海角大神

Sylvia Milchert spends most of her time tending to her blooming garden in a sleepy suburb of Stockholm since the coronavirus hit Sweden. The semi-retired psychologist takes precautions such as having food delivered to her home, but continues to see her grandchildren, albeit only outside, keeping a distance and skipping hugs.

It鈥檚 not quite business as usual in the suburb of Vallingby. But people still frequent cafes and the odd person can be seen at the gym. Like most Swedes, Ms. Milchert believes health authorities here have taken the right approach by not responding to the crisis with the strict lockdowns favored in the rest of Europe and trusting the population to do the right thing.

鈥淚t鈥檚 good to trust people to think for themselves,鈥� she says, although her trust wavers when examining the toll this strategy has taken on older members of the Swedish community. 鈥淚t鈥檚 impossible to accept that so many elderly people have died in such a rich country.鈥�

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As the novel coronavirus tears through the continent, Sweden has been an outlier in its response. It limits gatherings to 50 people but shops, cafes, and other businesses are open on condition that they follow safety protocols such as placing tables far apart. The elderly and at-risk populations have been requested to self-quarantine.

But whether that approach is working has been the subject of some debate in Swedish society. While the rate of reported infections in Sweden remains on a par with countries that have taken more extreme measures to protect their public, the death toll in Sweden is significantly higher. And some say that the societal norms that Sweden is relying on to ensure the public adheres to the government鈥檚聽COVID-19 strategy may also be freezing out the kind of debate needed to examine whether the strategy is the right one.

Science over politics

The emphasis of Sweden鈥檚 response to the pandemic has been on citizens taking personal responsibility 鈥� a source of pride for many in this Nordic society with a history of endorsing both collectivist values and individual freedom.

Sweden promotes itself as being a model society based on values of social justice and human rationality, with a high level of trust between people and trustworthy authorities. This has its origins from the Social Democrat-introduced concept of 鈥淔olkhemmet,鈥� or people鈥檚 home, where a welfare state cares for all with the proviso that everyone complies with a communal order.

鈥淲hen societies are under stress, national specificities come to the surface and influence decisionmaking,鈥� says Lars Tragardh, a Swedish social historian and co-author of the book 鈥淎re Swedes Human?鈥� 鈥淚n our case, it is to listen to experts and voluntarily comply with their recommendations.鈥�

Dr. Tragardh says decisions made by Swedish authorities have been science-based rather than political, unlike other countries. Sweden has a unique administrative structure when it comes to certain aspects of governance, one of them being health. It is written into the national constitution that Sweden鈥檚 public agencies are independent of the government. This is to ensure that decisions are made based on knowledge and that civil servants are not corrupted by politicking.

The Swedish response to the聽COVID-19 pandemic stands in sharp contrast with Nordic neighbors Finland and Denmark. Governments there were given similar advice from their health agencies, but they decided to shut down public life anyway.

So far Sweden has about 19,000 confirmed COVID-19 cases 鈥� roughly the same per capita as Denmark, which聽has about half the population size and took a much stricter approach to quarantining. But Denmark has registered just under 450 deaths compared with Sweden鈥檚 nearly 2,300. And Finland, which also has half Sweden鈥檚 population, has fared even better: less than 5,000 cases and fewer than 200 deaths.

Most of the fatalities have been in Stockholm, with nearly a third occurring in elder-care homes. In a press conference last week, Anders Tegnell, the state epidemiologist who is the mind behind Sweden鈥檚 policy, acknowledged 鈥渢his our big problem area,鈥� especially in light of past statements indicating that the main focus of the strategy was to protect the elderly.

Sylvia Melfeldt, who used to work in elder-care homes as a psychologist in the 1970s, believes that this is the result of the vast neo-liberalization of Sweden in the 1990s, which opened them up to competition between private firms.

鈥淣ow if you can afford it, you can get a better quality of private care. But if you can鈥檛, you must make do with what your municipality provides,鈥� says Ms. Melfeldt. 鈥淐arers are poorly paid, they have to see multiple people because they are paid by the hour, receive no training, and now have dwindling resources.鈥�

The coronavirus pandemic has hit immigrant majority communities particularly hard. Earlier this month, the country鈥檚 public health agency reported that people in Sweden with foreign backgrounds are disproportionately represented among those who need hospitalization.

That squares with the experience of Terez Kino, a resident of the city of S枚dert盲lje and member of its large population of Assyrian-Syriacs, an ethnic minority scattered across Turkey, Syria, and Iraq. She used to have five carers, all of immigrant background as well, who would come to her home and tend to her needs. Four are now sick at home with virus symptoms. Her elderly sister has also contracted the virus from her carers, and her brother recently died of the virus. Her son is now taking care of her.

鈥淲e always did our best here in Sweden, ever since we came in 1974,鈥� says Ms. Kino, 鈥渂ut now we have been left behind.鈥�

Dr. Carina King, an epidemiologist working in the Karolinska Institute who opposes the government policy, says the pandemic has impacted socioeconomic groups differently. 鈥淎 lot of the strategy is based on cultural norms, the narrative that Swedes will follow the recommendations and trust the authorities.鈥� But she says that does not take into account just how much the make-up of Sweden has changed.

鈥淚t鈥檚 a very fatalistic view鈥�

It is not completely clear how Swedish society is taking the rising death toll. According to YouGov polls, trust in the public health authorities is now evenly split in Sweden. But other surveys like that of the center-left Aftonbladet newspaper indicates there has been an uptick in confidence in the authorities despite the rising fatalities, with 70% of those polled indicating that they continue to trust the government.

Nonetheless, there have been some vocal critics. Twenty-two Swedish experts in infectious diseases and epidemiology published a commentary in the Swedish newspaper Dagens Nyheter demanding that the government to take a different course of action.

Dr. Anders Vahine, one of the experts, a virology professor at the prestigious Karolinska institute, told the Monitor that their biggest concern is the cost in human lives and health of the Swedish strategy. 鈥淚f you just accept people dying, then it鈥檚 a 鈥榪ue sera sera鈥� situation, it鈥檚 a very fatalistic view that you cannot interfere.鈥�

But after ferocious public backlash, several of the experts have decided to step out of the debate despite their ongoing concern.

鈥淚n Sweden, there is this idea of 鈥楯ante Law鈥�: If you go outside a social norm or criticize it, you will be castigated and frozen out,鈥� explains Umut 脰zk谋r谋ml谋, a political scientist who studies nationalism and is based in Spain and Sweden. 鈥淪weden is about conformity and moderation.鈥�

Goran Rosenberg, a journalist and historian, is alarmed at the waning national cohesion in the country. 鈥淚 think historically in Sweden we have been a success story. And that has turned into a sort of nationalism 鈥� not like traditional nationalism, but a belief that since we have been good at welfare and so on, we must be right. And this nationalism has manifested into an uncritical trust in the authorities and a shaming of critics, calling them traitors.鈥�

Mr. Rosenberg believes that if possible failures of the Swedish system are being exposed by the pandemic, that could result in questions being raised. 鈥淚f the Swedish way of doing things is disproven and ... seen as broken in a way, it might result in a radical change in society.鈥�

Editor鈥檚 note: This story was updated to correct the spelling of Dr. Tragardh's name.