Karl Marx in Wuhan: how Chinese socialism is defeating COVID-19

The initial outbreak of coronavirus disease 2019 (COVID-19) took place in the Chinese city of Wuhan, the capital of Hubei province, in early January 2020. The epidemic was limited almost entirely to China until a month later, when it flared up in Iran, South Korea, Japan and Italy. By 11 March, it was clear that sustained community-level transmission of the virus was occurring in multiple regions of the world, and the World Health Organisation (WHO) declared it a pandemic. With the virus spreading throughout Europe and North America, there is now a serious possibility that COVID-19 will infect a large proportion of the global population and cause the early death of millions of people. It is a global health emergency of almost unprecedented proportions.

China’s successes containing the virus

In the absence of a vaccine or cure, the only way to defeat a viral epidemic is to drastically reduce contagion, and this is achieved through rigorous testing, contact tracing, isolation of patients, and social distancing for the wider population.

Once it understood the nature and scope of the crisis, the Chinese government took swift, uncompromising action. A total lockdown was imposed in Hubei, the epicentre of the outbreak, on 23 January, at which point there were around 800 confirmed cases. Tens of millions of people were required to stay indoors. Schools and workplaces were closed, and sporting and cultural events were cancelled. In the words of Bruce Aylward, epidemiologist and senior advisor to the Director General of WHO, “old-fashioned public health tools” were deployed “with a rigour and innovation of approach on a scale that we’ve never seen in history.”

The report of the WHO-China Joint Mission, conducted in late February, concluded that “in the face of a previously unknown virus, China has rolled out perhaps the most ambitious, agile and aggressive disease containment effort in history.” The report noted that up-to-date public health information was regularly and widely distributed through multiple channels; there was a coordinated nationwide effort to get sufficient medical supplies to Hubei; and local authorities worked to ensure a stable supply of basic goods and to prevent speculation and hoarding.

The government announced immediately that testing and treatment – including expensive and sophisticated techniques such as extracorporeal membrane oxygenation – would be free to all, and it immediately introduced various measures to mitigate the effect on people’s daily lives (for example pausing mortgage and credit card payments, and providing subsidies to ensure continued payment of wages). Food shopping moved completely online, and provincial authorities and Communist Party of China (CPC) local branches coordinated to ensure every home received food packages and that people on medication received their prescriptions.

More than 30,000 doctors and nurses were sent to Wuhan from across China. Forty-five hospitals were designated as COVID-19 treatment centres, 12 temporary hospitals were converted from exhibition centres and similar buildings, and two brand new hospitals (with a capacity of 1,000 and 1,300 beds) were constructed from the ground up in a matter of days. The health system prioritised keeping people alive, scaling up the production of ventilators and adding capacity across the range of treatment and detection options. Dr Aylward remarked: “the Chinese are really good at keeping people alive with this disease.”

Public health officials attempted to trace every single confirmed case, and then tested everyone that had come into contact with the infected person, in line with the WHO’s clear message to “test, test, test”.

China’s containment effort has been facilitated by the extensive use of advanced technology. Temperature checking stations have been set up throughout the country, and people have been asked to install a smartphone app that provides information, allows users to check and report symptoms, and enables the health authorities to monitor the spread of the disease.

Artificial intelligence is being widely deployed; for example a prediction model “is helping health care authorities in Chongqing and Shenzhen predict outbreaks ahead of time with accuracy rates of more than 90 per cent.” Meanwhile Chinese tech giants have made crucial services available for the fight against COVID-19. “Alibaba Cloud has offered AI computing capabilities to public research institutions for free to support virus gene sequencing, new drug R&D and protein screenings. Baidu has opened up LinearFold, its RNA prediction algorithm, to genetic testing agencies, epidemic prevention centres and research institutes around the world. Neusoft Medical donated high-end CT scanners, AI medical imaging, cloud platform and remote advanced post-processing software to hospitals in Wuhan.”

Robots have been put to use delivering meals to people under quarantine. Huawei and China Telecom worked together to set up a 5G-enabled remote video diagnostic centre, enabling medical staff to conduct remote online consultations.

In a clear sign of its commitment to international cooperation to contain the virus, the Chinese Centre for Disease Control sequenced the entire COVID-19 genome and published it within a few days of the virus being identified. By comparison, it took two months for the genome to be sequenced during the 2014 Ebola outbreak.

China’s “incredibly difficult measures” were recognised by the WHO as having probably prevented hundreds of thousands of cases. The crisis reached its peak in early February, when new confirmed cases were increasing at a rate of around 3,000 per day. The curve started to flatten in mid-February, and was almost completely flat by the beginning of March: in the first three weeks of March, case numbers increased from 80,026 to 81,008, and at the time of writing (in late March), almost all new cases in China are imported rather than domestically transmitted.

Containment measures successfully prevented any really serious outbreak in China outside Hubei. The worst affected province after Hubei has been Guangdong, a vast province of 113 million people in Southern China, where by late March there had been around 1,400 confirmed cases and just eight deaths. At the time of writing, two of the provinces neighbouring Hubei, Hunan and Anhui, have zero active confirmed cases.

With the outbreak clearly under control in China, lockdown measures are being eased and people are starting to return to normal life, while remaining vigilant to the possibility of a resurgence of the virus. China’s extraordinary response to COVID-19, although it came at significant economic and human cost, has provided an indispensable lesson to the rest of the world in how to tackle this pandemic. An epidemiological analysis in The Lancet stated: “What has happened in China shows that quarantine, social distancing, and isolation of infected populations can contain the epidemic. This impact of the COVID-19 response in China is encouraging for the many countries where COVID-19 is beginning to spread.”

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Vote Labour on 12 December

It would be unforgivably irresponsible not to vote Labour next Thursday, and not to persuade your friends, family and contacts to do the same. This will most likely be the most important election of our generation. Here’s what’s at stake:

THE PLANET. Labour has a clear commitment to cutting out greenhouse gas emissions. Not just rhetoric, but an actual Green New Deal that invests massively in renewables, electric vehicles, public transport, afforestation and research; a government that doesn’t pander to the fossil fuel lobby and that opposes resource wars; a government that can set an example for the other capitalist countries which have done so much to create the climate crisis and so little to fix it.

ENDING AUSTERITY. Austerity has led to literally tens of thousands of deaths since its introduction. It has deepened poverty and misery. Labour’s unambiguous commitment is to reverse austerity and to properly fund health care, education, housing, disability benefits, unemployment benefits, care for the elderly, and youth services.

BREXIT. Labour’s proposal for resolving Brexit is the only correct one: negotiate a reasonable Brexit deal with the EU that retains customs union membership and preserves workers’ rights; then put this deal to a referendum, with Remain as the other option. This is a fair and mature solution, and neither outcome is disastrous, unlike Boris Johnson’s hard Brexit, which will be a carnival of neoliberalism, deregulation and racism.

THE NHS. Only Labour will reverse the privatisation of the NHS and protect its future. Labour’s manifesto commitments include bringing all PFI contracts back in house, bringing outsourced services back in house, increasing NHS funding by over 4 percent per year, and establishing a publicly-owned generic drug company. By paying dignified wages (and by dropping disgusting racist immigration targets), a Labour government will be able to attract and retain more doctors, nurses and other health workers.

OPPOSING WARS AND EMBRACING MULTIPOLARITY. Boris Johnson is a puppet of Donald Trump, and can be expected to be a MAGA stooge. If the US goes to war with Iran, Tory Britain will join in. Tory Britain will join in the trade war on China (Johnson has already given the US a veto over Huawei’s involvement in Britain’s 5G infrastructure!). Tory Britain will most likely pull out of the Iran nuclear deal and the Paris climate agreement. On the other hand, the Labour leadership and membership are against imperialist wars and in favour of a more balanced, multipolar world. A Corbyn-led Labour government can be reasonably expected to play a helpful role in global affairs.

ENDING HOMELESSNESS. Labour is committed to building at least 100,000 new council homes every year, to introducing caps on private rent, to ending rough sleeping within five years, to vastly increasing support for the homeless in the meantime, and to turning the council funding taps back on so that local councils are able to build homes and provided decent accommodation to those that need it.

FIXING EDUCATION, YOUTH SERVICES AND CHILDCARE. The Labour manifesto promises to: abolish university tuition fees and bring back maintenance grants; bring academies and free schools back into public control; provide up to six years of free adult education; provide 30 hours of free pre-school education a week from the age of 2; make free school meals available to all primary school children; rebuild youth services and re-open youth centres; invest in, and secure the long-term future of, libraries (800 of which have been closed down since 2010).

REDUCING POVERTY. Labour are pledging to introduce a minimum wage of £10 per hour for everyone aged 16 and over. The manifesto also promises to set up Universal Basic Income pilot. Labour will ban zero-hour contracts and mandate that all employees have full employment rights from day one on the job. Most importantly, Labour’s policy is to repeal all anti-trade union legislation, promote union membership, and strengthen union rights.

TACKLING DISCRIMINATION. The Tories have consistently played the divide-and-rule game in order to push their pro-rich agenda. If they get a majority and a hard Brexit, this will only get worse. They’ll deepen the hostile environment and make life increasingly miserable for immigrants and non-white people. Labour will end the hostile environment, will end ‘no recourse to public funds’, will introduce measures to educate people about the legacy of colonialism, will actively address institutionalised racism, will celebrate the contribution of immigrants to British society. Labour in power will champion the specific needs of women, of disabled people, of LBGT+ people.

And what’s the alternative? What happens if Boris Johnson gets a majority? We’ll be subjected to a Tory Brexit, meaning that Britain comes out of the EU customs union and goes running to the US for a free trade deal. That inevitably means more privatisation, more deregulation, more austerity, more attacks on trade unions, more attacks on workers’ rights. It will be the beginning of the end for the NHS. The hostile environment will get even more hostile. Meanwhile Britain will be pulled into ever-closer military and political alignment with the US – with potentially disastrous consequences for the planet in terms of war and climate change. In summary, everything will get worse.

Britain NEEDS a radical Labour government. What it’s offering isn’t a revolution, it isn’t socialism, it isn’t working class power and social ownership of the means of production. The current balance of forces simply doesn’t allow for that. But Labour’s manifesto represents a significant transfer of wealth and power from rich to poor. It’s a comprehensive package of reforms that will improve life for millions of people, will help save the planet, will contribute to the creation of a multipolar world, will empower millions, and will boost the unity, experience and fighting strength of working class and progressive forces in Britain.

Of course, the struggle doesn’t end with the elections. If we win, we’re going to be faced with an angry and desperate capitalist class that will stop at nothing to undermine us. There’ll be many more battles to be fought. But it’s far better to be in that situation than to not be in that situation! And whatever happens, in the course of struggle we’ll learn from our experiences.

So let’s go all out to get a radical Labour government.

Book review: Frances Ryan – Crippled: Austerity and the Demonisation of Disabled People

A version of this article first appeared in the Morning Star on 19 July 2019.

‘Crippled’ is a well-written, thoroughly-researched and harrowing account of how austerity – and the classist, ableist ideology that accompanies it – has impacted millions of disabled people. It is, in the words of Rob Delaney, “a ferocious, thoroughly substantiated indictment of this government’s maltreatment of its disabled children, women and men.”

Frances Ryan provides comprehensive statistical evidence demonstrating that disabled people have been disastrously and disproportionately affected by the last decade of public spending cuts. This evidence is very effectively combined with interviews and case studies showing just how badly our society is failing. The reader is introduced to people who have seen their benefits and support cut to such an extent that they are routinely having to choose between eating and heating; people forced to sleep in their wheelchairs because they no longer qualify for a carer to help them get to bed; people resorting to online crowdfunding to raise money for wheelchairs and nutritional supplements; people driven into outright destitution and stripped of the right to live in their own homes.

Austerity has brought about a historic step backwards for the disabled. Disability benefits started to be rolled out in the late 1940s, as part of the postwar Labour government’s commitment to a welfare state. This was accompanied by a cultural shift towards appreciating that disabled people were full human beings with rights and something to offer society, as opposed to defective nuisances to be hidden and ignored. Increasingly, disabled people had the right to support, education and work, and to live free from discrimination. There was a growing awareness of the need to make buildings, services and technology accessible to all.

Much of this progress has been reversed as a direct result of the austerity programme introduced in 2010. The British state is now manifestly failing in its duties towards the disabled in terms of housing, employment, education, healthcare and care provision. This is no small problem: there are an estimated 12 million people in Britain living with disabilities, visible and invisible. According to recent research by the Joseph Rowntree Foundation, at least 4 million of these are now living below the breadline. The UN has described this situation as a “human catastrophe”.

One of the most grievous measures has been the 2012 introduction of the Bedroom tax, whereby public housing tenants with rooms deemed to be ‘spare’ received reduced housing benefit. This overwhelmingly impacts the disabled: almost half of the people that have had their benefit reduced have a disability. But, in reality, “these are box rooms lined with adult nappies and oxygen cylinders. Many of the ‘spare rooms’ that disabled people had their benefits docked for were in fact being used to store vital medical equipment or for a carer to sleep in.”

Benefits sanctions are another key cost reduction mechanism that has disproportionally affected the disabled, who are routinely sanctioned for failing to attend meetings that they don’t have the means to attend. Ryan notes that, between 2013 and 2014, sanctions against disabled and chronically ill people rose by 580 percent, leading to immense privation. This situation is set to get much worse with the rollout of Universal Credit.

Ryan points out the appalling irony that there are five times more officials paid to investigate benefits fraud than there are to investigate tax evasion, even though the latter costs the state over 20 times as much as the former.

Alongside the direct economic effects of austerity, a shame-and-blame culture is emerging, with the government and media talking incessantly about “benefits cheats” and the “work-shy long-term sick”. “The image of a disabled person in the new age of austerity was not that of a human being who deserved support but of a liar and leach, living on the taxpayer’s expense,” writes Ryan. This narrative reinforces the message that rising poverty and inequality aren’t caused by capitalist crisis or free market fundamentalism, but by a bloated welfare bill. It’s no coincidence that the last few years have seen a marked increase in hate crimes against the disabled.

We must – urgently and immediately – move towards a system that affords disabled people their full human rights. With the appropriate support in place, disabled people can expect to lead dignified and fulfilling lives. Labour has promised to reverse the cuts to disability support, to end the punitive sanctions regime, and to “transform our social security system from one that demonises disabled people to one that is supportive and enabling.” We must fight to turn these promises into reality.

Frances Ryan’s book gives a voice to millions of disabled people suffering under austerity. It is essential reading.

Ten reasons you should vote for Jeremy Corbyn to be prime minister

  1. He hates racism of all kinds. Actually genuinely hates it, not just pretending. He’s done more against it than any of us, working to support oppressed communities, taking asylum cases to the Home Office, campaigning tirelessly on behalf of the victims of racism, xenophobia and religious discrimination.

  2. He hates war. Again, he’s done more against it than the vast majority of us. Wouldn’t it be good if the person making the final decision about whether to bomb a country was the same person that can be heard in Trafalgar Square shouting “No war for oil”?

  3. He wants to save the NHS. Not just because you can’t talk openly about wanting to privatise the NHS, but because he genuinely believes in excellent free healthcare available to all. Labour’s manifesto pledges will roll back the privatisation measures of the last few decades and will ensure proper funding for the health service. This is not unimportant. Millions of people rely on the NHS. If it goes down the toilet, we’re all screwed.

  4. He is a believer in social housing and has a proud track record of working to support the homeless. Labour has pledged to build half a million council homes over the course of the coming parliament. That alone is something worth voting for, if you are someone that cares about the lives of ordinary people.

  5. He has always supported comprehensive free education. Ending tuition fees, restoring maintenance grants, restoring the EMA, increasing state school funding, free school meals for all primary school kids: these are major democratising measures. Wealthy people will get a decent education regardless, but working class people can’t learn if they’re not getting enough to eat, or if their classes are overcrowded, or if they’re in “sink schools”, or if they can’t afford to go onto higher education. The privatisation and suffocation of the education system is a means to maintain power in the hands of the elite, so fighting back against it is essential.

  6. He hates imperialism and likes socialism. He has demanded that the brutal history of the British Empire be taught in our schools. He has worked to end British occupation of Ireland and Israeli occupation of Palestine. He energetically campaigned against apartheid. He has long been a leading member of Cuba Solidarity, Venezuela Solidarity and Palestine Solidarity.

  7. He thinks it’s a good idea to make rich people and big businesses pay more taxes to support a solid welfare state and investment. It’s not revolutionary, but it’s obviously sensible and good. And the fact that this idea has now become mainstream – basically as a result of the work Jeremy and others have done – represents a significant advance in the class consciousness of British (probably more accurately: English) people. It’s the start of rolling back neoliberalism and austerity.

  8. He has a far more sensible approach to opposing terrorism than the Theresa Mays and Tony Blairs of this world. He understands that Britain is deeply involved in the spread of sectarian terror, through its wars in Iraq and Libya, through its sponsorship of regime change in Syria, through its extensive connections with (and arms sales to) Saudi Arabia and other reactionary states. Making Britain safe from terrorism means overhauling British foreign policy.

  9. He loves music, art, sport and theatre and strongly believes in funding and promoting them so that all children have the opportunity to get into them. This is crucial in terms of developing a new type of British culture and identity that is diverse, vibrant and forward-facing.

  10. He’s actually a really nice guy. A small thing, but it would be so unusual to have a PM that wasn’t an unpleasant person.

So go out and vote. If not for yourself, do it so that children can go to school and uni, so that old people can turn their heating on this winter, so that Syrian civilians aren’t murdered by British-financed terrorists, so that homeless people get a chance at a better life, so that disabled people get the support that allows them to lead a dignified life, so that unemployed people get work, so that workers can unionise and fight for their rights, so that we can all live in a slightly better, more just, more tolerant society. It’s not socialism, but it’s an awful lot better than what we’re going to see if Theresa May gets her landslide.

Jeremy and his team will face endless obstacles in power, we all know that. The ruling class will fight with everything that it’s got to prevent the implementation of a progressive platform. But much better to have people who actually want to do a good job, and that we can put pressure on to come good on their commitments. Go vote!