Pandemics Show How the Free Market Fails Us
The Spanish flu of 1918 infected a quarter of the world population and was decisive to the rise of public health-care systems. Today’s COVID-19 crisis is again showing that collective problems demand collective solutions — and a state that provides for all our essential needs.

People line up outside Elmhurst Hospital to get tested due to the coronavirus outbreak on March 24, 2020 in Queens, New York City. Eduardo Munoz Alvarez / Getty
If many scientists warned of this kind of pandemic, the spectacular outbreak of the coronavirus has taken the world by surprise. In particular, it has exposed the frailties of the world’s health-care systems after years of austerity — and demonstrated their critical dependence on global supply chains.
Only a few weeks ago, world leaders were describing the threat as “fake news” or minimizing it by encouraging the population to go out as normal. Today, most governments are realizing the catastrophic consequences they face if they don’t respond appropriately. And whether they like it or not, the political perspective is changing — as a pandemic again poses the burning need for collective solutions.
The Spanish Flu
This crisis is showing us how important public health institutions really are — something already highlighted a century ago, when Spanish flu killed tens of millions. Indeed, one of the most notable outcomes of the 1918 pandemic lay in the emergence of a consensus about the need for universal health care and the development of modern epidemiology.