Monthly Archives: March 2020

Coronavirus Diary (26): New Jersey Under Siege

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Most of the national media reporting on the COVID-19 pandemic has focused, understandably, on the catastrophe taking place in New York City, the epicenter of the pandemic. A student in one of my classes, with friends and family in Queens, told me that he knew personally of fifteen COVID-19 deaths in Queens alone (Elmhurst). New York City essentially leads the world right now in COVID-19 cases.

Somewhat lost in the shuffle as it always is, is the second-place case of New Jersey, where, apart from graduate school, I’ve lived all my life. You can turn on the TV to see what things are like in New York, but whether you see it there or not, things aren’t much different in Jersey: like New York, New Jersey is under siege. And “siege” is no metaphor. COVID-19 is an invading army–much more so than the Japanese, the Nazis, the Soviets, Al Qaeda, Saddam, or ISIS ever were–and we’re losing the battle to it. Continue reading →

Coronavirus Diary (24): Peace Trains

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A lot of the news about India’s handling of the COVID-19 pandemic has been demoralizing, and justifiably so, but I haven’t seen much coverage in the American press of one of India’s more ingenious success stories. Apparently, the Indian government has decided to re-purpose railway cars as medical facilities. This particular idea seems to be the successor to an earlier one, described in a recent paper in the Bulletin of the World Health Organization. Continue reading →

Coronavirus Diary (23): “A Disdain for Science”

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A plea from my sister-in-law, Jessica Franklin, MD, of Valley Hospital in Ridgewood, New Jersey. She posted this on Facebook, and was reluctant to have it posted publicly, describing it as more a “frustrated, heart-broken rant than a reasoned opinion.” But there’s been no paucity of reasoned opinions at this point. Every other commenter on her Facebook post has a story to tell about someone’s backsliding or refusing to comply with social distancing, the ban on gatherings, etc. If we’re going to break our health care workers and our health care facilities in this excruciating way, we should have the courage to watch it happen in real time.  Continue reading →

COVID-19 Narrative (2): Chris Matthew Sciabarra

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This is the second in my series of COVID-19 Narratives, by my dear friend Chris Sciabarra, sheltering in place in Brooklyn, New York. Though the series is primarily about what I called the “supply side” of the health care equation during this crisis, I wanted to run some posts that described the “demand side” as well, that is, what it’s like to be a patient during the pandemic. Particularly valuable about Chris’s post is how it illustrates the implications of the COVID-19 pandemic for people with serious medical conditions whose previously scheduled medical procedures have now been deemed “elective.” “Elective” in this context doesn’t mean “optional.” It means downgraded to second or third priority out of sheer, dire necessity: hospital beds, equipment, and personnel have to be left vacant or unused to absorb the overwhelming crush of COVID-19 patients we expect to see. And even at the center of the pandemic, we haven’t yet reached the peak of that crush. Continue reading →

Coronavirus Diary (19): This Isn’t John Galt Speaking

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The existence of inanimate matter is unconditional, the existence of life is not: it depends on a specific course of action. Matter is indestructible, it changes its forms, but it cannot cease to exist. It is only a living organism that faces a constant alternative: the issue of life or death. Life is a process of self-sustaining and self-generated action. If an organism fails in that action, it dies…

–Ayn Rand, “The Objectivist Ethics”

Imagine a version of Atlas Shrugged in which the Taggart Tunnel disaster involves a causal process driven primarily by Mother Nature, and what goes off the rails is not a train but a health care system. Now imagine that the hero of the piece is not a shadowy figure like John Galt but the functional (not moral) equivalent of Dr. Robert Stadler. Now imagine that a retreat to Galt’s Gulch is a physical impossibility. If, for some readers, this requires a re-conceptualization of how the world works, maybe a lot of other things do, too. Continue reading →