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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.

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

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

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.

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.

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.

Tests were in such short supply, and the criteria for getting them were so laughably stringent, that by the end of February, tens of thousands of Americans had likely been infected but only hundreds had been tested.

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,”

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,”

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.

“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.

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.

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.

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

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

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.

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.

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?”

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.

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.

The European Union’s current crisis is symptomatic of a broader crisis or malaise of regional and international multilateralism

he EU has proved an extraordinarily robust and crisis-resistant organization. It survived: the collapse of the European Defence Community project in 1954; France’s rejection of two British bids for accession in the 1960s; the empty-chair crisis precipitated by De Gaulle in 1965; the crisis concerning the UK’s contribution to the EU budget in the first half of the 1980s; the semi-destruction of the European Monetary System in 1992–1993; and the defeat of several proposed new treaties in referenda in Denmark, Ireland, France and the Netherlands since the end of the Cold War

s serious as the EU’s crisis seemed to be in 2012, there was no unequivocal empirical evidence that the integration process had begun to unwind and the EU to disintegrate. Still no member state had ever left the EU, while several states were queuing to join it. Still no issue-area into which the EU’s competence had previ-ously been extended had been repatriated to the member states. There had still not been any observable formal or actual diminution of the EU’s decision-making and implemen-tation capacities

far more regional organizations have failed, in the sense that they collapsed, than succeeded

to ask to what extent there has been any change in the variables that have fuelled the integration process in the pas

growing distrust among Europe’s big powers over ‘hard’ security issues is not at the root of Europe’s current crisis

From a realist perspective à la Mearsheimer, European disintegration would hence most probably result from an American military withdrawal from Europe and a collapse of NATO

uncertainty as to the durability or reliability of the American com-mitment to European military security has led to more rather than less security and defence cooperation between EU member states

Classical intergovernmentalism focuses our attention on the evolution and degree of convergence of the stances of the French, German and British governments as determi-nants of the future of European integration. Trends in this trilateral relationship in the last two decades do not augur well for the EU’s future. Growing British Euro-scepticism has made Franco-German threats to exclude the UK from the integration process increas-ingly hollow — not because such threats cannot be implemented, but rather because the British government has been increasingly impervious to them

The Franco-German ‘tandem’ can still exercise a decisive influence in the EU even after the post-Cold War enlargements from 12 to 27 member states, especially where the two governments form ‘opposing poles’ in the EU around which other member states can coalesce

Intergovernmentalism implies that if a fundamental breakdown should occur in Franco-German relations, this would surely lead to European disintegration

IR institutionalists argue that such organizations can achieve a high level of durabil-ity or permanence by helping states to overcome collective action problems, carrying out functions that these cannot (notably ‘facilitating the making and keeping of agreements through the provision of information and reductions in transaction costs’), monitoring compliance, reducing uncertainty and stabilizing expectations

From an IR institutionalist perspective, the critical questions relating to the EU’s future are thus whether, especially in the enlarged EU, there are sufficiently pervasive common interests linking member states and whether, much as for intergovernmental-ists, the ‘most powerful states’ (Keohane and Nye, 1993: 18) — by which the US is as much meant as the ‘big three’ EU members — continue to support the integration pro-cess

From an IR institutionalist as well as an intergovernmentalist perspective, the EU’s future seems likely to ride on the evolution of the Franco-German relationship,

While the governments of “sovereign” member-states remain free to tear up treaties and walk away at any time, the constantly increasing costs of exit in the densely integrated European polity have rendered this option virtually unthinkable’

Whilst historical-institutionalist scholars generally focus on constraints and the ‘“stickiness” of historically evolved insti-tutional arrangements’ and provide ‘explanations of continuity rather than change’, they nonetheless recognize that critical junctures or crises can bring about ‘relatively abrupt institutional change’

‘punctuated equilibrium’

‘As transnational exchange rises, so does the societal demand for supranational rules and organizational capacity to regulate’

growing economic interdependence seems increasingly to fore-close other, unilateral policy options and to compel member governments to forge or acquiesce in closer integration

Most federations fail (Lemco, quoted in Kelemen, 2007: 53). Multinational federa-tions, of which the EU is certainly an example, may be more prone to failure than others (Kelemen, 2007: 61)

it is still not evident that European-level political party groups can ‘discipline’ or ‘moderate’ the positions taken by their national member parties on EU issues

R institutionalism and, more so, clas-sical intergovernmentalism are more circumspect about the EU’s future. Viewed from these perspectives, European integration is a more contingent phenomenon, resting on the scope of member states’ common interests, which has arguably narrowed following successive waves of enlargement, and/or on the extent of hegemonic leadership or con-vergence of interests among the EU’s three big powers. The latter has diminished in as far as the UK has proved hostile to closer integration on most issues, leaving the EU’s fate in these perspectives increasingly in the hands of the Franco-German duo

Contrasting post-2000 EU politics with that of the preceding half-century, I sug-gest that European integration is threatened by sharply rising hostility towards the EU in the domestic politics of the member states. Contrasting Europe with other regions, I argue that a ‘semi-hegemonic’, pro-integrationist Germany accounts for the uniquely high level of political integration in Europe, but that there is a significant and growing risk that Germany’s commitment to the European ‘project’ will wane in future

Hegemonic stability theory derives the indispensability of hegemonic leadership for economic openness and stability from public-goods theory, holding that only large states have a material incentive to supply non-excludable ‘collective’ goods rather than to ‘free-ride’. Germany has strong economic and political incentives in the maintenance of a politically and economically stable Europe that its governments have historically seen as being best secured through integration

In some member states, notably but not only in the UK, there was of course always significant domestic political opposition to European integra-tion. Nonetheless, in the post-Cold War and post-Maastricht Treaty period and especially during the last decade, hostility towards the EU and closer European integration has arguably transformed the domestic political context of EU decision-making to the point where one could more accurately speak of an ‘unpermissive dissensus’ that severely constrains the room for manoeuvre of member governments on EU issues

At the same time as the balance of political power in many member states has tilted sharply towards ‘anti-European’ political forces, the capacity of governments to control the EU agenda in the member states — a prerequisite for the smooth functioning of the processes of negotiation and ratification of EU policies — has been eroded

tension between the requirements or logic of domestic politics, on the one hand, and those of the EU (and international financial markets), on the other

, Germany has increasingly visibly assumed the role of the Eurozone’s and the EU’s ‘indispensable’ member

growing levels of economic exchange and economic interdependence do indeed create pressures on governments to institutionalize their economic ties. However, levels of political integration in East Asia, the Asia-Pacific and North America are not even remotely comparable to those in Europe

It is rather the presence, in the form of Germany, of a pro-integrationist regional hegemon that best explains Europe’s comparatively very high level of political integra-tion

What has made the EU exceptional in respect of regional political integration is neither an exceptionally high level of economic integration nor the presence of a ‘leading state’ as such, but rather the fact that, compared with other ‘lead-ing’ regional powers, the member state that occupies this role in the EU — Germany — has pursued a much more radical agenda involving the creation of a quasi-federal European state

Germany needs good and close relations with other European states to avert the risk of diplomatic isolation and a resurgence of traditional ‘balance-of-power’ politics in the region

EU policy choices do not disproportionately reflect German preferences. Compromise and consensus, not a German diktat, are the rules in EU decision-making

As a regional paymaster, but hitherto not typically a disproportionately influential rule-maker, Germany was long more a ‘semi-hegemonic’ than ‘normal’ hegemonic power in the EU

A Grand Coalition of pro-European Social and Christian Democrats, on the other hand, may, as the experience of other EU member states suggests, spawn the emergence and growth of new national-populist parties and/or, for electoral-political motives, the transformation into Euro-sceptical movements of those established parties that would then be in the opposition

the EU’s future is more contingent

the EU is very vulnerable to domestic political backlashes manifested in the rise of national populism in the member states, particularly so long as few citizens in the member states share a strong European identity and there are no strong pan-European political parties that can effectively integrate and mediate their conflicting interests

German domestic politics therefore matters more for the EU’s future than that of any other member state

n more than 60 years, the European integration process has confronted and survived many crises. But it has never so far had to confront a crisis ‘made in Germany’.

The plethora of regional and pluri- or minilateral trade agreements signed across the world over the last decade or so cannot disguise the fact that most regions in the world remain at best only very weakly politically integrated and regionalorganizations therefore cannot be relied upon to institutionalize and secure peaceful cooperation among their members.

Is it possible that, as hegemonic stability theory would suggest, the roots of the gathering crisis of interna-tional multilateralism are to be found in the ‘end of the United States’ unipolar moment’ (Layne, 2006) and the arrival at long last of the long-anticipated decline in the capacity as well as willingness of the US to play the role of a stabilizing international hegemon?

In early June, the International Crisis Group did something its leaders said was a historic first: It issued a statement on an internal crisis in the United States. The ICG, an independent organization headquartered in Belgium, analyzes geopolitics with the goal of preventing conflict. It is known for issuing authoritative, deeply sourced reports on war-torn countries — say, how to end the brutal conflict in Yemen.

In language similar to how it might describe fragile foreign states, the ICG cast the “unrest” as a crisis that “put the nation’s political divides on full display.” And it chided the Trump administration for “incendiary, panicky rhetoric that suggests the U.S. is in armed conflict with its own people.”

“Over the long term, the nation will need to take steps to end the police’s brutality and militarization as well as structural racial inequality if it wants to avoid similar future crises,” the ICG said.

The ICG decided it saw a confluence of factors in America that it sees in far more troubled countries. One appeared to be growing militarization of the police. Another was the seeming politicization of the military. Also key: Some U.S. political leaders, including Trump, seem determined to exploit racial divisions instead of pushing for unity. The ICG is now debating whether to launch a program that focuses on U.S. domestic issues in a systematic way

past U.S. administrations, Republican and Democrat, all had credibility gaps when it came to promoting human rights while protecting U.S. interests. Obama, for instance, was criticized for authorizing drone strikes against militants that often killed civilians

“I think there’s a qualitative difference with this administration, for whom human rights seems to be treated purely as a transactional currency,”

In 2019, Freedom House released a special essay titled “The Struggle Comes Home: Attacks on Democracy in the United States.” The Washington-based NGO, which receives the bulk of its funding from the U.S. government, was established in 1941 to fight fascism. Its report, which ranks how free countries are using various indicators, described a decline in U.S. democracy that predated Trump and was fueled in part by political polarization. Freedom House warned, however, that Trump was accelerating it.

The international furor against the Trump administration was especially intense in mid-2018, as the U.S. was separating migrant children from their parents at the southern border, then putting the children in detention camps. The U.N. high commissioner for human rights called the U.S. actions “unconscionable.”

“There is intense racism and law enforcement abuse of human rights in China, in Russia, in Brazil and a lot of other countries that the United Nations has a hard time mustering the will to condemn,” said Rep. Tom Malinowski (D-N.J.), a former senior human rights official under Obama. “But none of those countries is the indispensable nation. What human rights organizations and institutions are saying by focusing on the United States is something that they cannot explicitly admit, and that is that they believe in American exceptionalism. They understand that America falling short of its ideals has a far greater impact on the world than a Russia or a China doing what we all expect those authoritarian states to do.”

A top State Department official, Brian Hook, later wrote a memo to Tillerson arguing that the U.S. should use human rights as a weapon against adversaries, like Iran and China. But repressive allies, such as Egypt and Saudi Arabia, should get a pass, it said. “Allies should be treated differently — and better — than adversaries. Otherwise, we end up with more adversaries, and fewer allies,” Hook wrote.

the memo appears to have laid out the policy approach the Trump administration has taken on human rights, even after Tillerson was fired in early 2018. His successor, Mike Pompeo, frequently weighs in on human rights but almost exclusively to bash governments hostile to the United States or, occasionally, ones with which the U.S. has limited strategic interest.

it sometimes goes to great lengths to protect abusive U.S partners, as it has done by pressing ahead with arms sales to Saudi Arabia despite its assassination of a writer for The Washington Post

“The current administration doesn’t think most of its supporters care about international violations of human rights broadly,”

Human rights leaders say there are two noteworthy bright spots in the Trump administration’s record. It has put significant resources into promoting international religious freedom — routinely speaking out on the topic, holding annual ministerial gatherings about it, and launching an international coalition of countries to promote the ideal. A few weeks ago, Trump issued an executive order instructing Pompeo to further integrate the promotion of religious freedom in U.S. diplomacy. The administration also has used a relatively new legal tool, the Global Magnitsky Act, to impose economic sanctions on numerous individuals implicated in human rights abuses abroad. The sanctions have fallen on people ranging from Myanmar military officials suspected in the mass slaughter of Rohingya Muslims to an allegedly abusive Pakistani police official.

Trump administration officials also say human rights activists are never satisfied, no matter who is in the White House. This is not an unfair argument: The groups routinely criticize even administrations most friendly to their cause. Bush was eviscerated over his handling of the war on terrorism, especially his decision to invade Iraq, even though he and his aides asserted that they were liberating and protecting people. Obama’s human rights legacy was declared “shaky.” For U.S. officials who must make choices between bad and worse options every day, the endless criticism is frustrating.

Pompeo’s disdain for the human rights community is one reason he created what’s known as the Commission on Unalienable Rights. The secretary asserts that activists keep trying to create categories of rights, and that “not everything good, or everything granted by a government, can be a universal right.”

Rights activists worry the panel will craft a “hierarchy” of rights that will undermine protections for women, LGBTQ people and others, while possibly elevating religious freedom above other rights

Privately, administration officials say they do a lot of excellent human rights work that doesn’t get attention. They note that Congress has kept up funding for much of that work, even though Trump has tried to slash that funding. They also argue that the Trump team’s objectives and priorities are clearer than those of past administrations, especially when distinguishing friend from foe. While Obama tried to engage Tehran and Havana, the Trump administration casts those regimes as irredeemable, and it’s willing to attack them on human rights to weaken them. On the other hand, while Obama kept Hungary’s leader at a distance, Trump has welcomed him to the White House. Critics may see that as another example of Trump liking dictators, but his aides say it is a way to limit Russian and Chinese influence in Eastern Europe.

“In comparison to the remainder of its human rights record, the Trump administration’s use of the Global Magnitsky sanctions has exceeded expectations,”

The religious freedom alliance, for instance, includes countries such as Hungary, whose government the U.S. is trying to court but which traffics in anti-Semitic rhetoric. The religious freedom push also dovetails with a priority of Trump’s evangelical supporters, who have long pushed for greater protection of Christian communities overseas.

Under intense outside pressure, the administration imposed Magnitsky sanctions on more than a dozen Saudis for the murder of Washington Post columnist Jamal Khashoggi; but it spared the man the U.S. intelligence community considers responsible for the killing, Saudi Crown Prince Mohammed bin Salman, whom Trump has defended

The dire situation of Uighur Muslims in China illustrates how both the Magnitsky effort and the religious freedom effort have collided with Trump’s own priorities.

In recent years, the Chinese government has detained more than a million Uighur Muslims, putting them in camps from which ugly reports of abuse have emerged. China claims it is “reeducating” the Uighurs to stamp out terrorist thinking in the population. Republican and Democratic lawmakers in Congress are furious over the detention of the Uighurs.

Pompeo, meanwhile, has raised the Uighurs as an example of why the U.S. must promote religious freedom. But Trump has been unwilling to use the Magnitsky sanctions on Chinese officials involved in the mistreatment of the Uighurs. He told Axios he doesn't want to impose the penalties because it might derail trade talks with Beijing, the success of which he sees as critical to his reelection

Trump’s diatribes against journalists — and his claims that many legitimate media outlets are “fake news” — are believed to have inspired some countries to impose tougher laws curtailing press freedoms.

When the State Department spokesperson recently tweeted out criticism of Beijing’s treatment of pro-democracy activists in Hong Kong, a Chinese official tweeted back at her with some of Floyd’s last words: “I can’t breathe.”

In 2018, a U.N. envoy, Philip Alston, unveiled the findings of an investigation into poverty in the United States. Alston has said he was initially invited to study the topic under the Obama administration, but that the Trump administration — under Tillerson — had reextended the invite. Alston’s report minced few words. The United States, he reported, was home to tens of millions of people in poverty, and that was likely to be exacerbated by Trump’s economic policies.

Nikki Haley, then the U.S. ambassador to the United Nations, fought back. She called Alston’s work “misleading and politically motivated,” insisted that the Trump administration’s plans would lift people out of poverty, and argued that the U.N. should focus on poverty in less-developed countries.

The council instead requested a broader, more generic U.N. report on systemic racism and police brutality against Black people and also asked for information on how various governments worldwide deal with anti-racism protests. The resolution did, however, mention the Floyd death and the report is expected to cover the United States, among other countries.