THE DISPARITIES DURING THE COVID 19 REGIME IN INDIA: WHAT WOULD’VE RAWLS SAID? BY - ARNAB SARANGI
THE DISPARITIES
DURING THE COVID 19 REGIME IN INDIA: WHAT WOULD’VE RAWLS SAID?
AUTHORED BY -
ARNAB SARANGI,
LLM, NALSAR University of La
ABSTRACT: -
John Rawls developed a theory of justice which reiterates that justice
should be determined by individuals
while they are placed at a hypothetical social position. Through this research
paper, the author has tried to
explore the relevance of Rawlsian theory of justice to address the plethora of social injustices that had been exacerbated
by the rise of the COVID-19 pandemic, purely
through an Indian
perspective.
The paper examines how Rawlsian principles can guide policy responses to
ensure that the most disadvantaged
groups receive equitable access to healthcare, economic resources, and social support during the crisis. By applying
Rawls' original position and the veil of ignorance, the abstract seeks to delineate practical strategies for
policymakers to mitigate disparities, fostering a more just and inclusive response to the challenges posed by
the pandemic in the Indian context. Expanding
on Rawls' justice theory, the author offers practical recommendations within
the framework of Rawlsian principles to address heightened disparities during the COVID-19 pandemic
in India.
INTRODUCTION: -
Bygone are the days when the hoard of people moving in and around the hallowed streets of India had a stint of trepidation of losing their lives even if
they were equipped with ample protection.
Although, the tangible community, i.e., the community most of us belong to had
the sway of their lives in their
hands, relating to sufficient economic means and viable medical resources
at their hand, the ramifications of the deadly COVID-19 period had far-fetched ramifications on the underprivileged, that is, people belonging
to the downtrodden section of the society.
The COVID-19 pandemic in India seemed to have amplified the preexisting
disparities, in such a way that the
marginalized sections of the society were inflicted with a fatal blow as they
were at the receiving end of the
worse socio-economic disparities and outcomes due to inequalities in a systemic
way.[1]
John Rawls' theory of justice, particularly his influential work "A Theory of Justice,"[2]
focuses on principles of justice
that are meant to guide the basic
structure of a just society. While Rawls may not have directly addressed public health crises like the
COVID-19 pandemic, his principles can
be applied to analyze and critique the disparities in how such crises affect
different groups within a society.
The COVID-19 pandemic has laid bare and heightened prevailing disparities in social,
economic, and healthcare realms. Through the lens of Rawlsian principles, we can analyze how the response to the pandemic
either adheres to or diverges from Rawls' vision of justice.
1. RAWLS AND DISTRIBUTIVE JUSTICE: -
Certainly, a central aspect of discussions on Rawlsian distributive
justice revolves around the undeniable
influence of John Rawls. Rawls contends that
his concept of justice involves three key principles:
1. The
prioritization of maximizing liberty, with constraints only acceptable if
necessary to protect those liberties.
2. The pursuit
of equality for all in fundamental liberties and the distribution of societal
goods. However, Rawls allows for
inequalities under the condition that they benefit the least advantaged members of society within a structured system of inequality.[3]
3. The
promotion of fair equality of opportunities and the eradication of birth or
wealth-based inequalities in
opportunities;[4]
Benefits are defined by Rawls in terms of primary goods, such as
opportunity and liberty, wealth and income,
and the foundations of self-respect. These need not be seen as the ones that everyone
wants, but they are the
ones that satisfy the necessities and offer individuals the freedom to reproduce themselves. Furthermore, he claims that
persons who are claiming to proliferate themselves would consider
themselves to be in a position which won’t be attached to any form of bias which will allow them to perceive everything from an
impartial lens. This where the discussion of veil of ignorance and independent social
position becomes imperative.
2.1 Independent social position and the
veil of ignorance:
The two key concepts that came out from the discussion of John Rawl’s
justice theory was the concept of ‘independent social position’ and the ‘veil of
ignorance’
Rawls underscores the significance of considering individuals from an
"original position," a hypothetical scenario
resembling a social contract where people collectively determine the fundamental principles governing their
society. The concept of an "independent
social position" within
this original position entails that individuals deliberate on justice without
knowledge of their specific
characteristics, such as
race, class, or abilities.
When individuals adopt an impartial
social standpoint, they are inclined
to unite around principles
that are equitable and just for every member of society, regardless of
individual traits. This approach aims
to eliminate bias in the selection of principles, ensuring that decisions are made without favoring
any particular group. The idea is that, by deliberating without knowledge of
which group they will belong to once the veil of ignorance is lifted,
individuals contribute to the establishment of principles rooted in
fairness and impartiality.[5]
Rawls introduces the concept of the "veil of ignorance" as a hypothetical scenario to guide the formulation of just societal principles.
Envisioning individuals behind this metaphorical veil, Rawls posits that they are ignorant of specific details about
themselves, such as social status, talents, gender,
and ethnicity, which could confer advantages or disadvantages in society.
The primary objective of the veil of ignorance is to instill
impartiality and fairness in the selection
of principles of justice. As individuals lack awareness of their own attributes
and circumstances, Rawls contends that they are more likely to adopt principles that are equitable and just for everyone.
The rationale is that, deprived
of knowledge about their personal
characteristics, individuals would be motivated to establish principles
that safeguard against the risk of finding themselves in a disadvantaged position once the veil is lifted.[6]
3.
THE
COVID BLOW AND CONSEQUENT DISPARITIES: -
Foremost in John Rawls' philosophy is the primacy of liberty as a fundamental
necessity for every individual within
a given social framework. He argues
that in the original position,
a person would prioritize basic
liberties and rights over the distribution of wealth, income, and power. This choice stems from the understanding that such prioritization offers the best opportunity
to secure essential primary goods and
exercise autonomy. According to
Rawls, without access to these basic
rights, individuals remain ensnared in inequality, posing a direct challenge
to his conception of justice.
However, this principle seemed to be overshadowed during the ominous
period of the pandemic in India, as the Right to Life and personal liberty,
as enshrined in Article 21 of the Constitution of India, faced a severe setback. A significant
casualty of the pandemic was the healthcare industry, which,
though not impacting the elites significantly, had a profound
effect on the marginalized sections of society. The
pandemic brought to the forefront pre-existing systemic issues such as inadequate physical infrastructure and human resources.
3.1 The economic impact:
Amid the ongoing pandemic, the economic decline has significantly
impacted individuals in the lower socio-economic stratum (SES). There has been extensive
debate over the distressing images
in the media, particularly the sight of migrant laborers walking long distances
from cities to their hometowns during lockdowns. Another
method of alleviating poverty, promoting economic development, and boosting GDP is
through the remittance of money to the home country, a common
practice among many migrant Indian workers.
The situation is equally dire for internal migrant workers, both within
and between states in India. These workers,
who predominantly belong to the informal sector,
constitute an overwhelming 139 million, making up approximately 93% of the
total workforce.[7]
The Indian government invoked the powers granted by the Disaster
Management Act of 2005, utilizing
broad authority without introducing specific relief and rehabilitation
packages. Despite these actions, the
workforce, including laborers, faced unemployment and lacked coverage under social
security and labor welfare laws.
3.2 Challenges in Socio-cultural Contexts:
The social fabric of India is built on a foundation of emotional and
economic interconnectedness among
families, relatives, and friends. The prevalence of close physical
interactions, such as residing in
densely populated areas, and common practices like pushing and jostling,
creates difficulties in adhering to the concept of 'social
distancing' emphasized during the ongoing pandemic.
Despite the implementation of lockdown measures, situations of overcrowding
persist in places of worship,
during travel (e.g., groups of migrants on buses), and even in scenarios like the purchase of items such as
liquor.
While existing social inequalities in India
are primarily caused by 'vertical
distancing,' the implementation of 'horizontal distancing' in response to COVID-19 has intensified these inequalities. Notably,
the lack of effective safety nets, particularly in terms of food security,
for those most severely impacted by the lockdown is a concerning issue.[8]
The government schemes in place are
deemed significantly inadequate in addressing the extensive scale of the problem. Consequently, the lockdown has heightened the risk of malnutrition, particularly among individuals in
the lower socio-economic strata.
3.3 Healthcare disaster:
The impact of COVID-19 in India, particularly regarding illness and
death, is closely tied to co- existing health conditions, specifically non-communicable diseases (NCDs) like diabetes,
hypertension, and
cardiovascular diseases. This connection is especially troubling considering the prevalence of early-onset NCDs in India, elevating the risk for
COVID-19 even among younger individuals.
These health challenges have disproportionately affected the less
affluent segments of society in various
ways. Predictive models suggesting that the duration of lockdown is directly
linked to a deterioration in glycolic
control among diabetic patients imply an added strain on the public healthcare system. The economically
disadvantaged, who heavily depend on public healthcare services, may encounter difficulties in accessing sufficient
care for complications related to diabetes.
4.
THE COVID FIASCO FROM RAWLSIAN PERSPECTIVE: -
From a Rawlsian perspective, one can contemplate how individuals, if
aware in advance of a disaster like
COVID-19, might have reached a consensus on the type of political system that would best serve the collective interests
of all. This hypothetical scenario involves envisioning individuals making decisions from behind a "veil of
ignorance," where they possess knowledge
about society but remain unaware of their own status and position within
it. The purpose is to eliminate bias and self-interest, fostering the creation
of a social structure that benefits
everyone.
Human tendencies often prioritize personal benefit, and awareness of one's position in society can lead to the formulation of policies
that favor one's own group.[9]
For example, a wealthy individual
might seek policies maximizing personal profits, even if detrimental to others.
This self-centered approach can perpetuate existing inequalities.
4.1 Healthcare Questions:
Behind the veil of ignorance, individuals framing policies to tackle the
COVID-19 situation would grapple
with critical choices
related to healthcare access. Decisions about whether healthcare facilities should prioritize
the rich or the poor, the young or the elderly, and whether vaccination distribution should follow a
"first come, first serve" approach or prioritize those likely to live longer become significant
ethical considerations. The lack of proper provisions for elderly
individuals living alone and requiring
regular medical attention
underscores the challenges faced during the pandemic.
4.2 Lockdown
ethics:
As COVID-19 cases surged, lockdowns were imposed without thorough
risk-benefit analyses or assessments
of long-term effects, particularly on vulnerable populations. Daily wage
workers, lacking fixed accommodations
and compelled to travel for work, were severely affected. The Difference Principle, which tolerates economic inequalities if they benefit the disadvantaged, was not effectively implemented, as many individuals faced hunger, starvation, and related issues.[10]
The difficulties faced by slum dwellers in following social distancing
measures and maintaining proper hygiene
due to a lack of sanitation and clean water highlight the inadequacies in lockdown
implementation. The dilemma of allowing migrants to return to their hometowns versus imposing restrictions added to
the complexity.
4.3 Empathy:
Mahatma Gandhi's call to consider the impact of actions on the poorest
and weakest resonates with the works
of John Rawls. The pandemic exposed a lack of empathy as individuals faced job losses, salary non-payment, and increased
poverty and unemployment. Intolerance levels rose, and people prioritized personal safety over collective
well-being, even mistreating healthcare workers.
5.
SUGGESTION
FOR AN ACTIONABLE FRAMEWORK IN CONFORMITY WITH RAWLS:
-
Creating an actionable framework in conformity with Rawlsian principles
involves designing policies and
initiatives that prioritize justice, fairness, and the well-being of the least
advantaged in society. Drawing inspiration from John Rawls' theory of justice, which emphasizes the principles
of justice that would be chosen from behind a veil of ignorance, the framework
seeks to address social, economic, and healthcare disparities.
The author feels that there is
a need to design and implement policies
that ensure equitable access
to healthcare facilities and services. Consider the needs of vulnerable
populations and prioritize preventive care which will allow to develop strategies to address the disparities highlighted by the COVID-19 pandemic,
ensuring that the most disadvantaged members of society receive adequate medical attention and support. This can
be done by coming up with policies or
governmental schemes for subsidizing health for the disadvantaged groups. This becomes
relevant in some eastern and north-eastern states of the country where some ameliorative measures were implemented. Otherwise,
it largely remained a far- fetched dream as those people
are still recuperating from all the losses.
Another measure that the author feels that can actually curb the problem
of equating education is by
implementing measures to bridge the digital divide in education, especially
during times of crisis such as
lockdowns. Ensure that students from all socio-economic backgrounds have equal access to educational resources, technology, and online
learning platforms.
Investing in and enhancing public health infrastructure is another measure
that the author espouses which will help to ensure that healthcare services are not only accessible to the least advantaged sections of the people but also of high quality.
Prioritizing preventive healthcare measures and creating a robust healthcare system which will have the fallout to consider.
6.
CONCLUSION:
-
In conclusion, the COVID-19 pandemic has not merely brought existing
disparities to light but has significantly exacerbated them, particularly within the socio-economic and healthcare sectors. Leveraging John Rawls' theory of
justice provides a valuable framework for analyzing and remedying these inequalities, with a focus on principles
like fairness, equity, and the well- being of the
most disadvantaged.
The research paper delved into Rawlsian concepts, such as the original
position and the veil of ignorance,
to propose pragmatic approaches for policymakers in India to alleviate the
impact of the pandemic on vulnerable
communities. The analysis considered the theoretical underpinnings of Rawls' justice theory, the amplified
socio-economic challenges due to the pandemic, and the applicability of
Rawlsian principles in guiding effective policy responses.
The socio-economic repercussions of the pandemic, encompassing economic
downturns, rising unemployment, and
unequal access to healthcare, have disproportionately affected marginalized segments
of society. While the government has attempted to address immediate
issues, its response has often fallen
short of aligning
with the justice
principles envisioned by Rawls.
Within the Rawlsian perspective, actionable recommendations involve
crafting policies that guarantee
fair healthcare access, bridging the educational digital divide,
investing in public health infrastructure, and championing
inclusive economic measures. These proposals aim to bring policy responses
more in line with Rawls'
principles, fostering a society that is both just and inclusive.
The literature review contributed insights from scholarly works on Rawls'
justice theory, ethical considerations surrounding COVID-19, and the pandemic's impact on socio-economic inequalities in India. This body of literature informed the
research methodology, which adopted a doctrinal
approach to scrutinize existing socio-economic and healthcare conditions
through the lens of Rawlsian
philosophy.
Although Rawls did not explicitly address public health crises, his
principles offer a valuable framework
for evaluating societal responses, emphasizing core tenets such as fairness,
equality, and justice. The application of Rawlsian principles brings to light inadequacies in current policies,
prompting a reconsideration of governmental strategies to effectively address
the fundamental causes
of disparities.
BIBLIOGRAPHY
·
Fulcher & Dinella, in press.
·
1 JOHN RAWLS, A THEORY
OF JUSTICE (Belknap
Press of Harvard
University Press) (1999)
·
Covid-19
and Justice Journal of Medical Ethics, https://jme.bmj.com/content/46/10/639
(last visited Dec 7, 2023)
·
Ibid, see fn. 2
·
MAKING MORAL LANDSCAPES: JOHN RAWLS’ ORIGINAL POSITION POLITICAL GEOGRAPHY QUARTERLY, https://www.sciencedirect.com/science/article/abs/pii/0260982786900649 (last visited Dec 11, 2023)
· The veil of ignorance in Rawlsian theory UR Scholarship Repository, https://scholarship.richmond.edu/philosophy-faculty-publications/136/ (last
visited Dec 9, 2023)
·
Covid-19
pandemic and challenges for socio-economic issues, healthcare and National
Health Programs in India Diabetes
& Metabolic Syndrome:
Clinical Research &
Reviews, https://www.sciencedirect.com/science/article/pii/S1871402120301600 (last visited
Dec 9, 2023)
·
COVID-19 PANDEMIC AND FOOD SECURITY IN INDIA: CAN AUTHORITIES ALLEVIATE THE
DISPROPORTIONATE BURDEN ON THE
DISADVANTAGED? JOURNAL OF POLICY MODELING, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9356645/ (last visited
Dec 13, 2023)
·
John McMillan, Covid-19 and Justice, 46 JOURNAL OF MEDICAL ETHICS, 639–640
(2020)
·
Rawlsian
perspective and covid 19 situation in India Hein Online, https://heinonline.org/HOL/Page?handle=hein.journals/ijlmhs16&div=9&g_sent=1&casa_to
ken=&collection=journals
[1] Fulcher & Dinella, in press.
[2] JOHN RAWLS, A THEORY OF JUSTICE (Belknap Press of Harvard
University Press) (1999)
[3] Covid-19 and Justice Journal of Medical
Ethics, https://jme.bmj.com/content/46/10/639 (last visited Dec 7, 2023)
[4] Ibid, see fn. 2
[5] MAKING MORAL LANDSCAPES: JOHN RAWLS’ ORIGINAL POSITION
POLITICAL GEOGRAPHY QUARTERLY, https://www.sciencedirect.com/science/article/abs/pii/0260982786900649
(last visited Dec 11, 2023)
[6] The veil of ignorance in Rawlsian theory UR
Scholarship Repository, https://scholarship.richmond.edu/philosophy- faculty-publications/136/
(last visited Dec 9, 2023)
[7] Covid-19 pandemic and challenges for socio-economic
issues, healthcare and National Health Programs in India Diabetes &
Metabolic Syndrome: Clinical Research & Reviews, https://www.sciencedirect.com/science/article/pii/S1871402120301600
(last visited Dec 9, 2023)
[8] COVID-19 PANDEMIC AND FOOD SECURITY IN INDIA: CAN
AUTHORITIES ALLEVIATE THE DISPROPORTIONATE BURDEN ON THE DISADVANTAGED? JOURNAL
OF POLICY MODELING,
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9356645/
(last visited Dec 13, 2023)
[9] John McMillan, Covid-19 and Justice, 46 JOURNAL OF MEDICAL
ETHICS, 639–640 (2020)
[10] Rawlsian perspective and covid 19 situation in India Hein
Online, https://heinonline.org/HOL/Page?handle=hein.journals/ijlmhs16&div=9&g_sent=1&casa_token=&a
mp;collection=journals