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(en) France, OCL CA #340 - Sciences and State: the example of Covid (ca, de, fr, it, pt, tr)[machine translation]

Date Tue, 18 Jun 2024 08:28:55 +0300


We are taking advantage of our review of the book "L'attestation" by T. Boulakia and N. Mariot to return to the Covid period. Beyond the confinement analyzed in this work, we have rarely suffered state authoritarianism. If we think it necessary to return to this period it is because even anarchists, and more broadly a whole part of the extreme left, justified certain measures which were imposed on us in the name of rationalism (confinement, mass vaccination, health,...): in order not to fall into conspiracy/irrationalism, we had to comply with the State's prescriptions justified by what scientists would have consensually recommended. The objective of this article is to return to the Covid pandemic to understand the political function that Science has played, to understand all the limits of scientific knowledge, to arm ourselves politically for future similar situations. We will end up discussing the relationship between scientists and society from a libertarian communist point of view.

Science and Covid
We refer to various works to complete this development[1]. In France, the decisions imposed by the government were based on the concept of nudge, that is to say measures imposed on the population to force us to make the "right choices" through constraints ( self-certification of exit during confinement, health pass, vaccination pass, etc.). To justify its decisions, the French government set up a Scientific Council whose members were chosen by co-optation and whose work was not made public. Generally speaking, this Scientific Council's role was essentially to ratify the decisions taken by the government, that is to say, to provide a pseudo-scientific justification for the measures decided independently of it. For example, on July 12, 2021, Macron imposed widespread vaccination based on an opinion from this Scientific Council... which in reality supported a proposal from McKinsey. The Scientific Council argued its opinion with an article which had not appeared in an academic journal and of which 25% of the authors were members of the same Scientific Council. This article developed a forecasting model integrating arbitrarily chosen parameters, contradicting what academic articles considered to be correct at the same time. Concretely, he sought to justify the widespread imposition of the vaccine. More generally, during the Covid crisis, all the data put forward to justify health policies were questionable. Not that they were all false or falsified, but they did not achieve consensus within the scientific community. No scientific study made it possible to consider, for example, severe confinement or massive vaccination measures, imposed as in France, as efficient compared to other less restrictive and less uniform approaches... apart from certain unreliable forecast epidemiological models.

Indeed, in epidemiology, forecast models are very fragile and rarely succeed in correctly predicting the future. Thus, from June 2020, a collective of scientific modelers warned in the journal Nature (academic journal considered the most important) about the weaknesses of the models and the risk of their uses for political purposes: "Mathematical models produce very uncertainties that predict future infections, hospitalizations and deaths under various scenarios. Rather than using models to inform their understanding, politicians often brandish them to support predetermined agendas"[2]. As summarized by Ioannidis, considered one of the best epidemiologists in the world, "Epidemic forecasting has a dubious record, and its failures have become more significant with COVID-19"[3]. However, during the Covid period, all the measures taken were based on such models. But criticism was disqualified and any calm and contradictory debate was prohibited. Not only did ordinary mortals not have the right to criticize the dominant discourse under penalty of being categorized as "conspiracy", but even scientists found themselves violently attacked or even ostracized for having developed it. . As B. Stiegler says: "In this atmosphere of propaganda and media fabrication of consent, we were going to leave the domain of scientific rationality and medical reasoning, to switch to moral reasoning of the Manichean type, specific to war communication ".

Health assessment of the imposed policy

The health crisis linked to Covid and the associated term pandemic, generated the idea that we could all be subjected to imminent danger of death in the same way while the population most at risk was the elderly: half of the death concerns people over 80 years old; before the age of 60, the probability of dying from Covid was roughly equivalent to that of the flu (apart from people with comorbidities). Furthermore, if we take the WHO definition, "health is a state of complete physical, mental and social well-being and does not consist only of an absence of disease or infirmity", we realize takes into account that all the health policy imposed has not taken into account the psychological and social dimensions of health. However, integrating all these dimensions required proportioning health policy according to people and situations and refraining from considering each person as identical to others. By imposing the same restrictions (confinement, mask, etc.) and the same obligations (vaccines) on the entire population, in the name of "Science", health policy has been in complete contradiction with such a perspective.

Today we know that confinement was very problematic in terms of health (for sources see[1]). Confinement and its aftermath have sharply reduced screenings or diagnoses, particularly for cancers, with a predictable increase of 5% to 8% in the latter. The mental deterioration was significant: sleep problems, depressive or anxious state, suicidal thoughts, especially for the youngest - between 2020 and 2021, a 30% increase in suicide attempts and a doubling of visits to the emergency room for suicidal thoughts among 11-17 year olds. Family abuse has also increased enormously - a 50% increase in hospitalizations for physical violence against children under 5, particularly shaken baby syndrome; increase in violence against women in confined households. Also, we are entitled to consider that confinement was significantly more dangerous for children, even for women, than Covid. Furthermore, in France, a million additional people have been condemned to poverty following health measures (loss of work or income).

Furthermore, the vaccination policy implemented via the health pass and then the vaccination pass has led to two effects contrary to its objectives. The first is the increase in mistrust of vaccines. The second refers to the vaccination rate among people at risk. France showed one of the worst vaccination rates in Western Europe for those over 80, lower than those of countries that have not put in place coercive measures to force vaccination. This is a consequence of the necessity, among other things, of having to go through a website. In addition, the coercive measures favored the mass vaccination of people wanting to maintain their important social life (often those least at risk because they are younger). Conversely, this did not encourage vaccination of sections of the population at risk already excluded from these spaces of social life (elderly people, migrants, homeless people, etc.). In addition, we knew that vaccines had individual protection to prevent serious forms, but they did not prevent transmission and contamination. As a result, the benefit/risk for young people was widely discussed in the academic literature to the point where England refused to vaccinate them. The foundations of public health therefore required caution and certainly the non-massive vaccination of children apart from children with comorbidities. As a result, Delfraissy, as president of the National Ethics Consultative Committee, co-signed an opinion on June 9, 2021 recommending against mass vaccination of minors. But a few days later, as president of the Scientific Council, this same Delfraissy validated the mass vaccination of minors in order to adhere to political decisions.

The political function of Science
This brief history of Covid refers to the political function of "Science" in today's world. The emergence of "Science" as a unified field dates back to the 19th century and is linked to the social, economic and political evolution associated with the development of capitalism[4]. What we call the modernist vision of science, which still dominates scientific production, is the conviction that "Science" allows, through its knowledge, to help collective progress which is driven by industrial development. driven by the capitalist economy. Thus, the political apparatus will use scientific work for its political aims and scientists will serve as experts to legitimize these choices. However, scientists obviously do not exist outside of a social framework which influences their theories and practices, and this is even more significant in scientific fields which concern humans. In all scientific fields there are controversies and critical discussions that are not or barely exposed in the public space because "Science" must produce unassailable knowledge in this public space. Anyone who expresses doubts will be considered as part of an asscientific/anti-progress/conspiracy vision. The health crisis was a permanent demonstration of this political function of science. We have suffered an authoritarian imposition by the State of measures justified by so-called scientific knowledge, which is nevertheless very fragile and absolutely not consensual. Ultimately, all the policies experienced during the health crisis must be understood not as a policy having only health objectives but as having above all political aims; teach us to submit to the arbitrariness of the State to the point of absurdity (like the imposition of a mask when walking outdoors).
We obviously defend another approach and another political function of scientific knowledge. We are materialists and rational, we do not consider all theories to be equivalent. Above all, we defend the idea that scientific knowledge should not be separated from the public space. Science is in itself only a way of producing knowledge and as soon as the subject of scientific work touches humans, we must integrate the human dimension into this knowledge, that is to say say integrating in addition to scientific knowledge the knowledge of the people concerned. We find in Conner's work "Popular History of Science"[5]this question of the monopolization of knowledge by scientists, stifling any claim to "popular" knowledge: "an effect of authority intervenes. Science has discovered, in a general way, how things are (this is what it tells us), how they must be, in the current state of things[...][serving to]guarantee authority culture of science. ". The example of the management of the AIDS epidemic a contrario, recalled by Stiegler in his works, shows the need for dialogue between scientists and people at risk to establish efficient protocols. During Covid, from the moment when health policy impacted all people, it was necessary to encourage debates in the public space. This meant defending the idea that we should not rely on the authoritarianism of the State but on the conscience of people and their collective self-organization. The role of scientists should have been to be able to bring to the population, in a contradictory manner, the more or less fragile or more or less consolidated knowledge resulting from scientific research. This debate should not be top-down, between knowing and ignorant, because scientists only have one side of knowledge. On the basis of such open and democratic debates, everyone could have understood the issues associated with the Covid health crisis. Proportionate measures, accepted and therefore driven by the majority, because they come from common knowledge, could have been put in place. Obviously, at first glance, ambient individualism would have partially thwarted an efficient collective approach, but it was the only way to learn to collectively adopt measures adapted to different situations, to learn to be conscious actors/actresses of our lives without the police being there to force us to take measures that are often completely absurd on a social and health level.

VR

Notes:
1. We can read about the political use of statistics, particularly during Covid: GUYON H. and NÔUS C., Stat wars, the dark side of the force of statistics, Presses Universitaires de Rennes, 2024. On the policy carried out during the pandemic, we recommend these two short works: STIEGLER B., De la Démocratie en Pandémie, Gallimard, Paris, 2021; STIEGLER B. and ALLA F., Public health year zero, Gallimard, Paris, 2022.
2. SALTELLI et al. , "Five ways to ensure that models serve society", Nature, no 7813, vol. 582, 2020, p. 482-484.
3. IOANNIDIS John, "How the Pandemic is Changing the Norms of Science", Tablet Magasine, 2021.
4. see the very interesting book by CARNINO G., The Invention of Science: The New Religion of the Industrial Age, Seuil, Paris, 2015.
5. CONNER C., Popular history of science, L'Echappée, 2011.

P.-S.
See also, in the same issue: "L'attestation", book by T. Boulakia and N. Mariot

http://oclibertaire.lautre.net/spip.php?article4174
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