Can’t Pay, Can’t Have

 Mexico has made a plea at the UN security council for countries to stop hoarding vaccines against Covid-19 as poorer ones fall behind in the race to vaccinate their citizens.

Three-quarters of the first doses have been administered to citizens in only 10 countries while in more than 100 countries no vaccines have been applied at all.

 “We urge countries to avoid hoarding vaccines and accelerate the first stages of Covax deliveries, to give priority to countries with fewer resources,” Ebrard said. “It is urgent to act, to reverse the injustice that is being committed because the security of all humanity depends on it,” Ebrard said.

So far no vaccines have been distributed under the global Covax initiative. Officials from the Pan American Health Organization said on Wednesday that countries could expect confirmation of their Covax vaccine shipments soon, although the first batches were expected to be small.

Mexico calls on rich countries not to hoard coronavirus vaccines | Mexico | The Guardian

Bureaucracy and Hunger in India

 Malnutrition in children has risen across India in recent years. Most Indian women are anaemic and poor women, especially so. And since undernourished mothers give birth to undernourished babies, experts say the worsening rate of malnutrition could be a result of women struggling to access nutrition benefits.

India’s latest National Family Health Survey (NFHS), which shows that children in several states are more undernourished now than they were five years ago, is based on data collected in 2019-20. The survey was conducted in only 22 states before the onset of the pandemic – so experts fear the results will be much worse in the remaining states, where the survey began after the lockdown ended.

In Dahod, a rural and largely tribal district in India’s western state of Gujarat, has seen a steep rise in the proportion of undernourished children compared with 2015-16, when the last survey was conducted. Stunting among children under five in Dahodis up from 44% to 55%. And the proportion of severely underweight children in the district has risen from 7.8% to 13.4%.

Many families in Dahod migrate to cities to eke out a better living. But that also means being left out of massive government schemes that are mostly delivered at local level – so benefits aren’t easily transferred across districts or states. This is despite the fact that there are three different schemes offering maternity and nutrition benefits to women in Gujarat.

Experts say “exclusion” is one of the main reasons for rising malnutrition levels across India. While migration creates geographical exclusion, bureaucracy and its need for documentation creates a form of social and economic exclusion.

Aadhar, the biometric government ID scheme, is a must-have for accessing nearly every social welfare programme in India. But a system that was meant to serve the poor more swiftly has often been accused of failing them. The poor have complained that linking the ID to their bank accounts or updating it with new information – such as when they migrate for work – involves multiple trips to government offices that they cannot afford. Despite the existence of government schemes, many women are unable to access them because of a lack of documents.

Malnutrition is rising across India – why? – BBC News

American’s Life Expectancy Falls

 Life expectancy in the United States dropped a staggering one year during the first half of 2020 as the coronavirus pandemic caused its first wave of deaths. Minorities suffered the biggest impact, with Black Americans losing nearly three years and Hispanics, nearly two years. Black people now lag white people by six years in life expectancy, reversing a trend that had been bringing their numbers closer since 1993. Between 2019 and the first half of 2020, life expectancy decreased 2.7 years for Black people, to 72. It dropped 1.9 years for Hispanics, to 79.9, and 0.8 years for white people, to 78. 

“This is a huge decline,” said Robert Anderson, who oversees the numbers for the CDC. “You have to go back to World War II, the 1940s, to find a decline like this.”

“What is really quite striking in these numbers is that they only reflect the first half of the year … I would expect that these numbers would only get worse,” said Dr. Kirsten Bibbins-Domingo, a health equity researcher and dean at the University of California, San Francisco. “Black and Hispanic communities throughout the United States have borne the brunt of this pandemic,” Bibbins-Domingo said.

 Health experts say it shows the profound impact of COVID-19, not just on deaths directly due to infection but also from heart disease, cancer and other conditions.

Life expectancy is how long a baby born today can expect to live, on average. In the first half of last year, that was 77.8 years for Americans overall, down one year from 78.8 in 2019. For males it was 75.1 years and for females, 80.5 years.

Dr. Otis Brawley, a cancer specialist and public health professor at Johns Hopkins University, said, overall, the drop in life expectancy is more evidence of “our mishandling of the pandemic. “We have been devastated by the coronavirus more so than any other country. We are 4% of the world’s population, more than 20% of the world’s coronavirus deaths.” 

US life expectancy drops a year in pandemic, most since WWII (apnews.com)

The price of a baby

USA is the most expensive country in the world to have a baby, there is no way of knowing the bill in advance, and you can potentially be charged just for holding your newborn baby  (You can be charged $40 )

 It’s the only developed country without mandated paid maternity leave; in some states, however, short-term disability insurance covers your income for a few weeks while you recover from the birth.

Even with decent insurance, you can expect to pay a few thousand dollars out-of-pocket for an uncomplicated birth. Indeed, the cost of delivering a regular American baby is more than that of delivering a Royal baby in the UK.

 Nobody in the US healthcare system can ever tell you how much anything costs. They just tell you to call your health insurance company, who tell you to call the hospital’s billing department, who put you on hold then tell you to call your insurance company. Three weeks later, you get a bill. Even though your hospital is covered by your health insurance, one of the specialists who comes into contact with your newborn might not be. The paediatrician may be out of network so not recognised by her insurance provider and so is extra.

80% of medical bills contain errors and these almost always seem to be over-charging rather than under-charging you. 

Despite getting massively marked-up care – the USA has the highest maternal mortality rate in the developed world.

My partner is pregnant – and the cost of giving birth in the US is stressing me out | Pregnancy | The Guardian



Solidarity

 



Workers at fast-food restaurant chains in 15 cities around the US went on strike on Tuesday demanding a raise in their minimum wage to $15 an hour.

The workers at McDonald’s, Burger King and Wendy’s, joined by home care and nursing home workers, took action.

Strikes occurred in Charleston, South Carolina; Chicago; Flint and Detroit, Michigan; Raleigh and Durham, North Carolina; Houston; Miami, Orlando, and Tampa, Florida; St. Louis; Oakland, Sacramento, and San Jose, California; and Milwaukee. 

“We hear you out there applauding essential workers. We see the big show you make of thanking us. But to be honest, that hasn’t translated into changes for my life. We were living on a razor’s edge long before Covid-19 hit South Carolina. And we’re living on it still,” said Taiwanna Milligan, a McDonald’s worker in Charleston who makes $8.75 an hour after working at the restaurant chain for eight years.

Ieishia Franceis has worked at Freddy’s Frozen Custards in west Durham, North Carolina since July 2020 and makes $9.20 an hour, explained, “Sometimes businesses get so caught up in doing business that they forget who runs their businesses. We’re going to keep fighting and not going to stop until we get all the equality we’re fighting for.” 

 47% of essential workers are in occupations where the median wage is currently less than $15 an hour. 

US workers go on strike in 15 cities to demand $15-an-hour minimum wage | Minimum wage | The Guardian

Profits and Patents Kill

 The pandemic had infected at least 109 million people worldwide, causing over 2.4 million deaths as of mid-February. Global needs for the vaccine now greatly exceed available supply.

Vaccine developers’ refusal to share publicly funded vaccine research findings is stalling broader, affordable vaccinations which would more rapidly contain COVID-19 contagion. Avoidable delays in preventive vaccination are imposing terrible burdens on the world economy and human welfare, with economic disruption demanding more relief and recovery measures. By the end of 2021, total global capacity of the 13 leading COVID-19 vaccine manufacturers would still be well short of the needs of the world’s almost 7.7 billion people. Even if they all produce at maximum capacity, a fifth of the world’s population would not have access until 2022.

National capacities to cope with the pandemic have been largely determined by means and power. Thus, access to COVID-19 tests, treatments, personal protective equipment and other pandemic supplies has been severely lacking in most African and other poor countries.

At current vaccination rates, it would take “not one or two years, but six years” to reach 75% global coverage, currently considered the minimum to achieve ‘herd immunity’ against COVID-19.

Patent protections, vaccine production constraints and the rich country scramble will deprive more than 85 poor countries of public access to vaccines before 2023. As of 5 February, not a single dose had been administered in 130 countries with 2.5 billion people.

Of the more than 131 million doses available by 8 February, the US, China, the EU and the UK had 78%, while Africa had 0.2%! Meanwhile, the African Union has only ordered less than half of what it needs to reach herd immunity, i.e., just 670 million doses. Meanwhile, besides Brazil, other Latin American countries only have 150 million doses for less than a quarter of their population.

Rich countries continue to oppose the South African-Indian proposal to temporarily suspend relevant provisions of the 1994 World Trade Organization (WTO) Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) to effectively block rapid scaling up of generic vaccine production, mainly due to vaccine suppliers’ profit maximisation, also limiting supplies and access. Meanwhile, rich countries’ grossly excessive vaccine purchases can vaccinate their residents several times over.  Cross-border enforcement of intellectual property rights (IPRs) is relatively recent. Big Pharma successfully lobbied their governments for TRIPS inclusion in the 1994 WTO founding documents. This greatly strengthened and extended IPRs transnationally.

The US will soon have enough to vaccinate its population twice over, while Canada and Australia have booked enough to protect residents several times over. Exceptionally, New Zealand – which has also ordered several times its population’s needs.  Middle-income countries have joined the scramble, making onerous direct deals with vaccine suppliers, typically on worse terms than if they had bargained collectively. Unsurprisingly, vaccine prices vary considerably, by more than 12-fold, from US$6 to US$74 per dose.

As countries have not published contract details, acceding to vaccine suppliers’ terms, lack of transparency has enabled abuses. And when forced to comply with Freedom of Information Act requests, documents are heavily redacted before release. Such limited transparency enables big power ‘vaccine nationalism’ impairs others’ access. Thus, following its spat with AstraZeneca, the European Commission (EC) banned vaccine exports to most countries outside the EU. Now, as these non-transparent deals are disputed, European politicians are threatening ‘patent grabs’. EU President Charles Michel has warned of “urgent measures” demanding compulsory licensing, provided for by the European Treaty.

This would require vaccine developers to facilitate generic production, which the developing country-backed TRIPS temporary waiver proposal seeks for all countries. Nevertheless, the EU, other rich countries and their allies still oppose the request to enable rapid scaling-up of affordable vaccine supplies.

To accelerate vaccine development, expenses and risks have been mainly borne by governments, rather than by developers or private finance. The six top candidate vaccine developers have already received over US$12 billion of public money.  Moderna received US$955 million for research and development plus a premarket purchase commitment of US$1.53 billion. In Europe, Pfizer/BioNTech got €375 million from the German government and another €100 million for debt refinancing from the European Investment Bank. Yet, despite massive public financing, vaccine developers retain the IP monopoly right to profit. Thus, the prospect of huge gains from 2021 vaccine sales revenue of almost US$40 billion is delaying progress against COVID-19. AstraZeneca promised Oxford University not to profit off any COVID-19 vaccines “for the duration of the pandemic”. However, its contracts allow it to declare the pandemic over as early as mid-2021. It could then charge higher prices for vaccines developed with public money for the university.

Vaccines produced generically at greater scale will be far more affordable, enabling more rapid containment of the contagion, infections, deaths and disruptions. Until herd immunity is achieved nationally and globally, priority in allocation should be on the basis of urgent need, rather than ability to pay or political muscle.  The TRIPS waiver proposal, still blocked by rich country governments at the WTO would enable all countries to affordably make or buy ‘generic’ vaccines. This would most effectively expedite containing the pandemic with the least loss of lives and livelihoods.

IP, Vaccine Imperialism Cause Death and Suffering, Delay Recovery | Inter Press Service (ipsnews.net)

Money Goes to Money, As Always



  Revealed in new IPS briefing paper, the richest .01 percent of Americans, about 33,000 today, now pay just one-sixth of what they used to pay in tax, when measured as a percentage of their total wealth.

The top .01 percent in America is a phenomenally wealthy group. Even during America’s most egalitarian periods, the average member of the top .01 percent held over 200 times the wealth of the average American. Today, the wealth of the average top .01 percenter is nearly 1,000 times that of the average American and is closing in on one billion dollars.

Taxes on the Rich: One-Sixth of What They Used to Be – Consortiumnews

It’s always the poor that suffer, isn’t it?

 A “perfect storm” of low wages, cramped housing and failures of the £22bn test-and-trace scheme has led to “stubbornly high” coronavirus rates in England’s most deprived communities, an unpublished government report by the Joint Biosecurity Centre (JBC) has found.

A classified analysis produced last month, concluded that “unmet financial needs” meant people in poorer areas were less likely to be able to self-isolate because they could not afford to lose income.

In two of the UK’s worst-hit areas, Blackburn-with-Darwen and Leicester, the study found that more people seeking financial help to self-isolate had been rejected than accepted. It said: “This could increase the likelihood for individuals to be unable to comply with self-isolation requirements as a result of their unmet needs.”

JBC, a government agency set up last May, concluded that “interconnected factors” such as deprivation, poor housing and work conditions, and delays in the test-and-trace system, were all “likely to be significant contributors” to the high coronavirus rates in some areas. It found evidence that areas with a higher proportion of workers in public-facing roles, such as health and social care, taxi drivers or supermarket workers, were likely to experience high infection rates.

It said: “Having high numbers of people in high-risk occupation is not specific to just these enduring areas. This in isolation is not a reason for enduring transmission, but rather along with a range of other factors, overlaid, that create the ‘perfect storm’.”

It said that “existing socioeconomic inequality” had left black, Asian and minority ethnic communities at greater exposure to Covid-19 as they were more likely to live in cramped and multigenerational housing in deprived areas and hold public-facing jobs. Despite this, the report noted: “Guidance around how to self-isolate safely in high-density housing does not appear to exist for England as it does for Scotland and Northern Ireland.”

The report said there was no single cause for enduring Covid transmission “and therefore no silver bullet to resolve the issue”, adding: “Instead, it is likely to be due to a unique mix of factors in each location eg many of the factors are also interlinked and aligned: deprivation – employment – household composition.”

England’s poorest areas hit by Covid ‘perfect storm’ – leaked report | World news | The Guardian

Inflation Threat

 “We have inflation, we are seeing inflation, we are concerned about inflation. We have to mitigate that inflation, or at least part of it, with hedges and with efficiencies in the factories,” Kraft Heinz Chief Executive Miguel Patricio told Reuters.

Other major food companies, including Unilever, have also signaled higher prices due to global commodity inflation.

“We’ve got some inflationary pressures coming forward. And we do expect mid-to-high single-digit commodity inflation in the first half. So we have to be at the top of our game in pricing going forward,” Unilever Chief Financial Officer Graeme Pitkethly said on a recent earnings call.

Prices this year on some products that use wheat, sugar and other commodities that are becoming increasingly expensive due to high demand. Prices for commodities like sugar, wheat and soy are surging.

U.S. consumers on average paid 3.7% more for food consumed at home in January than they did a year earlier, according to the Bureau of Labor Statistics Consumer Price Index. Year-over-year increases in food prices have topped 3.5% each month since last April, the longest such stretch in nearly a decade.

The food producers are not the only U.S. manufacturers beginning to respond to sharply higher input costs – the highest in a decade in some national surveys – with price increases of their own. The Philadelphia Federal Reserve’s monthly factory survey for January showed prices received by manufacturers for their goods rising by the most since 1989.

Exclusive: Kraft Heinz, Conagra may raise some product prices as grains, edible oil costs surge | Reuters