The Nordic Secret to Battling Coronavirus: Trust
Norwegians to deal with a . The government in Oslo moved quickly and efficiently, closing schools and universities, canceling cultural and sport events, shuttering bars, restaurants, gyms, pools, and personal care businesses such as hairdressers, tattoo parlors and the like. Most retail businesses except those selling food and pharmaceuticals also were closed.
All this took place before the country recorded a single fatality from the COVID-19 disease. The , and as of March 16, two more Norwegians have died.
In addition, many workplaces have closed and arrangements have been made for people to work from home when possible. International travelers arriving in the country are to be quarantined automatically for two weeks, regardless of symptoms. As a result, thousands of flights to Norway have been canceled and most cruise ships are being turned away, except when they need to load provisions.
Similar protective measures were enacted in recent days by Sweden and Denmark, although those countries鈥 rates of infection didn鈥檛 spike as sharply as Norway鈥檚.
As someone who has lived and worked in Norway, I see several ways in which the Norwegians鈥 prompt and efficient response draws on the advantages of what economists call 鈥渢he Nordic model鈥鈥攁 design much different from that of the U.S.
Meanwhile in the U.S., a recent survey by the First National Bank of Omaha found that . What is to be done if those people can鈥檛 get to the jobs that keep them barely afloat? What does 鈥渟elf-quarantine鈥 mean in that context? Or if employees receive no paid sick leave and can鈥檛 afford to stop working when they get sick? And what about the many who haven鈥檛 even had a job lately and find each day a struggle for food, including food-insecure college students whose colleges are closing?
Such conditions are nearly inconceivable in Norway, where the social safety net is intact. A century ago, poverty was widespread but mass movements waged a successful nonviolent revolution in the 1920s and 鈥30s. By the time I got there, 1959, poverty had already been nearly eradicated, with everyone鈥檚 basic needs being met.
Norway鈥檚 readiness for health emergencies comes from its choice, all along, to prioritize the well-being of the people as a whole. Norway was not a wealthy country until its discovery of oil, which didn’t begin to flow until the late 1970s. As it developed its universal single-payer health system in the 1940s, it couldn’t afford to include dental services. At the time, working class Norwegians were infamous for their poor teeth. Studies revealed that one cause was the lack of calcium because of the high cost of milk. The government then began to subsidize the price of milk, increasing consumption, and teeth got healthier. As prosperity increased in the 1950s, it became possible to raise taxes and include dental service in everyone鈥檚 health care.
That early investment in health care is now paying off. Norway today has more doctors per capita than the U.S., and that鈥檚 partly because medical schools are free. If a qualified university grad can鈥檛 find a place in a Norwegian medical school, the government pays for them to get their training abroad. And doctors in Norway don鈥檛 experience the high burnout rate of U.S. doctors, and that鈥檚 because the socialized system is not only patient-friendly, but also doctor-friendly. Doctors aren鈥檛 harassed by private insurers refusing treatments, and they don鈥檛 need a bevy of staff keeping track of bill payments. Nor do they have to worry about ordering needless tests to avoid the threat of malpractice suits: single-payer systems support cooperation and trust rather than grievances and retaliation.
As a direct result of this, the Norwegian health care system, with the single payer (the government) using taxes to administer the program, is more efficient and less expensive than the U.S. model, with its emphasis on private health insurance companies. This means coronavirus tests and treatment are free in Norway. Everyone鈥檚 on the same side: that of the patients鈥 well-being, and that translates into a level of trust in the government that is not shared in the U.S.
Building trust in the government and other major institutions didn鈥檛 come easily. A century ago, most Norwegians distrusted their government because it was run by the economic oligarchy, for the benefit of the oligarchy, much like the way the U.S. is today. After the revolution, the dominance of the elite was replaced by democracy. The transformed parliamentary institutions became transparent, incidents of corruption exposed, and government became the servant of the people.
The result of new economic policies was dramatically to reduce economic inequality, and Norwegians enjoy high levels of individual freedom from personal rights to the ability to launch new businesses. Studies show that people in more equal societies have much more trust in major institutions than unequal societies. The U.S. has one of the most unequal societies on earth, and鈥攁s we鈥檇 expect鈥. The U.S. government鈥檚 bungling of its early response to the coronavirus outbreak hasn鈥檛 helped.
Over and over, structures that support trust pay off, even on the financial side. According to the Organization for Economic Cooperation and Development, the Norwegian health care system Americans. And the Norwegian system covers everyone (even me when I was a foreigner studying there), while the U.S. leaves out tens of millions of people.
As you鈥檇 expect, people in Norway live longer, with an average life expectancy of 82 years, and growing. The U.S. expectancy is 79 and in recent years was slipping. The OECD, which publishes statistics for its 35 member countries, compared countries by how many people die from preventable and treatable causes, the .
Even in ordinary times, Norway鈥檚 system takes care of everyone with increased access to doctors, less stress, zero bankruptcies, and better outcomes. In ordinary times the U.S. system reduces access, burns out doctors, punishes people without money, increases stress, and results in more deaths.
Even parenting is less stress stressful, because all parents receive child support, parental leave, and paid days off to be with children who fall sick (and all employees also receive paid sick time off work). Those who care for special-needs family members get a respite with qualified workers being supplied. Norwegians benefit from strong unions and generally are paid well, so they can easily save money. Health care is a right, and so is elder care, either at home or in retirement communities.
In times of emergency like now, we can see how this political-economic design pays off. The narrative goes something like this: I know I have a remarkable degree of freedom to make life choices, in a polity where my voice can be heard, so I become a team player, and when we need unity to achieve a goal鈥攕uch as overcoming a global pandemic鈥攖hen count me in.
A great American, President Franklin Delano Roosevelt, declared that everyone in the world should enjoy : freedom of speech, freedom of worship, freedom from want, and freedom from fear.
As far as I know, the Nordic countries have come the closest to realizing those freedoms, enabling their societies to rise to the fore in meeting emergencies such as the coronavirus in a just and efficient way. Their public health systems, although excellent as shown by OECD statistical comparisons, do not exist in a vacuum. Mass movements had to arise, sweat, and suffer to gain what we see today. Americans can also be proud of our progressive social movements, but up until now we have not gone as far as the Nordic movements did. It鈥檚 time we learn from their example.
George Lakey
is a retired professor at Swarthmore College and a longtime activist, sociologist, and writer. His books include How We Win: A Guide for Nonviolent Direct Action Campaigning and Viking Economics: How the Scandinavians Got It Right and How We Can, Too.
|