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Monday 8 June 2020

How Socialists would respond to Covid-19


We often accuse the right of distorting science. But the left changed the coronavirus narrative overnight

Racism is a health crisis. But poverty is too – yet progressives blithely accepted the costs of throwing millions of people like George Floyd out of work writes Thomas Chatterton Williams in The Guardian


 
‘Less than two weeks ago, the enlightened position was to exercise extreme caution. Many of us went further, taking to social media to shame others for insufficient social distancing.’ Photograph: Devon Ravine/AP


When I reflect back on the extraordinary year of 2020 – from, I hope, some safer, saner vantage – one of the two defining images in my mind will be the surreal figure of the Grim Reaper stalking the blazing Florida shoreline, scythe in hand, warning the sunbathing masses of imminent death and granting interviews to reporters. The other will be a prostrate George Floyd, whose excruciating Memorial Day execution sparked a global protest movement against racism and police violence.

Less than two weeks after Floyd’s killing, the American death toll from the novel coronavirus has surpassed 100,000. Rates of infection, domestically and worldwide, are rising. But one of the few things it seems possible to say without qualification is that the country has indeed reopened. For 13 days straight, in cities across the nation, tens of thousands of men and women have massed in tight-knit proximity, with and without personal protective equipment, often clashing with armed forces, chanting, singing and inevitably increasing the chances of the spread of contagion.

Scenes of outright pandemonium unfold daily. Anyone claiming to have a precise understanding of what is happening, and what the likely risks and consequences may be, should be regarded with the utmost skepticism. We are all living in a techno-dystopian fantasy, the internet-connected portals we rely on rendering the world in all its granular detail and absurdity like Borges’s Aleph. Yet we know very little about what it is we are watching.

I open my laptop and glimpse a rider on horseback galloping through the Chicago streets like Ras the Destroyer in Ralph Ellison’s Invisible Man; I scroll down further and find myself in Los Angeles, as the professional basketball star JR Smith pummels a scrawny anarchist who smashed his car window. I keep going and encounter a mixed group of business owners in Van Nuys risking their lives to defend their businesses from rampaging looters; the black community members trying to help them are swiftly rounded up by police officers who mistake them for the criminals. In Buffalo, a 75-year-old white man approaches a police phalanx and is immediately thrown to the pavement; blood spills from his ear as the police continue to march over him. Looming behind all of this chaos is a reality-TV president giddily tweeting exhortations to mass murder, only venturing out of his bunker to teargas peaceful protesters and stage propaganda pictures.


George Floyd wasn’t merely killed for being black – he was also killed for being poor

But this virus – for which we may never even find a vaccine – knows and respects none of this socio-political context. Its killing trajectory isn’t rational, emotional, or ethical – only mathematical. And just as two plus two is four, when a flood comes, low-lying areas get hit the hardest. Relatively poor, densely clustered populations with underlying conditions suffer disproportionately in any environment in which Covid-19 flourishes. Since the virus made landfall in the US, it has killed at least 20,000 black Americans.

After two and a half months of death, confinement, and unemployment figures dwarfing even the Great Depression, we have now entered the stage of competing urgencies where there are zero perfect options. Police brutality is a different if metaphorical epidemic in an America slouching toward authoritarianism. Catalyzed by the spectacle of Floyd’s reprehensible death, it is clear that the emergency in Minneapolis passes my own and many peoples’ threshold for justifying the risk of contagion.

But poverty is also a public health crisis. George Floyd wasn’t merely killed for being black – he was also killed for being poor. He died over a counterfeit banknote. Poverty destroys Americans every day by means of confrontations with the law, disease, pollution, violence and despair. Yet even as the coronavirus lockdown threw 40 million Americans out of work – including Floyd himself – many progressives accepted this calamity, sometimes with stunning blitheness, as the necessary cost of guarding against Covid-19.

The new, “correct” narrative about public health – that one kind of crisis has superseded the other – grows shakier as it spans out from Minnesota, across America to as far as London, Amsterdam and Paris – cities that have in recent days seen extraordinary manifestations of public solidarity against both American and local racism, with protesters in the many thousands flooding public spaces.

Consider France, where I live. The country has only just begun reopening after two solid months of one of the world’s severest national quarantines, and in the face of the world’s fifth-highest coronavirus body count. As recently as 11 May, it was mandatory here to carry a fully executed state-administered permission slip on one’s person in order to legally exercise or go shopping. The country has only just begun to flatten the curve of deaths – nearly 30,000 and counting – which have brought its economy to a standstill. Yet even here, in the time it takes to upload a black square to your Instagram profile, those of us who move in progressive circles now find ourselves under significant moral pressure to understand that social distancing is an issue of merely secondary importance.

This feels like gaslighting. Less than two weeks ago, the enlightened position in both Europe and America was to exercise nothing less than extreme caution. Many of us went much further, taking to social media to castigate others for insufficient social distancing or neglecting to wear masks or daring to believe they could maintain some semblance of a normal life during coronavirus. At the end of April, when the state of Georgia moved to end its lockdown, the Atlantic ran an article with the headline “Georgia’s Experiment in Human Sacrifice”. Two weeks ago we shamed people for being in the street; today we shame them for not being in the street.

As a result of lockdowns and quarantines, many millions of people around the world have lost their jobs, depleted their savings, missed funerals of loved ones, postponed cancer screenings and generally put their lives on hold for the indefinite future. They accepted these sacrifices as awful but necessary when confronted by an otherwise unstoppable virus. Was this or wasn’t this all an exercise in futility?

“The risks of congregating during a global pandemic shouldn’t keep people from protesting racism,” NPR suddenly tells us, citing a letter signed by dozens of American public health and disease experts. “White supremacy is a lethal public health issue that predates and contributes to Covid-19,” the letter said. One epidemiologist has gone even further, arguing that the public health risks of not protesting for an end to systemic racism “greatly exceed the harms of the virus”.

The climate-change-denying right is often ridiculed, correctly, for politicizing science. Yet the way the public health narrative around coronavirus has reversed itself overnight seems an awful lot like … politicizing science.

What are we to make of such whiplash-inducing messaging? Merely pointing out the inconsistency in such a polarized landscape feels like an act of heresy. But “‘Your gatherings are a threat, mine aren’t,’ is fundamentally illogical, no matter who says it or for what reason,” as the author of The Death of Expertise, Tom Nichols, put it. “We’ve been told for months to stay as isolated as humanely possible,” Suzy Khimm, an NBC reporter covering Covid-19, noted, but “some of the same public officials and epidemiologists are [now] saying it’s OK to go to mass gatherings – but only certain ones.”

Public health experts – as well as many mainstream commentators, plenty of whom in the beginning of the pandemic were already incoherent about the importance of face masks and stay-at-home orders – have hemorrhaged credibility and authority. This is not merely a short-term problem; it will constitute a crisis of trust going forward, when it may be all the more urgent to convince skeptical masses to submit to an unproven vaccine or to another round of crushing stay-at-home orders. Will anyone still listen?

Seventy years ago Camus showed us that the human condition itself amounts to a plague-like emergency – we are only ever managing our losses, striving for dignity in the process. Risk and safety are relative notions and never strictly objective. However, there is one inconvenient truth that cannot be disputed: more black Americans have been killed by three months of coronavirus than the number who have been killed by cops and vigilantes since the turn of the millennium. We may or may not be willing to accept that brutal calculus, but we are obligated, at the very least, to be honest.

Sunday 7 June 2020

Britain is not America. But we too are disfigured by deep and pervasive racism

Yes, it would be foolish to see only parallels in the US and UK experience. But to downplay our own problems would be shameful writes David Olusoga in The Guardian


 
Demonstrator at a Black Lives Matter protest on 6 June 2020 in Cardiff. Photograph: Matthew Horwood/Getty Images


One of the more pertinent statements made during this past extraordinary week appeared in one of the last places I would have thought to look – in the pages of Vogue, not a publication I instinctively turn to at a moment of profound political tension.

“Racism is a global issue. Racism is a British issue. It is not one that is merely confined to the United States – it is everywhere, and it is systemic,” wrote Edward Enninful, the editor-in-chief of the magazine’s British edition. The ubiquity of racism has been brought to stark and sudden attention by the killing of George Floyd and by the unprecedented wave of protests, demonstrations and rioting that followed.

Filmed by many witnesses and now viewed millions of times, the killing of Floyd by a Minnesota policeman, a 21st-century lynching, is so sickening a crime that the revulsion it has induced has become a global phenomenon.

The demonstrators and activists who have taken to the streets have, however, been motivated by more than revulsion. They have also been stirred to action by acknowledging a fundamental truth – that the killing of Floyd has to be understood as a symptom of systemic racism. By building their campaign around that reality they have promoted radical and challenging conversations – in countries on both sides of the Atlantic – about the nature of racism and the actions that people of all races can take in eliminating it. These are conversations that we have needed for a very long time.

Led by young people, many of them inspired by Black Lives Matter, and involving people of all ethnicities, the protests have morphed into a worldwide anti-racist movement. No longer is this moment solely about police violence nor is it limited to America. Both online and on the streets it is calling out racism, wherever it exists and in whatever forms it is found. In both the US and in Europe, people are asking, tentatively, if this might be a defining moment of change.


FacebookTwitterPinterest The British actor John Boyega speaks to the crowd during a Black Lives Matter protest in Hyde Park on 3 June 2020 in London, England. Photograph: Justin Setterfield/Getty Images

Yet in the immediate aftermath of Floyd’s death there was little reason to imagine anything would be any different this time around. For African Americans, one of the most appalling aspects of Floyd’s murder was that they had seen it all before. The same story with the same outcome, all that changed was the name of the victim – Ahmaud Arbery, Breonna Taylor, Sandra Bland, Tamir Rice, Philando Castile, Walter Scott.

For many black Britons, Floyd’s death stirred memories of another list of names, those of the members of their community killed or rendered disabled in similar circumstances at the hands of the British police or immigration officers. On Tuesday, the Black Cultural Archives in Brixton, south London – the closest thing we have in this country to a museum to the black British experience – tweeted the names and the photographs of some of them – Mark Duggan, Sheku Bayoh, Sean Rigg, Sarah Reed, Cherry Groce, Leon Briggs, Christopher Alder, Brian Douglas.

Yet almost instantly a predictable chorus of voices, emanating from predictable corners of British public life, rose up to dismiss the whole thing as an irrelevance. Using a familiar playbook, they accused those black Britons who see reflections of their own situation in the experiences of African Americans of making false comparisons.

The US situation is unique in both its depth and ferocity, they say, so that no parallels can be drawn with the situation in Britain. The smoke-and-mirrors aspect of this argument is that it attempts to focus attention solely on police violence, rather than the racism that inspired it. Those who make it usually point to the ubiquity of firearms in US law enforcement, as proof that the US reality is beyond meaningful comparison. But firearms had nothing to do with the killing of George Floyd. Neither were they a factor in the death of Freddie Gray or the sidewalk killing of Eric Garner, who, like Floyd, pleaded for his life, saying 11 times to the officers who pinned him down: “I can’t breathe”, the same words Floyd used in his final moments. Nor were guns involved in many of the cases when black people have died in custody or during arrest in Britain.


Excusing or downplaying British racism with comparisons to the US is a bad habit with a long history

When black Britons draw parallels between their experiences and those of African Americans, they are not suggesting that those experiences are identical. Few people would deny that in many respects life is better for non-white people in the UK than in the US. The problem is that it is not as “better” as some like to believe. Black men are stopped and searched at nine times the rate of white men. Black people make up 3% of the population of England and Wales but account for 12% of the prison population and not since 1971 have British police officers been prosecuted for the killing of a black man, and even then they were charged with the lesser crime of manslaughter and that charge was later dropped.

To say that the racism that infects parts of our police force and criminal justice system is less virulent than that which poisons the lives of 40 million African Americans is not much of a boast. Is that really the extent of our ambition – to be a somewhat less racist nation than one led by a man who describes white nationalists and members of the Ku Klux Klan as “very fine people”? Surely we who dwell in what the actor Laurence Fox recently assured us is “the most tolerant, lovely country in Europe” have higher hopes?

Excusing or downplaying British racism with comparisons to the US is a bad habit with a long history. It began in 1807, with the abolition of the slave trade and picked up steam three decades later with the end of British slavery, twin events that marked the beginning of 200 years of moral posturing and historical amnesia. The Victorian readers who rightly wept over Uncle Tom’s Cabin, for example, conveniently forgot which nation had carried his ancestors into slavery and didn’t dwell on the fact that most of the cotton produced by American slaves like him was shipped to Liverpool.

For two centuries, we have deployed American racism as a distraction. It’s as if we find it easier to recognise American forms of racism than we do our own home-grown varieties. Convenient, as pointing fingers is always more comforting than looking in the mirror.

Saturday 6 June 2020

Scientific or Pseudo Knowledge? How Lancet's reputation was destroyed

The now retracted paper halted hydroxychloroquine trials. Studies like this determine how people live or die tomorrow writes James Heathers in The Guardian

 

‘At its best, peer review is a slow and careful evaluation of new research by appropriate experts. ... At its worst, it is merely window dressing that gives the unwarranted appearance of authority’. Photograph: George Frey/AFP/Getty Images


The Lancet is one of the oldest and most respected medical journals in the world. Recently, they published an article on Covid patients receiving hydroxychloroquine with a dire conclusion: the drug increases heartbeat irregularities and decreases hospital survival rates. This result was treated as authoritative, and major drug trials were immediately halted – because why treat anyone with an unsafe drug?

Now, that Lancet study has been retracted, withdrawn from the literature entirely, at the request of three of its authors who “can no longer vouch for the veracity of the primary data sources”. Given the seriousness of the topic and the consequences of the paper, this is one of the most consequential retractions in modern history.

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It is natural to ask how this is possible. How did a paper of such consequence get discarded like a used tissue by some of its authors only days after publication? If the authors don’t trust it now, how did it get published in the first place?

The answer is quite simple. It happened because peer review, the formal process of reviewing scientific work before it is accepted for publication, is not designed to detect anomalous data. It makes no difference if the anomalies are due to inaccuracies, miscalculations, or outright fraud. This is not what peer review is for. While it is the internationally recognised badge of “settled science”, its value is far more complicated.

At its best, peer review is a slow and careful evaluation of new research by appropriate experts. It involves multiple rounds of revision that removes errors, strengthens analyses, and noticeably improves manuscripts.

At its worst, it is merely window dressing that gives the unwarranted appearance of authority, a cursory process which confers no real value, enforces orthodoxy, and overlooks both obvious analytical problems and outright fraud entirely.

Regardless of how any individual paper is reviewed – and the experience is usually somewhere between the above extremes – the sad truth is peer review in its entirety is struggling, and retractions like this drag its flaws into an incredibly bright spotlight.

The ballistics of this problem are well known. To start with, peer review is entirely unrewarded. The internal currency of science consists entirely of producing new papers, which form the cornerstone of your scientific reputation. There is no emphasis on reviewing the work of others. If you spend several days in a continuous back-and-forth technical exchange with authors, trying to improve their manuscript, adding new analyses, shoring up conclusions, no one will ever know your name. Neither are you paid. Peer review originally fitted under an amorphous idea of academic “service” – the tasks that scientists were supposed to perform as members of their community. This is a nice idea, but is almost invariably maintained by researchers with excellent job security. Some senior scientists are notorious for peer reviewing manuscripts rarely or even never – because it interferes with the task of producing more of their own research.

However, even if reliable volunteers for peer review can be found, it is increasingly clear that it is insufficient. The vast majority of peer-reviewed articles are never checked for any form of analytical consistency, nor can they be – journals do not require manuscripts to have accompanying data or analytical code and often will not help you obtain them from authors if you wish to see them. Authors usually have zero formal, moral, or legal requirements to share the data and analytical methods behind their experiments. Finally, if you locate a problem in a published paper and bring it to either of these parties, often the median response is no response at all – silence.

This is usually not because authors or editors are negligent or uncaring. Usually, it is because they are trying to keep up with the component difficulties of keeping their scientific careers and journals respectively afloat. Unfortunately, those goals are directly in opposition – authors publishing as much as possible means back-breaking amounts of submissions for journals. Increasingly time-poor researchers, busy with their own publications, often decline invitations to review. Subsequently, peer review is then cursory or non-analytical.

And even still, we often muddle through. Until we encounter extraordinary circumstances.






Peer review during a pandemic faces a brutal dilemma – the moral importance of releasing important information with planetary consequences quickly, versus the scientific importance of evaluating the presented work fully – while trying to recruit scientists, already busier than usual due to their disrupted lives, to review work for free. And, after this process is complete, publications face immediate scrutiny by a much larger group of engaged scientific readers than usual, who treat publications which affect the health of every living human being with the scrutiny they deserve.

The consequences are extreme. The consequences for any of us, on discovering a persistent cough and respiratory difficulties, are directly determined by this research. Papers like today’s retraction determine how people live or die tomorrow. They affect what drugs are recommended, what treatments are available, and how we get them sooner.

The immediate solution to this problem of extreme opacity, which allows flawed papers to hide in plain sight, has been advocated for years: require more transparency, mandate more scrutiny. Prioritise publishing papers which present data and analytical code alongside a manuscript. Re-analyse papers for their accuracy before publication, instead of just assessing their potential importance. Engage expert statistical reviewers where necessary, pay them if you must. Be immediately responsive to criticism, and enforce this same standard on authors. The alternative is more retractions, more missteps, more wasted time, more loss of public trust … and more death.