By Fred Bauer
Tuesday, April 14, 2020
Some people today are inclined to pose an opposition
between the “common good” and individual liberty. There may sometimes be
tension between attending to the good of the whole and allowing a range of
individual choices, but personal liberty can itself contribute to the common
good, as the response to COVID-19 pandemic exemplifies.
The American response to this pandemic has involved a
massive exertion of state power at all levels — from state and local closures
of businesses to travel bans to the invocation of the Defense Production Act.
However, as Michael Brendan Dougherty has noted, this response has also slashed
regulations. Government agencies helped cause a logjam for testing. The CDC
had created a flawed version of coronavirus testing and issued very strict
limits on who could even be tested; cumbersome regulatory burdens made it
harder for private companies to roll out their own tests. Now, many of those restrictions
have been relaxed, and non-state actors are churning out tests. Authorities at
various levels have at least temporarily reformed some licensing laws (by
allowing medical professionals to work across state lines, for instance). The
federal government has eased restrictions on the production of various medical
supplies.
It’s chic in some quarters to sneer at the market as
merely an engine of atavistic greed, but the market has also been a vehicle for
addressing this health crisis. Companies ranging from My Pillow to Brooks
Brothers have shifted to the production of medical supplies. The technology
company Battelle has scaled up a system of mask disinfecting. A variety of
medical companies are working at lightning speed to develop new testing and explore
vaccination programs. The robustness of the American market economy means that
the country is not dependent on the actions of the state alone.
The fact that these businesses and nonprofits can pivot
to provide aid during this crisis suggests how it might be valuable for a
government to nurture certain internal supply chains and diverse institutional
actors. That pre-existing infrastructure allows for a wide-ranging
responsiveness to diverse challenges. The nimbleness of these private actors
also shows how the market can be harnessed to confront challenges to the body
politic as a whole.
Various other liberties have also helped address public
challenges. Freedom of speech and the press have helped spread information,
sometimes counter to the official organs of political power. While many
government officials were discounting the risk of coronavirus (even Anthony
Fauci said as late as March 9 that healthy young Americans could feel free to
“go on a cruise ship”), pseudonymous accounts on social media were sounding the
klaxon. This discrepancy between major bureaucracies and online discourse can
be seen in this cache of emails published
by the New York Times, in which a senior medical adviser to Veterans
Affairs approvingly cites the “chatter on the blogs” in late January that “the
WHO and CDC are behind the curve.” Until the past ten days, government agencies
and many large media outlets proclaimed that there were no health benefits to
wearing a mask in public. Contrary to this “official” knowledge, an online
samizdat mask subculture began circulating studies about the possible efficacy
of masks as well as instructions on how to make them. Now, many political
officials are encouraging them. Especially in the wake of 2016, many
politicians and major American companies have called for the suppression of
“misinformation” and “conspiracy theories.” But, in the age of coronavirus,
yesterday’s conspiracy theory is tomorrow’s conventional wisdom.
It would perhaps be a bit utopian to believe that the
free exchange of ideas alone will allow truth to come out; postmodern
propaganda techniques suggest that flooding the zone can allow even a false
message to gain a foothold. Nevertheless, the open exchange of ideas does allow
falsehoods to be challenged and knowledge to be disseminated. When so many
institutions seem sclerotic, those freedoms of debate and inquiry provide an
opportunity for reformers to challenge decadence and the confusion of
credentials with competence.
Attention to both the common good and individual dignity
will also be necessary in discussions about how to “reopen” the economy.
There’s a temptation to think of the economy as a binary on-off switch that
sits on the president’s desk. A better metaphor might be a board of dimmer
switches — composed of many different sectors, all of which can be more or less
“on” and which multiple hands can direct. Federal, state, and local officials
all have a voice in this matter, as do institutional stakeholders and private
individuals.
Decisions about reopening the economy will have to weigh
technical questions about the transmissibility of coronavirus as well as
normative questions about how to balance risks from the coronavirus and other
dangers. For instance, as part of the lockdown in many states, hospitals and
medical offices have banned elective medical procedures, and many
physical-therapy providers have also closed. “Elective” procedures here don’t
necessarily mean cosmetic rhinoplasties; they also include some brain
surgeries, cancer operations, joint replacements, organ transplants, and dental
procedures. Many of these procedures have been canceled to give hospitals
breathing room in case a surge of coronavirus patients hits, to conserve
personal protective equipment, and to minimize the risks of spreading the
disease.
Delaying these treatments indefinitely could have
long-term public-health consequences; for instance, a middle-aged person who
can hardly stand because of a bad knee will be more vulnerable to a host of
health problems down the road. The longer the delay, the bigger backlogs will
be when elective procedures are allowed again. There are economic consequences
here, too. This reduction in medical services has caused many hospitals and
other medical providers to furlough staff. Such furloughs might also imperil
the nation’s medical infrastructure. Thus, health-care providers and government
officials might have to make some complex calculations about when, where, and
to what extent elective procedures should be allowed or encouraged. (Part of
these calculations would involve preconditions for a reopening of these
surgeries, such as a sufficient supply of personal protective equipment. And it
would be quite possible to reopen some of American medicine while also keeping
major theme parks closed.)
More broadly, individual and private cooperative efforts
will be needed to cope with the pandemic’s massive disruptions to both public
health and the economy. While government officials obviously have a role to
play in creating regulations and policy initiatives in the name of public
welfare, recognizing the potential of collaborative decentralization can itself
contribute to the public welfare. A range of individual gifts can help
strengthen and succor a community ravaged by catastrophe.
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