Wednesday, May 27, 2020

Coronavirus may never go away


Coronavirus may never go away, even with a vaccine
Embracing that reality is crucial to the next phase of America’s pandemic response, experts say.
By 
William Wan and 
May 27, 2020 at 10:15 p.m. GMT+3
There’s a good chance the coronavirus will never go away.
Even after a vaccine is discovered and deployed, the coronavirus will likely remain for decades to come, circulating among the world’s population.
Experts call such diseases endemic — stubbornly resisting efforts to stamp them out. Think measlesHIVchickenpox.
It is a daunting proposition — a coronavirus-tinged world without a foreseeable end. But experts in epidemiology, disaster planning and vaccine development say embracing that reality is crucial to the next phase of America’s pandemic response. The long-term nature of covid-19, they say, should serve as a call to arms for the public, a road map for the trillions of dollars Congress is spending and a fixed navigational point for the nation’s current, chaotic state-by-state patchwork strategy.
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For now, though, most people have not been infected and remain susceptible. And the highly transmissible disease has surged in recent weeks even in countries that initially succeeded in suppressing it. Left alone, experts say, it will simply keep burning through the world’s population.
“This virus is here to stay,” said Sarah Cobey, an epidemiologist and evolutionary biologist at the University of Chicago. “The question is, how do we live with it safely?”
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                                               explains.
Peter Hotez has been working on coronavirus vaccines for years. He explains why developing a vaccine for the current pandemic will take time. (Zoeann Murphy/The Washington Post)
Americans have only started to wrap their heads around the idea, polls show. U.S. leaders and residents keep searching for a magic bullet to bring the pandemic to an abrupt end: Drugs that show even a hint of progress in the petri dish have sparked shortages. The White House continues to suggest summer’s heat will smother the virus or that it will mysteriously vanish. A vaccine — while crucial to our response — is not likely to eradicate the disease, experts say. Challenges to vaccination are already becoming clear, including limited supplyanti-vaccine opposition and significant logistical roadblocks.
Meanwhile, some states are rushing headlong into reopening their economies. Even those moving more cautiously haven’t developed tools to measure what’s working and what isn’t — a crucial feature for any prolonged scientific experiment.
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“It’s like we have attention-deficit disorder right now. Everything we’re doing is just a knee-jerk response to the short-term,” said Tom Frieden, former director of the Centers for Disease Control and Prevention. “People keep asking me, ‘What’s the one thing we have to do?’ The one thing we have to do is to understand that there is not one thing. We need a comprehensive battle strategy, meticulously implemented.”
People keep talking of returning to normal, said Natalie Dean, a disease biostatistician at the University of Florida. But a future with an enduring coronavirus means that normal no longer exists. “As we find different ways to adapt and discover what works, that’s how we’re going to start reclaiming parts of our society and life,” she said.

An urgent intermission

Cities that reopen can serve as mini laboratories helping to chart the path forward. In San Francisco's Dolores Park, people sit in circles drawn to promote social distancing. (David Paul Morris/Bloomberg)
America now finds itself in a moment of transition. Infections are declining in some states, even as they rise in others with worrisome emerging hotspots.
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What’s missing in this interlude, experts say, is a sense of urgency.
Arriving at this moment of transition required countrywide shutdowns, soaring unemployment and devastating blows to our economy and mental health. All that effort was supposed to buy us time to think, plan and prepare, said Irwin Redlener, director of Columbia University’s National Center for Disaster Preparedness.
“What’s concerning is that I don’t see any signs the federal government has learned any lessons and is doing anything differently to prepare for the next waves,” he said.
Leaders desperately need to shift their response from short-term crisis management to long-term solutions, he and other experts say.
Communities should be thinking about installing doors that don’t require grasping a handle, and re-engineering traffic signals so pedestrians don’t have to push crosswalk buttons, said Eleanor J. Murray, an epidemiologist at Boston University.
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Some Virginia businesses are reopening, but economic fears loomAs nail salons, restaurants, and gyms began to reopen on May 15 in parts of Virginia, business owners and customers are proceeding with caution. (Joyce Koh, Jorge Ribas, Ashleigh Joplin/The Washington Post)
In coming years, robots and automated lines could become ubiquitous in meatpacking plants, which have experienced some of the country’s worst outbreaks. Families may have to make diagnostic tests routine ahead of visits to grandparents. Once-mocked work cubicles of a bygone era may become the rage again, replacing open-floor plans found in many offices. Paid sick time might become a necessity for jobs of all types. And heading to work while under the weather may no longer be seen as an act of admirable American can-do spirit but instead a threat to co-workers and the bottom line.
More immediately, states should be using this time to craft quick-response systems and protocols. With hundreds of cities and counties reopening, think of each as a mini laboratory yielding valuable data on what will work against the virus in coming years. But most still lack the tools to capture that data, said Cobey, the University of Chicago epidemiologist, whose models have been used by Illinois leaders.
The metrics being employed by states remain crude: daily number of deaths, hospitalization rates and confirmations of cases long after people show symptoms. All lag behind the actual transmission of the coronavirus by at least one to three weeks.
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“We desperately need better data and fast. It blows my mind that we still don’t have it,” Cobey said.
What’s needed are more sophisticated testing strategies, say experts, that could serve as canaries in the coal mine — increasing our speed and ability to detect surges in the virus. States could select certain populations or areas to test extensively. They could establish a handful of sites that test only patients who have developed symptoms in the last four days, to increase sensitivity to sudden increases in transmission.
“You need testing strategies that allow you to put on brakes quickly enough to stop surges,” said Cobey, who has pleaded with state leaders to implement such strategies.
Strategies have emerged for tracking the spread of the coronavirus, including testing pregnant women. A woman in her eighth month of pregnancy is tested at Bread for the City social service agency in the District. (Jonathan Ernst/Reuters)
Another idea researchers have proposed is universally testing pregnant women to measure the asymptomatic spread of the virus — among people who have been infected but don’t show symptoms. The women could be an ideal sample testing population because they already visit hospitals for delivery and maternity checkups.
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One hospital in New York tested every pregnant woman who came in to deliver and found 15 percent had the coronavirus. Most of those testing positive — 88 percent — showed no symptoms, a sign of how crucial such testing could be.
Living long-term with the virus also means addressing the mental health effects. There’s an assumption among many leaders, experts say, that increases in depression and anxiety are a temporary problem that will eventually disappear along with the virus.
But for some people, the trauma, fear and stress will accumulate and fester like a wound if left unaddressed, said Paul Gionfriddo, president of the advocacy group Mental Health America. “The psychological recovery is going to be as important as economic and logistical parts of this.”

‘Prevention always sounds easy’

The hunt for a coronavirus vaccine, such as this one being tested at a primate center in Thailand, is a central feature in the quest to stop the disease. (Sakchai Lalit/AP)
America’s yearning for a quick fix has turned in recent days toward a vaccine, now being portrayed as a solution that will quash the virus once and for all.
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But the world has achieved that only once, with smallpox — a measure of just how difficult it is for vaccines to wipe out diseases. And it took nearly two centuries after the discovery of a vaccine — and an unprecedented international effort — to vanquish smallpox, which stole hundreds of millions of lives.
Eventually, many experts believe this coronavirus could become relatively benign, causing milder infections as our immune systems develop a memory of responses to it through previous infection or vaccination. But that process could take years, said Andrew Noymer, a University of California at Irvine epidemiologist.
Barney Graham, deputy director of the federal government’s Vaccine Research Center, said emerging plans for vaccination are already stretching as far out as a decade.
“I’m thinking about things in different stages or eras,” Graham said. “We had a discussion this morning about what can be ready before this winter of 2021, what could be ready for 2021-2022, and what kind of regimen or vaccine concepts would we want after this has settled into a more seasonal virus.”
The success of those vaccines will hinge on distribution — a complicated, logistically fraught process.
In the first few years of a vaccine, global demand will far outstrip what manufacturers are able to supply. Roughly 60 to 80 percent of the world’s population needs to be inoculated to reach herd immunity — that point when enough people have become resistant to a virus that it has difficulty spreading widely. Without international agreements worked out beforehand, the short supply could devolve into bidding wars, hoarding and ineffective vaccination campaigns.
In the United States, the crucial job of distribution will depend on federal and local health departments, which have already shown signs of limited capacity and competence amid this pandemic. As a preview to the chaos that might ensue, the U.S. government’s rollout of the first and only treatment for covid-19, remdesivir, has been described by hospitals as confusing, unfair and lacking transparency.
“We also assume that everyone will want the vaccine because of the devastation this virus has caused, but that’s a big assumption,” said Howard Koh, a top U.S. health official during the 2009 H1N1 flu pandemic. “Prevention always sounds easy, but it’s not.”
America already has vaccines for measles and the seasonal flu, which can be deadly. And yet the health-care system struggles every year to convince people to get those shots.
Looking further down the road, many top experts believe it’s critical that U.S. leaders start planning for the next pandemic now — even as they contend with this one — because of the short attention span and lack of political and public support for preparedness the country has shown in past decades.
“We’ve seen this story so many times before,” Koh said. “As soon as the crisis is over, people will go back to whatever is the new normal and they will move on.”

Our future selves

Public health officials struggle to get people to focus on the long-term consequences of their actions, such as smoking. A response to the coronavirus requires a long-range vision. (Eraldo Peres/AP)
The struggle to get people to think long-term, of course, is not new to public health.
We know that smoking can kill us. Yet, it is still responsible for 1 of every 5 deaths in the United States.
“The problem is people putting the present ahead of the future,” said Frieden, who led the CDC from 2009 to 2017.
To bridge the divide between present and future, the CDC launched an ad campaign during Frieden’s tenure with former smokers showing in graphic, intimate detail the consequences of lighting up: the removal of their jaw. Having to speak through an electronic voice box. The emotional devastation to their families.
The campaign caused more than 16.4 million people to try to quit smoking between 2012 and 2018 and about 1 million to quit for good, the CDC estimates. “We found a way to show them their future selves,” Frieden said.
The challenge in this pandemic is few such shortcuts remain to push U.S. leaders and the public into forward-thinking actions. The CDC has been sidelined by the White House and blocked from holding public briefings. Meanwhile, the Trump administration has made clear its priority is restarting the economy.
Increasingly, leading experts believe many Americans won’t make the shift toward long-range thinking until the virus spreads more widely and affects someone they know.
“It’s like people who drive too fast. They come upon the scene of an accident, and for a little while, they drive more carefully, but soon they’re back to speeding again,” said Michael T. Osterholm, director of the University of Minnesota’s Center for Infectious Disease Research and Policy.
“Contrast that with people who have lost someone to drunk driving,” he said. “It mobilizes them and becomes a cause for them. Eventually, everyone is going to know someone who got infected or died from this virus.
“That’s what it may take.”


Mobilizing a sustainable response to the virus, one disease expert says, may arrive only when many people know someone stricken by the disease. (Bruce Bennett/Getty Images)

Coronavirus: What you need to read
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Updated May 27, 2020

The Syrian Constitutional Committee


THE SYRIAN CONSTITUTIONAL COMMITTEE IS NOT ABOUT THE CONSTITUTION
by Charles Thepaut
PolicyWatch 3320
May 27, 2020
The UN committee’s chances of success are limited but still worth pursuing to a prompt conclusion, in part to prevent Russia from draping its window dressing over an illegitimate process.

Last week, UN Special Envoy for Syria Geir Pedersen announced that the Syrian constitutional committee launched in September 2019 can hold its next meeting as soon as the coronavirus pandemic allows. This narrow mechanism was not designed to resolve the years-long conflict via legal solutions, but rather to start a political discussion among Syrians. Yet despite the committee’s limitations, the United States and its allies should invest more effort in it—otherwise, Russia will be free to exploit the constitutional process as a way of normalizing the Assad regime without addressing any of the war’s root causes.

THE CONSTITUTION AS A TOOL TO ENGAGE RUSSIA
For years, UN envoys have tried to bring Syrian parties to a political settlement but found themselves paralyzed by Moscow, which has steadfastly protected the regime from the consequence of refusing to negotiate with the opposition. The United States, regional actors, and Europe declined to challenge this protection by escalating militarily with Russia once it intervened on the ground, instead limiting their pressure to economic sanctions and diplomatic engagement.
Hence, constitutional reform gained traction because it was one of the few topics in which Russian diplomats evinced interest. Working toward a new constitution was at the center of U.S.-Russian discussions in March 2015. Two months later, Moscow presented a first draft that was roundly rejected by all Syrian opposition elements; a second draft in January 2017 met with a similar response. Nevertheless, in May 2017, Russian officials proposed a “national reconciliation conference” in Sochi, then helped the regime hand-pick the Syrian factions that would be invited to discuss a new constitution there. By year’s end, constitutional reform featured as one of the core components of the Da Nang memorandum jointly issued by President Vladimir Putin and President Trump.
Then as now, Moscow seemed to view constitutional reform as a flexible framework for launching an international diplomatic process and muting Western critics while preserving its policy approach and limiting the scope of what “change” in Syria might ultimately encompass. Although UN Security Council Resolution 2254 called for a political process consisting of three essential elements—a transitional government, free and fair elections, and a new constitution—Russia has gradually diluted the discussion to the latter element alone.

THE CONSTITUTION AS A “CONSTRUCTIVE AMBIGUITY”
In urging Syrians to take up issues such as constitutional principles, state reform, and power-sharing arrangements, international actors are well aware that there are different understandings of these matters in Washington, Moscow, Ankara, Berlin, and Paris. Yet foreign officials have deemed it useful to maintain this ambiguity for the time being as a waystation on the road to more detailed discussions.
Thus, when Russia, Turkey, and Iran proposed a constitutional committee during the January 2018 Sochi conference, the idea was later accepted by the “small group” (i.e., Britain, Egypt, France, Germany, Jordan, Saudi Arabia, and the United States) on condition that it remains under full UN auspices. The group was amenable to this process in large part because the Assad regime accepted it as well, making it the only instance of Damascus engaging in a negotiation on anything since 2011. 
The proposal also gave the regime and its backers time to reconquer territories across Syria (the same dynamic seen today in Idlib) while deflecting pressure ahead of the country’s 2021 presidential election. For their part, Europe, Turkey, the UN, and the United States saw the committee as a “door opener,” allowing them to put the Syrian opposition back on track and build confidence without discussing the individual fate of Bashar al-Assad.

OPAQUE SETUP AND UNCLEAR GOALS
Although the constitutional committee was based on a tacit understanding that it would refresh the Syrian political process framed by Resolution 2254, Assad, Iran, Russia, and Turkey took eighteen months to agree on its composition. An opaque compromise was reached around three categories of representatives: fifty from the regime, fifty from the opposition, and fifty from Syrian civil society, the latter ostensibly nominated by the UN but in practice largely imposed by Moscow and Ankara.
Another major problem was the exclusion of northeast Syria, which stemmed from the open conflict between Turkey and the People’s Defense Units (YPG), the Kurdish militia that dominates the area. Ankara barred any members of the YPG-led Autonomous Administration of North and East Syria from participating in the committee—a missed opportunity to deescalate tensions between the two sides and clarify the YPG’s goals regarding decentralization versus separatism.
Also unclear is the committee’s overarching goal: does it aim to produce a new constitution or just amend the current one? And what mode will it use to ratify the new charter: a public referendum or a parliamentary vote? If the latter, will a new parliament be chosen before that vote?

REGIME OBSTRUCTION CONTINUES, AND MOSCOW PLAYS ALONG
Although constructive ambiguity can sometimes facilitate progress on the less sensitive elements of a political process, the parties eventually have to tackle the conflict’s core elements, however intractable they may seem. Yet by November 2019, after two meetings of the constitutional committee, the regime once again blocked discussion of the core issues and centered the discussion on fighting “terrorism.” Far from being a constitutional matter, this issue has more often been the regime’s tool for conflating Syria’s political opposition and armed jihadist groups. Damascus also refused to discuss any issue related to army oversight, deeming this a “redline”—even though civilian authority over military forces is a core constitutional issue in countries all over the world. Recently, the UN special envoy suggested that a new arrangement had been found to restart substantive talks, but the pandemic has prevented the parties from scheduling a new meeting.
The regime’s goal is clear: to delay the committee long enough for Assad to hold (and win) the 2021 presidential election under the current constitution. It remains unclear how much Russia is willing to use carrots and sticks to convince Damascus that it should engage in legitimate talks. This is exactly the situation that has blocked UN negotiations in Geneva for years—with Moscow’s blessing, Damascus tries to slowly strangle the process while Assad reigns over a country in ruins, temporarily allowing that some parts of it will stay under Turkish influence.

INVESTING IN THE COMMITTEE—OR ENDING IT IF NECESSARY
There is no magical solution to the current stalemate, especially if Washington decides to continue the military withdrawal it began amid Turkey’s October 2019 incursion in the northeast. Not engaging more assertively on the constitutional committee and other political issues would further weaken the U.S. and allied position. Meanwhile, the regime and Russia are using every opportunity to increase their leverage over the international community, as the Security Council’s January negotiations over cross-border humanitarian access amply demonstrated.
It is therefore urgent that Washington and its allies take decisive action on the constitutional committee—first to support it and give it a real chance to succeed, and then to terminate it if it does not deliver within the next couple months. This includes linking additional sanctions to each instance of regime obstruction, and offering technical and financial support to committee representatives from the opposition and civil society. Some form of wider consultation with the diaspora is also necessary to compensate for the lack of transparency in the committee appointment process—in particular, Europe, Turkey, and the United States should provide platforms for Syrians outside Syria to express their views on constitutional reform​.
These steps would place the ball firmly in Russia’s court, compelling it to push the regime on contributing to a serious constitutional draft. And if the committee does not finalize its work well before the 2021 election season, U.S. and European officials should be ready to call for its termination.
BEYOND THE CONSTITUTION
Of course, even a new, legitimately brokered constitution would represent only the first step in a long process—on its own, the charter will neither end the people’s agony nor enable hundreds of thousands of refugees to return home. The UN should therefore prepare the steps that could potentially follow a successful constitutional committee, such as designing a robust monitoring mechanism for the presidential election and preparing safe, neutral voting options for the diaspora.
Hopes are not high for a transparent constitutional and electoral process in Syria. Nevertheless, a carefully tailored effort from the United States and Europe would increase this possibility—or at least prevent Russia from draping its window dressing over an illegitimate process.
Charles Thepaut is a resident visiting fellow at The Washington Institute.


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Rethinking US Policy Toward Iran : A Forum

While US relations with Iran have been adversarial since the 1979 Islamic revolution, President Donald Trump’s withdrawal from the Iran nuclear deal (JCPOA) in 2018 and his belligerent implementation of a “maximum pressure” policy has on more than one occasion risked escalation. Even though Trump seems to want to avoid war, the administration’s emphasis on Iran as a threat to the region defines much of current US policy toward a Middle East suffering from numerous other conflicts and humanitarian crises. Any effort to imagine new paths for US policy would have to redefine US relations with Iran and the roles both play in the region. To discuss the current context and future possibilities, Middle East Report reached out to seven scholars and policy analysts for their thoughts on some critical questions.
Negar S. Razavi is visiting assistant professor of anthropology at the College of William and Mary.
Dina Esfandiary is fellow at The Century Foundation and co-author of Triple-Axis: Iran’s Relations with Russia and China (IB Taurus, 2018).
Nader Entessar is professor emeritus of political science at the University of South Alabama and the co-author of Trump and Iran: From Containment to Confrontation (Lexington, 2020).
Mohammad Homayounvash is the founding director of the Jaffer Institute for Interfaith Dialogue and Education at Miami-Dade College and author of Iran and the Nuclear Question (Routledge, 2019).
Ali Fathollah-Nejad is visiting fellow at the Brookings Doha Center and senior lecturer in Middle East and comparative politics at the University of Tübingen.
Mehrzad Boroujerdi is director of the School of Public and International Affairs at Virginia Tech and co-author of Postrevolutionary Iran: A Political Handbook (Syracuse, 2018).
John Ghazvinian is the interim director of the Middle East Center at the University of Pennsylvania and author of America and Iran: A History from 1720 to the Present (Knopf, 2020).

To begin the discussion, what are some of the key challenges that need to be addressed before a new US policy toward Iran can emerge?


Negar Razavi: To imagine a new US policy, the United States must first overcome two persistent myths. The first myth is that the United States has the power to substantively alter Iran’s policies. A full-scale war has long been off the table. Even more limited military strikes—such as the assassination of Qassem Soleimani in January 2020—have proven ineffective. Meanwhile, by walking away from the JCPOA the United States has lost nearly all of its diplomatic leverage. In the absence of other tools, the Trump administration has relied almost entirely on the cruelties of sanctions, which have not only failed to push the Iranian government to comply with US demands on the nuclear issue, regional security issues or concerns over human rights, but they have further endangered the lives of ordinary Iranians.
The second myth is the exceptionalism of the Islamic Republic as a uniquely dangerous and irrational state power. Treating Iran as a state that operates outside the boundaries and norms of international politics has led the United States to enact unstable, contradictory and ultimately ineffective policies toward Iran. Only by overcoming these deeply embedded myths can the United States embark on the only path that remains: direct diplomatic engagement.
Dina Esfandiary: I agree that any shift in US policy would have to begin with some form of engagement. If Trump’s approach has taught us anything, it is that Iran does not respond well to being cornered—that just makes it lash out. While dialogue will not resolve everything—after all, Iran has objectives that are often at odds with those of the United States—it would be a good starting point to deescalate tensions, constrain Iranian activities in the region and beyond and address other aspects of Iran’s behavior problematic to the United States, such as the development of its missile program. None of these can be addressed in a meaningful and long-term way without directly engaging Iran.
Nader Entessar: I would add that for diplomacy to be successful and for US militarism to be reversed requires a thorough reorientation of US foreign policy away from its emphasis on full spectrum dominance.
For diplomacy to be successful and for US militarism to be reversed requires a thorough reorientation of US foreign policy away from its emphasis on full spectrum dominance.
The militaristic stance against Iran and incessant demonization of the country among Washington policy makers and American media have added additional obstacles to the path of forces of change and democratic reform within Iran. Under existing circumstances, the least the United States can do is tone down its hostile rhetoric and convincingly renounce the goal of regime change. In the long run, the United States needs to find a way to transform both its Cold War era foreign policy of militarism and its domestic war economy. Neither serve the interests of the American people while both continue to risk the lives of millions abroad. In other words, to use one of Secretary of State Mike Pompeo’s famous lines about Iran, the United States must become “a normal country.”
Mohammad Homayounvash: Only a conceptual shift that overhauls the typecasting of Iran as a regime and instead treats it as a state can lead to the desecuritization of Iran in US policy and allow the United States to reduce its military footprint in the Middle East and rely more on the tools of diplomacy. We have to bear in mind that the militarization of Iran policy is a well- entrenched paradigm in Washington that mistakenly equates an excessively coercive and kinetic posture with strategic leverage.
Negar Razavi: As we all know, the diplomatic path was successfully initiated by the JCPOA. The nuclear negotiations proved that both countries can reap tangible benefits from diplomacy. Additionally, I share the view of scholars studying Iran’s domestic political landscape, who have argued that an economically stable Iran—that does not feel threatened from the outside—is not only better for US security interests, but also for the longer-term well-being and political agency of the Iranian people and others across the region who have suffered from US-Iran hostilities over the past decade.
As a first step, the United States can reverse the Muslim Ban, which has hurt and separated so many Iranian families, as well as reduce sanctions that hurt ordinary Iranians, particularly during this current pandemic.
With the damage done to diplomacy under Trump, I also recognize that radical change in US policy is not going to happen in the immediate future. As a first step, the United States can reverse the Muslim Ban, which has hurt and separated so many Iranian families, as well as reduce sanctions that hurt ordinary Iranians, particularly during this current pandemic. From there, more limited multilateral negotiations that include other regional powers and potentially outside powers (the European Union, China and Russia) on regional issues such as Syria and Yemen may allow for a reopening of diplomatic channels.
Ali Fathollah-Nejad: The best way toward developing a new US policy is through abandoning the “authoritarian stability” paradigm that has driven US and European policy toward the entire Middle East for many decades now. It is predicated upon the idea that regional autocracies can best ensure stability and US interests. Thus, allied regimes gain all forms of US support, while the oppressive domestic conditions under those regimes are either willfully ignored, camouflaged or glorified. The United States and autocratic regimes are thus aligned against any popular movement fighting for democratization and social justice.
While the JCPOA was a vital step away from the brink of war and toward diplomacy, the rapprochement that emerged between Europe and Iran was embedded in the authoritarian stability paradigm. Europe adopted an Iran policy based on economic and political cooperation while remaining silent over the deteriorating human and civil rights situation in Iran. But make no mistake: Trump’s unilateral withdrawal from the deal, de facto violating it, was a major mistake.
The United States and Europe must instead adopt policies that promote long-term stability, such as supporting civil society and economic policies that are designed to produce inclusive growth rather than neoliberal policies that enrich elites and exacerbate socioeconomic inequalities. After all, as the Arab Spring and the recent Iranian uprisings demonstrated, one cannot achieve true stability without people’s political participation and socioeconomic development. Also, rather than using human rights as a weapon against Iran, the United States and Europe could condition political and economic cooperation with all regional states upon improvements in their human rights records.

It is important to see US policy toward Iran in the regional context. What are the issues that need to be addressed to foster security at the regional level?


Mehrzad Boroujerdi: The United States and Iran currently face problems of political paralysis in three fragile countries that they each care about—Iraq, Afghanistan and Lebanon. It is hard to imagine scenarios where one of them forfeits their investments without getting anything in return. The United States could pressure Saudi Arabia to end the Yemen war and acknowledge that Iran needs to have a seat at the negotiating table for resolving many regional events. The United States must de-escalate tensions with Tehran if it seriously wishes to reduce its footprint in the Middle East. At the same time, the leadership in Tehran must realize that the dream of being a Suzerain state across the region is facing domestic opposition inside Iran (due to the hefty price tag) and also faces the formidable opposition of the United States and its allies. Diplomacy, after all, is the often-unsatisfying art of compromise. Defining a new direction in their relationship requires acceptance of certain unpalatable facts.
Negar Razavi: We should note that with the exception of Saudi Arabia and Bahrain, Iran has maintained its diplomatic, economic, and to some extent, even sociocultural relationships with all the other countries in the Persian Gulf region. Iran’s relationships with Kuwait and the United Arab Emirates have become strained in recent years, though they still remain intact. Meanwhile, Qatar, Oman and Iraq have maintained strong ties with Iran. So really the question should not be how to integrate Iran into the Gulf system but how to facilitate a serious rapprochement between the two most powerful states in the region: Iran and Saudi Arabia.
How to achieve this rapprochement is much more complicated. Potentially (and overly optimistically) we could argue that the recent oil market crash and the COVID-19 pandemic may push Saudi Arabia and Iran to reconsider the high economic, political and human costs of their more violent (often indirect) confrontations in the region. I would argue that the absence of US leadership may actually help reduce tensions, as Saudi and Iran will have to look to other states who have a vested interest in seeing an improvement in Saudi-Iran relations—most immediately, the other countries in the Gulf.
Ali Fathollah-Nejad: We should first recognize that the roots of violence and insecurity in the region are both indigenous and exogenous. Any regional security architecture that merely focuses on inter-state détente and does not involve civil society groups or popular movements and their interests is doomed to replicate an authoritarian pact. In the triangular relationships between Iran, the United States and the Gulf Cooperation Council (GCC)—currently rife with mutual distrust on multiple fronts—confidence building measures are needed to build the ground on which robust security arrangements, let alone an architecture, could be built.
Any regional security architecture that merely focuses on inter-state détente and does not involve civil society groups or popular movements and their interests is doomed to replicate an authoritarian pact.
Confidence building measures might include cooperation in various economic sectors, cross-border resources (such as water management), society-to-society exchanges, the fight against ecological degradation and—of course, as a result of the present COVID-19 crisis—in public health.
To achieve an inclusive security architecture, a paradigm shift would be necessary. Rather than a zero-sum game, states must embrace common security à la “my neighbor’s security is mine, too” and deepen intra-regional cooperation. Also, Iran and some GCC countries must closely listen to each other’s security concerns and overcome what has mostly been a dialog of the deaf.
Mohammad Homayounvash: As others have pointed out, the Persian Gulf’s security malaise is a function of the region’s overall conditions of weak statehood and ineffective governance that were only exacerbated by the ill-fated 2003 US invasion of Iraq, which opened the door for other states to take a cavalier attitude toward the principles of sovereignty, territorial integrity and inviolable international borders.

What elements are necessary for a regional security architecture that could help reduce violence and insecurity?


Dina Esfandiary: Firstly, a regional security architecture should be inclusive—that is what other attempts have failed at so far. The only way to lessen tensions is to ensure that every country in the region has a stake in maintaining peace. Like the ASEAN model, it will need to build interdependence between the states involved and include the principle of non-interference, but it will likely not be able to address issues of governance, which are too problematic to tackle as a region. In terms of process, it will need to mirror the OSCE model, which involved negotiations in bundles—issue areas that could be tackled simultaneously. Finally, it will need some of the major external powers to be involved in order to mediate and not act as spoilers.
Nader Entessar: As Dina notes, the best regional security architecture for the region will be a multilateral, cooperative system that does not seek to exclude any regional player. Iran has repeatedly called for the establishment of a regional multilateral security system, but these calls have so far been rebuffed by some regional states, such as Saudi Arabia, the United Arab Emirates and Bahrain. These countries have preferred to remain under a US-led security arrangement whose main purpose is to confront Iran and limit its regional role. This chimera has been buttressed by Washington and as long as the United States sees its relations with Iran through a prism of a zero-sum game, the current insecurity system will persist.
Rather than trying to establish a new security structure overnight, it is best for all parties to take step-by-step minimal cooperative measures for confidence building. These measures could start with nonpolitical areas of common interest, such as pollution control, water management, environmental preservation, drug trafficking and the like. The next phase of the confidence building measures should focus on economic cooperation schemes.
Mohammad Homayounvash: One path towards a new security architecture would be to build from the Hormuz Peace Endeavour (HOPE) proposed by Iranian President Hassan Rouhani in 2019. Iran has offered a roadmap that includes a Hormuz Community Non-Intervention and Non-Aggression Pact and a network of taskforces to address a wide range of challenges, including arms control and security building measures, the establishment of a zone that is free of weapons of mass destruction, as well as the prevention and resolution of regional conflicts. Unfortunately, as with the 2003 “grand bargain” initiative from the Khatami government, the HOPE proposal has not been taken seriously by US policymakers or by most think tanks and academics, but it offers a chance for Persian Gulf security dynamics to be addressed head-on by the regional stakeholders.

To what degree does historical memory and experiences from the past continue to constrain the range of possibilities in US-Iranian relations?


Nader Entessar: In his novel Requiem for a Nun, William Faulkner has a famous line “The past is never dead. It’s not even past” that encapsulates US-Iranian relations. The rigidification of historical memory has been one of the most salient variables in US-Iran relations since the Iranian Revolution. The Americans have never forgiven the Iranians who overthrew Mohammad Reza Shah in 1979 and the subsequent events that led to the capture of the US embassy in Tehran and the holding of its employees for 444 days. Of course, Iranians have a much longer historical memory than Americans do. For many Iranians, the 1953 CIA-led coup against Prime Minister Mohammad Mosaddegh and Washington’s support for Saddam Hussein during the devastating Iran-Iraq war are two traumas that color Iranian views of the United States. And Washington’s recent policies of unrelenting punishment of Iran have hardened negative historical memories among many Iranians.
Mehrzad Boroujerdi: Iran and the United States have not had regular diplomatic relations since 1980. Over the last four decades a great deal of psychological scar tissue has accumulated on both sides. Hostage crises in Tehran and Lebanon, the Iran-Iraq War, the USS Vincennes shooting down an Iranian civilian plane, the axis of evil speech, nuclear enrichment, missile developments, cyber-attacks and the like have provided ample rhetorical ammunition for each side and have bolstered their narratives of grievance and victimization. Yet, it is not just prodigious memory that has separated these two states. Even if it was possible to cordon off memories, the fact remains that as a rising regional power, Iran has emerged as America’s principal strategic adversary in the Middle East. In other words, the implacable enmity is being driven by a clash of interests.
Ali Fathollah-Nejad: There is indeed little doubt that US–Iran relations continue to be poisoned by both sides’ traumatic experiences with each other and concomitant deep mistrust. Yet, it is equally important to point out the fatigue among many Iranians toward their own regime’s revolutionary and anti-American rhetoric, which has in many ways become a futile attempt by Tehran to create a rally-around-the-flag effect and to blame the “usual suspects” for domestic shortcomings for which many Iranians primarily blame their own state. For example, when it comes to Iran’s economic crisis, they view US sanctions as an aggravating factor but not the root cause.
Negar Razavi: In my recent research in Washington I found a US policy community that has slowly come to accept the importance of its history with Iran in shaping their future with the Islamic Republic. But the ways they understand and explain this history continues to be problematic, often helping to reproduce rather than undermine US myths about Iran.
For instance, many of the US policy experts and policymakers working on Iran mentioned the 1953 coup and the 1979 hostage crisis as sources of US-Iran tensions. While this political work of acknowledging the past is important, these same individuals often failed to situate these events within broader historical structures and patterns. Instead, they made these events appear as anomalous crises rather than as a reflection of longer-term US policy failures. At the same time, I felt many juxtaposed these two historical events as a means of equating them in moral and political terms, as if to say: “the US did something bad in the past, then Iran did something bad later, so now we’re even.”
But the reality is that 1953 and 1979 are part of a much more painful legacy of US domination of Iran—whether aspirational or realized. One can trace this legacy discursively from the late nineteenth century to the present, showing how American political elites have often viewed the Iranian people and their leaders as inherently inferior, backwards, corrupt and violent when compared to themselves. Since 1979, these Orientalist tropes have reached new heights in the American political imaginary, cementing around the myth of Iran as an “exceptionally dangerous” state enemy. These discourses, in turn, have promoted the equally powerful myth that the United States can and should shape Iran’s behavior from the outside and “punish” its leaders when they resist such pressures.
Meanwhile, many in the policy community fail to acknowledge the harm on ordinary Iranians of long-term US support for the dictatorial Shah through much of the twentieth century or Saddam Hussein during the Iran-Iraq war. In other words, Washington’s historical memory reduces the deeper historical traumas associated with American hegemony in Iran and the broader region to a few high-profile crises that can be dismissed through a balance sheet of blame.
John Ghazvinian: I actually think that the impact of historical memory can be overstated because it is not history that is constraining the two countries from developing a better relationship. If anything, highlighting past historical ties might be able to set the two countries free from their prison of mutual animosity. I try to make this case in my book. Too often, when we talk about the history of US-Iran relations, we focus on the two “original sins” (1953 and 1979) ignoring that for nearly two centuries they had a warm and positive impression of each other, even a kind of fascination.
Too often, when we talk about the history of US-Iran relations, we focus on the two “original sins” (1953 and 1979) ignoring that for nearly two centuries they had a warm and positive impression of each other, even a kind of fascination.
The first newspapers published in Philadelphia and Boston in the 1720s were obsessed with Iran. They presented the country as a heroic, admirable counterpart to the “evil” Turks of the Ottoman Empire. The very first independent newspapers published in Iran in the 1860s similarly lionized the United States and urged those who wanted to reform their country to emulate America’s example. In 1912, Americans rallied to the cause of Iran’s constitutional revolution. In 1919, there were pro-American riots on the streets of Tehran. And let us not forget that Mosaddegh himself was a great admirer of the United States and as prime minster had appealed to Eisenhower for help. The list could go on. The point is that we have become too fixated on using history to assign blame, forgetting that history can also remind us of times when relations were less hostile and more respectful—and perhaps point to possibilities for the future.

What sort of alternative visions for US-Iranian relations do Iranians have? We are especially interested in the views of those on the internationalist left or what readers might identify as progressive in the US context.


Ali Fathollah-Nejad: Progressive Iranians often find themselves between the rock of US imperialism and militarism and the hard place of Iran’s authoritarian regime. They object to both equally. While they wish for détente and even a normalization of bilateral ties, they also fear a diplomatic arrangement between Washington and Tehran that might help stabilize the regime against domestic forces pushing for democratization.
Mehrzad Boroujerdi: Alas, many on the internationalist left outside of Iran have assumed that opposition to a global superpower like the United States means that they should support the leaders of countries that show animus toward it. In my view, this is a fatal error. The horrible track record of Saddam Hussein, Qaddafi, Bashar al-Assad, Khomeini and Khamenei should snap us out of any sympathy for these cruel leaders. Envisioning an alternative future requires equal distancing from both camps. I believe it is a moral imperative to simultaneously condemn militarism and abject violations of human rights. Many on the Iranian left from the pro-Soviet Tudeh Party to the Feda’i guerilla organization had to learn this lesson the hard way as the Iranian state killed or imprisoned a good number of their cadres and forced others to seek a life in exile. Today, the discourse of most Iranian leftists is much more nuanced than it was at the time of the 1979 revolution. Leveling a withering indictment at the foot of imperialism has been balanced with the need to also challenge violations of human rights committed by native autocrats, particularly those against women as well as ethnic and religious communities.
Nader Entessar: If one can identify a common thread among a significant segment of the Iranian public, especially what we might think of as politically progressive individuals, with respect to an alternative vision for US-Iranian relations, it is a relationship based on mutual respect and noninterference in each other’s affairs. Iranians aspire to interact with the United States on an equal basis and not be treated as pariahs. What they want is a US-Iran relationship that is not only humane but also stripped of the zero-sum mentality that has characterized the relationship between the two countries for more than four decades.
Negar Razavi: Among the Iranians on the left who I read and engage with—whether they live in Tabriz, Tehran, Washington or Los Angeles—most are concerned about the expanding political, social, economic and ecological insecurity at home, as well as state violence and the potential for war. I think if we want to fundamentally reimagine US-Iranian relations we would need to focus on these broader, more global issues rather than on the same tired set of traditional national security interests as defined by elites in both countries. While bilateral negations on national security issues might reduce the immediate threat of war and sanctions, they will not address the core structural problems that generate human insecurity in both countries and beyond. In the meantime, in the absence of diplomacy, societies in both Iran and the United States are forced to deal with immediate concerns rather than engage in more radical forms of solidarity and people-led politics that can seriously tackle these shared structural problems and global challenges.

The COVID-19 crisis is having a devastating impact on Iran and much of the world. How might it impact the future of US-Iran relations? 


Nader Entessar: Turkey and Iran have been the top two regional countries hit hardest by COVID-19. The numbers are staggering, especially for Iran, which also has to deal with US-led economic sanctions. The sanctions have denied Iran—through banking and international financial channels—the necessary funds to purchase some needed equipment and medicine. Moreover, the economic impact of COVID-19 could also have a long-term debilitating impact on Iranian society by creating massive permanent unemployment.
Unfortunately, there is no indication that the Trump administration is willing to depoliticize its response to the COVID-19 crisis in Iran. On the contrary, Washington has hardened its position and added more sanctions during this period of humanitarian disaster. One can only hope that efforts toward global cooperation beyond the United States will be enhanced during these difficult times.
Ali Fathollah-Nejad: There is little indication that the COVID-19 crisis has altered strategic thinking in either Washington or Tehran. The crisis has, however, had an impact on Iran’s relations with its Persian Gulf neighbors and highlights the interconnectedness between the two sides of the body of water that maintains people-to-people movements despite geopolitical tensions. For example, the UAE has airlifted aid to Iran. Such critical situations highlight the vulnerabilities of all sides and the commonality of their fate.
Mohammad Homayounvash: In fact, the COVID-19 crisis might serve as the exogenous shock that jolts Iran, the GCC and the United States out of the current paradigm. If the United States accelerates its retrenchment from the Middle East in order to pivot to a more assertive containment of China, GCC states might need to reconsider the path of seeking a regional balance with Iran.
If the United States accelerates its retrenchment from the Middle East in order to pivot to a more assertive containment of China, GCC states might need to reconsider the path of seeking a regional balance with Iran.
And let’s not forget that the Iranians are not exactly exuberant about China’s Belt and Road Initiative, partly because of its geopolitical implications. Thus, the crisis could even present new openings for some limited interest-based coordination between Tehran and Washington, especially in stemming the tide of China’s geo-economic foray into Central Asia.
John Ghazvinian: Again, I am reminded of history. In 1892, and again in 1904, Iran was being devastated by a global cholera epidemic. In both instances, American missionaries living in Iran opened the doors of their hospital and went around Tehran looking for patients to treat. Ambulances went all over the city rounding up the sick and taking them to special makeshift clinics on the edge of town. Perhaps all that seems unremarkable. But it is worth pointing out that, at least initially, the missionaries were reluctant. Traditionally, their hospital had been open only to Christians. But it was the American legation in Tehran that pressured them to begin treating all Iranians, regardless of religion. Hundreds of lives were saved in one of the great unsung moments of US involvement with Iran.
Today, by contrast, in a much more interconnected world in which the virus can spread more quickly from one country to another, the United States refuses to ease sanctions on Iran, even during the worst moment of the outbreak and despite the fact that Iran was one of the world’s worst hit countries. It is hard to understand, even for a historian, how we have come so far.
Negar Razavi: By immediately removing sanctions that are hindering Iran’s ability to cope with the pandemic, the United States could begin the slow but difficult journey of re-engaging Iran diplomatically. Similarly, I believe the United States could ease its travel restrictions under the so-called Muslim Ban and release Iranian prisoners in the United States. In turn, the Iranian government could release American and other foreign-born prisoners who are still being unjustly imprisoned in Iran and are at great risk of contracting COVID-19. More broadly, I could see this crisis as an opportunity to increase exchanges (virtually) between medical and public health experts in both countries. The Iranian medical community has been forced to respond to this pandemic with limited resources and without global support and access to advanced technologies. Medical and public health experts in the United States might be able to learn from their experiences and give recognition to the expertise and bravery of the Iranian medical community. Such cooperation would expose Americans to different aspects of Iranian society and the challenges Iranians face on a daily basis. It could possibly help provide a basis for new forms of US-Iranian ties.

[Photo on front page: The Bataan Amphibious Ready Group is deployed to the US 5th Fleet area of operations in support of naval operations in the Persian Gulf. US Navy photo by Naval Aircrewman (Helicopter) 1st Class Thomas Joyce/Released]

How to cite this article:

"Rethinking US Policy Toward Iran: A Forum," Middle East Report Online, May 27, 2020