A Crime Against Humanity

Arundhati Roy

During a particularly polarising election campaign in the state of Uttar Pradesh in 2017, India’s prime minister, Narendra Modi, waded into the fray to stir things up even further. From a public podium, he accused the state government—which was led by an opposition party—of pandering to the Muslim community by spending more on Muslim graveyards (kabristans) than on Hindu cremation grounds (shamshans). With his customary braying sneer, in which every taunt and barb rises to a high note mid-sentence before it falls away in a menacing echo, he stirred up the crowd. “If a kabristan is built in a village, a shamshan should also be constructed there,” he said.

“Shamshan! Shamshan!” the mesmerised, adoring crowd echoed back.

Perhaps he is happy now that the haunting image of the flames rising from the mass funerals in India’s cremation grounds is making the front page of international newspapers. And that all the kabristans and shamshans in his country are working properly, in direct proportion to the populations they cater for, and far beyond their capacities.

“Can India, population 1.3 billion, be isolated?” the Washington Post asked rhetorically in a recent editorial about India’s unfolding catastrophe and the difficulty of containing new, fast-spreading Covid variants within national borders. “Not easily,” it replied. It’s unlikely this question was posed in quite the same way when the coronavirus was raging through the UK and Europe just a few months ago. But people in India have little right to take offence, given the prime minister’s words at the World Economic Forum in January this year.

Modi spoke at a time when people in Europe and the US were suffering through the peak of the second wave of the pandemic. He had not one word of sympathy to offer, only a long, gloating boast about India’s infrastructure and Covid-preparedness. “Friends, I have brought the message of confidence, positivity and hope from 1.3 billion Indians amid these times of apprehension … It was predicted that India would be the most affected country from corona all over the world. It was said that there would be a tsunami of corona infections in India, somebody said 700-800 million Indians would get infected while others said 2 million Indians would die.”

“Friends, it would not be advisable to judge India’s success with that of another country. In a country which is home to 18% of the world population, that country has saved humanity from a big disaster by containing corona effectively.”

Modi the magician takes a bow for saving humanity by containing the coronavirus effectively. Now that it turns out that he has not contained it, can one complain about being viewed as though people are radioactive? That other countries’ borders are being closed to Indians and flights are being cancelled?

When the first wave of Covid came to India and then subsided last year, the government and its supportive commentariat were triumphant. “India isn’t having a picnic,” tweeted Shekhar Gupta, the editor-in-chief of the online news site the Print. “But our drains aren’t choked with bodies, hospitals aren’t out of beds, nor crematoriums & graveyards out of wood or space. Too good to be true? Bring data if you disagree. Unless you think you’re god.” Leave aside the callous, disrespectful imagery—did one need a god to tell people that most pandemics have a second wave?

This one was predicted, although its virulence has taken even scientists and virologists by surprise. So where is the Covid-specific infrastructure and the “people’s movement” against the virus that Modi boasted about in his speech? Hospital beds are unavailable. Doctors and medical staff are at breaking point. Friends call with stories about wards with no staff and more dead patients than live ones. People are dying in hospital corridors, on roads and in their homes. Crematoriums in Delhi have run out of firewood. The forest department has had to give special permission for the felling of city trees. Desperate people are using whatever kindling they can find. Parks and car parks are being turned into cremation grounds. It’s as if there’s an invisible UFO parked in India’s skies, sucking the air out of lungs. An air raid of a kind people have never known.

Oxygen is the new currency on India’s morbid new stock exchange. Senior politicians, journalists, lawyers—India’s elite—are on Twitter pleading for hospital beds and oxygen cylinders. The hidden market for cylinders is booming. Oxygen saturation machines and drugs are hard to come by.

There are markets for other things, too. At the bottom end of the free market, a bribe to sneak a last look at your loved one, bagged and stacked in a hospital mortuary. A surcharge for a priest who agrees to say the final prayers. Online medical consultancies in which desperate families are fleeced by ruthless doctors. At the top end, you might need to sell your land and home and use up every last rupee for treatment at a private hospital. Just the deposit alone, before they even agree to admit you, could set your family back a couple of generations.

None of this conveys the full depth and range of the trauma, the chaos and, above all, the indignity that people are being subjected to.

Things will settle down eventually. Of course, they will. But people don’t know who will survive to see that day. The rich will breathe easier. The poor will not. For now, among the sick and dying, there is a vestige of democracy. The rich have been felled, too. Hospitals are begging for oxygen. Some have started bring-your-own-oxygen schemes. The oxygen crisis has led to intense, unseemly battles between states, with political parties trying to deflect blame themselves.

On the night of 22 April, 25 critically ill coronavirus patients on high-flow oxygen died in one of Delhi’s biggest private hospitals, Sir Ganga Ram. The hospital issued several desperate SOS messages for the replenishment of its oxygen supply. A day later, the chair of the hospital board rushed to clarify matters: “We cannot say that they have died due to lack of oxygen support.” On 24 April, 20 more patients died when oxygen supplies were depleted in another big Delhi hospital, Jaipur Golden. That same day, in the Delhi high court, Tushar Mehta, India’s solicitor general, speaking for the government of India, said: “Let’s try and not be a cry baby … so far we have ensured that no one in the country was left without oxygen.”

Ajay Mohan Bisht, the saffron-robed chief minister of Uttar Pradesh, who goes by the name Yogi Adityanath, has declared that there is no shortage of oxygen in any hospital in his state and that rumourmongers will be arrested without bail under the National Security Act and have their property seized.

Yogi Adityanath doesn’t play around. Siddique Kappan, a Muslim journalist from Kerala, jailed for months in Uttar Pradesh when he and two others travelled there to report on the gang-rape and murder of a Dalit girl in Hathras district, is critically ill and has tested positive for Covid. His wife, in a desperate petition to the chief justice of the supreme court of India, says her husband is lying chained “like an animal” to a hospital bed in the Medical College hospital in Mathura. (The supreme court has now ordered the Uttar Pradesh government to move him to a hospital in Delhi.) So, if you live in Uttar Pradesh, the message seems to be, please do yourself a favour and die without complaining.

The threat to those who complain is not restricted to Uttar Pradesh. A spokesperson for the fascist Hindu nationalist organisation the Rashtriya Swayamsevak Sangh (RSS)—of which Modi and several of his ministers are members, and which runs its own armed militia—has warned that “anti-India forces” would use the crisis to fuel “negativity” and “mistrust” and asked the media to help foster a “positive atmosphere”. Twitter has helped them out by deactivating accounts critical of the government.

Anyway, what about the vaccines? Isn’t India a vaccine powerhouse? In fact, the Indian government is entirely dependent on two manufacturers, the Serum Institute of India (SII) and Bharat Biotech. Both are being allowed to roll out two of the most expensive vaccines in the world, to the poorest people in the world. This week they announced that they will sell to private hospitals at a slightly elevated price, and to state governments at a somewhat lower price. Back-of-the-envelope calculations show the vaccine companies are likely to make obscene profits.

Under Modi, India’s economy has been hollowed out, and hundreds of millions of people who were already living precarious lives have been pushed into abject poverty. A huge number now depend for survival on paltry earnings from the National Rural Employment Guarantee Act (NREGA), which was instituted in 2005 when the Congress party was in power. It is impossible to expect that families on the verge of starvation will pay most of a month’s income to have themselves vaccinated. In the UK, vaccines are free and a fundamental right. Those trying to get vaccinated out of turn can be prosecuted. In India, the main underlying impetus of the vaccination campaign seems to be corporate profit.

The system has not collapsed. The “system” barely existed. The government—this one, as well as the Congress government that preceded it—deliberately dismantled what little medical infrastructure there was. This is what happens when a pandemic hits a country with an almost nonexistent public healthcare system. India spends about 1.25% of its gross domestic product on health, far lower than most countries in the world, even the poorest ones. Even that figure is thought to be inflated, because things that are important but do not strictly qualify as healthcare have been slipped into it. So the real figure is estimated to be more like 0.34%. The tragedy is that in this devastatingly poor country, as a 2016 Lancet study shows, 78% of the healthcare in urban areas and 71% in rural areas is now handled by the private sector. The resources that remain in the public sector are systematically siphoned into the private sector by a nexus of corrupt administrators and medical practitioners, corrupt referrals and insurance rackets.

Healthcare is a fundamental right. The private sector will not cater to starving, sick, dying people who don’t have money. This massive privatisation of India’s healthcare is a crime.

The system hasn’t collapsed. The government has failed. Perhaps “failed” is an inaccurate word, because what people are witnessing is not criminal negligence, but an outright crime against humanity. Virologists predict that the number of cases in India will grow exponentially to more than 500,000 a day. They predict the death of many hundreds of thousands in the coming months, perhaps more.

[Article courtesy: The Guardian]

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Frontier
Vol. 54, No. 6, Aug 8 - 14, 2021