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The consequences were way better than the let 'er rip nations. If China had a death toll equivalent to the United States, they’d have 5 million dead. Even the “China is lying” people are talking about hundreds of thousands, or possibly a million, not 5 million.
Staying COVID-zero until better treatments and vaccines are available actually does save lives.
Federation only duplicates stuff an instance’s users subscribe to, so if you’re a single user instance it wouldn’t copy anything you don’t see (if you actually vet your subscriptions and regularly view their content).