Socialism is the Best Medicine

Socialism is the Best Medicine

One World or No World. Choose!

December 31, 2021


The emergence of yet another COVID variant and a surge of new infections and restrictions have people wondering if this pandemic will ever end.

We’ve known how to stop infectious disease transmission for over a century. The problem is that our profit-driven society is structured to a) promote the spread of infectious diseases and b) block effective measures to stop them.

Consider the scale of the problem. COVID-19 spread so quickly around the globe because capitalism is an international economic system.

Capitalists roam the globe to find the most favorable conditions for making profit and extracting capital. Computer components may be resourced in one country, manufactured in another country, assembled in a third, sold in a fourth, and serviced in a fifth. The entire process is coordinated through a ‘global supply chain’ that links resource extraction, manufacture, transportation, and distribution across the world. It also serves as a transmission belt for infectious disease.

The tracking map from Johns Hopkins Coronavirus Resource Center, showing the concentrations of infection in the US, mirrors similar maps from the Brookings Institution’s studies of concentrations of manufacturing, transportation hubs, and warehousing. This is yet another indication that this virus has moved through the circuits of capital and the humans that labor in them, and not solely by random “community” transmission.

As long as the global chain of production remains a primary travel route for COVID-19, community lockdowns, personal protective equipment, vaccines, and travel restrictions can only slow viral spread, giving new variants time to emerge.

Greed over need

The spread of disease through the chain of production could be stopped by making worker health and safety a priority. This cannot happen under capitalist rule because the conditions that favor disease are also the most profitable: low wages, long hours, demanding work, short-staffing, crowded conditions, poor ventilation, exposure to toxins, lack of sanitation, and so on.

The more employers spend on worker health and safety, the less profit they make. To maximize profits, they treat workers as disposable and replaceable, to the point of denying or minimizing COVID outbreaks in major industries, from meat-packing and warehousing to medicine and retail.

Governments allow unsafe work because their role is to support the ruling class. The US Occupational Safety and Health Administration (OSHA) refused to issue an enforceable emergency standard to protect workers from COVID-19. As workplace complaints soared, the number of safety inspections plummeted.

Capitalist priorities have structured disease into the chain of production, where it spreads to the rest of society. Because this cannot be admitted, failure to end the pandemic is wrongly blamed on the unvaccinated, travelers, irresponsible individuals, and even the virus itself.

Lean production

COVID-19 found fertile ground in a capitalist economy based on ‘lean production,’ where the goal is to eliminate every unused second, unproductive action, unprofitable process, and non-productive worker. While highly profitable, this stripped-to-the-bone system has no built-in reserve to absorb the shock of a crisis.

One aspect of lean production is Just-In-Time inventory management that eliminates the cost of storage. Required materials are scheduled to arrive just as production is scheduled to begin, and in just the right amount. The global chain of production is constructed on this model.

For goods to move seamlessly from overseas factories to American addresses, the ocean going vessels, shipping containers, cargo terminals, truckers, chassis providers and railroads all must work together, like runners in a relay race.

Producing everything on demand over large distances assumes a stable environment. When COVID emerged, the entire system was plunged into crisis as essential workers sickened and died. Chronically short-staffed medical systems were overwhelmed, sending death rates soaring. Nearly one in four, COVID-19 deaths in the US were attributed to hospital overload.

In 2020, more than 28 million excess years of life had been lost in 31 countries. To date, almost 6 million have died, a pandemic holocaust with no end in sight.

Collapse of the global chain of production

COVID provoked a huge spike in demand for personal protective equipment, ventilators, oxygen, and other medical necessities. This demand could not be met because such items had not been stored and had to be newly manufactured. However, COVID had disrupted the global chain of production.

Wealthier nations saw a massive shift in consumer demand, from in-person shopping to online ordering, from traveling to staying at home, from eating out to ordering in. What was needed yesterday was no longer needed, and what was needed today was not available. The resulting scarcity pushed prices higher. Factories that closed, even temporarily, created more bottlenecks. The global chain of production began to collapse like a long line of toppling dominoes.

Ships wait off the California coast, unable to unload their cargo. Truckers are overworked and overwhelmed, often confronting logjams. Rail yards have also been clogged, with trains at one point backed up 25 miles outside a key Chicago facility… The commercial pipeline that each year brings $1 trillion worth of toys, clothing, electronics and furniture from Asia to the United States is clogged and no one knows how to unclog it.

As one trucker put it,

For the whole supply chain to function efficiently every point has to be working at an equal capacity. Right now, it’s ALL failing spectacularly TOGETHER, but fixing one piece won’t do anything. It ALL needs to be fixed, and at the same time.


The basic problem is two-fold: production for profit conflicts with human need; and economic integration is not paired with social integration.

Although the world economy is globally integrated, it operates within a social system of competing nation states, each striving to advance its own national interests. National rivalry makes it impossible to solve global problems, including stopping pandemics and repairing the global chain of production.

The nation state is a recent creation of capitalism. People in feudal societies lived and worked in a multitude of small fiefdoms, each with their own rulers, languages, and customs. As capitalism developed, this patchwork of economies formed a barrier to trade and commerce. The capitalist revolutions of the 19th century reorganized this hodgepodge into the modern system of nation states. Now this system is blocking our ability to solve the basic problems of survival.

Richer nations are hoarding vaccines, vaccine manufacturers refuse to share their formulas, dominant nations invest far more on their military than on public health, and dominated nations spend far more on debt servicing than on public health. So the virus continues to spread, and society continues to disintegrate.


Because there is no slack or resilience in the system, individuals are expected to adapt, to demonstrate personal resilience or ‘grit’ by working insane hours, homeschooling their children, and suffering social isolation, income loss, and death on a mass scale. Those who break down under strain are labeled weak or mentally ill.

Google “resilience” and you’ll have more listicles and books offering you three, five, or seven steps to make yourself more resilient than you could ever muster the resilience to read. No one doubts that determination and toughness are worthwhile character traits, but a problem arises when we build our political system around the need to endure hardship.

The emphasis on individual resilience is based on the belief that society will never change, so people must adapt to hardship and roll with the punches instead of organizing to stop them.

Individual measures cannot solve global problems. Most people know this. In every nation, they beg authorities to “follow the science” and do what is needed to protect against pandemics, climate change, and other existential crises. They plead in vain.

The 2021 Global Health Security Index found that all countries, regardless of income levels, remain dangerously unprepared for future pandemics. Such failure is inevitable in a system that treats preparing for crises and preventing hardship as unprofitable, and therefore not worth doing.

Don’t look up

COVID-19 is far from over, not because it cannot be stopped, but because it cannot be stopped in a profit-driven society. The same can be said for climate change, environmental destruction, pollution, poverty, and war.

We can keep banging our heads against the wall of capitalist intransigence, or we can face reality; the only way to solve our problems is to replace capitalist rule with a globally cooperative, worker-run society.

Our rulers have no solutions. The 2021 film, “Don’t Look Up” explains why. A planet-killing comet is on a collision course with Earth, and the scientists who discovered this can get no hearing. The people in power simply refuse to accept the situation. When they finally move to act, their greed sabotages the one chance of saving Earth. In typical Hollywood fashion, ordinary people are miscast as an easily panicked mob incapable of solving such problems. So the world is destroyed.

This movie reflects what many people believe, that there is no way out of the mess we are in. However, the movie title has a double meaning; it is useless to ‘look up’ to authorities to solve our problems.

The real solution is on the ground, all around us, in the minds and hands of the ordinary people who make everything possible.

There is only one truly international class: the billions of workers organically connected through the global chain of production. Building class solidarity along this chain could transform it into a global chain of cooperation — the basis for a socially integrated and socially responsible economy.

Instead of producing capital for their exploiters, workers could be producing what people need, in ways that protect their own health and the health of their environment.

Building class solidarity means actively opposing racism, sexism, nationalism, patriotism, war, and every other measure that pits workers against each other.

If we fight for it, we can have a world that protects and provides. If we don’t, we will have a world that, for increasing numbers of people, is not worth living in.



  1. Thanks Susan, another unmissable contribution.

    One way or another human beings will rise to this sooner or later, but how much sooner or later it will be depends on how much and how well we organise both at work and in revolutionary socialist movements round the world. The old traditions still stand: Unity is Strength but we need as much comradely involvement in planning and organising solutions as we can develop

  2. Dr. Rosenthal,
    Sadly,I couldn’t agree with you more.
    Profit over people will lead to self destruction of humanity and our frail ecosystem.
    Keep up the good fight.
    Dr. Dworkind

  3. Brilliantly stated Susan!
    I hope you and your loved ones are well. Delta crashed into my practice like a tsunami and omicron is doing the same.
    May I share this?

    • Please share widely!
      We need to engage as many people as possible in this vital conversation.

  4. Wonderful, incisive analysis that expresses the way forward, since the contradictions within the capitalist system cannot be resolved in any intelligent way as long as the foundation is based on expanding profit at the expense of even human existence.

    My hope is that there is a new understanding by masses of people crushed by the present system, that we are entering a new era — even if forced upon us by the insanity of capitalist production — where more and more people are beginning to understand the need to end the present system and intelligently create a new mode of living built on sustainability, mutual aid, and a socialism that puts people and our earth at the center of all human activity.

    We need cooperation, not competition, to be front and center in creating a new world.

    • Right on. We’re under yet another curfew in Montréal. The city is silent and subdued on this New Year’s Day. The closures of ten hospitals in the 1990’s means the number of ICU beds is below capacity to address the need, and health care works are burning out. And so the pandemic grinds on. Your analysis of global capital is bang on. The labour movement needs to step up, for a start. Sending solidarity and sharing your article.

  5. How can we bring about a new world? Clearly, no one can do it alone. Political action, and revolutionary working class organization are indispensable to overcome capitalism and its conscious servants.

  6. Susan, you put words to what we all know. May 2022 be a year of action and change. Thank you for always taking the lead.

  7. Absolutely correct, and well put, as always.

  8. I agree with you Susan. Covid though may cure itself as the variants become less virulent (don’t kill the host) but more contagious to reach herd immunity and bring the pandemic to a stop.

    • Richard – Pandemics are declared over, not when they are actually eradicated, but when they no longer disrupt the flow of profit.

      A million people die from the HIV/AIDS pandemic every year, making it the leading cause of death in some countries. The tuberculosis pandemic remains the world’s leading cause of death from infection. The WHO estimates that close to one quarter of the world’s population are infected, and last year 1.4 million died from TB.

      A pandemic is not over when it stops affecting well-off White people. As long as reservoirs of disease are allowed to fester anywhere in the world, they can re-emerge to infect us all.

      We live in one world. What hurts any one of us will inevitably hurt us all.

  9. Bravo for this real analysis! I was trying to explain this to my friends and family members but couldn’t find the right arguments. Now I can simply share your thoughts and voila!

    Thanks to your ability to write and analyse facts without barriers (imposed by our governments).

    France Lefebvre, an old student of yours who will forever be grateful to your teaching without blinkers (oeillères)

  10. Another serious problem is that the profiteers tend to use religion as a ploy, stirring up the credulous to fan the idea that God is in total control, blaming God for problems such as pandemics and climate change and relying on God to effect or not to effect change, as He so chooses. If the world is destroyed, it’s God’s doing. With this belief, the capitalists are able to continue to prey on those who pray and to deny any notion that man is the cause, as long as they profit and are comfortable in their privileged lifetime.

  11. Hi Susan love your work but your entire paradigm on COVID is flat wrong! Please look up Event 201, Agenda 2030, WEF’s Great Reset Agenda and the Fourth Industrial Revolution. After looking into this, your view that the solution is is more and faster vaccination will reveal themselves to be dangerously wrong. The plan is to install a global technocratic dictatorship. The vaccine passports are the interim step to a social credit score system similar to China. They are restructuring the world economy and your liberal complaint is that there is isn’t vaccine equity??? You all have to wake up!!!!

    • Larry – The solution to this pandemic is not more and faster vaccination. Vaccination is only one part of what must be a multi-faceted response to this pandemic, as I explained in We Could Eradicate COVID in Just Five Weeks and Class Conflict Over COVID.

      To quote one of the sources you mention:

      “To achieve a better outcome, the world must act jointly and swiftly to revamp all aspects of our societies and economies. Every country must participate, and every industry must be transformed. In short, we need a “Great Reset” of capitalism.”

      Capitalists can talk about the need to coordinate multinational solutions to global problems; however, they will fail, because their system is based on competition, not cooperation. That is why the US is gearing up for war against China, Russia, and any other power that threatens its global dominance.

      You are right that vaccination is being used as a means to increase social control, because that is what capitalism does. Anything people need – medicine, education, food, technology, etc. – is rationed or manipulated to sustain the current order. Vaccines are no different.

      The problem is not vaccination. The problem is capitalist rule.


Submit a Comment

Your email address will not be published. Required fields are marked *

Related Posts

World War III Has Begun

World War III Has Begun

There are two sides to this war. One is the war among imperial powers. The other is the war between the global capitalist class and the global working class. Both are heating up.

read more
No Matter Who Wins This War, Humanity Will Lose

No Matter Who Wins This War, Humanity Will Lose

The NATO nations and Russia are all imperial powers. NATO wants to expand into Eastern Europe, and Russia wants to rebuild its empire. All the combatants seek to incorporate Ukraine into their economies at the expense of Ukrainian workers.

read more