The institutions are collapsing and the people are sick.
Ninety percent of people I know, from those in their 20s to those in their 70s, have, at some point in the last few months, been sick.
The flu has done a number on some, unknown viruses on others, there’s been strep throat, there’s been covid, there’s been ‘anxiety attacks’ that presented, in one friend, like a heart attack (she’s 39).
Just yesterday my partner told me one of her best friends (she’s 40) had to rush to urgent care with what the doctors ‘reckoned was the flu.’ Because she presented with pneumonia symptoms they sent her home with antibiotics. Whether it was actually a secondary bacterial infection as a result of the flu, who knows! Kind of looked like it, ‘they reckoned.’
This is what passes for medical care these days.
Medical institutions are collapsing.
Public health has collapsed.
The people are sick because everyone has had covid on multiple occasions by now. And covid has trashed immune systems. Specifically, it supresses for months, sometimes even years, the T-cells that help us fight infections. This is no longer particularly controversial. Immunologists who argued about this at first are beginning to agree that yeah, something has changed. According to one group of immunologists, covid represents ‘a new disease paradigm’ that will plague our societies for decades.
And it’s not just me coming with anecdotes about sick friends and family. It’s clear in every chart, in every graph. Whooping cough. Norovirus. Pneumonia. Sickness absence from schools. Long-term disability. All the numbers are up, up, up.
This isn’t a matter of opinion. This is a matter of fact.
But most people don’t know about this because they haven’t been told. People don’t know because our media and political institutions told us covid had morphed into ‘just a cold’ to return us to capitalist normality. ‘You do you’ neoliberal individualism was transposed into public health to ensure the resumption of capitalist business-as-usual, as I explained here.
But covid isn’t a cold (even if it can present as such) as I have written about before. It has different mechanisms of infection to the flu or common cold-causing rhinoviruses. It can do more damage to all bodily systems, including our immune systems, than rhinoviruses and flu viruses.
And, five years on, the damage it has done to immune systems is becoming evident. Viruses are hitting people more often and they are hitting them harder.
People think it’s 2019. They think they can’t have covid in 2025 because “I’ve already had it/I’ve had the vaccine.” They believe the propaganda. They still believe in old archetypes about the responsibility of the state to the citizen. They think the state protected them with vaccines and that this protection meant they could go back to normal.
But normal is over, gone, dead.
And it’s never coming back.
Most of us have known a broad stability.
Call it privilege, call it the luxury of ignorance, but, for the most part, background systems until recently largely functioned to maintain dependability, humming away, providing the foundation upon which lives are built.
That era is coming to a swift end.
For many people, privilege is still preventing them from seeing how our world is shifting.
Public health is a frontline marker of this institutional breakdown, signalling the collapse of the grand bargain between the leaders and the led.
But it’s not just public health. The rot is embedded in all our primary institutions. From the legal, to the political, from academic institutions to media institutions.
And it’s not just in the US, where Trump is speed running the end of stability. It’s across the west.
The assault on international law is one of the most obvious cases of institutional collapse. The genocide of Gaza has rendered international law, such as it was, null and void. This collapse has been engineered. It is a deliberate dismantling.
Legal rulings that compel states to detain individuals issued with international arrest warrants, like Netanyahu, have been ignored by the US and other western countries. Legal judgements labelling Israel’s unceasing violence as a genocide have been ignored. Legal scholars have repeatedly stated that a generational evil is underway in Gaza, yet the weapons keep flowing. And the state conducting this genocide has attacked and sanctioned the lawyers attempting to uphold the law, all to a great wave of western silence.
The mask of respectability has been peeled back and our governments have shown their lawless, ultra violent faces.
If massive regional or global war breaks out between countries in the coming years, as looks increasingly likely, we can trace this directly back to Gaza and western support for systematic mass slaughter. Mass slaughter that stomped on the notion of human rights. That imploded the distinction between combatant and civilian. That demolished all of our claims to moral superiority over the bad guys. That collapsed the framework of international law.
This demolition of human rights law hasn’t just been confined to foreign policy. Countries like the US and the UK are bringing this repressive, rights-stomping architecture home.
In recent months British journalists have been detained and had their homes raided for no other reason than condemning Israel and writing in support of Palestine. In the US, the repression of pro-Palestine voices that began under Biden has been forcefully ramped up under Trump, with the shameful illegal detention and attempted deportation of Mahmoud Khalil the most outrageous example.
This repression won’t stop with non-American citizens. It is bound to come for American citizens in short order.
This repression isn’t just a product of Trump or Biden or Starmer. It isn’t just a product of the state. It is also coming from academic institutions, as servile university leaders cave to the Zionist agenda. Across America, universities have attempted to repress protests against genocide, have called in the police against students, have allowed snipers to be positioned on university grounds against young people. University leaders have allowed their students to be shot and attacked with chemical weapons. Professors, including Jewish professors (in case anyone still thinks any of this is about anti-semitism) have been fired for sharing social media posts in support of Palestine. Medical doctors have been suspended for speaking out against Israel. Universities, led by Columbia, are now expelling students and revoking degrees for the crime of standing against genocide.
This is all institutional collapse.
Professor Katherine Franke who was forced out of Columbia in January gave a good insight recently into the ingredients that have led to this collapse. She told Chris Hedges:
“The boards of trustees at elite universities,” she said, “are no longer made up of people who are involved in education or committed to the educational mission. Instead they are hedge fund managers, venture capitalists, corporate lawyers and arms manufacturers who see their responsibility is to protect only the endowment fund. Columbia is the largest residential landlord in New York City. I describe the university as a real estate holding operation with a side hustle in classes. They are no longer interested in the role (universities) should play in a democracy.”
Franke says Columbia will never been the same again after Gaza, if it even survives at all.
And the media outlets people rely on for accurate information to understand the world have, when it comes to Gaza, twisted the information flows to suit the agenda of Israel and the west.
They have consistently attempted to both sides ‘the conflict,’ as they call it. At every turn they have manufactured consent for genocide with a variety of rhetorical slights-of-hand. From justifying every mass slaughter by parroting Israeli propaganda about ‘targeting terrorists’, to casting doubt on the death numbers by inserting ‘Hamas-run’ before every mention of the murder toll, to explicitly arguing for ethnic cleansing. To avoid saying the word genocide The Guardian this week called Israel’s renewed campaign of mass murder “a war of extraordinary civilian casualties.” This is cowardice and complicity.
Unable to present any balance whatsoever over Gaza, unable to alert people to the reality of forever covid, the media, too, must be seen as undergoing institutional collapse.
Collapse is an overused word. Generally, and by me, in this article.
The word itself invokes a sudden ceasing to exist. But in the context of institutions, it doesn’t mean that. It means the way they operated previously, and which we took for granted as being generally in service to the people we expect them to be in service to, is over.
We expect the media to be in service to the truth. We expect universities to be in service to education and their students. We expect public health to be in service to health. We expect politicians to be in service to the public. We expect that the law will be applied against bad guys.
This is over. And this is collapse.
But because these institutions still exist, because they remain embedded in our societies, we often can’t see this collapse for what it is. And many people, without access to alternative and critical points of view, are labouring under the false assumption that these institutions continue to be in service to the groups they expect them to service. But they’re not. They’re rotten, decaying husks of their previous, earlier selves. By no means have these institutions ever been perfect, but by now they have been thoroughly corrupted by power, by neoliberal capitalism, and by lobby interests.
But the nature of decay means that you can’t hide it forever. And as these institutions continue to serve interests and agendas other than their stated ones, people will begin to notice. People are already noticing.
Support for Israel is plummeting. Increasingly few people trust mainstream news sources. Trust in politicians is at an all-time low. Trust in public health leaders has slumped.
And as people begin to wonder who and what they can trust, they are finding alternatives. Because, like an acid dripping through the core of society, the corruption of liberal institutions, the turning away from their central missions, has created fissures all across society. And these fissures are being filled by far-right political and media figures, from Trump to Andrew Tate to Jordan Peterson to Tommy Robinson.
The job of pro-social people, then, as the collapse of institutions opens up these fissures, fuelling fascism and breakdown, is to spot the gaps and provide inclusive alternatives that can help build an anti-fascist future.
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I'm too old for this. The this being the evisceration of free speech.
When I was in high school, college students a few years older than me were demonstrating, occupying college administration buildings, and getting shot by the National Guard to protest the involvement of the United States armed forces in Vietnam.
These cohorts of mine now condemn legitimate, and in fact, righteous protest of the outrageous atrocity of Gaza and the West Bank. Will drafting their grandchildren to be the boots on the ground to subjugate all of West Asia be the catalyst for protest finally being OK?
To see university presidents cower before Congress and to adhere to the dictates of war criminals is the latest of a long list of American travesties.
Like Orwell, I will ever rue the abuse of language that prevails in our discourse. To call antisemitic those who justifiably protest the mass murder of semitic people
Great article Nate!
We are seeing the results of neoliberal politics in the realms of health, education, mass media, everywhere.
This is the end of the pretense that capitalism works for all of us.
It no longer protects our health, our environment, the oppressed peoples of the world, our employment.
Of course, capitalism only cared about our health to a very limited degree (immigrants can replace a sick and aging workforce, benefits can be slashed to prevent their costs rising).
They never stood up for oppressed peoples of the world unless it was in their interest to do so.
The mass media have always lied to us but some truth used to be in the mix.
Saying all this though you remain right that there has been a qualitative change!
The system is in permanent economic crisis, geopolitical crisis (decline of US power), and a crisis of legitimacy. In chorus the capitalists now sing a different tune. It's a war song.