Bill Gates: Here’s how to make up for lost time on covid-19
By Bill Gates
March 31, 2020 at 7:26 p.m. EDT
Bill Gates is co-founder of Microsoft and a co-chair of the Bill & Melinda Gates Foundation. There’s no question the United States missed the opportunity to get ahead of the novel coronavirus. But the window for making important decisions hasn’t closed. The choices we and our leaders make now will have an enormous impact on how soon case numbers start to go down, how long the economy remains shut down and how many Americans will have to bury a loved one because of covid-19.
Through my work with the Gates Foundation, I’ve spoken with experts and leaders in Washington and across the country. It’s become clear to me that we must take three steps.
First, we need a consistent nationwide approach to shutting down. Despite urging from public health experts, some states and counties haven’t shut down completely. In some states, beaches are still open; in others, restaurants still serve sit-down meals.
Full coverage of the coronavirus pandemic This is a recipe for disaster. Because people can travel freely across state lines, so can the virus. The country’s leaders need to be clear: Shutdown anywhere means shutdown everywhere. Until the case numbers start to go down across America — which could take 10 weeks or more — no one can continue business as usual or relax the shutdown. Any confusion about this point will only extend the economic pain, raise the odds that the virus will return, and cause more deaths. Second, the federal government needs to step up on testing. Far more tests should be made available. We should also aggregate the results so we can quickly identify potential volunteers for clinical trials and know with confidence when it’s time to return to normal. There are good examples to follow: New York state recently expanded its capacity to up to more than 20,000 tests per day.
There’s also been some progress on more efficient testing methods, such as the self-swab developed by the Seattle Coronavirus Assessment Network, which allows patients to take a sample themselves without possibly exposing a health worker. I hope this and other innovations in testing are scaled up across the country soon. AD
Sign up for our Coronavirus Updates newsletter to track the outbreak. All stories linked in the newsletter are free to access. Even so, demand for tests will probably exceed the supply for some time, and right now, there’s little rhyme or reason to who gets the few that are available. As a result, we don’t have a good handle on how many cases there are or where the virus is likely headed next, and it will be hard to know if it rebounds later. And because of the backlog of samples, it can take seven days for results to arrive when we need them within 24 hours. This is why the country needs clear priorities for who is tested. First on the list should be people in essential roles such as health-care workers and first responders, followed by highly symptomatic people who are most at risk of becoming seriously ill and those who are likely to have been exposed.
The same goes for masks and ventilators. Forcing 50 governors to compete for lifesaving equipment — and hospitals to pay exorbitant prices for it — only makes matters worse. AD
Finally, we need a data-based approach to developing treatments and a vaccine. Scientists are working full speed on both; in the meantime, leaders can help by not stoking rumors or panic buying. Long before the drug hydroxychloroquine was approved as an emergency treatment for covid-19, people started hoarding it, making it hard to find for lupus patients who need it to survive. We should stick with the process that works: Run rapid trials involving various candidates and inform the public when the results are in. Once we have a safe and effective treatment, we’ll need to ensure that the first doses go to the people who need them most.
To bring the disease to an end, we’ll need a safe and effective vaccine. If we do everything right, we could have one in less than 18 months — about the fastest a vaccine has ever been developed. But creating a vaccine is only half the battle. To protect Americans and people around the world, we’ll need to manufacture billions of doses. (Without a vaccine, developing countries are at even greater risk than wealthy ones, because it’s even harder for them to do physical distancing and shutdowns.) AD
We can start now by building the facilities where these vaccines will be made. Because many of the top candidates are made using unique equipment, we’ll have to build facilities for each of them, knowing that some won’t get used. Private companies can’t take that kind of risk, but the federal government can. It’s a great sign that the administration made deals this week with at least two companies to prepare for vaccine manufacturing. I hope more deals will follow. The Opinions section is looking for stories of how the coronavirus has affected people of all walks of life. Write to us. In 2015, I urged world leaders in a TED talk to prepare for a pandemic the same way they prepare for war — by running simulations to find the cracks in the system. As we’ve seen this year, we have a long way to go. But I still believe that if we make the right decisions now, informed by science, data and the experience of medical professionals, we can save lives and get the country back to work.
我肯定不会选盖茨，他推动的全球化和制造业外移现在让美国陷入多大的困境还有人看不到吗？！ Moni 发表于 4/1/2020 11:26:11 AM
岂止全球化！ 他不只一次说过， “The world today has 6.8 billion people. That's heading up to about nine billion. Now if we do a really great job on new vaccines, health care & reproductive health services, we could LOWER that by perhaps 10 or 15 percent.” 以为疫苗是为了健康，堕胎代表着人权，beyond meat引领时尚，盖茨充满大爱的都可以稍稍pause一下，再想想, ask yourself if you would take the side of the finger-snapping Thanos.
岂止全球化！ 他不只一次说过， “The world today has 6.8 billion people. That's heading up to about nine billion. Now if we do a really great job on new vaccines, health care & reproductive health services, we could LOWER that by perhaps 10 or 15 percent.” 以为疫苗是为了健康，堕胎代表着人权，beyond meat引领时尚，盖茨充满大爱的都可以稍稍pause一下，再想想, ask yourself if you would take the side of the finger-snapping Thanos.
https://www.washingtonpost.com/opinions/bill-gates-heres-how-to-make-up-for-lost-time-on-covid-19/2020/03/31/ab5c3cf2-738c-11ea-85cb-8670579b863d_story.html
Bill Gates: Here’s how to make up for lost time on covid-19
By Bill Gates
March 31, 2020 at 7:26 p.m. EDT
Bill Gates is co-founder of Microsoft and a co-chair of the Bill & Melinda Gates Foundation.
There’s no question the United States missed the opportunity to get ahead of the novel coronavirus. But the window for making important decisions hasn’t closed. The choices we and our leaders make now will have an enormous impact on how soon case numbers start to go down, how long the economy remains shut down and how many Americans will have to bury a loved one because of covid-19.
Through my work with the Gates Foundation, I’ve spoken with experts and leaders in Washington and across the country. It’s become clear to me that we must take three steps.
First, we need a consistent nationwide approach to shutting down. Despite urging from public health experts, some states and counties haven’t shut down completely. In some states, beaches are still open; in others, restaurants still serve sit-down meals.
Full coverage of the coronavirus pandemic
This is a recipe for disaster. Because people can travel freely across state lines, so can the virus. The country’s leaders need to be clear: Shutdown anywhere means shutdown everywhere. Until the case numbers start to go down across America — which could take 10 weeks or more — no one can continue business as usual or relax the shutdown. Any confusion about this point will only extend the economic pain, raise the odds that the virus will return, and cause more deaths.
Second, the federal government needs to step up on testing. Far more tests should be made available. We should also aggregate the results so we can quickly identify potential volunteers for clinical trials and know with confidence when it’s time to return to normal. There are good examples to follow: New York state recently expanded its capacity to up to more than 20,000 tests per day.
There’s also been some progress on more efficient testing methods, such as the self-swab developed by the Seattle Coronavirus Assessment Network, which allows patients to take a sample themselves without possibly exposing a health worker. I hope this and other innovations in testing are scaled up across the country soon.
AD
Sign up for our Coronavirus Updates newsletter to track the outbreak. All stories linked in the newsletter are free to access.
Even so, demand for tests will probably exceed the supply for some time, and right now, there’s little rhyme or reason to who gets the few that are available. As a result, we don’t have a good handle on how many cases there are or where the virus is likely headed next, and it will be hard to know if it rebounds later. And because of the backlog of samples, it can take seven days for results to arrive when we need them within 24 hours.
This is why the country needs clear priorities for who is tested. First on the list should be people in essential roles such as health-care workers and first responders, followed by highly symptomatic people who are most at risk of becoming seriously ill and those who are likely to have been exposed.
The same goes for masks and ventilators. Forcing 50 governors to compete for lifesaving equipment — and hospitals to pay exorbitant prices for it — only makes matters worse.
AD
Finally, we need a data-based approach to developing treatments and a vaccine. Scientists are working full speed on both; in the meantime, leaders can help by not stoking rumors or panic buying. Long before the drug hydroxychloroquine was approved as an emergency treatment for covid-19, people started hoarding it, making it hard to find for lupus patients who need it to survive.
We should stick with the process that works: Run rapid trials involving various candidates and inform the public when the results are in. Once we have a safe and effective treatment, we’ll need to ensure that the first doses go to the people who need them most.
To bring the disease to an end, we’ll need a safe and effective vaccine. If we do everything right, we could have one in less than 18 months — about the fastest a vaccine has ever been developed. But creating a vaccine is only half the battle. To protect Americans and people around the world, we’ll need to manufacture billions of doses. (Without a vaccine, developing countries are at even greater risk than wealthy ones, because it’s even harder for them to do physical distancing and shutdowns.)
AD
We can start now by building the facilities where these vaccines will be made. Because many of the top candidates are made using unique equipment, we’ll have to build facilities for each of them, knowing that some won’t get used. Private companies can’t take that kind of risk, but the federal government can. It’s a great sign that the administration made deals this week with at least two companies to prepare for vaccine manufacturing. I hope more deals will follow.
The Opinions section is looking for stories of how the coronavirus has affected people of all walks of life. Write to us.
In 2015, I urged world leaders in a TED talk to prepare for a pandemic the same way they prepare for war — by running simulations to find the cracks in the system. As we’ve seen this year, we have a long way to go. But I still believe that if we make the right decisions now, informed by science, data and the experience of medical professionals, we can save lives and get the country back to work.
🔥 最新回帖
🛋️ 沙发板凳
Putin 现在的外号叫 天 啦？
我觉得他无意参政。
我本来就是Social Liberal，对我而言政见在一个方向上。
我也觉得：（
分享一篇了解全球化本质的文章http://forums.huaren.us/showtopic.aspx?topicid=2527546&postid=83408120#83408120
感觉 不如DYSON 公司．
微软公司设计的软件都如垃圾一样难用， 操作系统简直就是灾难！！
真希望学习学习DYSON 公司的设计啊！！
中国人也是笨猪， 要是中国人多学习学习 DYSON 公司的话，
肯定能设计出最好的操作系统和办公软件！！
微软的操作系统和软件真难用！！
我不这么认为。
Trump本身就是个白痴，换另一个白痴怎么会更好？
我一直觉得这个论坛上很错误的一点是，要把左右分出个高下，彼此一定要说服对方，左比右好，或者右比左好，相互谩骂。政治没那么简单幼稚，两个不同的立场，是不同的选择，也不是零和，更不是谁比谁好的事情。
在疫情上，我的观点很明确，川普做的不好，控制力弱，使得联邦陷于党争，效率低下，判断错误连连。你们当然可以有不同的观点，这只是我的观点。
正常人在论坛上讨论不同的观点。
可是现在论坛上一大堆ID都是拿钱发帖的人。这种情况下很难讨论任何问题。
Trump说的瞎话你能说出来吗？这也是一种本事。
是啊，每年大选将近，坛子里就会被洗版，16年的盛况我还记忆犹新，活生生的竞选州长现实版。盖茨大概也确实没兴趣下场被人当猴看。
美国是联邦制，各州有独立的立法权，总统对各州的控制权是有限的。这和谁当总统没有关系，除非美国变成独裁制国家。既然讨论盖茨当总统，那么谈谈这个人的政治倾向，不是很正常的吗？
实质上的掌控力还是有区别的，我昨天看到川普要搞基建的新闻，就突然感慨万千地想起罗斯福新政，罗斯福的政策虽然好多都后来都陆陆续续被推翻了，但他当政的时候执行力是非常强的，虽然这是一个强总统强政权在战时状态下的特例，但说明美国在必要的时候也会出现大政府。虽然那么多年过去了，但我最近真的好多次想起罗斯福。
他自己吃了那么坐政治斗争的苦，应该是不会对参政有兴趣
其实能管理沃尔玛啊之类大企业的ceo都是治理能力leadership很强的。
美国不是没能人，关键总统难当，图啥呢。。。
你是在假设所有你不了解的人都是岳不群吗？不然这个问题的意义何在？你觉得川普是一个完美的人吗？还是美国总统必须是一个完美到无懈可击的人才能担当的？
从政，要和好多其他从政的流氓打交道，也不得不做一些流氓之事，太清高和干净的人，未必干得下手。
盖茨现在做更干净的慈善事，更纯粹帮助人，这才是他愿意做的事。
我也感到好奇，盖茨基金的中国项目我有一些了解，他们家有美国的项目么？有人介绍个大概么？
我觉得他是认为美国人的生活已经够可以了，其他落后国家和地区更加需要帮助。他绝对是有大爱的。
我觉得他是认为美国已经不错了，其他落后国家和地区更加需要帮助。我觉得他的确是有大爱的。
所以我说他对美国不了解。
美国有很多个世界，从第一到第三世界都在这里了。
不否认他有对人类的大爱。而且他买给非洲的产品好多是美国产的，还是帮助了美国当地人的。
未必。他所想所做的不会比WHO现在那只更强，但是手里资源多头上光环多相信他的人多结果只会是更大的灾难。
很有道理!
他还支持全国统一common core，支持全民强制接种，前一项已经在奥巴任内推广实施了，后一项借着新冠东风估计也势头比之前N年更加强劲，全都是以大爱的名义，哈哈！
同意楼主！就怕政治最后改变人
我相信川普自己就是這麼想的
岂止全球化！
他不只一次说过，
“The world today has 6.8 billion people. That's heading up to about nine billion. Now if we do a really great job on new vaccines, health care & reproductive health services, we could LOWER that by perhaps 10 or 15 percent.”
以为疫苗是为了健康，堕胎代表着人权，beyond meat引领时尚，盖茨充满大爱的都可以稍稍pause一下，再想想, ask yourself if you would take the side of the finger-snapping Thanos.
的确身在美国可能不是好事，对于落后国家的人是好事。他不适合做美国总统，可以做联合国的官员。
我肯定不会选盖兹，记得他跟那个死在牢房的奸童大皮条关系特别好吗？
记得他不时去那人家里，有时是深夜吗？那人是谁搞死的，后面肯定黑得发亮。
开玩笑吧
Kavanaugh 法学院刚毕业没几年，被Starr 看中做助手，帮助Starr 弹劾克林顿，递交国会的那份著名的黄色小报风Starr report, 实际出自Kavanaugh 之手，说他是小白兔？
好荒谬。拿这种阴谋论说事
跟Epstein 关系好比的过大统领么，十几年的交情。
系统提示：若遇到视频无法播放请点击下方链接
https://twitter.com/i/videos/1151468359227191298
可是他似乎没有给非洲妇女儿童送过食品衣物，只一次又一次地给他们打疫苗，
究竟他所做的是为了他自己的需要还是为了落后国家的需要？
我也对Trump不满，但我只想知道谁会是更好的选择。我一个都看不到。美国目前的问题就是没有一个sensible的选择，全是党争党争党争。
对疫情，我的观点是，摊开各州确诊人数统计图，如果有哪些州是平均的几倍几十倍，我会觉得这些州的州长做得特别差。总统的手伸不进州里面，州却可以不停跟联邦要这搞那，谁在制造问题，其实只要是客观观察，有点智商都知道自己的州会搞成别州的N倍，州长是罪魁祸首。
比尔盖茨是白痴吗？
想不起他们家有什麽针对美国本土的慈善项目。比尔。盖茨不爱美国，他只爱能给他的家业带来生意的国家，必如中国。象这样的人还包括布隆伯格。都是些不接地气清谈阔论的人，和美国的中产平民脱节，他还提倡全球化，支持绿色新政，支持减少世界人口，所有这一切都不可能让他成为美国总统。很多人只看表面，觉的他讲起话来文质彬彬，口喷莲花，措辞清雅 ，且又富可敌国，就认为他应该当美国总统，然而如果真是他参加竟选，还不知有什麽见不得人得丑闻立马问世呢。我想凭这种后果的考虑，他也不会冒这个险。
左右哪个好不重要，哪个对美国好很重要。
还有，美国的党争本身就很严重，并不是trump造成的。trump上任以后，民主党一心想把他搞下台，任何正事都不干。即使如此，trump的表现也远远好过Obama在09年对猪流感的反应。