Early Lockdown Lifting Will Prolong The Greater Depression

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DISPATCHES FROM MOON OF ALABAMA, BY "B"
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[dropcap]D[/dropcap]espite the so called lockdown the number of new cases of Covid-19 in the U.S. is barely sinking. It is only because the heavy outbreak in New York is now in decline that the number sinks at all. In most other states the numbers are just stable or still rising. But the White House and many state governors are lifting the restrictions and want everybody to go back to a normal life. This won't work.



Source 91-DIVOC

Two weeks after the states declare that everything can be reopened the new cases number is likely to again increase.

But people need to believe that it is secure to go back to normal life before they do so. They will not consume more than necessary unless they feel that it is safe to do so. How can they develop that trust while the numbers and headlines continue to show bad news?

The fear is reasonable at least for everyone over the age of 50 and for the many obese U.S. citizens. Covid-19 spreads easily, there is no medication against it and the infection fatality rate in the U.S. is estimated to be 1.3%, much higher than for the flu, even without accounting for New York County.

A good thing is that fear is the only personality-based variable that predicts virus-mitigating behavior. People who fear to get sick will continue their social-distancing and hopefully wear their masks.


Some 80% of GDP and employment in the U.S. is generated by services. The economy depends on people feeling safe. Who will go to a restaurant, a theater or on a plane as long as the trust that it is safe to do so is not there? The people will learn about the risks in those places and avoid them. That behavior will prolong the crisis.

A better strategy would have been to increase the lockdown measures until the number of new cases goes sharply down. People would then have regained some trust. Lifting the lockdown only when the people feel it is secure to do so would have been much better for the long term economy then the current rush.

The U.S. now has an enormous unemployment problem. To solve that problem as fast as possible the people need security and peace of mind. Only then can the economy spring back.



 

It is likely that the real unemployment numbers are some 25% higher than the official numbers. Economist Nouriel Roubini is right in calling this the 'Greater Depression'. It is now already larger than the one 90 years ago.

As the U.S. does not have a reliable social safety net the shock its economy will go through will be much longer lasting than the one in European economies. A lot of jobs will take several years to come back if they do so at all. Many people will lose their housing. General education and health will further decline. Crime will rise and more nutters will go crazy.

One current Amazon bestseller is by an anti-vaxxer who claims this is a 'plandemic', that Anthony Fauci funded the Wuhan lab, and that covering your mouth 'activates' the virus. The author is Judy Mikovits, a disgraced 'scientist' who has been caught faking her research and papers. She was fired from her institution when she was caught stealing its proprietary data.

That such a book sells at all shows the deep mistrust the people have in their government.

The U.S. needs a prolonged unemployment program to keep its people out of misery. It needs an enormous infrastructure program to bring the many millions of people back into work and to reignite the economy.

But neither the Republicans nor the Democrats are calling for those measures. Instead they are busy shuffling trillions of dollars to those who already have too much money.

Posted by b on May 8, 2020 at 18:08 UTC | Permalink

Comments Sampler

Yup, b. You nailed it. Opening up before we get a 'handle' on this disease will be a complete disaster.

Posted by: blues | May 8 2020 18:21 utc | 1

It's not the coronavirus that's killing Americans, it's Western capitalism!

Posted by: Barovsky | May 8 2020 18:28 utc | 2

Excellent! The US, and probably the entire world, needs massive infrastructure works. Such programs are cheaper during depressions.

We need more:
1) Roads and bridges (repair)
2) Rail (for when peak oil mandates rail for most transportation)
3) Solar
4) Water
5) Wastewater/irrigation
6) Reforestation
7) Sea level rise mitigation, i.e. relocation
8) Trees, new forests, urban farms and community gardens
9) Decentralized schools
10) Decentralized manufacturing using 3d printing

We need fewer:
1) F-35s

Posted by: James Speaks | May 8 2020 18:30 utc | 3

It would work if we had a competent federal govt that had standard guidelines that 1. we trusted, and 2. were close to optimal, but no and no on both counts. Trump is such a narcissist that two years from now he will be bragging that he made Social Security great again (because a good portion of the recipients will be dead).

Regarding the death rate, it's bad, very bad. You only get the really low percent if you measure total number of people infected / death, but if you look at the total number of people who develop symptoms by death its well over 5%.

If you measure death rate by total number of people recovered / death it might end up being closer to 10% but those numbers are not in yet.

Posted by: Christian J Chuba | May 8 2020 18:36 utc | 4

@James Speaks (3)

But. Fed.

Posted by: bjd | May 8 2020 18:39 utc | 5

Already several US states, where caring about human life has always been something of a joke- a quaint memory from The Enlightenment or the times before theologians had wrestled christianity into a practical form- what passed for 'lockdowns' have already been lifted. It won't be long before the whole country is back to herding the poor to work and piling up mountains of wealth for the oligarchy- and hundreds of thousands of deaths are ignored, explained away or accepted as a proper tribute to the great god of Finance Capital.

All of which is rather worrying up here in Canada, because it means that 'the longest undefended border in the world' is going to be open to the passage, along with free trade and tourism, of the coronavirus. Making a mockery of Canadian efforts, and sacrifices, to get the epidemic under control.
The Tyee today has an article on the subject.
https://thetyee.ca/Opinion/2020/05/07/Pandemic-Emerging-Canada-US-Relations/?utm_source=daily&utm_medium=email&utm_campaign=080520

Posted by: bevin | May 8 2020 18:42 utc | 6

Welcome to America's Shock Doctrine event.

Some sort of economic reset/restructure will either fundamentally change the way the world works or it will be made to look like that happened.

IMO, the virus results to the population pale in comparison to the economic/social contract evolution aspects.

Early lockdown lifting is a feature, not a bug.

Posted by: psychohistorian | May 8 2020 18:50 utc | 7

Here in OC, CA, there is an air of try-hard optimistic frivolity as lock-downs are lifted.

There is a sense that "opening up" seems forced, a charade to act as if things are "normal."

You can now go to the store and sit in your car while your little consumerist urges are sated while an employee brings you your package.

We're opening up!

When did Americans become such children?

Posted by: Garbage in... | May 8 2020 18:50 utc | 8

I understand that dissenting views are not tolerated here - but I'll try providing one anyway and see how long it takes to get deleted.

We now know far more about Covid19 – the Lockdown should end

https://off-guardian.org/2020/05/08/we-now-know-far-more-about-covid19-the-lockdown-should-end/

Posted by: DM | May 8 2020 18:52 utc | 9

It's hard to know what the numbers are saying when you don't know the percentage or numbers of people being tested to get the confirmed cases. Like most statistics, the person putting together the numbers can bend them any way they want.

Posted by: Tobi | May 8 2020 19:08 utc | 10

Literally every human concern - every social, psychological, spiritual concern; every political, constitutional, rule-of-law concern; every concern of human and civil rights, civil liberties, human freedom; every concern of children's healthy development; and literally every health concern except for this flu - have been eradicated from the propaganda and evidently from the minds of the police-statists.

Their minds have been scoured clean of literally every thought except for a threadbare fanatical obsession with quantity of life (an obsession they pursue in defiance of all the evidence; their lockdowns don't work even according to their own terms, let alone according to the terms of ecology, biodiversity, sound epidemiology; even their arch-ideologue and high priest Neil Ferguson was caught admitting that he regards his entire agenda as nothing but a Big Lie), and a grossly reductive notion of "opening the economy", which they deploy in order to slander the rapidly increasing number of people who are questioning, criticizing, and rejecting the lockdowns for a vast diversity of reasons I only briefly surveyed above.

The fact that the police-statists are utterly unwilling to meet any of these concerns except for the economic, and are willing to meet that one only in the most reductive, fraudulent, slanderous way which expresses total contempt for the vast numbers of people being economically destroyed beyond any hope of recovery (which is a major purpose and goal of the terror campaign and lockdowns), says it all about the total bankruptcy of their position. As in every other case, police-state authoritarianism has nothing but brute thug force, including in its ideas.

Posted by: Russ | May 8 2020 19:24 utc | 11

 

 

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About the author(s)

"b" is Moon of Alabama's founding (and chief) editor.  This site's purpose is to discuss politics, economics, philosophy and blogger Billmon's Whiskey Bar writings. Moon Of Alabama was opened as an independent, open forum for members of the Whiskey Bar community.  Bernhard )"b") started and still runs the site. Once in a while you will also find posts and art from regular commentators. You can reach the current administrator of this site by emailing Bernhard at MoonofA@aol.com

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Jimmy Dore: Wide-ranging interview with Chris Hedges. (Absolute must see).

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Jimmy Dore interviews Chris Hedges


Jimmy Dore and Chris Hedges discuss the capitalist/imperialist disease eating the world alive today in all its manifestations: wars and runaway corruption; ecocide in plain daylight, the plotting of nuclear wars right under our noses, plus the consequent liberal betrayals (including the sheepdogging of figures like Bernie Sanders); the absence of a real left, the stunning (and unchallenged) cynicism and hypocrisy of the US political elites, the vile servility of the (largely) upper middle-class media personnel, and the coming corporatist repression. Hedges, an idealist socialist and sometimes anticommunist who fortunately has been traveling left for a long time—and for which he deserves plenty of credit— examines a large number of issues afflicting every ordinary person's life, but the tragedy is that almost all of these people, still very much indifferent, distracted or stubbornly ignorant about such threats, will soon be crushed in even harsher ways than they already are, by an imperial system which has been perfecting its tools of oppression for generations.

How Bernie & Squad Actually Support Corporate State. w/Chris Hedges

25 April 2020

In case we needed more proof that the Democrats are not the solution...

Bonus feature—

Warren & AOC’s Idiotic Plan To Halt Corporate Mergers During Crisis. w/Dylan Ratigan
4 May 2020

ABOUT THE AUTHOR
Chris Hedges is a Pulitzer Prize-winning journalist, a New York Times best-selling author, a professor in the college degree program offered to New Jersey state prisoners by Rutgers University, and an ordained Presbyterian minister. He has written 12 books, including the New York Times best-seller “Days of Destruction, Days of Revolt” (2012), which he co-authored with the cartoonist Joe Sacco. His other books include "Wages of Rebellion: The Moral Imperative of Revolt," (2015) “Death of the Liberal Class” (2010), “Empire of Illusion: The End of Literacy and the Triumph of Spectacle” (2009), “I Don’t Believe in Atheists” (2008) and the best-selling “American Fascists: The Christian Right and the War on America” (2008). His latest book is "America: The Farewell Tour" (2018). His book “War Is a Force That Gives Us Meaning” (2003) was a finalist for the National Book Critics Circle Award for Nonfiction and has sold over 400,000 copies. He hosts a show, "On Contact," on RT America.



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Contrasting Health Systems

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By Pasqualina Curcio Curcio on April 12, 2020
RESUMEN LATINOAMERICANO


 

[dropcap]I[/dropcap]n the catalog of health provision and financing systems, we find a wide range, from the most private to the public and free of charge. There are systems whose provision and financing are completely privatized, such as the United States, Chile and Colombia, where the facilities that provide health services are private and in order to enter and be served, people have two options: either they pay for the service out of their own pockets or they take out an insurance policy so that when a contingency arises, they pay the bill.

This type of health system based on the intermediation of insurance companies in which a “third party” pays, in addition to being extremely costly (the insurance company keeps a hefty margin of the business’ profit) is the most exclusive: 1) if you do not have how to take out a policy, the safest thing, worth the redundancy, is to be left out, and in this unequal world in which 1% of the world’s population appropriates 82% of the wealth, it is many, many people who do not have sufficient resources to take out health insurance. 2) This insurance system is so perverse that exclusion is not only for economic reasons but also for age: the issue becomes more and more complex if you are over 50, 60, 70 and 80 years old, if you want health insurance you must pay more, that’s for sure.

The justification for this type of system is the classic neo-liberal discourse that the state is inefficient, that it should not meddle in the economy or in the affairs of the market, which makes the mercantilist conception of health clear.

However, when it comes to insurance companies, one must always read the small print: “those who are unable to pay for an insurance policy or do not have sufficient resources may turn to the State which will pay for them, and in the event of a contingency in which their insurance coverage runs out, they must also turn to the State to resolve the problem”. It is around business, the insurance companies, sister premiums to the banking system, never lose.

Privatization Plan

Trials of this type of health system began showing up in the Americas in the mid-1970s. Chile under the dictator Pinochet, in the visible hand of the monetarist and neoliberal Milton Friedman, first signed up for the experiments and in 1981 created the Provisional Health Institutions (Isapres) which are private health insurance companies, that by the way, made around 80 million dollars in profits last year. They also created the National Health Fund (FONASA), a public fund for those cases that were redirected by the ISAPREs. As for the provision of health services, it began to be private and to keep everything in the family, the owners of the clinics are the same owners of the ISAPREs.

Colombia is another good example. In 1993, then-Senator Alvaro Uribe proposed, and it was approved, the privatization of health care in that country. Following the format, the Health Promotion Entities were created, that is, the private insurance companies.

In Venezuela, during the government of Rafael Caldera in 1996 and as part of the same Plan for the entire Region, the Organic Law on Social Security was approved, which consisted of the privatization of health and the pension system. In Chile, Colombia and the United States, with the discourse of the inefficiency of the public sector (after having defunded and dismantled it) they approved the creation of the Health Fund Administrators and the Private Health Service Providers.

With the arrival of the Bolivarian Revolution and the approval of Articles 83, 84, 85 and 86 of the 1999 Constitution, which clearly establish that health is a fundamental social right and will be guaranteed by the creation of a single, public health system, Caldera’s law slipped down into history. From that moment on, the public health system in Venezuela was strengthened. The network of public facilities increased by 397% and the ratio of physicians per 1000 inhabitants rose from 0.8 to 3 between 1999 and 2018. More than 80% of the population is served by the public system, the immunization plan is completely free, as are the high-cost drugs and these are just a few examples with much more remaining to be done.

In Socialism

At the other end of the catalog are the public health systems within the framework of a socialist system. In these cases, they do not ask for credit cards or the insurance key to enter the hospital. It is completely free. An emblematic example in our Region is the Cuban model. Despite 60 years of the criminal blockade imposed by the United States, Cuba has the best health indicators in the Americas and the world. According to data from the Pan American Health Organization, the infant mortality rate on this Caribbean island is 4 per 1000 live births, far below the Latin American and Caribbean average of 13.04 (the infant mortality rate is the number of children under 12 months who die each year for every 1000 registered live births).

In Times on Pandemic

Despite being or seeming to be the “greatest economic and military power”, the United States is the country with the worst Covid-19 indicators: not only is it the current epicenter of the pandemic with 30% of the people infected worldwide (489,646 cases), but also the prevalence rate due to the coronavirus in that country (140.9 people infected per 100. 000 inhabitants) is 30 times higher than Cuba’s (4.97 infected persons per 100,000 inhabitants) and the mortality rate in the United States (5.51 deaths per 100,000 inhabitants) is 42 times higher than the island’s (0.13 deaths per 100,000 inhabitants).

Compared to China, the prevalence rate of Covid-19 in the US is 25 times that of the Asian giant and the mortality rate is 23 times higher.

Despite the criminal blockade, the unconventional war against the Venezuelan people and the recent onslaught of U.S. imperialism including threats of invasion, the prevalence rate of the coronavirus in Venezuela (0.57 people infected per 100,000 inhabitants) is 267 times lower than that of the U.S. and the mortality rate (0.03 deaths per 100,000 inhabitants) is 184 times lower than that of the northern country.

After so much hype about the alleged humanitarian crisis in Venezuela (yet another US invention to justify the invasion of our country), we wonder who really needs humanitarian aid as a matter of urgency.

Source: Ultimas Noticias, translation Resumen Latinoamericano, North America bureau 

ABOUT THE AUTHOR
Pasqualina Curcio is Professor in the Department of Economics and Administrative Sciences at the Simón Bolívar University in Venezuela. In her recent book “The Visible Hand of the Market: Economic War in Venezuela”, with a foreword by the prominent intellectual Luis Britto García. Here she explains the causes of the complex situation of the Venezuelan economy using solid econometric and statistical foundations that do not usually appear in the media. She shows that the “invisible hand” of Adam Smith does not guarantee the efficiency of the markets and much less the social welfare, even more so in countries subjected to an external economic war aiming to disrupt an alternative social-economic model.



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Lack of Leadership at the Top During a Crisis

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Wayne Madsen


[dropcap]T[/dropcap]hree world leaders have displayed a total lack of leadership qualities during the worst global calamity since World War II. Not surprisingly, all three are products of the extreme right-wing, a political faction that excels at carnival stunts and outrageous rhetoric but has repeatedly demonstrated a lack of governance ability. Among the leaders who have done the most miserable jobs at the helms of their respective ships of state are U.S. President Donald Trump, Brazilian President Jair Bolsonaro, and British Prime Minister Boris Johnson. The extremist nationalist planks and beliefs in far-out conspiracy theories upon which these politicians gained office resulted in their coronavirus responses being too little and too late.

Trump’s initial reaction to the global pandemic was to call it a “hoax” spurred on by his Democratic opponents in the Congress. He then downplayed the threat claiming the number of virus cases would soon drop to zero. The Trump administration’s handling of the pandemic contravened all well-established protocols, contingency plans, and emergency action responses carefully crafted over the past few decades by both Republican and Democratic administrations. Rather than work with state governors in coordinating a unified coronavirus response, Trump made personal attacks on the governors of Washington, New York, and Michigan, and permitted one of his White House surrogates to yell at the governor of Illinois during a phone call. In a conference call, Trump told several governors that they were on their own in obtaining needed ventilators and respirators for an expected groundswell of coronavirus hospital patients.

As with most things inside the Trump White House, where there was a crisis, there was potential profit. Trump son-in-law Jared Kushner, who Trump appointed as his coronavirus adviser, believed that the media was overly-hyping the threat posed by the virus. According to “Vanity Fair,” Kushner told Trump to treat the coronavirus emergency as a P.R. [public relations] problem” and avoid taking aggressive action.

Kushner, who has no experience or education in anything of merit, also stood to see his family financially benefit from a national pandemic. Kushner’s younger brother, Joshua Kushner, happened to be the founder of Oscar Health, a medical insurance company that was accused of selling junk health care policies in Ohio. As the coronavirus began sweeping across the United States, Oscar Health began advertising its 100 clinics at which it was planning to offer coronavirus testing. Kushner’s family is a virtual mob operation. His father, Charles Kushner, is a federal ex-convict who had been convicted of campaign donation violations and jury tampering prior to attempting, along with Jared, to shake down the government of Qatar for a sizable cash infusion to save the failing Kushner-owned building at 666 Fifth Avenue in Manhattan.  It is another example of the Trump era slogan: “The family that ‘preys’ together, stays together.”

Trump did all he could that was possible to destroy any hope of international cooperation to meet the pandemic head-on. He and his pompous Secretary of State, Mike Pompeo, resorted to referring to COVID-19 as the “Chinese virus,” an act that resulted in harsh condemnation from the government of China and the World Health Organization. Trump supporters in the United States and abroad had already resorted to carrying out Nazi-like racial attacks on people of Asian descent. The xenophobia situation in the White House worsened when one West Wing staffer was overheard by a journalist calling coronavirus, “Kung Flu.”

Trump doubled down on referring to COVID-19 as the “Chinese virus.” Trump’s defenders said the term was no different from calling the deadly 1919 flu the “Spanish flu.” However, that term, itself, was a misnomer, since it was traced to the World War I battle trenches in France.

Pompeo also saw a further opportunity to launch another attack against Iran. Pompeo, a science-denying fundamentalist who believes the Earth is a mere 6000 years old, attempted to widen blame on the coronavirus from China to Iran. Pompeo ridiculously said, “The Iranian leadership is trying to avoid responsibility for their grossly incompetent and deadly government. The Wuhan virus is a killer and the Iranian regime is an accomplice.” It is clear that Pompeo was using a pandemic that had killed vast numbers of Chinese and Iranians to score cheap right-wing talking points. Iran, which had been subjected to punishing U.S. sanctions, found itself unable to obtain needed medical supplies from Western nations due to the U.S.-led embargo. With the connivance of the Israeli regime, Pompeo had actually increased sanctions on Iran after its first coronavirus patients appeared in the Shi’a holy city of Qom. Iranian Foreign Minister responded to Pompeo’s outrageous comments in a tweet: “Unlawful US sanctions drained Iran’s economic resources, impairing ability to fight #COVID19.”

The U.S. Department of State, where such intellectual luminaries as Thomas Jefferson, James Madison, Henry Clay, Daniel Webster, William Jennings Bryan, Charles Evan Hughes, Cordell Hull, and George Marshall once commanded U.S. diplomacy, found itself in the hands of an arrogant and obese creature more intent on rendering pain than in providing comfort in a time of international distress.

Another leader who did his very best to spread the coronavirus was Brazil’s Bolsonaro. After having spent time with Trump at the U.S. president’s Mar-a-Lago “billionaire’s compound” in Palm Beach, Florida, the close contact between the U.S. and Brazilian delegations resulted in positive coronavirus tests from members of Bolsonaro’s delegation, as well as Trump’s party, including the mayor of Miami, Francis X. Suarez.

After Bolsonaro and his virus-infected delegation returned to Brazil from Florida, Bolsonaro called the quarantine actions of Brazilian state governors and other officials to thwart the spread of the virus, which had already infected 200 people, “paranoia” and “extremism.” Acting against the wishes of public health authorities, Bolsonaro called for public protests against the actions of the Brazilian Congress and Federal Supreme Court. Bolsonaro, breaching self-quarantine advice from federal health officials, proceeded to attend a rally of his supporters in central Brasilia’s Praça dos Três Poderes square, to the horror of health professionals and the presidents of the Federal Senate and Chamber of Deputies, Davi Alcolumbre and Rodrigo Maia, respectively. In Trump-like fashion, Bolsonaro, who has been repeatedly tested for the coronavirus with denials that he has the virus, chided Alcolumbre and Maia for being cowardly.

As England, Scotland, Wales, and Northern Ireland began registering their first virus cases, Johnson was more pre-occupied by finalizing the ex post facto terms of Britain’s withdrawal from the European Union. Johnson’s critics said the Tory government dragged its feet on closing schools and universities, actions that had already been taken across Europe, the United States, New Zealand, and South Africa. Johnson also announced government financial assistance for businesses without crafting a policy to help working people, earning him House of Commons denunciations from the leaders of Labor, the Scottish National Party, and the Northern Ireland Alliance. Alliance MP Stephen Farry asked Johnson to seek at least a one-year extension to the Tory’s favorite pet project, the Brexit implementation process.

Paraphrasing Winston Churchill’s 1940 Battle of Britain speech, when it comes to Trump, Bolsonaro, and Johnson, history will record that “never before had so few done so little for so many.”  

ABOUT THE AUTHOR
Wayne Madsen is an American journalist, author and columnist specializing in intelligence and international affairs. He is the author of the blog Wayne Madsen Report. He has been described as a conspiracy theorist.

 




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Disaster Capitalism and the Real Culprit in the Italian Covid-19 Catastrophe

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by 


Published on Wednesday, March 18, 2020  by 


Klein showed how corporate elites worldwide have repeatedly and brutally used "the public’s disorientation following a collective shock—wars, coups, terrorist attacks, market crashes or natural disasters—to push through radical pro-corporate measures."

During the COVID-19 coronavirus emergency, tourists on the quay of the port of Naples are checked with a thermo scanner by Civil Protection personnel, dressed in overalls and masks to protect themselves. Italy was hit hard by the virus, and the medical establishment has fought heroically but the death rate has been unusually high.  (Photo: Marco Cantile/LightRocket via Getty Images)


Canadian author and activist Naomi Klein worries that the Coronavirus pandemic will provide another opportunity for neoliberal elites to impose more of their right wing agenda on a citizenry scared and confused by this mysterious and dangerous disease. Klein of course is expanding on her award winning Shock Doctrine Naomi The Shock Doctrine. Klein showed how corporate elites worldwide have repeatedly and brutally used “the public’s disorientation following a collective shock — wars, coups, terrorist attacks, market crashes or natural disasters — to push through radical pro-corporate measures.”

Klein is surely correct to be concerned. President Trump proposed temporary cuts in the payroll tax as a fiscal stimulus. This act would in effect partially defund Social Security, forcing Democrats to choose between a tax increase or reductions in or means testing the program. Turning Social Security into a means tested program would undermine its popularity and probably destroy it, a long time goal of conservative Republicans and neolibereal Democrats. Fortunately enough politicians smelled the rat and this idea does not seem to have gone far. If elites do not always get what they want, it is also the case that crisis does provide opportunities for progressive activism. Social Security itself was born out of the economic and political turmoil of the thirties. In the context of the Covid19 epidemic Medicare for All has become more widely discussed than at any point in its development. Articulating the positive contribution to everyone’s health and fending off some of its more devious opponents is especially important now.

America’s patchwork, profit oriented healthcare has already played a destructive role in the unfolding of this crisis. One of the most important factors in limiting the spread of the disease is knowledge of who is being infected and where they are infected. When patients can’t come to the doctor they can’t be treated; they are more likely to spread the disease; and the physician is deprived of valuable information about the spread of the disease, information that improves possible interventions.

Although we do not yet know the full story of the CDC’s botched rollout of the Covid19 test kits, the Washington Post, never a fan of Senator Sanders or single payer, reported:”Unlike the United States… the single-payer countries have been especially nimble at making free, or low-cost, virus screening widely available for patients with coughs and fevers.” The benefits go beyond speed. Where public programs are well respected and well funded, that respect can also be reflected in the quality of the men and women who staff them. Jorgen Kurtzhals, the head of the University of Copenhagen medical school, told the Post that the strength of Denmark’s single-payer system is that it has “a lot of really highly educated and well-trained staff, and given some quite un-detailed instructions, they can actually develop plans for an extremely rapid response.”

 

No one claims that any of the single payer systems is perfect. Most importantly a system that is humane, egalitarian, and efficient cannot work as well if it is underfunded. Common Dreams notes: “Britain’s National Health Service (NHS), following years of austerity imposed by Conservative governments, is facing staff and supply shortages as hospitals are being overwhelmed with patients. Canada, like the U.K., is struggling with a shortage of ventilators.”

In Italy Giacomo Gabbuti and Lorenzo Zamponi report: “The problem isn’t that this system is public and universal, but that it should be more so. Sadly, over time we have allowed the various Italian equivalents of Donald Trump and Joe Biden to make it a bit more like the American system.”(Jacobin)

This is part of the political dilemma single payer advocates face. Their systems are widely popular. Italy’s health system is so well regarded that even parties of the right and far right would not dare call for its elimination. But conservatives understand that if fiscal constraints—real or imagined–necessitate cuts in funding, the system will not perform as well. Its inadequacies can then be cited in defense of privatization and eventual dismantling of the entire system.

Italians have the fifth longest longevity in the world (the United States is a distant 35th) and their public healthcare makes a great contribution to that end. If one is looking for a culprit to blame for continuing deficiencies, start by looking at the Eurozone’s fiscal iron cage—to borrow former Greek Minister of Finance Yanis Varoufakis’s perfect phrase– limiting what democracies can spend on behalf of their people.

ABOUT THE AUTHOR
John Buell has a PhD in political science, taught for 10 years at College of the Atlantic, and was an Associate Editor of The Progressive for ten years. He lives in Southwest Harbor, Maine and writes on labor and environmental issues. His most recent book, published by Palgrave in August 2011, is "Politics, Religion, and Culture in an Anxious Age." He may be reached at jbuell@acadia.net




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