← Back to Insights
March 20, 2021
Authors
David W. Johnson
Topics
COVID-19
Channels
Blogs Dispatches

Rotisserie/Fantasy Covid?

In the 1990s, I played in a rotisserie/fantasy baseball league. “Roto” combines sports, statistics, money, competition and trash talk to create a form of male nirvana. Unbelievably, my league still exists. After a very long absence, my “Fierce Johnsons” return to competition this season.

Good roto players assemble their teams to optimize statistical performance in ten hitting and pitching categories. They understand that individual players can help in some categories but hurt in others. Home run hitters rarely steal bases.

Even though “roto” is just a game, its analytic approach mirrors that required for forecasting the pandemic’s duration. Applying “systems” thinking, forecasters must navigate through dynamic environments with multiple interactive variables.

Uncertainty, luck and interplay between variables make performance predictions complex and non-linear. With COVID-19, the following interactive variables are shaping the pandemic’s time horizon:

  • Natural immunity
  • Vaccine effectiveness
  • Vaccine administration
  • New COVID-19 strains
  • Anti-vaxxer resistance
  • Public health mandates
  • Individual behaviors

As a roto season unfolds, information emerges that narrows the range of potential outcomes. This is also true for COVID-19.

Vaccine manufacturing, distribution and administration are humming along. While still prevalent, anti-vaxxer sentiment is receding. Mutant virus strains constitute a significant risk. Some states may have relaxed public health restrictions prematurely. The risk of another disease spike is significant.

Fortunately, complex problems lend themselves to simulation. Herd immunity seems likely within two-eight months. During this period, Americans’ individual and collective behaviors will influence outcome trajectories.

In roto, there’s only one winning team. With COVID-19, all Americans can be champions.

 

Read all dispatches from Dave Johnson here.

About the Author

David W. Johnson

David Johnson is the CEO of 4sight Health, an advisory company working at the intersection of healthcare strategy, economics, innovation. Johnson is a healthcare thought leader, keynote speaker, and strategic advisor to organizations busting the status-quo to reform our healthcare system. He is the author of Market vs. Medicine: America’s Epic Fight for Better, Affordable Healthcare, and his second book, The Customer Revolution in Healthcare: Delivering Kinder, Smarter, Affordable Care for All (McGraw-Hill 2019). As a speaker, Dave plays the role of rebel, challenger, industry historian, investor and company evaluator to push audiences forward. (Watch bio video.) Johnson applies his 25+ years of investment banking in healthcare to identify ways the healthcare industry must change to deliver better care. He received a Masters in Public Policy from Harvard Kennedy School, an English degree from Colgate University, and served in the African Peace Corp service. Join over 10k+ healthcare executives who read our weekly insights and commentary on www.4sighthealth.com.

Dave wakes up every morning trying to fix America’s broken healthcare system. Prior to founding 4sight Health in 2014, Dave had a long and successful career in healthcare investment banking. He is a graduate of Colgate University and earned a Masters in Public Policy from Harvard Kennedy School. Employing his knowledge and experience in health policy, economics, statistics, behavioral finance, disruptive innovation, organizational change and complexity theory, Dave writes and speaks on pro-market healthcare reform. His first book Market vs. Medicine: America’s Epic Fight for Better, Affordable Healthcare, and his second book, The Customer Revolution in Healthcare: Delivering Kinder, Smarter, Affordable Care for All (McGraw-Hill 2019), are available for purchase on www.4sighthealth.com. Get his new book with Paul Kusserow, The Coming Healthcare Revolution: 10 Forces that Will Cure America’s Healthcare Crisis now.

Recent Posts

Consumerism
Podcast: Competitor, Collaborator or Replacement? 4/9/26
One-third of consumers are using AI chatbots for medical advice, with many people not following up with a… Read More
By April 9, 2026
System Dynamics
Hospital Price Transparency Circa 1926
The deadline for hospitals to comply with CMS’s latest price transparency requirements was April 1. As of last… Read More
By April 8, 2026
Economics
Can Price Controls Be Reconciled With Value-Based Care?
As the healthcare affordability crisis escalates, efforts to fix the U.S. health system seem to have hit a… Read More
By April 7, 2026