Category: Health

Open Offices Speed Spread of Covid-19

(p. B6) After years of squeezing ever more workers into tighter office spaces, companies are realizing how efficiently the modern workspace can spread diseases like the coronavirus.

Cubicles and private offices have made way for open floors, where a sneeze or cough can circulate uninterrupted.  . . .

Between 2018 and 2019, the average office space per seat in North America declined by 14.3% to 195.6 square feet, according to brokerage firm JLL’s 2020 Occupancy Benchmarking Report.

Many companies also have abolished assigned seating, rotating workers through the office. That means workers in many offices are now more likely to touch surfaces contaminated by others.

. . .

In a study of more than 1,800 Swedish office workers that was published in 2014, a group of researchers from Stockholm University found that open-plan offices lead to more sick leaves. Among the possible explanations is that these offices can be more stressful, and risk of infection may be greater. The study also found that offices without assigned desks lead to more extended sick leaves, but only among men.

For the full story, see:

Konrad Putzier. “Open Offices Spur Virus Worries.” The Wall Street Journal (Wednesday, MARCH 11, 2020): B6.

(Note: ellipses added.)

(Note: the online version of the story has the date MARCH 10, 2020, and has the title “Your Open-Floor Office Could Help Spread Coronavirus.”)

At Nonprofit Hospitals Revenue Rises and Charity Care Falls

(p. 7) On paper, the average value of community benefits for all nonprofits about equals the value of the tax exemption, but there is tremendous variation among individual hospitals, with many falling short. There is also intense disagreement about how those community benefits are calculated and whether they actually serve the community in question.

Charity medical care is what most people think of when it comes to a community benefit, and before 1969 that was the legal requirement for hospitals to qualify for tax-exempt status. In that year, the tax code was changed to allow for a wide range of expenses to qualify as community benefits. Charitable care became optional and it was left up to the hospitals to decide how to pay back that debt. Hospitals could even declare that accepting Medicaid insurance was a community benefit and write off the difference between the Medicaid payment and their own calculations of cost.

An analysis by Politico found that since the full Affordable Care Act coverage expansion, which brought millions more paying customers into the field, revenue in the top seven nonprofit hospitals (as ranked by U.S. News & World Report) increased by 15 percent, while charity care — the most tangible aspect of community benefit — decreased by 35 percent.

. . .

The average chief executive’s package at nonprofit hospitals is worth $3.5 million annually. (According to I.R.S. regulations, “No part of their net earnings is allowed to inure to the benefit of any private shareholder or individual.”) From 2005 to 2015, average chief executive compensation in nonprofit hospitals increased by 93 percent. Over that same period, pediatricians saw a 15 percent salary increase. Nurses got 3 percent.

For the full commentary, see:

Ofri, Danielle. “Nonprofit Hospitals Are Too Profitable.” The New York Times, SundayReview Section (Sunday, February 23, 2020): 7.

(Note: ellipsis added.)

(Note: the online version of the commentary has the date Feb. 20, 2020, and has the title “Why Are Nonprofit Hospitals So Highly Profitable.”)

The Politico article mentioned in the passages quoted above, is:

Diamond, Dan. “Health Care; How Hospitals Got Richer Off Obamacare.” Politico (Posted July 17, 2017). Available from https://www.politico.com/interactives/2017/obamacare-non-profit-hospital-taxes/.

Under Cover of Coronavirus Chaos, Chinese Communists Arrest Hong Kong Defender of Free Speech

(p. A12) HONG KONG — A Hong Kong media tycoon known for his ardent opposition to China was arrested on Friday [Feb. 28, 2020] over his role in a pro-democracy protest last year, the police said, dealing another blow to the city’s independent media.

The tycoon, Jimmy Lai, a rare figure among Hong Kong’s elite for his willingness to take on Beijing, owns Next Media Group, which publishes a popular pro-democracy newspaper and website called Apple Daily. His arrest comes as the city has been dealing with the twin shocks of the protest movement and now the coronavirus outbreak.

His singular status as a prominent businessman in Hong Kong who openly supports the democracy movement and antigovernment protests has made him a frequent target of Beijing-backed elements.

. . .

The arrests were made the same week as a court in China sentenced a Hong Kong bookseller, Gui Minhai, to 10 years in prison. Mr. Gui sold gossipy books about China’s leaders and disappeared mysteriously in Thailand in 2015 and later emerged as a target of China’s effort to quell dissent.

For the full story, see:

Elaine Yu. “Media Baron Is Arrested Over Protests In Hong Kong.” The New York Times (Saturday, February 29, 2020): A12.

(Note: ellipsis, and bracketed date, added.)

(Note: the online version of the story has the date Feb. 28, 2020, and has the title “Jimmy Lai, Hong Kong Media Baron, Is Arrested Over Role in Protests.”)

“Good Stress” Causes “a Burst of Energy That Focuses the Mind”

(p. A27) It was a staple of medical thinking dating to the 1910s that stress was the body’s alarm system, switching on only when terrible things happened, often leaving a person with an either-or choice: fight or flight.

The neuroscientist Bruce S. McEwen trailblazed a new way of thinking about stress. Beginning in the 1960s, he redefined it as the body’s way of constantly monitoring daily challenges and adapting to them.

Dr. McEwen, who died on Jan. 2 [2020] at 81, described three forms of stress: good stress — a response to an immediate challenge with a burst of energy that focuses the mind; transient stress — a response to daily frustrations that resolve quickly; and chronic stress — a response to a toxic, unrelenting barrage of challenges that eventually breaks down the body.

For the full obituary, see:

Randi Hutter Epstein. “Bruce McEwen, Who Discovered That Stress Can Alter the Brain, Dies at 81.” The New York Times (Tuesday, February 11, 2020): A27.

(Note: bracketed year added.)

(Note: the online version of the obituary has the date Feb. 10, 2020, and has the title “Bruce McEwen, 81, Is Dead; Found Stress Can Alter the Brain.”)

Chinese Communist “Tradition” of Local Officials Lying to Please Beijing Central Planners

(p. A27) There is a tradition in China (and likely much of the world) for local authorities not to report bad news to their superiors. During the Great Leap Forward, local officials reported exaggerated harvest yields even as millions were starving. More recently, officials in Henan Province denied there was an epidemic of AIDS spread through unsanitary blood collection practices.

For the full commentary, see:

Elisabeth Rosenthal. “Why Is Data on Coronavirus So Limited?” The New York Times (Saturday, February 29, 2020): A27.

(Note: the online version of the commentary has the date Feb. 28, 2020, and has the title “Sanders Is Stirring Cold War Angst. Young Voters Say, So What?.”)

Government Ban on Motorbikes and Rickshaws Spreads Coronavirus in Nigeria

(p. A10) “I feel scared,” said Karo Otitifore, an elementary schoolteacher waiting at a bus stop in Yaba, the Lagos suburb where the Italian patient was being treated. “I try to sit tight, squeeze my whole body so that I won’t have to have too much body contact with people.”

. . .

He waited at a crowded bus stop for a bus crammed with passengers. A recent ban — unrelated to coronavirus — on the city’s fleet of motorcycle taxis and auto-rickshaws meant that many Lagosians are in even closer contact than usual, raising the risk of exposure should the virus spread.

For the full story, see:

Ruth Maclean and Abdi Latif Dahir. “First Confirmed Diagnosis In Nigeria Adds Pressure On a Weak Health System.” The New York Times (Saturday, February 29, 2020): A10.

(Note: ellipsis added.)

(Note: the online version of the story was updated Feb. 29, 2020, and has the title “Nigeria Responds to First Coronavirus Case in Sub-Saharan Africa.”)

“Never Say Die”

In my Openness to Creative Destruction book, I discuss the fulfillment and sense of adventure from pursuing a big, intense project. In the op-ed linked-to below, I praise the big, intense project of extending human lifespans.


My book, mentioned above, is:

Diamond, Arthur M., Jr. Openness to Creative Destruction: Sustaining Innovative Dynamism. New York: Oxford University Press, 2019.

“You Think I’m Scared of You, Communist Party?”

(p. A11) HONG KONG — The beige van squatted outside of a Wuhan hospital, its side and back doors ajar. Fang Bin, a local clothing salesman, peered inside as he walked past. He groaned: “So many dead.” He counted five, six, seven, eight body bags. “This is too many.”

That moment, in a 40-minute video about the coronavirus outbreak that has devastated China, propelled Mr. Fang to internet fame. Then, less than two weeks later, he disappeared.

Days earlier, another prominent video blogger in Wuhan, Chen Qiushi, had also gone missing.

. . .

The disappearance of the two men . . . underscores that the ruling Communist Party has no intention of loosening its grip on free speech.

China’s leader, Xi Jinping, said last month that officials needed to “strengthen the guidance of public opinion.” While Chinese social media has overflowed with fear and grief, state propaganda outlets have emphasized Mr. Xi’s steady hand, framed the fight against the outbreak as a form of patriotism and shared upbeat videos of medical workers dancing.

. . .

As time went on, Mr. Chen, usually energetic, began to show strain. “I am scared,” he said on Jan. 30 [2020]. “In front of me is the virus. Behind me is China’s legal and administrative power.”

The authorities had contacted his parents to ask for his whereabouts, he said. He teared up suddenly. Then, his finger pointing at the camera, he blurted: “I’m not even scared of death. You think I’m scared of you, Communist Party?”

For the full story, see:

Vivian Wang. “2 Video Bloggers, Posting Virus Reports, Go Missing.” The New York Times (Saturday, February 15, 2020): A11.

(Note: ellipses, and bracketed date, added.)

(Note: the online version of the story was updated Feb. 21 [sic], 2020, and has the title “They Documented the Coronavirus Crisis in Wuhan. Then They Vanished.”)

Communists Punished Dr. Li Wenliang For Speaking Truth on Coronavirus

Doctor Li Wenliang. Source of photo: online version of the NYT article quoted and cited below.

(p. B1) The Chinese public has staged what amounts to an online revolt after the death of a doctor, Li Wenliang, who tried to warn of a mysterious virus that has since killed hundreds of people in China, infected tens of thousands and forced the government to corral many of the country’s 1.4 billion people.

. . .

For many people in China, the doctor’s death shook loose pent-up anger and frustration at how the government mishandled the situation by not sharing information earlier and by silencing whistle-blowers. It also seemed, to those online, that the government hadn’t learned lessons from previous crises, continuing to quash online criticism and investigative reports that provide vital information.

Some users of Weibo, China’s Twitter-like social media platform, are saying the doctor’s death resonated because he was an ordinary person who was forced to admit to wrongdoing for doing the right thing.

Dr. Li was reprimanded by the police after he shared concerns about the virus in a social messaging app with medical school classmates on Dec. 30 [2019].

Three days later, the police compelled him to sign a statement that his warning constituted “illegal behavior.”

The doctor eventually went public with his experiences and gave interviews to help the public better understand the unfolding epidemic. (The New York Times interviewed Dr. Li days before his death.)

“He didn’t want to become a hero, but for those of us in 2020, he had reached the upper limit of what we can imagine a hero would do,” one Weibo post read. The post is one of many that users say they wrote out of shame and guilt for not standing up to an authoritarian government, as Dr. Li did.

. . .

The grief was so widespread that it appeared in unlikely corners.

“Refusing to listen to your ‘whistling,’ your country has stopped ticking, and your heart has stopped beating,” Hong Bing, the Shanghai bureau chief of the Communist Party’s official newspaper, People’s Daily, wrote on her timeline on WeChat, an instant-messaging platform. “How big a price do we have to pay to make you and your whistling sound louder, to reach every corner of the East?”

Both the Chinese- and English-language Twitter accounts of People’s Daily tweeted that Dr. Li’s death had prompted “national grief.” Both accounts deleted those messages before replacing them with more neutral, official-sounding posts.

. . .

Wang Gaofei, the chief executive of Weibo, which carries out many of the orders passed down from China’s censors, pondered what lessons China should learn from Dr. Li’s death.

“We should be more tolerant of people who post ‘untruthful information’ that aren’t malicious,” he said in a post. “If we’re only allowed to speak what we can guarantee is fact, we’re going to pay prices.”

. . .

“R.I.P. our hero,” Fan Bao, a prominent tech investor, posted on his WeChat timeline.

. . .

The hashtag #wewantfreedomofspeech# was created on Weibo at 2 a.m. on Friday [February 7, 2020] and had over two million views and over 5,500 posts by 7 a.m. It was deleted by censors, along with related topics, such as ones saying the Wuhan government owed Dr. Li an apology.

“I love my country deeply,” read one post under that topic. “But I don’t like the current system and the ruling style of my country. It covered my eyes, my ears and my mouth.”

The writer of the post complained about not being able to gain access to the internet beyond the Great Firewall. “I’ve been holding back for a long time. I feel we’ve all been holding back for a long time. It erupted today.”

Talking about freedom of speech on the Chinese internet is taboo, even though it’s written into the Constitution. So it’s a small miracle that the freedom of speech hashtag survived for over five hours.

The country’s high-powered executives have been less blunt, but have echoed the same sentiments online.

“It’s time to reflect on the deeply rooted, stability-trumps-everything thinking that’s hurt everyone,” Wang Ran, chairman of the investment bank CEC Capital, wrote on Weibo. “We all want stability,” he asked. “Will you be more stable if you cover the others’ mouths while walking on a tightrope?

For the full story, see:

Li Yuan. “Online Revolt in China as a Doctor Is Lionized.” The New York Times (Saturday, February 8, 2020): B1 & B4.

(Note: ellipses, and bracketed dates, added.)

(Note: the online version of the story has the date Feb. 7, 2020, and has the title “Widespread Outcry in China Over Death of Coronavirus Doctor.”)

Chinese Communist Officials Rewarded for Loyalty, Not for Competence or Boldness

(p. A1) The Chinese people are getting a rare glimpse of how China’s giant, opaque bureaucratic system works — or, rather, how it fails to work. Too many of its officials have become political apparatchiks, fearful of making decisions that anger their superiors and too removed and haughty when dealing with the public to admit mistakes and learn from them.

“The most important issue this outbreak exposed is the local government’s lack of action and fear of action,” said Xu Kaizhen, a best-selling author who is famous for his novels that explore the intricate workings of China’s bureaucratic politics.

“Under the high-pressure environment of an anticorruption campaign, most people, including senior government officials, only care about self-preservation,” Mr. Xu said. “They don’t want to be the first to speak up. They wait for their superiors to make decisions and are only accountable to their superiors instead of the people.”

The Chinese government appears to be aware of the problem. The Communist Party’s top leadership acknowledged in a meeting on Monday [February 3, 2020] that the (p. A9) epidemic was “a major test of China’s system and capacity for governance.”

. . .

Chinese officials are spending as much as one-third of their time on political studying sessions, a lot of which are about Mr. Xi’s speeches. Political loyalty weighs much more in performance evaluations than before. Now the rule of thumb in Chinese officialdom seems to be demonstrating loyalty as explicitly as possible, keeping everything else vague and evading responsibility at all costs when things go wrong.

. . .

On social media, low-level cadres are complaining that they are receiving so many instructions from the higher-ups that they spend most of their time filling out spreadsheets instead of getting real work done. In a social media post headlined “The Formalism Under the Mask,” the author wrote, “Most people in the system don’t do things to solve problems. They do things to solve responsibilities.”

For the full story, see:

Li Yuan. “In China, Virus Spurred Rush of Blame Shifting.” The New York Times (Wednesday, February 5, 2020): A1 & A9.

(Note: ellipses, and bracketed date, added.)

(Note: the online version of the story was updated Feb. 14 [sic], 2020, and has the title “Coronavirus Crisis Shows China’s Governance Failure.”)