As we were saying...
Shame on the halfwit faux-conservative suck-ups who over the last third of a century mortgaged the global supply chain (including basic medicines) to a totalitarian dictatorship. And nuts to the technocrat Napoleon and Politburo shill Bloomberg who presumes to save America from a future he helped arrange.
In other developments:
In China over three thousand health workers have been infected by COVID-19, and have thus helped spread the virus and infect many others, including those already weakened by other ailments who made the mistake of going to hospital. I hope startling carelessness in America and Italy and elsewhere will not result in similar outcomes throughout the west. We have been here before. What ought to have been one of the most disturbing aspects of the SARS outbreak is that in Canada the disease was spread by the medical system itself. Here's what I had to say in The National Post on April 24th 2003:
One of the most tediously over-venerated bits of British political wisdom is Prime Minister Harold MacMillan's amused Edwardian response as to what he feared most in the months ahead: "Events, dear boy, events."
But even events come, so to speak, politically predetermined. If, for example, you have powerful public sector unions, you will be at the mercy of potentially crippling strikes. The quasi-Eastern European Britain of the 1970s was brought to a halt by a miners' strike in a way that would have been impossible in the United States.
So it is with SARS. The appearance of the virus itself was a surprise but everything since has been, to some extent, predictable. Because totalitarian regimes lie, China denied there was any problem for three months, and thereafter downplayed the extent of it. Because UN agencies are unduly deferential to dictatorships, the World Health Organization accepted Beijing's lies. This enabled SARS to wiggle free of China's borders before anyone knew about it. I mentioned all this three weeks ago, but only in the last couple of days has the People's Republic decided to come clean -- or, at any rate, marginally less unclean -- about what's going on.
As for our diseased Dominion, like the Chinese our leaders behaved true to form. When something bad happens in Canada, the priority is to demonstrate how nice we are. After September 11th, the Prime Minister visited a mosque. After SARS hit, the Prime Minister visited a Chinese restaurant. Insofar as one can tell, Chinese Canadians seem to be avoiding Chinese restaurants at a somewhat higher rate than caucasians. But, while it may have been blindsided by the actual outbreak of disease, the Canadian system is superb at dealing with entirely mythical outbreaks of racism. I think we can take it as read that if a truck of goulash exploded on the 401 killing 120, the Prime Minister would be Hungarian folk dancing within 48 hours. Personally, I'd have been more impressed if he and Aline had had a candlelit dinner for two over a gurney in the emergency room of a Toronto hospital. That's the issue -- not Canadian restaurants, but Canadian health care.
But the piped CanCon mood music has wafted over Jean and Aline's table and drowned out the more awkward questions. Toronto is the only SARS "hot zone" outside Asia. Of nearly 200 nations on the face of this Earth, Canada is one of only eight where SARS has killed, and currently ranks third, after China and Singapore, in the number of SARS deaths. Indeed, Canada had the highest SARS fatality rate in the world until one of two infected Filipinos died a few days ago -- and according to its government she picked it up from the mother of her Toronto roommate.
But why get hung up on details? "Over the past six weeks, health care workers across Toronto have done an amazing job," wrote Joseph Mapa, president of Mount Sinai Hospital, on our letters page yesterday. "We need to applaud these men and women for their dedication and commitment."
No, we don't. We can indulge in lame-o maple boosterism if we ever lick this thing. Until then, we need to ask: Why Toronto? London, Sydney, San Francisco and other Western cities have large, mobile Asian populations. But they don't have SARS. The excuse being made for China is that they have vast rural provinces with limited access to health care. So what's Toronto's?
Here's the timeline:
February 11th: The WHO issued its first SARS health alert, which was picked up by the American ProMed network, which distributed it to Toronto health authorities. The original alert has been described as "obviously significant" by those who saw it.
February 28th: Kwan Sui-Chu, having recently returned from Hong Kong, goes to her doctor in Scarborough complaining of fever, coughing, muscle tenderness, all the symptoms of the by now several ProMed alerts. As is traditional in Canada, the patient is prescribed an antibiotic and sent home.
March 5th: Having apparently never returned for further medical treatment and slipped into a coma at home, Kwan Sui-Chu is found dead in her bed. The coroner, Dr. Mark Shaffer, lists cause of death as "heart attack." Later that day, Kwan's son, Tse Chi Kwai, visits the doctor, complaining of fever, coughing, etc. He too is prescribed an antibiotic and sent home. Later still, the son takes his wife to the doctor. Likewise.
March 7th: Tse Chi Kwai goes to Scarborough Grace, and is left on a gurney in Emergency for 12 hours exposed to hundreds of people.
March 9th: Scarborough Grace discovers Tse's mother has recently died after returning from Hong Kong. But Dr. Sandy Finkelstein concludes, if Tse is infectious, it's TB.
March 13th: Tse dies, and Scarborough Grace calls Dr. Allison McGeer, Mount Sinai's infectious disease specialist, who finally makes the SARS connection.
March 16th: Joe Pollack, who lay next to Tse on that Scarborough Grace ER gurney for hour after hour, returns to the hospital with SARS. He's isolated, but not his wife. Later that day, while at the hospital, Mrs. Pollack comes in contact with another patient who's a member of a Catholic Charismatic group.
March 28th: At a meeting of the Charismatic group, the ailing Scarborough patient's unknowingly infected son exposed 500 others to SARS ...
Let's leave it there. If this is what the President of Mount Sinai calls an "amazing job," then we might as well head for the hills screaming "We're all gonna die!" Toronto health authorities have done an amazing job that's amazing only in its comprehensive lousiness. At every link in the chain, anything that could go wrong did go wrong.
In rural China, SARS got its start through the population's close contact with farm animals. In Hong Kong, it was spread by casual contact in the lobby, elevators and other public areas of the Metropole Hotel. Only in Canada does the virus owe its grip on the population to the active co-operation of the medical profession. In Toronto, the system that's supposed to protect us from infection instead infected us. They breached the most basic medical principle: first do no harm. Even after they knew it was SARS, Scarborough Grace kept making things worse.
Dr. Mapa's pathetic attempts at covering his profession's ass are understandable. But most people who've had experience of Canadian health care will recognize the SARS chain as an extreme version of what usually happens. The other day, a guy I know went to a Quebec emergency room, waited for six hours, was told he had a migraine, and sent home. It turned out to be a life-threatening parasite in the brain. I'm sure you've got friends and family with similar stories. A chronically harassed, understaffed, underequipped system reaches reflexively for routine diagnoses, prescriptions. Did Kwan Sui-Chu's doctor, an Asian Canadian herself with many Asian patients, get the Toronto Public Health alert? Is it normal for coroners to mark "heart attack" as cause of death for elderly patients even when they've been prescribed antibiotics for a new condition in the last week? Why, after Scarborough admitted Mr. Pollack, whom they knew to have been infected during his previous stay with them, did they allow Mrs. Pollack to circulate among other patients? Why did Scarborough compound its own carelessness by infecting York Central?
Most of what went wrong could have been discovered by a few social pleasantries: How's the family? Been travelling recently? The so-called "bedside manner" isn't just to cheer you up, it's meant to provide the doctor with information that will assist his diagnosis. In Canadian health care, coiled tight as a spring, there's no room for chit-chat: give her the antibiotics, put it down as a heart attack, stick him on a gurney in the corridor for a couple of days. Maybe you could get service as bad as this in, oh, a Congolese hospital. But in most other Western health care systems the things Ontario failed to do would be taken for granted. There might be a lapse at some point in the chain but not a 100% systemic failure all the way down the line.
You'll notice that just like Red China, the Prime Minister and Toronto's medical staff I've reacted reflexively, blaming it in my right-wing way on the decrepitude of socialized health care, which almost by definition is reactive rather than anticipatory, and belatedly so at that. But my analysis, unlike Dr. Mapa's, fits the facts. But not to worry: as our leader is happy to assure us, our no-tier health care "express da Canadian value."
~from The National Post of Canada, April 24th 2003
As it happens, that was my very last column for the Post. Like all good farewell columns, it wasn't intended as a farewell column; it just turned out that way. The day after it appeared, the Asper family - who'd taken control of the paper from Conrad Black the previous year - fired the editor Ken Whyte, his deputy Martin Newland, and a phalanx of others, including the marketing hottie, to whom I was especially partial. I accept the right of new owners to sack editors and, as a general rule, think the newspaper world - especially the moribund US monodailies - would benefit from bloody mass sackings every so often. But the idea is to replace the dear departed with someone better. In the case of the Post, they gave the editorship to some oleaginous creep whose name escapes me (and who didn't last that long himself).
There is also the matter of how one disposes of the corpses. I always liked the genteel way Conrad & Co did it in London. When Frank Johnson was removed as editor of The Spectator, he was given some meaningless title and a weekly column. Likewise, Telegraph editors Bill Deedes and Charles Moore were repurposed as (excellent) columnists. At the Post, Ken et al were just frogmarched out and - even more grubbily - weren't even mentioned in the front page announcement of Wossname's appointment as new editor. That was not just small-minded, but self-defeating - because, if you're wiping the ancien régime from memory and starting anew Pol Pot-style with Year Zero, you're saying not merely that the editors of the old Post got it wrong but that all those readers who stuck with the Post through those last five years also got it wrong.
So I went away - to Iraq, as it happens - and early one evening, at a rest area on the main western highway somewhere between Rutba and Ramadi, I looked up at the stars and decided the Post had been a grand ride but it was over. I'll always be grateful to Conrad for launching it, and anyone who still buys a daily newspaper in Canada ought to thank him for raising the standards - in design, in writing, in investigative reporting - in that brief period when complacent old snoresheets like The Globe & Mail were suddenly forced to compete. The Internet proved a far more fatal virus to newspapers than SARS ever was even to Canadian hospital patients.
~Mark will have more to say about the coronavirus on TV and radio in the week ahead - and his old boss, the above-mentioned Lord Black, will be joining him on this year's Mark Steyn Cruise. Many other columns from the glory days of the Post are anthologized in Mark's books The Face of the Tiger and Mark Steyn from Head to Toe, personally autographed copies of which are exclusively available singly or together from the Steyn store - and, if you're a Mark Steyn Club member, don't forget to enter your promotional code at checkout for special member pricing.
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