While China can mobilize a huge national response to the outbreak, its response to the crisis is also a lesson in how the country’s political weak points can carry grave consequences for world health.
Health care workers at the Wuhan Red Cross Hospital on Saturday.Credit…Hector Retamal/Agence France-Presse — Getty Image
By Max Fisher
Published Jan. 25, 2020Updated Jan. 26, 2020, 12:45 a.m. ET
It was the initial news reports that first suggested China’s political system might be getting in the way of its ability to confront the coronavirus outbreak.
This seeming delay was of a familiar pattern in China, one suggesting that local officials may have played down early warning signs or simply did not coordinate enough to see the problem’s scope.
While outsiders might suspect an attempted cover-up as the cause, experts see something much more worrying: weaknesses at the very heart of the Chinese system.
Its rigidly hierarchical bureaucracy discourages local officials from raising bad news with central bosses whose help they might need. And it silos those officials off from one another, making it harder to see, much less manage, the full scope of spiraling crises.
While much remains unknown about the outbreak, a common theme is emerging.
Any political system is better at solving some problems than others. But the coronavirus, like other health crises before it, is bringing out some of the deepest flaws and contradictions in a Chinese system that, for all its historic feats, remains a work in progress.
Those flaws, which have long frustrated Chinese leaders, appear to have played a role in everything from the pace at which officials responded to the coronavirus outbreak, to China’s yearslong inability to address the health risks that experts have long warned could lead to an outbreak just like this one.
While the country is now mobilizing a nationwide response — one of the system’s strengths — the incident is already a lesson in the political weak points that can bring grave consequences for China and, as infections spread, the world.
A System at Odds With Itself
An Asian palm civet in Wuhan in 2003. SARS was ultimately traced to a coronavirus that jumped from bats to civets, which are prized as a delicacy in southern China.Credit…Reuters
“When you look at the coronavirus, it looks a lot like what happened with SARS. It involves a very similar template,” Mr. Yasuda said.
The SARS epidemic, which killed hundreds of people in 2002 and 2003, initially spread unchecked when local Chinese officials minimized early reports.
Their fear was not public unrest, it later emerged, but getting in trouble with the party bosses who controlled their careers.
Guan Yi, a professor of infectious diseases in Hong Kong who helped identify SARS, has accused Chinese authorities of once more delaying action, including by obstructing his own efforts to investigate the outbreak.
“This is a continuous theme in central-local relations in China. You do not want to be the one to bring bad news,” said Vivienne Shue, a prominent China scholar at Oxford University.
That gulf between central leaders in Beijing and local officials who run the country day-to-day, Ms. Shue said, is “the core conundrum in how that system works.”
It leads officials on both sides of the center-local divide “to do many counterproductive, irrational things,” she said, in their efforts to manage and manipulate one another.
That has included holding back reports of potential crises, in the hopes of solving things without the bosses finding out.
At the same time, China’s quasi-imperial system leaves the top party bosses in Beijing with little direct power over what happens in the provinces — policy proclamations are sometimes ignored or defied — other than promoting or punishing subordinates.
The two ends of the system are engaged in a constant push-pull dynamic, putting them occasionally at odds — particularly in moments of crisis, when each is looking to blame the other.
This has been an issue throughout China’s modern history, Ms. Shue said, with power fluctuating between the center and the periphery. Xi Jinping, China’s current leader, has sought to centralize power, setting up Beijing-based working groups to exert more control outside the capital.
But the system’s underlying contradiction remains. Mr. Xi’s tightening grip may make local leaders all the more wary of releasing information that could invite his wrath.
As China modernizes, integrating its once-disparate provinces and cities, local mistakes can become national crises before Beijing is even aware that something has happened, as may have happened with the coronavirus outbreak.
“As logistics and the distribution systems have expanded, you really see how the local and national have been linked together,” Mr. Yasuda said, referring to the hastening rate at which health, environmental and economic crises can now spread.
That is not all downside. The central government has enormous capacity to mobilize in a crisis, as it is doing now, locking down several major cities to slow the disease’s spread.
“Once a clear problem has emerged, it’s very good at diverting resources,” Mr. Yasuda said of China’s political system. “But it’s not good at dealing with emerging problems. So it’s built to be reactive instead of proactive.”
When China’s Strengths Become a Source of Peril
A dairy farm in Qingdao in 2008, when chemically tainted milk was discovered in China.Credit…Wu Hong/European Pressphoto Agency
In some ways, China’s system has been a source of strength.
Party bosses set priorities, then reward the institutions and officials who best carry them out.
And since the days of Mao Zedong, China has operated under a system known as fragmented authoritarianism, in which even the most local leaders have near-absolute authority over their remit.
That has led to a culture of what Elizabeth J. Perry, a Harvard University scholar, has called “guerrilla governance,” in which results take precedence over procedure or accountability, and in which it is all leaders for themselves.
This approach is seen as crucial in having enabled China to lift hundreds of millions of citizens out of poverty and turn itself from global backwater into world power.
Disease and pollution don’t respect provincial or municipal borders. And because of the way they spread, it often takes a unified, nationwide policy to prevent or stop them — something for which guerrilla governance is ill-suited.
“It’s very difficult to come together to create a clear actionable plan,” Mr. Yasuda said, adding that, for any health or environmental regulation to work, “you want it to be standardized, you want it to be transparent, you want it to be accountable.”
But China’s system de-emphasizes those concerns, sometimes to disastrous effect.
In the mid-2000s, Beijing demanded a drastic increase in milk production. When factory farms were unable to meet their targets, officials conscripted vast numbers of rural farmers. Some of the farmers, struggling to meet their quotas, watered down their milk, then added an industrial chemical known as melamine to fool quality sensors. The tainted milk poisoned thousands of infants.
Experts fear a similar regulatory failure may have enabled the coronavirus outbreak: the longstanding inability to clean up so-called wet markets, which are stuffed with livestock living and dead, domesticated and wild. Though the outbreak’s cause is still being studied, Wuhan’s wet market is considered a prime suspect.
The markets have long been considered a major threat to public health, particularly as a vector for transmitting diseases from animals to humans. And they are a lesson in the perils of patchwork, decentralized regulations like China’s: While some markets are more carefully policed than others, all it takes is one to cause an outbreak.
In another echo of the tainted milk scandal, top-down political priorities provide an incentive to look the other way. Taking down the markets, which are popular, would risk a public outcry. Local officials had every reason to fear that their bosses, who have not made the markets a priority, would punish them for causing trouble.
Aligning With Public Good, Or Not
The Huanan Seafood Market in Wuhan, which has been linked to the new coronavirus, has been disinfected and closed.Credit…Noel Celis/Agence France-Presse — Getty Images
A foundational mission of any political system is to align its leaders’ incentives with the needs and desires of the wider public.
Democracies seek to do this through “the competition of interests,” Ms. Shue said, on the belief that inviting everyone to participate will naturally pull the system toward the common good. This system, like any, has flaws, for example by handing more power to those with more money.
Within China, Ms. Shue added, the common good “is seen as something that should be designed from above, like a watch being engineered to run perfectly.”
But sometimes the watch can be designed in ways that harm the public good.
In 2001, for instance, Beijing ordered provincial officials to reduce water pollution from factories. Many provinces simply moved the factories to their borders, ensuring pollutants would flow into the next district. Nationwide, water pollution worsened.
So far, the coronavirus outbreak seems to highlight both the strengths and perils of China’s model. Beijing, apparently having learned from the SARS epidemic, has pushed for faster and more drastic action.
But the same systemic problems, from gun-shy local officials to weak health regulations, appear to be recurring as well — a reminder that the system remains, Ms. Shue said, “a work in progress.”
Jan. 25, 2020
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Max Fisher is an international reporter and columnist for The New York Times. He has reported from five continents on conflict, diplomacy, social change and other topics. With Amanda Taub, he co-authors The Interpreter, a column exploring the ideas and context behind major world events. A weekly newsletter of the same name features original reporting and insights. He is based in London. @Max_Fisher • Facebook