I agree with Dr. Vinay Prasad:

Let’s reflect on this for a moment. NYC school district has been requiring children wear masks OUTSIDE all this time. Years after we knew the virus almost never spreads outside. During recess when kids play, forced to wear a mask while exerting themselves. Wow!

Whoever made the policy is an idiot. No way around it. They are not fit for policymaking. They abused the power of government to coerce children (at incredibly low risk of bad outcomes) to wear a mask in a setting where the virus simply does not spread. In other words, they participated in something done in the name of public health, which actually made human beings worse off. Worse, they used coercive force to do it.

Post-COVID we need to seriously talk about setting restrictions. But not on people. We need to place restrictions on public health and things done in the name of public health. We cannot allow individuals who are poor at weighing risk and benefit and uncertainty to coerce human beings, disproportionately the young and powerless (waiters/ servers) to participate in interventions that have no data supporting them, for years on end.

Here are the first two of Prasad’s eight take-home suggestions:

1. In an emergency situation, if governments mandate or advise individual level behavioral interventions (e.g. masking), those entities should have generate robust data in 3 months (cluster RCTs) to demonstrate efficacy, or the intervention is automatically revoked. Some may argue 3 months is too short, but if it is truly a crisis warranting emergency proclamations, then you should see a signal in 3 months, and governments can expand sample size to ensure prompt results
2. If a trial is positive that does not mean the policy continues forever, but must be debated (net benefit/ net harms/ tradeoffs) by the body politic.