patient walking in the halls. I get to know their names and stories, but I don't particularly connect with them. In most cases, I can't relate to their attitude toward cancer. They think they are prisoners here, while I treat this as a wonderful pleasure cruise.

Another difference with Covid-19 is that all the staff wear facemasks all day long. You're issued one facemask per day, and are supposed to make it last, because there is still a facemask shortage. There is no shortage of rubber gloves, hand sanitizer or any of the other usual supplies, just facemasks, and presumably American industry will rise to challenge of supplying that that. I don't wear a facemask while I'm inside my room, but I do wear it whenever I step out. During the past couple of days, the staff has been required to put on full protective gear whenever they enter a patient's room: mask, gloves, gown, visor. This strikes me as overkill, and it may not last.

The facemasks mean you hardly ever see a staff member's face. This isn't a problem for me, because I know most of these people well and can usually identify them from the top of their head. Smiles and jokes still happen as they used to, but now the smiles are conveyed in tone of voice.

In all, I don't sense a lot of tension in the ward. The Covid restrictions are annoying and time consuming, but at least the staff doesn't have to deal with all those annoying visitors, which I think more than makes up for it.

All elective surgery has been cancelled at this hospital and probably every hospital in America. There are no more hip replacements or shoulder surgeries. Any medical procedure that can be put off, will be, which frees up all those rooms for Covid patients. There's all sorts of construction and reallocation of hospital resources, includes a noisy renovation in the floor above mine. It said the hospital is preparing dedicated floors just for Covid patients, although frankly no one here really knows. If you work in a hospital, you know about your floor and your specialty, but you don't know what's going on in other buildings or on other floors.

What's it like at the Emergency Room of the hospital. Pandemonium? I don't think so, based on my own visit there 13 days ago. I was dreading going to the E.R. because I thought it would be overwhelmed with Covid patients. It wasn't. There was no one waiting at the E.R. at all. I had explicit instructions from my doctor to go there, and I didn't have Covid, so I was waved right in without waiting for even a minute.

They had a really simple system for dealing with Covid cases. When you got to the E.R., you first came to a Covid screening desk. Here a staff member quickly ran through all the symptoms and signs of Covid-19. Since I didn't have any, I was waived immediately into the regular Emergency Room, where there were no lines, no waiting.

If someone answered "Yes" to any of the Covid-19 symptoms, but they weren't in respiratory distress, they would have been sent home to self-isolate. Essentially, they are saying, "We don't want you here." Presumably if someone did have signs of both Covid and respiratory distress, they would be shunted off into a special path for these patients. They would not be allowed into the main E.R. where they might infect other patients. I didn't see what that other avenue looks like, but I assume they have whole floors dedicated to Covid patients, where they are not going to contaminate anyone else.

At some point those floors might get filled up, and the hospital won't be able to take them in. I have no idea what that capacity is, but I don't think they're close to reach it yet. Once they get there, the hospital will have no choice but to stop admitting Covid patients. In theory, they can do this by refusing ambulances with Covid cases or not letting Covid cases come in from the street. No matter how you slice it, it's ugly, but all the ugliness takes place outside the hospital. The inside of the hospital remains an orderly place. In a crunch, they are going to admit as many cases as they have the capacity for, and no more.

There is conflict in medicine that I've touched on in previous podcasts and videos. That's "best practices" medicine and "triage" medicine. In best practices medicine, you pull out all the stops to save one patient. You give him the best of everything, and you try not to expose him to any kind of risk. That's how medicine is practiced in the developed world, and it is backed up in America by our lawsuit system. If a doctor were to every fail to give one patient the best of all possible care, and something bad happened, the patient or his family would sue the doctor. Our whole medical system is geared for this best-practices model, and it works so long as there are plenty of resources to go around. As long as there are plenty of hospital beds and treatment systems and the financing to support them, the best-practices model prevails.

Triage medicine is when you don't have enough medical resources to go around, and you've got to parcel them in such a way as to maximize the number of survivors. The classic case is the wartime field hospital. If a hundred wounded soldiers come it, and you've got facilities for only a dozen.  In that case, you're deliberately not trying to give each patient perfect care. You're giving them "good enough" care, good enough to improve their odds, then you move onto the next patient.

For example, best practices for Covid-19 would be one patient per room, because you don't want one patient to infect another. In a triage treatment for Covid-19, you might be willing to house several patients of similar condition in the same room. There's greater risk there but also great economy of scale.

One of the things that makes Covid such a crisis in the West is that modern medicine doesn't know how to do triage. They can only do best practices, and they are going to keep doing best practices even as the number of patients rise. Each Covid patient will get his or her own room, and no compromises will be made. When the hospital's capacity is reach, no more patients are let in, and all those outside patients aren't the hospital's. This method is going to maximize the survival chances the people who did get into the hospital, but it may result in greater death overall because so many people can't get in.

I brought up this topic with my doctor today, because I am annoyed by my current status. As of this moment, I am in an isolation room 48 hours being "Covid cleared". This is when they keep you in isolation for a couple of days while they run two Covid-19 tests on you, 12 hours apart. I already went through this when I first came into the hospital, and I passed. I don't have Covid-19.

Last night, however, they put me back into isolation to test me again. The only reason? I had a very slight fever last night—101.3—following my chemotherapy regime. I had no other symptoms, just the fever, and my temperature quickly went back to normal. Nonetheless, they felt they needed to test me for Covid-19 all over again. The chances of my having it are close to nil, but best-practices dictate that you've got to cover all the bases and obey all the rules. I understand why they would test me the first time, 12 days ago, because they were bringing me in a cancer ward with a lot of immuno-compromised people, but the second time seems silly. The hospital could have used the last two tests for someone with actual symptoms.

All of these state and community lockdowns are an expression of the Best-Practices model. We're going to protect every citizen from every possible source of infection, which is why we're even shutting down the beaches and other activities that have virtually no chance of spreading the virus. The trouble with the Best-Practices model is that it is frightfully expensive, in this case absolutely devastating the economy. Yes, you've protected the patient from every possible source of medical infection, but you've stolen his job, killed any chance of making a living, and sooner or later these costs become more deadly than the infection itself.

Philosophically, the solution to the coronavirus crisis is shifting gears to the triage model. We are no longer going to try to protect everyone from everything. Instead we're going to focus on the few vectors that are the main source of infection, thing like shaking hands and touching door knows. Everyone can learn to manage these vectors without completely shutting down all economic activity.

Note: The second half of the final podcast deviates significantly from this script. For a better transcript of the last few minutes, see Podcast #42, Best Practices Medicine vs. Triage Medicine, which includes a 6-minute excerpt of this episode.


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For annotations, links and corrections, see the description on the video version of this podcast. You can also leave comments there.

Thursday, March 26, 2020

36. Japan vs. Italy: Why is the virus exploding in one but not the other? (Demographic Doom Podcast)

This is the script for my Demographic Doom podcast episode (#36) released on 26 March 2020. It may differ slightly from the final broadcast. This episode is available on major podcast platforms, including PodbeanApple Podcasts and a video version on YouTube. See the description on the YouTube version for annotations, links and corrections. You can also comment on this episode there. (If you leave comments on this blog post, I might not see them.) The main website for this project is DemographicDoom.com



I’m Glenn Campbell. I call myself a demographic philosopher. I’m looking at life and trying to predict the future through the lens of demography, or the study of human populations.

Today is Thursday, March 26, 2020, and we're in a time of great cultural insanity. The world is facing two simultaneous calamities: the COVID-19 epidemic and the collapse of the world economy, and in general, people and governments handling things porrly. Far and away the biggest threat today is the global economic collapse, much bigger than the one in 2008. This is certain to cause more human misery than any virus, but as of today, the world seems to be treating the virus in isolation, as though it was the only thing that mattered. In this episode, I'm going to follow pretty much that same path, focusing mostly on the virus, but I assure you the economic collapse will consume many future episodes.

The biggest insanity of the moment is the current obsession with lockdowns. This is the emotional solution to every threat: Just lock everything down. Everyone stay home. Hide under you pillows. No one in or out. A lockdown is when a whole country, state or region is ordered to shut down. Transportation is restricted, and all supposedly "nonessential" businesses are told to close. All those workers are expected to go home, hunker down and wait for some kind of All-Clear signal from the government. It is seen as your patriotic duty to sit on your couch, watch TV and not leave home.

To put this podcast into historical perspective: As I record this, there have been roughly 800 coronavirus deaths in the USA. (It is senseless to talk about the number of coronavirus cases because the US doesn't have anywhere near the capacity to test all the people who are suspected to have it.) At present, some two dozen states have enacted lockdown restrictions requiring non-essential businesses to close. What constitutes "nonessential" is a matter of debate, but it's fair to say that half the states have shut down half their businesses, and the situation is roughly similar in Europe.

There a multiple absurdities in this. The biggest one is that any lockdown assures a rapid and brutal economic decline, much faster and harder that would otherwise happen. No matter how you measure human misery, the economic collapse is certain to cause far more it over its lifetime than any virus—over the course of years, not just months—yet politicians don't seem to be factoring in how these lockdowns are making the economic crisis far worse. Everyone's running around yelling, "The ship is sinking! We got to save everyone!" but in the process they're just blowing more holes in the ship.

In popular rhetoric, the economy doesn't matter right now. All that matters is saving lives. If even one life is saved by these measures, it's worth it. What these speakers don't understand is that all of human well-being ultimately rests on the economy. If you deliberately nuke it, like a lockdown does, ultimately people are going to starve. They may survive the virus, but they'll be living in a world more horrible than you can imagine—a Venezuela or North Korea world—where nothing works, including medicine, because you don't have the economic underpinnings to support it.

Many of the workers who are being told to go home today will never go back, because their jobs will be gone. This is a sudden, brutal layoff of a major portion of the workforce, instead of gradual waves of layoffs as in previous crashes. Make no mistake, an economic collapse was destined to happen with or without any virus, but lockdowns assure that it is happening faster and harder.

Another great absurdity is that these lockdowns aren't accomplishing what they intend to. They aren't actually saving any lives. I understand the desire to "flatten the curve", but there a deep fallacy here. I'll get into later, but really you don't want to flatten the curve; you want reduce it altogether. Lockdowns are like trying to kill a mouse with a sledgehammer. Sure, you might get the mouse eventually but you're causing so much collateral damage to your home that the mouse doesn't matter anymore.

The main focus of this episode is figuring out what works and what doesn't in the fight against the disease. Hygiene works. Changing contact behavior works. Lockdowns don't work. They're a disaster in the making. To illustrate this, I'm going to focus on the current epidemic in two countries: Japan and Italy.

You may not have heard much about the coronavirus epidemic in Japan, and for good reason. It seems to have fizzled. Even though Japan was one of the first outside China to receive the virus, cases have not spiked exponentially. In the current official accounting, there are about 1200 diagnosed cases and about 45 deaths, for a population of 127 million, and the numbers are rising only slowly. Compare this to Italy with less than half the population, 60 million, which was exposed to the virus later than Japan. There have been about 7000 deaths in Italy and at least 80,000 cases.

Interestingly, Italy is in full lockdown mode, while Japan is not. In Italy, transportation has essentially stopped; non-essential businesses are closed; people are ordered to stay in their homes under threat of fines. The whole country is essentially in a wartime blackout, yet cases continue to climb.

In Japan, it's basically business as usual. The subways and trains are still running, still packed with sardine commuters. Most businesses are still open and operating as usual. Big gatherings and entertainment events have been cancelled. Theme parks for have closed, but clubs are still open. Sit-down restaurants are still open. I confirmed this with a friend who lives in Japan. Not mjch is shut down, yet we have a feeble 45 deaths in Japan vs. 7000 in Italy.

So on one side we have Italy, in full lockdown mode, where the epidemic is raging. In Japan with no lockdown, it seems to be petering out.So what gives here? Why is there so much difference in how the virus attacks each country. Understand this, and you'll understand what really works and why lockdowns are such a grievious mistake.

You can't blame the medical systems. In Japan and Italy, they are roughly equivalent. You also can't say the Italy has more coronavirus deaths because it has so many old people, because Japan has even more. So what is it that makes Japan essentially immune to coronavirus, at least so far?

So here's my theory: Japan has been largely spared by the virus because it is full of.... Japanese!

I don't mean there's a racial component. There is no real evidence that the virus prefers one race over another. I mean there's a cultural component. To put it crudely, the Japanese are obsessed with hygiene, while the Italians are not.

Now it's unfair and bigoted to apply such stereotypes to individuals. You shouldn't call someone a "dirty Italian" because, on an individual basis, it may not be true, but it is not unfair to acknowledge measurable statistical differences between populations. That's called "culture" and it's a real thing. The Japanese, as a culture, place a high value on personal hygiene—on being and appearing clean. This is the home of electronic toilet seats to thoroughly clean and sanitize your bum. Electronic toilet seats are doing nothing to prevent the spread of Covid-19, but they reflects the mindset of the Japanese people. This was a very clean culture long before the virus hit. This is also not a touchy-feeling culture—not a lot of hugging and social kissing. In Japan, you keep your distance.

Italy, on the other hand, is a very touchy-feely culture. Lots of warm embraces and kisses on the cheek. When you talk to someone, you come up close to them. I can't say that I know Italian culture very well, but it's obviously different than Japanese culture. Statistically, Italians and Japanese interact with each other differently, and these differences are going to change how COVID-19 moves through the population.

So here what I think is the single biggest difference between Italians and Japanese: It's how they greet each other. In Italy, they shake hands, maybe they embrace; they are physically close. In Japan, they bow from a respectable distance. It is considered rude for anyone to touch anyone else without a justifiable purpose.

Just eliminating handshakes could be the biggest coronavirus prevention measure short of a vaccine. No one knows yet how big a vector handshakes are, but I suspect it's huge. Have you wondered why so many Western politicians are getting the virus, far more than than the statistics suggest? Politicians shake a lot of hands! Shaking hands is a solid viral connection between one individual and another, and Japanese culture has almost completely eliminated this vector.

Then there are all the other ways the Japanese try to be clean. I spent two weeks in Tokyo in 2012, and one thing that struck me is how many people were wearing surgical face masks in the street. Initially, I thought this was because people were paranoid about catching something. This may in fact be true, but there's another side of it: If you have a cold, it is considered impolite to cough without a mask. It is not yourself you are trying to protect but others. If you coughed in public and weren't wearing a facemask, people would look at you askance, which is the Japanese equivalent of yelling at you loudly.

A Japanese government report on March 9 found that 80% of the people who got the disease didn't pass it on to others, which is the sort of R-nought you can live with. This virus is supposed to be passed to between 2 and 3 people on average—That's the generally accepted R-nought.—but Japan is showing only a fraction of that, and I think it's because of their culture, their way of interacting.

So if this is true—that Japan has licked the virus just by being Japanese—it suggests that the best solution for other countries is simple behavior change. Americans and Europeans need to be more Japanese in their hygiene behavior—and they're doing it! They've stopped shaking hands. Coughing in public is now a no-no. There are all sorts of easy and cheap changes that can be made by individuals and businesses to emulate the Japanese model. If a society does enough of these high-value things, then it pushes its R-nought below one, and the virus expires.

In an earlier podcast, I talked about herd immunity. That's the notion that if a certain percentage of people in a population get a virus, it helps protect the others, because the virus now has no way to get to those uninfected people, but I'm now wondering whether herd immunity is a red herring, distracting us from something more important: the R-nought, or the reproduction rate within a population. That's the number of people, on average, that each carrier of the disease infects. If the R-nought is above one, it spreads through the population. If it is less than one, the virus eventually expires.

If you can push the R-nought below one, then herd immunity never become relevant, because the virus expires after only a couple of hops. One person might give it to another who might give it to a third, but it eventually stops, not very far from where it started.

The media have been treating the R-nought as a fixed number that is a characteristic of the virus itself. It's not. It is a characteristic of the human culture that carried the virus. One virus may be more inherently transmissible than another, but the actual transmission is still done by humans, so it's totally dependent on human behavior. Change the behavior, and you change the R-nought.

What the Japanese seem to have done is pushed the R-nought close to one just by being Japanese. They just aren't giving the virus enough opportunities to reproduce itself, so it's dying off before it reaches the broader population. Yes, the Japanese are still riding in packed subway cars and going out to clubs, and it's probably true that some people are catching the disease in these places, but if it's not a major source of transmission, it doesn't push the R-nought over one.

Sure, the R-nought may have been 2-3 in Wuhan, China—maybe even higher—but that was Wuhan China, an entirely different culture from Japan. Different hygiene standards. Different ways of interacting. In every culture, the R-nought is going to be different, but our culture-blind thinking means that we've been treating it as a fixed number. We're saying, "Boy, if the R-nought in the USA is the same as it was in China, then we're all screwed!" Well, it won't be the same as in China, because America is a different culture with different ways of interacting.

Furthermore, the R-nought is highly malleable. People can be quickly trained to change their behavior, especially if they know their lives depend on it. Just by not shaking hands anymore, an entire culture can reduce it's R-nought by a significant factor. I have not idea what that factor it, but I bet it's big.

An important thing to note is that you don't need to eliminate every conceivable source of transmission to push the R-nought below one. You only need to target the biggest forms of transmission. If you can neutralize the things that contribute most to transmission—like handshakes and door knobs and getting directly coughed on—then you may not need to sweat over the minor ones like riding in the subway or going to a club. You just need to suppress the major vectors to the total R-nought is below one. You don't need 100% sterile containment. You just need a "good enough" reduction of the main sources of transmission.

Lockdowns don't acknowledge any of this. They are intent on nothing less than full containment. Everyone is supposed to lock themselves in their homes so there's no possibility of transmission. And it's true: People are locked away from each other can't spread the virus, but you've also disabled your whole society and economy for no good reason. A lockdown is carpet-bomb attack on all forms of in-person social interaction, most of which have little chance of spreading the virus. In many states, you can't even go to the beach anymore, because there's a possibility, however slim, that the virus might jump from one beach-goer to another. If that's possible, but it's probably a one in a million chance compared to, say, a 1 in 10 chance of spreading the virus with a handshake.

The trouble with blanket lockdowns is they have no sensitivity, no perspective. They are treating highly unlikely sources of transmission exactly the same as a likely ones. In the philosophy of lockdowns, no risk of transmission is acceptable. Only total containment will do.

Much attention has been focused on two sources of transmission that may be possible with COVID-19: asymptomatic transmission and aerosolization. Asymptomatic transmission means that someone who shows no symptoms of the disease can still give it to others. Aerosolization means the virus can be transmitted though the air for long distances, not just within a meter or two of someone who coughs. Taken together, these two factors mean you can't trust anyone or any place. If you walk into an airport terminal and breath the air, the virus can get you. If you come within 6 feet of someone who show no symptoms, you're gonna die.

While these vectors may be real, they're probably not significant enough to change the R-nought, yet lockdowns treat all these risks as the same. We're going to close all the airports and keep everyone at least six feet away from each other, because nothing less than perfect protection will do.

A sensible epidemiological approach is, "Let's address the main factors." The stupid approach is, "Let's address every conceivable factor." The first approach is manageable. The second approach is both impossible and unsustainable, and you are absolutely killing your economy in the process.

I spoke about lockdowns in a previous podcast. I called them national suicide. One you start down this road of seeking absolute protection at any cost, how do you call it off? Right now, we've got millions of people hunkering down in their homes waiting for the All-Clear from their government on when to come out. So when will this All-Clear be given? Two weeks from now? Six months? How will conditions in six months be any different than they are today? The virus will still still exist, but no one will have learned how to manage it in real-world settings.

Lockdowns are like "curing" a drug addict by throwing him into prison or a locked rehab facility. Yes, if you deprive him of access to drugs, he will get off them. He will detox. At the end of his stay, the addict will be "clean", but he hasn't learned anything about how to stay off drugs, and he'll go right back to his old behavior as soon as the drugs are available again. You haven't cured him all.

So what are the justifications for this current lockdown obsession in America and Europe? There are several of them, and I think they're all pretty damn stupid.

First, there's this notion of "flattening the curve". If a certain number of people are destined to get the disease anyway, then you don't want them all hitting your hospitals at once. Services will be overwhelmed and most people won't get treatment. It would be better, the reasoning goes, to spread those cases out over a long period of time, so more people get treated.

The main fallacy here is the assumption that there are destined to be a fixed number of cases, like 10 million requiring hospital care, and there's no way to to change this number. The experience in Japan says otherwise. You can change the number of people infected by changing human behavior. The Japanese don't have to worry about flattening the curve, because their curve already seems manageable. Instead of flattening the curve, we should be reducing the curve so that fewer people get the disease. Lockdowns don't really help with this, because they aren't training people how to reduce their exposure.

Another reason lockdowns are taking off right now is that they're both popular and easy to promote. Politicians love lockdowns because it gives them an easy way to show that they're doing something.  They're taking charge. Lockdowns give them a chance to project themselves as strong, decisive leaders, not waffling, nuanced bureaucrats. The populace, in turn, seem to appreciate this apparently bold leadership. They think this one simple solution is going to save them.

Most of the lockdowns in the USA have been in place for only a couple of days. So far, the average citizen seems to be on board, largely supportive of their leaders. Let's see how sentiments evolve as one week turns into two or three and all the hidden costs of imprisonment begin to sink in. Because that's what lockdowns really do: They imprison people without a trial. They force them into house arrest, which gets harder and harder the longer it goes on. I can't even begin to describe the huge toll this is going to take on people's finances, social life and sanity. Many of the activities you used to engage in are simply not available anymore.

So today is March 26, and many of the signs I've seen on businesses say, "Reopening April 6." That's about 12 days away, plenty of time for people to learn how horrible house arrest can be. They may also begin to see that the politicians who advocated the lockdowns don't really have a plan at all. They're just responding to public hysteria with the illusion of a plan that's in no way workable. Personally, I don't think these lockdowns can go on for very long, but by the time they end, the damage is done. Sure, people may be allowed to go back to work, but many won't have jobs to go back to. It's hard to start up the glue factory once you shut it down.

Another reason I think lockdowns are popular is that the Chinese did it. They were the first to experience the virus, and they responded in a massive totalitarian way, and it would appear on the surface that these efforts have been successful. For example, China has been claiming almost no new cases for the past couple of weeks. The number of confirmed cases is stuck at around 81,000, and any new cases are supposedly brought into China by foreigners. This supposed "success story" is cited by Western politicians as proof that lockdowns work.

But is any of this real? Has China really cured its coronavirus problem? Or is this just an incredibly effective propaganda effort. China has been manipulating its statistics for decades, claiming, for example, that it was achieving consistent economic growth of 6% year after year. In this totalitarian state, only the Chinese government knows what is really going on in China, and it's entirely within their power to suppress all new cases and deaths.

But even if the Chinese numbers are accurate, what have been the costs? If the lockdowns continue to this day, then they can hardly be considered a success story, because the ultimate goal is to let people out so they can pursue normal life again. I'm not sure whether this is happening in China. Are the Chinese people still semi-free, like they were a year ago, or is everyone living under house arrest?

In any case, China is not a good role model for the West. They can do things that other countries can't and shouldn't, like trample human rights. You don't want to follow them down that path even if it saves a few lives.

Listening to the rhetoric of politicians, I hear two contradictory philosophies: One is that this is a war. We are fighting an external enemy, the virus, and we all have to make sacrifices for the war effort. The other things I hear politicians say is that every life is precious. Even if this lockdown saves only one life, it'll be worth it. Well, which is it? When you're at war, you don't worry about a single life. You don't try to protect everyone from everything. In a war, commanders have to make cold, calculated decisions about who to kill, essentially. They are going to put some soldiers at risk to protect others and the country they're trying to save. They're balancing the good of one group of citizens with the good of the whole. They're making hard triage decisions about how to save and who to let die.

Any responsible commander is going to kill a lot of his own troops. It's part of the job. But politicians and businesses can't do that. Every life is precious, and every life must be saved. No one may be submitted to any kind of definable risk. If you're a business in America, and one of your customers suffers any kind of injury in your business, you're going to get sued. If you're a politician and you make any kind of decision that inflicts harm on one person, the victims and their family are going to be all over the media crying about it. In a liberal democracy, the only acceptable solution is a perfect one. Protect everyone regardless of the costs. Unfortunately, this won't win you any wars.

Winning a war required having a strategy, and lockdowns don't involve any. It's just pure impulse. Pure fight or flight. Right now, people are in flight mode. They're running away to their bunkers without thinking about the consequences. In a modern economy, everyone running for the bunkers at the same time is a recipe for disaster, because and economy needs people to be doing things. They need to go out and buy things, and if everyone stops at once, it becomes a doom loop that just goes on and on.

At this point, I think we're already well into the doom loop. There's really no escape. We're being sucked down the vortex, and I shudder to think what's on the other side.


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For annotations, links and corrections, see the description on the video version of this podcast. You can also leave comments there.

Wednesday, March 18, 2020

35. Comprehending the Crisis (Demographic Doom Podcast)

This is the script for my Demographic Doom podcast episode (#35) released on 18 March 2020. It may differ slightly from the final broadcast. This episode is available on major podcast platforms, including PodbeanApple Podcasts and a video version on YouTube. See the description on the YouTube version for annotations, links and corrections. You can also comment on this episode there. (If you leave comments on this blog post, I might not see them.) The main website for this project is DemographicDoom.com



I’m Glenn Campbell. I call myself a demographic philosopher. I’m looking at life and trying to predict the future through the lens of demography, or the study of human populations.

Today is Wednesday, March 18, 2020, and in this episode I want to try to describe what's happening in the world from the widest possible perspective. A wide perspective is why I got into demography. It's looking at whole human populations, not individuals. Individuals are certainly important. Under the right circumstance, one person can change the course of history, but individuals are unpredictable. Whole populations can a bit more predictable. Given a few basic assumptions about human nature, you can sometimes predict what a whole group will do, even if you don't know the individual players or the exact course of history.

So today I want to talk about the coronavirus crisis from the highest possible altitude, like aliens approaching from outer space. What do they see?

I think that right now the aliens would see a planet in shock. Something big is happening, and some 8 billion people are trying to figure out what is going on and how they should react. Everyone is walking around in a daze. They don't know what to make of current events, and they are responding in typical human fashion. They are focusing on trivial things, like being absolutely sure they have enough toilet paper, and most people aren't really grasping the big picture. So in this episode I'm trying to give you that big picture.

The biggest event coming down on us is not a viral epidemic. That's something we can all adapt to pretty quickly. The big event starting to unfold is a worldwide economic collapse on the scale of the Great Depression or World War II in Europe. Everyone's life is going to be turned upside down.

The COVID-19 virus triggered the collapse, but it didn't cause it. An economic bubble has been building up ever since the Global Financial Crisis of 2008 and maybe long before that, and the virus simply pricked the bubble. The bubble was destined to pop sooner or later, and if a virus didn't do it, something else would have.

The cause of the bubble is relatively easy to understand. In response to the Global Financial Crisis, the US Federal Reserve and other central banks dramatically lowered interest rates. It was supposed to be a temporary fix, but the absurdly low interest rates have remained with us to this day. The "cheap money" that the Fed sponsored fueled a massive speculative asset bubble and a host of other dysfunctions. Assets like real estate and stocks shot up in price to unsustainable levels. You experienced this if you owned a home and saw it go way up in value or you tried to buy a home and found it unaffordable.

What has to happen in this crisis is that all those asset values must come back down to earth. We are beginning to see this now in the stock markets, which have dropped about 30% from their February peak, and we will soon see it most other assets, including housing prices. Real estate prices haven't crashed yet, but they will. In my view, the carnage has only just begun.

In the background is an underlying demographic issue: The population in the developed world is no longer growing. This may seem like a good thing from the environmental standpoint, but from an economic standpoint it is devastating. All of our economic assumptions about the world were based on the late-20th Century environment where everything was growing, powered by the growth of the working population, mainly coming out of the post-war Baby Boom. More people mean more economic activity, and less people mean more economic activity. A growing population of working-age people means a growing economy, while a shrinking population of workers means a shrinking economy. All of our financial and social expectations are based on a growing population. The world isn't ready for a shrinking economy, and adjusting to this change is what the current crisis is all about.

A second demographic factor, apart from at soon-to-be-shrinking population, is that people from the high birth period, mainly the Baby Boom, are now getting old. Most of the Baby Boomers have already turned 60. As people age, they can still remain vibrant, but on the whole they produce less value for society and require more services like health care.

So we have this huge burden of old people bearing down on us without enough resources to sustain them. Economic growth has gone stagnant, but assets markets continued to party like it was 1999. All of that is coming to an end right now. This is the massive crash that rationalizes all the insanities of the past.

So what does this mean for you and me? Well there's plenty of reason to be afraid. Whereever you income comes from and whatever assets you think you hold, they are both at risk. There's a real possibility that you will lose your job, and there's a real possibility that the assets you thought you had will evaporate.

The first thing we're going to see is massive unemployment. This may seem hard to comprehend at the moment, because in America at least you still see help-wanted signs in almost every store and restaurant. Those signs will be going away soon as those jobs fill up and go away.

It hasn't been reported much in the media yet, but widespread unemployment is already beginning to take hold. It has been masked by the current wave of lockdowns and closings, which I talked about in my previous podcast. In response to requests by the government, employees are being sent home for two weeks or more. It is supposed to be temporary, but for many it will be permanent. Coronavirus concerns are killing a whole bunch of industries at once: tourism, sit-down restaurants, spectator sports, conferences, any kind of mass entertainment. People are being sent home from work, supposedly for a hiatus, but this hiatus could stretch out indefinitely, because, frankly, no one ever needed those industries to begin with. By the time the virus abates, the economic collapse will be in full swing and the consumer will remain in bunker mode, spending as little money as possible.

There will be no more frivolous spending, which is devastating for an economy built on frivolous spending. A major portion of the products we buy and services we use just aren't necessary and can be eliminated almost instantly in a downturn. No one needs to buy a boat right now, and they won't, which throws the leisure boating industry into the trash can. Certain industries are kind of safe. Fast food will probably thrive, because it's cheap and people still need to eat. People will still need the basics, but the basics can get very basic if you don't have much money and are struggling to make it last, which is the situation most of us are going to be in.

In short, nothing you could count on two months ago is secure anymore. You might not have a job. The assets you thought you had could evaporate. The comfortable retirement you planned might never come to fruition. Everything seemed fine in January, but now everyone's lifestyle, if not their very life, is at risk.

How are people reacting to this? They are doing it in typically human ways. They are overreacting. They are focussing on trivialities, like toilet paper. Some are denying that there is anything wrong at all. Many are hunkering down for the apocalypse, but largely they are preparing for the wrong apocalypse. They are stockpiling supplies they don't need and are declining to prepare for the risks that might really get them.

Surprisingly, I am fairly optimistic about the virus itself, that it's not going to infect or kill as many people as the early scenarios suggest, at least in the developed world. This is because I think people are taking hygeine and social distancing very seriously. This isn't based on any empirical data, just on my observations that people are very focused on this and are truly changing their behavior. The are careful about how they touch door handles; they're avoiding crowds. Social distancing comes naturally to Americans, because we are a very socially distant people.

I think the internet and social media are a great asset to humanity overall, because they allow the rapid dissemination of information. Much of this information is crap, but I think most of it is helpful. Even without the government telling them, people seem to know what to do. They are acting like their life depends on their own hygeine plan, which it does.

If anything, people are overreacting to the virus, which is par for the course. A virus is a passive object. It can hang in the air for a few minutes or sit on a surface for up to three days, but it can't jump long distances, pass through walls or stalk you through the streets, yet people are acting as though it can.

For example, older people seem to be upset that college students are still enjoying Spring Break down in Florida. There are shots on the news of young people filling the beaches. "How outrageous!" the old folks say. They're out enjoying themselves when they should be hunkered down inside. Well, I can't think of a safer place to be than a beach. There's plenty of air circulation. Even on a crowded beach, nobody touches anyone else, and there are no doorknobs or common surfaces that everyone is touching. I thinking the old people are mainly upset by the image of people relaxing and having fun. This is a national crisis, and you're supposed to be miserable.

Humans, on the whole, prefer rituals over substance, and right now the main ritual is lockdowns. You're supposed to go inside, hunker down and not interact in person with anyone else, which doesn't make a lot of epidemiological sense. You don't have to be inside to be safe. If you take a hike in the woods, you are 100% safe. If you meet someone in the street, and you don't shake hands, I think it is completely fine to hold a long conversation with them, just as you normally. The very simple behavior change here is: Don't shake hands. Don't hug or kiss in a social setting. Be careful of the objects you touch in common. These are simple things to learn, and they don't distrupt your life much at all.

So right now, we're in a period of over-compensation. People are going overboard in their virus protection strategies, which is better than not responding at all. Over time, people will separate out useful strategies from the ridiculous ones, but it's a long process. It's just like how people in the US reacted to 9-11. Initially, everyone overreacted to the terrorism threat. They saw terrorists everywhere, in places they couldn't possibly be, but over time, society settled into some fairly reasonable precautions without distrupting their lives. That's where things are heading with the coronavirus. People are paranoid and overreacting right now, but eventually sensible precautions will set in, and the virus itself will fade into the background.

As I said in my previous podcast, I think the massive wave of lockdowns and closings we're now seeing is counterproductive, but it does give people time to regroup. Effectively, Europe and North America are beginning a two-week forced vacation when they and their governments have a chance to process things, and I think they'll come out with a fairly sane set of strategies, at least regarding the virus itself. No one will be shaking hands any more. Big, tight crowds will be a thing of the past, but most of our previous activities will be allowed to resume.

Overall, I'm pretty optimistic about the public response to the virus. People will look after their own survival with a personal hygiene plan that is reasonably effective, and this will limit the infection rate. I am not optimistic about the financial crisis however. This is a massive, world-changing event that won't be quickly assimilated. I don't know what's going to happen next. All I know is that debts are unsustainable in all sectors of the economy, and one way or another, these debts must collapse.

When people lose their jobs, they stop paying their debts. They stop paying their student loans, their credit cards, their mortgages, because they need to reserve their money for food and other basics. When this happens on a massive scale, it means the creditors are going to fail. That means banks failing, pension funds failing. Lots of institutions are going to fail. It will be like bombs destroying German industry in World War II, except none of the offices or factories will be destroyed. What is being destroyed is the financial juice that makes them run.

Everyone is going to expect a bailout from the government, and the government will probably comply. Right now, the Trump administration is proposing that a $1000 check be sent to every taxpayer, and that's just beginning. Every affected industry is going to want a bailout—airlines, banking, tourism—and the government will try to do it, because the alternative is to see these industries collapse.

The trouble is, the government doesn't have any money. For years, it has been spending more money than it makes in taxes, and it's going to get much, much worse. A 1 trillion deficit is going to turn into a 2 or 3 trillion deficit. Before the crisis, the US government was borrowing roughly 25% of it's annual budget, and that percentage is going to explode.

The only way the government can fund all these bailouts is by printing more money. The way it works is that the government issues bonds, then the Federal Reserve buys those bonds and creates new money. It's a Ponzi scheme, pure and simple, and eventually it's going to collapse. I can't tell you exactly when and how it will collapse, but it will collapse.

So the virus is manageable. It's going to be brought under control. I don't think the lockdowns will help, but the hygiene plans of individuals probably will. In a few months, the virus will just seem a routine part of life. It will become normalized.

We are a long way from normalization on the financial front. The 30% collapse of stock markets over the past couple of weeks is just the beginning. There's a lot of even worse financial news yet to come. I don't want to predict exactly how the bad news will unfold, but it is coming. In the long run, governments, corporations and individuals can't pay their huge debts, while much of the wealth we thought we had will evaporate. Things will be bad in financial markets, but they will also be bad on the ground, because people will lose their jobs and sooner or later the government well will run dry.

Even I have trouble getting my head around this. I know what the end result will be: a massive debt default in which most debts are disabled, most assets are devalued, and the economy has to be restarted almost from scratch. I just don't know how we're going to get there.

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