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Page 1: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Twitter: @MarkusEconomistIntro: MARKUS BRUNNERMEIER

Page 2: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury credit programs

Speakers

Page 3: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Ramanan Laxminarayan https://www.youtube.com/watch?v=z1yHjM7szBk

Agent based models to capture behavioral response Expectations play limited role

5/8/2020 3

Anderson & May

cddep.org

Leading textbook

Page 4: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

3blue1brown: Grant Sanderson

Random Corporation

5/8/2020 5

Nice simulations

https://www.rand.org/pubs/tools/TLA173-1/tool.htmlhttps://www.youtube.com/watch?v=gxAaO2rsdIs

Page 5: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Ex-ante vs. ex-post targeting

Trade-off: Ex-ante vs. ex-post targeting (flexibility)

German “emergency break” “Regional targeting” in Germany Lockdown region if

More than 50 out of 100,000 inhabitants Infected within a week

Enforceability? Incentive to monitor your neighbor?

5/8/2020 6

Page 6: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Ethics: Statistical Value of Life

Infer from wage difference between hazardous and non hazardous occupations Impacted by risk aversion

Should targeted policy includes statistical value of life

Angus Deaton is critical of this concept (see earlier webinar) Expected life expectancy

Q: Doesn’t matter since only externality (spreading virus) should be taken into account.

5/8/2020 7

Page 7: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Epidemics & Growth

Interact epidemic model with (endogenous) growth model Across different exit strategies/testing Paul Romer’s webinar

5/8/2020 8Brunnermeier, Merkel, Payne, Sannikov (2020) (Tuesday at VMACS)

𝑡𝑡

ln𝐺𝐺𝐺𝐺𝐺𝐺

New chapter for

Page 8: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

End of MARKUS’ INTRODUCTORY REMARKS

Now Please ask questions in Q&A box

Page 9: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

A Multi-Risk SIR Model withOptimally Targeted Lockdown

Daron Acemoglu Victor Chernozhukov Ivan Werning Michael D. Whinston

April 2020.

Page 10: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Introduction

I SIR models are playing an increasingly central role in understanding andpolicy-making in the context of the COVID-19 pandemic.

I One of the key trade-offs is between economic and public health outcomes.

I But “optimal policy” coming from baseline models assuming homogeneousvulnerability and economic participation may be misleading.

Page 11: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Varieties of Heterogeneity

I Many dimensions of heterogeneity—occupation, productivity, issues related to jointlabor supply.

I Risk factors are particularly important (COVID-19 characterized as two separatediseases by some medical professionals, a deadly one for older populations or thosewith comorbidities, and similar to seasonal flu for younger, healthier groups).

Age Group Mortality rate

20-49 0.00150-64 0.0165+ 0.06

Table: Mortality rates (conditional on infection) from COVID-19.

Page 12: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

What We Do

I Develop a multi-risk SIR model and characterize dynamics of infection in thiscontext.I In practice, apply this to a setting with three groups, young, middle-aged and old

(65+).

I Set up an optimal control problem for this environment—allowing targeting by group.

I Characterize and contrast optimal uniform and optimal targeted policies usingparameter values from the literature for COVID-19.

I Clarify how the trade-offs change with targeted policies.

Page 13: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Summary of Main FindingsI Big gains and significantly improved trade-offs from targeted policy.I Most of the gains can be realized by very simple semi-targeted policies that just

treat the 65+ group differentially.

Deaths

outp

ut lo

ss

0

No Control

Maximal Feasible Control

Maximal Fully Effective Control

Deaths

outp

ut lo

ss

0

No Control

Maximal Feasible Control

Maximal Fully Effective Control

Minimal Economic Loss

Optimal Uniform Policies

Optimal Targeted Policies

Page 14: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Important Caveats

I We are not epidemiologists.

I These are really sensitive topics · · ·I There is huge amount of uncertainty about both the disease parameters and the

relevant economic parameters.

I We welcome comments, suggestions and criticisms.

Page 15: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Outline

I1S1R1

Non-ICU

ICUD1

I2S2R2

Non-ICU

ICUD2

NetworkContacts

Figure: MR-SIR: Multiple-Risk Susceptible Infected Recovered Model. Solid lines show theflows from one state to another. Dashed lines emphasize interactions that take place across riskgroups.

Page 16: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Key Equations

I In classic SIR:new infections = βSI .

I In our model, absent lockdowns and isolations:

new infections in group j = βSj

∑k ρjk Ik

(∑

k ρjk(Sk + Ik + Rk))2−α

where {ρjk} are social contact rates between group j and k .

I Here α ∈ [1, 2] is the returns to scale in matching.

I We normalize:∑

j Nj = 1.

I As usual:Sj(t) + Ij(t) + Rj(t) + Dj(t) = Nj .

Page 17: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Infection Dynamics

I Before the vaccine, t ∈ [0,T ), for group j :

Ij = βMj(1− θjLj)Sj

∑k

ρjk(1− θkLk)Ik − γj Ij ,

Mj =

(∑k

ρjk [(Sk + Ik + Rk)(1− θjLk)]

)α−2

,

where ρjk ≥ 0 are contact coefficients and I have assumed notesting/tracing/isolation for the slides (these are allowed in the paper andquantitative analysis below).

I Employment is then given by

Ej(t) = (1− Lj(t))(Sj(t) + Ij(t) + Rj(t)).

Page 18: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Parameters

I γj = δdj (t) + δrj (t): exit rate from infection due to recovery or death.

I δdj (t) = ψj(total infections): probability of death for individual of type j dependingon overcapacity in the hospital system.

I ρij : social contact rate between individuals of group i and j .

I β: infection rate.

I Lj(t): time-varying lockdown.I Lj(t) ≤ Lj ≤ 1, where Lj < 1 allows for “essential” workers.

I θj : effectiveness of lockdown.

I wj : economic contribution of an individual from group j .

I χj : additional non-pecuniary cost of death.

Page 19: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

An Aggregation Result

I Our MR-SIR model generalizes the standard SIR model.

I Suppose βjk = β and γj = γ.

I Consider uniform lockdowns Lj(t) = L(t) for all j .

I Suppose further that infection rates are initially identical across groups, so thatSj(0)/Nj , Ij(0)/Nj and Rj(0)/Nj are independent of j .

I Then the model behaves identically to a homogeneous SIR model.I except deaths that naturally vary by group.

Page 20: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Optimal ControlI Social objective:

min

∫ ∞0

e−rt∑j

(wj(Nj − Ej(t)) + χjδdj (t)Ij(t)) dt

I χjδdj (t)Ij(t): non-pecuniary costs of deaths

I With vaccine (and cure) arriving at T , integration-by-parts yields∫ T

0

e−rt∑j

Ψj(t) dt, (1)

where, allowing for partial isolation of the infected and identification of therecovered, the flow cost for group j is given by

Ψj(t) = wjSj(t)Lj(t) + wj Ij(t)(1− ηk(1− Lj(t)))

+wj(1− κj)Rj(t)Lj(t) +

[(1− e−r∆j )wj

r+ χj

]δdj (t)Ij(t).

Page 21: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Parameter Choices

I Fatality rates (conditional on infection) from the table above.

I Ny = 0.53, Nm = 0.26, and No = 0.21.

I wo = 0 and wy = wm = 1.

I Lo = 1 and Lj = 0.7.

I θj = 0.75

I probabilities of detection and isolation in the baseline: φj = τj = 0

I probability of identifying recovered individuals: κj = 1

I γj = 1/18.

I βρij = β = 0.2 (later allow ρij = ρ for i 6= j where ρ = 0.5).

I δdj (t) = δdj · [1 + λ · total infections]. We set λ such that if there is a 30% infectionrate in the overall population, then mortality rates are 5 times the base mortalityrates.

Page 22: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Optimal Uniform Policy

0 200 400

0.00

0.25

0.50

0.75

1.00Lockdown Policy

ymo

Outcomes

Economic Loss  0.2429

Pop. Fatalities 0.0183

Y Fatality Rate 0.0012

M Fatality Rate 0.0116

O Fatality Rate 0.0698

0 200 4000.00

0.05

0.10

0.15Normalized Infection Rates

ymo

Base: Uniform Policy for  = 0.75 = 2.0 = 1.0 = 20

I Both high numbers of lives lost (1.8% of adult population) and big economicdamage (24.3% of one year’s GDP).

Page 23: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Optimal Semi-Targeted PolicyI Just applying a more strict lockdown on the oldest age group improves things

significantly.I Overall mortality rate declines from 1.8% to 1%, and economic losses decline from

24% of one year’s GDP to under 13%.

0 200 400

0.00

0.25

0.50

0.75

1.00Lockdown Policy

ymo

Outcomes

Economic Loss  0.1281

Pop. Fatalities 0.0102

Y Fatality Rate 0.0011

M Fatality Rate 0.0113

O Fatality Rate 0.0317

0 200 4000.00

0.05

0.10

0.15Normalized Infection Rates

ymo

Base: Semi­Targeted Policy for  = 0.75 = 2.0 = 1.0 = 20

Page 24: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Optimal Fully-Targeted PolicyI The young and the middle-age treated differently, but small gains relative to optimal

semi-targeted policy.

0 200 400

0.00

0.25

0.50

0.75

1.00Lockdown Policy

ymo

Outcomes

Economic Loss  0.1268

Pop. Fatalities 0.01

Y Fatality Rate 0.0012

M Fatality Rate 0.01

O Fatality Rate 0.0321

0 200 4000.00

0.05

0.10

0.15Normalized Infection Rates

ymo

Base: Targeted Policy for  = 0.75 = 2.0 = 1.0 = 20

Page 25: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

The “Pareto” FrontierI The advantage of semi-targeted policies true for different values of χ.

0.00 0.02 0.04Fatalities as Fraction of Population

0.0

0.2

0.4

0.6

0.8

PD

V o

f Eco

nom

ic L

oss 

in F

ract

ions

 of G

DP

PDV of Economic Loss vs  Fatalities 

Uniform PolicySemi­Targeted PolicyTargeted Policy

Base: Outcomes for = 1, = 2, = 1, T = 546; {0, 5, 10, 20, . . . , 80} 

Page 26: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

With Greater Value of Life, Another Interesting Contrast

0 200 400

0.00

0.25

0.50

0.75

1.00Lockdown Policy

ymo

Outcomes

Economic Loss  0.3972

Pop. Fatalities 0.0122

Y Fatality Rate 0.0008

M Fatality Rate 0.0077

O Fatality Rate 0.0464

0 200 4000.00

0.05

0.10

0.15Normalized Infection Rates

ymo

Base: Uniform Policy for  = 0.75 = 2.0 = 1 = 1.0 = 30

0 200 400

0.00

0.25

0.50

0.75

1.00Lockdown Policy

ymo

Outcomes

Economic Loss  0.1511

Pop. Fatalities 0.0093

Y Fatality Rate 0.001

M Fatality Rate 0.0103

O Fatality Rate 0.0287

0 200 4000.00

0.05

0.10

0.15Normalized Infection Rates

ymo

Base: Semi­Targeted Policy for  = 0.75 = 2.0 = 1 = 1.0 = 30

Page 27: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Bigger Gains with Between-Group Distancing

0 200 400

0.00

0.25

0.50

0.75

1.00Lockdown Policy

ymo

Outcomes

Economic Loss  0.1759

Pop. Fatalities 0.0134

Y Fatality Rate 0.001

M Fatality Rate 0.0086

O Fatality Rate 0.0505

0 200 4000.00

0.05

0.10

0.15Normalized Infection Rates

ymo

CS1: Uniform Policy for  = 0.75 = 2.0 = 0.5 = 20

0 200 400

0.00

0.25

0.50

0.75

1.00Lockdown Policy

ymo

Outcomes

Economic Loss  0.0796

Pop. Fatalities 0.0063

Y Fatality Rate 0.001

M Fatality Rate 0.0086

O Fatality Rate 0.0168

0 200 4000.00

0.05

0.10

0.15Normalized Infection Rates

ymo

CS1: Semi­Targeted Policy for  = 0.75 = 2.0 = 0.5 = 20

Page 28: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Even Bigger Gains with Testing-Tracing

0 200 400

0.00

0.25

0.50

0.75

1.00Lockdown Policy

ymo

Outcomes

Economic Loss  0.0587

Pop. Fatalities 0.0057

Y Fatality Rate 0.0007

M Fatality Rate 0.0074

O Fatality Rate 0.0161

0 200 4000.00

0.05

0.10

0.15Normalized Infection Rates

ymo

Base with Testing: Semi­Targeted Policy for  = 0.75 = 2.0 = 1.0 = 20

Page 29: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

Combining Between-Group Distancing and Testing-Tracing

0 200 400

0.00

0.25

0.50

0.75

1.00Lockdown Policy

ymo

Outcomes

Economic Loss  0.0203

Pop. Fatalities 0.003

Y Fatality Rate 0.0006

M Fatality Rate 0.0045

O Fatality Rate 0.007

0 200 4000.00

0.05

0.10

0.15Normalized Infection Rates

ymo

Group Dist and Testing: Semi­Targeted Policy for  = 0.75 = 2.0 = 0.5 = 20

Page 30: Intro: MARKUS BRUNNERMEIER...Markus’ intro Previous/future webinars Ramanan Laxminarayan: Epidemology models Daron Acemoglu: On the benefits of targeted policies Jeremy Stein Fed-Treasury

ConclusionI Still much to be done. But our research suggests targeted (semi-targeted) policies

can do much better, especially with some between-group social distancing andtesting-tracing: