The Search for Paxlovid: Medication Acquisition as Anticipation Work After China’s Zero-COVID Policy

In early December 2022, China’s zero-COVID policy came to an end. For Chinese citizens, an imaginary of safety predicated on collective action and state care was replaced with a general focus on individualized responsibility for maintaining one’s health. This expedited policy reversal had the unintended effect of infecting around 80% of China’s population in one month, leading to a period of confusion, anxiety, and infection. One way of obtaining safety in a precarious time was to acquire medical resources. Through an online ethnographic investigation, we trace the acquisition of Paxlovid, an antiviral medication that had its distribution within China complicated by geopolitical tension and supply issues. By attending to the precarity of Chinese citizens at home and abroad, we show how Paxlovid was desired in both the present tense for the presently ill and in the future tense as an anticipatory form of safety. We use the analytical lens of anticipation work to unpack individual, collective, and state anticipatory practices supported by various social media platforms within and across borders. In doing so, we highlight moments of friction between and among various actors to argue that attending to affect, precarity, and practices in moments of conflict is critical to understanding the complexities of computer-supported cooperative work. © 2024 Copyright held by the owner/author(s).