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[2020-03-21]当美国蜗牛用着3000美元检测的时候... 而中国正大规模部署检测设备,我很敬畏

文章原始标题:While US snails toward their $3,000 tests... this is the test equipment that the Chinese have deployed enmasse at enormous scales. I'm in awe.
国外来源地址:https://www.reddit.com/r/Coronavirus/comments/fd77qo/while_us_snails_toward_their_3000_tests_this_is/
该译文由蓝林网编辑,转载请声明来源(蓝林网)

内容简介:目前,中国一种能同时识别多种常见呼吸道病毒的新型核酸芯片,正在西南地区全面投入生产。 这种芯片被视为游戏规则的改变者,因为它将大大减轻一线医务人员的负担。
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网友评论:
netheril96
These kits may not be as high tech as one might think. In China need 3 to 5 testing before the result is considered conclusive, and that may have to do with the low quality of testing kits, since all their approvals are expedited.
That said, I don't blame them for rushing the test kits, since don't have time to perfect them. The US, however, do have the time but they have squandered it.

这些检测试剂盒可能并不像人们想象的那么高科技。在中国,需要检测3至5遍才能得出结论,这可能与低质量的检测试剂盒有关,因为他们所有的批准都加快了。
也就是说,我不会责怪他们匆忙完成的检测盒,因为没有时间去完善它们。然而,美国确实有时间,但是他们浪费掉了。

ensui67
Having to do 3 to 5 tests is probably just the nature of the disease rather than the test. If the patient has the virus but it's not shedding into the mucus membranes at a high enough of a concentration in the early stages then it will still be negative on the test. Real time RT-PCR is what they're doing here and having it on a "chip" is better than how it's been developed here in the USA, where there is more manual pipetting and more room for error. In essence the test is the same, but the Chinese one is more automated. This also has to do with a centralized entity being able to control the situation whereas in the USA, the healthcare system and hospitals are not in coordination. Yes for sure the US dropped the ball here and now we'll get to see how bad over the next few weeks.

必须做3到5次检测,可能只是疾病性质的原因,而不是检测盒的原因。如果患者感染了病毒,但在早期没有以足够高的浓度进入粘膜,那么检测结果仍然是阴性。他们在做的是实时逆转录-聚合酶链反应(RT-PCR),然后把它放在“芯片”上,这比美国开发的方法更好,美国有更多的人工移液和更多的出错空间,本质上,测试是相同的,但是中国的测试更加自动化。 这也与能够控制局势的中央实体有关,而在美国,医疗保健系统和医院并不协调。 是的,毫无疑问,美国在这点犯了错误,现在我们要看看接下来的几个星期,美国会有多糟糕。

muiaao
Not quality, sampling. Sampling can be difficult so there are false negative. Thats what i heard.

不是检测盒质量的问题,而是样品。抽样可能很困难,所以有假阴性。我是这么听说的。

49orth
Test approved Feb. 22nd, production is now at 24,000 tests/day.
Great work by everyone in China who developed and sped this into production!

2月22日通过测试,目前产量为每天24000次。
中国的每个人都做了伟大的工作,他们开发出并加速了这个产品的生产!

Hymen__Cholo
Amazing work.

令人惊叹的工作。

Boxerdude
Well, China was able to shut down cities of 11 million with nobody allowed in or out without causing mass hysteria or social breakdown. If the US did that to NYC and blocked all roads in and out, how long do you think social order would last?

中国能够关闭1100万人口的城市,不允许任何人进出,而不会引起群众歇斯底里或社会崩溃。如果美国对纽约市这样做,封锁所有进出的道路,你认为社会的正常秩序会持续多久?

CryElsewhere
You realize China fucked this up from the get-go back in November, right?

你知道中国从11月份开始就把这事搞砸了,是吧?

engrng
And it’s been two full months since the outbreak has been known, what has the US done in that time?

疫情已经爆发整整两个月了,美国在这段时间里做了什么?

spkle
Like the rest of the world: in some weird state of acknowledging denial. Even many epidemiologists were saying not to worry.

就像世界上的其他国家一样: 处于某种承认和否认的奇怪状态中。甚至许多流行病学家都说不用担心。

zoomkatz
You know that saying, if you're not a part of the solution, then you're a part of the problem?

你知道那句话吗?如果你不是解决方案的一部分,那么你就是问题的一部分

CryElsewhere
So what exactly are you doing to save us?

那你到底在做什么来拯救我们?

MalthausWasRight
China didn’t fuck up once they knew what needed to be done. The US government is making an enormous mess due to its reluctance to upset the bankers.

一旦中国知道需要做什么,他们就不会把事情搞砸。美国由于不愿惹恼银行家,美国政府正在制造一场巨大的混乱。

awepearce
Wait until the US reveals its $50,000 treatments and $20,000 vaccines...

等到美国发布它5万美元的治疗方案和2万美元的疫苗...

GallantIce
You think all those scientists would be working 24/7 for minimum wage?

你认为那些科学家会为了最低工资而全天候工作吗?

raggot_the_legendary
There are costs. If you have better ideas to make them cheaper, quit Reddit, go wear a biohazard suit, spend days and night risking your life, and provide the service for a lower price.
You'll be remembered as a hero. Perhaps a dead one.

这是需要代价的。如果你有更好的办法让它们更便宜,退出红迪网,穿上生物防护服,日夜冒着生命危险,以更低的工资提供服务。
你会作为一个英雄被铭记的,也许是一个死去的英雄。

Majikaru
Yeah 3000 dollar tests are totally OK. That's why the rest of the world does it. Oh wait.

没错,3000美元的检测完全没问题。这就是为什么世界其他地方都这么做。哦,等等。

jeffyouwon
America is clearly a third world country in terms of how CDC messed up the tests.

从疾病预防控制中心搞砸了检测来看,美国显然是一个第三世界国家

skorponix
Good job America

干得好,美国

MkVIIaccount
Insurance companies make billions in profits...
With trillions in costs. So please stop this nonsense about greedy profits.

保险公司赚了数十亿的利润..
成本高达数万亿美元,所以请停止这种关于贪婪利润的胡言乱语。

gairloch0777
What if I told you the incentive to make more money at the expense of anyone not affording healthcare was inherently greedy?

如果我告诉你,以无力支付医疗费用的人为代价,来赚取更多金钱的动机,本身就是贪婪的,你会怎么想?

MkVIIaccount
Yup, CDC is a fucking joke.

没错,疾控中心就是个他妈的笑话。

Temstar
A lot of that going around these days.
CDC: "Say what? Ze Germans have a PCR test kit ready to be deployed on masse? FDA approved too? Nah we can't have that, it's gotta be designed and made in merica."

这些天发生了很多这样的事情。
美国疾控中心:“说什么?德国人已经准备好了一套PCR检测工具,可以大规模使用了?FDA也批准了?不,我们不能那样,它必须在美国设计和制造。”

MkVIIaccount
Exactly, layman see this and go "wow, China is living in some sci-fi future" but no, this is common tech.
The CDC really is this bad though. Like legit fucking retarded.

没错,外行人看到这个就会说“哇,中国正生活在某种科幻的未来” ,但不,这是普通的技术。
疾病控制中心就是这么糟糕,就像弱智一样。

DidacticComposer
I would like them to unretard themselves, and quickly. Every day matters for a biothreat like this... My grand-grandfather went through the "Spanish" Flu... I prefer not to go through this one with similar results. Ahhhhh-

我希望他们能尽快地恢复。对于这样的生物威胁来说,每一天都很重要... 我的曾祖父经历过“西班牙”流感... 我不想经历类似的结果。啊...

ComradeGlory
"Made in murica" usually means made and assembled elsewhere but packaged in the USA, or it means packaged and assembled in the USA but with imported parts.

“ 美国制造”通常指在其他地方制造和组装,但在美国包装,或者指在美国包装和组装但使用进口零部件。

Lizardman7
China is not messing around the US is going to show serious damn flaws

中国没有搞砸,美国会表现出它严重的缺陷

8thDegreeSavage
They have all the fabrication facilities in the world to produce these things
That’s why they can do it so quickly
The US only has money to buy them

他们拥有世界上所有的制造设备来生产这些东西。
这就是为什么他们能这么迅速地做到这点,
美国只用钱来买这些东西。

PfXCPI
China greenlighted plenty of genetic research that would have been killed in the US by ethical concerns.
When doctors in Wuhan first noticed the unknown Pneumonia, those front line doctors can directly send samples to various small gene sequencing firms, who can sequence the whole sample in days. Of course, those firms have to report findings to local health officials, the local government response are prompted by those local firms. And the national response was prompted by a firm in Shanghai. For some reason, one doctor decided to mail the sample on ice all the way there.

中国为大量的基因研究开绿灯,这些研究在美国可能会因为伦理问题而被扼杀。
当武汉的医生第一次注意到这种未知的肺炎时,那些一线医生可以直接将样本送到各种小型基因测序公司,这些公司可以在几天内对整个样本进行测序。当然,这些公司必须向当地卫生官员报告调查结果,当地政府的反应是由当地公司推动的。而全国的反应是由上海的一家公司推动的。 出于某种原因,一位医生决定把样本寄到那里。

DidacticComposer
Huh, I didn't know that connection. Is China good at genetic research compared to USA or Europe? I thought the first to sequence was Shanghai and Australia... but never cared to look deeper.

嗯?我还真不知道有这种联系。与美国或欧洲相比,中国擅长基因研究吗?我以为首先对病毒基因排序的是上海和澳大利亚... 但是从来没有想得更深一些。

PfXCPI
Good or not is hard to say. But capacity and speed is certainly there.

是好是坏很难说,但是容量和速度肯定是有差别的。

highboulevard
The American Dream!

美国梦!

zazahan10
in China all the medical treatments (including ICUs) of the virus are free. Not praising China or anything, but for references.

在中国,所有的病毒治疗(包括ICU)都是免费的。我不是赞美中国或者别的什么,只是最为参考。

SuperHiyoriWalker
This totally invalidates the sadly-not-uncommon criticism that universal coverage won’t work here because of “cultural differences.” If countries whose cultures are as different as Finland and China can manage this, we have zero excuse.

有人批评说,由于“文化差异”全民医保在美国行不通。如果像芬兰和中国这样文化差异大的国家都能够做到,我们就没有任何借口。

gr4vediggr
Look, China and Finland have one thing in common. They don't have black people. That's why it can work over there, and not in the US.
Honestly, that is what people mean with "cultural differences".

你看看,中国和芬兰都有一个共同点。他们没有黑人。这就是为什么它们可以实现全民医保,而美国不行。
老实说,这就是人们所说的“文化差异”

whimsicalsteve
The cultural differences are the US is greedy as fuck and the other countries curb that to some extent.

文化差异在于美国贪得无厌,而其他国家在一定程度上抑制了这一点。

barnegatsailor
An argument my family always uses against universal healthcare is that it doesn't work at scale because "European countries are all so tiny they can do it themselves".
If a country of 1.5 billion people is able to afford universal coverage then it stands to reason a country of 350 million who don't eat bats some dude found in a cave can do it too.

我的家人经常用来反对全民医保的一个理由是,全民医保在大规模的情况下不起作用,因为“欧洲国家都太小了,他们可以做到”
如果一个拥有15亿人口的国家能够负担得起全民医保,那么一个不吃蝙蝠的3.5亿人口的国家也可以做到。

Lalaberniethebest
The size argument never made sense to me.

关于规模的争论对我来说毫无意义。

Rocky_Barbacoa
It’s perfectly ok to praise China for something they do better than us.

赞美中国做得比我们好,是完全可以的。

slickyslickslick
No one's saying their healthcare is better. They're saying that they're better at doing with what they have. Given the per capita GDP of a middle income country and with a full-fledged epidemic on their hands, they still do stuff like this. Now look at the US where people are charged thousands of dollars each when there's plenty of resources to go around and no shortage of doctors.

没有人说他们的医疗保健更好。只是说他们更善于利用他们所拥有的。考虑到一个中等收入国家的人均国内生产总值,而且他们还面临这全面的流行病,他们仍然还能提供免费检测。现在看看美国,有足够的资源可以使用,而且医生也不缺,人们检测却要支付数千美元的费用。

slickyslickslick
The fallacy that "praising a specific aspect of a country means you're praising everything about a country" is rampant on Reddit and in the US
Go to any thread about China. Any thread.
"China has really nice high speed rail"
"BUT WHAT ABOUT FREEDOM"

“赞美一个国家的某个特定方面,就意味着你赞美一个国家的一切”这一谬论在红迪网和美国非常流行。去看任何关于中国的帖子,任何帖子。
“中国有很好的高铁”
“ 但是自由呢? ”

JBurdTakeFlight
Whoa whoa. How can you speak positively about an authoritarian regime? You must be a communist /s

哇哦,哇哦。你怎么能正面评价一个独裁政权呢? 你一定是GCD员

whimsicalsteve
You can definitely praise China for giving free healthcare to their citizens. Even though you can criticise them of things it does not mean you can’t praise them for other things.

你完全可以称赞中国为他们的公民提供免费医疗。 即使你可以批评他们的事情,但这并不意味着你不能赞美他们的其他事情。

VacantThoughts
It's the US, people don't go to the doctor unless they are dying. Don't expect 75% of people who catch the coronavirus to even visit a doctor to confirm that's what they have. On top of that if a vaccine is created it's going to be sold at top dollar, no way we are getting universal health care in time to stem this tide. Though maybe seeing the fallout of it all will convince people to vote.

在美国,人们不会去看医生,除非他们快死了。不要指望75%感染冠状病毒的人去看医生,来确认他们的病情。最重要的是,如果一种疫苗研制出来了,会用最高的价格来出售的,我们不可能及时得到全民医保来阻止这种趋势。 也许看到这一切的后果,可能会说服人们去投票。

Fatalchemist
Seriously. I've had a lingering cough for almost 2 months now. I had a similar issue 2 years ago. The doctor said it's just a viral infection and to wait it out. It cost me $250 for her to say what is essentially, "Walk it off" and offer me some prescr1iption cough medicine that I could in no way afford.
Since this is similar, I'm hoping it's just a standard virus and I have to wait it out. But like it's been almost 2 months so it's concerning. But I'm also not dying or overly fatigue or "feel sick" so I'm refusing to go to the doctor because I don't have another $250 to throw away.
I'm not worried that it's Coronavirus because it's been lingering for so long with no other side effects.

说真的。我的咳嗽已经持续了两个月了。两年前我也遇到过类似的问题。医生说这只是一种病毒感染,要等病毒自己消失。我花了250美元,而她说一句“等病毒消失”就没了 ,然后给我开一些我根本买不起的处方咳嗽药。
由于这情况类似,我希望它只是一种标准的病毒,我必须等待它自己消失。但好像已经快两个月了,所以很担心。但是我还没死或者过度疲劳或者“感觉不舒服” ,所以我不想去看医生,因为我没有多余的250美元可以浪费。
我并不担心这是冠状病毒,因为已经持续了很长时间,没有其他副作用。

ShitPostingNerds
Same, been coughing for about four months now and putting off going to the doctor for this exact reason.

同样,我也咳嗽了大约四个月,因为这个原因推迟了去看医生。

BadBadgerChef
What's worse: the WHO said today that the coronavirus test costs $5.

更糟糕的是:世界卫生组织今天说冠状病毒检测费用只需5美元。

Sour-Patch-Adult
OMG that’s insane

卧槽,这简直疯了

ledditlememefaceleme
$3.50 for the test, $10 for the wages of staff,$2,959.75 for the CEO who did nothing

检测是3.5美元,员工工资10美元,无所事事的首席执行官2959.75美元

Ipeipeyuha
Congratulations you dont have to worry about dying! Now pay us $3000!

恭喜你,你不用担心会死了!现在,付我们3000美元!

lionmom
I’m in Denmark and you can only get checked if you have symptoms. However, infectious disease doctors will come to you so you don’t leave the house which is nice I guess.
I think they should test all people who come back from infected areas though so that’s not good. Someone came back from an open nfected part of Italy last week and is working like nothing is happening.

我在丹麦,只有出现症状才能检查。然而,传染病的医生会来找你,所以你不能离开房子,我想这是件好事。
我认为他们应该对所有从感染地区回来的人进行检测。上周,有人从意大利一个受影响的地区回来,然而他们表现得像没发生什么一样。

YouHaveFunWithThat
I would honestly rather die from coronavirus than pay the 300k it would likely cost to have it treated

老实说,我宁愿死于冠状病毒,也不愿意为治疗冠状病毒支付30万美元。

Hot_Wheels_guy
Considering the state of my mental health right now, being 300k in debt would probably kill me anyway.
Take me away, corona.

考虑到我现在的心理健康状况,欠30万美元的债可能会要了我的命。
带我走吧,新冠病毒。

SlateLimeCoral
You could go bankrupt. Life is more than a credit score

你可能会破产,生活不仅仅是信用评分

Sybertron
Ultimately this will be the reason the virus spreads all over America. So many are noninsured or terribly insured they aren't gonna go to the hospital for what they perceive as a simple cough.

最终,这将成为病毒传遍美国的原因。 很多人没有医疗保险,或者很差的医疗保险,他们不会因为简单的咳嗽就去医院。

AckieFriend
No insurance here. If I think I get it, I'll stay home for the few sick days I've earned, I think it's about 3 days. Then I'll have to go back to work because if I don't I'll end up homeless. Work pays rent.

我没有保险。我认为如果我得了这个病,我会在家休几天病假,我想大概是3天。然后我就得回去工作,因为如果我不回去,我就得去流浪。工作来支付租金。

archer4364
Yeah we're fucked

是啊,我们完蛋了

drkatherine1
I am afraid that when this virus really gets going here in the US that people without insurance simply won't go to the doctors until it is to late. They don't have the money for insurance, they don't have money for the hospital bills, so they will infect family and friends until it is just too late. Sad for the richest county in the world that people will resort to this.

我担心当这种病毒真正在美国蔓延的时候,没有医疗保险的人会拖到很晚才去看医生。他们没有钱买保险,也没有钱付医院的账单,所以他们会传染给家人和朋友,直到无法挽救。可悲的是,对于世界上最富裕的国家来说,人们却要在网上求助。

Jenniferinfl
Yup- once it's loose in the wild in the US, it's all over.
Most people I know don't go to the doctor for respiratory stuff- they have to be really sick to go in.
Most people I know can't miss work unless they are very sick. I missed 6 days last year and got written up. I only called out the days I had a fever- otherwise I showed up and spread whatever cold/flu I had. There's no choice- otherwise you get fired.
There will be no chance of controlling the spread here- we have shitty employment policies and shitty health policies.

是的,一旦它在美国的传染开来,一切都结束了。
我认识的大多数人不去看呼吸科的医生——他们必须病得很重才会去。
我认识的大多数人除非病得很重,否则工作不能请假。我去年缺席了6天,被记录下来了。我只在我发烧的时候才喊出来,否则我就会传播流感或感冒了。别无选择,否则你会被炒鱿鱼。
我们没有机会控制发生这里的病毒爆发——我们有糟糕的就业政策和糟糕的医疗政策。

twtwtwtwtwtwtw
Only $3,000? He must have health insurance.

只花了3000美元?他肯定有医疗保险。

knakoo
As a French guy, I am always shocked to see how fucked up your health care system is !

作为一个法国人,我总是对你们的糟糕医疗保健系统感到震惊!

AnyoneButDoug
WHO says the test costs only $5. Many Americans felt China was ill equipt but this is going to show a lot of holes in the US medical system sadly.

世界卫生组织说,这种检测只需5美元。许多美国人认为中国缺乏医疗设备,但可悲的是,这将暴露出美国医疗系统的一堆漏洞。

captainjonzey
The timing to get to that level of output is pretty incredible. I am also in awe.

达到这种产量的时机,是相当难以置信的。 我也很敬畏。

YunKen_4197
I don’t think it’s a fair comparison because we don’t have the level of outbreak seen in Hubei. But yes, it’s impressive nonetheless.

我不认为这是一个公平的比较,因为我们还没有看到在湖北疫情爆发的程度。但尽管如此,仍然让人印象深刻。

Light_yagami_2122
But.. socialism bad!

但是... 社会主义是坏的!

westwood9527
China is not socialism. China is state capitalism.

中国不是社会主义,而是国家资本主义。

S13gfr13d
I'd like to learn about this. Any proof or evident?

我想了解一下,有证据吗?

thothisgod24
Most countries aside from South Korea, and Japan have completely failed at responding.

除了韩国和日本之外,大多数国家完全没有作出回应。

A9-EE-78-6A-C8-9F
I smell propaganda

我嗅到了宣传的味道

iwalkthelonelyroads
just curious, what type of propaganda would this be? what are they trying to achieve with this propaganda?

只是好奇,这是什么样的宣传? 他们想通过这种宣传达到什么目的?

sKsoo
China can get shit done , trump should just buy some and we can start the fuking test

中国可以搞定,特朗普应该买一些,我们就可以开始检测了

nighthawk2019
china good, rest of world bad!

中国好,世界其他地方坏!

daloo22
all this negativity about China, I use to think it was bad as well, till I read about their political system.
I bet you didn't know that China has government subsidized health care for 1.4 billion people. They also realized that hospitals were over prescr1ibing meds as a way to profit and the government forced all meds to be sold at cost to citizens. I don't think China is as bad as people think it is, although they did fuck up by starting this.

所有这些对中国的负面评价,我过去也认为它是不好的,直到我读到他们的政治体制。
我打赌你不知道,中国政府为14亿人提供了医疗补贴。他们还认识到,医院过度开药是为了盈利,政府强迫所有的药物按成本价卖给市民。我不认为中国像人们想象的那么糟糕,尽管他们开始的时候确实搞砸了。

xyliang885
is it a good idea to trust CCTV?

相信中国的中央电视台是个好主意吗?

Mcjoshin
Exactly. Also, the “$3k test” people keep referring to is BS, yet it keeps getting parroted over and over. I’m not saying the US is handling it well so far, but it would be nice if people were at least intellectually honest. Sigh.

没错。此外,人们一直提到的“3000美元检测”是扯淡,但它被一次又一次地重复。我不是说美国到目前为止处理得很好,但如果人们至少在智力上诚实,那就好了。唉...

iwalkthelonelyroads
we need to start testing people for free now, CDC has fucked up enough

我们现在需要开始免费给人做检测,美国疾病控制中心已经够糟糕了

chikenwangP
Just you guys know...CCTV is the state run propaganda TV channel...

只是你们要知道... 中国中央电视台是国营的宣传电视频道...

Hymen__Cholo
cough fox news cough

咳咳...福克斯新闻 咳咳...

Jammer521
If you notice it is an American device they are using, i'm sure it's manufactured there as well because 90% of medical devices are

如果你注意到他们使用的是一种美国设备,我敢肯定它也是在美国制造的,因为90% 的医疗设备都是美国制造的

S13gfr13d
No need, just don't test. Rest of the world will be fine.

没有必要,不要检测。世界其他地方都会好好的。

daloo22
Imagine if they let the doctor warn everyone about a new disease everyone would have fled the city... and imagine how much harder it would have been to contain the virus. It also took planning to shut down the city and province at such a massive scale, they wouldn't be able to do that overnight.

想象一下如果他们让医生警告每个人这种新的疾病,每个人都会逃离这个城市的... 想象一下控制病毒会有多么困难。 他们还计划在如此大规模的范围内关闭这个城市和省份,他们不可能一夜之间做到的。

DidacticComposer
I hope US CDC turn it around fast and test like crazy to measure the crisis properly. The abandonment of containment will equal thousands if not hundreds of thousands of dead medical staff... and once the medical system is overrun, the game is over.
I don't want that. No, that is so anti-human. NOTHING is worth that. The likelihood of people I care about dying skyrockets... and that's not something I'm willing to accept...
This is a tremendously sad thought to have. If you are American, those are your fellow citizens. If you aren't American, they are your fellow human beings on this planet.
Every helping hand is better than hatred.

我希望美国疾控中心能够尽快扭转这一局面,并且进行大量检测,以正确衡量这场危机。放弃遏制的措施,将意味着成千上万甚至数十万的医护人员的死亡... 一旦医疗系统崩溃,游戏就结束了。
我不想那样。不,那太反人类了。没有什么是值得的。我关心的人死亡的可能性急剧上升... 这不是我想接受的...
这是一个非常悲观的想法。 如果你是美国人,他们就是你的同胞。 如果你不是美国人,他们也是这个星球上的人类同胞。每一次的帮助都胜过仇恨。

Beefyboo
I don't think a month ago we would have been saying we were in awe of China's response over the US response but dang the tables have really turned...

我不认为一个月前我们会这么评价——“相比美国的反应,我们对中国的反应感到敬畏”,但卧槽,形势真的发生了转变……