“The frequency and impact of pandemic-prone pathogens are increasing. Modest investments in PPR capacities can prevent and contain disease outbreaks, thereby drastically reducing the cost of response.”
When an industry absorbs material value to produce mostly unquantifiable products, perceptions are vital. Growth in the public health industry can only occur in two ways. Firstly, the industry and the public can jointly identify mutually beneficent areas of work that the public considers worth funding. Secondly, the industry can mislead, coerce, or force the public, with the assistance of cooperative governments, to provide support that isn’t in the public’s interest. The latter is what parasites do.
As a disclaimer, I’ve spent the bulk of my working life employed by governments or on aid budgets, living off money taken from taxpayers so that I could have it. It can be a great lifestyle, as global health salaries and benefits are generally very attractive, offer travel to exotic locations, and commonly offer generous health and education benefits. It can still work for the public if the relationship is symbiotic, increasing their general health and well-being and improving the functioning of a moral, decent society. Sometimes that outcome can occur.
For public health to work for the public, the public must remain in control of this relationship. Oxpeckers, the birds that hitch a ride on rhinoceroses, have a useful symbiotic relationship with their host. They remove skin parasites from awkward crevices, providing the rhinoceros with healthier skin and fewer irritating itches. If they pecked out the eyes of the host, they would cease to be of benefit and become a marauding parasite.
For a while, the oxpecker may gain more for themselves, feasting on the rhino’s softer parts. Eventually, their host will succumb since a blind rhinoceros, unless confined to a zoo, can’t sustain its being. But the oxpecker, if overcome by greed, may not have thought that far ahead.
To remain in charge and manage public health for mutual benefit, the public must be told the truth. But in a problem-solving industry in which solved problems no longer require work, truth-telling risks job security.
This is where the symbiotic relationship of public health is prone to become parasitic. If one is paid to address a particular health issue, and the issue is resolved through good management or a changing risk environment, there’s a clear and urgent need to justify continuation of salary.
On a larger scale, whole public health bureaucracies have an incentive to find more issues that ‘must’ be addressed, make new rules that must then be enforced, and identify more risks to investigate. New international public health bodies keep emerging and growing, but they don’t close down. People rarely choose redundancy and unemployment.
This is where the public health industry has a real advantage. In nature, parasites usually must concentrate on just one host to survive, adapting to maximize their gains. A hookworm is designed specifically to survive in its host’s gut. The host, however, has a whole variety of parasites, illnesses, and other pressing concerns to deal with. A host must therefore ignore the hookworm as long as it doesn’t pose an obvious immediate threat. The worm needs to milk the host of blood while seeming relatively innocuous.
A really smart hookworm would find a way to trick the host into thinking it beneficial—perhaps by promoting the benefits of medieval practices such as bloodletting, as we’ve seen with masks and curfews through the recent COVID-19 response. The global health industry can use this approach by building a story that will benefit them, plausible enough to the public to pass rudimentary scrutiny. If it sounds sufficiently specialized, it will dissuade deeper examination.
The average taxpayer, dealing with inflation, family life, jobs, and myriad other priorities can hardly be expected to delve into the veracity of what “experts” say in some far-distant place. They must trust that a symbiotic, mutually beneficial relationship is still in place. They hope that the public health industry will do the right thing; that it’s still on their side. Sadly, it’s not.
A dead rhinoceros won’t support many oxpeckers, and a hookworm won’t survive bleeding its host to death. A public health industry that impoverishes its funding base and harms society through ill-advised policies eventually will be caught up in the outcome. But the short-term gains from parasitism are attractive, and humans don’t seem to have the instincts (or intelligence) that keep the oxpecker in healthy symbiosis.
Thus, the public health industry will probably continue its current trajectory, increasing inequality and poverty, comfortably on the receiving end of the wealth redistribution it promotes. The money requested for pandemic preparedness will be paid because the people deciding whether to use your taxes are essentially the same people asking for them.
They run the international financial and health sector, and they all meet at their private club called the World Economic Forum. Their sponsors now have more than enough spare cash swirling around to keep needy politicians and media on board.
Those working within the industry know what they’re doing—at least those who pause long enough to think. This abuse will continue until the host, the parasitized, realizes that the symbiotic relationship they had been banking on is a fallacy and that they’ve been duped.
There are ways to deal with parasites that aren’t good for the parasite. A really smart public health industry would adopt a more measured approach and ensure their policies benefit the public more than themselves. But that would also require a moral code and some courage.