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“Rapidly Becoming Untenable” – Eurozone Finances Have Deteriorated

"Rapidly Becoming Untenable" – Eurozone Finances Have Deteriorated

Authored by Alasdair Macleod via GoldMoney.com,

Despite negative interest rates and money printing by the European Central Bank, which conveniently allowed all Eurozone membe

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"Rapidly Becoming Untenable" - Eurozone Finances Have Deteriorated

Authored by Alasdair Macleod via GoldMoney.com,

Despite negative interest rates and money printing by the European Central Bank, which conveniently allowed all Eurozone member governments to fund themselves, having gone nowhere Eurozone nominal GDP is even lower than it was before the Lehman crisis.

Then there is the question of bad debts, which have been mostly shovelled into the TARGET2 settlement system: otherwise, we would have seen some substantial bank failures by now.

The Eurozone’s largest banks are over-leveraged, and their share prices question their survival. Furthermore, these banks will have to contract their balance sheets to comply with the new Basel 4 regulations covering risk weighted assets, due to be introduced in January 2023.

And lastly, we should consider the political and economic consequences of a collapse of the Eurosystem. It is likely to be triggered by US dollar interest rates rising, causing a global bear market in financial assets. The financial position of highly indebted Eurozone members will become rapidly untenable and the very existence of the euro, the glue that holds it all together, will be threatened.

Introduction

Understandably perhaps, mainstream international economic comment has focused on prospects for the American economy, and those looking for guidance on European economic affairs have had to dig deeper. But since the Lehman crisis, the EU has stagnated relative to the US as the chart of annual GDP in Figure 1 shows.

Clearly, like much of the commentary about it, the EU has been in the doldrums since 2008. There was a series of crises involving Greece, Cyprus, Italy, Portugal, and Spain. And the World Bank’s database has removed the UK from the wider EU’s GDP numbers before Brexit, so that has not contributed to the EU’s underperformance. Furthermore, since 1994 the gap between Eurozone and non-Eurozone member nations GDP growth has increased from 9% of the total to 15%, even adjusted for new memberships. It tells us that despite all the ECB’s money-printing, non-Eurozone members facing the same regulations and trading restrictions using their own currencies have outperformed the Eurozone.

The ECB has enforced negative interest rates since June 2014, cutting its deposit rate four times since its initial -0.1% rate to -0.5%. The monetary policy planners clearly thought negative rates would boost credit demand for investment and consumption, provide fiscal space for governments and thus increase aggregate demand. It didn’t turn out like that. The principal aspect which negative interest rates has boosted is government debt, which in the Eurozone at the end of 2020 had risen to 98% of GDP overall for Eurozone members.

Admittedly, bungled management of covid and vaccines have not not helped. Not only did they increase government spending, but tax income suffered from the economic consequences. The global logistics crisis has seriously impacted the highly productive German economy, with major manufacturers seeing their production grinding to a halt for lack of components. And in many jurisdictions covid lockdowns have continued, delaying hoped-for recoveries, and hitting tourism in the highly indebted PIGS.

As Figure 1 demonstrates, these troubles are in addition to the economic stagnation that has been a feature of the Eurozone since the Lehman crisis. The consequences of covid do not yet appear to be adequately reflected in official GDP figures, which will have been pushed higher by an acceleration of growth in euro money supply.

Broad money increased significantly in 2020, as shown in Figure 2 below, mainly due to the expansion of central bank balances in the Eurozone.

At the same time, having recovered somewhat since the series of crises following Lehman, government finances took a sharp turn for the worse, as shown in Figure 3.

The reason for the Eurozone’s underperforming GDP relative to that of the US revealed in Figure 1 is not hard to discern. The chart below from the St Louis’ FRED shows how bank lending to the non-financial sector has broadly stalled since the Lehman crisis.

Instead, monetary growth has been in the Eurosystem, comprising the ECB and the national central banks. From €2 trillion at the end of 2008, total Eurosystem balances grew to €7 trillion at end-2020, some of this due to rising imbalances in TARGET2 which are reflected in expanded central bank balance sheets.

Government deficits in the Eurozone are persisting into the current year, expected by the ECB itself to rise to 8.7% of 2021 GDP. That’s on an estimated GDP of €13.476 trillion, giving a public sector deficit of €1.2 trillion, taking the debt to GDP figure to 103% for 2021. But this increase is mainly on the back of planned infrastructure spending and assumes a sharp recovery in tax revenues on the back of improving employment and higher consumer spending. That has already been overtaken by events, and fiscal deficits will be far higher than forecast.

In official forecasts by the ECB there is a strong dose of neo-Keynesian optimism in expectations, which we have seen time and again with the Eurozone’s economic establishment. Furthermore, under the presidency of Christine Lagarde, the ECB is meddling in non-monetary affairs, giving precedence to a green agenda over fossil fuels, and creating precedents for the politicisation of monetary affairs. It seems that the uses of the ECB’s magic money tree are one of the few aspects of economic affairs which are growing…

Of one thing we can be certain, and that is blindness at the ECB to the global credit cycle driven by America and the dollar. Officially, US prices are rising at 5.4%, while in the Eurozone they are at the goal-sought target of 2%. We know that in the US independent analysis confirms the true rate of rising prices is over 13%, so by using similar CPI methodology the Eurozone’s statisticians are misrepresenting the true effect of rapidly increasing monetary inflation. It is not going to be transient. Consequently, not only will interest rates begin to rise in the US, but they will also rise from a negative ECB deposit rate of minus 0.5%. Amongst others, the Italian government will no longer be paid to borrow.

The policy of continual monetary stimulation has run out of time, creating a crisis for ECB policy makers. Like their opposite numbers in the US and other major central banks they face the growing certainty of rising interest rates, falling financial asset values, and a slump accompanied with soaring prices. According to neo-Keynesianism the combination is an impossibility, yet that is now in prospect.

Not only is the starting point negative interest rates, but so is an average level of government debt to GDP of 103%. Averages conceal extremes, and with Greece’s debt to GDP officially at 217%, Italy at 151% and Portugal at 137% (they are likely to be higher once off-balance sheet debt for nationalised industries etc. are considered) a combination of an economic downturn and soaring prices will destroy their parlous finances.

Under “Whatever it takes” Mario Draghi, the ECB used every trick to cover over the cracks of a failing Eurozone. At the heart of the trickery was bad debt being concealed within the TARGET2 settlement system. It is only by this subterfuge that major banks have been prevented from failing.

As the chart of the TARGET2 central bank balances shows, creditor balances are increasing again. To understand why, we should consider what is driving them.

The chart illustrates the imbalances in the TARGET2 settlement system between the national central banks, and between them and the ECB. It reveals three notable features. Germany and Luxembourg between them are owed a net €1.4 trillion. Italy and Spain between them owe the system €1,024bn. And the ECB owes the national central banks €353bn. The effect of the ECB deficit, which arises from bond purchases conducted on its behalf by the national central banks, is to artificially reduce the TARGET2 balances of debtors in the system to the extent the ECB has bought bonds from government and other issuers within an NCB’s jurisdiction and not yet paid for them.

Inside the workings of TARGET2

The way TARGET2 works, in theory anyway, is as follows. A German manufacturer sells goods to an Italian business. The Italian business pays by bank transfer drawn on its Italian bank via the Italian central bank through the Target2 system, crediting the German manufacturer’s German bank through Germany’s central bank.

In the past, the balance was restored by trade deficits, in Italy, for example, being offset by capital inflows as residents elsewhere in the eurozone bought Italian bonds, other investments in Italy and the tourist trade collected net cash revenues. As can be seen from the chart of TARGET2 balances, before 2008 this was generally true. Part of the subsequent problem was down to the failure of private sector investment flows to recycle trade-related payments.

Then there is the question of “capital flight”, which is not capital flight as such. The problem is not residents in Italy and Spain opening bank accounts in Germany and transferring their deposits from domestic banks. It is that those national central banks which are heavily exposed to potentially bad loans in their domestic economy know that their losses, if materialised in a general banking crisis, will end up being shared throughout the central bank system, according to their capital keys in the TARGET2 settlement system.

If one national central bank runs a Target2 deficit with the other central banks, it is almost certainly because it has loaned money on a net basis to its commercial banks to cover payment transfers, instead of progressing them through the settlement system. Those loans appear as an asset on the national central bank’s balance sheet, which is offset by a liability to the ECB’s Eurosystem through Target2. But under the rules, if something goes wrong with the TARGET2 system, the costs are shared out by the ECB on the pre-set capital key formula.

It is therefore in the interest of a national central bank to run a greater deficit in relation to its capital key by supporting the insolvent banks in its jurisdiction. The capital key relates to the national central banks’ equity ownership in the ECB, which for Germany, for example, is 26.38% of the euro-area national banks’ capital keys.[iii] If TARGET2 collapsed, the Bundesbank would lose the trillion plus euros owed to it by the other national central banks, and instead must pay up to €400bn of the net losses.

To understand how and why the problem arises, we must go back to the earlier European banking crises following Lehman, which has informed national regulatory practices. If the national banking regulator deems loans to be non-performing, the losses would become a national problem. Alternatively, if the regulator deems them to be performing, they are eligible for the national central bank’s refinancing operations. A commercial bank can then use the questionable loans as collateral, borrowing from the national central bank, which spreads the loan risk with all the other national central banks in accordance with their capital keys. Insolvent loans are thereby removed from the PIGS’ national banking systems and dumped onto the Eurosystem.

In Italy’s case, the very high level of non-performing loans peaked at 17.1% in September 2015 but by March this year had been reduced to 5.3%. The facts on the ground state that this cannot be true. Given the incentives for the Italian regulator to deflect the non-performing loan problem from the domestic economy into the Eurosystem, it would be a miracle if any of the reduction in NPLs is genuine. And with all the covid-19 lockdowns, Italian NPLs will have soared again, explaining perhaps why the Italian central bank’s TARGET2 liabilities have increased by €137bn over the course of covid lockdowns.

In the member states with negative TARGET2 balances there have been trends to liquidity problems for legacy industries, rendering them insolvent. With the banking regulator incentivised to remove the problem from the domestic economy, loans to these insolvent companies have been continually rolled over and increased. The consequence is that new businesses have been starved of bank credit because bank credit in the member nation’s banks is tied up with supporting the government and zombie businesses that should have gone to the wall long ago. The added pressure on failing Italian businesses from covid-19 is now being reflected in the Bank of Italy’s soaring TARGET2 deficit. The system could not be more calculated to cripple the Italian economy over the longer term.

Officially, there is no problem, because the ECB and all the national central bank TARGET2 positions net out to zero, and the mutual accounting between the national central banks keeps it that way. To its architects, a systemic failure of TARGET2 is inconceivable. But, because some national central banks end up using TARGET2 as a source of funding for their own balance sheets, which in turn fund their dodgy commercial banks using their non-performing loans as collateral, some national central banks have mounting potential liabilities, the making of national bank regulators.

The Eurosystem member with the greatest burden is Germany’s Bundesbank, now lending well over a trillion euros through TARGET2 to central banks exploiting the system. The risk of losses for the TARGET2 lenders is now accelerating rapidly because of Covid lockdowns, as can be seen in the chart of TARGET2 imbalances above. The Bundesbank should be very concerned.

Current imbalances in the system total over €1.6 trillion. According to the capital keys, in a systemic failure the Bundesbank’s assets of €1.102 trillion would be replaced by liabilities up to €400bn, the rest of the losses being spread around the other national banks. No one knows how it would work out because failure of the settlement system was never contemplated; but many if not all the national central banks will have to be bailed out on a TARGET2 failure, presumably by the ECB as guarantor of the system. But with only €7.66bn of subscribed capital the ECB’s balance sheet is miniscule compared with the losses involved, and its shareholders will themselves be seeking a bailout to bailout the ECB. A TARGET2 failure would appear to require the ECB to effectively expand its QE programmes to recapitalise itself and the whole eurozone central banking system.

Eurozone banks are overleveraged

Almost certainly, the concealment of bad debts in TARGET2 has saved the Eurozone’s commercial banks from going under, because they are very highly geared to losses, as the table, of the Eurozone’s global systemically important banks (G-SIBs) in Figure 4 illustrates.

They are ranked from highest shareholder leverage (the end column), being the relationship of their market capitalisation to the size of their balance sheets. The balance sheet gearing, that is the ratio of balance sheet assets to balance sheet equity, are all exceptionally high with the French bank, Credit Agricole, being over 30 times. This compares with American G-SIBs which are geared an average of about 11 times. And while the US G-SIBs have a price to book ratio averaging about 1.3 times, none of the Eurozone G-SIBs have a price to book of over one.

Normally, value investors get excited at the prospects for an investment at a discount to book value. But that presupposes that the business is viable and whose shares are mispriced. In the case of these G-SIBs the message is different, being a serious question mark over their likely survival. It is doubly serious because an investor picking up Eurozone bank shares knows they are effectively underwritten by the ECB and the national banks, who would be certain to come to their rescue in the event of a systemic crisis. Yet with this implied guarantee, shares in Société Generale and Deutsche Bank are trading with that value embedded in their share prices.

In other words, there is option value to be had, and little else.

We see banks such as Société Generale and Deutsche having an implied leverage for shareholders of over 60 times. It makes sense to look through these numbers and conclude that so far as the markets are concerned, the Eurosystem’s ability to rescue these banks from collapse may be limited. A rescue of failing G-SIBs is a near certainty, but the terms are not. Furthermore, the threat of bail ins, which are now widely incorporated in G-20 legislation, would leave existing shareholders heavily diluted.

The effect of Basel 4

Basel 4 is the informal name given to Basel 3 regulations concerning risk-weighted assets (RWAs), already delayed and now due to be introduced in January 2023. It is difficult to see how Eurozone banks, particularly the G-SIBs, will be able to comply without reducing their balance sheets.

The aim of the new regulations is to ensure banks’ resilience to crises by prescribing how much capital and liquidity they need to hold by introducing a standardised approach. Banks will still be able to use internal models for calculating the capital required for risk weighting assets, but they are to be limited by not falling below 72.5% of the figures thrown up by the new standardised approach. The European banking Authority has calculated that the impact of these regulations will cause RWAs to increase by 28%, equivalent to a capital shortfall of €135bn for European banks.

Operationally, European banks are badly affected compared with those in other jurisdictions. Basel 4 discriminates against loans to corporates not independently rated which are uncommon in the US, but not in the EU. External ratings apply to only 20% of European corporates, throwing the emphasis onto lenders’ internal rating systems, which are to be strictly limited. Hence, the need for more capital.

In normal conditions, with bank capitalisations being greater than book value, raising qualifying capital to maintain balance sheet sizes would not be a problem. But as we have seen in our ranking of Eurozone G-SIBs in Figure 4, all their shares stand at a discount to book value.

Senior bankers will already have an eye to these regulations and are unlikely to be prepared to provide the general expansion of credit required to support seemingly optimistic growth forecasts emanating from the ECB. If anything, an Irving Fisher style slump, whereby banks accelerate falling asset values by liquidating them as they fall, has become more likely.

The euro’s fate

The public realisation of the situation within TARGET2 and the precariousness of the major banks, plus in the absence of some extremely imaginative accounting the inability of banks to come up with extra capital to satisfy Basel 4 could terminate the European project. In particular, when Germany’s Bundesbank finds that instead of being owed some €1.1 trillion by the other national central banks, she is on the hook for €400bn it will be the last straw for a people whose thrift and savings will have been wiped out. The same can be said for Finland, Luxembourg, the Netherlands, and some of the smaller states.

When one is in possession of the facts the end of the euro is easy to envisage. But early in a crisis, capital flows are likely to enhance the euro’s exchange rate, particularly against the US dollar. This is because of the accumulation of trade surpluses and portfolio flows from EU entities which has increased Eurozone entities dollar exposure. According to US Treasury TIC data, Eurozone holdings of US financial assets totalled $5,339bn and there is a further $1,158bn in dollar bank deposits and money instruments.

Meanwhile, US exposure to liquid Eurozone financial assets and bank balances is far less. Therefore, the rush to liquidity typically seen in a financial crisis is likely to initially favour the euro against the dollar.

Summary and conclusions

In defiance of the terms of the Stability Pact in the1992 Maastricht Treaty, from the admission of Greece and Italy into the Eurozone the history of the euro and the ECB has been one of persistent rule-breaking and cover-ups. Without covid, and without rising prices now almost certain to drive global interest rates higher, the ECB and Brussels might have got away with ignoring some basic rules of statist behaviour a little longer.

The crisis facing the Eurozone differs from that facing the US, which, putting aside social factors, is principally the consequence of money-printing. While similar policies have been pursued in the Eurozone, they have not been to the same extent. The problems are more structural, with a banking system that is over-leveraged and reliant on concealing bad debts in the TARGET2 settlement system.

Furthermore, much of the socialism which is relatively new to the US has been embedded in European economies since at least the Second World War, with more than half economic activity being down to unproductive government spending. The cumulative effect of central planning has been to make the economies of EU nations less efficient and through over-regulation divorced from free and efficient markets.

But a final crisis is mounting. After an initial flight out of the dollar into the euro subsides it will be virtually impossible to avoid a wholesale systemic failure, taking down not just the banks, but the central banking network and the euro itself. Some nations will be able to return to their old currencies credibly, but others, particularly Italy and Greece, probably not. And attempts to replace the euro with a new euro and central banking network will face significant hurdles.

The reality is that the euro is the glue that holds Eurozone members together, and without it the European project is effectively dead. The clamour for a return to independent nation states will be almost impossible to resist, not just for Germany, but for those that value its voice of reason. Middle-Europeans, such as Poland and Hungary are likely to stop their attempts at reforming the EU from within and just leave, and some of the smaller nations which are there for the subsidies will have no reason to stay.

An overly dramatic forecast perhaps, but one that is increasingly likely, despite Draghi’s whatever it takes.

Tyler Durden Sat, 08/28/2021 - 07:00

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Chinese migration to US is nothing new – but the reasons for recent surge at Southern border are

A gloomier economic outlook in China and tightening state control have combined with the influence of social media in encouraging migration.

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Chinese migrants wait for a boat after having walked across the Darien Gap from Colombia to Panama. AP Photo/Natacha Pisarenko

The brief closure of the Darien Gap – a perilous 66-mile jungle journey linking South American and Central America – in February 2024 temporarily halted one of the Western Hemisphere’s busiest migration routes. It also highlighted its importance to a small but growing group of people that depend on that pass to make it to the U.S.: Chinese migrants.

While a record 2.5 million migrants were detained at the United States’ southwestern land border in 2023, only about 37,000 were from China.

I’m a scholar of migration and China. What I find most remarkable in these figures is the speed with which the number of Chinese migrants is growing. Nearly 10 times as many Chinese migrants crossed the southern border in 2023 as in 2022. In December 2023 alone, U.S. Border Patrol officials reported encounters with about 6,000 Chinese migrants, in contrast to the 900 they reported a year earlier in December 2022.

The dramatic uptick is the result of a confluence of factors that range from a slowing Chinese economy and tightening political control by President Xi Jinping to the easy access to online information on Chinese social media about how to make the trip.

Middle-class migrants

Journalists reporting from the border have generalized that Chinese migrants come largely from the self-employed middle class. They are not rich enough to use education or work opportunities as a means of entry, but they can afford to fly across the world.

According to a report from Reuters, in many cases those attempting to make the crossing are small-business owners who saw irreparable damage to their primary or sole source of income due to China’s “zero COVID” policies. The migrants are women, men and, in some cases, children accompanying parents from all over China.

Chinese nationals have long made the journey to the United States seeking economic opportunity or political freedom. Based on recent media interviews with migrants coming by way of South America and the U.S.’s southern border, the increase in numbers seems driven by two factors.

First, the most common path for immigration for Chinese nationals is through a student visa or H1-B visa for skilled workers. But travel restrictions during the early months of the pandemic temporarily stalled migration from China. Immigrant visas are out of reach for many Chinese nationals without family or vocation-based preferences, and tourist visas require a personal interview with a U.S. consulate to gauge the likelihood of the traveler returning to China.

Social media tutorials

Second, with the legal routes for immigration difficult to follow, social media accounts have outlined alternatives for Chinese who feel an urgent need to emigrate. Accounts on Douyin, the TikTok clone available in mainland China, document locations open for visa-free travel by Chinese passport holders. On TikTok itself, migrants could find information on where to cross the border, as well as information about transportation and smugglers, commonly known as “snakeheads,” who are experienced with bringing migrants on the journey north.

With virtual private networks, immigrants can also gather information from U.S. apps such as X, YouTube, Facebook and other sites that are otherwise blocked by Chinese censors.

Inspired by social media posts that both offer practical guides and celebrate the journey, thousands of Chinese migrants have been flying to Ecuador, which allows visa-free travel for Chinese citizens, and then making their way over land to the U.S.-Mexican border.

This journey involves trekking through the Darien Gap, which despite its notoriety as a dangerous crossing has become an increasingly common route for migrants from Venezuela, Colombia and all over the world.

In addition to information about crossing the Darien Gap, these social media posts highlight the best places to cross the border. This has led to a large share of Chinese asylum seekers following the same path to Mexico’s Baja California to cross the border near San Diego.

Chinese migration to US is nothing new

The rapid increase in numbers and the ease of accessing information via social media on their smartphones are new innovations. But there is a longer history of Chinese migration to the U.S. over the southern border – and at the hands of smugglers.

From 1882 to 1943, the United States banned all immigration by male Chinese laborers and most Chinese women. A combination of economic competition and racist concerns about Chinese culture and assimilability ensured that the Chinese would be the first ethnic group to enter the United States illegally.

With legal options for arrival eliminated, some Chinese migrants took advantage of the relative ease of movement between the U.S. and Mexico during those years. While some migrants adopted Mexican names and spoke enough Spanish to pass as migrant workers, others used borrowed identities or paperwork from Chinese people with a right of entry, like U.S.-born citizens. Similarly to what we are seeing today, it was middle- and working-class Chinese who more frequently turned to illegal means. Those with money and education were able to circumvent the law by arriving as students or members of the merchant class, both exceptions to the exclusion law.

Though these Chinese exclusion laws officially ended in 1943, restrictions on migration from Asia continued until Congress revised U.S. immigration law in the Hart-Celler Act in 1965. New priorities for immigrant visas that stressed vocational skills as well as family reunification, alongside then Chinese leader Deng Xiaoping’s policies of “reform and opening,” helped many Chinese migrants make their way legally to the U.S. in the 1980s and 1990s.

Even after the restrictive immigration laws ended, Chinese migrants without the education or family connections often needed for U.S. visas continued to take dangerous routes with the help of “snakeheads.”

One notorious incident occurred in 1993, when a ship called the Golden Venture ran aground near New York, resulting in the drowning deaths of 10 Chinese migrants and the arrest and conviction of the snakeheads attempting to smuggle hundreds of Chinese migrants into the United States.

Existing tensions

Though there is plenty of precedent for Chinese migrants arriving without documentation, Chinese asylum seekers have better odds of success than many of the other migrants making the dangerous journey north.

An estimated 55% of Chinese asylum seekers are successful in making their claims, often citing political oppression and lack of religious freedom in China as motivations. By contrast, only 29% of Venezuelans seeking asylum in the U.S. have their claim granted, and the number is even lower for Colombians, at 19%.

The new halt on the migratory highway from the south has affected thousands of new migrants seeking refuge in the U.S. But the mix of push factors from their home country and encouragement on social media means that Chinese migrants will continue to seek routes to America.

And with both migration and the perceived threat from China likely to be features of the upcoming U.S. election, there is a risk that increased Chinese migration could become politicized, leaning further into existing tensions between Washington and Beijing.

Meredith Oyen does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

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Vaccine-skeptical mothers say bad health care experiences made them distrust the medical system

Vaccine skepticism, and the broader medical mistrust and far-reaching anxieties it reflects, is not just a fringe position in the 21st century.

Women's own negative medical experiences influence their vaccine decisions for their kids. AP Photo/Ted S. Warren

Why would a mother reject safe, potentially lifesaving vaccines for her child?

Popular writing on vaccine skepticism often denigrates white and middle-class mothers who reject some or all recommended vaccines as hysterical, misinformed, zealous or ignorant. Mainstream media and medical providers increasingly dismiss vaccine refusal as a hallmark of American fringe ideology, far-right radicalization or anti-intellectualism.

But vaccine skepticism, and the broader medical mistrust and far-reaching anxieties it reflects, is not just a fringe position.

Pediatric vaccination rates had already fallen sharply before the COVID-19 pandemic, ushering in the return of measles, mumps and chickenpox to the U.S. in 2019. Four years after the pandemic’s onset, a growing number of Americans doubt the safety, efficacy and necessity of routine vaccines. Childhood vaccination rates have declined substantially across the U.S., which public health officials attribute to a “spillover” effect from pandemic-related vaccine skepticism and blame for the recent measles outbreak. Almost half of American mothers rated the risk of side effects from the MMR vaccine as medium or high in a 2023 survey by Pew Research.

Recommended vaccines go through rigorous testing and evaluation, and the most infamous charges of vaccine-induced injury have been thoroughly debunked. How do so many mothers – primary caregivers and health care decision-makers for their families – become wary of U.S. health care and one of its most proven preventive technologies?

I’m a cultural anthropologist who studies the ways feelings and beliefs circulate in American society. To investigate what’s behind mothers’ vaccine skepticism, I interviewed vaccine-skeptical mothers about their perceptions of existing and novel vaccines. What they told me complicates sweeping and overly simplified portrayals of their misgivings by pointing to the U.S. health care system itself. The medical system’s failures and harms against women gave rise to their pervasive vaccine skepticism and generalized medical mistrust.

The seeds of women’s skepticism

I conducted this ethnographic research in Oregon from 2020 to 2021 with predominantly white mothers between the ages of 25 and 60. My findings reveal new insights about the origins of vaccine skepticism among this demographic. These women traced their distrust of vaccines, and of U.S. health care more generally, to ongoing and repeated instances of medical harm they experienced from childhood through childbirth.

girl sitting on exam table faces a doctor viewer can see from behind
A woman’s own childhood mistreatment by a doctor can shape her health care decisions for the next generation. FatCamera/E+ via Getty Images

As young girls in medical offices, they were touched without consent, yelled at, disbelieved or threatened. One mother, Susan, recalled her pediatrician abruptly lying her down and performing a rectal exam without her consent at the age of 12. Another mother, Luna, shared how a pediatrician once threatened to have her institutionalized when she voiced anxiety at a routine physical.

As women giving birth, they often felt managed, pressured or discounted. One mother, Meryl, told me, “I felt like I was coerced under distress into Pitocin and induction” during labor. Another mother, Hallie, shared, “I really battled with my provider” throughout the childbirth experience.

Together with the convoluted bureaucracy of for-profit health care, experiences of medical harm contributed to “one million little touch points of information,” in one mother’s phrase, that underscored the untrustworthiness and harmful effects of U.S. health care writ large.

A system that doesn’t serve them

Many mothers I interviewed rejected the premise that public health entities such as the Centers for Disease Control and Prevention and the Food and Drug Administration had their children’s best interests at heart. Instead, they tied childhood vaccination and the more recent development of COVID-19 vaccines to a bloated pharmaceutical industry and for-profit health care model. As one mother explained, “The FDA is not looking out for our health. They’re looking out for their wealth.”

After ongoing negative medical encounters, the women I interviewed lost trust not only in providers but the medical system. Frustrating experiences prompted them to “do their own research” in the name of bodily autonomy. Such research often included books, articles and podcasts deeply critical of vaccines, public health care and drug companies.

These materials, which have proliferated since 2020, cast light on past vaccine trials gone awry, broader histories of medical harm and abuse, the rapid growth of the recommended vaccine schedule in the late 20th century and the massive profits reaped from drug development and for-profit health care. They confirmed and hardened women’s suspicions about U.S. health care.

hands point to a handwritten vaccination record
The number of recommended childhood vaccines has increased over time. Mike Adaskaveg/MediaNews Group/Boston Herald via Getty Images

The stories these women told me add nuance to existing academic research into vaccine skepticism. Most studies have considered vaccine skepticism among primarily white and middle-class parents to be an outgrowth of today’s neoliberal parenting and intensive mothering. Researchers have theorized vaccine skepticism among white and well-off mothers to be an outcome of consumer health care and its emphasis on individual choice and risk reduction. Other researchers highlight vaccine skepticism as a collective identity that can provide mothers with a sense of belonging.

Seeing medical care as a threat to health

The perceptions mothers shared are far from isolated or fringe, and they are not unreasonable. Rather, they represent a growing population of Americans who hold the pervasive belief that U.S. health care harms more than it helps.

Data suggests that the number of Americans harmed in the course of treatment remains high, with incidents of medical error in the U.S. outnumbering those in peer countries, despite more money being spent per capita on health care. One 2023 study found that diagnostic error, one kind of medical error, accounted for 371,000 deaths and 424,000 permanent disabilities among Americans every year.

Studies reveal particularly high rates of medical error in the treatment of vulnerable communities, including women, people of color, disabled, poor, LGBTQ+ and gender-nonconforming individuals and the elderly. The number of U.S. women who have died because of pregnancy-related causes has increased substantially in recent years, with maternal death rates doubling between 1999 and 2019.

The prevalence of medical harm points to the relevance of philosopher Ivan Illich’s manifesto against the “disease of medical progress.” In his 1982 book “Medical Nemesis,” he insisted that rather than being incidental, harm flows inevitably from the structure of institutionalized and for-profit health care itself. Illich wrote, “The medical establishment has become a major threat to health,” and has created its own “epidemic” of iatrogenic illness – that is, illness caused by a physician or the health care system itself.

Four decades later, medical mistrust among Americans remains alarmingly high. Only 23% of Americans express high confidence in the medical system. The United States ranks 24th out of 29 peer high-income countries for the level of public trust in medical providers.

For people like the mothers I interviewed, who have experienced real or perceived harm at the hands of medical providers; have felt belittled, dismissed or disbelieved in a doctor’s office; or spent countless hours fighting to pay for, understand or use health benefits, skepticism and distrust are rational responses to lived experience. These attitudes do not emerge solely from ignorance, conspiracy thinking, far-right extremism or hysteria, but rather the historical and ongoing harms endemic to the U.S. health care system itself.

Johanna Richlin does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

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Survey Shows Declining Concerns Among Americans About COVID-19

Survey Shows Declining Concerns Among Americans About COVID-19

A new survey reveals that only 20% of Americans view covid-19 as "a major threat"…

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Survey Shows Declining Concerns Among Americans About COVID-19

A new survey reveals that only 20% of Americans view covid-19 as "a major threat" to the health of the US population - a sharp decline from a high of 67% in July 2020.

(SARMDY/Shutterstock)

What's more, the Pew Research Center survey conducted from Feb. 7 to Feb. 11 showed that just 10% of Americans are concerned that they will  catch the disease and require hospitalization.

"This data represents a low ebb of public concern about the virus that reached its height in the summer and fall of 2020, when as many as two-thirds of Americans viewed COVID-19 as a major threat to public health," reads the report, which was published March 7.

According to the survey, half of the participants understand the significance of researchers and healthcare providers in understanding and treating long COVID - however 27% of participants consider this issue less important, while 22% of Americans are unaware of long COVID.

What's more, while Democrats were far more worried than Republicans in the past, that gap has narrowed significantly.

"In the pandemic’s first year, Democrats were routinely about 40 points more likely than Republicans to view the coronavirus as a major threat to the health of the U.S. population. This gap has waned as overall levels of concern have fallen," reads the report.

More via the Epoch Times;

The survey found that three in ten Democrats under 50 have received an updated COVID-19 vaccine, compared with 66 percent of Democrats ages 65 and older.

Moreover, 66 percent of Democrats ages 65 and older have received the updated COVID-19 vaccine, while only 24 percent of Republicans ages 65 and older have done so.

“This 42-point partisan gap is much wider now than at other points since the start of the outbreak. For instance, in August 2021, 93 percent of older Democrats and 78 percent of older Republicans said they had received all the shots needed to be fully vaccinated (a 15-point gap),” it noted.

COVID-19 No Longer an Emergency

The U.S. Centers for Disease Control and Prevention (CDC) recently issued its updated recommendations for the virus, which no longer require people to stay home for five days after testing positive for COVID-19.

The updated guidance recommends that people who contracted a respiratory virus stay home, and they can resume normal activities when their symptoms improve overall and their fever subsides for 24 hours without medication.

“We still must use the commonsense solutions we know work to protect ourselves and others from serious illness from respiratory viruses, this includes vaccination, treatment, and staying home when we get sick,” CDC director Dr. Mandy Cohen said in a statement.

The CDC said that while the virus remains a threat, it is now less likely to cause severe illness because of widespread immunity and improved tools to prevent and treat the disease.

Importantly, states and countries that have already adjusted recommended isolation times have not seen increased hospitalizations or deaths related to COVID-19,” it stated.

The federal government suspended its free at-home COVID-19 test program on March 8, according to a website set up by the government, following a decrease in COVID-19-related hospitalizations.

According to the CDC, hospitalization rates for COVID-19 and influenza diseases remain “elevated” but are decreasing in some parts of the United States.

Tyler Durden Sun, 03/10/2024 - 22:45

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