Professional Documents
Culture Documents
July 2020
This essay amplifies some of the themes from “The Coronation” and
focuses particularly on a question I apply to many other fields, particu-
larly money and climate change: What do our metrics leave out? The
girl’s video I reference here is testimony to a human cost to lockdowns
that never figured in epidemiologists’ cost-benefit analyses. To be
sure, after two years of pandemic measures we are beginning to see
academic studies of their impact on child development and emotional
well-being, confirming what many of us knew from the outset. Yet to
this day, “saving lives” diminishes other values in discussion of Covid
policy. Shall we grant the premise that society’s primary guideline for
making decisions is how many deaths we can postpone?
At the time of its writing, we were still being told that lockdown
and distancing measures were temporary, just to “flatten the curve.”
Okay, they had gone on more than the two or three weeks originally
advertised, but it was still to be a temporary state of affairs. That essay
was doubtful, warning of mutations (what are now called variants)
that could extend the Covid public health regime indefinitely. This has
indeed come to pass in most countries, interrupted with temporary,
partial rollbacks. Now that the precedent is set and the enforcement
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The Coronation
less alive. The young and the old are especially sensitive to this
disconnection. We see them shrivel like fruit in a drought. As a
psychiatrist friend recently wrote to me, “Among the elderly, the
fallout has been truly disastrous. Being quarantined in the room
and isolated from family is causing massive amounts of invisible
suffering and decline, as well as deaths. I can’t tell you how many
anguished family members have told me that it’s not Covid that
is killing their loved one—it’s the restrictions.”
I am not advocating that sociality become a new absolutism
to replace death postponement as the overriding determinant of
public policy. I just want it to be prominent in the conversation.
I want to enshrine it as a sacred value. A full social life is not
some privileged add-on to the meeting of measurable physical
needs, it is a basic human right and a basic human necessity. This
is not just a problem of privilege either; if anything, isolation
afflicts the poor even more than the affluent, since the poor have
less access to the technological substitutes—pallid though they
are—for in-person community. Furthermore, what right have we
to say that the degree of suffering is less from loneliness than it
is from hunger or disease? When loneliness drives people to stop
eating, to loll listlessly day after day, even to attempt suicide, it is
profound suffering indeed.
The final irony is that in the end, a policy based on minimiz-
ing deaths won’t even achieve that. Life withers in isolation. This
is true on a biological level, as we require ongoing intercourse
with the world of microbes and, yes, viruses, to maintain bodily
equilibrium. It is true as well on the social level: one prominent
meta-analytic review concluded that social isolation, loneliness,
and living alone cause an average of 29 percent, 26 percent, and
32 percent increased likelihood of mortality, respectively.2 That’s
roughly the same risk level as smoking fifteen cigarettes a day or
habitual excessive drinking. But I have not seen our politicians
or medical authorities including such considerations in their
epidemiologically informed policy decisions.
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