‘The Day the World went Mad’ – a review (3)

No death from coronavirus is acceptable’ said Nicola Sturgeon in Scotland, while the idiot Health Minister for the North of Ireland stated that the health service could not turn away any Covid-19 patient.  When asked whether this meant that a cancer patient may die, he replied “Yes, that’s as black-and-white as it is.”

Mark Woolhouse describes the first remark, if taken literally, as making it ‘impossible to tackle the novel coronavirus epidemic in a rational manner’.   He goes on: ‘unfortunately, it was taken literally, and not only in Scotland, and that’s a large part of the reason why we ended up in lockdown.’

His argument is therefore that the lockdown policy wasn’t rational because it was impossible to find a balance between costs and benefits.  The Health Minister in the north of Ireland took it a step further and in effect claimed to throw all clinical judgement out the window by making Covid-19 patients a priority no matter what.

What sort of priority? Why a political priority of course!  One so obvious he did a U-turn, but only after the absurdity was too embarrassing.

While statistics were regularly produced on test numbers, infections, the R number and other covid metrics, the health cost of lockdown was ignored by invoking a simplistic health versus ‘the economy’ argument.  The need to protect the NHS, especially exposure of its inadequacies – due in part to Tory policy – covered up both the failure of the Covid policy and the performance of the NHS.  Woolhouse notes that during the first lockdown bed occupancy was 65 per cent between April and June while television news homed in on the small number of hospitals close to 100 per cent capacity.

Woolhouse reviews the harms of lockdown under the headings of health care provision, mental health, education, the economy and societal well-being.  He could have added the political effect of the government and state taking on dictatorial powers, frightening large sections of the population, and determining very basic activities that would never have been thought before to require some right in order to exercise.  These costs are nowhere near being evaluated and quantified even now and were all but ignored during lockdown.

Even the argument of prioritising health over ‘the economy’ had to ignore the health effects of austerity, including that an ‘additional 335,000 deaths were observed across Scotland, England & Wales between 2012 and 2019’, according to research at the University of Glasgow.  Marxists are often accused of wrongly exaggerating the importance of ‘the economy’ to social life but in this case some went further than anyone in claiming its inconsequence.

As we noted in the previous post, the first models assumed a disease with very different incidence from Covid-19, yet a later risk estimation algorithm analysed from the data of over six million people found that ‘the 5% of people predicted to be of greatest risk accounted for a staggering three-quarters of all deaths attributed to Covid-19’. It should therefore have been possible to target protection of the population in the same way the disease discriminated, and Woolhouse makes some suggestions how this could have been done, saving lives and money.

But politicians disagreed, and Michael Gove declared that ‘we are all at risk’ – ‘the virus does not discriminate’, while Health secretary Matt Hancock claimed one localised outbreak was ‘disproportionately’ affecting children.   They followed the views of certain experts who claimed, according to the BBC’s Newsnight programme, that ‘ a substantial number of people still do not feel sufficiently personally threatened . . . the perceived level of personal threat needs to be increased . . .’

The media themselves played their part by ‘regularly reporting rare tragedies involving low-risk individuals as if they were the norm.’  Then, of course, we had some on the left for whom all this was far, far too relaxed, if not a calculated conspiracy to weed out the unproductive members of the working class.

Woolhouse recounts his experience of the second lockdown, in which the failures of the first were largely repeated – ‘the case for a second lockdown in England remains weak to this day.’  On the issue of lockdown at Christmas at the end of 2020 he argued that ‘we could focus not on reducing the number of contacts but on making those contacts safe’, but states that ‘this idea did not gain hold in what became an increasingly hysterical debate.’

He observes that ‘as the second wave raged across mainland Europe, the zero Covid campaign faded away when even its most ardent supporters were forced to admit that zero was not a realistic target.’  Woolhouse, however, is obviously not familiar with all its advocates, for whom the last politically correct stance by the Chinese state has now been surrendered.  One recent article has claimed that China embraces ‘forever Covid’ when what is really happening is that Covid is embracing China as it was always going to do, with the only appropriate response being to prepare for it in the correct way.

The arrival of vaccines is presented by Woolhouse as the cavalry, and the fact that China has failed on this while pouring its energy into repressive lockdowns should be yet another lesson.  Many, however, will let the whole Covid-19-episode retreat into the distance that is known as the past and become ‘history’.

Woolhouse reviews the experience of several other countries, including Taiwan, New Zealand, and Sweden, which was prominently disparaged but which he defends.  He also addresses the experience in Africa, where he has interesting things to say but is less definitive.  He looks at alternatives but is critical of The Great Barrington Declaration, despite its emphasis on protecting the vulnerable, although it is not clear to me that his criticism is not compatible with a version of its general approach.  Of the UK’s science advisory team, he accepts that the following could have played a part in its failures: ‘group-think, unconscious bias, tunnel vision, hubris, discouragement of dissent and lack of diversity . . .’

Though disliking the term ‘lockdown sceptic’, which he thinks makes him sound like a ‘climate change denier’ or ‘flat earther’, he still declares ‘why I’m a lockdown sceptic.’  He describes what happened as ‘following the crowd even while it is stampeding in the wrong direction’ because changing course would mean admitting being wrong in the first place, although he notes that the case to do so was so compelling the World Health Organisation did so.

He lists the thigs he did not expect to happen in the pandemic, including many ignoring elementary principles of epidemiology or scientists abandoning their objectivity, and finally that the world would go mad.

‘But it did.’

concluded

Back to part 2

‘The Year the World went Mad’: a review (2)

In his book Mark Woolhouse provides the story of the Covid-19 pandemic in Britain and his role as an advisor to the British and Scottish Governments.

His restrained story does not cover all aspects of the pandemic and the Governments’ response, but it is nevertheless pretty damning.  He notes that that Scottish Government didn’t set up its own expert advisory committee and have its first meeting until three days after the first lockdown, ‘by which time the course of the epidemic in Scotland and the UK . . . was pretty much set’. He criticises the World Health Organisation (WHO) for only declaring a pandemic until well into March, so undermining early action in the UK, and by which time he deems it also ‘pretty much irrelevant.’ 

In fact, WHO comes in for other scathing criticism, including for its approval of China’s strict lockdown policy – “China’s bold approach . . . has changed the course of a rapidly escalating and deadly epidemic’ it said at the end of February 2020, even as Covid-19 had already spread to forty-eight countries.  Nearly three years later China’s strict lockdown policy is falling apart and the call by the Director-General of WHO to follow its policy now looks foolish.

The UK had its own problems right from the start, including the assumption in its pre-existing planning that it was going to be fighting an influenza pandemic.  As Woolhouse puts it, the modelling group he sat on ‘had to contend with one challenge right away; it was set up to tackle the wrong disease.’

The difference this made can be seen in the models created to inform decisions on what action to take against the spread of the disease.  More appropriate for an influenza pandemic, the ‘new, bespoke coronavirus models’ included the impact of schools but not of care homes for the elderly.  Covid-19 was a disease massively disproportionately affecting the elderly, with the average age of death in the UK at 78 and 80 for deaths attributed to coronavirus, but having generally only mild effects on children.  The original influenza models also didn’t include lockdown.

Woolhouse says that ‘We’d done our homework, but we’d prepared for the wrong exam’.  He still claims that they ‘were useful tools’ but also that ‘I wouldn’t want decision-making to be over-reliant on models either’.  Unfortunately, he also says that ‘in March 2020 . . . you could easily get the impression that the UK government’s mantra of ‘following the science’ boiled down to following the models.  That’s how it looked and that’s how the media presented it.’

The models were used to produce an R number every week: the average number of cases generated by a single case. ‘The R monster turned out to be quite dangerous . . . The relentless focus on the R number detracted from the usual public health priorities of saving lives and preventing illness.’  This, for him, was part of a wider problem, accusing many scientists of ignoring elementary principles of epidemiology and abandoning objectivity and common sense.

One example, that was employed as an ignorant term of abuse also on the left, was the damning of ‘herd immunity’, and he criticises the editor of the leading medical journal ‘The Lancet’ for continuing ‘to rail against their straw man version of a herd immunity strategy.’

This criticism of the approach of many scientists is measured and unpolemical, and he presents it from an insider perspective in which models create scenarios and not predictions. He nevertheless finds a particular target in the Imperial College report number 9, which generated a worst-case scenario of half a million deaths in the UK by the end of July.  He admits to generating such a scenario himself.  ‘The problem was that these worst-case scenarios weren’t realistic and weren’t intended to be.’  This one however had the very real consequence of making lockdown ‘accepted as a necessity the first time it was proposed.’

The strategic objectives were presented as saving lives and protecting the NHS.  As Woolhouse notes, if this meant ‘trying to minimise deaths due to novel coronavirus while ignoring deaths from other causes, and if social distancing is the intervention of choice, then we don’t need a complex computer model to tell us what to do.’

Boris Johnson’s ‘flattening the curve’ to ‘protect the NHS’ had two problems according to him.  Firstly, flattening infections and hospitalisation reduced peak demand on NHS services but prolonged it, and the NHS couldn’t cope with either. The NHS therefore required more resources and, while it got new hospital facilities, these remained largely unused because it didn’t get the required staff.  Woolhouse claims the UK got what he predicted – ‘yo-yoing between intolerably severe restrictions and unsustainable pressure.’

In my own posts during the pandemic, I argued that protecting the NHS was attractive to politicians because it would also protect them from accountability for their prior policy of running the service down.  Ritual hand-clapping on the street became the substitute, while we are now invited to condemn NHS workers for striking to recover the fall in living standards incurred over the past number of years.  Perhaps these workers would be in a stronger position today if the failures of government had been exposed during the pandemic instead of demanding more of the same policy.

Woolhouse admits to supporting the introduction of the first lockdown despite concerns, because there was no other option on the table, he was unsure of the effect of earlier measures and he was not prepared to take the risk.  The central message of the book however is that lockdown was wrong and there was an alternative.  He argues that there were already marked shifts in people’s mobility before lockdown and that the latter ‘seems to have come late to the party and had surprisingly little effect.’  Imperial College published a counter-factual analysis ignoring this voluntary activity and exaggerating the effect of lockdown.  

Woolhouse notes some problems with its analysis.  Sweden never went into full lockdown but brought the epidemic under control. Imperial then claimed implausibly that its banning of mass gatherings had had the same effect. Other researchers came up with the quite different conclusion that the UK epidemic was already in decline before lockdown took effect.  He doubts that ‘anyone would claim now that the March 23rd lockdown saved anywhere near half a million lives.’

His alternative was to act earlier, but not to introduce the lockdown that was implemented, while lifting restrictions earlier.  ‘Lockdown was never going to solve the novel coronavirus problem, it just deferred it to another day, and it did so at a great cost.  Epidemiologists and modellers knew that it was going to be the case from the outset. It turned out policy-makers did not . . .’

‘Lockdown was conceived by the World Health Organisation and China as a means of eradicating novel coronavirus once and for all from the face of the earth. With hindsight, this plan was doomed from the outset . . . The world was given an intervention that only made sense in the context of eradication as the preferred means to control a disease that was clearly here to stay.’

Many on the left maintained this position – of zero-Covid – long after this was obvious, while the World Health Organisation eventually backed away from the policy.  In October 2020 it stated that ‘we really do appeal to all world leaders: stop using lockdown as your primary control method.’

As Woolhouse puts it – ‘tragically, this appeal came seven months too late and by that time a colossal amount of damage had already been done.’

Back to part 1

Forward to part 3

Covid, Brexit, Protest, and the Left too

A couple of months ago in a Facebook discussion with a supporter of Zero Covid I argued that if he really did believe that Covid-19 represented the threat to humanity that he appeared to claim he should demand (albeit critically) more coercive restrictions on democratic rights from the State.  Nothing, after all, is more important than life.

He disagreed, insisting that socialists can never support restrictions on democratic rights by the capitalist state.

Unfortunately the proponents of Zero-Covid supported all the previous restrictions and if they are to be consistent then these new restrictions must also be an unfortunate necessity.  All the rest of the Zero-Covid demands have been made to the state and who else is going to implement them?  Again, it was they who have been hysterical in their claims that capitalism was engaged in what amounts to mass murder.

Of course, Covid-19 did not and does not represent the existential threat claimed and much of the left is wrong about this.  Their position becomes more and more untenable as people appreciate the personal threat to themselves, they tire of lockdown restrictions and more people, especially the vulnerable, get vaccinated.  Were it to become clear that Covid-19 is endemic and therefore requires regular vaccination, as with the flu, their policy would become obviously stupid.

So it should only be embarrassing that they now condemn the rough tactics adopted by the Metropolitan police when it broke up the protest of the murder of Sarah Everard.  To be consistent they should have defended the policy of the police while salving their conscience by condemning the roughness of its implementation.

Of course, the Tories have taken advantage of the widespread acceptance of restrictions of social interaction by proposing to introduce new laws that go a long way to criminalising protest altogether, as should have been feared from the start.  I recently posted another comment on Facebook pointing this out and suggesting that those who didn’t see this coming should avoid politics and find something else to do.

Meanwhile, the Labour Party is to engage in ‘parliamentary warfare’ over NHS pay while forgetting that austerity would be worse had the Tories implemented the greater lockdown restrictions demanded by Labour.  The cost would have been even greater had the Zero-Covid policy of some on the left been adopted; a policy that is the product of an opportunist attempt to attack the Tories but like all opportunism is incapable of taking a longer-term view.

It is no defence of this policy to declare that you also have a policy against austerity; one which makes heroic assumptions about the capacity of the working class to resist it.  Opportunism here is accompanied by ultra-left perspectives that envisages the capitalist class paying hundreds of millions of pounds for furlough payments, loans and grants to business and the shortage of tax receipts from workers etc.

Again, the Tories will claim the legitimacy of the bill to be paid and the left will again be exposed as it argued a policy that would have needlessly cost more. The policy of Zero-Covid simultaneously relies on the repressive apparatus of the state to work, while positing that this state can be defeated in the implementation of austerity that the policy requires.

We will leave aside any stupid notion that the combination of pandemic and austerity will somehow galvanise the working class to revolution; although these conceptions are precisely how much of the left envisages socialist revolution coming about – capitalist crisis producing a mass political consciousness that their political conceptions and interventions are incapable of envisaging coming about in any other way.

Despite their serial corruption and incompetence in most of their response to the pandemic the Tories are ahead in the polls.  Their bedrock support has relied, and continues to rely, upon their support for Brexit.  The pandemic has been used to hide the damage done by it and the Labour Party has been too afraid and too stupid to lead a political attack on it.

The Guardian columnist Polly Toynbee can write that “Labour will plug away, exposing myriad flaws in the dreadful trade deal” but this is meaningless if you don’t oppose it.  It looks hypocritical, since Labour supported the deal, and it looks like the dishonesty typical of politicians given Starmer’s avoidance of even mentioning the word, refusal to seek renegotiation of the deal, and previous policy of pushing the Tories to ‘get Brexit done‘.

But once again, while Labour fails, much of the left is actually worse, having supported Brexit from the start and campaigned for it in the referendum.  The damage to working class living standards and the austerity it will entail is on them.  They too, just like the Tories, are relying on Covid and the Tory press to hide Brexit’s damaging effects and just like Boris Johnson they will – child-like – deny any responsibility.

Two alternative narratives have developed – the fault is with Brexit or the fault is with the big bad EU.  The left that thought it could move on will be cut in two by these scissors but there is little chance that it will fess up and admit a mistake.  As a rule the left does not admit mistakes and certainly not ones as big as this, especially as they cannot consign it to history.

A few years ago a comrade on the left from the Official Republican tradition said to me, while we were watching the May Day parade in Belfast, that so much of the left was rotten that it basically had to die away before a new generation of socialists could make progress. He may even have included his own tradition in that, and in my view this should certainly be the case, but it isn’t as simple as that.  The corruption of Marxism perpetrated by the nationalist and statist left both in Ireland and Britain will not be easily cleansed.

In the meantime, you can hardly blame the British working class if it ignores much of the left, it is quite right to do so.

People before Profit’s ‘Zero Covid-19’ Strategy

This week the Dáil debated a motion tabled by opposition parties calling for a ‘zero-covid’ strategy.  It was supported by People before Profit and repeated a number of measures published in their strategy document.  Their approach has been supported by much of the Left in Ireland and in Britain. What can we make of it?

A number of questions are immediately raised that the strategy would have to answer. How long would lockdown have to last to achieve its objective; how much would this cost not only financially but also in the well-known drastic effects of lockdown, and what lives and health would be preserved by the strategy compared to the costs?  Is it demonstrated that the costs will not exceed the benefits?

You will search in vain for answers to any of these questions in the PbP document.

Government strategy is based on a balance of restrictive measures and permission to do certain things that have previously been taken for granted. It is accepted that this involves costs but also benefits that justify the costs, while some costs it refuses to accept.  The financial cost to the state in 2020 is estimated to have been €20 billion and Leo Varadkar has speculated that the final cost may be €50 billion.

The ‘zero-covid’ strategy means the balance is wrong but doesn’t say what the financial cost is of drastically shifting it (or the other non-financial costs e.g. deterioration in mental health, rise in domestic abuse and restriction of basic civil rights etc.).  The People before Profit (PbP) document calls for the ‘closure of all non-essential workplaces’ but doesn’t say what they are: how many more would be closed compared to the current lockdown?  Would the difference be significant?  What work is currently not essential and what would be the impact on the economy and the workers in the closed sectors?

PbP say that profits are being put before health but since we live in a capitalist society production is both for profit and to meet needs.  Socialists object that the former is an obstacle to satisfaction of the latter but they don’t claim that under capitalism needs can be met by closing down production for profit.  Even their organisation’s name seems an unconscious acceptance of this (and you could write a whole post on how incoherent that name is).

PbP says that Governments only care about people working and spending, but working class people care about these things as well, for quite obvious reasons, although this seems to escape those seeking to drastically reduce both.  Socialists of the Marxist variety also don’t believe that pieces of paper, or electronic data in bank computers, are a substitute for the actual production of the goods and services people use and consume.  The pieces of paper that capitalism presents as the universal equivalent of real wealth is useless without the production of that which really embodies the potential satisfaction of needs.

Their demand for economic security as a fundamental requirement of public health is equated with state welfare that has always been a permanent source of insecurity, as well as a more or less inadequate safety net.  Welfare systems are not meant to provide economic security for working class people and it fundamentally miseducates them to say they can.

So, the ‘zero-covid’ strategy doesn’t answer basic problems or objections.  To make big claims requires big arguments and big evidence but even obvious questions are ignored.

A second problem concerns the idea of the strategy itself.  It is called ‘zero-covid’ but appears to accept that you can’t get to a situation of absolutely zero.  Having reduced the number of cases to a low level it still envisages periodic eruptions of cases.  It does not mean ‘eradication’ but repeats that it does mean ‘elimination’, which means that control measures will still be required.  The problem is that for a zero-covid strategy these measures mean punishing lockdowns.

So, the ‘zero-covid’ strategy actually involves severe lockdown of indeterminate duration to reduce cases to very low numbers whereupon lockdown is relaxed, cases will again increase, which will require further lockdowns.  Its advocates think these lockdowns can be achieved by testing, tracking and isolation but widespread asymptomatic infection, incentives not to report, ineradicable errors in testing, more transmissible viral mutations, and drastic quarantine measures to impose isolation all point to something much more sweeping.

It should not be forgotten that cases reduced dramatically during the summer to something close to what I assume ‘zero-covid’ supporters would aim at, but was then replaced by an increasing number of cases giving rise to new lockdowns that the same supporters called to be more drastic.  Rather than the strategy looking like an alternative to repeated lockdowns it looks like a mutant variant of it, following what currently appears to be seasonal eruptions of infection.

The analogy used to describe the strategy provides something of an understanding of what is intended but analogies have a habit of leading to misunderstanding.  The example is put forward of a forest fire that requires maximum effort to put out, while recognising that embers may still remain that require to be put out when they again spark new localised fires.

The analogy fails because while forest fires destroy everything in their path the Covid-19 pandemic does not, and while new local fires can be quickly identified and ring-fenced new outbreaks of covid-19 are often without symptoms and can quickly become far from localised.

This brings us to a third failure of the strategy, which is really incredible but says a lot for its affinity to the current approach and its even worse failure to identify what the danger of the pandemic is.  While noting the importance of targeting Covid hotspots and ensuring the safety of vulnerable groups, it mentions in this category workers in meat plants, those in direct provision and migrant detention centres, and travellers and homeless people.  It fails to say anything at all about the vulnerable most at risk of dying.  Neither does the Dáil motion, which mentions that women are disproportionately bearing the burden of the pandemic.

Nothing is said about the median age of those dying being in their eighties or about over 90 per cent of fatalities having an underlying condition. Nothing is said about the scandalous multiple deaths in residential care homes, where older people should have been made safe.  Nothing about the failure of the state to secure them in its dedicated facilities or of the general failure of health services to protect them.  Nothing about the infection of older people by the heath service either in hospital or through then discharging them into homes.  Instead, infection rates in healthcare staff are put down to lack of money, as if infection control should not be a standing requirement.  The actions of the Health Service Executive has on the contrary demonstrated that this has not been seen as an absolute priority.

To say any of this would undermine the zero-covid approach advocated by PbP, including its reliance on the state and its determined refusal to accept the very limited risks posed to all but the identified vulnerable groups.  To do so might be seen to rob the situation of the sense of extreme crisis so necessary to its attempt to talk up the murderous policy of putting profit before people, and the hope that workers will wake up and smell the coffee.

What we therefore have is a strategy, not unlike the current one, that has ignored the real pandemic that has taken place, and has bought into the idea that it is a threat to everyone equally when patently it is not.  The priority given by the virus in killing people is ignored by a strategy that wants zero cases for everyone, and in doing so has ignored the priority of those whose lives are threatened by it.

The health bureaucracy has moulded its response in its own image to put itself in charge.  The left has moulded its response in the image of its own misguided political conceptions, including the potential benevolence of the capitalist state, despite that state’s obvious failure.  Which brings us to a last major failing of the strategy.

Again and again the state, especially in the form of a national health service, is held up as the answer when a quick look across the border will show that the NHS in the North has failed, has ceased to become a health service and become instead a covid-19 service.  The cost of this in future illness and death has not been a first concern.  Long waiting lists have become even longer while the latter is blamed on the former and previous failure becomes the excuse for its extension.

The PbP strategy is replete with references to the recruitment of new healthcare staff ‘to dramatically increase capacity’.  It wants ‘more public health specialists’ and to ‘recruit extra nurses and doctors’ but there are definite limits to how much can be done quickly.  Really significant increases cannot be created in months but only over years.  As an answer to the pandemic today it is a wish list that can only promise salvation sometime in the future.

It says the problem with the health services is ‘structural’ but then contradicts itself by saying it arises from lack of funding and ‘neoliberal’ management, and further contradicts itself by calling for the ‘nationalisation of private hospitals’, imposing the same structural model that has failed.

Because PbP believes that state ownership is socialist, and they think they’re socialists, then the solution is state ownership when the ‘structural’ problem is precisely this form of ownership and control.  An ownership and control beset by bureaucracy and bedevilled by narrow professional hierarchies and egos.

The problem is not a style of management but that health services are bureaucracies that privilege themselves, with the most powerful within them being best able to do so, including medical consultants who prioritise private work, although this is only one feature of the state capitalist service.  The policy of Governments to portray health service workers as heroes beyond all reproach is resisted by some staff but is pursued in order, not to protect the interests of these staff, but to protect the bureaucrats and politicians who govern the system.  The blinkered approach to the health system leads to mistakes such as the widespread responsibility for infection by hospitals and care homes being either ignored, downplayed or excused.

The absence of answers to key questions posed by the strategy; the inadequate understanding of what it would actually mean in Ireland; the failure to even identify the main threat from the pandemic, and the call for measures that cannot be implemented quickly enough to make the difference its authors say is needed; all this points to an underlying impotent political programme summed up at the end of the strategy document:

“. . . most of all, we will need to clearly articulate a vision for an alternative to the destructive instability of capitalism – in Ireland we can play our part by popularising the call for a Transformative Left Government that would reorganise the economy under democratic control, as part of an ambitious Just Transition. .  .  . A left government supported by people power and workers organised in fighting trade unions can deliver real change . . .”

Capitalism will not be changed by a ‘Left Government’, by a group of politicians seeking to transform society through wielding the power of a state that exists to defend it.  Neither can the economy be ‘reorganised’ top-down by such a Government that will in some way, somehow, then be subject to democratic control.  If anyone in PbP still subscribes to any of the fundamental ideas of Marxism they will know all this is false, and being false it is dishonest to sell such a strategy, which is why it is so threadbare.

It is not in any sense a socialist strategy either at the level of transforming society or in dealing with Covid-19, as ritual references to emulating New Zealand, Australia and Asian countries demonstrates. In what way are any of these socialist?  In what way are they safe from future infection, if it at any point they cease to separate themselves from the rest of the world in a way simply impossible for Ireland?  Australia itself provides evidence that there is no such thing as one big final lockdown that breaks the back of infection.  Numerous mutations in many countries belie the idea that these are necessarily foreign and can be avoided by border controls over any extended period.

The great advantage of the zero-covid strategy is that it presents an ideal outcome that compares brilliantly with any other potential approach; the more so since no cost is admitted and no account taken of any problems arising from, or consequences of, its practical implementation, even were such implementation possible in any relevant timescale.

That is why it is also ideal, unreal and hollow.  Not so much transformative as transcendental.