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The Politics of Life and Death in the Time of COVID-19

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Organising Care in a Time of Covid-19

Part of the book series: Organizational Behaviour in Healthcare ((OBHC))

Abstract

Early on in the COVID-19 crisis, it became clear that health systems were not prepared to cope with the anticipated demand for acute services. Faced with the need to ration care, guidelines were issued by national bodies, and clinicians encouraged patients to exercise their right of control over their lives, and possible death. Yet unlike in previous crises disquiet and challenges to these directions began to emerge early on in the pandemic. Examined through the lens of Mbembe’s framework of necropolitics, which analyses the state’s right to decide who may live and who must die, these decisions and guidelines can be seen in a very different light to the more usual neoliberal agenda of choice and autonomy. We utilise and extend Mbembe’s concept to examine persistent inequalities and inequities in morbidity and mortality, and their variation during states of crisis, and the consequences for those people structured as not simply vulnerable but, ultimately, as surplus to requirements.

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References

  • Abbasi, J. (2020). Taking a closer look at COVID-19, health inequities, and racism. JAMA, 324(5), 427–429.

    Article  Google Scholar 

  • Allen, J. A., Baran, B. E., & Scott, C. W. (2010). After-action reviews: A venue for the promotion of safety climate. Accident Analysis and Prevention, 42(2), 750–757.

    Article  Google Scholar 

  • Ambrose, A. J. H. (2020). Inequities during COVID-19. Pediatrics, 146(2), .

    Google Scholar 

  • Andrews, E. E., Ayers, K. B., Brown, K. S., Dunn, D. S., & Pilarski, C. R. (2020). No body is expendable: Medical rationing and disability justice during the COVID-19 pandemic. American Psychologist. https://doi.org/10.1037/amp0000709

  • Archard, D., & Caplan, A. (2020). Is it wrong to prioritise younger patients with COVID-19? BMJ, 369. https://doi.org/10.1136/bmj.m1509

  • Argulian, E. (2020). Anticipating the ‘second wave’ of health care strain in COVID-19 pandemic. JACC: Case Reports. https://doi.org/10.1016/j.jaccas.2020.04.005

  • Bambrough, R. (1960). Socratic paradox. The Philosophical Quarterly, 10(41), 289–300.

    Article  Google Scholar 

  • Baptiste, D. L., Commodore-Mensah, Y., Alexander, K. A., Jacques, K., Wilson, P. R., Akomah, J., et al. (2020). COVID-19: Shedding light on racial and health inequities in the USA. Journal of Clinical Nursing, 29(15–16), 2734–2736.

    Article  Google Scholar 

  • Bergeron, S. (2016). Formal, informal, and care economies. The Oxford handbook of feminist theory (pp. 179–206). Oxford: Oxford University Press.

    Google Scholar 

  • Booth, R. (2020, April 2). UK healthcare regulator brands resuscitation strategy unacceptable. The Guardian (Australian Edition). https://www.theguardian.com/world/2020/apr/01/uk-healthcare-regulator-brands-resuscitation-strategy-unacceptable

  • Chakraborty, D. (2020a). The “living dead” within “death-worlds”: Gender crisis and COVID-19 in India. Gender, Work & Organization, 28, 330–339.

    Google Scholar 

  • Chakraborty, J. (2020b). Social inequities in the distribution of COVID-19: An intra-categorical analysis of people with disabilities in the U.S. Disability and Health Journal, 14, 101007.

    Google Scholar 

  • Chelouche, T. (2021). Teaching hard truths about medicine and the holocaust. AMA Journal of Ethics, 23(1), 59–63.

    Article  Google Scholar 

  • Chen, I., & Bougie, O. (2020). Women’s issues in pandemic times: How COVID-19 has exacerbated gender inequities for women in Canada and around the world. Journal of Obstetrics and Gynaecology Canada, 42, 1458–1459.

    Google Scholar 

  • Colombo, E. (2021, in press). Human rights-inspired governmentality: COVID-19 through a human dignity perspective. Critical Sociology, 47(4–5), 571–581.

    Google Scholar 

  • Cook, J. A., & Kautz, D. D. (2016). After action reviews in the emergency department: The positives of real-time feedback. Journal of Emergency Nursing, 42(2), 146–149.

    Article  Google Scholar 

  • Crampton, J. W., & Elden, S. (2006). Space, politics, calculation: An introduction. Social & Cultural Geography, 7(5), 681–685.

    Article  Google Scholar 

  • Cutter, S. L., Boruff, B. J., & Shirley, W. L. (2003). Social vulnerability to environmental hazards. Social Science Quarterly, 84(2), 242–261.

    Article  Google Scholar 

  • Davies, T. (2018). Toxic space and time: Slow violence, necropolitics, and petrochemical pollution. Annals of the American Association of Geographers, 108(6), 1537–1553.

    Article  Google Scholar 

  • Davies, T., Isakjee, A., & Dhesi, S. (2017). Violent inaction: The necropolitical experience of refugees in Europe. Antipode, 49(5), 1263–1284.

    Article  Google Scholar 

  • Dodds, S. (2007). Depending on care: Recognition of vulnerability and the social contribution of care provision. Bioethics, 21(9), 500–510.

    Article  Google Scholar 

  • Dos Santos, H. L. P. C., Maciel, F. B. M., Santos, K. R., da Conceição, C. D. V. S., de Oliveira, R. S., da Silva, N. R. F., et al. (2020). Necropolitics and the impact of COVID-19 on the black community in Brazil: A literature review and a document analysis. Ciencia e Saude Coletiva, 25, 4211–4224.

    Article  Google Scholar 

  • Dourish, P., & Bell, G. (2011). Divining a digital future: Mess and mythology in ubiquitous computing. MIT Press.

    Book  Google Scholar 

  • Evidence-Based Medicine Working Group. (1992). Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA, 268(17), 2420.

    Google Scholar 

  • Eyawo, O., & Viens, A. M. (2020). Rethinking the central role of equity in the global governance of pandemic response. Journal of Bioethical Inquiry, 17(4), 549–553.

    Article  Google Scholar 

  • Finch, W. H., & Hernández Finch, M. E. (2020). Poverty and COVID-19: Rates of incidence and deaths in the United States during the first 10 weeks of the pandemic. Frontiers in Sociology, 5, 1–10.

    Article  Google Scholar 

  • Fink, S. (2013). Five days at memorial: Life and death in a storm-ravaged hospital. Atlantic Books.

    Google Scholar 

  • Gogoi, M., Armitage, R., Brown, G., Ryan, B., Eborall, H., Qureshi, N., et al. (2020, in press). Putting the voices and insights of migrants and diverse ethnic groups at the centre of our response to COVID-19. Public Health.

    Google Scholar 

  • Gulliford, M., Figueroa-Munoz, J., Morgan, M., Hughes, D., Gibson, B., Beech, R., et al. (2002). What does ‘access to health care’ mean? Journal of Health Services Research & Policy, 7(3), 186–188.

    Article  Google Scholar 

  • Heneka, M. T., Golenbock, D., Latz, E., Morgan, D., & Brown, R. (2020). Immediate and long-term consequences of COVID-19 infections for the development of neurological disease. Alzheimer’s Research & Therapy, 12(1), 1–3.

    Google Scholar 

  • Hide, L., & Bourke, J. (2018). Cultures of harm in institutions of care: Introduction. Social History of Medicine, 31(4), 679–687.

    Article  Google Scholar 

  • Hilgartner, S. (2007). Overflow and containment in the aftermath of disaster. Social Studies of Science, 37(1), 153–158.

    Article  Google Scholar 

  • Hillyard, P. (2004). Beyond criminology: Taking harm seriously. Pluto Press.

    Google Scholar 

  • Hillyard, P., & Tombs, S. (2017). Social harm and zemiology. In A. Liebling, S. Maruna, & L. McAra (Eds.), The Oxford handbook of criminology (6th ed., pp. 284–305). Oxford University Press.

    Google Scholar 

  • Hulsman, L. H. (1986). Critical criminology and the concept of crime. Contemporary Crises, 10(1), 63–80.

    Article  Google Scholar 

  • Hunter, D. J. (2018). Desperately seeking solutions: Rationing health care. Routledge.

    Book  Google Scholar 

  • Inayatullah, S. (2020). Neither a black swan nor a zombie apocalypse: The futures of a world with the COVID-19 coronavirus. Journal of Futures Studies, 18.

    Google Scholar 

  • Kitchener, M., & Thomas, R. (2016). The critical health care management domain. In E. Ferlie, K. Montgomery, & A. R. Pedersen (Eds.), The Oxford handbook of health care management (pp. 117–140). Oxford University Press.

    Google Scholar 

  • Kotzé, J. (2018). Criminology or zemiology? Yes, please! On the refusal of choice between false alternatives. In Zemiology (pp. 85–106). Springer.

    Google Scholar 

  • Kullar, R., Marcelin, J. R., Swartz, T. H., Piggott, D. A., Macias Gil, R., Mathew, T. A., et al. (2020). Racial disparity of coronavirus disease 2019 in African American communities. The Journal of Infectious Diseases, 222(6), 890–893.

    Article  Google Scholar 

  • Lackland, D. T., Sims-Robinson, C., Buie, J. N. J., & Voeks, J. H. (2020). Impact of COVID-19 on clinical research and inclusion of diverse populations. Ethnicity & Disease, 30(3), 429–432.

    Article  Google Scholar 

  • Lanoix, M. (2007). The citizen in question. Hypatia, 22(4), 113–129.

    Article  Google Scholar 

  • Lugosi, C. I. (2007). Natural disaster, unnatural deaths: The killings on the life care floors at Tenet’s Memorial Medical Center after Hurricane Katrina. Issues in Law and Medicine, 23(1), 71–85.

    Google Scholar 

  • Lund, E. M., & Ayers, K. B. (2020). Raising awareness of disabled lives and health care rationing during the COVID-19 pandemic. Psychological Trauma: THeory, Research, Practice and Policy, 12(S1), S210–S211.

    Article  Google Scholar 

  • Marmot, M., & Allen, J. J. (2014). Social determinants of health equity. American Journal of Public Health, 104(S4), S517–S519.

    Article  Google Scholar 

  • Mbembe, A. (2001). On the postcolony. University of California Press.

    Google Scholar 

  • Mbembe, A. (2003). Necropolitics. Public Culture, 15(1), 11–40.

    Article  Google Scholar 

  • Mbembe, A. (2019). Necropolitics. Duke University Press.

    Book  Google Scholar 

  • McEntire, D. A. (2004). Tenets of vulnerability: An assessment of a fundamental disaster concept. Journal of Emergency Management, 2(2), 23–29.

    Article  Google Scholar 

  • Mileski, M., Lee, K., Bourquard, C., Cavazos, B., Dusek, K., Kimbrough, K., et al. (2019). Preventing the abuse of residents with dementia or Alzheimer’s disease in the long-term care setting: A systematic review. Clinical Interventions in Aging, 14, 1797.

    Article  Google Scholar 

  • Müller, B. (2019). The careless society—Dependency and care work in capitalist societies. Frontiers in Sociology, 3, 44.

    Article  Google Scholar 

  • National Institute for Health and Care Excellence. (2020). NICE updates rapid COVID-19 guideline on critical care. https://www.nice.org.uk/news/article/nice-updates-rapid-covid-19-guideline-on-critical-care

  • Nowogrodzki, A. (2017). Inequality in medicine. Nature, 550(7674), S18–S19.

    Article  Google Scholar 

  • Outka, E., & Saint-Amour, P. (2019). Viral modernism. New York: Columbia University Press.

    Google Scholar 

  • Pareek, M., Bangash, M. N., Pareek, N., Pan, D., Sze, S., Minhas, J. S., et al. (2020). Ethnicity and COVID-19: An urgent public health research priority. The Lancet, 395(10234), 1421–1422.

    Article  Google Scholar 

  • Paul, C., & Brookes, B. (2015). The rationalization of unethical research: Revisionist accounts of the Tuskegee syphilis study and the New Zealand “unfortunate experiment”. American Journal of Public Health, 105(10), e12–e19.

    Article  Google Scholar 

  • Pemberton, S. A. (2016). Harmful societies: Understanding social harm. Policy Press.

    Google Scholar 

  • Rijke, J., Brown, R., Zevenbergen, C., Ashley, R., Farrelly, M., Morison, P., et al. (2012). Fit-for-purpose governance: A framework to make adaptive governance operational. Environmental Science & Policy, 22, 73–84.

    Article  Google Scholar 

  • Robertson, H., & Travaglia, J. (2015). Big data problems we face today can be traced to the social ordering practices of the 19th century. Impact of Social Sciences Blog. https://blogs.lse.ac.uk/impactofsocialsciences/2015/10/13/ideological-inheritances-in-the-data-revolution/

  • Rosenberger, R. (2020). On hostile design: Theoretical and empirical prospects. Urban Studies, 57(4), 883–893.

    Article  Google Scholar 

  • Royal Commission into Aged Care Quality and Safety. (2020). The Royal Commission into Aged Care Quality and Safety. https://agedcare.royalcommission.gov.au/

  • Royal Commission into Aged Care Quality and Safety. (2021). Aged care and COVID-19: A special report. Royal Commission into Aged Care Quality and Safety.

    Google Scholar 

  • Royal Commission into Violence Abuse Neglect and Exploitation of People with Disability. (2020). Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability. https://disability.royalcommission.gov.au/

  • Scully, J. L. (2020). Disability, disablism, and COVID-19 pandemic triage. Journal of Bioethical Inquiry, 17(4), 601–605.

    Article  Google Scholar 

  • Shea, F. K. (2010). Hurricane Katrina and the legal and bioethical implications of involuntary euthanasia as a component of disaster management in extreme emergency situations. Annals of Health Law, 19(1 Spec No), 133–139.

    Google Scholar 

  • Tierney, K. (2012). Disaster governance: Social, political, and economic dimensions. Annual Review of Environment Resources, 37, 341–363.

    Google Scholar 

  • Todd, P. (2020). NICE amends COVID-19 critical care guideline after judicial review challenge. https://www.hja.net/press-releases/nice-amends-covid-19-critical-care-guideline-after-judicial-review-challenge/

  • Valencia, S., & Zhuravleva, O. A. (2019). Necropolitics, postmortem/transmortem politics, and transfeminisms in the sexual economies of death. Transgender Studies Quarterly, 6(2), 180–193.

    Article  Google Scholar 

  • van Dorn, A., Cooney, R. E., & Sabin, M. L. (2020). COVID-19 exacerbating inequalities in the US. Lancet, 395(10232), 1243.

    Article  Google Scholar 

  • Vernall, L. (2012). Social harm and the structure of societies: Interview with Simon Pemberton. https://www.birmingham.ac.uk/accessibility/transcripts/dr-simon-pemberton-social-harm.aspx

  • Waring, J., & Bishop, S. (2020). Health states of exception: Unsafe non-care and the (inadvertent) production of ‘bare life’ in complex care transitions. Sociology of Health & Illness, 42(1), 171–190.

    Article  Google Scholar 

  • White, C., Holland, E., Marsland, D., & Oakes, P. (2003). The identification of environments and cultures that promote the abuse of people with intellectual disabilities: A review of the literature. Journal of Applied Research in Intellectual Disabilities, 16(1), 1–9.

    Article  Google Scholar 

  • White, D. B., & Lo, B. (2020). A framework for rationing ventilators and critical care beds during the COVID-19 pandemic. JAMA, 323(18), 1773–1774.

    Article  Google Scholar 

  • Wilson, Y., White, A., Jefferson, A., & Danis, M. (2019). Intersectionality in clinical medicine: The need for a conceptual framework. The American Journal of Bioethics, 19(2), 8–19.

    Article  Google Scholar 

  • Zimmerer, J. (2008). Colonial genocide: The Herero and Nama War (1904–8) in German south west Africa and its significance. In D. Stone (Ed.), The historiography of genocide (pp. 323–343). Palgrave Macmillan.

    Chapter  Google Scholar 

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Correspondence to Joanne Travaglia .

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Travaglia, J., Robertson, H. (2021). The Politics of Life and Death in the Time of COVID-19. In: Waring, J., Denis, JL., Reff Pedersen, A., Tenbensel, T. (eds) Organising Care in a Time of Covid-19. Organizational Behaviour in Healthcare. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-82696-3_13

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