COVID19鈥檚 deadlier impact on older people has been confirmed, although younger people have also died and they are now known to be most of the asymptomatic carriers of the disease.
In Australia,聽as of April 27,聽the 聽of all聽COVID-19 cases聽is 48 years,聽while聽the聽median age of deaths is 79.5 years.聽Tragically, 17 people have died in residential care (four in one day) and two in home care. In the 60鈥89 year old category, more males have died. Of those over 90 years old, a similar number of males and females (8 each) have died.
These figures are low, however, compared with聽, where 9544 people aged 80鈥89 years old have died and 3328 people of 90 years or more have died. In the United States, the figures are even higher.
It may be not be surprising therefore that some people, who聽are arguing strongly for an immediate return to 鈥渘ormal鈥, are pitting the needs of young people against those of the elderly. But as we collectively look forward to moving out of the COVID-19 lockdown, we have to insist that no-one is left behind 鈥 not the young and not the elderly.
On the panel of the ABC鈥檚 April 20 Q&A聽program on the topic , economist Gigi Foster argued that the COVID-19 measures impose an unfair economic burden on young people for the benefit of older people.
In response to a question from a young person, she replied: 鈥淭his is a massive cost shift and we are going to see the burden not just today, but in future years, on primarily the younger people.鈥澛燱hile she seemed to be unclear at first about exactly what she was advocating, Foster ended the program arguing for 鈥渉erd immunity ... via the exposure of many, many people to this virus鈥.
Health scientist Jodie McVernon, another聽panellist on the show, was sympathetic to the plight of young people, but argued strongly against the herd immunity strategy, describing it as a 鈥渄efacto 鈥榣et it rip鈥 strategy鈥澛
She said the lack of infections and deaths in Australia were because the country had acted early, and the public had respected the lockdown. But, she warned, health experts did not yet know 鈥渨hether a single exposure to this virus is enough to induce long-term or lifelong immunity鈥, and 鈥渢hat [herd immunity] strategy is extremely risky and could cost us dearly with very limited returns鈥.
Epidemiologist Professor Raina MacIntyre confirmed this, telling a聽聽on April 21 that herd immunity would not necessarily be achieved by letting an infection transmission rip.
She said the consequences of such a strategy would 鈥渞esult in a large increase in cases for little gain鈥. Previous infections, such as smallpox and measles, had shown that, when allowed to rip, society had to deal with 鈥渃ycling epidemics鈥 and for COVID-19 that would result in 鈥渢he full spectrum of the disease being unleashed鈥. This would result in absenteeism from work; the health system capacity being exceeded and an increase in health worker infections and deaths limiting capacity to treat other conditions; and a severe impact on Aboriginal and Torres Strait Islander communities.
The pursuit of profits over our collective health and safety has had a big impact on young people鈥檚 economic and social choices over the past few decades.
Essentially, their choices have markedly decreased. The rise in user-pays education and the increased casualisation of workplaces are just two major factors. Australia has one of the聽聽(13%) among the Organisation for Economic Co-operation and Development鈥檚 (OECD) 34 member countries: one in four workers here is a casual and more than half of all casual employees have no guaranteed hours.聽聽has no access to paid leave.
础苍听聽released last year notes that young people, especially those without a tertiary education, find it more difficult to get work and that women are the most at risk. It said that despite Australia鈥檚 resilience during the Global Financial Crisis, Australia still has 鈥渙ne of the largest increases in under-employment across OECD countries since 2007鈥.聽
Another major factor limiting young people鈥檚 life choices is the dire lack of affordable housing in the major cities, and beyond. Since COVID-19 began,聽residential renters聽have been left high and dry by state and federal governments, which are prioritising assistance to landlords and commercial tenants while telling residential renters to 鈥渘egotiate鈥 with their landlords.
But older working-class people have also been hit hard by neoliberalism.聽More than a quarter of a million聽听补苍诲听.聽Single older women are also more likely to be living in poverty. An OECD report from 2015 reported that the聽Australian government spends just 3.5% of GDP on the pension, while the OECD average is 7.9%.聽
The shocking situation in the privatised aged care system is another glaring example.聽Ironically the聽,聽established in聽2018,聽has been suspended because of COVID-19. But its interim findings show the cruelty of the for-profit system, in which the number of reported assaults has doubled in two years, amid carer shortages and a lack of professional staff.
The commissioners鈥櫬犅爎eleased last October found 鈥渁 shocking tale of neglect鈥. It said that for聽older people and their families,聽the residential care system is 鈥渄ispiriting鈥澛爓ith 鈥渟erious substandard care and unsafe practice[s], an underpaid, undervalued and insufficiently trained workforce鈥. It continued: 鈥淭he aged care system fails to meet the needs of its older, vulnerable, citizens. It does not deliver uniformly safe and quality care, is unkind and uncaring towards older people and, in too many instances, it neglects them.鈥
Is it any wonder that fatalities from COVID-19 have taken off in these places?
Foster is not the first economist to use the generational device to mask who is responsible for presiding over the neoliberal austerity agenda in Australia for decades: the capitalist class and their major parties.聽
The science must guide how we safely return to work. Those who pit generations against each other are not na茂ve; they are pushing a cheap and nasty divide-and-rule strategy. We must not fall for it. We need to聽defend the interests of all generations who are oppressed and exploited and insist that no one is left behind.