The Economist - UK (2022-04-09)

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The Economist April 9th 2022 United States 35

agoguery”.  That  did  not  stop  SenatorTom
Cotton  contrasting  Ms  Jacksonwith her
namesake,  Justice  Robert  Jackson, who
went to Nuremberg to prosecuteNaziwar
criminals after the second worldwar.“This
Judge Jackson”, Mr Cotton said,“mayhave
gone there to defend them.”
Ms  Jackson  deflected  questionsabout
critical race theory, how to definea woman
and  where,  on  a  ten­point  scale,sherates
her  religiosity.  She  recountedthatwhen
she was a freshman walking throughHar­
vard  Yard  another  black  woman,seeing
self­doubt on her face, admonishedherto
“persevere”. Senator Cory Bookerreciteda
poem  by  Maya  Angelou  where “bitter,
twisted  lies”  could  not  keep a woman
down.  Ms  Jackson  showed  patienceand
command—traits  she  may  need todraw
upon  as  one  of  three  liberal  justicesona
courtwithsixconservatives.
Thehearings,howeverhistoric,casta
pall over Hamilton’s vision of fruitful
cross­branchcollaboration. Lindsey Gra­
ham,a RepublicanwhovotedforMsJack­
sonlastyear,notonlyflippedhisvotebut
gavea doseofrealpolitikduringtheSenate
JudiciaryCommitteemeetingonApril4th.
If RepublicanscontrolledtheSenate(adis­
tinct possibility after this year’s mid­
terms),he said,Ms Jackson“would not
havebeenbeforethiscommittee”.n


Theopioidepidemic

A lethal shift


T


he typicalface  of  America’s  opioid
epidemic has long been that of a white
man from a post­industrial town in the Ap­
palachian mountains. White victims have
accounted  for  78%  of  the  more  than
500,000 opioid­overdose deaths since the
late  1990s.  In  2017  counties  in  Appalachia
experienced rates 72% higher than the av­
erage for the rest of the country. 
African­Americans  were,  for  once,  far
less affected. But that has changed. In 2020
their  rate  of  opioid­related  deaths  sur­
passed white people’s—the culmination of
a grim trend some five years in the making
(see left­hand chart on next page).
The  first  wave  of  the  epidemic  was
caused  by  drug  companies  and  doctors
pushing prescription opioids. Researchers
theorise that twisted beliefs (that African­
Americans  are  more  likely  to  divert  pills
for street use, and are less sensitive to pain
so do not need them anyway) helped to in­
sulate  them  from  the  scourge  relative  to
white Americans. Then, from 2010, came a
second wave: as regulators clamped down
on prescription pills, many addicts turned
to illicit opioids, notably heroin. White ad­
dicts continued to fatally overdose at over
twice the rate of black users.
Fentanyl,  a  synthetic  opioid  up  to  50
times more potent than heroin, brought a
third wave. Though it is also a prescription
painkiller, its illicit form—mainly made in
Mexico  with  materials  from  China—has
contaminated  drugs.  Its  low  cost  and  po­
werful high make it attractive: dealers can
dilute the more expensive drugs they sell,
such  as  cocaine,  heroin  or  methamphet­
amine, while strengthening their effect. 
Fentanyl’s march across black commu­
nities  has  been  particularly  quick  and
deadly.  Since  it  seeped  into  the  drug  mar­
ket  around  2013,  opioid­related  deaths
among  the  white  population  have  more
than  doubled,  but  those  among  African­
Americans  have  more  than  quintupled.
There  is  little  evidence  that  during  this
time  more  African­Americans  suffered
from  opioid  use  disorder  (oud),  so  the
deaths are not being fuelled by a burgeon­
ing group of new, intentional opioid users.
Rather,  the  drugs  they  have  been  using,
opioids  or  not,  have  grown  more  deadly
with the spread of fentanyl.
Especially  so  for  older  black  men.  In
2020 black men aged 55 to 64 died at over
2.5  times  the  rate  of  older  white  men  (see
right­hand chart). Andrew Kolodny, medi­

WASHINGTON, DC
Black Americans have overtaken white
sufferers in opioid death rates

UnionisationatAmazon


Not quite primed


W


atching thevotes comein,  Mad­
eline  Wesley,  treasurer  of  the  Ama­
zon  Labour  Union  (alu),  becomes  emo­
tional.  “We  really  had  nothing,”  she  says
between sobs. By a margin of ten percent­
age points, staff at jfk8, an Amazon ware­
house on Staten Island, New York, opted to
form  the  firm’s  first  American  union.  The
aluhopes it will not be the last. “I expect
Amazon unions will be popping up all over
now,” Ms Wesley adds, now smiling. 
Plenty  look  set  to  try.  Organisers  say
that since the result on April 1st, workers in
more than 50 Amazon buildings have been
in touch. The aluis optimistic about a vote
at  another  Staten  Island  warehouse  later
this  month  and  the  Teamsters  union,  one
of America’s largest, has promised to try to
organise  other  Amazon  staff.  Success  can
be  contagious.  A  first  Starbucks  café  in
America  unionised  in  December;  now  al­
most  200  have  filed  for  votes.  National
conditions  seem  favourable:  a  pro­union
president is in the White House, the labour


marketistightandsome60%ofAmeri­
cans say that the reduction in union repre­
sentation has been bad for workers.
Not so fast. The alugained traction as a
local,  worker­led  movement,  (unlike  the
less  successful  big­labour­led  drive  at  an
Amazon  warehouse  in  Bessemer,  Ala­
bama). Asked why he backed the union de­
spite being happy with his pay and breaks,
one  Amazon  worker  replied:  “I  know  the
guy.” That may be hard to replicate. It was
not  “a  traditional  union  campaign  where
an  outside  organisation  came  in  and  told
the workers what was best for them”, says
Julian Mitchell­Israel, an aluactivist. 
Amazon  itself  opposes  unionisation,
arguing  that  “having  a  direct  relationship
with  the  company  is  best  for  our  employ­
ees”. At Staten Island, it made that case in
mandatory meetings and in posters across
the  warehouse.  Nationally,  it  spent  over
$4m last year on anti­union consultants.
“Amazon  is  going  to  keep  fighting  as
hard as they possibly can,” says Adam Seth
Litwin of Cornell University’s labour­rela­
tions school. One option is to draw out ne­
gotiations at jfk8: “delays around the first
contract  have  become  “de rigueurstrategy
for  businesses  in  the  situation  that  Ama­
zon  is  in  now,”  Mr  Litwin  explains.  Less
than half of union certifications result in a
contract.  Without  one,  firms  can  push  for
decertification,  and  copycat  campaigns
can lose their lustre.
Private­sector  union  membership  has
decreased in America for decades. Defying
that  trend  will  be  hard:  those  nearly  200
unionisation  elections  at  Starbucks  are
just  a  sliver  of  the  9,000  company­owned
cafés. In his final message to shareholders
Amazon’s  ex­boss,  Jeff  Bezos,  pledgedto
make  it  “Earth’s  Best  Employer”.Itisun­
likelytobecomeitsmostunionised.n

STATEN ISLAND, NEW YORK
Workers of America, unite? 


Today Staten Island, tomorrow...

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