Qatar Tribune

Are We, As People, Better Or Worse For COVID-19?

We’re all facing a whole lot more unknowns than ever before. If all of that has taken a toll on your mental health, you’re not alone

- JACOB M APPEL TRIBUNE NEWS SERVICE (Jacob M Appel is director of Ethics Education in Psychiatry at the Icahn School of Medicine at Mount Sinai. He is the author of “Who Says You’re Dead?” a collection of ethical conundrums.)

WHEN I deliver lectures on pandemic ethics over oom part of my job as a bioethicis­t one of the questions I am asked with increasing frequency is whether I believe there will be any silver linings to COVID-19. I usually respond with dark humor, a quip that I am grateful my barber now wears an N9 mask, so I can avoid small talk while he cuts my hair. Answering this question more seriously, in a manner that respects the deaths of half a million Americans, proves challengin­g I do not wish to sound like a benighted Pollyanna who praises World War II for giving us the Slinky.

One does not need to be clairvoyan­t to recognize that the current pandemic may lead to significan­t changes some for the better in the way that we live and work. For example, the mRNA technology ramped up for COVID-19 vaccines may also prove beneficial in treating autoimmune diseases like multiple sclerosis. The era of the transconti­nental business trip is probably over, which may not please airlines, but is a relief for anyone who has ever spent 10 hours in transit to deliver a 0-minute presentati­on on the opposite coast. In the loss column, chalk up “snow days” and self-service buffet tables.

But what if we are asking the wrong question Rather than re ecting on how the COVID-19 pandemic will change society, we might want to re ect on how it might change us. Will a year of social isolation and economic distress make us better or worse human beings When we return to the proverbial “new normal,” will we enter the world with appreciati­on for the fragility of life and the welfare of our neighbors Will we donate more blood Increase our charitable donations Look in on our elderly neighbors with greater frequency Or will our tribal instincts have rendered us more selfish and suspicious a nation of xenophobic hermits who emerge periodical­ly to brawl over toilet paper

According to social scientists, minor changes in surroundin­gs or experience can have significan­t impacts on human judgment and behavior. Locating polling places inside schools, for instance, makes voters more likely to support education funding. People opt for worse financial decisions when they are hungry. Even the time of day and the weather matters. Studies have shown that people are more likely to behave ethically in the morning than in the afternoon and that medical school interviewe­rs rank applicants lower on rainy days. Needless to say, the scope of the current crisis is bound to have an impact many magnitudes greater.

One does not need to be an expert, of course, to recognize the impact of significan­t historical events of the behavior of those who live through them. Generation­al cohorts give birth to generation­al stereotype­s, some true. My own grandfathe­r, an adolescent of the Great Depression, tore napkins in half into his 0s to save pennies. Increasing­ly, data show that historic calamities shape not only the behavior of survivors but also their offspring. Researcher­s at Milan’s Bocconi University have analyzed survey data to show that the 191 u pandemic increased distrust among the children of survivors. Evidence from major earthquake­s suggests that a poor government response to disaster exacerbate­s a decline in interperso­nal trust.

Social science, of course, is not destiny. Our civil institutio­ns and political leaders can still unite us but history suggests their challenge will be harder going forward. The first step is asking the right question. To paraphrase President ohn F. Kennedy Rather than wonder how the pandemic will generate technologi­cal and lifestyle windfalls for ourselves, we must ask what lessons from the pandemic we can harness to help others. Whether we are better or worse for COVID-19 is, at least in part, a verdict within our control.

We’re all facing a whole lot more unknowns than ever before. If all of that has taken a toll on your mental health, you’re not alone.

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