More stories

  • in

    Trans boy takes NHS to court over delays to gender identity treatment

    The 14-year-old, who was referred to the UK’s only youth gender identity clinic in October 2019, has been told he may have to wait at least another year to be seen.He said he was experiencing “fear and terror” while he waits for treatment. Young people are currently facing “extensive waits” to see a therapist, with the average delay being 18 months or more, according to the Good Law Project, which is representing the boy.The not-for-profit organisation said the health service was legally required to ensure patients referred to gender identity development services (GIDS) are seen within 18 weeks.NHS England said there had been a 500 per cent increase in the number of young people referred to GIDS since 2013, and that a review was under way.The service, which is run by the Tavistock and Portman NHS Foundation Trust, provides support to people under the age of 18 who experience difficulties related to their gender identity.The trust’s adult service, the gender identity clinic, said it was currently offering appointments for people who were referred in September 2017, resulting in an average waiting time of between 33 and 36 months.Gender clinics for adults across the country have reported similar delays, with the Devon Partnership NHS Trust reporting “lengthy waiting times” while the Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust said patients were facing delays “in excess of 32 months” for an initial appointment and 62 months from referral to treatment.Trusts have blamed a surge in demand as well as reduced capacity, including staffing problems.The teenager involved in the case said in a statement: “The length of the NHS waiting list means the treatments which are essential for my well being are not available to me.“By the time I get to the top of the list it will be too late, and in the meantime I suffer the fear and terror that gender dysphoria causes, every day.”Gender dysphoria is when a person feels a sense of unease because of a mismatch between their biological sex and their gender identity.The NHS announced in September that an independent review into GIDS would be carried out.An NHS England spokesperson said it would include ”how and when“ young people are referred to specialist services.Jolyon Maugham QC, director of the Good Law Project said: ”Whatever your views about the right treatment regime for young people with gender dysphoria, it can’t be right that they face lengthy waiting lists – on some reports up to four years – for a first appointment.“Children are losing the opportunity to be seen within a window in which they can secure effective treatment and so are, in practice, being denied access to that treatment.”An NHS England spokesman said: “There has been more than a 500 per cent rise in the number of children and young people being referred to the Tavistock’s gender identity service since 2013, as more people come forward for support and treatment.“The NHS has already asked Dr Hilary Cass to carry out an independent review, including how and when children and young people are referred to specialist services, so legal action against the NHS will only cost taxpayers’ money and not help the actions already under way.”Additional reporting by agencies. More

  • in

    Trump administration in 'staggering' isolation at UN on health issues

    The outgoing Trump administration’s final days at the United Nations have resulted in a deepening of US isolation on social and health issues, with only a handful of allies including Russia, Belarus and Syria.
    In one vote this week, the US was entirely alone in backing its own amendment to a seemingly uncontroversial resolution about efforts to treat medical complications from childbirth. It called for the removal of references to the World Health Organization (WHO) and the UN Population Fund.
    No other nation agreed, with 153 voting against the amendment and 11 abstaining.
    A UN diplomat said the spectacle of a western ally and a superpower so totally isolated was “staggering”.
    “It’s amazing that they decided they want to put their isolation on record, on full display, like that,” the diplomat said.
    Debates at the UN general assembly this week have been on social and humanitarian affairs and human rights issues, on which the US mission stepped up its largely unsuccessful campaign to remove mention of reproductive health from UN documents. The Trump administration sees the phrase as synonymous with abortion.
    The US backed eight amendments to resolutions on issues such as violence against women and girls, trafficking of women and girls, female genital mutilation, and early, child and forced marriages.
    Apart from the move to delete a reference to the WHO, which Donald Trump has blamed for the coronavirus pandemic, the proposed amendment involved removing references to providing reproductive health services to female victims of violence and oppression.
    Each time the amendments were decisively voted down in the general assembly, with the US drawing only a very small group of between four and 14 supporters. Its only consistent allies were Russia, Belarus, Syria, Qatar and the Pacific island states of Nauru and Palau.
    In one resolution about providing healthcare to women and girls during the pandemic, the US wanted to change the phrase “designating protection and healthcare services as essential services for all women and girls, especially those who are most vulnerable to violence and stigma”. The US mission demanded the deletion of the words “services as essential services”.
    “We’ve seen the US approach harden on these issues over the past four years, but I think this year was uniquely challenging as they clearly decided they were going to put their foot down on sexual reproductive health services language, across every single kind of relevant human rights resolution,” a UN diplomat said.
    After failing to change the wording of resolutions in negotiations before a vote was taken, the US took the added step of tabling amendments from the floor of the assembly, even though they were doomed to fail.
    “It is kind of an aggressive move normally used by Russia, but this year US decided to do it too,” the diplomat said.
    The US permanent representative, Kelly Craft, said the US objected to wording in the UN resolutions designed to “promote the global abortion industry”.
    “The US could not be clearer,” Craft said in a tweet. “There is no international right to abortion. Abortion is not healthcare. Abortion is not safe in any circumstance.”
    Explaining a vote on a French-Dutch resolution on sexual violence that mentioned reproductive health, the US delegate Jennifer Barber said: “It is particularly hypocritical that a resolution on violence against women promotes access to something that results in the loss of millions of baby girls every year.”
    Craft and Barber are from Kentucky and were backed for their position by the powerful Senate majority leader, Mitch McConnell, despite having minimal or no international experience. Barber is a specialist in Kentucky tax law. More

  • in

    Trump bids to take credit for Moderna vaccine while Biden offers cautious optimism

    Donald Trump and Joe Biden offered sharply contrasting reactions on Monday to news of a coronavirus vaccine that proved nearly 95% effective in trials.
    In a press conference the president-elect called the vaccine news “really encouraging” but warned “more people may die” unless the Trump administration starts cooperating with the incoming Democratic administration. “We are going into a very dark winter. Things are going to get much tougher before they get easier,” he said.
    Rather than working to combat the virus, which is spreading faster than ever and on average killing more than 1,000 Americans a day, Trump has stayed focused on unsubstantiated claims that the presidential election was stolen.
    Pharmaceutical giant Moderna said on Monday its experimental vaccine was 94.5% effective, based on interim data from a late-stage clinical trial.
    “Another vaccine just announced,” Trump tweeted, seeking to claim credit. “This time by Moderna, 95% effective. For those great ‘historians’, please remember that these great discoveries, which will end the China Plague, all took place on my watch!”
    Critics say Trump has all but surrendered to the pandemic, which has killed more than 244,000 people in the US and is averaging more than 100,000 cases per day. Michael Osterholm, an adviser to Biden, told NBC on Sunday: “We are in a very dangerous period – the most dangerous public health period since 1918.”
    Yet Trump has not attended a taskforce meeting in “at least five months”, public health expert Dr Anthony Fauci said on Sunday, and seems to have bet everything on a vaccine. Trump appeared consumed instead by the election – and now by denying its outcome.
    Biden beat him by the same 306-232 margin in the electoral college Trump described as a “landslide” when he won in 2016. The Democrat is also ahead in the popular vote by 5.5m votes, or 3.6%, with ballots still being counted.
    The Trump administration has not recognised Biden as president-elect, preventing his team from gaining access to government office space and funding. Democrats and some Republicans have warned that refusal to give Biden access to intelligence poses a risk to national security and hampers the battle against the virus, including vaccine distribution planning.
    Biden said the delay was “more embarrassing than debilitating” and that he was continuing to put in place his team and plans to deal with the pandemic and its economic fallout.
    The pandemic is the most pressing crisis facing the incoming president. Ron Klain, who will be White House chief of staff, said Biden advisers would meet Pfizer and other drugmakers this week.
    White House officials and Republicans in Congress are outnumbered by world leaders in acknowledging Biden’s win. On Monday Robert O’Brien, Trump’s national security adviser, noted that a transition would only take place “if the current lawsuits don’t work out for the president”.
    But speaking at the Global Security Forum, O’Brien acknowledged: “If there is a new administration, they deserve some time to come in and implement their policies.
    “We may have policy disagreements but look, if the Biden-Harris ticket is determined to be the winner – and obviously things look that way now – we’ll have a very professional transition from the National Security Council. There’s no question about it.”
    The president appeared on Sunday to publicly acknowledge that Biden had won the election, but then backtracked and reiterated his false claim the vote was rigged.
    Trump, who has put Rudy Giuliani, the former New York mayor, in charge of his legal offensive, tweeted on Sunday that he would soon file “big cases” challenging election results. However, his campaign has already lost numerous court battles and dropped a major part of a suit seeking to prevent Pennsylvania from certifying its results, narrowing the case to a small number of ballots. Biden won the state by more than 68,000 votes.
    On Monday Trump tweeted: “The Radical Left Democrats, working with their partner, the Fake News Media, are trying to STEAL this Election. We won’t let them!”
    In a statement issued last week by the lead US cybersecurity agency, federal election security officials dismissed such “unfounded claims” and expressed “utmost confidence” in the integrity of the elections. Officials from both parties have said there is no evidence of major irregularities.
    Biden has called Trump’s refusal to concede “an embarrassment” and is pressing ahead with the transition. On Monday afternoon he and running mate Kamala Harris were due to speak “on the economic recovery and building back better in the long term”, in their first speech addressing the economic situation since their victory.
    Biden outlined a $7.3tn plan ahead of the election that among other goals would bolster crumbling infrastructure, build a clean energy economy and support domestic manufacturing with cash for research and development.
    His first aim is to pass a new stimulus plan. But it is unclear how likely he is to pass any deal while Republicans control the Senate, which will hinge on runoff elections in Georgia in January. Talks about a new stimulus package have been deadlocked for months.
    The economic situation has improved but remains on a knife edge. Unemployment has dropped dramatically since a high of 14.7% in April but worrying signs remain.
    By October the unemployment rate had fallen to 6.9% but the number of long-term unemployed – those jobless for 27 weeks or more – increased by 1.2 million to 3.6 million. Almost a third of the total number of people out of work are now long-term unemployed, black and latino Americans suffering far higher rates of unemployment than their white neighbors.
    Jobs growth has continued to slow and each week people are filing unemployment claims at a rate still more than three times as high as before the pandemic.
    Elise Gould, senior economist at the Economics Policy Institute, said: “If this drags on and the pace of jobs growth continues to slow, it will take years before we get back to a pre-pandemic economy. Americans can not afford the political games that are being played.” More

  • in

    PM channels his inner John Wayne in vaccine metaphor meltdown | John Crace

    Shortly before 5pm in the UK, president-elect Joe Biden gave a press conference. The results of the trials were very promising, he said, but there was still a long way to go before a vaccination programme could be rolled out nationwide. So it was now more important than ever not to let your guard down and to carry on wearing masks. It was coherent, informative and in less than five minutes Biden had told Americans just about everything they needed to know.
    Boris Johnson likes to do things rather differently. Almost to the second after Biden had finished speaking, the prime minister stepped out into the Downing Street briefing room, flanked by the deputy chief medical officer, Jonathan Van-Tam, and Brigadier Joe Fossey, dressed in full camo gear that had the reverse effect of drawing attention to himself. A new form of anti-camo perhaps.
    After a few introductions, Boris went on one of his long rambles. He didn’t really have anything to say that couldn’t have been wrapped up in minutes but he considers a press conference not to have taken place unless he’s wasted the best part of an hour of everyone’s time.
    Perhaps it was the excitement of having a real life soldier standing next to him, but Johnson’s explanation of the new vaccination was relayed in a series of metaphors straight out of the movie Stagecoach. The arrows were in the quiver! The cavalry was on its way, the toot of the bugle – Michael Gove’s presumably – was getting louder but still some way off. Having a prime minister who manages to trivialise something really important is getting extremely draining and it’s hard not to zone out within moments of him starting a sentence. So much for the great communicator.
    Next up was the brigadier who is in charge of the mass testing in Liverpool and looked uncomfortable throughout. “Two thousand troops have answered the call,” he said, making it sound as if the soldiers had had some say in their deployment rather than been told they were off to Liverpool for the next four weeks.
    He then pulled out a piece of plastic from his pocket. “You know what a swab is,” he continued. “Well this is the lateral flow that gives you a result within an hour.” And that was all he had to say. He didn’t seem at all sure what the lateral flow actually was or how it worked but then he was only following orders. If he’d had his way, he’d have saved the taxpayer a return train ticket from Liverpool to London.
    There was no slideshow this time – obviously No 10 has started to wonder if they are more trouble than they are worth after recent events – so Van-Tam was left to ad lib on the vaccine trial. Even though he had no more information than Boris, so all he could do was repeat the fact that it was exciting but we shouldn’t get carried away just yet. Try to think of it as a penalty shootout, he said – Boris’s crap analogies are as contagious as the coronavirus. We’ve scored the first goal, so we know the keeper can be beaten, but there was a long way to go before the match was won. No one seemed to have told Van-Tam that the expectation in a shootout was that the penalty-taker would score.
    Things carried on in much the same vein when questions came in from the media. The brigadier tried to make himself as inconspicuous as possible – merging into the background was part of his SAS training – and so the only other thing he had to offer was that he was just on day four of his deployment so it was hard to tell whether things were going well or badly. Van-Tam desperately hunted around for new ways of saying the vaccination trials were still at an early stage, but things were looking more hopeful for next year.
    Try to think of yourself as being on a railway station on a wet and windy night, he said, doing his best to channel his inner Fat Controller. You could see the lights of the train two miles away. Then the train pulled into the station and you didn’t know if the door was going to open. Next you couldn’t even be sure of whether there would be enough seats for everyone. The UK had only ordered enough vaccine for about a third of the population, so unless more doses came online most people were going to miss out. It didn’t sound quite as hopeful as he had suggested. But maybe that’s just the way he tells them.
    Boris, meanwhile, just looked relieved to only get one question on the US presidential election. And that wasn’t even on if he had spoken to the president-elect – he hadn’t as Biden has been too busy taking calls from Micronesia – or if he had any reaction to being called a “shape-shifting creep” by a former adviser to Barack Obama. The Democrats still haven’t forgiven Boris for his remarks about Obama’s part-Kenyan ancestry giving him a dislike of the British empire.
    “I congratulate the president-elect,” said Johnson, sidestepping a suggestion he give Donald Trump a call to persuade him to throw in the towel. The US and the UK had had a close relationship in the past and no doubt would do so in the future. He had nothing to say on Brexit. Rather he chose to accentuate the shared climate change objectives of Cop27. Or Cop26 as the rest of the world knows it. More

  • in

    The Perils of Federalism in Time of Pandemic

    Germany is a federation, and so are Belgium, Spain and Austria. Switzerland is a confederation — something of a federation plus. Federations consist of relatively autonomous entities, like states in the US, states and territories in Australia, provinces in Canada, Länder in Germany and Austria, cantons in Switzerland. Until recently, these institutional arrangements posed relatively few problems. With COVID-19, this has very much changed.

    Take the case of Switzerland, which is composed of 26 cantons, 20 of them so-called full cantons and six half-cantons (for historical, particularly religious reasons). In the west of the country, people speak predominantly French, in parts of the south, Italian, and the rest, German. Cantons differ not only in terms of language spoken but also in territorial size and the size of their populations.

    A New Social Contract Amid a Crisis

    READ MORE

    Zürich and Bern have relatively large populations, while some of the cantons in the center of the country — what in German is called Innerschweiz, or inner Switzerland — have populations equivalent to small or medium-size cities. Yet no matter the size, they all jealously guard their autonomous position within the confederation, particularly with regard to the federal government.

    Proud Heritage

    The Swiss are proud of their political heritage and treasure their independence, particularly with respect to the European Union. They insist that Switzerland represents an idiosyncratic case in Western Europe, whose particularities, above all its system of direct democracy, does not jibe well with the rest of Europe. This largely explains why the Swiss have repeatedly rejected membership in the European Union even if they have agreed to adopt a large part of EU regulations — a logical consequence of the fact that the EU represents Switzerland’s most important market.

    Until a few days ago, COVID-19 appeared to have been contained in Switzerland. And then, suddenly, the number of daily infection rates skyrocketed, a surge “as steep as the Alps” as the German newsmagazine Der Spiegel put it. At the beginning of the pandemic, infection rates were particularly dramatic in the Italian-speaking canton of Ticino and in the French-speaking cantons of Geneva and Vaud. All of these cantons have a large number of daily commuters from neighboring Italy and France. This time, it is the German-speaking cantons that are most dramatically affected — and not because of German commuters. The sudden upsurge in infections has primarily been the result of the way different cantons have dealt with the COVID-19 crisis.

    I speak from experience. We live in the canton of Vaud in the southwestern part of Switzerland. Here, the cantonal authorities mandated the wearing of masks in stores, supermarkets and enclosed public spaces in early summer. It took the canton of Geneva a few more weeks to follow suit, but it did. A few weeks ago, when I had to go to Switzerland’s capital, Bern, I thought I was in a different world. Most people appeared not to have heard that there was a pandemic. At the train station, in supermarkets and in other public spaces I was among the few customers to wear a mask.

    The situation was similar in other German-speaking cantons, including Zürich, Switzerland’s largest city. The reason: Different cantons had different security regulations, and these regulations were considerably laxer in Bern than in Geneva. It was not until the dramatic upsurge in infections a few days ago that the federal government issued new directives, making it mandatory to wear masks throughout the country. Too little, too late. In the meantime, the German government has declared all of Switzerland a risk zone, dissuading German tourists from visiting the country.

    This, of course, is highly ironic. In recent days, Germany has gone from one record to the next when it comes to new infections. As has been the case in Switzerland, the second wave is sweeping over Germany, setting off alarm bells. And, once again, federalism has proven to be a serious impediment to confronting the challenges posed by the pandemic. Already in early September, a report by Germany’s foreign broadcasting service Deutsche Welle noted that every state was “doing its own thing.” It went even further, raising the question of whether or not federalism was impeding “sweeping measures in the pandemic.”

    The answer was a tentative yes, which by now has been fully confirmed, given the massive increase in new infections. A few days ago, a text on the website of Die Tagesschau, Germany’s premier TV news broadcaster, raised the question of whether or not federalism had reached its limits. Ironically enough, it was Bavaria’s strongman, Markus Söder, who came out in favor of strengthening the position of the federal government. Bavaria has traditionally been most adamant in defending its autonomy within the federal republic. With COVID-19, taboos are no longer taboo, or so it seems.

    Borderless Autonomy

    The reality is that, in a federation, the constituent entities maintain a significant amount of autonomy, just like any sovereign state, but, at the same time, there are no borders between the units. People are free to travel from a lax unit to a strict one without controls, in the process potentially infecting people. This seems to have been the case in Switzerland in the wake of a yodeling musical staged before 600 spectators in the canton of Schwyz, which turned into a superspreader event. As a result, Schwyz, one of these miniature cantons in Innerschweiz, experienced a huge surge in infections that threatened to overburden the local health services. The spectators carried the virus to other cantons in the region, contributing to the upsurge in infections.

    Australia has shown that there is an alternative, even if a draconian one. In March, Tasmania closed its borders to the mainland, requiring “all non-essential travellers arriving in the island state … to self-isolate for 14 days, with penalties for those who did not comply of up to six months in jail or a fine of up to $16,800.” A prominent victim of these drastic measures was Australia’s leading radical right-wing populist, Pauline Hanson, who was unable to join her daughter who she suspected had caught the virus.

    In July, Victoria and New South Wales, Australia’s two most populous states, closed the border between them, following a dramatic outbreak of COVID-19 in Melbourne, Victoria’s capital. Until today, the border is closed to most people entering from Victoria, with severe penalties for those illegally into New South Wales without a permit, with fines up to $11,000 or jail time for up to six months, or both.

    Embed from Getty Images

    So far, such drastic measures seem inconceivable in Western Europe. Closing the borders with neighboring states, as happened in the spring, poses no problem, even among EU members. Closing the border between different Länder or cantons is an entirely different thing. The only alternative is binding measures issued by the federal government to be followed throughout the federation. This is what the Swiss federal government belatedly did. But in Germany, there is still great hesitation. Given the seriousness of the situation, this seems rather odd, to put it mildly.

    Yet the Germans might have a point. After all, things are hardly any better in France. And France is a unitary state where the government exercises a large measure of control over the country’s subordinate regions and departments. At the same time, however, the French government has been in a position to introduce drastic measures such as a curfew throughout France to curb the advance of the virus. In Germany and Switzerland, at least for the moment, this is unthinkable.

    There is, of course, a third alternative where people actually learn to act responsibly. It is ultimately up to the individual to reduce the risk of infection as much as possible. Unfortunately these days, individual responsibility and a sense of the common good beyond narrow self-interest appears to be in short supply. Blame it on the deleterious influence of neo-liberalism that has drilled into all of us that everybody is on their own, that there is no such thing as a society, as Margaret Thatcher told us, and that we have to learn to live with risks. COVID-19 has exposed the dark side of this ethos without, as it appears so far, having taught us a lesson.

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

  • in

    Making the Right Decisions to Combat the Coronavirus

    If the current pandemic is a test of the global emergency response system, the international community is flunking big time. It has done just about everything wrong, from the failure to contain the coronavirus early on to the lack of effective coordination thereafter. As the predicted second wave begins to build — the world is now adding over 400,000 new cases per day — it is truly disheartening to think that the international community hasn’t really learned any lessons from its snafu.

    Sure, some countries have successfully managed the crisis. South Korea, despite several super-spreading outbreaks, has kept its death toll to below 450, which is fewer than Washington, DC, alone has suffered. Thailand, Vietnam, Uruguay and New Zealand have all done even better to address the public health emergency. After its initial missteps, China has managed not only to reopen its economy but is on track for modest growth in 2020, even as virtually all other countries confront serious economic contractions.

    Scientists’ Social Engagement Is Needed to Stem the COVID-19 Pandemic

    READ MORE

    It’s not too late for the rest of the world. Robust testing, tracing and quarantining systems can be set up in all countries. Richer nations can help finance such systems in poorer countries. Governments can penalize non-compliance. Even before a vaccine is universally available, this virus can be contained.

    But perhaps the most important takeaway from the COVID-19 experience so far has little to do with the coronavirus per se. The pandemic has already killed more than a million people, but it is not about to doom humanity to extinction. COVID-19’s mortality rate, at under 3%, is relatively low compared to previous pandemics (around 10% for SARS and nearly 35% for MERS). Like its deadlier cousins, this pandemic will eventually recede, sooner or later depending on government response.

    Other threats to the planet, meanwhile, pose greater existential dangers. At a mere 100 seconds to midnight, the doomsday clock of the Bulletin of Atomic Scientists now stands closer to the dreaded hour than at any point since its launch in 1947. As the quickening pace of this countdown suggests, the risk of nuclear war has not gone away while the threat of climate change has become ever more acute. If fire and water don’t get us, there’s always the possibility of another, more deadly pandemic incubating in a bat or a pangolin somewhere in the vanishing wild.

    Despite these threats, the world has gone about its business as if a sword were not dangling perilously overhead. Then COVID-19 hit, and business ground to a halt.

    Embed from Getty Images

    The environmental economist Herman Daly once said that the world needed an optimal crisis “that’s big enough to get our attention but not big enough to disable our ability to respond,” notes climate activist Tom Athanasiou. That’s what COVID-19 has been: a wake-up call on a global scale, a reminder that humanity has to change its ways or go the way of the dinosaur.

    Athanasiou is one of the 68 leading thinkers and activists featured in a new report from the Institute for Policy Studies, the Transnational Institute, and Focus on the Global South. Now available in electronic form from Seven Stories Press, “The Pandemic Pivot” lays out a bold program for how the international community can learn from the experience of the current pandemic to avoid the even more destructive cataclysms that loom on the horizon.

    The Path Not Taken

    Let’s imagine for a moment how a reasonable world would have responded to the COVID-19 pandemic when it broke out late last year. As the virus spread from Wuhan in January, there would have been an immediate meeting of international leaders to discuss the necessary containment measures. The Chinese government closed down Wuhan on January 23 when there were fewer than 1,000 cases. At the same time, the first cases were appearing in multiple countries, including the United States, Japan and Germany. On January 30, the World Health Organization (WHO) declared the pandemic a global health emergency.

    Instead of working together on a plan, however, countries pursued their own approaches that ranged from the sensible to the cockamamie, the only common element being the restriction of travel and the closure of borders.

    The US and China, embroiled in a full-spectrum conflict over trade, technology and turf, were barely talking to each other, much less working together to contain this new threat. The United Nations didn’t get around to discussing the pandemic until April. There was precious little sharing of resources. In fact, many countries took to hoarding medical supplies like drugs and personal protective equipment.

    To be sure, scientists were sharing knowledge. The WHO brought together 300 experts and funders from 48 countries for a research and innovation forum in mid-February.

    Political leaders, however, were not really talking to each other or coordinating a cross-border response. Indeed, a number of leaders were running screaming in the opposite direction. US President Donald Trump stepped forward to head up this denialist camp, followed by Jair Bolsonaro of Brazil and Andres Manuel Lopez Obrador of Mexico. Authoritarian leaders like Rodrigo Duterte of the Philippines and Daniel Ortega of Nicaragua focused on consolidating their own power rather than fighting the COVID-19 disease.

    As the global economy went into a tailspin, there was no international effort to implement measures to contain the damage. Countries like the US refused to lift economic sanctions on countries hard hit by the coronavirus. International financial institutions issued debt moratoria for the poorest countries but have yet to consider more substantial restructuring (much less loan forgiveness). Trade wars continued, particularly between Beijing and Washington.

    Conflict has not been confined to the level of trade. A sane world would have not only rallied around the UN secretary-general’s call for a global ceasefire in conflicts around the world, it would have actually enforced a cessation of hostilities on the ground. Instead, wars have continued — in Yemen, Libya, Afghanistan. New violence has erupted in places like the disputed Nagorno-Karabakh region between Armenia and Azerbaijan.

    Military spending and the arms trade have continued unchecked. At this time of unprecedented economic need, countries continue to pour funds into defending against hypothetical threats rather than to defeat the enemy that is currently killing people on their territory. Both the US and China are increasing their military spending for next year, and they’re not the only ones. Hungary announced in July an astonishing 26% increase in military spending for 2021, while Pakistan is increasing its military expenditures by nearly 12% for 2020-21.

    Meanwhile, on this economically polarized planet, the ones who have borne the brunt of this pandemic are the poor, the essential workers, and all the refugees and migrants currently on the move. The stock market has recovered its value. Everyone else has taken a hit.

    Looking Ahead

    The international community took a giant step backward in its fight against COVID-19. Rather than build on the cooperation established in the wake of the 2003 SARS epidemic, countries suddenly acted as if it were the 19th century all over again and they could only fall back on their own devices. The hottest heads prevailed during this crisis: right-wing nationalists like Trump, Bolsonaro, Vladimir Putin and Narendra Modi, who not coincidentally head up the four most-afflicted countries.

    It’s not too late for a pandemic pivot, a major shift in strategy, perspective and budget priorities. “The Pandemic Pivot” looks at how COVID-19 is changing the world by showing us (briefly) what a radical cut in carbon emissions looks like, dramatically revealing the shortcomings of economic globalization, distinguishing real leadership from incompetent showboating, and proving that governments can indeed find massive resources for economic restructuring if there’s political will.

    Our new book lays out a progressive agenda for the post-COVID era, which relies on a global Green New Deal, a serious shift of resources from the military to human needs, a major upgrade in international cooperation and a significant commitment to economic equity. Check out our new video to hear from the experts quoted in the book.

    The coronavirus forced leaders around the world to hit the pause button. Even before the pandemic recedes, many of these leaders want to press rewind to return to the previous status quo, the same state of affairs that got us into this mess in the first place.

    We can’t pause and we can’t rewind. We need to shift to fast forward to make our societies greener, more resilient and more just — or else we will sleep through the wake-up call of COVID-19. We won’t likely get another such chance.

    *[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

  • in

    If the poorest Americans are selling their blood, the US is in serious trouble | Arwa Mahdawi

    Looking to make extra cash? Don’t want to retrain in “cyber” but need a new gig? Good news! All you need to do is contract Covid-19, try not to die, then sell your antibody-rich blood plasma. Blood centres in the US are currently paying Covid-19 survivors a premium for their plasma, the yellowish liquid that makes up about 55% of blood. Apparently, you can get $100-$200 (£75-£155) a pop.It would seem some enterprising students have cottoned on to this money-making scheme. Administrators at Brigham Young University’s campus in Idaho recently announced that they are “deeply troubled” by accounts of students who have “intentionally” exposed themselves to coronavirus in order to get that sweet, sweet blood money. “There is never a need to resort to behaviour that endangers health or safety in order to make ends meet,” the school said.A noble sentiment. However, the US would not have a booming blood plasma industry in the first place if it weren’t for the fact that so many people have to resort to potentially endangering their own health in order to make ends meet. Even before the coronavirus hit, low-income Americans were selling blood plasma to get by.“Selling plasma is so common among America’s extremely poor that it can be thought of as their lifeblood,” a 2015 Atlantic article noted. The US is an outlier in this regard: you’re not allowed to sell your blood plasma in the UK or in many other developed countries. In the US, however, you can donate up to twice a week; the procedure typically takes about 90 minutes, and you will get somewhere between $30 (£23) and $50 (£38) a time. Which is more than the $7.25 (£5.50) per hour federal minimum wage. The companies bleeding you dry, of course, will be earning a whole lot more: blood plasma is a multibillion dollar business in the US. Indeed, blood products are the US’s 12th most valuable export; in 2016, they made up a greater percentage of all American exports than soya beans or computers. Industry people joke that the US, which produces 70% of all plasma worldwide, is “the Opec of plasma collections.”Giving blood plasma now and again won’t hurt you. Indeed, it is something we should all do if we can: plasma is desperately needed for life-saving therapies. In Britain, the NHS is urging Covid-19 survivors to donate plasma to treat those who fall ill during a second wave. But selling your blood plasma 104 times a year, as some desperate Americans do, may be another matter. Someexperts and research have queried whether it is healthy, and even in the US if you donate plasma rather than sell, there are limits on how many times you can do it. Some people who sell their plasma frequently have also complained about things like migraines, numbness, and fainting.I am not necessarily against the idea of allowing people to sell blood plasma: as long it is strictly regulated, the number of donations safely capped, and the pay fair. However, I am definitely against people having to resort to selling plasma because the lack of a meaningful welfare state, along with a stagnant minimum wage, means it’s the only way they can scrape by. Even if there were zero health consequences involved there is something fundamentally sickening about the blood plasma industry. According to one study, plasma donation centres are disproportionately located in low-income areas and the most frequent use of money earned from donating was paying for food and basic necessities. And this is happening in the richest country in the world. It should make your blood boil.• Arwa Mahdawi is a Guardian columnist More

  • in

    Coronavirus: 'Very high' level restrictions not enough to reduce R rate below one, Sage adviser warns

    Even the toughest coronavirus restrictions in the new three-tier system will not be enough to reduce the coronavirus R rate below one, a government scientific adviser has warned. Professor Andrew Hayward from University College London said he thought it was “clear” these measures would not be sufficient to get the R rate – which represents the number of people one positive case goes on to infect – below that point. His comments came after Boris Johnson announced a three-tier system of alert levels for England, which will see areas categorised as medium, high, or very high risk.In the top tier – where currently only the Liverpool City Region is placed – social mixing will be banned both indoors and in private gardens, while pubs and bars will be told to close unless they can operate as a restaurant.Local leaders will help to determine whether other venues should close, and residents will also be advised against travel in and out of the areas.Watch more“Obviously the recent announcement is an attempt to simplify the advice through these tiers of systems,” Prof Hayward, a member of the government’s Scientific Advisory Group for Emergencies (Sage),  told the Today programme on Tuesday.”But I think it is clear even at the very high levels of restriction, so-called, that those will not be sufficient to reduce R below one.”On Monday, the government’s chief medical officer said he was “not confident” the top tier restrictions would not be enough to get on top of Covid-19 on their own. Professor Chris Whitty said: “That is why there is a lot of flexibility in the tier three levels for local authorities guided by the directors of public health … to actually go up that range so that they can do significantly more than the base, because the base will not be sufficient.”“I think it is very disappointing we had clear advice that we needed to take decisive action several weeks ago,”  Professor Hayward said on Tuesday. “Since that time all we have really done is sent students back, introduced the rule of six, advised people to work from home if possible … and closed the pubs an hour early.”Read moreThe UCL professor of infectious disease epidemiology added: “So I think it is not really surprising that we are continuing to see large increases in cases, and that those increases are being seen around the country.”The documents show Sage suggested immediately introducing a “circuit-break” lockdown lasting between two and three weeks to halt the rapid spread of the virus.Downing Street insisted that “robust but targeted and proportionate” action had been taken in September, including the rule of six and the 10pm hospitality curfew.MPs will debate and vote on the three-tier system on Tuesday and – if approved – it will come into effect on Wednesday.One step down from very high risk, an area in the high level would mean household mixing is banned indoors, although support bubbles will still be permitted.Medium areas will be subject to national measures, including the 10pm curfew for pubs and restaurants, and the rule of six. More