Constitución y emergencia sanitaria. César Landa

Constitución y emergencia sanitaria - César Landa


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that early lockdowns would have prevented spread of the pandemic, once the virus arrived on a mass scale, it is not clear what the universally optimal policy is, in terms of the severity of a lockdown. Surely a complete and total lockdown such as occurred in Wuhan China would be good for eliminating the virus, but it also had significant costs in terms of the associated economic shutdown and in restrictions on civil liberties. Quarantines also create their own risks and put pressure on mental health. A pandemic response must balance public health, economic, and libertarian considerations, with lots of complicated tradeoffs. In a democracy, the balance should be determined by political processes, informed by technical information.

      Despite all its messiness, and its poor policy outcome, the coronavirus response in the United States has been successful in responding to the preferences of the public. This public is highly misinformed and distrustful of expertise. It important to remember that the United States is in something of an epistemic crisis, in which large segment of the population believes in conspiracy theories and distrusts science as a matter of course. The fact that around half of Republicans believe, falsely, that President Trump won the November 2020 election is evidence of this, and of course reflects his cult-like power over them. But this is not just a feature of Trumpism. We also have a longstanding libertarian tradition distrustful of all government as a matter of principle. The United States has had an extended constitutional conversation, involving state governments, courts at both states and the federal level, legislatures, scientific agencies, and the public itself, about the response. While a failure from a public health perspective it is a good response from the perspective of reflecting democratic references.

      From a comparative perspective, the United States Constitution, drafted in 1787, is one of a small number without any provision for a state of emergency. The drafters of the document were skeptical about such provisions and thought law could do little to regulate crises. Indeed, they feared that executives might use emergency provisions to consolidate power, a phenomenon that has come to pass in many other constitutional systems. The absence of clear provisions on emergency has meant that the ordinary rules of governance have remained in place during the COVID-19 pandemic.

      In the federal system of the United States, the “police power” is primarily located at the states, giving them the authority and duty to protect and regulate health and safety. These powers are limited by federal constitutional rights, as well as acts of Congress within its own sphere of authority. All states have emergency statutes that allow the Governor, the chief executive of the state, to call an emergency and to take extraordinary steps thereafter for a limited period. Governors were the primary determiners of policy response in the COVID-19 pandemic, and their solutions varied a good deal. In highly urban states like California, the response was early and strong. In some rural states, the response was slow and weak. These states became the primary locus of the second wave of the virus. But the second wave spread throughout the land.

      Once governors began to impose lockdowns, a dialogue followed about the nature of the response. Owners of gun shops challenged the application of general lockdown orders to their businesses, claiming that the constitutional right to bear arms contained in the Second Amendment meant that they should have special protection in this regard. Faced with this argument, many cities and states reclassified gun shops as “essential businesses” that could remain open. Another challenge was to certain state laws that discriminated against out-of-state travelers, such as Rhode Island Governor’s order to stop all cars with New York license plates.

      The next major set of challenges came from religious groups, which claimed that bans on gatherings of more than ten people, for example, infringed on freedoms of worship. In one case, a governor refused to allow an Easter service in which worshipers would remain in their cars, prompting a lawsuit. The Sixth Circuit Court of Appeals ruled that lockdowns that singled out religious services without comparable restrictions on secular activities violated the First Amendment rights to free exercise of religion. The Supreme Court stayed away from these cases for several months, but in November issued a decision that generated a good deal of attention. In Roman Catholic Diocese of Brooklyn v. Cuomo, the Court ruled that a New York ban on religious gatherings of more than ten people constituted an unconstitutional interference with the First Amendment provisions protecting the free exercise of religion. The Court pointed out that the Governor’s order limited the number of people without regard to the size of the building, and hence was not narrowly tailored to the goal. In other cases, the Court argued, governors had allowed casinos, restaurants, and marijuana dispensaries to remain open while restricting religious services. This was clearly an inappropriate burden on religion.

      The Federal government’s role in pandemic response is most apparent in providing a response. Using several statutory authorities, the Department of Health and Human Services declared a state of emergency on January 31, allowing expanded telemedicine and the release of national stockpiles of masks and other personal protective equipment. President Trump invoked the Defense Production Act, which allows the government to order private firms to prioritize its own orders and to control distribution. In March he declared an emergency under a statute, allowing the Federal Emergency Management Agency to get involved. Later, the Congress approved a public-private partnership called Operation Warp Speed, which successfully funded the development of vaccines by private companies.

      As the lockdowns dragged on and the economic carnage became apparent, protestors began to chafe under the restrictions, and demonstrations emerged. Most came from the political right, but some came from the so-called “anti-vaxxers” on the political left, who oppose the taking of vaccines. Some lawsuits were filed in April, but courts were generally unwilling to question the decisions of the elected representatives. As time went on and the economic costs mounted, the President announced that the pandemic response had to end, and the economy had to re-open. Of course, under the federal system this was not his decision. Governors seemed to ignore the President: Republicans like Georgia’s Brian Kemp re-opened even before Trump gave the green light; Democrats like New York’s Andrew Cuomo and California’s Gavin Newsom kept restrictions in place, and as a second wave of the virus hit in June, ramped up some restrictions again.

      Politically, many Americans seemed to have a strong aversion to the wearing of masks, a simple step that would do much to prevent the spread of the disease. The Governor of Nebraska threatened to withhold funds from any counties that did require masks. Judges began to get involved in calibrating the response: a federal judge in Michigan, for example, held that there was no rational basis for keeping gyms closed, and ordered the Governor to reopen them. But this order was stayed by the Sixth Circuit Court of Appeals.

      Most of the state statutes allowing Governors to use emergency measures have temporal limitations, typically 30 days. After the initial period expired, most governors extended the lockdowns by unilateral order. Some lawsuits challenged these decisions but none to my knowledge has been successful. The standard of judicial review for all these matters was whether the government had a “rational basis” for its decision, which is a very easy standard for the government to meet, given the obvious risks from a pandemic.

      A special issue arose regarding elections, a challenge faced by many countries around the world. The United States had a presidential election in November, and preparations for it were complicated by the pandemic. A major conflict arose in the State of Wisconsin, which has been ground zero for Republican efforts to lock in their power. The elections scheduled for May 2020 included a primary for the presidential election, and also a vacant state supreme court seat. With trouble find poll workers, the state’s Governor Tony Evers, a Democrat, sought


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