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Tropes and stereotypes exist in the many comparisons of the responses to COVID-19 in China and the United States. I focus here on a less mentioned reason: the differing imaginaries of the public held by policymakers and scientific and medical experts.
Perhaps the most poignant image of the coronavirus pandemic captures desperate family members, with tears streaming down their faces, their noses pressed against hospital doors, barred from entry to visit their loved ones. But families are not just tragic icons at life’s end; they are often its choreographers. A large national survey that predated the pandemic found that 70 percent of Americans over age 60 who required medical decisions during the final days of their lives lacked the capacity to make them.