What’s up with America?

Some see a recent upsurge of fascism, or a unique malevolence in the current President. The reality is less dramatic: the continued erosion of American institutions, a long-term trend furthered by bankrupt ideologies.

by Philip Cafaro

A few months ago in this space, I wrote that Donald Trump’s obvious character flaws disqualified him as a decent candidate for the U.S. Presidency. As you may have heard, enough of my fellow citizens disagreed with me to re-elect him to a second four-year term as “leader of the Free World.” Although in light of his abrupt reversal of U.S. support for Ukraine and enthusiasm for dictators in Central America and “illiberal democracy” in Europe, we may have to retire that expression.

In three short months, Trump has unleashed chaos and uncertainty at home and abroad. Domestically, he is attempting to drastically cut or eliminate numerous valuable programs, in the name of increasing “efficiency” and eliminating “waste and fraud.” Rather than do this through the normal channels of annual Congressional appropriations, he is attempting it unilaterally through executive orders, an unprecedented move of dubious legality. These include massive cuts to basic science and health research, education funding for poorer communities and students with special needs, and the support staff for benefits programs relied on by hundreds of millions of Americans, such as the Veterans Administration and the Social Security Administration.

Also of dubious legality are the administration’s many moves to roll back over half a century of environmental progress. These include redefining the role of the Environmental Protection Agency to one of facilitating economic growth, throwing open public lands to oil and mining interests, and providing exemptions to corporate polluters who claim economic exigencies prevent them from cleaning up their pollution. If all else fails, regulators plan to simply ignore the environmental regulations they are legally required to enforce.

At the same time as they are abdicating legitimate government responsibilities to protect the environment and support citizens in need, Trump’s minions are eager to take on new, oppressive roles. They are attempting to dictate fundamental goals and policies to the nation’s colleges and universities, both public and private, through withholding research grants and threatening their non-profit status. They are threatening to withhold government clearances (and thus lucrative government work) to blackmail top law firms into providing hundreds of millions of dollars in pro bono legal work for the Administration’s preferred causes. The list goes on.

In foreign policy, the Trump administration began by cancelling most U.S. foreign aid, worth tens of billions of dollars annually. This abrupt move has thrown many important health programs in some of the world’s poorest countries into disarray, as Win Brown and Karen Hardee reported here a month ago. As a direct result, hundreds of thousands of people are likely to die unnecessarily in the next few years, and millions of women will find it harder to access basic family planning services. Such actions harm the world’s poorest people.

Now, with his chaotic and, again, unilateral tariff policies, Trump threatens to throw the global economy into recession, indiscriminately harming billions of people, “haves” as well as “have nots.” I’m actually sympathetic to limiting international trade. I think we need a lot less of it, for environmental reasons. But whatever the general merits of tariffs, or their specific merits in relation to the Trump administration’s stated goals (reviving American manufacturing, keeping vital industries onshore), the chaotic, seat-of-the-pants approach of this administration seems unlikely to succeed — particularly in a contest with a disciplined Chinese leadership willing and able to wait out any negative impacts on their own population during an extended trade war.

Donald Trump’s high-handed treatment of America’s friends and allies seems foolish, unjust, and dangerous. This bad behavior goes beyond mere changes in trade policy, as in Trump’s nonsensical bluster around taking over the Panama Canal and Greenland. Examples like these last ones are so grotesque, so outside decent international norms, that they may be hard to take seriously. I do not, in fact, think that Danes or Kalaallits have much to fear from American imperialism. But everyone has a lot to fear from an unnecessary global recession. (I’m on record that the global economy needs to shrink, not grow, for environmental reasons. But we need a planned drawdown, with for instance carbon taxes with the proceeds used to cushion those likely to be hurt otherwise.) Everyone has a lot to fear from a de-stabilized global power structure, in which the world’s most powerful democracy sides with the forces of authoritarianism, or endorses territorial aggression and war as legitimate means for resolving international disputes.

How did America arrive at this sorry state? Comic George Carlin may have the most convincing “take” on how it happened.

Why is this happening now? Americans seem as puzzled as foreigners mulling over this question. I’ve heard some say they feel like strangers in their own land; a few are even taking steps to procure foreign citizenship and leave a country they no longer recognize or support. Many liberals wonder how our fellow citizens could support such cruel and harmful policies, while many conservatives wonder whether their investments will bounce back in time for their retirements.

Trump, and particularly this new second administration, are in many ways unprecedented. No President has ever seemed so unaware or disrespectful of democratic norms and principles, so cavalier in his disrespect for our Constitution. No administration has launched such a massive grab for power, while simultaneously attempting to greatly weaken the government’s power for doing good. It is this, along with Trump’s evident disdain for legalities and norms, and the Republican party’s fawning over him personally, that has so many speaking of incipient fascism.

However, I don’t think Trump is uniquely evil. And while he has a talent for demagogy, his success again begs the question: why now?

In fact, the Trump administration’s policies are in many ways an extension of key Republican political goals that shift wealth and power to the already wealthy and powerful. These include deregulation and regulatory capture by industry proxies, failure to enforce environmental laws and labor protections, and shifting tax burdens from the wealthy onto the poor and middle class. Even Elon Musk’s rampage through the federal workforce, while unprecedented in speed and scope, fits a decades-long pattern of undermining government capabilities, the better to convince Americans that government cannot improve their lives.

It isn’t just a failure of nerve that is behind most mainstream Republican’s continued support for Donald Trump. It is no accident that his cabinet is filled with billionaires and that his inaptly named Department of Government Efficiency is run by the world’s richest man. Trump promises a consolidation of power among the ultra-wealthy elite that they have long desired. A few populist excesses are a small price to pay for this long-awaited achievement.

Talk of fascism also lets Democrats off the hook for their own political failures, which have helped bring us to this point. Over the course of my adult lifetime, the Democratic party has morphed from a party focused primarily on the economic interests of the working class and middle classes, to one advocating for the economic and social interests of upwardly mobile professionals: in Bernie Sanders’ terms, from the party of the 99% to the party of the 85-99% (the top 15% minus the top 1%, the Republicans’ natural constituency). They have become a party focused on “anti-racism” and niche social causes rather than sharing the wealth. At best, Democrats show some of the old spirit in defending Social Security and Medicare — programs legislated in the 1930s and 1960s, respectively. Unlike European social democratic parties, however, they never built on this foundation to create widely shared prosperity and solid economic security, with a modern economic safety net.

Democrats often lament the working class “voting against its economic interests” by supporting Republican candidates. But Democrats’ failure to speak to growing income and wealth inequality, much less address it legislatively, or to enact universal health care or other necessary components of a modern economic safety net, has left most poor and middle-class voters unclear about who speaks for their economic interests. Democrats’ unwillingness to deal effectively with steadily rising illegal immigration further alienated low-income workers who felt out-competed for jobs and housing. In this way, they have contributed to the narrative that government is ineffective, that it cannot solve problems, that citizens are on their own, and that only a rapidly growing economy can insulate us from economic precarity. This has also left these voters open to persuasion on various “culture war” social issues, allowing Republicans to pick them off in ever greater numbers.

Beginning in the 1980s, Democrats and Republicans drank equally deeply from the well of neo-liberal economic dogma. This helped turn the Republicans from a conservative party to a radical one that would sacrifice anything and anyone on the altar of laissez-faire economic policy. It helped turn a Democratic party that once believed deeply in “the people” into a party of technocrats who hold them in contempt (an unstated premise in many arguments for incipient fascism). Neither party has advocated for, or spoken convincingly about, the common good. All this paved the way for an undisciplined clown to ascend to the White House. The full consequences remain to be seen.

Published

43 responses to “What’s up with America?”

  1. Bob Webster Avatar

    The pattern over the last four plus decades is kind of hard to miss, yet pretty much everybody seems to (2022- Paul Jay has intimated as much. That’s why I love his reporting). A Republican President comes in and takes a chainsaw to the the economy and culture, shredding and laying waste to the whole social and financial underpinnings of our society. Then a Democrat comes in promising to fix all the problems this created but actually just tidies up, de-stumps, paves over the mess, and sticks a smiley face on the depredations, thus legitimizing and cementing in place and making permanent the damage the Republicans did (and Clinton and Obama quietly making way for all the right-wing dream legislation thus smoothing the road for the next Republican shredder). Heck, as one of his last acts Obama created The Disinformation Governance Board (Orwell’s Ministry Of Truth) tailor-made for the Trumpketeers. Most Democrats are just there to give the system a veneer of credibility. Reagan, Bush, and Trump may have been avowed traitors, crooks and corporate shills but Clinton, Obama, and Biden are crypto-corporate stooges. Obama is probably the biggest bait and switch con in history (and it’s no coincidence that, because he was perceived to be a reformer, he, similarly to Clinton, completely sucked the life out of the growing protest movements).
    Thinking of the Democrats as “less evil” than the avowed fascists is like saying you’d rather be killed by wolves than sharks. Again, they’re just two pockets on the same pair of Establishment pants.

    1. Philip Cafaro Avatar

      I wish Democrats had nominated Bernie Sanders in 2016 rather than Hillary Clinton. Given Americans a real choice, someone committed to addressing our problems rather than papering them over. I wonder how the last eight years would have progressed in that alternative reality …

      1. Bob Webster Avatar

        Bernie would’ve won in 2016 against Trump, no question. The thing that prevented it was a corporate corrupt Democratic party.

    2. Kris Cafaro Avatar

      Faced with the reality of the second Trump administration, I cannot agree with you that the Democrats are only “less evil” than he is, with the implication that the difference isn’t significant. The real world impacts of this disastrous administration, primarily felt by the most vulnerable among us including human and non-human alike, will dwarf anything we’ve seen in our lifetimes.

      1. gaiabaracetti Avatar

        Maybe. But you all seem to forget that Biden is responsible for the mass murder of tens of thousands of innocent people in Gaza. That already HAS dwarfed anything I had seen in my lifetime.

    3. gaiabaracetti Avatar

      So true, and it’s happening in many other Western countries as well. Nominally leftist or center-left parties and candidates that do right-wing policies that please almost no one… We’ve all had them, I think that the UK is going through one such right now.
      I think that Obama was the biggest fraud ever. He’s up there with Trump as a con man; some people still don’t feel they were conned.

      1. Bob Webster Avatar

        With the wealthy, ideological morons the Pumpkin King and Melon Man nave appointed to run the various government departments, there can be no doubt that they are not just starving the beast (Grover Norquist), but murdering it. These creatures are there to sow chaos, panic, and blood on the streets across the entire population when government stops working. They will deliberately force us to violence, probably misdirected toward ourselves. And while everybody is suffering and dying, they’ll be gathering up everything of any value and waiting in their bunkers until the smoke clears. At least this is the plan. And let’s not forget that the US is only the first domino in a global game that aims to topple all the Western democracies.

  2. Kathleene Parker Avatar

    The only “fascism” I saw was from the Biden Administration, including Kamala Harris, as she ran for president, unable to open her mouth without condemning any in America who disagreed with her.

    I voted for Trump, happily, because the U.S. or the world cannot continue to endure the POPULATION EXPLOSION in the U.S. that has been driven, almost solely, by immigration (most of it ILLEGAL) post-1990 and, taken–quite unconstitutionally and with media collusion–to extents of extremism that meant that, in just 4 years, the U.S. gained just under 20 million ILLEGAL new residents.

    I come from generations of Democrats. I spent most of my life as a Democrat, but I could not abide the CORRUPT Democratic party of recent years that “discovered” that, via ILLEGAL immigration, it could gain seats in Congress, including 3 in just California.

    I will, however, say I mostly agree with Bob Webster’s comments, though this is not about “establishment” power plays. It’s about CORRUPTION, little discernible from that in banana republics and it speaks to those so eager for power that they will trash every ideal upon which this country was founded. I will, however, also add, that I’m completely enjoying the “Trump machines,” putting an end, abruptly, to a Wall Street/Dem Rat Party agenda to create the best possible America we could possibly have TO BENEFIT THE OLIGARCHY, a process that began with the oligarchy’s capture of the news media in 1987 and 1996–that as Americans (thanks in part to media lies at the time) stood cluelessly by as to the staggering implications.

    Apparently, high school civics classes never taught us that without an HONEST, FULLY INCLUSIVE media at least trying to serve objective truth, DEMOCRACIES CANNOT SURVIVE!

    1. Kris Cafaro Avatar

      Regarding population issues, JD Vance and Musk both suggest that population reduction is one of the greatest threats we face. Both have proposals for increasing the birth rate. That is moving in the opposite direction we need to go. Their various proposals, combined with restrictive abortion and contraception regulations, will wipe out any gains (in terms of numbers) from their actions on immigration.

  3. keljthomson Avatar

    Great article, Philip – a full-throated, yet measured, critique of Donald Trump which recognises that he is A problem, but not THE problem, and also applies some blowtorch to the Democrats, which is essential if we are to make genuine progress.

    Feel free to include this as a comment!

    Regards

    Kelvin

    The Hon. Kelvin Thomson

    A: 28 Pleasant Street Pascoe Vale, VIC, 3044

    E: pleasant123@me.com pleasant123@me.com

    1. Philip Cafaro Avatar

      Thanks Kevin. Appreciate the vote of confidence!

  4. Ross Gillespie Avatar

    Philip, your article and its claims about the neoliberalism of both Republicans and Democrats mirrors the experience in we have here in Australia with the shift of the working person’s political party, the Labor Party to being a conservative, neo-liberal one and the business supporting Liberal/National Party becoming a radical right and sometimes crazy party definitely in it for the rich. Fortunately, in Australia we do have compulsory voting and a more stable constitution and way less population, than in the USA, which helps. Our current Labor government is doing an OK, if conservative job, compared with what we had before 2020 which was essentially a non-governing government, whose leaders told us that we should mistrust governments and indulged in the biggest economic rorts, and what we call ‘pork barreling’, channeling money to electorates which support them and starving the others. Their appallingly iniquitous and illegal treatment of those on social security benefits via the infamous ‘robo-debt’ scandal, sending out false debt claims to hundreds of thousands of recipients, exemplified their contempt and suspicion of anyone who is getting a hand-up. They promoted a perception that society comprised ‘leaners’ or ‘lifters’, thus fueling division which lasts today. The courts decided that it was illegal and it costs the government $2b in reparations, fines and court costs. Thanks for your very thoughtful article.
    Ross Gillespie
    Mitcham, Victoria (25 km from the city of Melbourne)

    1. Philip Cafaro Avatar

      It sounds like the US and Australia have covered a lot of the same ground in recent years. I wonder if having a smaller population, more contact between citizens and their representatives, keeps you more tethered to reality than us. I’ve noticed that in the US, state representatives in states with small populations tend to be more responsive than those with large populations.

  5. Jenny Goldie Avatar

    That was a very fine article Philip. Many thanks. Those of us who live overseas from the US but are fond of it for many reasons are more than bewildered; we are simply appalled by Trump. We hope the courts will prevail in cases where he has clearly overstepped the mark, and we hope the Democrats will restore themselves into being the party for the 99%. We can but hope that the damage he is doing is reversible, but in the case of cuts to USAID and to scientific institutions such as NOAA, that may be a faint hope.

    1. Moguitar Avatar

      The past decades since Earth Day One we have seen the relentless increase above long=term sustainability. Known about since MLK’s 1966 “The Modern Plague of Overpopulation”. Nixon was the only one to address congress on it in 1969. Virtually everyone else has made it worse.

    2. Philip Cafaro Avatar

      I fear some of the damage from Trump 2.0 will be lasting. With the US AID cuts, children are already dying in Sudan, as my newspaper reports today. Massive, indiscriminate cuts to scientific research budgets will ripple for years, even if they are restored later.

      1. gaiabaracetti Avatar

        Some people are starting to say that African governments should step up and fill the gap. It was a mistake to become so dependent on US aid for crucial services.

  6. gaiabaracetti Avatar

    As repugnant as Donald Trump’s government and behaviour are, seen from a historical perspective, they are not a new phenomenon; even the fact that people just don’t get it isn’t new. The mere fact that so many people don’t get it is what got everyone to this place: when you keep thinking that everyone who has different values, policy preferences and lived experiences from you is either ignorant or evil, what happens is that they will vote for someone like Trump and enjoy you freaking out about it. It doesn’t end well.
    It’s the same history everywhere, and that’s why right-wing populist parties keep winning, unless the left is an actual left with a strong message that people like. But even that might not be enough, because what a farmer wants is not the same as what a university professor wants and not a same as what a business person wants, etc.

    I see Donald Trump’s victory as the same old story: a demagogue offers to represent the people against the elites, the elites are confused, befuddled, outraged, they just don’t get why people suddenly hate them and act with such insolence. I think you can find examples of this in anything from Ancient Greece to Rome to Medieval or Modern Europe… it just keeps happening every once in a while.

    Isolationism is the response from people who’ve lost jobs because the US deindustrialised. I remember when it was the left that was against globalization – I wonder what happened to that.

    Fascism rises when: the alternative is weak, distant, and ineffective; authoritarianism is less frightening than chaos, and a significant section of the population feels neglected and disrespected (in the history of actual Fascism, it was mainly WWI veterans).
    Although, interestingly, while fascists usually promise war, a lot of people voted for Trump because he promised peace (and they were fooled).

    Anyways, seen from the outside, since we are all subject to the American empire, Trump is just America with the mask off. It’s bad, but if you look at the actual data, not yet worse. Biden might have killed more people than Trump has, although he seems to be catching up fast.

    1. Philip Cafaro Avatar

      Well, Trump seems to get along well with Meloni. Maybe she talked some sense into him during her recent visit …

      1. gaiabaracetti Avatar

        Well, he seems to change his mind depending on the last person he talked to… but I don’t think she can be of much help. If anything, it worries me as an Italian that he seems to like her! He only likes the worst authoritarians…

  7. Bert Russel Avatar

    Trump is a psychopath. Run him through the ‘ Hare Checklist ‘ and judge for yourself. And he has the worst case of the ‘ Dunning-Kruger Effect ‘ that I have seen.

    1. gaiabaracetti Avatar

      The question is why people keep voting for him…

      1. Bob Webster Avatar

        See my earlier comment on chimpanzee culture.

  8. Stable Genius Avatar

    The Democrats re-elected Trump, by overstepping the mark on exclusionary woke-ness, to the extent of putting up a divisive “diversity” candidate who clearly could never win. Only themselves to blame. Time for some reflection and moral cleansing, not that they seem to be up for it that much.

    One unfortunate side effect is that Trump will re-elect Albanese, a cynical Greens-Labor manipulator who’ll further crash living standards with his open-borders net-zero “Future” Made In Australia. In woke-left media, this (of course) makes him a Careful Reformer. Too bad about the despised local dad who even can’t afford to rent, camped in protest outside Albo’s $4m beach shack.

  9. Claire Cafaro Avatar

    Thank you for introducing me to the Hare Checklist and the Dunning-Kruger Effect, Bert. It looks as though the current occupant of the Oval Office checks all the boxes.
    Thanks also to Gaia for reminding us that history repeats itself. For a long time I’ve thought the USA is in its adolescent, if not its toddler stage of development.
    It’s as good an explanation as any for we, the people, having elected a juvenile delinquent prone to temper tantrums as our president.

    1. gaiabaracetti Avatar

      A hurt child will want to hurt others. This is not quite a tantrum, I don’t think, it’s many Americans showing their fellow Americans how they feel they’ve been hurt and neglected.

  10. David Polewka Avatar

    from GROK, on X.COM: “Ask a question”
    Q. If we stop making flu, MMR, and Covid vaccines, what would the world population be in 10 years? 20 Years? 30 years?

    A. Predicting the exact impact of stopping influenza, MMR (measles, mumps, rubella), and COVID-19 vaccines on the global population over 10, 20, or 30 years is extremely complex and depends on numerous variables, including disease transmission rates, mortality rates, healthcare access, non-pharmaceutical interventions (e.g., masks, lockdowns), demographic trends, and potential evolutionary changes in the pathogens. However, I can provide a reasoned analysis based on available data, historical precedents, and the role these vaccines play in preventing morbidity and mortality. The analysis will avoid speculative population projections with precise numbers, as such predictions are unreliable without extensive modeling, but it will outline the likely qualitative and quantitative impacts on global health and population dynamics.
    Context and Assumptions
    Current Global Population: Approximately 8 billion as of 2022, with growth rates slowing in many regions due to declining fertility rates.

    Vaccines in Question:
    Influenza: Seasonal flu vaccines prevent millions of cases, hospitalizations, and deaths annually, particularly among vulnerable groups (elderly, young children, immunocompromised). Without vaccines, flu seasons could become more severe.
    MMR: Measles is highly contagious (R0 ~12–18), with a case fatality rate of 0.1–0.2% in developed countries and up to 10% in under-resourced settings. Mumps and rubella have lower mortality but significant morbidity (e.g., sterility, congenital rubella syndrome). MMR vaccines have nearly eliminated these diseases in vaccinated populations.
    COVID-19: Vaccines reduce severe outcomes (hospitalizations, deaths) and, to a lesser extent, transmission. Without vaccines, recurrent waves of SARS-CoV-2 could cause significant mortality, especially in unvaccinated or immunocompromised populations, and contribute to long-term health issues (e.g., long COVID).

    Assumptions:
    Vaccines are completely halted globally, with no new doses administered.
    Existing immunity (from prior vaccinations or infections) wanes over time, varying by disease.
    No new vaccines or treatments are developed to replace these.
    Non-pharmaceutical interventions (e.g., masks, social distancing) are not universally adopted.
    Population growth continues to be influenced by broader factors (e.g., fertility, aging, other diseases).

    Disease-Specific Impacts
    1. Influenza
    Pre-Vaccine Burden: Before widespread flu vaccination, seasonal influenza caused significant morbidity and mortality. Globally, flu is estimated to cause 3–5 million severe cases and 290,000–650,000 deaths annually, even with vaccines. Without vaccines, these numbers could increase significantly, particularly in high-risk groups (e.g., elderly, children, those with comorbidities).

    Increased Mortality: Studies suggest influenza vaccines reduce hospitalization by 34–40% and mortality by up to 50% in elderly populations. Without vaccines, annual flu deaths could conservatively double, potentially reaching 0.5–1 million deaths per year globally. Pandemics (e.g., 1918, 2009) could further amplify mortality, with historical pandemics killing 0.1–3% of the global population.

    Long-Term Population Impact: Increased flu mortality would primarily affect older adults, potentially reducing life expectancy in aging populations (e.g., Europe, Japan). However, flu alone is unlikely to significantly alter global population size due to its relatively low case fatality rate (0.1–0.2% for seasonal flu).

    Economic and Social Effects: More severe flu seasons could strain healthcare systems, reduce workforce productivity, and exacerbate poverty in low-income countries, indirectly affecting population growth through reduced birth rates or increased mortality from secondary causes.

    2. MMR (Measles, Mumps, Rubella)
    Measles:
    Pre-Vaccine Era: Before the measles vaccine (1960s), measles infected 90% of children by age 15, causing 2–3 million deaths annually (mostly in children under 5). With a global population of ~3 billion in 1960, this represented a significant mortality burden.

    Post-Vaccine Decline: MMR vaccination has reduced measles deaths by over 80%, with 140,000 deaths in 2019 despite incomplete coverage (86% global coverage for the first dose). Without vaccines, measles cases could return to pre-vaccine levels, with 20–30 million cases annually and 1–2 million deaths, depending on healthcare access and nutrition.

    Herd Immunity Collapse: Measles requires 95% immunity for herd protection. Without vaccines, herd immunity would erode within 5–10 years as new birth cohorts remain unvaccinated and immunity from prior vaccinations wanes. Outbreaks would become frequent, particularly in densely populated areas.

    Demographic Impact: Measles primarily kills young children, reducing the size of younger age cohorts. In low-income countries, where case fatality rates are higher (up to 10%), child mortality could rise sharply, slowing population growth. For example, a 10% case fatality rate in 20 million annual cases could result in 2 million child deaths per year.

    Mumps and Rubella:
    Mumps has low mortality but causes complications (e.g., orchitis, meningitis), potentially reducing fertility in unvaccinated populations. Rubella’s main impact is congenital rubella syndrome (CRS), which causes severe birth defects if contracted during pregnancy. Without vaccines, CRS could affect tens of thousands of newborns annually, increasing infant mortality and long-term disability.

    These diseases would contribute less to population decline than measles but would increase morbidity, straining healthcare systems and reducing quality of life.

    3. COVID-19
    Pre-Vaccine Burden: In 2020, before vaccines, COVID-19 caused ~2 million deaths globally (0.025% of the world population). Case fatality rates varied widely (1–10% early in the pandemic, lower with better treatment). Vaccines reduced mortality by 50–80% in high-risk groups and prevented an estimated 20 million deaths in 2021–2022.

    Without Vaccines: Recurrent waves of SARS-CoV-2 would likely continue, with mortality depending on variants, immunity from prior infections, and healthcare capacity. Assuming 1–2 billion infections annually (25–50% of the population) and a conservative case fatality rate of 0.5–1%, annual deaths could range from 5–20 million without vaccines. Long COVID could affect 10–20% of survivors, increasing chronic disease burdens.

    Population Impact: COVID-19 disproportionately affects older adults and those with comorbidities, potentially reducing life expectancy in high-income countries. In low-income countries, younger populations might face higher mortality due to limited healthcare access. Over decades, cumulative deaths could reach tens of millions, but the global population would not decline significantly unless new, highly lethal variants emerge.

    Economic and Social Effects: Repeated COVID-19 waves would disrupt economies, reduce workforce participation, and exacerbate inequality, potentially lowering birth rates in affected regions.

    Cumulative Effects on Global Population
    10 Years (2035):
    Mortality: Annual deaths from influenza (0.5–1 million), measles (1–2 million), and COVID-19 (5–20 million) could total 7–23 million per year. Over 10 years, this equates to 70–230 million excess deaths, or 0.9–2.9% of the current global population. Measles would disproportionately affect children in low-income countries, while influenza and COVID-19 would impact older adults globally.
    Population Growth: Global population growth (~0.8% annually) would slow but not reverse. The UN projects a population of ~8.8 billion by 2032 with current trends. Without vaccines, growth could be 1–3% lower due to increased child and adult mortality, resulting in a population of ~8.5–8.7 billion.
    Regional Variations: Low-income countries with high birth rates (e.g., sub-Saharan Africa) would see the largest absolute declines due to measles and limited healthcare. High-income countries with aging populations (e.g., Japan, Europe) would face higher mortality from influenza and COVID-19, accelerating population aging.

    20 Years (2045):
    Mortality: Cumulative deaths could reach 140–460 million (1.8–5.8% of the current population). Measles outbreaks would stabilize at pre-vaccine levels, with ongoing child mortality. Influenza and COVID-19 mortality might decline slightly as populations develop partial immunity or adapt behaviors, but new variants or pandemics could spike deaths periodically.
    Population Impact: The global population might plateau at 8.5–9 billion, compared to UN projections of ~9.4 billion by 2042. High-mortality regions (e.g., Africa, South Asia) could see stagnant or declining populations, while regions with robust healthcare might mitigate losses through non-pharmaceutical interventions.
    Social Consequences: Increased child mortality and chronic illness (e.g., long COVID, measles complications) could reduce fertility rates and economic productivity, further slowing growth.

    30 Years (2055):
    Mortality: Cumulative deaths could reach 210–690 million (2.6–8.6% of the current population). Long-term effects of unvaccinated populations include sustained high mortality from measles and periodic spikes from influenza and COVID-19 variants.
    Population Impact: The global population could stabilize or decline slightly to 8–8.5 billion, compared to UN projections of ~10 billion by 2058. Declines would be most pronounced in regions with weak healthcare systems and high disease burden.
    Systemic Effects: Healthcare systems could collapse in some regions, exacerbating mortality from other causes (e.g., malnutrition, non-communicable diseases). Reduced life expectancy and increased disability would reshape demographic structures, with fewer children and older adults surviving.

    Critical Considerations
    Herd Immunity and Immunity Waning: Without vaccines, herd immunity would collapse for measles within a decade, leading to large-scale outbreaks. Influenza and COVID-19 immunity from prior infections would provide partial protection, but waning immunity and new variants could sustain high transmission.
    Non-Pharmaceutical Interventions: Historical pandemics (e.g., 1918 flu) showed that interventions like quarantine and masks can reduce mortality. If widely adopted, these could mitigate some impacts, but global compliance is inconsistent.
    Healthcare System Overload: Increased hospitalizations from flu, measles, and COVID-19 could overwhelm healthcare systems, raising mortality from both these and unrelated conditions (e.g., heart disease, cancer).
    Indirect Effects: Economic disruption, reduced fertility, and increased poverty could amplify population impacts beyond direct mortality. For example, measles outbreaks could reduce school attendance, perpetuating poverty cycles.
    Pathogen Evolution: Influenza and SARS-CoV-2 are prone to mutations, potentially leading to more lethal strains. Measles is more stable but could still cause devastating epidemics in unvaccinated populations.
    Skeptical Perspective: Some argue vaccines have overstated benefits, and natural immunity or improved living standards could mitigate disease impacts. However, historical data (e.g., measles pre-1960s, flu pandemics) show significant mortality without vaccines, particularly in vulnerable populations. Claims of vaccine harm (e.g., MMR-autism link) have been debunked, and stopping vaccination would likely cause far greater harm than any hypothetical risks.

    Conclusion
    Stopping influenza, MMR, and COVID-19 vaccines would lead to a significant increase in preventable deaths, primarily from measles (children), influenza (elderly), and COVID-19 (broad age groups). Over 10 years, the global population might be 1–3% lower than projected (~8.5–8.7 billion vs. 8.8 billion). By 20 years, cumulative deaths could reduce growth further, stabilizing the population at 8.5–9 billion. By 30 years, sustained high mortality could lead to a population of 8–8.5 billion, compared to 10 billion with current trends. Low-income regions would face the heaviest burden due to measles and limited healthcare, while high-income countries would see accelerated aging from influenza and COVID-19 deaths.
    These estimates are rough and depend on unpredictable factors like pathogen evolution and societal responses. The most certain outcome is a reversal of public health gains, with millions of preventable deaths and increased global inequality. For precise modeling, epidemiological and demographic simulations would be needed, but the historical and current burden of these diseases underscores the critical role of vaccination in sustaining population health.
    Sources:
    WHO Immunization Coverage (2024)
    Global Immunization Efforts (2024)
    Measles Vaccination History (2023)
    Influenza and COVID-19 Vaccine Effectiveness Studies

  11. Jan van Weeren Avatar

    I think this site should exclusively discuss the consequences of the Trump administration for overpopulation. Some of them have been touched on briefly, e.g. pronatalism versus immigration constaints and the reduction of developmental aid. Another point, stopping vaccines, has been dealt with rather comprehensively. We should refrain from political evaluations unless politics have a clear impact on demographic developments. The Overpopulation Project is not a US-oriented political debating site.

    1. Philip Cafaro Avatar

      Jan, I hear you. This blog is a bit “outside our wheelhouse,” as we say in the U.S. But recent political events in the U.S. have been so unusual that I thought this blog and resultant discussion might be of interest to some readers.

      Americans often misjudge the importance of what happens here, give it more importance than it has. But as the discussion has brought out, we are facing many of the same political challenges and some of the same political failures as other developed democracies (see comments by Australians and Italians to to this discussion). The fact that the most powerful and influential of these democracies is taking this authoritarian turn now, and that it is intimately tied up in immigration policy, is indeed important.

      Whether the Left can take a more reasonable position on immigration, in the U.S. and elsewhere, will be crucial to turning back the slide toward authoritarianism and reinvigorating our democracies. People like you and I have been arguing for this for years now. The rise of Trump and Orban and Meloni and Le Pen seems to me MASSIVE confirmation of this position.

      1. gaiabaracetti Avatar

        The funny thing is, when you look at the policies and their real-world effects, left-wing and right-wing governments don’t differ *that* much on migration. Some supposedly left-wing governments deport a lot or do shady deals with poor countries to keep hopeful migrants there; right-wing governments target certain groups but leave the door open for many others, even increasing quotas or offers. It’s mostly, though not exclusively, just differences in rhetoric, and in which groups you target or welcome, depending on what kind of people you like. But the net effect never seems to be that different – that’s because all parties are growth-oriented.

      2. Philip Cafaro Avatar

        Gaia, that’s half the truth, but an overstatement, especially regarding the US. 20 years ago, it was more true. But Republicans have moved toward more restrictive policies, while Democrats have moved pretty far in the other direction. The Biden Administration in particular stopped enforcing immigration law against the majority of illegal entrants, opened up hundreds of thousands of new slots for ‘temporary’ migrants from a number of countries who everyone knows will never leave, reinterpreted political asylum to accommodate several million new people per year, etc. For an overview of policy differences and their potential impact on future US population numbers, see my recent publication: https://www.whp-journals.co.uk/JPS/article/view/1221

        We are all familiar with a strong sentiment on the Left today in Italy, the U.S., Sweden, and throughout the developed world, that honestly thinks it is wrong to set limits to immigration. It may be more or less explicit, more or less willing to accommodate limits that its benighted fellow citizens demand. But such people (and I’m talking about many friends of mine here!) KNOW that the only humane thing to do is to let more people in, and that the real reasons their fellow citizens resist this are selfish or sinister.

  12. Jan van Weeren Avatar

    The only proper thing to do is to reduce the people with ecological big feet in our region. This would imply immigration stop.

  13. Bob Webster Avatar

    Why doesn’t anybody link the “refugee crisis” with Garrett Hardin’s Lifeboat Ethics?

    1. Philip Cafaro Avatar

      Hardin was prophetic. And in his lifetime he was widely cited and respected. In the last few decades, academics have taken a hatchet to his reputation, writing article after article supposedly repudiating his extreme views. They tend to focus on a few provocative statements, and ignore the fact he was trying to help us all think more clearly about limits.

      A good man and a fearless thinker!

      1. gaiabaracetti Avatar

        Write something about him :)! I don’t know about his Lifeboat Ethics

  14. gaiabaracetti Avatar

    Philip, I don’t have hard data on every single country, but in Europe you definitely see left-wing governments making deals with third countries to keep the immigrants there (even at the price of severe abuse) and right-wing governments (such as ours) increasing the quotas of people who come LEGALLY to work in exploitative fields such as agriculture. That’s one thing I talked about here a while ago; right wing governments (all governments, really) don’t want to displease their big business backers, and big businesses want cheap labour.
    As for the US, sure, but then again Biden was also expelling people (at some point, surpassing even Trump: https://www.bbc.com/news/articles/c36e41dx425o) and Trump is offering asylum to white South Africans, who definitely don’t need it.
    To them it’s not so much an issue of how many, but of who and how. But population is supposed to keep growing.
    Also, out of all the ways you can go about limiting migration, I think that Trump’s is the worst, and will hurt Americans too.

    1. Philip Cafaro Avatar

      Gaia, I agree with you that Trump’s approach is not the right way to go about limiting immigration. It would be better to use a more rational and humane approach.

      Unfortunately, that is not what is on offer for Americans politically. In their more recent iterations, Dems and Repubs offer us either de facto open borders or a mix of reasonable and over-the-top immigration enforcement.

      1. gaiabaracetti Avatar

        Tourism will take a big hit – good for the environment, bad for the economy. I don’t know what they’re thinking harassing harmless tourists for ridiculous reasons. It’s spooked Europeans as well. Since tourists have a big footprint, though, you might see some benefits.

  15. Sujay Rao Mandavilli Avatar

    You might want to read my publications on population matters – they are online

    Sujay Rao Mandavilli

  16. […] these failures. We need strong international cooperation to limit climate change. Americans need to replace Donald Trump and other anti-environmental politicians with better ones. But there is a further message for […]

  17. […] * Philip Cafaro, What’s up with America? […]

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