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On bike helmets and acts of defiance

On a bike ride the other day, I decided to make a point of noticing how many other riders were also wearing helmets. It was a clear majority—probably 80%? Although we were not on difficult trails or busy streets. Most roller bladers, e-scooter riders, and skateboarders were also helmeted.

Interesting.

Then I got home and looked up whether it was actually mandatory to wear a helmet when riding a bike in Ontario. And for adults, it is not.

Interesting.

Particularly given that Covid is contagious, incurable, airborne, rampant, the third leading cause of death in Canada, and a huge burden on the healthcare system… Yet hardly anyone wears a mask.

Public health messaging

You might think I’m about to say this is public health messaging failure, but I think it’s actually a huge success… In terms of their intention anyway, which was to discourage masking.

Because ongoing masking would make it seem that Covid was still a problem, and then there might be some pressure to do something about it. And their political masters, the politicians, didn’t want particularly want to do anything more about it. Two years, man. Enough!

It's time for you to surrender fully to your new viral overlords

But no, you might say, public health still tells people to mask. People just don’t because it’s not mandatory anymore, and because masks are uncomfortable.

So how do you explain bike helmets? Condom use? Sunscreen (sticky!)? None of these products are mandatory, and none are more comfortable to wear than to go without, yet somehow the mature majority manages to routinely use all of these for protection anyway.

No, I think the messaging achieved just what it intended to. They said:

  1. You can wear a mask to protect yourself.
  2. Masking is recommended for people at risk of severe outcomes from Covid, such as those over 65 and the immunocompromised.
  3. Everyone’s choices on masking need to be respected.

Let’s break it down.

Can you protect yourself with a mask?

Well, it depends. For one thing, on whether you are able to mask. Babies, toddlers, people with certain mental and physical disabilities cannot.

Sucks to be them, I guess. Welcome to Covid city.

And if you’re immunocompromised—a transplant recipient, someone undergoing cancer treatment, needing to take immunosuppressive medications for certain illnesses, HIV positive, etc.—you can be infected more easily than other people. And as a cherry on top, vaccines aren’t going to be as effective for you. So even wearing a great mask might not be enough; any slight fit problem could result in infection.

Why should healthy people have to share the responsibility for keeping other people healthy? Especially people who are inherently harder to keep healthy? It's not fair.

But frankly, there’s some risk even if your immune system is not compromised. If you’re the only one masked in a group, you’re entirely reliant on the fit and quality of your mask to protect you. (For some tips, see Mask buying guide.) Whereas if you’re in a masked group, there’s just a lot less virus in the air, so your mask doesn’t have to be perfect. All masks work better as source control than at intake protection.

Is it only the immunocompromised and elderly who need protection from Covid?

Nope. Because there are different types of risks from Covid.

Risk 1: Acute Covid

The sickness you get a few days after infection—that’s acute Covid. That’s the only risk Public Health tends to talk about.

It’s of course true that the elderly and immunocompromised are more likely to die from acute Covid than other vaccinated adults. And naturally, that these same groups are the most likely to be hospitalized with it, along with—this is less well known—children ages 0 to 5 (although they, fortunately, don’t often die of Covid).

But you know, just because you didn’t go to the hospital doesn’t mean that acute Covid didn’t cause you any problems. Sure, there’s a significant contingent who are asymptomatic or mildly symptomatic—but also quite a few who get really sick, sometimes for a surprisingly long time. Apart from being highly unpleasant, this can be mightily inconvenient.

Even if you don’t regularly mask in crowded indoor spaces, why isn’t routine for everyone to resume doing so in the 10 days or so before a big event in their live—vacation, concert, wedding, big job interview, award ceremony, family reunion, whatever it is? It just seems stupid. Wearing a mask is easy. Missing out on a once-in-a-lifetime event is hard.

Risk 2: Post Covid condition, aka Long Covid

These are symptoms that either linger or newly develop after the acute phase of Covid, and stick around for 8 weeks or more after the infection. There’s a whole constellation of them, the most common of which is fatigue, but also muscle pain, tinnitus, loss of taste or smell, headaches, depression, anxiety, “brain fog”, insomnia, cough, shortness of breath… The severity of symptoms can range from mildly annoying to completely debilitating.

“An estimated 1 in 10 infections results in post #COVID19 condition, suggesting that hundreds of millions of people will need longer-term care.”

Dr. Tedros, World Health Organization, April 26, 2023

People like to debate those odds*, and what all should actually count as Post Covid condition, but there’s no doubt that:

  • It’s not rare.
  • There’s no treatment or cure for it.
  • It affects people of all ages and health statuses.
  • There’s no predicting who will end up with it.

* Hot off the presses is this study, that better defines Long Covid, and shows (quotes here from researcher Hannah Davis):

  • The overall prevalence of Long Covid is 10% at 6 months!
  • The prevalence for those who got Omicron (or later) AND were vaccinated is also 10%!
  • Reinfections had significantly higher levels of Long Covid. Even in those who had Omicron (or later) as their first infection, 9.7% with those infected once, but 20% (!!) of those who were reinfected had Long Covid AT 6 MONTHS AFTER INFECTION.
  • Reinfections also increased the severity of Long Covid. 27% of first infections were in cluster 4 (worst) vs 31% of reinfections.

Risk 3: Increased susceptibility to other illnesses

Even if you’ve recovered from your Covid, you’re not noticing pesky symptoms 8 weeks later, doesn’t mean that Covid hasn’t harmed you.

“The virus that causes COVID-19 can have lasting effects on nearly every organ and organ system of the body weeks, months, and potentially years after infection. Documented serious post-COVID-19 conditions include cardiovascular, pulmonary, neurological, renal, endocrine, hematological, and gastrointestinal complications, as well as death.”

Center for Disease Control (CDC), February 2023

I see this as a different risk than Long Covid—at least you might end up with a treatable condition! But medical experts say it’s a continuum, per graphic below (Long Covid symptoms in pink, resulting disease in blue).

Long Covid symptomx and the impacts on numerous organs with different pathology
https://www.nature.com/articles/s41579-022-00846-2

And again, none of this is restricted to the elderly or the immunocompromised. For example…

I’m telling you all now – and believe me, I want to be wrong – that if we don’t slow transmission of this virus and develop new treatments and second generation vaccines, the damage we are allowing to occur to the health of our global population – not just the elderly, the disabled, the vulnerable – but everyone, well, that damage is unsustainable. And the vast majority of that population don’t understand the risk, because they haven’t been given the information.

Conor Browne, bio-risk consultant specializing in Covid-19 forecasting

(I hope you appreciate becoming one of the informed!)

To mask or not to mask: Are both choices equally respectable?

Look, I certainly don’t want us fighting in the streets or even just getting cross with each other over masking.

But to suggest that both choices are equally valid on social level is simply wrong.

Friends don't let friends mask alone

Choosing to mask in crowded indoor settings is the better choice. It’s breaking the chains of transmission. It’s kinder. It’s smarter. It’s safer. It’s more equitable. It’s more just.

With sick and disabled people physically and psychologically distanced from them, people who are well and non-disabled have detached themselves from the immorality of their own behavior. “Return to normal” frames indifference to suffering as a morally neutral position and public health as a matter of personal preference. But there is no neutrality in the individual actions that comprise public health; they either cause harm or prevent it. Segregating the “unfit” from the “fit” is not a matter of debate. It is an abomination and a core tenet of eugenics.

Maggie Mills, The government giving up on COVID protections means throwing immunocompromised people to the wolves

But how much Covid is around now, anyway?

It’s no accident that getting rid of data related to Covid—dropping testing, reducing regularity of data updates, no more press conferences—happened about the same time mask mandates were eliminated. It was for the same reason: to get people to forget about the disease, to reduce the political pressure to do anything about it.

But there are still bits of information available—and they do indeed show that some trends are looking better of late in Ontario.

But better doesn’t necessarily mean good. If you look at wastewater trends… This is from Kitchener, but it’s likely similar across Ontario…

Wastewater Kitchener April 2021 to 2023

Note that the current incidence (1) is much closer to pandemic peak (2) than to the lowest point on this graph (3)—which is not even the lowest point of the pandemic! In fact, we’ve been steadily above even peak 2021 levels for 1.5 years now.

So your risk of catching Covid remains Very High.

Ontario very high Covid risk, 1 out 41 infected,

Masking as radical activism

So I continue to mask pretty regularly. I do so mainly because:

  • I don’t really mind wearing them, particularly for shorter durations.
  • I really, really don’t want to get Long Covid or otherwise damage my long-term health.
  • There is still a lot of disease circulating.
  • The efficacy of my last vaccine is waning daily.

But I do have a secondary reason. I do feel that I am doing a Good Thing here (even if most people consider me an annoying, paranoid, weirdo for still trying to avoid Covid).

Because probably I am not going to catch Covid at my uncrowded, well-ventilated grocery store. But why should I go there maskless, when immunocompromised people can’t take that risk? Not even to buy food? Because not a single grocery store will provide even 2 hours a week of required masking time to keep them safe!

I’d probably also be fine at the library. But why should I go there maskless, when immunocompromised can’t take that risk? Not even for a public service, paid for with tax dollars? Because no library (or ServiceOntario centre, or passport office) will provide even 1 day per week of required masking to keep them safe!

That sold-out performance of Hamilton I have tickets to is riskier—quite crowded, ventilation could be better, it’s three hours long. Still, most audience members won’t get infected, and I might not, either. But why should I go maskless, when immunocompromised people can’t risk going there all? No fun outings for them! Because no theatre, cinema, symphony, or ballet require masks at any of their performances, not even one per month.

Hospital? Yeah, I’d almost 100% catch Covid there, if I waited maskless in the ER for hours, waiting for my turn. Yet there all the hospitals are, dropping mask mandates, doing the harm they promised not to do. Literally killing people.

Last month, Vance Masters was at home, on a treadmill, exercising in preparation for his first evening out since the pandemic began.

Now, the 77-year-old internationally recognized musician is on life support in an intensive care unit, after contracting COVID-19 inside a health-care centre.

His family is speaking out about the lack of protection for vulnerable patients in Manitoba, particularly in the wake of rescinded mask mandates in hospitals and long-term care settings.

Katy May, Winnipeg Free Press

It’s horrible. It demands a fight. It demands resistance.

It’s the least I can do.

If you see a mask, wear a mask


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You deserve clean air (take two)

Don’t go looking for Take one of this post; it’s hanging out in my Drafts folder. Big long post, as yet unfinished, having trouble getting to any point.

Sometimes it seems better to just start again. I think this is what I was trying to say.

There is good news on the Covid front

Mainly, the vaccines are great. In Canada, most of the population has had at least two doses. And yes, people previously infected (a majority of the Canadian population by now) have gained some protection against reinfection, for some period of time.

Also, there are some better treatment options now (Paxlovid). This combination of factors has protected many people against hospitalization or death from infection.

But by some key measures, the Covid situation has never been worse

More Canadians are dying of Covid now than ever. 2022 has already surpassed 2021 in number of deaths, and is well on its way to surpassing 2020’s total.

Canada reported Covid deaths: 15700 deaths in 2020; 14500 in 2021; 13700 in 2022 so far; but on track for 20808
This is a bit old; 2022 has by now surpassed 2021

Covid is the third leading cause of death of Canada. It is five times more deadly than the flu.

Many of the dying pass through hospitals first, contributing the unprecedented level of crisis, with emergency rooms repeatedly closing across Ontario for the first the time in history, and serious problems in other provinces as well. While Covid is not the only reason—understaffing, low pay, structural flaws, etc. are others—it’s a really significant contributor.

Number of Covid 19 patients in hospital in Canada

Remember why we did all that social distancing in 2020 and 2021? The main reasons? It was to save lives and to preserve hospital capacity. All our efforts are being undone now.

This is happening because the government went too far in removing restrictions

I’m not saying we need a return to the full social distancing of those years. Policies such as business closures, remote schooling, social gathering limits, and travel restrictions had very clear downsides, and given the good news I started with, can defensively be added.

But getting rid of mask mandates almost everywhere; essentially stopping meaningful vaccination efforts after teens and adult Canadians had two doses, and before children had any; and changing the isolation requirements such that the infectious are definitely out amongst us—the damages of all that on society outweigh the minimal individual benefits.

Tools to manage sixth wave (coffins, body bags)

Why are they doing this?

Because it benefits them politically. I’m not going to pretend to know exactly why they think it’s a political winner, but they clearly do.

And Public Health is very much under the yoke of provincial government direction. They are more motivated to to please their political masters than protecting you and your family. (Ontario proof: Disbanding the Ontario Science Table because they insisted on providing independent advice, and not just saying what the politicians wanted them to say.

Being beneficial to a political party’s election prospects doesn’t make it good or wise policy. Doesn’t mean it benefits you personally or the province generally. Doesn’t mean it’s in our collective best interest, long term.

Why should I care, I’m young and vaccinated

The young and the vaccinated are indeed unlikely to be hospitalized with or die of Covid. But Covid spreading so widely is still a problem for that group (which includes me—at least, in the vaccinated part of that category).

Being sick sucks

Those people who dismiss it as the flu—the flu is terrible, what are you talking about. When I had the flu as a very healthy 21 year old, I literally couldn’t get out of bed, I was so sick. I had to call for help!

And I realize some people truly have a very mild acute Covid case, but most people, at least for a couple days, feel pretty damn awful. And some people it’s more than a couple days.

And even if it’s the sniffles… The sniffles also kind of suck! Sore throats aren’t great!

And you can catch Covid again. It’s not a “one and done” disease.

You might need a hospital for some other issue

Our whole healthcare system is built around hospitals. (Probably it shouldn’t be, but it is, and changing that won’t be fast or easy.) And just because you’re unlikely to need it for a Covid infection, doesn’t mean you or yours won’t need it for something else—an accident, a serious infection, a troubling test result, intractable pain, an overdose… And then it’s going to be big freakin’ problem for you personally that you can’t the care you need in the time you need it, in part because of all the Covid patients in there.

It’s affecting other services

While, again, it’s not the only cause, Covid is a definite contributor the flight delays and cancellations that have been the ban of travelers; to supply chain shortages; to labour shortages; and to other cancelled events (most recently for me, a play at Stratford).

Long-term, Covid might still bite you in the ass (metaphorically)

There’s that Long Covid risk, for one. Yes, vaccination does seem to reduce the risk, thankfully, but not to zero! Not even always that low a risk, depending which study you look at. And there’s no good treatment for it yet. Sometimes people recover, and sometimes they don’t.

And then there’s that whole cornucopia of unpleasant diseases you’re at higher risk of in the year following an infection, “even mild”:

  • Heart disease and stroke (the number 1 cause of death in Canada, so Covid is “contributing” in this way as well!)
  • Diabetes
  • Brain disorders
  • Kidney disease
  • Shingles (though there is a good vaccine for this one!)
  • Immune dysfunction (leaving you at higher risk of catching, among other things,colds, flus, and Covid again)

But what can we do, Omicron is so catchy

You can keep everything open at full capacity while also making indoor spaces safer from infection. We know exactly how to do so. You follow a plan such as this Equity Schools Policy Plan, whose advice would work for pretty much any public space. The key points:

  • Support vaccination
  • Plan for mask mandates at the start of surges
  • Support testing
  • Improve ventilation and filtration
  • Support isolation when infectious

How do we make any of that happen?

Well, that’s a bloody good question, isn’t it? Because government sure doesn’t want to do it!

I’d certainly like to try to do something, as that seems more productive than merely fretting or raging.

Contact politicians / public health officials

Personally, for me, writing letters to or phoning government officials is not terribly satisfying, as it feels like screaming into the void. However, they apparently do at least somewhat keep track of what calls / emails / letters they get on what subject, so it’s good if some people express disapproval about the current path.

File a human rights complaint

This group of Ontario Physicians, Nurses, Scientists, and Education Professionals has written this amazing letter, urgently requesting an inquiry into the human rights violations represented by the current policies (discrimination on the basis of age, disability, family status, and sex): https://drive.google.com/file/d/1ceci-kYmOLz19LZHdNCLijnP4Ux4WxRb/view (PDF)

These people have particular clout (and deep research at hand), but anyone can file an Ontario Human Rights complaint.

Support (or launch?) legal challenges

Threat of legal action has caused the Ontario government to act on vaccination (opening up fourth doses, making the vaccine available to children under 5). This parent’s group is raising money to legally challenge the Ontario government’s lack of Covid protections in schools: https://gofund.me/e0a4840d

Do you have a case, or can you support others who do?

Stay home when sick if you can

Our society needs to get past this idea that it’s heroic to work, and that it’s any kind of acceptable to go out in public with an infectious disease. If you are privileged enough to have sick days, to be able to work from home, please do isolate if you feel unwell.

And if it turns out to be Covid, please stay isolated until you test negative on a rapid test.

But an awful lot of people just can’t do that. And now public health has told those people they can head right back to work 24 hours after they start to feel better, no matter that they’ll likely be infectious for many days yet.

Canada needs paid sick days, like other civilized countries have. Consider voting for political parties that support workers, maybe?

Support masking

With apologies to people who work in these areas (except that this might protect their health), I do think masking should have stayed in place on transit, in schools, in grocery stores, and in pharmacies—in essential spaces, in other words. And I think they need to stay in place forever in hospitals, long-term care homes, and for other medical services.

I don’t know how to make that happen. I’m not about to organize a pro-mask rally.

I’ll do what I can to support mask mandates wherever I can. Currently, a few universities are among the few institutions willing to have them. So instead of giving a donation to Waterloo U, my alumni that doesn’t have a mask mandate, I think I’ll give it to Wilfrid Laurier, the local university that does. And I’m going to tell them both of them why.

And, I’ll keep wearing a mask myself in public indoor spaces. Yes, it’s mainly to protect myself. But I also know that a huge reason most people don’t mask is simply that most people don’t mask.

That is, nobody (or not very many people) wants to be the one weirdo in the mask. An unmasked person surprised to walk into a sea of masked faces might very well put one on themselves (if offered). Someone feeling a bit nervous about their risk of infection but not wanting to stand out alone might then feel the courage to put one on.

Elastomeric mask
Me in an elastomeric mask that I have yet to wear in public, because my masking courage also has limits. (Elastomeric masks are the most protective available, but yes, they look a bit weird! Fortunately, N99s are also quite effective, and these days look fairly normal.)

Maybe because they feel a solidarity.

Maybe because they think I’m walking around with an active Covid infection, per latest public health guidelines.

You deserve clean indoor air

No, we cannot quickly, widely, and cheaply improve public building’s ventilation and filtration systems such that indoor spaces are nearly as safe as being outdoors.

But most indoor spaces can be improved to some degree by measures that are pretty quick and cheap—opening windows, moving furniture to improve air flow, setting HVAC fans to run continuously, using better furnace filters, adding HEPA filters or Corsi-Rosenthal boxes… That sort of thing. Which can be built on with time.

And any improvement has the potential to reduce the number of people in that space that get infected. Furthermore, improving ventilation and filtration:

  • Requires no individual action—no masking, no hand washing, no distancing (although layering on these things remains helpful to the individual!)
  • Benefits health in other ways—improved cognition, allergy control, headache reduction, energy levels…
  • Is a good investment into the future, a building improvement that remains helpful beyond the purpose of suppressing Covid.

This feels like one of the most positive things that can be done.

I bought a CO2 monitor a while ago, as it’s a useful proxy as to whether an indoor space is well-ventilated or not. But having found out, I really wanted the ability to share the information. And I craved a way to find out without going somewhere first myself, only to be sitting there for hours knowing it’s terrible (which has happened).

So I was very happy when the Raven CleanAir Map launched.

It’s in the early stages. But these people have plans, and now, some funding. I have been to some meetings, I have contributed some readings, and so are more and more people, every day.

You can’t fix a problem you don’t know about. You can’t see or smell bad ventilation. Somehow, you have to measure it. This is one way. This is step one. Which spaces have a problem.

Next, we do small fixes. Then, bigger and better ones.

Clean air. It’s not the most glamorous battle, but to me, it’s one worth fighting.


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Ontario election dilemma

Ontario’s having an election in a few, and I’d rather Doug Ford’s Progressive Conservatives not win the most seats. The main reason is that climate change remains our biggest problem, and this party has been and will continue to be terrible on the environmental front. We can’t really afford that for another four years. Not only are they not trying to reduce emissions, they really seem to want to increase them. Their main campaign point is that they more people in more cars on more highways, producing more greenhouse gases on the paved-over wetlands.

But, the PCs also weren’t great on (just off the top of my head):

  • Healthcare—Freezing wages, cutting public health
  • Long-term care—Failing to protect seniors in care (like, seniors died of starvation and neglect, not Covid…)
  • Autism—Cancelling the Liberal autism program because the wait list was too long, and replacing it with nothing but an even longer wait list
  • Opioid addiction—Arbitrarily capping the number of needle exchange centres in the province while overdose deaths soared
  • Open government—Paying lawyers to keep secret information citizens have the right to know, such as ministerial mandate letters and taxpayer-funded reports on municipal amalgamation
  • Municipal government—Cancelling the ranked ballot option (why?), changing the number of Toronto city councillors mid-election (!)

So, clearly I would like people to… well…. do what exactly?

Vote for a member of another party, of course. But that’s the issue: which one? This ain’t a two-party system. And none of the other main alternatives—NDP, Liberal, or Green—are clearly the best choice. At least to me, anyway. But I think to a lot of other people, also.

Which is why we have this split. A chunk who will vote PC, because you always have a minimum 30% or so who will, with the remaining majority of voters dividing up support in such a way that the PCs are well on track to win more seats than anyone. Quite likely a majority of seats overall, which will allow them to govern and do whatever the heck they want.

PCs at 36% vs Liberal at 28%, NDP at 24%, and Green at 5%.

The other parties should combine and stop this from happening

I keep hearing this, even now, from people whom, I guess, don’t really know how our political system works?

The election has started. The ballots are printed. Heck, people have already voted! It’s too late for the Liberals and NDP to collaborate and agree to split the ridings and govern as a coalition—which is not really how our system works anyway…?

In the end, after the vote, if the non-PC parties have, combined, more seats than the PCs, they could look to eventually defeat that government and indeed, offer to govern in some sort of partnership as an alternative to making everyone go to the polls again. But not before the vote.

(Also, you know, you can’t just assume that people who like the Liberals like the NDP second best and vice versa. If those parties were to collaborate ahead of time, it could well annoy loyalists into voting for some other party entirely…)

Strategic voting

Is the other big idea, and is at least is in realm of possibility (unlike the fantasy of an NDP-Liberal coalition forming mid-election campaign). But it’s not as easy as it seems, even despite all the tools and movements to help, such as https://votewell.ca/ and (for Toronto) https://www.notoneseat.ca/

The idea is that you vote for whichever party your riding is most likely to defeat the PC candidate.

The problem is that it’s largely based on polling at the local riding level, which is simply not accurate, mainly because it isn’t done! At least not on any mass scale. Polling is mostly done provincially, and then they try to extrapolate to the local level to estimate how the seat count will work out (considering historical data for that riding, etc.). It gives you an idea, but that’s it. It’s not really solid data.

Squaring my own circle

All I can 100% control is my own vote, so what are the considerations?

Party leader

My favourite for sure is Mike Shreiner of the Green Party. He’s smart, he’s likeable, he’s been a constructive presence in the Legislature the last four years, and in my opinion, he was the best at the Northern Ontario leaders debate (one of the better debates I’ve seen a while, actually).

Steven Del Duca (Liberal) and Andrea Horwath (NDP) also seem smart and reasonably likeable, but do somewhat lack in charisma. Del Duca was somewhat better in the debate, in my opinion, for what that’s worth.

Platform

If you look at my Vote Compass:

Liberal 73%, Green Pasrty 64%, NDP 63%, PC 43%

The Liberals have it.

But, I feel like each of these parties has some promises I really like, some that I’m meh about, and a few I’m not quite on board with but, overall, any one would be an improvement over the PCs.

Local candidate

The only local candidates I know anything about are incumbent Catherine Fife of the NDP, and Shefaza Esmail of the Green Party, whom I talked to briefly on the phone. I’ll have to nerd out and watch a local debate to see how the others are, but Catherine has been a good MPP: smart, engaged, well-spoken. At this point, she certainly seems like the best local option.

In sum

I have my own three-way tie: Green, Liberal, NDP.

If the election were held today…

I’d likely vote NDP, to support Catherine Fife, and because, despite my serious doubts about strategic voting… She still seems like the smart choice if you’re going to consider it at all.

(For what it’s worth, VoteWell has Waterloo pegged as more of a Liberal / NDP battleground, and says you can therefore vote for “the candidate you prefer”. I dunno. Last time the PCs did come in second, but that was also the Great Liberal Collapse election, so… Who knows. Strategic voting is a mug’s game.)

Anyway. Making up my own mind isn’t really the problem.

The problem is how to you chip away at the soft part of the 37% currently planning to vote PC, and try to get them to vote some other way?

… When you can’t even quite tell them what that other way should be…?

I do still love this ad…


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Tired of doing the government’s job

My calendar is not especially full, but there are events in it here and there, and as each one comes around, so do the questions…

  • How many people will be at this event?
  • How close will be they be to me?
  • How bad does the current transmission rate seem to be?
  • Is the venue doing anything to mitigate risk?
  • Can I do anything to mitigate risk?
  • Should I stay or should I go?

And it’s Just. Bloody. Exhausting.

So I can definitely see why most people find the current government messaging very appealing:

Everything’s fine. Just do all the things. Don’t worry about getting infected. Live your life! Even if you do get infected, it will be fine! It’s all fine. Everything’s fine.

It does sound lovely. I wish my brain would let me join you in the “everything’s fine” camp. (But I just know too much!)

And I get the government strategy, politically. Gosh. Managing pandemics is not fun. Not what they were elected to do. Giving up on pandemic management lets them focus on their other priorities, like building highways on environmentally sensitive land, going to court to keep their plans a secret from citizens, and denying treatment to autistic children. I care most about Ontario, as that’s where I live, but almost all the governments are currently aboard the ” let’s do nothing about Covid to focus on other issues” train.

Problem is…

Unfettered Covid is still a problem. Ignoring it doesn’t seem that effective at making everything fine.

For one thing, a lot of people are still dying of it.

Yes, this is US, and Canada has tended to not be as bad. But Canada is also slower at counting its dead. And is now following US policy much more closely.

And if the main goal/rational was preservation of hospital capacity, well, these are all recent (Ontario) news stories:

So that’s a Big. Epic. Fail.

All of this mass infection will put an end to this wave at some point, as the virus finally runs out of hosts. But it does little to prevent the next wave, because the virus keeps mutating, and Omicron infections in particular do not confer long-term immunity. And it appears that risk of hospitalizations increases with the repeats (PDF).

Vaccinations help tremendously; the tragedy of this much infection would be unimaginable without them. And yes, maybe this variant is “milder” than some past ones, even for the unvaccinated. But Long Covid afflicts somewhere around 10% of patients, and it has no cure (though sometimes does improve with time). And Covid has long-term effects on many organs, even in mild cases.

Basically, it’s not good to have sickly population. Even if you don’t care about the ethics of allowing unfettered mass infection, it’s also not good for the economy.

Everyone is so happy about having schools open, not only to benefit the kids, but also to benefit working parents and their companies. But Covid is absolutely tearing through schools, to the extent that many of them can’t stay open.

But it directly affects businesses, too, per the Business Journal: Omicron sharpens labor pains for short-staffed businesses. And the Financial Times, looking longer term: Long Covid: the invisible public health crisis fuelling labour shortages. Sick people just aren’t your best bet for achieving maximum productivity and growing your economy.

Government can’t just pawn this off on us

The whole point of Public Health is to avoid the problems just described. Saying “you have to learn to live with it” or “make your risk assessment” is not Public Health! It’s an abdication of responsibility. It’s government not doing their job.

What if governments treated other public health threats the way they’re currently handling Covid?

The smooth taste expectant mothers crave!

Smoking: Given that lung cancer and emphysema rates are currently declining, you are once again permitted to smoke in all indoor spaces. Yes, we do expect that this will cause lung cancer and emphysema rates to rise again, but it’s OK; we have plenty of room in the hospital for these new patients!

We all have to learn to live with smokey air. For most people, the effects of second-hand smoke are mild, and not much worse than a cough caused by the flu. Those worried about long-term effects can consider attaching a HEPA filter to their face. If you are at immediate risk due to severe allergy—stay home!

Drinking and driving: With so many people drinking so much alcohol, our Ride programs are getting overwhelmed, so we have decided to stop checking blood alcohol levels. If you think you’ve been around alcohol, and now feel dizzy, assume you’re drunk, and don’t drive for, let’s say, 30 minutes?

Hard hats, steel-toed boots: Data has shown that these protect workers at construction sites, but they are annoying: so hot! so uncomfortable! So, it’s now your choice what to wear while working. It’s so lovely to see everyone’s bare heads and feet again!

Asbestos in buildings: Some buildings have asbestos leaks; if you breathe in the fibres, you could damage your lungs. If concerned, you might want to avoid going into those buildings.

No, we’re not going to tell you which buildings those are. No, we’re not certainly not going to make any effort to remove the asbestos from those buildings. What are you even talking about?

If you’re worried about breathing in asbestos, just wipe down the tables and wash your hands.

Car seats for infants: Optional.

So what should they do?

Doing something instead of nothing would be nice. That something does not have to be business or school closures, capacity limits, or restrictions on public gatherings. How about just reversing some of the stupider decisions and actually promoting vaccination again, for a start.

Change the isolation period back to 10 days

My God, the government was eager to put this 5-day isolation rule in place, even though this Delta-variant data was never true for Omicron. People are at peak infectiousness at 5 to 8 days. The standard must go back to isolating for 10 days when you’re Covid positive. Ideally with people using rapid tests to ensure they’re no longer infectious before they go back out in the world.

Get adults and teens fully vaccinated

Two vaccination doses are much better than one or none, but this is a three-dose vaccine. But the messaging around the third dose has been so muddled that third dose rates have stagnated at about 50% in Canada, even in light of evidence that two doses no longer protects as well against hospitalization.

The Federal government could help here by changing the terminology. Stop calling that third dose a “booster”, which definitely makes it sound “optional”. Redefine “fully vaccinated” to mean three doses. And extending everything for which you need vaccination proof (travel, federal jobs) to now mean three doses.

Get children vaccinated

Children are also very under-vaccinated, many vaccinated parents apparently having concluded that vaccine isn’t necessary, since they keep hearing that Covid isn’t very dangerous for kids. When in fact it’s children under 4 who are the most hospitalized age group for Covid, after those over 70. And children can also get Long Covid, which vaccinations reduce the likelihood of.

Adding the Covid vaccination to the school vaccination requirements would be good idea, but I would also note that a great education campaign can go a long way. In Newfoundland, they made a concerted effort and achieved a 75% rate of vaccination among children.

And yes, bring back the mask mandate

Two-way masking works better than one-way. If you’re the only one masked for a longer period in a poorly ventilated space with Covid-positive people, the virus might very well through. I’m not saying masks need to be mandatory “forever”, but they are needed at times of high transmission, like now.

And masks don’t stop you from doing anything. You’ve always been exempt from wearing them when you want to eat, drink, or exercise in public. What’s the big deal about wearing them to shop, go to a concert, or ride transit. And I would note that not doing so, at least in essential places, is a human rights violation:

My suggestion: Get this decision out of the hands out the hands of politicians and give it to a more independent authority (which politicians can then hide behind, the bunch of cowards). Here, that could be Ontario Public Health and the Ontario Science Table (which is now part of OPH), who have clearly stated that lifting the mask mandate made this wave bigger than it needed to be, and that it should be brought back.

How much longer, Papa Smurf?

OK, masks, needles, and being all alone when sick are not fun. Those tactics won’t be needed forever (hopefully!).

But some changes we could make because of Covid should stay around for good, because they are nice things that would permanently benefit everyone.

  • Paid sick days for all. And a reasonable number of them too, like 10. Who wants to catch colds, flus, or any disease from their coworkers? Which companies want to have a bunch of people off sick when they could stop it at one person? (And frankly, even if a coworker has something non-communicable, I don’t want them at work suffering. The moaning sounds are very distracting!)
  • Cleaner indoor air. Outdoors is great, and very Covid-safe, but we are an indoor species. Having cleaner indoor air—everywhere—not only reduces transmission of all airborne diseases, but also reduces headache, fatigue, nausea, skin irritation… It’s just generally better for our health. And our productivity! We be so much better worker bees with more air exchanges per hour, breathing in fewer air pollutants.

    Governments could start this by measuring CO2 levels everywhere (Belgium is doing this!) and including air quality as part of health inspections (Niagara, Ontario is doing this!). That way everyone can know which places have good indoor air and which don’t. Next step: improving it. Like the US EPA is proposing to do. And also the City of Toronto!
  • Restructure the healthcare system. The Globe did a big story on this recently that is difficult to summarize in a bullet point. But it’s not about more money; it’s really about spending the money better by integrating all aspects of health into one system instead of funding only doctors and hospitals. This is exactly what the 300,000 or so Canadians with Long Covid need—but it’s also what we all need, to treat every ailment!
  • Longer Christmas break. Happens every year, previously with flu and now with Covid: Families gather at Christmas, infect each other, then all go back to work and school and pass it on further. Reduce that risk by making that a longer school break for kids, with the time made up by extending the school year. Wouldn’t that also help reduce learning loss from the long summer break? More people would surely take more vacation time at Christmas, too, further reducing spread in workplaces. (While at it, how about: More vacation days for all.)

And I leave you with…

Cute animals for when you are stressed


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Covid conundrums

I had started this post a while back, on the difference between the people who will do everything the COVID rules you say you can do (dine indoors, drink at bars, get a tattoo, hang out at the mall, attend a large indoor wedding), and those who mostly try to follow the guidelines—which are to avoid gathering with people from outside your household, and to stay home as much as possible.

And that the guideline people can get kind of irritated with the rule-following people.

Shannon Proudfoot tweets about people in restaurants
From journalist @sproudfoot

And then I was getting into the fact that it didn’t help that the rules themselves were so illogical:

  • Outdoor weddings are capped at 100 participants, while more dangerous indoor ones can have over 200 (being based on a percentage of total capacity).
  • Movie theatres cannot project movies to any number of masked, distanced patrons, but can serve alcohol at their venues to unmasked patrons, up to 50% capacity.
  • Theatre companies cannot film plays at their venues, under any protocols, but can rent out those venues to companies to film movies or TV shows.

Not to mention the fact that different parts of Ontario kept shifting into different “color code” areas, and that the meaning of those color codes kept changing, so who could keep track anymore anyway?

And that while I feel that I’m mostly in the guideline camp, it is weird to find myself with the rule people on one issue: wearing masks outside. Because I generally don’t do this. I do if I’m standing in line, having a longer talk with someone outside my household, and on more crowded streets. But otherwise, no. I do try keep moving and always give other people space. I figure, outdoors, that should be enough to keep us safe.

But this annoys some guideline people, as to wit: Even when you’re outside you should still be masked, which I’ll quote part of:

It was a very busy weekend for walkers in downtown Waterloo this past weekend and most walkers had no masks. Perhaps there should be more enforcement by bylaw officers.

Carolyne Wagner, Kitchener

The first thing I want to say to this person? 

“There’s no rule that you have to wear a mask outside!”


But since then, my attempt at light-heartedness seems a bit off, because things are really terrible now and about to get worse. And now the rule muddle has simplified, somewhat, in that all of Ontario is moving to “gray color code” for at least four weeks.

A lot experts think… These latest measures just aren’t going to work. For the worst parts of Ontario, Toronto and Peel, nothing much changes—they’ve basically been in this state of closure since October or so. How changing nothing going to make case numbers go down instead of continually up? Are those areas going to benefit that much from people not being able to go to other parts of Ontario for lunch or a haircut?

While the Christmas lockdown was effective, this one isn’t as restrictive (notably, schools aren’t moving back to remote, despite evidence of a lot of spread there), and that one wasn’t maintained nearly long enough. So we’re starting this one at a worse state than we did that one. So too little, and starting too late.

It’s all… super depressing. I will not get into extensive political critique myself, but I do encourage you to read Bruce Arthur’s summary (a 5-minute read):

Remember the choices Doug Ford made when ICU doctors are making theirs

(And just say, next time: Vote different! Well unless you voted NDP, Liberal, or Green. Then maybe vote the same.)

The only thing that makes me feel any better these days is reading about vaccination. Yes, it’s been too slow, it’s clunky, it’s uneven, there have been mistakes, but nevertheless, it’s the only thing going semi-well, and where the numbers actually improve daily.

Chart from John Michael McGrath, TVO—this is one case where rising numbers is good!

Chart of vaccination rates, Ontario
And since there’s been so much fretting about Canada’s relative performance, Jean pointed me to this chart, from Information is beautiful:
% of population vaccinated, Canada in 8th spot

14% (and rising) with at least one dose isn’t going to get us out of the current crisis, but at least it puts us on the path.


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Winners and losers: What a week!

I did not expend a lot of mental energy worrying about the US election, but not because I felt confident that the Joe Biden and the Democrats would easily win it. It’s simply because, after therapy, I have gotten better about not spending a lot of time worrying about things I have no control over. And as a Canadian, it’s really no control. I couldn’t vote, couldn’t donate, couldn’t campaign. Just watch it happen.

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Not an open and shut case

Both Ontario and Toronto hit record numbers of COVID-19 cases this week, yet Doug Ford, it seems, wants the shuttered restaurants, bars, gyms, and cinemas to reopen. Is that really wise?

Nobody much cares what I think about it, but I can’t help thinking about it anyway. So now I’m inflicting my thoughts on you.

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Short bits

Trying to write a longer, coherent blog post on one topic was not working, so here’s a series of short takes, instead.

What I’m watching

All of the time I’ve not been spending writing has really opened up time to watch TV. Nothing is at the level of Travelers, but here are the current favorites, per source.

Warning:

Will not include Game of Thrones, because I have yet to see a single episode of that.

Network TV: The Orville

Seth McFarlane’s take on Star Trek. I’ve always liked this show more than I would have expected, and it’s become kind of serious this year, making me like it even more. Hope it gets renewed!

Netflix: Santa Clarita Diet

Back for season 3, and I’m still loving it. You have to admire Joel and Sheila’s ability to make a marriage work despite her being undead and thus having to eat people.

Crave: Orphan Black

I know, finally, right? I always thought I would like this show, but it wasn’t until my free 3-month trial of Crave that I finally put it to the test. Tatiana Manslany is just amazing in playing all these different clones (and clones pretending to be other clones). And the story has so much twisty goodness! We’re nearly done Season 2.

Amazon Prime: Catastrophe

The humour is a bit much for Jean, but I’m going to see it through! After all, it’s only six episodes per season, and I only have two left (episodes, not seasons). A very unsentimental look at marriage, but I think I love it for the sentimental reason that these two really love each other.

Also because they’re really funny.

How is Zoë doing?

Very well, thanks. She’s adapting to life as an only cat, and getting way more attention than she used to seems to suit her. She’ll never be cuddly, exactly, but she does like to be pet, tolerates being picked up, and will even lie down on us, as long as we put a blanket barrier between her and us. (Bit of an odd duck, Zoë.) She’s also been pretty chatty, and occasionally even purry.

She also likes her new cat tree

News, ugh

I’m rather missing the days when, as a Canadian, you could feel kind of smug while reading the news from elsewhere. But now we have Quebec passing blatantly racist laws, unashamed they violate Charter rights; an Ontario government denying help to kids with disabilities; the Trudeau Liberals deciding that Canada should not be so welcoming of refugees after all; and Alberta about to elect a party full of alarming candidates, including the leader.

Reading about Brexit has almost been a relief. Of course, that’s also a story about irresponsible leadership, from so many sides, causing harm—and you have to feel bad for those who voted to Remain. But the degrees and varieties of incompetency have just been so interesting! (Though with yet another extension, the drama might start to wear thin.)

And, if you haven’t already read the comparison of Brexit to building a submarine out of cheese (an oldie but a goodie), do yourself a favor and do that. Here’s the first tweet:

Then you can see the rest of the thread, and the responses, here: Guy Explains Brexit In 12 Hilarious Tweets And It Will Crack You Up.

We will still need a song

I’ve been listening to more George Michael lately, after watching the George Michael: Freedom documentary on Crave. It was so good! Assuming you have some fondness for George Michael, of course. It made me realize that I really needed to check out his oeuvre beyond the Faith album and the “Freedom ’90” song. He made good music long beyond that.

Heard some good live music, too. Like The Beatles One show last night, a good reminder that this band could really put together a tune, and that a shit-ton of them went to number one. We also enjoyed hearing a subset of the KW Symphony perform Vivaldi’s “The Four Seasons” (subset because that piece doesn’t require a whole orchestra), led by guest violinist Nikki Chooi. It was just riveting. The whole 40 minutes of it.

Also exceeding expectations was Drayton Theatre’s performance of the musical Priscilla: Queen of the Desert. A terrific cast, creative staging, enormously fun song list. And really something to see the usual Drayton crowd of grandparents, kids, parents all totally there for this celebration of gay pride.


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Garbage election day

Monday, October 22 was the municipal election day in Ontario. Much as I rely on electronic calendars like anyone else, I still like to rock it old-school with the paper calendar,  on which I note items such when garbage day (that is, the biweekly date on which the region picks up trash along with the recycling and compost they pick up weekly) and municipal elections occur. Those fell on the same day this year, so the calendar read: Garbage Election day.

Only it wasn’t.

Nor was the historic US midterm election that took place on November 6. It wasn’t immediately apparent how historic it was, because the counting and recounting, it turns out, goes on long past that date—it just finished last week or so. And the Democrats got the largest margin of victory in history, thanks in large part to that election having had the largest turnout for a non-Presidential election in a century.

midterm-turnout.png

Way to go, Americans.

Our municipal elections, of course, were far less consequential, and featured the usual poor voter turnout: 34% for the City of Waterloo (though 48% in the uptown Waterloo ward, so kudos to them). I don’t see this ever changing much unless we bring political parties into municipal politics, allowing people to forget about the individuals running and just focus on party platforms. Which I don’t want, as the partisanship would be a terrible side effect that we get enough of at every other level of government.

Municipalities try to increase voter turnout. This year, several cities and townships in Waterloo Region—not including the City of Waterloo—offered electronic voting from home. Though this greatly increased the days on which you could vote, a lot of people left it til election day. And then the system crashed under the load. Forcing extensions to the voting time, in some cases by an extra day.

Hence we didn’t get all the results—including who the new Regional Chair would be—until a full day later. Whereas cities who used the old paper ballots had results counted in a few hours.

Also, it didn’t really increase voter turnout.

Apart from the potential computer snafus, the most compelling argument against electronic voting is that some dominant person in the household could do the voting for everyone else. I’m sure that would be a very small problem, but there’s no way to eliminate it. Whereas when you have to go vote in person, everybody gets a chance to mark their own x’s in private.

Obviously, compared to the US wait, one day longer wasn’t a big deal, but it was odd and I was curious about the results. If you are going to vote in these local elections semi-responsibly, you do have to do a fair amount of reading and research. And at least in these parts, there’s no polling to give you any idea who might win!

There were some pleasing and somewhat surprising results.

In the absence of parties, incumbents always have a big advantage, with many getting re-elected for years. But in Cambridge, long-time mayor Doug Craig lost out to Kathryn McGarry (who had her own name recognition due to having recently been the city’s MPP). To me, Doug Craig’s political philosophy could be summed up as Cambridge First, characterized as an unwillingness to compromise and a large propensity to complain. I was happy that the people of Cambridge were also getting tired of that approach. (And now Craig is planning to run for the federal Conservatives.)

And Michael Harris, who had been unfairly (in my opinion) cast out of provincial politics by Doug Ford shenanigans, won a seat on regional council. He always seemed one of the brighter lights in the Progressive Conservative party, so I was glad to see him get another chance to serve (in a less partisan environment).

In general (and as in the US), a lot more women got elected. The new regional chair is Karen Redman; Kitchener City Council and two of the townships achieved gender parity. On both Waterloo and Kitchener City Councils, women candidates managed to defeat incumbents.

regional-chair.png

She defeated these three guys

ward-5-waterloo.png

She defeated this guy (the incumbent)

On the other hand, the two women I voted for (there are two seats) as Waterloo regional councilors both lost to men. But, at least the two men in question weren’t unqualified, boorish, populists, so one can take some comfort in that.

In my city ward, the incumbent chose not to run again. One candidate captured the support of most of my immediate neighbours by expressing dismay about the planned residential high-rise building nearby. I considered joining that bandwagon, but ultimately voted for Royce Bodaly, who seemed to have a really good grasp of the local issues and a real online presence, and who made an effort to visit every household in the ward during the campaign. I must have talked to him for 20 minutes myself! He ended up winning the seat… By a margin of 11 votes. (And yet, there was no recount.)

By the way, I am not critiquing how long the US results take—or that they have recounts. Those are elections on a much bigger scale, of course, and conducted very differently (in ways I won’t pretend to understand). Giving people various ways to vote and taking the time to count all the votes is good, even though that means you can’t trust the narrative on voting day. It’s not a blue wave! Unless, wait for it, wait for it, yes it is…

One of the challenges raised in the US midterms (in Maine) was over the use of ranked ballots, as the leader after the first round of ranked ballot voting lost his lead in the second. (The results were upheld.) Ranked ballots were also tried in one Ontario city this year: London. They had to do something like 14 rounds of counting, but in the end, the same person who was in the lead after the first round became mayor. People said that demonstrated that ranked ballots are pointless, but I’m not so sure. There were a lot of people running (hence the number of rounds of counting), and at least the winner now knows he’s not a polarizing figure, and that the majority who voted are basically OK with him being their mayor.

I think it might be worth trying elsewhere. (Cambridge and Kingston voted to do so in the next election, though the results aren’t binding in Cambridge.) When you do this local election research, you do generally end up with not only your #1 choice, but an idea of the other people you think would also be OK, and those you really don’t want elected under any circumstances. So marking your ballot accordingly wouldn’t really be so much more work.

Finally, municipally there was a period after the election where the previous council continued to sit and govern, til the new crew were oriented and took over about a month. There was no drama or scandal surrounding this that I know of—except perhaps Cambridge council voting themselves a raise without accepting the offsetting reduction in benefits. But they did that for selfish reasons that they wanted their cake and eat it too (many were re-elected), and not to hamstrung the newbies.

The US has a longer “lame duck” period during which some states, like Wisconsin, well:

wisconsin.png

Details: https://www.huffingtonpost.ca/entry/in-stunning-power-grab-wisconsin-republicans-pass-bill-weakening-new-governor_us_5c06e268e4b0680a7ec9a289

Democracy, man. It’s fragile. But worth fighting for.


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Democracy then and now

Saturday we went to a fundraiser for the Cambridge Fashion History Museum. They were holding a Tango Tea, and type of event popular in the 1910s. This was a high tea at which people would do the popular dances of the day—including, but hardly limited to, the tango. They encouraged us to dress in outfits reminiscent of that time. I didn’t have exactly that, but wore a tango dress with a fashion hat—I looked at pictures, and everyone wore hats then.

Me with a Givenchy that was part of the exhibits

Jean wore a fetching pinstripe suit and his Dad’s fedora; unfortunately, the person we got to take Jean’s picture didn’t press the camera button all the way down, so his outfit is lost to the mist.

Another friend took a picture!

They brought in a Stanford professor who specializes in dance history. He did a few classes in the morning that we didn’t attend, but during the tea also did some demos and shorter lessons on the basics of the one-step, the grizzly dance, and other popular dances of the time. Our ballroom dance instructor wouldn’t have approved of the techniques (or lack thereof), but it was fun learning and seeing these dances that did evolve into today’s waltz, tango, quickstep, foxtrot, and samba.

The Sufragettes were active in the 1910s, and through some educational (but fun!) games, we learned more about them. We were also invited to join the movement.

The two ladies in the centre made these dresses themselves

In Canada, most women earned the right to vote in federal and Ontario elections in 1917. Asian women were excluded until after the Second World War, and Native women earned the right only in 1960.

In 2018, Canada has a feminist Prime Minister who insists on a gender-balanced cabinet (though parliament remains far from balanced). In Ontario, we have a ridiculous, unqualified Premier who beat several far more qualified women on the way to power.

So, the fight’s not really over.

Premier Ford is currently pretty busy throwing Toronto’s municipal election into chaos for no reason while trying take away their right to free speech as quickly as possible, so when Greenpeace added to his pile of lawsuits for not doing the legally mandated consulting before cancelling cap and trade, he capitulated (to some degree) and opened a one-month opportunity to comment online. You can find it here: https://ero.ontario.ca/notice/013-3738. Just click Submit a comment.

Not sure what to say? Well, in case it helps, this is what I submitted. (And no, I don’t think it will make a difference, but at least I’ll be able to say I tried.)

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