The Economist - USA (2021-01-30)

(Antfer) #1

20 United States The EconomistJanuary 30th 2021


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accompanied by cost-benefits analyses,
which can span hundreds of pages of eco-
nomic and epidemiological modelling, to
justify them. Courts scrutinise these ad-
ministrative actions and costings when
new rules are challenged—as they often
are. Improper accounting or shoddy adher-
ence to the apaare easy ways to get them
thrown out in court, which requires the en-
tire process to restart from scratch. Litiga-
tion can stretch for years. But once a rule
survives judicial scrutiny, undoing or re-
vising it later requires another go-around.
It will help Mr Biden that the Trump ad-
ministration was not very adept at admin-
istrative law. A tracker by the Institute for
Policy Integrity, a think-tank housed at
New York University (nyu) law school,
found that 80% of lawsuits against the
Trump administration’s regulatory
changes were successful. Under a typical
administration, that number is only 30%.
Many of the failures in court were due to
basic errors like not adhering to the apa’s
mandatory periods for public comment, or
failing to provide reasonable justifications
for new rules. Attempts to deregulate still
stuck in litigation at the time of the transi-
tion, like the previous administration’s ef-
fort to weaken exhaust-pipe emissions
standards on cars, can be jettisoned with-
out another lengthy rule making process.
With a second term, Mr Trump might have
waited out some of these legal challenges
and seen his changes to regulation become
more entrenched. Yet “because Trump was
a one-term president, his whole regulatory
output is very shaky, and little of it will sur-
vive,” says Richard Revesz of nyu.
Executive action is useful not just for
wiping away the last man’s legacy but also
for sketching your own. Mr Biden will not
be content to simply revert to Obama-era
rules circa 2016. For one, he has empha-
sised racial equity much more in his first
executive orders than America’s first black
president did (a sign of how the party’s base
has migrated on these issues). Mr Biden’s
economic actions may be a bit to the left as
well: he ordered the minimum wage for
federal contractors to be raised to $15 an
hour compared with the $10.10 rate that Mr
Obama ordered six years into his presiden-
cy in 2014. On environmental rules, Mr Bi-
den will probably push for ambitious regu-
lation of methane emissions and
fuel-efficiency standards for cars, says Paul
Bledsoe, a former climate adviser to Bill
Clinton. Given that businesses have re-
vised their stance on climate change since
the Obama days, there is likely to be less re-
sistance even to a stricter regime.
The process of de-Trumpification may
instilsomelessonsonthelimitsofrelying

ontransientexecutiveactionalone.Early
effortsatmitigatingthespreadofcovid-
anditseconomicfalloutbyexecutiveor-
der—likeincreasingnutritionassistance
forpoor families by15%, or mandating
companiestomanufacturepersonalpro-
tective equipment—can do some good.
Moreimportant,notesHeatherBoushey,a
memberofthepresident’sCouncilofEco-
nomicAdvisers,willbethepitchMrBiden
hasmadeto Congress:enhanced unem-
ployment benefits, another round of
chequesandpaidemergencyleave.A simi-
lardelicatebalancebetweenunilateralex-
ecutiveactionandmoredurable legisla-
tion will need to be struck on other
priorities, chief among them climate
change,ifBidenismistoproveanymore
lastingthanTrumpism. 7

T


he bidenadministration has pledged
to deliver 150m covid-19 vaccinations
within the president’s first 100 days in of-
fice, but who should get those shots? Most
states are prioritising frontline health-care
workers and long-term care-home resi-
dents, followed by people aged 75 or older
and essential workers. Few states are mak-
ing sure African-Americans or Hispanics
get vaccinated, even though they are three
times more likely to die from the virus than
whites. In fact minorities may be at the
back of the queue for something that is of
great value to all Americans.

In Memphis, Tennessee, in mid-Janu-
ary, all 10,800 vaccine appointments were
claimed before those without internet ac-
cess could sign up by phone; but black and
Hispanic Americans are less likely to have
internet access. Location is also a barrier in
some instances. In Suffolk County, Massa-
chusetts, which includes Boston, 46% of
white residents live in a census tract within
one mile of a vaccination site, compared
with only 14% of black residents and 26% of
Hispanic residents. “If [the goal is] to help
reduce the suffering and the death particu-
larly experienced by black, Latino, and old-
er communities, then...everybody should
be focusing their vaccination efforts on
reaching those groups,” says Nina
Schwalbe of Columbia University’s Mail-
man School of Public Health. This has not
been the case, however.
In early January New York City an-
nounced new vaccination sites in the
Bronx and Queens, predominantly minor-
ity areas. But the mass-vaccination centres
at Citi Field and Yankee Stadium delayed
their openings because of low supplies,
while many other sites closed. In Dallas,
Texas, health officials attempted to give
vaccinations first to residents living in pre-
dominantly minority zip codes, but state
officials threatened to revoke vaccine allo-
cation if they were not distributed to all eli-
gible people regardless of race.
Unless states and cities prioritise vacci-
nating non-whites, they are likely to fall
behind. Yet if they do, that could create a
backlash and result in legal challenges. Ac-
cording to the Journal of the American Medi-
cal Association, such strategies would need
to use “racially neutral vaccine allocation
criteria” that could “lawfully prioritise
populations based on factors like geogra-
phy, socioeconomic status, and housing
density that would favour racial minorities
de facto, but not explicitly include race.”
This is problematic, because non-
whites are also more hesitant about getting
the vaccine anyway. According to the Asso-
ciation for a Better New York, a non-profit,
white New Yorkers are more eager to get the
vaccine as soon as possible—78%, com-
pared with 39% of black residents and 54%
of Hispanic and Asian residents. This mis-
trust need not necessarily be a big obstacle,
though. According to the same survey, peo-
ple’s interest in getting vaccinated grows
sharply once some people they know have
been vaccinated. For Asians the propensity
to get the jab increases by 26 percentage
points, for Hispanics by 29 points and for
African-Americans by 34 points.
“It is important to first reach those who
want the vaccine, and educate others in the
meantime,” says Dr Leana Wen of George
Washington University. Christopher Mar-
te, a community organiser in the Lower
East Side in New York City, recommends a
grassroots door-to-door approach. To

BOSTON
Inoculating non-whites is the first step
to reducing vaccine hesitation

Vaccinations

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Build it and they will come

To see how Joe Biden’s start compares with
other presidents’, go to: economist.com /
tracking-joe-biden
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