What I do know is that — are you ready? — human societies, involving multiple nations or even our own culturally diverse, geographically spread out nation, are not now nor will they ever be a spherical cow of uniform density in friction-less vacuum.
So … why is it that even now that they admit the scary Imperial model is insane, our authorities, from federal on down are treating the US as though it were just that mythical cow, and on top of that exactly the same as the cow in Italy, Spain or France.
[…] but here’s the thing: Italy has a completely different culture. Yes, it also has a sclerotic, understaffed and just impoverished healthcare system. (Yes, every time I post that I have to spam a million comments telling me how well the WHO ranked Italy — which is great, except the WHO ranks a single payer system above everything else, including outcomes — and how Lombardy is the envy of Italy or something, which leads me to say “Sucks to be you.”)
However, that’s just a factor in the debacle. The other factor is culture and no one is taking it into account. Multi-generational families live together (I should throw stones, yes) or in the same house which becomes a sort of compound. (This is common to all Mediterranean cultures. I grew up in such a compound until the age of six.) which means that while Grandma isn’t abandoned to the tender mercies of Haitian health workers, it’s also really hard to isolate her when little Guido gets the never-get-well at school and cheerfully brings it home. Even when they don’t live together, extended families have a level of closeness that freaks out even the closest American families. If you and your relatives live within driving distance of each other and don’t see each other every other day, there’s something wrong.
Every house is a continuous cacophony of visiting relatives and friends. In safer times, we just left the back door unlocked because it was easier than answering the doorbell every five minutes. When I first got married, I had the TV on all day, because otherwise the house was so silent, it freaked me out. (I left Disney channel on all day, because it was less likely to startle me with explosions or evil laughter. This led my inlaws to believe I only understood “English for children” (rolls eyes.) I wasn’t even in the room with it. I just needed that noise, or I freaked out, because of the habit of a lifetime.
The freakiest thing in my exchange student years was that my family never had people drop by, several times a week, just because.
On top of that, of course, a lot of the younger people live in stack-a-prole apartments with shared air, and most people commute by train or bus or something.
Now, in Portugal at least most trains and buses aren’t as full as they were in my youth. You are rarely packed in like sardines. But it’s still public transport, and at rush hour every seat is taken and there are people standing.
As much as I get sick here, I got sick way more often there, and had a few really close calls, starting at about thirteen. Because you live in each other’s pockets.
And I understand that in Italy, as in Portugal, as in, for instance, France, people kiss a lot more. Adult men might not, unless they’re close(ish) relatives, but women and children get kissed by everyone from close kin to total strangers.
All of those create conditions for the virus to explode. In Italy, in France, in Spain. I understand it’s not exploded nearly as much in Portugal, but I also wonder how much of that is Portuguese reluctance to go to the doctor or the hospital. Because “the hospital is where you die.” (Yes, sue me. Some cultural assumptions remain. Which is why my husband is the one who normally drags me to the hospital.) Because, you see, we DO know for at least one of the clusters, the hospital was making it worse. Go to the hospital for any other reason, catch Winnie the Flu.
