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Refugees and migrants are at particularly high risk of both labor and sex trafficking, and their numbers are increasing—by the end of 2018, more than 70 million people had been forcibly displaced by violence, conflict, and persecution, close to double the figure a decade ago

In Central America, smugglers, criminals, and traffickers—emboldened by restrictive and punitive U.S. immigration policies—capitalize on migrants’ desperation to reach safety in the United States: Smugglers charge migrants exorbitant fees, and some leverage debt into forced labor or sexual exploitation. In that way, human trafficking bankrolls operations for transnational crime syndicates and extremist groups; forced labor produces an estimated $150 billion annually for perpetrators, making it one of the world’s most profitable crimes.

Some repressive governments traffic their own citizens and compel them to labor in harsh conditions in order to bolster the economy or suppress dissent. The U.S. State Department estimates that the North Korean government, for example, has close to 100,000 forced laborers working abroad, mainly in China and Russia, often in harsh conditions. By taxing those overseas workers, the regime has generated more than $500 million annually, thereby helping it mitigate the effects of economic sanctions.

Between 2001 and 2011, one study found that the presence of peacekeeping forces was positively correlated with forced prostitution, damaging public perceptions of the United Nations

U.S. government inspectors uncovered abuses by Defense Department contractors participating in labor trafficking. The contractors were allegedly hiring workers from third-party countries to work in a variety of support jobs—including food services—on U.S. bases in Kuwait (an issue previously documented on U.S. bases in Iraq); investigators found that the contractors had illegally charged recruitment fees to the victims, housed them in substandard conditions, and withheld their passports. Perpetrating sex and labor trafficking diminishes U.S. influence in tackling the very same crime

Despite the security implications of human trafficking, convictions for trafficking offenses are rare, programs focused on prevention and protection are underresourced, and most efforts to address human trafficking are detached from broader conflict prevention, security, and counterterrorism initiatives. The issue of trafficking has been seen as a concern primarily of human rights activists, not of the national security community. However, a growing body of research and evidence suggests that as security threats converge, human trafficking becomes a threat multiplier, since it finances other criminal activities and foments greater insecurity.

a Jewish group known as the Sicarii, who violently opposed Roman rule and killed fellow Jews they saw as collaborators. They were reputed to have committed mass suicide under siege at the mountain redoubt of Masada in 73 CE

In 657 CE, the new religion of Islam experienced its first outbreak of extremism, a sect known as the Kharijites, who are remembered for their zealous beliefs and brutal violence against Muslims who they believed had strayed from the true path

Christianity was not immune to these dynamics either, at times launching crusades and inquisitions to violently root out sectarians and unbelievers they viewed as “infidels”. One of these, the Albigensian Crusade of the 13th century, wiped out a deviant Christian sect in France known as the Cathars. Legend (possibly apocryphal) holds that the commander of the Roman Catholic forces uttered a Latin phrase that is remembered today, somewhat altered in translation, as “Kill them all and let God sort them out”. Whether the words were said or not, the massacre of Beziers in 1209 killed 20,000 Cathars, and by the end of the Crusade the entire sect had been slaughtered.

As some Spaniards expressed horror at the enslavement and extermination of indigenous people in the Americas, intellectuals of the day crafted racial and ideological arguments to excuse and even justify these horrors, arguing that the natural superiority of Spaniards justified the enslavement of the continent’s indigenous residents, “in whom you will scarcely find any vestiges of humanness”. These justifications were understood by 19th-century thinkers as one link in the chain that led to the American adoption of racial slavery – one of history’s most egregious and shameful extremist practices, which victimised millions of people of African descent over the course of hundreds of years.

The Nazis killed six million Jewish people during their time in power, and millions of others, including disabled people, LGBTQ people and Soviet, Serbian, Roma and Polish civilians. Although the Nazis were defeated, their legacy lives on today in the form of (at least) dozens of neo-Nazi groups around the world

The 1980s gave rise to modern jihadist extremism: the mobile, transnational movement significantly spearheaded by al Qaeda which raised the issue of violent extremism to a global priority in 2001 on September 11; it was elevated still further by the rise of ISIS in the 2010s. Today, thousands of jihadist extremists take part in violent activities all over the globe, from terrorism to insurgency. The same period has seen a resurgence of white nationalism and white supremacy in the United States and Europe, many of whom focus on Muslims as their chief enemy, pointing to the depravities of jihadism as part of their justification for their hate. But it’s not only white extremists who are targeting Muslims. In Myanmar, a new breed of Buddhist extremists seeks to exterminate Muslim Rohingya communities. In China, ethnic Uighurs who practice Islam are being incarcerated and ‘re-educated’ in concentration camps, a fact that too rarely features in discussions of extremism.

We don’t always frame our collective memory as a history of extremism; maybe if we did, it would place current events in context

Despite the pervasive role extremism has played in history, some elements of modern life can fairly be understood as making things uniquely worse. Chief among these is the rise of globally interconnected social media networks.

Technologies that turbo-charge the transmission of ideology have a disproportionate effect on the spread of extremist ideas

In addition to helping the supply-side of extremism, social media and other online technologies also empower demand. Before the internet, it was harder for curious people and potential recruits to find information about extremist groups and make contact with their members. Now, anyone with a keyboard can quickly seek out extremist texts and even make contact with extremist recruiters

Extremist movements eventually fall, even if it takes hundreds of years.

We may never banish extremism from the human experience, but we can save lives and preserve societies by managing and understanding it.

OUR is now a celebrated anti-trafficking charity, claiming to have worked in 26 countries, with the stated aim of bringing together "the world's experts in extraction operations and in anti-child trafficking efforts to bring an end to child slavery." It brought in more than $21 million in donations in 2019, the most recent year for which tax filings are available, and has enjoyed the support of high-powered backers

a common pattern for anti-trafficking NGOs working abroad, according to sex worker activists with Thailand’s Empower Foundation.

while OUR often claims to partner with local law enforcement on trafficking investigations and rescues, the extent of that “partnership” is often a modest donation OUR gives the agency, which in return credits it in press releases about any investigation, rescue, bust, or arrest that used the money.

OUR’s overseas operations, and the “jump team” it says conducts them, are the jewel in its crown: the subject of innumerable fundraising emails, interviews with Ballard, two documentaries, and Sound of Freedom, an upcoming feature film starring Jim Caviezel as Tim Ballard. (The casting of an actor most famous for playing Jesus Christ is perhaps not coincidental; while OUR is not an expressly religious organization, it heavily employs the language and imagery of faith, and Ballard, a devout Mormon, has said he was directly called by God to "Find the lost children.") OUR routinely claims that its overseas jump teams are made up of former members of the military, CIA, and law enforcement who undergo rigorous training.

nothing OUR did seemed recognizably informed by professional military or intelligence practice. There was, they said—contrary to the process for operations laid out on OUR's website—no meaningful surveillance or identification of targets; no development of assets; no validating that people they sought to rescue had in fact been trafficked, or that people they were targeting were indeed traffickers; and no meaningful follow-up with people who had been rescued on the missions in which they took part.  

“They’d go and just push for pimps to show up with girls.” If presented with sex workers of legal age, OUR would insist on younger girls—a method that several experts said could, when combined with a lack of intelligence-gathering and vetting, potentially lead to girls being trafficked who otherwise wouldn't have been.

Typically, after arranging for the women and girls to be brought to them, OUR's operators would call local police, who would make arrests. The operators would then leave the country.“They conflate sex work and trafficking,” said a former military member who has worked with OUR. “They’re making it worse.” 

Much research has been published demonstrating how these types of rescues are severely undermining the agency of trafficked persons and disempowering the individuals the involved organizations are claiming to help.

“There’s so many of these organizations here I don’t know one from the other,” Mai Janta, a sex worker leader of the organization, told VICE World News, laughing. 

it faces an ongoing investigation by Davis County, Utah attorney general Troy Rawlings, as Utah’s Fox 13 reported last October. While Rawlings hasn’t publicly described the contours of the investigation, people familiar with it have told both Fox 13 and VICE World News that his office is looking into whether OUR has made misleading statements in its fundraising appeals

Before the training began, candidates were given a psychological examination. On his way to his, William passed a candidate exiting an exam, who said, “If you mention God, you're a shoo-in.” 

“Before I went to this training,” he said, “I was counting down the days. I was expecting a world-class training, because these are supposed to be the best operatives.” Instead, he didn't feel like he was learning anything, and certainly not like he was being prepared to rescue children from dangerous traffickers. William wasn't taught, among other things, basic self-defense, signs to look for in a trafficker or trafficking survivor, surveillance technique, or secure communication. Topics that were covered included how to compartmentalize your discomfort if you find yourself in a gay bar, and the instructors' many war stories, including one that involved someone being stabbed dozens of times.

real estate brokers seem to have figured heavily in the world of OUR’s operators

Empower says that more than 50,000 sex workers have been a formal part of its operations over the years, and that members include sex workers from Thailand and migrant sex workers from Laos, Myanmar, China, and Cambodia. Its members are often extremely familiar with the various rescue operations that come to the country intent on “saving” trafficked women and girls; many organizations, working with local police, have conducted raids on massage parlors, legal brothels, and other places where they work. Most of these groups hail from the U.S., United Kingdom, New Zealand, and Australia, said Janta, and often have a clear religious focus. 

“They say they’re helping but really want to change your religion and your job,”

Beyond individual organizations, the entire raid-and-rescue model has fallen out of favor with responsible anti-trafficking organizations

“From our point of view, they come into our workplaces and make a relationship with the employer as well as the police. If there are no underage workers they continually ask and ask for the employer to find them some underage workers,” Janta added. “So they create a situation where there are underage workers, where there weren’t before.” 

“Just because they’re Americans or American missionaries, does not mean they’re actually representing the U.S. and U.S. interests,”

OUR's future seems, by all appearances, to be bright. Sound of Freedom, the film about the founding of OUR starring Jim Cavizel and Mira Sorvino as Tim Ballard and his wife Katherine, has been screened in theaters and awaits broad release. Celebrity backers like NFL players Corbin Kaufusi and Josh Allen enthusiastically promote OUR's work. And the public's continued fascination with QAnon and related conspiracy theories about pedophilia and child sex trafficking—from which OUR has publicly distanced itself—has led to huge interest in, and funding for, groups vowing to combat them. 

“We didn’t see them,” said Laovilawanyakul. “But we could’ve used their money for this time. They could have spent some of their money helping people get through COVID.”

“Instead of donating money to anti-trafficking orgs in the hope that it will help after something bad has happened, think about support for us all to be more secure and able to defend ourselves,” she said. “Scholarships, apprenticeships, family payments for mothers, support for teenagers who have left home.” Losing the ability to make a living has dislodged many women and girls from their villages and forced them into journeys as migrant sex workers.“If us and our families are secure,” Janta added, “we can defend ourselves and build our own lives without the need for rescue.”

The United States Political Violence (USPV) database records numerous riots around elections during the mid-19th century. In April 1855, for example, hundreds of nativists “invaded” a German area of Cincinnati, Ohio, and destroyed more than a thousand ballots. Subsequent fighting led to two deaths. In August of that year, nativist Protestants attacked German and Irish neighborhoods in Louisville, Kentucky, killing at least 20. In Baltimore, election violence became routine in the 1850s, with 30 dead and 350 wounded in the 1856 election alone

The bloodiest efforts came in the repression of Black people. The USPV lists nearly 70 incidents of political riots and assassinations in the decade after the formal cessation of hostilities, mostly in the South but including riots in Philadelphia and Indianapolis

Widespread political violence around elections only really ended when the federal government conceded that the South would be run by whites. Even then, anti-government violence took place.

Flattering coding rules used to produce datasets make it too easy to dismiss any aberration when a look at the historical record keeps turning up aberration after injustice after atrocity. Historians, scholars of Black history, and political scientists specializing in race and ethnic politics have long been sharply critical of the idea that that concepts like democracy, sovereignty, or the rule of law can be as bluntly coded as standard datasets long did.

American democracy did not penetrate to state level until the 1960s. Nearly a quarter of the states denied voting rights to Blacks—who made up a majority in some of those states before the Great Migration—from the late 19th until the mid-20th century

A federal union with authoritarian states cannot but be at least partly authoritarian itself

Despite the abolition of slavery, the imposition of Jim Crow meant that neither Congress nor the presidency were elected by fully democratic, or even representative, means

Consider Max Weber’s workhorse definition of the state: the monopoly of the legitimate use of physical force within a given territory. By that definition, large swathes of the United States approached failed-state status for much of the 19th and early 20th centuries

just as today, there were voices even at elite institutions counseling patience and unity. An 1898 Yale Law Journal article defended lynching as a natural outcome of Reconstruction having given the ballot to former slaves too early, and urged “education,” not federal intervention, as the cure. Woodrow Wilson, a leading historian and political scientist long before he became president of the United States, defended the Ku Klux Klan and white terrorism as “aroused by the mere instinct of self-preservation.” Such efforts eventually paid off in helping to efface such atrocities from textbooks even as monuments—and popular culture—embraced Lost Cause nostalgia for the Confederacy.

Revisiting the United States as a partial or flawed democracy means confronting much of the history that celebrants of the liberal world order claim as a series of triumphs for democracy

social scientists have lately become more skeptical of the conventional verities of progress. The V-Dem Institute in Sweden has compiled indices of democracy that are more sensitive to conditions like racial segregation. They show the United States as substantially less democratic than other countries, like the United Kingdom or Sweden, for most of the 20th century. Political scientists investigate topics that once attracted little attention, like the relationship between American political violence and social transformation, how national economic integration led to the decline of lynching, or how the “carceral state” (more than 2 million people are held in U.S. prisons or jails) degrades U.S. democracy today.

In the immediate aftermath of the storming of the Capitol, reporters and others turned to the British seizure of the Capitol building in 1814 as the closest analogue. Turning to foreign invasion rather than domestic precedents, however, says a lot. It suggests that people do not know the domestic precedents even exist, and it reinforces the notion that American political violence is “unthinkable.” (Even describing the 1814 incident as “foreign” is complex. The burning of Washington in 1814 was carried out by a British force that included marines previously enslaved by Americans—and motivated by hatred of the slavery system.)

it’s time to think more openly—and less defensively—about the totality of U.S. political history and behavior at home and abroad

Economic power, location, and access to resources determine how communities can respond to climate impacts. But these factors are shaped by existing global injustices: the history of slavery, colonialism, and imperialism that enriched some countries at the expense of others. Global warming has exacerbated these inequalities, and the climate crisis will lead to new divisions between those who can mitigate its impact and those who cannot.

The climate crisis is the result of the relentless pursuit of private interests by both multinational corporations and powerful countries: Fossil fuel companies seek profit, governments seek energy security, and private investors seek financial security. These pursuits have contributed to the campaigns of climate denialism that have slowed the international response to climate crisis, and that continue to fuel resource and land grabbing in many parts of Africa, Latin America, and Asia.

when short-term shareholder value faces off against the public good—and it often does—the former tends to win out. This mismatch of incentives is itself a fundamental cause of the climate crisis

to mitigate climate change effectively and fairly, the international community needs to broadly redistribute funds across states to respond to inequalities in resilience capacity and the unjust system underpinning them

When refugee flows from non-European countries increased in the second half of the 20th century, many Western powers shifted policy. While some refugees were accepted and resettled, many others were warehoused, detained, or subject to refoulement—forcible return—in violation of the U.N. Convention and Protocol Relating to the Status of Refugees.

The United Nations High Commission for Refugees (UNHCR) has so far refused to grant refugee status—and the protection that comes with it—to the 21.5 million people fleeing their homes as a result of sudden onset weather hazards every year, instead designating them as “environmental migrants.”

climate reparations are better understood as a systemic approach to redistributing resources and changing policies and institutions that have perpetuated harm—rather than a discrete exchange of money or of apologies for past wrongdoing

two distinct but interconnected issues: climate change mitigation, which would aim to minimize displacement; and just climate migration policy, which would respond to the displacement that governments have failed to prevent

The continuation of this status quo will make climate colonialism a near certainty, especially considering recent responses to migration in Europe, Australia, and the United States. Rich Western countries have already responded punitively to migration, holding thousands of migrants in detention centers under horrific conditions and responding with indifference or violence to attempted suicides and protests by the incarcerated for better treatment. Since 2015, European countries have reacted aggressively to the plight of asylum seekers; there is no indication that their response to climate refugees would be any more humane.

A reparatory approach to the climate crisis would require an overhaul of the existing international refugee regime. With this approach, the international community would reject the framing of refugee policy as rescue and rethink the framework that allows states to confine refugees in camps with international approval

In the context of the climate crisis, the West is responsible for more than secondary harms experienced within the international refugee regime. A reparatory approach seeks to understand which harms were committed and how through structural change, those harms can be addressed. A historically informed response to climate migration would force Western states to grapple with their role in creating the climate crisis and rendering parts of the world uninhabitable.

A failure to admit more refugees will accelerate the worst political effects of the climate crisis: fueling the transition of eco-fascism from fringe extremism to ruling ideology. The recognition of rights to movement and resettlement, and a steady liberalization of rich-country border policies fit under a reparatory framework, especially when paired with more sensible mitigation policies. However extreme this renegotiation of state sovereignty and citizenship may seem, it’s nowhere near as extreme as the logical conclusion of the status quo’s violent alternative: mass famine, region-scale armed conflict, and widespread displacement.

The S.D.F. offers a remarkable vision to counter ISIS’s draconian rule — local councils, farmers’ cooperatives, and committees that promote the rights of oppressed minority groups. In the village of Jinwar, a female-controlled town, the S.D.F. has built a commune for women and their children, both Kurdish and Arab, seeking to escape oppressive families and realize a community without patriarchy. According to the constitution of the so-called Autonomous Administration of North and East Syria, the S.D.F.-linked ruling authority in the region, a post-ISIS Syria will be “a society free from authoritarianism, militarism, centralism and the intervention of religious authority in public affairs.” In order to realize this vision, part of the S.D.F.’s mandate is not just to govern, but also to annihilate ISIS. Several soldiers and S.D.F. spokesmen told me that the war against ISIS isn’t over — its aim now, with the support of the U.S., is to destroy sleeper cells and root out the ideology.

If we portray certain enemies solely as existential threats, we sweep over the political conflicts unfolding in places like Iraq and Syria, and the political violence wrought upon these communities, even by those who claim to be fighting a just war.

If our enemy is everywhere, we will seek allies in even the most oppressive of regimes (like Egypt and Saudi Arabia) to hunt down “terrorists,” no matter if they are gun-wielding militants or political dissidents who believe that the current state of affairs does not serve them.

If a war is a “good war,” or merely conceived of as a necessary one, it matters little why a terrorist group gained support, or how we may be inadvertently contributing to the group’s appeal. Yet, while the current approach to terrorism has been wildly successful in building a cottage industry of extremism and deradicalization experts, it has failed to rid the world of terrorists.

Massacres of Iraqi civilians, deaths of Afghan civilians by airstrikes, and indiscriminate detention and torture and rape have all happened at the hands of state security forces, including those allied with the U.S.

The Manichean framework helps absolve the West of its role and its responsibility in ending an endless conflict. “Terrorism” has become so synonymous with horrific violence that most Americans are likely unaware that the vast majority of civilian deaths in global conflicts today are caused by states, not non-state actors.

As with other battles against evil, the “killers and fanatics” necessitated the dropping of bombs, an operation that Obama’s successor continued.

a core argument for the war depended on the idea that terrorism was, in essence, a form of religious violence

What the Bush administration argued, and what the media accepted, was that terrorism is not a mere tactic, but a full-blown ideology — what Bush called “the heirs of all the murderous ideologies of the 20th century,” including “fascism, Nazism and totalitarianism.” In practice, this means non-state armed groups not allied with the U.S. should be understood as terrorist organizations — no matter if, like the Taliban, Hezbollah, Al Qaeda, and Hamas, they have little else in common

By and large, the media accepted the Bush administration’s framing. By 2006, public criticism of the handling of the Iraq War was mounting, but even then, few questioned the legitimacy of the war itself. In a 2009 study of media coverage after 9/11, two scholars from the University of Texas found that journalists “helped brand the policy, [then] labeled the frame as public opinion,” ultimately contributing to the acceptance of that frame as a “fact of life,” and a “larger narrative of struggle and heroism.” Journalists did not treat the War on Terror as a policy decision made by the Bush administration, but as the natural and inevitable order of things. 

The political scientist Austin Doctor recently conducted a study of sexual assault by 143 rebel groups around the world, from 1989 to 2011, and separately applied the results of his analysis to ISIS.  He found a correlation between the presence of foreign fighters and increased incidence of sexual violence, which suggests that the Islamic State functioned much like other rebel groups — that ISIS is not so singular as it may seem.

mainstream media coverage of ISIS receives almost no scrutiny. But many other publications and reporters have operated on the same flawed assumptions and premises as Caliphate, ones that animated the West’s understanding of the Middle East long before ISIS gained its first foothold

the issue here isn’t just the violence — after all, Assad has also relished the torture, starvation, and murder of his citizens. Since 2011, his regime has used chemical weapons repeatedly, more than three hundred times according to one study. The critical difference is that while Assad depends on the international system for legitimacy (Russia and Iran are key supporters, and Syria remains part of the global financial system), ISIS rejects it. While Assad would prefer that the world looks away, ISIS practically begs us to stare. It aims to demoralize Western audiences, while projecting to potential recruits its vision of a new world order

In parts of the Caliphate, ISIS did promise a different model, at least nominally. In one piece of propaganda, the group declared, “The people are as equal as the teeth of a comb. There is no difference between the rich and the poor and the strong and the weak. The holder of a right has redress, and the grievance of an injured party will be answered.” In appealing to residents and new recruits, ISIS touched upon something familiar: the desire for justice, equality, and law and order in a world that has manifestly failed to deliver any. Women, too, found opportunities under ISIS. In Fallujah, they used the regime’s justice system to secure divorces, which had been more difficult under the Iraqi government.

civilians were likely to stay in ISIS-controlled territory because, among various reasons, the “quality of governance,” including “availability of electricity, cleanliness of streets, and crime rates,” was better compared to services provided by the Iraqi government

“All the locals here wonder why the U.S. coalition never came to rescue them from Assad’s machine guns, but run to fight ISIS when it took a few pieces of land,” one rebel told the Guardian. 

the current global order has left many people behind

decades of imperialism, like the U.S. invasion of Iraq, and Russia and Iran’s interventions, have irrevocably transformed communities in the Middle East. Similarly, though ISIS opposes the Saudi government, the Salafi-Jihadi underpinnings of the group could not have gained traction without the Kingdom’s years of effort of exporting and standardizing a particular form of Islam across the Middle East. 

devoid of any political context, terms like “radicalization” and “ideology” lose meaning

how ISIS appeared in the public imagination: as a movement beyond human understanding. The only sensible answer to so inscrutable and atavistic an adversary was total war.

This frenzied interest in the U.S.’s darkly powerful new enemy lured some journalists and analysts to focus on the group full-time. It emerged as a distinct topic from the Syrian civil war, whose crowded theater was becoming difficult to explain, or the Iraq War, now a nearly-adolescent 11 years old. Soon, writers covering ISIS, what Wired called “the world’s most important beat,” developed a signature flourish, describing it not just as a terrorist organization, but as an almost supernatural threat. “It is not clear,” argued a New York Review of Books piece in 2015, “whether our culture can ever develop sufficient knowledge, rigor, imagination, and humility to grasp the phenomenon of ISIS. But for now, we should admit that we are not only horrified but baffled.”

Stories of the group’s atrocities emerged in quick succession, echoing the parade of violence ISIS was proudly broadcasting on its own channels: public executions, conscription of child soldiers, disappearances and murders of thousands, Yazidi girls sold into slavery.

by narrowly focusing on the savagery of ISIS fighters, we miss the deeper and more important story of how ISIS grew into a political force, and of how it moved not just the hearts and minds, but the physical bodies, of tens of thousands

the core issue with Caliphate isn’t just that a lying source may have misled overeager journalists. Rather, the controversy, and indeed even the proposition that a “terrorism editor” would have resolved the problem, points to a deeper flaw in the way media has long covered extremism: divorced from the local and historical contexts that have fueled its rise

After a decade of the War on Terror and chaos in the Middle East, ISIS seemed to be the ultimate testament to an enduring clash of civilizations. It is not that surprising that ISIS itself encouraged this fantastical narrative — but it is striking that our media took their word for it.

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.

Some 35 million migrants are employed in the six Gulf Cooperation Council countries, in Jordan, and in Lebanon, and incidences of exploitation are well documented

While Qatar has now shut down all public spaces, construction workers are still working on a variety of projects despite the fact that hundreds of cases of the coronavirus have spread among their communities

as the coronavirus pandemic edges its way across Qatar, which now has more than 2,000 confirmed cases, the migrant workers’ cramped living quarters and lack of access to health care, proper sanitation, and nutritious food imperils an already highly vulnerable group of people.

the true burden of disease among migrant workers is unknown. The government doesn’t give figures on what portion of the infected are migrant workers. And some migrants fear coming forward to report their symptoms.

“The situation here is serious,” Narendra said, describing the lockdown in part of the Industrial Area. “I have been frequently speaking with workers who are in lockdown areas. Employers aren’t allowing people out to buy food, and companies are not providing food. We don’t have any rights to ask for support.”

At the heart of the abuse faced by migrant workers has been Qatar’s kafala system, which legally binds foreign workers to their employers, restricting workers’ ability to change jobs and preventing them from leaving the country without their employers’ permission—a practice that has been described as modern slavery. In October 2019, the government announced reforms that would allow migrant workers to change jobs and leave Qatar without employer consent. Thus far, only the second reform has been implemented. And while campaigners laud the progress, enforcement of laws remains spotty, and there’s little clarity on when further reforms will be rolled out.

Most workers sleep in dormitories, sharing rooms with up to 10 people and sharing kitchens and bathrooms with dozens more. When they head to work on the construction sites, it is on overcrowded buses. In response, the government recently announced it would reduce bus capacity by half, that construction workers would work a maximum six hours a day, that workers’ accommodation would be limited to four people, and that all accommodation sites would be sanitized and information on hand-washing and hygiene would be provided. Whether this is just rhetoric remains to be seen.

“Perhaps the most sobering political development as the protests reached the one-week mark was a growing inclination among some prominent elected and security officials to frame the civil unrest in the language of armed conflict,”

The killing, and the Trump administration’s response to the upheaval, risk further eroding the “global standing and credibility” of the US “particularly when it comes to condemning repression or brutality perpetrated by other governments”, the Crisis Group said.

On Wednesday, the UN high commissioner for human rights, Michelle Bachelet, implored the US to confront “endemic and structural racism” and address the “deep-seated grievances” at the heart of the protests.  She assailed the president’s characterization of protesters as “terrorists” and condemned the “unprecedented assault on journalists”.  “The anger we have seen in the US, erupting as Covid-19 exposes glaring inequalities in society, shows why far-reaching reforms and inclusive dialogue are needed there to break the cycle of impunity for unlawful killings by police and racial bias in policing,”