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    US Emergency Departments Are Overstretched and Doctors Burned Out

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      in World Politics

      The Risk Posed by Global Inflation

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      Since the reopening of national economies after COVID-19 lockdowns, inflation has been rising around the world. This change in the macroeconomic environment caught policymakers off guard in terms of adapting inflation forecasting models and assessing the causes of this evolution. As a result, old debates have resurfaced about the risks and opportunities of inflation and how best to restore price stability.

      Despite the rapid surge, inflation was not totally unexpected since it is partially attributable to measures taken to reopen national economies, resulting in increased demand and disruptions of supply chains and production, says Archana Sinha, the head of the Department of Women’s Studies at the Indian Social Institute. In this sense, the current inflationary environment differs from the one in the late 1970s and may prove only transitory.

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      There are, however, other drivers of inflation that may prove more long-lasting. This includes, as Domingo Sugranyes of the Pablo VI Foundation points out, decarbonization and economic concentration, allowing excessive pricing power. Additional factors are rising property and stock prices, as well as the increase of raw material prices, Etienne Perrot explains.

      As a result, as Valerio Bruno mentions, central banks’ instruments, such as raising interest rates, may not suffice to reverse current inflationary pressures. Bruno, a researcher, says that we can “expect a long period of high inflation.” That being said, it is far from certain that central banks are willing to use these instruments because of their concern with financial stability that a selloff on financial markets may jeopardize.

      Embed from Getty Images

      From a socioeconomic perspective, Andrew Cornford recalls that inflation is not a “uniform problem” since its effects vary among countries, sectors and groups. The main problem, Bruno points out, is that “the wages of workers, in particular the middle class, suffer greatly from a declining purchasing power. If wages are not adjusted to inflation, consumptions and companies’ profits are affected, leading to a possible economic recession.”

      On the other hand, inflation may benefit debtors by depreciating their debts. However, Cedric Tille, a professor in macroeconomics, warns that “any persistent inflation will raise the cost of additional borrowing” in the future and therefore “any gain from inflation for some actors is likely to be temporary.” For instance, Sugranyes says, “many weaker debtors will find growing difficulty in refinancing at higher interest rates.”

      The current rise of inflation pressure may prove to be only temporary — not inflation in the pure sense — but it has to be taken seriously because it could dash hopes of economic recovery and weigh on the morale of populations exhausted by waves of social restrictions.

      By Virgile Perret and Paul Dembinski

      Note: From Virus to Vitamin invites experts to comment on issues relevant to finance and the economy in relation to society, ethics and the environment. Below, you will find views from a variety of perspectives, practical experiences and academic disciplines. The topic of this discussion is: What are the main threats, but also possibly the main opportunities, related to inflation?

      “… inflation is not new … ”

      “Inflation is not new; it was hidden behind rising property and stock prices, leading to properties disparities. As international competition has diminished, the rise in energy and raw material prices has a direct impact on consumer goods. Its social effects (on pensioners and various marginal groups), as well as its economic consequences for long-term investments (distortions) and interest rates (rise), must be taken into account. On the other hand, inflation favors, for a time, companies, indebted households and massively borrowing states. Debtors become more credible in financing the investments needed for the ecological transition”

      Etienne Perrot — Jesuit, economist and editorial board member of the Choisir magazine (Geneva) and adviser to the journal Etudes (Paris)

      “… any gain from inflation for some actors is likely to be temporary … ”

      “While inflation has a short-run benefit for debtors, one must bear in mind that these debtors will borrow additional amounts in the future. Any persistent inflation will raise the cost of these additional borrowing, including a term premium. Therefore, any gain from inflation for some actors is likely to be temporary. Looking through the inflation movements of the coming months, which hopefully will prove temporary, the reasons underpinning central banks’ mandates of symmetric price stability remain as valid as they have ever been.”

      Cedric Tille ­— professor of macroeconomics at the Graduate Institute of International and Development Studies in Geneva

      “… inflation does not entail any real benefit …”

      “Inflation does not entail any real benefit for most governments and businesses. Although debts may be depreciated in the long term, many weaker debtors will find growing difficulty in refinancing at higher interest rates and will see financial flows fleeing toward ‘safer’ harbors. There are objective reasons for cost increase, like decarbonization or restructuring of supply chains, which should lead us to admit that we are slightly poorer than we thought. Concentration also may allow business excessive pricing power. The vicious circle of inflation is an illusionary way of denying these facts, leading to even worse impoverishment. Some governments may be tempted to print money, [but] there will be growing pressure for automatic indexation of salaries and pensions. Difficult challenges!”

      Domingo Sugranyes — director of a seminar on ethics and technology at Pablo VI Foundation, former executive vice-chairman of MAPFRE international insurance group

      “… policy responses must address distributional dimensions … ”

      “Inflation is not a uniform problem. It varies among countries (high, middle and low-income), among income groups within countries, among goods and thus producing sectors (e.g., energy and primary commodities used for food), and amongst services (e.g., health-related, finance and travel). As is generally acknowledged, policy responses — both national and those involving international finance and aid — must address distributional dimensions, avoiding links to austerity and other attached conditions likely to increase poverty. In developed countries, policy design will frequently be handicapped by a lack of pertinent data, especially regarding wealth in the form of financial assets and tax liabilities. An option here would be a once-and-for-all capital levy high enough to help a government to deal with immediate increases in its financial liabilities, while leaving permanent solutions to the problem of enormous inequalities of wealth to be attained as part of a future response to longer-term needs and objectives.”

      Andrew Cornford — counselor at Observatoire de la Finance, former staff member of the United Nations Conference on Trade and Development (UNCTAD), with special responsibility for financial regulation and international trade in financial services

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      “… the risks of inflation far outweigh the possible benefits … ”

      “It seems to me that the risks of inflation far outweigh the possible benefits. To make effective use of the tools available to central banks, it would be necessary to understand the real causes of inflation (a ‘drugged’ financial economy, monopolies and oligopolies, or the costs of raw materials). Unfortunately, central banks’ instruments, such as raising interest rates, are not always sufficient to reverse this trend. We can therefore expect a long period of high inflation, with ‘classic’ safe-haven assets as gold reaching historic highs. The main problem with inflation is that the wages of workers, in particular the middle class, suffer greatly from a declining purchasing power. If wages are not adjusted to inflation, consumptions and companies’ profits companies are affected, leading to a possible economic recession.”

      Valerio Bruno — researcher in politics

      “… inflation at these levels is a cause for concern …”

      “Labor market conditions are improving but tempestuous, and the pandemic continues to threaten life and economic activity. The rapid reopening of the economy has brought a sharp advance in inflation. These are challenging times for the public. The dynamics of inflation are complex, and inflation can be assessed from a number of diverse perspectives, including the absence of inflation pressures; moderating inflation in high inflation items; wages; and long-term inflation expectations. Businesses and consumers widely report upward pressure on prices and wages. Inflation at these levels is a cause for concern. This assessment is a critical and ongoing one as we continue to monitor inflation data against each of these perspectives.

      Archana Sinha — head of the Department of Women’s Studies at the Indian Social Institute in New Delhi, India

      *[An earlier version of this article was published by From Virus to Vitamin.

      The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy. More

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      in World Politics

      German Far-Right Conspiracy Theorists Step Up Attempts to Undermine Schools

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      Even before the COVID-19 pandemic, independent schools in Germany, particularly the Waldorf (also known as Steiner) schools attracted far-right conspiracy theorists and anti-vaxxers. Over the past two years, reported incidents of COVID-19 skepticism coupled with far-right conspiracy theories at Waldorf schools appear to be on the increase. Some COVID-19 deniers even attempted to establish their own schools in order to withdraw their children from government influence. Which far-right groups have been the driving force behind these developments, and what have the authorities done about it?

      Gravitational Pull to the Right

      As of February 2020, across Germany, approximately 90,000 pupils attended the 254 state-recognized Waldorf schools, whose curricula originate in an anthroposophical worldview. According to the Anthroposophical Society, the Waldorf pedagogy system, which was developed by the Austrian spiritualist Rudolf Steiner in the early 20th century, encourages “ways of recognizing and exploring the supersensible-spiritual world that exists in the sensory-material world. This ‘spiritual science’ sees itself as a new approach to a deeper and more comprehensive knowledge of nature and man.”

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      The concept behind Waldorf schools is a “developmentally appropriate, experiential, and academically-rigorous approach to education.” Compared to the pressure to perform in state-run schools, the goal is to strengthen individual responsibility as well as creative, practical and social skills. Another difference lies in self-administration by parents and teachers instead of a “hierarchically organized external control of the state schools.” 

      Through close personal ties with teachers, parents can actively influence everyday school life according to their beliefs with fewer interventions of internal school control bodies compared to state schools. Hence, the self-administration model makes independent schools susceptible to infiltration by far-right actors and conspiracy theorists. According to Ansgar Martins, a religious studies scholar at Frankfurt University, this structural weakness is compounded by the “pronounced anthroposophical inclination toward conspiracy theories” of Waldorf schools that stems from Steiner’s original teachings.

      Steiner held a developmental, esoteric and essentially racist view of humanity that saw the world divided into superior and inferior races, exemplified by countless discriminatory statements against Jewish and especially black people: “How can a Negro or an utterly barbaric savage become civilized? … The Negro race does not belong in Europe, and it is of course nonsense that it now plays such a large role in Europe.”

      Embed from Getty Images

      These remarks are joined by Steiner’s pseudoscientific conception of the physical and intellectual superiority of the white race, reminiscent of the Nazi-era Volkstum concept according to which humanity reached its developmental endpoint in the white race: “If the blue-eyed and blond-haired people were to die out, people would become increasingly stupid unless they developed a kind of cleverness which is independent of blondness. … The white race is the future race, is the spirit-creating race.”

      According to Germany’s Federal Ministry for Family Affairs, Senior Citizens, Women and Youth, these statements “are to be regarded as particularly serious, since they are by no means random products or racist stereotypes caused by the spirit of the times. Rather, they are to be seen as manifestations of a specifically Steinerian esoteric racial science.” In the Stuttgart Declaration of 2007, the Association of Independent Waldorf Schools condemned “any racist or nationalist appropriation of their pedagogy.” Nevertheless, this declaration did little to prevent attracting far-right conspiracy theorists even before the pandemic.

      Far-Right Infiltration

      In 2013, the managing director of a Waldorf school in the German town of Rendsburg was dismissed because of connections to the far-right Reichsbürger (Citizens of the Reich) movement. He attracted attention by distributing leaflets in the school spouting that “the Federal Republic of Germany … is not a state, but the managing legal advisor of a state simulation [is]. There is no de jure and de facto state of the Federal Republic of Germany.” 

      The Reichsbürger is a heterogeneous movement that, referring to the historical German Reich, rejects the existence of the Federal Republic of Germany and its legal system, thus denying legitimacy to democratically elected representatives. A small proportion of the Reichsbürger movement is made up of right-wing extremists, but the anti-state and conspiracy theory tenets of the entire scene facilitate a connection to anti-Semitic narratives that are central to the far-right domain.

      Embed from Getty Images

      At another Waldorf school in the German town of Minden, a teacher taught unchecked for 20 years before his connections to ethno-nationalist right-wing extremist groups became known. Even before Wolf-Dieter Schröppe became a teacher, he maintained contacts with veteran Nazis, including the war criminal Erich Priebke — the man responsible for the massacre of 335 people as a captain in the SS and sentenced to life in prison. It took more than four months before the school terminated Schröppe’s employment contract, partly because some colleagues spoke out in his support.

      In 2015, these incidents prompted the Association of Independent Waldorf Schools to publish a brochure conceding that the anthroposophy-based Waldorf pedagogy has a “great attraction” for the right-wing extremist conspiracy theorists, specifically for the Reichsbürger.

      During the COVID-19 pandemic, however, Waldorf anthroposophy again garnered attention. To this day, Steiner’s worldview translates into a greater vaccine skepticism in Germany as a whole and in Waldorf schools in particular due to public acceptance and influence of anthroposophy. Underlying Steiner’s philosophy is the dangerous belief that diseases serve a karmic purpose by stimulating child development and making amends for mistakes in past lives.

      Hence, over the last decades, vaccine skepticism has manifested itself in lower vaccination rates in Waldorf schools, resulting in regular measles outbreaks. In this respect, an incident at a school in the city of Freiburg came as no surprise when 117 COVID-19 cases were recorded and more than 50 forged medical certificates were discovered exempting students and teachers from wearing a mask.

      Embed from Getty Images

      At a Waldorf school in the Bavarian town of Landsberg, a father who is both a doctor and a homeopath issued certificates to families of other students to circumvent mandatory mask-wearing, denouncing people who choose to do so as “mask hypochondriacs.” At a demonstration against COVID-19 measures, he showed the indictable Hitler salute that resulted in criminal charges.

      The Bavarian Ministry of Education confirms these incidents are not isolated cases. Mask exemption certificates were seven times more likely to be issued at Bavarian Waldorf schools than at state schools. Nevertheless, many Waldorf parents show resolve against COVID-19 deniers and far-right activities. According to the mobile counseling service against right-wing extremism in Bavaria, Waldorf parents “disproportionately often” reported similar incidents at schools during the pandemic.

      COVID-19 Denier Schools

      To evade resistance at state but also independent schools and shield children from COVID-19 measures, some parents and teachers went a step further, founding their own learning initiatives and so-called supplementary schools. Insights into the network groups behind those supplementary schools reveal political affinities not only with the Reichsbürger but with another the far-right esoteric movement.

      In Rosenheim, Bavaria, an elementary and middle school teacher founded a Querdenker (Lateral Thinkers) school to reflect the movement’s pandemic skepticism. More than 50 pupils were taught here by parents and educators, including herbalists, music teachers and shamans. On advertising leaflets, the school falsely claimed to be located on Russian territory so that German law would not be applicable.

      Embed from Getty Images

      The school principal was active in networks spreading far-right esoteric ideas of the Anastasia movement, a decentralized conspiracy group of far-right esotericists and settlers, based on the protagonist of the “Anastasia” fantasy novel series by Russian author Vladimir Megre. According to sociologist Matthias Quent, the novels “transport cultural racism and anti-Semitism. These are ideological patterns that we also know from National Socialism. According to them, modern society is doomed, and people must retreat to the native soil or family estates.”

      Connections to the Anastasia movement also existed in the newly founded Bauernhofschule (farm school) in the state of Hesse, which was registered as a supplementary school. Hesse’s school law enables parents to establish schools with scant bureaucratic hurdles as long as they supplement, not replace state curricula. According to the German state of Hesse’s public broadcaster, HR, Telegram chat transcripts revealed that the school operators proclaimed to teach children how to keep animals, grow vegetables and live in harmony with nature. Nevertheless, the chat was inundated with extremist, anti-Semitic views from the Reichsbürger and Anastasia movements.

      Even Holocaust denial — a criminal offense in Germany — received indifferent or approving reactions in the chats. The ideological connections of the Bauernhofschule reach as far as the fringes of the QAnon movement, as Martin Laker’s membership in the group suggests. Laker is an active member of the Anastasia movement and runs his own online platform where he spreads QAnon myths.

      Underestimating the Problem

      Germany’s political establishment has been slow in reacting to the growing problem. While the authorities are taking action against the newly founded supplementary schools, including enforced closures due to a lack of permits, there is still no sign yet of German politicians taking the danger posed by far-right anthroposophists seriously enough.

      In January 2021, the Green Party’s national parliamentary group issued a request asking what connections between right-wing extremist opponents of the COVID-19 measures and anthroposophical groups are known to the German government and how it assesses “the potential danger in this regard, given the fact that anthroposophy in Germany maintains a far-reaching network of companies, foundations, and public institutions.” The answer: “The Federal Government has no knowledge of this.” 

      This rection is particularly disappointing considering the fight against right-wing extremism has gained political traction in recent years due to record high numbers of politically motivated crimes by right-wing extremists. In 2020, the government published a substantial catalog of measures accompanied by a 100-page final report on combating right-wing extremism and racism the following year. According to the report, programs to prevent extremism in state schools are to be promoted more vigorously but fail to mention the right-wing extremist slant of anthroposophical groups and independent schools.

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      It remains to be seen whether the new government under the leadership of Angela Merkel’s successor Olaf Scholz will turn its eye to this blind spot. There seems to be no lack of will on the part of Scholz’s fellow party member and the new minister of the interior, Nancy Faeser, who announced at her first public appearance in the new role that “A particular concern of mine will be to combat the greatest threat currently facing our free democratic basic order, right-wing extremism.” 

      The threat posed by far-right conspiracy theories and fake news might have only entered the public consciousness with the triumph of social media platforms. But conspiracy theories don’t germinate in a vacuum. Instead, often far-reaching causes are behind their emergence. In Germany, the societal impact of widespread anthroposophic views, promoted in state-approved institutions like the Waldorf schools, is one of the many causes that deserve increased critical, not at least political, attention.

      The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy. More

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      in World Politics

      COVID-19 Policies Carry Implications for South Korea’s Presidential Election

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      On top of a highly contested presidential race and the election of People Power Party (PPP) candidate Yoon Suk-yeol on March 9, South Korea’s COVID-19 numbers are rapidly rising, with the country experiencing over 300,000 infections a day and record rates of COVID-related deaths. Despite the increase in cases, the South Korean government has removed several COVID-19 policies, including extending business closing times and removing the vaccine or negative test requirement to enter many public spaces.

      Although South Korea has reduced its prior strict contact tracing policies, the percentage of critically ill patients is less than the country’s last peak in December 2021. The key question now is what the South Korean public thinks about the government’s COVID-19 response.

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      South Korea’s 2020 national assembly election was internationally praised for balancing ease of voting amid pandemic restrictions and provided a blueprint for other countries, with President Moon Jae-in’s administration largely praised for its efficient response to the pandemic. South Korea even allowed citizens who have tested positive to cast a ballot at the polls once they recovered, even if voting had officially ended. 

      However, with cases rising in late 2021, evaluations of the Moon administration’s handling have soured, although still hovering around 40% — the highest in the country’s democratic history for an outgoing president and similar to his vote share in 2017. Yet Yoon and the Democratic Party’s Lee Jae-myung, both polling under 40% in the run-up to the election, declined to outline any pandemic response plan until November, when there was already a shortage of hospital beds — likely a result of the government’s “living with COVID” plan. 

      Similarly, minor candidates have not presented clear COVID-19 policies. Even beyond the “living with COVID” strategies, candidates have not shared concrete plans to build back infrastructure after the public health crisis. 

      Embed from Getty Images

      To understand South Korean evolving perceptions of COVID-19 policies, we conducted a pre-election web survey of 945 South Koreans on February 18-22 via Macromill Embrain using quota sampling on gender, region and age. We asked respondents to evaluate on a five-point Likert scale the following statement: “I am satisfied with the South Korean government’s response to the coronavirus outbreak.”

      We found, at best, mixed support for the government’s response, with overall disagreement outpacing agreement — 43.6% versus 35.8%. As before, perceptions deviate on party identification, with supporters of the ruling Democratic Party (DP) largely satisfied with the response (64.8%), while supporters of the main conservative party, the PPP, are largely dissatisfied (71.4%). 

      Supporters of the two smaller parties, the progressive Justice Party and the center-right People’s Party, showed responses that were more mixed, perhaps because candidates had not emphasized COVID-19 policies in campaign rhetoric. Regression analysis finds that women and older respondents are more supportive of COVID-19 policies, while after controlling for age, gender, education, income and political ideology, supporters of the DP were still more likely to evaluate pandemic policies favorably while PPP supporters were less likely to do so. 

      Noting this partisan divergence, we next wanted to identify whether views on COVID policy may have indirectly influenced support for one candidate over another. Regression analysis finds that even after controlling for demographic factors and party identification, satisfaction with COVID-19 policies negatively corresponds with voting for Yoon and positively for Lee. 

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      However, we also found that views of COVID-19 policies largely correspond with evaluations of President Moon’s job performance, questioning whether these measures were driving evaluations of Moon or whether perceptions now may simply be picking up sentiments regarding Moon irrespective of the actual policies. Further analysis shows that including evaluations of Moon’s performance in our earlier statistical models results in the COVID-19 evaluation failing to reach statistical significance. 

      Whereas COVID-19 policies helped Moon Jae-in’s party in 2020 win a clear majority in the national assembly, our evidence suggests evaluations now may have contributed to an anti-incumbency vote even as both of the major candidates lack clear policy prescriptions related to the pandemic. Regardless, President-elect Yoon will need to address a changing COVID-19 environment amid a fatigued and divided Korean public.

      The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy. More

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      in World Politics

      The Great Fever Misconception

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      Yes or no? On or off? Zero or one? Binary is simple, and simple is good. It facilitates decision-making, especially in a crisis like a pandemic. After all, either you have COVID-19 or you don’t. If you have COVID, then you are infectious and should isolate to avoid spreading it. On the other hand, if you don’t have COVID, you can’t infect anyone else, no matter how closely you associate with them. Of course, the tricky part is determining whether or not someone has COVID.

      The PCR test is the gold standard for determining if a person has COVID-19. It’s a very good test that gives us the yes-or-no binary information that we value so much for making decisions. Unfortunately, the test is not always readily available and it’s also expensive. And timing is critical. If you take the test too soon after you are infected, the virus may not have yet traveled to your nose where the sample is taken, and thus the result may be a false negative — you have COVID but the test indicates you don’t. Also, it often takes time in a laboratory to process the results — will you isolate or carry on while you’re waiting?

      COVID Failure: A Matter of Principle

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      Finally, what would prompt you to get a COVID test? Perhaps some event prompts you or requires a test by policy, but otherwise, you might take a test because you feel sick. If so, you already know you may be infectious. In that case, a positive COVID test merely confirms what you already suspect, and you normally get that confirmation a couple of days too late to do any good. Despite our heavy reliance on testing, it’s not as simple or as timely as we would like for deciding when to isolate.

      We’ve had another way to separate the healthy from the sick during the COVID-19 pandemic: symptoms. For example, if you have a fever, then you may be infectious. But temperature-based screening has not been very effective at all, and a big reason why is that the US government has historically defined fever as 100.4°F (38°C) or above. If a person’s body temperature is 100.3°F, then according to the government, that person does not have a fever. Does that make sense?

      Unfortunately, one of the distinguishing characteristics of COVID is the tendency of many infected people to have mild or even unnoticeable symptoms, including only slightly elevated body temperature, below 100.4°F. So, the government’s definition of “fever,” although simple and binary, has only confused the situation. Some people who were asymptomatic with COVID-19 took their temperature, found it to be below 100.4°F and assumed they did not have a fever. So, they carried on with normal day-to-day activities, often infecting others. Temperature-based screening systems typically use the government’s 100.4°F fever threshold, and, as a result, failed to prevent entry by many infected persons. Relying on the government’s 100.4°F fever definition has contributed to the spread of COVID-19. Where did this government standard come from, how can it be improved, and why has the US resisted change?

      © Douglas Dyer

      Origins of 100.4°F

      In 1868, a German physician, psychiatrist and medical professor named Carl Reinhold August Wunderlich published a paper describing his assessment that normal body temperature is relatively constant, varies from 97.9°F to 99.3°F (36.6°C to 37.4°C), and averages 98.6°F (37°C). He found that patients with a disease often exhibited a symptom of fever that he found to average at or above 100.4°F. He based these findings on 1 million temperature measurements for 25,000 patients.

      For the time, this scientific result was quite remarkable, and it changed medicine forever because it gave physicians the newfound ability to objectively assess the presence and severity of many diseases. However, Wunderlich’s patients were mostly German rather than being from different cultures, his thermometer may have been less accurate than those we have today, and people are a little different now than they were then.

      These are reasons to suspect that Wunderlich’s ideas of normal body temperature and fever are somewhat different today than they were in the mid-1800s. But, to be fair, Wunderlich observed differences in temperature based on many variables when healthy, and he advised that temperature averages have many “shades of gray.” In particular, Wunderlich noted that even smaller rises in temperature are cause for concern, and that there is no definite temperature threshold over which a person transitions from health to sickness. He said that any “elevation of the axillary [under the arm] temperature above 99.5°F (37.5°C) or any depression below 97.2°F (36.5°C) is always very suspicious.” He added: “But even when every precaution has been taken in making the observations, it is impossible to draw a hard and fast line to indicate by temperature the exact limits of health and disease.”

      © Douglas Dyer

      Today, clinical research suggests that Wunderlich’s findings should be revisited, that the normal temperature range varies by the individual, and that there is no arbitrary fever threshold that works for everyone. Yet, the US government and some medical experts still regard 98.6°F as normal body temperature and 100.4°F or above as a fever. For COVID019, this is simple, easy and, for most people, wrong.

      Improving on 100.4°F as a Fever Threshold

      If you’re interested in seeing if 100.4°F is an appropriate fever threshold for you, try taking your temperature. Use a normal, digital, under-the-tongue thermometer for at least 60 seconds. Make sure you haven’t consumed anything for 15 minutes — a hot or cold drink or food will change your measurement. Keep your mouth closed during the reading. Assuming you are healthy, if your temperature is below 98.6°F, then it’s a good bet that your fever threshold is under 100.4°F.

      If you were to take your temperature every day, preferably in the morning when you first wake, you would see that your normal temperature varies in a range of one degree or so. For example, in the image below is the normal temperature data for a person we’ll call JRDA5.

      © Douglas Dyer

      From this graph, we can see that JRDA5’s normal body temperature varies from 96.6°F to 97.4°F when healthy, and you can expect your own normal temperature to vary also.

      In modern medicine, a fever is understood to be a temperature elevation above a person’s normal range. This definition of fever is more accurate than an arbitrary fever threshold like 100.4°F that is based on population averages and data from 150 years ago. A person’s normal temperature range depends on many factors such as age, sex, nutrition and level of activity, and so different people will have different fever thresholds.

      Almost always, a fever threshold defined as above your normal temperature range is below 100.4°F. Therefore, if we use this new definition, there is significant potential for identifying sick people using temperature-based screening. Relying on 100.4°F is insufficient for identifying mild, pre-symptomatic or asymptomatic cases of COVID-19.

      Why the Government Has Resisted Changing the Definition of “Fever”

      A pandemic is not the best time for complicated methods. Perhaps the US government chose to stick with 100.4°F for simplicity and consistency. But, in this pandemic, nothing has been simple. We’ve learned to take advantage of vaccines that need boosting, tests that need repeating and symptoms that keep changing. People can figure out their normal temperature range and their own personal fever threshold if that means effective screening. Having a fever or not is still binary, even if we define fever as above your normal range. It’s still pretty simple.

      Elevated temperature is not definitive proof you have COVID-19. We all like certainty, and the PCR test will remain the gold standard for COVID. But we don’t need certainty to make a decision to isolate. A fever should prompt isolation, even though it may not be caused by COVID. The next step is to get tested and then wait for the results. We can stop the pandemic if people isolate if they get a fever. Fever is the most timely indicator we may be infectious.

      Asymptomatic cases may not exhibit any elevated temperature, so we cannot depend on temperature screening anyway. It’s possible that there are some people infected with COVID-19 who do not have any fever, perhaps because their immune system doesn’t work at all. However, we know that many asymptomatic cases are accompanied by elevated body temperature lower than 100.4°F. We can catch those people using the more correct definition of fever. The perfect should not be the enemy of the good.

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      People hate change and the government is no different. It takes a lot to pass federal legislation and to modify federal regulations. But the government’s 100.4°F fever threshold isn’t working. The effort to change will help us control the pandemic.

      How Redefining “Fever” Helps

      Since the omicron variant of COVID-19 emerged, we’ve seen increased demand for testing, with many people standing in line for hours waiting to get a test. In the United States, the government has been ordering more tests to address the shortages. However, the demand for testing can evidently overrun our testing resources. By using a more accurate definition of “fever,” people will have a better idea of when they need to get tested. Today, about 75% of tests come back negative. We have clinical evidence that fever and other readily available health data can predict test results. By redefining “fever,” we can make testing more efficient.

      We can also monitor our health every day, conveniently, in our own homes. We can’t afford to give everyone a daily PCR test, and hardly anyone wants that anyway. In contrast, it’s easy, fast and affordable to take our temperature every day. It’s a smart, safe way to help keep our friends and family safe and do our part to fight the pandemic. A lot of people would self-monitor if they knew it would help.

      The coronavirus that causes COVID-19 evidently mutates easily, giving rise to variants, and we don’t expect that to change. It’s possible there are already variants that are not caught by current tests. Redefining “fever” can help identify cases that PCR tests miss. So far, fever is a symptom of all variants. More broadly, fever is a symptom of many other infectious illnesses, such as the flu. Isolating when you have a fever is appropriate for new variants and other viruses to help prevent the spread and keep everyone safer.

      It’s high time for the government to redefine “fever” as body temperature above a person’s normal, healthy range. With a more accurate definition, temperature-based screening can be a powerful new tool for fighting the pandemic — and one well-suited to use by anyone, at home and in time to make a difference. Americans want to help fight the pandemic. It’s about time the government helps them do just that.

      The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy. More

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      Rowing Together to Tackle Inequality

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      Beyond the health consequences of the pandemic, evidence shows that the COVID-19 crisis may result in increasing the levels of poverty and inequality for years, if not generations. This outcome is not inevitable. However, insufficient responses to the crisis have deepened inequalities both between and within countries and intensified public discontent, paving the way to “social turmoil and unrest,” says research Bruno Valerio.

      COVID Failure: A Matter of Principle

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      The costs of the pandemic are being borne disproportionately by poorer categories of society since low-income households are more exposed to health risks and more likely to experience job losses and sharp declines in wellbeing. At the same time, the pandemic has been a boon for the wealthy. In response to the economic collapse in March and April 2020, central banks injected enormous amounts of liquidity into financial markets, keeping asset prices high while economic activity slowed down. Some of the biggest winners were those with high stakes in the technology sector.

      Against this background, Kara Tan Bhala, the founder of the Seven Pillars Institute for Global Finance and Ethics, suggests using the Gini coefficient as a measure of how close a country or the world is to economic upheaval. “The Gini coefficient gauges the income inequality of a region, where 0 corresponds with perfect equality and 1 corresponds with perfect inequality,” she says. “Perhaps nations begin seriously reforming economic policies when their Gini coefficients are above 0.4 (United States) and red lights start flashing trouble when a country scores above 0.5 (South Africa, Brazil).”

      But how do we tackle inequality? According to economist Etienne Perrot, “the adequate responses must … address both property [ownership] rights through anti-trust regulations to counter the abuse of a dominant position, policies through redistributive taxes and education so as not to confuse emulation and competition.” Other policy responses may include “reforms of the transparency and other features of firm governance, broader acceptance of countries’ right to control cross-border capital movements,” as Andrew Cornford points out.

      Embed from Getty Images

      To implement these policies, the first condition is that inequalities should be on the political agenda, which is not the case everywhere, as professor Yuriy Temirov illustrates with the case of Ukraine. But policy measures alone are not sufficient to reduce inequalities. They have to be complemented by a cultural, transformative process for learning to “row together” (Fratelli tutti), as Domingo Sugranyes of the Pablo VI Foundation says, to increase our socioeconomic resilience.

      By Virgile Perret and Paul Dembinski

      Note: From Virus to Vitamin invites experts to comment on issues relevant to finance and the economy in relation to society, ethics and the environment. Below, you will find views from a variety of perspectives, practical experiences and academic disciplines. The topic of this discussion is: Inequalities seem to accelerate in every part of the world due to COVID-19 and other issues. Unlike the climate debate, in social issues, we do not have a proper threshold for catastrophe. This leads to a possible overestimation of social resilience and leaves the issue as such largely untackled. Drawing on the particularities of your region or on your area of expertise, what should/can be done?

      “… perfectly predictable socioeconomic inequalities … ”

      “The pandemic only reveals perfectly predictable socioeconomic inequalities. Pope Francis had alerted the international community as soon as the first vaccines appeared. The causes of these glaring social inequalities mix the institutional side through the right of property, the politics increasingly tempted by nationalism, and the spiritual bathed in the materialistic individualism of modernity. The adequate responses must therefore address both property right through anti-trust regulations to counter the abuse of a dominant position, policies through redistributive taxes and education so as not to confuse emulation and competition, distinguishing between the elite and the financial success.”

      Etienne Perrot — Jesuit, economist and editorial board member of the Choisir magazine (Geneva) and adviser to the journal Etudes (Paris)

      “… the Gini coefficient as a measure of how close a country is to economic upheaval… ”

      “In the global climate crisis, anything over 2°C above the average pre-industrial temperature leads to unmitigated disaster. In a similar vein, I suggest we use the Gini coefficient as a measure of how close a country or the world is to economic upheaval. The Gini coefficient gauges the income inequality of a region, where 0 corresponds with perfect equality and 1 corresponds with perfect inequality. Perhaps nations begin seriously reforming economic policies when their Gini coefficients are above 0.4 (United States) and red lights start flashing trouble when a country scores above 0.5 (South Africa, Brazil). Of course, these watershed levels need further research, but it would be enlightening to have an idea of the income inequality thresholds of social disaster.”

      Kara Tan Bhala —president and founder of the Seven Pillars Institute for Global Finance and Ethics

      “… public support will be essential to act to avert a total catastrophe … ”

      “Despite its importance, GDP as an indicator should no longer be the only way we measure economic success. Fairer economy would mean tackling health inequalities and getting to grips with issues that prevent individuals from certain ethnic or socioeconomic backgrounds meeting their full potential. We need to embrace means of improving wellbeing and advancing social mobility, build on promoting social inclusion as well as addressing poverty. New plans must be put in place to achieve a more sustainable economy in a more equal and socially just society, and this cannot just be an aspiration — it must be seen as critical to our survival. In recognizing the profound challenges, public support will be essential to act to avert a total catastrophe. The coronavirus is still alive, and risk lies in whether this will be possible.”

      Archana Sinha — head of the Department of Women’s Studies at the Indian Social Institute in New Delhi, India

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      “… rowing together (Fratelli tutti) …”

      “I don’t see a theoretical answer to this extremely vast question. My reaction can only be in terms of (modest) action-oriented commitment: ‘rowing together’ (Fratelli tutti), i.e., trying to identify social projects of high solidarity value, which help people to emerge from poverty on their own capabilities, and look for means — money, goods, time — in order to increase the scope and impact of such communities. We need business and people in business to get much more decidedly involved in these kinds of projects. This is, among many other organizations, what we try to do with The Voluntary Solidarity Fund (VSF International) and VSF Spain. Everybody is welcome to join.”

      Domingo Sugranyes — director of a seminar on ethics and technology at Pablo VI Foundation, former executive vice-chairman of MAPFRE international insurance group

      “… an effective wealth tax and a global minimum corporate tax … ”

      “With the COVID-19 pandemic, the gap between the rich and the poor, in particular the income gap, has increased as Pope Francis, among others, has stated on several occasions. It is undeniable that the trend had already started several decades ago. However, with COVID-19, inequalities have reached record levels that do necessitate strong internal reforms. If no actions will be taken, such as an effective wealth tax and a global minimum corporate tax, the possibility of social turmoil and unrest will be inevitable. In Italy, political parties are literally unable to agree and set the slightest kind of agenda for a proper patrimoniale (wealth tax or asset tax), preferring to keep the country in an extremely dangerous status quo.”

      Valerio Bruno —researcher in politics

      “… fiscal measures, transparency, control of cross-border capital movements … ”

      “Much attention has been given to the wealth as well as the income dimension of the inequalities — the associated rents of the minority at one end, and the much lower and often stagnating incomes of the remainder. The latter comprises not only the working class, but also parts of the middle class. Much commentary has also concerned the opportunities to hide wealth — and thus reduce tax exposure — provided by cross-border financial liberalization and offshore financial centers. Policy responses to the inequalities should include fiscal measures, including improved taxation of the wealth of individuals and firms, reforms of the transparency and other features of firm governance, broader acceptance of countries’ right to control cross-border capital movements, and changes in legal definitions designed to facilitate controls over firms’ domestic and cross-border access to different economic activities and industries and thus to restrict regulatory arbitrage and opaqueness in firms’ operations.”

      Andrew Cornford — counselor at Observatoire de la Finance, former staff member of the United Nations Conference on Trade and Development (UNCTAD), with special responsibility for financial regulation and international trade in financial services

      “… imaginative countermeasures of income … ”

      “The fundamental dynamic of any economy is summed up in the dictum, ‘To those who have shall be given and they shall have more than they can use, and from those who have not shall be taken even what they have.’ COVID also has set it in motion. Where the effects are beneficial — e.g., the reduction in travel by air — it should be encouraged. Further good news is that the deprivation inflicted by COVID on the deprived has been met — at least in places like Geneva — not by the usual blame, scorn and exclusion, but by imaginative countermeasures of income support and new forms of communication like Zoom.”

      Edouard Dommen — specialist in economic ethics, former university professor and researcher at the UNCTAD and president of Geneva’s Ecumenical Workshop in Theology.

      Embed from Getty Images

      “… first we have to think about youth … ”

      “The social deprivation problems are persistent, and this fact routinizes somehow their existence and hinders the definition of a social resilience threshold. Differentiated priorities emerged in South/Eastern Europe after the successive waves of crisis, but first we have to think about youth since no country can sustain without giving hope to its members through a micro/macro strategy that includes: i) an immediate recovery plan with emergency income support for the vulnerable groups; ii) long-lasting work-related policies and investments on youth employment (work-based training, tax reliefs for innovative enterprises); iii) strategies of sharing the risks with interregional cooperation and job retention schemes; and iv) protection and support of childhood integrity (tackling invisible work and poverty with financial benefits for low-income families and proper child/health-care, along with future-centered support, such as home learning environment and early schooling interventions).”

      Christos Tsironis —associate professor of social theory at the Aristotle University of Thessaloniki

      “… in Ukraine, social inequality will not become a priority soon … ”

      “In Ukraine, social inequality has two primary sources: the legacy of the ‘socialist’ totalitarian past and deformed oligarchic capitalism. At the same time, the initial period of transformation with the exacerbation of the problems of social inequality has dragged on dangerously. From 1991 to 2014, the domination of the interests of oligarchic groups over national interests acted as a brake on reforms. After the Revolution of Dignity, there was a political will to implement unpopular reforms, but they had to be carried out in conditions of the population’s fatigue from reforms, in the realities of Russian aggression. The promotion of reforms by servants of the people is complicated by populism. In Ukraine, social inequality will not become a priority soon. At this stage of transformation, this issue cannot be a priority; the authorities do not have a correct understanding of the hierarchy of priorities, and society’s perceptions of equality/inequality are distorted by collectivism and paternalism.

      Yuriy Temirov —associate professor, dean of the Faculty of History and International Relations at Vasyl Stus Donetsk National University

      *[An earlier version of this article was published by From Virus to Vitamin before the Ukraine War began.]

      The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy. More

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      COVID Failure: A Matter of Principle

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      This is Fair Observer’s new feature offering a review of the way language is used, sometimes for devious purposes, in the news. Click here to read the previous edition.

      We invite readers to join us by submitting their suggestions of words and expressions that deserve exploring, with or without original commentary. To submit a citation from the news and/or provide your own short commentary, send us an email.

      March 10: True Toll

      In this month of March, the world is understandably somewhat reluctant to commemorate the second anniversary of the moment when the nations of the world unanimously declared COVID-19 a pandemic and began their largely concerted actions of lockdown. The story that unfolded afterward included a variety of traumatic episodes, including speculation about a diversity of possible preventive and curative treatments, sporadic outbreaks of revolt against enforced public policies and a scientifically successful campaign to produce effective vaccines. Despite their promise, the effectiveness of those vaccines nevertheless proved to be far from absolute.

      Pfizer’s Noble Struggle Against the Diabolical Jared Kushner

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      A group of over 100 public health, medical and epidemiology experts, after assessing the global results, has chosen this second anniversary to react and call into question the decisions taken by governments presumably capable of doing more. From the very early days, the scientific experts knew that, given the capacity of the coronavirus to mutate over time, any complication or holdup related to manufacturing and global distribution could undermine the entire logic of vaccines. They should have known that the biggest complication would come from a political and economic system that works according to principles that make it impervious to understanding the logic of a virus.

      Embed from Getty Images

      On March 9, the group of experts addressed a letter to the Biden administration to express their frustration with a situation that has evolved very slowly and largely inadequately outside the wealthy nations. This is not the first time concerned experts have urged “the administration to share Covid-19 vaccine technology and increase manufacturing around the world,” Politico reports. For the past two years, they have regularly been rebuffed, as governments preferred to pat themselves on the back for the short-term efforts they were making to protect their own populations, while creating the conditions that would allow the virus to mutate and gain strength elsewhere before returning to provoke new research and the promise of further commercial exploitation with boosters and new treatments.

      Principles vs. Ideals

      The experts should have realized by now that there is a principle at work that overrides every other scientific or medical consideration. It was established early on by the coterie established around Bill Gates, big pharma executives and other important influencers sharing their industrial mindset. It can all be traced back to the wisdom of Milton Friedman, who loved to repeat the slogan, “There’s no such thing as a free lunch.” The principle is self-explanatory: In a competitive world, the idea of sharing simply cannot compete with the idea of competing. If you can’t afford lunch, you’ll just have to go without eating. That works when the only outcome is seeing people starve. It doesn’t work when the effects of their starvation are somehow transmitted back to those who have a permanent place at the banquet.

      US culture has cultivated the idea that life itself is a competitive race for advantage and the promotion of self-interest stands as the highest of virtues. Health like wealth must play by the rules of the competitive game. That same culture insists heavily on a form of discipline based on the idea of respecting “principles,” which it sometimes perversely confounds with “laws of nature.” The divinely ordained requirement to solve all problems through competition is a prominent one, but not the only one. 

      The problem with such principles that are taken to be universal laws is that once you believe it is a law, you no longer need to reflect on its appropriateness or assess its very real effects. We are witnessing an example of it today in the Ukraine conflict. The United States has invoked the defense of the sacred principle of “sovereignty,” reformulated as the right of a nation to determine its own foreign policy, including the choice to join a distant empire. That may be a principle, but is it a law? Insisting on it instead of reflecting and debating the question has provoked a disastrous and increasingly out of control war that, like the COVID-19 pandemic, has already had severe unintended knock-on effects, wreaking havoc on the global economy as well as destruction in Ukraine itself. 

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      Every culture must realize that its own principles may not be universally applicable, that they may not be perceived as others to have the status of laws. Any attempt to apply them as universal truths may cause immense human suffering. And that reveals the very dimension of the problem the health experts are pointing to. A potentially criminal complacency exists when the suffering caused by the inflexible application of the principle is directed toward others, at the same time when the purveyors of the principle take measures to protect their society and their environment. The principle of Ukraine’s sovereignty is already damaging not just Ukraine itself and now Russia, thanks to the application of the principle, but also Europe, the Middle East and Africa, which will be cut off from vital supplies of energy, food and fertilizer.

      For the past two years, the concerted defense of the ideal of competition by the pharmaceutical companies in their supposed combat to defeat COVID-19 has clearly aggravated the effects of a pandemic that might have been contained if the idea of sharing had been elevated to the status of principle. But sharing doesn’t deserve to be regarded as a principle. For Americans, it is based on soft ideas like empathy and compassion rather than hard reasoning about what might be financially profitable.

      Reflecting on two years of struggle, the group of experts noted “that the development of U.S. vaccines was largely successful, bringing protection to the public in record time,” Politico reports. That’s the good news. And now for the bad news: “But getting shots in arms in low- and middle-income countries has been a ‘failure.’”

      Out for the Count

      No precise statistics can account for the difference between the damage actually done by COVID-19 and what might have happened had governments effectively managed the global response in the earlier phases of the pandemic. “The true toll of this failure will never be known,” the experts explain, “but at this point almost surely includes tens of millions of avoidable cases and hundreds of thousands of deaths from Covid.”

      The “true toll” they cite reminds us of John Donne’s meditation on the bells rung for the dying in a time of plague. The poet and dean of St Paul’s affirmed that “any man’s death diminishes me, because I am involved in mankind, and therefore never send to know for whom the bell tolls; it tolls for thee.” Might we hope that 400 years after Donne wrote these words, pharmaceutical companies and politicians could, for once, take them to heart?

      But there is yet another much more concrete  meaning of “toll,” as in “toll road.” It is the price humanity is expected to pay, in dollars and cents, to the pharmaceutical companies that have so diligently used their patents to protect their exclusive rights to exploit and enrich themselves thanks to the global potential for suffering of others.

      Embed from Getty Images

      The final and fundamentally political irony of this sad tale relates to the fact that to do what the experts insist needs doing requires “more funding from Congress.” At a time when prominent members of Congress have become obsessed by the threat of inflation, while at the same time unabashedly inflating military budgets and responding urgently to the “sacred” needs of NATO in times of peril, the likelihood that Congress might suddenly address a global problem it has avoided addressing for two years seems remote.

      One of the experts, Gavin Yamey, suggests that COVID-19 “could follow the path of diseases like HIV or tuberculosis: become well controlled in wealthier countries but continue to wreak havoc in poorer nations.” Geopolitics in this increasingly inegalitarian world appears to be following a trend of domestic demographics in the US, marked by the separating of society itself into two groups: the denizens of gated communities and the rabble, everyone else out there.

      Why Monitoring Language Is Important

      Language allows people to express thoughts, theories, ideas, experiences and opinions. But even while doing so, it also serves to obscure what is essential for understanding the complex nature of reality. When people use language to hide essential meaning, it is not only because they cynically seek to prevaricate or spread misinformation. It is because they strive to tell the part or the angle of the story that correlates with their needs and interests.

      In the age of social media, many of our institutions and pundits proclaim their intent to root out “misinformation.” But often, in so doing, they are literally seeking to miss information.

      Is there a solution? It will never be perfect, but critical thinking begins by being attentive to two things: the full context of any issue we are trying to understand and the operation of language itself. In our schools, we are taught to read and write, but, unless we bring rhetoric back into the standard curriculum, we are never taught how the power of language to both convey and distort the truth functions. There is a largely unconscious but observable historical reason for that negligence. Teaching establishments and cultural authorities fear the power of linguistic critique may be used against their authority.

      Remember, Fair Observer’s Language and the News seeks to sensitize our readers to the importance of digging deeper when assimilating the wisdom of our authorities, pundits and the media that transmit their knowledge and wisdom.

      The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy. More

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      Pfizer’s Noble Struggle Against the Diabolical Jared Kushner

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      These days it’s rare to read in the media a story with a happy ending designed to comfort our belief that, at least occasionally, we live in the best of all possible worlds. Forbes has offered such an occasion to a self-proclaimed benefactor of humanity, Dr. Albert Bourla, the CEO of Pfizer. (Disclaimer: Pfizer is a company to whom I must express my personal gratitude for its generosity in supplying me with three doses of a vaccine that has enabled me to survive intact a prolonged pandemic and benefit from a government-approved pass on my cellphone permitting me to dine in restaurants and attend various public events.)

      The Contradictory Musings of Biden’s Speculator of State

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      The Forbes article, an excerpt from Bourla’s book, “Moonshot,” ends with a moving story about how Pfizer boldly resisted the pressure of the evil Jared Kushner, Donald Trump’s son-in-law, who had no qualms about depriving the rest of the world — even civilized countries such as Canada and Japan — of access to the COVID-19 vaccine to serve the US in their stead.

      “He insisted,” the good doctor explains, “that the U.S. should take its additional 100 doses before we sent doses to anyone else from our Kalamazoo plant. He reminded me that he represented the government, and they could ‘take measures’ to enforce their will.”

      Today’s Weekly Devil’s Dictionary definition:

      Take measures:

      Go well beyond any measured response in an act of intimidation

      Contextual Note

      Bourla begins his narrative at the beginning, before the development of the vaccine, by asserting his company’s virtuous intentions and ethical credentials that would later be challenged by bureaucrats and venal politicians. “Vaccine equity was one of our principles from the start,” he writes. “Vaccine diplomacy, the idea of using vaccines as a bargaining chip, was not and never has been.”

      Embed from Getty Images

      Some readers may note that vaccine equity was only “one” of the principles. There were, of course, other more dominant ones, such as maximizing profit. But Bourla never mentions these other principles, instead offering a step-by-step narrative meant to make the reader believe that his focus was on minimizing profit. That, after all, is what a world afflicted by a raging and deadly pandemic might expect. A closer examination of the process Bourla describes as well as the very real statistics about vaccine distribution reveals that, on the contrary, Pfizer would never even consider minimizing profits. It simply is not in their DNA.

      Bourla proudly describes the phases of his virtuous thinking. The CEO even self-celebrates his out-of-the-ordinary sense of marketing, serving to burnish the image not only of his company but of the entire pharmaceutical industry. “We had a chance,” he boasts, “to gain back our industry’s reputation, which had been under fire for the last two decades. In the U.S., pharmaceuticals ranked near the bottom of all sectors, right next to the government, in terms of reputation.”

      Thanks to his capacity to tone down his company’s instinctive corporate greed, Bourla now feels he has silenced his firm’s if not the entire industry’s critics when he makes this claim, “No one could say that we were using the pandemic as an opportunity to set prices at unusually high levels.” Some might, nevertheless, make the justifiable claim that what they did was set the prices at “usually” high levels. A close look at Bourla’s description of how the pricing decisions were made makes it clear that Pfizer never veered from seeking “high levels,” whether usual or unusual, during a pandemic that required as speedy and universal a response as possible.

      Thanks to a subtle fudge on vocabulary, Bourla turns Pfizer’s vice into a virtue. He writes that when considering the calculation of the price Pfizer might charge per dose, he rejected the standard approach that was based on a savant calculation of the costs to patients theoretically saved by the drug. He explains the “different approach” he recommended. “I told the team to bring me the current cost of other cutting-edge vaccines like for measles, shingles, pneumonia, etc.” But it was the price and not the cost he was comparing. When his team reported prices of “between $150 and $200 per dose,” he agreed “to match the low end of the existing vaccine prices.”

      If Pfizer was reasoning, as most industries do, in terms of cost and not price, he would be calculating all the costs related to producing the doses required by the marketplace — in this case billions — and would have worked out the price on the basis of fixed costs, production and marketing costs plus margin. That would be the reasonable thing to do in the case of a pandemic, where his business can be compared to a public service and for which there is both a captive marketplace (all of humanity shares the need) and in which sales are based entirely on advanced purchase orders. That theoretically reduces marketing costs to zero.

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      But Bourla wrote the book to paint Pfizer as a public benefactor and himself as a modern Gaius Maecenas, the patron saint of patrons. Once his narrative establishes his commitment to the cause of human health and the renunciation of greed, he goes into detail about his encounter with Kushner. After wrangling with the bureaucrats at Operation Warp Speed created to meet the needs of the population during a pandemic, Bourla recounts the moment “when President Trump’s son-in-law and advisor, Jared Kushner, called me to resolve the issue.” That is when Kushner, like any good mafia boss, evokes his intent to “take measures,” a threat the brave Bourla resists in the name of the health of humanity and personal honor.

      That leads to the heartwarming, honor-saving denouement, the happy ending that Bourla calls a miracle. “Thankfully, our manufacturing team continued to work miracles, and I received an improved manufacturing schedule that would allow us to provide the additional doses to the U.S. from April to July without cutting the supply to the other countries.”

      Historical Note

      Investopedia sums up the reasoning of pharmaceuticals when pricing their drugs: “Ultimately, the main objective of pharmaceutical companies when pricing drugs is to generate the most revenue.” In the history of Western pharmacy, that has not always been the case. Until the creation of the pharmaceutical industrial sector in the late 19th century, apothecaries, chemists and druggists worked in their communities to earn a living and like most artisans calculated their costs and their capacity for profit.

      The Industrial Revolution changed all that, permitting large-scale investment in research and development that would have been impossible in an earlier age. But it also introduced the profit motive as the main driver of industrial strategy. What that meant is what we can see today. Pharmaceutical companies have become, as Albert Bourla himself notes, “ranked near the bottom of all sectors.” They exist for one reason: to make and accumulate profit. Industrial strategies often seek to prolong or extend a need for drugs rather than facilitate cures. Advising a biotech company, Goldman Sachs famously asked, “Is curing patients a sustainable business model?” The implied answer was “no.” The greatest fear of the commercial health industry is of a cure that “exhaust[s] the available pool of treatable patients.”

      Embed from Getty Images

      In any case, COVID-19 has served Pfizer handsomely and is continuing to do so. In late 2021, the Peoples Vaccine Alliance reported “that the companies behind two of the most successful COVID-19 vaccines —Pfizer, BioNTech and Moderna— are making combined profits of $65,000 every minute.” Furthermore, they “have sold the majority of doses to rich countries, leaving low-income countries out in the cold. Pfizer and BioNTech have delivered less than one percent of their total vaccine supplies to low-income countries.”

      At the beginning of the COVID-19 “project,” Bourla boasts, “I had made clear that return on investment should not be of any consideration” while patting himself on the back for focusing on the needs of the world. “In my mind, fairness had to come first.” With the results now in, he got his massive return on investment, while the world got two years and counting of a prolonged pandemic that will continue making a profit for Pfizer. At least he had the satisfaction of putting the ignoble Jared Kushner in his place.

      *[In the age of Oscar Wilde and Mark Twain, another American wit, the journalist Ambrose Bierce, produced a series of satirical definitions of commonly used terms, throwing light on their hidden meanings in real discourse. Bierce eventually collected and published them as a book, The Devil’s Dictionary, in 1911. We have shamelessly appropriated his title in the interest of continuing his wholesome pedagogical effort to enlighten generations of readers of the news. Read more of The Fair Observer Devil’s Dictionary.]

      The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy. More

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      Creating Better Working Conditions in America

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      Before the coronavirus pandemic, our capitalist system relied on a generous supply of American workers willing and able to put in full-time hours. But with a declining birth rate, increases in early retirement, millions of women still out of the workforce and the deaths of more than 862,000 people in America — a result of a population ravaged by COVID-19 — the United States needs to get creative to stay operational.

      There are two solutions: attract more immigrants and institutionalize flexible work arrangements, especially for older Americans who aren’t ready or able to leave their jobs.

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      Unfortunately, politicians and employers have shown reluctance to embrace these common-sense solutions. Despite promises to make sweeping changes to US immigration policy, President Joe Biden has been unwilling or unable to roll back most of the extreme anti-immigrant policies of the Trump administration. To be fair, in the cases where Biden and his team have tried to make some changes, they have been ordered by Republican-appointed judges to reimpose these policies, as in the case of the “Remain in Mexico” policy.  

      In the workplace, some employers have refused to institute flexible work policies, leading to employee pushback on calls to return to the office. Additionally, last summer, governors in 26 states — all but Louisiana led by Republicans — ended extra unemployment benefits from the American Rescue Plan two to three months earlier than federally required, with some explicitly stating that the unemployed are “lazy” and wanting to collect government benefits. Governor Mike Parson of Missouri said in May 2021 that continuing these unemployment programs “only worsens the workforce issues we’re currently facing. It’s time that we end these programs that have incentivized people to stay out of the workforce.” 

      Embed from Getty Images

      However, with the US averaging around 700,000 confirmed cases of COVID-19 each day over the last week, the pandemic is far from over. American families are at their breaking point. Rather than relying on outdated racist and classist ideas about immigration and government support for families, politicians and employers wanting to stimulate the economy should focus on creative solutions to what is clearly an unprecedented crisis.  ]

      Immigrant Workers

      One solution is to build on the existing labor force by welcoming more immigrant workers and providing better benefits for their labor. While immigrants continue to be employed at a higher rate than those who are US-born, they make up just over one-sixth of the total US labor force. Immigrants have been on the front lines of the COVID-19 pandemic working as essential workers at all levels. But at the same time, many immigrants, particularly Asian, faced increased racism during the early days of the pandemic. 

      Politicians and the American public alike often invoke the idea that we are a “nation of immigrants.” While some might argue that we never have been, immigrants are an important part of American society and deserve better opportunities and benefits available to them.

      Many immigrants in the US are not eligible for unemployment benefits, which makes them more vulnerable. The Migration Policy Institute estimates that at least 6 million immigrants work in industries hardest hit during the pandemic. Additionally, immigrant families have a higher risk of being food insecure. Thus, while immigrants take care of us, we do not return the favor.  

      Flexible Working

      The early retirements of older workers are more likely tied to concerns about health and safety around COVID-19 and an increasing desire for remote work, yet many are not prepared financially for retirement. It would not be surprising if many returned to the workforce, at least part-time, at some point in the coming years. 

      Industries, corporations, foundations and employers would be wise to recruit retirees, even for part-time positions. The older population has a wealth of experience, knowledge and the aptitude to mentor younger workers and immigrants. For example, in one study of retired surgeons, more than half of participants were interested in serving as mentors to new surgeons and most were willing to do so even without compensation. Similarly, for teachers, mentoring is a valuable experience for both retirees and new teachers.  

      Unique Insights from 2,500+ Contributors in 90+ Countries

      To be sure, attracting immigrant workers by offering competitive salaries and benefits, and meeting workers’ need for flexible work arrangements might require employers to temporarily cut back on profits. However, making these investments in workers would show that employers are forward-thinking and respect their contributions.

      With slowing US population growth, employers will have a smaller pool of potential employees and will therefore need to offer better working conditions to attract workers. Additionally, 2021 saw American workers striking and unionizing with rates not seen in decades, with some attributing this, in part, to pandemic working conditions. In short, employers can create better working conditions by choice or by force.

      Politicians could ease the burden on companies by incentivizing flexible working policies and making it easier for Americans to combine work and family. But — even better — they could ease the burden on workers by providing direct support through paid leave, housing support, universal health care and other programs that would allow for a better quality of life for Americans. These supports would also make part-time work a more realistic option and empower families to make their own decisions about how best to combine work and family at any age.  

      Reimagine Society

      The COVID-19 pandemic has changed us as individuals and as a society. We cannot simply “get back to normal” despite calls from politicians and CEOs to do so. After all, the US alone will likely reach 1 million COVID-19 deaths in the months to come. 

      If politicians and employers want to stay operational, we must take this chance to reimagine our society. This means putting people over profits and creating workplaces that are responsive to the needs of people and their whole selves. 

      The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy. More