We are approaching the April 12 deadline for lifting of the lockdown. The situation is under review by the COVID19 Inter-Agency Task Force (IATF). This is my take on some contentious issues being discussed:
I. Localized vs Non-localized Quarantine
We have a Luzon wide lockdown yet each province and barangay can set its own containment measures. The result is confusion, burdensome checkpoints and disruption to essential travel and the supply chain.
For borders to work they must have a natural geography. The island of Luzon is a natural border but that, say, between Laguna and NCR is not. The latter is a political delineation with no basis in economics or health. Empowering the different LGUs to establish their own health and physical fiefdoms is a huge mistake: It is health wise ineffective, it is economically damaging.
Some advocate for a barangay model where communities with positive cases will be locked down. This is better than provincial quarantines in that it is less disruptive to the collective. Still a Barangay is a large politically (not a health) defined area with varying population densities and infrastructure. Multiple infections in say a residential building has not and should not trigger a Barangay-wide shutdown. A better way is to ring-fence the hotspot regardless of barangay and set its radius depending on population density and physical configuration.
II. Mandated vs Self-Policing Quarantine
In a mandated quarantine the Government dictates economic activity, social behavior and freedom of movement. A self-policing quarantine allows the market to set the economic and social protocols. Our ECQ is a mandated quarantine.
The premise behind a mandated quarantine is that the community cannot be trusted: Citizens cannot be trusted to follow safe hygiene and social distancing, restaurants and public gathering places cannot be trusted to voluntarily shut down.
A self-policing quarantine assumes that citizens will behave appropriately when adequately informed of the dangers and will stay home. It assumes businessmen are rational: Restaurants and factories will close when there are no customers, BPOs will work from home, bus companies will limit their rides when the riding public diminishes. Government does not have to oblige them to do so. Supply and demand, not the Government, is the most efficient way to allocate scarce resources.
We should adopt a hybrid: Malls and gathering places should be closed but factories and public transportation should be market-based to allow essential travel for emergencies and work.
III. Nuclear vs Targeted Approach
Our Government has opted for a nuclear solution. In the absence of information on the whereabouts of the virus, the Government has shut down the whole community and with it the economy.
We are fighting an enemy that is invisible and travels exponentially. We need a targeted approach, one that works smart, uses probabilities and technology to identify the virus’ location and concentration. Nuking the community at random produces untold collateral damage. What we need is a guided missile, not a cluster bomb.
IV. PCR vs Rapid Testing
PCR tests are the definitive test for COVID19. However they are in scarce supply, expensive, require technical knowledge and facilities, are dangerous to the attending healthcare worker and have delayed (up to 2 weeks) results. Rapid testing devices are now plentiful, inexpensive, can be easily conducted and produce results in 15 minutes. They are the canary in the coal mine, the first sign of an infection. However they have limited outcomes. They only test for anti-bodies not for the virus itself: Positive results for anti-bodies confirm you are infected. Negative results, however, do not guarantee you are virus-free since anti-bodies can take up to 21 days to show up from infection.
The DOH has resisted rapid testing because it can produce false negatives: You think you are virus free when you possibly are not. The only sure way is to conduct subsequent tests over an extended period.
Vital companies in food, export and banking are suffering because workers are not showing up for fear of contamination in the work place. To assuage workers’ anxieties, businessmen would like to adopt rapid testing to clear the air. The tests are not 100% confirmatory for the virus but will provide a level of comfort.
The PCR vs rapid testing is a non-argument since they are not mutually exclusive. Businesses and individuals who on their own accord and money want to rapid test should be allowed to do so. If nothing else rapid testing can identify those positive for anti-bodies and therefore the virus. This information will help define the curve and contact trace.
V. To Spend Or Not To Spend
The Dept. of Finance is understandably concerned about the budgetary impact of the Bayanihan Bill. It is being asked to increase spending for economic relief even as taxes and custom duties are falling from the slowdown in the economy. Sec. Dominguez estimates that fiscal revenues will decline by P32 billion for every 1% drop in GDP. At zero growth, the tax hit is P287 billion.
A number of things:
- The drop in tax revenues will depend on the health timeline. The earlier we get out of the mess, the lower the tax impact.
- We have room to borrow. In the last years the Treasury has reduced our debt to GDP ratio from 70% to 41% prompting an upgrade in our credit rating. Our creditors understand any fiscal excess is not due to mismanagement but to a worldwide exogenous factor.
- All governments are blowing out their budgets. The U.S.’ budget deficit is going from $1 trillion to $2.4 trillion. The EU is allowing member countries to exceed the 3% ratio of deficits to GDP.
- Our spending need not exceed our current budget of P4.1 trillion if we can defer non-critical projects and reallocate savings to the crisis.
- We may not be able to spend all we want because of the absorptive capacity of our welfare and health care system. There are many displaced workers who are neither registered with the DOLE nor the SSS and therefore cannot be identified for welfare payments. Again, there are not enough ventilators, masks and PPEs even if we had the money to buy them. Only so many quarantine centers can be built in our timeframe.
- The fiscal gap could be financed by low-interest Corona Patriot bonds to be sold to local investors.
VI. To Conclude
- We should drop all provincial and barangay checkpoints since they are based on artificial political delineations, not health or economic ones. Instead we should ring-fence hotspots and define their radius.
- We should move from a mandated quarantine model to a hybrid that will combine directed behavior with market based protocols especially in public transportation. We should trust that the public and businesses will behave rationally.
- We should sniper fire the virus not shotgun it.
- We should allow for voluntary rapid testing to whoever wants it and pays for it. PCR testing can be reserved for the critical few who need it.
- We should not be afraid to spend all it takes for the poor and our healthcare system.
One last point and this is important. The DOLE announced that a hundred thousand plus (().003% of the officially employed) have been displaced by COVID19 and entitled to welfare. The real figure must be a significant multiple of this.The truth is millions of unemployed workers are falling through the cracks of our safety net because of under-reporting by employers. IATF, please look into this.
COVID19 is both a health and an economic crisis. There is no price for a life lost to the virus but neither should there be for livelihoods sacrificed. There are no correct answers to the equation. We can only pray we do not throw the baby out with the bath water.