When the full story of Covid 19 comes to be written in France, the date of January 29th, 2021 will probably be considered as key. For it was on this date that France’s President, Emmanuel Macron, in the face of mounting evidence of an acceleration in the number of cases, chose to overrule his scientific advisers and decided that there would be no strict national lockdown, as everyone, even within his government, had been expecting. That evening, the Prime Minister, Jean Castex, visibly surprised by what he had just been told by the President, appeared at a press conference broadcast on national TV, fumbled nervously with his facemask and proceeded to announce that only a few further restrictions would apply from then on: stricter checks on the observance of the 6pm. curfew, closure, until further notice, of large shopping centres, but above all that schools would remain open and that employers should do everything in their power to impose working from home.
Three months later seems a good time to consider the consequences of these decisions, both from a health and a political viewpoint.
In terms of the spread of the epidemic, at the end of January there were between 20 and 25 thousand new cases every day and just over 3000 patients in ICUs. Between 250 and 350 people were dying every day in hospital and over 200 in care homes. What the French call “the English variant” of the virus and the British call the “Kent variant” was only just beginning to make inroads in France. Today, it accounts for over 80% of new cases, there are twice as many patients in ICUs and the total number of deaths has exceeded 100 000.The number of new cases recorded every day is around 30 thousand. A larger proportion of Covid patients is therefore ending up in ICUs, meaning probably that the relatively new variant is more aggressive and possibly more lethal with the number of deaths continuing at around 300 every day. Indeed, two hospital doctors I have talked to in the last week have confirmed this impression and added that the patient profile has changed considerably since the beginning of the year, with more younger people seriously ill.
And yet, paradoxically perhaps, as shown by the Financial Times’ excellent Covid Tracker, even if the number of new cases and deaths at the end of April is slightly higher than in Italy, Spain, and the UK and lot higher than in Germany, all countries which have imposed far tighter restrictions over the past three months and are only just starting to relax them, the number of deaths per 100 000 people in France remains below these comparable countries, with the exception of Germany.
In terms of everyday life and in spite of the “lockdown light” imposed by Macron at the end of March, to be relaxed at the beginning of May, little has changed since the end of January. Most shops remain open, with the exception of a much smaller sample than a year ago, schools, which had a convenient two-week holiday over the Easter period, have remained largely open and even if levels of traffic at rush hour are lower than before the pandemic, many people are clearly still driving to work in offices or factories every day. Cinemas, theaters, restaurants and gyms have now been closed for the best part of a year. After a chaotic start, the French vaccination campaign is now running at about 450 thousand jabs a day. The fact that most people over 75 have now been vaccinated probably explains the sharp fall in the number of older patients in hospital, while schools have not in general turned out to be super spreaders of the virus. Judging by the TV pictures from neighbouring countries on the nightly news, masks appear to be worn more widely in France than in the other countries referred to above. Most people in the street, and even sometimes in parks and on woodland paths, wear facemasks. In public transport, the “mask mandate”, as it is called in the US, is almost universally observed.
Politically, by his decision of January 29th, Emmanuel Macron indubitably asserted his political leadership in the fight against the pandemic and has continued on the same path ever since. He chairs a meeting of ministers and advisers called “The Health Defence Council” (Conseil de Défense Sanitaire) every Wednesday morning before the regular cabinet meeting and it has become clear that he considers it a forum for information and discussion but that he alone is the final arbiter of what to do next. Even by the standards of the Fifth Republic, the constitution of which was designed by General de Gaulle to vest ultimate power in the hands of an elected Head of State, it is a bold move, especially as Macron has made no attempt, like some of his predecessors, to hide the fact that he is in charge. By all accounts, ministers and even the Prime Minister have been reduced to purely executive roles, implementing and explaining decisions taken by the President.
Of course, such a stance has many risks. The opposition from the left and the right, even if it is in no position to seriously challenge the President’s supremacy, at last until the presidential and parliamentary elections of May 2022, has not been slow to blame him for everything that has gone wrong, and there have indeed, as everywhere, been many bumps in the road since March 2020, hoping that the criticism will stick and influence the electoral outcome, when and if Macron stands for re-election. For the moment, he can take comfort from the fact that both the traditional left-and right-wing parties are in disarray, incapable of agreeing on common leadership and a common electoral platform, not even able to put forward a convincing narrative of what they would have done differently - or would do differently in the future. Marine le Pen, generally considered as Macron’s principal opponent once again in 2022, has of course jumped on the bandwagon. Will it be enough to win her the presidency, as some polls are predicting at the moment? Will those who voted for Macron in 2017 and who have told pollsters that they will not do so again, abstain or vote for Le Pen? Or will they hold their nose and vote for him again, just to keep Le Pen and her party at bay?
Notwithstanding these political hypotheses, Macron’s Covid strategy is now becoming clearer. He once said that the French will have to learn to live with the virus and that is precisely what they are having to do. Leaving schools open is clearly a case in point. Not only has Macron always made it clear that the fight for equal opportunities starts at primary school, but, given the very large number of working mothers in France, it has also enabled the economy to keep functioning as much as possible. This is all the more important as the French expect the state to be generous with financial support to maintain their living standards. To meet those expectations, which are probably higher in France than in comparable countries, it has borrowed billions of Euros, propelling the national debt to record levels. Despite the brave promise of “Whatever it takes” (“Quoi qu’il en coûte”) made at a time when nobody could have predicted the extent of the second and third waves of the pandemic, this upward trend must have a limit. Living with the virus is also therefore a matter of economic necessity. Reading between the lines, the main yardstick guiding Macron’s decisions appears to be the number of patients in ICUs. The current figure of around 6000 has been flat for the past two weeks but capacity could be made available, by dint of a radical and ongoing reorganisation of hospital departments, to accommodate nearer 10 000 if necessary. There were about 7000 at the peak of the first wave a year ago.
In every country, the fight against Covid19 was always going to involve a balancing act between health and economic imperatives. Emmanuel Macron is staking his political future on the way he has struck that balance in France: keeping the country open as much as possible while supporting the hardest hit people and sectors with massive amounts of aid and subsidies; gambling that hospital capacity will be sufficient to treat a large number of patients in ICUs while tolerating around 300 deaths a day and pushing hard for high vaccination coverage as quickly as possible. By making it clear that he is, and will remain, responsible for the eventual consequences of his decisions, Macron is walking a tightrope. If he can keep his balance for a few more weeks, hoping that the warmer weather and high vaccination rates will allow a return to a semblance of normality by the autumn, he stands a good chance of standing for re-election in 2022, being re-elected and continuing to pursue the reform agenda he outlined in 2017. But if he falls, there will be no safety net to catch him.
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