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Old 17.04.2021, 18:58
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Re: Coronavirus

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What for? In our days non-approval of AZ might bring more political bonuses for the government than the approval. The fact that only the most trusted vaccines are used here might be the main reason why the willingness to be vaccinated has grown from about 40% to about 70% in a few months.
Even if that was the case - so you rather have high willingness to get vaccinated but not enough vaccine available instead of various vaccines to deploy with best fit to the various groups?

This is the government that chose to open up before wide vaccine roll-out, based on the hope it will follow quickly. How can this work without bullet-proof vaccination plan?
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  #24362  
Old 17.04.2021, 19:17
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Re: Coronavirus

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So from the little info that is available here, it sounds like Moderna delivered 70k doses to BAG on Friday instead of 350k that were expected. Levy puts the blame on Moderna and also suggests that future delays might be expected and that BAg only learns about this on very short notice.

My interpretation: (1) Switzerland is not part of the big shortfall announced for UK and Canada yesterday where Moderna indicates large and official delays, (2) the contract between BAG and Moderna is so one-sided that Moderna can do pretty much what they want without even notifying, and penalties, if any, are not enough to deter. This might be the case for many of the vaccine contracts where countries had a poor negotiating position last summer - but it is inexcusable for a one-supplier strategy.

And dare I ask: Where are we on AZ, and why isn't Berset kicking in doors at SwissMedic?
The problem is that whatever penalties the contract states if the supplier fails to deliver due to production problems despite making their best efforts then is difficult, if not impossible to enforce such penalties. It is extremely difficult to prove a supplier did not make their best efforts and without that proof no court will enforce penalties; they accept shit happens.

For example, look at Berlin-Brandenburg Airport (BER) where opening was delayed eight years, cost overruns were in the billions and nobody paid any penalties.
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  #24363  
Old 17.04.2021, 19:23
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Re: Coronavirus

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Even if that was the case - so you rather have high willingness to get vaccinated but not enough vaccine available instead of various vaccines to deploy with best fit to the various groups?

This is the government that chose to open up before wide vaccine roll-out, based on the hope it will follow quickly. How can this work without bullet-proof vaccination plan?

It will not, Switzerland will "Enjoy" worst rates in Europe (again) and summer lockdown. Of course SVP and other populist turbos will quietly step out of the room while everyone else in goverment expresses their "shock and surprise" at what happened.
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  #24364  
Old 17.04.2021, 20:01
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Re: Coronavirus

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How dare the pharma companies make a profit from providing a life changing vaccine that will allow us to return to our lives.
did I said that somewhere?
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  #24365  
Old 17.04.2021, 20:05
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Re: Coronavirus

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Oh really? There are many countries you can’t even enter without having certain vaccines
How many countries you was able to travel freely, but will not be able to do so as soon as dont have fresh jab in your passport?
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  #24366  
Old 17.04.2021, 20:09
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Re: Coronavirus

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This is why I said it was the pandemic in a nutshell. A doctor, half a century’s worth of work experience, expresses doubt over the vaccine. Instantly dismissed as a Covidiot.

This isn’t unique, thousands of scientists and doctors have been derided, ignored and even deplatformed for daring to question the response to this pandemic.
and this is new reality despite corona. as soon as you dare to ask "uncomfortable" question, you are at risk be banned, fired and so on. "cancel culture"
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  #24367  
Old 17.04.2021, 20:18
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Re: Coronavirus

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The problem is that whatever penalties the contract states if the supplier fails to deliver due to production problems despite making their best efforts then is difficult, if not impossible to enforce such penalties. It is extremely difficult to prove a supplier did not make their best efforts and without that proof no court will enforce penalties; they accept shit happens.

For example, look at Berlin-Brandenburg Airport (BER) where opening was delayed eight years, cost overruns were in the billions and nobody paid any penalties.
Then it is bad contracting, as I said.
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Old 17.04.2021, 21:00
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Re: Coronavirus

From the NY Times.

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The New York Times examined survey and vaccine administration data for nearly every U.S. county and found that both willingness to receive a vaccine and actual vaccination rates to date were lower, on average, in counties where a majority of residents voted to re-elect former President Donald J. Trump in 2020.
Darwin was right!
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  #24369  
Old 17.04.2021, 21:32
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Re: Coronavirus

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and this is new reality despite corona. as soon as you dare to ask "uncomfortable" question, you are at risk be banned, fired and so on. "cancel culture"
You mean like Trump two weeks ago
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“… Boycott baseball and all of the woke companies that are interfering with free and fair elections. Are you listening Coke, Delta and all?”
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  #24370  
Old 17.04.2021, 21:35
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Re: Coronavirus

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Then it is bad contracting, as I said.
I would like to agree with you but I have had a lot of contract writing experience and in real life, "shit happens" and contracts do not protect you from that.
Contracts have to be fair to both sides or courts throw them out so one cannot make them too tough.
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Old 17.04.2021, 21:37
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Re: Coronavirus

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It will not, Switzerland will "Enjoy" worst rates in Europe (again) and summer lockdown.
We all know how lockdowns look like in Switzerland. They are nothing compared with the nearby countries. I reserved 6 hotels/apartments for the long weekends/school holidays for the next 4 months and I know that in the worst case we won't be able to eat in the restaurants and will have to use take away (not a big deal in summer) but otherwise I'm pretty sure that our trips will take place, the cable cars will be operational and we will have holidays according to our plans, lockdowns or not.
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Old 17.04.2021, 21:46
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Re: Coronavirus

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Darwin was right!
Might not be a bad thing
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Old 17.04.2021, 21:49
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Re: Coronavirus

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I would like to agree with you but I have had a lot of contract writing experience and in real life, "shit happens" and contracts do not protect you from that.
Contracts have to be fair to both sides or courts throw them out so one cannot make them too tough.
Not showing up at scheduled delivery without prior notification, and no remedy for the affected party sounds normal to you?
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Old 17.04.2021, 21:57
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Re: Coronavirus

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This is something we often discuss with OH and with colleagues here and in the UK (where he 'practised' and taught medicine for 40 years). The fact patients had to be registered with him in UK, and go through a process to change to another GP, meant 2 things. A) they were indeed stuck with each other for a while and b) it gave the GP a great opportunity to discuss and educate over a period of time.

Sometimes, a patient needs to be told the truth, and what is the cause and how to change the outcome without medical treatment or drugs. Being registered with a GP, as in the UK - means that if a patient reacts negatively to advice, for whatever reason- there is normally a way to discuss this again later, and find ways to limit medical intervention or drugs, or choose a different treatment, etc - to work together for a better outcome.

A doctor who gives the patients the drugs and treatment, surgical or otherwise, via referal or not- is not always the best doctor, and does not necessarily provide the best outcome.

A simple example. Patient presents with very bad chest cold, bordering on pneumonia, or full on pneumonia- for 3rd time in a year. Doctor knows s/he is a heavy smoker. Should doctor not upset the patient, and just hand over prescription for antibiotics, 3rd in a year, and over consecutive years a dozen or more. Or offer help and support to try and limit the amount of smoking and/or possibly stop it altogether. Knowing that it is truly in the patient's best interest.

Sometimes we all have to face facts, and that we can, most of us- be our worst enemies, medically speaking too.
I take the view that the role of a gp should be to offer advice on the various options available and then let the patient choose as long as it isn't dangerous or totally mad.
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Old 17.04.2021, 21:58
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Re: Coronavirus

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It will not, Switzerland will "Enjoy" worst rates in Europe (again) and summer lockdown. Of course SVP and other populist turbos will quietly step out of the room while everyone else in goverment expresses their "shock and surprise" at what happened.
There is now a lot of evidence that the risk of infection outdoors is low so hopefully opening restaurant and bar terraces will be OK.

Opening leisure, sport, and cultural facilities indoors is a crap idea.
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  #24376  
Old 17.04.2021, 22:04
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Re: Coronavirus

Looks like a co-worker had caught it.

He wasn't feeling well and was working remotely 100% (instead of 80%).

Apparently, he had scheduled a few days of vacation in Germany around Easter and had to take a PCR test anyway to reduce quarantine time.

Test came back positive and they called him immediately and repeatedly to make sure he didn't leave the house....

So, better never get tested ;-)
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Old 17.04.2021, 22:09
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Re: Coronavirus

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I take the view that the role of a gp should be to offer advice on the various options available and then let the patient choose as long as it isn't dangerous or totally mad.
exactly.
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Old 17.04.2021, 22:54
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Re: Coronavirus

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There is now a lot of evidence that the risk of infection outdoors is low
Like 0.1%?
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Old 17.04.2021, 23:00
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Re: Coronavirus

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Like 0.1%?
Or lower...
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Old 18.04.2021, 08:01
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Re: Coronavirus

Outdoor terraces and could be managed relatively easily. i.e. Reservations required, everyone seated, minimum distance, no chair or table moving, etc. But what’s the fun in that?

I’m expecting to see bars with a hoard of boisterous maskless people pushing up at the bar, talking loudly, pushing in. Tables pulled together and chairs moved from table to table. People standing in the buffer areas.

Rules that cannot be enforced are useless.
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