The Cancer That Is Public Health

The Cancer That Is Public Health
A doctor holds a medical face mask with the World Health Organization's flag. (kcube-Baytur/Shutterstock)
David Bell
1/18/2023
Updated:
1/30/2023
0:00
Commentary
Sometimes an institution or movement turns on the society that supports it, harming the whole for its own benefit. A public bureaucracy can forget its underlying purpose and focus on perpetuating itself, or an organization can come to believe that the rest of society owes it special privileges. When an organ within the body of society becomes thus corrupted and proves itself unwilling to reform, society must excise the diseased tissue before it spreads.

Cancer and Its Causes

Cancer starts when cells within an organ begin to operate outside the strictures and rules that the body’s cells were programmed to follow. This can be triggered by environmental insults such as chemicals, radiation, or viral infections. It can also occur because of structural errors in the DNA that determines the body’s growth and function.

Immune mechanisms often control and eliminate early cancerous change, with the person remaining unaware that there was even a threat. Sometimes, however, the cancerous change is too great for these inbuilt checks to overcome. Its growth is beyond what the body was designed to address, or the body has become so sickened by age, attack, or neglect that it can no longer mount an adequate defense.

As a cancer grows, it slowly corrupts the organ it arose within, impairing or changing its function. Demanding more nourishment to support its own rapid growth, it saps the body’s ability to support the rest of its billions of cells. In time, the whole body deteriorates, although the cancer continues to grow and extract nourishment until the end, effectively repurposing the body solely toward its own support.

Death may be averted by removing the offending cancer or even the entire organ from which it arose. But if the organ is vital to survival or the cancer has infiltrated other vital organs, excision isn’t possible. Sometimes the cancer may be poisoned or killed with radiation or immunotherapy without killing the entire body. But if it can’t be so dealt with, it takes the entire body down with it. This is a relatively common way to die.

Society is in many ways like the human body. Its various organs perform their functions to support the whole, all interdependent for survival. Corruption of one organ, if left unchecked, will corrupt the whole body. Most societal organs have rules that keep them in line with society’s needs. When external influences poison or degrade them and these rules are broken, the organ grows to the detriment of the whole. If society is healthy, it may be able to reform or replace the offending organ. If it isn’t, or if the corruption has infiltrated too deeply, society will become increasingly sick as its lifeblood is sucked away, and in time, it may die.

A Cancer on Society

The international public health sector is made up of the World Health Organization (WHO), a growing bevy of other international health agencies, and numerous nongovernmental organizations and foundations. Ostensibly, its role is to support global society in maintaining overall health. By the WHO’s definition (pdf), health is the “physical, mental and social wellbeing” of all people, in equal measure. For reasons of promoting equality and human rights, the sector focuses on populations in low-income countries where life expectancies are lower and resources are most limited. Various rules on conflict of interest, together with the traditional unprofitability of poor people’s health care, had once kept the private sector mostly uninvolved and uninterested. The WHO’s lifeblood funding was restricted to the assessed national contributions of its member states.
Over the past two decades, the growth of mass vaccination has provided a viable way to extract profit from the health care of these low-income populations. Reflecting this, private interests and corporations have become keen to fund the WHO’s work. These sources follow a “directed funding” model through which they specify how and where their sponsorship will be used. Private money and corporate direction also heavily influence new organizations set up in parallel, including Gavi and CEPI, that are focused on supplying commodities from which these sponsors profit. This has changed international health from a horizontal, country- and community-driven approach to a vertically driven commodity-based model.
While the international public health sector is still heavily dependent on taxpayer funding, the funding of corporations and their investors has won them great influence over this increasingly commoditized agenda. Public funding thereby shifts wealth from the average taxpayer to the wealthy who have invested in these goods. An organ nourished by and designed to support the whole has been repurposed by these external influences into acting like a cancer on society, still fed by the body but directed to its own benefit.

Cancerous Growths Sicken the Body

If this cancer analogy seems like a stretch when applied to the “humanitarian” sector, it’s instructive to review recent history. In 2019, after a structured process laid out for guideline development, the WHO published its guidelines for pandemic influenza (pdf). These specifically state that contact tracing, border closures, and quarantining of healthy individuals shouldn’t occur during an established pandemic. At most, sick people could be confined at home for 7 to 10 days. School closures, if used, should be short term. Restrictive measures, as the WHO noted, wouldn’t significantly reduce mortality but would disproportionately harm low-income people and raise major ethical and human rights concerns.
A few months after publishing these guidelines, senior WHO executives recommended restrictive measures far beyond those that their own guidelines had warned against. To appreciate the gravity of the harms inflicted on the billions of people in low-income countries, we must understand that those orchestrating them knew that these populations were at very low risk from COVID-19 itself. The massive skewing of COVID-19 mortality toward old age was published in The Lancet in early 2020. More than half of the 1.3 billion people in sub-Saharan Africa are younger than 20 years of age and therefore at near-zero risk, while less than 1 percent are older than 75. The average age of COVID-associated deaths in Western countries is about 80.
The WHO, CEPI, Gavi, and other public health organizations knew that rapid health service access and good nutrition are fundamental to reducing child mortality. They knew that infant mortality in low-income countries is strongly tied to gross domestic product (GDP) and, therefore, that harming economies would kill millions (which it is, with UNICEF estimating more than 200,000 lockdown deaths (pdf) in South Asia in 2020 alone). In advocating for measures to restrict health service access and disrupt supply lines, they knowingly caused an immediate and sustained increase in malaria, pneumonia, and other acute infectious diseases. By restricting access to tuberculosis and HIV care, the death rate of those already infected would increase while also promoting transmission, locking in greater future mortality. These diseases kill at a far younger average age than COVID-19.

Recommendations to close workplaces in cities left millions of workers in the same crowded living conditions as before, but with no income to buy food and medicine for their families. The closure of markets further reduced access to nutrition, while also reducing farm earnings. Knowing the importance of tourism to the service and retail industries that support millions of women’s education and independence, advocacy to block international travel further impoverished these people.

It’s well accepted that education is key to escaping future poverty. Prolonged school closures removed formal education from hundreds of millions of children. Tens of millions never returned, child labor increased, and millions of additional girls have been consigned to child marriage and nightly rape. The undermining of African and South Asian education will increase poverty and inequality among these populations for the next couple of generations.
Since mid-2021, the WHO, UNICEF (an agency formerly dedicated to child health), and various partners have continued to push for the mass vaccination of 70 percent of low-income country populations through the COVAX program. This program can’t provide significant public health benefits, as most African people are less than 20 years of age, the WHO has shown that most Africans had broad effective post-infection immunity by late 2021, and mass use of these vaccines doesn’t substantially reduce transmission. It does, however, divert financial and human resources from programs addressing other diseases. As COVAX costs more than the annual budgets allocated to diseases such as malaria, tuberculosis, and HIV, with higher and growing burdens in these populations, we can be confident that it will cost more lives through diverted resources than it can possibly save.

Can the Rot Be Removed?

It’s hard to explain these actions without the conclusion that the health sector has turned against the body that it was intended to serve. Private and corporate sponsors greatly increased wealth through these harms for which the public health sector advocated, and they continue to do so. There was a time when profiteering through the impoverishment and debasement of the majority would have been recognized as a cancer and treated accordingly. The COVID-19 response has found the body of society unable to react against such corruption within one of its most important organs.
Is it still possible for society to mount an effective response? This cancer of conflicted interests has infiltrated far beyond public health; the media and governments have been dutifully trotting off to the Davos club for years. While the functions of international health appear to be leading to the degradation of society, the sector itself seeks to grow at an unprecedented rate. Let’s hope, for all our sakes, that the rest of society can recognize the rot within and find the strength to cut it out before it drags us all down. We can’t let those fueling this rot destroy what so many worked so hard to build.
Views expressed in this article are opinions of the author and do not necessarily reflect the views of The Epoch Times.
David Bell, senior scholar at the Brownstone Institute, is a U.S.-based public health physician. After working in internal medicine and public health in Australia and the UK, he worked in the World Health Organization as program head for malaria and febrile diseases at the Foundation for Innovative New Diagnostics in Geneva, and as director of global health technologies at Intellectual Ventures Global Good Fund in Bellevue, Wash. He consults on biotech and global health.
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