In the New York Times Magazine this weekend David Wallace-Wells has an interview with Dr. Anthony Fauci. I knew David a little bit when I was at the Washington Monthly and I've followed him with admiration ever since, so I was surprised at how combative the interview was. In one sense, David was just asking tough questions and letting Fauci clear the air, but a few too many of the questions were premised on MAGA nonsense that really didn't deserve to see the light of day. Fauci got noticeably annoyed at several points, and I don't blame him.
That said, there are two big things I'd take away from the interview. The first is this:
Wallace-Wells: Did we do enough to communicate the age skew of the disease?...I still think, honestly to this day, that almost no one appreciates just how wide that age skew really is, given that the risk to someone in their 80s or 90s is perhaps hundreds of times as high as it is to someone in their 20s or 30s.
Fauci: You are hitting on some terrific points. Did we say that the elderly were much more vulnerable? Yes. Did we say it over and over and over again? Yes, yes, yes. But somehow or other, the general public didn’t get that feeling that the vulnerable are really, really heavily weighted toward the elderly. Like 85 percent of the hospitalizations are there. But if you ask the person in the street, they may say, “Oh, yeah, elderly are more vulnerable, but everybody’s really vulnerable” — which is true, but to a much lesser extent.
This is an example of something that doesn't get appreciated enough. There was an unending cacophony of voices during the first year of the pandemic. There was the CDC, but there was also WHO. There was the Donald Trump show. There were TV doctors. There were local mayors, governors, and health departments. There were charlatans. There was Twitter. Everybody had an opinion.
But we forget all that with the passage of time. Everything gets mushed together and then blamed on "the CDC." But if you go back and look you'll often find that the CDC didn't make the recommendations that we now think are so wrong. Rather, it was the hive voice.
This isn't to excuse every mistake. Some of the CDC's recommendations were wrong. This leads to my second takeaway. It comes from Don McNeil, former COVID reporter for the New York Times. His review of the Fauci interview is scathing—much too scathing, I'd say. But he makes this key point:
The truth is that many of the early guesses made by science proved wrong. When the data changed, good scientists changed their advice.
Read the Fauci interview for examples of this. The COVID virus surprised scientists at nearly every turn. It spread asymptomatically. It was airborne. It mutated wildly. It was more transmissible than anyone expected.
All of these things required scientists to change their advice. That's not a symptom of incompetence, it's a symptom of how the real world works. Fauci acknowledges that some things could have happened more quickly, but overall I think most people don't realize just how fast science worked during the pandemic. We complain about the fact that it took a few months to learn about asymptomatic transmission, for example, but this is something that normally might have taken years. As near as I can tell, scientists blew the doors off of previous speed records. Most of them should be getting medals, not Twitter mobs at their door.