Entering the Acceptance Phase of the Pandemic

In the United States and in many other countries around the world, we’re slowly shifting away from the Covid-19 pandemic to SARS-CoV-2 being endemic (like the flu), Dr. Lucy McBride argues that we need to recalibrate our risk calculations and expectations of what’s safe & dangerous. From A COVID Serenity Prayer in The Atlantic:

For the past 18 months, my patients have craved straightforward answers: a simple “Yes-it’s perfectly safe” or “Go for it. Have fun!” or even a “No, you absolutely cannot” to quiet the endless loops of risk calculations. But medicine is not about certainty. It never has been.

The two things that patients want-reassurance that they won’t get COVID-19 and permission to engage in life-I cannot deliver, and I never will be able to. SARS-CoV-2 is here to stay. The virus will be woven into our everyday existence much like RSV, influenza, and other common coronaviruses are. The question isn’t whether we’ll be exposed to the novel coronavirus; it’s when.

And although many of us will inevitably get COVID-19, for the majority of vaccinated people, it won’t be so bad. The vaccines weren’t designed to wholly prevent COVID-19; they transformed it into a manageable illness like the flu.

That means that, from a decision-making perspective, we’re starting to reach the acceptance phase of the pandemic: a time when we must recalibrate our individual risk gauges, which have been completely thrown out of whack. The approach I’m embracing with patients boils down to a secular version of the serenity prayer. We need “the serenity to accept the things [we] cannot change, courage to change the things [we] can, and the wisdom to know the difference.”

Tags:Covid-19Lucy McBridemedicine

This entry originally appeared at kottke.org/21/10/entering-the-acceptance-phase-of-the-pandemic, and may be a summary or abridged version.