Monday, March 08, 2021

The poor you will always have with you

 In October 2009--yes, 2009--I wrote in this post:

When I was in India this past summer, as reports of swine flu came to dominate the news and conversations, I sincerely suggested to my parents that they should frequently wash their hands, and time it by humming the “happy birthday” song.

Wash hands and time it by humming the "happy birthday" song.  How familiar is that one now, right?  But, that was the public health advisory 12 years ago too.

In that post, I also wrote how absurd such a suggestion was:

As the words slipped out of my mouth, I knew it was a stupid and incongruous advice because of the water shortage in the city.  Apartment complexes were paying hefty amounts to private operators who supplied water by transporting them in special water-tankers.  When that was the condition for middle-class households, I cannot imagine the less affluent spending their precious money to wash hands in order to battle an invisible enemy.    Clean water is a super-luxury for the poor.

Which is why I suggested back then--yes, 12 years ago:

I do not mean to minimize the risks of a global pandemic, particularly if the swine flu virus were to mutate into a highly virulent form.  But, I do want to point out that the global focus on the swine flu, which we have rightfully managed to accomplish, should remind us that being a good citizen of the world also means that we ought to pay attention to the priorities of the rest of the world—in particular, the sufferings of the poor, who are almost always voiceless in the international arena.

Unfortunately, our track record has not been one that we can proudly hold up when it comes to supporting public health programs for the world’s poor.

We know well how much the 45th President of the US loved supporting the rest of the world, especially its poor.  His America First policy extended to global public health during the pandemic too.  He couldn't care to work with the world's countries on vaccine development and distribution because he hated the World Health Organization.

The Biden administration has been doing things to re-integrate into the world, and to participate in fighting the world's challenges.  The US rejoined WHO on day one of Biden's presidency.

Further, Biden put our money where our mouth is:

In a reversal of his predecessor's U.S.-centric approach to tackling the coronavirus pandemic, President Biden is ramping up pressure on America's wealthiest allies Friday to get COVID-19 vaccine doses into poor and developing countries. Mr. Biden told his fellow G7 leaders during a virtual summit that the U.S. would contribute up to $4 billion to COVAX, the World Health Organization-backed initiative aimed at ensuring equitable access to vaccines around the world.

Virus knows no borders.  And we have a moral responsibility to help out the poorer countries:

So far, richer countries have been able to buy far more Covid jabs than poorer ones.

Covax hopes to deliver more than two billion doses to people in 190 countries in less than a year.

In particular, it wants to ensure 92 poorer countries will receive access to vaccines at the same time as 98 wealthier countries.

Often, people don't care for moral arguments. As a fellow-graduate school student put it once, material incentives beat moral incentives!

Even the dollars-and-sense approach shows that it is in the rich countries' interest to subsidize vaccines for the poorer countries:

[Unequal] vaccine access among countries will likely lead to a “total cost for the world” between $1.8 trillion and $3.8 trillion, with up to half the losses paid for by wealthier nations. In contrast, the cost of vaccinating one-fifth of the world’s vulnerable population, as the World Health Organization’s covax initiative aims to do, would cost less than forty billion dollars, with expenses decreasing over time. 

If only we understood that we are all in this together!

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