2020-03-29
"Herd Immunity" is Epidemiological Neoliberalism
Update: Meanwhile the Netherlands has also officially distanced
itself from this approach. However, the point of this article is to
unravel the underlying paradigm of this strategy, not to make an
argument about its effectiveness.
While most European countries are preparing for lock-downs to stop
the spread of the coronavirus, a few countries are opting for a
different strategy: herd immunity. Instead of testing as many people as
possible and implementing measures to increase social distancing, they
want to purposefully let the virus spread among people who are at low
risk, so that a large part of the population becomes immune. This
approach was first proposed by UK’s prime minister Boris Johnson, who
refused to implement social distancing measures until a few days ago.
While the UK has officially distanced itself from this strategy, the Netherlands and Sweden continue to hold on to this approach, despite harsh criticism by the WHO.
These countries argue that building herd immunity is the only
long-term strategy for dealing with the virus, since the epidemic can no
longer be contained and could always resurge again. Instead of putting
the entire country under lockdown, only at-risk populations should be
put into quarantine while the epidemic keeps spreading. However,
countless epidemiologists and virologists have criticized the strategy
for being risky, unscientific and likely to result in a high death toll.
A recently published report
by the Imperial College London, which led to the change in UK
government policy, estimated the strategy to result in 250,000 deaths in
the UK. Since it is not possible to effectively isolate at-risk
populations, especially when the virus keeps spreading, the health care
system is likely to become overwhelmed and at risk of completely
collapsing.
Epidemiological Neoliberalism
Why would a country like the UK even consider such a risky strategy,
and why are other countries still following this approach? The reason is
neoliberalism. Since the 1980s, we have been governed by the political
paradigm of neoliberalism, which has replaced state-led social policy
with privatization and deregulation of the market. Its belief in the
inherent justice of the market has led to a political rationale, which
literally puts profit before people. And it has colonized peoples’ minds
by making them believe it is their fault if they are poor, precarious
or unemployed.
The irony of neoliberalism is that it creates the illusion of social
mobility, while reinforcing and even deepening social inequality. It
assumes that if anyone can “make it” in a free market, it must be
peoples’ own fault if they are poor. But this belief is not only wrong,
it is also violent. Neoliberalism has resulted in the rich getting
richer, and the poor suffering more from disenfranchisement,
precariousness and dependency. What might seem like laissez-faire
policy, is a refined and complex system of automated structural violence
against the weak, which also shatters any possibilities of resistance.
Herd immunity is epidemiological neoliberalism. Much like the
unconditional belief in the free market, herd immunity relies on the
assumption that an epidemic is best overcome by leaving it unregulated.
But just like neoliberalism, it results in violence against the weak and
the poor: elderly and disabled people, homeless people, refugees and
people with severe health conditions – many of whom are likely to also
have a lower socio-economic status because of the correlation between
poverty and illness. These are the people, who are at the highest risk
of dying from COVID-19 – especially if the healthcare system is
overwhelmed and doctors have to perform triage.
Crumbling Welfare States
It is no coincidence that it was the UK and the Netherlands, two of
the most neoliberal countries in Europe, which advocated for this
approach. These countries have spent the past decades implementing
policies that privilege economic over social interests, and
systematically defunded healthcare, education and housing. Opting
against economically-harmful lockdown measures fits perfectly into their
political rationale. Sweden, however, is a more puzzling case: it is a
country which is internationally acclaimed for its good social policy
and generous welfare state. But even an archetypical social democracy
like Sweden has not been immune to neoliberal policy. Like most European
countries, its welfare state has systematically been dismantled in the
past decades.
The biggest challenge of the corona-epidemic is “flattening the
curve”, so that the capacities for critical and intensive care are not
overwhelmed. But these three countries already have such low capacities
for critical care, that they wouldn’t suffice even with strict lockdown
measures. The UK and the Netherlands only have about half the capacity
of Italy of critical care beds per capita. And Sweden, the supposedly
best welfare state in Europe, has even less than half.
<figcaption>
https://www.researchgate.net/figure/Numbers-of-critical-care-beds-corrected-for-size-of-population-per-100-000-inhabitants_fig1_229013572</figcaption>
If these countries wanted to prevent their capacities from being
overwhelmed, they would have had to act a long time ago. But that ship
has already sailed. Enforcing strict lockdown measures would not only
put the economy under strain, but would also expose the crumbling health
system from decades of neoliberal policy. Opting for herd immunity
allows governments to blame the failure of the health system on the
virus, rather than on bad governance. Just like individual poor people
can be blamed for not trying hard enough, individual sick people can be
blamed for not following quarantine measures. It doesn’t matter whether
its nature, fate, or one’s own fault – as long as it’s not the
government which is held accountable for peoples’ deaths.
Herd immunity is not just bad science or bad policy. It is biological
warfare. Many people will die because of it, and governments won’t take
responsibility for it. But this strategy did not appear from nowhere.
It is a logical continuation of the political rationale that has
governed the world for the past decades, taken to an extreme as a
laissez-faire social darwinism. Because people who trust in an
unregulated market will also trust in an unregulated epidemic – even if
it kills.
The Quarantimes
Länk: https://thequarantimes.wordpress.com/2020/03/19/herd-immunity-is-epidemiological-neoliberalism/