If the Chinese had indeed attempted
to design a virus that would disrupt American society as much as possible, they
could not have designed a more perfect pathogen than the novel coronavirus that
is causing the United States all manner of difficulties—physical and mental breakdowns in health, economic shrinkage,
and increasing hunger, to name a few. It is a unique combination of easy
transmission, relatively low virulence, and surprisingly diverse symptoms that
makes this virus so damaging to human society.
If the virus were slightly more
difficult to transmit, we wouldn’t have to worry about wearing masks. The
disease, COVID-19, would be self-limiting. Hospitals would not have to face
waves of gravely ill patients who overwhelm the capacity of our emergency rooms
and ICUs. But it does spread very easily, through the air and, to a lesser
degree, on surfaces.
If the virus were more virulent, no
one would be protesting the wearing of masks or the closing of businesses. Fear
would be openly justified, and most Americans would do their best to both avoid
the virus and to restrict its spread. But it is not very lethal. It is not Ebola
or Marburg. The mortality rate is low and is decreasing as medical science
develops better treatments. But when you combine easy transmission with even a
low mortality rate, the afflicted overwhelm the health-care system and the
deaths keep piling up.
The virus also produces a variety
of symptoms, some of which linger and are perhaps permanent. For most people
who are infected, the symptoms are either mild or even nonexistent (although there
is some evidence that the heart, lungs, kidneys, and other organs may experience
damage even in the absence of obvious symptoms). But for others, the symptoms
are severe. One of our neighbors, who experienced moderate symptoms, is now
suffering from asthma, which makes it difficult for her to walk even slowly
uphill. The doctors think this will eventually disappear, but this is not a
certainty. This multiplicity of manifestations is another unique aspect of this
disease. If it were just like the common cold or influenza, it would be much
easier to treat. But it isn’t.
Unfortunately, the easy
transmission and relatively low lethality of this virus create a perfect formula
for the politicizing of this illness. The reason for this is that the only way
to contain the spread of the disease is to ask humans to do things that are
difficult. Practicing physical distancing, shuttering businesses that rely on
high social interaction, and wearing masks are not things we want to do. The
obvious short-term consequences of doing what we need to do to stop the spread
of the coronavirus include increasing unemployment, a shrinking economy, and a
disruption in such public goods as in-person education. In the hands of a
leader who measures his success by economic growth, low unemployment, and a robust
stock market, who has never been able to see long-term benefits from short-term
sacrifices, this pandemic presented a perfect situation to create the worst of
all worlds, which is exactly what we have in the United States.
Of course, it doesn’t have to be
this way. Jacinda Ardern, the former-Mormon prime minister of New Zealand,
pushed for very strict measures. Consequently, this country of almost 5 million
citizens has experienced a total death toll of 25. Yes, 25. Utah, by contrast,
has a population of 3.2 million and has experienced 732 deaths as of today. In
the past week, 60 Utahns have died. That is 2.4 times as many as New Zealand
has experienced during the entire pandemic. And Ardern was recently reelected
in a landslide, showing that Trump’s priorities were exactly backward. In order
to preserve economic health and, it can be argued, political popularity, you
have to control the virus first. Of course, Trump has never learned anything
from either his own failures or the successes of others.
And New Zealand isn’t even the
best case. Taiwan, with a population of nearly 24 million, has had a total of 7
deaths. Yes, 7. A couple of weeks ago, I read a news report that Taiwan had gone
200 days without a local case. They don’t even need to wear masks, but they
probably do.
In the very early days of the
pandemic, before things shut down, we had a student computer programmer at BYU
Studies who was from Taiwan. He was wearing a mask to work, at a time when the U.S.
was not yet encouraging this practice. Obviously, he was listening to his government’s
health experts, not ours. The Taiwanese were ten steps ahead of both us and the
virus.
Many Americans still have massive
confusion about the concept of freedom. Freedom has become a conservative rallying
cry. But it seems whenever the government requires something that will eventually
bring us more freedom in the long run, these benighted souls somehow get
offended and claim that the government is overstepping its bounds and is taking
their freedoms. But I ask you who has more freedom right now—the people of New
Zealand and Taiwan or the people of America? This is a stupid question, but
most Republicans probably can’t answer it, because they have been so
indoctrinated in hatred of government that they don’t understand that there is
freedom to do things and freedom from things, and often abusing
the freedom to do things deprives you of the freedom from things, like widespread
illness and economic ruin. These protesters of government overreach would, of
course, never protest the 20-mile-per-hour speed limit in school zones. But
what is the difference between that and a mask mandate?
Republicans have failed in a
similar way with health care in general. They keep perpetuating myths and
ignoring widespread evidence. Of the top 100 nations on earth, only one does
not have universal health care. Guess who? And guess why? Because the
Republicans misunderstand their favorite principle: freedom. They think
government providing or guaranteeing health care for all citizens takes away
our freedom. But my friends in Germany have much greater freedom in their
health-care choices than I do. And they pay half as much as I do for
high-quality care. Who really has freedom?
Returning to the topic I started
with, the novel coronavirus was perfectly created to expose the idiocy of those
who put economics above public health. By contrast, it has revealed the brilliance
of those who put public health first. I say “created,” but it was not concocted
in a Chinese laboratory. It was designed in the laboratory of Mother Nature.
And she has more surprises than this in the wings. Global warming is probably
the next crisis we will face, and sadly, the Republicans are facing it with the
same combination of inverted priorities, willful ignorance, and stubborn denial
that they have exhibited in making America number 1 in coronavirus deaths.
I won't quibble with your conclusion that Trump's response to the pandemic has been much like his response to everything else--to the extent that it's been right, it was because he outsourced that part of the response to someone else.
ReplyDeleteBut, your concluding statement that "America [is] number 1 in coronavirus deaths" is simply not true by any meaningful measure. It's like the old riddle about why white sheep give more wool than black sheep--because there are so many more white sheep. So too with the coronavirus death toll: the relevant statistic is deaths per total population. By that measure, the U.S. lags behind places like Peru and Brazil and Chile, Mexico, and Argentina, but also models of state-run health care systems such as Belgium (with a death rate over 70% higher than the U.S. rate), Spain, the U.K., and Italy. There's no question that the current system of paying for health care in the U.S. is inefficient and wasteful, but don't blame the death rate from coronavirus on our health care system--because the virus doesn't really care.
Also, you ignore increased deaths from other causes, whether failure to get timely treatment for other diseases or shutdown-induced economic disruption (this last is expected to result in the death by starvation of upwards of 100,000,000 worldwide). Don't those people matter?