Nobody likes talking about the COVID-19 endgame, but we need to choose one. The appropriate interventions – public health, government spending, and freedom of movement – all depend on the endgame we choose.

The differences between endgames amount to tens of thousands of avoidable deaths, hundreds of thousands of avoidable hospital admissions, and deep and systemic impacts on Australia’s economy and society.

Many discussions are underestimating the likely political reactions when death counts rise.

They are also underestimating the economic and social consequences of an open-ended epidemic that will have enormous real-world impacts on small and medium businesses, as well as many not-for-profit organisations in every sector of the economy and society. We are not facing up to the social consequences if many close, and credit markets collapse.

We see three possible endgames.

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