Publicado originalmente na Lancet; Acesse o artigo original pelo link. Baixe o PDF nesse link.

Rafael Dall’Alba, Cristianne Famer Rocha, Roberta de Pinho Silveira, Liciane da Silva Costa Dresch, Luciana Araújo Vieira, Marco André Germanòrafasaudecol@gmail.com – Faculty of Health Sciences, University of Brasília, Brasília, 71676150 Federal District, Brazil (RD’A); School of Nursing (CFR, RdPS, LdSCD) and Health Promotion Research Group (LAV), Federal University of Rio Grande do Sul, Porto Alegre, Brazil; Law School, University of São Paulo, São Paulo, Brazil (MAG)

Richard Horton1 proposed the importance of Foucault’s biopolitics as a concept for understanding COVID-19. While praising his commentary, we would add that in countries like Brazil, COVID-19 is not only about the politics of the body, but about the politics of death.

In the midst of a crisis that is not only economic, but also political and ethical, Brazil has stood out for its disastrous governmental actions in the battle against COVID-19: a frustrated attempt to privatise primary health care during the pandemic, the absence of a thorough national response plan, serious logistical failures in the vaccination campaign, and the strong scientific negationism in senior government administration.

Achille Mbembe’s Necropolitics explains what is happening in Brazil.2The idea of necropolitics, which describes how risk, illness, and death conditions selectively operate in favour of neoliberal economic policies, reflects the nurtured nar-ratives that have predominantly affected poor, Black, and Indigenous populations.3 In the world’s periphery, COVID-19 has especially amplified the deleterious consequences of austerity policies.4 While the USA, the UK, and other countries increased social spending in response to the syndemic,5 the Brazilian Government opted to strengthen economic policies that made it impossible for a large part of the population to adequately isolate from physical contact—40% of Brazil’s workforce is employed in the informal sector. In Brazil, monetary policies directed at the financial sector amounted to about US$230 billion,6 whereas fiscal initiatives aimed at the social impacts of the pandemic received less than half of this sum.7

Selectively deciding who should pay for the impacts of the pandemic, by forcing poor people to choose between hunger or contamination in a state of living dead, has been naturalised under the argument of sustaining the economy. President Jair Bolsonaro’s “So what?” in response to the increasing number of COVID-19 cases8hints at the systematic policies implemented during his presidency to weaken institutions, creating a different and much more dramatic scenario than biopolitical control. In Brazil, the fragile public administration has been unable to combat both the socioeconomic and health crises, leaving a harmful trail of hunger, violence, and illness, “subjugating life to the power of death”.2 Thus, Brazil’s pandemic response cannot be assessed only through the biopolitical lens.

The international health-care community, besides having the role of questioning economic protectionism in view of life pre-servation, ought to expand its analysis of the COVID-19 syndemic to understand what is happening in underdeveloped regions, in particular, to decolonise knowledge and fully apprehend geopolitical and territorial particularities. With more than 227500 lives lost from COVID-19, as of Feb 4, 2021, we can say that necropolitics is, ironically, alive in Brazil.

We declare no competing interests.

References:

1. Horton R. Offline: COVID-19—a crisis of power. Lancet 2020; 396: 1383.
2. Mbembe A. Necropolitics. Durham, NC: Duke University Press Books, 2019.
3. Instituto Pólis. Raça e Covid no município de São Paulo. July, 2020. https://polis.org.br/estudos/raca-e-covid-no-msp/ (accessed Jan 14, 2021).
4. Doniec K, Dall’Alba R, King L. Austerity threatens universal health coverage in Brazil. Lancet 2016; 388: 867–68.
5. Horton R. Offline: COVID-19 is not a pandemic. Lancet 2020; 396: 874.
6. Governo do Brasil. Banco Central anuncia conjunto de medidas que liberam R$ 1,2 trilhão para a economia. March 23, 2020. https://www.gov.br/pt-br/noticias/financas-impostos-e-gestao-publica/2020/03/banco-central-anuncia-conjunto-de-medidas-que-liberam-r-1-2-trilhao-para-a-economia (accessed Feb 3, 2021).
7. Senado Federal. Agência Senado Executivo gastou 77,7% do orçamento previsto para combate a pandemia. Oct 23, 2020. https://www12.senado.leg.br/noticias/materias/2020/10/23/executivo-gastou-77-7-do-orcamento-previsto-para-combate-a-pandemia (accessed Feb 3, 2021).
8. Garcia G, Henrique Gomes P, Viana H. ‘E daí? Lamento. Quer que eu faça o quê?’, diz Bolsonaro sobre mortes por coronavírus; ‘Sou Messias, mas não faço milagre’. April 28, 2020. https://g1.globo.com/politica/noticia/2020/04/28/e-dai-lamento-quer-que-eu-faca-o-que-dizbolsonaro-sobre-mortes-por-coronavirus-nobrasil.ghtm (accessed Feb 3, 2021)