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Showing posts with label public health. Show all posts
Showing posts with label public health. Show all posts

Friday, January 7, 2022

Fighting Covid Together

It is often said that “the true measure of any society can be found in how it treats its most vulnerable members,” a quote attributed to Mahatma Gandhi. Nothing has brought that measure to the forefront like the two years of the Coronavirus pandemic.


In an unusual circumstance, a catastrophe borne by all simultaneously tests every country’s healthcare system, every country’s ability to respond effectively to an unexpected challenge.


The Coronavirus punishes those countries that lack a commitment to preparedness, execution, and relief. It inflicts great pain on those societies that tolerate or encourage inequality. It ravages the populations that stress individualism or individual responsibility over collectivism and social responsibility. 


Universal, publicly funded, publicly guaranteed, and publicly administered health solutions fare far better than private, semi-private, or public-private schemes.


The bastion of private solutions, “efficiency,” and individual responsibility-- the US-- wins the failed-approach-with-the-most-deadly-consequences competition hands down, besting all countries in late, insufficient, and botched response. 


Conventional wisdom among the television gasbags was that the US catastrophe was the fault of the arrogant, ignorant President Trump. But now with another year of record-setting infections and deaths under the Biden Administration, that explanation falls away. The problem is systemic, though no one in the US political industry will acknowledge that it is inherent to the US healthcare model.


The facts are incontrovertible: On Thursday, December 30 Worldometer confirmed US infections totaled 572,029 for the day– a new record– and 1584 deaths on the same day. More infections occurred in the US than any other country for that day and for the duration of the pandemic to date (55,252,823). More deaths (846,189) have been reported in the US due to Covid than any other country. Happy New Year!


Far more deaths have happened from the Covid infection than combat deaths in all the wars fought by the US since 1775. This singular “achievement” has been accomplished in only two years. There are no cries of “USA, USA!”, as were in other cases of US pride.


Other countries that follow the US model showed similar “victories” in the Covid wars. Poland, a US ally engaging a similar employer-based, private insurance system, incurred 14,319 new cases and 710 deaths on December 30. Another country, Colombia, a US ally incorporating private insurance and individual responsibility in its healthcare system, has amassed 5,147,039 total cases and 129,901 deaths. 


Compare these numbers to countries that have a robust public health sector, with a focus on identification, isolation, contact tracing, and selective, but thorough lockdowns. Unlike the US and its allies who rely upon individual responsibility, some countries have robust public health systems and a deep-seated identification with and duty to others.


China (PRC), for example, despite being the most populous country in the world, had 4636 new cases on December 30 and no deaths. In total, PRC has far fewer total deaths from Covid than the US has in a week. Japan has fewer total deaths than the US has in a month. And Taiwan has far fewer total deaths than the US has in a day.


A poor country like Nicaragua, limited by US sanctions, has only 17,487 total cases and 212 deaths through December 30, 2021.


All share a reliance upon a public healthcare approach, renouncing a dependence solely on vaccines and individual choices. They all approach the terror of Covid as a social issue not to be solved by private, profit-driven solutions and a state leaving the key decisions to individuals and their own self-interest. Instead, they call on the people’s highest values-- cooperation.


Heroic Cuba has mounted a national campaign against Covid, despite the barbarous blockade and scarce resources, developing its own domestically developed vaccines and offering them to other countries.


While these approaches embody what might be called “socialist values,” they need not be limited to socialist-oriented countries, as Japan and Taiwan demonstrate. An effective war against Covid can be waged by countries that embrace a healthcare system that cleanses private profit from the task of protecting public health and ensuring equal, universal benefits. 


In other words, an effective approach to Covid can be reached as a reform under capitalism, but not without a radical shift in the political landscape away from the notion that the private sector has all of the answers. Only lacking is the political will.


Yet there are compelling reasons to go further than healthcare reform. The pharmaceutical industry has a stranglehold over the efforts to win the war against Covid. Pfizer and Moderna have made over $35 billion in vaccine sales for the first nine months of 2021 and are projected to sell more than $52 billion in 2022, according to The Wall Street Journal. The same article, documents the “high stakes legal battle [that] is taking shape over lucrative patent rights for Covid-19 vaccines, with drug companies pitted against each other and government and academic scientists over who invented what.”


As is typical with drug research, public institutions and scientists research, develop, often do everything short of manufacture and market new drugs, while big pharma acquires patents or licenses to sell. “Patents are especially valuable in the pharmaceutical industry because they can give a company the exclusive right to sell a drug or vaccine for many years, free from generic competition.” Academic and government scientists sell licenses for a pittance and pharmaceuticals exercise the monopoly price-gouging all too familiar to anyone utilizing the US healthcare system.


In the matter of the Covid vaccine development, the role of government scientists and the National Institute of Health is being disputed by the drug companies. One expert claims that with the dispute, “tens of billions of dollars are on the line.” In a separate case, “Moderna could be on the hook to pay more than $1 billion to the government for infringing the patent.”


At a time when people are asked to risk their lives, to sacrifice in the battle against Covid, big pharma is carving the vaccine’s destiny to fit its profit model, extracting the last dollars from the vaccine’s development process, denying its partner, the US government, even a token.


As reported by Common Dreams, a group of Texas researchers have pointed the way ahead by developing and offering an open-source alternative to the corporate vaccines. “We're not trying to make money,” Peter Hotez, who led the Texas Children's Hospital team, told The Washington Post. “We just want to see people get vaccinated.” Implicit in his statement is a ringing indictment of the big pharma approach.


With US politicians clearly unwilling to rein in or reform the rapacious, big-donor pharmaceutical industry, it is time the people insist that it be nationalized. Since it cannot be tamed, it must be euthanized. Public ownership!


Greg Godels

zzsblogml@gmail.com




Saturday, March 14, 2020

A Reckoning?

To understand the global economic chaos endured over the last few weeks, it is essential to separate the proximate from the ultimate cause. 

The immediate or proximate cause is the often fatal, expanding contagion of the coronavirus (Covid-19). The collapse of worldwide equity markets has been an immediate and widely noted effect of this proximate cause. The virus’s carnage in PRChina triggered a rapid and effective response, but one that dampened economic activity in a country already dealing with a slowing economy battered by economic sanctions and tariffs. Institutional investors, hedge fund managers, and their ilk took note of the carnage and contagion and, anticipating its effects on global activity, withdrew their assets from equities and moved them to safer havens, like US Treasury bonds. The panic initially shook the bond markets, lowering yields dramatically.

The rapid spread of the virus brought even greater economic disruption in its wake.

However, the ultimate cause of the current worldwide economic turbulence is the fragility and vulnerability of the global capitalist system. That statement is neither trivial nor self-evident. Since the severe crisis of 2007-2009, capitalism has been limping along, thanks to extraordinary central bank measures, tax cuts, military spending, and expansive credit-driven consumer demand. The casualties of the previous crisis survive on low-paying, casual service jobs while the rich engorge themselves on stocks inflated by mergers and acquisitions and stock buybacks. Every tentative growth spurt falters, returning the capitalist economy into stagnation. The increasing irrelevance of centrist political parties is one manifestation of the mass dissatisfaction with the growing inequality and impoverishment suffered by many. The question was not whether this course is sustainable, but when it would fail.

The ominous threat of the Coronavirus to international economic activity-- work, leisure, travel, all forms of social life-- has triggered a market meltdown based on a fear that the capitalist system may spiral out of control. Investors know that the system’s weaknesses, the lack of adequate preparations, the political stasis, and ineffective governing foretell a frightening outcome. 

Unlike the rapid and thorough Chinese response which has largely arrested the virus’s spread, complacency in the Western capitalist countries is shocking. Today, seven times more people per millions of population  have been infected by the virus in Italy than in PRChina, where the illness first broke. New cases in Italy are 3,497 against only 11 in PRC on March 14. Chinese deaths fell to 13 on March 14, while 175 Italians, 97 Iranians, and 60 Spaniards died from the virus. All the Western media hand wringing about Chinese “authoritarianism” will not deflect the incredible failures of public health preparedness in the Western capitalist countries.

The lack of a universal, equitable, and comprehensive healthcare system (like Medicare for All!) and a robust public health sector put the US especially at risk. Couple the unevenness and unfairness of healthcare with the historical obsession with personal autonomy, and disaster is on the horizon.

An exogenous trigger of economic turmoil is not unprecedented in recent times. The attack by al Qaeda on US civilians on September 11, 2001 produced a 7+% drop in the stock market, deepened the dotcom downturn, and fueled a stock market retreat and growing unemployment for the next year or so. As with the Coronavirus in 2020, an unexpected, non-economic factor jolted a shaky economy in 2001, then also plagued by overvalued “assets.” This instance promises to be far worse.

Much of the economic history of the twenty-first century has been a battle by policy makers against deflation, a battle to prop up artificially inflated, often virtual, assets. From the turn of the new century and the dotcom bubble until today, toxic assets have infected the productive economy. Ironically, a seemingly random “toxic” virus is now threatening the weakened global economic organism, destroying “value” by the trillions.  

Of course the danger still lies ahead. Markets are only anticipating the lost work-hours, the layoffs, the healthcare costs, the business closures, the slowed production, the inverse “wealth” effect, the reluctant consumer, the slackening investment, and a host of other economic shocks that could feed a deflationary spiral. The financial sector is stunned by this as well because asset values are collapsing in a 
low-interest environment. 

Though some are calling this a financial crisis, it is not spurred by financial factors; nor is it confined to the financial sector. Nor is it a crisis of overproduction, under-consumption, or profitability, though it is quickly morphing into all of the above and, inevitably, where all economic crises arrive, a crisis of accumulation. The global economy was rocking on a precipice; the Coronavirus pushed it over.

The virus couldn’t have come at a worse time. The war between the economic globalists and nationalists, waged with tariffs and sanctions, was taking a heavy toll on many countries and remains unsettled. Despite equity market euphoria (disconnected from all reality), commodity markets were slack or declining. International trade had slipped below historic growth levels.

Saddled with the unspoken duty to stabilize the US economy for an incumbent in a Presidential election cycle, the Federal Reserve shot its monetary wad prematurely, lowering interest rates in anticipation of limited economic slippage from the “Chinese problem.” They are now left with only radical measures to meet the crisis (a program injecting a trillion and a half in liquidity into the banking sector and expanding deflation-fighting asset purchases was announced on March 12).

The Russians exacerbated the crisis by shunning the Saudi plan to bolster oil markets. On Friday, March 6, they refused to join the Saudis in curtailing oil production to stabilize prices. Irresponsibly, the Saudi leadership-- under severe political pressure from budgetary shortfalls and a disappointing IPO-- announced a price war (and arrested oppositional members of the Royal family).

As oil prices collapsed, the Russian ruble collapsed as well, forcing the Russian central bank to halt foreign purchases temporarily.

According to Russian insiders, the withdrawal from price maintenance was aimed at US frackers who cannot produce profitably when prices are low. Alexander Dynkin is quoted as saying: "The Kremlin has decided to sacrifice OPEC+ to stop U.S. shale producers and punish the U.S. for messing with Nord Stream 2." [my emphasis] The Russians surely knew that the US fracking industry was already on the verge of collapse because of massive, unmanageable debt (over $120 billion maturing over the next 2 years!). Thus, Russia risked a profound oil-price deflation in revenge for US subversion of its European gas pipeline project-- a capitalist tit-or-tat. 

I have written about energy imperialism frequently over the last two years (especially, the US’s extortionate use of war-mongering, sanctions, and threats in order to garner market share) . Given the ugly effects of a price-war race to the bottom on vulnerable oil production-dependent countries like Venezuela, those who see Russia as something more than another capitalist country pressing its own interests may find a reason to reconsider.

A nasty virus, incompetent and delayed responses, ill-conceived economic policies, an irresponsible price war, all contribute to a fear-driven market collapse as the opening act of a possible drama featuring an unprecedented deflationary spiral. 

Does anyone believe that the leaders of the capitalist world can manage this challenge?

Greg Godels