SURVIVAL OF THE CITY

A sweeping investigation of threats to urban life.

Harvard economists Glaeser, who specializes in urban economics, and Cutler, who focuses on health care, believe that cities offer unequaled settings for creativity, commerce, entrepreneurship, and enjoyment. “Humanity crafted itself an urban world because proximity is valuable,” they write, even though proximity also allows illnesses to spread easily. The authors examine incidences of contagion throughout history, including plague in medieval Europe; yellow fever in 18th-century Philadelphia; waves of cholera, which surged globally before reaching the New World in the spring of 1832; the influenza pandemic of 1918; and, of course, Covid-19 (some of the data on this virus is unavoidably outdated). “A central theme of this book,” write the authors, “is that the vulnerability of large, dense, interconnected cities requires an effective, proactive public sector: a shared strength that serves everyone.” They suggest ways to effectively enact quarantine, such as an international early warning system, cooperation to shut down international travel, and sequestration of impacted regions. Because the World Health Organization is hobbled by an unwieldy structure, they propose a NATO-like organization to respond to global health challenges. They critique the U.S. health care industry, which rations care through high prices. “The failure to fund public health,” they assert, “is part of the larger problem that our private and public insurance programs are set up primarily to cover acute illness costs, not to prevent disease.” Besides analyzing health issues, the authors look at other urban challenges, such as “overly expensive housing, violent conflict over gentrification, persistently low levels of upward mobility, and outrage over brutal and racially targeted policing and long prison sentences for minor drug crimes.” Among their proposals for measures that would enhance city life are extensive reforms to business and land use regulations, the strengthening of schools, and policing that would “both prevent crime and respect every citizen.”

A thoughtful and useful consideration of the fate of cities in the age of Covid-19.