Albuquerque Journal

YES: Our state is suffering and reopening is the right prescripti­on

- BY REP. DR. GREGG SCHMEDES TIJERAS REPUBLICAN

“First, do no harm.” It’s a saying almost as old as the idea of medicine itself. I heard it a lot in medical school. It’s something that New Mexico’s leaders need to think long and hard about right now.

At the beginning of our fight with COVID-19, our leaders acted quickly on limited informatio­n. But now we have better data and experience that beg a more sophistica­ted approach as our nation grapples with balancing public health and the economy.

There’s another saying going around right now: “The cure must not be more deadly than the disease.” The more we delay reopening, the more lives we endanger, violating the “do no harm” principle. Domestic violence has drasticall­y increased in Albuquerqu­e, as reported by District Attorney Raúl Torrez and the Domestic Violence Resource Center. New Mexico is second in the country for suicides per capita. We are vulnerable to increased unemployme­nt and poverty rates, factors intimately associated with suicide.

Those who advocate for earlier business reopening have been accused of being a “death cult” by Gov. Michelle Lujan Grisham’s spokesman. Yet, on April 16, the U.N. warned that the economic downturn would cause tens of millions to fall into extreme poverty and hundreds of thousands of children could die.

People die from poverty. There is a well-documented relationsh­ip between poverty and disease, just as there is between unemployme­nt and suicide.

But advocates for later reopening don’t seem to appreciate that a robust economy saves lives every day. Instead, they argue those who discuss economics don’t value human life.

What began as the idea of “slowing the spread” has morphed into the argument that we should all stay home until a cure is found. That, I’m afraid, is not only an unreasonab­le mentality, but a fundamenta­lly dangerous one.

Experts agree the total number of Americans who will contract coronaviru­s ultimately won’t be changed. The virus will run its course. Although the goal of social distancing was originally to protect hospital capacity, the goal posts have been moved to a focus on “saving lives.” Slowing the spread was never supposed to be a way to prevent transmissi­on entirely or to shut down the nation for 18 months or more to find a vaccine; it was to make sure hospitals could keep up. Clearly, New

Mexico’s hospitals are dealing with the demand just fine.

We can all agree that human life is precious. We should take every reasonable measure to protect life. What we have to deliberate about now is what is reasonable.

Is it reasonable to ask people to permanentl­y give up on their career to lower the possibilit­y of overwhelmi­ng a hospital?

What we hate is the loss of control. We are used to the illusion that we can control everything in comfort.

Perhaps the most wellrespec­ted infectious disease doctor in the world, Paul Farmer, said, “We know that the risk of acquiring HIV does not depend on knowledge of how the virus is transmitte­d, but rather on the freedom to make decisions. Poverty is the great limiting factor of freedom.”

This principle can be seen impacting the Navajo Nation, disproport­ionately affected by COVID-19.

Our leaders should be paying attention to the massive death toll that economic devastatio­n and closure of our health-care system takes on society at large. We’re treating COVID-19 with blinders on. If our society were one of my patients, the doctor in me says we need to treat the whole patient, not just one symptom.

Reopening businesses and our health-care system shouldn’t be viewed as devaluing human life. It should be seen as an act of love.

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