Abstract
Environmentalists have long warned of a coming shock to the system. COVID-19 exposed fragility in the system and has the potential to result in radical social change. With socioeconomic interruptions cascading through tightly intertwined economic, social, environmental, and political systems, many are not working to find the opportunities for change. Prefigurative politics in communities have demonstrated rapid and successful responses to the pandemic. These successes, and others throughout history, demonstrate that prefigurative politics are important for response to crisis. Given the failure of mainstream environmentalism, we use systemic transformation literature to suggest novel strategies to strengthen cooperative prefigurative politics. In this paper, we look at ways in which COVID-19 shock is leveraged in local and global economic contexts. We also explore how the pandemic has exposed paradoxes of global connectivity and interdependence. While responses shed light on potential lessons for ecological sustainability governance, COVID-19 has also demonstrated the importance of local resilience strategies. We use local manufacturing as an example of a possible localized, yet globally connected, resilience strategy and explore some preliminary data that highlight possible tradeoffs of economic contraction.
1. Introduction
Many environmentalists have long warned of the likelihood of a significant shock to the system given humanity’s inability to respond to our ecological emergency. The COVID-19 pandemic has been widely recognized as auguring some kind of turning point in the global social–ecological system. Newspaper pundits talk as if we have crossed some Rubicon. But in our case, there is no Caesar with a clear political agenda. Studies of the dynamics of complex social–ecological systems show that external shocks have the potential to push systems into alternative steady states [1]. It is impossible to know whether the COVID-19 pandemic will trigger such systemic change. But with socioeconomic disruption cascading through tightly coupled economic, ecological, social, and political systems, many are working to turn crisis into opportunity. In this article, we explore (a) the possible impact of systemic change on human and planetary health, and (b) the extent to which the convergent politics of this transition may depend, paradoxically, on the intersection of very different drivers, involving often agonistic players, with little mutual trust and understanding, and certainly no common political vision.
We do this by looking at ways in which the COVID-19 shock has been leveraged in local economic contexts, emphasizing the importance of prosocial forms of economic life and healthcare. The COVID-19 pandemic has exposed the fragility of our systems and has the potential to shock our societies and economies toward an alternative state that could be more conducive to human and planetary health. However, the pandemic also highlights and precipitates the paradoxes of global connectivity and interdependence. While these approaches shed light on possible lessons for ecological sustainability governance strategies, COVID-19 has simultaneously demonstrated the importance of local resilience strategies and exposed the fault-lines of the current global system.
In response to this, we explore four COVID-19-related lessons for advancing socioecological resilience in a time of systemic shock: (1) the potential of prefigurative politics; (2) the extent to which ontologies can underpin systemic change; (3) the value of questioning dominant regimes, such as existing models of healthcare organization; and (4) the importance of cooperation and prosocial behaviors. Given that prevailing environmental strategies have proven insufficient, we use tools from the systemic transformation literature to call for novel socioecological strategies that strengthen cooperative prefigurative political actors and groups to act as attractors for socioecological change.
2. Complex Systems, Socioecological Resilience, and the COVID-19 Shock
Since the industrial revolution, growth has dominated the global economy and has become a core driver of human behavior [2,3]. As the global commitment to growth strengthened, so too did the intimate link between growth and medical technology, innovations, and taken for granted approaches to medicine and public health. Health institutions are all now enmeshed in a complex system that is global in scale and scope. While once much more personal, conversations around health now involve national governments, corporations, regional trading blocs, and supranational institutions such as the Organisation for Economic Co-operation and Development (OECD), the United Nations (UN), and the World Health Organization (WHO).
Socioecological systems have never been more tightly coupled. This interdependence increases the risk of global-scale, systemic failures that spread rapidly, not only across geographies but through seemingly disparate domains of social and economic life [4]. Most difficult of all is the extent to which unsustainable patterns of global economic growth have become prerequisites for solving medical and health problems through, for instance, global supply chains, investments in research and development for new vaccines and pharmaceuticals, incentives for technological innovation, and profit-centric healthcare delivery models. The COVID-19 pandemic underlines the extent to which problems of medicine and health are now also financial, economic, ecological, and even geopolitical and military problems.
Such dependence on economic growth makes it difficult to reconcile the ecological integrity of global life support systems with the continuing trajectory of health improvement and a growing capacity for medical intervention. Growth has, on the one hand, led to incredible advances, while on the other hand, it has generated diseases of affluence, including respiratory disease from air pollution; traffic accidents; problems of mental health and suicide; and the emergence of new vectors and pathogens from the disturbance of previously separate ecosystems. All of these are central concerns for the planetary health movement [5,6].
For decades, academics working in the interdisciplinary domain of complex systems have highlighted the paradoxes of global connectivity [1,4]. Globalization has most certainly mobilized the power of free markets to generate unparalleled wealth, lifting hundreds of millions of people out of absolute poverty [7]. Vaccination programmes, house building, transport systems, the provision of clean water, and public health systems have expanded in many areas of the developing world, not least China and India, where the burgeoning middle classes are now greater than the population of Europe. But the same process has ratcheted up the ecological burden on the biosphere, not just in terms of climate change but also pollution, crashing biodiversity, the destruction of habitat, and the creation of unpredictable novel ecosystems—not least the evolutionary species-jumping viral outbreaks associated with Ebola and now COVID-19 [5,6].
Since the 2008 global financial crisis, it has become clear the extent to which globalization has created systemic risk in relation to financial systems [1,4]. The globalization of production has seen nation-states become ever more interdependent, with national economic growth tied to an infinitely complex web of supply chains, linked by automated “just in time” stock flow and production management systems. Whether in the production of ICU ventilators, masks, and other PPE or the innovation and production of vaccines and related pharmaceuticals, the COVID-19 crisis has underlined not just the benefits of cooperation but also the dangers of external dependence. The early months of the COVID-19 pandemic revealed fragile supply chains and inadequate national preparations. It also saw the undermining of international cooperation and institutions, failures of solidarity, and the re-assertion of civic nationalist interests, as what can only be described as panic gripped the policymakers of many key nations.
In these ways, the pandemic and the resulting economic crisis have exposed fault-lines in the global system whereby the trajectory of medical and health systems will emerge as a function of:
- Ecological limits to growth: On a finite planet, there are biophysical limits to complexity and growth. All health innovations and systems—whether investments in clean water or an HIV vaccine—come with a biophysical cost and proceed at the expense of “ecological space” elsewhere in the system [8].
- Ecological limits to societal connectivity: Tackling problems of culture, justice, health, and social change in relation to health presents new challenges. Societal connectivity both creates the conditions for cherished gains in social justice and wellbeing and at the same time exacerbates risks associated with tightly coupled socioecological systems.
- Geopolitical constraints regarding trade relations: Peak globalization and an emerging consensus that the West’s relationship with international partners has become very dependent may see a systemic shift away from outsourcing labor intensive manufacturing to East Asia and the re-emergence of more capital-intensive production within Western economies.
- Reimagining the importance of “care”: We are increasingly faced with a tradeoff between capital intensive medical technologies that depend on growth, and improvements in public health that involve the reordering of social relationships and institutions, including more localized solutions.
The ways in which these trajectories interact to shape future health systems also affect the ongoing negotiation of “wicked dilemmas” related to global connectivity. Complexity science demonstrates that tightly interconnected and more homogeneous networks are highly vulnerable to “synchronous failures” [4]. Globalization enhances both of these risks by enabling the rapid flow of materials, energy, people, pathogens, and information across the planet, while simultaneously homogenizing and reducing the diversity of cultures, institutions, values, local knowledge, and problem-solving approaches. Tightly coupled socioecological systems also become vulnerable to critical transitions or tipping events that push systems from one stable equilibrium to another. This characteristic implies that even small perturbations, or minor crises, in a configuration that is close to a threshold, can push the entire system into a period of chaos, after which it settles into an alternative stable state. Those monitoring escalating global risks from a systems perspective have long warned that pandemics, global financial crashes, and various ecological damages, including crossing planetary boundaries, resource depletion, and climate change, could lead to such tipping points [1,4]. Transitions within complex socioecological systems are highly unpredictable, nearly impossible to manage or control, and prone to generating unexpected and even “counterintuitive” results [9]. With these insights into the dynamics of complex systems as a backdrop, COVID-19 enters the landscape as a “perfect storm” at the intersection of ecological and epidemiological change, and financial and geopolitical instability.
3. Prefigurative Politics and Resilience
By drawing on strong prefigurative politics, some local communities, or entire countries, have responded to the pandemic with greater certainty and ease in decision-making. While we have yet to see what constitutes an effective response to the pandemic in a more long-term view, prefigurative politics have played a role in decision-making. This dynamic, and other movements throughout history, demonstrate the power of prefigurative politics for responding to a crisis. Limits to growth are eroding the walls between the existing socioecological regime and social change defined by widespread social, economic, and political collapse. This dynamic can already be observed in the negative health effects of crossing planetary boundaries, which range from accelerating the spread of vector-borne diseases to elevated rates of cancer, loss of food security, and mental distress [5,10].
Prefigurative politics encompasses strategies through which social movements embody the ontologies and societies which they envision [11]. It is the political practice “of those forms of social relations, decision-making, culture, and human experience that are the ultimate goal” of the social movement [12]. Prefigurative approaches to social change privilege means over ends, believing that the outcomes of a social movement will be determined by the ways in which it pursues its goals. In a Weberian sense, prefigurative politics is “value-rational”, or grounded in collective values. It does not necessarily seek change using the mechanisms of the existing system (e.g., multilateral agreements, government policy change), but finds spaces within the current system to establish new modes of being in the world [11].
Prefigurative politics is a path to new patterns of social relations that can be imagined from within the current system. These diverge too much from the mainstream to gain widespread traction under existing conditions [13,14]. Prefigurative approaches are occupied by efforts to avoid unintentionally reproducing existing power and authority structures, values, and ways of relating. As a result, they tend to be radically democratic, community-centric, and counter-hegemonic [12,13,14,15]. Many social movements in the 20th and 21st centuries, such as those for peace, women’s rights, the environment, anti-capitalism, and Indigenous rights, have included prefigurative elements [11,14]. The success of a prefigurative experiment can potentially be determined by the extent to which the prefigurative structures and ways of being attract participants, enter the mainstream, or displace dominant institutions and value systems [11].
Theories of prefigurative politics arise from opposition to disruptive forces in early 20th-century Europe, including industrialization and bureaucratization [11]. “Between 1918 and 1920, Gramsci developed a theory of socialist transformation that identified factory councils in Italy as key elements of a radical political order that would take hold in the spaces opening up as a result of the escalating crisis in bourgeois society” [12,16]. This conceptualization of the potential of prefigurative experiments to gain ground as crises accumulate in the dominant regime is now embedded within theories of socioecological system transformation in resilience studies and social innovation [17,18].
COVID-19 has certainly demonstrated the failure of hyperpolarized political systems (e.g., the USA, England, and Brazil). In such nations, societal consensus on what constitutes an appropriate response to the pandemic has failed, and measures seen in other countries as reasonable and proportionate have become weaponized and totemic, leading to cascading failures to control the impact of COVID-19. In the USA and the UK, allegedly strong institutional capabilities to respond to a pandemic have been swept away by polarized arguments and poor political decision-making. The paradoxes that COVID-19 has exposed in right libertarianism, as displayed especially in the US and Brazil, have been among the most baffling features of the pandemic—a refusal to accept any limitations on personal freedom (such as mask-wearing) even when this will harm others, yet a failure to grasp that choosing such actions directly implies that others need feel no obligation to protect these very freedoms, precisely because their safety was of no concern to the libertarians.
Successful political responses to COVID-19 have by no means mirrored the prefigurative tropes of democratic/anarcho-/libertarian socialism which have traditionally been associated with “prefigurative politics” as a term. Acceptance of, submission to, and trust in democratically accountable state authority and enforcement has been an essential ingredient of COVID-19 success in those democratic nations which have fared better to date. Unquestionably, notions of civic–national solidarity have been at the fore in those nations or regions which have mounted successful responses; in some cases, such as in Australia, these have resurfaced with surprising vigor, against the grain of both conventional neoliberal politics and leftist internationalism.
It is significant that, where it has been achieved, effective control of COVID-19 transmission has been secured overwhelmingly by the use of social, rather than medical, interventions: social distancing, contact tracing, quarantine, hand hygiene, and face masks. While enhanced by modern pathology testing techniques and digital technologies, these tools would have been instantly recognizable to our forebears combatting Spanish Flu one hundred years ago. Social interventions and technologies may similarly hold greater promise than medical technologies in fighting non-communicable diseases in the future; it is uncontroversial to suggest that action to tackle the social determinants of health and the “consumptagenic environment” [19] are likely to yield greater gains in population and individual health than increased spending on healthcare.
4. Systemic Change and the Importance of Alternative Ontologies
Proponents of “degrowth” [20] view the crisis as a vehicle to leverage wider change that could see our carbon footprints fall as we buttress public health and life-course approaches to care. Health professionals concerned about the effects of climate change hope that the pandemic will make it possible to address, simultaneously, both global health and ecological challenges [21,22]. The “COVID-19 shock” could tip the system towards a more resilient future. Certainly, there is the danger of further corporate consolidation, surveillance, and atavistic forms of renationalization. But there is also the significant potential for relocalization, the re-embedding of markets, a slowing down of cross-border capital and labor flows, and more “viscous” forms of economic life, with trade and cultural barriers insulating local and particular configurations of economy and culture [23].
On both the left [24,25] and the right [26,27], visions of relocalization have always centered on the “re-embedding” of markets, the centrality of face-to-face relationships rooted in both extended family and community, and, often, an insistence, albeit unspecified, on the need for some kind of “re-enchantment”. On the ecological left, the theme of re-enchantment can take the form of a spiritual reconnection with nature and an ontology of relationality as, e.g., in developments in contemporary Paganism and radical environmentalism in other new religious movements and ecospirituality [28,29]; but on the right, it appears more often in the rearticulation of traditional religion [26,30]. What they share is a commitment to the intersections of place, landscape, family, and spirituality. This is clearly echoed in the planetary health movement’s recognition of the importance of religion, spirituality, and Indigenous knowledge [31].
In the history of capitalism, there has been a constant tension between the integrity of context-bound places, landscapes, and ecologies on the one hand, and the corrosive impact of both science and markets, on the other. Market pricing construes any “thing” or process as commensurable with any other. Science (and medicine) are likewise predicated on a single model that can describe and compare every phenomenon with any other. Together with monotheistic globalising religions, science and markets embody a universalizing imperative that is intrinsically corrosive of local ways of knowing, and cultural particularity. But they have also combined to create and make sacrosanct the understanding of the individual that is implicit within the concept of human rights and the taken for granted shibboleths of liberal societies [32,33].
In the domains of medicine and health, as with economics, ecology, or politics, a stable accommodation between local and global is difficult to achieve. The minimum requirement for enabling localism to thrive, alongside any significant degree of global connectivity, is some re-embedding of markets and the recreation of more barriers between protected domains (“small pools”) of economic activity. The intuition of planetary and public health advocates is often that such a relocalization also is a prerequisite for less medicalized, less individually focused, and more societal approaches to wellbeing.
With myriad local examples arising amid restrictions on travel and global trade, it is at least conceivable that the COVID-19 pandemic could act as a driver of a more structural process of re-embedding. All over the world, companies are retooling to support the production of personal protective equipment (PPE). During a comparable crisis in World War II, many merchants and retailers lost both customers and markets, saw key employees drafted, and experienced disrupted supply chains. This led to extraordinary transformations across various sectors: the repurposing of production lines; the entry of women into the workforce; and technical reorganization and productivity gains. In this way, shocks to the system can function to expose weaknesses and opportunities. Though rare, such episodes provide a glimpse into alternative economic regimes—configurations that, although presently unrealized, exist as a latent potential in the landscape of possibility that complexity theorists refer to as the “adjacent possible” [34]. Thus, for instance, war-time re-organization prefigured the Keynesian mixed economy and welfare system that emerged postwar. To what extent do current transformations similarly augur more permanent changes to health systems and their relationships to the wider economy? There certainly seems to be a growing consensus that future systems should favour rapidity of response and relative insulation from more risky geopolitical relationships.
In the emerging landscape, there is a real paradox for established political actors. Drivers and “solution sets” cut across the conventional left–right axis. In particular, there is a mutually unacknowledged convergence in relation to a more localist “prosocial” trajectory between those left-minded greens focused on health and ecology, and communitarian/national conservatives focused on family and protectionism. For instance, tariffs and a collapse in low-cost Chinese production could be a massive boon to high tech, “4th industrial revolution”, backyard “additive manufacturers” and fabricators. The global economy is currently driven by a model of cheap, high-volume, disposable consumption, globally dispersed but functionally integrated, and maximally extended, “just on time” supply chains. A more localized economy could tilt significantly toward economies of scope and bespoke, high-cost, high-quality, repairable, craft production [25]. Although the Biden victory in America is likely to see the reassertion, at least at the level of policy, of the predominantly globalist division of labor between less expensive international production and consumption in the West, it seems unlikely that this Bush–Clinton-era political economy will survive the coming depression without serious modification.
5. Dominant Regimes under Question
While the scale of the economic impact of COVID-19 appears to have come as a surprise to policymakers, it is consistent with emerging evidence that the world is transitioning into a “postgrowth” era, as global economic growth rates have slowed over a period of decades. This relentless slowing of growth has been driven by structural economic factors such as inequality and indebtedness; the demographics of aging populations; encroaching ecological feedbacks and limits; and by damage from major shocks (financial, environmental, and now a pandemic) whose frequency appears to be increasing [35]. This backdrop of “limits to growth” will become increasingly visible as the central constraint upon healthcare systems in the years ahead [36]. COVID-19 has given high-income health systems a rather shocking reminder that material resources may not always be available. Resource constraints will be felt more, rather than less, keenly in many health systems in the future. Healthcare and medicine will be challenged to transition away from a deeply held cultural belief that “more is better” towards a new culture of sufficiency in technological interventions.
Significant change is already happening. Doctors on the front lines have implemented new ways of working that are more collaborative, less bureaucratic, and, incidentally, greener [37,38]. National governments have begun to explore basic income policies to help citizens cope with massive unemployment [39,40]. (It is worth noting that this policy has even been vaunted by Stephen Bannon as the centrepiece for a post-COVID “national populist” political economy [41].) At lower scales, neighbors are self-organizing to ensure that those most vulnerable to transmission have their basic needs met [42]. Access to online and telehealth mental health services has expanded and the mental health risks of social isolation are a recurring target for commentary and intervention.
COVID-19 provides important lessons for the necessary evolution of health systems to meet the challenges of the Anthropocene. Central among these is the extent to which global health systems are implicated in a series of wicked dilemmas related to global connectivity and economic growth that must be negotiated to build resilience to future crises. Healthcare must become more localized, less complex, and more antifragile—becoming stronger in adversity, rather than bemoaning the passing of some golden age. Yet the global nature of medical and scientific knowledge will remain, and that knowledge must be shared rapidly and widely across all nations without hindrance. Hopefully, the particular horrors of overwhelmed health systems will not become a “new normal”; but a certain toughness of mind and a greater recognition of the limits of medicine may prove to be a useful legacy of this pandemic. Humanity has only ever succeeded in eradicating one disease, 40 years ago [43]. Even as the world celebrated that achievement, HIV/AIDS was already on the move: we still have no vaccine for HIV to this day. And efforts to fully eradicate polio, the second target pathogen, have stalled. COVID-19 reminds us that we would be wise to replace hubris with humility as we seek to safeguard the health of both humans and our planet.
The exposure of crucial healthcare supply chain vulnerabilities was one of the earliest lessons of the COVID-19 crisis, and this may yet be one of its most enduring legacies. Liberal political preferences now come to be in tension with significant drivers for localization that might conceivably accomplish, even if incidentally, multiple sustainability goals, particularly around shortening supply chains and instantiating more place-bound configurations of economic and social life.
The pandemic is proving particularly disruptive with respect to the spatial arrangements of service sector office work and higher education. Forced to move curricula online, universities have responded with admirable speed and flexibility. However, the success of this transition has brought to the fore real questions about the traditional campus model of education. Grade inflation [44], the overproduction of both undergraduates and PhDs [45,46], and a proliferation of soft disciplines with questions regarding academic merit [47,48], all tied to a culture of credentialism, became a persistent focus for critique long before the current crisis. But against the backdrop of a massive economic contraction, the pandemic raises difficult questions about the sustainability of overextended campus infrastructures and the number of institutions. At the same time, student experience shows not only the extent to which much of the current offering can by replaced by online provision, but simultaneously underlines the value of premium, face-to-face interactions, in small groups, with highly intelligent and motivated peers. This seems to point towards a contraction of the sector, and a bifurcation between more extensive online programming and expensive, high-value-added traditional models.
Similar considerations are wreaking havoc in city centers as large companies close in-person operations and move online. The very success of this transition raises real questions about the need for expensive, downtown office infrastructure [49]. Some employees have welcomed this move; others have found it psychologically challenging. Since a “return to normal” seems unlikely [50], the pandemic will likely be seen as a turning point not just in the organization of clerical and office work, but also family life and—in the long term—the structure of urban settlement [51]. Coinciding with widespread urban unrest, protest, and rioting, the abandonment of the office has accelerated wider processes of middle-class and white flight [52,53]. Such developments are likely to accentuate the existing polarization between the winners and losers of globalization and between those who, by necessity and volition, remain more attached to particular, place-bound communities (people Goodhart [54] refers to as the “somewheres”) and more highly educated, mobile, and cosmopolitan individuals who are increasingly detached from such places (the “anywheres” – or, as Toby Young [55] renders it, the ‘nowheres’).
7. Conclusions
In this paper, we consider the extent to which the COVID-19 pandemic could act as a shock to the dominant socioecological regime, precipitating a transition toward a new systemic equilibrium more conducive to human and planetary health. The pandemic has highlighted the fragilities of the current globalized system, creating political momentum from both liberal greens and traditionalist conservatives toward the relocalization of production for essential goods. The significant role that the Maker community has been able to fill, and the rise of mutual aid networks, demonstrate the potential of prefigurative movements to use the opportunities afforded by the pandemic to proliferate more prosocial behaviors and structures. Yet the pandemic has also made it clear that we can expect significant tradeoffs in a phase shift from high levels of global connectivity toward more localized approaches to resilience. New research into the effects of the pandemic on women and unpaid care work, for instance, shows that the gender equality won through greater participation of women in formal markets is vulnerable in a context of economic contraction. If COVID-19 does contribute to tipping the global socioecological regime in a direction that departs significantly from growth-centric modernity, realizing the potential gains for human and planetary health will depend upon our collective capacity to navigate these wicked dilemmas, none of which are amenable to easy solutions.
Author Contributions
Conceptualization, K.K., K.Z., and M.H.; investigation, K.K.; writing—original draft preparation, K.K., K.Z., and M.H.; writing—review and editing, K.K., K.Z., M.H, B.J.D., and S.Q.; revisions, K.K., K.Z., and S.Q. All authors have read and agreed to the published version of the manuscript.
Funding
This research was funded by Leadership for the Ecozoic and the Social Sciences and Humanities Research Council project Economics for the Anthropocene.
Institutional Review Board Statement
Not applicable.
Informed Consent Statement
Not applicable.
Data Availability Statement
No available data.
Conflicts of Interest
The authors declare no conflict of interest.
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