Any guesses as to which country currently has the highest number of coronavirus cases per capita? I’d have got this one wrong, until I happened to spot a table yesterday with some numbers for San Marino.
Anyway, here are the top ten for total cases per million people (data updated to 1pm).
Leave out the tiny countries/territories and the next few are Switzerland, Norway, Singapore, Sweden, and France.
On these standard lists of countries and territories – no matter how tiny – there are about 230 countries/territories. At present, New Zealand is about 60th (ie lower end of the worst quartile – probably not the impression you’ve had from the Ministry of Health or ministers). Here is a chart of which countries are, right now, just a bit better/worse than New Zealand.
Australia, with which we have a pretty open border and lots of movement across it, has about three times the cases per capita.
I’m not sure that the per capita numbers mean a great deal, especially when very small absolute numbers are involved. One infected family or small cluster here and we’d quickly go shooting up past Taiwan, and despite the confidence the Ministry of Health (and their Minister) keep expressing in public, neither they nor we know what they don’t know. They presumably know most of the contacts of the people with confirmed cases, but none of the contacts of the cases they don’t yet know, let alone the contacts of those contacts. It is striking how much open alarm there now is in the United States – active cancellation of events, top universities moving to online only etc – even though in the per capita ranking the US isn’t much different than New Zealand (in fact, as recently as Saturday morning was a bit further down this unwelcome league table than us). Perhaps it is a reminder that three weeks ago, Italy had no confirmed cases and now (eg) million people and the heartland of the Italian economy are in quarantine. Two weeks ago, Italy had the same number of confirmed cases the US has now.
Of course, the other aspect of some relevance is the trajectory of cases numbers over time. Singapore, Hong Kong, and Taiwan all have had more cases per million than New Zealand. A few weeks ago there was a real fear of an exponential increase in those places, perhaps especially Hong Kong, where the travel restrictions from the PRC had been imposed only fairly sluggishly and the numbers moving were large. And yet in all three places, the exponental increase hasn’t happened. In fact, in Singapore and Hong Kong more than half of all the people with confirmed cases have now recovered. Presumably the virus isn’t any different, so we should look to behaviour, policies and practices.
Our government and Ministry of Health like to talk up the travel ban, but (eg) Hong Kong never really had one (and places like Australia and the United States did). What seems much more striking about Singapore and Hong Kong was the extent of social distancing that has been practised for some weeks now. In Hong Kong’s case, schools and universities were closed. In Singapore, they weren’t but reports suggest huge numbers of people working from home etc. That also seems to have been the lesson in how the PRC got on top of the virus, notably outside Hubei province. I like to reason by reference to cross-country comparisons, and so it surprises me how little of the debate or media coverage here is looking through the range of other advanced country experiences. Instead, we seem to get endless backward-looking upbeat comments from the Prime Minister, Minister of Health, and the Ministry of Health, who seem only interested in encouraging anything much more than hand-washing when it is confirmed that things really are much worse in New Zealand. They seem reluctant to (a) acknowledge what they don’t know, (b) the nature of incubation periods (if/when things are confirmed to be much worse, we’ll wish policies and practices at least a couple of weeks earlier had been different. There is a line I read recently that suggested that whatever a country does before a pandemic really breaks out will seem too much, and whatever it does afterwards will seem too little. With other country’s experiences to go by, it isn’t obvious why our authorities are encouraging such a relaxed attitude. Surely none of us wants to end up a Lombardy?
Where, of course, ICU beds are a real constraint, so much so that over the weekend there was mention of an Italian technical discussion document mooting the possibility of denying ICU care the very old. I also happened see this chart over the weekend. (Assuming these numbers are roughly comparable, you have to look a long way down this chart to find New Zealand.)
All of which is a bit of a distraction from the main – economics and economic policy – focus of this blog. I’m running late today because The Spinoff asked me to write a short piece this morning elaborating some points I’d made earlier in a radio interview. Here is what I wrote there, with some elaborations and additional points I didn’t have space for.
The economic implications of the Covid-19 public health emergency are formidable, and are growing by the day.
Most of what we’ve seen in New Zealand so far relates to the epidemic stemming from China and the steps taken to get things under control. Much of the policy discussion, including recent comments from the minister of finance, seems to have focused on attempts to assist firms and individuals in sectors which directly affected.
But that approach risks being a big mistake. It might have been fine if the only material outbreaks of the virus had been in China, and once they got things under control it was only a matter of time – albeit perhaps months – until those specific sectors and firms can get back to normal. But that simply isn’t what we face. Only yesterday the Italian government quarantined one of the major industrial regions of Europe.
Realistically, we have to suppose northern Italy won’t be the last place where life and production will be severely disrupted. The trajectories of case numbers in various other European countries seem, to date, disconcertingly similar. And then there is the United States.
Public health experts tell us the virus can be checked, but only with expensive and disruptive restrictions – voluntary or imposed, here or abroad. In her latest column here, Siouxsie Wiles notes:
Another thing we are all going to need to start doing soon is minimising or avoiding contact with other people. This is called social distancing. If you are greeting people, don’t hug, shake hands, hongi, or kiss. Bump elbows or feet instead. Work from home if you can. Much as it pains me to say it, social distancing also means avoiding public transport (get on your bicycle!). Similarly, it means avoiding gyms, churches, cinemas, concerts, and other events and places where people congregate.
Already, airlines report that forward bookings have dropped away sharply, and foreign tourism is heading towards zero for a time. It won’t be the only severely adversely affected industry, and the effects will be felt widely.
I found it very interesting that Wiles – who seems to know whereof she speaks on the viral things, and seems to be no panic-monger – was prepared to use, of New Zealand, the words “we are all going to need to start doing soon”. That isn’t at all the message our happy-talking political and official leaders are giving.
Economic policy needs to be focused not primarily on the limited and concentrated economic disruption we’ve already seen. Instead, ministers and officials need to focus on the much, much larger, but scale-uncertain, losses and disruption that will soon break on us, and on vulnerable individuals rather than firms. As importantly, we need to be positioning ourselves to ensure that when the epidemic passes – and that could be some time – we are positioned to get overall demand and economic activity back towards normal as soon as possible.
Much of the economic loss and disruption we are near-certain to face over the next few months is now all but unavoidable. Nothing we do will put tourists back on plane, or open up supply lines from Milan, or whereever the next place to clamp down severely is. When people choose to stay home and maintain those distances, spending and economic activity will drop. It is the price we will pay as governments here and in other countries seek to spread out and reduce the incidence of the virus itself, and as individuals seek to limit our personal risks.
This point cannot be made too often. Between choices here and individual and policy choices abroad much of the economic disruption is simply unavoidable. There will be large losses of production, significant jump losses, material numbers of business failures, and significant permanent losses of wealth. Much of what any spending can do now is really more (re)distributional in nature, than about changing the short-term course of GDP. There is place for such distributional measures – we don’t want sick people at work who can’t afford to take time off – and in my view short-term measures should probably focus on income support, erring on the generous side where necessary.
Trying to directly assist individual firms is a fool’s errand. We just don’t know what we will be dealing with just a few weeks from now. Very soon the number of firms that can plausibly claim adverse effects will be huge. We simply don’t have the capacity to administer complex tailored schemes for huge numbers of firms, and the way would inevitably open up to all sorts of rorts and abuse.
To repeat, facing what is likely to unfold over the next few weeks or months, we need systems that are clean and relatively simple, and don’t rely on either government or the recipient firms being fully resourced to manage them.
That is why we have macroeconomic policy tools, which are designed to operate pretty pervasively when activity across the economy is hard-hit.
Monetary policy is typically the main one. The Reserve Bank is already quite badly behind the game in not having cut interest rates. No doubt they will do so later this month, but they need to cut the OCR hard, and to err on the side of what might look like doing too much. The risks of actually doing too much are slight, and the risks to falling short are substantial. Among them is a risk that expectations about future inflation drop materially further, which would raise real interest rates in the face of this severe and complex shock, greatly complicating the eventual recovery.
But monetary policy is approaching its limits. This is one of those (quite rare) times when monetary policy really needs to be supported by a significant and, when activated, fast-working boost from fiscal policy.
The OCR can probably be cut by up to 175 basis points. Whether the last few cuts make any real difference, even to the exchange rate, is a contested point, but we won’t know if – faced with big drops in activity in demand – the limits aren’t pushed.
Big infrastructure projects are largely beside the point here – they simply take too long to get under way. One-off cash payments to households probably also aren’t the right thing, at least now. In the next few months people will be hunkering down anyway, and as I’ve already noted, a key consideration is providing support and confidence as and when the worst of the virus – and attendant direct economic disruption – has begun to pass. One possible tool, as part of a package, would be a significant, explicitly temporary, cut in the rate of GST.
Such a cut could be implemented quickly, would put more cash directly in the pockets of households, would operate in a somewhat progressive way (poor households spend a larger share of this year’s income than upper-income households) and explicitly encourages people to buy early rather than later (because you know prices will be rising again in, say, 18 months hence when the GST rate goes back up again).
This instrument was used in the UK in 2008/09. The key point I’d add here is that in thinking about stabilisation and supporting recovery in the next 12-18 months we – including political parties from all sides of politics – shouldn’t be focusing on our longer-term preferrred policy changes, but on things that are likely to do the stabilisation job (and can then probably be unwound – as monetary policy). That is also the way towards keeping a reasonable degree of cross-party consensus if the crisis is being welll-handled, rather than a sense that one side or the other is using the crisis opportunistically.
The key point now is that the government has to be looking forward, not backwards, and acting in ways that take seriously the sheer scale of the costs and dislocations we are just about to face. Whatever New Zealand does, we can’t avoid many of the short-term costs that are coming, but we can do a little to mitigate the damage (in an environment like this, for example, retail interest rates probably should be near zero, which they aren’t now) and official actions now can help create a climate most supportive of an eventual recovery. We need people to be confident of aggressive action focused on the real issues. In these circumstances, there are few or no returns to half-measures.
All manner of stresses and problems are likely to come to light, here and abroad, if this virus continues to wreak havoc – or require far-reaching restraints (self or government imposed) over the next year or more – to keep it in check. It would be foolhardy to assume that full recovery will be quick and easy, all the more so if macro policy has not done what it could to, for example, keep inflation expectations up.