Showing posts with label public health. Show all posts
Showing posts with label public health. Show all posts

Tuesday, March 12, 2024

Gee Doctor Fauci (Once Again)

Gee kindly Dr Fauci they tell me you retired
But this pandemic is still a raging fire:
Everyone at work is out sick
Oh, some say "personal responsibility",
It's on them, they could have worn masks
But better ventilation would have been cheaper clearly
Is that really too much to ask?

Dear kindly Doctor Fauci
Have a talk with the folks at the CDC
They won't listen to a comment coming from me
They seem to have forgotten their mission statement
Surely it's better for public health to try to prevent
Than to give in and manage the aftermath
Of mass disabling events

Gee kindly Dr Fauci
The issue is rather emotive
There's a nagging sense that it's all about the profit motive
Have you seen the price, these days, of a course of Paxlovid?
And the insurance won't cover it if you keep getting sick
Sticker shock for my colleague,
In the thick of it

Dear kindly Doctor Fauci
They say that every day is for the thief
And viruses too, I guess
All that's left for us is tears
The great object lesson of the past few years:
That it's far easier for many to stick to pleasant beliefs
Than accept that no one is coming to give us relief

Gee kindly Doctor Fauci
Do you remember?
The good old days
A sentimental sort -
I was thinking back with nostalgia
Remembering the second wave
Back then vaccines were coming
We really thought that we might be winning
Ah well, reality will always prevail over wishful thinking

Doctor Fauci, Pence, Trump coronavirus briefing April 10 2020


Gee kindly Dr Fauci please put the issue to bed
They've been saying for years now that the pandemic is over
Repeating it and shouting it increasingly louder
This may be the case, but hear me out instead
Was it Keynes, that prescient one, who once said
In the long run we are all dead

Gee kindly Dr Fauci
What's really in a name?
Is naming destiny?
Or is it simply easier to blame?
In math class, they taught us about irrational numbers
Yet they won't name any new variant Pi
Hmm, makes you wonder
Those three musketeers of fate again:
Irony, infamy and goddamn lies

Gee kindly Dr Fauci I think it was Belloc who once said
Apropos irony, that altogether sublime form of jest,
That it was in the nature of irony
That it should avenge the truth
But there's no consolation as yet
The cowboy never came to save America
They say that he died in his boots

Dear kindly Dr Fauci I confess that I rather miss the joys of indoor dining
And movies, and nightclubs, and the fun of entertaining
It's a bit like swallowing a bitter pill
A part of my life sadly forsaken for fear of falling ill
Instead, prudence, it's takeout and Netflix and Chill

Gee kindly Doctor Fauci, consider a play in two acts
For, in this day and age, we need some relief
Between an audience and writer there exists a kind of pact:
The suspension of disbelief
Between a population and a virus there is a matter of fact:
The immutability of the laws of grief

Dear kindly Doctor Fauci please give me a break
After seventy stanzas I thought this must be a mistake
That our conversations were surely complete
Instead, I've had to admit a miserable defeat
And call you up for yet another consultation
For this pandemic shows no sign of ending...


the novel coronavirus SARS-CoV-2


Soundtrack for this note


A few playlists that the good doctor and I have enjoyed over the pandemic ...

See previous consultations with Doctor Fauci:

This lament with the good doctor is part of a series: In a covidious time.


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Writing log: February 16, 2024

Tuesday, September 12, 2023

Blue Sand

The headline was striking sixty odd years later
The dust was said to be returning to sender
Swirling dervishes on magic carpets, a blanket of fine particles
Radiation straight from the souk, the message in a bottle

A sixties affair held, not in Provence,
   but rather in the Sahara
Uncharted territory
   in what they then called French Algeria
A convenient location,
   just a few Berber nomads around at best
The fruits of settler colonialism,
   a prime spot for a nuclear test

A case of droit de seigneur, this was the desert after all
Proud of his entrée to the nuclear club was General de Gaulle
Still, it's not something that one could sweep under the rug,
   this thing
Indeed, the test rather embodied a literal carpet bombing

First, the sharp flash of the detonation
Then, later, shock waves and the almighty sound
The scientists marveled at the novel reaction
The blueish fire that preceded the mushroom cloud

Ground zero, the impact crater, the hole in the dunes
The military had assigned a codename: Gerboise Bleue
The desert rodent of Reggane would be baptized in blue
The blue of the tricolor harkened to Saint Martin de Tours

In the aftermath, as expected, came the fallout in all its forms
The uproar was swift,
   later tests would have to be moved underground
Expressions of surprise
   that radiation would drift west and south
Significant traces detected
   in Upper Volta, Ghana and even Senegal

Ballistic rockets launched primed for nuclear payloads
The initial fear was of fission and Strontium 90 isotopes
Decay was all, the main byproduct was rather Caesium
It is an ill wind that blows no good, this reckoning

We are all casualties in the torrid zone of this triangle of fire
That, in a new century, nature had decided to share the wealth
Donations of micro doses spreading irony across the land
A radioactive gift to posterity, a legacy of blue sand



After: Irony as Saharan dust returns radiation from French nuclear tests in the 1960s (March 1, 2021)

France, don't do it! Atomic bomb tests in Africa

Blue Sand, a playlist


A soundtrack for this note. (spotify version)
strontium 90 - future generations

...

The Wife's history of Atomic Junction dug up lots of interesting material. Here's a 1960 speech by by Tawia Adamafio denouncing French Nuclear Tests in the Sahara. See also a few more clippings from Ghanaian newspapers of the time.

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Writing log: December 16, 2021

Tuesday, December 06, 2022

Gee Doctor Fauci (Revisited)

Gee kindly Doctor Fauci
This strange life is such a mess
Look around, our streets are paved
With discarded rapid tests
Far too many think the pandemic's over
So cavalier and reckless
That we have staffing shortages galore, employee turnover
That's the price you pay for being feckless

Dear kindly Doctor Fauci, you know, I'm ailing
I'm really finding it hard to be a believer
The kid came home from school Friday, sniffling
Just hours later, we found out that he had a fever
What a life, even though the rapid test came back negative
We're all wearing N-95 masks just to be safe

Dear kindly Doctor Fauci
In this minefield of mixed metaphors,
I'm forever drawing a blank
Or, to hearken to pirates of old,
It feels like I'm walking the plank
True, the virus sets the timeline for this crisis
But it's hard to keep living on the precipice

Gee kindly Doctor Fauci
You know, I really can't cope
With this covidious business
Daily navigating the tightrope
We are canaries in the mine
Harried, our faces drained of hope
While outside, observers are worried
Waiting for the white puffs of smoke

Dear kindly Doctor Fauci,
They keep making the same mistakes
Behaving, for all intents and purposes,
As if their mind was a clean slate
When you act, without a care,
As if there's no community transmission
If you're lucky, in the best case,
You'll live to regret the decision

Gee kindly Doctor Fauci
Please give me a break
A word to the wise:
Open your windows and ventilate
Wear a mask in crowded rooms
Get boosted, don't tempt fate
Lest you end up in the emergency room
Lying in state
And the doctor reminds your kin
That you said "Do not resuscitate"

Gee kindly Doctor Fauci
We're really going through the wringer
The former president said it will all just go away by Easter
That we should shine ultraviolet light
And drink bleach; best of luck!
Sure, we voted him out and impeached him
But it's now two years later, what the fuck?

Dear kindly Doctor Fauci
I think it's going to take a miracle
For humanity to abide, as it were,
With the mosquito principle
Those ghouls instantly latched on
To those fateful words: herd immunity
And continue to hold fast, despite the cost,
The very definition of insanity

Doctor Fauci, Pence, Trump coronavirus briefing April 10 2020


Gee kindly Doctor Fauci
When will they come to their senses?
This plague has so many unintended consequences
On election day you thought you'd take a chance
Now the whole world is strangely out of balance
It's really a tragedy of the commons
When you submit to the rule of morons

Gee kindly Doctor Fauci
The latest research confirms
That the plague's most common side effect
Is to make wives unhinged
And husbands truly reckless
Officials at the CDC
Now call these symptoms learning loss
The index case in the study?
The family of Justice Thomas

Gee kindly Doctor Fauci, we're living out Hollywood realities
If you go by how they're managing the pandemic
It's rather like being passengers on the Titanic
Every man for himself, we're not all on the same boat
And then the fat lady sang, "That's all", she wrote

Dear kindly Doctor Fauci I hate to take you to task
I hear you fell prey to the disease and dropped your mask
By lowering your guard at your college reunion
You forgot for a moment and were imprudent
But, as you know, the virus really doesn't care
Indeed, it spreads readily through tainted air

Gee kindly Doctor Fauci
At this point I'm so dispirited
The handling of the pandemic
Needs to be revisited
A postmortem on how our leaders botched it
So many infected, they lost it
Due to their incompetence and misrule
Now millions are lying six feet under
Because of these fools

Gee kindly Doctor Fauci, I counted
I'm now up to 60 stanzas, disenchanted
For we're no closer to finally
Finding, a cure for this cancer
Ambivalence, I keep going round in circles
The same themes, concentric
Dissonance, my rhyme scheme meandering
Heavy-handed and more eccentric

Dear kindly Doctor Fauci
Truth be told, I think it's really pathetic
To observe their preferred strategy
For dealing with the pandemic
I daresay that it's a sin and rather odd
Because it's plainly not effective
Indeed it's quite akin
To using the Rhythm Method
As a contraceptive


the novel coronavirus SARS-CoV-2


Soundtrack for this note


I give you three playlists that the Doctor and I have enjoyed over the pandemic See previously The Grand Reopening of Texas, Gee Doctor Fauci (Remixed) and Telemedicine Consultation

This lament with the good doctor is part of a series: In a covidious time.


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Writing log: September 3, 2022

Tuesday, October 25, 2022

Champions League of Doom

I've been wondering what the later histories will label
   as the most catastrophic
In this ongoing shambles, beyond, say,
   Mister Johnson's herd immunity regime
Of delay, deny and dither in Her Majesty's land
And the US federal and (certain) state governments'
Response to the novel coronavirus pandemic
   from the start to the present

Early indicators pointed to Bolsonaro's bungling in Brazil
As a candidate to trump The Donald's dereliction of duty
Turns out he needn't have worried, albeit it was a bitter pill
For, enter stage right, came onto the scene, Premature Modi
Counting electoral chickens before the vaccine bounce would hatch
And now there's a surfeit, in India, of funeral pyres instead of roof thatches

And so I've been using my superspreading event timeline as prophylaxis
And, every night, dutifully checking the bookmarked tabs for the grim statistics
Sadly it is unlikely that anyone in this league of rogues will face justice
And if it is, it will be for some small thing, rather than for acts destructive

After a few months, I stopped updating my list,
   but there was no going back
For want of a bolt, humanity has been well and truly stuck
The virus sets the timeline, something many find hard to remember
It's really down to luck if, or when, your town becomes the new epicenter

Friends email me snippets;
   did you read about that fish processing factory?
The traveling salesman? Wrestling tournament?
   Or the cat's birthday party?
Heard about the ski resort? Nursing home?
   Farm? Yoga studio? Or the gym?
The meatpacking plant? The prison?
   Or the choir practice where they were singing hymns?

The Wife, a historian of medicine, religiously takes nightly screenshots
Documenting the waxing and waning of the coronavirus dashboards
And, on Facebook, she was quite the Cassandra, she was rather vocal
About the dangers people faced,
   but kept forgetting that everything is local

I know, I know, Trump probably caused far more casualties
On his watch. Try as he did, one can't hide so many dead bodies
It wasn't close, he's the clear winner of the Champions League of Doom
America First was his slogan, there's only one Alpha male in the room

The thing is that I take it personal with the Tories
J'accuse, for it really rankles
These miscreants, I charge, personally
Caused, by neglect, the death of my uncle

And I'm not even considering the shape of dread
It's the futility that makes one shake one's head
I can hardly handle all this unnecessary heartache
Grief unbounded, I'm still incandescent with rage

No, I already had their measure by April, just months into the pandemic
And nothing since has changed. If anything, the failure is systemic
The fish rots from the head down, it's a matter of common sense
The whole world is getting an education in observed competence

It is said that the legitimacy of the state
Derives from its ability to keep one safe
And say, per Max Weber, its monopoly on violence
That's, of course, when viewed with the sociological lens

You might prefer Thomas Jefferson's formulation:
"The first duty of government is the protection
Of life, not its destruction." He would add, if I recall,
"Abandon that, and you have abandoned all"

Out of this follows Caesar's Tax Collector Principle
But the duty of care relates to the Mosquito Principle
Duty abrogation has been seen in world-historic abundance
These men reneged on our fully paid up soul insurance

Political leaders come and go, we normally don't begrudge their authority
But the failure to protect is unforgivable, as is relying on herd immunity
Behold the Champions League of Doom: the Emperor has no clothes
I see you there, the winners in the corner: illegitimate and exposed

Despite a flattering supposition to the contrary, people come readily to terms with power. There is little reason to think that the power of the great bankers, while they were assumed to have it, was much resented. But as the ghosts of numerous tyrants, from Julius Caesar to Benito Mussolini will testify, people are very hard on those who, having had power, lose it or are destroyed. Then anger at past arrogance is joined with contempt for present weakness. The victim or his corpse is made to suffer all available indignities.

The Great Crash, 1929 by J.K. Galbraith
ghana usa

Champions League of Doom, a playlist


A soundtrack for this season's competition of woe. (spotify version)

This note is part of a series: In a covidious time

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Writing log. Prose: May 19 2020, Poetry: May 2, 2021

Tuesday, October 18, 2022

Milestone

It had been creeping up on me quite gradually
But the irrefutable sign that made it official was the diary entry
(To be precise, the Google calendar reminder, more formally)
That read, in black and white, on the little screen:
"Schedule colonoscopy"

I guess this was a watershed, call it a milestone
There was no mistaking what I read on my phone
The doctor's recommendation that one inspect my nether zone
Lest, like the dearly departed actor, you know
The one who starred as Black Panther,
I succumb to preventable misfortune

I suppose the statistics for those of my race in America
Must have been suitably ominous when it came to colon cancer
For the public health officials to have advanced by a number of years
Their recommendation for check ups to avoid a trail of tears

Demography and mortality statistics being what they are
For those, quoth the soul singer, darker than blue in America
I celebrate daily the small things, and that I have made it thus far
With loving family, relative wealth, and unscathed in police encounters

I still wear my mask of civility and bottle up my outrage
Except on the occasional lyric verse that I apply on these blank pages
But here, I count my blessings even as I must acknowledge
The bleedingly obvious: that I have become middle aged


guerilla crossing

Milestones, a playlist


A soundtrack for this coming of age (spotify version) ...

Timing is everything
Observers are worried

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Writing log: May 3, 2021

Friday, September 30, 2022

Inoculation Efficiency

We know the names by now, start with the golden child, Pfizer
Their application of mRNA vaccines led the way, as did that of Moderna
That last featured a weekend assist from good old Doctor Fauci
Fingers crossed, modulo new variants, we're on the way to herd immunity

And then there's the Oxford AstraZeneca variant that one should mention
Whose rollout in the UK temporarily saved the clown Boris Johnson
Surprising really, that vaccine bounce seems to have paused the clock
When the Grim Political Reaper should have dealt with him and Matt Hancock

For their neglect is measured in tens of thousands of dead bodies
And worldwide, there've been millions of devastated families
Sure, the virus sets the timeline and has moved to new epicenters
But the wounds have cut too deep; these are affairs to remember

While Merck were disappointed with the results of their own concoction
Uncle Amtrak Joe cajoled them to assist Johnson & Johnson
Well, cajoled is the nice way of putting that fact
He quietly threatened to invoke the Defense Production Act

They hastened to act quickly,
  this was no time to be quibbling about consent
When the specter has been raised,
   in this emergency, about waiving patents
No, it wouldn't do. Pharmaceutical profits,
   hook or crook, had to be maintained
Without intellectual property protections,
   monopolists are in a world of pain

We're all learning about logistics and vaccine supply chains
And about custom fridges and efficiently deployed cold chains
When you lack infrastructure
  you favor something cheap and easy to store
A surefire reason those in the global south would prefer a one stop shop

All those making a fuss about vaccine efficiency
  have fallen for misdirection
Spare a thought for those highlighting
  who controls the means of production
Generics is the watchword and its corollary is profits
Like the quote from The Graduate, "One word: Plastics"

One read that GlaxoSmithKline and Sanofi are also playing catch up
But all these new variants mean that there'll be time enough to level up
While we now hear about vaccine diplomacy,
   I must say it's a seller's market
For when no one is coming, as a buyer,
  you'll pay whatever usurious price is set

republique du tchad prix nobel de medecine 1905 robert koch Chad stamp

This note is part of a series: In a covidious time

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Writing log: May 3, 2021

Wednesday, September 21, 2022

Emotional Vaccination

Now that Pfizer has gotten their two jabs of flesh,
(Or was it Moderna's two pinpricks at rest?),
After the Oxford AstraZeneca two step potion
Comes the Johnson & Johnson one stop concoction

Sputnik flies again, the one from Gamaleya Research in Russia
And what of the Sinovac, the CoronaVac from China?
My parents in Ghana recently benefited from the Covax facility
But, while overjoyed, never mentioned the brand equity

A relief, but this lack of detail is causing me to wonder
For, if it was a two dose variant, say the Covaxin from India,
Whether there will be enough supply of vaccine for Ghana
Since this pandemic has seen a surge in those epicenters

The mosquito principle, while deceptively simple,
   points to a few limitations
The most obvious is that mitigating a global disease
   requires global solutions
In political philosophy, the problem is described as collective action
Social living is only the start of the journey to emotional vaccination

papua new guinea stamp defence force

This note is part of a series: In a covidious time

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Writing log: May 2, 2021

Tuesday, August 09, 2022

Putting up a Structure

A mantra she often repeated in her time as education minister
Was about the great importance of putting up a structure
For there was a poverty in our development that had to be fought
And so she made the rounds of the donors for the funds we sought

It was hardly conducive to have classes gather under the sun,
   a roof of clear sky
Exposed to the vicissitudes of the elements,
   where it was hard to keep dry
With dust everywhere, tropical rainstorms, and other misfortunes
And the dissonance of so many learning in those outdoor classrooms

She would contrast with the comparatively well-appointed chambers
She beheld in her time at Volta Hall at the University at Legon
Let alone the high tables at Wolfson College in Cambridge
When she would drink port after dining with the dons

Yet this covidious affliction has caused quite the turnaround
Causing upheaval everywhere and making the once sound unsound
Ventilation is the order of the day if you want to avoid viral strife
Classes, as a best practice, would do well to gather outdoors,
   under trees of life

True, an elephant which is lean is still fatter than a cow
But it turns out going al fresco is all the rage everywhere now
I read of many western universities pondering outdoor tents
This upheaval is a rather bewildering turn of events

Still, it wasn't a wasted effort to construct those schools,
   indeed it's a miracle
There's always more to do,
   but I altogether think that we've come full circle
That in our village we now have not just a primary
   but even a secondary school
And the girls have dorms.
   The trees in the village commons keep things cool

A cast of high flyers who believed they were nigh invincible
Now have to abide, as it were, with the mosquito principle
Brought back to the ground to gather under trees of life
As ever, irony is the key register of African life


abutia tree in village commons

abutia secondary school girls dorm 2

mum inspects polytecnic

Putting up a Structure, a playlist


A soundtrack for this note. (spotify version)

This note is part of a series: In a covidious time

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Writing log: April 29, 2021

Tuesday, January 25, 2022

The Mink Quadrant

I sometimes fancy myself a writer
Although I haven't strayed much into fiction
What with life giving me more than enough reality
Consider this then as some mindless speculation
Or, if you would rather, an alternate history

The natural reservoir of the novel covidious virus
Is the great unknown, a mystery, and much like the Ebola virus
Has been mooted as cynomolgus monkeys, civets or bats
The prime suspect is thought to be bats, the original sin I suppose,
But most genetic sequencing has pointed to an intermediate host
Pangolins at the Wuhan market were initially mooted as the latter
Elusive this host, the forensic sleuths still search for genetic markers
But what of the reverse ferret, I ask? Well, what do you think?
Or would your inner pet detective rather consider the mink?

This plague has attacked humans, cats, and even tigers
Zoos and circuses have been known to be affected
But minks were the first species reported to transmit back and forth
Everything was very hush hush at those Dutch and French farms
It was the same in Spain, and Wisconsin and Oregon gave cause for alarm
But the prime evil was the mass culling of millions in Denmark
The panic that sorry affair occasioned was quite stark
There was no way to sugarcoat this late turn,
The swift butchery in the land of concern
The Danish dilemma seemed to put us all on the brink
As the saying goes, where there is smoke, there are also minks

Epidemiologists and virologists mostly shrug at the mink
And its possible impact on viral transmission
Sure, we would do well to monitor the situation
But they have enough on their plate, wouldn't you think?
And who can blame them? Simply getting people to wear face masks
Social distancing when politicians aren't up to the task
Still, the Humane Society was immediately on the case, that is
"Fur farms can potentially act as reservoirs for coronaviruses
Incubating pathogens transmissible to humans and are inherently cruel"
They renewed their longstanding appeal to the golden rule

Pity the minks, farmed for their fur for human masters
Then, scapegoats, casually culled in a covidious disaster
Beasts of burden long before animal to human transmission
The irony is that their minders were facing the same situation
The previous Surgeon General and CDC director were missing in action
Full of wishful thinking, as if allergic to public health interventions
The mink farm workers shared the same fate as meat packers
They were ostensibly celebrated as essential workers
Yet most were forced to work under conditions fit for a superspreader
What a life, neglected like mink, and casually led to the slaughter
A metaphor perhaps about how we treat the least of us
All living things on the mink farms were thrown under the bus
As to the carnage in this era of unease, that symphony of deceit
Recall, if you will, that there can be no winners in the game of the rough beast

baba blanket 05

...

The thing these days is that I've started to appreciate what's actually important in life. In related news, Pandemic Eye Syndrome is a new disease affecting human beings that allows them to discern what is actually essential, and, like others afflicted with this new clear-eyed vision - a gift from a tiny clump of viral RNA from Planet SARS-CoV-2 in the Bat-Pangolin sector and the Mink Quadrant of the galaxy, I'd rather minimize daily annoyance.

The Dishwasher Situation (June 2020)

The Mink Quadrant, a playlist


A soundtrack for this note. (spotify version)

This internal displacement is part of a series: In a covidious time.


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Writing log. Concept: May 20, 2020; March 30, 2021

Tuesday, February 16, 2021

Telemedicine Consultation

Dear kindly Doctor Fauci
I think I'm going insane
What with these new variants
Mutations are on the brain
First the English, then the South African
Next the Japanese discovered the Brazilian
The spread simply can't be contained
Just now in Ohio, they found The Columbus Strain

Gee kindly Doctor Fauci
I guess the reason we're all suffering trauma
Is the lack of support for nurses and doctors
I can't wait to get a new President
Instead of yet more superspreading events
Remember: he suggested drinking Mr Clean
Long before they approved the Pfizer vaccine

Dear kindly Doctor Fauci
I think you'd call it an ethical dilemma
My boy got a lead through an unofficial channel
To jump the queue and get a dose of the Moderna
Vaccine, the magic potion against the Corona
What to do? He's no essential worker
But he's tired of living in a bubble

Gee kindly Doctor Fauci
Every day feels like rolling the dice
The root of our covidious predicament:
How's a man meant to go about normal life
With the relentless spread of the new variant?
Hell, the Capitol Police aren't up to the task
What more when so many refuse to wear masks

buried bones and child shoes in backyard

Dear kindly Doctor Fauci
What is it with naked ambition
That overtakes a common politician
To take full leave of his senses?
I guess life lived without consequences
Can lead a grifter to incite a riot
Then, left holding the bag,
Now accused of being a cad
Behold: a useful idiot

Gee kindly Doctor Fauci
When will we get over the hump
Flatten the curve and get out of this pickle?
Couldn't you conjure up a miracle?
Word is any number of Senators
Somehow got a jump on the action
First on call options for AstraZeneca
Then on the priority lists for vaccination

Dear kindly Doctor Fauci
Please clarify the regulations
The Governor keeps making excuses
For fear of breaking the cold chain
Been learning all about freezers
The vaccine distribution algorithm?
Mere lip service to the old geezers
Instead: Battle Royale and The Hunger Games

Gee kindly Doctor Fauci
Why do they keep saying the problem is logistical
When you and I both know it's ideological?
They want low taxes and monopoly rents
Not the competent application of government
They held up survival checks - that is
Until they got their Supreme Court Justice

Doll parts and bones

Dear kindly Doctor Fauci
I guess it all depends
One's assessment of their incompetence
These chancers thought they could
Wave the plague away with a magic wand,
Wishful thinking and exorcism.
Say what you want
About Anglo-Saxon exceptionalism
I'd rather be living in Taiwan

Gee kindly Doctor Fauci
Please help me defeat this unending tedium
I just saw that those pesky actuaries
Are minded to raise my insurance premiums
I get it, times must be hard
For their business, what a mess
But life is harder and stark
Living in a petri-dish of coronavirus

Dear kindly Doctor Fauci
They say hindsight is 20/20
And that those responsible shouldn't be taken to task
But they really shouldn't have held
The Sturgis Motorcycle Rally
And the postal service should have sent out face masks
For want of a bolt, there's no consolation
Six feet under, no questions can be asked

Gee kindly Doctor Fauci
Food banks can hardly be the response
To this covidious misery
Starving children don't cry
Tears waste too many calories
No, the kids are not alright
Parking lot wifi out of sight
True, man cannot live on bread alone
But surely you can find some crumbs to loan

Children shoes and buried bones

Dear kindly Doctor Fauci
Your English colleague Dr Whitty
Now faces a similar dilemma:
Opportunities lost, goodwill squandered
Political buffoons and a grim death toll
The only saving grace
In this panoply of mistakes
Is that only the virus knows the answer
For whom the bell tolls

Gee kindly Doctor Fauci
You've really got to wonder
How come Rupert Murdoch
He of the human capital stock
Was first in line for the vaccine
The nurse really struggled
To find a vein in that body of ice
Also, he already had immunity
His diet gives protection: lies, lies, lies

Dear kindly Doctor Fauci
I had to get you on on the phone
For while I was digging up my garden
I came up with children's shoes and buried bones
I'd rather not think about these omens
Got enough problems with the pandemic
Was my yard the scene of an epic
Texas chainsaw massacre?
That's something I don't want to consider

Texas chainsaw buried in the back yard

Telemedicine Consultation, a playlist


A soundtrack for this note (spotify version)

I've been having these conversations with Doctor Fauci for months now. We discuss toli and other matters. He's a good listener, I feel like I'm on the verge of a breakthrough.

See previously: The Grand Reopening of Texas and Gee Doctor Fauci (remixed)

This remote audience with the good doctor is part of a series: In a covidious time.


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Writing log: January 8, 2021

Tuesday, December 22, 2020

Early to Despair

I guess I was early to despair; don't call it prescience for, as I've noted, I'd rather be wrong.

They say misery loves company but I'd rather not have fellow travelers of gloom, it only accentuates the impotence and, indeed, the outrage.

I retired my coronavirus superspreading event timeline months ago, noting that the die was cast, that public health notions were being roundly ignored. If anything, there has been a quickening of dismay since then. While friends continue to send links of doom, there's been no joy in this repetition.

The Sturgis motorcycle rally, the White House clusters, the Swiss yodeling concert catastrophes, the Redding megachurch, the Sweet Sixteen superspreader session, the schools and universities high on their wishful thinking, the Gators, the Yale men's hockey team, and so forth.

Worse still, the continued refusal to address the meatpacking plant and food production pipeline and protect farm and other workers. I'm no Upton Sinclair, but Mr Surgeon General, Mr CDC Director et. al, you have plainly failed. Titans of failure, ship stewards of the Titanic, do you sleep at night?

I suppose if "they" won't even take simple steps to protect themselves, it was always going to be an uphill struggle for them to protect the needy, yet essential, Others.

Social living is a bridge too far for these rulers' psyches, it's the antithesis of the conqueror's catechism.

At the outset it was a parlor game, speculating on which outrage or dereliction would be the most catastrophic in the ongoing shambles. There were many candidates and, sadly, all have done their worst.

Soundtrack: Do your worst by Jaguar Wright

It gave me no pleasure to note that Ghana had managed things better than the US, UK and even France. It would be a strange kind of pride to think of celebrating that we were less inept. Dancing, as it were, on the graves of strangers. Human lives lost unnecessarily anywhere is an affront to one and all.

The notion of a Center for Disease Control is essentially a modern American invention. How many times in recent decades have American or Western logistics and expertise rolled in to save the day around the world? The modern language of public health has long followed the American script. It is confounding to watch the inaction and rank paralysis. Like students watching teachers flail, one starts to second guess all previous lessons.

And now we'll probably want to quarantine any American help. Their navy vessels are suspect viral vectors, Tyson's frozen chicken could well have RNA droplet coating; they have so little concern for their workers safety. Secretary Scalia in any case would have gutted any OSHA enforcement actions. The guys in the white hats died with their boots on.

The big asterisk of skepticism now looms over all things American.

The Brits have had longer to deal with decline and the fall from grace, and have the long history and attendant coping mechanisms to disarm the potency of perceived incompetence, if not impotence. Decades ago, the Suez imbroglio opened eyes and forced a reassessment of their stature. Still the notion that Mr Johnson's entanglements and dithering cost tens of thousands of lives ought to be hard to take.

Rude awakenings galore are in prospect in short. There will be a reckoning for "excess mortality" no matter how couched.

The saving grace culturally is the lack of reflection in America life, especially when coupled with this curious affinity for selective amnesia, mythmaking and nostalgia. Bunk and hokum at once, and the stab in the back routines have been readied to distract. The Murdoch press is well practiced.

There will be scapegoats for the shambles. It will be the usual suspects that will be said to be the blame, no matter how improbable; the stakes are simply too high for the culpable to admit responsibilty.

Still, if all you have is marketing prowess and the hard sell but fail plainly at operational excellence and execution, the world will pick and choose your wares at their leisure.

Goodwill and reputations are hard to win but easily squandered. You have to fall back to the tropes of disaster recovery once your brand in the toilet. Tough crowds abound. The downsides of a grievous decline in stature are all too severe.

I know all too well about lost decades. Ghanaians are still living down visions of Ghana must go and our basket case interludes. Reputation scrubbing is an all-consuming endeavor, if not a generational struggle.

Still, the parade of dubious decisions made, even in the face of months of increasingly dire warnings, is hard to take. You can't say that we don't know how to protect, or where transmission is likely to occur. The timeline made it obvious.

I was incandescent with rage in April that my uncle's rehab facility in Boris Johnson's austerity-ravaged NHS became his grave rather than his sanctuary. The notion that, months later, countless others are having to face this same fate, that other families are going through this unbounded grief is scandalous.

That nursing homes are still daily death traps is beyond disgrace. For shame.

Shame

Pandemic fatigue might be a thing, indeed epidemiologists incorporate it in their models, but it only really matters because so much goodwill and time has been squandered. There was no mobilization to secure equipment and resources or ramp up testing capacity.

Beyond ignorance and wishful thinking, there is the fact that people clearly assess risk and value life differently. Fine, I hear you say, it is what it is. Opinions differ, yada yada...

I would counter that, again, this is something epidemiologists model. It's the human factor: for any plan, there will be non-compliance. This is the challenge of any public health intervention. During this pandemic we may all be amateur epidemiologists, but, surely, the best practices are well known by now.

Rules and regulations should be simple and explained plainly. Most importantly, rules should be enforced, shared sacrifice demands no less. If we are all in this together, there can be no impunity, no trips to Barnard Castle.

Clear consistent communication is of the essence. Mixed metaphors are perilous and sow confusion.

The active disinformation and the weaponization of ignorance that we have seen is nigh genocidal, most certainly sociopathic, and, arguably, criminal.

I would say disgraceful if I wasn't so sure that shame was an impossibility with Trump and company.

And yet. And yet.

I'm minded that I've been writing my Things Fall Apart series for years now and should be no stranger to things indeed falling apart. I have my coping mechanisms against incipient despair; I mint playlists, I bury myself in writing and reading. I find joy in small things and optimism even in daily absurdity.

As Theodore Roethke put it in his celebrated poem:

In a dark time, the eye begins to see
Robert Lifton, writing in an atomic age, expanded on this notion and tried to achieve the psychological effect of an emetic through the juxtaposition of carefully chosen words; it's an approach I've come to embrace as an antidote to despair.

...

Years ago, I came across some paintings by Edward Munch at Harvard's Fogg art museum. It wasn't quite The Scream but they seemed in the same vein. 2020 has been a year of primal screams all around. A juxtaposition suggested itself naturally when I came across Kodjo Crobsen's satirical works which have had pride of place in my pandemic reading. The illustration of the angel that he would publish periodically in his columns, as Ghana seemed happy to go from worse to worse during our lost decades, was especially poignant. The angel's message was always the same and it was fitting:

At this point, subsequent horrific events are still reversible...

So yes, early to despair yet resilient and hopeful for a reversal of fortune. Things can be salvaged and the point of the daily struggle daily is the knowledge that there will be better days ahead.

at this point subsequent horrific events are still reversible, vrs my scream for edward munch

Nor can you long be, what you now are, called fair,
Do what you may do, what, do what you may,
And wisdom is early to despair:
Be beginning; since, no, nothing can be done
To keep at bay
Age and age’s evils, hoar hair

The Leaden Echo - Gerard Manley Hopkins

Optimistic, a playlist


This note is part of a series: In a covidious time

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Tuesday, October 27, 2020

Wishful Thinking

It is always a relief to believe what is pleasant, but it is more important to believe what is true.

— Hilaire Belloc, The Silence of the Sea

It's your day by Glen

The Sound of Anticipation


I guess I anticipated that the private sector would have engaged and helped develop it for the clinical side.

Robert Redfield, director of the CDC Congressional testimony (March 12 2020)

I keep coming back to this statement delivered, with a straight face, by Doctor Redfield in response to a rather sympathetic congressional audience. I assume that the congressmen and women's eyebrows arched violently at this verbal eruption. My eyebrows certainly assumed McDonalds' golden arch proportions when I read that soundbite.

Most American politicians only throw softballs - the business about scrutiny and oversight of the executive is mostly a fiction, and even the lawyers among them barely cross examine at the best of times. Even if you wing it and come unprepared, you should be able to dodge their inquiries. And yet this is the answer that a friendly congressman's pitch elicited: "I guess I anticipated that the private sector would have engaged..."

Slightly related: The Ayn Rand Institute bootstrapped its way to a PPP Loan of at least $350K. The institute's leadership had clearly done a close reading of their eponymous subject's The Virtue of Selfishness

In the hearings, there was not much more urgency, the outlines of the botched US federal response were already clear six weeks into the coronavirus pandemic. The main outrage in early March 2020 was that CDC did not have the testing capacity, nor indeed did it look as if there was a plan to increase it. This, of course, in stark comparison to the war footing that China, Taiwan, Vietnam and other countries had taken. And so, for example, the Democratic congresswomen were complaining that passengers on cruise ships were not being notified that they might have been exposed to the fast spreading clumps of viral RNA even weeks after exposure and so might have been unwittingly contributing to superspreading events.

If the leader of the public health response was freely signalling his belief that it was all a matter for private sector engagment, we were clearly in troubled waters. This seemed to be a foundational sin: the United States's public health response to our covidious predicament was flawed at conception.

Robert Redfield I guess I anticipated that the private sector would have engaged

Then I read the delicious sentence in the Financial Times that "Dr Anthony Fauci – the infectious disease expert and now household name – is widely known to loathe Redfield, and vice versa." I am up to 25 stanzas imploring Dear Kindly Doctor Fauci to step in and sort things out, but perhaps he might have had reason for his assumed assessment of Dr Redfield. With hindsight, when you watch the footage of Fauci and Redfield testifying while seated next to each other, you note that Redfield calls Fauci, Tony, whereas it is always "Doctor Redfield" in the other direction. Not to digress further, but one wonders if sharp-elbowed bureaucratic infighting is part of the reason for the dysfunction we have witnessed. Reading that CDC testing guidelines were relaxed only when the good Doctor Fauci was in surgery is of a piece with this pattern of neglect.

Still, one shouldn't personalize things since I am using "Redfield" as a shorthand for a kind of evidence-free, faith-based ideological thinking. It's a marker for a blindspot of sorts, an Anglosphere take on magical realism. Others have followed this line of thinking

Here were two men wondering aloud why reality had failed to conform to their ideology. Where was the private sector, exactly, during these eight weeks? How odd that these companies, whose only responsibility is to their shareholders, had failed to make up for the incompetence of this administration.

Redfield seems to have been selected to run the CDC not only because he was a prominent virologist, which made him appear qualified for the job, but also because of his hard-line politics, which made him qualified to serve in this Republican administration. Even at the time of his appointment, a few experts tried to warn the administration that, as concerning as his dodgy politics were, his complete lack of experience in public health administration was even more disturbing. His politics, as it turns out, matter much more than his expertise when it comes to making a vital agency function.

The adherents of this kind wishful thinking will always observe in a crisis that "the private sector was too slow". They are forever singing the Dazz Band's chorus: "do I hear the sound of anticipation?" in advance of the second wave.

The next day, Congresswoman Katie Porter had had enough and brought out the whiteboard while questioning Robert Redfield and eventually got him to commit to free coronavirus testing. Her basic point was that the good doctor had ample authority in the context of a public health emergency to actually regulate the health care system. But it took relentless questioning, and she had to frame it like a game of The Price is Right to get him to admit that it might be a touch difficult for an uninsured American to pay the then-estimated $1,331 out-of-pocket cost of a coronavirus test, and that perhaps this might be an impediment to the WHO's injunction to "test, test, test" in light of a highly contagious disease to which humanity had no immunity.

Queen Portia

Note: that it would take until September 1st for the full implications of actually exercising that regulatory authority to start to show. All of a sudden, we heard that the CDC could impose a moratorium on evictions, that it was well within its capacity to do so. There was no explanation on why it had taken more than 6 months to make that determination, and, as for all those lives that had been upended in the interim, the families put on the street, those made unemployed or forced to return to work in unsafe Smithfield plants for fear of the bread line, oh well c'est la vie. A blind man could see the need for even these half measures, as the Godfather of soul sang. Or perhaps, we can turn to Upton Sinclair

"It is difficult to get a man to understand something, when his salary depends upon his not understanding it."
John Kenneth Galbraith was less cynical but no less piercing in outlining the workings of wishful thinking when he cast his eye on The Great Crash of 1929:
By affirming solemnly that prosperity will continue, it is believed that one can help insure that prosperity will in fact continue. Especially among businessmen the faith in the efficiency of such incantation is very great.

As with public health so with the economy. I've previously pointed to the figure of Alan Greenspan whose lifelong herculean efforts to tilt the playing field in the economy towards the rich were shown up to be similarly catastrophic in fomenting a modern Depression. Even his mea culpa has proven to be ephemeral

"I made a mistake in presuming that the self-interests of organisations, specifically banks and others, were such that they were best capable of protecting their own shareholders and their equity in the firms"

Ha ha ha ha ha ha. Pardon my visceral reaction. GTFOHWTBS

It was a strategic retreat however, in light of the Great Recession and the housing bubble. Still, the rehabilitation campaign for this disastrous legacy was immediately launched and, more importantly, there was no restitution or move to address the fundamental inequality that Greenspan advocated and, indeed, enabled. The great cheerleader of unrestrained capitalism had set the system in place and the rigged game continues apace.

There is, of course, a difference between the theory and the practice of free markets. Charicatures of Adam Smith notwitstanding, Bagehot's caveats are always ignored as inconveniences. As I wrote at the outset of the pandemic:

We'll be hearing a lot about the "lend freely" aspect of Bagehot's premise in the coming bailouts. We'll conveniently hear less about the "at a high rate" or the "solvent merchants" qualifiers. But those are the rules for banks foremost, and for businesses writ large.

When it comes to bailouts for labor, moral hazard suddenly leaps to the front of the political arguments. The language is of handouts and welfare. Means testing inevitably raises its head. Social insurance has always needed better PR if not crises of power (Bismarck, FDR, Bevan)

A difficulty for the rest of us is determining whether the Redfield-Greenspan outlook was a sincere belief or a convenient cover story. It's a puzzle: are they in on the con or merely naive? Are they a mark or is it part of the long con? Should we consider them like the character played by Robert Redford in The Sting, actors in double and triple crosses? I do not mean to suggest Robert Redfield should be played by the Sundance Kid when the tales are told by Hollywood, but it's quite the ambiguous adventure.

Perhaps it doesn't matter, because the end result is the same grift, it's a shell game nonetheless, and one should protect oneself accordingly. We should fight the good fight against the soi-disant abstract magic of the market, even as one expresses one's outrage.

The pessimistic view is that we are dealing with gremlins, per Ezra Pound's Hugh Selwyn Mauberly

usury age-old and age-thick
and liars in public places.

The optimistic viewpoint is more charitable albeit that it is is a matter of routine greed. We can turn again to John Kenneth Galbraith for insight

The modern conservative is engaged in one of man's oldest exercises in moral philosophy; that is, the search for a superior moral justification for selfishness.
Returning to Belloc's thought about wishful thinking, we can hear its rhyme with Francis Bacon's aphorism:
Hope is a good breakfast, but it is a bad supper.

In any case, the die is cast, the pursuit of herd immunity was the chosen tactic and we are all paying the cost in flesh and blood. 'Tis quite the pity that, in this pandemic, wishful thinking has lead the public health intervention.

"I guess I anticipated that the private sector would have engaged and helped develop it for the [insert topic here]" should be the epitaph of the wishful thinkers.

don't mind your wife chop bar at the local market

Wishful Thinking


Wishful thinking has been revealed as the bottom line
Their font of magical realism in a covidious time
An age-old shell game full of mystical narratives
The rhetoric of pocket book common sense and tough love
Merely masked the underlying impunity and strife

Force majeure, they vouchsafed bailouts for finance
But look, all of a sudden, central bankers turn to doves
Then the quick turn, post-haste, to restore the balance
We started hearing of moral hazard and hard choices.

For businessmen with hard noses, it's called strategic default
For your ordinary Joe, it's eviction and the bread line
Rent is due, sucker, it's your fault, not mine
Public health can wait, let's have a grand reopening
Never mind The Mosquito Principle or social living

Individual choice will save us, communal thinking is in the tank
Pull yourself up by your bootstraps, there's always the food bank
Governments can socialize the losses, of course, for the bosses
Meanwhile you're on your own, the workers can pay the cost
There's the incantation of free enterprise almost to the point of rapture
When the abiding principle is really that of regulatory capture

Crush the unions, we worship at the altar of the free market
Still, the world is watching, the crisis is having a clarifying effect
It's proving hard to deny the phantom thread of greed
When our human infrastructure is shown to be in dire need
Everything must change, this is school of hard knocks
Essential workers and labor are shown to be in the dock
The spokesmen of capital momentarily in a state of shock
Revealingly, the operative phrase is "human capital stock".


by his grace

Soundtrack for this note


Let's have a soundtrack for this worldview. What to call it though? Regulatory Capture is argumentatative as well as being a mouthful. Free Markets doesn't get to my intent and Lightweight Regulation reeks of irony. It's not quite Social Darwinism and I already have a Manifest Destiny and a Shell Games playlist. Arggh let's go with Wishful Thinking. In the context of the US and UK responses to our covidious predicament, it clearly fits the bill.

Wishful Thinking, a playlist


The sounds of magical realism in the human marketplace. (spotify version)

Further Reading


Amitav Ghosh's excellent Ibis trilogy spends some time musing about the traders of the East India Company and the Opium Wars in River of Smoke and especially in Flood of Fire. Indeed it ought to continue further just for the sheer exuberance of the linguistic invention. Why stop at three novels?

The logical endpoint of free market thinking is the hypocrisy of empire.

I realised this was the inaugural moment in the wars of what you might call Free Trade Imperialism. These merchants were the first generation of people for whom Adam Smith’s ideas were like a religion. They really thought they were laws of nature

"The profit motive has always existed, nowhere more so than in China and India, but Adam Smith created the idea that the economy is separate from human society and driven by its own internal forces. For the merchants, the market was not subject to any ethical constraints. Nobody in America [today] would suggest that Colombia has a right to push drugs in their country. But this was exactly what the Free Trade Fundamentalists were saying back then." In this, opium was uniquely suited to Smith’s purposes. “The whole point about capitalism is to try to persuade people to buy things that they don’t need," Ghosh argues. "It necessarily began with addictive substances. Tobacco, rum, tea, opium."

And the band played on...

This note is part of a series: In a covidious time

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