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      in UK Politics

      Will the UK go back into lockdown? Everything we know so far

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      The UK government’s hopes of scrapping the final social restrictions imposed on the public to tackle the coronavirus pandemic appear to be fading fast as the Indian variant of the disease continues to drive up infections.As it stands, Boris Johnson’s roadmap ends on 21 June when the last precautionary measures are due to be lifted but the threat posed by the new strain – thought to be more highly transmissible than the first – is raising doubts about the wisdom of pressing ahead.While there is significant pressure for a return to normality as the summer weather finally arrives and after more than 14 months of hardship, frustration and uncertainty, the prime minister has previously promised to be guided by “data, not dates” in his decision-making and, at present, the former is not looking good.The UK recorded 3,383 new infections on Monday, its sixth consecutive day hitting more than 3,000 cases, a rate not seen since early April.The rise has been sufficient to provoke concern among the experts, several of whom have sounded the alarm about the risk involved in pushing on with stage four of the easing process.“I think there’s a significant chance that [the date] could change,” Professor Adam Finn, a member of the Joint Committee on Vaccination and Immunisation, told Sky News.“We’re better off being cautious at this point and being able to progressively unlock ourselves than to overdo it and then end up having to lockdown fully all over again.”His comments followed those of Professor Ravi Gupta, a member of the New and Emerging Respiratory Virus Threats Advisory Group counselling the government, who told BBC Radio 4’s Today programme on Bank Holiday Monday that the UK is now in the grip of an “early” third wave of Covid-19 infections spearheaded by the Indian variant.“There has been exponential growth in the number of the new cases and at least three-quarters of them are the new variant,” the University of Cambridge academic said.“Of course the numbers of cases are relatively low at the moment – all waves start with low numbers of cases that grumble in the background and then become explosive, so the key here is that what we are seeing here is the signs of an early wave.“It will probably take longer than earlier waves to emerge because of the fact that we do have quite high levels of vaccination in the population, so there may be a false sense of security for some time, and that’s our concern.”Prof Gupta pointed out that Mr Johnson’s roadmap was formulated before the existence of the variant was known and backed delaying the final easing by “a few weeks” to allow more people to be vaccinated against it.“If you look at the costs and benefits of getting it wrong, I think it is heavily in favour of delay, so I think that’s the key thing,” he said.“People are not saying we should abandon the 21 June date altogether but just to delay it by a few weeks while we gather more intelligence and we can look at the trajectory in a clearer way.”A number of other leading experts have agreed that the current date for relaxation is inadvisable given the current evidence but, so far, none are advocating new lockdowns – either national or local to hotspots like the hardest-hit north west, Midlands and London.Instead, they are united in calling for stage four to be temporarily delayed and for the public to be patient one final time in order to avoid a fresh setback that could undo much of the good work this year’s successful vaccine rollout has achieved. More

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      in World Politics

      Why the US Will Not Achieve Herd Immunity

      by

      The problem with the COVID-19 pandemic is that we don’t know if we’re coming or going. It’s as if we’re swimming far from shore, overwhelmed by one wave after another, and we’re unsure if we’re heading toward land or away from it.

      China was the early face of COVID-19, but it hasn’t faced many infections since spring 2020. Europe, like the United States, has experienced successive outbreaks. Brazil continues to be hit hard, while Turkey is seeing a reduction of cases from a mid-April surge. Thailand and Cambodia are only now dealing with their first major upticks in the disease.

      Where India Went Wrong

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      But the real surprise has been India. Early on in the pandemic, journalists and scientists were trying to figure out why the coronavirus had made so little mark on the subcontinent and left so few deaths in its wake. Now, after a collective sigh of relief following a modest surge in late summer and fall last year, India is now overwhelmed by over 400,000 cases and more than 4,000 deaths a day, which are both likely to be undercounts.

      There are several reasons for India’s current catastrophe. A more infectious variant started to appear in the population, which the World Health Organization this week labeled a global health risk. The Indian government was not only unprepared for the crisis, but it was dangerously cavalier in its approach to the disease. After last year’s surge, it grew lax on testing and contact tracing. Nor did it put resources into the country’s inadequate medical system or in stockpiling key supplies like oxygen.

      Embed from Getty Images

      Then there are the errors of commission. The government did nothing, for instance, to prevent Kumbh Mela, a Hindu religious event last month that drew millions of pilgrims to a holy location on the Ganges, from turning into the largest super-spreader event on the planet. Prime Minister Narendra Modi even continued to hold mass political rallies as the COVID numbers began to rise.

      When it comes to vaccines, the government has been slow to order doses, distribute them to the population and secure the raw materials to scale up manufacturing. Although India is the world’s largest producer of COVID vaccines, less than 3% of Indians are fully inoculated against the disease.

      Well, that’s India, you might be saying to yourself. They have a Trump-like fanatic for a leader. Their medical system has long been inadequate. It’s an obvious place for COVID to have a final encore.

      In the United States, meanwhile, the number of cases has fallen dramatically since January. Hospitals no longer face overcrowding. More than a third of the population is fully vaccinated. The Biden administration is expecting that the country will return to some semblance of normality this July. But wasn’t it a similar complacency that proved India’s undoing? So, is India the ghost of America’s past or a taste of things to come.

      Our Herd Problem

      In early 2020, the scientific community went into hyperdrive to develop not one but several vaccines against COVID-19. In the US, the government and the medical community worked overtime to set up the infrastructure to get doses into arms around the country. Clinics and volunteers have jumped into action at a community level to make sure, as of this week, that 58% of adults have gotten at least one shot and over 70% of those older than 65 are fully vaccinated.

      But all this effort is now hitting up against resistance. Or hesitancy. Or barriers to access. States are cutting back on their vaccine orders from the federal authorities. Daily vaccination rates have dropped nearly 20% from last week. Employers are basically bribing people to get their shots. Millions of people aren’t even bothering to show up for their second doses.

      Barriers to access is perhaps the easiest problem to address. According to a recent survey, 72% of African-Americans and Latinos want to get vaccinated, but 63% reported that they didn’t have enough information about where to get a shot.

      While lack of information may well be the reason why some Americans have yet to sign up for their vaccinations, a hard-core resistance has developed to vaccines in this country — and COVID vaccines in particular. According to polling in April, around 45% of Republicans report that they’ll never get the vaccine. In all, as much as 37% of Americans are now saying that they’re going to opt-out. That means that tens of millions of doses are now chasing the remaining 5% of Americans who want to be vaccinated and haven’t yet gotten their first shot.

      Embed from Getty Images

      This resistance has nothing to do with a lack of information about how to sign up for a shot. It’s all about misinformation: that the vaccine is unnecessary, that it’s dangerous, that it comes with a microchip that will track you forever.

      Recently, Republican pollster Frank Luntz set up a focus group of vaccination-hesitant, Donald Trump voters to see what it would take to convince them to get shots. It was not an easy crowd. The husband of one of the participants had gotten seriously ill from COVID — and she stilldidn’t want to get vaccinated. In over two hours of discussion, Luntz brought in such vaccine-boosters as a former head of the Centers for Disease Control and Prevention (CDC), Senator Bill Cassidy, and House Minority Leader Kevin McCarthy — and still, the participants barely budged.

      Only after several emotional stories from former New Jersey Governor Chris Christie and a final round of facts from the CDC official did they start to change their minds. “I would say I was probably 80% against when this started today,” one man said. “Now I’m probably 50-50-ish.”

      Luntz considered that a success. But in this age of Twitter, it’s not a workable model to expect skeptics to sit still for more than two hours while Republican Party grandees and noted doctors barrage one small group after another with stories and facts.

      A more representative reaction to such attempts by Republican Party influencers is what happened when Ivanka Trump posted selfies of her own vaccination. Twitter responses included: “‘Love your family but this is a huge NO for me & my family. Will be praying you do not get any of the horrible [side-effects].’ Others replied, ‘Please stop promoting this nonsense,’ ‘HARD PASS,’ and ‘Sorry, don’t trust it.’”

      Even more concerning, some anti-vaxxers are already planning to use fake vaccination cards to get into public events. Hundreds of sellers have appeared on eBay, Facebook and Twitter to hawk such cards. In this way, “live free or die” is quickly becoming “live free and kill.”

      In a nutshell, the US won’t achieve herd immunity because a significant portion of the herd is suffering from mad cow disease. Whatever the reasons for this obstinacy — anti-government, anti-science, anti-liberal — it will ensure that large pockets of this country will continue to play host to a very infectious disease.

      This resistance potentially puts the US in the same category as the Seychelles. An island nation in the Indian Ocean, the Seychelles has the highest rate of vaccination in the world. More than 60% of the population is fully vaccinated. But that still hasn’t been enough to ward off COVID. The Seychelles is now experiencing its largest outbreak, which, on a per capita basis, is even larger than what has overtaken India.

      The same thing might happen again in America, for instance in states with very low vaccination rates, like Mississippi and Idaho. When it comes to COVID-19, the US is only as strong as its weakest links.

      Perennial Pandemic

      When I lived in New York City, I used to wonder why my apartment was so overheated in the winter. It turns out that the heating systems in old buildings had been designed (or redesigned) to accommodate open windows in winter. During the flu pandemic in 1918-19, open windows and greater circulation of air were supposed to guard against infection.

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      Modern societies were once structured to handle periodic outbreaks of infectious diseases, from the steam heating in buildings to the TB sanatoriums that dotted the landscape. Americans braced for outbreaks with greater frequency than the cyclical reappearance of the cicadas. Three major waves of cholera struck the United States between 1832 and 1866. Typhoid killed 25,000 people in New York in 1906-07. The flu in 1918, diphtheria in the 1920s, polio in the first half of the 20th century: Americans became accustomed to infectious diseases as a way of life.

      COVID-19 isn’t going to disappear completely. It will return, again and again, just like variants of the flu or that other coronavirus, the common cold. If we’re lucky, it will come back in a less virulent form or the antibodies in our systems — those of us who received vaccinations — will render it so. If we’re not lucky, COVID-19 will generate ever more infectious strains that overwhelm us on a periodic basis.

      In the best-case scenario, what’s happening in India today is COVID-19’s last gasp. With the worst-case scenario, India is our future. So, don’t delete your Zoom app or give up your home office. Don’t throw away those masks. When it comes to infectious disease, we are all dependent on the herd.

      That’s great if you’re living in South Korea or New Zealand where compliance is second nature. But in America, the home of the free, the brave and the stupid, the herd may prove to be our collective undoing.

      *[This article was originally published by FPIF.]

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

    • 150 Shares179 Views

      in UK Politics

      New laws could lead to politicisation of the NHS, leading MPs warn

      by

      Extra powers for the health secretary under new NHS reform plans could open the door to more politicisation of the NHS, MPs have warned.The Commons health select committee said the planned new powers that would be granted to Matt Hancock under proposed changes legislation lack the necessary safeguards or detail on how the powers would be used.The committee demanded more transparency over the power of the secretary of state to appoint senior NHS managers, the ability of ministers to intervene in local reconfigurations and service closures and the power to change the role of national organisations without primary legislation. The government has said the planned reforms, which will be the first major change to the NHS in more than a decade, will help local NHS services to join up with local councils, social care and other services.It will create new integrated care organisations which will aim to deliver services for people across regions.But the proposed legislation, which was confirmed in the Queen’s Speech this week, include a host of so-called Henry VIII powers that the health secretary will be able to use without needing a vote in the House of Commons. NHS Providers chief executive Chris Hopson, who represents the views of NHS trusts, said: “Trust leaders are pleased to see the committee share their concerns over proposals in the white paper to give extensive new powers to the secretary of state. We wholeheartedly support the committee’s recommendation that further safeguards are put in place to protect the NHS’s operational independence and to ensure the power to intervene in local health services does not lead to the politicisation of the NHS.“It is inappropriate for party politicians to be able to solely determine how NHS funds are allocated across each region and constituency and which NHS managers should be hired and fired. They should not also be able to stop much needed changes to improve the quality and safety of local health services without good reason.”The committee also criticised the current lack of ambition on solving the workforce crisis in the NHS caused by widespread vacancies for nurses, doctors and other staff.The new health bill requires the government to publish updates on workforce planning once every five years.The MPs said this was not an “adequate response” and ministers should include a requirement to publish annual reports on workforce shortages and future staffing requirements that cover the next five, 10 and 20 years, together with an assessment of whether enough staff are being trained.The cross-party group of MPs also warned the government it would be “extremely disappointed” if Boris Johnson fails to deliver on his promise to produce a long-term plan for social care by the end of the year.It said the lack of a plan could undermine the ambitions for the NHS and the new Health and Care Bill should include a duty to publish a 10-year plan for social care within six months of the bill become law.Mr Johnson, originally promised to “fix” the system when he entered No 10 in July 2019, but the government has only promised to bring forward proposals “later in the year”.In its report, the committee said: “The absence of a fully funded plan for social care has the potential to destabilise integrated care systems and undermine their success.”Without secure, long-term funding, the problems that have bedevilled the care sector over the last two decades will not be solved.”The committee chairman, former health secretary Jeremy Hunt, said: “If such issues are addressed, the government has an opportunity to deliver a post-pandemic watershed 1948 moment for the health and care system, matching the significance of the year the NHS was founded.”But if they are not, it will be a wasted opportunity to deliver the truly integrated care required by an aging population.” More

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      in World Politics

      After Long Wavering, a Waiver

      by

      During last year’s presidential election campaign, candidate Joe Biden promised “absolutely” and “positively” to support the waiver of US patents to permit the unencumbered manufacture of COVID-19 vaccines in the rest of the world. Once Biden was elected, the words “absolutely” and “positively” apparently lost some of their absoluteness and positivity, becoming synonyms of “possibly” and “hopefully.” The hesitation ended on Wednesday when the US committed to back the idea of a temporary patent waiver.

      The New York Times legitimately called Biden’s unexpected agreement with a principle promoted by more than 100 countries “a breakthrough,” after noting that until Wednesday the US had been “a major holdout at the World Trade Organization over a proposal to suspend intellectual property protections in an effort to ramp up vaccine production.” Biden’s representative to the WTO, Katherine Tai, nevertheless emphasized that this dramatic reversal should be thought of as exceptional: “This is a global health crisis, and the extraordinary circumstances of the Covid-19 pandemic call for extraordinary measures. The administration believes strongly in intellectual property protections, but in service of ending this pandemic, supports the waiver of those protections for Covid-19 vaccines.”

      For a Few Billion Dollars More

      READ MORE

      Digging a little deeper into the perspective for change, Michael Safi at The Guardian offered the Biden administration “two cheers” rather than the three The Times appears to believe it deserves. This follows from Tai’s realistic assessment of how things are likely to play out: “Those negotiations will take time given the consensus-based nature of the institution and the complexity of the issues involved.”

      Today’s Daily Devil’s Dictionary definition:

      Consensus-based:

      Designed to protect vested interests, even in the face of a majority and the logic of history and health itself

      Contextual Note

      Times reporters Thomas Kaplan and Sheryl Gay Stolberg remain faithful to the patented meliorist approach the paper applies to nearly all policies conducted by a Democratic president. They emphasize the constructive process now underway at the WTO in a piece that echoes The Beatles song, “Getting Better All the Time.” The Biden administration seems to be telling the world: I’m changing my scene and doing the best that I can.

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      In contrast, the coverage by The Washington Post (owned by Amazon’s founder, Jeff Bezos) spends most of its ink suggesting the proposed waiver probably is fundamentally a flawed idea, leaving the impression that not much if anything will come of it. According to its pessimistic take, “Tai cautioned that the discussions to proceed with negotiations over the waiver’s text would ‘take time.’ Current and former officials said that a final agreement could differ significantly from the proposed waiver, which India and South Africa first introduced in October, and that deliberations could fall apart entirely.”

      CNN more prudently highlights the fact that the US proposal “is preliminary and will not guarantee the global patent rules are lifted right away. But the Biden administration’s signal of support amounts to a major step that aid groups and Democrats had been pressing for.” It nevertheless appears to offer Biden his third cheer when it explains that the president “ultimately decided to support the waiver in line with his campaign pledge.” It quotes US Surgeon General Vivek Murthy’s claim that Biden “put people over patents.” 

      But CNN points clearly to the true obstacle: “Members of the WTO must unanimously decide whether to loosen the restrictions. And while the US had been a hold out, other countries — including the European Union and Switzerland — have also resisted the step.” In other words, Biden may have killed two birds with one stone. By letting Europeans do the dirty work, he could save his standing with Big Pharma — surely the main reason for his hesitation — while appearing to stay true to the progressive principle of putting people over patents. Interestingly, France’s President Emmanuel Macron may be playing the same game.

      Historical Note

      The Guardian reminds its readers that the proposal is limited to “waiving patents on Covid vaccines — but not on treatments or other technology used to fight the disease.” Whereas the US media presented the question as one of moral duty versus economic interest, both The Guardian and Al Jazeera point to the practical question implied by the waiver: “If approved, the waiver would theoretically allow drugmakers around the world to produce coronavirus jabs without the risk of being sued for breaking IP rules.” For the developing world, feeling free from an imminent attack by corporate lawyers is indeed a kind of liberation.

      In other words, the proposed waiver would leave the world a long way from the optimistic scenario originally evoked by health experts and scientists in early 2020 that Alexander Zaitchik described in his exposé of Bill Gates’ influence on the WTO: “Battle-scarred veterans of the medicines-access and open-science movements hoped the immensity of the pandemic would override a global drug system based on proprietary science and market monopolies.” The idea at the time was to mobilize everyone and maximize resources. This implied patent pooling.

      The health professionals facing the outbreak of COVID-19 understood both the scope of its threat and the dangers of an insufficiently coordinated organization to counter it. They also knew what the consequences of patent protection might turn out to be. The adoption of the agreement Trade-Related Aspects of Intellectual Property Rights (TRIPS) in 1995 and TRIPS-plus in 1999 marked a landmark moment in the trend economists and politicians have celebrated with the term “globalization.” The specific rules applying to pharmaceuticals have been in place since 2005. In 2015, the website Infojustice highlighted the fact that the TRIPS agreement had established a regime in which “patents grant the patent holder a monopoly on the market that allows the blocking of price-lowering generic competition and the raising of prices which restricts affordable access to medicines.”

      The history of the past two decades has demonstrated to the global south the risk existing patent laws represent for their health and welfare. In 2015, the United Nations Office of the High Commissioner for Human Rights drew “attention to the potential detrimental impact these treaties and agreements … may have on the enjoyment of human rights as enshrined in legally binding instruments, whether civil, cultural, economic, political or social. Our concerns relate to the rights to life, food, water and sanitation, health, housing, education, science and culture, improved labour standards, an independent judiciary, a clean environment and the right not to be subjected to forced resettlement.” 

      Embed from Getty Images

      COVID-19 changed everyone’s perception. So long as the world was not faced by a politically toxic pandemic, the developed world was free to use its superior wealth and force to impose its rules on the rest of humanity. Any serious campaign to understand the fundamental asymmetry that was continually and silently aggravating the gap between the rich and poor nations was easily stifled. Thomas Piketty could write erudite books about the gap and what was driving it. But most people in the West had bought into the belief system promoted by New York Times columnist and best-selling author Thomas Friedman, conveying the message that thanks to globalization and American technology, the world was now flat.

      In an ideal scenario, the Biden administration will now begin to put pressure on Europe and Switzerland to emulate America’s courage in backing the proposed waiver. It will also pressure US vaccine providers to share their technology and know-how with the rest of humanity by convincing them to show not just their leadership but also their commitment to human health above profit. With or without patent protection, there is no danger of their becoming unprofitable, not with the power they have and an ever-expanding marketplace for health. But what we are witnessing, as they resist even temporary waivers, is the rentier’s obsession with automatically induced maximum profit making the question of health benefits a secondary consideration.

      In the months to come, the world will be attentively observing the political and economic games now being played out. At some point, COVID-19 will begin to fade away. The world will then face the fear of the next contagion and perhaps begin seriously to struggle with a strategy to counter the effects of climate change. Awareness of the stakes is already much higher than in the past. It is time for the political class to begin assessing the risk that represents for their own future.

      *[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 Daily Devil’s Dictionary on Fair Observer.]

      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

      Where India Went Wrong

      by

      In just over a month, India has gone from boasting about its vaccine diplomacy to becoming the global epicenter of the COVID-19 pandemic. As this author explained in a previous article, many have questioned whether India’s vaccine diplomacy was a bold masterstroke or an unwise distraction.

      Before the start of the second wave of COVID-19 infections in March, the pandemic seemed to be under control in India. In September 2020, the country recorded an average of 95,000 daily cases of COVID-19 during the peak of the first wave. By January 2021, that figure had dropped to under 20,000.

      At the same time, the United States went from around 35,000 confirmed cases per day in September to a peak of over 300,000 in January. At the start of the year, the United Kingdom was in the midst of a deadly second wave of infections, which reached over 60,000 cases a day. At that time, Britain was battling a more contagious strain of COVID-19 known as the “Kent variant,” which is named after the region where it was first discovered in England. Countries in Europe and around the world raced to halt flights to and from the UK in a bid to control the spread of the new strain, which they feared would soon go beyond the British isles.

      India’s Health-Care System Is in Shambles

      READ MORE

      To put these figures in perspective, the UK population is 66.6 million, the US is 328 million and India is around 1.36 billion. That means at the start of 2021, the infection ratio per 100,000 people in India was far lower than in the UK and the US.

      Lax Safety Measures

      As a result, Indians thought the country was beyond the worst of the pandemic. In March, Harsh Vardhan, the Indian health minister, said the country had entered the “endgame” of the health crisis. This led to a false sense of hope, which made the public and the central and state governments complacent. Restrictions that were brought in to curb the spread of the coronavirus were quickly eased. Life had almost returned to normal in January with the opening up of nightclubs, restaurants, hotels, tourist locations and public transport.

      At the same time, elections were announced in five states, including West Bengal, which the ruling Bharatiya Janata Party (BJP) had set its sights on winning. All political parties and their supporters held rallies with tens of thousands of people in attendance. The Hindu festival of Kumbh Mela attracted millions of people who took a dip in the Ganges, a river considered sacred in Hinduism. Nearly 60,000 spectators were also allowed to enter stadiums to watch cricket matches. All of these events took place with lax safety measures in place, with no social distancing or wearing of masks.

      Embed from Getty Images

      In hindsight, India did not anticipate a second wave of COVID-19. It lifted the lid on public restrictions at a time when countries such as the UK were battling a winter wave of infections. As mainland Europe realized, it was inevitable that the more contagious strain of COVID-19 discovered in the UK would spread. India failed to realize this despite repeated warnings.

      Now, India is battling its own second wave. The country has repeatedly broken the record for the daily number of confirmed cases of COVID-19. On May 2, India recorded more than 400,000 new daily infections. The actual number of cases is believed to be far higher due to a shortage of testing kits and people getting tested. Many Indians are not getting checked because they have no symptoms but are contagious or they are worried about testing positive for the virus. States like Bihar, West Bengal and Maharashtra have been accused of manipulating and underreporting the number of positive cases and deaths from COVID-19 to avoid criticism over inefficient governance. Worryingly, epidemiologists believe that India has not yet hit the peak of the second wave and that the worst is yet to come.

      No Improvement to Health Care

      It has been argued by many that the pandemic will not come to an end until it is under control everywhere. This is because “viruses naturally mutate over time.” There are currently thousands of mutations of the coronavirus around the world, but only a few of them are variants of concern for scientists. As more people contract the virus and spread it to others, it is inevitable that different strains will emerge. This is why despite the successful vaccination rollout in countries like Israel, the UK and the US, authorities have been cautious as they reopen economies and reduce restrictions for the public. The fear is that some variants, such as the one discovered in South Africa, will evade the existing vaccines and render them less effective.

      India has discovered a worrying COVID-19 variant of its own that is officially called B.1.617. This new strain — which is also known as the “double mutant” due to two mutations coming together in the same variant — accounts for 61% of infections in Maharashtra, a major epicenter for infections. It is unclear whether the Indian variant is driving the second wave, but it is believed to be more transmissible than previous strains of the virus. This is in addition to fear over the UK strain, which has spread to more than 50 countries.

      Complacency by the central and state governments has made the health care system crumble as Indians desperately seek medical assistance. When the pandemic first hit India in March 2020, authorities failed to strengthen the infrastructure at hospitals. As of 2018, the Indian government spent only 3.54% of GDP on health care. Other emerging economies such as Brazil and South Africa spent 9.51% and 8.25%, respectively. In India, there is only one doctor per 1,445 people, which is far lower than the figure the World Health Organization recommends. At public hospitals, there were only 0.7 beds available per 1,000 people.

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      In July 2020, state governments opted to build temporary centers for COVID-19 patients instead of buying additional beds for existing hospitals and allocating more resources. These centers were barely used. Due to their high maintenance costs, they were dismantled a couple of months before the second wave hit. Now, as hospitals face a short supply of beds and a high demand for them, some state governments are considering whether to rebuild the makeshift centers.

      In March 2020, Modi allocated 150 billion rupees ($2.03 billion) to strengthen the infrastructure of health care in India. The government purchased personal protective equipment (PPE) and an additional 60,000 ventilators. Yet as of last fall, just under 24,000 of the ventilators had been installed in hospitals across the country. Both public and private hospitals are currently short of beds, ventilators and oxygen in many major cities.

      As COVID-19 infections sweep the country, social media networks have been flooded with posts calling for help. Friends and families of those suffering from the virus have desperately sought to find available beds in hospitals, oxygen supplies or medication to combat COVID-19. Disturbing reports of people dying after being unable to access treatment have been heard all over the country. Ambulances and other vehicles with COVID-19 victims inside them have lined up outside hospitals that no longer have space available. Many hospitals have reported that patients they were treating died as the oxygen supply ran out. Outside crematoriums, the number of dead bodies is mounting.

      The Government’s “Vaccine Diplomacy”

      With the situation worsening, the BJP-led government has been criticized by Indian courts for focusing on state election campaigns instead of taking preemptive action to combat the second wave. Aside from easing restrictions too quickly and not reinforcing the health care system in time, many states face shortages of COVID-19 vaccines. In January, Prime Minister Narendra Modi claimed to have rolled out the “world’s largest vaccination drive,” aiming to get jabs in the arms of 300 million people by July. At the time of writing, only 2% of the Indian population — 29 million — has been fully vaccinated with two doses. This is compared to 23% in the UK and 30% in the US, both of which focused on vaccinating their most vulnerable citizens first to drive down new infections and deaths.

      India had other things in mind. It sought to distribute doses worldwide as part of its vaccine diplomacy. With the world’s largest manufacturer of vaccines, India has so far exported 66 million doses to 95 countries. Yet, earlier this year, the Modi government implemented an initiative to donate free batches in an attempt to boost the country’s soft power when the pandemic was seemingly under control. Many observers questioned whether the move was necessary instead of focusing on vaccinating Indians themselves. Toward the end of March, as infections increased and vaccines decreased, the Modi government realized that its decision to export millions of doses was premature. It decided to halt the export of doses and instead vaccinate Indians over the age of 45. Yet the damage had already been done due to poor planning by the BJP-led government.

      Embed from Getty Images

      Meanwhile, state administrations in Maharashtra, Delhi and Andhra Pradesh that are not ruled by the BJP have claimed they are running short of vaccines. Critics have accused Modi of playing politics with vaccine distribution as states with BJP governments, such as Gujarat, were given almost the same number of vaccine doses as Maharashtra, which has a population double that of Gujarat. The health minister has denied that regions were short of supplies and instead blamed state governments for the poor rollout of vaccines.

      In order to counter criticism over its inefficient planning, the central government announced on April 19 that all citizens above 18 would be able to get vaccinated from May 1; it had previously focused on health and frontline workers and those over 45. By opening the door for all adults, an additional 600 million citizens are now eligible. Yet with vaccines in short supply, some states have postponed the rollout. The website through which citizens can book a jab crashed minutes after it went live for the new age group.

      The government has approved additional funds for vaccine manufacturers to ramp up production. However, the increased production is unlikely to be available for a few months as vaccines go through a lengthy process of packaging and safety checks. To make up for this shortage, the government has fast-tracked the approval process for foreign-produced vaccines. These include Johnson and Johnson from Belgium and Sputnik V from Russia, which cost more than domestically-produced ones.

      Public Image

      In an attempt to maintain his public image, Modi addressed the nation on April 20. Indians needed assurances and demanded answers, but the prime minister offered none. He neither informed the public about plans to tackle the crisis, nor did he give any reasons about why the country is facing a horrific second wave. This is despite him previously boasting that India’s handling of the pandemic had been exemplary and should a model for the world. It seems the central government is content with placing the blame on state administrations and the public instead of admitting that it made mistakes.

      Earlier this week, the BJP failed to win in the state of West Bengal despite heavy election campaigning. It seems that Indians are beginning to realize that Modi’s preoccupation with his public image, and his need to win votes, is costing the country dearly. In fact, the obsession with elections on the part of Indian politicians has contributed to the second wave of COVID-19 infections. India can only hope that Modi and other politicians shift their focus from politics to health care before it is too late.

      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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      Arizona passes sweeping anti-abortion bill banning procedure for genetic issues

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      Arizona’s governor has signed a sweeping anti-abortion bill that bans the procedure if the woman is seeking it solely because a fetus has a genetic abnormality such as Down’s syndrome.Doctors who perform an abortion solely because the child has a survivable genetic issue can face felony charges. The proposal also contains a raft of other provisions sought by abortion opponents.The measure passed the Republican-controlled legislature on party-line votes over unanimous opposition from minority Democrats. Doug Ducey, a Republican, is an abortion opponent who has never vetoed a piece of anti-abortion legislation.The abortion bill as originally written made it a felony for a doctor to perform the procedure because the fetus has a genetic abnormality such as Down’s syndrome, and contained a slew of other provisions, including one that confers all civil rights to unborn children. Democrats call that “personhood” provision a backdoor way to allow criminal charges against a woman who has an abortion.In addition to the ban on abortions for genetic abnormalities and the “personhood” provision, the bill bans mail delivery of abortion-inducing medication, allows the father or maternal grandparents of a fetus aborted because of a genetic issue to sue, and bans the spending of any state money toward organizations that provide abortion care.The measure also requires fetal remains to be buried or cremated, and it forbids state universities from providing abortion care.The measure was a top priority for the social conservative group Center for Arizona Policy. Its president, Cathi Herrod, routinely backs anti-abortion bills in the legislature. National anti-abortion groups hailed its passage.Minutes after the governor acted, Herrod sent out a news release with the subject line “Life Wins!”Pro-choice groups had rallied at the Capitol on Monday, urging Ducey to veto the measure and presenting him with petitions signed by opponents of the bill.Democrats lamented the governor’s action, including representative Diego Espinoza of Tolleson.“Governor Ducey’s decision to sign SB1457 is not pro-life. It is anti-families, anti-woman, and anti-doctor,” Espinoza tweeted. “I’m disappointed to see Arizona moving in this direction, ignoring the needs and desires of doctors, women, and families for an extreme political agenda.”Republican-controlled legislatures in Arizona and several other states – emboldened by the possibility that a more conservative US supreme court could overturn Roe v Wade, the 1973 decision that found women have a constitutional right to seek an abortion – have embraced proposals this year that could completely ban abortion. An Arizona proposal doing that, however, has not advanced. More

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      Harry and Meghan to join Joe Biden at Vax Live concert to increase global vaccination

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      The Duke and Duchess of Sussex will join the US president, Joe Biden, at a concert in Los Angeles aimed at increasing the global vaccination effort.Harry and Meghan are “campaign chairs” of the A-list event, Vax Live. Hosted by Selena Gomez, and organised by Global Citizen, the event, on Saturday 8 May, will feature musical performances by names from the worlds of film and politics, and music performances from stars including Jennifer Lopez, Pearl Jam’s Eddie Vedder, Foo Fighters, J Balvin and HER.The broadcast special aims to encourage donations to Covax, which is working to provide vaccines for low and middle-income countries.In a statement, the Sussexes said: “Over the past year, our world has experienced pain, loss and struggle – together. Now we need to recover and heal – together. We can’t leave anybody behind. We will all benefit, we will all be safer, when everyone, everywhere has equal access to the vaccine.“We must pursue equitable vaccine distribution and, in that, restore faith in our common humanity. The mission couldn’t be more critical or important.”Special guests, including Ben Affleck, Chrissy Teigen, David Letterman, Gayle King, Jimmy Kimmel and Sean Penn, will speak from around the world.Biden, along with the US first lady, Jill Biden, and the vice-president, Kamala Harris, will make special appearances through Global Citizen’s partnership with the White House’s We Can Do This initiative, which encourages measures, including mask wearing.Appearances by the French president, Emmanuel Macron, the Canadian prime minister, Justin Trudeau, and the Croatian prime minister, Andrej Plenković, are also planned, organisers say.A trailer for Vax Live promised it would feature “big names and an even bigger message”. It will be recorded at SoFi stadium in Los Angeles, and air on 8 May across networks including ABC, CBS, and iHeartMedia radio stations.The announcement comes as there are calls for the US to hand over 60m doses of AstraZeneca vaccine to India as part of the global drive to fight the virus. The US announced on Monday that 60m doses would be available to send abroad once the vaccine was approved by the Food and Drug Administration (FDA).Global Citizen calls itself a movement of “engaged citizens who are using their collective voice to end extreme poverty by 2030”. The concert has been described as a call to world leaders to ensure vaccines are accessible for all. More

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      Bill Gates and the Zero-Sum Vaccination Game

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      The debate is raging once again about the true origin of COVID-19. Was it zoonotic, originating in a bat cave and then infecting exotic meat in Wuhan’s wet market as the majority of scientists claimed throughout 2020? At the approach of the November election, US President Donald Trump preferred to believe the pandemic was a plot to destroy his presidency conducted by a man he previously called an intimate “friend,” China’s President Xi Jinping. The virus was already spreading when Trump explained to World Economic Forum in Davos the nature of his relationship with Xi: “He’s for China, I’m for the US, but other than that, we love each other.”

      Four months later, Trump began contradicting scientists and blaming Xi’s China by claiming “that the virus originated in a laboratory and was accidentally released.” In September, he preferred to suggest to his voters that COVID-19 was the result of an Asian conspiracy designed to undermine his presidency. This sparked a wave of anti-Asian attacks in the US that have continued to this day.

      Prominent scientists today recognize that Trump’s initial assessment may have been right. Their colleagues who dismissed the idea of an accidental release of the virus from a Wuhan laboratory were either misled or disingenuously defensive of an equally unproven thesis. The scientists may have been impelled to reject the suspicion of a laboratory accident not only out of a lack of direct evidence, but also out of fear of the political blame game the president was beginning to exploit to distract attention from his own failure to respond appropriately to the crisis.

      Trump obviously preferred to see the war against a virus as a PR opportunity to bolster his image as a fearless leader. Allowing politicians to place blame on China, even for an accident, might have become as dangerous for the world as the virus itself, adding to the reigning misery rather than resolving the mystery of the origin of the disease.

      Wealth Inequality Breeds Health Inequality

      READ MORE

      Science itself and its public image have taken a hit from this ongoing catastrophe. The honored, if not revered Dr. Anthony Fauci admitted to prioritizing the distribution of masks among the medical community above the general public at a time when little was still known about how contagious COVID-19 was and how it spread. Political leaders across the globe, including Trump, all found themselves in a thankless position as they were required to demonstrate their leadership with insufficient knowledge of the nature of the challenge and a penury of material means to confront it.

      Many deserve to share the blame for a situation that, despite progress with vaccines, is still in many ways worsening. But, as Alexander Zaitchik exposes in an important article in The New Republic, the person perhaps most to blame for our global failure to respond effectively is neither a scientist nor a politician. His name is Bill Gates.

      Most rational people would reason that a global crisis requires a global response. Most realists recognize that in a civilization dominated by sovereign nation-states, summoning a unified response to any global crisis will never be easy. Humanity’s quasi-universal awareness of the problem of global warming over the decades demonstrates the difficulty of mobilizing humankind to implement even a minimalist response.

      In his article, “How Bill Gates Impeded Global Access to Covid Vaccines,” Zaitchik narrates a depressing story that began in February 2020, when the nature of the COVID-19 threat had become clear. In conformity with its mission, the World Health Organization (WHO) coordinated a “research and innovation forum to mobilize international action” aimed at combating the spreading epidemic. It sought to “maintain broad and open channels of communication, since collaboration and information-sharing minimize duplication and accelerate discovery.”

      Collaboration and sharing of science would be critical to any effective response. With most research publicly funded — a point Mariana Mazzucato made this week — it specifically recommended patent pooling. Zaitchik notes that optimism was still possible: “Battle-scarred veterans of the medicines-access and open-science movements hoped the immensity of the pandemic would override a global drug system based on proprietary science and market monopolies.”

      Today’s Daily Devil’s Dictionary definition:

      Proprietary science:

      An oxymoron to the extent that “science” simply means human knowledge and cannot be owned or commodified.

      Contextual Note

      The WHO was thus prepared to play the role assigned to its mission as stated in its constitution: “The health of all peoples is fundamental to the attainment of peace and security and is dependent upon the fullest co-operation of individuals and States.” Aware of the challenge lying ahead of them, the team began to prepare its campaign. Alas, it hadn’t counted on the intervention of the globe’s self-appointed Mr. World Health, Bill Gates, whose title derives from his contributing billions of dollars to the causes he believes in (the Bill and Melinda Gates Foundation has invested $1.75 billion in the development and distribution of the COVID-19 vaccine). Among them is the most sacred of all causes: intellectual property. 

      Embed from Getty Images

      Zaitchik describes in detail how Gates — a man with no skills in science, security or politics — has positioned himself to dictate to the world how contemporary science will affect every human being’s security. The key, following the logic of all capitalistic projects, is the management of scarcity. Without scarcity, industry cannot survive and prosper. Little does it matter that because of scarcity many humans simply will not survive.

      Before Gates’s intervention, the group sought “to create a voluntary intellectual property pool inside the WHO.” In so doing, they demonstrated their naivety: “That pharmaceutical companies and their allied governments would allow intellectual property concerns to slow things down — from research and development to manufacturing scale-up — does not seem to have occurred to them.” But that is exactly what happened, thanks to Gates’s overpowering voice (measured by billions of dollars rather than decibels) and his “reputation as a wise, beneficent, and prophetic leader.” When the dust cleared, what emerged was “a zero-sum vaccination battle that has left much of the world on the losing side.”

      Zaitchik documents the ensuing catastrophe due largely to “Gates’s dedication to monopoly medicine” and his “unwavering commitment to drug companies’ right to exclusive control over medical science and the markets for its products.” No one other than powerful governments can hope to compete with Gates’s cash reserves. But Gates’s own government, in Washington, DC, — whether under a Democrat or a Republican president — would never compete as a matter of principle. Competition is a private game. No other government in the world has the power to compete. The US government, like Gates himself, appears addicted to “politically constructed and politically imposed monopolies.”

      Historical Note

      The egregious oxymoron “proprietary science” would have seemed strange to the ears of anyone living before the industrial revolution. Were he alive today and imbued with modern economic culture, the 15th-century German printer, Johannes Gutenberg, would be claiming a percentage of every book, journal or magazine produced thanks to his invention of the printing press. Instead, Adolph II of Nassau, Archbishop of Maintz rewarded Gutenburg — the Bill Gates or Elon Musk of his day — for his innovation “with the title of ‘Gentleman of the Court’.” He also received “a court outfit, a stipend and two tonnes of grain and wine, tax-free.” The wine can be explained by the fact that Gutenberg’s inspiration for the printing press came from observing a wine press.

      Gates deserves to be similarly honored for his invention of MS-DOS. Rather than the billions extracted from the Earth’s entire population thanks to his skill at monopoly creation and predatory business practices, he should have received from the governor of the state of Washington an appropriate title (“Gentleman of the coding room”), a flashy suit of clothes with a matching raincoat (for Seattle weather), a generous stipend (a million of two per year would be appropriate) and maybe an unlimited supply of canned foods, since he is a believer in and expert practitioner of canned economic and scientific wisdom.

      As many of the rest of us queue up for one of the competing vaccines that promise to bail us all out — despite their disparities in performance adding to the confusion created by the incompetence of competitive governments — we should reflect on what all this tells us about an economic system whose vaunted efficiency Gates believes in and practices while using his money and clout to impose it on an unwilling world.

      *[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 Daily Devil’s Dictionary on Fair Observer.]

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