From the Obligation of Birth to the Obligation of Care: Esposito’s Biophilosophy and Recalcati’s ‘New Symptoms’

This essay addresses the controversial status of subjectivity in Esposito’s affirmative biopolitics and articulates it using Recalcati’s psychoanalytical theory, with the aim of promoting a non-vitalistic affirmative biopolitics. In biopolitical theory in general, and in Esposito’s especially, subjectivity has a problematic status: while life precedes intersubjectivity, it is not clear whether subjectivity is regarded as a consequence or as the precondition of intersubjectivity (and thus of life). Esposito acknowledges such an aporia, the subjectum suppositum, but fails to recognise it in his own reasoning, ultimately envisioning a powerful interpretative and transformative paradigm—affirmative biopolitics—whilst leaving at its core a life-less subject. In this essay, I read Esposito’s affirmative biopolitics through Recalcati’s clinical approach to the ‘new symptoms’, with the aim of envisioning a subjectivity compatible with the ontogenetic primacy of life posited by biopolitical theory. Ultimately, the aim of this article is to suggest that an affirmative biopolitics, grounded on the promotion of neither a pre-subjective bare life, nor of a lifeless subject, but of a fully subjective life, a living subject is possible

Recovery of dialysis patients with COVID-19 : health outcomes 3 months after diagnosis in ERACODA

Background. Coronavirus disease 2019 (COVID-19)-related short-term mortality is high in dialysis patients, but longer-term outcomes are largely unknown. We therefore assessed patient recovery in a large cohort of dialysis patients 3 months after their COVID-19 diagnosis. Methods. We analyzed data on dialysis patients diagnosed with COVID-19 from 1 February 2020 to 31 March 2021 from the European Renal Association COVID-19 Database (ERACODA). The outcomes studied were patient survival, residence and functional and mental health status (estimated by their treating physician) 3 months after COVID-19 diagnosis. Complete follow-up data were available for 854 surviving patients. Patient characteristics associated with recovery were analyzed using logistic regression. Results. In 2449 hemodialysis patients (mean ± SD age 67.5 ± 14.4 years, 62% male), survival probabilities at 3 months after COVID-19 diagnosis were 90% for nonhospitalized patients (n = 1087), 73% for patients admitted to the hospital but not to an intensive care unit (ICU) (n = 1165) and 40% for those admitted to an ICU (n = 197). Patient survival hardly decreased between 28 days and 3 months after COVID-19 diagnosis. At 3 months, 87% functioned at their pre-existent functional and 94% at their pre-existent mental level. Only few of the surviving patients were still admitted to the hospital (0.8-6.3%) or a nursing home (∼5%). A higher age and frailty score at presentation and ICU admission were associated with worse functional outcome. Conclusions. Mortality between 28 days and 3 months after COVID-19 diagnosis was low and the majority of patients who survived COVID-19 recovered to their pre-existent functional and mental health level at 3 months after diagnosis