“Those who can make you believe absurdities, can make you commit atrocities.”—Voltaire
Something is fundamentally wrong with global public health. More accurately, something is fundamentally wrong with the mindset of global health professionals, particularly those in positions of leadership. It has become normal to speak, repeat, and defend complete absurdity, as if illusions and fantasies are real.
There are no sanctions for operating in this way—indeed, it’s proving highly successful. Statements of demonstrable stupidity are becoming prerequisites for career advancement and the approval of peers. It’s like living within a fantasy, except those it kills are real.
The world at large struggles to understand that they could be fed falsehoods on this level. Most people still consider the experts quoted in the media to be credible, serious people. They believe that those leading the health professions wouldn’t habitually lie. For professionals to act like this, they would have to be deeply troubled, insecure people, or they would have to be quite malevolent. This doesn’t fit the popular image of global health experts.
Beyond individuals, we now have entire institutions mocking reality. They lie to each other and to the public, repeat these lies, and applaud each other for doing so. They can state obvious stupidity with impunity, as a once-critical media now see their role as backing them unquestioningly, disseminating their pronouncements, and suppressing any information to the contrary for a perceived public good.
The Opportunity of COVID-19
Over the past two years, the world’s premier health institutions pretended that humans were unlikely to develop effective clinical immunity in response to coronavirus infections, despite experience with the four common seasonal coronaviruses and SARS-1 confirming that we do. Despite the established understanding of mucosal immunity and T-cell function, the public was asked to believe that antibody titers against a single highly variable pharmaceutically induced protein were the only valid measure of effective immunity.The leaders and staff within these health organizations knew this was frankly silly and that the evidence on COVID-19 was showing otherwise.
These mRNA medicines work by inserting synthetic genes into a person’s cells, using the host’s intracellular machinery to translate the genetic sequence into a foreign protein that’s expressed by the cell. These cells are then recognized as foreign by the host’s immune system and killed. While this change to the definition of vaccine can be justified by the end result (an immune response), mRNA vaccines are indeed, as the pharmaceutical industry notes, genetic medicines.
It was considered necessary that the public consider such medicines to be indistinguishable from conventional vaccines that present proteins or other antigens to the immune system through an entirely different mechanism. The fallacy was formed to support the claim that if one type of vaccine were safe and effective, then the other must be.
The entire pharmaceutical industry knows this is an absurdity; mRNA injections may well be safe and effective, or they may not be, but they are no more like injecting a protein or attenuated virus than riding a bicycle is to riding a train. If the department of transport told us that railways prove that bicycles are safe and effective, we would laugh. Except we wouldn’t anymore.
Tedros Perfects the Art
Tedros Adhanom Ghebreyesus and the World Health Organization (WHO) he leads have perfected the art of mainstreaming the ridiculous through COVAX. With a budget several times higher than any prior international health program, it aims to vaccinate billions of already-immune people in age groups barely affected (pdf) by COVID-19. The WHO is aware that the vaccines don’t significantly reduce spread, that post-infection immunity is effective, and that vaccinating people with post-infection immunity will provide minimal additional clinical benefit.A Pox on Us All
Tedros recently proclaimed monkeypox, a virus that had then killed five people globally, to be a public health emergency of international concern. His organization’s last such pronouncement contributed to an increase of about 45,000 added malaria child deaths in 2020, more than 200,000 additional dead children in South Asia (pdf) in the same year, rising tuberculosis, the increased likelihood of girls forced into child marriage and sexual slavery, and the decimation of global education that will entrench future poverty for billions.Yet, this man managed to concentrate the world on monkeypox, an outbreak of such tiny impact that annual mortality from bungee jumping will likely be higher.
Whole countries followed his lead, global media ran headlines on how many people had this chicken pox-like disease, and the world pretended the emergency was real. Once, this man would have been laughed out of office, but the world of 2022 considered this blatant absurdity normal and acceptable. It no longer expects or requires rational discourse from people in authority. Stupidity is expected and its dictates adopted.
This needs to be understood as an entire industrial culture—global health is a business and its primary role is to support itself. Its members know their pronouncements are false or illogical, but dishonesty has become an important tool to achieve their goals. It fuels income and expansion, and therefore must be good. Many private corporations would act similarly if advertising standards weren’t enforced. These international health agencies operate outside of national jurisdictions, and so have no enforceable standards. The media, once checks on such malfeasance and misgovernance, have ceased to value truth.
Killing by Killing Truth
Most health professionals, given a few minutes to sit down and think this through, can see that something is wrong. However, it’s hard to hold onto this reality if the lie opposing it is repeated widely and frequently, and echoed by all of one’s peers. People who understand infection control can still put on a mask at a restaurant door to remove it at a table just meters away. Humans are fully capable of living a lie, of embracing absurdity in life and work, just to get along. We now have an entire international industry fully reliant on acceptance of such absurdity for its survival. Despite the risks, it works.COVID-19 showed us how willing many people are to join the harming and denigration of others to defend positions they know are illogical and untrue. To see one’s own profession indulging in such behavior is difficult to reconcile, when that profession is in some ways entrusted with the welfare of others. But we shouldn’t be surprised; we all are human, and this promotion of global harm will continue as long as it reaps local rewards. People don’t easily tire of wrong—they get accustomed to it.
This institutional self-delusion would be of little consequence, even humorous, if it only involved an emperor walking the streets of a children’s tale. But many of the children in this tale are now dead from malaria and malnutrition, numerous girls are enduring nightly rape, and tens of millions denied education will spend their lives in poverty. They didn’t ask these people in Geneva, Washington, or Brussels to remove their food security, education, and health care to ostensibly protect the elderly elsewhere from COVID-19.
They aren’t asking for a growing pandemic bureaucracy to gorge itself while entrenching further inequality. Our response to this level of institutional dishonesty and absurdity must not be one of amusement, but rather of disgust, and concern for what could happen next.