Yet, while we rightly point to the lack of ICU beds, ventilators, and trained medical staff across many Western states, we must recognize that the si… - Adam Hanieh

Debates around how best to respond to COVID-19 in Europe and the United States have illustrated the mutually reinforcing relationship between effective public health measures and conditions of labor, precarity, and poverty. Calls for people to self-isolate when sick — or the enforcement of longer periods of mandatory lockdowns — are economically impossible for the many people who cannot easily shift their work online, or those in the service sector who work in or other kinds of temporary employment. Recognizing the fundamental consequences of these work patterns for public health, many European governments have announced sweeping promises around compensation for those made unemployed or forced to stay at home during this crisis. It remains to be seen how effective these schemes will be, and to what degree they will actually meet the needs of the very large numbers of people who will lose their jobs as a result of the crisis. Nonetheless, we must recognize that such schemes will simply not exist for most of the world's population. In countries where the majority of the is engaged in or depends upon unpredictable daily wages — much of the Middle East, Africa, Latin America, and Asia — there is no feasible way that people can choose to stay home or self-isolate. This must be viewed alongside the fact that there will almost certainly be very large increases in the "" as a direct result of the crisis.

As with all so-called humanitarian crises, it is essential to remember that the social conditions found across most of the countries of the South are the direct product of how these states are inserted into the hierarchies of the . Historically, this included a long encounter with Western colonialism, which has continued, into contemporary times, with the subordination of poorer countries to the interests of the world’s wealthiest states and largest transnational corporations. Since the mid-1980s, repeated bouts of — often accompanied by Western military action, debilitating sanctions regimes, or support for authoritarian rulers — have systematically destroyed the social and economic capacities of poorer states, leaving them ill-equipped to deal with major crises such as COVID-19.

The imminent public health crisis facing poorer countries as a consequence of COVID-19 will be further deepened by an associated global economic downturn that is almost certain to exceed the scale of 2008. It is too early to predict the depth of this slump, but many leading financial institutions are expecting this to be the worst recession in living memory. [...] Closely connected to this are the measures put in place by governments and s since 2008, most notably the policies of and repeated cuts. These policies aimed at propping up s through massively increasing the supply of ultra-cheap money to financial markets. They meant a very significant growth in all forms of debt — corporate, government, and household.