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Official Covid-19 Discussion Thread

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Re: Official Covid-19 Discussion Thread 

Post#201 » by Vaclac » Sat Apr 18, 2020 1:12 pm

Fairview4Life wrote:Count excess mortality if you want to count deaths. But that’s also beside the point. The extreme measures are to try and reduce the healthcare load and stop people from dying from not only Covid but a million other things people die from everyday because they couldn’t get quality care.

Opening up now will not save the economy. Not implementing quarantines and isolation would not have kept the economy running smoothly. Like a fifth of all NY first responders were out sick a few weeks ago. Grocery store workers have been getting sick and dying. A giant pork processing plant in South Dakota had more than a fifth of its workforce test positive and a bunch of people die.

If everyone went back to normal, which wouldn’t happen anyway as restaurants and movies etc would still be empty even if they were allowed to open, but if they did, that isn’t saving the economy. Having a huge chunk of the workforce out sick isn’t going to help a business stay afloat. Trying to pretend that if we just tried to weather the storm and let a bunch of people die quickly (other people, naturally), everything would have continued normally is just extremely silly. The economy still tanks in a pandemic even without restrictions. You can see that in states that tried to remain open for business. Even supposedly safe “rural” ones. This debate is just so stupid.

Print money. Let businesses keep people on the payroll while they stay home. Freeze rents and mortgages. Dramatically increase testing, tracing and isolation. Finally figure out if previously sick people are immune. Start slowly opening things up with social distancing rules in place beginning with open air parks etc.. Get a vaccine made and distributed. That’s how we should be proceeding. None of that has changed in the past 2 months.


Good point about excess deaths. Many covid patients are dying without ever going to the hospital. Also, far fewer people are going to the hospital if they suspect they might be having a heart attack, which is likely resulting in more deaths. Here the issue is not the actual healthcare capacity, which can still accommodate these people, but the perception of it. The longer we keep telling people we need to do everything possible to limit demands on the healthcare system the more this will happen.
I also don't claim the economy would go back to 100% normal if we lifted restrictions. Of course some people would still be scared to go out. But more people would go out and spend money and do work than are currently doing so, so of course the economic impact would be lesser.
As far as printing money, I agree that's what governments need to be doing to compensate people as long as they are ordering them not to work. But it isnt free, one day we will have to pay it back or inflate it away. There will need to be serious budget cuts in the future to pay this back, and given we spend most of our budget on healthcare that means healthcare cuts, which ultimately means lives. Your (other people, naturally) dig is just as applicable here... covid deaths are easy to see right now, but why should we care so much less about the less specifically identifiable, but very real, deaths we are causing with our policies in other ways?
This is clearly the most consequential public policy issue of my lifetime (I'm 32), to say that debate about it is stupid seems extremely dangerous. Now more than ever we need to question our leaders to make sure their decisions are as good as can be. I would say that even if I thought leaders were currently making perfect decisions.
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Re: Official Covid-19 Discussion Thread 

Post#202 » by jrask » Sat Apr 18, 2020 1:36 pm

Vaclac wrote:
Fairview4Life wrote:Count excess mortality if you want to count deaths. But that’s also beside the point. The extreme measures are to try and reduce the healthcare load and stop people from dying from not only Covid but a million other things people die from everyday because they couldn’t get quality care.

Opening up now will not save the economy. Not implementing quarantines and isolation would not have kept the economy running smoothly. Like a fifth of all NY first responders were out sick a few weeks ago. Grocery store workers have been getting sick and dying. A giant pork processing plant in South Dakota had more than a fifth of its workforce test positive and a bunch of people die.

If everyone went back to normal, which wouldn’t happen anyway as restaurants and movies etc would still be empty even if they were allowed to open, but if they did, that isn’t saving the economy. Having a huge chunk of the workforce out sick isn’t going to help a business stay afloat. Trying to pretend that if we just tried to weather the storm and let a bunch of people die quickly (other people, naturally), everything would have continued normally is just extremely silly. The economy still tanks in a pandemic even without restrictions. You can see that in states that tried to remain open for business. Even supposedly safe “rural” ones. This debate is just so stupid.

Print money. Let businesses keep people on the payroll while they stay home. Freeze rents and mortgages. Dramatically increase testing, tracing and isolation. Finally figure out if previously sick people are immune. Start slowly opening things up with social distancing rules in place beginning with open air parks etc.. Get a vaccine made and distributed. That’s how we should be proceeding. None of that has changed in the past 2 months.


Good point about excess deaths. Many covid patients are dying without ever going to the hospital. Also, far fewer people are going to the hospital if they suspect they might be having a heart attack, which is likely resulting in more deaths. Here the issue is not the actual healthcare capacity, which can still accommodate these people, but the perception of it. The longer we keep telling people we need to do everything possible to limit demands on the healthcare system the more this will happen.
I also don't claim the economy would go back to 100% normal if we lifted restrictions. Of course some people would still be scared to go out. But more people would go out and spend money and do work than are currently doing so, so of course the economic impact would be lesser.
As far as printing money, I agree that's what governments need to be doing to compensate people as long as they are ordering them not to work. But it isnt free, one day we will have to pay it back or inflate it away. There will need to be serious budget cuts in the future to pay this back, and given we spend most of our budget on healthcare that means healthcare cuts, which ultimately means lives. Your (other people, naturally) dig is just as applicable here... covid deaths are easy to see right now, but why should we care so much less about the less specifically identifiable, but very real, deaths we are causing with our policies in other ways?
This is clearly the most consequential public policy issue of my lifetime (I'm 32), to say that debate about it is stupid seems extremely dangerous. Now more than ever we need to question our leaders to make sure their decisions are as good as can be. I would say that even if I thought leaders were currently making perfect decisions.


"Many covid patients are dying without ever going to the hospital"

In Canada?
Is this actually the case?

edit:
I guess it is - nursing homes are a good example (that's scary stuff)
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Re: Official Covid-19 Discussion Thread 

Post#203 » by Gold Dragon » Sat Apr 18, 2020 1:38 pm

Vaclac wrote:Your (other people, naturally) dig is just as applicable here... covid deaths are easy to see right now, but why should we care so much less about the less specifically identifiable, but very real, deaths we are causing with our policies in other ways?
This is clearly the most consequential public policy issue of my lifetime (I'm 32), to say that debate about it is stupid seems extremely dangerous. Now more than ever we need to question our leaders to make sure their decisions are as good as can be. I would say that even if I thought leaders were currently making perfect decisions.


Every government in the world is acutely aware of the problems lockdowns are having to our societies and economies. The problem is there is so much uncertainty to the medical questions of covid19 (do we develop immunity and for how long? will we have any effective treatments? how long will a vaccine take? how fast will it spread if we open things up?) that we need to buy as much time as possible.

The problems of lockdowns (job losses, business shutdowns, depression/loneliness/suicide, people not seeking health care) are all fixable things that we have the means to solve. But covid19 is something none of our governments have a good solution for other than what they are doing now. We need time to get information to find things that work. Lockdowns give us that time against an infection that spreads much faster than any of our health systems or governments can manage.
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Re: Official Covid-19 Discussion Thread 

Post#204 » by Vaclac » Sat Apr 18, 2020 2:25 pm

Fairview4Life wrote:So then do those things. Don’t open up because those things aren’t being done. That doesn’t make any sense.

I'm not in a position to do those things - I can only in my small way advocate for policy changes in the hopes that at least some people will listen. Many people seem much more motivated to go after people who question the wisdom of current policy than the hold leaders to account on this. If it is realistic to actually achieve the necessary level of accurate testing, then it is a failure of unprecedented scale that we are not doing that. I suspect instead that our leaders are not seriously pursuing it because they don't actually think it's possible, but they want to keep some hope and/or not admit that there is no actual end game to their current policies. Either way, we need to push them, either to ramp up tremendously towards a feasible plan, or be honest with us about the fact that it's not actually a feasible plan they are seriously pursuing.
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Re: Official Covid-19 Discussion Thread 

Post#205 » by Fairview4Life » Sat Apr 18, 2020 2:34 pm

Vaclac wrote:
Fairview4Life wrote:So then do those things. Don’t open up because those things aren’t being done. That doesn’t make any sense.

I'm not in a position to do those things - I can only in my small way advocate for policy changes in the hopes that at least some people will listen. Many people seem much more motivated to go after people who question the wisdom of current policy than the hold leaders to account on this. If it is realistic to actually achieve the necessary level of accurate testing, then it is a failure of unprecedented scale that we are not doing that. I suspect instead that our leaders are not seriously pursuing it because they don't actually think it's possible, but they want to keep some hope and/or not admit that there is no actual end game to their current policies. Either way, we need to push them, either to ramp up tremendously towards a feasible plan, or be honest with us about the fact that it's not actually a feasible plan they are seriously pursuing.


Sure, the point is that advocating for relaxing measures now, without any of those other measures being in place, is ridiculous.
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Re: Official Covid-19 Discussion Thread 

Post#206 » by Vaclac » Sat Apr 18, 2020 3:17 pm

Fairview4Life wrote:
Vaclac wrote:
Fairview4Life wrote:So then do those things. Don’t open up because those things aren’t being done. That doesn’t make any sense.

I'm not in a position to do those things - I can only in my small way advocate for policy changes in the hopes that at least some people will listen. Many people seem much more motivated to go after people who question the wisdom of current policy than the hold leaders to account on this. If it is realistic to actually achieve the necessary level of accurate testing, then it is a failure of unprecedented scale that we are not doing that. I suspect instead that our leaders are not seriously pursuing it because they don't actually think it's possible, but they want to keep some hope and/or not admit that there is no actual end game to their current policies. Either way, we need to push them, either to ramp up tremendously towards a feasible plan, or be honest with us about the fact that it's not actually a feasible plan they are seriously pursuing.


Sure, the point is that advocating for relaxing measures now, without any of those other measures being in place, is ridiculous.

Only if those measures are actually realistic, which judging by our lackluster efforts to pursue them, I suspect they are not.
Whether relaxing measures now makes sense depends very much on what the alternative is, if there is no better alternative than waiting until a vaccine is hopefully developed, then yes, relaxing now rather than later is better. Waiting to relax them until people can't take it any more and then relaxing them is the truly ridiculous plan, giving us the worst of all worlds. And a "plan" to keep them in place until a vaccine amounts to just that. Again, I would love it if there were a feasible much more rapid plan available but I really don't see the evidence of its existence.
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Re: Official Covid-19 Discussion Thread 

Post#207 » by ItsDanger » Sat Apr 18, 2020 3:22 pm

https://www.medrxiv.org/content/10.1101/2020.04.14.20062463v1

Stanford study suggesting 50-85 times underreporting of positive cases. Would put mortality rate closer to historical influenza rates. Obviously the surge in deaths over short duration has skewed people's perceptions but to emphasize that over historical events is irresponsible.
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Re: Official Covid-19 Discussion Thread 

Post#208 » by Gold Dragon » Sat Apr 18, 2020 3:40 pm

ItsDanger wrote:https://www.medrxiv.org/content/10.1101/2020.04.14.20062463v1

Stanford study suggesting 50-85 times underreporting of positive cases. Would put mortality rate closer to historical influenza rates. Obviously the surge in deaths over short duration has skewed people's perceptions but to emphasize that over historical events is irresponsible.


The death rate is a distraction and not the main problem with covid19. It is the infectivity and hospitalization rate leading to rapidly overwhelmed health systems that is the problem.

Please see this post.

viewtopic.php?p=82787142#p82787142
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Re: Official Covid-19 Discussion Thread 

Post#209 » by Vaclac » Sat Apr 18, 2020 4:01 pm

Gold Dragon wrote:
ItsDanger wrote:https://www.medrxiv.org/content/10.1101/2020.04.14.20062463v1

Stanford study suggesting 50-85 times underreporting of positive cases. Would put mortality rate closer to historical influenza rates. Obviously the surge in deaths over short duration has skewed people's perceptions but to emphasize that over historical events is irresponsible.


The death rate is a distraction and not the main problem with covid19. It is the infectivity and hospitalization rate leading to rapidly overwhelmed health systems that is the problem.

Please see this post.

viewtopic.php?p=82787142#p82787142


It would also reduce hospitalization rates by the same factor. Other studies put the undercounting factor lower, around 20x, so I think it depends on the location, but everywhere there has been significant undercounting, and it matters. For example, NYC has been pushed to the brink but has actually had enough capacity to deal with every patient during this wave. It's rather critical to understand will the next wave be smaller or bigger than the current one? If smaller and the justification for measures is to avoid overwhelming the healthcare system, then in NYC at least we should stop the measures and let the second smaller wave happen sooner rather than later. If our case counts were actually close to accurate then one would assume the next wave would be many times larger, but thankfully the data are starting to come in showing that not to be the case.
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Re: Official Covid-19 Discussion Thread 

Post#210 » by Fairview4Life » Sat Apr 18, 2020 5:22 pm

ItsDanger wrote:https://www.medrxiv.org/content/10.1101/2020.04.14.20062463v1

Stanford study suggesting 50-85 times underreporting of positive cases. Would put mortality rate closer to historical influenza rates. Obviously the surge in deaths over short duration has skewed people's perceptions but to emphasize that over historical events is irresponsible.


Read on Twitter
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Re: Official Covid-19 Discussion Thread 

Post#211 » by Loyal_Canuck » Sat Apr 18, 2020 5:28 pm

jrask wrote:
Vaclac wrote:
Fairview4Life wrote:Count excess mortality if you want to count deaths. But that’s also beside the point. The extreme measures are to try and reduce the healthcare load and stop people from dying from not only Covid but a million other things people die from everyday because they couldn’t get quality care.

Opening up now will not save the economy. Not implementing quarantines and isolation would not have kept the economy running smoothly. Like a fifth of all NY first responders were out sick a few weeks ago. Grocery store workers have been getting sick and dying. A giant pork processing plant in South Dakota had more than a fifth of its workforce test positive and a bunch of people die.

If everyone went back to normal, which wouldn’t happen anyway as restaurants and movies etc would still be empty even if they were allowed to open, but if they did, that isn’t saving the economy. Having a huge chunk of the workforce out sick isn’t going to help a business stay afloat. Trying to pretend that if we just tried to weather the storm and let a bunch of people die quickly (other people, naturally), everything would have continued normally is just extremely silly. The economy still tanks in a pandemic even without restrictions. You can see that in states that tried to remain open for business. Even supposedly safe “rural” ones. This debate is just so stupid.

Print money. Let businesses keep people on the payroll while they stay home. Freeze rents and mortgages. Dramatically increase testing, tracing and isolation. Finally figure out if previously sick people are immune. Start slowly opening things up with social distancing rules in place beginning with open air parks etc.. Get a vaccine made and distributed. That’s how we should be proceeding. None of that has changed in the past 2 months.


Good point about excess deaths. Many covid patients are dying without ever going to the hospital. Also, far fewer people are going to the hospital if they suspect they might be having a heart attack, which is likely resulting in more deaths. Here the issue is not the actual healthcare capacity, which can still accommodate these people, but the perception of it. The longer we keep telling people we need to do everything possible to limit demands on the healthcare system the more this will happen.
I also don't claim the economy would go back to 100% normal if we lifted restrictions. Of course some people would still be scared to go out. But more people would go out and spend money and do work than are currently doing so, so of course the economic impact would be lesser.
As far as printing money, I agree that's what governments need to be doing to compensate people as long as they are ordering them not to work. But it isnt free, one day we will have to pay it back or inflate it away. There will need to be serious budget cuts in the future to pay this back, and given we spend most of our budget on healthcare that means healthcare cuts, which ultimately means lives. Your (other people, naturally) dig is just as applicable here... covid deaths are easy to see right now, but why should we care so much less about the less specifically identifiable, but very real, deaths we are causing with our policies in other ways?
This is clearly the most consequential public policy issue of my lifetime (I'm 32), to say that debate about it is stupid seems extremely dangerous. Now more than ever we need to question our leaders to make sure their decisions are as good as can be. I would say that even if I thought leaders were currently making perfect decisions.


"Many covid patients are dying without ever going to the hospital"

In Canada?
Is this actually the case?

edit:
I guess it is - nursing homes are a good example (that's scary stuff)



Not only nursing homes. The system is over burdened so people are being turned away from the hospital. The Brampton couple who died - man was admitted and his wife was sent home to self quarantine. She died on the 13th, he died on the 15th . Flattening the curve !


My wife’s grandmother lives in an assisted living facility in England and there is a breakout and she’s sick but they have not tested so just assuming it’s covid . Apparently they won’t cite covid as the cause of death so the numbers globally may be underrepresented
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Re: Official Covid-19 Discussion Thread 

Post#212 » by ItsDanger » Sat Apr 18, 2020 5:43 pm

Fairview4Life wrote:
ItsDanger wrote:https://www.medrxiv.org/content/10.1101/2020.04.14.20062463v1

Stanford study suggesting 50-85 times underreporting of positive cases. Would put mortality rate closer to historical influenza rates. Obviously the surge in deaths over short duration has skewed people's perceptions but to emphasize that over historical events is irresponsible.


Read on Twitter


A Vox journalist vs Stanford PhD's? LOL. His tweet displays his lack of statistical background. Ask him if a county had 0 positive cases would the extrapolation be 0?
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Re: Official Covid-19 Discussion Thread 

Post#213 » by Vaclac » Sat Apr 18, 2020 5:45 pm

Loyal_Canuck wrote:
jrask wrote:
Vaclac wrote:
Good point about excess deaths. Many covid patients are dying without ever going to the hospital. Also, far fewer people are going to the hospital if they suspect they might be having a heart attack, which is likely resulting in more deaths. Here the issue is not the actual healthcare capacity, which can still accommodate these people, but the perception of it. The longer we keep telling people we need to do everything possible to limit demands on the healthcare system the more this will happen.
I also don't claim the economy would go back to 100% normal if we lifted restrictions. Of course some people would still be scared to go out. But more people would go out and spend money and do work than are currently doing so, so of course the economic impact would be lesser.
As far as printing money, I agree that's what governments need to be doing to compensate people as long as they are ordering them not to work. But it isnt free, one day we will have to pay it back or inflate it away. There will need to be serious budget cuts in the future to pay this back, and given we spend most of our budget on healthcare that means healthcare cuts, which ultimately means lives. Your (other people, naturally) dig is just as applicable here... covid deaths are easy to see right now, but why should we care so much less about the less specifically identifiable, but very real, deaths we are causing with our policies in other ways?
This is clearly the most consequential public policy issue of my lifetime (I'm 32), to say that debate about it is stupid seems extremely dangerous. Now more than ever we need to question our leaders to make sure their decisions are as good as can be. I would say that even if I thought leaders were currently making perfect decisions.


"Many covid patients are dying without ever going to the hospital"

In Canada?
Is this actually the case?

edit:
I guess it is - nursing homes are a good example (that's scary stuff)



Not only nursing homes. The system is over burdened so people are being turned away from the hospital. The Brampton couple who died - man was admitted and his wife was sent home to self quarantine. She died on the 13th, he died on the 15th . Flattening the curve !


My wife’s grandmother lives in an assisted living facility in England and there is a breakout and she’s sick but they have not tested so just assuming it’s covid . Apparently they won’t cite covid as the cause of death so the numbers globally may be underrepresented


No doubt both deaths and cases are under reported. This WSJ article puts the excess deaths in Italy at twice the number attribute to COVID-19. https://www.wsj.com/articles/italys-coronavirus-death-toll-is-far-higher-than-reported-11585767179
But we seem to be undercounting cases by a much larger factor. The Santa Clara study seems high, but other studies like the Netherlands or of pregnant women in NYC put it at a factor of 20 or so. So if deaths are undercounted by a factor of 2 and cases by a factor of 20 then the death rate is overestimated by a factor of ten. Of course even a fraction of a percent death rate is a lot of total deaths if most people end up getting in a large population. Unless we have a realistic plan for permanently avoiding infection though, our goal should be the more modest one of making sure we have the best care possible available when people do get infected.
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Re: Official Covid-19 Discussion Thread 

Post#214 » by Zeno » Sat Apr 18, 2020 6:08 pm

ItsDanger wrote:https://www.medrxiv.org/content/10.1101/2020.04.14.20062463v1

Stanford study suggesting 50-85 times underreporting of positive cases. Would put mortality rate closer to historical influenza rates. Obviously the surge in deaths over short duration has skewed people's perceptions but to emphasize that over historical events is irresponsible.

There have been a lot of reports of the US market being flooded with inaccurate antibody tests because the Trump administration decided to loosen regulations on their approval.
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Re: Official Covid-19 Discussion Thread 

Post#215 » by Fairview4Life » Sat Apr 18, 2020 6:37 pm

Andy Slavit dumped a lot of info about testing and what’s going on today.

Read on Twitter
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Re: Official Covid-19 Discussion Thread 

Post#216 » by Double Bubble » Sat Apr 18, 2020 11:25 pm

NinjaBro wrote:
Double Bubble wrote:Lol ok clown. Sorry if that hits u in the feels, Im sure you’re not biased at all.

Since you’re an expert on China why don’t you explain the politics and human rights record of the Chinese state. Go ahead I’m intrigued by your insight

Was not aware that European Canadian and American were “races” as well, silly me I thought they were nationalities.



I wouldn't say I'm pro China, I'm more anti morons.


“Anti morons”? Wow that’s quite the position you’ve taken there.

So what is your stance on China exactly? Are they “morons” in your mind?
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Re: Official Covid-19 Discussion Thread 

Post#217 » by Courtside » Sun Apr 19, 2020 2:26 am

Double Bubble wrote:
NinjaBro wrote:
Double Bubble wrote:Lol ok clown. Sorry if that hits u in the feels, Im sure you’re not biased at all.

Since you’re an expert on China why don’t you explain the politics and human rights record of the Chinese state. Go ahead I’m intrigued by your insight

Was not aware that European Canadian and American were “races” as well, silly me I thought they were nationalities.



I wouldn't say I'm pro China, I'm more anti morons.


“Anti morons”? Wow that’s quite the position you’ve taken there.

So what is your stance on China exactly? Are they “morons” in your mind?


Shhhhooom. Right over your head.
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Re: Official Covid-19 Discussion Thread 

Post#218 » by Double Bubble » Sun Apr 19, 2020 3:00 am

delete
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Re: Official Covid-19 Discussion Thread 

Post#219 » by Concernedcad » Sun Apr 19, 2020 3:07 am

I think we go until June 1st. It's unreasonable for any more lockdown.
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Re: Official Covid-19 Discussion Thread 

Post#220 » by Double Bubble » Sun Apr 19, 2020 3:17 am

Courtside wrote:
Double Bubble wrote:
NinjaBro wrote:

I wouldn't say I'm pro China, I'm more anti morons.


“Anti morons”? Wow that’s quite the position you’ve taken there.

So what is your stance on China exactly? Are they “morons” in your mind?


Shhhhooom. Right over your head.
And the pot called the kettle black. Must be your bed time.

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