X-FDA Commissioner Scott Gottlieb and four other experts have published a roadmap to re-opening the US economy from Coronavisus shutdowns. Here Nextbigfuture reviews the details of the next phase.
Trigger for Moving to Phase II
A state can safely proceed to Phase II when it has achieved all the following:
A sustained reduction in cases for at least 14 days,
Hospitals in the state are safely able to treat all patients requiring hospitalization without resorting to crisis standards of care
The state is able to test all people with COVID-19 symptoms, and
The state is able to conduct active monitoring of confirmed cases and their contacts
What is Phase 2 at the High Level – Phase II: Reopen, State by State
In Phase II, the majority of schools, universities, and businesses can reopen. Teleworking should continue where convenient; social gatherings should continue to be limited to fewer than 50 people wherever possible. Other local restrictions should be considered, such as those that limit people from congregating in close proximity.
For older adults (those over 60 years old), those with underlying health conditions, and other populations at heightened risk from COVID-19, it should still be recommended that they limit time in the community during Phase II. This recommendation may change if an effective therapeutic becomes available.
The goals of Phase II are to:
Lift strict physical distancing measures in a concerted and careful fashion,
Allow the vast majority of businesses and schools to open, and
Continue to control SARS-CoV-2 transmission so we do not revert back to Phase I.
This is what we do until we have really good and abundant vaccines and/or enough good drugs to prevent almost all of the worst-case results with coronavirus.
Below Are the Details for Test, Monitor and Contact Trace
Increase Diagnostic Testing Capacity and Build Data Infrastructure for Rapid Sharing of Results. Same-day, point-of-care diagnostic testing (widely available in outpatient settings) is crucial for identifying cases, including those with asymptomatic and mild infections. To move from community-wide interventions that focus on large populations to case-based interventions that target and isolate individual people who are infected, capacity should be sufficient to test:
Hospitalized patients (rapid diagnostics are needed for this population);
Health care workers and workers in essential roles (those in community-facing roles in health and public safety);
Close contacts of confirmed cases; and
Outpatients with symptoms. (This is best accomplished with point-of-care diagnostics in doctors’ offices with guidelines that encourage widespread screening and mandated coverage for testing.)
We estimate that a national capacity of at least 750,000 tests per week would be sufficient to move to case-based interventions when paired with sufficient capacity in supportive public-health infrastructure (e.g., contact tracing). In conjunction with more widespread testing, we need to invest in new tools to make it efficient for providers to communicate test results and make data easily accessible to public-health officials working to contain future outbreaks.
Medical System Minimums
Ensure Functioning of the Health Care System. Ensure sufficient critical-care capacity10 in hospitals to be able to immediately expand capacity from 2.8 critical-care beds per 10,000 adults to 5–7 beds per 10,000 adults in the setting of an epidemic or other emergency, allowing for regional variation. This target is a minimum.
Expand access to ventilators in hospitals from 3 per 10,000 adults to a goal of 5–7 ventilators per 10,000 adults. This target does not include transport or anesthesia machines. This target is a minimum, must be adequate for the current and forecasted level of demand, and must be accompanied by adequate staffing.
Increase Supply of Personal Protective Equipment
The Centers for Disease Control and Prevention (CDC) recommends, at a minimum, N95 respirators for hospital staff expected to have direct contact with COVID-19 patients, plus disposable procedural or surgical masks for all other clinical personnel in any health care setting.
Implement Comprehensive COVID-19 Surveillance Systems
The move toward less restrictive physical distancing could precipitate another period of acceleration in case counts. Careful surveillance will be needed to monitor trends in incidence.
A high-performing disease surveillance system should be established that leverages:
1. Widespread and rapid testing at the point of care using cheaper, accessible, and sensitive point-of-care diagnostic tools that are authorized by the Food and Drug Administration (FDA);
2. Serological testing (antibody blood tests) to gauge background rates of exposure and immunity to inform public-health decision-making about the level of population-based mitigation required to prevent continued spread in the setting of an outbreak; and
3. A comprehensive national sentinel surveillance system, supported by and coordinated with local public-health systems and health care providers, to track the background rate of infection across states and identify community spread while an outbreak is still small and at a stage in which case-based interventions can prevent a larger outbreak.
ILINet, the surveillance system for influenza-like illness in the United States, is a potential model for SARS-CoV-2 surveillance. To enable rapid and more effective detection and case management, SARS-CoV-2 surveillance will also benefit from data sharing and coordination with health care providers and payers.
Massively Scale Contact Tracing and Isolation and Quarantine
When a new case of COVID-19 is diagnosed, the patient should be isolated either at home or in a hospital, depending on the level of care he or she requires. Have cell-phone monitored quarantines for 14 days.
Nextbigfuture notes that 14 day cellphone monitored quarantines are the standard in Taiwan and South Korea. The national survellance systems are also standard in those countries.
Brian Wang is a Futurist Thought Leader and a popular Science blogger with 1 million readers per month. His blog Nextbigfuture.com is ranked #1 Science News Blog. It covers many disruptive technology and trends including Space, Robotics, Artificial Intelligence, Medicine, Anti-aging Biotechnology, and Nanotechnology.
Known for identifying cutting edge technologies, he is currently a Co-Founder of a startup and fundraiser for high potential early-stage companies. He is the Head of Research for Allocations for deep technology investments and an Angel Investor at Space Angels.
A frequent speaker at corporations, he has been a TEDx speaker, a Singularity University speaker and guest at numerous interviews for radio and podcasts. He is open to public speaking and advising engagements.
53 thoughts on “A Careful Plan for Re-opening the US Economy”
This is very similar to any plan that I would make. I think that regions (city, state, county, whatever) be given a “green” or “red” status (using the above standard to establish the status.) I think that people should be able to move freely between green regions. Many states, and half the Canadian provinces meet or nearly meet these standards right now. Let’s open up!
Remember if it cost money the company’s won’t do it or they’ll do it on the cheep which will be ineffective. People die.
Doing “nothing” about H1N1 resulted in ~12k deaths in the US, “nothing” includes the slow ramping vaccine. It’s likely some of the ~12k dead might have identified as being a wussy millennial.
Doing something(wreck the economy) about SARS-CoV2 resulted in 39,040(thru April 19, 2020) deaths in the US. Globally 161,949(thru April 19, 2020)
Looks like a fair comparison, doing nothing about SARS-CoV2 would have resulted in similar body count as 2009 H1N1.
Losing freedom? Americans are SO paranoid about their precious ‘rights’ over and above what might be good for the community as a whole – but forget that what is good for the community eventually comes back to benefit them as well. It’s why I’m all FOR Human Rights via the democratic process of Parliament, which can respond to various real world situations with real world best-science and best-economic solutions, rather than have a dusty old parchment interpreted by dusty old judges dictate to our democratically elected representatives what they can and can’t do in an emergency!
Now, also get your head around that there is no herd immunity to look for. The only strategy is ELIMINATION! Shut EVERYTHING down, use the economic management tools we’ve implemented here in Australia and NZ, hibernate as many jobs as you can, and lock down until this beast dies!
WHO says there’s no long term immunity, so it could just keep going until you lock it down and eliminate it as Australia and NZ are doing. There are economic management tools for this, so resorting to trite right-wing sound bytes is not very adult.
Great article for those ensnared by the models and experts:
One quote: Today, during the coronavirus crisis, decision-makers have begun with the conclusion that the human consequences to the economy are less critical than their preferred methods to contain the virus.
From the ‘Not that I needed more bad news” – File:
“…we tested county residents for antibodies to SARS-CoV-2 using a lateral flow immunoassay. We report the prevalence of antibodies to SARS-CoV-2 in a sample of 3,330 people, adjusting for zip code, sex, and race/ethnicity.
Results: The unadjusted prevalence of antibodies to SARS-CoV-2 in Santa Clara County was 1.5% (exact binomial 95CI 1.11-1.97%), and the population-weighted prevalence was 2.81% (95CI 2.24-3.37%). Under the three scenarios for test performance characteristics, the population prevalence of COVID-19 in Santa Clara ranged from 2.49% (95CI 1.80-3.17%) to 4.16% (2.58-5.70%). These prevalence estimates represent a range between 48,000 and 81,000 people infected in Santa Clara County by April,
50-85-fold more than the number of confirmed cases. Conclusions: The population prevalence of SARS-CoV-2 antibodies in Santa Clara County implies that the infection is much more widespread than indicated by the number of confirmed cases. Population prevalence estimates can now be used to calibrate epidemic and mortality projections…”
so, get that test-and-trace program going, because here comes the hoards.
I’m not sure what you’re arguing with – I’ve never said “throw open the gates and get everyone back to work”. I’ve been pretty consistent that we look for ways to get more people working safely – ideally as safely as stay-at-home.
Stay-at-home shouldn’t be taken to be the best we can do just because it works!
We do need some better data though. E.g. just how MUCH do non-medical cloth masks reduce the chance that an infected person will infect others? 50%? 99%?
I’d guess it’s more like 50%, since a person who is infected will still touch stuff that others may touch. That is probably enough, combined with infrequent public outings, to keep the infection rate below unity.
But what if one goes to work every day wearing a mask? What if one goes to work only 2 days a week with one-third as many co-workers present and a frequent surface disinfection and hand washing routine?
I presume the two alternating groups is so most sectors of the economy run continuously – as opposed to just locking down everyone every other week?
(People may work harder, and focus more on core tasks. What if we find out that the economy runs at nearly full speed with half the workers at a time? Maybe we just make it permanent!)
It sounds safer than just letting everyone return to work and hoping the companies all implement sound health protection practices.
I do wonder about ‘essential services’, where most workers are already pretty much allowed to work full hours. Shouldn’t they also follow the alternate week practice?
I’m worried that we’re only a couple weeks from healthcare workers hitting crisis levels of infection, due to higher exposure risk, despite doubtless being the most careful about avoiding infection. Lower-risk essential workers – like those at the meat packing plant hotspot – may see bursts of infection after periods of no cases that let them get lax in precautions.
So even with ‘flattening’, we may be in for a crisis in essential services. Moving essential workers to your 50-50 schedule could help minimize the impact of that.
The one down-side of 50-50 might be faster spread when the virus does get into a workplace, since it’d have a full week to spread. Maybe use a 2-office/3-work-at-home schedule where applicable, and use 50-50 where it isn’t, such as factory line workers.
Most people back to work? Club owners, with all those night-clubers dancing in crowds? Footy statiums with 100,000 people attending? Restaurants opening up their doors to full crowds again? Schools, with all those kids bringing bugs home to their parents and one day grandparents? Actors in local live theatre productions with 400 to 500 people watching – or as I saw with “Harry Potter and the Cursed Child” in Melbourne, a thousand or so people watching in one sitting? Events planners at corporations? Boat cruises? Tennis matches? Tourism on crowded planes? Beaches and beach-side cafes? Large bookstores and libraries that can gather their own hushed crowds? Which are ‘essential workers’?
I feel the weight of the economy crashing, as my wife runs her own graphic design studio and as well as books and magazines, she also used to design lots of advertising and brochures and manuals for large events. That work dried up overnight in the Australian shutdown. But the moment we start to open up any one of the industries above too early is the moment it starts to go exponential again unless:-
We have a plan for herd immunity that opens just a few of these gradually – and are actually willing to say close to a million Americans are going to be sacrificed “for the economy to open early” or …
We pretty much wait in lockdown until each city or state has had ZERO infections for a few weeks, and then open up a few things in that city to see if it’s spreading under the surface.
Something completely different. So obvious, or is it: “…Lacking a drug or vaccine, our current strategy is by means of social distancing, specifically mobility restrictions and lock-downs. Such measures impose a toll on the economy and are difficult to sustain for extended periods. The challenge is that selective isolation of the sick, an often viable and effective strategy, is insufficient, due to its relatively long incubation period, in which exposed individuals experience no symptoms, but still contribute to the spread.
So: An alternating lock-down strategy, in which at every instance, half of the population remains under lock-down while the other half continues to be active, maintaining a routine of weekly succession between activity and lock-down. Note that ALL symptomatic individuals will continue to remain in isolation. Under the alternating regime, if an individual was exposed during their active week, by the time they complete their lock-down they will already begin to exhibit symptoms. Hence this strategy isolates the majority of exposed individuals during their asymptomatic phase. We find that when complemented with behavioral norms to reduce infection, such as avoiding physical contact or observing personal hygiene, this strategy not only overcomes the pandemic, but also allows for some level of flexibility, withstanding a fraction of defectors or essential workers that remain continuously active…”
We do not know what the coronavirus will do in the long run, it might cause cancer, destroy the immune system or other nice things
If 100% of the population gets it it might be that 50% of them will die in 5 years. It is not likely but there are plenty of viruses that cause similar issues, usually they are not as contagious as the coronavirus. Shouting “let it spread” and not knowing what it could do in 5-10 years pretending that it is not relevant because the economy is sinking is idiotic as catastrophic decrease in population have effects that last centuries
And what happens if we discover 5 years down the road that 50% of the infected get a lethal lung fibrosis? Or become sterile?
The physiological pain from sacrificing one’s parents and grandparents for money will last until death. And it is no longer true than 98% of the people over 60 yrs old no longer work. I would say that 50% of them still work and many of them babysit their grandchildren.
The death of some many seniors would crush the housing market.
Yes. Yes. My grand scheme for fostering a more hyper-individualistic world coming earlier than expected. More like grad school and less like high school where flexibility and intensity for work is the key. It feels like you are always working but somehow also indulging more in personal interests and quality social time (as opposed to low-quality groupie (indiscriminate social interaction) time). Less nuclear families, but more flex location significant-other bonding. Less herd commuting, more individualized work flow outside of 9-5. More individual incentives and less communal work space kitchen latte perks. More upgraded network and personal computing facilities, less in-face low-productivity ‘feel good’ weekly meetings.
But???- less restos, cafes, dog parks, weWorks, workshops, conventions, and other mind-meetups??? A scary new world.
Urban Planning criteria for future SARS pandemics (from Study in February): “… identified all outbreaks involving three or more cases and reviewed the major characteristics of the spaces in which the outbreaks were reported and associated indoor environmental issues. Results: Three hundred and eighteen outbreaks with three or more cases were identified, involving 1245 confirmed cases. We divided the venues in which the outbreaks occurred into six categories: homes, transport, food, entertainment, shopping, and miscellaneous. Among the identified outbreaks, 53.8% involved three cases, 26.4% involved four cases, and only 1.6% involved ten or more cases. Home outbreaks were the dominant category (254 of 318 outbreaks; 79.9%), followed by transport (108; 34.0%; note that many outbreaks involved more than one venue category). Most home outbreaks involved three to five cases. We identified only a single outbreak in an outdoor environment, which involved two cases. Conclusions: All identified outbreaks of three or more cases occurred in an indoor environment, which confirms that sharing indoor space is a major SARS-CoV-2 infection risk…”
So, everyone needs to buy a car, their own home, and full work-at-home set-up. Minimize multi-generational families, rooming houses, and hyper-dense open-concept office spaces. Fewer small towns and dense transit-only cores – the suburbs from the 80s are back, baby.
I’m not suggesting we rush back to work without careful thought to doing it safely. This ‘flattening’ was purchased at great cost, and it’d be a shame to waste it.
Over the next few weeks much focus should be on making sure all essential workers are able to do their jobs with decent safety. That will also be a good start on knowing how to let most people get back to work.
As to number of deaths – I think it’s sufficient to say we are sure it’d be ‘too many’, whether 1M or 8M.
Slamming on the shut-down/stay-home was necessary to ease pressure on hospitals and give us some time. It is working, but now we need to actually DO something with the time we’ve gained. The medical science side is going along probably about as fast as we could hope. So now we can work on getting the economy going again, without doing that quite as fast and stupid as the shutdowns had to be.
We have finally gotten an admission that wearing masks in public protects public health, which is one way to help return to work. Unfortunately the original lie that masks were useless (and it was a lie, by omission of the full truth, apparently intended to free up PPE for hospitals) has left some people deciding it’s all a farce.
I happened to be sitting outside a popular “cheap hardware” store yesterday watching the foot traffic. Only about 1 in 8 of the blue-collar-working-stiff-essential-work types going in/out wore a mask of any kind, including quite a few grey-haired heads. This place was busy enough a manager had to stand outside limiting the number of people in the place. And no 2 meter separation for these macho-men. Their actions seemed to illustrate a consensus that the whole thing is a scam and they had nothing to fear.
Yeah, but if you say not enough testing has been done and some countries have a lower fatality rate, then maybe you’re talking about a 2% inevitable fatality rate. So “only” 3.9 million American deaths. But that’s not even the main issue! What about the 10% to 20% of the infected 195 million that require hospitalisation? If you just let this rip without ANY physical distancing in the name of ‘the economy’, you’re going to have anywhere from 19.5 MILLION Americans needing hospital through to double that. Somewhere in between, but sadly like us Australians, Americans are enjoying their fast food a bit too much and our obesity rates are comparable. In other words, we’re likely to have more co-morbidities than in China, and younger people are getting sicker and dying at higher rates than in China.
Bottom line? I’d guess the hospitalisation rate was WELL over 19.5 million Americans if we just let it rip through your country.
Next? Well, if the health system totally crashes and people don’t get the oxygen they need or worse, the ventilators, then how high is that 2% going to climb back up again? Remember, it’s 10% to 20% that require hospital! How many will die without hospital beds? 5%? 6%?
The 4% figure applies to confirmed (i.e. tested positive) cases. There are supposedly a lot of instances where symptoms are mild to non-existant. Estimates vary widely if not wildly. I tend to go with ~20% of cases getting bad enough that a person gets tested. Obviously that could change if we get lots of cheap tests.
Doesn’t herd immunity (without any of these restrictions we’re complaining about) require 60% of the population? 0.6 * 325 million Americans = 195 million infected. 4% = 195 * .04 =
7.8 million deaths.
Maybe I’m missing something: what assumptions are you making that the virus will die out on it’s own without hitting 60% for herd immunity?
A little more proof the killing of the economy is a self-inflicted wound over models that do not work. Models which claimed we averted disaster because of mandated lockdowns; however, the lockdowns occurred AFTER the models showed a catastrophic peak that didn’t happen. How can social distancing in a model work, if the measures have not taken place??? I give you the ultimate B.S. of this whole Wuhan Virus fiasco:
In the spring of 2009, a new version of the H1N1 influenza virus — the virus that caused the 1918 Spanish flu pandemic — emerged and began to spread rapidly. The swine flu killed anywhere from 151,700 to 575,400 people worldwide in its first 12 months, through April 2010, according to estimates from the Centers for Disease Control and Prevention, and may have infected over 1 billion by the end of 2010.
Yet, we did NOTHING to wreck the economy and somehow the wussy millennials survived to complain their Facebook was down for a few minutes.
Out of pre-fab components and off-the-shelf designs from the SARS period.
More realistically, a new factory of about the right scale and complexity was built for Tesla in a bit under a year – in China, with the government doing a lot to smooth the way.
In the US? 6 months IS the emergency-war-powers time to get it done.
its an entertainment blog, of course.
what did you expect?
A bunch of Economists sitting at a bar:
“…At some point, irreversible, non-linear economic damage sets in, and we won’t let that happen, no matter how many times someone tells you “there is no trade-off between money and lives. Any model of optimal policy should be “what should we do now, knowing the lockdown can’t last very long?” rather than “what is the optimal length of lockdown?”. At the end of the day: ‘what is the statistical value of a life?’…”
Happy times topic:
New NBER survey of U.S. small companies:
Here is the percent, by industry, saying their business
will still exist if the Covid-19 crisis (i.e. not open) lasts 6 months:
All retail (except grocers): 33%
Personal services: 22%
Restaurants and bars: 15%
built entire hospitals in a matter of days.
You grasp little. Attacking the WHO is wiser than attacking China directly. The pressure to blame China is getting stronger everywhere… and for good reason.
You seem reasonable, so a few counter points:
Deaths would be ~4% of the cases severe enough that they’d likely be tested and confirmed under current practices. That would be more like 0.5% of total population by the time the virus died out on its own – around 1-2 million deaths in the USA. Those could still happen if we don’t get a vaccine or effective treatment.
We could and should do better than ‘cowering at home’, but getting everyone to do even that is hard enough. As you can tell from the comments, some people just don’t get it, or just don’t care.
We shouldn’t just be thinking in terms of ‘returning to work’ but instead thinking of how to work safely. New national guidelines need to be published, with companies expected to adopt or adapt them to the extent possible.
Step 1: spend 6 months building factories…
Slowly, in stages I hope, or the death rate is just going to scream away in another exponential spike.
And if they’re infected and take it home to family, oh well, and if their kids take it to school and it gets their kids, oh well, and if your kids get it because people are touching their faces too much wearing N95 masks the wrong way and it itches and burns the skin, oh well, and have you even seen a photo of what wearing an N95 mask DOES TO YOUR FACE after one shift? Let alone wearing it permanently? I’m guessing you haven’t and think it’s like a little chin-line you might get from a surgical mask? Buddy, N95’s marks are almost open wounds.
Huddling in our houses IS the best we can do when we don’t have a CURE or VACCINE? What do you want – to just click your fingers and watch 3% of Americans die overnight? 9.75 million Americans? Just like that? What’s the long term economic impact of losing 3% of your population, permanently? Also, given it would be all at once your health system would collapse so don’t break a leg or have heart trouble in this time either. Also, given the health system has collapsed you wouldn’t be able to ventilate people so you’re happy to increase the overall death rate to 4%? 5%? Just look around yourself buddy at all your family and friends, and choose 1 in 20 to die so you don’t feel ‘irritated’. You’re the kind of guy that probably doesn’t like RBT we have running here in Australia – Random Breath Testing. That’s right, any time they want cops can set up a testing station and wave you down WITHOUT CAUSE to test your breath here in Australia – to see if you’re DUI. And we LOVE it! Why? Because we value our right to LIFE more than our right to privacy. We listen to modern data and arguments from experts, not a dusty old piece of paper interpreted by equally dusty old men. (Bill of Rights and Supreme Court.) We have rights, but guaranteed by democracy and our parliament. It seems growing up with a Bill of Rights just makes Americans vastly more focussed on ‘their rights’ and less focussed on good community outcomes.
Just don’t ask your boss for sexual favors as added incentive
Very irritated. No disease is worth losing freedom or accepting autocracy. And the economic hit is horrendous. In the long run it will kill more and destroy more lives than COVID-19. I cannot believe that in the much vaunted 21st century huddling in our houses hoping the angel of death passes us by is the best we can do. I cannot believe that so many thing freedom is only for those times when some politician has not declared an emergency.
The governors are batshit. Gotta love China!
Smithfield Foods pork is China-owned and operated — of course they had 300 + cases. Some of them probably moved to South Dakota from Wuhan.
If this isn’t some mix up, it could mean this will turn into a chronic problem. The subject of immunity is still being classified as an unknown.
Man this pussyfooting around while on the other end we are pissing away TRILLIONS of dollars is ridiculous.
The solution is simple and cheap compared to what we are doing now:
1) Manufacture enough tests for everybody in the country. Do whatever it takes, build new factories, whatever. You can spend 100 billion on it.
2) Manufacture enough masks for everybody. You can spend another 100 billion on that.
3) Test everybody. People that are negative or recovered get issued official docs.
4) If you test positive, you get paid $1000/week to stay inside until you test clear. Your phone will be monitored, if you get caught outside you will go to jail and will pay a huge fine.
5) People that tested negative (not recovered) need to wear masks at all times when outside. All people outside should have their official covid status papers on them. Big fines for offenders.
6) Everybody gets retested every 3 months.
If you count another 100 billion to pay people and organize this whole thing then I bet this could easily be solved for half a trillion in six months.
Seriously, how hard can it be?
I had the same thought.
That’s not what they tell us in sexual harassment prevention training.
But when your boss is ringing up begging you to come back to work, I’d try for a few more $/hour.
Never hurts to ask.
So… those who are willing to turn up can now ask for a pay rise until the total number of workers match the work available?
Just because it’s open, that does not mean all workers will show up. Absentee rates are high in some areas, not everyone is willing to risk their lives on the roll of the dice for 15/hr.
Why would a company do this when they’re complaining about absenteeism.
I think that the trigger is wrong. It should be off a set number of new case per day per million and that the number of new cases per day is at minimum stable.
I think they should just hand out n95 masks and rubber gloves to the population…it’s less trouble… Then if anybody gets sick you just say it’s there fault for not properly wearing their protective gear,,,, And if they die… oh well…
Familiar with the term reverse-psychology? West Coast & North Eastern Coastal states now have announced coordination to open up their economies.
The data shows there was no excuse for the illegal lockdowns. Open it now and let people gauge their own risk factors.
I work for a living. I don’t have time to be is wound up about it as you. I only worry about things I can change.
Why bother with a plan? The crisis is over when the President says it is over.
Is there not enough fear in this article for people to comment? Is anybody irate that “they” are looking to end the martial law instituted on behalf of the invalid to protect the invalid at the expense of the working man/woman/LGBTQXYZ? Anybody irritated that “they” are discussing returning the world to the living?
Can’t do this fast enough in my [minority] opinion.
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