The Pandemic: Winning the Second Half

 When a soccer team is losing heavily at half time, it is traditional for the coach to use the half time team talk to motivate his team to win the second half. It gives a target and can avoid heads dropping, at least until the opponents score yet again when battle resumes.

 

Humanity has certainly conceded many goals in the first half to the Coronavirus. Perhaps now we are close to half time and ready to regroup and accept some sage advice from our coaches. One part of that surely has to be to look forwards and not backwards. There will be plenty of time for recriminations after the outbreak is over, and plenty of opportunity to win the second half, because we know our opponent better by now and can adopt smarter tactics.

 

A key prerequisite for the coach is to define what winning is. A defensive minded coach might argue to minimize deaths. But this can be fine-tuned. Excess deaths compared to normal is a better target, not least because it avoids the effortful need to accurately assign each death to Coronavirus or something else. We can be smarter too if we measure something like excess healthy years lost, because surely the death of a centenarian, tragic though it may be, is more harmful than the death of an otherwise healthy child.

 

This might satisfy our defensive minded coach. But what about the offence? It may be that we can take steps to reduce excess healthy years to nearly zero, but at what cost to our economy and future well-being? There is a valid argument to risk a little on defence if that enables our children to resume learning or more of our poor to resume earning, for surely those things will help us in future matches. It might even help immediately if we can avoid mental health or drug issues. The question becomes a balance: what is the appropriate policy enable humanity to thrive somewhat, while keeping excess healthy years lost low?

 

By now we have a lot of data. And based on the data I find myself playing more offence than defence. This virus requires a defence, but science and experience and improved behaviour have helped. Last week The Economisttabulated what had been a theory of mine for a while. The 2020 ‘flu’ season in the southern hemisphere has barely existed. It stands to reason. The vulnerabilities to ‘flu’ are similar to those for Coronavirus, and by training ourselves to minimise the new virus we reduce the incidence of ‘flu’ as well.

 

Before 2020, I certainly never bothered with washing my hands so often or was careful about what I touched or from where I ate. I happily shook hands and hugged and would never have dreamt of wearing a mask. I sang loudly and often, spreading droplets generously, and would have to be very sick before choosing to stay home. Well, that is most of us, and it stands to reason, at least to me, that fewer folk will suffer ‘flu’ as a result.

 

Then there is the risk from the virus itself. In March and April it is no wonder so many New Yorkers who picked up the virus went on to die. The hospitals had few effective drugs. And contagion was so rife that we were told not to go to hospital at all unless we had been very sick for several days, so by the time many people arrived they were beyond cure.

 

Now medicine has worked out that steroids are effective, especially early on. So long as an outbreak is relatively contained, there is enough capacity in hospitals. For most of us, our odds are pretty good. And many of those for whom the odds are not good reside in nursing homes or can be a focus for isolation.

 

We are all waiting for a vaccine, and of course an effective widely-available vaccine would be wonderful, but I think we are talking up the vaccine too much. It will probably end up like the ‘flu’ vaccines. It will take a long time for most of us, many people seem likely not to take it, and it won’t work for everyone anyway, especially as the virus mutates.

 

Luckily. There is much that we can do with a vaccine. So long as outbreaks are contained relatively quickly, we don’t need to abandon our offence completely. Given the ‘flu’ benefits and the medical advances, excess years lost seem likely to remain quite low, so long as the most vulnerable are isolated. I suspect we are already close to a situation where the risk from driving our car on the highway becomes lower than the risk from Coronavirus.

 

This assumes that outbreaks are contained, and by now we have a good idea how to do that too, though practice in many countries remains woeful. Why is it such a hardship to wear a mask, and wear it properly? The politicians who have equivocated on this truly have blood on their hands. If everybody avoids crowds and wears their masks and maintains good hygiene, we can otherwise live normally, except where there is community spread.

 

Avoiding community spread is all about testing and tracing. Again, there is good practice available and woeful project management in many places. We took a test in August, and received our result thirteen days later. That is almost worthless. It has taken far to long here and elsewhere for reliable tests to be readily available and return results quickly. If that is in place, then contact tracing can be effective too.

 

Can we do this even better than current good practice? I think the real game changer is less about a vaccine and more about an instant test, one we can self-administer like a pregnancy test. This is how professional sports have been able to resume, and it would be wonderful if that sort of test became available to all of us. Then we could do almost anything, even sing or party or go to the theatre. For if even a thousand people enter a clean space, they can do whatever they like if nobody has the virus already: they will all exit virus-free as well.

 

Perhaps singing and parties and theatres are not top priority, though it would certainly help the mental health of many if they were. But school certainly is a top priority, and so is work. Many people will work from home in future, so it should be possible now to handle the resumed demand on public transit and in offices and retail establishments. This would be a good moment to increase the taxes on car use, to influence more people to return to public transport rather than use their car or even buy a new car.

 

With cases rising around Europe this prognosis may appear over-optimistic. For sure there will be outbreaks, and local governments must quickly snap back quarantine measures when these become too dangerous. But for most of us, most of the time, we can confidently move towards normality, thus improving our mental and economic health.

 

Critical to all this is public health messaging that is clear and consistent. We can acknowledge that, while the virus remains deadly to some, the overall impact on lives lost no longer justifies extreme measures. Most importantly, everybody must play by the hygiene rules, notably wearing a mask, and strictly following periodic orders to stay at home. A focus should remain on provision of frequent tests with rapid results, and the possible game changer of the self-administered test.

 

In some places the first half performance was so bad that winning the second half would be a daunting challenge. How can a public trust leaders who have equivocated on hygiene? In these places, sadly including the one where I live, restoring that trust has to be the only priority, and that precludes more nuanced messages about opening up.

 

But elsewhere, even when two or three down at half time, ways are opening up to win the second half. Whisper it softly, but that might even include some fun. After the drubbing of the first half, we surely need that.

 

Even if the second half is won, the end result of the match will be defeat. Most obviously, that is reflected in the mourning that has touched most of us over lives taken to early. But the pandemic had exposed other fundamental weaknesses in our team, from urban design to care for the elderly to underclasses and precarious jobs and health care systems. The time to address these failings will be with us soon enough. But for now let us win the second half.

Staying Positive in Covid USA

 I have to confess to being rather down on the USA lately. It is not the first time I have succumbed to this emotion, might it might be the strongest case so far. Never before have I found myself mentally counting the months until we might return to Europe.

 

The causes are obvious. We are all living through a pandemic. We see suffering around us and our own lives are restricted compared with normal times, while our fear of the virus does nothing to improve anybody’s behaviour but adds stress as we consider our mortality.

 

Living in the USA amplifies these causes and adds additional ones. Having lived through April in New York, the anxiety might be a bit higher. And the range of opinions and responses to the risk among individuals can make us angry. It really isn’t that inconvenient to wear a mask in public, and most people in most other countries don’t seem to equate it with an assault on liberty.

 

These attitudes are the real stress multiplier when expanded to include the whole, toxic, political environment. The lost opportunities here are a terrible human tragedy, acted out in real time and on a relentlessly downward path. I will have a pain deep in my stomach from now until the election, and probably afterwards depending on the aftermath.

 

The hardest part to reconcile is that regardless of the result, somewhere above fifty million people will vote for a man so lacking in competence and humanity as to be a caricature. He does not try to hide his personality and the results are obvious to anybody with the slightest curiosity, yet fifty million people will actively seek four more years of it. Fifty million.

 

When Hillary used the deplorable word in 2016 we all winced and knew it was a horrible error and also thought it was plain disrespectful. When I am in a good mood I still think that, but increasingly I have to stop myself thinking the same way. We can all see the ghettos and the homeless and the abused and the guns and the pitiful education and the broken healthcare and the greed and the filth and the potholes. We can all the narcissism and the gangsterism and the incuriosity and the hubris and the hypocrisy and the bullying and the recklessness and the callousness and the corruption and the lies and lies and lies. Fox News makes a token effort to obscure some of it, but surely it does not take more than a child’s intelligence and curiosity to look past that? Fifty million!

 

So I feel myself becoming negative, and that is not healthy for me or for anybody else. I am always at my most snide when feeling negative. So I need a campaign to restore positivity.

 

Let us start as usual with counting blessings. It is shaming how simple this is. All my issues with Covid are luxury first-world problems. True, all the reasons to savour living in New York City have vanished for the time being. But I can make rent. My family are thriving and we are enjoying each other’s company. I can live a comfortable, even complacent life. While so many have lost so much, I cannot complain about restaurants being closed or choirs being on hold. The US is making horrible mistakes, but I don’t have to worry about what I write or think, not yet at least, and I can always leave if I feel like it.

 

Next is to highlight the positive things that we still have. NYC has lost its culture for a while but its diversity is still intact. I can’t attend the US Tennis Open or the Mets in person, but sport on TV is back and the US does sports very well.

 

We are also locked out of our volunteering while the residents of the home are at such a risk, but we can go to church again. There is something very comforting about a quiet hour meditating along with wonderful people. It is healthy to actively appreciate things we came to take for granted.

 

There are other things I can do to fight the negativity. Now outdoor pools are closed again and the pool in my gym will not open soon, but at least now the weather is conducive to walking again. Too many hours on the couch each day is never a positive thing.

 

Taking on a bigger project also makes sense. I did this at the start of the pandemic by writing something substantial, and now I can return to that and improve it with another draft. Reading is always an enjoyable education.

 

But I can also return to my long-term goals and use those to find new priorities. Early music is on hold for now, but I can at least study and listen to it more. Slow projects are limited when most of our time has to be spent at home. But there is still some scope for enlightenment. Simplification has almost been forced upon us, but I can look for opportunities to simplify that are less temporary.

 

The scope from these three themes is somewhat limited and obvious, but the fourth one has rich scope. I have a goal to seek out kindness. And I am realising that a lot of my negativity comes from a shortage of that kindness.

 

In part, this comes back to the politics. I can’t change the atmosphere, but I can retreat from it. Everything I see and read makes me angry, so I can help my own health by seeing and reading more. I already avoid the pitfalls of social media, but I can also further restrict my TV diet.

 

There is more I can do to seek out kindness in my everyday life. I have come to realise that a lot of my appreciation of church, choirs and volunteering comes from the soaking up the kindness of the people I encounter with these activities, which in turn makes me kinder, or at least less unkind. It is comforting to believe that these things will all return, but I need to do more to fill the gap. There are opportunities with family. I have to be active in seeking these out and finding other things.

 

Negativity creeps up on all of us for time to time. It is a particular risk just now, with the pandemic. The risk is higher in the US because of the politics. So we will do well to look for ways to counter the negativity. The solutions will differ for all of us, though there will be common themes, such as counting blessings, remembering goals and fighting lethargy. Reducing twitter time would probably help most people too.

 

We can also help each other, even if our usual channels have been cut off. I have always valued and admired people who have a sunny aura, and recognise my own tendency to bring clouds. For the next few months, I will try to be a little bit sunnier, and a little bit kinder.

Is West still Best?

 I was brought up to believe that the form of capitalist representative democracy practiced in nations such as my own was not only the fairest and the freest but also the most effective system available to man. I used to believe it. Now I am not so sure.

 

Of course the terms and definitions involved here are ambiguous and emotionally charged. It is amazing how the word socialism has become so toxic in the US, for example, despite few people understanding what it means. Democracy, authoritarianism and dictatorship certainly have overlaps and also examples within each category that have little in common. The same can be said of capitalism, socialism and communism. There are also features of each of the models of power that are incorrectly ascribed to the economic models, and vice versa.

 

Exhibit A to support my comfortable hypothesis that west is best was always the USSR. It was a rather ambiguous example while I was growing up, because we were simultaneously supposed to believe that the soviets were both inefficient and dangerous. But then came 1989 and the utter wreck of the soviet-led communist economies became apparent for all of us to see. QED.

 

In case there was any doubt, we could quote exhibit B, the Reagan Thatcher revolution of the 1980’s. Everyone could see that this had its downsides, but we could not deny that the privatisation of state companies was a masterstroke. Just imagine how the Internet and smart phone eras would have progressed if the stodgy old telephone service still existed!

 

There have been other exhibits from around the globe. India was stuck until it started to unleash free markets. Venezuela shows what happens when socialism is unbridled. Comparing North Korea with South Korea is pretty conclusive.

 

The logic seemed pretty watertight and the west duly crowed for a while, with The Economist among the cheerleaders. But over the last twenty years the dominant idea has started to fray around the edges. Might we all be wrong?

 

In the case of the power systems, democracy usually avoided the very worst outcomes. Mao’s Cultural Revolution, Stalin’s purges and Pol Pot are not great advertisements for dictatorships. But we should remember that Hitler was elected into power in a democracy, and more recently so were Salvini and Orban and some unsavoury characters closer to home. Democracy was perfectly happy to defend slavery, and a partial democracy led to apartheid.

 

Singapore is an interesting example to defend a rather autocratic regime. Lee Kuan Yew might have had more difficulty implementing his housing and developmental policies in a true democracy. Perhaps Dubai can be claimed as a similar example. Still, there are also many counter-examples to knock the gloss from authoritarianism.

 

The arguments for different economic models are more nuanced. A starting point has to be that the power of markets and free capital and joint stock companies has been the primary driver for unprecedented global development since 1945. 2020 will start a historical blip, but the global trend in poverty reduction is truly impressive.

 

Meanwhile, the form of communism practised in the USSR led to stagnation and misery. But we should be too sweeping. The USSR was characterised by brutal rule by an elite focused only on maintaining power and using corruption as an everyday weapon. Marx did not envisage such constraints, though he might have supported five year plans and fell central control, and they did not work out too well.

 

A capitalist system with property rights, company law, predominantly market mechanisms and the encouragement of innovation had a good track record until recently. But the most capitalist economies have been largely stagnant since 1980, all the while suffering increasing inequality. Meanwhile most of global growth has been generated by a notionally communist economy, China. The Economist and other westerners have sniffed at China throughout its rise, belittling its products, methods, expertise and much besides, but have been blindsided again and again. China often messes things up when it tries something new, but it learns quickly and succeeds in the end.

 

The Economist tried to define China’s chosen economic model for the coming years, and concluded that it is a powerful one. State companies compete with private ones under arcane rules giving both a chance and allow a mixture of overarching strategy and entrepreneurial fire. Infrastructure has been modernised, and next will come finance, seeking to remove dependence on the US. Health and education reforms are following, but even the starting points are arguably stronger than many in the west. The latest index of top universities has Chinese institutions marching up the league table. Everyone must pay fealty to the communist party, but that is ideologically light nowadays, in most cases simply a commitment to play within certain boundaries and not be corrupt.

 

This new hybrid model is rather interesting, and The Economist feels right in paying it some respect. One way to look at competing economic systems is via an analogy with sports. In soccer, debates rage all the time about the respective merits of a back four and a back five – the way players are deployed around the pitch. Many ideologues declare one system better, just like we do for capitalism. But the reality is subtler.

 

Each system has advantages and disadvantages. A team can succeed with either, so long as it has a strategy and applies it consistently, for example recruiting players to fit the chosen method. The method itself should be rather adaptable, depending on the talent available, current fashions and opponents, and the rules in force. Every system should evolve.

 

When I compare the economic prospects of the US and China over the next twenty years, naïve commentary starts by pointing out that one’s system is inherently superior, perhaps because it has done well in the past or because we are fans of that team. But any deeper analysis suggests the Chinese are poised to win big.

 

One team has a clear strategy. One team is investing in talent. One team plays to the limit of the rules but does not think it is above them. One team has a couple of greedy players, several fat and lazy old ones and others bought on the cheap and paid nearly nothing. One team looks forward and innovates and respects its competition. One team has a head coach who grabs power but does seem to care about more than whether he looks good wearing a mask. Can we really believe that the one on the losing end of all these comparisons will win anyway because they are playing with a back four?

 

But a back four system can still win. Germany seems to be doing OK, and it doesn’t have to suppress a chunk of its population to do so. So how is Germany different to the US? It protects its institutions, values competence and competition (to an extent). But it can be argued that at the core, the difference is a long-term drive towards equality of opportunity. As a football team, it values teamwork, and it is hard to win for long without that.

 

Perhaps US capitalism is now on a path like the USSR, condemned to cycles of instability from terminal inequality. Increasingly, order is only maintained by feeding the beast of inequality and suppressing the cries of the rest. Institutions crumble, congress enacts nothing, and greed, spin and lobbying win out, all different manifestations of corruption.

 

I am not defending the brutality around the periphery of China, and nor am I writing the USA off, because it still has considerable strengths even if it has just spent four years actively undermining them. But if I compare a hungry young Chinese person, trained to work, targeted at nationally valuable sectors, able to apply fantastic infrastructure and banking, with a US filled with entitled, corporeal, undereducated, angry kids looking to make a quick buck in corrupt finance or law, it feels like watching the recent Bayern Munich-Barcelona soccer match. It finished 8-2. And a Bayern player scored one of the two.