Life expectancy has fallen since Covid in almost every country although the policy response has been exactly the opposite to what should be expected. We now have the United States Secretary of Health and Human Services advocating ‘personal choice’ in vaccine take up while he recommended Vitamin A to deal with a spreading measles outbreak in Texas. Decades of science is being disregarded in favour of ideology. We are now five years into the Covid pandemic and the data suggests that the costs of our disregard will accumulate over time as more people die, become permanently disabled and lose their capacity to work. We also know that the ‘costs’ of the pandemic have been (and will be) borne by the more disadvantaged citizens in the community. I was talking to a medical doctor the other day in a social environment and I learned something new – that in Australia, there is a difficult process that one has to go through to get access to the ‘free’ (on the National Health list) anti-viral drugs if one gets Covid. However, if you have $A1,000 handy, you can ring your GP up and get an instant prescription for the same drugs and avoid all the hassle, which has reduced access significantly for lower income households. Another example of how fiscal fiction (governments haven’t enough money) favour the high income cohorts.