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The New Covid-19 Strain in South Africa: What We Know - WSJ - 0 views

  • A new variant of the coronavirus is driving a powerful second wave of infections in South Africa. The variant has already spread to other countries and raised concerns over how it will respond to Covid-19 vaccines.
  • he discovery and spread of the South African variant has coincided with a powerful surge in infections in the country. New daily cases and deaths have already surpassed those seen in the first wave, which peaked in July, and infections are still going up. South African researchers say they also believe that the new variant is more transmissible, since it has quickly crowded out other versions of the virus circulating in the country.
  • So far, laboratories in at least 14 countries—including Canada, France, Germany and China--have found the variant in coronavirus tests, although mostly in people who had recently traveled to South Africa. Researchers in the U.K., Botswana and Zambia say they have found cases of local transmission of the variant in their countries.
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  • Researchers who have studied the E484K mutation say it may make the existing Covid-19 vaccines less effective against the new variant, but is unlikely to be totally resistant to the shots.
  • Laboratory experiments have shown that the E484K mutation can make the virus resistant to some important antibodies the body uses to fight off Covid-19.
  • “The challenge like here in [South Africa] is in knowing whether reinfection is more likely with these variants,” said Richard Lessells, an infectious-disease specialist at the KwaZulu-Natal Research Innovation and Sequencing Platform, “or whether they are just seeing reinfection with these variants because they are the viruses circulating at the moment and immune responses from first episodes have waned.”
  • South Africa expects to get its first one million doses of a vaccine developed by the University of Oxford and AstraZeneca PLC this month, with the second shipment of 500,000 doses due in February.
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The Equality Conundrum | The New Yorker - 0 views

  • The philosopher Ronald Dworkin considered this type of parental conundrum in an essay called “What Is Equality?,” from 1981. The parents in such a family, he wrote, confront a trade-off between two worthy egalitarian goals. One goal, “equality of resources,” might be achieved by dividing the inheritance evenly, but it has the downside of failing to recognize important differences among the parties involved.
  • Another goal, “equality of welfare,” tries to take account of those differences by means of twisty calculations.
  • Take the first path, and you willfully ignore meaningful facts about your children. Take the second, and you risk dividing the inheritance both unevenly and incorrectly.
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  • In 2014, the Pew Research Center asked Americans to rank the “greatest dangers in the world.” A plurality put inequality first, ahead of “religious and ethnic hatred,” nuclear weapons, and environmental degradation. And yet people don’t agree about what, exactly, “equality” means.
  • One side argues that the city should guarantee procedural equality: it should insure that all students and families are equally informed about and encouraged to study for the entrance exam. The other side argues for a more direct, representation-based form of equality: it would jettison the exam, adopting a new admissions system designed to produce student bodies reflective of the city’s demography
  • In the past year, for example, New York City residents have found themselves in a debate over the city’s élite public high schools
  • The complexities of egalitarianism are especially frustrating because inequalities are so easy to grasp. C.E.O.s, on average, make almost three hundred times what their employees make; billionaire donors shape our politics; automation favors owners over workers; urban economies grow while rural areas stagnate; the best health care goes to the richest.
  • It’s not just about money. Tocqueville, writing in 1835, noted that our “ordinary practices of life” were egalitarian, too: we behaved as if there weren’t many differences among us. Today, there are “premiere” lines for popcorn at the movies and five tiers of Uber;
  • Inequality is everywhere, and unignorable. We’ve diagnosed the disease. Why can’t we agree on a cure?
  • In a book based on those lectures, “One Another’s Equals: The Basis of Human Equality,” Waldron points out that people are also marked by differences of skill, experience, creativity, and virtue. Given such consequential differences, he asks, in what sense are people “equal”?
  • According to the Declaration of Independence, it is “self-evident” that all men are created equal. But, from a certain perspective, it’s our inequality that’s self-evident.
  • More than twenty per cent of Americans, according to a 2015 poll, agree: they believe that the statement “All men are created equal” is false.
  • In Waldron’s view, though, it’s not a binary choice; it’s possible to see people as equal and unequal simultaneously. A society can sort its members into various categories—lawful and criminal, brilliant and not—while also allowing some principle of basic equality to circumscribe its judgments and, in some contexts, override them
  • Egalitarians like Dworkin and Waldron call this principle “deep equality.” It’s because of deep equality that even those people who acquire additional, justified worth through their actions—heroes, senators, pop stars—can still be considered fundamentally no better than anyone else.
  • In the course of his search, he explores centuries of intellectual history. Many thinkers, from Cicero to Locke, have argued that our ability to reason is what makes us equals.
  • Other thinkers, including Immanuel Kant, have cited our moral sense.
  • Some philosophers, such as Jeremy Bentham, have suggested that it’s our capacity to suffer that equalizes us
  • Waldron finds none of these arguments totally persuasive.
  • In various religious traditions, he observes, equality flows not just from broad assurances that we are all made in God’s image but from some sense that everyone is the protagonist in a saga of error, realization, and redemption: we’re equal because God cares about how things turn out for each of us.
  • Waldron himself is taken by Hannah Arendt’s related concept of “natality,” the notion that what each of us share is having been born as a “newcomer,” entering into history with “the capacity of beginning something anew, that is, of acting.”
  • equality may be not a self-evident fact about human beings but a human-made social construction that we must choose to put into practice.
  • In the end, Waldron concludes that there is no “small polished unitary soul-like substance” that makes us equal; there’s only a patchwork of arguments for our deep equality, collectively compelling but individually limited.
  • Equality is a composite idea—a nexus of complementary and competing intuitions.
  • The blurry nature of equality makes it hard to solve egalitarian dilemmas from first principles. In each situation, we must feel our way forward, reconciling our conflicting intuitions about what “equal” means.
  • The communities that have the easiest time doing that tend to have some clearly defined, shared purpose. Sprinters competing in a hundred-metre dash have varied endowments and train in different conditions; from a certain perspective, those differences make every race unfair.
  • By embracing an agreed-upon theory of equality before the race, the sprinters can find collective meaning in the ranked inequalities that emerge when it ends
  • Perhaps because necessity is so demanding, our egalitarian commitments tend to rest on a different principle: luck.
  • “Some people are blessed with good luck, some are cursed with bad luck, and it is the responsibility of society—all of us regarded collectively—to alter the distribution of goods and evils that arises from the jumble of lotteries that constitutes human life as we know it.” Anderson, in an influential coinage, calls this outlook “luck egalitarianism.”
  • This sort of artisanal egalitarianism is comparatively easy to arrange. Mass-producing it is what’s hard. A whole society can’t get together in a room to hash things out. Instead, consensus must coalesce slowly around broad egalitarian principles.
  • No principle is perfect; each contains hidden dangers that emerge with time. Many people, in contemplating the division of goods, invoke the principle of necessity: the idea that our first priority should be the equal fulfillment of fundamental needs. The hidden danger here becomes apparent once we go past a certain point of subsistence.
  • a core problem that bedevils egalitarianism—what philosophers call “the problem of expensive tastes.”
  • The problem—what feels like a necessity to one person seems like a luxury to another—is familiar to anyone who’s argued with a foodie spouse or roommate about the grocery bil
  • The problem is so insistent that a whole body of political philosophy—“prioritarianism”—is devoted to the challenge of sorting people with needs from people with wants
  • the line shifts as the years pass. Medical procedures that seem optional today become necessities tomorrow; educational attainments that were once unusual, such as college degrees, become increasingly indispensable with time
  • Some thinkers try to tame the problem of expensive tastes by asking what a “normal” or “typical” person might find necessary. But it’s easy to define “typical” too narrowly, letting unfair assumptions influence our judgment
  • an odd feature of our social contract: if you’re fired from your job, unemployment benefits help keep you afloat, while if you stop working to have a child you must deal with the loss of income yourself. This contradiction, she writes, reveals an assumption that “the desire to procreate is just another expensive taste”; it reflects, she argues, the sexist presumption that “atomistic egoism and self-sufficiency” are the human norm. The word “necessity” suggests the idea of a bare minimum. In fact, it sets a high bar. Clearing it may require rethinking how society functions.
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Suddenly There Aren't Enough Babies. The Whole World Is Alarmed. - WSJ - 0 views

  • The world is at a startling demographic milestone. Sometime soon, the global fertility rate will drop below the point needed to keep population constant. It may have already happened.
  • Fertility is falling almost everywhere, for women across all levels of income, education and labor-force participation.
  • Governments have rolled out programs to stop the decline—but so far they’ve barely made a dent.
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  • It’s dropping in developing countries, too. India surpassed China as the most populous country last year, yet its fertility is now below replacement.
  • “The demographic winter is coming,”
  • Smaller populations come with diminished global clout, raising questions in the U.S., China and Russia about their long-term standings as superpowers.
  • Some demographers think the world’s population could start shrinking within four decades—one of the few times it’s happened in history.
  • A year ago Japanese Prime Minister Fumio Kishida declared that the collapse of the country’s birthrate left it “standing on the verge of whether we can continue to function as a society.”
  • Had fertility stayed near 2.1, where it stood in 2007, the U.S. would have welcomed an estimated 10.6 million more babies since
  • In 2017, when the global fertility rate—a snapshot of how many babies a woman is expected to have over her lifetime—was 2.5, the United Nations thought it would slip to 2.4 in the late 2020s. Yet by 2021, the U.N. concluded, it was already down to 2.3—close to what demographers consider the global replacement rate of about 2.2
  • He has found that national birth registries are typically reporting births 10% to 20% below what the U.N. projected.
  • China reported 9 million births last year, 16% less than projected in the U.N.’s central scenario. In the U.S., 3.59 million babies were born last year, 4% less than the U.N. projected. In other countries, the undershoot is even larger: Egypt reported 17% fewer births last year. In 2022, Kenya reported 18% fewer.
  • In 2017 the U.N. projected world population, then 7.6 billion, would keep climbing to 11.2 billion in 2100. By 2022 it had lowered and brought forward the peak to 10.4 billion in the 2080s. That, too, is likely out of date
  • the University of Washington now thinks it will peak around 9.5 billion in 2061 then start declining. 
  • The falling birthrates come with huge implications for the way people live, how economies grow and the standings of the world’s superpowers.
  • In the U.S., a short-lived pandemic baby boomlet has reversed. The total fertility rate fell to 1.62 last year, according to provisional government figures, the lowest on record.
  • In 2017, when the fertility rate was 1.8, the Census Bureau projected it would converge over the long run to 2.0. It has since revised that down to 1.5. “It has snuck up on us,”
  • Historians refer to the decline in fertility that began in the 18th century in industrializing countries as the demographic transition. As lifespans lengthened and more children survived to adulthood, the impetus for bearing more children declined. As women became better educated and joined the workforce, they delayed marriage and childbirth, resulting in fewer children. 
  • Some demographers see this as part of a “second demographic transition,” a societywide reorientation toward individualism that puts less emphasis on marriage and parenthood, and makes fewer or no children more acceptable. 
  • In research published in 2021, the University of Maryland’s Kearney and two co-authors looked for possible explanations for the continued drop. They found that state-level differences in parental abortion notification laws, unemployment, Medicaid availability, housing costs, contraceptive usage, religiosity, child-care costs and student debt could explain almost none of the decline
  • “We suspect that this shift reflects broad societal changes that are hard to measure or quantify,” they conclude.
  • while raising children is no more expensive than before, parents’ preferences and perceived constraints have changed
  • “If people have a preference for spending time building a career, on leisure, relationships outside the home, that’s more likely to come in conflict with childbearing.” 
  • Once a low fertility cycle kicks in, it effectively resets a society’s norms and is thus hard to break, said Jackson. “The fewer children you see your colleagues and peers and neighbors having, it changes the whole social climate,”
  • Fertility is below replacement in India even though the country is still poor and many women don’t work—factors that usually sustain fertility.
  • Urbanization and the internet have given even women in traditional male-dominated villages a glimpse of societies where fewer children and a higher quality of life are the norm. “People are plugged into the global culture,
  • mothers and fathers, especially those that are highly educated, spend more time with their children than in the past. “The intensity of parenting is a constraint,”
  • Sub-Saharan Africa once appeared resistant to the global slide in fertility, but that too is changing. The share of all women of reproductive age using modern contraception grew from 17% in 2012 to 23% in 2022
  • Jose Rimon, a professor of public health at Johns Hopkins University, credits that to a push by national leaders in Africa which, he predicted, would drive fertility down faster than the U.N. projects. 
  • Mae Mariyam Thomas, 38, who lives in Mumbai and runs an audio production company, said she’s opted against having children because she never felt the tug of motherhood. She sees peers struggling to meet the right person, getting married later and, in some instances, divorcing before they have kids. At least three of her friends have frozen their eggs,
  • Danielle Vermeer grew up third in a family of four children on Chicago’s North Side, where her neighborhood was filled with Catholics of Italian, Irish and Polish descent and half her close friends had as many siblings as her or more.
  • Her Italian-American father was one of four children who produced 14 grandchildren. Now her parents have five grandchildren, including Vermeer’s two children, ages 4 and 7.
  • The 35-year-old, who is the co-founder of a fashion thrifting app, said that before setting out to have children, she consulted dozens of other couples and her Catholic church and read at least eight books on the subject, including one by Pope Paul VI. She and her husband settled on two as the right number.“The act of bringing a child into this world is an incredible responsibility,” she said.
  • Perhaps no country has been trying longer than Japan. After fertility fell to 1.5 in the early 1990s, the government rolled out a succession of plans that included parental leave and subsidized child care. Fertility kept falling.
  • In 2005, Kuniko Inoguchi was appointed the country’s first minister responsible for gender equality and birthrate. The main obstacle, she declared, was money: People couldn’t afford to get married or have children. Japan made hospital maternity care free and introduced a stipend paid upon birth of the child. 
  • Japan’s fertility rate climbed from 1.26 in 2005 to 1.45 in 2015. But then it started declining again, and in 2022 was back to 1.26.
  • This year, Prime Minister Fumio Kishida rolled out yet another program to increase births that extends monthly allowances to all children under 18 regardless of income, free college for families with three children, and fully paid parental leave.
  • noguchi, now a member of parliament’s upper house, said the constraint on would-be parents is no longer money, but time. She has pressed the government and businesses to adopt a four-day workweek
  • If you’re a government official or manager of a big corporation, you should not worry over questions of salary now, but that in 20 years time you will have no customers, no clients, no applicants to the Self-Defense Forces.”
  • Hungarian Prime Minister Viktor Orban has pushed one of Europe’s most ambitious natality agendas. Last year he expanded tax benefits for mothers so that women under the age of 30 who have a child are exempt from paying personal income tax for life. That’s on top of housing and child-care subsidies as well as generous maternity leaves. 
  • Hungary’s fertility rate, though still well below replacement, has risen since 2010. But the Vienna Institute of Demography attributed this primarily to women delaying childbirth because of a debt crisis that hit around 2010. Adjusted for that, fertility has risen only slightly, it concluded.
  • The usual prescription in advanced countries is more immigration, but that has two problems.
  • With no reversal in birthrates in sight, the attendant economic pressures are intensifying. Since the pandemic, labor shortages have become endemic throughout developed countries. That will only worsen in coming years as the postcrisis fall in birthrates yields an ever-shrinking inflow of young workers, placing more strain on healthcare and retirement systems.
  • worsening demographics could make this a second consecutive “lost decade” for global economic growth.
  • The Institute for Health Metrics and Evaluation found little evidence that pronatalist policies lead to sustained rebounds in fertility. A woman may get pregnant sooner to capture a baby bonus, researchers say, but likely won’t have more kids over the course of her lifetime.
  • As more countries confront stagnant population, immigration between them is a zero-sum gam
  • Historically, host countries have sought skilled migrants who enter through formal, legal channels, but recent inflows have been predominantly unskilled migrants often entering illegally and claiming asylum.
  • High levels of immigration have also historically aroused political resistance,
  • Many of the leaders keenest to raise birthrates are most resistant to immigratio
  • As birthrates fall, more regions and communities experience depopulation, with consequences ranging from closed schools to stagnant property values. Less selective colleges will soon struggle to fill classrooms because of the plunge in birthrates that began in 2007, said Fernández-Villaverde. Vance said rural hospitals can’t stay open because of the falling local population.
  • An economy with fewer children will struggle to finance pensions and healthcare for growing ranks of elderly. South Korea’s national pension fund, one of the world’s largest, is on track to be depleted by 2055
  • There’s been little public pressure to act, said Sok Chul Hong, an economist at Seoul National University. “The elderly are not very interested in pension reform, and the youth are apathetic towards politics,” he said. “It is truly an ironic situation.”
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