2021 Project Syndicate / Res Publica
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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
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 35. 38. The Post-Truth Pandemic The Cure for TRISH GREENHALGH Demagogic Populism MICHAEL LIND Pandemic of Fear
Advisory Board Publishing Bertrand Badré Trevor Bohatch Gordon Brown Digital Marketing Manager Mark Cliffe Lauren Butler 43. Digital Product Manager Gene Frieda Nicolas Chatara-Morse Alexander Friedman Chief Executive Officer Chair Damen Dowse Getting Back on Michael Hanley Connie Hedegaard Executive Vice President of Business Development the Paris Climate Track Derek Halsey LAURENCE TUBIANA Editorial Team Institutional Sales Associate Jonathan Hoffmann Chief Operating Officer Whitney Arana Editor Tanja Jagnic Publishing Data Analyst Marissa Baard Assistant Editor Peter Kupček Rachel Danna Chief Financial Officer Deputy Managing Editor Jason Linback Richard Eames Vice President of Publishing Senior Editor Carmen Morejón Roman Frydman Publishing Data Analyst Anatole Kaletsky Petra Nemcekova Contributing Editor Data Analyst Nina L. Khrushcheva Elizabeth Osborne Contributing Editor Grant Coordinator Sami Mahroum Zuzana Pavlíková Contributing Editor Office Manager Kenneth Murphy Christianna Polydorou Editor in Chief Global Relations Manager Andrzej Rapaczynski 46. 48. Caitlin Rudolph Joanna Rose Assistant Digital Science/Health Editor Who is Attacking A New Year Zero Marketing Manager Jonathan Stein Brooke Sloan Whom? KLAUS SCHWAB Managing Editor Laurence Tubiana Distribution & Translation Manager Contributing Editor MOHAMED ELBARADEI Stuart Whatley Colette Whitney Assistant Distribution & Senior Editor Translation Manager © Project Syndicate 2020 Project Syndicate / Res Publica The Pandemic of Fear Pandemic of Fear
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
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
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
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
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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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