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An official in Cairo, Illinois dispatched a message to his counterparts in Washington, DC. He warned, the “country below is in the hands of a howling mob.” Locals not yet touched by the disease went into lockdown. In the absence of permanent public health officials or institutions, coalitions of citizens and elected officials living in uninfected areas took up arms to impose “shotgun” quarantines to fend off outsiders.
As unemployment skyrockets during the COVID-19 pandemic, our occupational identities may not be the first thing on our minds. But the social changes we are facing may threaten these core identities, which endangers our mental health. The reality of unemployment, reduced hours, or furloughs is pervasive. For those of us fortunate enough to remain employed, the nature of our work has changed. Many white-collar workers are suddenly working from home, in a virtual environment, often while trying to balance work with parenting.
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.