Dr Charles Levinson
@DrCharlesL
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Doctor and Chairman/Medical Director of @Doctorcall . Passionate about improving patient communication and advancing responses to flu pandemics.
London
Joined July 2013
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Children can spend all day at school together, but not have a small birthday party at the weekend.
We can sit in a packed restaurant with 50+ people, but not have a family dinner at home.
We can go to an indoor cinema, but not a football match outdoors.
Where is the logic?
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If there is a lockdown this winter, there will be a lockdown every winter.
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Remember during COVID, the 'breaking' news notifications for every daily death count?
Rolling coverage on cases? Hospitalisations?
It was everywhere.
What about now, for the 2,312 excess deaths in the last week recorded? 22.9% above the 5-year average.
Silence, total silence.
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I've started to see COVID headlines using words like 'skyrocket' and 'soar' again.
Very little context and no mention of the immunity in the population. Unhelpful and designed to terrify rather than inform.
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I'm not sure enough people understand the scale of the cancer crisis in this country.
It's alarming.
Millions of checks missed, thousands of treatments delayed and many, many cancer patients suffering.
Where's the emergency press conference for them?
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If your first thought after seeing a fairly busy park with families enjoying their Sunday in the fresh air, is to come on Twitter and insult them, then it's time for a rethink.
We have to move away from demonising people for being outside. Risk is very low and benefits are huge.
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The health of the country can't continue to be measured solely by the impact of COVID-19.
Cancer, mental health, deprivation, plenty of other serious illnesses. This is 2020, we should not be having to fight to give these issues the attention they deserve.
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I think most people agree that the curfew is a failure.
Doesn't stop the spread, if anything it makes it worse, and it's flattening hardworking business owners who have already suffered enormously.
Have we seen any science behind it yet? No.
Cancel the curfew.
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Plenty of doctors, including myself, have grave concerns about the relentless sole focus on COVID-19 at the expense of many other deadly illnesses.
Missed cancer diagnosis, ignored heart attacks, mental health issues. We are storing up enormous problems for the future.
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The ONS estimates that 92.8% of adults in England have COVID antibodies and therefore have some level of protection.
Fantastic news. Let's tell people about it!
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To those already calling for more restrictions over the winter - this has to stop.
We have vaccines and they work. Life has to return to normal.
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86.6% of the adult population in England have COVID antibodies according to the ONS. The testing was two weeks ago, so that will now be higher.
It's time to get back to normal.
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Isolating hundreds of children based on one positive case has to stop.
We are going to have to learn to live with this virus, thankfully the vaccines make that possible.
Stop isolating perfectly healthy children.
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It's been one of the nastiest traits during this crisis. People with gardens, criticising others for going to the beach or the park.
Millions of people in this country have no outdoor space. What should they do? Stay locked inside? Fed up with it.
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When we were plastering children's swings with police tape or banning them from playing sport with their friends outside, did we not expect that the mental health of millions of children would suffer?
A terrible mistake.
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To all those saying working from home should be the default from now on, I say try it in a small flat with young children.
This obsession with keeping people trapped in their homes has to stop.
It's fine if you live in a big detached house with a garden.
Millions don't.
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The fact that 86.6% (probably more) of adults in England have COVID antibodies should be on every front page and leading every news bulletin.
That is an astoundingly high number and it's fantastic news. Let people know!
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I will never understand why there hasn't been a significant drive from Government to encourage us all to get fitter and healthier.
Banning so much outdoor activity hasn't helped.
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1,608 excess deaths in England/Wales in the latest week, mostly not related to COVID.
688 in private homes, 26.8% above the five-year average.
Many of us have been ringing the alarm on this for months and months.
It needs a full Government investigation ASAP.
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I've seen some say social distancing, masks and restrictions will have to continue long past vaccines. Sorry, but that is unnecessary scaremongering.
The 'old normal' will be just fine, back relatively soon I hope.
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I think we should avoid the PR trap of referring to anything as a 'circuit-breaker'.
It's not a circuit-breaker, it's a lockdown. Renaming it doesn't detract from the enormous damage it would cause.
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93.1% of the adult population in England is estimated to have COVID antibodies - ONS.
I'd like to see that stat leading the news bulletins and front pages.
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Another week of huge numbers of excess deaths in the home. 726 excess deaths, 38 were COVID-19.
It will go by mostly ignored. It's a scandal.
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The way science has been used to terrify people this year has been dreadful.
Mutations like this are not unexpected. I think people are bit fed up of being essentially threatened. Give people clear and honest information and they will respect the rules more.
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935 excess deaths in the home in the latest week ONS released, 47 were COVID-19. A staggering amount of non-COVID excess deaths in the home - it isn't just displacement from hospital, far from it.
These numbers are getting worse, yet almost nobody is talking about it.
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I didn't see much conversation about the great news that 94.1% of the adult population in England have antibodies.
Nor did I read virtually anything on the hundreds of tragic non-COVID excess deaths in the home. The debate has to expand.
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According to the ONS, in the most recent week there were 748 excess deaths in the home, 35 of them were related to COVID-19.
I find it scandalous that almost nobody is talking about this.
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The fact that 80% of adults now have antibodies should be on every front page tomorrow. It’s great news - let people know about it!
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The ONS estimates that 93.6% of the adult population in England have COVID antibodies.
Let's see that on the front page!
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The ONS estimates that 91.9% of adults in England have antibodies against COVID.
If we couldn't unlock with that level of immunity in the population, then when? Restrictions cannot continue forever.
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Omicron was not nearly as severe as some feared, thankfully.
I hope it serves as a lesson to some not to focus solely on the worst-case 'scenario'. The modellers were wrong again and wrong by a lot.
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Isolation of healthy people who are now testing negative is causing more damage than it’s preventing.
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One of the problems with exaggerating the threat of a certain variant, which is then proven not so serious, is that when we may have a genuine problem many people won't believe it.
The boy who cried wolf.
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What a tragic shame that there isn't more attention on the non-COVID health crisis and the thousands of people who have died in their own homes, often without the care they needed.
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Hearing the argument 'but cancer isn't contagious' couldn't make me more angry.
It's a short-sighted, tone deaf response and should be heavily criticised. If we put a fraction of the COVID-19 costs into supporting cancer services, I wonder how many lives that would save.
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I'd like to see an urgent and comprehensive investigation into excess deaths in the home, in particular from non-COVID causes.
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Banning many outdoor sports is not only just a stupid decision, it is causing enormous damage to mental and physical health.
We know obesity is a significant risk factor for COVID. Why aren't we doing anything significant about it? Baffling.
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Do politicians understand the mental suffering that millions are going through?
This leads to real and severe consequences on physical health too.
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We should be given clear statistics on who is going to hospital for COVID treatment, who is going to hospital with COVID and who is catching it in hospital.
Crucial differences.
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It's easy for some to say a couple more months of lockdown makes no difference. At home, with a nice garden able to run their business over zoom.
What about those in tiny flats with their children or those suffering unwilling to seek medical help? There are costs to all of this.
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Where is the rightful outrage for the people who will die unnecessarily because their cancer screening was delayed?
Billions are pumped into ludicrous COVID-19 projects, why not divert some of that money to where it's needed? We don't need 'moonshot' testing, we need mammograms.
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ONS - "In England, an estimated 8 in 10 adults, or 80.3% of the adult population would have tested positive for antibodies against coronavirus."
If we can't unlock with immunity like this in the population, I worry we never will.
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We know that being fit and healthy has all sorts of benefits, especially against COVID-19.
Why on earth are Government making it impossible for millions to actually get any exercise? This is impacting children as well. We should be encouraging it, not banning it.
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COVID cases are falling rapidly now.
Politicians cannot shut down the country again based on predictions from modellers who have been wrong again and again.
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Why are babies included in the rule of six? Utter nonsense. Larger families have every right to be angry about it.
Some very clever people have come up with some very stupid rules.
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I believe we need to learn to live with this virus like flu, not because Omicron or the flu are mild, but because the flu can be very nasty and we don't destroy our society/economy in dealing with it.
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On the day we hear that one million women have missed vital breast cancer screenings, I find it frustrating that not one journalist thought it was right to ask about that.
This sole focus on the virus will cost countless lives.
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There were a lot of nasty remarks about those who went to beaches last summer, but Prof Mark Woolhouse just told MPs there was not a single outbreak linked to beaches last summer.
There is a lesson there about not insulting people when you don't know the full story. Many did.
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Cabinet Ministers are right to question the modelling.
Because to be honest, the track record has been dreadful.
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I’m expecting to see lots of creative camera angles used this weekend to shame people for using public parks/beaches.
Don’t give it the time of day.
People have been stuck at home for months, often with no garden.
Leave them in peace and let them enjoy the fresh air sensibly.
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I decided to start speaking out because I can see the damage to the nation's health that is being done thanks to the Government's sole focus on COVID-19.
None of us know how this is going to develop, but I do know that so many people are suffering and something has to be done.
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If we were to go into severe restrictions or even lockdown this winter with well over 90% of adults having some form of antibody protection, what would change next winter? And the winter after that?
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Over 9 in 10 adults in England have COVID antibodies.
Probably more than estimated as the ONS data is a few weeks old.
That is a remarkable amount of immunity in the population, even more in vulnerable groups.
It's great news.
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Very relieved to hear more and more MPs accepting and understanding the vast damage from lockdowns, in particular the non-COVID health crisis.
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There are reasons to be hopeful:
New positive test results certainly aren't doubling every 7 days (6914 today vs 6634 last Thursday)
Hospital admissions fairly stable
999 & 111/ React survey down
Zoe app levelled off
Situation completely different to March
Keep perspective.
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Cases dropping like this does call into question some of the modelling that has been influencing decisions so heavily.
Clearly it isn't very accurate.
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94.2% of adults in England have COVID antibodies according to the ONS.
A remarkable amount of protection in the community.
It's fantastic news and we should be telling people about it.
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98.2% of adults in England have Covid antibodies and therefore some protection - ONS estimates.
These stats never get properly covered - we should be telling people about the good news!
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Tens of thousands of people, maybe more, have missed their cancer diagnosis.
In any normal time this would be an emergency. Now it barely gets a mention.
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We could go on like this for months, even years, jumping in and out of lockdown tearing society and the economy apart in the process.
There is no plan B, not even a willingness to discuss one. That's worrying because plan A clearly isn't working.
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If we don't properly acknowledge the harms of lockdown, it becomes far easier to sleepwalk into more of them.
It was horrific and it can't happen again.
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Lots of better news emerging on Omicron.
Hopefully it receives nearly as much attention as the bad news in the media and from our politicians...
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Why no mention of the non-COVID health crisis from ministers?
It's a genuine question. I honestly don't understand why we're not talking about it.
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It's extremely concerning that the models have been so far wrong, not for the first time. It isn't a classroom exercise, these models are dictating how millions of people can live.
Government's total reliance on these seriously flawed projections has to end.
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Removing restrictions will always carry a risk, but now is the right time.
The vaccines work and to be honest, if we can't fully unlock with the current level of immunity in the population, I doubt we ever will.
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Barely any proper coverage for non-COVID excess deaths in the home. Almost 1000 in the latest week recorded. The silence around this is a scandal.
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We were told the first lockdown was to protect hospital capacity, not to aim for impossible levels of virus suppression.
I had extreme doubts then and we didn't even understand the full consequences. We do now. Another lockdown is unthinkable.
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Cases down, hospital admissions down. It's good news - we should tell people about it.
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Making decisions based on modelling which has been wildly inaccurate time and time again is not sensible in my view.
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COVID hospital admissions dropping at an encouraging rate and cases continue to fall.
We hear plenty about the bad news, and there has been a lot, but it would be a refreshing change if we put a fraction of that emphasis on the better news too.
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I profoundly disagree with those who refuse to admit the sheer scale of destruction from the first lockdown, in anticipation of justifying a second.
We need to have an urgent national discussion about how to get a grip of the non-COVID health crisis.
My thoughts 🔽
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The COVID crisis will hopefully end in spring, but the resulting non-COVID health crisis will continue for years and years.
I find it so frustrating how so many ignore the lasting damage that is being done. It shouldn't come down to doctors having to shout about it on Twitter.
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I worry people forget just how nasty the flu was or can be.
It isn't just a runny nose or feeling under the weather, it can be fatal for thousands and thousands of people.
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We need regular, clear and transparent figures on how COVID hospital numbers are broken down.
Are they being treated for COVID or were they admitted for a separate reason, testing positive later on? Counting that all as one number is misleading.
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I honestly don't understand why we're not talking about the hundreds more people than usual who are dying in their homes every week, the vast majority of which are not related to COVID.
A desperate situation.
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The number of COVID patients in London hospitals falls again, this time more substantially. Much better news.
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The ONS estimates that 93.6% of adults in England have COVID antibodies.
An astounding level of immunity in the population.
Great news.
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I can't go to the local gym but I can pick up a burger and chips.
Government should be helping and encouraging all of us to stay fit and healthy.
It's fair to say that closing gyms, pools and banning most sports does the complete opposite of that. It has to change.
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We need full transparency on how many COVID hospital admissions were there to be treated for COVID and how many were admitted for another illness.
It's astounding that the numbers are still not clearly presented in this way.
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There are many doctors like myself who are seriously concerned about the non-COVID health crisis.
Other arguments aside, Government needs to properly acknowledge that there is a problem. Millions are suffering and it deserves far more attention.
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It is utter insanity doing the same thing over and over again, but expecting a different result.
Further lockdowns represent a failure to learn from our past mistakes. Is Government even questioning why restrictions aren't working? Apparently not.
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Latest ONS data estimates that in England 94.1% of the adult population have COVID-19 antibodies.
No ifs or buts, it's absolutely brilliant news!
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92.8% of the adult population are estimated to have Covid antibodies.
We are not talking about a completely new virus.
There is still an astonishing amount of immunity in the population.
Yes, it's concerning but we need to keep calm and rational.
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One of the first things that needs to reopen is outdoor sports, especially for children.
Keeping fit and active is so important and I think it's a failure that we're making that so difficult for children.
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More reasons to be hopeful ⬇️
English positive test results way down on last Friday. (4797 vs 5723)
UK overall results steady
ONS estimates showing an encouraging drop
999/111 data down again
Admissions still fairly stable
Some more balance would be great. I'd appreciate it.
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Latest ONS figures:
724 excess deaths in the home, 52 were COVID-19.
Is this the week it's given the attention it needs?
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When fast food restaurants are allowed to partially open, but gyms and pools are forced to shut, it makes me think we really need to re-evaluate our priorities.
It's ludicrous we're making it harder for people to exercise, it sends completely the wrong message.
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COVID cases are still covered in great detail in the news every single day, yet the weekly release of the non-COVID excess deaths in the home goes by mostly unreported.
Why?
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Many just don't want to talk about the harms of lockdown.
At Doctorcall, we see them every single day. Mental health issues, delayed diagnosis, ignored symptoms. It goes on and on. One virus is not the only health threat we are facing.
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The picture continues to improve in London and the number of COVID patients actually fell in England.
Cases dropping quickly too. Really encouraging.
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At the press conference this evening, it would be a huge step in the right direction if a journalist could ask about the hundreds more people than usual who are dying in their homes every week.
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The study on the Oxford vaccine is so significant, showing that it can actually reduce transmission of the virus.
This great news twinned with our vaccine rollout should mean the coming weeks and months bring better news.
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816, 746, 724, 439, 972, 780, 840, 814, 814, 935.
Excess deaths in the home for recent weeks (ONS), the vast majority of which are not related to COVID.
Doesn't this deserve a proper debate?
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Non-COVID excess deaths, particularly in the home, and the silence surrounding them has been a scandal.
It requires an urgent inquiry.
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At some stage this nightmare will be over. Sooner rather than later I hope.
Ignore those who want to keep restrictions in places for years and years. That message does not help anybody.
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Almost no coverage or discussion on the hundreds and hundreds of non-COVID excess deaths in the home announced yesterday.
I'm not claiming to have the answers.
I do know that we need to have a proper debate about it.
The silence is deafening.
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The damage to people’s mental and physical health caused by lockdown and the associated fear is almost impossible to measure.
It must never happen again.
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With everything open and virtually no restrictions, cases are diving.
We clearly don’t have as much influence on this virus as assumed.
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If we’re going to have this massive national reaction every time there is a worrisome new variant, we will never get back to any sort of normal.
The vaccines work. That should be mentioned in every exaggerated headline.
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