Reasons for mandate hesitancy

ANTHONY BUTLER: Compulsion without legitimacy always fails

Persuasion must be the primary driver of compliance in vaccination drive

First published in BusinessLive

28 OCTOBER 2021

At first sight, the case for immediate mandatory vaccination against Covid-19 is strong. Vaccines protect against hospitalisation and death, and reduce the emergence of new variants. The risk of adverse effects is small.

The health-care system is in dire straits, and lockdowns have brought huge economic and social costs. With fewer than 20% of adults fully vaccinated, surely we are justified in using every available lever to increase uptake?

The trouble is that most mandate proponents view them as an alternative to participation in a well-designed and inclusive public health programme, rather than as a supplement to it.

When indoor smoking was banned, no smoking police were needed because the argument about passive smoking had already been won. To see what can go wrong with compulsion, when such legitimacy is absent, look at Gauteng’s road tolling system, with its payment rate of less than 30%.

We have domestic violence laws, but they have not been much enforced because police officers do not believe in them. The vaccine shy can buy a fake Covid-19 vaccine certificate for R5,000 — a potential danger to the credibility of hoped-for international passport schemes.

The classic vaccine mandates were simple and they applied to all the people who would together benefit from them. Children have been vaccinated against tuberculosis for decades. Compulsory vaccination for all front-line health and care workers, sensitively applied, has been introduced in many parts of the world, and there is a case for it in SA today.

An argument could also be made for mandatory vaccination for all over-60s: they are by far the most vulnerable to severe illness and death, half are fully vaccinated, and they will continue to overwhelm the health system at the peak of infection waves.

Even in such cases it is necessary to respect rights and religious beliefs, and to treat persuasion as the primary driver of compliance. A piece of paper is not a substitute for the hard work of providing access to vaccines, combating misinformation, and changing people’s minds.

Most of the vaccine mandates under consideration in SA take a different form. They relate to the employees of private companies, staff and students at educational institutions, and people attending hospitality venues. Excluding unvaccinated people from commercial premises, restaurants, gyms, or shopping malls is certain to prove divisive.

The resources expended on compulsion will be diverted from more productive uses. Mandates’ complex legal process bring high levels of conflict, distracts managers, and reduces trust. The main beneficiaries will be the lawyers.

Indeed, such narrow mandates are likely to be counterproductive because they could well result in a lower level of vaccination than would have been achieved in their absence.

Quite unlike the classic mandates for smallpox or tuberculosis, or a compulsory post-60 Covid-19 vaccine, these are not in any sense “universal”: they are targeted at small groups of people who enjoy formal employment, are mostly well-educated, already enjoy easy vaccine access, study in universities or attend cultural events.

Turning such “insider” institutions into long-term zones of compulsory vaccination will undermine any broader vaccination drive. Consider how elite schools worsen the performance of failing public schools, by recruiting the best teachers and poaching the activist parents who can hold teachers to account.

Citizens with private health-care absorb the services of the majority of doctors, but they also disengage from the problems of the wider public health system. Private security guards make wealthy insiders feel safer, but displace crime to areas that do not enjoy their protection.

Broad mandates can sometimes work, but we need persuasion before, and then alongside, the compliance they help to secure. As vaccine boosters become normal, mandates that reinforce and then cement the insider advantages of small groups could easily undermine the wider national vaccination project.

• Butler teaches public policy at the University of Cape Town.

More problems with BIG

ANTHONY BUTLER: The big problem with BIGs: loan sharks and vampire firms love them

Large social grants have become collateral for debt, a Black Sash report has shown

First published in BusinessLive 14 October 2021

Social grants are not really a local government issue, even if the ANC manifesto celebrates 18-million social grants per month. The basic income grant (BIG) has not been a central part of the election campaign for any party.

A recent report by consultancy Intellidex pointed to a failure by BIG advocates to deal with the implications of the tax increases necessary to fund it. But fiscal probity is unlikely to be the real reason for parties’ BIG-hesitancy during the campaign.

Some retired businesspeople and bankers have recently described social grants as unconditional benefits for their recipients. Their brothers on the left, in the same vein, see BIG as a cure-all that can relieve poverty, spur investment and enhance human freedom.

For electors themselves, however, grants are legitimate, but they are far from being a panacea. In 2020 Afrobarometer reported that 76% of SA respondents support government social protection for the poor. But a majority also believe people should work for their payments.

Grants create problems as well as solving them. In particular, as the Black Sash explained in 2020 in a report on “reckless lending” in SA, there is a troubling relationship between social grants and indebtedness.

On the face of it, when you give people grants they have more money to spend, so their debt should fall. The trouble is that grants also attract predatory lenders.

How does this happen? Unemployed adults who survive on casual work are vulnerable and “congregate” around grant recipients, including grant-receiving mothers or grandmothers. Despite receiving a grant, beneficiaries are almost invariably required to borrow, because they support up to a dozen people in multigenerational households.

The idea that grants will be used as a “developmental tool” is great in theory. In practice, as the Black Sash observes, “we found … no cases of people borrowing to fund investment in small enterprises, and no-one we met was able to repay their loans from a successful business … almost all grantees were using credit merely for immediate consumption needs or emergencies.”

Moreover, grant recipients remain poor, and they face challenges for which they cannot reliably set aside monies: school and university fees, illness, disability, job losses, or family deaths. Worse still, the failures of the state — such as inadequate public health care or late payment of university bursaries — force people to borrow multiples of their available resources without warning.

When people must borrow, a steady state-guaranteed income attracts predators beyond the usual purveyors of store cards, furniture and insurance policies. Neighbourhood moneylenders and loan sharks love the prospect of reliable repayment, especially where they can relieve clients of their ATM cards and PIN numbers.

After 2012 the SA Social Security Agency’s contract with Cash Paymaster Services made more than 10-million grant recipients sitting ducks for shady financiers marketing their products to social grant recipients. The sharks used debit orders to deduct repayments directly from recipients’ accounts.

Illegal practices continue, despite the move of most grant recipients to “special disbursement accounts”. Beneficiaries are still forced to seek credit on unfavourable terms and they still end up in interminable debt enslavement.

The Black Sash points to the paradox this poses: “SA has a large social grant system meant to provide resources to poor people, but these grants have become collateral for debt. Grantees need extra money to smooth consumption and cope with shocks, but the credit available to them often has exploitative terms and conditions.”

The disheartening implication is that “the very social grant meant to provide support for vulnerable people is eaten up in high interest rates, fraudulent repayments and bank charges”.

A poorly designed BIG could simply result in a feeding frenzy for the great vampire squids of SA’s formal and informal financial systems.

• Butler teaches public policy at the University of Cape Town.

Mantashe’s reminder about ANC clientelism

ANTHONY BUTLER: Clean streets, coalitions and impenetrable polls

First published in BusinessLive


Guessing the outcome of elections is always a mug’s game. But the results of this year’s local government elections are the hardest to predict in recent times.

We have endured two years of Covid-19 lockdown troubles and human tragedies. Each of the big parties seems to be on its own slow-motion suicide mission.

The electorate is tiring of the notion that the Good ANC needs voters’ support if the Bad ANC is to be vanquished. Municipal services are worsening in full view of voters.

The DA has a good story to tell about local governance. It can point to cleanish streets and only mildly stagnant waters in the Western Cape and Midvaal. Its plan to Eskom-proof six Western Cape municipalities is quite clever.

But failed experiments in coalition government in Johannesburg, Tshwane and Nelson Mandela Bay are still fresh in voters’ minds. The bungled removal of party leader Mmusi Maimane left residues of scepticism.

The EFF, flush with cash, might capitalise on the anger of pandemic times. But has their macho posturing softened enough to tap the 55% of registered voters who are women?

When the realities of coalition politics kick in after the election the ANC has the ultimate conciliator, Cyril Ramaphosa, as its dealmaker. Chastened by post-2016 coalition experiences, the DA wants prenuptial agreements with potential suitors that will be hard to strike.

The ANC has natural if unreliable coalition partners, including the externalised faction of the movement labelled EFF. The red berets’ “radical policy” will reap some votes the ANC has lost. When push comes to shove, the EFF’s commissars will trade votes for power.

The DA has adopted a similar strategy, with external factions free to harvest the rewards of identity politics that a liberal party cannot openly champion. The Cape Independence Party is apparently punting a restoration of coloured and white labour preference policies. The Freedom Front Plus, fielding candidates in more than 3,000 wards, will likewise suck in former DA voters and deliver their mandates to John Steenhuisen’s formidable coalition machine.

In Gauteng, ActionSA’s human dynamo, Hermann Mashaba, has a cut-and-paste DA manifesto. His strategy, however, is “DA Plus”, the plus being an open xenophobia that will deliver voters that liberals cannot openly pursue.

However, the real key to the election was revealed by the ANC’s venerable chair, Gwede Mantashe, in his superficially incoherent and rambling remarks at the manifesto launch of the liberation movement in Pretoria’s Church Square on Monday evening.

Ramaphosa had already made a number of dull commitments, including a promise that the ANC would promote “the unrestricted development of urban and pavement gardens where crops can be planted to increase food security”. The president also sincerely expressed his hopes that former president Jacob Zuma would enjoy a speedy recovery from his medical ailments, a sentiment all citizens no doubt share.

But it was Mantashe who offered a pellucid analysis of the situation facing ordinary voters. “You don’t vote DA to power and insult the ANC”, he observed. “It doesn’t work that way.”

Politics in SA involves an exchange of goods for political support — and it is only the ANC that can deliver those goods across almost all of the country. Only those who vote for the liberation movement, Mantashe claimed, “acquire the right to insult and shout at the ANC at the height of your voice”. Citizens who do not “vote correctly” will never be heard.

The outcome of the election will turn, in large measure, on how many ANC voters will still accept the terms of this unholy contract, in which loyalty provides the only prospect of political voice and access to public resources.

• Butler teaches public policy at the University of Cape Town.

The problem with symbolic policies

ANTHONY BUTLER: Symbolic policy is the last resort of the shambolic minister

First published in BusinessLive 2 September 2021

Observers of SA politics have become sadly accustomed to symbolic policies. These ostensible proposals are designed to make ministers look good, even when they aren’t actually doing anything.

Fikile Mbalula is one master of the art. In 2015 the then sports minister launched a bid for SA to host the 2022 Commonwealth Games in Durban. This was explicitly framed as a stepping stone to a 2024 Olympic Games.

The Soccer World Cup had been a financial disaster, of course, but SA had gotten it done: the officials, players and fans were distributed around the country in various white elephant stadiums, connected to now stranded transport infrastructure.

Multidiscipline events such as the Olympics, in contrast, are monsters: they place almost impossible demands on a single host city, and can drain a national fiscus for decades.

The purpose of Mbalula’s Commonwealth bid was certainly not to secure the right to host the Games, and later the Olympics. Heaven forbid! Its goal was to place the minister himself in a role he craved: friend of the new ANC elite in KwaZulu-Natal, and potential disburser of local pork and patronage, all of it sourced from the national fiscus.

Recent debate over a basic income grant (BIG) has also been primarily symbolic. Given the lack of BIG experiments in other countries and the technical character of social protection policy, casting moral aspersions on opponents has been the order of the day. Some BIG proponents have suggested those opposing the “policy proposal” are simply heartless, or fail to understand the real lives and experiences of the poor.

Incoming finance minister Enoch Godongwana, meanwhile, castigated BIG supporters as “white liberals who think that every kid or black person must be kept in perpetual dependence through grants”. Understandably, one upper middle class white liberal social activist, Neil Coleman, responded in an agitated manner on social media, contending that BIG is indeed a good idea and providing hard evidence that his list of people in favour of the policy is far longer than his list of people opposing it.

The recent “flash-card” green paper on social assistance, briefly waved about and then withdrawn by social development minister Lindiwe Zulu, was a cut-and-paste document symbolically showcasing the minister’s dedication to the interests of the poor. If she had been sacked in the recent cabinet reshuffle, it would have been used as evidence that she would never bow to the dictates of white monopoly capital.

Mineral resources & energy minister Gwede Mantashe’s decision to embark on the procurement of 2,500MW of nuclear energy also has all the hallmarks of symbolic policy. Nobody believes the power plants will actually be built, and analysts have been left scratching their heads. Is this about the coal lobby, or perhaps a Russian microchip implanted in deputy president David Mabuza’s skull? Or does it just reflect the “commission fees” associated with this anachronistic industry?

Watching our political leaders play the symbolic policy game can be entertaining, but the endless fakery carries real costs. Democratic politics is damaged when ministers continue to advance policies when — or even because — they know they will not be implemented.

Moreover, when impractical policy dreams fail to materialise it isn’t the politicians who catch the flack: it is the Treasury. Mbalula’s Commonwealth dream — and no doubt his little heart — were shattered by the Treasury’s refusal to sign open-ended funding guarantees. It will be the same story, we can be sure, when it comes to BIG, social security programmes and nuclear procurement.

Worst of all, the fact that so many policies are duds, and deliberately so, means real policy reforms lose credibility. So, there is a new policy on self-generation of electricity. But is there really? 

• Butler teaches public policy at the University of Cape Town.

We need more trust and better communications for vaccine rollout success

ANTHONY BUTLER: A new apartheid along the vaccination divide looms

Politicians must come on board the campaign using Limpopo as example

First published in BL PREMIUM 19 AUGUST 2021

The cabinet’s decision to approve the Covid-19 vaccination of 18-year-olds may have lifted the spirits of some younger people. In truth it is a sign of serious problems in the vaccination programme. Daily jabs have slumped far below the 300,000 per day target. More than half of over-60s have had full or partial vaccination, but the upward momentum has gone. As the government dropped through the age ranges, fresh take-up was disappointing.

The age-based approach was sensible, targeting those most likely to fall seriously ill and rectifying some of the inequality of access that typifies the allocation of scarce health resources. After all, this virus cannot be managed by granting privileged vaccine access to the rich, skilled workers or powerful public sector employees alone.

The poor, the less educated, those living in rural areas and the old need to be reached, not just for their personal wellbeing but because society as a whole depends on high and broad uptake to control the pandemic. Workplace vaccinations, in factories, offices, farms and mines, will drive up overall numbers, but considerations of age-based vulnerability and broader equity cannot be allowed to disappear.

Bringing down access ages boosts numbers for a week or two, but the government needs to do something new to achieve sustainable growth in the reach and efficacy of the programme. Private sector sites are attracting vaccine recipients, but their commitment in principle to free and open access for all needs to be translated into actual vaccinations in practice for non-medical aid scheme members.

Government officials have proved quite innovative when it comes to logistical and infrastructure challenges, and they may soon bring mobile vaccination units to social grant payment centres and local government offices. However, the key problems concern matters of public persuasion and trust, rather than those of delivery infrastructure.

As the wealthy, educated and powerful have become vaccinated, their perceptions of the unvaccinated have become increasingly hostile. Drawing their lessons from countries with very high levels of vaccine uptake in North America and the EU, they have begun to castigate the unvaccinated, describing them as self-excluding or as vaccine resisters.

The wealthy exhibit an alarming tendency to view their own good fortune as a well-deserved reward for intrinsic merit. Unless stopped some of them will try to secure legal mandates for new forms of social exclusion, including “vaccine passports” for shopping malls, restaurants, entertainment venues and transport systems. Such compulsion would not be welcome in a society already marked by widespread marginalisation, and it would further reduce the resource of public trust on which government will depend in the years ahead.

We can instead learn from the frontrunners in the persuasion stakes. Limpopo has apparently engaged traditional leaders, health practitioners and religious figures successfully, to sway public opinion in favour of vaccination. In urban areas, a wider range of sporting and cultural leaders and other role models can surely be brought on board. We still do not have clear and simple messages widely and repeatedly expressed in all of the country’s languages.

The Government Communications and Information Service has brought together civil society coalitions, communications professionals, business groups and labour organisations for weekly meetings in an attempt to forge a more successful vaccine communications strategy. This is a good start.

Given the unfortunate disappearance of the department of health’s ear-marked funding for this purpose, a modest fresh budget allocation would help. Equally important, however, is the fuller engagement of our most senior political leaders. They should apply themselves to the vaccine campaign as if it were an election campaign on which their personal political futures depended.

• Butler teaches public policy at the University of Cape Town.

Enough conspiracy theories

ANTHONY BUTLER: Politicians abuse our tendency to assume that big events have big causes

Loosely co-ordinated violence in KwaZulu-Natal and Gauteng does not equal an insurrection

First published in BusinessLive Premium 5 August 2021.

Ten years ago this week a 29-year-old man, Mark Duggan, was shot dead by police in Tottenham Hale, north London. In the days that followed civil unrest spread to various London boroughs and then engulfed cities as far afield as Bristol, Coventry, Liverpool and Manchester.

Looters posed for pictures with toasters and hairdryers. Community protection groups defended shops with baseball bats. When the smoke cleared five people were dead, 2,500 businesses had been looted, and property damage totalled more than £200m.

Shock was replaced by a yearning to know why these events unfolded. It is human, though incorrect, to assume that big events have big causes. People wanted somebody to blame. Leftists blamed government austerity and heavy-handed policing. The prime minister of the day opted for criminality, “pure and simple”. The Right fingered gangs and anarchist groups for spreading unrest from city to city.

The scale of recent events in SA dwarfs anything seen in England a decade ago, and an even stronger yearning for a compelling narrative exists. The hot air we have been subjected to — about insurrection, counterrevolution and plotting — is a symptom of our disorientation.

There is no doubt that a range of actors promoted violence, arson and theft. They included construction mafias, extortion rackets run by pseudo-military veterans, “business forums”, criminal gangs and politicians facing corruption charges. 

Numerous events also exhibited planning: warehouse break-ins, looter transport, co-ordinated arterial road blockages and targeted social media drives. Whether strategic points and critical infrastructure were also scheduled for attack, as the security cluster maintains, remains unclear.

One cognitive ability — and disability — of our species is pattern recognition. We take distinct actions and events and link them up into a single story of causes and effects. We are often wrong.

During the unrest, groups loosely co-ordinated their actions, especially once disturbances were under way. But we do not have evidence of “an insurrection”, still less of any “ultimate objective”, such as the attempted overthrow of democracy or removal of the president.

Imitation and opportunism drove the widespread looting, without which we would not even be considering these events today. Were there 12 “instigators” or 12 “masterminds”, as politicians and journalists have claimed?

Did 12 Twitter accounts really “instigate the violence”? Of course not. This is theological mumbo-jumbo that belongs alongside the 12 cakes in the Tabernacle or the 12 fruits borne by the Tree of Life.

To the degree that actors and objectives came together, they did so in the broad tent that is the ANC of KwaZulu-Natal. Politicians, mafias and organised criminals in that province have long since disproved former US president Lyndon B Johnson’s maxim: they are all inside the tent but they are still pissing.

While President Cyril Ramaphosa is not especially popular in KwaZulu-Natal, the provincial ANC did not vote on ethnic lines at Nasrec in 2017. The Zulu royal house defended the constitutional order. 

The terminology of “tribalism”, like that of instigators and insurrectionists, grows out of conspiracy thinking. The idea that events result from a plot by sinister groups is most often an act of faith that helps us cope with uncertainty.

The best reporters cognitively process information about many actors and events, their minds searching for connections and conspiracies. When our newshounds’ theories are proved correct — which they often are — this becomes known as investigative journalism.

Business people likewise abhor uncertainty and pay risk consultants to translate possibilities into probabilities, and uncertainties into priceable risks. Sometimes they would be better off consulting astrologers.

The real problem, of course, is politicians. They seek personal and partisan advantage, playing on our cognitive deficiencies to shape who we praise and who we blame. We shouldn’t let them.

• Butler teaches public policy at the University of Cape Town.

What kind of state are we in?

ANTHONY BUTLER: In search of a state that failed even to exist

First published in BL PREMIUM

22 JULY 2021

We know we’re in a bit of a state, but what kind of state are we in?

Before 1994 South Africans lived in a pariah state. Soon experts warned the new SA might become a one-party state. Then the ANC decided we were a developmental state. National planning commissioners later proposed a capable state.

Last year matters got worse. The Eunomix consultancy warned of SA’s precipitous decline into a “failed state” by 2030. This concept has been widely embraced in the aftermath of last week’s tragic events, which have entertainingly been described by President Cyril Ramaphosa as a planned insurrection. Opposition leader John Steenhuisen claimed co-ordinated looting could “accelerate SA’s descent to a failed state”.

The realities of a weak tax system, porous borders, corruption and large scale criminality are real enough, but the label “failed state” is misleading. The “modern state” that is purportedly in danger of failing has never existed here. It is an idea — a fantasy — drawn from continental Europe and exported, imposed or emulated around the world across the 20th century.

Our ideas about the state mostly come from late 19th century Germans: little wonder, then, that they capture the German state better than they capture ours. Karl Marx famously popularised the idea that the capitalist state cannot help but maximise relentless profit-making by property owners. Try telling SA’s business people that this is what their “capitalist state” does.

An even cleverer German, Max Weber, defined the state as “a compulsory association which organises domination”. Such a state claims “a monopoly over the legitimate use of violence” in a territory. Visitors to Germany today can observe just such control over a territory, with effective taxation and mechanisms for the control of crime.

Such ideas do not capture — and have never captured — the realities in SA or most of the global South. Where Business Day readers live and work ADT and its equivalents possess a monopoly of the legitimate use of violence. Elsewhere, “community policing” and vigilante groups hold sway.

Control of the territory? People move into and out of the country quite freely, and so-called “traditional leaders” exercise power with little regard to the supreme law that purportedly governs the state.

Debates about state failure can be a distraction from the more fruitful debates in which South Africans might engage. Three dimensions of the nation’s predicament are especially obscured by the failed state narrative.

First, we cannot have both a developmental state and a welfare state. Either we invest in the future, or we continue to devote a growing share of available resources to consumption, most particularly in an irreversible growth in our social protection systems.

Second, citizens and political leaders must decide whether an amended version of Western-derived constitutional democracy will work here. Anticolonial sentiment and decolonial analysis have been used to justify both apartheid-era traditional leadership and the hazardous institutional prescriptions of the Chinese party-state. Is either of these really what SA needs?

Finally, we have to embrace or reject what DA policy head Gwen Ngwenya illuminatingly calls the private “parallel state”. The wealthy work online, or in fortified business parks and office blocks. They shop in suburban malls from which poor citizens are excluded by poverty and private security forces.

Gated “privatopias”, surrounded by electrified fences, allow increasing numbers of residents to enjoy private health-care, gyms, shops and restaurants. Predominantly white in the past, these communities are increasingly multiracial.

Is the privatisation of apartheid more acceptable when apartness is defined by class rather than by race?

• Butler teaches public policy at the University of Cape Town.

Flattery, fawning and brown-nosing from the SACP

ANTHONY BUTLER: China Express could turn out to be a slow boat

First published in BL PREMIUM

08 JULY 2021

Recent celebrations of the centenary of the Communist Party of China (CPC) tell us something significant about the evolving relationship between SA and the People’s Republic of China.

The facts on the ground do not suggest an ideological love-in is in order. According to Harvard Growth Lab, China is a growing trade partner of SA, taking perhaps 16% of our exports, but it remains far less important than the EU. Even outside the EU, India, Japan and the UK together buy more SA goods and services than China.

SA Reserve Bank data suggests China isn’t a major investor either, accounting for less than 5% of foreign investment stock. Meanwhile, SA accounts for just 0.67% of Chinese exports, ranking alongside countries such as Egypt and Nigeria in their eyes.

China is also quite poor, with only a marginally higher per capita income than SA’s. Even CPC leaders are worried about declining legitimacy as citizens tire of crony capitalism, corruption and the abuse of power by party officials.

But China has been successful at lifting people out of poverty and it has grown fast: SA might become a centre for Chinese businesses in Africa, with Hisense, Huawei, BAIC, Longyuan Power and ICBC already leading the way. Sectors such as tourism and higher education could grow rapidly. The problem is that both countries have “ruling parties” that prefer party-to-party ties to the rule of law.

The Chinese party is not very good at “soft power”. It has an “international liaison” machinery that recruits foreign intellectuals and members of political parties, but less successfully than bourgeois liberal competitors. It is notably coercive in its political practice, its “One China” principle drawing attention to the fact that societies it wishes to destroy, such as Hong Kong and Taiwan, are much richer, more successful and more democratic than China.

SA really does not matter much to China. This truth is exemplified by the saga of Xiaomei Havard, who has been mysteriously elevated to an ANC seat in the august chamber of our national legislature. This substandard deployee said  that she had made significant donations to ANC-aligned organisations. “Each time it is different. Maybe this time they want R8,000, next time R15,000 … Maybe, from all of them, R2m to R4m.”

The fraternity between the ANC and the CPC was on full display at a recent online celebration of the centenaries of the CPC and the SACP, apparently organised by prominent “businessperson” and newspaper proprietor Iqbal Surve, who told participants he visited China “20 times in the past decade”.

The substance of the consensus between the two parties quickly became clear. The Chinese ambassador to SA, Chen Xiaodong, praised the accomplishments of the CPC at some length, and when their turn came SACP speakers were equally effusive with regard to the CPC’s achievements. They used rhetorical and diplomatic techniques ranging from flattery (former president Kgalema Motlanthe), and fawning (SACP chair Paul Mashatile), to brown-nosing (Solly Mapaila). Sadly, nobody could think of anything good to say about the SACP.

The Chinese ambassador did observe that China-SA diplomatic relations “have made a significant leap from a partnership and a strategic partnership to a comprehensive strategic partnership”. Presumably this is a good thing.

But the ambassador implied China is no longer interested in selling us trains. Rather it has entered a “new stage of development”, in which it is “just like a China Express”, with “stronger power and greater capacity that is speeding up on a journey toward new development goals … We welcome SA and other African countries on board the upgraded China Express to achieve win-win co-operation and high-quality common development.”

Now that’s something to look forward to.

Butler teaches public policy at the University of Cape Town.

The politics of vaccine rationing

ANTHONY BUTLER: Why jab teachers, who are at less risk than taxi drivers?

Some will view this as successful blackmail by the powerful SA Democratic Teachers Union

 First published in BusinessLive PREMIUM

24 JUNE 2021

Is the government’s plan to ration Covid-19 vaccines falling apart? SA faces extreme vaccine scarcity, and the department of health has only a vague framework for allocation. In phase one, 1-million health workers were to be vaccinated, followed by the current second phase, in which 16.5-million over-60s and other vulnerable groups are due to receive protection. The third phase should cover a residual 20-million.

The government has rightly been keen to avoid rationing on the basis of power and money. In the early years of the HIV/Aids pandemic treatments went to those with private medical insurance, key workers in large companies, and public servants with medical aid. City-dwellers and the middle classes were advantaged. The less educated, the poor, and those living in rural areas were in effect excluded.

When it comes to Covid-19 vaccines the advantages of the wealthy have been partially neutralised by government controls. The priority initially given to the elderly was fully justified. The young, after all, are mostly unaffected by the virus, and almost all countries have placed protection of the old at the heart of their vaccination strategies. Governments may also prioritise people who are especially open to infection, those whose vaccination benefits the whole of society because they are potential spreaders of the virus, and those who allegedly play some “essential” or “critical” role.

This is where the trouble begins. The list of “essential workers” always starts with doctors and nurses because they are directly exposed to the virus. Hospital cleaners, porters and ambulance drivers are even more vulnerable. Beyond the health system, critical worker lists around the world have expanded in various directions. The US Centres for Disease Control and Prevention included the police, firefighters and care home workers. Other governments have listed staff in transport, waste management, water delivery, electricity, logistics, communications, retail, pharmaceuticals and finance.

In SA, we have placed teachers at the front of the queue. Yet children do not pose a high transmission risk, and teachers may be more likely to be infected at home than at school. Most of them are too young to fall seriously ill, and older members of the profession can be catered for through age-based rationing. Why are we taking vaccines from over-60s who may die — and overwhelm our health system along the way — and giving them to young teachers? Most of the arguments presented — children being seriously disadvantaged by school closures and long-term inequality effects — concern the refusal of teachers to return to the classroom.

Some citizens will be sympathetic. Other organised interest groups, however, will view this as successful blackmail. The SA Democratic Teachers Union is, after all, the country’s most powerful workers’ organisation. Teachers are privileged, their salaries placing them easily in the top 10% of income earners. Without a clear and transparent justification for vaccine priority, other less well-paid formal sector employees will also demand special treatment: the police, the military, prison guards and frontline public sector workers who interact with the public.

Other groups equally or more exposed to coronavirus infection, such as retail sector employees, restaurant workers, mineworkers and minibus taxi drivers, will want to join the front of the queue. Members of these “aggrieved groups” are starting to believe they deserve priority, and they resent the advantages granted to others. Meanwhile, unvaccinated over-60s are castigated as “self-excluders” from the programme, even if they live in rural areas.

Those worst affected by Covid-19 are not the rich or unionised public sector workers. They are the poor — who cannot isolate, live in high-prevalence communities, share cramped accommodation, use crowded public transport and suffer the comorbidities of poverty — and they are also the old. No allocation system is perfect, but perhaps the government should stop picking beneficiaries and just stick to the principle of rationing by age?

• Butler teaches public policy at the University of Cape Town.