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kennyn-77

Global Public Opinion in an Era of Democratic Anxiety | Pew Research Center - 0 views

www.pewresearch.org/...n-an-era-of-democratic-anxiety

pew public opinion politics democracy

shared by kennyn-77 on 28 Jan 22 - No Cached
  • For many, democracy is not delivering; people like democracy, but their commitment to it is often not very strong; political and social divisions are amplifying the challenges of contemporary democracy; and people want a stronger public voice in politics and policymaking.
  • Across the 38 countries polled, a median of 66% said “a democratic system where citizens, not elected officials, vote directly on major national issues to decide what becomes law” is a very or somewhat good way to govern their country.
  • In all of the publics surveyed, fewer than three-in-ten say the political system should not be changed at all.
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  • However, there is widespread skepticism about the prospect for change. In eight of the 17 publics, roughly half or more of those polled say the political system needs major changes or a complete overhaul and say they have little or no confidence the system can be changed effectively.
  • We found that the strongest predictor of being dissatisfied was being unhappy with the current state of the national economy. Another significant predictor was how someone feels about economic opportunity.
  • dissatisfaction with the way democracy is working was much more common among people who expect that when children in their country today grow up, they will be worse off financially than their parents. The economic pessimists are also especially likely to think their country’s political system needs major changes or needs to be completely reformed. For example, in the United Kingdom, 61% of respondents who are pessimistic about the next generation’s financial prospects think their country needs significant political reform, compared with just 34% among those who are optimistic that the next generation will do better financially than their parents.
  • People who believe their country is doing a poor job of dealing with the pandemic are consistently more likely to say they are dissatisfied with the way their democracy is working and that they want significant changes to the political system. For instance, 73% of Germans who feel their country is handling the crisis poorly say they believe their political system needs major changes or should be completely overhauled, while just 32% of those who think the country is handling it well express this view.
  • Across 27 nations we polled in 2018, a median of 54% said that most politicians in their country are corrupt. This sentiment was especially high in Greece (89%) and Russia (82%). When we asked Americans a similar question in the fall of 2020, two-thirds said most politicians are corrupt.
  • A median of 78% across the 38 nations polled said that “a democratic system where representatives elected by citizens decide what becomes law” is a very or somewhat good way to govern their country. More than half expressed this view in every country polled. However, even at this broad level, enthusiasm for representative democracy was somewhat subdued – a median of only 33% said it is a very good approach to governing.
  • Across the 16 advanced economies surveyed, a median of just 17% consider American democracy a good model for other countries to follow. A median of 57% think it used to be a good example but has not been in recent years. And around a quarter say the U.S. has never been a good example. The belief that democracy in the U.S. has never been a good model for other nations is especially common among young adults.
  • For example, a median of 49% believed a system in which “experts, not elected officials, make decisions according to what they think is best for the country” would be very or somewhat good. 
  • A median of 26% considered “a system in which a strong leader can make decisions without interference from parliament or the courts” a very or somewhat good way to govern.
  • A median of 24% said “a system in which the military rules the country” would be a very or somewhat good system. In five countries – Vietnam, Indonesia, India, South Africa and Nigeria – roughly half or more expressed this opinion, as did at least 40% in another six nations. And higher-income nations weren’t completely immune: 17% in the United States, Italy and France believed military rule could be a good way to run the country.
  • For example, 27% of Americans who identified as conservative thought autocracy would be a good way to govern, compared with 14% who identified as liberal. And 20% of conservatives supported military rule, compared with 12% of liberals. People with lower levels of educational attainment were more likely to consider military rule a good way to govern in 23 countries.
  • A median of more than 67% across 34 countries rated a fair judicial system, gender equality and freedom of religion as very important. But there was less support for holding regular competitive elections, freedom of speech and press freedom. A median of roughly six-in-ten or fewer said it was very important to have free expression on the internet or to allow human rights groups and opposition parties to operate freely.
  • In Greece, for example, the share who say having people of many different racial, ethnic and religious backgrounds makes their country a better place to live more than doubled between 2017 and 2021. Over the same period, favorable views of diversity increased by about 10 percentage points or more in Japan, the Netherlands, the UK and Spain. Slightly smaller increases can be seen in Germany, South Korea, Australia and Sweden.
  • A median of 67% across the same 17 publics say racial or ethnic discrimination is a problem where they live. Roughly three-in-ten or more in Germany, Spain, the UK, Greece, France, the U.S. and Italy say it is a very serious problem in their country. Younger adults and those on the ideological left are often more convinced on this point. In the U.S., about two-thirds of Americans on the left say racial and ethnic discrimination is a very serious problem in their country, compared with only 19% of Americans on the political right.
  • median of 56% across 17 advanced economies surveyed in 2021 say their political system needs major changes or needs to be completely reformed. Roughly two-thirds or more express this opinion in Italy, Spain, the U.S., South Korea, Greece, France, Belgium and Japan.
  • Across the 17 advanced economies we surveyed in 2021, a median of 61% say their country is more divided than before the outbreak. Moreover, the share of the public that feels this way has risen substantially as the pandemic has worn on. In the spring of 2020, only months into the crisis, just 29% of Canadians believed they were more divided, but a year later 61% express this view.
  • a median of 64% disagreed with the statement “most elected officials care what people like me think.”
  • A median of 50% disagreed with the statement “the state is run for the benefit of all the people,” while 49% agreed.
  • For example, 88% of Italians in 2002 said their government was run for the benefit of all, but only 30% held this view in 2019.
  • Across 34 nations polled in 2019, a median of 67% agreed that voting gives ordinary people some say about how the government runs things.
Javier E

COVID Is More Like Smoking Than the Flu - The Atlantic - 0 views

www.theatlantic.com/...622819

pandemic flu smosing analogy analysis

shared by Javier E on 23 Feb 22 - No Cached
  • The “new normal” will arrive when we acknowledge that COVID’s risks have become more in line with those of smoking cigarettes—and that many COVID deaths, like many smoking-related deaths, could be prevented with a single intervention.
  • The pandemic’s greatest source of danger has transformed from a pathogen into a behavior. Choosing not to get vaccinated against COVID is, right now, a modifiable health risk on par with smoking, which kills more than 400,000 people each year in the United States.
  • if COVID continues to account for a few hundred thousand American deaths every year—“a realistic worst-case scenario,” he calls it—that would wipe out all of the life-expectancy gains we’ve accrued from the past two decades’ worth of smoking-prevention efforts.
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  • The COVID vaccines are, without exaggeration, among the safest and most effective therapies in all of modern medicine. An unvaccinated adult is an astonishing 68 times more likely to die from COVID than a boosted one
  • Yet widespread vaccine hesitancy in the United States has caused more than 163,000 preventable deaths and counting
  • Even in absolute numbers, America’s unvaccinated and current-smoker populations seem to match up rather well: Right now, the CDC pegs them at 13 percent and 14 percent of all U.S. adults, respectively, and both groups are likely to be poorer and less educated.
  • Countries such as Denmark and Sweden have already declared themselves broken up with COVID. They are confidently doing so not because the virus is no longer circulating or because they’ve achieved mythical herd immunity from natural infection; they’ve simply inoculated enough people.
  • data suggest that most of the unvaccinated hold that status voluntarily at this point
  • The same arguments apply to tobacco: Smokers are 15 to 30 times more likely to develop lung cancer. Quitting the habit is akin to receiving a staggeringly powerful medicine, one that wipes out most of this excess risk.
  • If everyone who is eligible were triply vaccinated, our health-care system would be functioning normally again.
  • With a vaccination timeline that stretches over years, our patience for restrictions, especially on the already vaccinated, will be very limited. But there is middle ground. We haven’t banned tobacco outright—in fact, most states protect smokers from job discrimination—but we have embarked on a permanent, society-wide campaign of disincentivizing its use.
  • We should neither expect that every stubbornly unvaccinated person will get jabbed before next winter nor despair that none of them will ever change their mind. Let’s accept instead that we may make headway slowly, and with considerable effort
  • Long-term actions for COVID might include charging the unvaccinated a premium on their health insurance, just as we do for smokers, or distributing frightening health warnings about the perils of remaining uninoculated
  • And once the political furor dies down, COVID shots will probably be added to the lists of required vaccinations for many more schools and workplaces.
  • nother aspect of where we’re headed with COVID. Tobacco is lethal enough that we are willing to restrict smokers’ personal freedoms—but only to a degree. As deadly as COVID is, some people won’t get vaccinated, no matter what, and both the vaccinated and unvaccinated will spread disease to others.
  • anti-COVID actions, much like anti-smoking policies, will be limited not by their effectiveness but by the degree to which they are politically palatable.
  • Without greater vaccination, living with COVID could mean enduring a yearly death toll that is an order of magnitude higher than the one from flu.
  • this, too, might come to feel like its own sort of ending. Endemic tobacco use causes hundreds of thousands of casualties, year after year after year, while fierce public-health efforts to reduce its toll continue in the background. Yet tobacco doesn’t really feel like a catastrophe for the average person.
  • Losing a year or two from average life expectancy only bumps us back to where we were in … 2000.
  • We still care for smokers when they get sick, of course, and we reduce harm whenever possible. The health-care system makes $225 billion every year for doing so—paid out of all of our tax dollars and insurance premiums
  • Hospitals have a well-honed talent for transforming any terrible situation into a marketable “center of excellence.”
  • But we shouldn’t forget the most important reason that the coronavirus isn’t like the flu: We’ve never had vaccines this effective in the midst of prior influenza outbreaks, which means we didn’t have a simple, clear approach to saving quite so many lives. Compassionate conversations, community outreach, insurance surcharges, even mandates—I’ll take them all. Now is not the time to quit.
lilyrashkind

FDA expected to OK additional Covid-19 booster shots for adults over 50 next week - CNN - 0 views

www.cnn.com/...index.html

CNN.com history

shared by lilyrashkind on 26 Mar 22 - No Cached
  • The US Centers for Disease Control and Prevention is expected to follow soon after with what's known as a permissive recommendation, which means that the shots will not be officially recommended but may be given to people who want them, said a source who spoke to CNN on the condition of anonymity since they had not been given permission to discuss the details with reporters.
  • "There are solid data from Israel for age 60+ (the only group reported on to date) for enhanced protection (vs severe illness) out to 3 months compared with 3 doses. It is reasonable to extend that and provide it as an option, since the 3rd dose has pronounced benefit in age 50+," Topol wrote in an email to CNN.
  • Dr. Eric Rubin, editor in chief of The New England Journal of Medicine who sits on the FDA's VRBPAC, said he hadn't yet seen enough data on fourth doses to make a determination about whether they are needed for anyone beyond those who are already recommended to get them -- adults who are severely immune deficient."The only data that I've seen has been for participants followed for just a few weeks. The most important information is going to be how well a fourth dose protects highly vulnerable people against serious disease and death, and I don't know when that will be available," Rubin said in an email to CNN. Rubin said the FDA might have access to that data, but he had not seen it yet.
Javier E

Life Is Worse for Older People Now - The Atlantic - 0 views

www.theatlantic.com/...673507

agism age health culture crisis policy history pandemic

shared by Javier E on 25 Mar 23 - No Cached
  • A major reason older people are still at risk is that vaccines can’t entirely compensate for their immune systems. A study recently published in the journal Vaccines showed that for vaccinated adults ages 60 and over, the risk of dying from COVID versus other natural causes jumped from 11 percent to 34 percent within a year of completing their primary shot series
  • A booster dose brings the risk back down, but other research shows that it wears off too. A booster is a basic precaution, but “not one that everyone is taking,”
  • Unlike younger people, most of whom fully recover from a bout with COVID, a return to baseline health is less guaranteed for older adults. In one study, 32 percent of adults over 65 were diagnosed with symptoms that lasted well beyond their COVID infection
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  • For every COVID death, many more older people develop serious illness. Risk increases with age, and people older than 70 “have a substantially higher rate of hospitalizations” than those ages 60 to 69,
  • Where America has landed is hardly a new way of life but rather one that is simply more onerous. “One way to think about it is that this is a new risk that’s out there” alongside other natural causes of death, such as diabetes and heart failure,
  • The antiviral Paxlovid was supposed to help blunt the wave of old people falling sick and ending up in the hospital—and it can reduce severe disease by 50 to 90 percent. But unfortunately, it is not widely used; as of July, just a third of Americans 80 or older took Paxlovid.
  • The reality is that as long as the virus continues to be prevalent, older Americans will face these potential outcomes every time they leave their home. That doesn’t mean they will barricade themselves indoors, or that they even should. Still, “every decision that we make now is weighing that balance between risk and socialization,”
  • Persistent coughs, aches, and joint pain can linger long after serious illness, together with indirect impacts such as loss of muscle strength and flexibility, which can affect older people’s ability to be independent, Rivers said. Older COVID survivors may also have a higher risk of cognitive decline. In some cases, these ailments could be part of long COVID, which may be more prevalent in older people.
  • Before the pandemic, the association between loneliness and higher mortality rates, increased cardiovascular risks, and dementia among older adults was already well established. Increased isolation during COVID amplified this association.
  • Even older adults who have weathered the direct and indirect effects of the pandemic still face other challenges that COVID has exacerbated. Many have long relied on personal caregivers or the staff at nursing facilities. These workers, already scarce before the pandemic, are even more so now because many quit or were affected by COVID themselves
  • “Long-term care has been in a crisis situation for a long time, but it’s even worse now,” Muramatsu said, noting that many home care workers are older adults themselves
  • Older people won’t have one single approach to contending with this sad reality. “Everybody is trying to figure out what is the best way to function, to try to have some level of everyday life and activity, but also keep your risk of getting sick as low as possible,”
  • Again, many of these people did not have it great before the pandemic, even if the rest of the country wasn’t paying attention. “We often don’t provide the basic social support that older people need,” Kenneth Covinsky, a clinician-researcher at the UCSF Division of Geriatrics, said. Rather, ageism, the willful ignorance or indifference to the needs of older people, is baked into American life.
  • It is perhaps the main reason older adults were so badly affected by the pandemic in the first place, as illustrated by the delayed introduction of safety precautions in nursing homes and the blithe acceptance of COVID deaths among older adults. If Americans couldn’t bring themselves to care at any point over the past three years, will they ever?
Javier E

Health Experts Warily Eye XBB.1.5, the Latest Omicron Subvariant - The New York Times - 0 views

www.nytimes.com/...ovid-omicron-variants-xbb.html

pandemic policy history variants

shared by Javier E on 07 Jan 23 - No Cached
  • Most recombinant SARS-CoV-2 viruses have dwindled away in a matter of weeks or months, unable to outcompete other lineages. XBB, on the other hand, got a winning ticket in the genetic lottery.
  • From one parent, it gained a set of mutations that helped it evade antibodies from previous infections and vaccinations. From the other parent, it gained a separate set of mutations that made it even more evasive.
  • “XBB literally picked up the most possible mutations that it could possibly pick up from those two parents,” said Thomas Peacock, a virologist at Imperial College London. The new combination made XBB one of the most evasive Omicron subvariants in existence last summer.
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  • Recent experiments suggest that XBB paid a steep price for its power to evade immunity. The mutations allow it to escape antibodies by altering the shape of the protein, called spike, that covers its surface. But some of those mutations also make it harder for XBB spike proteins to grab tightly to cells — the first step required for an infection.
  • That loose grip may have lessened XBB’s advantage against other forms of the virus. In late 2022, it jostled alongside a number of other Omicron subvariants. In Singapore, XBB caused a surge in October, for example, while remaining rare in many other parts of the world.
  • As XBB multiplied, it continued to mutate into new forms. The earliest samples of XBB.1.5 were isolated in October in New York. The new subvariant gained one crucial mutation, known as F486P.
  • Yunlong Cao of Peking University and his colleagues tested out XBB.1.5 in dishes of cells, comparing how it fared against earlier forms of XBB. The researchers found that the F486P mutation allowed XBB.1.5 to grab tightly to cells again. But the new subvariant could still evade antibodies as well as earlier forms of XBB.
  • In Connecticut, for example, Nathan Grubaugh at Yale University and his colleagues found that by mid-December, other Omicron subvariants were falling. Only XBB.1.5 cases were growing. Dr. Grubaugh estimates that it is about 20 percent more transmissible than BQ.1, which had been the dominant form.
  • How severe XBB.1.5 infections are compared with other forms of the coronavirus is not yet clear. “It’s serious,” Dr. Grubaugh said. “I just don’t necessarily know if it’s really more serious than some of the other Omicron lineages in terms of the overall impact.”
  • XBB.1.5 has already spread to other countries, and is growing rapidly in Germany, Denmark and elsewhere in Europe
  • Scientists are already scanning new sequences being uploaded to an international database called GISAID in the hopes of spotting an upgraded version of XBB.1.5. But their job is getting harder because governments are pulling back on sequencing efforts. “Worldwide, sequencing has taken a real hit,” Dr. Peacock said.
  • The United States, which once lagged behind other nations, has managed to maintain a fairly strong sequencing effort. Without it, Dr. Peacock said, XBB.1.5 might have stayed below the radar for much longer. If XBB.1.5’s next generation is evolving somewhere with little sequencing, it may go undetected for some time to come.
  • Dr. Lemieux said that paring back on sequencing was a mistake, given how many infections and deaths the virus is still causing. “This is a part of public health,” he said.
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