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The Covid-19 crisis and the Broken Systems 
By Harrison Clark
(Human Nature Spring 2020)
Over the past few weeks, the Covid-19 pandemic has been constantly at the forefront of the American mind. Regardless of our political leanings or socioeconomic status, this crisis is affecting everyone in drastic and unprecedented ways. However, some Americans are feeling the pain far more severely than others.
I am fortunate enough to belong to a financially stable family living near Boston, one of the most affluent cities in the country. With the ability to access the Internet from the safety of my home, I have been reading many articles from various news sources to stay informed about current events as I complete my online coursework. One interesting piece that I came across this week was an editorial in the New York Times, written by Bernie Sanders. Even though he has suspended his campaign for president (a campaign I did not necessarily support), he has continued to spread his ideas about the dilemma of American inequality and how to fix our “broken” systems. His article, titled “The Foundations of American Society Are Failing Us”, explains how the situation created by Covid-19 is significantly worse for lower-income Americans in many ways. He also outlines the changes that he thinks must happen in America in order to address this inequality and lead the country in a better direction going forward.
This article immediately reminded me of the concept of structural violence, introduced to anthropology by Dr. Paul Farmer, that we had talked about in class. It is now clear that African-Americans and “essential” members of the working class are getting sick and dying at disproportionately higher rates than the rest of America, a prime example of one’s social status directly and negatively affecting their health outcomes. In the article, Sanders states that the virus is “vicious and incredibly opportunistic in attacking people with pre-existing conditions and weakened immune systems…it is the poor and working-class in this country who are exactly in that position as they suffer higher rates of diabetes, drug addiction, obesity, stress, high blood pressure, asthma, and heart disease”. What Sanders is describing is a wide-ranging syndemic of poor health factors associated with low socioeconomic status, which greatly contributes to the gap in life expectancy between America’s rich and poor. So far, this crisis seems to be only increasing that gap, which already stood at nearly a decade according to the Unnatural Causes episode we watched about Louisville. 
In addition to the immediate effects of the virus on people’s health, there is another crisis brewing that threatens to keep poor Americans suffering for years to come. As usual, Sanders does not let us forget the state of health care in this country: “The absurdity and cruelty of our employer-based, private health insurance system should now be apparent to all. As tens of millions of Americans are losing their jobs and incomes as a result of the pandemic, many of them are also losing their health insurance”. The fact that health insurance in America is tied to employment is yet another example of structural violence. People who cannot find work are already left without a source of income, but this struggle is compounded when they simultaneously lose health coverage. Without an insurance plan, they are less likely to seek medical care when they fall ill, get injured, or even to visit the doctor for a regular check-up. There are federal programs such as Medicaid that help lower-income Americans cover health care costs, but they cannot cover everyone and are probably overwhelmed with the onset of Covid-19. According to Sanders, 87 million Americans (a quarter of the population) are either uninsured or underinsured. Who knows how many of those people will catch Covid-19 and decide to stay home instead of getting treatment? How many people will end up dying?
The Covid-19 crisis is exposing many interactions between biology and culture that have always been present, but now cannot be ignored. While it is true that every human being has a physical body that can succumb to this virus, the factors that determine who among us will actually get infected or die are largely structural. Systemic causes of inequality within American society that have accumulated over centuries are now putting lower-income and minority Americans at greater risk because of the places where they live, the jobs they must work, and their limited access to quality medical care. Inner-city neighborhoods are often more densely populated. Those whose jobs are considered “essential”, for example, grocery store and postal workers, not only are more likely to live there but are also risking their health every day to put food on their tables.

Another cultural dimension to this pandemic is the differing perceptions of the crisis across political lines. Today, the news media is increasingly personalized and targeted toward individual biases, especially on the Internet. This has resulted in a further disconnect between red and blue America, or urban and rural America, as completely different portraits of Covid-19 emerge in the media. Communities who are farther from virus hotspots are shown that the virus is largely an urban or coastal problem and that their state governments are overreacting, as we have seen with the “Reopen America” protests happening this week. This perception directly affects policy, as states like Georgia begin to restart economic activity while others, like Massachusetts, extend their lockdowns further despite both states reporting thousands of confirmed cases. In this way, our cultural responses to the virus in each region will affect the biology of its future spread.
Before Covid-19, I thought that government-sponsored healthcare for all was a good idea in theory, but an expensive pipe dream for the real America. I thought Sanders’ ideas were too far left to capture the American public, which was correct; his momentum fizzled out after a couple of early wins. But after seeing the tragedy that is unfolding for millions of less fortunate citizens across the country as a result of biocultural inequalities, Bernie’s cries for system change resonated with me in a different way.





COVID-19 Stories of Asian American


Impacto global coronavirusBy Helen Lê 
(Human Nature, Spring 2020)

            The 2020 global pandemic has struck nearly all countries around the world, some more than others. Unfortunately, communities who exist in one of the wealthiest countries in the world, such as within the US, leading in social and economic inequalities, are the most impacted by the viral outbreak. Institutional and structural corruption has been elucidated by the pandemic now more than ever. The faults of capitalism and greediness have finally lost their deceitful disguise and are being criticized with increasing disapproval by Americans each passing day. The social structures that have been historically implanted by exploitative motives of past money-driven leaders, are foundationally weak and puts communities against one another, feeding into inequality, discrimination, social stigmas, and poor health. 

Stories of Asian American hate crimes are unavoidable today, more so through word of mouth and social media within the Asian American communities. As an Asian American myself, I can confirm these experiences. Those who appear Asian fear for xenophobic threats when leaving their homes. Some are deciding to stay home and lack resources than to bear the burden of being treated as an alien. Asian Americans are not the only ones who are socially constricted. Fear and insecurity walk throughout the streets of America, crowded neighborhoods, and those who live in poverty. A deprivation of resources and obstruction of security is the root cause of poverty and inequality, which brings about weakened immune systems from abiotic and biotic stresses. These structural inequalities become embodied in our biology and spiral into an inevitable syndemic. Because of their great vulnerability to illness, these communities are disproportionately affected by COVID-19.
            There are a number of articles, social media posts, and personal experiences that I have gathered to support these conclusions. These will be cited at the end. The aspect of the pandemic I will reflect upon are the social and racial stigmas that have been put against Asian Americans and will stem into the structural and economical inequalities that expose the issues that discriminate minorities in the US. 
            Asian Americans have historically taken on the role of being the “Model Minority,” a problematic title that separates them from other minorities, sweeping the discrimination they face every day under the rug. They are broadly stereotyped as those who usually keep to themselves, are socially tolerant and quiet simply because they don’t tend to “shake things up.” As a first generation Asian American, reflecting upon this notion and witnessing the xenophobia first handedly, has highlighted a possible theory of mine in which non-Asian Americans use this sentiment as a security blanket to attack and discriminate Asian Americans without consequences. It seems to be a method of coping with the anxiety provoking pandemic by pointing the blame on a group of people. Hate crimes against Asians has created a false sense of security for people who do not identify as Chinese. This has been proven to be unproductive and slows down the effective emergency health responses. San Francisco State University has reported a 50 percent rise in the number of news articles related to anti-Asian discrimination amidst the coronavirus pandemic. (Tavernise, Oppel) This does not report on all the actual hate crimes that do take place. Many reports are described by being spat on, stabbed, pushed to the ground, and verbal abuse. The slandering has not only hit Chinese Americans, but all other ethnicities such as those from Korea, Vietnam, the Philippines and all others who share similar faces. Asian Americans report to friends and their community that they no longer feel safe enough to go grocery shopping, traveling alone in public places, or to simply go outside. Wearing a mask out in public as an Asian American poses a threat more so than catching the virus itself. Many have decided on not to wear a mask in order to protect themselves from unwanted attention. 
A Chinese American doctor, Dr. Edward Chew, head of an emergency department in Manhattan, who had gone out to collect masks and gloves in bulk for his staff was followed, given a look of disdain, and shouted at by three men. He described that he feels like he is being invaded by hatred, “It’s everywhere. It’s silent. It’s as deadly as this disease.” (Tavernise, Oppel) An increase of Asian American customers at gun shops has reflected the fear and insecurity welling up within their community, and most importantly, the need to protect themselves. 

"Race: Are We So Different" explores the complex nature of race in the United States. (credit: Courtesy of understandingrace.org)

Photo credit: understandingrace.org

Many Americans of different “races” and communities are treating the Chinese as if they are the virus by calling it the Chinese Virus. Historically, this has been done with the “Spanish Influenza” and the “African Virus” or the Ebola Virus. This disregards how viruses simply do not discriminate between races, how one “race” is not built to be more vulnerable than any other individual. This especially disregards geographies and demographics. The virus does not originate from Asian Americans who do not live in, nor have recently traveled to, or have not been in contact of the area in which ongoing spread of the virus is. (CDC) Reflecting on guest speaker Alan Goodman, race in this context is being used to justify discrimination and to rationalize superiority and inferiority. Race is not real; it is an idea solely used to describe physical differences and or culture. The relationship between race and human genetic variation, is analogous to Asians and the virus. Race does not equal nor describe genetic variation. There are more differences in one race than there are between two different races. This is due to the geographical relationships of communities and the way genetics are swapped through time. Those groups who are geographically close and brought up closer, have more genetic similarity than those that are of the same “race” and those who live on opposite sides of the world. There is continuous variation among individuals; relationships are dependent on clines. When applying this relationship between race and genetic variation, it also explains the relationship between Asians and the virus, in which both are not exclusive to one another. Two people of two different races or ethnicity can be equally exposed to the virus, however two people of the same race but who live in opposite sides of the globe do not have equal exposure.

Un banquete de comida china.Photo credit:  Un banquete de comida china. Gtres
            Another eye-sore in social media is the cultural discrimination put against Asian diets. The media has curated a highly targeted offense against Chinese individuals by grouping videos of non-Americans eating live mice, bat soup, and other dishes seen as taboo and “repulsive” in the eyes of American culture. These videos are misleading in the fact that they are sourced from different countries and are old videos not directly linked to China. These videos have been stapled to the justification of placing the blame on Chinese people, stating that the Chinese are the cause for the global pandemic because they “can’t stop eating weird stuff they are not supposed to eat such as bats, maybe if they stop eating those animals there would not be a problem.” The problem here is that non-Asian identifying persons are looking through this pinhole lens and forming an analysis of other cultures in comparison to their own. In other words, it seems to be that everyone is practicing ethnocentrism. Unfortunately, this limits their ability to understand other cultures. What they should be practicing is cultural relativism, to try to understand Chinese diets in Chinese context/perspective, not American context. The mass population of Americans and other globally, must realize that one cannot form an accurate analysis of another group’s culture nor judge, without having analyzed the social structure and culture within its context (ethnography). Other cultures and societies may look into American diets that largely consume cattle and pork as taboo, and may look down upon that, however this is unrecognized in light of American ethnocentrism. 
            With an increasing amount of discrimination in the Asian community, it brings up the notion of increasing insecurity, stress, and lack of resource. This stress is extended into other minority groups as well. According to the American Psychological Association (APA), “stigma can lead people to hide symptoms of illness to avoid discrimination. They may not seek health care when they need it and may further isolate themselves, which comes with its own health risks.” An example of this account is when my dad who is diabetic, experienced ketoacidosis one morning but refused to go to the hospital to receive help because one, the coronavirus, and two, fear of discrimination. I myself have been reluctant to let my parents go out to grocery shop in order to decrease risk of viral exposure, but to also eliminate the risk of being attacked. I am not sure if my parents have been emotionally impacted yet, but personally I have been experiencing a lot of stress through the insecurity of safety, finances, and health. As someone who has been managing household finances for my parents due to language barriers, managing with schoolwork, and discrimination, my cortisol levels have been through the roof. Persistent elevation of cortisol, a stress hormone, has been shown to negatively impact the immune system and increase vulnerability to disease. Decades of research show that discrimination (socially and structurally) is associated with poorer health and mental health among LGBTQ, Asian American, African American, American Indian, Alaska Native, Muslim American, and Latinx populations according to the APA. In recent reports, the outbreak has been disproportionately affecting Latinx and African American communities. There are several reasons why this problem is occurring, and it roots from structural violence – social arrangements that put certain communities in harm’s way due to political and economic organization within the society that lead to social insecurity, denying these groups access to rich and helpful sources. Several of these factors can be described as limited access to clean water, clean air, health care, and money. Those who live in cities are most likely to be living in crowded households, where crowding is “intimately related to lack of living wage and unaffordable housing.” (Chotiner) These crowded living conditions increase the risk of exposure and transmission, never mind how most apartments do not have their own washers to clean and reuse masks. Cities are also a major destination of air pollution, which increases vulnerability to COVID-19 due to viral attachment to particles in the air. A big population of homeless people are found within cities. These people don’t have a home or place of safety to follow stay at home orders, let alone access to washers or baths to maintain hygiene during the outbreak. Those who cannot speak fluent English have a difficult time disputing bills that are supposed to be covered by their insurance or government, applying for unemployment, and other forms of help. A Latinx woman who didn’t speak English was charged for a covid test that was supposed to be covered. These are all factors that stack on a load of insecurity on minorities and those who live poverty – their lack of resources and access to adequate living conditions and health care is hindering their health, let alone their weak immune systems. “African-Americans are less likely than White Americans to have the option of working from home and to receive high-quality medical care, and more likely to have preexisting medical conditions that lead to worse outcomes from the novel coronavirus.” (Chotiner) This is also described as a syndemic, where the most vulnerable people often suffer from multiple health problems. This negative synergistic interaction between living conditions and insecurity actually heightens and worsens preexisting health conditions that may have arisen simply due to the stress of stigmas and social discrimination. This is why there is a higher mortality rate in socially discriminated minority groups. 
            The corona virus pandemic has exposed the inequalities and flaws within the American social and structural system – be it in economics, healthcare, and more. These are just several problems that many medical anthropologists are elucidating today, and several personal accounts that the greater community may be experiencing as well. This illustrates how culture and structure within a country and various communities within it, can greatly impact the biology, the health, the epigenetics of individuals. 

Citations:

 APA. “Combating Bias and Stigma Related to COVID-19.” American Psychological Association, American Psychological Association, www.apa.org/topics/covid-19-bias.CDC. “Reducing Stigma.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 30 Mar. 2020, www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/reducing-stigma.html.Chotiner, Isaac. “The Interwoven Threads of Inequality and Health.” The New Yorker, www.newyorker.com/news/q-and-a/the-coronavirus-and-the-interwoven-threads-of-inequality-and-health.Ennis-McMillan, Michael C., and Kristin Hedges. “Pandemic Perspectives: Responding to COVID-19.” Pandemic Perspectives: Responding to COVID-19 - Open Anthropology - Stay Informed, www.americananthro.org/StayInformed/OAArticleDetail.aspx?ItemNumber=25631&utm_source=informz&utm_medium=email&utm_campaign=cta.Tavernise, Sabrina, and Richard A. Oppel. “Spit On, Yelled At, Attacked: Chinese-Americans Fear for Their Safety.” The New York Times, The New York Times, 23 Mar. 2020, www.nytimes.com/2020/03/23/us/chinese-coronavirus-racist-attacks.html.

Entering Wonderland 

By 

Eleanor Finley

Like the famous scene of Lewis Carrol’s Alice in Wonderland, the proportions of our world have suddenly transformed. Matters that just a short time ago seemed so great—insurmountable obstacles, grand aspirations, or celebrated achievements—have shrunk into so many granules of sand disappeared into a tile floor. No less drastically, those insignificant things we hardly noticed– the mental well-being of a supermarket clerk, the opportunity to shake a hand, or a smile—have ballooned into lurching giants, too vast to grasp or control. It all seems to have spiraled beyond our reach. Tiny, gasping, we hop and stretch our fingertips toward the table above: “DRINK ME” says the great bottle. “DRINK ME”.a We drank. And we discovered what cannot be undone. 

But the important question (that is, the interesting question) is would we go back if we could? 
Indeed, for those who care to look, there is a door. It’s entrance is small and obscured by overgrowth, but the handle works. The passage inside is dark and no one knows what lies beyond. But anyone who has read a faerie tales knows that beyond the dark passage there lies another world. Fit for us now, just as we are. 

The proportions of our world have been flipped. Perhaps –finally—they have been flipped right side up. 
On privilege, inequality and the COVID-19

by Gabriela Quijano[1]


Rota. Broken. This is how I felt the moment I saw the image of a homeless man, a homeless dog and a wondering pigeon in the streets of Madrid, laying close to a poster of the #YoMeQuedoEnCasa campaign,[2] which resumes the institutional response of governments all around the world mandating people to ‘stay home’ and, in that way, try to 'flatten the curve' of the COVID-19 pandemic that continues to spread as I write these words. 

I stopped. Right now. Tengo los ojos llorosos y me duelen. My eyes hurt. I feel a knot in my chest. I think about what I saw in the photograph and I feel enraged: beings without a home, displaced, facing the disease in the streets, figuring out what to do about their thirst and hunger, while politicians enact ‘orders’ only to the ‘citizens’ they are not. I have never understood inequality. Or, to be precise, I have never been able to justify it. 

Last night, already in my bed and about to go to sleep, I read in the news that five US senators had “sold millions of dollars’ worth of stocks after receiving privileged briefings about the threat of coronavirus to the global economy” (Democracy Now, “At Least Five U.S. Senators, Briefed on Coronavirus, Sold Stocks Before Market Crash,” 3/20/20). 

I just felt the knot back in my chest. 

Reading the news, I was trying to make sense of them. To whom did they sell their stocks? Is it truly safe to assume that they deceived others in the wake of a crisis to ensure they would not be economically affected? Did they knowingly sabotage others for their own economic benefit? Did they think they were playing fair? I mean, is the stock market; is a gamble. You want to win, but you may lose. Did they believe that they were above ‘risk’? Truth to be told, they showed they are; they showed what political status in the US can give you: the power to play the game and change the rules in whatever form and at whatever time benefits you and yanks others. I wonder, could they see that what they did was not, in any way, ‘right’? Do they know that they ‘abused’ their power? 

I’m enraged. 

Last week I called Antonio. Now that he lives in Zurich, he doesn’t see his family and friends often—they are back in Italy. I asked him how was he feeling, how was his family, how were his friends still in Naples. To my questions, he answered disorderly. In what he replied, I heard for the first time someone say, “I feel at war.” He emphasized, “I may now have an idea of what my grandfather lived and felt.” He meant what his grandfather faced in the years of the second post-world war. In what Anto was sharing with me I understood he was experiencing the war by not being close to his loved ones; by not knowing when he will see them again; by not knowing if they will come back alive from all of this; by not knowing if they will be able to find food and care when they need it; by not knowing when this is going to end. Anto made it real for me. Telling me his stories and the stories of his family I knew he was not exaggerating. I felt at war alongside him. And while I was mesmerized by that feeling, he told me, “I’m in Zurich and I don’t know what’s going to happen with my two already-precarious jobs.” 

My eyes hurt again. 

In the middle of the quarantine, I have been reading non-stop. And I’ve been preparing to teach online. I’m one of those who have kept their productivity rolling. The uncertainty of what will happen makes me afraid to stop. I’m afraid to take the time to feel the pain, stress, sadness, rage, loneliness and anxiety that comes to me every time I think about my isolation and the isolation of others who encounter this pandemic, not in the privileged position of the US senators that sold their stocks just before the crisis was about to hit, but in the other side of the spectrum, facing the disease in precarity, struggling for food, for healthcare, for companionship. So, I’ve been reading and reading. I read a lot about alternative economic futures and politics of possibility. As an anthropologist, when able to fulfil the essential ethnographic duty of being ‘out’ there (instead of being ‘in’ here because of a political mandate to ‘stay home’ and avoid all ‘non-essential’ activities: #YoMeQuedoEnCasa), I’ve been on the lookout for these alternative worlds I read a lot about. That’s how I know for a fact that they exist. They are not a myth, ¡puñeta! Another world—not at war, not unequal—is possible! 





Northampton, MA
March 21, 2020




[1] Born in Puerto Rico in the year 1990, January. I’m currently a PhD Student in the Department of Anthropology at the University of Massachusetts Amherst. My research develops around alternative food movements in Italy, diverse economy perspectives and critical theories of Europe. My prior work involves worker-recovered enterprises in Argentina and women textile workers in Puerto Rico.
[2] The photo was posted on March 18, 2020 in the Facebook page of photographer Olmo Calvo Rodríguez, under the description “Una persona sin techo junto a un cartel del ayuntamiento de Madrid con la campaña #yomequedoencasa.” 

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