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March 12, 2020, 8:01 a.m. EDT

Why a stronger safety net would save lives in the coronavirus outbreak

The people need health care, paid sick leave and the resources to wait it out

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By Rex Nutting, MarketWatch

Everett Collection
If we don’t strengthen the safety net, both the economy and our health will suffer needlessly.

What good is a safety net that’s designed to unravel just when it’s needed?

The coronavirus outbreak is exposing how fragile our safety net is, while at the same time reminding us how dependent we are upon each other to stay healthy, safe and prosperous. Our weak safety net is exposing more of us to the dangerous virus and is beginning to hamper efforts to mitigate and slow the spread of the disease through social distancing.

Breaking news : Follow the latest developments on the coronavirus.

To its credit, the Trump administration is beginning to reverse course by proposing to temporarily strengthen the public safety net in key areas, such as school lunches and covering coronavirus testing, just weeks after it proposed to severely curtail access to services .

If any good can come from this terrible pandemic, it could be the recognition that public health is a public good. All of us need each other to be as healthy as possible.

The philosophy of “pull yourself up by your own bootstraps” is being temporarily replaced by “we’re all in this together.” But it’s not doing nearly enough. If we don’t strengthen the safety net, both the economy and our health will suffer needlessly.

Safety nets come in all varieties

We all have a safety net. The wealthy may charter a private jet to a sanitized private island to wait out the epidemic. They may have the best doctors on call. Investors in speculative fracking companies could expect a bailout.

The knowledge class can work from home to avoid meeting people on the commute or in the office. The middle class may fill their basements with food and cleaning products. Those who have affordable access to good health care will seek it out if they develop the symptoms of COVID-19: fever, dry cough, shortness of breath.

But what if you don’t have a private jet? Or even a home?

What if you have a job that requires you to go to out every day to interact closely with dozens or hundreds of people who may be infected? What if you wouldn’t get paid if you called in sick, or if you had to stay home to take care of a sick child? What if you would lose your job if you didn’t show up?

What if the out-of-pocket expenses for even getting tested for coronavirus are prohibitively high for you? What if you need to use public transportation to get to work, shop or see the doctor? What if your kid needs to go to school in order to have a nutritious meal?

Flatten the curve

Public health experts say we are entering the mitigation phase in the outbreak. Now that the virus is almost everywhere, it will be impossible to contain it. The best we can do now is to slow the course of contagion so that the medical system isn’t overwhelmed by patients. We need to flatten the curve.

Mitigation will save lives, but mitigation is going to hurt. The economy will suffer. Our lives will be disrupted. The purpose of the safety net is to alleviate some of the pain, and to make sure that, as much as possible, a temporary crisis doesn’t inflict permanent damage.

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