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What can we learn from the UK's response to Covid-19? | Mohamed El-Erian


UBoris Johnson’s recent warning that the lifting of England’s third lockdown will be no “great open sesame”, despite the fall in infections and the encouraging progress of the country’s Covid-19 vaccination programme, should come as no surprise to anyone who has been following the underlying dynamics of the virus. So, why did Johnson’s government not take this approach during the country’s first two lockdowns?

Although some remain inclined to point the finger at the government’s missteps, the explanation is more complex. It also holds important lessons for managing future crises.

After England’s initial lockdown last spring imposed a sudden and powerful brake on social interactions and significantly damaged the economy, the UK government was keen to restore dynamism to particularly hard-hit sectors. For example, it launched an “eat out to help out” scheme, which offered discounts on meals in restaurants, pubs, and cafes during August. Although the government was less permissive when the country exited the second lockdown in December, it did allow a certain amount of social and economic interaction and eased the restrictions further in much of the country for Christmas.

In both cases, the government subsequently had to hit the brakes hard as Covid-19 infections and hospitalisations rose. Interim efforts to develop a compromise approach through a regionally differentiated tier system of restrictions proved problematic – especially because limiting the movement of people was difficult. That in turn triggered a robust blame game, with many initially taking issue with frequent changes in government policy and the inevitably confused messaging that ensued.

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But since Johnson imposed a third lockdown on 5 January, the government has repeatedly signalled that, despite the gamechanging nature of vaccine deployment, the eventual exit will be gradual, slow and subject to many reviews based on science and evidence. From the reopening of schools to resumption of normal commerce, the government is consistently and prudently managing expectations.

The best explanation of how the government arrived at its current approach draws on information gaps, risk methodologies, mis-sequencing, behavioural tendencies and the political (and human) desire for early wins.

Regarding information, the enormous efforts of scientists and healthcare workers during the past year have significantly expanded our understanding of Covid-19 and the Sars-Cov-2 virus that causes it. This has enabled restriction policies to undergo a de facto evolution, with a simple “on-off” framing giving way to a focus on the management of “risk budgets”.

Such knowledge proved useful in the transition from post-Lockdown 1 to post-Lockdown 2. For example, it enhanced policymakers’ understanding of the trade-offs involved in keeping schools open (a top priority, given that closures pose highly unequal threats to educational attainment) versus bars and restaurants. More recently, it has improved our understanding of how new, more contagious coronavirus variants substantially reduce society’s overall risk budget in trying to balance public health, resumption of economic and social interactions, and respect for individual rights and freedoms.

Mis-sequencing may also have played a part. The unsustainability of the UK government’s earlier reopening approaches was compounded by lack of sufficient progress on key pandemic-response measures such as testing, tracking and self-isolation. The low infection rates achieved at a considerable cost during the first two lockdowns thus could not be sustained, quickly putting renewed pressure on hospitals and healthcare workers.

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Many have argued that indecisive leadership aggravated the government’s resulting policy flip-flops. But the U-turns in fact owe much to classic behavioural traps that are especially treacherous during times of radical uncertainty.

Deliberation inertia often materialises in the initial phases of a highly fluid situation, as does the subsequent great temptation simply to revert quickly to previous comfort zones. Both omission and optimism biases increase the challenges, especially if the overall framing is partial – as was the case with the narrow “lives versus livelihoods” narrative that initially dominated much of the world’s lockdown debate.

Johnson’s reverence for individual rights may have also contributed to the excessively fast reopenings. A final, and largely inevitable, factor was political short-termism. This has repeatedly tripped up many governments’ policies that need to play out over time, including essential structural reforms whose significant long-term benefits are often preceded by short-term adjustment costs.

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Politicians’ understandably strong temptation to seek early wins often leads to premature declarations of “mission accomplished”. When George W Bush announced on 1 May 12003, to great fanfare aboard the USS Abraham Lincoln that the United States had completed its major combat operations in Iraq, the fighting was in fact far from over.

Making consistently good decisions in a crisis and under radical uncertainty is very hard indeed. Rather than a decisive big-bang approach, it requires a number of iterations and mid-course reactions in response to fast-moving developments on the ground. The strong desire to avoid any mistakes often proves difficult to fulfil. Meanwhile, those suffering from the crisis face a number of challenges, including inevitable “rule fatigue”

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The UK’s evolving response to the Covid-19 pandemic is following a pattern seen in several previous crises around the world. It highlights the need to maintain an open mindset, think analytically in terms of risk budgets, distinguish carefully between recoverable and non-recoverable mistakes, and take active early steps to minimise common behavioural traps. The more we take note of these issues in real time, the greater the opportunity to improve our crisis-management approaches in the future.

© Project Syndicate



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