New York - Covid-19 exposed what was normal

New York state Governor Andrew Cuomo said: “Everyone is subject to this virus. I don’t care how smart, how rich, how powerful you think you are.”

That is not true. 

The virus is highly concentrated in the poorest Hispanic and black neighborhoods of Queens and the Bronx. The viral death rate for Hispanics is 22 people per 100,000; for blacks 20 per 100,000 while the rate for whites is 10 per 100,000. For whites even that is deceptive, given the hot spots in the isolated Hasidic Jewish enclaves of Brooklyn versus the lack of white deaths in high-income areas. Poorer people are more likely to die at home than in a hospital, and so the surge in at-home deaths, most never tested, suggests the death rate for the virus is being under-counted. Overall the virus is twice as deadly for Hispanics and blacks than whites in NYC.

New York City is also the most economically unequal city in the country. It is home to 70 billionaires, more than any other American city. Living among those billionaires (NYC is also home to nearly one million millionaires, more than any other city in the world) the city also has the largest homeless population of any American metropolis. The number of New Yorkers who live below the poverty line is larger than the population of Philadelphia or Phoenix, and would be the country’s 7th largest city. The billionaires fund the social services and the poor clean the homes and scavenge the trash of the billionaires.

Poor neighborhoods are served by the city’s miserable public hospitals, not its world-class private ones. A virus patient in the ravaged Bronx is twice as likely to die as one in a “nice” neighborhood. The problem is the quality, not the quantity, of healthcare. “We are watching, in real time, racial disparities and the pandemic of poverty,” one assemblyman said.

Poor people suffer from comorbidities (86 percent of the dead have one), particularly the ones of bad diets like diabetes, hypertension, and obesity. Hypertension is three times more prevalent, and diabetes five times more, in the South Bronx than in well-to-do lower Manhattan. Influenza, which has already killed about twice as many people this season as COVID-19, follows a similar pattern.

The Elmhurst neighborhood in Queens is “the epicenter within the epicenter,” according to the mayor. Some 64 percent of its residents are Hispanic, and the median household income is three-quarters of that of the metro area. Nearly 11 percent of households there are multigenerational. The grouping of young (who carry the virus without symptoms) and elderly together helps drive the higher infection rates.

Park Slope, Brooklyn, has some of the city’s lowest rates of COVID-19, 56 percent below average. Two-thirds of its population is white and the median household income is one and a half times greater than average. Less than two percent of households are multigenerational. 

The economic disparity driving the cases in NYC was here long before the virus; COVID-19 was superimposed on that sordid base.  Economic inequality has been killing people all along, and keeping poor people from working by decree only makes them poorer and eventually sicker. It is a slow death as opposed to the quick countable deaths from the virus. 

This was the normal. 

From here