Coronavirus

Stop Ignoring the Different Needs of Rural Areas and Cities Responding to COVID-19

A uniform national response risks doing more harm than good in a nation that’s not uniform.

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One-size-fits-all, top-down policies are poor matches for communities of widely varying density, character, risks, and concerns. Unusually for a modern politician, Arizona Gov. Doug Ducey acknowledged this last week. When asked why he was less eager than his counterparts elsewhere to order statewide restrictions in response to the COVID-19 pandemic, Ducey answered:

We want to make decisions that protect public health first and foremost, but also take into account that we have a large state and things are different in Tombstone than they are in Tucson; they're different in Gilbert than they are in Globe. I'm going to respect local leaders' decisions.

As COVID-19 spreads across the country, it affects different places in different ways, with some of the starker contrasts being those between cities and rural areas. Ignoring those differences doesn't just paper over reality; it may exacerbate existing national political tensions.

As I write, New York City is the new epicenter for COVID-19 infections in the U.S. It's a center for international travel, drawing visitors and people on business from all over the world, with a dynamic culture and a thriving economy. The city is also very densely populated, with over eight million people concentrated so that there are 27,000 of them per square mile. Those factors make New York—the city where I was born—a prime incubator not just for ideas and prosperity, but for new diseases.

"New York is far more crowded than any other major city in the United States … All of those people, in such a small space, appear to have helped the virus spread rapidly through packed subway trains, busy playgrounds and hivelike apartment buildings," The New York Times reported this week.

Fortunately, as befits a prosperous metropolis, New York City is also home to a long list of hospitals, many of them world-class. That doesn't mean they won't be overwhelmed—they're getting slammed, with worse to come. But they're top-notch institutions with excellent personnel and resources.

By contrast, Yavapai County, Arizona—where I now make my home—has a total population of around 232,000 people in an area half again as large as Connecticut, with 26 of them per square mile. Dispersed as they are, people in Yavapai County face less danger of infection than do the residents of urban areas. Unfortunately, that doesn't mean the place gets to sit out the pandemic; COVID-19 is here, and my wife is masked and hoping for the best at her pediatric clinic every day. But it is less of an all-pervasive threat.

Another difference is our medical infrastructure: A thinly populated area with resources to match, Yavapai County has the Yavapai Regional Medical Center, the Verde Valley Medical Center, and a Veterans Affairs facility, for a total of fewer than 400 beds. Which is to say, like other rural areas, Yavapai County offers a lower risk of contagion, but very limited capacity for helping those who do contract COVID-19.

Looking at the characteristics of these very different worlds, and having lived in both, it's difficult for me to imagine pandemic approaches that make equal sense for places where exposure to others is inherent in exiting an apartment as well as those where "social distancing" is life as usual.

That urban-rural difference is reflected in people's views of the pandemic.

"The people most likely to say the disease threatens 'day-to-day life' in their communities are those living in urban areas in states that have seen relatively high numbers of cases," with suburban and then rural residents lagging well behind in their perception of danger, Pew Research reported last week.

As does everything in our tribal world, this difference of opinion has political implications. Urban to suburban areas tend to be Democratic, and rural to exurban areas tend to be Republican, which is part of the reason that the country is split into warring camps. That shows in polling about COVID-19, with Pew finding many more Democrats and Democratic-leaning independents (44 percent) than Republicans and Republican-leaning independents (26 percent) seeing the virus as a threat.

Other polls find similar partisan differences, with an NPR/PBS-NewsHour/Marist poll reporting that a majority of Democrats view the virus as a "real threat" while Republicans see it as "blown out of proportion." Likewise, a Kaiser Family Foundation poll found that 30 percent of Republicans had suffered disruptions to their lives from the virus, compared to 49 percent of Democrats.

That last poll is especially interesting, since it's not about perceptions but experiences. It suggests that largely urban Democrats are experiencing a different pandemic than largely rural Republicans. That makes sense. By and large, the two groups live different lives, geographically and culturally distinct from one another. Their experiences in many ways are going to differ as a result; COVID-19 is just one more part of the divide.

That divide doesn't have to be world-shaking if it's one based on choices. To live in an urban area is to choose to experience life differently than people who live in a rural area. But that divide can be deepened and widened if it's made worse by decisions imposed from the top without regard for differences in needs, values, and experiences.

Yet top-down and one-size-fits-all appeals to a lot of people who either don't understand or don't give a damn that other people live different lives.

Describing the national pause in economic activity as "worse than the problem," President Trump says he "would love to have the country opened up and just raring to go by Easter." He calls for a quick return to normality that might work better for some areas than for others depending on the local severity of the pandemic and people's ability to weather a lockdown with jobs and businesses intact.

His doppelganger, Governor Andrew Cuomo of New York, insists "there should be a uniform federal standard for when cities and states should shut down commerce and schools, or cancel events." He also wants the federal government to nationalize the production and distribution of medical supplies—a terrible idea under any circumstance, and one that's bound to interfere with communities' ability to find their own way through this crisis by subjecting them to decisions made far away.

Of course, Trump is playing to a Republican, heavily rural base, while Cuomo strokes his own urban, Democratic supporters. Neither seems to see any reason why the response might need to vary according to local conditions.

Let me emphasize here that I'm not a pure localist. My preference is always for addressing problems without using coercion. Nobody should get to impose their wills on others, no matter how pure they believe their motivations or how wisely informed they claim to be.

But short of leaving people alone, if government is going to do anything, it should act with respect for the differences among us—like the widely varying densities, preferences, and resources of places like New York City and Yavapai County. If political officials don't care that "things are different in Tombstone than they are in Tucson," they risk giving way to even more resentment and antagonism between rural and urban Americans.

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  1. I live in SE Ohio. My county and the surrounding ones have reported no infections except for Washington with one. The more rural counties are fine as of now. It’s mostly in the large urban areas.

    1. Yup. Same here. Rural areas around the USA are likely doing what we did. Nothing much except make sure you have two weeks worth of stuff.

      Rural people are going back to their daily lives. Lawnmowers, weedwackers, tractors, farming, tree trimming….

      Even Atlanta area didnt get many infection complications with the busiest airport in the USA. We even have a bunch of immigrants here. Maybe the key vectors were people traveling to/from China.

      1. Maybe the key vectors were people traveling to/from China.

        The first cases in New Mexico were people who had traveled to New York City, so they probably got it via second- or third-hand infections from Chinese tourists, or from Europeans who had been infected by Chinese tourists in their own countries and subsequently traveled to New York.

        1. The airplanes/airports were a huge vector, I bet.

          1. Shipping ports too.

      2. It’s all those Koreans in Duluth – their magic testing aura protects metro atl

        1. Ah, yes Korea town.

    2. Ditto…

      Just one confirmed case in my county, but people are screaming for a city-wide shut down that will – conservatively – cost 3,000 jobs in a city of 70,000.

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  2. NO! NO! NO!
    Everyone MUST be treated the same.
    You act like the goal is to stop the spread of some disease.
    The goal is to impose fascism without the bother of an election.
    Get with the program!

    1. Watch the media pout (in the bad way) when most of America goes back to work starting today and the economy starts to recover…oh wait, it is happening.

      1. wait I want to golf tomorrow

        1. No wait at your local golf course!

          1. you know our County Judge is a golfer and post-round card player because his Steal the County Decree left open the courses and card-rooms

            1. HAHA. Yeah we have those corrupt ass government officials here too. Laws only apply to the other people type bureaucrats.

              Double dipping is a famous one here. Some cop retires from some Georgia police force and then gets another cop job and then “retires” again.

              There are many Democrat RINOs here in Georgia. You can tell from their government policies. Most are old and dying like the blowflies that they are.

              The other Godsend is that many politicians here are part-time, so they only have a limited time to do much damage.

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  4. All of those people, in such a small space, appear to have helped the virus spread rapidly

    BAN CITIES!!

    If it helps save just one life….Right, Governor Cuomo?

    1. He should at least personally choose the people who are going to be unemployed due to the shutdown. Tell them in person Governor.

  5. Until one rural community is hit hard and then the governor is called out for not doing more.

    It’s a CYA.

    1. You clearly dont live in a rural area, where most people dont scream “government do something!

      1. Maybe not, but your politicians sure do. That’s how most rural communities get utilities like phone lines, power/water, broadband/DSL all subsidized by economies of scale in urban/suburban areas.

        1. Your citations always fall off for some reason.

          1. I shouldn’t have to explain how the state public utilities commissions intervene in the free market to a smart libertarian like yourself.

            1. Poor “Eric”. Explaining away citations is a sure sign that you’re full of shit. I quote your nonsense comment as my citation on how you’re full of shit.

            2. You mean by pleading for market capture and preventing private utilities from setting up shop in rural areas?

              No, I didn’t think that’s what you meant, but that’s what they do.

              1. Once the PUC forces a utility to set up infrastructure to a rural area, they should have the right to operate long enough to recoup costs. They take big losses by running utilities to one-off homes or small markets in the middle of nowhere. My dad was one of the engineers four our local baby bell who’s job it was to map central offices over multiple western states. They operated at a loss outside of the cities and only could recoup costs via PBX systems in office buildings.

                1. “Once the government has forced a government sanctioned monopoly to expend funds, the monopoly should be able to maintain their monopoly status against the wishes and to the detriment of a third party.”

                  Got it. So it IS ok for you to kick your dog because your boss yelled at you…

                  1. Great. You’ve got me defending monopolies. What a fucking day.

                    My basic premise was that LC doesn’t understand the level of government welfare that rural areas receive to begin with. Infrastructure is prohibitively expensive to run, and PUCs force providers to operate at losses and those losses are subsidized by urban profits. That is my point.

                    1. Your citations keep falling off that cities subsidize rural infrastructure.

                      Urban areas are almost always more expensive to build infrastructure in than rural areas.

              2. Eric isn’t big on Capitalism as you will see from the anecdote.

                Never mind that via capitalism rural residents would have had more/better cell phone towers, satellite phones, or some other technology because that is what the market would bare.

                Subsidizing treacherous AT&T to provide rural telecom was one of the biggest blunders in US history and is an example of how Public Utilities dont work. Electricity is another one because rural residents could have better solar systems on microgrids rather than long distance power systems that fail and burn down entire regions of states.

                1. It’s not even that he isn’t big on capitalism, it’s that he’s also explicitly against the “democratic” part of “democratic socialism”…(ya, we all know that it isn’t democratic, but at least they SAY it is, Eric doesn’t even pretend).

  6. I live in the redwood forest , Humboldt County. During the last drought, our county received 98% normal rainfall. Almost no one here waters a lawn. The reservoir at Ruth Lake had enough water for the district we live in to last three years even if it never rained at all.
    The state mandated water rationing and, since we use so little for landscaping, unless we flushed half as much as before, we were fined. Water saved here can not be sent anywhere else, since there is so little relative to urban needs and since the route would be through rough mountains.
    No one in the Bay Area or LA ever noticed, much less cared.
    We paid the fines.

    1. I’d have organised and pushed back. Not only do you not use much anyway ALL the water you have around there is locally sourced. The Retch Retchy won’t get a drop less if you flush twice, nor a drop more if yuo stop flushing and just pee on the Maidenhair ferns over there by the back fence.

      Eedjits don’t know nuttin. ‘Ceptin whut they’re TOLD to “know”.

  7. Rural Georgia, shopping almost as normal with TP still gone. All of us laughing at the hysterics of other places.

    Obviously Greater New York is having a real time of it and needs more resources.

    Hopefully they will take all of Atlanta’s hysteria too.

    1. It must feel good being on the other side of that laughter. Enjoy it while it lasts.

      1. Rural Americans will get COVID19…so what.

        Many Americans already had it and got over or currently have minor symptoms. Severe cases of KungFlu are rare out of ~330 million Americans.

        1. gFDRural Americans WON”T be anywhere near as likely as their high rise counterparts to catch COVID. We have lots of space between our houses (between me and the corner, half a mile away to the south, there is only one family living. To the west, the next road is 3/4 mile, there are NO HOUSES between me and that road, but there is one near-hermit middle aged cranky divorcée hiding out in an old motorhome, but she’s nasty enough no one ever goes there, and she hardly gets out at all. To the north there is, again, one family in the first half mile, and to the east one for almost 3/4 mile. LOTS of growing things here, open spaces, lenty of clean fresh air, and we all know each other. We’re not afraid to be near each other in each others’ houses, so why would we same folks be afraid to be outside, in each other’s homes, or at some local park?

          The very bedrock of America is that there IS no one “up there” telling us how we should live…… which is all FedGov do anyway. Stimulous? First them spend billions on stuff we neither need nor want, then then spend bilioins more mitigating the damage they did with those “helps?

          Best advice for the congresscritters: SHUT UP AND GO HOME.

      2. Don’t be a hater just because upper-middle class white people are rarely prepared to handle adversity without flying off the deep end.

        1. I honestly don’t like Americans suffering but it is funny that “The Greatest City in the World (NY)” is falling apart over a cough due to cold.

          Couldn’t happen to nicer people.

          1. All the bougie scuzzbags in the Denver metro area are screeching “SHUT IT DOWN!!” because they don’t have to worry about where their next paycheck is coming from. Meanwhile, the service class they condescend to is wondering how to get soap and toilet paper.

            1. I noticed on the JHU sick map that Denver area is infected as fuck.

          2. New Yorkers are shit. At least those from the city. In overwhelming numbers they support trash like Hillary, Bloomberg, DeBlasio, Weiner, Cuomo, Schumer, Nadler, AOC, etc.. The worst of the worst. Then they fall apart over the weather, or a disease, etc..

            Fuck them. The disposition of Manhattan in ‘Escape From New York’ is starting to sound like a good plan.

            1. You forgot to mention Trump.

              1. Don’t forget Boris Johnson as well.

              2. I’m pretty sure he didn’t forget to mention Trump. He was listing politicians who the people in New York City support. They overwhelmingly oppose Trump, so he doesn’t go on the included list. Certainly, he could have called out Trump as a New Yorker who is shit, but it’s not like he called out anyone else for being shit. That would have been another list.

  8. Tuccille, you hick. Weren’t you just the other day writing about how we need a federal anti-coyote tax or something.

  9. One of the few good articles I’ve seen on Reason re coronavirus

  10. But short of leaving people alone, if government is going to do anything, it should act with respect for the differences among us—like the widely varying densities, preferences, and resources of places like New York City and Yavapai County.

    Or better known as “Why Hillary Clinton Lost the 2016 Election” or “Why Democrats have lost the working class.”

    1. Ain’t seen you in a few days. What’s happening in Seattle?

      1. Huh, coronavirus ate my comment… again.

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  12. Arizona has a population over 6 million and more than half live in 3 densely packed cities. Phoenix has over 3000 people per square mile and is the 5th largest city in the nation. Even America’s ‘rural states’ are overwhelmingly urban and have been for the past century.

    1. Sure, the population is overwhelmingly urban, but the land area as a whole is overwhelmingly rural. Are you saying that since the majority of people live in Maricopa County, the people in Coconino County should follow the same guidelines, even though the population density of Mericopa county county is 333 people per sq. mi. while Coconino County population density is 6.2?

      1. “Sure, the population is overwhelmingly urban, but the land area as a whole is overwhelmingly rural.”

        That’s as true for New York state as it is for Arizona.

        It’s probably a sound idea to avoid contact with others if you can and take hygiene measures. I don’t think it’s wise to ignore that because you live somewhere sparsely populated. I don’t advise the residents of Coconino County to give up their relative isolation. That trip to China or the Caribbean cruise can wait.

        1. I agree with you there, but it sounded like you were advocating for the shelter in place restrictions in both counties, not just hygiene and social distancing guidelines? It is pretty easy with 6.3 people per square mile to practice social distancing, so a shelter in place order there is silly, while in Maracopa County it may become necessary.

          1. “so a shelter in place order there is silly”

            You may well be right. But I’m not sure this is something we should be concerned too much about. Another article today would have us wringing our hands over face mask bans that saw someone charged for appearing in public in a Joker costume a few years back.

            1. No, we shouldn’t be too concerned about it. But since it’s the main focus of the article, it seems reasonable to comment on it here.

    2. WA State has a small number of urban environments. It also ahas a large portion of rural counties. Subtract the urban counties and we have almost no incidence Wuhan Virus.

      1. Couple months ago the same was true of New York city.

    3. Arizona has a population over 6 million and more than half live in 3 densely packed cities.
      Part of that is because 40+ percent of the state is federal land, and a fourth is Native American reservations.

  13. I think this issue is really highlighting the narcissism of New Yorkers and other big city dwellers. This idea that no one should be able to return to work or a state of normalcy until they can. That’s the kind of response I would expect out of a spoiled child. It’s just “No one can have more toys than me”. Nobody should have happiness or security if they can’t. Well it was their choice to live in a place like that, so you need to accept the negatives of that situation along with all your ego-stroking positives. That kind of selfishness and shortsightedness will drive the whole economy into the ground for everyone. At least if we can keep moving at 60% capacity that’s still forward momentum and allows other people to make the things the selfish and shortsighted are too blinded by narcissism to see that they need. Is everyone else supposed to just twiddle their thumbs into bankruptcy, waiting for a few filthy, corrupt, crime-ridden big cities to get their act together?

    Any rational person can see a one-size-fits-all solution doesn’t work for most people, or make the most sense for the nation, so the Fed imposing what is “Best for New York” on every place that isn’t New York is just going to make non-New Yorkers rightly say screw New York. Based on some of the attitudes of people who use terms like “Fly over country”, don’t expect a lot of sympathy from us when your chickens come home to roost. If you are upset by the results of your own lifestyle choices, that’s on you.

    1. “If you are upset by the results of your own lifestyle choices, that’s on you.”

      The flyover country looks set to experience troubles over their choice to rely on fracking. Thanks to our Saudi friends, oil is hovering around $US30 per barrel, just low enough to ensure America’s fracking industry loses money with each barrel they pump.

      1. No. Production costs from existing wells are extremely low (and fracking vs no fracking has no effect on this). The cost is all up front in exploration and drilling to establish wells.

        If there is a problem, it will be with the refineries.

        1. I thought the problem was over-supply because the demand has declined due to lack of economic activity.

          1. Short term. As long as the democrats don’t get their way.

          2. That is part of the issue, but the major issue is that OPEC, lead by the Saudis, wanted Russia to cut back production with them to maintain prices. The Russians refused, so the Saudis are pumping 100% of capacity and selling not only at the resulting market price, but discounting to Europe besides in order to force the Russians into the OPEC fold.

            Fracking can make money at these levels on wells already drilled, but new drilling mostly stops. It will pick right back up again though when the price starts to recover. The Saudis can’t afford to pump and sell like this for too long because their entire economy is subsidized by oil and this drives down total revenue.

            1. “Fracking can make money at these levels on wells already drilled, but new drilling mostly stops. ”

              Won’t the old drilling also stop when the storage facilities have reached their capacity?

            2. We’re gonna have a real-life example of trying to flood the market to drive competitors out!

              My hunch is that we get a scene much like Homer eating donuts in hell, with gas-hungry Americans playing the role of Homer and gobbling up all the cheap gas for weekend vacations.

              1. Gas being too cheap has got to be the firstest of all the first world problems

  14. Go ahead, tell all the urban dwellers and workers they can stay home and play video games, not pay rent, and get bailout checks from the gubmint.

    Meanwhile all the farmers, food processors, truck drivers, etc. etc. will keep working and pay more and more taxes to cover their home delivered mocha frappacinos.

    This is going to work out just fine.

  15. And they shouldn’t be sending infected people upstate. Can we get a wall starting at Westchester?

  16. This is an interesting article and I am sympathetic to the idea that we have to look at different areas of the country differently. While we often look at the urban rural divide, social scientist tells us their are actually multiple categories we sort into naturally. So that even a state with a large rural area may have a majority of its population in a large urban area. Think Minnesota. It is not just the urban people understanding rural people, it is also rural people understanding urban people.

  17. Covid-19 is at least as contagious and lethal as the worst flu strains.

    Having lived where the population and hospital bed count were both less than 1/100th of those in Tuccille’s locale. There was still, there, an active and brutal flu season.

    Much less dense and remote, yet, the 1918 Flu was devastating even in the Aleutians.

    A pandemic this bad will get you anywhere, absent the gravest precautions for the duration.

    1. Should’ve read:

      “…less dense and more remote, yet,…”

    2. “Covid-19 is at least as contagious and lethal as the worst flu strains.
      No one knows how contagious or lethal it is.
      And, even if it is as contagious as the worst flu strains, we never shut down the country in response and the world didn’t end.
      This virus was hyped up by the media to try to get the economy to tank so that Trump wouldn’t get re-elected.
      Little did they know that the unintended consequence would be a rise in his support.

  18. Although there are experiences cited in the KFF poll, J.D., the disruption portion looks like nothing more than perception. We could pull a reverse kirkland, and draw the conclusion that those who aren’t ‘bitter clingers’ are whiny, coddled, and perhaps self-important from all that making their inferiors choke on progress.

    My humor aside, we’re already seeing increasingly vehement tribalism; the rift between rural & urban will likely grow as population centers are prioritized for funding in the age-old dnc song & dance.

  19. Bottom Line:
    If the people in Rural America don’t perform their regular seasonal work ~right now~ it will be the cities that will suffer when the crops that need to be planted ~today~ aren’t planted and the harvest that needs to happen ~all summer and fall~ isn’t available to feed the cities.
    It won’t be farm country that goes hungry from not getting large acreage of crops planted. The small family owned farms will survive.
    It’s the multi-hectare farm corporations that can’t do their work due to unreasonable and flat out insane restrictions that will not be able to get the crops planted and harvested, the very same businesses that provide most of the food for big city consumers.
    If you think things are bad at the grocery store now, wait till there are Mandatory Rationing Schemes put in place through today’s “One Size Doesn’t Fit Most” restrictions.

  20. Sorry it does not work that way. Generally I would be in total agreement with Rural areas are different and need to be treated differently. However in this case rural areas are just as likely to overwhelm their medical facilities as urban areas. At an extreme I might agree, a requirement to not go outside would be ridiculous when you live on acreage with neighbors a long distance away. However I am only aware of such policies in big cities in Europe, and a few places in NY. Areas where such a policy would be over kill, it’s also likely un-policable. I live on 29 wooded acres, many locals do not even know my house is up there, let alone if I am out in my yard.

    In Austria the little town of Ischgl, which has 1500 Residence is to blame for about 40% of the cases in Europe. They have over 1050 cases in that small town, while Vienna, a city of over 2million has 451 reported cases. (old numbers so likely more by now)

    Yes Ischgl is a ski resort and so you get lots of people moving in and out. However Rural areas all have people coming and going all the time. People passing through, people travelling for a verity of reasons. And the biggest sources are people who say I feel fine so I am ok. Until 2 weeks later they are in the hospital and EVERYONE that had contact with them is now wondering do I have it, who might I have given it to.

    Everyone I work with has been mad and worried about a couple colleagues. A couple weeks ago one was coming to work even though he felt ill. Everyone asked him to go home, yet he said, it’s just a cold, it’s not here, it’s in NYC and Washington State. the Next week we had 2 confirmed cases, and we finally convinced him to take sick leave. Now 2 weeks later he is still out sick, a few friends of his are out sick, no confirmation yet if he has COVID-19 but the number of people in the county I work in is now at 77. The county I live in is at 33, it was at 2 a few days ago. I live in a small farming community of about 2000 people, but I have no illusions that it can’t spread like wild fire if we go about life as normal.

    Mayors are often more likely to bend to the demands of their neighbors, especially in small communities. A small town just north of me was an EPA superfund site just a couple years ago. A doctor noticed that the town had way more cases of thyroid cancer than it should. He wanted an investigation of the water but was opposed by the local mayor as business was going well, and the town is on a much needed growth trend, it’s nothing. The Doctor paid for an investigation on his own and they found BPA in the water from the local plastic company. The Mayor still refused to take action other than to quietly bring it to the attention of the company, as it would be bad publicity and bad for business. So the doctor took his findings to the State EPA and Federal EPA and they finally took action. All it takes is one Mayor not wanting to rock the boat and you end up with a bartender that is sure it’s just a cold, until he has infected nearly half the continent.

    Libertarianism is about not harming others, to then say well I live in a rural area so it does not apply to me is as equally stupid and self centered as collage kids going on spring break cause they are young. Or people throwing Corona Virus Parties because they think they can’t get it.

    Don’t be under the illusion that living in a rural area that nobody travels, nobody comes to visit. I am from MT originally, and I know flight attendants that travel the world but live in tiny rural towns. I know people who travel all over for work and pleasure. Saying that nobody in MY county has it so I’m safe does not work. You may have 0 cases today… and if you shelter and avoid unneccsary contact, it might stay that way, and you can gleefully say see I told you so. But on the other hand you may have several hundred in a few weeks time.

    This is not just about death rates either. The disease destroys your lungs. Many people that survive this have x-rays of their lungs that look like swiss cheese. with the Flu Pneumonia is sometimes a secondary disease. With COVID-19 it frequently is, along with other Lung infections. Nobody yet knows the long term effect of all this lung damage is. Do you really want to risk your friend, your families long term health because you live in a rural area. Yes maybe their lungs will heal up fine. Maybe they will suffer the damage from this for the rest of their life. I hope to not find out.

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