Thursday, December 1, 2022
HomeHealth LawA Completely different Future Was Potential: Reflections on the US Pandemic Response

A Completely different Future Was Potential: Reflections on the US Pandemic Response

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By Justin Feldman

The inadequacies of the early U.S. pandemic response are well-rehearsed at this level — the failure to develop checks, distribute private protecting gear, advocate masks for most people, defend important employees, and take swift motion to cease the unfold.

However to concentrate on these failures dangers forgetting the collective framing and collective coverage response that dominated the primary few months of the COVID-19 pandemic. And forgetting that makes it appear as if our present, monumental dying toll was inevitable. This dangerously obscures what went fallacious and limits our political creativeness for the way forward for the COVID-19 pandemic and different rising crises.

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When the pandemic first hit the U.S., there was a broadly shared understanding of the virus as a collective downside: All of us needed to do our half to flatten the curve and defend our native well being care programs. We clapped for important employees to point out gratitude, if we weren’t important employees ourselves. The promise of herd immunity, the place we’d defend one another by defending ourselves by way of vaccination, was on the distant horizon.

A collective coverage response complemented this rhetorical and ideological framing. In March 2020, Congress expanded unemployment advantages at unprecedented ranges, backed companies, assured paid sick go away for a lot of employees, and broadened Medicaid eligibility. The Trump administration used government powers to ban evictions and pause pupil mortgage funds.

These insurance policies had been removed from excellent, however they led to a discount of poverty and uninsurance charges. They allowed furloughed employees to, usually, earn extra on unemployment than that they had on the job. They allowed folks to remain dwelling when sick, defending their coworkers. Most crucially, the federal coverage response created situations during which states may implement common SARS-CoV-2 mitigation measures (e.g., closing or proscribing non-essential companies), whereas minimizing their adversarial penalties on the populace. Practically all states initially adopted such measures, even these with uniformly Republican management.

What adopted was a concerted marketing campaign to dismantle collective protections and assimilate COVID-19 into the mannequin used to deal with most social issues: people are answerable for themselves, and minimal instruments of state intervention will defend (nevertheless inadequately) solely these deemed to be high-risk and worthy.

The U.S. conservative motion, convened by the Council for Nationwide Coverage, organized a marketing campaign to struggle towards public well being measures practically a yr earlier than vaccines or outpatient therapies had been out there to the overall inhabitants. The principle motivation behind this marketing campaign was to make sure that the capitalist class wouldn’t incur the price of the pandemic by way of authorities intervention.

For his or her half, liberal establishments acquiesced to eradicating most collective well being protections as effectively, albeit on a slower timeline. In early January 2021, amid the nation’s largest wave of deaths throughout the pandemic, solely 5 U.S. states had absolutely banned indoor eating. Throughout the winter of 2020 to 2021, the one constant partisan coverage distinction remaining for COVID-19 was masks mandates. However the Biden administration would quickly push states to get rid of masks mandates, and later to nudge folks to unmask even amid excessive SARS-CoV-2 transmission.

By August 2022, the place of Biden’s CDC was basically to eschew collective public well being measures, except notably high-risk folks and locations, which isn’t all that completely different from the right-wing place of two years prior. The supply of vaccines and antivirals definitely helps, however the ongoing toll of incapacity and dying below this technique stays unacceptably excessive. Throughout the second yr of the pandemic, U.S. life expectancy fell a staggering 6.6 years beneath 2019 ranges, largely as a result of COVID-19 deaths.

That is however one instance of the immense prices the virus has imposed on society. These prices may be borne, a minimum of partly, by enterprise and authorities, which may foot the invoice for regulatory measures that would scale back transmission in workplaces and different indoor environments, in addition to broaden the social security web.

As a substitute, the prices are nearly completely imposed on the folks, particularly working-class folks, disabled folks, and folks of coloration, who pay with their lives and livelihoods. The social allocation of COVID-19’s prices ought to due to this fact be seen as a dramatic upward wealth redistribution.

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Early within the COVID-19 pandemic, the Indian creator and activist Arundhati Roy defined what was at stake within the historic second. In April 2020, she wrote:

Traditionally, pandemics have compelled people to interrupt with the previous and picture their world anew. This one isn’t any completely different. It’s a portal, a gateway between one world and the following. We are able to select to stroll by way of it, dragging the carcasses of our prejudice and hatred, our avarice, our information banks and lifeless concepts, our lifeless rivers and smoky skies behind us. Or we are able to stroll by way of calmly, with little baggage, able to think about one other world. And able to struggle for it.

In most international locations, and notably in the USA, I’m afraid that “our lifeless concepts” have received — a minimum of in the interim. If we now have the truth is handed by way of the portal to a different world, it’s definitely not higher than the one we inhabited in 2019.

However you will need to keep in mind that a unique future was nonetheless potential in early 2020. And there are parts of this early time-period of the pandemic response — a regulatory, redistributive, and collective response — that may assist us keep in mind that the boundaries of what’s potential are maybe wider than we predict.

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