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2021 Project Syndicate / Res Publica
Project Syndicate / Res Publica
                       2021
2021 Project Syndicate / Res Publica
2021

01.
Board Member’s      6.
Note                The Quiet
                    Financial Crisis
                    CARMEN M. REINHART
02.
Pandemic of Fear
IVAN KRASTEV

                   11.                       14.
                   Europe’s Watershed Year   A Fragile
                   JOSEP BORRELL             Recovery in 2021
                                             NOURIEL ROUBINI

Pandemic of Fear
2021 Project Syndicate / Res Publica
23.
                      There Will Be No
                      Quick COVID Fix
                      WILLIAM A. HASELTINE

18.
How Might
COVID-19 Change
the World?           27.
JARED DIAMOND        Learning to Live
                     with COVID-19
                     ERIK BERGLÖF

30.                   32.
Towards 2021 and      May 2021 be the year
thereafter - Major    for vaccination -
Restructuring         authoritarianism
NIKOLA POPOVSKI       KAROLINA RISTOVA - ASTERUD

                                                   Pandemic of Fear
2021 Project Syndicate / Res Publica
2021

35.                       38.
The Post-Truth Pandemic   The Cure for
TRISH GREENHALGH          Demagogic Populism
                          MICHAEL LIND

Pandemic of Fear
2021 Project Syndicate / Res Publica
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                                                           The Pandemic of Fear      Pandemic of Fear
2021 Project Syndicate / Res Publica
Board Member’s Note

In 2020, the COVID-19 pandemic delivered the greatest shock to the global economy
since World War II. Entire societies have been locked down, and people everywhere
have had to adjust to new ways of working, studying, socializing, and entertaining
themselves. Notwithstanding these measures, more than 1.5 million people have
died, and unemployment, inequality, and poverty have soared to new heights.

t h e g l o b a l i z e d e c o n o m y, a l i f e l i n e   will depend largely on how quickly        We should take all of these lessons
to billions of people in recent                              vaccines are distributed worldwide.       with us into 2021. We all heard the
decades, has suddenly become a                               That effort could reinvigorate            global wake-up call in 2020. Now we
source of vulnerability, owing to                            existing institutions of international    must start building a more resilient
the disruption of far-flung supply                           cooperation and catalyze the              society – one built on the principles
chains and governments’ efforts                              establishment of new ones, and one        of sustainability and social justice.
to protect national markets. The                             hopes that the new US administration      In The Pandemic of Fear, political
pandemic thus has accelerated a                              under President Joe Biden will            leaders, senior policymakers, and
process of deglobalization that was                          push things in that direction.            renowned scholars provide original
already underway (as reflected                               Whatever form it takes, robust            and sharp insights into the challenges
in plummeting world trade),                                  multilateralism will be necessary         that lie ahead, both at the national and
and exposed deep disparities in                              both to mitigate the sharp increase       international levels. The pandemic
the quality of governance across                             in poverty and inequality caused by       has given us a chance to reconsider,
different countries and locales.                             the pandemic, and to address longer-      rethink, and reform. Most important,
                                                             term challenges, particularly the         it has renewed the demand for honest,
Brazil, India, the United Kingdom,
                                                             existential and increasingly urgent       fact-based, expert analysis in a world
and the United States – all countries
                                                             threat posed by climate change.           beset by anxiety and uncertainty.
with populist leaders – have
performed far worse than countries                           The pandemic has shown how                Let 2021 mark a new dawn of
like Germany, the Nordics, Japan,                            dangerous it is to ignore the warnings    reason, progress, and hope.
South Korea, and even developing                             from science. Failing to prepare for
countries such as Rwanda and                                 known risks can all too easily lead
Vietnam. By disparaging scientists                           to untold and unnecessary costs in
and politicizing expertise, leaders                          human lives and livelihoods. But the
like US President Donald Trump,
                                                             crisis has also illustrated the value
Brazilian President Jair Bolsonaro,
                                                             of working together across borders
and Indian Prime Minister Narendra
                                                             and sectors, just as it has shown us      Connie Hedegaard served as
Modi have left their countries deeply
                                                             that radical changes in “business as      European Commissioner for
polarized and tragically ill-equipped
                                                             usual” are still possible. Surprisingly   Climate Action from 2010 to 2014,
to manage a major public-health
                                                             for some, we have learned that            and as Denmark’s Minister for
crisis and its economic fallout.
                                                             leaders who dare to lead and make         the Environment from 2004 to
Given the pandemic’s persistence,                            difficult yet responsible choices         2007 and Minister for Climate
the prospects for recovery in 2021                           actually gain citizens’ respect.          and Energy from 2007 to 2009.

                                                                                                       The Pandemic of Fear                 01
2021 Project Syndicate / Res Publica
Pandemic
     IVAN KRASTEV
     Chairman of the Center
     for Liberal Strategies

    “The first thing that plague
     brought to our town was exile,”
     notes the narrator in Albert
     Camus’s The Plague. These
     days, we have an acute sense
     of what he meant. A society in
     quarantine is literally a “closed
     society” in which everyone but
     essential workers puts his or
     her life on hold. When people
     are isolated in their homes
     and haunted by fear, boredom,
     and paranoia, one of the few
     activities that does not cease
      is discussion of the virus and
     how it might transform the
     world of tomorrow.
The
2   The Pandemic of Fear
2021 Project Syndicate / Res Publica
of Fear
   The Pandemic of Fear   3
2021 Project Syndicate / Res Publica
epidemics are like Netflix series
                                                                                                                               where the end of one season merely
                                                                                                                               serves as a hiatus before the start of
                                                                                                                               the next. The pandemic experience
                                                                                                                               is one in which everything changes
                                                                                                                               but nothing happens. We are asked
                                                                                                                               to preserve human civilization
                                                                                                                               by staying home and washing our
                                                                                                                               hands. As in a modernist novel,
                                                                                                                               all of the action occurs in the
                                                                                                                               mind of the narrator. In my own
                                                                                                                               account of the COVID-19 era, the
                                                                                                                               only memorable physical objects
                                                                                                                               will be the plane tickets that were
                                                                                                                               never used and the face masks that
                                                                                                                               were used over and over again.

                                                                                                                               And yet, the moment one goes out into
                                                                                                                               the street, one realizes how much has
                                                                                                                               changed. Like many of my favorite
                                                                                                                               coffee shops in Vienna and Sofia, my
                                                                                                                               favorite bookstore in Washington,
                                                                                                                               DC, has closed. Like a neutron bomb,
                                                                                                                               COVID-19 is destroying our way of
                                                                                                                               life without actually damaging our
                                                                                                                               material world. For much of 2020,
                                                                                                                               airports were some of the saddest
                                                                                                                               places on Earth – empty, silent,
                                                                                                                               with only a few passengers roaming
                                                                                                                               the terminals like ghosts. The
                                                                                                                               increased freedom of movement
                                                                                                                               over the last three decades – the
                                                                                                                               ease with which people from
                                                                                                                               different social classes intermingled –
i n t h i s n e w wo r l d , m a n y        In her marvelous book Pale Rider,             EOPLE WAIT FOR
                                                                                         P                                     had become a powerful symbol of
                                                                                         FOOD DISTRIBUTION
governments (benevolent or                  the science writer Laura Spinney             D U R I N G I N D I A’ S
                                                                                                                               globalization. Now, that freedom
otherwise) closely follow where             shows that the 1918-20 Spanish flu           N AT I O N W I D E LO C K D O W N .   has been consigned to history – or
we go and whom we meet, out of a            pandemic was the most tragic event                                                 at least put on hold indefinitely.
determination to protect us from            of the twentieth century, at least in
                                                                                                                               Meanwhile, all of the public messages
our own recklessness and the that           terms of loss of life from a single cause.
                                            The death toll surpassed that of both                                              urging people to stay at home have
of our fellow citizens. Contact
                                            World War I and World War II,                                                      prompted metaphysical reflection.
with other people has become a
                                            and may even have killed as many                                                   Home is where one wants to be when
threat to one’s existence. In many
                                            people as both of them combined.                                                   confronted with a grave danger. When
countries, unsanctioned walks
in the park can elicit fines or even        Yet, as Spinney notes, “When asked                                                 my family and I realized that we were
jail time, and unsolicited physical         what was the biggest disaster of                                                   facing a prolonged period of social
contact has become tantamount               the twentieth century, almost                                                      distancing, we surprised ourselves
to a kind of societal betrayal.             nobody answers the Spanish flu.”                                                   by deciding to return to Bulgaria.

As Camus observed, a plague erases          More surprisingly, even historians                                                 This was not exactly a rational
the “uniqueness of each man’s life”         seem to have forgotten the tragedy.                                                decision. We have lived and worked in
as it heightens each person’s               In 2017, WorldCat, the world’s largest                                             Vienna for a decade, we love the city,
awareness of his vulnerability and          library catalogue, listed roughly                                                  and the Austrian health-care system
powerlessness to plan for the future.       80,000 books on WWI (in more than                                                  is far more reliable than Bulgaria’s.
It is as if Death has moved in next         40 languages), but barely 400 on the                                               What brought us back to Bulgaria was
door. After an epidemic, everyone           Spanish flu (in five languages). How                                               the understanding that we should
living can claim the title of “survivor.”   can it be that an epidemic that killed                                             “stay at home.” Home, for us, means
                                            at least five times as many people as                                              Bulgaria. In a time of crisis, we wanted
But for how long will the memory of         WWI has resulted in 200 times fewer                                                to be closer to the people and places
our own plague last? Could it be that       books? Why do we remember wars                                                     that we have known all our lives. We
in just few years we will remember          and revolutions but forget pandemics,                                              weren’t alone: 200,000 Bulgarians
it as a kind of mass hallucination          which affect our economies, politics,                                              living abroad did the same thing.
caused by “a shortage of space              and societies just as fundamentally?
made up for by a surplus of time,”                                                                                             Just as many people have sought
as the poet Joseph Brodsky once             Spinney’s answer is that it is difficult                                           shelter in their home countries, so
described a prisoner’s existence?           to turn a pandemic into a compelling                                               have they found solace in their native
                                            story between good and evil. Lacking                                               languages. In moments of great peril,
                                            a plot or an overarching moral,                                                    we almost unconsciously speak

 4                 The Pandemic of Fear
2021 Project Syndicate / Res Publica
 V I R T U A L LY E M P T Y J F K A I R P O R T
A                                                   in our mother tongue. In my own                              communications technology, the
D U R I N G T H E C O V I D -1 9 PA N D E M I C .
                                                    childhood in Bulgaria, I learned a                           pandemic has ushered in not de-
                                                    valuable lesson from watching Soviet                         globalization but de-localization.
                                                    films about WWII. One of the most          It might be       Our geographical neighbors are
                                                    dangerous moments for Soviet female        a passing         effectively no closer than our friends
                                                    spies in Hitler’s Reich was childbirth,                      and colleagues abroad; we feel
                                                    because they would involuntarily           historical        closer to the TV announcers than
                                                    cry out in their native Russian.           moment, but       to the people down the street.
                                                    Staying home meant staying in your         we cannot         For perhaps the first time in
                                                    mother tongue – and staying safe.
                                                                                               deny that we      history, people have been having
                                                    It is one of the great optical illusions                     the same conversations about the
                                                    of twenty-first-century globalization
                                                                                               have come to      same topics. We have all shared the
                                                    that only mobile, jet-set people are       understand        same fear. By staying at home and
                                                    truly cosmopolitan, and that only          what it feels     spending countless hours in front
                                                    those who feel at home in different                          of screens, people have witnessed
                                                    places can maintain a universalist
                                                                                               like to live in   the similarities between their own
                                                    perspective. After all, the canonical      one world.”       experiences and those of everyone
                                                    cosmopolitan, Immanuel Kant, never                           else. It might be a passing historical
                                                    left his hometown of Königsberg,                             moment, but we cannot deny that
                                                    which itself belonged to different                           we have come to understand what
                                                    empires at different times. Kant                             it feels like to live in one world.
                                                    embodied the same paradox as
                                                    COVID-19, which has made the world
                                                    more global even as it has turned
                                                    nation-states against globalization.

                                                    For example, “self-isolation” and
                                                    “social distancing” have opened the                          Ivan Krastev is Chairman of the
                                                    European mind. Closing the borders                           Center for Liberal Strategies and a
                                                    between EU member states and                                 permanent fellow at the Institute for
                                                    locking people in their apartments                           Human Sciences. He is the author,
                                                    has made us more cosmopolitan                                most recently, of Is It Tomorrow
                                                    than ever. For those with access to                          Yet? Paradoxes of the Pandemic.

                                                                                                                 The Pandemic of Fear                     5
The Quiet
Financial
Crisis
6   The Pandemic of Fear
CARMEN M. REINHART
Chief Economist at the World Bank

The term “financial crisis” has long been associated with dramas such as bank
runs and asset-price crashes. Charles Kindleberger’s classic books The World
in Depression, 1929-1939 and Manias, Panics and Crashes, and my own work
with Kenneth Rogoff, This Time Is Different, document scores of these episodes.
In recent years, the term “Lehman moment” has stood out as a marker of the
2007-09 global financial crisis and even inspired a Broadway show.

bu t some fina nci a l cr ises do not   momentum in the financial sector.
involve the drama of Lehman             Even without a Lehman moment,
moments. Asset quality can              it could jeopardize prospects for
deteriorate significantly as economic   economic recovery for years to come.    The COVID-19
downturns persist, especially when                                              pandemic
                                        Specifically, financial institutions
firms and households are highly
leveraged. Moreover, years of bank
                                        around the world will continue to       continues to
                                        face a marked rise in non-performing
lending to unproductive private
                                        loans (NPLs) for some time. The
                                                                                deliver many
firms or state-owned enterprises
                                        COVID-19 crisis is also regressive,     moments of
(the latter is not uncommon in
some developing countries) take a       disproportionately hitting low-         unwanted
                                        income households and smaller
cumulative toll on balance sheets.                                              drama ….”
                                        firms that have fewer assets to
Although these crises may not           buffer them against insolvency.
always include panics and runs, they
still impose multiple costs. Bank       Since the onset of the pandemic,
restructuring and recapitalization      governments have relied on
to restore solvency can be expensive    expansionary monetary and fiscal
for governments and taxpayers, and      policies to offset the steep declines
new lending can remain depressed,       in economic activity associated
slowing economic activity. The          with broad-based shutdowns
credit crunch also has distributional   and social-distancing measures.
effects, because it hits small and      Wealthier countries have had a
medium-size businesses and lower-       decided advantage in their ability
income households more acutely.         to respond, although a surge in
                                        lending by multilateral institutions
To be sure, the COVID-19 pandemic       has also helped to finance emerging
continues to deliver many moments
                                        and developing economies’
of unwanted drama, including
                                        response to the health emergency.
soaring infection rates, widespread
lockdowns, record-shattering            Unlike in the 2007-09 crisis
declines in output, and spiking         (or most previous crises, for that
poverty. But, in addition to these      matter), banks have supported
trends, a quieter crisis is gaining     macroeconomic stimulus with a

                                                                                The Pandemic of Fear   7
variety of temporary loan moratoria,                                                                  for many countries markedly so. In
as the International Monetary Fund                                                                    many cases, financial institutions
has documented in its Policy Tracker.                                                                 may be insufficiently prepared to
These measures have provided                                                                          deal with the hit to their balance                                                                                   Even if one or more
some respite for households facing                                                                    sheet. The less regulated non-bank                                                                                   effective vaccines
loss of employment and a decline                                                                      financial sector, meanwhile, has
in income, as well as for businesses                                                                  even greater exposure to risk                                                                                        promptly resolve
struggling to survive lockdowns                                                                       (compounded by weaker disclosure).                                                                                   the pandemic, the
and general disruptions to normal                                                                                                                                                                                          COVID-19 crisis has
                                                                                                      Adding to these private-sector
activity (tourism-linked sectors
stand out starkly in this regard).
                                                                                                      developments, downgrades of                                                                                          significantly damaged
                                                                                                      sovereign credit ratings reached a
Financial institutions in all regions                                                                 record high in 2020 (see figure below).
                                                                                                                                                                                                                           the global economy and
have granted grace periods for                                                                        Although advanced economies have                                                                                     financial institutions’
repayment of existing loans, and                                                                      not been spared, the consequences                                                                                    balance sheets.”
many have re-contracted loans                                                                         for banks are more acute in emerging
in favor of lower interest rates                                                                      and developing economies where
and generally better terms. The                                                                       governments’ credit ratings are
understandable rationale has been                                                                     at or near junk grade. In more
that, because the health crisis is                                                                    extreme cases of sovereign default
temporary, so is the financial distress                                                               or restructuring – and such crises
of firms and households. But as                                                                       are on the rise, too – banks will
the pandemic has persisted, many                                                                      also take losses on their holdings
countries have found it necessary to                                                                  of government securities.
extend these measures until 2021.
                                                                                                      As I argued in March 2020, even
Alongside the temporary moratoria,                                                                    if one or more effective vaccines
many countries have relaxed their                                                                     promptly resolve the pandemic, the
banking regulations regarding                                                                         COVID-19 crisis has significantly
bad-loan provisioning and the                                                                         damaged the global economy and
classification of loans as non-                                                                       financial institutions’ balance
performing. The upshot of these                                                                       sheets. Forbearance policies have
changes is that the extent of NPLs                                                                    provided a valuable stimulus tool
may currently be understated, and                                                                     beyond the conventional scope of

     S H A R E O F S O V E R E I G N C R E D I T R AT I N G D O W N G R A D E S – 1 / 1 9 8 0 –1 1 / 2 0 2 0 ( I N P E R C E N T )

     14

     12

     10

       8

       6

       4

       2

       0
             JAN 1980

                        JUN 1981

                                   NOV 1982

                                              APR 198 4

                                                          SEP 1985

                                                                     FEB 1987

                                                                                JUL 1988

                                                                                           DEC 1989

                                                                                                      M AY 1 9 91

                                                                                                                    OCT 1992

                                                                                                                               MAR 1994

                                                                                                                                          AUG 1995

                                                                                                                                                     JAN 1997

                                                                                                                                                                JUN 1998

                                                                                                                                                                           NOV 1999

                                                                                                                                                                                      A P R 2 0 01

                                                                                                                                                                                                     SPE 2002

                                                                                                                                                                                                                FEB 2004

                                                                                                                                                                                                                            JUL 2005

                                                                                                                                                                                                                                       DEC 20 0 6

                                                                                                                                                                                                                                                    M AY 2 0 0 8

                                                                                                                                                                                                                                                                   OCT 2009

                                                                                                                                                                                                                                                                              M A R 2 01 1

                                                                                                                                                                                                                                                                                             A U G 2 01 2

                                                                                                                                                                                                                                                                                                            J A N 2 014

                                                                                                                                                                                                                                                                                                                          J U N 2 01 5

                                                                                                                                                                                                                                                                                                                                         N O V 2 016

                                                                                                                                                                                                                                                                                                                                                       A P R 2 01 8

                                                                                                                                                                                                                                                                                                                                                                      S E P 2 01 9

                               1 2 M O N T H M O V I N G AV E R A G E                                                                       SOURCE: TR ADING ECONOMIC S (2020)
                                                                                                                                            NOTES: THE FIGURE SHOWS THE NUMBER OF SOVEREIGN DOWNGR ADES AS
                               ALL COUNTRIES                                                                                                A S H A R E O F T H E TOTA L N U M B E R O F S O V E R E I G N S R AT E D I N A G I V E N M O N T H .

 8                             The Pandemic of Fear
fiscal and monetary policy. But grace       Balance-sheet damage takes time
                                                 periods will come to an end in 2021.        to repair. Previous overborrowing
                                                                                             often results in a long period of
                                                 As the US Federal Reserve’s November
                                                                                             deleveraging, as financial institutions
                                                 2020 Financial Stability Report
                                                                                             become more cautious in their lending
                                                 highlights, policy fatigue or political
                                                                                             practices. This muddling-through
                                                 constraints suggest that forthcoming
                                                                                             stage, usually associated with a
                                                 US fiscal and monetary stimulus will
                                                                                             sluggish recovery, can span years.
                                                 not match the scale reached in early
                                                                                             In some cases, these financial crises
                                                 2020. Many emerging markets and
                                                                                             develop into sovereign-debt crises, as
                                                 developing countries are already at or
                                                                                             bailouts transform pre-crisis private
                                                 near their monetary-policy limits as
                                                                                             debt into public-sector liabilities.
                                                 well. As 2021 unfolds, therefore, it will
                                                 become clearer whether countless            The first step toward dealing with
                                                 firms and households are facing             financial fragility is to recognize the
                                                 insolvency rather than illiquidity.         scope and scale of the problem, and
                                                                                             then expediently restructure and
                                                 Firms’ high leverage on the eve of the
                                                                                             write down bad debts. The alternative
                                                 pandemic will amplify the financial
                                                                                             – channeling resources into zombie
                                                 sector’s balance-sheet problems.
                                                                                             loans – is a recipe for delayed recovery.
                                                 Corporations in the world’s two
                                                                                             Given the pandemic’s already huge
                                                 largest economies, the United States
                                                                                             economic and human costs, avoiding
                                                 and China, are highly indebted and
                                                                                             that scenario must be a top priority
                                                 include many high-risk borrowers.
                                                 The European Central Bank has               for policymakers everywhere.
                                                 repeatedly voiced concerns about the
                                                 rising share of NPLs in the eurozone,
                                                 while the IMF has frequently warned
                                                 about the marked increase in dollar-
                                                 denominated corporate debt in
A B O V E : C A R M E N M . R E I N H A R T.    many emerging markets. Exposure
                                                 to commercial real estate and the
 O P : E M P T Y O F F I C E TO W E R S I N
T
                                                 hospitality industry is another source      Carmen M. Reinhart is Chief
T H E C I T Y O F LO N D O N D U R I N G T H E
S E C O N D N AT I O N A L LO C K D O W N .      of concern in many parts of the world.      Economist of the World Bank.
                                                                                             The Pandemic of Fear                  9
10   The Pandemic of Fear
pulling
Europe’s Watershed Year
JOSEP BORRELL
EU High Representative for
Foreign Affairs and Security Policy

In 2020, people around the world experienced life in
slow motion, even as political developments accelerated.
For the European Union, navigating the COVID-19 crisis has
been challenging; yet, despite much naysaying, Europeans
not only stuck together, but grew together, forging a more
cohesive bloc. In 2021, global cooperation ought to make
a strong comeback, and the EU should continue to pursue
“strategic autonomy” so that it can safeguard its citizens

together
and interests in the years and decades ahead.

                                      The Pandemic of Fear   11
2020 m a r k e d
i t i s a t ru i s m t h at                                         The Pandemic Stress Test
a watershed. In fact, the world has
                                                                    There is no denying that the EU
been undergoing several tectonic
                                                                    struggled during the early days of
shifts for years now, including
                                                                    the pandemic. We were ill-prepared,
but not limited to growing public
                                                                    and many member states were
distrust, polarization and identity
                                                                    initially inclined to let everyone
politics, tepid economic growth,
                                                                    fend for themselves. But genuine
rising debts, and deepening
                                                                    acts of solidarity soon followed,
inequality. We have witnessed the                                   with many countries taking patients
weaponization of interdependence.                                   from, and sending emergency
Trade, technology, investment,                                      equipment to, those most in need.
tourism, and other former venues                                    Then the EU-level measures kicked
of deepening cooperation have                                       in. The European Central Bank
become instruments of power and                                     provided massive liquidity, and the
domains of intense competition.                                     European Commission authorized
This was the big picture that we                                    member states to incur large deficits
in the EU leadership saw when we                                    to support their economies.
took office in December 2019, just                                  The discussion quickly turned to how
before conditions became even                                       the EU could provide fiscal support
more challenging. For Europeans,                                    to the hardest-hit countries, and
it looked as though everything we                                   these debates culminated in a historic
held dear was being contested, be it                                “recovery fund.” An unprecedented
multilateral cooperation; solidarity                                €1.8 trillion ($2.1 trillion) was
between countries, generations, and                                 allocated for a new “Next Generation
individuals; or even basic respect                                  EU” instrument and the bloc’s next
for facts and science. In addition to                               seven-year budget. Moreover, two
several crises brewing in the EU’s                                  longstanding economic-policy
neighborhood and the escalation of                                  shibboleths were shattered. For the
Sino-American tensions, we were                                     first time, EU leaders agreed to issue
hit suddenly by COVID-19, which                                     large-scale common debt and allow
has compounded all the other longer-                                for fiscal transfers, provided that
term challenges Europe faces.                                       spending is aligned with the twin

                                                                                                                                            B O V E : E U H I G H R E P R E S E N TAT I V E
                                                                                                                                           A
                                                                                                                                           F O R F O R E I G N A F FA I R S A N D S E C U R I T Y
                                                                                                                                           POLICY JOSEP BORRELL.

                                                                                                                                            OP: EUROPE AN COMMISSION PRESIDENT
                                                                                                                                           T
                                                                                                                                           URSUL A VON DER LE YEN.

€1.8tr
A M O U N T A L LO C AT E D F O R A N E W “ N E X T G E N E R AT I O N E U ” F U N D A N D T H E B LO C ’ S N E X T S E V E N -Y E A R B U D G E T.

 12                   The Pandemic of Fear
priorities of funding a green transition   results for citizens. No one will be safe                         This is not just about market failures
and securing Europe’s digital future.      until we have a reliable vaccine, so the                          in medical supplies. Strategic
                                           paramount questions on vaccination                                autonomy is about how Europe can
On the international front, the EU’s
position has been clear: a “pandemic
                                           are who will get what, when, and               The point is       address vulnerabilities across a
                                           how. There is a serious risk of “vaccine       not to embrace     wide range of areas – from critical
world” needs multilateral solutions.
                                           nationalism” or “vaccine diplomacy,”                              technologies and infrastructure
We have lived by this motto even
                                           with rich and powerful countries               autarky or         (such as digital networks and cloud
when others were going it alone.
Our May 2020 (virtual) pledging
                                           forcing themselves to the front of the         protectionism,     computing) to rare earths and
                                           line. In early 2020, some countries            but to safeguard   the raw materials needed for the
conference to raise funds for vaccine
                                           used “mask diplomacy” to extract                                  green transition. We must avoid
research was a perfect demonstration
                                           political concessions in exchange for          our political      excessive dependence on external
of the EU’s unique strengths. While
the United States and China were
                                           critically needed personal protective          independence…”     suppliers in these strategic sectors.
                                           equipment. The EU will insist on the                              The point is not to embrace autarky
proverbially at each other’s throats,
                                           opposite approach: vaccines must be                               or protectionism, but to safeguard
Europe stepped up to lead on this          treated as a global public good and                               our political independence so
critical issue. Moreover, we did so        distributed based on medical needs.                               that we remain masters of our
in a quintessentially European way                                                                           own choices and future.
(call it “Multilateralism 2.0”), working   The second big multilateral priority
with not only governments, but also        for 2021 is climate change, another                               Some elements of this strategy were
foundations and the private sector.        area where the EU has shown                                       put in place in 2020. Europe now
                                           leadership. Having already set a 2050                             has a mechanism to screen foreign
Since the summer, Europe has               carbon-neutrality target, we are                                  investments, and we have begun
suffered a second wave of infections       close to an agreement on a binding                                to address the distorting effects of
and struggled with renewed                 commitment to reduce greenhouse-                                  foreign subsidies. We are also boosting
lockdowns. Although we have far            gas (GHG) emissions by 55% by 2030.                               the international role of the euro,
more knowledge about COVID-19 and          Moreover, these efforts seem to have                              and preparing additional measures
how to treat it, “pandemic fatigue”        inspired others: China has signaled its                           on issues such as government
is widespread. Worse, the initial          intention to become carbon neutral by                             procurement. As matters stand, the
economic rebound appears to be             2060, and Japan and South Korea have                              EU procurement market is almost
fading, indicating that the crisis will    said they will do so by 2050. We now                              totally open, while that of some others
continue to dominate our lives for         need the US, India, Russia, Brazil, and                           remains almost completely closed.
months – and perhaps years – to come.      other big emitters to get on board.                               We must either ensure reciprocity
As such, we must keep mobilizing                                                                             or take steps to restore balance.
across all of the relevant domains,        Climate change is the existential
from public health and the economy         challenge of our time. As with                                    Strategic autonomy also applies
to security and global governance.         COVID-19, the warning signs are                                   to cyber issues. How can Europe
                                           visible for all to see, and there is a solid                      manage data? We must avoid the
                                           scientific consensus about what to do.                            dichotomy whereby data belongs
A New Moment for Multilateralism           The difference, of course, is that there                          either to Big Tech platforms (with
Revitalizing multilateralism thus          will never be a vaccine for climate                               little government oversight) or to the
will be a top priority for the EU in       change. So, we must bend the curve                                state (including its link to the security
2021. Obviously, we cannot achieve         of GHG emissions as fast as possible.                             apparatus). The EU’s last major tech
this alone. But we anticipate that we                                                                        legislation was the General Data
will have more partners in the year                                                                          Protection Regulation in 2018, and
                                           European Strategic Autonomy
ahead than we did in 2020. With Joe                                                                          much has already changed since then.
Biden succeeding Donald Trump              Finally, at the same time that we
                                                                                                             These are just some of the many
as president, the US is expected to        pursue multilateralism, we must
                                                                                                             challenges the EU will have to
rejoin to the Paris climate agreement,     build a capacity to act autonomously
                                                                                                             navigate in 2021. It will be rough
restore its support for the World          when necessary. As I argued a year
                                                                                                             sailing, but we will emerge
Health Organization, return to             ago, Europeans must confront
                                                                                                             stronger if we stay focused on
the Iran nuclear deal, and adopt a         the world as it is, not as we wish
                                                                                                             two complementary priorities:
more constructive stance within            it to be. The EU must “learn to
                                                                                                             revitalizing multilateralism and
the World Trade Organization.              speak the language of power.”
                                                                                                             building up strategic autonomy.
                                           The pandemic has underscored
America’s return to the global stage
                                           the need for European strategic
will serve as a much-needed shot
                                           autonomy, a concept that originated
in the arm for multilateralism.
                                           in defense circles, but that now
We hope that others, including
                                           extends to public health and many
China and Russia, will follow suit
                                           other domains. We have learned
in reversing their selective and self-
                                           the hard way that there are costs to
serving approach to multilateral
                                           depending on just a few suppliers of
cooperation in the UN and elsewhere.
                                           critical goods – especially when the
To be sure, pleas for “rules-based         supplier is a country whose value                                 Josep Borrell is EU High
cooperation” often sound less              system is fundamentally at odds                                   Representative for Foreign
inspiring than bombastic appeals to        with our own. The solution to this                                Affairs and Security Policy
“take back control.” We must ensure        problem is diversification and, when                              and a vice president of the
that multilateralism delivers tangible     necessary, shorter supply chains.                                 European Commission.

                                                                                                             The Pandemic of Fear                  13
A Fragile
                                    By the end of 2020, financial markets –
                                    mostly in the United States – had
                                    reached new highs, owing to hopes

Recovery                            that an imminent COVID-19 vaccine
                                    would create the conditions for a
                                    rapid V-shaped recovery. And with

in 2021                             major central banks across the
                                    advanced economies maintaining
                                    ultra-low policy rates and
NOURIEL ROUBINI                     unconventional monetary and
Professor of Economics at
                                    credit policies, stocks and bonds
NYU’s Stern School of Business      have been given a further boost.

14           The Pandemic of Fear
The Pandemic of Fear   15
b u t t h e s e t r e n d s h av e w i d e n e d
the gap between Wall Street and
Main Street, reflecting a K-shaped
                                                   320%                                     and other labor-replacing, capital-
                                                                                            intensive, skill-biased technologies.
                                                                                                                                           corporate sector and across many
                                                                                                                                           households imply more deleveraging,
                                                                                                                                           which will reduce spending, and more
                                                   G LO B A L D E B T A S A                 As for emerging markets and
recovery in the real economy. Those                P E R C E N TA G E O F G D P 2 01 9 .    developing countries, COVID-19                 defaults, which will produce a credit
with stable white-collar incomes who                                                        has triggered not merely a recession,          crunch as a surge in non-performing
can work from home and draw from                                                            but what the World Bank calls a                loans swamps banks’ balance sheets.
existing financial reserves are doing                                                       “pandemic depression,” leaving                 Globally, private and public debt has
well; those who are unemployed                                                              more than 100 million people back              risen from 320% of GDP in 2019 to a

                                                   365%
or partly employed in precarious                                                            on the verge of extreme poverty                staggering 365% of GDP at the end of
low-wage jobs are faring poorly.                                                            (less than $2 dollars per day).                2020. So far, easy-money policies have
The pandemic is thus sowing the                                                                                                            prevented a wave of defaults by firms,
                                                                                            After going into free fall in the first half
seeds for more social unrest in 2021.              G LO B A L D E B T A S A                                                                households, financial institutions,
                                                   P E R C E N TA G E O F G D P 2 0 2 1 .
                                                                                            of 2020, the world economy started to
In the years leading up to the                                                              undergo a V-shaped recovery in the             sovereigns, and entire countries,
COVID-19 crisis, 84% of stock-market                                                        third quarter, but only because many           but these measures eventually will
wealth in the US was held by 10% of                                                         economies were reopened too soon.              lead to higher inflation as a result
shareholders (and 51% by the top 1%),                                                       By the fourth quarter, much of Europe          of demographic aging and negative
whereas the bottom 50% held barely                                                          and the United Kingdom were heading            supply shocks stemming from the
any stock at all. The top 50 billionaires                                                   into a W-shaped double-dip recession           Sino-American decoupling.
in the US were wealthier than the                                                           following the resumption of draconian          Whether major economies experience
bottom 50% of the population                                                                lockdowns. And even in the US,                 a W- or a U-shaped recovery, there
(a cohort of about 165 million people).                                                     where there is less political appetite         will be lasting scars. The reduction
COVID-19 has accelerated this                                                               for new pandemic restrictions, 7.4%            in capital expenditures will reduce
concentration of wealth, because                                                            growth in the third quarter is likely          potential output for good, and
what’s bad for Main Street is good for                                                      to be followed by growth of 0.5%               workers who experience long bouts
Wall Street. By shedding good salaried                                                      at best in the last quarter of 2020            of joblessness or underemployment
jobs and then re-hiring workers on a                                                        and in the first quarter of 2021 –             will be less employable in the future.
freelance, part-time, or hourly basis,                                                      a mediocre U-shaped recovery.                  These conditions will then feed
businesses can boost their profits                                                          Renewed risk aversion among                    into a political backlash by the new
and stock price; these trends will                                                          American households has translated             “precariat,” potentially undermining
accelerate over time with the wider                                                         into reduced spending – and thus               trade, migration, globalization, and
application of artificial intelligence                                                      less hiring, production, and capital           liberal democracy even further.
and machine learning (AI/ML)                                                                expenditures. And high debts in the

84%                                                                                         51%
A M O U N T O F S TO C K                                                                    A M O U N T O F S TO C K
M A R K E T W E A LT H I N T H E                                                            M A R K E T W E A LT H I N T H E
U S H E L D B Y T H E TO P 1 0 %                                                            U S H E L D B Y T H E TO P 1%

 16                 The Pandemic of Fear
COVID-19 vaccines will not ameliorate
these forms of misery, even if
they can be quickly and equitably
administered to the world’s 7.7 billion
people. But we shouldn’t bet on
that, given the logistical demands
(including cold storage) and the
rise of “vaccine nationalism” and
disinformation-fueled vaccine fears
among the public. Moreover, the
announcements that leading vaccines
are over 90% effective have been
based on preliminary, incomplete
data. According to scientists I have
consulted, we will be lucky if the first
generation of COVID-19 vaccines is
even 50% effective, as is the case with
the annual flu shots. Indeed, serious
scientists are expressing skepticism
about the claims of 90% effectiveness.
Worse, there is also a risk that in
late 2021, COVID-19 cases will spike
again as “vaccinated” people (who
may still be contagious and not
truly immune) start engaging in
risky behaviors like crowded indoor
gatherings without masks. In any
case, if Pfizer’s vaccine is supposed
to be the key to our salvation,
why did its CEO dump millions
of dollars of stock on the same
day that his company announced
its breakthrough test results?
Finally, there is the great political
                                            H I P P I N G C O N TA I N E R S
                                           S                                    decoupling of data, information,              Nouriel Roubini, CEO of Roubini
                                           AT A P O R T I N C H I N A’ S
event of 2020: Joe Biden’s election to                                          and financial flows, currencies,              Macro Associates and host of the
                                           E ASTERN JIANGSU
the US presidency. Unfortunately, this     PROVINCE.                            payment platforms, and trade in               NourielToday.com broadcast, is
                                                                                goods and services that rely on 5G,           Professor of Economics at New York
will not make much of a difference
                                                                                AI/ML, big data, the Internet of Things,      University’s Stern School of Business.
for the economy, because obstruction
by congressional Republicans will                                               computer chips, operating systems,
prevent the US from implementing                                                and other frontier technologies.
the kind of large-scale stimulus                                                Over time, the world will be firmly
that the situation demands. Nor                                                 divided between two competing
will Biden be able to spend heavily                                             systems – one controlled by the
on green infrastructure, raise taxes                                            US, Europe, and a few democratic
on corporations and the wealthy,                                                emerging markets; the other
or join new trade agreements like                                               controlled by China, which by then
the successor to the Trans-Pacific                                              will dominate its strategic allies
Partnership. Even with the US set to                                            (Russia, Iran, and North Korea) and
rejoin the Paris climate agreement                                              a wide range of dependent emerging
and repair its alliances, the new                                               markets and developing economies.
administration will be limited
                                                                                Between the balkanization of the
in what it can accomplish.
                                                                                global economy, the persistent threat
The new cold war between the US                                                 of populist authoritarianism amid
and China will continue to escalate,                                            deepening inequality, the threat of
potentially leading to a military                                               AI-led technological unemployment,
clash over Taiwan or control of the                                             rising geopolitical conflicts, and
South China Sea. Regardless of who                                              increasingly frequent and severe
is in power in Beijing or Washington,                                           man-made disasters driven by
DC, the “Thucydides Trap” has                                                   global climate change and zoonotic
been laid, setting the stage for a                                              pandemics (that are caused in part
confrontation between the established                                           by the destruction of animal
but weakening hegemon and the                                                   ecosystems), the coming decade
new rising power. As the race to                                                will be a period of fragility, instability,
control the industries of the future                                            and possibly prolonged chaos.
intensifies, there will be even more                                            The year 2020 was just the start.

                                                                                                                              The Pandemic of Fear                17
How Might COVID-19
Change the World?
JARED DIAMOND
Professor of Geography at
the University of California,
Los Angeles

Today, COVID-19 is devastating the world. It’s in the process of infecting many (perhaps even most)
of us, killing some, shutting down our normal social relations, halting most international travel,
and clobbering our economies and trade. What will the world be like a few years from now, after
this acute crisis has waned?

18            The Pandemic of Fear
t h e r e ’s a w i d e s p r e a d a s s u m p t i o n                         that the first doses must be reserved
                                    that vaccines will soon protect us                                             for medical personnel, because
                                    against COVID-19. Alas, that prospect                                          everybody else needs those medical
                                    remains very uncertain. Scientists                       Even in the           personnel to administer the doses
                                    in many countries – China, the                           short run, no         to the rest of us, and to take care of
                                    United States, Russia, Britain, and                                            sick people. Among those of us who
                                    others – have been racing to develop                     country can           are not medical personnel, rich,
                                    effective COVID-19 vaccines, and                         achieve lasting       influential people can be expected
                                    the first are just starting to become                    COVID-19              to find ways to acquire doses before
                                    available. That suggests a worst-                                              poor, uninfluential people.
                                    case scenario, a best-case scenario,                     security for itself
                                                                                                                   But those selfish considerations don’t
                                    and everything in between.                               by eliminating        just apply to the allocation of doses
                                    There are already many signs of                          the disease           within a country, there is likely to be
                                    an incipient worst-case scenario.                        within its            international selfishness as well. A
                                    Even though some countries have                                                country that develops a vaccine will
                                    developed, tested, and begun to
                                                                                             borders.”             surely put its own citizens first. Such
                                    distribute an effective vaccine,                                               prioritizing has already happened
                                    7.7 billion doses for the world’s                                              with respect to face masks: a few
                                    7.7 billion people cannot be                                                   months ago, when those masks were
                                    manufactured and distributed                                                   scarce and some shipments from
                                    worldwide overnight. Initially,                                                China reached Europe, scrambles
                                    supplies will be scarce. Who will                                              and bidding wars ensued as countries
                                    get those first coveted doses?                                                 sought to secure those supplies for
                                    Common-sense proposals stipulate                                               themselves. Worse yet, countries

E M E R G E N C Y H O S P I TA L
 BEDS IN WUHAN.

                                                                                                                                 The Pandemic of Fear        19
that develop a vaccine may withhold                          borders, no country can protect            O AT S PA R K E D O N
                                                                                                       B
                                                                                                       THE SHORES OF THE
it from political or economic rivals.                        itself against climate change just by     BURIGANGA RIVER
                                                             reducing its reliance on fossil fuels     D U R I N G A G O V E R N M E N T-
On reflection, though, selfish national
policies would be suicidal. Even in
                                          Climate change,    and reducing its own emissions of         I M P O S E D LO C K D O W N
                                                                                                       IN BANGL ADESH.
                                          resource           greenhouse gases. Atmospheric
the short run, no country can achieve
                                                             carbon dioxide, like COVID-19,
lasting COVID-19 security for itself      depletion, and     does not respect political borders.
by eliminating the disease within
its borders. In today’s globalized
                                          inequality pose    But climate change, resource
world, COVID-19 would just come           far more serious   depletion, and inequality pose far
back into such a country from others      threats to our     more serious threats to our survival
that had not eliminated the virus.                           and quality of life than the current
                                          survival and       pandemic does. Even in the worst-
That has already happened to              quality of life    case scenario, if every human on
New Zealand and Vietnam, where
stringent measures did stop local         than the current   Earth is exposed to COVID-19 and
                                                             2% of us die as a result, that’s “only”
transmission, but returning               pandemic does.”    154 million deaths. That leaves
travelers have continued to
                                                             7,546,000,000 people still alive: far
import new COVID-19 cases. This
                                                             more than enough to ensure human
illustrates a key conclusion: no
                                                             survival. COVID-19 is a bagatelle,
country will be safe from COVID-19
                                                             compared to the dangers that climate
until all are. It’s a global problem
                                                             change, resource depletion, and
demanding a global solution.
                                                             inequality imply for all of us.
I take that fact as good news. We face
                                                             Why, then, haven’t we been
other global problems demanding
                                                             galvanized to act against climate
global solutions: especially climate
                                                             change and those other global
change, worldwide resource
                                                             threats, when we are being
depletion, and the destabilizing
                                                             galvanized by the milder threat of
consequences of inequality across
                                                             COVID-19? The answer is obvious:
countries in our globalized world.
                                                             COVID-19 catches our attention,
Just as no country can keep itself
                                                             by sickening or killing its victims
free of COVID-19 forever just by
                                                             quickly (within a few days or weeks)
eliminating the virus within its
                                                             and unequivocally. In contrast,

20            The Pandemic of Fear
 C H I L D I S V A C C I N AT E D
A                                                         climate change ruins us slowly and       Jared Diamond, Professor of
IN BR A ZIL.
                                                          much less clearly, through indirect      Geography at the University of
                                                          consequences such as reduced food        California, Los Angeles, is the
                                     For the first time   production, starvation, extreme          Pulitzer Prize-winning author of
                                     in world history,    weather events, and the spread of        Guns, Germs, and Steel, Collapse,
                                                          tropical diseases into temperate         and other international bestsellers.
                                     people around        zones. Hence, we have been slow to
                                     the world are        recognize climate change as a global
                                     being forced to      threat requiring a global response.

                                     acknowledge          That’s why the COVID-19 pandemic
                                                          gives me hope, even as I mourn the
                                     that we all face     loss of dear friends whom it has
                                     a shared threat      killed. For the first time in world
                                     that no country      history, people around the world
                                                          are being forced to acknowledge
                                     can overcome         that we all face a shared threat
                                     by itself.”          that no country can overcome by
                                                          itself. If the world’s peoples join
                                                          together, under compulsion, to
                                                          defeat COVID-19, they may learn a
                                                          lesson. They may become motivated
                                                          to join together, under compulsion,
                                                          to combat climate change, resource
                                                          depletion, and inequality. In that
                                                          case, COVID-19 will have brought
                                                          not only tragedy but also salvation,
                                                          by finally setting the world’s peoples
                                                          onto a sustainable course.

                                                                                                   The Pandemic of Fear                   21
22   The Pandemic of Fear
WILLIAM A. HASELTINE
Chair and President of the global health
think tank ACCESS Health International

                                           The Pandemic of Fear   23
COVID-19 stormed across the planet in 2020, striking first in Asia and then surging
throughout Europe and the Americas in what seemed like an endless tidal wave
of grief. With each passing milestone – the first 100 deaths in January, followed by
the first 1,000 in February, 10,000 in March, 100,000 in April, and one million as
of September – the question always has been when it will it end.

                                                                                                      under development will prevent
                                                                                                      infection or provide lifelong, lasting
                                                                                                      immunity. At best, they will limit
                                                                                                      the symptoms of those infected and
                                                                                                      minimize the number of COVID-19
                                                                                                      cases that progress to severe illness.
                                                                                                      Moreover, the vaccines currently
                                                                                                      approved for use require multiple
                                                                                                      doses, with a delay of up to two
                                                                                                      months before the benefits kick in.

                                                                                                      Likewise, lifesaving treatments
                                                                                                      for those with COVID-19 will not
                                                                                                      come quickly. Treatments that
                                                                                                      initially met with great fanfare –
                                                                                                      remdesivir, convalescent plasma,
                                                                                                      and dexamethasone – have since
                                                                                                      proven to have little to no effect on
                                                                                                      overall morbidity or mortality. And
                                                                                                      treatments with greater therapeutic
                                                                                                      potential, like monoclonal antibodies,
                                                                                                      are still many months away, and
                                                                                                      may ultimately prove too costly
                                                                                                      to be made widely available.

                                                                                                      The absence of a medical quick fix
                                                                                                      will increase the need for leadership,
                                                                                                      governance, and social solidarity.
                                                                                                      Political leaders must accept full
                                                                                                      responsibility for the lives that are
                                                                                                      lost. Less than three weeks after
                                                                                                      scientists identified the virus,
                                                                                                      and after the first reported death
                                                                                                      in Wuhan, Chinese President Xi
d e s p i t e i t s v i ru l e n c e , m a n y s i m p ly   As for the fourth component of            Jinping locked down 57 million
assume that the pandemic will end                           epidemic control, many assume that        Chinese citizens in Hubei province,
sometime in 2021. But such hopes                            vaccination or a lifesaving treatment     preventing them from traveling to
are misplaced. Controlling an                               is imminent. True, the pandemic           other regions or leaving their homes
epidemic involves four fundamental                          has brought out the very best in          for anything other than necessities.
components: leadership, governance,                         science and medicine. Researchers
social solidarity, and a medical                            around the world have moved faster        China showed that new infections
toolkit. Most countries today                               and collaborated more closely than        could be halved in just two weeks
have failed on the first three, all                         ever before, identifying the virus,       through standard measures
but ensuring that COVID-19 will                             mapping its genetic makeup, and           such as enforced mask-wearing,
remain with us over the next year.                          working toward potential vaccines         social distancing, and mandatory
                                                            and treatments. But even with             quarantine and isolation. By contrast,
Most likely, winter in the northern                         these incredible successes, there         in countries like Brazil, the United
hemisphere will bring a sharp rise                          is still only a slim chance that we       Kingdom, and the United States,
in infections and deaths. The losses                        will have a vaccine or treatment          national political leaders dismissed
will be particularly pronounced                             that is safe, universally available,      the threat and dithered in marshaling
in Europe and North America,                                and effective enough to stop the          the appropriate response.
where daily infection rates were                            pandemic before the end of 2021.
                                                                                                      Many commentators have attributed
already spiking in mid-autumn.
                                                            At the time of writing in late 2020, we   China’s success to totalitarianism,
And just as the weather starts to
                                                            are just beginning to see published       but a country’s system of government
warm in the north, South America
                                                            results for the vaccines that gained      is not really the deciding factor. Far
will cool and another epidemic
                                                            regulatory approval in December.          more important is whether political
wave will crash over us.
                                                            Based on what we know today, we           leaders are willing to trade short-
                                                            can be sure that none of the vaccines     term economic pain and quotidian

 24                   The Pandemic of Fear
 L A B P R O C E S S I N G C O V I D -1 9
 A
 T E S T S I N S PA I N .

conveniences for the safety of their
citizens. In New Zealand and Australia
– both vibrant democracies – bold
leadership and strong governance
brought new infections down
almost to zero, and political leaders
like New Zealand Prime Minister
Jacinda Ardern were rewarded
accordingly at the ballot box.

The first year of dealing with
COVID-19 has taught us that
piecemeal measures will only feed
the pandemic. National and global
crises call for national and global
coordinated action. The US, the
UK, Brazil, and other laggards have
failed on both counts. Indeed, some            ICROSCOPIC VIE W OF
                                              M
                                              T H E C O R O N AV I R U S .
countries are still pursuing the foolish
notion of herd immunity, despite              M A S K E D P E D E S T R I A N S
scientific evidence suggesting that           I N TO K Y O ’ S S H I N J U K U
                                              D I S T R I C T.
no such protection exists for this
disease. There are four common
(though rarely remarked upon)
coronaviruses that infect up to
15% of the world’s population each
year, and that come back year after
year, often re-infecting the same
people. Assuming that SARS-CoV-2
is no exception, any country that
places its hopes on a herd-immunity
strategy will be endangering
the rest of us year after year.

Though the Chinese government                                                      how much they are willing to              That is the biggest lesson of 2020.
made some critical misjudgments                                                    sacrifice for their fellow citizens.      If it is not incorporated into national
early on, one thing it did right was                                                                                         policies in 2021, the pandemic may
                                                                                   Clearly, a change in messaging is in
to warn the rest of the world that the                                                                                       well last not just through the next year
virus was transmissible, airborne,                                                 order. We are at war with a virus.
                                                                                                                             but for many more years to come.
and controllable only through drastic                                              Few doubt the importance of personal
and immediate measures. The                                                        liberty, but this is a time when we all
countries that ignored the warning                                                 need to forego certain conveniences
have since suffered the most, both                                                 for the sake of those around us.
economically and in human terms.                                                   Each new earthquake, tsunami,
Meanwhile, the countries that                                                      or emerging disease reminds us
demonstrated social solidarity in                                                  that nature is a dangerous force. If
controlling their outbreaks have                                                   there was a reason why many Asian
been able to reopen their economies,                                               countries reacted more quickly
though not necessarily their borders.                                              and effectively to COVID-19, it
In the end, though, a collective                                                   was because they still harbored
response merely reflects the sum                                                   memories of SARS, H1N1, and the
of individual actions. In too many                                                 avian flu. Their experience in recent
countries, individuals fear that                                                   years shows that public-health
acceding to protective measures                                                    measures that are stringently             William A. Haseltine, a scientist,
amounts to giving up one’s personal                                                applied through strong leadership,        biotech entrepreneur, and infectious
freedoms. Yet in times of war,                                                     governance, and social solidarity         disease expert, is Chair and President
when the dangers are apparent,                                                     can quickly bring a pandemic under        of the global health think tank
people have shown time and again                                                   control and limit the death toll.         ACCESS Health International.

                                                                                                                             The Pandemic of Fear                 25
26   The Pandemic of Fear
Learning to Live
with COVID-19
ERIK BERGLÖF
Chief Economist at the Asian
Infrastructure Investment Bank

                                 The Pandemic of Fear   27
As COVID-19 infections continue to rise in much of the world, many are clinging to the hope that
the arrival of vaccines will soon restore life as we knew it. That is wishful thinking. Even with
effective vaccines, COVID-19 will be with us for the foreseeable future – for several years, at least.
We are going to have to learn to live with it.

                                                                                                            A S A N I TAT I O N W O R K E R I N P I S A .

                                                                                                             S O C I A L LY D I S TA N C E D H O M E L E S S
                                                                                                            A
                                                                                                            S H E LT E R I N M A N I L A .

a n i n t e r n at i o n a l pa n e l o f                        are vulnerable, particularly if          public health fairly rapidly. Many
scientists and social scientists,                                immunity is short-lived.                 have also provided strong economic
convened by the Wellcome Trust,                                                                           support, in order to protect lives
                                                                 As the study shows, eradicating
recently constructed four pandemic          Eradicating the      the virus and ending the medical
                                                                                                          and livelihoods amid lockdowns.
scenarios. Key variables included           virus and ending     emergency will require not only a        But short-term emergency measures
what we may learn about the biology
of SARS-CoV-2 (the novel coronavirus
                                            the medical          vaccine that cuts transmission, but      like blanket lockdowns are not a
                                                                 also effective treatments and rapid,     sustainable solution. Few countries –
that causes COVID-19) – such as the         emergency will       accurate tests. Such a medical toolkit   especially in the emerging and
pace of mutation and the extent to          require not          would have to be made available          developing world – can afford
which an infection elicits antibodies –
and how fast we develop and
                                            only a vaccine       and affordable to every country,         to lock down their economies,
                                                                 and be deployed in a manner that         let alone keep recommended
deploy effective vaccines, as well          that cuts
                                                                 leveraged global experience and          policies in place until an effective
as antivirals and other treatments.         transmission,        engaged local communities.               vaccine is widely available.
In the study we considered how              but also effective   Yet at the moment, only one of the       Such measures are merely supposed
each of these four scenarios would          treatments           nine leading vaccine candidates stops    to slow down transmission and
unfold in five general settings:
high-, middle-, and low-income
                                            and rapid,           the spread of the virus; the others      buy time for policymakers and
                                                                 aim merely to limit COVID-19’s           health-care professionals to identify
countries, as well as conflict zones,       accurate tests.”     severity. Moreover, while treatments     vulnerabilities and, guided by input
and vulnerable environments                                      for moderate and severe cases            from the social sciences, devise
like refugee camps and prisons.                                  have significantly improved, they        innovative medium-and long-term
Not even in the most optimistic of                               remain unsatisfactory. And testing       strategies suited to local conditions.
the four scenarios – characterized                               is flawed, expensive, and subject        Unfortunately, this time has not been
by a relatively stable virus, effective                          to supply-chain weaknesses.              used particularly wisely so far, with
vaccines, and improved antiviral                                                                          policymakers preferring to imitate
                                                                 With such an imperfect medical
therapies – will SARS-CoV-2 be                                                                            one another’s solutions, rather than
                                                                 toolkit, non-pharmaceutical
                                                                                                          apply lessons creatively in ways
eradicated in all five settings within                           interventions (such as social
                                                                                                          that account for local conditions.
five years, though community                                     distancing and mask wearing)
transmission could be eliminated                                 are vital. Fortunately, most             Non-pharmaceutical interventions
within certain boundaries. And as                                countries have recognized the            are not one-size-fits-all. Nor is
long as one setting is experiencing                              critical importance of early action,     the process of rolling them back.
a COVID-19 outbreak, all settings                                imposing strict rules to protect         Epidemiology – complemented

 28                 The Pandemic of Fear
by the behavioral sciences – must          AINTED CIRCLES
                                          P                                      How policy choices are made                public-health imperatives, such
                                          ENCOUR AGING SOCIAL
guide this process.                                                              and implemented matters greatly.           as the fight against malaria.
                                          D I S TA N C I N G AT D O LO R E S
                                          PA R K I N S A N F R A N C I S C O .   An effective response must
In practice, this means that advanced                                                                                       Already, the pandemic is fueling
                                                                                 emphasize both individual and
economies should ease restrictions                                                                                          inequality both among and within
                                                                                 collective action, with people taking
only when they have robust systems in                                                                                       countries. Wealth has amounted
                                                                                 responsibility for themselves and
place to monitor the evolving public-                                                                                       to the most potent protection from
                                                                                 their communities. Meanwhile,
health situation and to track and                                                                                           COVID-19, as it facilitates social
                                                                                 as countries like Norway and
trace infected individuals. And they                                                                                        distancing and all but guarantees
                                                                                 Finland have shown, financing
should maintain other transmission-                                                                                         quality health care. But such
                                                                                 temporary “circuit breakers” – as
reducing measures, such as face                                                                                             inequalities weaken the global
                                                                                 rich countries should all be able
mask requirements, for some time.                                                                                           community’s resilience. The most
                                                                                 to do – can enable progress on
These measures must be supported                                                                                            effective interventions are those
                                                                                 reducing community spread.
by sustained investments in public                                                                                          that protect the most vulnerable.
health and health system capacity.                                               Political leaders who think they
                                                                                                                            Someday, the world may have the
                                                                                 can avoid the pain and discontent
In emerging economies, full                                                      that restrictions bring often end          full toolkit it needs to eradicate
lockdowns will be much more                                                      up imposing higher costs on their          the virus and will have to focus on
difficult to sustain. The pressure will                                          populations. Likewise, those who           building the infrastructure and
be on governments to find “intelligent                                           focus on who is doing better or            implementing the logistics capacity
restrictions” based on evidence                                                  worse miss the point: everyone is          to deploy it. In the meantime, we
regarding effectiveness, economic                                                better off if others are doing well.       should stop placing our hope in
cost, and distributional impact.                                                 Competition over medical supplies          a quick return to “normal,” and
                                                                                 and yet-to-be-produced vaccine             start developing comprehensive,
The political dimension of the                                                                                              creative and cooperative strategies
                                                                                 doses is counter-productive.
relevant decisions – for example,                                                                                           for living with COVID-19.
about whether to open schools or                                                 So, while individual countries must
allow large gatherings – must also                                               adapt solutions to local conditions, the
be taken into account. Leaders                                                   COVID-19 response must ultimately
must identify the trade-offs of                                                  be global. Resources, including
their policy options, recognizing                                                vaccines, must be channeled toward
that they may look very different                                                the most vulnerable countries and          Erik Berglöf is Chief Economist
depending on the economic,                                                       population groups. They must also          at the Asian Infrastructure
social, and political context.                                                   continue to be allocated to other          Investment Bank.

                                                                                                                            The Pandemic of Fear                 29
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