health

Colonialism and Capitalism as Determinants of Modern Health

By Cory Bhowmik

 

“The truth, the whole truth, and nothing but the truth” is an ideal we try to espouse, but the field of medicine can be rightly accused of not telling “the whole truth” on many occasions throughout history. The Tuskegee syphilis study [1] and the involuntary sterilization of Native American women [2] are a couple examples. A particularly damning example is when we invoke “social determinants of health” upon encountering disparities healthcare that are based on race, sexuality, gender, etc. This invocation—though a statement of fact—is not “the whole truth”, as it doesn’t identify the reason why social determinants of health exist. In fact, the term “social determinants of health” is a placid moniker for the violent systems that have resulted in today’s healthcare disparities.


The advent of colonialism and capitalism

When we start a family, we make appropriate accommodations to ensure everyone is fed, housed, and taken care of. Even non-human animals do the same. So, it isn’t surprising that many societies throughout history have been based in community, with communal systems of food distribution, housing, and education. [3] Of course, there have been empires and kingdoms that have invaded other peoples and sequestered wealth—but not as pervasively as in today’s society. [4]

Today’s shift away from communal society is attributed to the system, originating in western Europe in the 16th century, wherein a small group of the elite can rule over a lower class. Upon the creation of a system in which there were virtually no bounds on individual profit, European merchants began a violent race for spices, minerals, and other goods—including people. And so western Europe began to plunder civilizations around the world, instituting hierarchies that forced indigenous people into the lower class—thus beginning the brutal era of colonialism. [5,6]

Colonialism was made possible by the economic system of exploitation that is capitalism. Capitalism, by definition, requires the existence of a lower class. [7] That fact, regardless of any other, should allow us to abolish it. But, of course, capitalism continues to be promoted by the promise of innovation, even though innovation has since been shown to occur at similar rates in socialist societies. [8] It should be noted that another key piece of propaganda in the promulgation of colonialism and capitalism is God. Colonialism was justified by branding indigenous people as uncivilized and unChristian. For example, the pursuit of religious freedom for western Europeans was used to justify their original settlement into the 13 colonies of the United States. [9] And “manifest destiny” was used to justify their westward expansion and continued genocide of Native American people. [10]

For capitalism to thrive, it requires a source of people to serve as the lower class. And so, it is not surprising that western Europeans invented the concept of race science, which led them to enslave millions of people from Africa. [11] Indigenous people in other colonies were also seen as less-than-human, resulting in indentured servitude and isolation from resources. This concept of racism and capitalism being mutually beneficial for the purpose of exploitation is called racial capitalism, and it has been vital to the violence of colonialism. [12]

Unfortunately, there is a system that can rival the violence of colonialism—and that is settler colonialism: a brutal form of colonialism that involves settlers taking land and establishing residence in the occupied society, with the goal of expulsion and/or alienation of the occupied indigenous people. Examples of settler colonies include the United States, Australia, and New Zealand. [13]


Resultant Impact on Health

Descriptions—mere definitions, even—of colonialism, setter colonialism, capitalism, and racial capitalism should instill in anyone feelings of disgust, and it should be obvious how these violent systems result in adverse health outcomes, but let’s lay it out with some examples:

During the height of colonialism, many famines were levied onto colonized people. One example is the Bengal famine of 1943 in India (along with tens of other famines across South Asia), which resulted in adaptations of the body to a state of starvation. Today, this adaptation—within a mere 1-2 generations—has resulted in increased rates of cardiovascular disease in South Asian populations. Studies have shown that the presence of a famine in one generation doubles the subsequent generation’s risk of diabetes and obesity. [14,15] So, is this just a social determinant of health, or is this better described as a violent result of colonialism and capitalism?

In the settler colonies of Australia (where the Aboriginal people have been displaced) and New Zealand (where the Māori people have been displaced), both groups of indigenous people have less access to land, higher rates of discrimination, and higher rates of mental health related disease. [16,17] Is this just a social determinant of health, or is this a result of colonialism and capitalism?

In the settler colony of the United States, millions of enslaved people from Africa have been under brutal physical and mental stress for hundreds of years. Today, evidence shows that there are increased levels of stress in descendants of enslaved people, likely originating from the stress of oppression and slavery via a harrowing phenomenon called Post-Traumatic Slavery Syndrome (PTSS). [18,19] Is this just a social determinant of health, or is this a result of colonialism and capitalism?

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In the United States government, the Indian Health Service (IHS) exists to provide healthcare services for Native Americans. (Pause, for a moment, to consider how dystopian it is for the Indian Health Service to exist. This makes it seem as though it is a special service, for a people who are indigenous to this land.) In the 1970s, the IHS was responsible for the nonconsensual sterilization of more than 25% of Native American women of childbearing age. And in 2020, Native Americans had some of the highest COVID rates, partially due to the underfunding of federal reservations. [20] And so, is this just a social determinant of health, or is this a result of colonialism and capitalism?


What does this mean?

Food insecurity in predominantly Black areas, increased disease rates in prisons (which incarcerate 4 times as many Black people as are in the general population [21]), increased work hours to maximize profit, lower quality of healthcare due to insurance, and the creation of “third-world” countries secondary to resource extraction and servitude—it would not be a stretch to say that these phenomena, along with the above examples, and almost all “social determinants of health” are secondary to colonialism and capitalism.

Of greatest import, these systems have not disappeared. There are colonial (and neocolonial [22]) powers even today, and capitalism continues to perpetuate violent healthcare disparities. If we are to eliminate healthcare disparities—as medical school curriculum advocates—then colonialism and capitalism must go. Any lesser solution is mere symptom management.

 

References

1.       Centers for Disease Control and Prevention (2022). The untreated syphilis study at Tuskegee – Timeline. Centers for Disease Control and Prevention. https://www.cdc.gov/tuskegee/timeline.htm

2.       Blakemore, E (2019). The little-known history of the forced sterilization of Native American women. JSTOR Daily. https://daily.jstor.org/the-little-known-history-of-the-forced-sterilization-of-native-american-women/

3.       Taylor, I (2018). Pre-colonial political systems and colonialism. African Politics: A Very Short Introduction, Oxford Academic. https://doi.org/10.1093/actrade/9780198806578.003.0002

4.       Khilnani, S (2022). The British empire was much worse than you realize. The New Yorker. https://www.newyorker.com/magazine/2022/04/04/the-british-empire-was-much-worse-than-you-realize-caroline-elkinss-legacy-of-violence

5.       PBS NewsHour (2015). How the West got rich and modern capitalism was born. PBS NewsHour. https://www.pbs.org/newshour/nation/west-got-rich-modern-capitalism-born

6.       DuBois, WEB (1976). The world and Africa: An inquiry into the part which Africa has played in world history. Kraus Reprint Co.

7.       Marx, K (1991). Capital: A critique of political economy. London Penguin Books in Association with New Left Review.

8.       Rodney, W (1972). How Europe Underdeveloped Africa. Verso.

9.       Foster, J, Taylor, M, Boecklin, D, Tanner, M, & Luyken, J (1998). America as a religious refuge: The seventeenth century, Part 1 - Religion and the founding of the American republic. Library of Congress. https://www.loc.gov/exhibits/religion/rel01.html#:~:text=Beginning%20in%201630%20as%20many,far%20as%20the%20West%20Indies.

10.   Getchell, M (2023). Manifest Destiny. Khan Academy. https://www.khanacademy.org/humanities/us-history/the-early-republic/age-of-jackson/a/manifest-destiny#:~:text=Manifest%20Destiny%20was%20the%20idea

11.   ‌Harvard University (2022). Scientific Racism. Harvard Library. https://library.harvard.edu/confronting-anti-black-racism/scientific-racism

12.   Laster Pirtle, WN (2020). Racial capitalism: A fundamental cause of novel coronavirus (COVID-19) pandemic inequities in the United States. Health Educ Behav. 2020 Aug;47(4):504-508. doi: 10.1177/1090198120922942.

13.   Wolfe, P (2006). Settler colonialism and the elimination of the native. Journal of Genocide Research. 8:4,387-409. doi: 10.1080/14623520601056240

14.   Bakar, F (2022). How history still weighs heavy on South Asian bodies today. HuffPost UK. https://www.huffingtonpost.co.uk/entry/south-asian-health-colonial-history_uk_620e74fee4b055057aac0e9f

15.   Brown University (2016). Famine alters metabolism for successive generations. (n.d.). Brown University. https://www.brown.edu/news/2016-12-12/famine

16.   McGlade, H (2023). First Person: Aboriginal Australians suffer from “violent history” and ongoing “institutional racism”. UN News. https://news.un.org/en/story/2023/04/1135827

17.   ‌ Harris, RB, Cormack, DM, & Stanley, J (2013). The relationship between socially-assigned ethnicity, health and experience of racial discrimination for Māori: Analysis of the 2006/07 New Zealand Health Survey. BMC Public Health, 13(1). https://doi.org/10.1186/1471-2458-13-844

18.   ‌ Scott-Jones G & Kamara MR (2020). The traumatic impact of structural racism on African Americans. Dela J Public Health. 2020 Nov 7;6(5):80-82. doi: 10.32481/djph.2020.11.019.

19.   Halloran, MJ (2019). African American health and posttraumatic slave syndrome: A terror management theory account. Journal of Black Studies, 50(1), 45-65. https://doi.org/10.1177/0021934718803737

20.   Williams, R (2021). Native American deaths from COVID-19 highest among racial groups. Princeton School of Public and International Affairs. https://spia.princeton.edu/news/native-american-deaths-covid-19-highest-among-racial-groups#:~:text=After%20adjusting%20their%20data%20for‌

21.   Wertheimer, J (2023). Racial disparities persist in many U.S. jails. Pew. https://www.pewtrusts.org/en/research-and-analysis/issue-briefs/2023/05/racial-disparities-persist-in-many-us-jails

22.   Halperin, S (2020). Neocolonialism. Encyclopædia Britannica. https://www.britannica.com/topic/neocolonialism

How Capitalism Killed Nutrition: A Review of 'Ultra-Processed People'

By Luka Kiernan


Republished from Red Flag.


Review of Ultra-Processed People: Why Do We All Eat Stuff That Isn’t Food ... and Why Can’t We Stop? By Chris van Tulleken. Cornerstone Press; 384 pages.


The maiden voyage of the Terra Grande, also known as Nestlé Até Você a Bordo (Nestlé takes you on board), set sail from the Brazilian port city of Belém in July 2010. The barge was described as a “floating supermarket” as it embarked on an eighteen-day circuit up the rivers of the Amazon lowlands, providing 800,000 people in impoverished riverside towns with the glories of the modern Western diet. The best-sellers were Kit-Kats, an 80-gram serving of which contains 38 grams of sugar. 

The products rapidly infiltrated the communities. To compete, local stores began stocking the ultra-processed junk food peddled by Nestlé. In its wake, the Terra Grande left dietary chaos. High sugar, ultra-processed food became a core food group. Childhood obesity rates rose as high as 30 percent in some communities, and cases of Type 2 diabetes have since been reported in large numbers, a disease that was previously unheard of.

Nestlé complemented the floating supermarket with another program, Nestlé Até Você (Nestlé Comes to You), to better access Brazil’s urban slums. Seven thousand women were employed as door-to-door salespeople, and the program now visits 700,000 low-income households each month with its ultra-processed goodness. As one company supervisor put it: “The essence of our program is to reach the poor”. 

This story of a multinational food company destroying the health of impoverished populations is recounted in Chris Van Tulleken’s Ultra-Processed People. The book is an insightful scientific, political and economic look into capitalism’s global destruction of nutrition and health. It points the finger squarely at the profiteering multinationals and complicit governments, regulatory bodies and NGOs. Van Tulleken contends that the rise of “ultra-processed food” (UPF), defined as any food containing synthetic additives, has led to the deterioration of people’s health. Today, in Australia, the UK, the US and Canada, UPF constitutes up to 60 percent of the average diet.

A tendency has emerged across the world over the last 50 years regarding health that contradicts the rest of human history. In most countries, the poorest people eat the most calories. They are also the most nutritionally malnourished. “Diet quality and associated health outcomes follow a social gradient in Australia, and internationally,” concluded a recent VicHealth study. In the UK, working-class children are getting shorter on average, at the same time that they are getting fatter. Rich children continue to grow. 

From the 1950s onwards, savvy food companies figured out ever more novel ways of using additives and synthetic ingredients to mimic more expensive foods. Modified starches from potatoes or corn were far cheaper than dairy fats, and, once packed with bulking agents, flavouring and colouring, could appear close enough to the real thing. The cheapest forms of fats, proteins and carbohydrates could be processed in any number of ways to create a lucrative mass product. With added preservatives, food was much more suited to the logistics of the market. Beyond just reducing ingredient costs, these chemicals and methods of processing were used to “extend shelf life, facilitate centralised production and, as it turns out, drive excess consumption”, according to Van Tulleken. Excess consumption became increasingly central to the profitability of these products.

There are an estimated 10,000 additives in modern food production, according to a study published in the journal Comprehensive Reviews in Food Science and Food Safety: flavouring, colouring, foaming and anti-foaming agents, bulking and anti-bulking agents, preservatives, emulsifiers and gums, among many others. Some of these have known serious health effects, but the overwhelming majority haven’t been researched enough to determine their consequences conclusively. The average UK resident consumes eight kilograms of these substances a year. 

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These additives are also incredibly effective at subverting the body’s natural regulatory system. Van Tulleken writes about studies that have shown that, when infants are given full access to a variety of nutritious foods, they feed themselves a nutritionally balanced diet, without over- or under-eating. This indicates that the body’s regulation of nutritional intake is as sophisticated as that for temperature or blood pressure. But the rise of UPF has disrupted these processes.

For instance, a 2019 study by the US National Institutes of Health found that even when UPF and unprocessed foods have identical nutritional profiles (in terms of calories, and macro and micronutrients), people will overeat the processed food. 

According to Van Tulleken, there has been “an evolutionary selection process over many decades, whereby the products that are purchased and eaten in the greatest quantities are the ones that survive best in the market. To achieve this, they have evolved to subvert the systems in the body that regulate weight and many other functions”. That is, getting people addicted to calorie-dense, nutritionally lacking, additive-loaded products—to the immense detriment of their health—is the food industry’s main game. 

Coca-Cola, for example, is packed full of sugar: ten teaspoons per can. To make it palatable (because spoonfuls of raw sugar don’t taste good) Coca-Cola adds bitter flavouring that cancels out some of the sweetness, so that consumers get the unnatural sugar and caffeine hit without their body rejecting it. 

Like the quantity of additives in their products, the profits of these companies are immense. Nestlé, the biggest of them all, grossed US$45 billion last year, PepsiCo $46 billion, Mondalez $11 billion, Archer-Daniels-Midland $7.5 billion.

Van Tulleken makes a series of compelling arguments throughout the book regarding the social and economic factors behind the health crisis. He rejects the individualist, personal responsibility framework that dominates mainstream discussions of nutrition and health. The book is explicitly not a self-help guide. 

He writes that, across the West, “there was a dramatic increase in obesity, beginning in the 1970s. The idea that there has been a simultaneous collapse in personal responsibility in both men and women across age and ethnic groups is not plausible”. 

Over the past 30 years, childhood obesity in England has increased by 700 percent, and severe obesity by 1,600 percent. This can be explained only by tectonic shifts in the diets made available. 

In Australia, the number of people living with Type 2 diabetes has tripled (or doubled when adjusted for population growth and age structure) over the last twenty years, according to the Australian Institute of Health and Welfare. Comprehensive meta-analysis has demonstrated a conclusive link between UPF consumption and Type 2 diabetes. Multiple studies have indicated that higher consumption of UPF also leads to massively increased risks of heart attack and stroke.

Consistent with this structural approach, the book centres inequality as a major factor in health outcomes. The consumption of UPF is directly correlated with income, the poorest eating the most. This can largely be explained by pretty simple personal economics. In the UK, a study by the Food Foundation charity shows that the poorest half of the population would need to spend a third of their disposable income on food to meet the minimum nutritional guidelines. The bottom 10 percent would need to spend 75 percent. There are twice as many fast-food outlets in the poorer suburbs of England as in the richer, and advertising is most concentrated in those areas. 

In Australia, age-standardised rates of Type 2 diabetes are more than twice as high in the lowest socioeconomic areas as in the highest. Van Tulleken makes the case that diet and access to quality food are major transmitters of the “health-wealth” gap, alongside smoking and access to health care.

The book also decries the crimes of the major food companies that get rich by destroying the health of billions. For instance, in the 1970s Nestlé was accused of getting mothers in sub-Saharan Africa hooked on free samples of baby formula to the point where they stopped lactating. Mothers were then compelled to purchase baby formula or have their children starve—which thousands of the poorest did. 

In Ghana, one of the poorest countries in the world, obesity rates have risen from 2 percent to 13.6 percent since 1980, as fast-food outlets and UPF companies have expanded their territory. Former CEO of YUM!, KFC’s parent company, justified their intervention by saying: “It’s so much safer to eat at a KFC in Ghana, than it is to eat, obviously, you know, pretty much anywhere else”.

The agricultural system that serves the modern food industry is equally as destructive. Brazilian rainforests are chopped down to grow soybeans, which are used to force-feed factory-raised animals and produce various proteins and fats in their cheapest forms. Indonesian peat forests are burned to clear land for palm oil production, generating thick blankets of smoke and unfathomable amounts of pollution. In 2015, the burning of these forests emitted more CO2 in just a couple of months than the entire German economy that year. Modern agriculture is one of the biggest contributors to global warming, fuelled by the demands of the industrial food sector. 

There are broader dynamics at play than just the individual wickedness of CEOs. As Van Tulleken puts it, each company “is in an arms race with other companies ... all vying for that real estate in the shops that maximises sales. If Kellogg’s decided to take a stand [by making their food healthier and less profitable], the space would instantly be filled by another product from another company”. The nutrition crisis is a built-in product of modern capitalism, stemming from its competitive economic structures.

In this way, Van Tulleken approaches an anti-capitalist perspective. He argues that “shame and outrage are clearly inadequate to limit the survival of companies that are complicit in atrocities” and “their behaviour only changes when the flow of the money is diverted”.

Van Tulleken also lacerates the useful idiots and the actively complicit of the health NGO world. He slams the growth of “healthwashing”, whereby the worst offenders of the obesity crisis fund research about the very crisis that they are causing. He puts it firmly: “Organisations that take money from, for example, Coca-Cola, and claim to be fighting obesity are simply extensions of the marketing division of Coca-Cola ... the interests of [these companies] and those of obesity campaigners are not, and cannot be, aligned”.

However, Van Tulleken stops short of the full-blooded anti-capitalism that is required really to tackle the systemic issues he describes so clearly. While rejecting regressive proposals, such as sugar taxes, he falls back on milquetoast technocratic solutions. His proposals for policies like limits on fast food advertising and better regulated health research to prevent corporate influence would be welcome, but will not even scratch the surface of the structural causes behind the obesity epidemic. 

Elsewhere, Van Tulleken devolves into utopianism, arguing for a “fixing” of the agricultural system which today is based on monoculture crops, mass use of antibiotics and massive environmental destruction. But without a way to fight for such a system, the suggestions remain, as Marx put it 150 years ago, “recipes for the cookshops of the future”.

Ultimately, what Ultra-Processed People clearly demonstrates, but does not actually say, is that there is no solution to the health crisis under capitalism. For business, even the most essential of products, food, is just another way to make obscene amounts of money. The health of billions is sacrificed in the interest of profit.

Their Freedom, and Ours: A Case Study on Morality, Inequality, and Injustice Amid a Pandemic

Photo: Stacey Wescott / Chicago Tribune

By Peter Fousek

David Hume opens his essay “Of the First Principles of Government” with the statement that “Force is always on the side of the governed.”[1] Though she uses different terminology, Hannah Arendt’s understanding of power is analogous to Hume’s “Force.” In On Violence, she asserts that “[i]t is the people’s support that lends power to the institutions of a country, and that this support is but the continuation of the consent that brought the laws into existence to begin with.” Both accounts consider social power to be something fundamentally popular, rooted in collective action undertaken in accordance with a shared will. Thus, “[a]ll political institutions are manifestations and materializations of power,” which “petrify and decay as soon as the living power of the people ceases to uphold them.”[2] This understanding of power is consistent with the nature of the social world: institutions do not come into existence of their own accord, but are created and maintained by the actions of people. Laws do not exist as natural truths—they are established in accordance with shared beliefs and modes of understanding, and retain their jurisdiction only insofar as people assent to them. Therefore, those social structures and formations which hold significant influence over our world, do so because they have substantial, popular support underlying their authority and answering their commandments with corresponding action.

Given this notion of power, “[n]othing appears more surprising…than the easiness with which the many are governed by the few.”[3] If the governed possess a constitutive power over their social world, how is it that institutional authority so often supersedes the will of the masses with that of its ruling contingent? I will argue that this counterintuitive state of social organization, in which the few hold dominion over the majority, must rely on an imposed, hegemonic system of belief capable of convincing the general population that their oppression is just and their liberation villainous. Such a system of belief, while certainly instrumental in the maintenance of totalitarian states, is especially important in the context of ostensibly representative systems of government like that of the contemporary U.S.

In these contexts, voters must be convinced not that it would be amoral for them to overthrow their rulers, but rather that it is moral for them to continue to formally reproduce the power of those rulers year after year, by way of the voting booth. In the United States, that process of coercion has proved quite successful. According to exit polls, over 42% of voters with household incomes under $50,000 per year voted for Donald Trump, despite his promises to cut taxes for corporations and the super-wealthy while defunding already limited social services; in 2020, that contingent rose to 43%.[4] Over half of the Kentuckians in that income bracket voted to reelect Mitch McConnell in the same election cycle.[5]  In a country where well over half of the population has a household income of under $75,000,[6] our governing authorities consistently promote the aims of the wealthiest few, often at the expense of the many. While the United States incarcerates more people than any other country, and while 969 people have been killed by U.S. police this year alone,[7] the State does not rely solely on such direct repressive force to achieve its inequitable ends. As the electoral data shows, the electorate consents to its own socioeconomic oppression; with shocking frequency, we as a nation “resign [our] own sentiments and passions to those of [our] rulers.”[8]

What system of belief is responsible for convincing American citizens, whose collective sovereignty is systematized in electoral systems, to continue voting directly against their economic interests? If we are to build a better world by overcoming the oppressive systems and structures of the established order, we must first understand the mechanism by which that implicit consent of the oppressed is elicited. A society designed to pursue the aims of a small and exclusive minority at the expense of the majority cannot rely on force alone to sustain itself, since institutional authority possesses the apparatus of force only so long as a substantial contingent of the people are willing to follow its orders. Instead, it requires the tool of an official moral framework capable of securing the popular mandate upon which its dominion is established. It is possible for a small ruling class to maintain its jurisdiction over a much larger oppressed one only when the dominant segment promotes its ends as necessary, and thereby convinces its society that anything which goes against those ends is immoral. The ruling class perpetuates its existence by convincing the ruled majority that their subjugation is just, according to supposedly universal moral precepts.

That moral indoctrination is possible because, to use Marx, the economically dominant class “rule also as thinkers and producers of ideas and regulate the production and distribution of the ideas of their age. Their ideas are the ruling ideas of the epoch.”[9] Therefore, the ruling class is able to disseminate its own beliefs and understandings as comprehensive fact, absorbing, in the words of Barthes, “into its ideology a whole section of humanity which does not have its basic status and cannot live up to it except in imagination.”[10] The universality of the established ruling order and its corresponding cultural norms supersede any alternative worldviews or systems of belief, and thereby create the illusion that the entire social formation lacks meaningful class differentiation (the absence of ideological stratification is implied as evidence that social class does not cause a fundamentally different experience of the world). So, using its near monopoly on the dissemination of far-reaching ideas and discourse, through channels including broadcasting companies, social media platforms, and the national political stage, the economically dominant class convinces its entire social world that its particular morality, corresponding to its particular class interests, is in fact universal, natural moral law, obligatory for all.

Any system of official morality imposed on a society is necessarily repressive on account of that claim to universality. Morality is the product of social development in the same sense that the institutions, laws, and norms of our societies are, as Arendt notes, the products of beliefs held by the popular masses. As social institutions etc. exist to achieve defined ends, such as the preservation of property rights and relations, morality also serves social interests. We see this to be the case in moral precepts as basic as the commandment that “thou shall not kill,” which provides a foundational basis for social cohesion by establishing a normative framework in which a might-makes-right paradigm becomes condemnable. Nonetheless, even so fundamental a moral tenet as that one fails to prove universally applicable in the context of the real and dynamic world. History shows that societies which condemn killing in times of peace often herald it as the most honorable task of their soldiers in times of war. Therefore, the presentation of any system of morality as something universal, and so too ahistorical, is deceptive, given the necessarily specific and dynamic nature of moral analysis (and thus the impossibility of truly natural and universal morality).

Still, such universal moral precepts do serve social interests, even if those interests differ from those which the popular majority perceive as the purpose of their moral laws. The imposition of a particular morality onto the whole of society establishes a moral hegemony, wherein only that which promotes the aims of the social class who defines the moral system is considered right and just. Such a process serves the social interests of the dominant class, allowing the many to be subjugated by the few: the universal application of specific moral norms is all too often employed to prevent the oppressed from striving towards their own liberation. During times of relative historical calmness, that morality-mediated oppression may be concealed to the point of near-invisibility. In the United States, a nation satiated with spiritual and secular prosperity gospels, whose popular consciousness is inundated with myths of the American Dream predicated on the principle of productivity (the notion that an individual’s success is the reflection of their efforts), the illusion that social mobility is always possible—if only for the “most industrious” among us—lends credence to a moral framework that condemns the poor as lazy people suffering from self-imposed shortcomings, while celebrating the wealthy as tenacious and driven individuals whose opulence is merely the manifestation of their moral virtue.

On that basis, cycle after cycle Americans vote against their economic interest, without even understanding that they are doing so. When we are taught that poverty is personal iniquity embodied, and wealth the reflection of the opposite, then those who are not wealthy must identify “not as an exploited proletariat, but as temporarily embarrassed millionaires,”[11] if they are to consider themselves virtuous according to the official moral framework. Thus, as they have for decades, millions of working-class Americans continue to vote for “representatives” who facilitate their exploitation for the sake of the wealthy elite. When we fail to recognize the foundational social power we hold as a class, or even our position as members of the working class as such, we unwittingly provide consent for our continued oppression. The underlying misconception of the meritocratic nature of our society is bolstered by the perception that our political and legal institutions are egalitarian, and therefore that all members of our citizenry have an equal shot at financial success, free from any undue external influence or restriction. In other words, we are told that the official morality of our society is just, because all members of our society share equal freedoms under the law. However, I will argue that even if we use that politically conservative understanding of freedom, labeled negative liberty by Isaiah Berlin (that is, the understanding of freedom as freedom from interference in an individual’s exercise of her rights), supposedly universal freedom is not, in fact, shared universally across class divisions.[12] For that reason, the official morality imposed by one class onto all cannot validly substantiate its claims to universality, and can only be understood as a repressive apparatus implemented to ensure the continued self-subjugation of the oppressed. 

The contradictions of normative morality often appear more sharply when contrasted against a backdrop of historical tumult and upheaval. Such has been the case over the past fourteen months, as the national response to the pandemic in the United States has exposed the degree to which our official morality is willing to sacrifice the wellbeing, and even the lives, of the working class, in order to promote the interests of the possessing one. In this time, it has become clear “that lack of money implies lack of freedom,” even in the sense that it is defined by Berlin and the political Right, as “the absence of obstacles to possible choices and activities.”[13] This inequitable distribution exposes the class-interestedness of an official morality which heralds such freedom, by which is meant, for the most part, negative liberty, as the most just and morally virtuous ideal to be promoted by our norms and institutions. Our socioeconomic order is one predicated on the value of individual productivity and wealth accumulation. Resultantly, the freedom of the individual to exist in such a way that they might promote their own wellbeing without restriction by external influence is foundational to the American sociopolitical psyche. Hence Berlin’s explanation of the moral condemnation of the poor, whose wellbeing, we are told, is not our concern, since “it is important to discriminate between liberty and the conditions of its exercise. If a man is too poor or too ignorant or too feeble to make use of his legal rights, the liberty that these rights confer upon him is nothing to him, but it is not thereby annihilated,” (Cohen 4). According to the Right, that is the freedom of which this nation’s founders wrote, the liberty to which the United States declares its dedication, our ultimate moral value: the nominal liberty to act without restriction in pursuit of a given set of possibilities, with no guarantee to the outcome or ease of such a pursuit.

In times of crisis, like that brought on by the pandemic, the most crucial exercise of such freedom involves the liberty to protect oneself and one’s family from immediate threat of harm. The relative ability or inability of American citizens to do so, depending on their socioeconomic status, provides a tragic illustration of the fact that in the United States, “lack of money implies lack of freedom.”[14] In contemporary America, as in any capitalist society, right (as either or both ownership and access) to any object or pursuit is conferred largely by money. This claim is exceedingly apparent: for example, one does not have the freedom to sleep in a hotel room that they have not paid for, and their attempt to do so would likely be met with interference regardless of their otherwise complete ability, will, and legal allowance. In Cohen’s words, “when a person’s economic security is enhanced, there typically are, as a result, fewer ‘obstacles to possible choices and activities’ for him.”[15] Even under the dictum of nominal or negative freedom, an individual’s liberty is largely determined by their wealth. During the COVID crisis, the limits to liberty begotten by poverty have become a visible, existential threat to the marginalized poor.

In the early months of the pandemic, when we knew little about the life-threatening contagion sweeping the globe, many state and local governments to attempted to secure the safety of their citizens through mandatory stay-at-home orders and economic closures. However, the Trump administration, along with countless others in positions of power and influence, were quick to employ the tools of their official morality to an antithetical end. Mask mandates designed to promote some degree of communal security were decried as unjust, immoral attacks on freedom,[16] and as to shutdown orders, these guarantors of liberty held at best that it is the prerogative of an individual to stay at home if she so chooses, but that the State should have no say. As a result, sections of the country opened prematurely, well before the prevalence of testing, much less the existence of a vaccine.[17] Even in places where that was not the case, the categorization of almost 74 million working class Americans as “essential workers” forced them and their families into positions of very real, potentially life threatening, risk.[18] That undue burden placed on the working class was deemed the necessary condition for the restoration of moral equilibrium, according to the language of negative liberty. The resultant dichotomy of freedom as a function of wealth is substantiated by New York Times polling. Higher earners, far more likely than their lower-income counterparts to hold substantial savings, were largely free to continue working from home without risk of job loss or pay cuts. Lower earners were not afforded the same security, financially or otherwise.[19] In this, we see that the working class were compelled to observe moral norms established by the investor class, and thereby to sacrifice of self in accordance with precepts that the wealthy members of our society did not observe themselves. Through the mechanism of universalized official morality prescribed by the dominant contingent, the subjugated were convinced to accept their own suffering while those who demanded their sacrifice refused to do the same.

And to what end? While many essential workers were employed in healthcare or public infrastructure fields, millions of others included members of the food service industry,[20] Amazon warehouse laborers,[21] Tesla factory line workers[22]—in short, the exploited employees of massive, profit-seeking firms focused solely on their goal of increasing shareholder’s returns. In pursuit of profit, these firms compelled countless workers, for pitifully inadequate wages and often without even the most basic protective measures, to sacrifice their safety,[23] and in many cases even their lives.[24] These efforts by executives for the sake of their investors certainly did pay off: according to Inequality.org, “between March 18, 2020, and April 12, 2021, the collective wealth of American billionaires leapt by $1.62 trillion, or 55%.”[25] All this, as thousands died preventable deaths and millions in the world’s wealthiest country faced hunger and eviction. But what of the workers’ freedom? Surely, they were not literally forced to come into their workplaces. The answer to that depends on how we define force. Essential workers, as well as employees of businesses allowed to preemptively reopen, were barred from receiving unemployment benefits if they refused to work, as our legal framework for employment regulation deemed such refusal voluntary even when motivated by fear of death.[26] So, these workers, many of whom would have received more money through unemployment insurance than they were paid at their “essential” jobs,[27] were compelled—quite literally under threat of starvation—to put themselves and their families in harm’s way so that the rich were able to continue amassing wealth at as aggressive a rate as possible.

The hypocrisy of the official morality, and thus its repressive class-interestedness, is evidenced by the fact that this shockingly inhumane restriction of the right of the working class to self-preservation was undertaken under the guise of “freedom,” and thereby given a “moral” justification. In April 2020, Congressman Trey Hollingsworth echoed widespread convictions with his statement that “in the choice between the loss of our way of life as Americans and the loss of life of American lives, we have to always choose the latter.”[28] That stance was, and remains, a truly popular sentiment—protests in opposition to shutdowns were prevalent across the country last spring, populated largely by working class Americans who had been convinced that economic closures represented government overreach and a restriction of individual liberty.[29] To foster that sentiment, members of the investor class funded media campaigns to promote the notion of the shutdowns as morally wrong[30] These campaigns serve as a tragic example of the investor class forcing its ends onto the whole of our society, portraying anything that interferes with the pursuit of those ends as morally condemnable. The campaigns, of course, concealed their class interestedness to preserve the supposed universality of their precepts. In their polemics against “unfreedom,” they were careful to omit the fact that the “immorality” of the shutdowns, the restriction of liberty which they constituted, was a restriction of the freedom of wealthy firms to force their workers into life-threatening conditions for the sake of profit margins.

Only in being justified by the official morality of the dominant class was such blatant disregard for human life allowed to occur. During the initial months of the COVID pandemic, the foundational social power of the working masses could have been utilized to substantial and life-saving effect, if only there had been sufficient organization for the development of a collective will to do so. Consider the power represented by the opportunity of essential workers to join together in a general strike in protest of unsafe conditions, or in opposition to unjust regulations which cut them off from unemployment insurance if they refused to work. Consider the power of the voting population to hold their elected officials accountable for refusing to put such protective measures in place, or that of the consumer base to boycott companies engaged in blatantly exploitative and dangerous labor practices. These collective actions were not taken because the iniquity of the situation was masked by a veil of official morality, which labelled the direct repression of the working class—the elimination of its most basic liberties—as itself a crusade for freedom. Such “moral” manipulations enable the paradox of power noted by Arendt and Hume, in which “the living power of the people,”[31] despite its foundational importance, is restrained and left unrealized by the amplified repressive force of a small but economically dominant social contingent.

It is important to note the role of the State in this process of moral imposition on behalf of the ruling class. By debating and legislating in accordance with the official morality, institutional authority reifies it, providing those precepts of ruling class interest with an appearance of naturalness and thereby working to validate their claims to universality. Representative Hollingsworth was not alone in expressing the sentiment that the flourishing of the stock market is more important than the lives of American workers; instances as brazen as the vehement attempts of conservative politicians to prevent an increase in food stamp funding despite the staggering number of children going hungry represent efforts to embody the official morality. [32] The success of such reification is heartbreakingly clear: ours is a country in which Nobel laureate economist Angus Deaton “explained the anomalous mortality rates among white people in the Bible Belt by claiming that they’ve ‘lost the narrative of their lives’,”[33] having failed to realize their own “moral value” in the terms imposed on them, unable to earn anything above a starvation wage regardless of their efforts.

Such is the outcome of the ruling class indoctrinating “into its ideology a whole section of humanity which does not have its basic status and cannot live up to it,”[34] using the apparatus of authority as an aid in its illusion. The supposed truth of the official morality, that most insidious of the “ruling ideas”[35] disseminated by the dominant class, holds a devastating weight in the popular psyche because it is manifested by our systems of power and thereby made to seem concrete. To that end, our political representatives, armed with the formalized consent of their constituents, speak and legislate in a manner that serves to enshrine official morality in the rule of law. In the face of the pandemic, they declared that the just action on the part of the working poor was to accept their loss of liberty for the sake of their country. And, faced with that reactionary mandate justified by an apparently eternal morality, we chose not to oppose oppression, but instead to clap for the essential workers as they made their way home.

“The price of obedience has become too high,”[36] writes Terry Tempest Williams, following a vivid illustration of the destruction wreaked by U.S. nuclear arms tests in the Southwest on American lands and American people. Such state-sanctioned harm is the norm, rather than the exception, as we have seen in examples ranging from the Tuskegee Study to the COVID pandemic response. It is enabled by the “inability to question authority,”[37] on account of its justification by official morality, which would have a repressed populace rather accept the rule of their oppressors than challenge it in the hope of change. But this does not have to be the case; ours could be a better world. A governing body loses its legitimacy if its commands are not carried out; its orders are not heeded if the popular masses refuse to recognize its sovereignty. Strikes, protests, and other acts of defiance, in which participants utilize their communal power by refusing, in unison, to conform to the commands of their oppressors, demonstrate the ability of an organized populace to make authority impotent and annul its influence. That transformative kind of resistance is only possible when the official morality which condemns it is recognized as a tool of reaction, when the oppressed declare a morality of their own, oriented towards the liberation and collective betterment of the social world. “[A]nd even then, when power is already in the street, some group…prepared for such an eventuality is needed to pick it up and assume responsibility.”[38] These tasks: the revocation of repressive morality, its replacement with a conviction for true justice, and the development of leadership capable of organizing such a movement, are all possible. It is imperative that we undertake them if we are to liberate ourselves by realizing our collective power.  

 

 

References

Arendt, H. On Violence. Boston: Houghton Mifflin Harcourt, 1970.

Barthes, R. Mythologies. Trans. Jonathan Cape. Paris: Jonathan Cape Ltd., 1957.

Blake, A. “Analysis | Trump's Dumbfounding Refusal to Encourage Wearing Masks.” The Washington Post.      Washington, D.C.: WP Company, 25 Jun. 2020: Digital Access.

Cohen, G.A. On the Currency of Egalitarian Justice, and Other Essays in Political Philosophy. Princeton, NJ: Princeton Scholarship Online, 2011.

Collins, C., Petergorsky, D. “Updates: Billionaire Wealth, U.S. Job Losses and Pandemic Profiteers.” Inequality.org. Washington, D.C.: Institute for Policy Studies, 29 Apr. 2021: Digital Access.

DeParle, J. "As Hunger Swells, Food Stamps Become a Partisan Flash Point." The New York Times. New York: The New York Times, 6 May 2020: Digital Access.

Desilver, D. "10 facts about American workers." Fact Tank. Washington, D.C.: Pew Research Center, 2019. Aug. 2019: Digita Access.

Diaz, J. “New York Sues Amazon Over COVID-19 Workplace Safety.” The Coronavirus Crisis. Washington,     D.C.: National Public Radio, 17 Feb. 2021: Digital Access.

“Essential Workers and Unemployment Benefits Do Not Go Together.” Occupational Health & Safety. Dallas: 1105 Media Inc., 7 May 2020: Digital Access.

“Fatal Force: Police Shootings Database.” The Washington Post. Washington, D.C.: WP Company, 22 Jan.        2020: Digital Access.

Flynn, M. “GOP congressman says he puts saving American ‘way of life’ above saving lives from the coronavirus.” The Washington Post. Washington, D.C.: WP Company, 15 Apr. 2020: Digital Access.

Hume, D. “Of the First Principles of Government. Essays, Moral, Political, and Literary. Hume Texts Online,   2021: Digital Access.

“Kentucky 2020 U.S. Senate Exit Polls.” CNN. Atlanta: Cable News Network, 2020: Digital Access.

Maqbool, A. “Coronavirus: The US Resistance to a Continued Lockdown.” BBC News. London: British         Broadcasting Corporation, 27 Apr. 2020: Digital Access.

Marx, K. Selected Writings. Indianapolis: Hackett Publishing Company, Inc., 1994.

McNicholas, C., Poydock, M. “Who Are Essential Workers?: A Comprehensive Look at Their Wages,             Demographics, and Unionization Rates.” Economic Policy Institute. Washington, D.C.: Economic Policy             Institute, 19 May 2020: Digital Access.

Nuttle, M. “Essential Workers Accounted for 87% of Additional COVID-19 Deaths in California, Data         Shows.” abc10.com. 30 Apr. 2021: Digital Access.

Reinberg, S. “Nearly 74 Million Essential Workers at High Risk for COVID in U.S.” U.S. News & World        Report. Washington, D.C.: U.S. News & World Report, 9 Nov. 2020: Digital Access.

Siddiqui, F. “Hundreds of Covid Cases Reported at Tesla Plant Following Musk's Defiant Reopening, County            Data Shows.” The Washington Post. Washington, D.C.: WP Company, 13 Mar. 2021: Digital Access.

Tankersley, J. "Job or Health? Restarting the Economy Threatens to Worsen Economic Inequality." The New York Times. New York: The New York Times, 27 Apr. 2020: Digital Access.

Tempest Williams, T. "The Clan of One Breasted Women." Psychological Perspectives (23): 123-131. Los Angeles: C.G. Jung Institute, 1990.

“U.S. Income Distribution 2019.” Statista. Statista Research Department, 20 Jan. 2021: Digital Access.

Vogel, K. P., et al. “The Quiet Hand of Conservative Groups in the Anti-Lockdown Protests.” The New York Times. New York: The New York Times, 21 Apr. 2020: Digital Access.

Wright, R. A Short History of Progress. Toronto: House of Anansi Press, 2004.

Wronski, L. New York Times|SurveyMonkey poll: April 2020. New York: The New York Times, 2020: Digital Access.

Zhang, C. “By Numbers: How the US Voted in 2020.” Financial Times. London: Financial Times, 7 Nov.        2020: Digital Access.

 

Notes

[1] Hume, 1

[2] Arendt, 41

[3] Hume, 1

[4] Zhang

[5] “Kentucky 2020 U.S. Senate Exit Polls.”

[6] “U.S. Income Distribution 2019”

[7] “Fatal Force: Police Shootings Database.”

[8] Hume, 1

[9] Marx, 129

[10] Barthes, 140

[11] Wright, 124

[12] G.A. Cohen provides a proof of this in his essay “Freedom and Money.” 

[13] Cohen, 9

[14] Cohen, 9

[15] Ibid., 10

[16] Blake

[17] Tankersley

[18] Reinberg

[19] Wronski

[20] McNicholas

[21] Diaz

[22] Siddiqui

[23] McNicholas

[24] Nuttle

[25] Collins

[26] “Essential Workers and Unemployment Benefits Do Not Go Together,” 1

[27] Ibid.

[28] Flynn

[29] Maqbool

[30] Vogel

[31] Arendt, 41

[32] DeParle

[33] Livingston

[34] Barthes, 140

[35] Marx, 129

[36] Williams, 128

[37] Ibid.

[38] Arendt, 49

Forcing the Vote on Medicare for All: A Proven and Imperative Strategy

[Photo credit: CNN]

By Karthik Pasupula

Republished from Michigan Specter.

14.6 million. That’s the lower estimate of the number of Americans who have lost their health insurance during this pandemic. Want to guess the number of people in the same situation in other developed countries? Zero if you live in Canada, the UK, Germany, France, Australia, Japan, South Korea, Taiwan, Denmark, Finland, Norway, etc.

You’ve probably seen the polls. More than 70% of Americans believe that the government should be responsible for insuring all Americans, with around 88% of Democrats supporting a single-payer system. Support for government healthcare has risen across the board, presumably because pandemic-induced mass unemployment has exposed the folly of employer-based insurance.

Yet, the fight for Medicare for All isn’t happening in the halls of Congress right now. And that is a huge mistake. National media is dominated by coverage of an inept administration whose will to govern has been broken by the (un)dynamic duo of Senators Manchin and Sinema. The constant ceding of ground must end. It’s time to #ForceTheVote in order to put public pressure on establishment politicians and get them on the record.

Ever since the emergence of “The Squad” in 2018, interest in Medicare for All (M4A) has soared. This is especially relevant to Michigan voters, since 16% of residents live in poverty, including one in four children and 17% of senior citizens. These problems are especially bad in Detroit where around 30.6% of people live below the poverty level — the highest among big cities. The insane grip that corporate health insurance companies have on America harms more than just America’s very poorest. One in five voters struggle to pay their medical bills and one in three fear that they won’t be able to pay for healthcare. In order to pay those bills, they have to resort to extraordinary measures: dipping into savings, borrowing money, selling jewelry, crowdsourcing, etc. This would not exist under a single-payer system.

A single-payer healthcare system would also set prices for each service. This solves one of the biggest problems of our healthcare system, which is the variety in rates for different services. An appendectomy, for example, can cost anywhere from $1,529 to $186,955. Under single-payer, that rate would be much lower and consistent across hospitals. Administrative costs for doctors and hospitals would also go way down due to the reduction of negotiation costs. As of 2017, administrative spending made up 34.2% of total health expenditures in the United States. That is more than twice what Canada spends.

But how do we win a cheaper and more efficient healthcare system? The strategic and principled move is to demand a floor vote from House Speaker Nancy Pelosi. This would prompt an “on-the-record” vote on M4A from all representatives. Right now, there are 221 Democrats in the House and 211 Republicans (and three vacancies). There are more than enough progressives to threaten the stoppage of any legislation Democrats propose. And they could use that leverage to demand a vote on M4A. But one of the main arguments against a floor vote for M4A is that it would just be an immediate flop.

So? When M4A polls so well, why should we be worried about if it flops or not? The viability of a piece of legislation is in the hands of the people, and the people have spoken: they support M4A. Putting elected representatives on the spot and showing how they’re actively voting against their constituents is absolutely crucial. If the bill fails, then it immediately lets progressives know which representatives they need to primary.

Opponents of this strategy have said that we can just look at the cosponsor list to ascertain who supports M4A. Senators Cory Booker and Kamala Harris have both cosponsored an M4A bill. But, when pressed on the issue during the Democratic presidential primary, they immediately backed down. It would be reasonable to assume many other cosponsors would do the same if forced to vote.

Moreover, a message that certain representatives argued against healthcare coverage for Americans during a pandemic would help progressives in future elections. With our healthcare system absolutely failing during this crisis, American citizens will be more open than ever to healthcare reform. With media coverage of liberal representatives voting to deny them coverage, voters will be reminded of the necessity to elect more progressives to Congress.

Historically, the president’s party tends to lose seats during midterms. Obama lost 63 House seats in 2010, the largest loss since FDR, after his Wall Street bailout. Forcing a vote on M4A would make it much easier to capitalize on dissatisfaction with the president’s party during the midterm elections. 2022 would be the perfect time to campaign against incumbent Democrats, as history shows they are weaker during midterms.

Not only that, but forcing a vote on M4A would use the exact same tactics the Tea Party used to ultimately excise former House Speaker John Boehner. The Tea Party tried to repeal Obamacare numerous times, to no avail, but they rode the enthusiasm from those failed attempts to enormous wins and quickly became a force to be reckoned with in Congress. By blocking nearly every piece of legislation, and thereby tying Boehner’s hands behind his back, the Tea Party effectively forced him to resign. In short, Boehner stepped down because the Tea Party used the leverage they had. Progressive Democrats should use similar leverage to bring Chuck Schumer and Nancy Pelosi to their knees.

If you disagree with forcing the vote, then what is your plan to bring M4A into effect? What do you think we need to do before getting a vote on M4A? How do we do this, and what is the timeline? These questions are not being answered by sitting politicians. All we have are ideologies; not action on those ideologies. Denying this strategy means denying that the Tea Party was successful in being a commanding presence, and that is verifiably false. The incremental approach that doesn’t utilize the bully pulpit is failing. Everything that Biden “compromised” with progressives on during the campaign trail is falling dead in its tracks: $15 minimum wage (God save the Parliamentarian), ICE detention facilities, $2,000 checks, foreign policy, etc. Playing nice with the establishment does not work and that has been proven time and time again.

Democrats in Congress argued that we needed to impeach Donald Trump to hold him accountable for inciting the Capitol riots. Even though they didn’t have the votes to convict, I agreed with the motivations behind impeachment because it’s a moral imperative to get every single representative and senator on the record to keep them and Trump accountable. The same reasoning applies to forcing a vote on M4A.

Even recently, vote-forcing strategies have been successful at putting pressure on establishment politicians. Senator Bernie Sanders recently forced a vote and got eight senators, all of whom caucus with the Democrats, on the record as opposing a $15 minimum wage.

At this stage, opponents of this strategy complain that there is not enough thought given to step two. However, there’s a clear plan. We get politicians on record, and then exert political pressure on a popular issue. In this way, even if the bill fails, the issue only gets heightened. Just one piece of evidence is the huge outcry and shaming of Senator Sinema for her thumbs-down vote.

And what comes after this, you ask? The ammunition to primary these corrupt individuals is readily provided on an issue that the vast majority of Americans have a solid stance on. Denying a living wage is one thing, but denying healthcare during a pandemic will carry even graver consequences for Democrats who take that stance.

Something I’m completely against is calling opponents of this strategy corrupt. AOC and other members of “The Squad” have said that they are against forcing a vote on M4A because of aforementioned counterarguments, but they aren’t corrupt like the majority of DC. Progressives do NOT take money from super PACs, and that’s the main separator. We won’t always agree on everything, but we will agree on basic, reasonable political positions.

The foundations of #ForceTheVote are both principled and strategic. It’s principled because we’re fighting for something at a time when people need it most. Even if it’s “doomed to fail,” fighting for something that you believe is right is simply the morally principled action. And it’s strategic because, even if the vote fails, it gets representatives on the record as denying basic improvements in quality of life. That sets us up well to pressure incumbents and mount serious primary challenges against them.

The 2020 election showed that anti-Trump rhetoric by itself does not work. Democrats lost seats in the House and Biden won by smaller margins in swing states than Trump did in 2016. Sticking with their tradition of strategic cluelessness, the DNC recently announced that their primary focus will be on QAnon next election cycle.

Enough of this culture war bullshit, it’s time to fight for real policy. We need to have substantive arguments and a floor vote provides us with the ammunition, especially if it fails. The failure will not fall on progressives, it will fall on Democrats who voted no and they will be punished for it through democracy. There is nothing to lose from this strategy.

Keep in mind the 14.6 million people who have lost health insurance. Keep in mind the huge number of people who were already uninsured or underinsured. Keep these things in mind while consistently calling out politicians, so we can keep them accountable when the opportunity arises.

Here Comes the Second Wave

By Andrew Gavin Marshall

Originally published at Empire and Economics.

As the pandemic spread across the world, unprecedented lockdowns followed. Now, as many of those countries are in the early weeks of lifting restrictions, we see signs of what may be the start of the second wave of the COVID-19 pandemic. And we cannot rule out a second wave of lockdowns.

The spread of the viral pandemic resulted in one country after another beginning the process of shutting down its society. It began in Asia, spread to Europe, then to North America and across much of the rest of the world. By early April, half of humanity was living under lockdown.

The lockdowns were incredibly controversial. This time period will be seared into the collective human memory for as long as we all live. Its significance to our societies, our economies, our political systems and our own individual experiences cannot be overstated.

People have grown tired of the lockdowns, and understandably so. But business leaders and politicians feel worried about the economy most of all, and want to reopen in order to revive the economy.

Countries in Asia began the process of lifting the lockdowns last month. With the earliest cases of the pandemic and some of the more effective means of handling it, everyone was keeping a close eye on these countries as they emerged from restrictions.

South Korea marked the ending of the most strict social distancing measures last week. Within days, numbers of the infected began to spike. The spike in South Korea’s numbers resulted entirely from one man’s night out going to clubs. South Korean President Moon Jae-in warned Koreans to “brace for the pandemic’s second wave.”

The Chinese province of Wuhan, where the COVID19 outbreak first began and where the lockdown ended the previous month, experienced its first cluster of new infections.

Iran – one of the early epicentres of the epidemic – had lifted its lockdown. But on May 10, Iran put a region of the country under a second lockdown after a sharp increase of cases in the province.

Lebanon, after emerging from the virus and the restrictions nearly two weeks ago, has put the entire country again under a lockdown as infections started to spike. Just ten days after reopening, Lebanon announced a four-day lockdown of the country, prompting grocery stores to once again be quickly emptied of essential items. This is all taking place in the midst of the country experiencing a brutal economic and financial crisis, one which began prior to the pandemic, and resulted in massive protests and social unrest that began late last year and continued even in the midst of the pandemic, as hunger and desperation spread. (Meanwhile, many Americans were protesting because they want haircuts, to go golfing, and for their favourite restaurants to be opened again.)

Europe followed Asia’s example in the lifting of restrictions and ending of lockdowns. This is a slow process that looks different in different countries. Ultimately, however, it follows the same course of slowly removing restrictions and opening public spaces, schools, businesses and borders, and incrementally easing social distancing measures.

At the start of April, virtually all of Europe except for Sweden was under lockdown. By the second week of May, most of the continent had started easing restrictions. The United Kingdom was the only large European country to not be easing (as it was one of the last to impose a lockdown).

Last week, the World Health Organization (WHO) warned about proceeding “extremely carefully” in seeking to emerge from the lockdowns in order to avoid another spike in infections.

“The risk of returning to lockdown remains very real if countries do not manage the transition extremely carefully and in a planned approach.” – WHO Director-General Tedros Adhanom Ghebreyesus

“If lockdown measures are lifted too quickly, the virus can take off.” – Maria Ban Kerkhove, WHO epidemiologist

Within days of Germany starting the process of easing restrictions, cases began to spike. Not only the largest country in Europe (by population, economic weight and political power), Germany is also one of the more successful models of countries in dealing with the pandemic. Despite its size, deaths from the virus in Germany were fractions of those witnessed in Italy, Spain, the United Kingdom and France. Thus, with German infection rates starting to increase, fears grow of a second wave.

German Chancellor Angela Merkel warned, “We always have to be aware that we are still at the beginning of the pandemic… And there’s still a long way in dealing with this virus in front of us.”

The United States, with the most known cases of COVID19 in the world, has witnessed many individual states begin to reopen their societies in the past weeks. As businesses opened and people started to go to public places, infection rates began to spike in multiple U.S. states. The actual effects of reopening will take weeks to know, however. Though various official models suggest that we can expect a spike in cases and deaths over the coming weeks as a result.

Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, one of the leading experts in the fight against COVID19 in the United States, warned on May 12 that if U.S. states reopened too quickly and ignored guidelines from public health authorities, “you will trigger an outbreak that you might not be able to control,” which would lead “to some suffering and death that could be avoided.” But, he added, “that could even set you back on the road to try to get economic recovery.” Doing so, he added, “could almost turn the clock back rather than going forward.”

A research paper from a Harvard economist examined the past Spanish flu pandemic of 1918, looking at the various successes and failures of lockdowns and openings. He concluded that an assortment of restrictions and lockdowns failed to save as many lives in the past because the duration of the lockdowns was for too short a period: four weeks (one month), on average. The lesson from this, he concluded, was that restrictions and lockdowns “have to be maintained for substantially longer than a few weeks. Most likely, 12 weeks work much better than 4-6 weeks.”

People have entered into a state of mental lockdown. Many have shut down to the overconsumption of information and simply grasp onto the hope that things seem to be opening and that, therefore, the worst is behind us and the future is simply a slow decline from present extremes. This is a very hopeful – and one might say naive – perspective. It is fine to hope for miracles, or even to wish them into being, but misguided to plan for them.

Instead, we should mentally prepare ourselves for a second wave of the pandemic and the potential for future lockdowns as a result. South Korea and Germany are among the most successful and advanced nations in dealing with the pandemic, and when their leaders are saying to “brace for the pandemic’s second wave” and that “we are still at the beginning,” we should take these claims seriously.

We are still in the early stages and months of this pandemic and in understanding the virus itself, so nothing can be said of the near and medium-term future with any certainty. Well, except for one thing: the virus is here now.

“Exactly how long remains to be seen… It’s going to be a matter of managing it over months to a couple of years. It’s not a matter of getting past the peak, as some people seem to believe.” – Marc Lipsitch, infectious disease epidemiologist at Harvard’s T.H. Chan School of Public Health

One wave of lockdowns and social distancing is not going to be enough in the long term. Thus, it is important to manage our expectations and understandings. The virus comes in waves and so we must become like liquid, more able to adapt to the contours of the wave and outlast its peaks and crashes.

Our societies must also become more adaptive. This means that we will need to be more willing to spend and support large segments of the population for extended durations of time. If our politicians and leaders do not meet these standards, widespread (unnecessary) suffering will result. But we can and we must adapt to the necessities and realities of the pandemic.

The pandemic does not have to be hopeless. We can and will get through this. But it is a test of our society and our civilization as to how we get through it. Do we prioritize reopening economies or do we prioritize keeping people safe? If we maintain or return to lockdowns, how do we address and meet the needs of the population confined to their homes? How do we meet the needs of those who don’t have the option to stay home?

There is hope in how we answer these questions and how we move forward through the pandemic and emerge from it. But it is important to not waste our hope on the empty notions that this is over or near its end. We are still in the beginning. There is more to come. Prepare yourselves mentally, arm yourselves intellectually, and plan accordingly.

Put your hope in the right places. But plan according to reality. Yes, we all want haircuts and to spend time with our friends and go out for a drink (or ten). But if the cost of that is to see tens of thousands more infections and thousands more deaths, I can make peace with some out-of-control hair. This “sacrifice” is nothing compared to the lives that will be sacrificed from reopening too early.

This is still the beginning. Plan accordingly.

Resistance in the Time of Cholera: Preliminary Notes on Viral Dialectics

By Bryant William Sculos

In Gabriel García Márquez’s classic Love in the Time of Cholera, cholera is both literal and metaphorical. So too is COVID-19. Not the virus itself necessarily (though its complicated emergence and uneven spread and effects surely implicates our current system), but the massive and largely preventable or treatable harms of the virus that have thus far gone largely unprevented and untreated are the metaphor. Not merely a metaphor, of course. Not a metaphor in the sense of being immaterial or unreal. Metaphor in the sense of representing something much more than itself, symbolizing that which is beyond itself.

Metaphor. Representation. Microcosm. Heuristic. Epitome. Choose your label. The key point is that we must pay attention to the important reality that if we focus exclusively on the COVID-19 pandemic from a medical or public health perspective we are going to miss most of what we must learn from and through this crisis. Unlike the bacterial cholera, the viral COVID-19 is not as easily treatable or preventable, though with an eventual vaccine it can become more preventable. Cholera persists for the same systemic reasons why COVID-19 and the flu persist. This is what global capitalism’s demands of sadistic efficiency and perverse profit-seeking produce. What these infections share is their dialectical imbrication within the same system that contains the potential technical means to humanely resolve various harms, but profits off of their continuation.

COVID-19 is only on our radar such as it is because of the inability of our unjust, unequal, irrational, sadistic, and undemocratic political economic system to care for all the people who need and deserve care in this world. It is the match on an accelerant-soaked woodpile. We should be paying attention less to the match and more on the precursory conditions. And this isn’t a suggestion we don’t also pay attention and attempt to organize around the specifics of the harmful effects of COVID-19 and the systemic failures specifically related to the current crisis. To not prioritize these immediate concerns would be ethically unconscionable and politically unsound. People have immediate needs. This is instead a call, as I’ve written before in a different context, to focus on the forest and the trees.

What can resistance look like before we regain the option to gather in public together and protest and lead campaigns for the necessary radical reforms needed in the short-term? What can it look like given that we then must necessarily aim towards the more systemic, revolutionary changes needed to produce a democratic, egalitarian post-capitalist world – a genuinely democratic, socialist world?

Theodor Adorno wrote of the splinter in the eye that becomes a magnifying glass. Who has the splinters in their eyes right now (beyond the everyday splinters that all precarious workers, poor, and oppressed peoples have in their eyes)? The immunocompromised. The elderly. Those without insurance or are underinsured. The otherwise at-risk. The already-infected. Our healthcare workers. Logistics, factory, and warehouse workers.

These people are already facing the tip of the spear. For many, the spear has already pierced the skin. These are the best sites of contestation and struggle at the moment. For those in other industries who are not on the front lines of the current crisis, what can we do? We can prepare for the post-social distancing struggles. We can support those who are in need and in struggle today. And we can engage in a wider array of solidarity-building activities that reach those people who are waking up politically during this pandemic. These are our best tools—and they are tools that are not unique to this crisis.

Right now, basically all forms of conventional public resistance would do more harm than good—perhaps with the exception of strikes (or preferably, strong strike-threats that are more likely than ever to be acceded to without need to resort to an actual work stoppage). It is hard to imagine a more sympathetic group of workers at the moment, with greater power to inspire fundamental systemic change, than our front-line healthcare workers. So long as they are put at disproportionate risk, not wholly different from their pre-pandemic workplace experiences no doubt, they could and should demand the world.

This isn’t just about leveraging this crisis to win previously needed workplace safety reforms and benefit increases though, while “essential workers” have much more power that they have ever had before (or at least experiencing a greater awareness of their latent political-economic power). The fights that were on-going before the crisis remain. In the US, we have immigrants in concentration camps. We have a racialized mass incarceration system. Endless warfare remains endless. Most people are struggling week-to-week to make ends meet, often to no avail. We are also seeing states like Texas and Ohio prohibit abortion procedures under the guise of bans on non-essential medical procedures. Shove a fetus inside one of these wealthy white, straight male GOP lawmakers and see if they don’t think its removal is essential. We need to keep our eyes open and voices loud, however we can.

While there are many aspects of the variable and uneven government responses to stopping the spread of COVID-19 (“flattening the curve” through differentially enforced “social distancing” and “test, track, and trace” approaches) that are absolutely vital to avoiding a more massive death toll than anyone wants to think about; they should not be viewed as permanently inviolable rules that all should follow as long as they’re told. They are also not innocuous, even so long as we are participating. Even a necessary policy is not necessarily wholly virtuous. There are questions of privacy and data-profiteering to be concerned about. While we should always be skeptical of enhancements to the power of the national security state, it does seem like compliance is the lesser evil at the moment. That may change, if things get far worse and governments fail to response adequately and justly. I write this not be produce this outcome sooner. I write it so you will be prepared to think differently about the current public health demands being placed on billions of people around the world. No one must stay home to die when acting publicly can save lives.

That said, people won’t—or shouldn’t—long withstand the demand from the capitalist class and their ideological snake oil salespeople that people go to work and die for the short-term profits of corporations, nor will they stay home and suffer, perhaps to death. At least, I see enough reason to be optimistic that people will not tolerate either of these developments. People have been made—conditioned—to withstand much over many, many decades of capitalist violence and exploitation, suffering irrationally without any sense of what possible alternatives are achievable in practice. While it is possible people will “choose” to suffer more, I have hope that this time things will be different. Either genuine socialist demands are won, or capitalism should not be allowed to be resuscitated. Either the people are resuscitated and healed, made more whole than capitalism ever allowed before, or capitalism should be allowed to die—and a new order built on its ungrievable ashes.

We are in a paradoxical, indeed dialectical, moment (though, within capitalism, when aren’t we?). The response we need to this crisis—the twin-crisis of COVID-19 and capitalism—is organized, collective, mass democratic action. Yet this is precisely what good public health guideline compliance prohibits. Still, we must comply. Compliance today is solidarity. Even if that may change, today it is undeniably true. Stay home. Wash your hands. Use the technologies available to check-in on others. This is what we can do. But the contradictions of organizing within capitalism, the extreme difficulty in getting people to show up and stand out, are not particular to the COVID-19 pandemic. We cannot do what must be done, but too many people weren’t doing what was politically necessary two months ago either. This is something we must reflect on and be honest about. This is not an indictment. It is a call for political growth.

We can use technologies to do some things, but not what is fully-required in this moment. If you’re reading this right now and are thinking, “he is wrong and I have the answer,” please speak up. We need questions and critique as ever before, but we also need answers and alternatives perhaps more than ever before. At least as much as before.

Of course, it is a cruel irony that for many people for whom work is a major time and energy occupier during “normal” times, for whom work is the primary barrier to more fully committed organizing and activist, that these people who have more time to spend on political activities are now required to stay home. I know for many people there is no irony at all; either their work responsibilities have remained unchanged (or increased) or their care and home labor obligations have increased in precise quantity to the amount their waged work requirements have diminished. For many, both sides have increased. This is not a cruel irony. It is, simply, a cruelty.

However, the cruelest irony is that we continue to live in a global society that could, actually quite easily provide for all the basic needs, and possibly beyond, for all people on this planet, and yet we are compelled to live within a system that prevents that from becoming a reality; a system that actively undermines that possibility at nearly every turn.

Postscript

I was wrong several weeks ago when I compared COVID-19 to the flu (though at that time the data was so sketchy and testing so incomplete, the 1% morality rate seemed like an exaggeration. Globally, today the percentage is closer to .5%, which is still roughly five times higher than the flu). When I said what I said, it was not to diminish the suffering or severity of COVID-19, but a somewhat misguided attempt to highlight just how many people die from the flu every year. Compare the typical response and outrage to annual flu death to that of COVID-19, and you would be left with the sad truth that no one fucking cares if people die from the flu, apparently. COVID-19 is both more contagious and deadly, but at some point we should probably have a conversation about why so many people die unnecessarily from the flu….

Bryant William Sculos, Ph.D. is a Visiting Assistant Professor of global politics and theory at Worcester State University and also teaches as an adjunct professor at Florida International University. He is a contributing editor for the Hampton Institute and founding curator of  LeftHooked, a monthly socialist media aggregator and review powered by the Hampton Institute. Bryant is also the Politics of Culture section editor for the open-access journal Class, Race and Corporate Power. He is the co-editor (with Mary Caputi) of Teaching Marx & Critical Theory in the 21st Century (Brill, 2019; Haymarket 2020), and author of “Dialectical Ends and Beginning: Why Barbarism at the End of Capitalism Means Barbarism Beyond Capitalism” in Postcapitalist Futures: Political Economy Beyond Crisis and Hope (eds. Adam Fishwick and Nicholas Kiersey, forthcoming with Pluto Press).

Capitalism, COVID-19, and Crisis: A Class Analysis

(Photo Credit: Mark Lennihan, Associated Press)

By Ikemba X

The Capitalist/Imperialist Class

In the past week, the global economy experienced its worst week since 2008 (following a series of “Worst Weeks”, it keeps getting worse), and the economic crisis is sure to deteriorate as time marches on. Three years of growth in the market have evaporated, unemployment has seen a spike, multiple industrial sectors have slowed to a crawl or stopped moving altogether, and the trillion-dollar injection into the market by the Federal Reserve did almost nothing to stop the free fall (other than transfer toxic assets to the public). If the recession hasn’t already hit us, we’re in for a catastrophe when the bills are due. The following is a brief outline on how we got here, and how much worse it's going to be this time around.

The modern capitalist economy simply cannot function without large amounts of fiat currency in the form of government-backed loans. As the bourgeoisie continues its song and dance of improving the means of production, increasing production of commodities, and better perfecting the division of labor, the price of operating such vast and complex industrial armies and machines is simply too much. In order to compensate for this massive cost, the bourgeoisie in the global core have forged an alliance between industrial and finance capital, exporting ever increasing amounts of production overseas, so that cheaper labor can be exploited. At home, the use of credit, loans, and ownership of companies into shares have allowed capitalists to continue their operations, though the market has grown more unstable than ever before. The financial crisis in 2008 drove capitalism to the brink of collapse, and it was caused specifically by inherent contradictions in the system. The rate of profit has continued to fall, production has become more expensive and commodities are produced in greater volumes for lower prices. Any panic in the market has a ripple effect, and the harsh truth is that a large majority of the world’s “wealth” is artificial, mere symbols in a computer program that rely solely on blind faith. If the bourgeoisie becomes scared enough to taking out its money and halting production, the whole rotten structure collapses. If not for the action taken by the Feds over the past few decades, including multiple bouts of quantitative easing under Obama, the global market may very well have imploded long ago. It took almost a decade for the economy to mostly recover from the 2008 crisis, for the working class a recovery never really came, and some of its effects are still felt in more isolated sectors of the economy today. 

Leading up to the COVID-19 scare, there was an already existing crisis in imperialism and capitalist production. Notably, the Trade War between China and the United States has had negative effects on the rival imperialist powers, who were willing to threaten economic crises while jockeying for hegemony in the world market. The global energy sector was also entering a crisis, with Russia and the OPEC countries at an impasse on restricting oil production, which had the effect of flooding the market with oil. The overproduction of commodities in this critical sector of the economy was causing problems for the bourgeoisie in the United States, who have responded by seizing oil fields in Syria and beating the war drums, threatening Iran with invasion. Meanwhile, European nations are experiencing a contraction of unified dominance as Brexit causes a fracture in European imperialism, and a potential crisis in the UK with the looming threat of a No-Deal Brexit. This would have significant ripple effects on the global market, as the UK is one of the largest economies in the world. 

It is important to remember that this crisis was caused purely through the anarchy of capitalist production. Once the capitalists were bailed out following 2008, imperialist plunder continued and the bourgeoisie recovered, leaving the proletariat to fend for themselves and foot the bill. This time around, production really has stopped, and the effects on the capitalist economy will be disastrous. The Chinese economy today makes up 16% of global Gross World Product, is the second largest economy in the world, and has the largest pool of cheap labor, as well as being a rising imperialist power, offering predatory loans to African countries. Due to the COVID-19 pandemic, factories responsible for 70% of China’s exports have simply ceased to operate or have cut production massively, and travel to and from the country has been shut down completely. Several other countries have shut down massive sectors of their economy such as the airlines, and Italy has shut down its country altogether. Therefore, this latest crisis isn't caused by capitalists being unable to pay for their ventures, but rather there simply is no movement of capital, and no production of commodities. With this monumental economic halt/slowdown, we are staring in the face of a crisis the likes of which we have not seen in almost a century. The COVID-19 is sending the capitalist system into a freefall, and as always, the bourgeoisie and their governments will do everything in their power to make sure the workers absorb the brunt of this fall.

The Proletarian Situation

The situation in the United States is dire for the proletariat. For starters, there is a debt crisis, $14 trillion consisting mostly of mortgages, car loans, student loans, and credit cards. Deepening wealth inequality has accelerated the fall of real wages, and today (even before the arrival of COVID-19) most proletarians are in dire straits. Half of Americans make $30 thousand a year or less, and 70% of Americans live paycheck to paycheck and cannot afford a $400 crisis. Real unemployment was sitting at about 5% and has now spiked to almost 20%, and underemployment or those who have given up on finding jobs represent a forgotten sector that the US government is fine keeping in the dark. With the COVID-19 scare, layoffs are rising at an unprecedented rate, and those who aren't being fired are having their hours cut. In a country where health insurance is tied to employment, a pandemic which causes a spike in unemployment is probably the worst-case scenario for a proletarian.

The COVID-19 scare has also affected the mentality of the working class, who have begun panic buying commodities. This almost immediately resulted in a shortage of goods, which has ripped away the veil which hid the scarcity that does exist in capitalism, just like any other system. Lean manufacturing, or Just-in-Time manufacturing, provided us all with the hallucination that there was always an abundance of products for us to buy. However, after being put under pressure, the lie has been exposed for what it really is. In a nutshell, the transportation system has been developed enough that capitalists can rely on the nomadic lifestyle of proletarians in that industry. There is no large-scale storage of goods, but rather far-away sites that remain available whenever products are needed. Such a system is incredibly volatile, and any disruption in the distribution chain can cause an immediate and drastic shortage. We saw a glimpse of this with the aftermath of Hurricane Maria, when the natural disaster destroyed the colony of Puerto Rico. The result was that there was a global shortage of IV bags, since Puerto Rico was the hub of production for these goods. Now, imagine a crisis like this, but in multiple industries on every level of the production process, and not just based on production itself being shut down, but also on the transportation industry being paralyzed (like what we’ve seen with the decline in airline traffic and mass layoffs of truckers). China produces most of the world’s steel and, as stated before, their industrial production has been slashed in 70% of factories. And that is just one country. Globally, we are already seeing crippling shortages of medical supplies, most notably in Italy, the United States, and Iran, which has been the hardest hit of the three due to imperialist sanctions.

There has also been a growing trend of social distancing and self-isolation as a result of the pandemic. The cultural effects of this have the potential to negatively impact us all. Sowing fear and distrust of each other, the COVID-19 scare threatens to further divide us, further alienate us, and further fuel xenophobic and racist tendencies among white proletarians, as indicated by the recent uptick in racially-motivated attacks against proletarians of East Asian descent. This directly plays into some of the most reactionary and chauvinistic ideas in the US, expressed clearly by the Bourgeois slogan “China Lied, People Died” and scapegoating, such as labeling COVID-19 as the “Chinese Virus.”

In December of last year, the service sector accounted for 97% of new hires according to the Labor department. Additionally, the US economy relies heavily on consumer spending, and while the rush on grocery stores and online shopping may offset this in the short term, less and less people will be able to sustain this spending as incomes dry up in the coming months. Couple this development with the above-mentioned fact that most workers live paycheck to paycheck, and we see a crisis in consumption of commodities, one of the basic causes of capitalist crisis.

In short, the situation looks bad for the proletariat. Congress can’t even pass basic measures, and the clock is ticking. There have been discussions in Congress about a potential UBI bill, but if this crisis continues for several months, one-time checks will not be enough to stop the bleeding. Successive monthly checks may stop the bleeding in the interim, but the ripples effects of mass unemployment are sure to carry well into 2021, if not multiple years beyond. In other words, we’re going to see a crisis the likes of which the world has never seen before.

What Can We Do?

There have been some policies proposed by Social-Democratic elements of the Democratic Party in response to the COVID-19 pandemic. The measures proposed are attempts to treat the symptoms, and not cure the problem. Things like Medicare for All and nationalization of the healthcare system, as well as nationalizing any industries which seek government bailouts, do not get rid of the underlying economic problems which lead to the crisis we are faced with today. Medicare for All in theory protects us all from the virus, but we have seen clearly that the capitalist system of production and distribution has utterly failed the Italians, who have been hit by a chronic lack of medical supplies for their patients. In other words, what good will universal healthcare be if the medical industry itself cannot handle the demand. Currently, the for-profit system in the US offers less than 1 million hospital beds, in a nation of 330 million people. Additionally, our aim should not be to simply treat the sick. We must have a centrally-planned economy, with systems in place that prepare large storages of medical supplies we need for when viruses like this are unleashed on the world. We need an economic system that does not collapse after one month of a fraction of its production being cut. 

Activists should be cautious moving forward in their political work. The most important thing we can implement right now is Serve-the-People survival programs, specifically in terms of food and medical supplies. In doing our work, make sure to have hand sanitizer, gloves, and masks on hand for use and distribution. We should also not allow social distancing and hygiene practices to be spurred on by panic, and use them with clear heads, knowing full well that we are protecting the lives of others through these actions, not just ourselves.

The large-scale demonstrations are coming. No society can have mass unemployment and shortages of basic materials without intensifying the class struggle as a result. We must be prepared to go among the masses where they organize, and organize our own demonstrations, building strong links with the people. Go to the masses, learn from them, and educate them. Most of all, stay safe. Use the time given to us in this crisis to study theory from revolutionary teachers such as Marx, Lenin, and Mao. Do not hesitate, and do not be afraid of study. Study the conditions of the people. I strongly recommend we all crack open Lenin’s “What Is To Be Done” again, in preparation for the coming months.

Lifting the Mask of Capitalist Disaster: The Coronavirus Response

By Tariq Khan

Republished from Black Rose/Rosa Negra.

From official disregard and denial to mismanaged response, each day the COVID-19 crisis brings into ever sharpening clarity the hypocrisy and moral bankruptcy of the current ruling class. Claims of American exceptionalism and greatness are revealed to be a crumbling mask for the systemic rot that pervades. 

One does not have to be a radical to be appalled by the utter depravity of the conservative establishment’s response to the crisis. We watched Republican lawmakers who have tax-funded paid sick leave for themselves vote against a proposal for working-class people to get paid sick leave. Right-wing lawmakers stalled Coronavirus legislation in an attempt to sneak abortion restrictions into the bill. But it is not only conservative leaders that have been exposed as bankrupt, but also establishment liberal centrists. After listening to months of establishment Democrats during primary debates shoot down mild social democratic proposals for universal healthcare and student debt cancellation with the neoliberal mantra “how are you gonna pay for that?,” we saw the Federal Reserve pull $1.5 trillion — enough to wipe out almost all US student loan debt — out of a hat to inject into the stock market just to calm already-wealthy investors. The Coronavirus bill Nancy Pelosi championed as guaranteeing paid sick leave left out 80% of workers, in order to appease business owners. That was only the beginning, as the Trump administration has moved to bail out the wealthy owners of the cruise ship, hotel, airline, oil, and natural gas industries, while not even considering bailing out the many low-income families who are afraid of school closings because schools provide many children with the only meals they get. 

This current global pandemic is an opportunity for the capitalists. They are ever poised to take advantage of public confusion and alienation to dig their tentacles even deeper into the fabric of society. They are already pushing all kinds of for-profit online education schemes on K-12 public schools and higher education – all forms of “economic shock therapy.” The Trump administration is not missing a beat either by maneuvering to funnel $700 billion to the wealthy and cut payroll taxes by weakening social security. Moments like this call for a vocal left applying counter-pressure from below.

Neoliberal logic is that we don’t need the “big government” (a nonsense concept) addressing social and material needs because the private sector, and the all-wise “invisible hand of the market” will take care of it. The Coronavirus exposed that lie in short order. With few exceptions, the private sector has been at best useless for dealing with the crisis and at worst an active obstruction to a humane response. At the local level it is largely the public sector — such as local public school PTAs working with local school districts and public health departments — that has stepped up to meet people’s needs, as ordinary people are organizing mutual aid projects with the resources available to them. Meanwhile the private sector is arguing about why business owners shouldn’t have to pay their employees sick leave.

Disaster Capitalism or Capitalism as Disaster?

In Naomi Klein’s book The Shock Doctrine she explores how capitalists use disasters such as earthquakes, floods, wars, famines, epidemics, and so on to push unpopular neoliberal policy changes on societies during the chaos and shock. Klein focuses mainly on the post-WWII period and the rise of what scholars call neoliberalism, especially as represented by economist Milton Friedman and his Chicago school of economics which pushed capitalist “free market” ideology as the answer to the world’s problems even outside the economic sphere.

Black radical political scientist Cedric Robinson, in his earlier classic work Black Marxism, showed that what Klein later called “disaster capitalism” was not a new phenomenon emerging in the post-war global order, but that the bourgeoisie, or capitalist class, was born of disaster: “In the beginning, before they could properly be described as bourgeoisie, these merchants traveled from region to region, their survival a matter of their mobility and their ability to capitalize on the frequent ruptures and breakdowns of the reproduction of populations sunk into the manorial soil.” The social and infrastructural rot, stagnation, and political and economic degradation of European life is what created the bourgeoisie:

“Into this depressed land where few were free of the authority of an intellectually backward and commercially unimaginative ruling class, where famine and epidemics were the natural order of things, and where the sciences of the Ancient World had long been displaced as the basis of intellectual development by theological fables and demonology, appeared the figure to which European social theorists, Liberal and Marxist, attribute the generation of Western civilization: the bourgeoisie.”

In the important work The Apocalypse of Settler Colonialism, radical historian Gerald Horne explains that not only was the bourgeoisie born of disaster, but that — contrary to both liberal and orthodox Marxist notions that the bourgeoisie was a force of enlightenment that, in the words of Marx, “rescued a considerable part of the population from the idiocy of rural life” — the story of the rise of the bourgeoisie is the story not of rescue, but of an apocalypse unleashed on the world: the three horsemen of that apocalypse being the intertwined forces of slavery, white supremacy, and capitalism.

All of this is to say that a term like “disaster capitalism” is redundant. Capitalism was born of disaster, survived on disaster, and spread disaster globally. Capitalism is disaster, and during moments of crisis it extends its reach.

Collective Response to the Crisis

Now is a time to reject capitalist economic shock therapy, and to instead make strong demands for universal healthcare, universal childcare, universal housing, and paid sick leave, as the pandemic makes it clear how all of these things are not “free handouts,” but serve the public interest. In the immediate situation we need free covid-19 testing, a ban on evictions, a rent/mortgage freeze, a moratorium on utility bills and parking fees, and rent/fee-free public housing. Water, electricity, gas, internet, and telecommunications must be treated as public services, not market commodities. There must be free food distribution to vulnerable people who do not have the means or ability to acquire food. Workers who are still required to show up and interact with the public during the pandemic — such as grocery store and drug store workers — should receive hazard pay for the greater risk they are taking on to serve our communities. 

Also in our list of demands should be increased funding to women’s shelters for women and their children who need a safe place to quarantine/social distance. The reality is, social distancing comes with an increase in domestic violence. Further we must demand the abolition of ICE and the release of all people currently detained by ICE/CBP and other immigration authorities, and the phasing out of the prison industrial complex. Prisons and detention centers are public health nightmares during a pandemic and it is nothing short of cruelty to keep people caged without access to the things they need to be healthy.

The three-headed hydra of climate crisis, economic crisis, and public health crisis make it clear that capitalism is an enemy of humanity. Socialism from below is the way forward. Socialize the means of production and expand the public sector.

Capitalism is an Incubator for Pandemics. Socialism is the Solution.

[Image: Antonio Calanni/AP]

By Mike Pappas and Tatiana Cozzarelli

Republished from Left Voice.

A new coronavirus called “SARS-CoV-2” — known colloquially by the name of the disease it causes called “coronavirus disease 2019” or “COVID-19” — is wreaking havoc around the world. In Italy, the death toll has risen to 366 today and the country just extended its quarantine measures nationwide. In China, production has shut down at factories across the country. According to the WHO, over 100,000 cases have been confirmed in over 100 countries and the death toll is now up to 3,809 as of this writing. The stock market in the U.S. fell by 7% today and  we may be headed towards another 2008-like recession.

Reports range from 200-400 (213 per WHO and 434 per NBC News) confirmed cases of COVID-19 in the U.S., but there are likely many many more that have not been detected, as health facilities still do not have a readily available rapid test for diagnosis. The Centers for Disease Control (CDC) botched a first response, sending out faulty testing kits that required a recall. At this point in the U.S. the CDC is refusing to report how many have been tested, but we know the number tested in the US is extremely low largely due to the immense hurdles government officials have put in place. The FDA recently announced over 2 million tests should be shipped to labs by Monday with an additional 4 million by the end of the week. This could lead to a great increase in confirmed cases around the country. We are also seeing reproduction of racist, xenophobic tropes and attacks as fear of the epidemic grows. 

The spread of the coronavirus is exposing all of the contradictions of capitalism. It shows why socialism is urgent.

Coronavirus in Capitalism

It is only going to get worse. The spread of the virus is impossible to stop — and this is due to social reasons more than biological ones. While doctors recommend that people stay home when they are feeling sick in order to reduce the possibility of spreading the virus, working-class people just can’t afford to stay home at the first sight of a cough. 

Contrary to Donald Trump’s recent suggestions that many with COVID-19 should “even go to work,” the CDC recommends that those who are infected by the virus should be quarantined. This poses a problem under capitalism for members of the working class who cannot afford to simply take off work unannounced. New York City Mayor, Bill de Blasio recently suggested avoiding crowded subway cars or working from home if possible, but many rely on public transit. Suggestions from government leaders show their disconnect from the working class. 58% Americans have less than $1,000 in their savings and around 40% of Americans could not afford an unexpected bill of $400. So for many, staying home or not using public transit is simply not an option.

Even more people avoid the doctor when we get sick. With or without insurance, a trip to the hospital means racking up massive medical bills. The Guardian reports that 25% of Americans say they or a family member have delayed medical treatment due to the costs of care. In May 2019, The American Cancer Society found that 56% of adults report having at least one medical financial hardship. Medical debt remains the number one cause of bankruptcy in the country. One third of all donations on the fundraising site GoFundMe go to covering healthcare costs. That is the healthcare system of the wealthiest country in the world: GoFundMe.

Clearly, this is a very dangerous scenario. Already, people are being saddled with massive bills if they seek tests for the coronavirus. The Miami Herald wrote a story about Osmel Martinez Azcue who went to the hospital for flu-like symptoms after a work trip to China. While luckily it was found that he had the flu, the hospital visit cost $3,270, according to a notice from his insurance company. Business Insider made a chart of the possible costs associated with going to the hospital for COVID-19:

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Of course, these costs will be no problem for some. The three richest Americans own more wealth than the bottom 50% of Americans. The concentration of wealth in the hands of fewer and fewer capitalists is part of capitalism’s DNA. But as Kate Pickett and Richard Wilkson highlight extensively in their book The Spirit Level: Why Greater Equality Makes Societies Stronger, people in more equal societies are healthier. They live longer, have lower infant mortality, and have high self-ratings of health. Inequality leads to poorer overall health.

So how does this relate to COVID-19? The main theory for these outcomes is that inequality of wealth and power in a society leads to a state of chronic stress. This wreaks havoc on bodily systems such as the cardiovascular system and the immune system, leaving individuals more susceptible to health problems. This means as societies become more and more unequal, we will see individuals more and more susceptible to infection. Capitalism’s inequality puts us all at greater risk as COVID-19 spreads.

Coronavirus (COVID-19) In Socialism

COVID-19 highlights the need for socialism to face epidemics like these. And by socialism, we don’t mean Medicare for All or New Deal liberalism. Medicare for All is not enough to face pandemics like the coronavirus. We mean a society in which human needs govern production, not the drive for profit. It’s a society without capitalists, where production and reproduction is democratically planned by the working class and oppressed. In this kind of society, we would be able to respond to the COVID-19 infinitely better than in capitalism. 

In a socialist society, both prevention and responses to outbreaks of illness would change drastically. Supplies such as hand soap, hand sanitizer, and surface sanitizing wipes or sprays are in extremely high demand at this time. We are already seeing shortages of key supplies around the world. The need for profit maximization under capitalism has led companies to drastically raise their prices in this time of high demand. For example, the Washington Post has reported drastic increases in prices of products such as Purell Hand Sanitizer. Under capitalism, scarcity leads to greater profit.

Capitalism has led to a globalized system of production containing industries at disparate ends of the globe that truly depend on each other to function. This allows for a capitalist’s exploitation of a worker in a factory in China producing iPhones that goes unnoticed by an Apple customer here in the U.S.. It also allows corporations to drive down costs in one area of the world that may have weaker protections for workers. While this is beneficial for capitalists, outbreaks of illnesses such as COVID-19 highlight clear weaknesses in this system. A large portion of the basic materials used to make new medicines come from China. Since industry is so affected by viral spread, production of supplies has been drastically cut. This delays the ability for a rapid response in other countries such as the U.S.. 

A central aspect of socialism is a democratically run planned economy: an economy in which all resources are allocated according to need, instead of ability to pay. Need is decided democratically by both producers and consumersWith the means of production under workers’ control, we would be able to quickly increase production of these products in an emergency. 

Furthermore, with the elimination of the barriers between intellectual and manual labor, increasing numbers of workers would be familiarized with the entire production process and ready to jump in where needed. In worker cooperatives within capitalism like MadyGraf in Argentina and Mondragon in Spain, workers already learn all aspects of production. This allows workers to shift to areas where extra effort is needed. 

Socialism cannot exist in only one country, so a global planned economy would be key in these moments. If one country is experiencing a shortage, others would have to make up for it. This is key for reigning in global epidemics like the coronavirus: it will only be stopped if we stop it everywhere. In a global planned economy, this would be a much easier task. 

Staying Home

If one does get sick, making a decision to protect oneself and others by taking time off should never lead them to have to worry about losing their job, paying their rent, putting food on the table, or being able to provide for their children. Under capitalism services such as housing and healthcare are reduced to commodities. This often presents people with the ultimatum: work while sick and potentially expose others, or stay home and risk losing your job.

Under socialism, the increased mechanization of production and the elimination of unnecessary jobs — goodbye advertising industry! goodbye health insurance industry! — would already drastically reduce the number of hours that we would need to work. We would be spending vast hours of the day making art or hanging out with friends and family. 

During disease outbreaks, we would be able to stay home at the first sign of a cold, in addition to getting tested right away. In a planned economy, we could allocate resources where they are most needed, and take into account a decrease in the workforce due to illness. 

Where Are the Coronavirus Therapies?

Currently, multiple for-profit companies are attempting to test (sometimes new, sometimes previously rejected and now recycled) therapies to see if they can treat or prevent COVID-19. While there are attempts to produce a COVID-19 vaccine, this vaccine would not be ready for testing in human trials for a few months according to Peter Marks, the director of the FDA’s Center for Biologics Evaluation and Research. Yet even last week, Health and Human Services Secretary Alex Azar refused to guarantee a newly developed coronavirus vaccine would be affordable to all stating, “we can’t control that price because we need the private sector to invest.” The statement is ironic to say the least coming from the former top lobbyist to Eli Lilly who served at a time when the company’s drug prices went up significantly.

Companies such as Gilead Sciences, Moderna Therapeutics, and GlaxoSmithKline all have various therapies in development. Each company’s interest in maximizing profits around their particular COVID-19 therapy has kept them from being able to pool their resources and data to develop therapies in the most expeditious manner possible. The state of COVID-19 research exposes the lies about capitalism “stimulating innovation.”

It is also important to note that much of the drug development deemed “corporate innovation” could not have been possible without taxpayer-funded government research. Bills such as the Bayh-Dole Act allow for corporations to purchase patents on molecules or substances that have been developed at publicly funded institutions such as the National Institutes of Health (NIH), then jack up the prices to maximize profits. A study conducted by the Center for Integration of Science and Industry (CISI) analyzed the relationship between government funded research and every new drug approved by the FDA between 2010 and 2016. Researchers found “each of the 210 medicines approved for market came out of research supported by the NIH.”

Expropriation of the capitalists would mean the public would no longer have to subsidize private corporate profits. The nationalization of the pharmaceutical industry would allow for both intellectual and financial resources to be pooled to tackle the globe’s challenges, instead of focussing on blockbuster drugs that benefit only a few. In the case of COVID-19, we would see a mass mobilization and coordination of the world’s greatest minds to pool resources and more quickly develop effective therapies. In fact, there would likely be more doctors and scientists as people who want to study these fields are no longer confronted with insurmountable debt

Health Care in Socialism

Under socialism, the entire healthcare industry would be run democratically by doctors, nurses, employees, and patients. This would be drastically different from the current system in which wealthy capitalists make the major decisions in hospitals, pharmaceutical companies, device manufacturing firms, and insurance companies (the key players that make up the “medical industrial complex”). In the case of the COVID-19, health care would be a human right, and not a means to make money. This would allow for every individual concerned to obtain testing and treatment without fear of economic ruin. If hospitalization or quarantine was needed, a patient and family would be able to focus on what was best for their health instead of worrying whether a hospital bill would destroy them economically.

The purview of what is considered “health care” would also need to expand. An individual’s overall living situation and social environment would be key to addressing their health. This would mean a health system under socialism would address issues such as pending climate collapse. While a connection between COVID-19 and climate change has yet to be established, rising global temperatures — largely driven by 100 largest corporations and the military-industrial complex — will increase the emergence of new disease agents in the future. Shorter winters, changes in water cycles, and migration of wildlife closer to humans all increase the risk of new disease exposure.

Capitalism created the conditions of the epidemic. Capitalist “solutions” are insufficient and exacerbate the crisis, meaning more sickness and more death. Capitalism has been an incubator for the continual spread of the coronavirus. Health care under this system will always be woefully inadequate in addressing epidemics. The coronavirus highlights the fact that we must move to a more social analysis of health and well-being. We are all connected to each other, to nature, and to the environment around us. Socialism will restructure society based on those relationships.

At the same time, socialism is not a utopia. There will likely be epidemics or pandemics in socialism as well. However, a socialist society — one in which all production is organized in a planned economy under workers’ control — would best be able to allocate resources and put the creative and scientific energy of people to the task.

Coronavirus: A Potential Disaster of Capitalism's Making

By Ben Hillier

Republished from Red Flag.

What to do if confronted with an extremely contagious virus that medical experts say they have not seen before and don’t understand, and which is fast spreading and killing hundreds of people? a) Take precautionary measures to stop the virus spreading and prepare the health system for a potential shock? Or b) Ignore it, blithely assert – without any evidence – that it is little different from the common flu, accuse your adversaries, who are taking it more seriously, of scaremongering for political gain and then, when a pandemic is imminent and doctors still can’t say exactly how bad the virus is, tell everyone that everything’s under control despite little to nothing having been done to prepare for a local outbreak?

If you are the current president of the United States, it’s been choice “b”. Aside from temporarily denying entry to foreign nationals who visited China prior to their arrival, any talk about the US facing a problem was, in Donald Trump’s mind, a Democratic Party and fake news media conspiracy to undermine his presidency and bring down the stock market. He was backed, of course, by right wing media whose main concern is to overhype the threat of immigration and combat threats to the president rather than threats to national health. For a period, Trump’s position was also echoed by writers in outlets normally critical of the White House. An early February Washington Post headline read: “Get a grippe, America. The flu is a much bigger threat than coronavirus, for now”. “Don’t Worry About the Coronavirus. Worry About the Flu”, offered BuzzFeed a few days earlier.

From the beginning, medical experts were clear that they simply did not know how bad or otherwise the virus was, yet many non-experts seemed to have an opinion. “Why so many journalists must act like propagandists rather than independent thinkers is a question for another time”, Vanity Fair contributor T.A. Frank aptly wrote in a mid-February response, before noting that the mortality rate is believed to be about 20 times that of the flu – about the same as Spanish flu, which killed tens of millions in 1918-20. And, as Frank also noted, unlike the flu, the rate of critical cases is high enough to overwhelm emergency departments.

When the pressure to take action became too great, Trump appointed vice president Mike Pence to oversee the US response, which tells us a lot about the seriousness with which the outbreak was being taken. Pence is known for a certain “anti-alarmism” when it comes to public health crises. When running for Congress in 2000, he wrote such credible lines as: “Despite the hysteria from the political class and the media, smoking doesn’t kill” and “Global warming is a myth ... CO2 is a naturally occurring phenomenon in nature”. As governor of Indiana from 2013 to 2017, he oversaw an HIV epidemic linked to needle sharing among opioid addicts, having cut funding for the last HIV tester in the county where the epidemic exploded, and having resisted calls for needle exchanges. “Sadly, this outbreak was preventable, given all that we know about HIV and its links to opioid addiction, yet adequate treatment resources and public health safeguards were not in place”, the National Institute on Drug Abuse wrote at the time.

The same thing could have been written about the coronavirus, which is reaching pandemic proportions. Adequate treatment resources and public health safeguards were issues in Wuhan, China, where the outbreak began, and will be issues in many places as the virus spreads. According to several witness accounts, and the evaluation of medical observers, the initial response from those in power in China was denial, which led to a failure to prepare an adequate health system response. Authorities in Wuhan were too concerned about an upcoming political conference and celebration to allow doctors’ warnings to spoil the party (sounds eerily like Trump). After several weeks, when the epidemic became too big to ignore, denial was replaced by panic. The largest quarantining experiment in human history followed, but the health system was unprepared and totally swamped. Who knows how different the course of the outbreak would have been if, in those first crucial weeks after the virus was discovered, authorities had acted decisively to contain the outbreak and prepare the medical system?  

The ruling Communist Party imposed a massive lockdown on hundreds of millions of people to stop the contagion. Those in Hubei have suffered enormously for the authorities’ botched response. The World Health Organization’s Bruce Aylward, who led an international mission to China, told Science magazine that the aggressive containment bought time for other provinces to prepare and prevented “probably hundreds of thousands” of cases across the country. Yet, instead of doing all it could to avoid a repeat of Wuhan by using the time to prepare the US health system, the White House was thinking of the economic opportunities China’s crisis was offering. Commerce secretary Wilbur Ross said the outbreak “will help to accelerate the return of jobs to North America”, while the president’s trade adviser Peter Navarro said that there would be no tariff relief even if the Chinese economy began to tank because of the epidemic. Reportedly, officials have been leaning on US companies with operations in China to repatriate them to the US as part of Trump’s “America First” nationalist project.

By the end of February, the virus had breached all of China’s internal containment lines, and the US and most of the world seem ill-prepared. The US opened quarantine sites at Travis Air Force Base and March Air Reserve Base in California for US citizens returning from China. But a whistleblower filed a complaint alleging that protocols were lax and staff were put at risk. “I soon began to field panicked calls from my leadership team and deployed staff members expressing concerns with the lack of ... communication and coordination, staff being sent into quarantined areas without personal protective equipment, training or experience in managing public health emergencies, safety protocols and the potential danger to both themselves and members of the public they come into contact with”, the whistleblower wrote. Soon after, the New York Times reported on the first US case in a patient with “no known contact with hot zones or other coronavirus patients” emerging near Travis Air Force Base.

Jason Schwartz, an assistant professor at Yale School of Public Health, recently told the Atlantic’s James Hamblin that authorities should have been preparing since the SARS outbreak of 2003. “Had we not set the SARS-vaccine-research program aside, we would have had a lot more of this foundational work that we could apply to this new, closely related virus”, he said. A vaccine is at least 12 months away, underlining the point Hamblin, also a lecturer at Yale School of Public Health, went on to make: “Long term government investments matter because creating vaccines, antiviral medications, and other vital tools requires decades of serious investment, even when demand is low. Market-based economies often struggle to develop a product for which there is no immediate demand and to distribute products to the places they’re needed”.

The US health system is the embodiment of market-based capitalist logic: for-profit, user-pays and dominated by the pharmaceutical and private insurance industries. It is the only major developed economy without guaranteed paid sick leave and universal health care. That makes it probably the most ill equipped of all countries in the developed world to deal with an outbreak. How on Earth are infected people to self-isolate for 14 days if they live paycheck to paycheck without leave entitlements? How are they supposed to be diagnosed if they have to pay more than $3,000 to be tested – which is what happened to a Florida man who returned from China in February, according to the Miami Herald. How will an epidemic be contained if half the people infected can’t afford medicines or hospital care?

That’s the question facing the US. As Western governments defund public health systems, give subsidies to the private health sector to move to user- and insurer-pays systems, and attack workers’ rights and conditions of employment, it’s increasingly a question facing even those countries with good public health records, which are likely to be relatively unscathed by this coronavirus. It doesn’t bear thinking about the carnage that could unfold in countries with worse health systems than China if they too are faced with an epidemic. With more than 3,000 people dead, many countries are instituting or extending containment measures.

“At some point the expectation that any area will escape effects of COVID-19 must be abandoned”, Hamblin concluded. “The disease must be seen as everyone’s problem.” Yet it’s reasonable to assume that those with economic resources – multi-millionaires, executives at insurance and pharmaceutical companies, politicians – won’t see it quite that way if the pandemic is particularly vicious. More likely it will be poor and working class people shunted into inadequate, hastily constructed mass quarantines away from the better care of private clinics catering to the wealthy.

And working class people will face stark choices that those with money will not: the choice between poverty and risking infection. Casualisation and short term contract work – precariousness – are a feature of a large section of the workforce in every country. Those people already go to work with the flu and other illnesses every year because they can’t afford not to. Often, they live in apartment blocks or shared accommodation. They don’t have the money to pay for other family members to ship out to a hotel for a week or two if one of them gets sick. By contrast, those with resources have greater flexibility to take time off work. They have the means to sustain themselves in isolation and hire people to do chores for them. They live in large houses rather than cramped apartments, so are naturally more quarantined from human contact when needs be.

Like every other recent health crisis, there is nothing about the coronavirus pandemic that will likely change many establishment minds about the need for workers and the poor to have more rights and more resources – universal and free health care, a month of paid sick leave every year and so on – let alone a world run to satisfy human needs rather than expand the egos of political leaders or the bank accounts of health industry executives.