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  • Editor’s Note: In the midst of . . . ?
  • Erik Doxtader

As you well know, the milieu is a notion that only appears in biology with Lamarck. However, it is a notion that already existed in physics. . . . What is the milieu? It is what is needed to account for action at a distance of one body on another. It is therefore the medium of an action and element in which it circulates.

—Michel Foucault, Security, Territory, Population, 11 January 1978

It’s really hard to feel like you’re saving the world when you are watching Netflix from your couch. But if we do this right nothing happens. Yeah. A successful shelter in place means you’re going to feel like it was all for nothing. And you’d be right, because nothing means nothing happened to your family.

—Emily Landon, MD, University of Chicago, 20 March 2020

The choice of the new word indicates that everybody knows that something new and decisive has happened, whereas its ensuing use, the identification of the new and specific phenomena with something familiar and rather general, indicated unwillingness to admit that anything out of the ordinary has happened at all.

—Hannah Arendt, “Understanding and Politics”

In the midst of . . . what?

In the midst of that which does not (yet) have a singular let alone accepted name (coronavirus, SARS-CoV-2, COVID-19, pathology, pandemic, crisis, lockdown, depression, emergency), and so in the midst of something that recalls a poignant 1918 letter from Madrid, published in JAMA, “telling our friends how we had the . . . the. . . . What should we call what we had been having?” What to call, how to refer, what to grasp—all open questions, in a milieu in which so very much is happening inside and outside what is and is not happening.

In the midst of what is wholly and no longer new, whether in the change of name from 2019 novel coronavirus to COVID-19, long weeks of sheltering in place, anxious and ambiguous lockdown, or harrowing work on the floor of [End Page vi] the ward, warehouse, and grocery. And yet what is not new is hardly familiar. There is not yet a shared vocabulary, let alone stable topoi or a reliable grammar. What’s between us are pieces of discourse and discourses in pieces. What circulates are fragments, along with so many clichés peddled by PR firms (how many times can one hear, “In these [insert adjective here] times . . .”?), even as the truth of the cliché is a felt need to “reach for ways of thinking and speaking that are easily recognizable” (Düttmann 2020), not least in the name of thin solidarities that sound Orwellian notes (e.g., #AloneTogether) and fail to consider what the moment defies. There is no adequate account, meaningful response, or right word, all the more so as what must be said cannot be said in one breath, in that very expression that has become so uncertain, so explicit.

In the midst of the contingent, as the commons are empty and fraught, as there are basic questions, perhaps the most basic questions, as to how to discern and decide, how to assess, blame, and respond, how to understand and judge, the line between necessity and possibility appears, blurs, reappears, blurs again. But contingency does not reign, at least for long. Finitude is being allocated— decisively and not infrequently by default. Consider the influential guidelines published by the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care on 16 March: “As an extension of the principle of proportionality of care, allocation in a context of serious shortage of healthcare resources, we must aim at guaranteeing intensive treatments to patients with greater chances of therapeutic success. Therefore it is a matter of favoring the ‘greatest life expectancy.’ . . . This means, not necessarily having to follow a criterion for access to intensive care like ‘first come, first serve’” (Vergano et al. 2020, 3). Of course, as a matter of course, this is but one of the rations, so many of which are covered by the façade of “the virus does not discriminate,” a podium-spoken truism that cannot hide the fact that the dice were already loaded...

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