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

Sunday, 20 December 2020

The human dimension in politics

The pandemic has reminded us that health, politics, ethics, social justice, and human rights are deeply interconnected. It has also sent us a strong message that health is a public good, not just an individual matter or an economic issue. Politicians are made to realise that human life is at the centre of all concerns. The human dimension of politics must be seen as central.

Thursday, 15 October 2020

Covid and the criminal leadership

Data and acts are truly clear. Covid is a serious threat. To life and to the economy. Only a fool can pretend otherwise. And if such fool occupies a position of power, he is not only a dupe but also and, above all, a criminal.

Friday, 18 September 2020

Contingency planning for a covid response

Some European states are battling a growing number of coronavirus-infected cases. This is again a major challenge and people are getting a bit fatalistic about it. They have little appetite for new lockdowns. For them, lockdown is synonymous of economic collapse, in addition to the constraints it means for their life routines. Governments themselves are not too keen on lockdowns either. But the perspectives for the next few months are most worrying. We are getting into the colder days and one can expect a serious increase in infections. This and the economic difficulties many will face do represent a completely new threat to social stability. It is necessary to draw contingency plans. Unfortunately, I do not see any government, or the European Commission for that matter, busy with such planning. They seem just as fatalistic as people are. That is certainly not the best way of discharging their policy responsibilities. Some of us must keep asking the leaders about the contingency measures they are preparing for. We know the answer so far – none! – but we should insist on the question.

Saturday, 4 July 2020

We need an action framework of a new type


On this Independence Day in the US, it is obvious the country and the world have a big problem to confront and resolve. The Covid-19 pandemic. This is still the first wave of contagion and the virus remains out of control, in many parts of America and elsewhere. To deny it is to deny reality. It can only be explained as sheer ignorance or a political farce.

If we look at the problem with objectivity, we can only conclude that it might take another 12 to 18 months before we see an effective response. The timeframe can be shorter, the optimists say, but it can also be much longer, as many scientists keep telling us. In any case, a global crisis as the current one, if it goes on up to mid-to-end of 2021, will have global negative consequences. In simple words, I would say that we will become poorer and more self-centred. That will impact the world economy, trade, international cooperation, the multilateral systems, and, in summary, will change the game of global politics. Looking at it from the stability and security angles, I see us moving towards increased extremism, short-minded nationalism, and new dangerous confrontations. We will certainly reach new levels of instability and insecurity as well as the contraction of the democratic space.

Not easy to find a balance between public health and politics, including the economy. And that complexity augments as we move from the domestic scene to the wider arenas, where States act and clash. That is the reason why I think that reflecting on such a necessary balance is one of the key tasks the global institutions and the big-picture thinkers should focus on. We must design an action framework that keeps lives and livelihoods. Such a framework must obtain wide support – the support could even come from the UN Security Council – and give people clarity and hope.









Sunday, 7 June 2020

A plane trip in the new normal


Yesterday, I took the plane for the first time in this post-Covid era. I had a compelling reason to travel.

It was a three-hour trip out of Frankfurt. And I got a couple of surprises. First, the aircraft was full. Like in the old days. It is true that everyone was wearing a mask, but every seat was taken. And this is still a time of restrictions on travelling abroad, even within the Schengen area. Second, there were all types of passengers, from young families with small kids to older couples, and everyone in between. I would have loved to ask my fellow passengers what the reason for travel was, but I had no authority to do it. I know that the airline had asked them a similar question, in very vague terms and without requiring any supporting document. Third, there was no health or temperature checking before embarkation. Just a request to keep a safe distance before passing through the boarding pass control, a request that was in contradiction with the crowding on board.

Upon arrival at the destination, there was a temperature check. And that was it. We all left the airport to go and take care of our own business.

My conclusion was that it is better to re-open the air travel soon. And, at least, check the temperature of the would-be passengers before boarding. If there are more options to travel, more flights available, there might be less crowding on each plane. This should go hand in hand with the lifting of restrictions on cross border road and train trips.

At the same time, it is important to keep repeating the recommendation for people to think twice before travelling. Many will follow such advice, I am sure.

Thursday, 28 May 2020

A new model of politics


The huge amount of resources that the European Union member States will have available for recovery is a golden opportunity to change what needs to be changed. That means, as I see it, to invest on health and social matters, on an economy that is friendlier to the environment, on the digital dimensions and on greater inclusion of those who have less income and insecure jobs. The funding of new projects should be guided by these concerns. This is a turning point and we cannot miss it. I am confident the Commission will provide the necessary guidance and will try to make sure the governments do respect the paradigm change. The real challenge is to prevent these monies are used to enrich the supporters of those in power. That will be the old tendency. But we are in a new era. The European Commission must ensure that the citizens in each State have enough power to stop the old clientelism and the ways of doing things that make some richer and the vast majority more vulnerable.

Monday, 18 May 2020

The European recovery


Today, Chancellor Angela Merkel and President Emmanuel Macron stated they will advocate for the establishment of a €500 billion recovery fund. In their view, the money should be raised in the international capital markets by the European Commission, as a common pot aimed at helping the Member States seriously affected by the Covid-19 pandemic. The disbursements would be approved by the Commission, following the criteria that are yet to be established. It would also be the Commission that would have the responsibility to pay the markets back, meaning, the principal and the interests or dividends.

I am not sure this will work. Austria’s leader, Sebastian Kurz, has already voiced strong objections to such an idea. He does not want to see a recovery mechanism that is dispensing grants to the States. He is for loans. Loans make the leaders a bit wiser than just getting free money, he seems to believe. We can expect that other voices will join his own.

In view of this, my position is that most of the money should be channelled to fund joint multinational projects that would reinforce the European system and would have an impact on the EU’s strategic self-sufficiency in matters of public health, bioresearch and other critical emergency response mechanisms. The pandemic has taught us that the health sector is vital, not only for medical reasons but also because of its impact on the functioning of the economy. We cannot no longer talk about strategy without including the strengthening of our common capacity to deal with epidemics, critical hospital equipment needs and essential medicines. Money should also be spent on common logistics and rapid deployment networks.

It is also clear that the recovery fund must be operational soonest. There is urgency. We are not yet at the end of the crisis. The intensity of the pandemic can have a new surge at any moment. We must be better prepared this time. In addition, the economy of the most affected countries needs resources that would encourage new investments, in greener areas, and in matters that address the issues of income and social security. The priority should go for those projects that are fundamental for a stronger Europe and that are not too much dependent on resources and means of transportation we do not control.

This is a time to think differently. The fund, if it is thoughtfully planned and wisely administered, can become a tool for transformation and progress. The alternative is for it to become a reason for further divisions within the European space. Nobody wants that to happen.

Wednesday, 13 May 2020

Five fundamental questions


As I see it, there are five big questions on our European table. One, how to strike the balance between public health and the health of the economy? Two, what role should each State play and what are the limits the governments should not overstep? Three, what kind of societal changes should be promoted for a better type of human society in the post-Covid era? Four, what about the implications of this extraordinary crisis on the future of the European Union? And five, what will be the new shape of globalisation?

These are the key lines of reflection as we look ahead. The debate about each one of them is open. It is a complex one but must be conducted. The depth of the current crisis calls for a complete review of the way we have been doing business. Those who think that we just have to press the recovery button, and everything will be back to what we had in January are wrong. We are not going back.

Tuesday, 12 May 2020

Let the airlines take a chance


A brief note about civil aviation and everything related, including plane makers and service providers. This is a sector that is deeply impacted by the coronavirus crisis. It will be one where major losses will occur. Every airline is losing massive amounts of money daily. And no one can predict when the skies will open again. The longer the wait the greater the risk of insolvency, of extensive disruption. And governments cannot save the entire sector. Any public money invested in aviation economics will be based on a reduced presence in the skies, on fewer planes and fewer jobs. It will be very tough. They will be competing against so many other demands on limited public resources. But let me be clear: it is critical to resume a handful of flights. It might be less expensive than keeping the planes on the ground. And it will help everyone to see where the priorities must be. The airlines will make their choices. In this case, the first role of governments should be to facilitate air travel, to lift the restrictions that make no real sense from a public health point of view.

Sunday, 10 May 2020

Three challenges


Besides the public health challenge and the balanced approach to the opening of economic life, the third big issue we are confronted with is about democracy and freedom. Our governments are imposing too many limitations and controls on matters that have to do with our liberties and personal choices. We can accept such decisions for a while and with full justification. But they must be temporary. No way we can have a state of exception for extended periods of time. Pandemics are not treated with limitations of liberties and the deployment of police forces. That was the practise in the middle ages. They are treated with masks, disinfection, hygiene, distancing, and medical surveillance and advice. We must understand that governments love to control people. It is in their genes, even in our multiparty societies. And if they can, they will keep some form of control for an awfully long time. That could be the beginning of a regime change that we certainly do not want. In the end, we do not want to copy the Chinese government when it comes to human rights issues.

Friday, 8 May 2020

Without borders


My point is that the borders should re-open shortly. First, the borders between European states, the Schengen area. To keep them closed for longer has a tremendous impact on the economy of the countries concerned and feeds the prejudiced views that the nationalist extremists try to propagate. Europe is about freedom of movement and accepting the others as fellow Europeans. To erect borders and obstacles between the countries undermines that critical dimension of the European Union. It sends an extremely negative message about the other. It makes us go back to the old suspicions and narrow views.

Second, it is necessary to resume international travel, well beyond the European space. Most of the progress that has been achieved during the last decades is linked to international contacts, to a global view of trade and tourism. Our world, the world we built during the last decades is based on mobility.
We have, of course, to ensure the safety of those who will be travelling as well as protect the health of those providing the services to this economic sector. That is possible. It does not require we keep each nation behind thick walls.

Sunday, 3 May 2020

Hoping we will be sage and visionary


I can only hope that May will be a good transition month. I believe it can be if everyone in leadership positions understands that consultations and coordination between nations that have a similar destiny are crucial. Within the European Union, we need a renewed momentum, a stronger role coming from Brussels, and more discussions between key national leaders. There is no recovery if it is not done jointly.


Monday, 27 April 2020

The balance that must be found


There is fear and growing poverty, in most corners of the world. We witness uncertainty and despair. The pandemic is killing people and destroying livelihoods. These are the two critical dimensions that must be tackled as a matter of great priority. Both are very urgent matters. The wise leader is the one that can strike the right balance between them. And who knows how the balance should evolve. That means, among other things, that an absolute and prolonged lockdown, with no economy, is not a balanced approach. It is not even necessary if there are enough masks to go around and the appropriate human behaviours are followed.

I just learned, for instance, that Argentina has decided to close its commercial airspace up to September. That is too long and certainly not a sage decision. A country like Argentina, which is already in an awfully bad economic shape, should approach any drastic decision with lots of prudence. The same, elsewhere. I mention Argentina as just an example.


Saturday, 25 April 2020

Poor leadership


Europe is again building borders and walls. The leaders decided this week that the external borders of the Union will remain closed for another month or so. I see this decision as an inept response to the problem. Airports and land passage points could be equipped to check travellers’ temperatures and identify the individuals that might require further health scrutiny. Worse, the internal borders between the Member States continue to be blocked for people’s travel. And the governments cannot agree on a timetable and a phased approach to deal with that. There is no news about the matter, besides the closure. That is the best way to feed the nationalistic feelings. It is also one of the direct roads towards a fragmented Europe. Populists must feel excited.

I am shocked by the lack of coordination within the EU. I am also amazed by the timidity of the European institutions’ leaders. They are silent and so afraid of proposing anything. They have become the obedient functionaries of the national leaders and little else.

The world’s recovery, as well as the European one, calls for renewed cooperation, complementary and strategic alliances. We should be debating that in the G20 or a similar forum. All that is yet to be seen. There is no international conference being prepared to agree on a framework for action. No leader speaks on behalf of a greater project, of a different future, of anything else but of his or her own national square mile. It is disappointing and more, it is the wrong approach to build the post-covid world.

Some national leaders and some published opinion have now concluded we cannot depend on China or elsewhere when it comes to medical items, including masks. They put the blame on the Chinese and on the corporations that have established their workshops in the Far East or in India. That is an excuse. I do not accept it. The fact of the matter is that we forgot the concept of strategic health reserves. The national health services were not given enough means and attention. They have been undersupplied; the emergency stores were depleted. It is so much so that in Belgium some of the initial health supplies came from a big bank, that had understood early enough what was going on and created a substantial reserve of masks and so on. That happened with other governments as well. Politicians forgot the old and wise adage that one of the key roles of the government is to foresee impending crises and be prepared for them. To govern is to predict.

Well, the new adage, the one that is now being applied, is different: to govern is to react, a day at a time.



Wednesday, 22 April 2020

A war economy or just words?

You call it a war, but you keep acting as if there was no need to reorganise the entire production to win the war. When you are at war, your economy must become a war economy. If not, you are not a good leader and you cannot connect your words with the reality that must be put in place. 

Sunday, 19 April 2020

The world is next door


During the weekend, I spoke with friends living in Africa, South East Asia, Australia and the Pacific, as well as in Rio de Janeiro. I also have many friends in other parts of the world, from San Diego where dear Christine leaves to Helsinki, and so on. Had I chatted with them too, and I would have gotten the same report. Large chunks of the world are either closed or on a go-slow situation. Even remote places like Bougainville, an Autonomous Region of Papua New Guinea, is on lockdown. This is just an incredible reality. The world is getting poorer by the day.  The debt levels, both public and private, are growing by the hour. Elections are being postponed in many corners of the planet, except for a few cases, including Mali, that voted again today in the second round of their legislative assembly.

In many developing countries, the lockdown approach can’t work. People need to go out every day because survival is a daily chore. Moreover, in their cities, they live in large numbers in small and unfit dwellings. Overcrowding is the rule. There is no way they can follow the instructions about hygiene and social distancing. Extreme poverty means extreme fragility. And the health services have no capacity to deal with the disease. It’s a major problem. People are afraid but they know they have no other choice but to keep on moving. Fate, my friends remind me, is the currency of the poor. It’s the only thing they have in abundance. And after listening to that, I feel so disturbed.  

Monday, 13 April 2020

The complexity

In my part of the world, the debate is now moving towards the recovery issue. To be able to get back to normal life as soon as possible. People are worried about jobs and the economic impact of this astonishing crisis. It’s now clear that the new debt situation of the states, the firms and the families will reach gigantic proportions. Many will not be able to reimburse it. They fear poverty. In any case, the Gross Domestic Product will contract seriously, to dramatic levels if the lockdown goes on beyond mid-May. There will be a lot of pressure on governments in the next days and weeks for them to provide masks free of charge and to allow the economy to re-open. At the same time, people want to know that the hospital system is still able to respond and that enough money is invested in the vaccine research. All this will have a tremendous political cost. I can anticipate a lot of political malaise in some countries, particularly in France and Spain. That will add to the complexity of an extremely complicated crisis. 

Saturday, 11 April 2020

The vision


In our part of the world, Easter time is about a renaissance. That’s a very appropriate moment to talk about the future. The public message must be inspired by prudent optimism. It´s good politics to describe the possible scenarios ahead of us. And give people more information about recovery plans. People appreciate being treated as adults, as responsible citizens. There is too much talk about the pandemic and not enough about the actions that will be supported during the recovery phase. Let’s move from fear to resilience. Leaders must share a vision that brings hope and shows to everyone they know what they intend to do, once the public health menace is under control. To narrate a vision will also help the leaders to sharpen their views on the policies that are required. A vision is not about wishful thinking. It is about what one sees as the situation after the crisis. It has a powerful positive effect on everyone, including on the leadership itself.

Thursday, 9 April 2020

Optimism


It requires an enormous effort to be positive in today’s situation. We see the number of victims, we read the stories of their suffering, we watch the unemployment figures shooting to the stars, the immense level of poverty that goes along, we think of people we have known in Africa and elsewhere in the least developed economies, and wonder how can they survive on daily basis, we are told of perfectly viable companies going to the rocks, and all the rest, and we get depressed. But we must convince ourselves that sooner we will be able to contain the pandemic – to contain, as a first stage, before we eliminate it – and that normalcy will be invited back. We do not really know what type of normality that will be, people talk about a changed society, but as soon as people feel free to take care of their lives we might see a big leap forward, a renewed level of energy. I think we have here an opportunity to come out of it wiser. And that makes me feel a bit optimist.


Monday, 6 April 2020

Boris Johnson and Covid-19


Wishing a speedy recovery to Prime Minister Boris Johnson of the UK. He has been transferred this evening to intensive care because of the coronavirus. This sad moment sends a very strong message to the population. The coronavirus is a very threatening disease and people must follow all the official protocols the health authorities have adopted. The Prime Minister is a strong person, not old at all, and surrounded by the best medical care one can get. Notwithstanding all that, he is struggling. He has been sick for eleven days or so. If that can happen to the leader of the UK, we must pay a lot of attention to the virus. This is no small matter.