COVID-19: A Bigger Challenge to the Indian Healthcare System

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Covid-19 has reached the community spread phase. Developed or underdeveloped, rich or poor, all countries are affected by this today. However, they are facing these challenges – shortages in medical supplies and difficulty stopping its spread – in different magnitudes. In an attempt to stop the spread to save lives, Prime Minister Narendra Modi announced a 21-day lockdown, starting from 25th of March. Developing countries across the globe are looking down quickly, after witnessing the helplessness of the US, UK and the rest of Europe 鈥 though these are the countries with much stronger healthcare systems and much better availability of doctors. In Italy, doctors are to prioritize whom to save and whom to leave untreated.

India鈥檚 healthcare infrastructure is incapable of dealing with this crisis today. Shortages in medical supplies and an inability to provide adequate testing are the major issues. However, the Prime Minister鈥檚 announcement to allocate 15,000 crore rupees (USD 2 billion) for building infrastructure can strengthen the fight against coronavirus. Also, state governments are to expand facilities to deal with this situation.

The majority of Indians finance their healthcare themselves. About 62 percent of households鈥 expenditure on healthcare in 2017 was made through out-of-pocket payments. In comparison, the equivalent figures for the European Union (excluding UK) is 22.29 percent and for the USA and UK it is 11 percent and 16 percent, respectively (Table 1). While many patients diagnosed with Covid-19 will need Intensive Care Unit (ICU), there is no clarity from the government regarding who will pay these expenses. Read More »

The Coronavirus and Carceral Capitalism

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From a prison cell in 1930, Antonio Gramsci wrote 鈥淭he crisis consists precisely in the fact that the old world is dying and the new cannot yet be born; in the interregnum a great variety of morbid symptoms appear.鈥 The political economic and biological relevance of Gramsci鈥檚 words and the conditions under which they were written extend well beyond historical parallel and literary metaphor. A crisis has metastasized from the micro-biological to the political economic. Now, neoliberalism is dying. In the interregnum, a great variety of morbid symptoms have appeared: social distancing, crisis policing, death camps, and pandemic labor. Of what disease are these symptoms? Not coronavirus. Carceral capitalism.听Read More »

Assessing the 鈥楻eturn鈥 of the State: Bringing Class Back In

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There are decades where nothing happens; and there are weeks where decades happen鈥, words famously attributed to Lenin. In the last few weeks the Covid-19 pandemic has led to an extraordinary series of events throughout the world. Our everyday lives, the way our economies are organised, and the ways that we exercise our basic rights and freedoms are being transformed. These changes were unimaginable only a few weeks ago.

A significant aspect of these 鈥榚xtraordinary times鈥 is governments鈥 extraordinary responses to the economic meltdown triggered by the coronavirus crisis. Within the space of just a few weeks, one taboo after another in Western capitalism has been broken, . As monetary policy measures (i.e. unlimited QE, record low interest rates) , unprecedented fiscal stimulus packages including wage and income guarantees came to the fore. In the EU, the so-called ordoliberal principles of competition, free market and a commitment to a balanced budget (that were harshly imposed upon Greek and other peripheral European economies during the Eurozone crisis) appear to have been all but forgotten by the core capitalist countries. 鈥榃e will protect our strategic companies from foreign takeovers鈥 . The infamousschwarze Null鈥 budget policy of Germany, for example, was abandoned as the . In the UK, the traditionally austerity-loving Conservative 笔补谤迟测鈥檚 Chancellor of the Exchequer announced an . The Trump administration , amounting to $2 trillion, which includes 鈥榟elicopter money鈥 for the citizens. 鈥 became the motto of G20 leaders and finance ministers. All of a sudden, austerity ended as the reproduction of the capitalist system became impossible without the protective measures that were introduced. This reflects the fact that austerity was a political choice all along; despite being framed as 鈥TINA鈥 for years. Read More »

Debt Moratoria in the Global South in the Age of Coronavirus

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Official calls are mounting. On March 23, African Finance Ministers met virtually to discuss their efforts on the social and economic impacts of COVID-19. Amidst a broad recognition of chronic financing gaps to meet development and climate objectives, they called for a on all debt interest payments, including the potential for principal payments for fragile states. The United Nations General Secretary addressed the G20 emergency meeting conference call on COVID-19. Along with calls for medical and protective equipment, the need to was stressed, 鈥渋ncluding immediate waivers on interest payments for 2020鈥. The World Bank President addressed the emergency G20 Finance Ministers encouraging bilateral IDA relief without missing the opportunity

replete with grand aspirations, but no timeframe specified to fulfil them, was vague in respect to debt issues and far short of what is needed: 鈥淲e will continue to address risks of debt vulnerabilities in low-income countries due to the pandemic.鈥 Hardly commensurate to the alarm bells that have been ringing over the past five years of growing debt difficulties in a number of countries.Read More »

Time for a Rethink on the Worth of Work

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Most economists are greatly underestimating the economic challenges posed by the Covid19 pandemic. Without a correct understanding of those challenges, the aggressive monetary and fiscal measures many government are now pursuing will fall well short of their goals. They will go down in history as economic Marginot Linesscaled up versions of tools designed to fight past crises.

The pandemic poses new and unique economic challenges. It compromises our ability to engage in productive and commercial activities requiring close contact between groups of peoplethat includes most of the things sustaining a modern economy. Epidemiologists tell us this is needed for several months. Responding in a way that minimises the loss of life and safeguards our long-term productive capacities requires two things: Temporarily shutting down large swaths of the economy, and focusing societys productive resources on the kinds of work needed to fight the pandemic.

Most economists have not yet understood this partly because the scale and scope of what is needed pushes beyond the boundaries conventional economic thinking, and beyond what they generally consider to be legitimate economic questions.

The pandemic requires an unprecedented mobilisation of what feminist economists call care labour: work to care for ourselves, our families, and our communities. Over the next few weeks or months most people need to be focused on a vital job: caring for our collective health and helping save thousands or even millions of lives by staying at home. Many families will have to do this while simultaneously caring for millions of children now out of school, for other loved ones who cannot fully care for themselves, and for those who fall ill but do not require hospitalisation.

We need to allocate resources to enable people to perform this work.Read More »

Laissez-Faire, Laissez Mourir

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The spread of the coronavirus epidemic around the world in the past few weeks has exposed not only differences in the lack of preparedness of various public health systems, but also differences in reactions to the crisis. Some governments imposed an early lockdown in their attempt to 鈥榝latten the curve鈥 while others have taken a more gradual approach, proceeding from travel restrictions through limits on non-essential businesses to shelter-in-place regimes.听

As the epicenter of the pandemic shifts from Asia to Europe and the U.S, however, some reactions stand out among the rest in their utter disregard for human life. Federal and state officials in the U.S. have first downplayed the threat two months before it arrived in the country, as well as refused offers for help from the World Health Organization. Now, as the curve in the U.S. is about to get steeper (see the surgeon general鈥檚 , top levels of government are considering scaling back the moderate measures that have been taken so far, with a view to return to normal activity within a few weeks. While blaming China for not controlling the virus early enough, some officials are contemplating consciously allowing their own citizens to experience a much worse spread of infection and death than China has seen.听

One clear example of this misguided and dangerous ideology can be seen in the pressure put on the U.S. government by corporate lobbyists not to activate the – which enables the executive branch to order corporations to manufacture the direly-needed medical supplies for testing and treating the virus. Large swaths of the political elite, instead, are relying on the private sector鈥檚 voluntary offers to produce such goods. Worse, these same politicians are aching to get the economy back to normal, so as to boost the stock market and their own ratings at the same time. The听 lieutenant-governor of Texas even went as far as suggesting that older citizens – the group most prone to dying from the virus – would gladly themselves in the interest of getting the economy moving again.Read More »

鈥楥limate Emergency鈥, COVID-19 and the Australian capitalist state

covid-19-4926456_1920Now is the hour of our collective discontent. In order to pursue the agenda set out for this blog post series, namely: 鈥榯o precisely identify the strategic, structural/epochal, or more contingent factors involved in the emergence of particular state鈥揷apital hybrids, as well as the specific institutional, organizational, and legal forms that facilitate such emergence鈥 () my contribution examines the Australian state over the summer of 2019-20, into the COVID-19 pandemic. I argue that the COVID-19 pandemic highlights the instability and amenability to capital of our present conjuncture in ways that the bushfire crisis did not. Further, the pandemic renders our present conjuncture potentially far less stable and amenable to capital than declaration of a national 鈥榗limate emergency鈥 could have, and therefore the left should consider how to force deep reorientations of state-led action (and therefore form and function) while it can.

The need for an adequate state theory

Existing scholarship on neo-Marxian theories of the state are the foundations of an appropriate diagnosis of this moment, though in the heart of an historic conjuncture is not the time to attempt a full synthesis or unified theory. Instead we should begin by using our compounding crises to work through our existing analyses and critiques. In keeping with this research agenda, I will begin with a Poulantzean reading of the state – not the blunt Althusserian structuralism of his , but his on . The state is thus conceived of as a material condensate of the balance of class struggle, meaning it is possible to isolate points of rupture and work upon and through them to alter the balance of power.

Without a reconfiguration of political and economic power, the crises we face will not resolve, but escalate by orders of magnitude. A neo-Marxian theorisation of the state reframes this political moment with a materialist analysis of the issues confronting our societies. The points of possible rupture have now become more apparent and should guide leftist strategy into and through the COVID-19 pandemic.

From 鈥榗limate emergency鈥 to global pandemic (from theory to praxis)

Over the 2019-20 summer, . Vast swathes of the country were covered in marauding fires; communities were evacuated; homes were destroyed; irreplaceable heritage landscapes were lost forever and millions of animals perished. Those physically distant from the fires were by the resulting cloaks of particulate matter draped across the country at levels 鈥鈥 in Australia鈥檚 recent memory.

Much of the resulting political jousting that would have ameliorated the situation. Over the course of the summer, communities mobilised to meet the relentless blazes, with set up to try and resource volunteer fire services. Rolling demonstrations and protests were held across the country, demanding action from state and federal governments.

Read More »

The Specter of State Capitalism

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By and Ilias Alami

Oh, how the righteous have fallen! As the global economy succumbs to COVID-19, we are haunted by the specter of state capitalism. Last week chief economic advisor to the White House, Larry Kudlow, suggested that the US government could take equity stakes in corporations in return for aid. Housing evictions are being postponed. Payroll for employees in some parts of the private sector are to be covered. And the list continues. In the UK, plans are afoot, dare one say, to renationalize the struggling airline sector and other companies.

At the moment, critics of such statist measures are too worried about their own personal health to make a fuss. But as we flatten the curve of the infected and the wheels of the market start turning again, the righteous apostles of the free market will return with a vengeance, and the state capitalists will tumble from their temporary thrones.

As with the last crisis just a decade ago, the state capitalists provided much needed support and took a humble bow (at a profit) when their services were no longer needed. Bailing out General Motors was a good deal for the US taxpayer, as was TARP. Certainly, the same will happen this time around. Or will it?

Since the election of Donald Trump in the US and the Brexit vote in the UK, the prophets of the free market have been decisively pushed out of the halls of power or forced to accept a different religion (typically that of an authoritarian and nationalist form of neoliberalism). National capital comes first!

Without a doubt, Trump and the Brexiteers did not foresee needing state ownership of industry and explicit state direction to achieve their goals. There are plenty of ways the state fosters, guides, and shapes private capital. Capitalism is never without the state, except in some libertarian utopia. State ownership just makes this relationship more explicit.

The embrace of Singapore as a post-Brexit economic model for the UK is telling in that respect. The government of Singapore continues to be a major shareholder of Singaporean industry and commerce, with no plans to change. Why should it? It owns successful and competitive companies. Indeed, state-owned enterprises the world over are demonstrating their competitive prowess. They aren鈥檛 the bureaucratic corporate sloths that we are told necessarily come with state ownership. Capital centralized in the hands of the state is resilient and growing for a reason. State-owned enterprises and state-controlled investment vehicles, such as sovereign wealth funds, are multiplying and growing the world over.

For the British elite, Brexit reflected an underlying lament of the sale of British industry (and finance) to foreign owners, even though many became rich that way. They know that restoring such past glory requires explicit action of the state, likely through more centralization of (national) capital. This is a reason behind the refusal to agree to level playing-field provisions with the EU in the future relationship negotiations. But there is more to this than returning to some past glory. Global capital accumulation is driven increasingly by capital centralized in the hands of the state.

The Trump administration鈥檚 battle with China (supported implicitly by other Western powers) is not driven by some desire to protect liberal rules-based international order. Rather, it is a battle of national capital. Afterall, China is capitalist.

China鈥檚 shift from assembling goods to also designing them, and doing so competitively, has unsettled the hierarchies of the world economy. But China is unwilling to relinquish its development model and its ownership of large swaths of Chinese industry. That is not in the DNA of the Chinese elite. Large state ownership is both necessary to secure the political dominance of the party state at home, and to expand and consolidate the integration of Chinese firms into global supply chains under favorable terms.

This is met in the US (and to a lesser extent other Western economies) by an increasingly aggressive form of techno-nationalism 鈥 a form of economic nationalism in the realms of trade, industrial, and investment policy, that aim at securing exclusive control of key scientific-technological innovations. National elites in the West more generally are realizing that they need state power to compete in the global economy. In reality, they always have. But the cloak of free-market neoliberalism energized their buccaneering self-confidence that they were above it all. That fiction is over.

The extension of state prerogatives by non-Western powers听used to听fuel all sorts of anxieties among听state actors听and observers in the West. Now, these very same modalities of state intervention听are听being called for,听if not praised, by听commentators听across the听political spectrum.听Some even look with envy听at the agility with which non-Western state capitalists are currently managing the crisis.听The pace at which this 鈥榥ew normal鈥 is emerging is remarkable. We are all state capitalists now (or we all want to be).

COVID-19 and the generalized economic crisis it has catalyzed may hasten changes toward explicit forms of state capitalism in the West. Yet, a decloaked state at the helm does not necessarily mean a more progressive and just economic system (just like it does not mean a move toward state socialism). Who will bear the brunt of the costs of the current transformations, and who will benefit from the consolidation of the 鈥榥ew鈥 state capitalism, will be the outcome of a tense political process. This much we know.

is听Associate Professor of Globalization and Development at Maastricht University. Ilias Alami听is a postdoctoral researcher at Maastricht University.

by Governor Tom Wolf. Pennsylvania Commonwealth microbiologist Kerry Pollard performs a manual extraction of the coronavirus inside the extraction lab at the Pennsylvania Department of Health Bureau of Laboratories on Friday, March 6, 2020.