july/august 2010

Last Thursday, a group of 20 mothers in Boston met up outside a local high school. Their goal wasn’t to socialize, drink wine, or even share COVID-related tips. They were there for one reason and one reason only: to stand in a circle—socially distanced, of course—and scream.

“I knew that we all needed to come together and support each other in our rage, resistance and disappointment,” Sarah Harmon, the group’s organizer, wrote on Instagram before the gathering. Ironically, some 20 other moms who had RSVP’d “yes” had to cancel at the last minute because they or other family members had COVID, Harmon told me.

When mothers feel there is no more appealing way to spend an evening than to yell into the frigid January darkness, something is very, very wrong. Parents in the United States are living through a universally terrible moment. For two years, we’ve been spending each and every day navigating an ever-changing virus that’s threatening not only our well-being but our livelihoods. The situation has reached a fever pitch during this wave, when we’re expected to function normally even though nothing is normal and none of the puzzle pieces in front of us fit together.

“It started as a joke, actually,” Elena Korngold told me. But late last month, the 40-something radiologist from Portland, Oregon, and her family decided that their unsanctioned scheme couldn’t hurt. Elena began the proceedings by unwrapping the sterile swab from a BinaxNOW rapid test for SARS-CoV-2, part of the family’s dwindling supply. She swirled the swab around the insides of each of her nostrils. Then she passed it to her husband, a cardiologist named Ethan, who swirled it around the insides of each of his nostrils. Then their two children did the same. It was “like some sort of religious ritual,” Elena said.

The snot-saturated swab went into the test card. The test card showed a negative result. The Korngolds, now bonded by something even thicker than blood, went to their dinner party. Nobody got COVID.

Thirty-seven minutes after sitting down to lunch, Francesca and I hugged goodbye in a strip-mall parking lot. We were both fairly certain, I think, that we would not be seeing each other again. The high-school classmate of a friend’s friend’s husband, she’d been such a promising friendship prospect: She was a professional violinist and fellow New Yorker who was writing her dissertation on pollen. But I was awkward, smiling too much and saying things like “That’s so funny” in lieu of actual laughter, while Francesca (not her real name) was overworked and seemed full of derision for Bozeman, Montana, the town to which I had just moved, and from which she and her husband were determined to flee.

Even before Omicron hit the United States in full force, most of our bodies had already wised up to SARS-CoV-2’s insidious spike—through infection, injection, or both. By the end of October 2021, some 86.2 percent of American immune systems may have glimpsed the virus’s most infamous protein, according to one estimate; now, as Omicron adds roughly 800,000 known cases to the national roster each day, the cohort of spike-zero Americans, the truly immunologically naive, is shrinking fast. Virginia Pitzer, an epidemiologist at Yale’s School of Public Health and one of the scientists who arrived at the 86.2 percent estimate, has a guess for what fraction of the U.S. population will have had some experience with the spike protein when the Omicron wave subsides: 90 to 95 percent.

More Americans are now hospitalized with COVID-19 than ever before. Their sheer numbers are overwhelming health-care workers, whose ranks have been diminished by resignations and breakthrough infections. In many parts of the country, patients with all kinds of medical emergencies now face long waits and worse care. After writing about this crisis earlier this month, I heard from a number of readers who said that the solution was obvious: Deny medical care to unvaccinated adults. Such arguments were aired last year, as the Delta variant crested, and they’re emerging again as Omicron spreads. Their rationale often goes something like this:

Every adult in the U.S. has been eligible for vaccines since April. At this point, the unvaccinated have made their choice. That choice is hurting everyone else, by perpetuating the pandemic and, now, by crushing the health-care system. Most of the people hospitalized with COVID are unvaccinated. It’s unethical that health-care workers should sacrifice for people who won’t take care of themselves. And it’s especially unethical that even vaccinated people, who did everything right, might be unable to get care for heart attacks or strokes because emergency rooms are choked with unvaccinated COVID patients.