
I don’t believe the past was a better place or a better time than the present. I just know it was different. But as I look at this image of the old glass in a window, I see how the patterns in that old glass act as a kind of lens on the present, and that makes me think about how it seems to me, that in many ways, we are too focussed now on the immediate, the instant gratifications, and always on what might come next.
But don’t we learn from the past? Isn’t how things were before, or what actions we took before, a useful lens through which to view the present?
Let me be clear, I am very, very keen on living with awareness of this present moment. I think that too often many of us are living on autopilot. That’s one of the big themes of this blog – “heroes not zombies” – encouraging us to wake up, become aware, and become the authors/heroes of our own stories, rather than living a life of semi-conscious manipulation by others. I’m also keen on looking forwards, though, to be frank, I’m not a big fan of predictions! But I also think that unless we pause, reflect, consider, and look back, then it is pretty difficult to learn. It seems true that if we keep doing what we are doing then we are going to keep on the same track. So, if we want to learn, want to grow, to improve, to develop, then we are going to have to learn something from how things were before.
I don’t think that means a romantic longing for an imaginary idyllic past when everything was wonderful. That’s not real. I mean learning what led up to this present moment, learning what it is we’ve been doing which might have contributed, at least, to our finding ourselves here, in this specific present, today.
I think about that as I watch this pandemic unfolding. I can’t help wondering about the countries of the world, like Australia, New Zealand, Taiwan, Vietnam, and others, where the case numbers and deaths are, frankly, tiny compared to those in Europe, America and Brazil. And, whilst there is no doubt something to be learned from each other, from comparing how each country tackled this pandemic, I think there is also something to be learned from how we humans have managed infectious disease, and epidemics in the past.
Time and again we see that there is a basic principle – separate the sick from the well. In times gone by that was done in what now seem pretty cruel and crude ways, expelling the sick, putting them in colonies outside of the towns. I don’t think we’d want to repeat that particular strategy, but the basic principle remains a key one. To control an infection you have to identify who has the infection and limit their contact with the rest of the community. We can do that now in much more humane ways. We can treat the sick in hospitals. Actually, there was a time when there were quite a number of specifically infectious disease hospitals (and “asylums”) but most of those seem to have been closed down. Maybe it would be a good idea to create new centres for the treatment of those who are suffering from infectious disease, and staffing them with doctors and nurses who can work in the community when there are no epidemics raging. That might be better than diverting the resources for treating cancer, heart disease, etc towards infectious disease, leaving those non-covid patients to suffer (which is what is increasingly the case).
Maybe it would a good idea to have a really effective, community based, human-centred system of testing, contact tracing and genuinely supported isolation – in isolation hotels, and in peoples own homes with daily visits from health care staff?
One of the things we are seeing with Covid is how many people get very, very slow recovery, relapses and lingering, debilitating symptoms. In the past we used to have convalescent hospitals, spas and rehabilitation centres. A lot of them got closed down too. Maybe it would a good idea to open those up again, to make new ones, to support and treat those who are in for the long haul.
Finally, in epidemics in the past, people controlled their borders. The countries which have the lowest case rates now did that too. The countries which didn’t bother, have the worst rates. Isn’t it time to do that? And not just to insist on a negative test and advise someone to quarantine for 10 or 14 days. But to insist upon supported isolation during mandatory, supervised quarantine periods for all those who cross borders? OK, I know, there will be those who need to keep traveling and who can’t keep doing those quarantines, but let’s vaccinate them, and monitor them more carefully.
Just some ideas I’ve been having about how we could better manage this pandemic, by looking at the present through the lens of the past.
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