Category Archives: pandemic

The COVID 19 Vaccine in the Global North & Global South: Ethics, Access & Resistance

This is the video from a recent event sponsored by Tufts Global Education and the Fletcher Global One Health Diplomacy Initiative. Susan Sánchez-Casal organized and introduced the event. I moderated and posed the questions. The experts were Karsten Noko, a lawyer & humanitarian aid practitioner originally from Zimbabwe, and Josep Lobera, a sociology professor at the Universidad Autónoma de Madrid & Tufts in Madrid.

In the Global South, billions of people are not going to be vaccinated any time soon because of a shortage of vaccines in their countries. A realistic timetable is 2024. Meanwhile, millions of people in the Global North are going to refuse to be vaccinated because of skepticism and distrust, which is partly caused by elites’ use of weaponized misinformation.

The speakers also explored nuances–including vaccine shortages in the North and hesitancy and misinformation in the South.

why protect civil liberties in a pandemic?

This article is now in print: Levine, P. Why protect civil liberties during a pandemic? Journal of Public Health Policy (2021). https://doi.org/10.1057/s41271-020-00263-w. Springer is making the full text available here. The abstract follows:

During a public health emergency, a government must balance public welfare, equity, individual rights, and democratic processes and norms. These goods may conflict. Although science has a role in informing wise policy, no empirical evidence or algorithm can determine how to balance competing goods under conditions of uncertainty. Especially in a crisis, it is crucial to have a broad and free conversation about public policy. Many countries are moving in the opposite direction. Sixty one percent of governments have imposed at least some problematic restrictions on individual rights or democratic processes during the COVID-19 pandemic, and 17 have made substantial negative changes. The policies of Poland and Hungary reflect these global trends and continue these countries’ recent histories of democratic erosion. The expertise of public health should be deployed in defense of civil liberties.

promoting democracy and reducing polarization

Some of the threats to democracy in the USA involve bias or injustice in our political system: barriers to registration and voting, gerrymandered districts, the filibuster, money in politics, the Electoral College, and an unrepresentative Senate. With some important exceptions, reforms that address those problems will tend to benefit Democrats and progressive causes.

A particular kind of polarization also threatens democracy. The problem is not disagreement. Our elected representatives should hold diverse political views–maybe more diverse than they do now. Debate and contestation are valuable. It is good to have at least two parties with sharply distinct approaches, so that people can choose between them.

However, our Constitution was written by people who disliked parties and didn’t anticipate them. It is badly designed for partisan polarization. Whenever the branches are controlled by different parties that have homogeneous ideologies, all the incentives favor mutually destructive game-playing.

I can accept the argument that Republicans have played harder and less ethically than Democrats, although I am not certain that’s true, because my prior assumptions and my media stream are biased. But even if it’s true, all the incentives now predict that Democrats will play tit-for-tat.

Besides, affective partisanship–disliking fellow citizens because of their political identities–is the kind of divide that prevents human groups from governing themselves. In order to deliberate, you need not agree, but you must believe that it’s valuable to discuss common issues with the other side. Affective polarization blocks discussion. In the absence of a reasonable level of goodwill, arguments and reasons have no purchase.

The main alternative is simply power: amassing more votes than the other side has. That is preferable to amassing more dollars or more guns than the other side, but it is still raw power. It is government by accident and force, not by reflection and choice, to paraphrase Federalist #1. I suppose if mobilizing more votes consistently generated good outcomes, it might be OK–but it doesn’t.

Democrats and progressives (if they take power) and nonpartisan reformers face a real dilemma. Political reforms will be seen as partisan because they have unequal effects, but partisan polarization is also a problem–and an obstacle to achieving progressive goals.

This is what I would recommend:

First, push political reforms despite their partisan impact if they’re the right things to do. Not only are equity and accountability very high priorities, but our current system actually worsens polarization by giving the parties too many opportunities to pass or block policies without building consensus. I’d vote for expanding the Senate and the Supreme Court, but those reforms are so unlikely that perhaps it’s a mistake to focus much attention on them. More to the point would be voter protection, districting reform, and ending the filibuster.

Second, include political reforms that are bad for Democrats if those are also the right things to do. Redistricting reform meets that criterion in some states. Ranked-choice voting might qualify. Constraining the executive branch is an example, if Biden is president.

An often-overlooked problem involves the dates of municipal elections. Many mayors and city councils are elected in odd-numbered years or in different months than November. Democratic incumbents and municipal employees’ unions benefit because the electorate shrinks to hard-core party and union members. But turnout is often miserably low. I’d move municipal elections to November of even-numbered years and fight Democratic city halls to get that done.

Third, take explicit actions to reduce affective polarization by promoting cross-partisan dialogue and deliberation.

  • Civic education can help if it focuses on discussions of contested issues.
  • Private efforts like Braver Angels have a role.
  • The federal government could organize official public deliberations on controversial matters. The UK Climate Assembly might be a worthy recent model, but the same method could be used to discuss whether to open schools during the pandemic.
  • After the election, Biden and/or Harris could attend listening sessions with people who might be alienated from them–including right-wing groups but also marginalized people of color. It would be easy to mobilize partisans to distort these sessions. Biden/Harris could turn them into manipulative symbolic events. However, skillful advance work could make them work out better. For example, imagine Biden visiting a conservative evangelical church in the South without prior public notice (maybe he’d coordinate in advance with the pastor) and listening to congregants behind the closed church doors before emerging to make some remarks. If that were done with sincerity, it could make a difference.

The extreme polarization of the news and information sphere may actually help. As Barack Obama learned, it doesn’t really matter how you act; the right-wing news cycle will treat you as an anti-American extremist. Under these circumstances, why not push for genuinely worthwhile reforms, while also making sincere efforts to combat polarization?

See also: Four Threats to American Democracy video; empathy boosts polarization; what is polarization and when is it bad?; marginalizing views in a time of polarization; on playing hardball with the shutdown, an agenda for political reform in Massachusetts; is our constitutional order doomed? etc.

why protect civil liberties in a pandemic?

With the encouragement of the Journal of Public Health Policy and Springer Nature, I’m posting a pre-print of a forthcoming JPHP article entitled “Why Protect Civil Liberties during a Pandemic?

The abstract:

During a public health emergency, a government must balance public welfare, equity, individual rights, and democratic processes and norms. These goods may conflict. Although science has a role in informing wise policy, no empirical evidence or algorithm can determine how to balance competing goods under conditions of uncertainty. Especially in a crisis, it is crucial to have a broad and free conversation about public policy. Many countries are moving in the opposite direction. Sixty-one percent of governments have imposed at least some problematic restrictions on individual rights or democratic processes during the COVID-19 pandemic, and 17 have made substantial negative changes. The policies of Poland and Hungary reflect these global trends and continue these countries’ recent histories of democratic erosion. The expertise of public health should be deployed in defense of civil liberties.

I’ll also quote a passage here:

Imagine a government that is legitimate (having an unquestioned right to make laws and regulations within its territory) and benignly motivated. A pandemic such as COVID-19 will force this government to make difficult decisions. It should strive to maximize public welfare, which can be measured on the dimensions of health, economic prosperity, security, and environmental sustainability, among others. The government should strive for equity, meaning that the costs and harms (as well as any benefits) are distributed fairly. It should attend to individual rights, which can be understood as “trumps” that people may play against policies that benefit the general welfare [2]. For example, an individual may claim a right to move freely when subjected to a quarantine; that claim presents a tradeoff that the government must resolve. Finally, the government should protect political processes and norms, such as a free and vibrant debate and fair elections.

These goods may conflict. Closing businesses has health benefits but also economic costs and may restrain individual economic rights. Allowing a mass protest enhances democratic debate but can allow a virus to spread. The relevant goods are incommensurable—not measurable on a single scale. And governments must weigh and balance them under conditions of uncertainty, not knowing for sure whether closing businesses will help control the epidemic or whether allowing a protest will spread the infection.

Now imagine that a government is neither legitimate nor benign. Perhaps a dictator has seized power in a coup. He, too, will face difficult choices during a pandemic, but there is no reason to expect him to weigh the costs and goods in an impartial fashion. More likely, he will see the pandemic as an opportunity to consolidate power, eliminate threats, and profit economically. …

theorizing democracy in a pandemic

This is newly published: Peter Levine, “Theorizing Democracy in a Pandemic,” Democratic Theory, vol. 2, issue 2 (Winter 2020), pp. 134-142 https://doi.org/10.3167/dt.2020.070216. Abstract:

The COVID-19 pandemic raises questions about the future of democracy and civil society. Some recent predictions seem to use the suffering to score points in ongoing political arguments. As a better example of how to describe the future during a crisis, I cite the prophetic voice of Martin Luther King, Jr. King does not merely predict: he calls for action, joins the action, and makes himself responsible for its success or failure. With these cautions about prediction in mind, I venture two that may guide immediate responses. First, communities may erect or strengthen unjustifiable barriers to outsiders, because boundaries enhance collective action. Second, although the pandemic may not directly change civic behavior, an economic recession will bankrupt some organizations through which people engage.

The whole special issue on Democracy in the Time of COVID-19 looks interesting and is currently available for free.