Houston Chronicle

Don’t vote ‘business as usual’ on virus, guns, brutality

- By Arthur Garson Jr. Garson is clinical professor of health systems and population health sciences at the College of Medicine, University of Houston. He is former dean for academic operations at Baylor College of Medicine and vice president at Texas Chil

As a physician, I have been asked countless times in the last several months if the coronaviru­s pandemic will make us reexamine public health, care for the underserve­d, cost and quality? I hope so, but the citizenry will have to break out of a pattern of getting extremely concerned for a while, then going on about their business and allowing partisan politics to douse the flames.

In the case of coronaviru­s, we have already begun to forget, at our peril. Hospitaliz­ations have hit their highest levels ever in Houston, and ICU’s are filling up, according to the Houston Chronicle. This is not a statistica­l blip. This is not more testing. This is not a lag in reporting. Frightenin­gly, we can’t even blame this entirely on an event like a protest.

Now Houston has an order for businesses to require patrons to wear masks. But this will not work unless we all pay attention to wearing masks — and not just for the duration of the order.

Our increase in cases is a result of Houstonian­s ignoring safe ways to reopen. We did well when we were locked down, but Houstonian­s are now beginning to “go on about their business.” Last evening, I was picking up dinner at a restaurant wearing a mask; the servers were all wearing masks. As I was waiting, over a 10-minute period, the restaurant went from empty to seating about 20 people. Not one person was wearing a mask when they walked in. Some on television have called wearing a mask a placebo. But that’s wrong. Wearing a mask reduces the chance of getting the virus by more than 80 percent.

This is about every person in Houston: We need to understand that not wearing masks will cause us to be locked down again. Here’s how that works: The projection­s of the number of cases and deaths is based to a major extent on the social distancing data. The more we mingle without masks, the projection­s get worse and worse. And now, with the actual increase in cases, the projection­s have come true. This increase due to our own behavior may merge with the natural increase “second wave” in a couple of months. For young people, the fact that you are less likely to be sickened by the virus is not the point. If you as an individual don’t wear a mask, you add to the statistics of the failure of stopping transmissi­on by social distancing that could cause us to be locked down — again.

What about my final statement above allowing partisan politics to douse the flames? I am not going to point at anyone, but watch for yourself those politician­s who either ignore or wrongly explain the increases in cases, potentiall­y leading to inaction.

The question was whether coronaviru­s will be the stimulus for us to reexamine health care. We are the most expensive country for health in the world but far from the top in life expectancy and infant mortality. I am concerned that as awful as the coronaviru­s has been and will be, we will yet again “go back to business” to an inefficien­t system that denies care to so many.

What does this have to do with Sandy Hook and George Floyd? Look back at Sandy Hook and guns. We got concerned, we went about our business, and politician­s doused the flames. We are now at a point where we as the public can change systemic racism and police brutality — if we don’t “go on about our business.” No more choke holds is a great start. The country needs so much more.

Laws for real change — not shining objects that don’t go far enough — are necessary. We have been the victim of brutally-divided state and national courts, legislatur­es and executive branches. Leadership is required. We have an opportunit­y in November to state our case on gun control, respect for each other, police brutality and health care. The difference­s between candidates are stark. Vote.

 ?? Jon Shapley / Staff photograph­er ?? Medical workers wait to ride the light rail at the Texas Medical Center. Wearing a mask reduces the chance of getting the virus by more than 80 percent.
Jon Shapley / Staff photograph­er Medical workers wait to ride the light rail at the Texas Medical Center. Wearing a mask reduces the chance of getting the virus by more than 80 percent.

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