Unlike its SARS-CoV-1 predecessor a decade prior, SARS-CoV-2—frequently called COVID-19 to lessen alarm—has been an on-going, global crisis starting soon after its emergence in December 2019. The tenth wave of this Level 3 biohazard is starting and the injustices continue.
Official global deaths reported by governments total 7 million. Data scientists, demographers, and economists closely eyeing excess deaths have staggering estimates of actual COVID-19 loses: 20 million by the end of 2021, 30 million by the end of 2023, and currently almost 40 million.
Deaths from this novel, highly contagious virus are sometimes unavoidable. Yet, the vast majority of these seldom-acknowledged deaths are stupid deaths, stupid deaths because they were preventable deaths.
Death tolls from COVID-19 in the United States specifically would be lower had the CDC not given into pressure from Delta Air Lines in 2021 to decrease isolation periods. Death tolls would be lower if states en masse had not rushed to abandon mask requirements in 2021 and 2022. Death tolls would be lower if Hollywood’s stories meaningfully acknowledged COVID-19. Death tolls would be lower if the public narrative had been other than “vax and relax.” Death tolls would be lower if schools and businesses devoted meaningful efforts to improving and monitoring air filtration, especially in elevators. And the recent “back to the office” push will only increase deaths.
Beyond death tolls, I am concerned about what I am naming “stupid (re)infections.”
The typical person in the United States is being reinfected yearly, and the average person has now been infected with COVID-19 more than 3.5 times. And between 20% and 50% of infections are asymptomatic (during the acute phase!).
Repeated infections are unnecessary and avoidable, if mandatory masking in public places had remained and been completely normalized (of course, with appropriate exceptions for those with disabilities that prevent wearing a mask). Hospitals should have never dropped masking requirements, certainly not cancer centers. KN95 and N95 masks are highly effective and easy to wear—a practice that could only increase utility with the corresponding decreased sickness and death. People learned to wash their hands with soap; they can learn to wear a mask.
And this leads me to what I am naming “stupid suffering.”
COVID-19 is not the flu or a cold. Every infection substantially affects the body—including possible cognitive decline and impacts on the heart, T cells, the intestines, and the overall immune system—prompting a growing number of researchers to assert that COVID-19 triggers a new illness that parallels AIDS. Impacts further down the road remain unknown. Still, many people antidotally report having at least some lingering symptoms after their initial symptomatic infection. Specifically, Long COVID, which can be debilitating, impacts tens of millions in the United States, including 6 million children, and currently has no cure. Every infection substantially increases the risk of developing Long COVID. And this stupid suffering disproportionally impacts and further weathering minoritized individuals.
Stupid (re)infections. Stupid suffering. Stupid deaths. We must do better and not allow brute luck to dominate while awaiting treatments and better vaccines.
If missions to save lives and protect best interests are sincere, bioethicists have a profound opportunity, even a categorical imperative, to help lead the way toward a COVID-19 safer future and opportunities for reenvisioned justice, for Aristotle’s the good life.
COVID-19 uniquely shows the heteronomous nature of twenty-first-century life and what little weight negative rights hold as people—especially those already disabled like me—are forced into spaces that ignore the threats.
Andrew Joseph Pegoda, Ph.D., M.A., M.A. (@AJP_PhD), is a Lecturer of Women’s, Gender, and Sexuality Studies at the University of Houston and a Bioethics and Health Policy graduate student at Loyola University Chicago.