Category Archives: Health

Random Retweets: Pandemic mitigation.

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Introduction.

I have recently seen a trend whereby people turn their twitter ruminations into op eds and even semi-scholarly essays such as those featured on Spinoff, Patreon or The Conversation. It makes sense to develop ideas from threads and maximise publication opportunities in the process, especially for academics operating in a clickbait environment that has now crept into scholarly journals. I am not immune from the thread-to-essay temptation, although I have tended to do that on my work page and stick to subjects more pertinent to my work because the twitter account I use is a business rather than personal one.

With that in mind and because I have not posted here for a while, I thought it opportune to edit and repurpose some twitter thoughts that I have shared on the subject of what might be called the security politics of Covid mitigation in New Zealand. Below I have selected, cut and pasted some salient edited tweets along that analytic line.

Security aspects of pandemic politics.

There are traditional national security threats like armed physical attack by external/internal enemies. There are non-traditional national security threats like rising sea levels and disasters. Anti-vaxxers are a non-traditional national security threat that must be confronted.

Social media is where state and non-state actors (criminal organisations, extremist groups) link with local agitators in order to combine resources for common purpose. Viral dis-/misinformation and influence campaigns designed to socially destabilise and politically undermine public faith in and support for liberal democracies like NZ are an example of such hand-in-glove collaboration. If left unchecked it can lead to mass public disorder even when seemingly disorganised (e.g. by using “leaderless resistance” tactics). This growing “intermestic” or “glocal” threat needs to be prioritised by the NZ intel community because otherwise social cohesion is at risk. On-line seditious saboteurs must be identified, uncovered and confronted ASAP. That includes “outing” the foreign-local nexus, to include state and non-state actor connections.

If people are going to complain about Chinese influence operations in NZ, then they would do good to complain about US alt-Right/QAnon influence operations in NZ as well. Especially when the latter is manifested in the streets as anti-vac/anti-mask protests. The difference between them? PRC influence operations attempt to alter the NZ political system from within. US alt-Right/QAnon influence operations seek to subvert it from without. Both are authoritarian threats to NZ’s liberal democracy.

In the war against a mutating virus initially of foreign origin NZ has a 5th column: anti-vax/maskers, religious charlatans, Deep State and other conspiracy theorists, economic maximisers, venal/opportunistic politicians, disinformation peddlers and various selfish/stupid jerks. Their subversion of a remarkably effective pandemic mitigation effort should be repudiated and sanctioned as strongly as the law permits. Zero tolerance of what are basically traitors to the community is now a practical necessity (along with a 90% vaccination rate). Plus, as a US-NZ dual citizen who had his NZ citizenship application opposed by some hater, I would like to know who let in the rightwing Yank nutters now fomenting unrest over masks/vaxes/lockdowns/mandates etc. They clearly do not meet the good character test.

A counter-terrorism axiom is that the more remote the chances of achieving an ideological goal, the more heinous will be the terrorist act. Anti-vax and conspiracy theorists using Nazi/holocaust analogies to subvert democratic pandemic mitigation strategies are akin to that.

Long-term community well-being requires commitment to collective responsibility and acceptance of individual inconvenience in the face of a serious public health threat. It is part of the democratic social contract and should not be usurped for partisan or personal gain. Elephant in the room: when cultural mores contradict and undermine public health scientific advice but for political reasons cannot be identified as such. If true, partisan-focused approaches to Covid is not just an Opposition sin. The virus does not see culture or tradition. Anti-vax/mask views are no excuse to violate public health orders. Likewise economic interest, leisure pursuits, religious or secular beliefs no matter how deeply held. Ergo, cultural practice cannot override the public good. Collective responsibility is a democratic obligation.

Those that set the terms of debate tend to win the debate. In politics, those that frame the narrative on a subject, tend to win the debates about it. By announcing a “Freedom Day” the govt has conceded the debate about pandemic mitigation. The issue is not about human freedom. It is about managing public health risk in pursuit of the common good. Using “freedom” rhetoric injects ideology into what should be an objective debate about prudent lockdown levels given uneven vaccination rates, compliance concerns, mental health and economic issues. Bad move.

Church, State and the weight of capitalism.

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Arguments by religious folk that they are being discriminated against under the Level 2 pandemic restrictions in NZ, which limit church services to ten people or less when schools, restaurants, malls and other service outlets are allowed to host many more people under voluntary self-distancing protocols, got me to think about whether people understand the rationale behind the government approach as well as the role of religion in society and particularly in a liberal democracy such as NZ. I wrote a tweet outlining my general view and it elicited some contrary responses from people who are either religious and/or dislike the current government. I will not dwell on their responses but I will below string together in fuller scope my side of the discussion.

I began with the first tweet:

“Liberal democracies are secular regimes where church and state are separate and the state treats all religions neutrally and equally while having superordinate authority over material (as opposed to spiritual) issues, including public health. Churches need to respect that.” That began a back and forth with the contrary minded readers, which elicited the following responses from me:

“Stage (sic) 2 is based on opening up commerce, with some social restrictions still in place. Education is critical for commerce in several ways. Services are critical to economic well-being. Religion is a social construct based on belief that is not economically essential. Big diff.

In medicine, the environment, engineering, economics, threat assessment, even political forecasting, among so many other material things, science must and will trump belief. With CV-19 science must prevail over belief. There is nothing “illiberal” about the govt response.”

The last sentence came in response to a commentator’s remark that NZ is an illiberal democracy because of the restriction on religious gatherings, among other things. The author went on to speak of a difference in values between the government and people like him when it comes to family and society. I replied:

“A secular democratic regime can, should and most often does value families and society, and its social policies demonstrate this. The level 2 re-opening is business driven because NZ is a capitalist country, and everyone’s welfare depends on capitalist survival, not churches.

So long as the economic imperatives of a capitalist society remain a paramount concern of govt, then commercial concerns will supersede (much variegated) spiritual ones. Hence the pro-business incrementalism of the govt approach. They respond to structural necessity, not values.”

And that is the bottom line. NZ is a capitalist society. It is a capitalist society because the means of production are mostly in private hands and subject to market-oriented logics, because the relations in and of production reproduce the material hierarchy on which the economic system rests, because it is inserted in a global capitalist system of production, consumption and exchange, and because the social division of labour that emerges out of it reinforces the hierarchical relations between the ultimate producers of wealth and the owners of productive assets in NZ and elsewhere. Most of all, NZ is a capitalist society because the welfare of everyone directly or indirectly depends on the welfare and investment of capitalists–if they do not prosper, no one does.

Regular readers know the I am not a fan of laissez fare capitalism or the various market-driven experiments of the last forty years. Nor am I entirely pleased with how the current government defers to capitalist logics rather than fully embrace the entire policy spectrum involved in well-being budgeting. I am just saying: when it comes to the economic motor of NZ society, it is what it is.

NZ has just faced and continues to be threatened by a deadly global pandemic. The initial government response was a public health campaign marshalled on scientific grounds that was mitigated by an unprecedented economic relief package designed to help people weather the financial storm caused by the disruption of economic activity. Capitalists and workers were included in the relief measures. This response was vetted by a pandemic emergency response committee chaired by the Leader of the Opposition and communicated in daily press conferences by the Prime Minister and Director General of Health, along with other officials. That is far from being the makings of a totalitarian police state that a fair few believe it to be.

Once the lockdown/quarantine phase of the restrictions was lifted (after six weeks), the government announced that its level 3 and 2 approaches were designed to get businesses back to work. This employed a type of pragmatic incrementalism where restrictions on commercial activity were slowly lifted in piecemeal, sectorial and graduated fashion over what is now going on 3 weeks. The government explicitly stated that this was not a social opening and that pre-pandemic social activities that do not have a commercial orientation were very consciously excluded from the stage 3 and 2 re-opening measures.

That is why churches are not allowed to resume pre-pandemic activities, indulging religious services, in the measure that they did before March 23. Note that they can still host church services and other activities but that they must adhere to the “fewer than 10” rule when doing so. No one has restricted their freedom of worship. Only group size when worshipping has been limited, and that is because churches are not considered to be businesses.

If churches want to claim that they are a type of commercial enterprise, then they have reason to feel discriminated against and by all means should air their grievances along those lines. But that might open questions about their tax-free status, real estate holdings, tithing practices and other non-spiritual aspects of their mission. So it is unlikely that we will hear this argument aired in public or as a defence of a church’s right to host large gatherings for religious purposes.

In any case, the “blame” for not including churches in the Level 3 and 2 re-openings is not the fault of government values when it comes to family and society. If anything, blame comes simply from the fact that NZ is a capitalist nation and the bottom line is, well, the bottom line. Spirituality is fine but it does not pay the bills, unless of course it is of the “prosperity doctrine” persuasion where the Lord commands that we should enrich ourselves before all others.

Speaking of which: why the heck was that charlatan fraudster Brian Tamaki and his Destiny Church minions allowed to defy the level 2 restrictions without punitive sanction? Were the police worried about a confrontation with a large crowd? Even if that was the case, if the letter of the public health order cannot be enforced even with enabling legislation conferring extraordinary enforcement powers on the police, what is the point of having them? Or are exceptions to the rule made for bully-boy bigoted loudmouth xenophobic lumpenproletarians posing as preachers?

We might call that a type of reverse discrimination.

A matter of definition.

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Recent reports have surfaced that hospital officials in some US localities are inflating the CV-19 death count by classifying anyone who dies in their care who is not the victim of an accident or other obvious non-viral cause as a CV-19 victim. Apparently this is because the US public health scheme, Medicaid, pays hospitals USD$5000 per non CV-19 death versus USD$13,000 for CV-19 related deaths. Most hospitals in the US are private, for profit entities so the hospital administrators (not doctors) who do the paperwork submissions to the federal government for Medicaid death reimbursements have financial incentive to falsify the real causes of death.

There is no independent body above hospital administrations regularly overseeing how cause of death in hospitals is classified unless some gross error comes to the attention of local and state authorities, and there is no way for the federal government to unilaterally challenge the legitimacy of CV-19 death claims. Moreover, since local coroners are swamped by an influx of CV-19 dead and Medicaid is stretched to the breaking point by the upsurge in (legitimate) CV-19 claims, there is little way to hold the dishonest hospital administrators to account unless a whistleblower from within a hospital provides concrete proof of institutional malfeasance.

In contrast, official Russian statistics show that there are over 263,000 cases in the country, with nearly 2.500 deaths and new cases exceeding 10,000 per day. That death count has raised eyebrows outside of Russia, as it is remarkably low when compared to other countries given the number of cases and rate of infection.

Russian officials counter the skeptics by claiming that their definition of a CV-19 death refers only to those that can be directly attributed to the pathogen. They deliberately exclude other causes that are exacerbated by CV-19 contagion, such as heart failures and smoking-related pulmonary embolisms, liver failures etc. Because of this the Russian CV-19 mortality rate is not only very low but also does not disproportionately affect the elderly, whose deaths are most often attributed to the underlying condition rather than to CV-19.

These differences in reporting remind me of an incident that happened to me when conducting research in Brazil in 1987. I had an interest in national health administration because I had worked on that subject when conducting Ph.D. dissertation research in Argentina earlier in the decade, I lived in Rio at the time and had experienced Carnaval in February, when thousands of sex tourists of every persuasion descended on the city in the middle of what was clearly an AIDS epidemic (in a cultural context where men refused to use condoms because that was considered “unmanly” and in which many (usually) straight men used Carnaval as an excuse to enjoy gay sex). Around that time I had to donate blood for my then-wife to use in a blood transfusion after she picked up a water-carried blood infection while cleaning vegetables and because we were told that most of the blood supplies in Rio were infected with both AIDS and syphilis, so I was acutely interested in how health authorities dealt with the convergence of viral calamities.

I managed to arrange an interview with a senior official in the Health Ministry in Brasilia, one who just happened to be involved in infectious disease mitigation. As part of our conversation I asked him how many AIDS cases there were in Brazil. He said “100.” I laughed and said “no, seriously, how many cases are there because I just came from Rio during Carnaval and it was a 24/7 bacchanal of unprotected sex, drug use, drinking, dancing and other assorted debauchery, plus I am told than the blood banks are unreliable because the supplies are infected with AIDS and syphilis.”

He smiled and leaned back in his chair for a moment, and then said “you see, that is where my country and your country are different. In this country a person gets the AIDS virus, loses immune system efficiency, and eventually succumbs to an infectious tropical disease such as malaria or dengue fever. We put the cause of death as the tropical disease, not AIDS. In your country a person gets AIDS and eventually dies of a degenerative disease such as a rare thyroid or other soft tissue cancer. Since they otherwise would not have likely had that cancer, your health authorities list the cause of death as AIDS. For us, the methodology for defining cause of death is not only a means of keeping the official AIDS count low. It also keeps the foreign tourist numbers up because visitors are not fearful of contracting AIDS and have much less fear of malaria or dengue because those are preventable.” I asked him what he thought about those tourists who did contract AIDS while in Brazil on holiday. He replied “that is a problem for their home authorities and how those authorities define their cause of death.”

I recount this story because it seems that we have entered a phase in the CV-19 pandemic where definition of what is and what is not has become a bit of a hair-splitting exercise that has increasing levels of political spin attached to it. It opens a Pandora’s box of questions: Is the lockdown approach overkill? Is the re-opening too soon? Are the overall US CV-19 death figures inflated because of the structural imperatives layered into their health system? Are the Russian figures underestimated because of their politics or because of their accounting methods? Has the PRC lied all along about the extent of the disease before and after it left its borders (in part by assigning different causes of death than CV-19)? At what point do honest medical professionals assign primary cause of death to CV-19 rather than an underlying condition?

There is one thing that I am fairly certain about. In Bolsonaro’s Brazil, I have little doubt that the rationale I heard in 1987 is still the rationale being used today, except that now it is CV-19 rather than AIDS that is the scourge that cannot be named.

Between push and shove.

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The NZ government’s handling of the CV-19 pandemic has won international praise for its decisiveness and effectiveness. It is hard to argue with a response that has reduced the number of daily reported transmissions to near zero and the death toll to less than two dozen out of 1500 total cases. Not bad.

But as could have been expected, there are those who are not happy with how the government has comported itself on the matter. There has been much whinging about restrictions on movement during the stage 4 lockdown, and now there is much moaning about ambiguous rules governing shopping, “bubble” expansion and easing of travel restrictions. It seems that some people will simply never be satisfied even if the international community stands in awe of what NZ has accomplished.

There appear to be three types of complainants. The first are the serial whiners. These sorry folk just like to bitch and moan about anything. They do so more as trolls rather than out of partisan spite or informed concern and are best seen as losers. They shall be ignored in this discussion.

The second group are the public health advocates. These include medical professionals, educators, some service sector providers and others who feel the government is moving a little too quickly when lifting the quarantine restrictions on commerce. They believe that the disease must be eradicated or at least its transmission reduced completely before the lockdown is lifted. For them, the current Level 3 restrictions are an invitation to transgression and indeed, that is what has happened in many instances. Some people simply ignore the fact that Level 3 is not about social movement but about gradually getting businesses going again in a limited way. Hence beaches and parks, trails etc. swelled in the days after the move to Level 3 with mindless or selfish opportunists who either ignored or did not understand that Level 3 was not supposed to be an invitation to resume the party.

Public health advocates push for the continuation of restrictions and hence are dissatisfied with the government’s liberal easing of the lockdown after just a month. They want a longer and more complete quarantine as per Levels 3-4, with no imminent move to Level 2. For them, the matter is a public health issue first and foremost, with all economic considerations secondary to that fact.

On the other side are what can be called the profit over people crowd. They are those who demand that the restrictions be lifted yesterday and that the country get back to business as usual as soon as possible. Level 2 cannot come too fast for them and the sooner that NZ gets back to Level 1 normality the better as far as they are concerned, no matter how many get sick or die. They whine about jack-booted government intrusion on their liberties and rights and, while happy to take emergency funds from the government when it suits them, also decry its meddling and interference in their economic affairs. These type of complainants include most of the political opposition and assorted commentators who have been provided media platforms well above their intellectual station. Among this crowd utilitarian logics and lifeboat ethics 101 abound, but the selfish is also strong, as is the self-servingly stupid.

Whatever the specific reason, here economic security comes before public health concerns.

It is understandable that small businesses fear that a prolonged suspension of trade will destroy their livelihoods, and I do not include them in this dichotomy. But the hypocrisy of big corporate players and their political and media acolytes is shameful. Of course there are exceptions to the rule, but the overall attitude of many NZ capitalists appears borne of self-interest rather than solidarity. And unlike the public health advocates, who span a range of political persuasions, the profit over people folk are clearly of the rightwing persuasion. That is not surprising.

I admit that these are very crude categorisations and that I have painted things in broad strokes. That was done as a preface to my larger point, which is to note that, because it is unable to satisfy either the public health advocates or the profit over people crowd in the measure that each wants, the government is actually doing the right thing. It is striking a pretty fine balance between the two sides, and its pragmatic incrementalism demonstrates a good understanding of the scientific, economic and political realities in which it operates.

In the end, NZ’s response has been quintessentially democratic. Not because the pandemic emergency response committee is chaired, at the government’s behest, by the Leader of the Opposition. Not because it has allowed for full throated criticism of its actions and used its emergency (coercive) powers very selectively and discretely. Not because it put science above partisanship and politics when addressing the threat. Not because the Prime Minister and Director General of Health fronted daily press briefings for over a month and answered in clear, honest and humane fashion everything that was pitched their way, including inane questions with little relevance to the NZ situation (such as whether it was advisable to ingest disinfectant as a cure). Mostly, because its balancing approach encapsulates the essence of democracy as a social contract: it is not about everyone getting everything they want all of the time, but about everyone getting some of what they want some of the time. In other words, it is about settling for mutual second-best options.

That may not be always the case in NZ and democracies elsewhere. But it is what has been done in this instance. Beyond the positive statistics of the policy response itself, that is the most significant and enduring achievement to come out of this crisis: a reaffirmation of democracy as a contingent sectorial compromise on a grand scale.

A tipping point for the dotard?

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I guess that we should see the silver lining in the CV-19 pandemic. It has finally done what no political opponent could do. It has fundamentally undermined Trump’s credibility and that of the science-denying elements within the GOP and rightwing media. The important aspect of this is that the loss of credibility is evident in a private sector that otherwise was willing to cast a blind eye on the Trump/GOP corruption and buffoonery so long as the latter advanced business interests via deregulation, tax cuts etc.

Now that Trump’s incompetence has been fully exposed, as has that of his immediate advisors and sycophants in and around the White House, private businesses, state and local governments are taking action in defiance of his original bluster and denials. Led by their owners, elected officials and high level managers, entire sports have cancelled or postponed seasons, universities and school districts have closed, cities and states have ordered mandatory quarantines and numerous mass events have been abandoned. Even the military has acted against his original commands, instead opting to listen to military doctors and other experts about the effects of CV-19 on troop concentrations (such as cancelling military exercises and forbidding all domestic travel for service personnel). This, in response to what Trump initially called a politically inspired hoax and to which the GOP/media science deniers decried as the product of partisan hysteria and media manipulation. The fact that private businesses have led the defiant response is especially telling. No lefties among them.

The ineptitude and incompetence of the Trump administration is not only shown in its delayed response and original denials and deflections. The order to institute a ban on all travellers from Europe–done by the same people who crafted the Muslim ban attempted shortly after Trump was inaugurated–was done without forewarning to airlines, airport authorities and local law enforcement, much less the traveling public, American as well as foreign. No contingency plan was crafted, much less enacted, leaving federal border control agencies such as Customs, Immigration, Border Patrol and TSA short-staffed and undermanned in the face of a surge of last minute mass arrivals before the ban commencement date. Additional CV-19 health screenings deployed at the same time has resulted in chaos at airports of entry, with thousands of passengers stuck for hours in baggage returns and lined outside passport control stations (again, manned by federal employees). The result has been a clusterf**k of epic proportions.

Although he has been tested and cleared after being exposed to the virus, Trump may still fall ill because the test only measures one’s status on the test date. If that happens, he becomes a candidate for Article 25 removal from office since he is physically unable to perform the functions of president (which was the original intent of the framers. I shall leave aside jokes about his mental competence but let’s just say that his addled blathering about the pandemic does not inspire confidence). I have a feeling that if he gets sick, those in the GOP who secretly loathe him will have their knives out, because his gross negligence and inaction in handling the response will have election consequences for the party as a whole later this year. Seriously, if the predicted thousands of deaths and job losses and billions in productivity losses resultant from the botched initial response and the chaotic catch-ups since then actually happen, given the now open news that the Trump administration eliminated key public health agencies and replaced public servant scientists with lackeys, then the makings of an election disaster are looming large over the GOP’s political future.

Until now, the GOP’s 2020 election strategy was to ride Trump’s coattails as hard as possible. In the wake of CV-19 that seems politically suicidal. And if GOP politicians start to distance themselves from Trump in their campaigns, the possibility of intra-GOP fratricide becomes more likely. In fact, it is likely that factions are sharpening their knives as I write, with the pro-Trump crowd developing plans to delay the elections or smear anti-Trump politicians as traitorous during a national emergency. For their part, the anti-Trump faction will attempt to convince the public that they did all that they could to prevent him from doing more harm to the Union. That will be a tough sell, but so to will be any argument in support of Trump’s handling of the crisis.

The real trouble for the GOP starts if the pandemic lasts in the US for months, well into the post-convention campaign season (which starts in July). If the death and sick toll mounts to anything close to what is being predicted and job losses increase while businesses shut down, then perhaps even hardened MAGA morons will re-consider their support for the imbecile-in-chief. Even if they do not, undecided and independent voters could well draw the conclusion that enough is enough while the previously apathetic who did not vote in 2016 may finally realise that their votes do in fact count when it comes to national leadership selection. None of this bodes well for the GOP in November.

Perhaps there is a goddess after all. Her name is Mother Nature, and in this instance all she had to do is to let human folly advance her work. That may wind up being a painful but necessary political blessing for the US regardless of who wins the Democratic presidential nomination.

Inviting trouble?

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Over the next few weeks New Zealand will host two major international sporting events involving hundreds of athletes and spectators gathered together in iconic settings. The gun goes off on Ironman NZ this upcoming weekend in Taupo, and then a week later the World Surf League (WSL) hosts the inaugural Piha Pro surfing competition in the namesake West Auckland seaside town. Ironman NZ will have 1500 competitors at the starting line, and the Piha Pro is said to attract, along with a highly competitive international field of surfers, up to 25,000 spectators during finals weekend (the competition runs for one week). The events are considered to be economic boons for the local communities as well as excellent ways of popularising the Kiwi “brand” around the world.

As a former surf lifeguard who lives near Piha and who spent nearly twenty years doing triathlons (including Ironman NZ), I can attest to the fact that events such as these are very important to those who engage in such sports. I have seen the energy generated by mass competition events and well understand why people are enthusiastic about supporting them. But this year there is something else added into the equation, one that has forced me to put on my day job hat as a someone involved in the risk management business: coronavirus.

Both Ironman NZ and the Piha Pro will bring athletes from all over the world, including countries with coronavirus outbreaks. They will by flying in on what are essentially long metal cigar tubes with recycled air, often on flights of 8 hours or more. Many of these athletes will bring family, friends and other support crews. Likewise, the organisers of these events–both Ironman and the WSL are international firms headquartered abroad,–basically act as a traveling circus, bringing in equipment, machines and staff and hiring local providers to do the same as part of the set-up process. All of these people mingle in close quarters in the days leading up to, through and after the event, and when not at the venues themselves populate the restaurants, bars, hotels, motels and rental accommodations near them.

What makes this issue a bit trickey is that the virus is not only spread by human-to-human contact but via contact with contaminated surfaces, be they plastic, metal, glass or wood. The incubation period is two days to two weeks in humans, but the surface contamination longevity is thought to be much longer. Infrared disinfection is considered the best way of treating contaminated surfaces but that requires resources and knowing which surfaces to treat.

Interestingly, the fitter one is nearing a long-distance triathlon, the more an individual’s immune system becomes depressed. This has to do with rigours imposed on the body by long-distance swimming, cycling and running for months at a time before the race, which is why a so-called “taper” is used whereby athletes gradually back off on training starting two weeks before race day. Surfers do not have quite the same problem, but for many in the WSL time is spent as much traveling as on the water, which also wears on the body.

And now they all get on those flying Petri dishes and head to Auckland.

Out of curiosity I have looked into the specific coronavirus contingency planning around these events. The bottom line is this: there appears to be none. It seems that neither the organisers or the district councils involved have drawn up plans for what happens in the event that someone involved in the competitions comes down sick with the virus. General guidance is provided by the Ministry of Health, to which councils can refer. Auckland Council offered this:

“At this stage Auckland Council is monitoring advice from the Ministry of Health and Auckland Regional Public Health. There is guidance for event organisers and attendees on their website below: https://www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novel-coronavirus/covid-19-novel-coronavirus-information-specific-audiences/covid-19-advice-public-events-and-mass-gatherings. We’re aware that some community-led events are being cancelled by their organisers – they have their own reasons for making that decision and is entirely up to them. The current advice we’re relaying is for Aucklanders to take care of themselves and their families and follow health experts’ advice. Organisers and attendees should keep an eye on the health authorities’ websites for any new/changed information.”

That is the general advice given throughout the country. I was unable to find anything by the Ironman Corporation or WSL on coronavirus contingency planning for the New Zealand events, even though some Ironman-branded races have been cancelled or postponed in Asia because of the pandemic. The WSL has been silent on the subject in general even though there have been questions in the surfing community about whether the Olympics to be held in Japan at the end of July will go on if the pandemic deepens in Japan and/or spreads further (with surfing making its debut as an Olympic sport). Ironman New Zealand makes no mention of the disease in media announcements or on its website.

I assume that the insurance underwriters for these events have taken stock of the odds and given the green light for them to go ahead. That is certainly good news for everyone involved. But I also fear that the unique circumstances particular to these competitions might be inviting trouble, and that if it is left to participants, spectators, organisers and local communities to sort things out as per the general guidelines should the coronavirus arrive in their midst, then a public health emergency might occur.

Then again, having just become a naturalised Kiwi, rather than contingency planning and preparation for the possibility of trouble, I can always fall back on the belief that at the end of the day, “she’ll be right.”

Rest thee well, Greg.

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TVNZ journalist and news reader Greg Boyed died this week while on holiday in his wife’s home country, Switzerland. Unknown to me and many others, he was fighting depression and it appears that it got the best of him.

I knew Greg professionally because he interviewed me a few times. But I knew him personally as well because his wife and son attended the same playschool that I did with my son for a couple of years. Greg would come by regularly to share parental duties and he and I would reflect on the world of children and the larger world around us. From those conversations and my professional interactions with him, I can say that Greg was a good man with a keen mind and a fair heart, an honest journalist and a loving father. I am deeply saddened to see him go and I grieve for his widow and son.

In a business full of poseurs and shills, Greg was the real deal. He will be missed not just by his colleagues but by his audiences as well.  He is the second journalist friend of mine who has departed this realm in recent months, in similar circumstances. I can only despise the darkness that comes upon such talented and decent people and can only hope that others going through what they did can find the help that they need in order to carry on well before the darkness finally envelopes them.

May his whanau find comfort in the legacy he has left behind and in the affection and respect he received from a broad swathe of people.

Rest easy my friend.

Angry losers who can’t get laid.

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What do Islamic extremists, alt-Right adherents and the Incel movement have in common? Many people might say “nothing,” but the truth is that for all their differences when it comes to socio-economic, cultural and ethnic identity, these almost exclusively all-male groups all share at their core the same misfortune: they cannot get laid. The inability to find sexual relief in turn fuels their regressive views of the social order and penchant for authoritarian governance because rather than fault themselves they blame others for their predicament, whether the others be infidels, “libtards” or women.

Of course, not every single jihadist or white supremacist is involuntarily celibate. Socio-economic and cultural conditions clearly factor into the extremist equation. But underlying all of that is sexual frustration expressed as sociopathic rage and, in many cases, violent to the point of homicidal tendencies. In some cultures, religiously-codified sexual repression produce a seething mass of angry young men unable to make basic connection with the opposite sex and/or drive them, at considerable peril, into closeted relations with other men. In other instances it is the inability to fit into the sexual mainstream (i.e. get a date) that drives individuals to extremism.

In previous years these social losers would by and large retreat into mastubatory isolation. Now, easy access to porn and the networking reach of social media allow them to feed off of each other’s misery and accelerate their descent into darkness. It allows them to mutually sharpen their objectification and contempt for those who would not have them. That makes them susceptible to manipulative explanations that their plight is the fault of others rather than themselves.

I say this because I have seen a fair bit of pop psychologising about terrorists but relatively little about other angry male sub-strata. When news broke of a Canadian incel running down people with a van in Toronto, it dawned on me that a common thread amongst virtually all male extremists is sexual frustration and rage. Again, this is not to claim that the trait is universal or that it is exclusive to Right wing militants, but there is enough evidence of it to suggest a pattern. So here is my pop psychology theory (which I shall call the “Psychosexual Theory of Extremism” in order to make it sound serious and give the impression that it is based on years of in-depth research): most Rightwing extremism has at its core a deeply rooted sexual origin, specifically manifest as sexual frustration translated into manipulable rage.

I am not sure which is worse, culture where sexual oppression is religiously condoned and institutionalised, or culture where sexual expression is by and large free but vacuous materialism and impossible to achieve post-modern notions of physical and social appeal combine in practice to limit carnal choices by the socially maladjusted or inept. And, whereas women tend to respond to feelings of social alienation by turning on themselves, men are more prone to act out their anger and frustration on others (I realise that I am generalising here so am happy to stand corrected).

Nothing I have said is new. The role of suppressed sexual desire in fostering rage that can be politically exploited is bound to be a constant in psychological studies of individual and collective violence. In fact, back in my days of working with unconventional warfare and counter-insurgency types, the joke was that many on the Left side of the extremist continuum joined in order to get laid (by other impressionable young militants) while those on the Right did so because they could not get laid even if their lives depended on it. That could well still be true.

Even so, it was my introduction to the incel crowd thanks to coverage of the Toronto murders and a conversation with an academic who thinks about such matters about the degree of misogyny and murderous anger expressed in incel circles that made me twig on the fact that they may well overlap with Alt-Right freaks and jihadi wanna-be’s much more than has been commonly acknowledged. Perhaps readers can illuminate me as to who has written in depth on the subject if that indeed is the case.

I cannot offer a remedy to the problem of sexual frustration leading towards violent extremism because the causal mechanisms are not simple and the remedies are not just a matter of finding girlfriends, boyfriends, prostitutes, spouses or partners. I do not know how to properly “channel”  the sexual rage of politically and socially reactionary angry males. So if anyone has ideas in this regard, feel free to share them because anything short of electroshock or forced conversion therapy that reduces the chances of such types going off the rails is worth trying.

In the meantime, beware the wrath of the blue-balled monsters.

Spare a thought for grumpy old men.

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At an early age, I knew that I was going to be athletic-minded. I used to say to my father “I am immortal until proven otherwise!” and, much to his consternation and that of my mother, set out to prove the point by engaging in a number of risk taking (read: stupid) activities. More constructively, from the age of seven I played sports, lots of them. I played team sports and I played individual sports. I ran, I swam, I rode bikes and I raced around fields throwing, catching and kicking balls. Those balls were big and small, oval and round, and I waved an assortment of sticks at them when duty required.  Heck, I even tried ice hockey even though I could not skate: the team made me a maskless goalie on sneakers while I learned to skate until I realised that was a losing proposition.

I  boxed and I tried judo. I was a gym rat that lifted weights and even tried body-building for a decade or so. I loved to run trails, desert washes and beaches, preferably barefoot on the latter. I enjoyed the camaraderie of team sports and the solitude of the long distance runner. I got hurt a fair bit and I lost more than I won, but it was the act of competing, of testing my limits, that I most enjoyed. As I say to my kids, there is honour in losing so long as you make the other guys work hard for their win. After I had to give up team sports I endurance raced in order to justify my (compulsive) training, was a referee/umpire and coach in a couple of sports for a while and even surf lifeguarded to hone my open water skills and contribute to the community in which I now live. I also was able to engage in physical activities connected to government service before I moved to NZ, something that complemented my sports-minded approach to life.

Although my physical decline began with injuries dating back to the 1970s, things really began to unravel about ten years ago when I had a near-death experience that ended my competitive endurance racing life. Five knee surgeries had already given me a noticeable limp, and osteoarthritis in my feet, knees and shoulders made doctors comment that my X-rays looked like that of an 80 year old rather than a 40/50/60 year old. I ate aspirin like cereal and served as a involuntary guinea pig for the testing of assorted balms, lotions and other muscle and skeletal ache remedies.

With weight bearing activities no longer possible, I switched to indoor machines and eventually set up a home gym with stationary bikes, a rower and an elliptical machine. I spun, I glided and I rowed to the tune of thousands of songs, something I would never do when training outdoors. I was determined to make the most of what I had left in me, and enjoyed being able to use music as an external displacement/disassociation  training method rather than the internalisation/association techniques that are the stock of endurance athletes (where you go inside yourself to monitor your body’s performance rather than diverting attention into things like music).

While rowing two years ago I felt a twinge in my hip. I rested for a week, then resumed, only for the twinge to come back, this time a bit more sharply. Over the course of the next months that twinge turned into a constant sharp pain in my left side. It eventually started to affect my gait, as it became difficult to walk uphill or downhill (particularly the latter). I eventually stopped gong to the pool, not because I could not swim but because the walk from the parking lot was too painful and I was too unsteady on my feet on the damp surfaces of the pool decks and changing rooms.

Based on what I described, my GP prescribed industrial strength ibuprofen and paracetamol, but that only dulled the pain. Eventually, I had to stop trying to exercise as inevitably something would tweak and I would be immobilized for days. The more I was unable to exercise the more I put on weight while my legs atrophied. It was a vicious circle.

A few weeks before leaving to the US last July and at the insistence of my wife I told the GP that I was in fact barely mobile because of the hip pain. She ran some basic tests and said something to the effect of “your hip is munted.” The trouble was that my family and I were leaving on a five month sabbatical to the US and so there was nothing that could be done until we got back to NZ other than to eat painkillers. And so I did.

What I did not anticipate was that I would continue to deteriorate exponentially. I was walking with difficulty when we arrived at our place in Florida. A month later, when we moved to Boston, I could barely walk two blocks without having to stop and rest. A month into the Boston stay I couldn’t walk more than 100 meters, and a month after that I could not go even 20 meters without having to stop and do pain management. My wife bought me a walking cane and I began to use it. It was not enough.

All the meticulous planning for the division of labour while we were in Boston, where I was the designated support person, evaporated once we got there. I could not use pubic transport to shoulder my responsibilities as the primary caregiver, since even with the cane I could not get to the nearest bus stop in order to take the kid to the twice weekly pre-school we enrolled him in. Nor could I shop at the local grocery without assistance from strangers. By the time we left Boston I could not push a mop without having to take multiple breaks. That left everything in terms of domestic chores to the person who was there to do research and write, and that was not me. My physical condition became, and is, a family problem.

As part of the sabbatical we had a number of pre-booked domestic flights to take (we wound up taking 10 flights and spending 51 hours in the air during that trip).  By mid-October I could no longer walk through airport terminals even with the cane and started having to be wheeled from the check-in counters to the gates. Not only did I find that humiliating and a tremendous burden on my wife and four year old, but I discovered that many people simply do not see or dislike disabled folk and consider them nuisances or obstacles in their way. Making inter-terminal and rental car transfers were a nightmare, and contrary to popular belief, not all of my wheelchair bound passage was expedited by the TSA security people. Sometimes I got waved through, sometimes I was made to stand and go through the regular screening process, sometimes it was a little bit of both.

It was heartbreaking to see my old US friend’s faces when they set eyes upon me. The had images of me in my “prime,” and instead they got a hobbled shell of the guy that used to be. Although mellowed by experience, I still have the same persona, the same ideas, the same outlook on life as twenty or even thirty years ago, but the shell is not the same. It pained me to see how distressed my old friends were at the sight of me bent over on a cane at their doorsteps.

In December I presented myself to NZ Immigration in a airline-supplied wheelchair with a grumpy kid and a heavily backpack laden, sleep deprived Mom in tow. The arrangement with Air NZ, as far as I can tell,  is that they wheel people to the arrivals terminal greeting space. After that things are by private arrangement, including disposition of the the service chair in parking lots.

By the time we came back to NZ the hip pain had spread to the other side and lower back (it turns out that is typical of “end state” hip osteoarthritis). The day after we got back I saw my GP, who referred me for X-rays the next week. They showed that my left hip has no cartilage left and is bone-on-bone with spurs growing in the joint. The right hip is half as bad. Armed with that information, I was referred to a hip replacement specialist. I am now scheduled to have hip replacement surgery sometime in the next month or so.

When I saw the orthopaedic surgeon in early February the pain was constant and continues through the night. I was prescribed Tramadol, which again dulls but does not eliminate the pain even when taken in combination with other non-opioid pain relief. The hip is now structurally failing at inopportune times such as stepping from the porch to the footpath leading to the garage, to which can be added regular knee buckling when I overcompensate by putting most of my (over) weight on my right side.

There is no getting around the pain and structural failures. Consequently, we have curtailed our social activities away from home because I have great difficulty in accessing venues, and even disabled parking places are often too far from the destination for me to walk without stopping or assistance (I have a temporary disabled placard for the car, something that has introduced me to the special type of lowlife known as the able-bodied disabled parking space squatter). I try to avoid too many trips to the kitchen or bathroom because it hurts to get up and do the short walk to them. In effect, I am trapped in my body and pretty much homebound, using the car as wheelchair, the cane as a prop and relying on family and friends to help with simple chores. That sucks.

The real issue and the point of this post is pain. Pain robs one of the joy of life and even, after a while, of the will to live. Pain makes one timid, fearful that the next step will bring more injury and worse pain. Pain makes one irritable and short-tempered for no apparent reason. My ever patient and long suffering wife says that my smile is more often a wince these days. Pain makes one cynical, gloomy and pessimistic. Pain is an energy-sapping, tupor-inducing drain on life. It robs personality spark and it cripples spirit. If it cannot be stopped by medical intervention, it invites remedy by other means. Ever-present, pain is an all-encompassing, quality of life-ruining curse.

It ruins lives in many ways. I find myself getting short with my four year old when he is just being a kid and snap at my wife over silly or minor things. I increasingly dislike noise. I am mean-spirited more often than not. I feel envious of the able-bodied and am frustrated that I cannot chase my boy around the paddock or no longer do some funky chicken dance with him to the tune of the old roundtable or Mom’s CDs. The sum effect is to sink into a funk, although I am lucky in that I, for reasons known only to the goddess, have more of an optimistic than depressive personality.  But that does not mean that I am fun to live with in my current state. Because I, my friends, am a grumpy old man.

Hopefully all of that will end once I have the hip emplacement surgery. I am relatively young and am told that the pain goes away immediately, and that after the physical rehabilitation work I should be back to near-normal (that is, no more Ironman but I will be able to throw and kick balls with the kid and yes, trot after him when doing so). I sure hope so, and hope is my friend at this point.

But for others not as fortunate as me, hope may not be enough or no longer be possible. So please spare a thought for grumpy old men and women. Be it as a result of sports injuries, hard physical labour, chronic illness or accidents, many senior people are not irritable by choice. They too, are products of their pasts and they too are trapped in bodies that bear the physical consequences of lives spent in something other than splendorous leisure. Showing them empathy and compassion may not take away their pain, but it will at least show them that you share the understanding of what it does to them.

That is the best palliative of all.

Impoverished

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33

The other day David Farrar got in a pre-emptive whinge about Bryan Bruce’s Inside New Zealand documentary on child poverty that aired last night on TV3 (you can watch it on demand if you missed it).

Maybe the outrage expressed by David and others of his ilk is somewhat justified. This is not a grey, respectful, nominally-neutral sort of a work; it’s an impassioned and at times ideological work of advocacy arguing that New Zealand society, and in particular its governments, ought to be ashamed at the circumstances many of our children live in, and a significant portion of that burden of shame can be directly linked to the policies of National governments. It airs four days before the general election. The Labour and Green parties bought lots of advertising during it.

So if David or anyone else wants to bring a BSA complaint against the broadcaster, or — as David implies by calling it a “free hour” for Labour — if he wants to complain to the Electoral Commission that the documentary should have included an authorisation statement as a campaign advertisement, then I think they should do so. Fair enough, if they can make something stick.

But consider the response: a documentary about child poverty, covering the appalling housing, health and nutritional outcomes borne by children in our society, and the immediate response is to launch a ideological defence of the National party and deride the work as nothing but partisan propaganda. But an interview Bruce gave to Glenn Williams (aka Wammo) yesterday, before the screening, contained the following exchange:

Wammo: “Politically, though, it’s tough, isn’t it, to remove that money from the ambulance at the bottom of the cliff and put it at the top.”
Bruce: “Politically?”
Wammo: “Yeah.”
Bruce: “This is not a political question, this is an ethical and a moral question. We all have to get together and figure out how we’re going to solve this, and what I’d like to see is a commitment from all the politicians that, after the election, whatever shade of colour they are, they sit down and talk about this and come up with a long-term plan for our children, just in the same way as we came up for the over-65s with our superannuation. The only problem is kids can’t vote.”

Yeah, it’s election week, and yeah, Labour are emphasising their poverty alleviation focus on the back of this documentary. But I haven’t heard a peep out of National about what they plan to do about the problems since it aired. Isn’t it more telling that National and its proxies immediately and reflexively go on the defensive, rather than acknowledging the problems of child poverty and renewing its commitment to resolving them? As Bruce makes clear to anyone who actually watches the film, the root cause is a bipartisan commitment to trickle-down neoliberalism over the past 30 years, and indeed, the illness and malnutrition that affects these children did not happen in the past three years; these were problems under the last Labour government as well.

But National are the government now, and their defensiveness, I think, signals that they know they bear some responsibility for child poverty. And yet they’re apparently not willing to do much about it, beyond the tired old saw of “a rising tide lifts all boats”, and announcements that they will further constrict the welfare state to force the parents of these sick children to seek jobs that aren’t there. (And yes; National bought time during the documentary as well: the “cracking down on benefit fraud” ad was a particularly cynical form of irony.)

They’d rather whinge about media bias and electioneering, casting themselves as victims, than concede the problem and tell us what they plan to do about the victims of their policies. That’s what I call impoverished.

L