Does a shot of vitamin B protect against Covid?

Thirty years ago there were some who envisioned a new united Germany combining the best of east and west: A vibrant market economy with an expanded commitment to economic justice, a confident democratic federal government balanced by a greater variety of states, and a commitment to individual liberty reinforced by the recent experience of dictatorship. A bridge between the solid democracy in America and the rising democracy in Russia.

Instead, Covid has revealed the modern Federal Republic as the combined worst of both systems: A timid central government in thrall to private business interests, unable to take decisive action to protect public health because of a lack of confidence that their authority would be seen as sufficiently legitimate. A resurgent right wing inspired by American and Russian ethnonationalists to express their individual liberty by rejecting even elementary public health measures. And now, a public vaccination campaign dominated by the financial and status needs of private physicians, and prioritising those people with high levels of what the East Germans called Vitamin B — “B” for “Beziehungen“, connections, the way scarce resources were distributed under socialism.

When the vaccination program started it was concentrated in large vaccination centres (Impfzentren). These were highly efficient, providing rapid throughput and simple logistics, and the official priorities of the Permanent Vaccination Commission (Ständige Impfkomission, or STIKO) — covering people over 60 years old, those with serious medical conditions putting them at elevated risk of Covid complications (including pregnant women and their companions), police, teachers, and government officials — could be securely monitored.

There were two major problems with this system: First, the physicians in private practice, for whom vaccinations were traditionally a great money spinner, felt that they were losing money and influence; Second, there was no unobtrusive path to providing priority immunisation to people who were important, influential, or just rich, threatening to lead to the sort of blatant corruption that just embarrasses everyone. This led the government* to bring the GPs into the vaccination program, paying them upwards of €50 per vaccine. The GPs, unsurprisingly, rushed to vaccinate their friends and favourite patients — particularly those patients with private insurance, who they are generally keen to hold on to, as the private insurance covers all manner of treatments that the public insurance won’t pay for, and the payment levels are generally significantly higher.

How should one respond to this? The Ethics commission is very concerned… that people who haven’t been clever enough to work the system might be jealous of the superior people who have. Here is a comment from a recent podcast interview with commission chair Alena Buyx:

AB: We shouldn’t confuse the people who have gone the extra mile and somehow managed to get it organised, or had a stroke of luck, with those who have cheated.

Spiegel: … It could be that someone who isn’t so resourceful… for various reasons, it could be social background, it could be language, it could be some lack of access to information –and I can understand that they might feel he or she feels like you’re taking something away from them.

AB: These are things that one couldn’t have imagined earlier. We have vaccine envy and also vaccine guilty conscience. But all I can say is: Good People, every vaccination is a good vaccination… Those who have been lucky, or who have profited from this “flexibility” — if they haven’t cheated anyone — they should enjoy their good fortune.

From there to full social Darwinism is just a small step, and that step was taken by one Christoph S. in the comments section of the national newspaper Die Welt:

In my social circle — definitely well off — is just about everyone vaccinated, and always the whole family, including the university-age children. None of them in the vaccination centre, always in the GP practice or through doctors they know personally. In other words, since the GPs have been doing vaccinations the prioritisation has fallen away de facto, at least for the “higher” levels of the population. This is not pretty, but as long as they’re managing to vaccinate up to a million people a day in Germany, I find it acceptable. One shouldn’t make a fuss about the people who try to cut ahead at the vaccination centres; Germany has much bigger problems than someone getting vaccinated a few days early. And, by the way, this is how it’s always been, that those who make the most noise prevail, and presumably that’s why Homo sapiens has managed to survive.***

* Just to be clear, this is not the official justification. This is a purely speculative exercise on my part. It’s hard to think of any other justification, though. It’s not as though the GPs were otherwise unoccupied, with huge amounts of spare capacity for taking on vaccination duty.

Continue reading “Does a shot of vitamin B protect against Covid?”

Is it Father day or Sonday?

Pietro Perugino, San Pietro Polyptych, 1496–1500, Christ's Ascension.
Sorry, bye, gotta go…

I just discovered that German Fathers’ Day (today) is identical with the national religious holiday Christi Himmelfahrt, or Feast of the Ascension. Thus is the recognition of fathers identified with the single most famous example in Western culture of a man abandoning his family to finish his work. And he was going to join up with his own “true” father, who (as he had just remarked) had already abandoned him.

How to vaccinate all the Germans in two easy steps

One might despair at how hopelessly behind Europe in general, and Germany in particular, is with its vaccination campaign. According to the data below from the Robert Koch Institute, they recovered last week from the collapse of the week before due to the brief rejection of the AstraZeneca vaccine, and resumed their very modest acceleration, but that seems to have stopped, and they’re now back to the rate of the previous week of about 1.5 million vaccines per week, a rate that would get them through the entire adult population in around… 2 years.

RKI Vaccine statistics 1/4/2021

But not to worry! says Der Spiegel. They quote an expert — Sebastien Dullien, scientific director of the Institute for Macroeconomics and Economic Research (Institut für Makroökonomie und Konjunkturforschung (IMK) der Hans-Böckler-Stiftung), for which I’ll have to take their word that he’s somehow an expert on vaccines and public health, because his job (and his Wikipedia page) make it seem that he’s an expert on finance and economics — who claims that the vaccination of the entire German adult population will be complete before the middle of the summer. “Es ist realistisch, alle impfbereiten erwachsenen Deutschen bis Ende Juli durchgeimpft zu haben.” [It is realistic, that we can have all willing adult Germans vaccinated by the end of July.) Sounds good! He goes on to say “Dafür müssen nur zwei Bedingungen erfüllt werden.” [This depends on just two conditions being fulfilled.] Okay, two conditions. I hope the conditions are fulfilled… What are they?

Der Impfstoff muss kommen, und er muss verimpft werden.
[We have to get the vaccine, and then we have to vaccinate people with it.]

It’s this kind of reduction of complex problems into manageable sub-problems that only the truly great minds can deliver. This goes on my list of “How-to-do-it” solutions to complex problems. (Previous entries here, here, and here.)

Actually, this is amazingly close to the Monty Python original, where the kiddie show How to Do It explained “how to rid the world of all known diseases”. Their method was more elaborate, though, involving five steps:

First of all, become a doctor, and discover a marvelous cure for something. And then, when the medical profession starts to take notice of you, you can jolly well tell them what to do and make sure they get everything right, so there will never be any diseases ever again.

The poisoned roots of German anti-vax sentiment

I’ve long thought it odd that Germany, where the politics is generally fairly rational, and science education in particular is generally quite good, has such broad acceptance of homeopathy and a variety of other forms of quackery, and a special word — Schulmedizin — “academic medicine” — to express a dismissive attitude toward what elsewhere would be called just “medicine”, or perhaps “evidence-based medicine”. I was recently looking into the history of this, and found that attacks on Schulmedizin — or “verjudete Schulmedizin” (jewified academic medicine) — were as much a part of the Nazi state science policy as “German mathematics” and “Arian physics”.

Medicine in the Third Reich remained a weird mixture of modern virology and pseudo-scientific “racial hygiene”. The celebrated physician Erwin Liek wrote

Es ist mein Glaube, dass das deutsche Volk berufen ist, nach und nach eine ganz neue, rein deutsche Heilkunst zu entwickeln.
(It is my belief, that the German people has a calling, gradually to develop a pure German art of healing.)

Liek was appealing for a synthesis of Schulmedizin with traditional German treatment. As with Arian physics*, and the Nazi state was careful not to push the healthy German understanding so far as to undermine important technology and industry. But the appeal to average people’s intuitive discomfort with modern science was a powerful propaganda tool that they couldn’t resist using, as in this 1933 cartoon “The vaccination” from Der Stürmer that shows an innocent blond arian mother uncomfortably watching her baby being vaccinated by a fiendish Jewish doctor. The caption reads “This puts me in a strange mood/Poison and Jews never do good.”

1933 Cartoon from Der Stürmer: Blond German mother looking concerned as a beastly Jewish doctor vaccinates her baby. Caption: "This puts me in a strange mood/Poison and Jews are seldom good."
1933 Der Stürmer cartoon “The vaccination”.

Today’s anti-vaxers fulminating against Schulmedizin and the Giftspritze (poison shot) are not necessarily being consciously anti-Semitic, but the vocabulary and the paranoid conspiracy thinking are surely not unconnected.

* Heisenberg was famously proud of having protected “Jewish physics” from being banned at his university, considering himself a hero for continuing to teach relativity theory, even while not objecting to the expulsion of the Jewish physicists, and agreeing not to attach their names to their work. Once when I was browsing in the science section of a Berlin bookstore in the early 1990s a man started chatting with me, telling me that he had worked for decades as a radio engineer in the GDR, and then going on to a long monologue apropos of nothing about how wonderful Heisenberg was, and how he had courageously defended German science during the Third Reich.

Jack and the Beehive

It suddenly struck me that the English word beanstalk and the German word Bienenstock (beehive) sound powerfully like cognates, even though they are not. There are quite a lot of faux amis between English and German, and they are usually cognate, even when the meanings are radically different — as between the English fabric and the German Fabrik (factory), or the English stuff and the German Stoff (fabric). They have a common root, from which they have evolved differently. Even the bizarre Gift meaning “poison” started out as something given, a dose of medicine (dosis also from the Latin root for “given”).

But beanstalk and Bienenstock are both compound words made up of parts that both seem like they could be cognates, but actually are unrelated. That beans and bees are unrelated is unsurprising. It took me a bit of work to convince myself that stalk is etymologically unrelated to Stock, which is indeed cognate to the English stick. The roots are quite different: Stalk from Old English stale, meaning a handle or part of a ladder; Stock originally a branch or a treestump, presumably then a stump that houses bees, either naturally or agriculturally.

“Zelensky loves your ass”

There’s a lot of competition for the weirdest moments in the Ukraine bribery-extortion-political meddling affair that underlies the current impeachment hearings, but for me there’s not much that can compete with the testimony of diplomat David Holmes that he overheard hotel-magnate-cum-ambassador Gordon Sondland telling Trump that Zelensky would “do anything you ask for” because Zelensky “loves your ass”.

My first reaction on reading this — I may have understood it differently had I heard it spoken — was that it was most bizarre for a head of state to be commenting (favourably or unfavourably) on the intimate anatomy of the US president. And that Trump didn’t strike me as someone particularly concerned about his toned glutes.

I quickly realised that this is not actually an erotic compliment, but rather an application of the somewhat gangster argot that uses “ass” as a general intensifier. I am reminded of the section of Gravity’s Rainbow titled “On the phrase ‘ass backwards’”, where the literal-minded Berlin drug dealer Säure Bummer asks a group of AmericanS

Why do you speak of certain reversals — machinery connected wrong, for instance, as being “Ass backwards”? I can’t understand that. Ass usually is backwards, right? You ought to be saying “ass forwards,” if backwards is what you mean.

After a typical digression about umlauts and helicopters Seaman Bodine replies

“‘Ass’ is an intensifier, as in ‘mean ass’, ‘stupid ass’ — well, when something is very backwards, by analogy you’d say ‘backwards ass.’”

“But ‘ass backwards’ is ‘backwards ass’ backwards,” Säure objects.

“But gee that doesn’t make it mean forwards.”

I’m still not exactly sure what “he loves your ass” actually means and, in particular, whether it conveys an erotic charge.

Writing the Dolchstoßlegende in English

What Johnson wants is for one of two things to happen:

  1. No deal, with blame falling both on the obstreperous, sclerotic, backward-looking EU, and on the traitorous socialists who weakened Britain’s negotiating position from within by suggesting they would block no-deal in any case. We would have had the perfect buccaneering Brexit deal with complete access to European markets, if we hadn’t been betrayed;
  2. A deal that is forced upon the government by the same traitors in parliament.

In either case Johnson then hopes to win a new election by campaigning against the traitors. It’s even better (but riskier) if the country is in chaos because of no-deal Brexit.

No one who actually hoped to make a deal would publicly declare that the other side must entirely abandon one of its key demands, that had already been conceded by a previous UK government, and suggest that their opposition is only a public negotiating posture. But it’s a perfectly good way of provoking a crisis, while allowing low-information voters to believe that he’s really tried everything. Continue reading “Writing the Dolchstoßlegende in English”

May we compare Anne Frank’s case to the Holocaust?

Following up on my earlier post on the unequivocal rejection by many authorities — including the US Holocaust Museum — of any comparison between the concentration camps in which Central American migrants are being interned in the US, and Nazi atrocities. No one is being gassed, no one is being murdered, no one is being worked to death. They are simply being interned in unsafe and unsanitary conditions for indeterminate periods.

And here it occurs to me that if we are being very careful about our historical analogies, we really need to strike out one of the most celebrated stories that (erroneously) is placed in this context, that of Anne Frank. The USHMM includes a page about her life and diary, and the “Holocaust Encyclopedia” describes her as “among the most well-known of the six million Jews who died in the Holocaust.” But was she really? Anne and her sister were undocumented migrants in The Netherlands, rounded up in a police raid and deported to Germany. They were not sent to a death camp, but to Bergen-Belsen, which is commonly referred to as a concentration camp, but that is obviously misleading, since people could think Jews were being gassed there. Nobody killed them there. They just happened to die (like most of their fellow prisoners) of typhus.

Indeed, we should consider Primo Levi’s contention that everyone who survived Auschwitz did so because of some freak combination of exceptional events and exceptional personal qualities (not necessarily positive):

At a distance of years one can today definitely affirm that the history of the Lagers has been written almost exclusively by those who, like myself, never fathomed them to the bottom. Those who did so did not return, or their capacity for observation was paralysed by suffering and incomprehension.

So if the true generic experience of the Holocaust belonged only to those who died, maybe it is inappropriate to compare anyone’s experience to the Holocaust, including that of its victims.

The strange and disturbing life of Hugo Bettauer

I’ve become fascinated by the early-20th-century Austrian writer Hugo Bettauer, author of the prescient satire on antisemitism Die Stadt ohne Juden (The City without Jews). It’s a fascinating look at how Nazism (and allied antisemitic movements) appeared, a decade before it came to power in Germany, when it still seemed a tolerable subject for humour. Among the more striking features of the novel: The Austrian chancellor who proposes the law describes himself as a great friend and admirer of the Jews, in a frighteningly devious speech. The middle-class Viennese women, in Bettauer’s depiction, are distraught at the loss of the Jewish men, with whom most of them were having sexually adventurous and lucrative extramarital affairs. The Jews themselves are portrayed as essentially indifferent to their expulsion (with one important exception), and many of them move to the obviously more tolerant and cosmopolitan Germany. And when the Jews are ultimately allowed to return it is not because anyone has any sympathy for them, but only because it has become clear how useful they are for the economy, and how boring life in Vienna is without them. In one of the weirdest bits of rhetoric, an elderly lawyer, speaking to the salt-of-the-earth waiter in the now empty (because mainly Jews used to populate the cafes) traditional Viennese cafe, remarks

Wien versumpert, sag’ ich Ihnen, und wenn ich als alter, graduierter Antisemit das sag’, so ist es wahr, sag’ ich Ihnen! Ich wer’ Ihnen was sagen, Josef. Wenn ich gegessen hab’, muß ich, Sie wissen’s ja am besten, immer mein Soda-Bikarbonat nehmen, um die elendige Magensäure zu bekämpfen. Wenn ich aber gar keine Magensäure hätt’, so könnt’ ich überhaupt nichts verdauen und müßt’ krepieren. Und wissen S’, der Antisemitismus, der war das Soda zur Bekämpfung der Juden, damit sie nicht lästig werden! Jetzt haben wir aber keine Magensäure, das heißt, keine Juden, sondern nur Soda, und ich glaub’, daran wer’n wir noch zugrund’ geh’n!«

Vienna is rotting, that’s what I say, and when an old dedicated antisemite like me says that, you can believe it. Let me tell you something. After I eat, you know I always have my little bit of bicarbonate of soda, to fight the stomach acid. But if I didn’t have any stomach acid, I wouldn’t be able to digest anything, I’d just croak. And you know, antisemitism was just the soda to fight against the Jews, so that they didn’t get too annoying! But now we have no stomach acid, that is, no Jews, but only soda, and I think we’re all going to perish.

Curious about his life, I had a look in Wikipedia, and found numerous brief remarks that each seemed like there was material for a feature-length movie hidden behind it, if not for a whole miniseries. The son of a wealthy stockbroker, Bettauer ran away from home at the age of 16 to Alexandria, “where the Austrian Consul sent him straight back again”.

In Zürich he married the love of his youth, Olga Steiner, with whom, after the death of his mother, he emigrated to the United States. During the crossing, in a disastrous speculation Bettauer lost his entire fortune.

Unable to find work in the US, despite acquiring US citizenship, Bettauer and his wife moved to Berlin, where he became a prominent journalist.

In 1901 after the suicide of the director of the Berliner Hoftheater, whom he had accused of corruption, Bettauer was expelled from the Kingdom of Prussia

Following a divorce and then remarrying during another eventful crossing to America, and half a decade as a journalist in New York, he returned to work for the Neue Freie Presse in Vienna, where he was then excluded from army service in WWI because of his US citizenship. In one of the oddest turns,

In 1918, after an altercation caused by a defective typewriter, he was fired from the Neue Freie Presse.

He went on to become a prominent and controversial novelist — Greta Garbo’s first international film was based on one of Bettauer’s novels — until he was assassinated by a Nazi dentist in March 1925. The assassin was declared insane, and released after 18 months in a psychiatric clinic.

Hugo Bettauer

What is literature for?

There is an amazing interview in the newest Spiegel with the 99-year-old Traute Lafrenz, the only survivor of the Munich student anti-Nazi resistance group, the White Rose. She has been living in the US for 70 years, and has apparently never spoken publicly about her war experience. (The journalist simply showed up unannounced. When he phoned from the airport she informed him “Frau Lafrenz is no longer living. She died very suddenly.”)

I was struck by one exchange, about a teacher she had, in Hamburg, who was arrested by the Gestapo and threatened with execution for “premeditated corruption of youth”. She was commenting on her disappointment with a fellow student — who happened to be the later Chancellor Helmut Schmidt! — who declined to speak up for her.

Laf­renz: Ab 1935 ver­an­stal­te­te sie heim­li­che Tref­fen mit uns. Wäh­rend das Land im Gleich­schritt mar­schier­te, ent­ar­te­te Kunst und ver­bo­te­ne Bü­cher ver­brann­te, lud sie uns ein, ge­nau die­se Bü­cher mit ihr zu le­sen. Tuchol­s­ky, Kaf­ka, Erich Käst­ner. Das war, wie ge­gen das Böse ge­impft zu wer­den.

SPIEGEL: Kul­tu­rel­le Bil­dung hat Sie im­mun ge­macht?

Laf­renz: Auch Adolf Hit­ler war Bü­cher­narr. In sei­ner Pri­vat­bi­blio­thek stan­den 16 000 Wer­ke, er konn­te Shake­speare oder Nietz­sche ver­eh­ren und trotz­dem Mil­lio­nen Men­schen ver­ga­sen las­sen… Viel­leicht braucht man Em­pa­thie, da­mit Schön­heit et­was in ei­nem aus­löst. Je mehr Bü­cher ich las, des­to mehr mach­ten sie Front in mir.

Lafrenz: From 1935 she held secret meetings with us. While the land was marching in lockstep, burnt forbidden books and deviant art, she invited us to read precisely these books. Tucholsky, Kafka, Erich Kästner. That was like being vaccinated against the evil.

SPIEGEL: Cultural education made you immune?

Lafrenz: Even Adolf Hitler loved books. There were 16000 works in his personal library. He could worship Shakespeare or Nietzsche, and still have millions of people gassed… Maybe you need empathy, before beauty can have an effect on you. The more books I read, the more they created a conflict for me.