As I mentioned in my last post, a lot of hesitance to trust vaccines is a result of distrust of government. This is a shame, because particularly in troubling times such as pandemics, it is essential that people trust their government about the information they give about vaccines or other health measures.  Distrust in government is not a laughing matter.  Distrust in government is a very costly matter.

Figuring out why governments are not trusted is a tricky thing.  Nesrine Malik said this about citizens of her country of Sudan who believed the government could not be trusted in giving them good vaccines for free:

This sounds like completely irrational behaviour, but in fact it is the opposite. In countries such as Sudan, nothing good, and certainly nothing free, comes from the state. The government is an extractive body that exists not to serve citizens, but to rifle through their pockets and charge them for going about their daily business. Corruption is endemic – from bribing one’s way through traffic violations, to being forced to use private hospitals because government cronies have hoarded medical technology. The state is something that you thrive in spite of. The government’s communication reflects this uneasy relationship. Officials speak to the public either to scold them or spread propaganda, and dissent is banned; in Egypt, doctors who contradicted the government’s account of the pandemic were arrested, while oxygen tanks ran out in intensive care units in Cairo.

We tend to learn from experience. Our own experience. In Sudan the consistent experience of people with the government is that it will try to screw the citizens in favor of their cronies. They are naturally reluctant to believe that free vaccines are given to them for the welfare of the people. After all, their government has rarely considered the welfare of the people. This is called crony capitalism, or in extreme cases, oligarchy. Oligarchs won’t hesitate to use their power to screw us. That is what they do all around the world. And in Canada and the US the trajectory is in the direction of oligarchy.

In the US they are increasingly nearing oligarchy, if they are not there already. The rich in the US who have the ear of the government use that power to ensure that money is not “wasted” on public health. Many of the health insurance companies do all they can to maximize their profits even at the expense of their customers. Christiane and I have recently experienced a most bizarre version of this that I must blog about some day.

As Nesrine Malik said in her Guardian article: “Suspicion is easily sown, because political systems don’t need to be fully authoritarian to sustain exploitative and dishonest regimes that breed mistrust.” Americans know that pharmaceutical companies earn enormous profits. You might even say, as Malik did, “outrageous profits.”  In the UK during the Covid-19  pandemic people were reluctant to trust the government because journalists revealed how their government kept changing the rules while leaders refused to obey the rules themselves. We had that in Canada too. We have no vaccine against corruption. Or ignorance for that matter.  As Malik said, “State failure breeds paranoia. And when trust in government breaks down, people turn to personal vigilance.”

This is what Nesrine Malik said,

 “Vaccine rejection doesn’t happen in a vacuum. It’s easier to dismiss hesitancy and conspiracies as unhinged behaviour; it makes us feel less unnerved by displays of unreason from those who we think are, or should be, rational people. Sure, among vaccine-hesitant people are those who are simply stubborn, misanthropic or selfish. But, just as the pandemic exploited the weaknesses of our economic and public health systems, vaccine hesitancy has exposed the weaknesses of states’ bond with their citizens. There are no easy answers for how to deal with those who repeat conspiracy theories and falsehoods, but scrutinising the systems that lost their trust is perhaps a good place to start.”

 

I think Malik makes a lot of sense. It is not a simple answer to a complex problem. It is a complex answer, as it should be. 

In the west, since the time of extreme neo-liberalism of Saint Ronny Reagan, the Iron Lady, Maggie Thatcher, and to a lesser extent their dedicated follower Brian Mulroney anti-government propaganda has flourished since the 1980s as Americans and Canadians have been fed a steady diet of dubious claims that the state is unreliable and predatory.  As Saint Ronald Reagan said, “the most scary 11 words in the English language are, ‘I am from the government and I have come to help.’ For decades, conservative political leaders have repeated over and over and over again that the government cannot be trusted.

As a result many of us believe this. And that is a costly mistake. This is all part of neo-liberal dogma/propaganda that the government can’t be trusted only the private sector is worth our trust.

Of course, this ideology has for decades served the interests of the wealthy who care most about minimizing their personal or corporate taxes. This ideology is now so prevalent that even people whose best interests would be served by government are reluctant to accept its help. Governments provide many things of enormous value including hospitals, roads, libraries, universities, parks, environmental regulations, health and safety standards to name only a few. Governments are important!  And vaccines are a very important part of this. For decades we have been taught, and many of us believed, that governments are bad and private enterprise is good. Now we are paying a heavy price for blindly following that ideology.