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This growth in immigration, in turn, is changing the image of Japan from ethnically homogenous to moderately diverse. Among Tokyo residents in their 20s, 1 in 10 is now foreign-born. And Tokyo is no longer an outlier. Much of the migration is happening in small industrial towns around the country, such as Shimukappu in central Hokkaido and Oizumi in Gunma prefecture, where migrant populations make up more than 15 percent of the local population. In the mostly rural Mie prefecture, east of Osaka and Kyoto, foreign migration has reversed years of population loss.

Conservative Prime Minister Shinzo Abe has based his support for the changing immigration policy not on any humanitarian concerns but rather on pragmatic, demographic arguments. By 2050, the world population is expected to increase by 2 billion people, according to the United Nations, but Japan’s population is expected to shrink by at least 20 million. Meanwhile, the fertility rate in Japan has fallen to 1.4 children per woman, while 28 percent of the country is over 65 years old. This means that the country’s population has been dropping by around 400,000 people a year

With unemployment consistently below 3 percent in recent years, even after the pandemic, employers are increasingly raising alarms about labor shortages. Last year, for the first time in Japan’s history, there were more jobs available than the number of job seekers in all of Japan’s 47 prefectures. In a country long known for its restrictive borders, immigration is now seen as the most obvious solution to that demographic challenge.

Japan has developed a unique program of customized immigration, based on specific requests for workers from various countries

Japan custom-orders a labor force in the 14 sectors where they are most urgently needed, including nurses and care workers, shipbuilders, farm workers, car mechanics, and workers in the fishing and construction industries

he said he prefers the casual xenophobia of Japan to the structural racism of America

most of Japanese society supports the changing immigration policy. In a recent survey by Nikkei, almost 70 percent of Japanese said it is “good” to see more foreigners in the country. “The nationalist, anti-immigrant groups here only make up perhaps 1-2 percent of voters. It’s not like Europe. And they have not raised their voices about this so far,”

bilateral agreements Japan has drafted with countries such as Indonesia and the Philippines, which will allow them to send tens of thousands of care workers to Japan annually. Both countries see this as a win-win proposition. Japan gets much-needed labor, the Philippines gets an increase in foreign remittances, and many workers will eventually return, having learned new valuable skills

opposition has largely come from Abe’s left, over concerns about a lack of regulation on employers, which they fear could lead to exploitation. Many foreign workers are already forced to work overtime, receive less pay, and risk having their passports and travel documents confiscated by employers

some factories in the mostly rural Gifu prefecture have implemented segregated bathrooms and locker rooms for domestic and foreign workers

This dynamic was common in the immigration debate in Europe and the United States in the 1980s and ’90s, when pro-business conservatives often pushed for more immigrants and guest workers, while labor unions raised concerns for workers’ rights and downward pressure on wages.

The widespread xenophobia in Japan is hardly a myth. In 2010, the U.N.’s human rights experts called out Japan for racism, discrimination, and exploitation of migrant workers. Increased immigration has not changed the country’s notoriously strict asylum policies. In 2018, only 42 asylum-seekers were approved, out of around 10,000 applicants.

given that latest bill allows an easier pathway for skilled foreign workers to apply for permanent residency and, eventually, Japanese citizenship—it may do more than simply sustain society. “More workers will try to stay here permanently,” Oguma said. “So even if the bill is not meant to change Japan, it certainly has the potential to change Japanese society in the long term.”

Sooner or later, Japan may face nationwide debate on what it means to be Japanese in the 21st century. Few countries undergoing demographic shifts are able to avoid these challenges.

When South Korea accepted 500 Yemeni refugees in 2018, it created storms of protests, with street rallies demanding that the Yemenis be sent back, calling them “fake refugees.”

In early June, thousands of people participated in Black Lives Matter protests in Tokyo, which has contributed to a nationwide debate on harassment of migrants and foreigners—as well as race.

“Xenophobic nationalists are generally irrelevant in politics. If there is a backlash, it will most likely begin as a local uprising against Tokyo, a populist revolt against the central government, just as in the EU,” Oguma said. “But I don’t see it happening right now. The far-right here is too atomized, each faction want different things. So I don’t really worry about an organized uprising.”

With massive stimulus spending and a robust, universal health care system, Japan has weathered the pandemic fairly well. Unemployment in April was 2.5 percent. While there has been some anecdotal evidence of increased racist harassment of foreign workers, coupled with an emerging skepticism toward globalization and migration, Japan at the moment is one of the few countries where resentment against immigrants is not the defining feature of politics.

Most infamously, this led to a student-led seizure of the American embassy in Tehran 40 years ago this month, an action that toppled Iran’s liberal-leaning provisional government and permanently escalated tensions between Washington and Tehran.

Over the course of the past 40 years, Iran has routinely witnessed all varieties of rallies and riots; sit-ins by families of political prisoners; labor strikes by teachers, truckers, and factory workers; student demonstrations over everything from free speech to dormitory conditions and cafeteria food; soccer riots; and marches and sit-ins sparked by localized grievances. These manifestations have never been limited by geography or class.

The durability of the Islamic Republic is perhaps the most important legacy of 1979 revolution. None of the extraordinary developments within or around Iran over the course of the past 40 years has managed to significantly alter it — not the considerable evolution of Iranian society, nor the country’s steady reengagement with the world, nor the incremental reforms advanced by various factions within the establishment. In many respects, the structure of power in the Islamic Republic seems even more firmly embedded today than it was at any point since its precarious creation.

if war, internal upheaval, regional turmoil, natural disasters, crippling economic sanctions, and near-constant infighting among the political establishment have failed to weaken theocratic authority, perhaps any hope for change is simply futile

Iran’s “lost generation” is now approaching the age of the revolution itself, and the absence of a promising political or economic horizon has become painfully acute — and not simply for elites, but for the larger population of Iran’s post-revolutionary youth. These Iranians have benefited from the revolution’s dramatic expansion of educational opportunities and broader social welfare infrastructure. That legacy and the regime’s populist promises have shaped their expectations for a better life and sense of political entitlement to a functioning, responsive government.

The Iran Human Rights Documentation Center recorded more than 1,200 labor actions related to non-payment of wages between January 2017 and November 2018. The apex came in the final days of 2017 and early 2018, when what apparently began as a provincial political stunt quickly flared into a spasm of furious demonstrations. Within 48 hours, protests were convulsing in at least 80 cities, and the refrains of the demonstrators had catapulted from economic grievances to explicit denunciations of the system and the entirety of its leadership

It is clear from Tehran’s reaction to the latest eruption of protests that the leadership is unnerved, and for good reasons: the rapid progression from mundane, localized demands to radical rejection of the system as a whole; the transmission and coordination of protests via social media rather than mediated through the more manageable traditional press; the engagement of the government’s core constituency, the rising middle class; and the near-instantaneous dispersion from local to national.

In each of Iran’s most significant turning points over the past 150 years — the Tobacco Revolt, the Constitutional Revolution, the oil nationalization crisis, the 1979 revolution — financial pressures intensified and expedited the political challenge to the status quo.

Tehran today is facing an epic, interconnected set of crises: the crisis of unmet expectations, which feeds a crisis of legitimacy for a system whose waning ideological legitimacy has been supplanted by reliance on a more prosaic emphasis on state performance and living standards. Iran’s predicament is exacerbated by the uncertainties surrounding leadership succession, both with respect to the position of the supreme leader, who marked his 80th birthday earlier this year, and the legions of senior officials from the same generation who helped shape the post-revolutionary state from its inception.

Eventually, as happened 40 years ago in Iran, even the most well-fortified regime will shatter.

The Middle East and North Africa are becoming a kind of citizenship frontier: a region where certainty, permanence, and protection of citizenship is being uniquely and dangerously corroded. And Western countries are enabling this dynamic.

The creation of a new, opaquely defined but unambiguously lesser form of citizenship is not a symptom of exploitative labor conditions. It’s a symptom of a regional erosion of citizenship.

Kuwait, Qatar, and Bahrain all emerged as states containing substantial populations of bedoon—stateless residents who were not recognized as citizens and were, in some cases, denied even birth certificates.

Most significant of all are the post-1948 populations of Palestinians in Jordan, Syria, and Lebanon, millions of people who were eventually issued identity documents by several governments, such as subvariants of Syrian passports (Syrian travel documents for Palestinian refugees), which looked like and served as passports but faced adamant political insistence from all sides—save Jordan, which eventually largely naturalized Palestinians—that this documentation was not, in fact, citizenship.

that Qatar has redefined the very nature of citizenship—without fanfare, controversy, and with the sole goal of appeasing FIFA nationality regulations—takes this story of temporary citizen soccer players beyond the realm of Gulf labor exploitation

Since the 2010s, the Middle East is emerging as a kind of experimental zone where the erosion of citizenship rights can be trialed. While Qatari soccer players are temporary citizens naturalized with an expiration date—even if the details of when their passports expire is not public—Western countries are increasingly comfortable denaturalizing and revoking the citizenship of their own immigrant citizens of Middle Eastern origin when those citizens are accused of terrorist activity in the region.

some right-populist movements are claiming that Middle Eastern and North African immigrants are somehow not really American, Dutch, or British

The West looks the other way as Gulf states chip away at citizenship norms for expediency, and local governments don’t protest too much when Western governments strand their denaturalized ex-citizens in the region. Especially after the emergence of the Islamic State, with its large contingent of Western, immigrant-origin fighters, the revocation of citizenship became an appealing alternative to long and complicated criminal prosecutions.

Western institutions in the Middle East have led the way in demonstrating that the definition of citizenship can be changed to solve an embarrassing problem, be that one of your citizens swearing allegiance to the Islamic State or the fact that half your national soccer team is foreign

The erasure of citizenship rights in these cases can be tolerated by international legal regimes because they are considered exceptional. It’s just for some athletes. It’s just for terrorists. But it doesn’t stay that way: The model, once implemented, is attractive for other uses.

conditional citizenship, a term coined by the American author Laila Lalami to describe people who, through a web of big and small prejudices and bureaucratic procedures, have “rights the state finds expendable.”

African countries, too, are making manufacturing a top priority. Ethiopia alone has opened nearly a dozen industrial parks in recent years and set up a world-class government agency to attract foreign investment. The World Bank has lauded sub-Saharan Africa as the region with the highest number of reforms each year since 2012.

In the last five years, the American Enterprise Institute’s China Global Investment Tracker has recorded 13 large Chinese investment deals in Africa and only nine in South Asia.

In the past few years, Bangladesh has fallen to 176 out of 190 countries in the global Ease of Doing Business country rankings. DBL Group, a Bangladeshi company, is investing in a new apparel manufacturing facility that will generate 4,000 jobs -- in Ethiopia.

While Algerians remain committed to the goal of systemic change, there is growing doubt over whether protests will be able to achieve that goal.

Between April and July, the protests succeeded in toppling not just President Bouteflika but also his brother and adviser Said, two former prime ministers, a legendary spymaster, several prominent business executives, and other ministers and politicians. The protests, at first, seemed to be producing systemic change.

Since August, however, these concessions have become fewer and farther between. The regime has been unwilling to concede to one of the protesters’ most vocal demands: the removal of interim president Abdelkader Bensalah and Prime Minister Noureddine Bedoui, both of whom are remnants of the Bouteflika regime

the regime has stepped up its repression of the protest movement

Calls began in August for civil disobedience, potentially encompassing strikes and sit-ins beyond the transitory marches and protests. Late October then saw strikes by various labor unions and judges, while rumors have begun circulating for a general, nationwide strike as well.

what is clear is that the regime has been unable to appease, repress or tire out the protesters

local journalism has nearly died. The success of local journalism didn’t just matter because those media outlets reported the news, but because it meant that many more people were likely to know journalists. It’s easier to trust an institution when it has a human face that you know and respect. And as fewer and fewer people know journalists, they trust the institution less and less

We’ve also seen the rise of celebrity news hosts. These hosts help push the boundaries of parasocial interactions, allowing the audience to feel deep affinity toward these individuals, as though they are true friends. Tabloid papers have long capitalized on people’s desire to feel close to celebrities by helping people feel like they know the royal family or the Kardashians. Talking heads capitalize on this, in no small part by how they communicate with their audiences. So, when people watch Rachel Maddow or listen to Alex Jones, they feel more connected to the message than they would when reading a news article. They begin to trust these people as though they are neighbors. They feel real.

People want to be informed, but who they trust to inform them is rooted in social networks, not institutions. The trust of institutions stems from trust in people. The loss of the local paper means a loss of trusted journalists and a connection to the practices of the newsroom. As always, people turn to their social networks to get information, but what flows through those social networks is less and less likely to be mainstream news

As the institutional construction of news media becomes more and more proximately divorced from the vast majority of people in the United States, we can and should expect trust in news to decline. No amount of fact-checking will make up for a widespread feeling that coverage is biased. No amount of articulated ethical commitments will make up for the feeling that you are being fed clickbait headlines.

while the population who believes that CNN and the New York Times are “fake news” are not demographically representative, the questionable tactics that news organizations use are bound to increase distrust among those who still have faith in them.

There are many types of capitalism. After all, the only thing that defines capitalism is the private control of industry (as opposed to government control). Most Americans have been socialized into believing that all forms of capitalism are inherently good (which, by the way, was a propaganda project). But few are encouraged to untangle the different types of capitalism and different dynamics that unfold depending on which structure is operating.

Starting in the 1980s, savvy investors realized that many local newspapers owned prime real estate in the center of key towns. These prized assets would make for great condos and office rentals. Throughout the country, local news shops started getting eaten up by private equity and hedge funds — or consolidated by organizations controlled by the same forces. Media conglomerates sold off their newsrooms as they felt increased pressure to increase profits quarter over quarter.

We need to work together to build networks that can catch people when they’re falling. We’ve relied on volunteer labor for a long time in this domain—women, churches, volunteer civic organizations—but our current social configuration makes this extraordinarily difficult. We’re in the middle of an opiate crisis for a reason. We need to think smartly about how these structures or networks can be built and sustained so that we can collectively reach out to those who are falling through the cracks.

the fragmentation of the advertising industry due to the internet hastened this process. And let’s also be clear that business models in the news business have never been clean. But no amount of innovative new business models will make up for the fact that you can’t sustain responsible journalism within a business structure that requires newsrooms to make more money quarter over quarter to appease investors. This does not mean that you can’t build a sustainable news business, but if the news is beholden to investors trying to extract value, it’s going to impossible. And if news companies have no assets to rely on (such as their now-sold real estate), they are fundamentally unstable and likely to engage in unhealthy business practices out of economic desperation.

Untangling our country from this current version of capitalism is going to be as difficult as curbing our addiction to fossil fuels

no business can increase ROI forever.ROI capitalism isn’t the only version of capitalism out there. We take it for granted and tacitly accept its weaknesses by creating binaries, as though the only alternative is Cold War Soviet Union–styled communism. We’re all frogs in an ocean that’s quickly getting warmer. Two degrees will affect a lot more than oceanfront properties.

strategically building news organizations as a national project to meet the needs of the fourth estate. It means moving away from a journalism model that is built on competition for scarce resources (ads, attention) to one that’s incentivized by societal benefits

Create programs beyond the military that incentivize people from different walks of life to come together and achieve something great for this country. This could be connected to job training programs or rooted in community service, but it cannot be done through the government alone or, perhaps, at all. We need the private sector, religious organizations, and educational institutions to come together and commit to designing programs that knit together America while also providing the tools of opportunity.

the extractive financiers who targeted the news business weren’t looking to keep the news alive. They wanted to extract as much value from those business as possible. Taking a page out of McDonald’s, they forced the newsrooms to sell their real estate. Often, news organizations had to rent from new landlords who wanted obscene sums, often forcing them to move out of their buildings. News outlets were forced to reduce staff, reproduce more junk content, sell more ads, and find countless ways to cut costs. Of course the news suffered — the goal was to push news outlets into bankruptcy or sell, especially if the companies had pensions or other costs that couldn’t be excised.

we need to build large-scale cultural resilience

While I strongly believe that technology companies have a lot of important work to do to be socially beneficial, I hold news organizations to a higher standard because of their own articulated commitments and expectations that they serve as the fourth estate. And if they can’t operationalize ethical practices, I fear the society that must be knitted together to self-govern is bound to fragment even further.

You don’t earn trust when things are going well; you earn trust by being a rock during a tornado. The winds are blowing really hard right now. Look around. Who is helping us find solid ground?

bloated, inefficient health-care system

Racist policies that have endured since the days of colonization and slavery left Indigenous and Black Americans especially vulnerable

decades-long process of shredding the nation’s social safety net

same social-media platforms that sowed partisanship and misinformation during the 2014 Ebola outbreak in Africa and the 2016 U.S. election became vectors for conspiracy theories

the COVID‑19 debacle has also touched—and implicated—nearly every other facet of American society: its shortsighted leadership, its disregard for expertise, its racial inequities, its social-media culture, and its fealty to a dangerous strain of individualism.

SARS‑CoV‑2 is neither as lethal as some other coronaviruses, such as SARS and MERS, nor as contagious as measles. Deadlier pathogens almost certainly exist. Wild animals harbor an estimated 40,000 unknown viruses, a quarter of which could potentially jump into humans. How will the U.S. fare when “we can’t even deal with a starter pandemic?,”

The U.S. cannot prepare for these inevitable crises if it returns to normal, as many of its people ache to do. Normal led to this. Normal was a world ever more prone to a pandemic but ever less ready for one. To avert another catastrophe, the U.S. needs to grapple with all the ways normal failed us

Many conservationists jump on epidemics as opportunities to ban the wildlife trade or the eating of “bush meat,” an exoticized term for “game,” but few diseases have emerged through either route. Carlson said the biggest factors behind spillovers are land-use change and climate change, both of which are hard to control. Our species has relentlessly expanded into previously wild spaces. Through intensive agriculture, habitat destruction, and rising temperatures, we have uprooted the planet’s animals, forcing them into new and narrower ranges that are on our own doorsteps. Humanity has squeezed the world’s wildlife in a crushing grip—and viruses have come bursting out.

This year, the world’s coronavirus experts—and there still aren’t many—had to postpone their triennial conference in the Netherlands because SARS‑CoV‑2 made flying too risky.

In 2003, China covered up the early spread of SARS, allowing the new disease to gain a foothold, and in 2020, history repeated itself. The Chinese government downplayed the possibility that SARS‑CoV‑2 was spreading among humans, and only confirmed as much on January 20, after millions had traveled around the country for the lunar new year. Doctors who tried to raise the alarm were censured and threatened. One, Li Wenliang, later died of COVID‑19. The World Health Organization initially parroted China’s line and did not declare a public-health emergency of international concern until January 30. By then, an estimated 10,000 people in 20 countries had been infected, and the virus was spreading fast.

Even after warnings reached the U.S., they fell on the wrong ears. Since before his election, Trump has cavalierly dismissed expertise and evidence. He filled his administration with inexperienced newcomers, while depicting career civil servants as part of a “deep state.” In 2018, he dismantled an office that had been assembled specifically to prepare for nascent pandemics. American intelligence agencies warned about the coronavirus threat in January, but Trump habitually disregards intelligence briefings. The secretary of health and human services, Alex Azar, offered similar counsel, and was twice ignored.

“By early February, we should have triggered a series of actions, precisely zero of which were taken.”

Travel bans make intuitive sense, because travel obviously enables the spread of a virus. But in practice, travel bans are woefully inefficient at restricting either travel or viruses. They prompt people to seek indirect routes via third-party countries, or to deliberately hide their symptoms. They are often porous: Trump’s included numerous exceptions, and allowed tens of thousands of people to enter from China. Ironically, they create travel: When Trump later announced a ban on flights from continental Europe, a surge of travelers packed America’s airports in a rush to beat the incoming restrictions. Travel bans may sometimes work for remote island nations, but in general they can only delay the spread of an epidemic—not stop it.

countries “rely on bans to the exclusion of the things they actually need to do—testing, tracing, building up the health system,”

genetic evidence shows that the specific viruses that triggered the first big outbreaks, in Washington State, didn’t land until mid-February. The country could have used that time to prepare. Instead, Trump, who had spent his entire presidency learning that he could say whatever he wanted without consequence, assured Americans that “the coronavirus is very much under control,” and “like a miracle, it will disappear.” With impunity, Trump lied. With impunity, the virus spread.

it found a nation through which it could spread easily, without being detected

sluggish response by a government denuded of expertise

In response to the global energy crisis of the 1970s, architects made structures more energy-efficient by sealing them off from outdoor air, reducing ventilation rates. Pollutants and pathogens built up indoors, “ushering in the era of ‘sick buildings,’ ” says Joseph Allen, who studies environmental health at Harvard’s T. H. Chan School of Public Health. Energy efficiency is a pillar of modern climate policy, but there are ways to achieve it without sacrificing well-being. “We lost our way over the years and stopped designing buildings for people,”

As of early July, one in every 1,450 Black Americans had died from COVID‑19—a rate more than twice that of white Americans. That figure is both tragic and wholly expected given the mountain of medical disadvantages that Black people face

The indoor spaces in which Americans spend 87 percent of their time became staging grounds for super-spreading events. One study showed that the odds of catching the virus from an infected person are roughly 19 times higher indoors than in open air. Shielded from the elements and among crowds clustered in prolonged proximity, the coronavirus ran rampant in the conference rooms of a Boston hotel, the cabins of the Diamond Princess cruise ship, and a church hall in Washington State where a choir practiced for just a few hours.

Between harsher punishments doled out in the War on Drugs and a tough-on-crime mindset that prizes retribution over rehabilitation, America’s incarcerated population has swelled sevenfold since the 1970s, to about 2.3 million. The U.S. imprisons five to 18 times more people per capita than other Western democracies. Many American prisons are packed beyond capacity, making social distancing impossible. Soap is often scarce. Inevitably, the coronavirus ran amok. By June, two American prisons each accounted for more cases than all of New Zealand. One, Marion Correctional Institution, in Ohio, had more than 2,000 cases among inmates despite having a capacity of 1,500.

America’s nursing homes and long-term-care facilities house less than 1 percent of its people, but as of mid-June, they accounted for 40 percent of its coronavirus deaths. More than 50,000 residents and staff have died. At least 250,000 more have been infected. These grim figures are a reflection not just of the greater harms that COVID‑19 inflicts upon elderly physiology, but also of the care the elderly receive. Before the pandemic, three in four nursing homes were understaffed, and four in five had recently been cited for failures in infection control. The Trump administration’s policies have exacerbated the problem by reducing the influx of immigrants, who make up a quarter of long-term caregivers.

the Department of Health and Human Services paused nursing-home inspections in March, passing the buck to the states. Some nursing homes avoided the virus because their owners immediately stopped visitations, or paid caregivers to live on-site. But in others, staff stopped working, scared about infecting their charges or becoming infected themselves. In some cases, residents had to be evacuated because no one showed up to care for them.

its problematic attitude toward health: “Get hospitals ready and wait for sick people to show,” as Sheila Davis, the CEO of the nonprofit Partners in Health, puts it. “Especially in the beginning, we catered our entire [COVID‑19] response to the 20 percent of people who required hospitalization, rather than preventing transmission in the community.” The latter is the job of the public-health system, which prevents sickness in populations instead of merely treating it in individuals. That system pairs uneasily with a national temperament that views health as a matter of personal responsibility rather than a collective good.

“As public health did its job, it became a target” of budget cuts,

Today, the U.S. spends just 2.5 percent of its gigantic health-care budget on public health. Underfunded health departments were already struggling to deal with opioid addiction, climbing obesity rates, contaminated water, and easily preventable diseases. Last year saw the most measles cases since 1992. In 2018, the U.S. had 115,000 cases of syphilis and 580,000 cases of gonorrhea—numbers not seen in almost three decades. It has 1.7 million cases of chlamydia, the highest number ever recorded.

In May, Maryland Governor Larry Hogan asserted that his state would soon have enough people to trace 10,000 contacts every day. Last year, as Ebola tore through the Democratic Republic of Congo—a country with a quarter of Maryland’s wealth and an active war zone—local health workers and the WHO traced twice as many people.

Compared with the average wealthy nation, America spends nearly twice as much of its national wealth on health care, about a quarter of which is wasted on inefficient care, unnecessary treatments, and administrative chicanery. The U.S. gets little bang for its exorbitant buck. It has the lowest life-expectancy rate of comparable countries, the highest rates of chronic disease, and the fewest doctors per person. This profit-driven system has scant incentive to invest in spare beds, stockpiled supplies, peacetime drills, and layered contingency plans—the essence of pandemic preparedness. America’s hospitals have been pruned and stretched by market forces to run close to full capacity, with little ability to adapt in a crisis.

Sabeti’s lab developed a diagnostic test in mid-January and sent it to colleagues in Nigeria, Sierra Leone, and Senegal. “We had working diagnostics in those countries well before we did in any U.S. states,”

American hospitals operate on a just-in-time economy. They acquire the goods they need in the moment through labyrinthine supply chains that wrap around the world in tangled lines, from countries with cheap labor to richer nations like the U.S. The lines are invisible until they snap. About half of the world’s face masks, for example, are made in China, some of them in Hubei province. When that region became the pandemic epicenter, the mask supply shriveled just as global demand spiked. The Trump administration turned to a larder of medical supplies called the Strategic National Stockpile, only to find that the 100 million respirators and masks that had been dispersed during the 2009 flu pandemic were never replaced. Just 13 million respirators were left.

The supply of nasopharyngeal swabs that are used in every diagnostic test also ran low, because one of the largest manufacturers is based in Lombardy, Italy—initially the COVID‑19 capital of Europe. About 40 percent of critical-care drugs, including antibiotics and painkillers, became scarce because they depend on manufacturing lines that begin in China and India. Once a vaccine is ready, there might not be enough vials to put it in, because of the long-running global shortage of medical-grade glass—literally, a bottle-neck bottleneck.

As usual, health care was a matter of capitalism and connections. In New York, rich hospitals bought their way out of their protective-equipment shortfall, while neighbors in poorer, more diverse parts of the city rationed their supplies.

A study showed that the U.S. could have averted 36,000 COVID‑19 deaths if leaders had enacted social-distancing measures just a week earlier. But better late than never: By collectively reducing the spread of the virus, America flattened the curve. Ventilators didn’t run out, as they had in parts of Italy. Hospitals had time to add extra beds.

the indiscriminate lockdown was necessary only because America’s leaders wasted months of prep time. Deploying this blunt policy instrument came at enormous cost. Unemployment rose to 14.7 percent, the highest level since record-keeping began, in 1948. More than 26 million people lost their jobs, a catastrophe in a country that—uniquely and absurdly—ties health care to employment

In the middle of the greatest health and economic crises in generations, millions of Americans have found themselves disconnected from medical care and impoverished. They join the millions who have always lived that way.

Elderly people, already pushed to the fringes of society, were treated as acceptable losses. Women were more likely to lose jobs than men, and also shouldered extra burdens of child care and domestic work, while facing rising rates of domestic violence. In half of the states, people with dementia and intellectual disabilities faced policies that threatened to deny them access to lifesaving ventilators. Thousands of people endured months of COVID‑19 symptoms that resembled those of chronic postviral illnesses, only to be told that their devastating symptoms were in their head. Latinos were three times as likely to be infected as white people. Asian Americans faced racist abuse. Far from being a “great equalizer,” the pandemic fell unevenly upon the U.S., taking advantage of injustices that had been brewing throughout the nation’s history.

Of the 3.1 million Americans who still cannot afford health insurance in states where Medicaid has not been expanded, more than half are people of color, and 30 percent are Black.* This is no accident. In the decades after the Civil War, the white leaders of former slave states deliberately withheld health care from Black Americans, apportioning medicine more according to the logic of Jim Crow than Hippocrates. They built hospitals away from Black communities, segregated Black patients into separate wings, and blocked Black students from medical school. In the 20th century, they helped construct America’s system of private, employer-based insurance, which has kept many Black people from receiving adequate medical treatment. They fought every attempt to improve Black people’s access to health care, from the creation of Medicare and Medicaid in the ’60s to the passage of the Affordable Care Act in 2010.

A number of former slave states also have among the lowest investments in public health, the lowest quality of medical care, the highest proportions of Black citizens, and the greatest racial divides in health outcomes

“We’re designed for discrete disasters” like mass shootings, traffic pileups, and hurricanes, says Esther Choo, an emergency physician at Oregon Health and Science University. The COVID‑19 pandemic is not a discrete disaster. It is a 50-state catastrophe that will likely continue at least until a vaccine is ready.

Native Americans were similarly vulnerable. A third of the people in the Navajo Nation can’t easily wash their hands, because they’ve been embroiled in long-running negotiations over the rights to the water on their own lands. Those with water must contend with runoff from uranium mines. Most live in cramped multigenerational homes, far from the few hospitals that service a 17-million-acre reservation. As of mid-May, the Navajo Nation had higher rates of COVID‑19 infections than any U.S. state.

Americans often misperceive historical inequities as personal failures

the largely unregulated, social-media-based communications infrastructure of the 21st century almost ensures that misinformation will proliferate fast. “In every outbreak throughout the existence of social media, from Zika to Ebola, conspiratorial communities immediately spread their content about how it’s all caused by some government or pharmaceutical company or Bill Gates,”

Rumors coursed through online platforms that are designed to keep users engaged, even if that means feeding them content that is polarizing or untrue. In a national crisis, when people need to act in concert, this is calamitous. “The social internet as a system is broken,” DiResta told me, and its faults are readily abused.

Like pandemics, infodemics quickly become uncontrollable unless caught early.

In 2016, when DiResta spoke with a CDC team about the threat of misinformation, “their response was: ‘ That’s interesting, but that’s just stuff that happens on the internet.’ ”

The WHO, the CDC, and the U.S. surgeon general urged people not to wear masks, hoping to preserve the limited stocks for health-care workers. These messages were offered without nuance or acknowledgement of uncertainty, so when they were reversed—the virus is worse than the flu; wear masks—the changes seemed like befuddling flip-flops.

Drawn to novelty, journalists gave oxygen to fringe anti-lockdown protests while most Americans quietly stayed home. They wrote up every incremental scientific claim, even those that hadn’t been verified or peer-reviewed.

By tying career advancement to the publishing of papers, academia already creates incentives for scientists to do attention-grabbing but irreproducible work. The pandemic strengthened those incentives by prompting a rush of panicked research and promising ambitious scientists global attention.

In March, a small and severely flawed French study suggested that the antimalarial drug hydroxychloroquine could treat COVID‑19. Published in a minor journal, it likely would have been ignored a decade ago. But in 2020, it wended its way to Donald Trump via a chain of credulity that included Fox News, Elon Musk, and Dr. Oz. Trump spent months touting the drug as a miracle cure despite mounting evidence to the contrary, causing shortages for people who actually needed it to treat lupus and rheumatoid arthritis. The hydroxychloroquine story was muddied even further by a study published in a top medical journal, The Lancet, that claimed the drug was not effective and was potentially harmful. The paper relied on suspect data from a small analytics company called Surgisphere, and was retracted in June.**

Science famously self-corrects. But during the pandemic, the same urgent pace that has produced valuable knowledge at record speed has also sent sloppy claims around the world before anyone could even raise a skeptical eyebrow.

No one should be shocked that a liar who has made almost 20,000 false or misleading claims during his presidency would lie about whether the U.S. had the pandemic under control; that a racist who gave birth to birtherism would do little to stop a virus that was disproportionately killing Black people; that a xenophobe who presided over the creation of new immigrant-detention centers would order meatpacking plants with a substantial immigrant workforce to remain open; that a cruel man devoid of empathy would fail to calm fearful citizens; that a narcissist who cannot stand to be upstaged would refuse to tap the deep well of experts at his disposal; that a scion of nepotism would hand control of a shadow coronavirus task force to his unqualified son-in-law; that an armchair polymath would claim to have a “natural ability” at medicine and display it by wondering out loud about the curative potential of injecting disinfectant; that an egotist incapable of admitting failure would try to distract from his greatest one by blaming China, defunding the WHO, and promoting miracle drugs; or that a president who has been shielded by his party from any shred of accountability would say, when asked about the lack of testing, “I don’t take any responsibility at all.”

Trump is a comorbidity of the COVID‑19 pandemic. He isn’t solely responsible for America’s fiasco, but he is central to it. A pandemic demands the coordinated efforts of dozens of agencies. “In the best circumstances, it’s hard to make the bureaucracy move quickly,” Ron Klain said. “It moves if the president stands on a table and says, ‘Move quickly.’ But it really doesn’t move if he’s sitting at his desk saying it’s not a big deal.”

everyday Americans did more than the White House. By voluntarily agreeing to months of social distancing, they bought the country time, at substantial cost to their financial and mental well-being. Their sacrifice came with an implicit social contract—that the government would use the valuable time to mobilize an extraordinary, energetic effort to suppress the virus, as did the likes of Germany and Singapore. But the government did not, to the bafflement of health experts. “There are instances in history where humanity has really moved mountains to defeat infectious diseases,” says Caitlin Rivers, an epidemiologist at the Johns Hopkins Center for Health Security. “It’s appalling that we in the U.S. have not summoned that energy around COVID‑19.”

People suffered all the debilitating effects of a lockdown with few of the benefits. Most states felt compelled to reopen without accruing enough tests or contact tracers. In April and May, the nation was stuck on a terrible plateau, averaging 20,000 to 30,000 new cases every day. In June, the plateau again became an upward slope, soaring to record-breaking heights.

It is no coincidence that other powerful nations that elected populist leaders—Brazil, Russia, India, and the United Kingdom—also fumbled their response to COVID‑19. “When you have people elected based on undermining trust in the government, what happens when trust is what you need the most?”

the United States underperformed across the board, and its errors compounded. The dearth of tests allowed unconfirmed cases to create still more cases, which flooded the hospitals, which ran out of masks, which are necessary to limit the virus’s spread. Twitter amplified Trump’s misleading messages, which raised fear and anxiety among people, which led them to spend more time scouring for information on Twitter.

The virus was never beaten in the spring, but many people, including Trump, pretended that it was. Every state reopened to varying degrees, and many subsequently saw record numbers of cases. After Arizona’s cases started climbing sharply at the end of May, Cara Christ, the director of the state’s health-services department, said, “We are not going to be able to stop the spread. And so we can’t stop living as well.” The virus may beg to differ.

The long wait for a vaccine will likely culminate in a predictable way: Many Americans will refuse to get it, and among those who want it, the most vulnerable will be last in line.

It is almost unheard-of for a public-health measure to go from zero to majority acceptance in less than half a year. But pandemics are rare situations when “people are desperate for guidelines and rules,” says Zoë McLaren, a health-policy professor at the University of Maryland at Baltimore County. The closest analogy is pregnancy, she says, which is “a time when women’s lives are changing, and they can absorb a ton of information. A pandemic is similar: People are actually paying attention, and learning.”

As the economy nose-dived, the health-care system ailed, and the government fumbled, belief in American exceptionalism declined. “Times of big social disruption call into question things we thought were normal and standard,” Redbird told me. “If our institutions fail us here, in what ways are they failing elsewhere?” And whom are they failing the most?

It is hard to stare directly at the biggest problems of our age. Pandemics, climate change, the sixth extinction of wildlife, food and water shortages—their scope is planetary, and their stakes are overwhelming. We have no choice, though, but to grapple with them. It is now abundantly clear what happens when global disasters collide with historical negligence.

America would be wise to help reverse the ruination of the natural world, a process that continues to shunt animal diseases into human bodies. It should strive to prevent sickness instead of profiting from it. It should build a health-care system that prizes resilience over brittle efficiency, and an information system that favors light over heat. It should rebuild its international alliances, its social safety net, and its trust in empiricism. It should address the health inequities that flow from its history. Not least, it should elect leaders with sound judgment, high character, and respect for science, logic, and reason.

According to a draft version of the bill, mandatory paid leave for childbirth, weddings, baptism and bereavement will be scrapped, as will menstrual leave for women. Work overtime will be increased to four hours a day, and mandatory severance benefits paid by employers will be reduced, from 32 times monthly wages, to 19 times monthly wages.

only high-risk investments required to obtain a permit or carry out an environmental impact assessment

Restrictions placed on foreign participation in some sectors will be eased, and the government will set up a land bank and manage this to acquire land for public interest and redistribute the land

Phelim Kine, senior campaigns director with the environmental group Mighty Earth, said the Indonesian parliament had made “a ruinous false choice between environmental sustainability and economic growth”

would legitimise “uncontrolled deforestation as an engine for a so-called pro-investment job creation policy.”