Group items tagged

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.

Total global foreign direct investment has not returned to its highs more than a decade ago.

globalization is complex, and not every indicator points in the same direction. The intensity of trade in goods is down, but in services it’s up. The flow of data across borders has risen dramatically, even as countries like China and Iran seek to restrict it. International travel and study abroad were at all-time highs before the coronavirus pandemic

Globalization is often blamed for financial crises—not only the global one of 2008, but also the 1997 Asian crisis and others in Russia, Turkey, Ecuador, Cyprus and elsewhere

expanded inequality both among nations and within them

consume more energy and produce higher greenhouse-gas emissions

since 2003, the world has seen successive outbreaks of SARS, swine flu, MERS, Ebola, and the Zika virus

many of those benefits are diffuse and taken for granted, while the costs—lost manufacturing jobs, for instance—remain concentrated. And those on the losing end of globalization now have a new political voice: populist parties promising sovereignty, nationalism, and local solutions, as well as a weakening of elite-led, seemingly unaccountable international institutions

Many see COVID-19 not as a cause around which the world’s governments should rally, but rather as the most dramatic example of an already broken globalized system.

it is easy to imagine governments around the world broadly rethinking international travel, migration, supply-chain risk, export controls, information sharing, and more—in short, key components of globalization itself. The new watchword is likely to be risk reduction rather than cost reduction.

Fragile supply chains are not an indictment of globalization per se, but of the way companies have become dependent on single sources of supply

economic integration will still take place, but it will continue to shift from the global to the regional and bilateral level

How to protect workers without undermining globalization’s economic benefits, including a higher standard of living, remains an unsolved question.

Closed borders, travel bans, paralyzed supply chains, and export restrictions have prompted many to ask whether globalization itself might fall victim to the coronavirus.

globalization was already in decline well before the outbreak, having reached its peak before the 2008 global financial crisis and having never recovered since then

The worldwide interconnectedness of goods, services, capital, people, data, and ideas has produced undeniable benefits. But during this pandemic, the risks of dependency have fully entered the public consciousness

the pandemic has demonstrated the fragility of supply chains, prompted national responses rather than cooperative international ones, and reinforced nationalist arguments for reshoring manufacturing and more limited migration

Exacerbating this danger is the deliberate and accelerating breakdown of the arms control architecture that for decades provided restraint, transparency, and predictability for each side’s conventional and nuclear forces. In their absence, Russia and the West are assuming and planning for worst-case scenarios. The first crack appeared in 2002, when the United States withdrew from the Anti-Ballistic Missile (ABM) Treaty, signed three decades earlier to prevent Washington and Moscow from deploying nationwide defenses against long-range ballistic missiles. Five years later, Russia effectively suspended another landmark agreement, the 1990 Treaty on Conventional Armed Forces in Europe, and NATO followed suit. The 1987 Intermediate-Range Nuclear Forces (INF) Treaty—which banned an entire class of destabilizing nuclear-capable missiles on European territory—has been dealt a likely fatal blow with this year’s decisions by Washington to withdraw from the treaty and by Moscow to suspend implementation of it.

The fate of the Comprehensive Nuclear Test Ban Treaty is also in doubt, with four Republican U.S. Senators writing to President Donald Trump this past spring asking if he would consider “unsigning” the treaty. The future of the 2010 New START treaty is also unclear

At the same time as checks on existing weapons are falling away, new technologies threaten to further destabilize the military balance. Sophisticated cyberattacks could compromise early warning systems or nuclear command-and-control structures, increasing the risk of false alarms. Prompt-strike forces, including delivery systems that pair conventional or nuclear warheads with a hypersonic boost-glide vehicle or cruise missile, can travel at very high speeds, fly at low altitudes, and maneuver to elude defenses. If deployed, they would decrease a defender’s warning and decision time when under attack, increasing the fear of military planners on both sides that a potential first strike could deliver a decisive advantage to the attacker. Then there is the militarization of outer space, a domain that remains virtually unregulated by agreements or understandings: China, Russia, and, most recently, India have built up their antisatellite capabilities, and Washington is mulling a dedicated space force. 

the absence of dialogue between Russia and the West—in particular, between civilian and military professionals in the defense and foreign ministries. The current disconnect is unprecedented even when compared with the height of the Cold War

The United States and its NATO allies are now stuck in a retaliatory spiral of confrontation with Russia.

transatlantic discord has damaged the perception of NATO as a strong alliance

By virtue of its vast geography, permanent membership in the UN Security Council, rebuilt military, and immense nuclear forces, Russia can disrupt geopolitical currents in areas vital to the interests of the United States, including Europe, the Middle East, Asia, and the Arctic. Further clashes and crises are not just possible but probable

The fact that Trump and Putin reportedly agreed to a new dialogue on strategic stability and nuclear dangers at a meeting in Helsinki in July 2018 was a step in the right direction. But their inability to follow through—including at the level of civilian and military professionals, who need the green light from their leaders—underlines how dysfunctional relations have become

the United States and Russia could take more specific steps to reduce the likelihood of a new nuclear arms race—of vital importance for international security, particularly in light of the probable demise of the INF treaty. All nations have an interest in seeing the New START treaty fully implemented and extended through 2026, the maximum five-year extension permitted by the treaty.

Today, decision-makers in Washington and Moscow have only a precious few minutes to decide whether a warning of a possible nuclear attack is real and thus whether to retaliate with a nuclear attack of their own. New technologies, especially hypersonic weapons and cyberattacks, threaten to make that decision time even shorter. The fact that Russian troops are deployed, and routinely conduct military exercises, in Russia’s western regions close to NATO’s boundaries, and NATO troops are deployed, and have recently conducted military exercises, close to Russia’s borders further raises fears of a short-warning attack. Such shrinking decision time and heightened anxieties make the risk of a mistake all too real. Leaders in both Washington and Moscow should clearly direct their military leaders to work together on ways to minimize such fears and increase their decision time

leaders in Moscow, London, and Paris could once again become consumed with fears of a short-warning nuclear attack that could decapitate a nation’s leaders and its command and control, which would greatly increase the risk of false warnings.

Exchanging more information about each side’s operations and capabilities could help ensure that prompt-strike systems, such as modern hypersonic missiles, do not further erode strategic stability. This is primarily a U.S.-Russian issue, but with China’s reported development of hypersonic missile capabilities, addressing it will ultimately require broader engagement. It would also help to offer more transparency on nonnuclear prompt-strike systems and commit to segregating these conventional capabilities from nuclear-weapons-related activities or deployments.

Cyberattacks on nuclear facilities, nuclear command-and-control structures, or early warning systems could cause miscalculations or blunders, such as a false warning of a missile attack or a failure to prevent the theft of nuclear materials. As states continue to develop and refine their ability to attack satellites, the United States and Russia could be blinded in the early stages of a conflict.

the understanding, first articulated in 1985 by U.S. President Ronald Reagan and Soviet leader Mikhail Gorbachev, that “a nuclear war cannot be won and must never be fought.” Affirming this principle was an important building block to ending the Cold War.

some have suggested abandoning U.S.-Russian talks and waiting for new leadership in both countries. That would be a mistake. Dialogue between the two presidents remains essential: only that can create the political space for civilian and military officials in both nations to engage with one another in discussions that could prevent catastrophe

Washington and Moscow are acting as if time is on their side. It is not.

Waters has no health insurance when he’s back in the U.S. (even as a nurse). Working on the front lines during a global pandemic is probably not the best place for an uninsured nurse. Like most expats, Waters has private health insurance that will cover him in literally any country in the world… except the U.S.

David’s visa is entirely tied to his job, which he fears will be axed soon in a country economically crushed by this pandemic. He could theoretically apply for other jobs before his visa expires, but not in reality. “The police won’t even let me leave my house!” If he loses his job, he’ll be forced to go home, though he hasn’t a clue where “home” would be. That and he would have no job, place to live, or health insurance. 

The uncertainty around visas is also hard on couples and families who have visas tied exclusively to their relationship, even though these are oftentimes the most secure ones to have

“Immigrants are the ones blamed during economically hard times,” says Schober, “and people look for a scapegoat.” It’s pretty universal for humans to have less compassion for people they don’t have something in common with, he says, so foreigners around the world are often the most vulnerable.

Immigration lawyer Diana Moller of Seattle says she’s concerned about green card holders who are stuck abroad. Legally, they can return to the U.S., but many are under lockdown due to the virus. In order for them to apply for citizenship, they can’t be overseas for long. “If a client is outside the U.S. more than six months, their continuous physical presence is at risk of being broken.” If they’re gone for a year, they’ll have to wait four years and one day before eligible again for citizenship.

Before any of the virus chaos started, the U.S. has notoriously made it hard for many (not rich) foreigners to live, work, or permanently immigrate here, but the pandemic has led some to just abandon ship entirely and go home.

Stéphane’s most recent visa was up for renewal again this spring, but the pandemic forced him and his wife to consider the risk of him losing his work contract, thus being locked into NYC illegally with no job, no way to pay rent, and no health insurance. “The U.S. looked like the worst place to be an illegal immigrant,” he says—especially during a pandemic. So he gave up the American life he spent five years building and took his family back to France, even though it means he’s now starting over. “The French health care/social net is way better and higher education is relatively cheap and good quality,”

Like every single American I spoke with, Sarah is pretty scared of getting sick in the U.S. due to lack of good insurance. “Honestly, my life would have been so much easier if me and my boyfriend had just gotten married two years ago,” like they’d considered. France is her home but she’s not allowed there any time soon. “I wish I’d just stayed in France.” She would have been illegal until getting married, but she would have at least been with him. And insured. 

“A good thing about having an ineffective Congress is that immigration changes are slow,” says Schober. “They can never agree on anything.”

important to remember that people working in immigration are doing their best to care for such a vulnerable group of people right now. Some are even putting their lives and health at risk to show up at court for their clients. Schober says it’s especially important to remember that the present situation will take a lot of patience from both the attorney and client. But for now, it’s a waiting game for millions of people in limbo around the world, all wondering if the countries they have built their lives in will soon change the rules and make them return home… wherever that is. 

The cost advantage of producing in China has eroded in recent years as the country has become richer and wages have soared.

The extended shutdown of many Chinese factories has pushed exports down 17 percent in the first two months of the year compared with a year earlier, and it has disrupted the production of European cars, iPhones, and other consumer goods.

there are still many advantages to producing in China, such as scale and efficient logistics. But the coronavirus crisis could mark a tipping point that prompts many businesses to remodel their supply chains and invest in more resilient and often more local patterns of production

businesses may discover that while face-to-face meetings are sometimes necessary, technological alternatives are often just fine

there is both an environmental reason and an economic one why business travel may decline

the coronavirus crisis has also exposed the hollowness of nativists’ assertions that their anti-immigration and protectionist policies make people safer. Even though the nationalist coalition that runs Lombardy’s provincial government is led by Matteo Salvini’s far-right League party, it has not been successful in protecting the region from the coronavirus. Nor, for all his desire to decouple from China, has Trump been able to prevent the coronavirus from reaching the United States

one of our interviewees suggested that one of the reasons that women were joining Daesh in such large numbers was because the organization was better at listening to, and catering to, the sex-specific needs women express than its opponents who were putting together counterterrorism strategies

women who participate in extralegal violence are often more complicated than the gender stereotypes they tend to be portrayed as

In recent decades, treating women well (or at least appearing to) has become a sine qua non of liberal, developed statehood – and critique of Daesh (deliberate and resolute) failing on those axes also serves a delegitimizing function for the organization.

those who do not think about gender, or who think about gender in over-simplistic ways, do so at the risk of the accuracy, coherence, and effectiveness of their engagement with violent extremism, as analysts or activists or both

the only thing that changed is the belief that something had changed

This article is about the strength and durability of that belief, and whether as a social fact it can be used to create a new political framing for world politics. In addressing this question I diff erentiate between a traditional materialist analysis of threat (whether something does or does not pose a specifi c sort of threat, and at what level) and a so-called securitizationanalysis (whether something can be successfully constructed as a threat, with this understanding being accepted by a wide and/or specifi cally relevant audience).4These two aspects of threat may run in close parallel, but they can also be quite separate. States, like people, can be paranoid (constructing threats where none exist) or complacent (ignoring actual threats). But since it is the success (or not) of the securitization that determines whether action is taken, that side of threat analysis deserves scrutiny just as close as that given to the material side

the explicit ‘long war’ framing of the GWoT is a securitizing move of potentially great signifi cance. If it succeeds as a widely accepted, world-organizing macro-securitization, it could structure global security for some decades, in the process helping to legitimize US primacy

US military expenditure remains largely aimed at meeting traditional challenges from other states, with only a small part specifi cally allocated for the GWoT. The signifi cance of the GWoT is much more political. Although a real threat from terrorists does exist, and needs to be met, the main signifi cance of the GWoT is as a political framing that might justify and legitimize US primacy, leadership and unilater-alism, both to Americans and to the rest of the world. This is one of the key diff erences between the GWoT and the Cold War. The Cold War pretty much wasUS grand strategy in a deep sense; the GWoT is not, but, as a brief glance at the USNSS of 2006 will show, is being promoted as if it were

Immediately following 9/11 NATO invoked article 5 for the fi rst time, thereby helping to legitimize the GWoT securitization.

In the case of Russia, China, Israel and India, the move has been to link their own local problems with ‘terrorism’ to the wider GWoT framing.

tied together several longstanding security concerns arising within the liberal order, most notably crime and the trades in drugs and the technologies for weapons of mass destruction (WMD). Within the frame of the liberal international economic order (LIEO), it is well understood that while opening state borders to fl ows of trade, fi nance, information and (skilled) people is generally to be promoted, such opening also has its dark side in which illiberal actors, mainly criminals and terrorists, can take advantage of liberal openness in pursuit of illiberal ends

There are fi ve obvious types of event that could signifi -cantly reinforce or undermine the GWoT securitization:ü the impact of further terrorist plans and/or attacks (or plans or attacks success-fully attributed to terrorists);ü the commitment of the United States to the GWoT securitization;ü the legitimacy of the United States as a securitization leader within interna-tional society;ü the (un)acceptability and (il)legitimacy of both the GWoT securitization as a whole or of particularist securitizations that get linked to it;ü the potency of securitizations competing with the GWoT

The escalation option would strengthen the GWoT securitization, and the reduction option would weaken it. More of the same does not look suffi cient to sustain the costs of a long-term macro-securitization unless the fear of escalation can be maintained at a high level.

Americans, like most other citizens of democracies, quite willingly surrender some of their civil liberties in times of war. But it is easy to see the grounds within American society for reactions against the GWoT securitization, especially if its legitimacy becomes contested. One source of such reactions would be civil libertarians and others opposed to the reasser-tion of government powers through a state of permanent fear and emergency. Another would be isolationists and ‘off shore balancers’ who oppose the current levels and logics of US global engagement

Grounds for opposition include its costs, in terms of both money and liberty, and the ineff ectiveness of a permanent increase in the state’s surveil-lance over everything from trade and fi nance to individual patterns of travel and consumption

reformulate the GWoT

The US successfully generated and led the macro-securitization of the Cold War against communism generally and the military power of the Soviet Union in particular. It was aided in this both by the broad acceptability of its own qualities as a leader in the West, and up to a point even in the Third World, and by the fact that other states, especially west European ones, plus Turkey, Japan and South Korea, shared the fear of communism and Soviet military power

A weight of punditry agrees that the Atlantic has got wider, to the point where even the idea that there is a western community is now under serious threat.

states might support or oppose the GWoT not only on its merits, but also because of how it plays into the global hierarchy of power

In terms of the GWoT securitization as a whole, some of the lines of opposition are the same in the rest of the world as they are in US domestic debates, particu-larly over what kinds of emergency action it legitimizes. To the extent that the GWoT becomes associated with actions that seem to contradict the values that the West seeks to represent against the likes of Al-Qaeda, the legitimacy of the securitization is corroded

Wilkinson, who has solid credentials as a hard foe of the terrorists, echoes a sentiment widely held across the political spectrum when he says that ‘If we undermine or destroy our hard-won liberties and rights in the name of security against terrorism we will give the terrorists a victory they could never win by the bomb and the gun.’28 In this respect it is of more than passing interest that all of the current strategies being used to pursue the GWoT seem actively to damage the liberal values they purport to defend.

Most western leaders (the ever undiplomatic Berlusconi having been a notable excep-tion) have tried hard right from the beginning not to stage the GWoT as a war between the West and Islam. They have trodden the diffi cult line of maintaining that, while most of the terrorists speak in the name of Islam, that does not mean that most adherents of Islam are terrorists or supporters of terrorists. But despite this, the profoundly worrying relinking of religion and politics in the United States, Israel and the Islamic world easily feeds zero-sum confl icts. This linkage could help to embed the securitization of the GWoT, as it seems to have done within the United States and Israel. If religious identities feed the growth of a ‘clash of civilizations’ mentality, as seems to have happened in the episode of the Danish cartoons, this too could reinforce the GWoT securitization. It could, equally, create a reaction against it from those who feel that their particular religion is being mis represented by fundamentalists, and/or from those who object to religious infl uence on politics. The latter is certainly part of what has widened the gap between the US and Europe

Al-Qaeda and its like, while clearly posing a threat to the West, do not represent a plausible political alternative to it, Islamist fantasies about a new caliphate notwithstanding. The contrast with the Cold War could not be more striking. Then, the designated opponent and object of securitization was a power that represented what seemed a plausible political alternative: one could easily imagine a communist world. The post-9/11 securitization focused neither on an alternative superpower nor on an alternative ideology, but on the chaos power of embittered and alienated minori-ties, along with a handful of pariah governments, and their ability to exploit the openness, the technology, and in some places the inequality, unfairness and failed states generated by the western system of political economy

Iraq. The US and British governments attempted to justify the invasion by linking Saddam Hussein’s regime to both terrorists and WMD. This securitizing move was successful within the United States, but vigorously contested in many other places, resulting in serious and damaging splits in both the EU and NATO. Russia was generally very supportive of the GWoT securitization, seeking to link its own diffi culties in Chechnya to it, but Putin joined Germany and France in strong opposition to the US-led invasion of Iraq. The ill-prepared occupation that followed the successful blitzkrieg against Iraq only deepened the splits, with many opponents of the war agreeing with Dana Allin’s assessment that ‘Iraq was probably the war that bin Laden wanted the United States to fi ght’,29and Wilkinson’s that it was ‘a gratuitous propaganda gift to bin Laden’.30 During the 2004 US election, even John Kerry began to argue the point that invasion of Iraq was distracting eff ort away from the GWoT.31 As the political disaster in Iraq continues to unfold, it is hard to avoid the conclusion that it was both a tactical and strategic blunder of epic proportions in relation to the problem of global terrorism represented by Al-Qaeda

There are quite a variety of possible candidates for competing securitizations. Rising sea levels or approaching asteroids, or the spread of a new killer plague, could easily put planetary environmental concerns at the top of the securitiza-tion agenda. But in conventional mode the most likely threat to the GWoT as dominant macro-securitization comes from the rise of China

It was perhaps only the perceived remoteness in time of China achieving superpower status that prevented this securitization from becoming the dominant rhetoric in Washington during the 1990s. As time marches on, the rise of China becomes more real and less hypothetical

Given an ongoing disposition within Washington to construct China as a threat, the likely increase in Chinese power, both relative and absolute, and the existence of tensions between the two governments over, inter alia, Taiwan, trade and human rights, it is not diffi cult to imagine circumstances in which concerns about China would become the dominant securitization within the United States

o long as China conducts its so-called ‘peaceful rise’ in such a way as not to threaten its neighbours or the general stability of interna-tional society, many outside the United States might actually welcome it. Europe is likely to be indiff erent, and many countries (e.g. Russia, China, India, Iran, France, Malaysia) support a rhetoric of multipolarity as their preferred power structure over the predominance of the United States as sole superpower.

Because a world govern-ment is not available, the problem pits international society against global uncivil society

By hardening borders, homeland security measures erode some of the principles of economic liberalism that they are designed to defend; and the same argument could be made about the trade-off between enhanced surveillance under the GWoT and the civil liberties that are part of the core referent object of western civilization

War is seldom good for liberal values even when fought in defence of them

Equalizing starts from the assumption that the root causes of terrorism lie in the inequalities and injustices that are both a legacy of human history and a feature of market economies. The long-term solution to terrorism in this perspective is to drain the waters in which the terrorists swim by redressing the inequalities and injustices that supposedly generate support for them. It is not my concern here to argue whether this contested cause–eff ect hypothesis is correct or not. My point is that if a policy along these lines is pursued, it cannot avoid undermining the foundations of a competitive market economy

f inequality is the source of terrorism, neo-liberal economics does not provide a quick enough solution

terrorism poses a double threat to liberal democratic societies: open direct assaults of the type that have become all too familiar, and insidious erosion as a consequence of the countermeasures taken

f it is impossible to elimi-nate terrorists, as is probably the case, then this drive risks the kind of permanent mobilization that inevitably corrodes liberal practices and values

If the priority is to preserve liberal values, one is pushed towards the option of learning to live with terrorism as an everyday risk while pursuing counter-measures that stop short of creating a garrison state.

The necessary condition for doing so is that state and society raise their toleration for damage as a price they pay for openness and freedom. Kenneth Waltz long ago made the point that ‘if freedom is wanted, insecurity must be accepted’,38 though it has to be said that this part of his analysis has made little impact on US thinking about national security

if terrorism is a problem of the long term, as it well might be for advanced industrial societies, it would require a level of democratic sophistication and commitment rather higher than anything yet seen

Europe is more resilient and better able to defend its values without resorting to excesses of securitization. By comparison, the United States seems a softer target, too easily pricked into intemperate reactions that in themselves work to under-mine what it claims to stand for

Compared with other risks to human life and well-being, contemporary international terrorism remains a minor problem

The Islamic State killed 31 people in Brussels on Tuesday, but more than half a billion people in Europe were just fine on that day. So when the British government raised the “threat level” and told its citizens to avoid “all but essential travel” to Belgium following Tuesday’s attacks, it is demonstrating a decidedly non-Churchillian panic. Needless to say, that is precisely what groups like the Islamic State want to provoke.

the same toxic blend of media and politics that brought us Donald Trump’s candidacy makes it nearly impossible to have a rational assessment of terrorism

Newspapers, radio, cable news channels, and assorted websites all live for events like this, and they know that hyping the danger will keep people reading, listening, and watching. The Islamic State and its partners really couldn’t ask for a better ally, because overheated media coverage makes weak groups seem more powerful than they really are and helps convince the public they are at greater risk than is in fact the case. As long as media coverage continues to provide the Islamic State et al. with such free and effective publicity, why should these groups ever abandon such tactics?

The Islamic State wouldn’t have to use terrorism if it were strong enough to advance its cause through normal means or if its message were attractive enough to command the loyalty of more than a miniscule fraction of the world’s population (or the world’s Muslims, for that matter). Because it lacks abundant resources and its message is toxic to most people, the Islamic State has to rely on suicide attacks, beheadings, and violent videos to try to scare us into doing something stupid. The Islamic State cannot conquer Europe and impose its weird version of Islam on the more than 500 million people who live there; the most it can hope for is to get European countries to do self-destructive things to themselves in response. Similarly, neither al Qaeda, the Islamic State, nor other extremists could destroy the U.S. economy, undermine the U.S. military, or weaken American resolve directly; but they did achieve some of their goals when they provoked us into invading Iraq and when they convinced two presidents to pour hundreds of billions of dollars into the bottomless pit in Afghanistan.

Terrorism is not really the problem; the problem is how we respond to it

At the moment, the challenge of contemporary terrorism seems to be bringing out not the best in the West — but the worst. Instead of resolution and grit, we get bluster and hyperbole. Instead of measured threat assessments, patient and careful strategizing, and a realistic sense of what can and cannot be achieved, we get symbolic gestures, the abandonment of our own principles, and political posturing.

how would a grown-up like Marshall or Dwight D. Eisenhower respond to this danger? No doubt they’d see it as a serious problem, but anyone who had witnessed the carnage of a world war would not be cowed by intermittent acts of extremist violence, no matter how shocking they are to our sensibilities. They’d use the bully pulpit to shame the fearmongers on Fox and CNN, and they’d never miss an opportunity to remind us that the danger is not, in fact, that great and that we should not, and cannot, live our lives in fear of every shadow and in thrall to monsters of our own imaginings. They would encourage us to live our daily lives as we always have, confident that our societies possess a strength and resilience that will easily outlast the weak and timorous groups that are trying to disrupt us. And then, this summer, they’d take a European vacation.

China is demonstrating that it can deploy forces far beyond its coastal waters on patrols where they conduct complex battle exercises, according to Japanese and Western naval experts. Chinese shipyards are turning out new nuclear and conventional submarines, destroyers, missile-armed patrol boats and surface ships at a higher rate than any other country.

Prime Minister Lee Hsien Loong of Singapore, one of Washington's most key allies in the region, said it was disappointing Obama would not be visiting Asia. "Obviously we prefer a U.S. government which is working to one which is not. And we prefer a U.S. President who is able to travel to fulfill his international duties to one who is preoccupied with his domestic preoccupations," Lee said after arriving in Bali. "It is a very great disappointment to us President Obama is unable to visit."

lower-level officials self-censor dealings with critics of the administration abroad

“The reality in which political decisions or presidential pettiness directs top U.S. diplomats’ choices over whose human rights work is mentioned in the public sphere and whose is not is a really scary reality.”

She often debunks misinformation spread online and comments on major news events related to propaganda and election interference, including Brexit and the ongoing investigation by special counsel Robert Mueller into links between the Russian government and Trump’s campaign. She has regularly tweeted criticism about Trump’s sharp political rhetoric and attacks on the press

After first being notified she would get the award, Aro filled out forms and questionnaires at the request of officials and cancelled paid speaking engagements to travel to Washington to attend the March 7 ceremony in Washington. The State Department also sent her an official invitation to accept the award and planned an itinerary for a corresponding tour of the United States, complete with flights and high-profile visits to newspapers and universities across the country.

In 2014, Aro pursued reporting on a Russian troll factory in St. Petersburg that aimed to alter western public opinions. Long before the U.S. elections in 2016, which propelled Russian disinformation campaigns to the spotlight, she unearthed evidence of a state-sanctioned propaganda machine trying to shape online discourse and spread disinformation. After she published her investigation, Russian nationalist websites and pro-Moscow outlets in Finland coordinated smear campaigns against her, accusing her at times of being a Western intelligence agent and drug dealer, and bombarding her with anonymous abusive messages. She also received death threats.

reserved the right to seek damages, due to Aro having to cancel paid speaking events

“We don’t get instructions from the U.S. government.” He recalled Trump’s announcement, in December, 2017, that the U.S. would recognize Jerusalem as the capital of Israel. As the United Nations considered a resolution condemning the move, Nikki Haley, Trump’s envoy to the U.N., circulated a threatening letter, saying that Trump “has requested I report back on those who voted against us.” Feeley heard nothing in advance about the letter. “Do you think we got a heads-up, to prepare?” he said. “Nothing.” Soon afterward, he received outraged telephone calls from Panama’s President and Vice-President, Isabel de Saint Malo. Feeley recalled that when Saint Malo called “she said, ‘John, friends don’t treat friends like this.’ All I could say was ‘I know. I’m sorry.’ We both knew it was going to hurt our personal and institutional relationship. And there was nothing we could do about it.”

Since Trump’s election, “we’ve taken a step back in tone,” Feeley said. “We tried to get Kerry to bury the Monroe Doctrine. But now, all of a sudden, it’s back.”

Early this year, during an appearance in Texas, Tillerson called the Monroe Doctrine “clearly . . . a success.” The rhetoric has had a chilling effect, Feeley said, “Latins believe that Trump and his senior officials have no real interest in the region, beyond baiting Mexico and tightening the screws on Cuba and Venezuela.”

a building in the style of a pagoda: a monument to China’s presence in Panama. “Look how prominent they’ve become,” one of the staffers said. In June, 2016, a major expansion of the canal was completed, and the first ship through was an enormous Chinese freighter, designed to fit the new dimensions. “I got a big American naval ship to park right outside the locks, where the Chinese ship would see it,” Feeley said. “And I threw our annual Embassy July 4th party on it.” He laughed at the memory, but he knew that the gesture was ultimately futile.

As the United States has retreated from Latin America, China’s influence has grown. Since 2005, banks linked to Beijing have provided more than a hundred and fifty billion dollars in loan commitments to the region—some years, more than the World Bank and the Inter-American Development Bank combined. In less than two decades, trade between China and Latin America has increased twenty-seven-fold.

The Taiwanese government furiously denounced Panama for succumbing to “checkbook diplomacy,” but Panamanian officials denied that the decision was motivated by economics. Then, last November, Varela travelled to Beijing and joined President Xi Jinping in a ceremony to celebrate their new friendship, at which he signed nineteen separate trade deals. At around the same time, the China Harbour Engineering Company began work in Panama on a hundred-and-sixty-five-million-dollar port.

Panama could well become China’s Latin-American hub; the One Belt, One Road initiative, working with Varela’s government, is planning to build a railway from Panama City to near the Costa Rican border. But, Feeley added, “the Panamanians are naïve about the Chinese.” He told me that he had worked to persuade Panama’s security ministry not to sign a communications-technology deal with the Chinese, partly out of concern that they would use the infrastructure for espionage, as they have elsewhere. The Chinese company Huawei, which has headquarters in Panama, lobbied hard “to delay, divert, and get the contract.” In the end, the work was contracted to an American firm, General Dynamics, but the negotiations were difficult.

Varela’s government has quietly leased the Chinese a huge building plot, on the strip of land that juts into the ocean at the mouth of the canal, to use as the site of a new Embassy. Sailors on every ship in the canal will see the proof of China’s rising power, as they enter a waterway that once symbolized the global influence of the United States.

As morale sank in the State Department, veteran diplomats had been leaving, in what some called “the exodus.” David Rank, the senior American diplomat in China, stepped down last June, after Trump withdrew from the Paris accord. “You have decisions that the rest of the world fundamentally disagrees with,” Rank said recently. He recalled that, on September 11, 2001, “I got a call from the Embassy of an allied country seconds after the attack. The person said, ‘Whatever you need, you can count on us.’ Now that we pulled out of Paris and Iran, swept tariffs across the world, I wonder if we’re going to get that call again.”

Feeley pointed out that leftist leaders were in retreat throughout Latin America, and that popular movements were rejecting old habits of corrupt governance. It was, he said, “the greatest opportunity to recoup the moral high ground that we have had in decades.” Instead, we were abandoning the region. “I keep waiting for a Latin leader to paraphrase Angela Merkel and say, ‘We can no longer count on the Americans to provide leadership.’ ”

Some people liken it to an own goal. I’d say it’s more like a self-inflicted Pearl Harbor

“There’s this idea that the States is just like the rest of us. That’s the saddest thing to me.”

Foreign Service officers were willing to work with the Trump Administration. “I don’t know of a single Trump supporter who is an F.S.O.,” he said. “But I also don’t know of a single F.S.O. who hopes for failure, myself included. Far from the Alex Jones caricature of a bunch of pearl-clutching, cookie-pushing effetes, we have an entire corps of people who will do everything they can to successfully implement American foreign policy, as it is determined by the national leaders—to include Mike Pompeo.” But, Feeley suggested, Pompeo would need to moderate his boss’s instincts. “I just do not believe that, with Trump’s rhetoric and a lot of his policy actions, we are going to recoup our leadership position in the world,” he said. “Because the evidence is already in, and we’re not. We’re not just walking off the field. We’re taking the ball and throwing a finger at the rest of the world.”

New York, Los Angeles, and Miami have joined London as the world’s most desired destinations for laundered money. This boom has enriched the American elites who have enabled it—and it has degraded the nation’s political and social mores in the process. While everyone else was heralding an emergent globalist world that would take on the best values of America, Palmer had glimpsed the dire risk of the opposite: that the values of the kleptocrats would become America’s own. This grim vision is now nearing fruition

in the days after the Twin Towers collapsed, George W. Bush’s administration furiously scoured Washington for ideas to jam into the 342-page piece of legislation that would become the patriot Act. A sense of national panic created a brief moment for bureaucrats to realize previously shelved plans. Title III of the patriot Act, the International Money Laundering Abatement and Anti-terrorist Financing Act, was signed into law little more than a month after September 11

If a bank came across suspicious money transferred from abroad, it was now required to report the transfer to the government. A bank could face criminal charges for failing to establish sufficient safeguards against the flow of corrupt cash. Little wonder that banks fought fiercely against the imposition of so many new rules, which required them to bulk up their compliance divisions—and, more to the point, subjected them to expensive penalties for laxity

nestled in the patriot Act lay the handiwork of another industry’s lobbyists. Every House district in the country has real estate, and lobbyists for that business had pleaded for relief from the patriot Act’s monitoring of dubious foreign transactions. They all but conjured up images of suburban moms staking for sale signs on lawns, ill-equipped to vet every buyer. And they persuaded Congress to grant the industry a temporary exemption from having to enforce the new law.The exemption was a gaping loophole—and an extraordinary growth opportunity for high-end real estate. For all the new fastidiousness of the financial system, foreigners could still buy penthouse apartments or mansions anonymously and with ease, by hiding behind shell companies set up in states such as Delaware and Nevada. Those states, along with a few others, had turned the registration of shell companies into a hugely lucrative racket—and it was stunningly simple to arrange such a Potemkin front on behalf of a dictator, a drug dealer, or an oligarch. According to Global Witness, a London-based anti-corruption NGO founded in 1993, procuring a library card requires more identification in many states than does creating an anonymous shell company.

Foreign Account Tax Compliance Act (fatca), legislation with moral clout that belies its stodgy name. Never again would a foreign bank be able to hold American cash without notifying the IRS—or without risking a walloping fine.

As the Treasury Department put it in 2017, nearly one in three high-end real-estate purchases that it monitors involves an individual whom the government has been tracking as “suspicious.” Yet somehow the presence of so many shady buyers has never especially troubled the real-estate industry or, for that matter, politicians. In 2013, New York City’s then-mayor, Michael Bloomberg, asked, “Wouldn’t it be great if we could get all the Russian billionaires to move here?”

the aluminum magnate Oleg Deripaska, a character who has made recurring cameos in the investigation of Russian interference in the 2016 presidential election. The State Department, concerned about Deripaska’s connections to Russian organized crime (which he has denied), has restricted his travel to the United States for years. Such fears have not stood in the way of his acquiring a $42.5 million mansion on Manhattan’s Upper East Side and another estate near Washington’s Embassy Row.

In 2016, Barack Obama’s administration tested a program to bring the real-estate industry in line with the banks, compelling brokers to report foreign buyers, too. The ongoing program, piloted in Miami and Manhattan, could have become the scaffolding for a truly robust enforcement regime. But then the American presidency turned over, and a landlord came to power. Obama’s successor liked selling condos to anonymous foreign buyers—and may have grown dependent on their cash

Nationwide, nearly half of homes worth at least $5 million, the Times found, were bought using shell companies. The proportion was even greater in Los Angeles and Manhattan

Birkenfeld described how he had ensconced himself in the gilded heart of the American plutocracy, attending yacht regattas and patronizing art galleries. He would mingle with the wealthy and strike up conversation. “What I can do for you is zero,” he would say, and then pause before the punch line: “Actually, it’s three zeroes. Zero income tax, zero capital-gains tax, and zero inheritance tax.” Birkenfeld’s unsubtle approach succeeded wildly, as did his bank. As part of an agreement with the Justice Department, UBS admitted to hiding assets totaling some $20 billion in American money.

Around the time that Trump took up occupancy in the White House, the patriot Act’s “temporary” exemption for real estate entered its 15th year

While the U.S. can ask almost any other nation’s banks for financial information about American citizens, it has no obligation to provide other countries with the same. “The United States had bullied the rest of the world into scrapping financial secrecy,” Bullough writes, “but hadn’t applied the same standards to itself.” A Zurich-based lawyer vividly spelled out the consequences to Bloomberg: “How ironic—no, how perverse—that the USA, which has been so sanctimonious in its condemnation of Swiss banks, has become the banking secrecy jurisdiction du jour … That ‘giant sucking sound’ you hear? It is the sound of money rushing to the USA.”

The behavior of the American elite changed too. Members of the professional classes competed to sell their services to kleptocrats

“They don’t send lawyers to jail, because we run the country … We’re still members of a privileged class in this country.”

Once upon a time, it might have been possible to think of Manafort as a grubby outlier in Washington—the lobbyist with the lowest standards, willing to take on the most egregious clients. But Mueller has exposed just how tightly tethered Manafort’s work on behalf of Ukrainian kleptocrats was to Washington’s permanent elite. Manafort subcontracted some of his lobbying to the firm of Tony Podesta, arguably the most powerful Democratic influence-peddler of his generation. And Manafort employed Mercury Public Affairs, where he dealt with Vin Weber, a former Republican congressman and a former chairman of the National Endowment for Democracy

The perils of corruption were an obsession of the Founders. In the summer of 1787, James Madison mentioned corruption in his notebook 54 times. To read the transcripts of the various constitutional conventions is to see just how much that generation worried about the moral quality of public behavior—and how much it wanted to create a system that defined corruption more expansively than the French or British systems had, and that fostered a political culture with higher ethical ambitions

The defining document of our era is the Supreme Court’s Citizens United decision in 2010. The ruling didn’t just legalize anonymous expenditures on political campaigns. It redefined our very idea of what constitutes corruption, limiting it to its most blatant forms: the bribe and the explicit quid pro quo. Justice Anthony Kennedy’s majority opinion crystallized an ever more prevalent ethos of indifference—the collective shrug in response to tax avoidance by the rich and by large corporations, the yawn that now greets the millions in dark money spent by invisible billionaires to influence elections.

American collusion with kleptocracy comes at a terrible cost for the rest of the world. All of the stolen money, all of those evaded tax dollars sunk into Central Park penthouses and Nevada shell companies, might otherwise fund health care and infrastructure. (A report from the anti-poverty group One has argued that 3.6 million deaths each year can be attributed to this sort of resource siphoning.) Thievery tramples the possibilities of workable markets and credible democracy. It fuels suspicions that the whole idea of liberal capitalism is a hypocritical sham: While the world is plundered, self-righteous Americans get rich off their complicity with the crooks.

The Founders were concerned that venality would become standard procedure, and it has. Long before suspicion mounted about the loyalties of Donald Trump, large swaths of the American elite—lawyers, lobbyists, real-estate brokers, politicians in state capitals who enabled the creation of shell companies—had already proved themselves to be reliable servants of a rapacious global plutocracy

by the time Vladimir Putin attempted to influence the shape of our country, it was already bending in the direction of his

There was a modestly attended rally outside the city’s Labor Temple, where Nichols and I talked with a shirtless member of the Santa Cruz chapter of the Lesbian Avengers who said, “When we got here, the Steelworkers weren’t very queer-friendly. As the week wore on, they got more comfortable with us. My nipples stand in solidarity with the Steelworkers and Teamsters and all the laboring people!” A locked-out Kaiser Aluminum worker standing near her said: “A year ago I thought a redwood deck was the most beautiful thing in the world. Now I understand the importance of sustainability. I guess I’m an environmentalist now.” There’s nothing like common struggle to forge alliances among the most apparently unlikely people.

The Seattle-era left was heavy with philanthropists and the NGOs they funded. Critiques of capitalism were largely over size and style, never critiques of capitalism as a social system. “Globalization” was identified as the major problem, a word that always sounded like a euphemism for capitalism and imperialism, but those concepts were shunned as hopelessly antique. If you pointed out the euphemizing, you were red-baited.

Some of the spirit of Seattle animated the Occupy movement — the same aversion to structure, hierarchy, and agenda, the same belief that taking up public space could lead to some kind of durable social transformation. But as marvelous as it was in many ways, it couldn’t.

On a website put together by a group of DAN activists to memorialize the Seattle events, there’s a page listing the moment’s heirs: the fight against the Dakota Access Pipeline, the Movement for Black Lives, the migrant justice movement, struggles for gender self-determination, against the prison-industrial complex. All these are thoroughly admirable and worthy of support (though, not surprisingly, there’s no mention of the revival of socialism). But the whole approach seems a holdover from the days of hot-linked nodes and movements of movements.

Since 2001, Australia has intermittently blocked boats from Asia and detained asylum-seekers on Christmas Island, a tiny Australian territory, or sent them to Papua New Guinea and Nauru, an island nation of 10,000 people. Australia pays detention costs.

Cameroonians hoping to follow Nkeze’s path face mounting obstacles. Ecuador, the main gateway from Europe, began requiring visas for Cameroonians and 10 other nationalities in August, including six in Africa. Under heavy pressure from Trump, Mexico is bottling up Cameroonians and other U.S.-bound asylum-seekers near its southern border with Guatemala.

“There’s this race to the bottom around the world, and governments are looking to each other and trying to figure out what’s the harshest policy they can get away with,” said David FitzGerald, a sociology professor at University of California at San Diego and author of Refuge Beyond Reach: How Rich Democracies Repel Asylum-seekers.

“They essentially want you to bring a note from your torturer before they are willing to let you stay in the U.S,”

a stronger outcome remains possible. The predictable removal of pandemic-control measures, coupled with the rapid and unprecedented global policy response can trigger a rapid recovery in confidence and employment, unleashing pent-up demand. However, even with these positive developments, the contraction in global output of 3.7 percent in 2020 would still be about twice as deep as during the global recession of 2009