There are no good choices

“In America, our ideological conflicts are often understood as the tension between individual freedoms and collective actions. The failure of our pandemic response policy exposes the falseness of that frame. In the absence of effective state action, we, as individuals, find ourselves in prisons of risk, our every movement stalked by disease. We are anything but free; our only liberty is to choose among a menu of awful options. And faced with terrible choices, we are turning on each other, polarizing against one another. YouTube conspiracies and social media shaming are becoming our salves, the way we wrest a modicum of individual control over a crisis that has overwhelmed us as a collective.

“The burden of decision-making and risk in this pandemic has been fully transitioned from the top down to the individual,” says Dr. Julia Marcus, a Harvard epidemiologist. “It started with [responsibility] being transitioned to the states, which then transitioned it to the local school districts — If we’re talking about schools for the moment — and then down to the individual. You can see it in the way that people talk about personal responsibility, and the way that we see so much shaming about individual-level behavior.” (You can hear my whole conversation with Marcus on this podcast.)

“But in shifting so much responsibility to individuals, our government has revealed the limits of individualism.”

“Think of coronavirus risk like an equation. Here’s a rough version of it: The danger of an act = (the transmission risk of the activity) x (the local prevalence of Covid-19) / (by your area’s ability to control a new outbreak).

Individuals can control only a small portion of that equation. People can choose safer activities over riskier ones — though the language of choice too often obscures the reality that many have no economic choice save to work jobs that put them, and their families, in danger. But the local prevalence of Covid-19 and the capacity of authorities to track and squelch outbreaks are collective functions. They rely on competent testing infrastructures, fast contact tracing, universal health insurance, thoughtful reopening policies, strong public health communication, reliable economic support for the displaced, and social trust. Managed well, they lower the background risk, making more activities safe enough to consider, making the decisions individuals face easier. But in America, that public infrastructure has failed most people, in most places. The result is a maddening world of risk that individuals have been left to navigate virtually alone.”

“There are dozens of ways the government could make it easier for individuals to make safe choices, ranging from effective policies to control the spread of the virus to a renewed economic support package that would allow people to protect their health without sacrificing their livelihoods. This is how other countries are responding to the crisis, and it is working. But Trump has refused to put forward — much less follow — a plan to suppress the virus, and congressional Republicans have insisted on withdrawing support from the labor market, in a bid to force workers to return to jobs. In that way, the impossible choices being forced on Americans are a policy decision being made by their elected leaders.” 

“Governmental failure has paved the way for social fracture. If the US government had succeeded as Canada or Germany’s governments succeeded, it would be easier to trust each other because we would pose less danger to each other. If we could depend more on the state, we could make more reasonable requests of ourselves. In the wreckage of state failure, though, it is nearly impossible for us to thrive.” 

https://www.vox.com/21432760/coronavirus-2020-trump-government-response-covid-19-biden-america

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