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There Are Better Things in France for Trump to Emulate Than a Military Parade
By Elliott Negin
President Trump was so impressed by the military parade he saw in Paris on Bastille Day last July that he ordered the Pentagon to plan a bigger one for Washington, DC.
"It was one of the greatest parades I've ever seen," Trump told reporters when he met with French President Emmanuel Macron in New York in September for the opening of the UN General Assembly. "It was two hours on the button, and it was military might, and I think a tremendous thing for France and for the spirit of France. We're going to have to try to top it."
Of course Trump wants to top it. All things Trump are always "huge," from his inauguration day crowd to his nuclear button to his tax cut. But if the president really wants to outdo France, below are some tremendous French things that the United States would do well to emulate.
The French Are Safer
After the mass shooting last week at a Florida high school, Trump tweeted his "prayers and condolences" to the victims' families. His initial comments also focused on mental health, not guns, despite the fact that early last year he signed a bill revoking an Obama-era rule that made it harder for mentally ill people to buy firearms.
The French, by contrast, do a lot more than offer empty platitudes: They have stringent gun laws. French citizens who want to buy a gun have to apply for a hunting or sporting license, which requires a psychological evaluation and, if acquired, must be renewed every five years. Gun sales, meanwhile, are tightly regulated and require official background checks.
Stricter controls definitely make a difference: France has significantly fewer guns in civilian hands and fewer gun-related deaths per capita than the United States.
In 2013, for example, there were an estimated 10 million guns, both legal and illegal, in France, which at the time had a population of 66 million. That year, 1,750 people were killed by firearms, amounting to 2.65 deaths per 100,000 people.
By contrast, the United States, with a population of 316.2 million in 2013, had an estimated 357 million guns in circulation—more than one gun per person. That year, there were 33,636 U.S. gun deaths, or 10.64 deaths per 100,000—four times the rate in France.
They're Healthier, Too
White House doctor Ronny Jackson assured Americans in January that President Trump is in "excellent health." Given the results of Trump's physical exam, that's debatable, but the health of the U.S. health care system is not. It's in bad shape, especially when compared with France's.
France's public-private hybrid health care system is consistently rated among the best in the world. Last year, for example, France placed 18th in the health category in the Legatum Institute's annual Prosperity Index, which ranks 149 countries on health outcomes, economic performance, education quality and six other categories. The United States health care system, meanwhile, came in 30th.
Like every other industrialized nation besides the United States, France has universal health coverage. All French citizens are covered by the government's Assurance Maladie, and most also have private insurance through their job or the private market. The government sets prices for appointments and procedures and reimburses them at 70 percent. It's similar to Medicare and Medicaid, but because the system covers the entire population, the French government has more leverage to keep prices low.
The United States spends more than twice per capita on health care than France, but French babies have a better chance of staying alive and living longer than American newborns. France's infant mortality rate, according to 2015 World Health Organization (WHO) data, is 3.2 deaths per 1,000 live births. At 5.7 deaths per 1,000 live births, U.S. infant mortality is higher than in any comparable industrialized democracy. And at the end of life, France boasted a combined male and female life expectancy of 82.4 years, putting it in 9th place in a 2015 WHO survey. The United States, by contrast, ranked 31st, with a combined life expectancy of 79.3 years.
They Eat Better
France's obesity rate is 15.3 percent, slightly better than the 15.9 percent for the entire European Union. By contrast, nearly 38 percent of American adults are obese, including President Trump, who apparently fudged his height to avoid being classified that way.
French and U.S. stats on food and farming tell a similar disparate story. In 2017, France ranked No. 1 for the second year in a row in the Food Sustainability Index, which grades 34 countries worldwide in three categories: food loss and waste, nutrition policies and sustainable agriculture. It bested every other country in reducing food waste and came in fourth in nutrition on the strength of its programs that promote healthy diets. In the sustainable agriculture category, it placed third, largely due to a national agro-ecology program that, among other things, is encouraging farmers to cut their pesticide use in half by 2025 and rotate their crops to increase soil fertility.
The United States, conversely, ranked 21st overall, mainly because of policies that cultivate bad eating habits and destructive industrial farming practices. The fact that Americans consume high levels of meat, saturated fat and sugar placed the United States 24th in the nutrition category. Only Australians eat more meat than Americans, but not by much, and U.S. sugar consumption is the highest among all of countries in the study. The result? More than 40 percent of American children are overweight, the most in any of the countries surveyed.
At 31st out of 34, the U.S. ranking for sustainable agriculture is even more worrisome. Only India, Tunisia and the United Arab Emirates ranked lower. The low U.S. score is attributable to a number of factors, including livestock production, which strains water resources and emits methane, and the fact that a tiny fraction of agricultural land is devoted to organic farming while nearly a quarter is used for biofuel production and animal feed.
They Make Education More Affordable
France starts children off with free, universal preschool at écoles maternelles. With 100 percent preschool enrollment for 3- to 5-year-olds, the country ranked first among developed countries in 2014, according to the Organization for Economic Co-operation and Development (OECD), an international association.
The United States, where some states offer preschool programs from age 4 but most offer nothing at all, ranked 36th out of the 40 nations OECD surveyed. In 2015, only about a third of American 3-year-olds and 60 percent of 4-year-olds were enrolled in preschool programs, according to the National Center for Education Statistics.
Most schools of higher education in France, meanwhile, are state-subsidized, which keeps tuition relatively low, even by European standards.
In 2007, the average public university in France charged $234 per year (189 euros) for a bachelor's degree, $321 for a master's degree, $487 for a doctorate and $757 for an engineering degree. The average bachelor's degree takes three to four years, so students spend $702 to $936 for their entire undergraduate education. There are pricier options, but compared to the cost of higher education in the United States, they are still a bargain.
The United States is home to the most prestigious colleges and universities in the world, but they are also among the most expensive. The average cost of tuition and fees for the 2017–2018 school year was $34,740 at private colleges, $9,970 for state residents at public colleges and $25,620 for out-of-state residents attending public universities, according to the College Board.
The high cost of a college diploma saddles American grads with debt that can dog them for much of their adult life. Currently there are more than 44 million borrowers with more than $1.4 trillion in student loan debt, which after home mortgages is the highest consumer debt category in the United States. For the class of 2016, the average student loan debt was $37,172.
They Treat Workers Better
The national minimum wage in France is 9.88 euros an hour, the equivalent of $12.25 an hour in the United States. The U.S. national minimum wage is $7.25 an hour, although some states and municipalities now require as much as $15.
The official work week in France is 35 hours, so a French employee making minimum wage would gross the equivalent of $22,297 a year and is entitled to health care coverage, a minimum of five weeks paid vacation and 11 national holidays, as many as 90 days paid time off, and a maximum of three years of medical leave pay, which is covered by the state social security system. Maternity leave, which is at least six weeks before childbirth and 10 weeks afterward, is paid.
Most minimum wage employees in the United States working 40 hours a week gross $15,080 a year. Employers with more than 50 employees are required to offer health care benefits or pay a penalty, and most provide only two weeks paid vacation along with 10 federal holidays. Employers with 50 or more employees also are required to grant up to 12 weeks of unpaid maternity (or adoption) leave or family sick leave.
At the other end of the pay scale, U.S. CEOs make considerably more than their counterparts in other industrialized countries when compared to what average workers earn. In 2014, the ratio between CEO and average worker pay in the United States was 354 to 1, meaning that for every dollar an employee got paid, the head of the company made $354, far outpacing the 148 to 1 ratio in Switzerland, the country with the second highest pay gap. In France, the ratio was 104 to 1.
They're Downplaying the Role of Nuclear Weapons
France, which has always maintained a much smaller nuclear force than the United States, currently has a total of 300 warheads deployed on submarines and bombers. In the 1990s, it eliminated its land-based missiles and signed and ratified the Comprehensive Test Ban Treaty (CTBT).
The United States, conversely, has some 1,590 deployed strategic nuclear warheads on submarines, bombers and land-based intercontinental ballistic missiles (ICBMs), as well as 2,390 redeployable warheads currently stored in a "hedge" stockpile, some 500 smaller deployed and stockpiled tactical (battlefield) warheads, and an estimated 2,300 retired warheads slated for dismantlement. The United States signed the CTBT the same time France did, but 22 years later, the U.S. Senate has still not ratified it.
ICBMs pose a big problem. The United States keeps them on hair-trigger alert, which dramatically increases the chance of an accidental, erroneous or unauthorized launch in response to a false alarm, a much more likely scenario than an actual attack. A number of retired generals and former high-level government officials have called for taking ICBMs off high-alert status, while others have called for scrapping them altogether. Under the Trump administration, taking ICBMs off hair-trigger alert or retiring them are highly unlikely possibilities, and the Pentagon's recently released Nuclear Posture Review lowers the threshold for nuclear use.
They Do a Better Job Protecting the Environment
Two recent studies ranked France way ahead of the United States when it comes to environmental protection. In the aforementioned Legatum Prosperity Index, France placed 4th out of the 149 nations surveyed. The United States was 34th. The second study, published annually by the Bertelsmann Foundation's Sustainable Governance Indicators program, rated U.S. environmental policies 39th out of 41 countries, mainly because of the U.S. government's inability to seriously address climate change. France, on the other hand, ranked 12th, largely because of its leadership in international climate diplomacy.
France's climate leadership is evidenced by its binding commitment as a signatory to the Paris climate agreement to reduce its domestic emissions by at least 40 percent below 1990 levels by 2030. By contrast, the Trump administration announced it was pulling out of the accord (which it cannot officially do until November 5, 2020—the day after the next presidential election) and made it clear it has no intention of honoring the U.S. national pledge.
As part of its plan to meet its Paris accord targets, the French government announced last July that it will ban the sale of gasoline- and diesel-powered vehicles by 2040, and French automakers are already doing their part. Peugeot, Citroën and Renault ranked first, second and fourth on a 2017 list of large car manufacturers with the lowest carbon emissions, and Renault started selling battery-powered cars in 2011.
The Trump administration, conversely, wants to weaken fuel economy standards. The National Highway Traffic Safety Commission is now considering permitting an average fleetwide standard of 36.7 miles per gallon (mpg) by 2026, considerably less than the 46.6 mpg requirement imposed by the Obama administration with the auto industry's consent. According to an U.S. Environmental Protection Agency analysis, such a rollback would mean cars and light trucks would emit at least a half a billion more tons of carbon pollution and consume an extra 50 billion gallons of fuel over their lifetimes.
They Hold Cleaner Elections
Unlike the U.S. system of legalized bribery, French campaign finance laws keep special interest money out of politics. French citizens can contribute as much as $5,750 (4,600 euros) to one or more candidates for a specific election, but corporations, unions and advocacy groups are not allowed to donate to political campaigns or parties. In addition, the government has placed limits on campaign expenditures pegged to the office level. Electoral campaigns are relatively brief, and national television and radio stations air political ads free of charge for all candidates during the three months preceding an election. All paid political ads during that time are prohibited. Citizens are automatically registered to vote when they reach the age of 18, and elections are held on a Sunday to make it easier for people to vote.
Restraining corporate influence in elections is one of the key reasons France outpaces the United States in many of the categories cited above. While special interests—from the gun lobby to industrial polluters to Wall Street—keep U.S. politicians on a tight leash, French elected officials are freer to represent the interests of their constituents, not the narrow interests of deep-pocketed campaign contributors and unregulated super PACs.
So, Mr. President, instead of spending as much as $50 million on parade displaying overpriced military hardware, how about trying to top some of these much more significant French accomplishments? America has proven time and time again that it can outperform the rest of the world, but history has also shown that it takes leadership to do it.
Dave Cooke, Marcia DeLonge, Joshua Goldman, Chanelle Kacy-Dunlap, Rachel Licker and David Wright provided research assistance for this essay.
Elliott Negin is a senior writer in the Communications Department at the Union of Concerned Scientists.
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A central player in the fight against the novel coronavirus is our immune system. It protects us against the invader and can even be helpful for its therapy. But sometimes it can turn against us.
How does our immune system react to the coronavirus?<p>The coronavirus is — like any other virus — not much more than a shell around genetic material and a few proteins. To replicate, it needs a host in the form of a living cell. Once infected, this cell does what the virus commands it to do: copy information, assemble it, release it.</p><p>But this does not go unnoticed. Within a few minutes, the body's immune defense system intervenes with its innate response: Granulocytes, scavenger cells and killer cells from the blood and lymphatic system stream in to fight the virus. They are supported by numerous plasma proteins that either act as messengers or help to destroy the virus.</p><p>For many viruses and bacteria, this initial activity of the immune system is already sufficient to fight an intruder. It often happens very quickly and efficiently. We often notice only small signs that the system is working: We have a cold, a fever. </p>
Is there an immunity? How long does it last?<p>The good news is that it is very likely there is an immunity. This is suggested by the proximity to other viruses, epidemiological data and animal experiments. Researchers <a href="https://www.biorxiv.org/content/10.1101/2020.03.13.990226v1" target="_blank">infected four rhesus monkeys,</a> a species close to humans, with SARS-CoV-2. The monkeys showed symptoms of COVID-19, the disease caused by the coronavirus, developed neutralizing antibodies and recovered after a few days. When the recovered animals were reinfected with the virus, they no longer developed any symptoms: They were immune. </p><p>The bad news: It is not (yet) known how long the immunity will last. It depends on whether a patient has successfully developed neutralizing antibodies. Achim Hörauf estimates that the immunity should last at least one year. Within this year, every new contact with the virus acts as a kind of booster vaccination, which in turn might prolong the immunity.</p><p>"The virus is so new that nobody has a reasonable immune response," says the immunologist. He believes that lifelong immunity is unlikely. This "privilege" is reserved for viruses that remain in the body for a long time and give our immune system a virtually permanent opportunity to get to know it. Since the coronavirus is an RNA (and not a DNA) virus, it cannot permanently settle in the body, says Hörauf.</p><p>The Heidelberg immunologist <a href="https://www.klinikum.uni-heidelberg.de/immunologie/immunologie" target="_blank">Stefan Meuer</a> predicts that the novel coronavirus will also mutate like all viruses. He assumes that this could be the case in 10 to 15 years: "At some point, the acquired immunity will no longer be of any use to us because then another coronavirus will return, against which the protection that has now been formed will not help us because the virus has changed in such a way that the antibodies are no longer responsible. And then no vaccination will help either."</p>
How can we take advantage of the antibody response of the immune system?<p>Researchers are already collecting plasma from people who have successfully survived an infection with SARS-CoV-2 and are using it to treat a limited number of patients suffering from COVID-19. The underlying principle: <a href="https://www.dw.com/en/coronavirus-drugs-can-antibodies-from-survivors-help/a-52806428" target="_blank">passive immunization.</a> The studies carried out to date have shown positive results, but they have usually been carried out on only a few people.</p><p>At best, passive immunization is used only when the patient's own immune system has already started to work against the virus, says Achim Hörauf: "The longer you can leave the patients alone with the infection before you protect them with passive immunization, the better." Only through active immunization can one be protected in the long term. At the same time, it is difficult to recognize the right point in time.</p><p>PCR (polymerase chain reaction) tests are currently used to find out whether a person is infected with the coronavirus. With the help of PCR, it is not possible to tell whether or not there is reproducible viral RNA; it is just a proof of whether the virus is still present, dead or alive. A PCR test cannot tell us whether our immune system has already intervened, i.e. whether we have had contact with the virus in the past, have formed antibodies and are now protected. Researchers are therefore working on tests that check our blood for the presence of antibodies. They are already in use in Singapore, for example, and are nearing completion in the USA. With the help of these tests, it would finally be possible to gain an overview <a href="https://www.dw.com/en/corona-confusion-how-to-make-sense-of-the-numbers-and-terminology/a-52825433" target="_blank">of the unclear case numbers.</a> In addition, people who have developed antibodies against the virus could be used at the forefront of health care, for example. An "immunity passport" is even under discussion.</p>
Is it possible to become infected and/or ill several times with the coronavirus?<p>"According to all we know, it is not possible with the same pathogen," says Achim Hörauf. It is possible to become infected with other coronaviruses or viruses from the SARS or MERS group if their spike proteins look different. "As far as the current epidemic is concerned, it can be assumed that people who have been through COVID-19 will not become ill from it for the time being and will not transmit the virus any further," he says.</p>
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Why do people react differently to the virus?<p>While some people get off with a mild cold, others are put on ventilators or even die of SARS-Cov-2. Especially people with <a href="https://www.dw.com/en/coronavirus-who-is-particularly-at-risk-and-why/a-52710881" target="_blank">pre-existing conditions</a> and older people seem to be worst-affected by the virus. Why? This is the hottest question at the moment.</p><p>It will still take a very, very long time to understand the mechanistic, biological basis for why some people are so much more severely affected than others, virologist Angela Rasmussen told <em>The Scientist</em>. "The virus is important, but the host response is at least as important, if not more important," her colleague Stanley Perlman told the magazine.</p><p>Stefan Meuer sees a fundamental survival principle of nature in the different equipment and activity of our immune systems: "If we were all the same, one and the same virus could wipe out the entire human species at once. Due to the genetic range, it is quite normal that some people die from a viral disease while others do not even notice it. "</p><p>Achim Hörauf also suspects immunological variants that could be genetically determined. Since interstitial pneumonia is observed with the coronavirus, the focus is probably on an overreaction of the immune system. However, it is also possible that each person affected may have been loaded with a different dose of the virus, which in turn leads to different outcomes. And finally, it makes a difference how robust the body and lungs are: Competitive athletes simply have more lung volume than long-time smokers. </p>
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