The @bmj_latest series examines the mechanisms that might explain underperformance of democracies in #COVID19 crisis and proposes ideas to better “pandemic proof” this political system
Fascinating @slloydwilson & @charleshey study finds social media disinformation campaigns exploit openness of democracies, erode their health benefits, and contribute to increasing vaccine hesitancy & declining vaccination rates 4/8 gh.bmj.com/content/5/10/e…
Arnab Acharya, John Gerring, & @aaronsreeves survey study in India, UK, & US questions whether public holds governments accountable for #COVID19 & pandemics in the same way they do for health generally
Autocratizing nations have made less progress on universal health coverage & had higher out-of-pocket spending per head than would have occurred w/out this autocratisation
Countries without government trust have performed badly in #COVID19, even when you account for differences in population age and size, and the timing of the pandemic
“Government exists to protect us from each other,” Reagan once said, but goes “beyond its limits . . . in deciding to protect us from ourselves”
When applied to pandemics, Reagan was wrong & so are policymakers, in esp. in US, who have adopted this view foreignaffairs.com/articles/unite…
Confronted w/novel contagious virus, for which there's no effective treatment & no preexisting immunity, the only way to protect citizens from one another is by convincing them to protect themselves
Esp. in free societies that depends on trust between government and its people
Between the first official report of outbreak in China & announcement of U.S. travel restrictions, 40,000+ travelers from China are estimated to have entered United States 3/
Introducing a WH-supported initiative to deliver 600M masks to at risk states could have meaningfully helped to reduce community transmission in late March
That was still before reported cases really took off nationally 2/
And in #Louisiana, which this USPS mask initiative was meant to prioritize first 3/
#COVID19 has overwhelmed health systems & economies worldwide
But *if* remains at its current pace, it's unlikely to overtake cardiovascular disease, cancers, & other major NCDs as leading causes of death globally
I am sorry you feel that way. I quoted you to try to give a fair representation of your piece. The original title and message of your piece as posted yesterday was this 1/
You made an unacknowledged change to that title today to include public health, which I am glad you did. I think it improves the piece 2/
But I don’t feel your inclusion of this short paragraph in your piece about how we were losing the war against microbes until the vaccines accurately conveys the reality:
progress against infectious diseases in many nations occurred *ahead* of development of most vaccines 3/