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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.

How can we make sense of the fact that people feel nostalgia not only for past experiences but also for generic time periods? My suggestion, inspired by recent evidence from cognitive psychology and neuroscience, is that the variety of nostalgia’s objects is explained by the fact that its cognitive component is not an autobiographical memory, but a mental simulation – an imagination, if you will – of which episodic recollections are a sub-class

in the past decade, it has become clear that the brain’s default network supports mental simulations of other hypothetical events too, such as episodes that could have occurred in one’s past but didn’t, atemporal routine activities (eg, brushing teeth), mind-wandering, spatial navigation, imagining other people’s thoughts (mentalising) and narrative comprehension, among others. As a result, researchers now think that what unifies this common neural network isn’t just mental time-travel, but rather a more general kind of psychological process characterised by being self-relevant, socially significant and episodically, dynamically imaginative

the cognitive contents associated with their nostalgic states are the kinds of mental simulations supported by the default network – which include, but are not limited to, autobiographical memories

nostalgia can be associated with a possible past one didn’t experience, a concurrent nonactualised present, or even idealised pasts one couldn’t have lived but nevertheless can easily imagine by piecing together memorial information to form detailed episodic mental simulations

According to the traditional view, nostalgia is seen as a negative emotion: early medical reports described homesick patients as sad, melancholic and lethargic. The psychoanalytic tradition continued this view, and characterised nostalgia as involving sadness and pain.

distinction was later reformulated as depressive versus non-depressive nostalgia, with some even suggesting that the abnormal case of nostalgia is the depressive one, given that its pleasurable aspect is missing

the discrepancy between the emotion felt when attending to the act of simulating versus the content of the simulation can account for the perceived ‘bittersweetness’ of nostalgia

it has been documented that certain negative experiences tend to trigger nostalgia, including loneliness, loss of social connections, sense of meaninglessness, boredom, even cold temperatures. This doesn’t mean that nostalgia is triggered only by negative experiences, but it does suggest that the negative affect can often be a cause, rather than an effect, of nostalgia.

My sense is that physicians of old got the order of causation backwards: nostalgia doesn’t cause negative affect but, rather, is caused by negative affect

A possible solution is to think of the object of nostalgia’s desire as a place-in-time. This strategy allows for two possible readings. On one reading, what the individual desires is for her current self to travel back in time to where things were better than they currently are. This is painful because time-travel is impossible. On another reading, what the subject desires is for the past situation to be brought to the present; that is, she doesn’t wish to travel back in time to a past situation, but rather that the past situation could somehow replace the current one. Here, the object that could satisfy the nostalgic desire would be found not in the past but in the present, and what causes the pain is a different kind of impossibility: that of recreating the past in the present.

Neuroscience tells us that, when we imagine, we redeploy much of the same neural mechanisms that we would have employed had we actually engaged in the simulated action. When we imagine biking, we engage much of the same brain regions we’d have engaged had we actually been biking.

My proposal here is that what underlies the motivational aspect of nostalgia comes from a pleasurable reward signal that the subject momentarily experiences when attention is allocated to the simulated content.

Entertaining the kinds of mental simulations that elicit the bittersweet feeling of nostalgia generates a reward signal that seems to motivate individuals to turn their ersatz experience into a real one, in an attempt to replace the (actual) negative emotion felt when simulating with the (imagined) positive emotion of the simulated content.

First, I suggest that the cognitive component needn’t be a memory but a kind of imagination, of which episodic autobiographical memories are a case. Second, nostalgia is affectively mixed-valanced, which results from the juxtaposition of the affect generated by the act of simulating – which is typically negative – with the affect elicited by the simulated content, which is typically positive. Finally, the conative component isn’t a desire to go back to the past but, rather, a motivation to reinstate in the present the properties of the simulated content that, when attended to, make us feel good.

we’ve seen a resurgence of nationalistic political movements that have gained traction by way of promoting a return to the ‘good old days’: ‘Make America Great Again’ in the US, or ‘We Want Our Country Back’ in the UK. These politics of nostalgia promote the implementation of policies that, supposedly, would return nations to times in which people were better off. Unsurprisingly, such politics are usually heralded by conservative groups who, in the past, tended to be better off than they currently are – independently of the particular politics of the time.

Polish results show something very different: a large number of younger individuals avidly supporting nostalgic policies that would return their nations to a past they never experienced

the politics of nostalgia doesn’t capitalise on people’s memories of particular past events they might have experienced. Instead, it makes use of propaganda about the way things were, in order to provide people with the right episodic materials to conjure up imaginations of possible scenarios that most likely never happened.

These very same propagandistic strategies help to convince people that their current situation is worse than it actually is, so that when the simulated content – which, when attended, brings about positive emotions – is juxtaposed to negatively valenced thoughts about their present status, a motivation to eliminate this emotional mismatch ensues, and with it an inclination to political action

The politics of nostalgia has less to do with memories about a rosy past, and more with propaganda and misinformation. This suggests, paradoxically, that the best way to counteract it might be to improve our knowledge of the past.

Remittances from Yemeni workers abroad had dropped by 80% – $253m (£200m) – in the first four months of 2020 as a result of job losses across the Gulf region. The closure of supply routes has led to food shortages and food price hikes in the country, which imports 90% of its food.

Democratic Republic of the Congo, Venezuela, the west African Sahel, Ethiopia, Sudan, South Sudan, Syria, and Haiti as extreme hunger hotspots.

Oxfam said countries with existing problems, such as South Sudan and Syria, were already seeing hunger worsen but there was also concern for middle-income countries such as India and Brazil. Mass unemployment was affecting all countries, but informal labourers were suffering the most, often unable to travel to work. Travel restrictions were also hitting food supplies by preventing farmers from hiring workers and small-scale producers from accessing their own fields.

humanitarian assistance around the world had been curtailed by restrictions on movement and other precautions to prevent the virus spreading

a crisis in Africa’s Sahel region, where at least 4 million people have been displaced by extreme climate conditions that were damaging crops, causing greater tension between communities sharing resources.

The embassy first canceled Çoban’s passport, and the cancelation, then, was used against Çoban with a view to securing his deportation based on his lack of an international travel document

Official correspondence communicated by the Turkish Justice Ministry’s Directorate General for International Law and Foreign Relations to the Ministry of Foreign Affairs also proved that Turkish embassies have been instructed by the authorities to use the Interpol mechanism as an alternative to extradition mechanisms regulated by the European Convention on Extradition (ECE), which does not apply to political or military offenses.

The order to spy on Gülen-affiliated people and organizations came in early 2014, and volunteers of the movement were targeted with criminal prosecutions on based on fabricated charges of terrorism

As sources of information proliferated, long-standing sources of authority (monarchy, aristocracy, and the established Church) feared losing power and turned reactionary. At the same time, the longer-term transformations on which these social and cultural innovations were built—the growth of European overseas empires and the emergence of settler colonialism, massive silver exports from South and Central America, the trans-Atlantic slave trade—continued, and in ever more brutal forms. More than 6 million Africans were sold into slavery in the 18th century—a time that some still call the “Age of Enlightenment.”

Today, as in the 1790s, an old order is ending in convulsions. Even before the coronavirus prompted flight cancellations and entry bans, climate activists were rightly telling us to change our modes and patterns of travel. Even before nonessential businesses were shut by government orders, online shopping and same-day deliveries were rapidly remaking retail commerce, while environmental concerns and anti-consumerism were revolutionizing the fashion industry.

real revolutions are the ones that nobody sees coming

The men and women who made the French Revolution—a revolution which, in a few short and hectic years, decriminalized heresy, blasphemy, and witchcraft; replaced one of the oldest European monarchies with a republic based on universal male suffrage; introduced no-fault divorce and easy adoption; embraced the ideal of formal equality before the law; and, for a short time at least, defined employment, education, and subsistence as basic human rights—had no model to follow, no plans, no platform agreed upon in advance. As the UCLA historian Lynn A. Hunt has argued, they made it up as they went along. Yet for more than two centuries, elements of their improvised politics have been revolution’s signature features: a declared sovereignty, devised symbols, an anthem, war. At the junction Americans face today, however, we need to imitate not the outcome of the French revolution but the energy, creativity, and optimism of the French revolutionaries.

In hindsight a revolution may look like a single event, but they are never experienced that way. Instead they are extended periods in which the routines of normal life are dislocated and existing rituals lose their meaning. They are deeply unsettling, but they are also periods of great creativity.

the Conservative government became the first administration in parliamentary history to be held to be in contempt of parliament;

So distant has the Conservative party travelled from its Burkean heritage, and so radicalised by Brexit and its experience of minority government, that the party’s approach to constitutionalist issues is indistinguishable from that of any populist nationalist authoritarian party

if the Conservatives win the general election tomorrow, or continue to govern without an overall majority, then there should be genuine concerns for all who care for the constitution of the United Kingdom

design thinking” has also reached the halls of power. You can find it in the upper reaches of corporations and governments and universities. It organizes and mediates decision-making among executives and elites. At Stanford’s d.school, as cofounder Robert Sutton has said, “design thinking” is often treated “more like a religion than a set of practices for sparking creativity.” So what is it?

Here’s what I say “design thinking” is: using a particular set of design methods to solve problems that traditionally have fallen outside the purview of design. I show my students what designers call the “hexagon diagram,” a ubiquitous image that came out of the d.school in the mid-2000s and purports to represent the five steps of design thinking. It consists of five hexagons that read: “Empathize,” “Define,” “Ideate,” “Prototype,” and “Test.” The idea is that design thinking involves listening to and empathizing with some group of people, then using what you’ve heard to define the problem you want to solve. Then you come up with ideas, prototype those ideas, and test the prototypes to see if they work.

Suddenly everything is a design-thinking problem: postpartum depression, racial injustice in sentencing, unsustainable growth. To a person with a hammer, everything looks like a nail. But my students aren’t stupid; they’re smart. They’re picking up on something. In the worlds they inhabit, “Better by design” is a dominant structure of feeling.

Any solution implemented would leave “traces” that couldn’t be undone. “One cannot build a freeway to see how it works, and then easily correct it after unsatisfactory performance,” they wrote. “Large public works are effectively irreversible, and the consequences they generate have long half-lives.” The designer had no “right to be wrong,” because these problems mattered. Human lives, or the quality of human lives, were on the line.

Rittel called them “wicked problems.” They were “wicked” not because they were unethical or evil, but because they were malignant and incorrigible and hard. There did exist simple problems that didn’t rise to this level. But “now that [the] relatively easy problems have been dealt with,” the problems worth designers’ time were the wickedest ones. The hardest problems of heterogeneous social life called for designers’ exclusive focus and concentration.

Design was a multiplicity of critical voices batting a problem around unknown terrain until it formed itself, or not, into some kind of resolution.

IDEO is just another multinational corporation. But it’s a multinational corporation whose niche branding and marketing, funded by the success of “design thinking,” have been so phenomenally successful as to seem like straight sorcery.

In 1987, Peter Rowe published an ethnographic study of designers called Design Thinking (this may be the first printed instance of the phrase). But Rowe’s study of observed evidence concluded, just as Rittel and Papanek had argued, that in fact there was no one “design thinking.” “Rather,” Rowe wrote, “there are many different styles of decision making, each with individual quirks as well as manifestations of common characteristics.” It had become a commonplace that there was no one way to make design. The more interesting question was how to observe and negotiate the proliferation of differences.

“It is not easy to live with epistemic freedom,” he wrote, and so designers often sought out sachzwang — practical constraint, inherent necessity, “a device to ‘derive ought from fact.’” But they shouldn’t. Without methodological constraint, design had room for heterogeneity. It had the capacity to surprise. “Nothing has to be or to remain as it is,” Rittel wrote, “or as it appears to be.”

even as “design thinking” rendered “design” yet more capacious ,  it also jettisoned the self-conscious suspicion of “methodology” at which designers, following Horst Rittel, had arrived in the ’60s. Design thinking was unambiguously a recipe, a formula, a five-step program

It was design for a service economy: memorable, saleable, repeatable, apparently universal, and slightly vague in the details. Horst Rittel had convincingly described the folly of trying to define or rationalize design’s “how”; IDEO’s template for design thinking brought back the “how” with a vengeance.

So it was that in the United States in the early 2000s, design again became not just a method but a universal method — and a method that seemed a little bit magical. It applied to everything, and anyone could do it. “Contrary to popular opinion,” read a sidebar in Brown’s 2008 Harvard Business Review essay, “you don’t need weird shoes or a black turtleneck to be a design thinker.” You didn’t need, in fact, to be a designer. All you needed was a set of designerly qualities — empathy, “integrative thinking,” optimism, experimentalism, a collaborative nature — and that brightly colored five-step map.

Lyons and IDEO’s design-driven project aimed to solve the alleged problem of insufficient “competitiveness.” That problem, as stated — and the changes Gainesville instituted to address it, including beautiful graphic design, better web resources, and that friendly new office called the Department of Doing — had at best a tenuous relationship to the experiences of many of Gainesville’s poor and Black residents. Although the plans were intended to boost Gainesville’s economy on the whole, they did not create affordable housing, eradicate food deserts, or raise high school graduation rates. They didn’t address those for whom “competitiveness” seemed a distant problem. They seemed to leave much of Gainesville behind.

“Design thinking” can’t solve the wicked problems that organize Gainesville’s inequality: poverty, income disparity, structural racism, environmental injustice, unregulated market capitalism. You face wicked problems by struggling with them, not by solutioning them. You argue, you iterate, you fail, you grieve, you fight.

This is what worries me about design thinking: its colossal and seductive promise. There was an earlier Anglo-American vogue for design — a love affair with industrial design, beginning in the Depression era — but it was relatively benign in its claims and its outcomes. This more recent vogue for design thinking seems more insidious because it promises so much more. It promises a creative and delightful escape from difficulty, a caper through the Post-it Notes to innovative solutions. And it promises this as a service, delivered at what is often great cost — not just to IBM and Intuit and Starbucks, but to villages and nonprofit organizations and cities like Gainesville without enormous resources to spare.

By embracing “design thinking,” we attribute to design a kind of superior epistemology: a way of knowing, of “solving,” that is better than the old and local and blue-collar and municipal and unionized and customary ways.

Americans love design most when we’re afraid.

design isn’t magic. To address a wicked problem is to look for its roots — and there’s no hexagon map for getting there

There is no consensus as to how resources should be distributed, social life arranged, justice done. To design, really design, is to acknowledge those divergences — and then to listen one’s way, and push one’s way, to somewhere new. Such battles from competing positions can be truly wicked, Rittel believed, but it’s better to fight than to obscure irresolution with optimism. He had a point. Design may come in an elegant package, but it doesn’t always make things right.

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.

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.”