March 20, 2020

America has one of the worlds worst coronavirus responses
The world is gripped by the coronavirus pandemic. At time of writing there were about 225,000 confirmed cases in total, and 9,300 deaths. Europe is for the moment the epicenter of the outbreak, particularly in Italy where the virus has overwhelmed the health care system, but dozens of other countries are only a week or two behind on a similar track, including the United States.However, there are major divergences between the performance of different countries. Rich and middle-income East Asian countries like Taiwan, Vietnam, and Singapore have managed to nearly halt the outbreak in its tracks, while more ramshackle countries like the U.S. and U.K. have botched it almost beyond belief.While it is obviously too early to conduct a full accounting of what works and what doesn't, some broad lessons about best practices are still apparent. America will need to learn these lessons quickly if it wants to save itself from potentially horrifying outcomes, both now and in future pandemics.It's fair to say there are three broad levels to any pandemic response, each built on top of the other. The foundation is the national health care system, which provides the necessary broad access to testing and treatment. The second is the state's administrative bureaucracy and welfare state, which coordinates additional response measures. That means stuff like setting up mass testing checkpoints at border crossings and around the country, securing stockpiles of necessary medical supplies, constructing emergency hospitals, and so on. It also means deploying income support to individuals and businesses should mass lockdowns or quarantines become necessary, to keep people from being ruined financially and the economy ticking over. The third is citizen awareness: The population must be ready to upgrade their hygiene habits, accept drastic restrictions on movement, and avoid gathering together, so transmission is limited.Of all these, mass testing deserves special emphasis, because without it any emergency response is all but hamstrung. A nation cannot fight an epidemic without knowing where the disease actually is.The best-performing countries, however, excelled on all three levels. Taiwan has a Medicare-style single-payer system (indeed, it was actually based initially on America's Medicare system, except made universal), which allowed them to deploy testing, treatment, and quarantine without any fuss. They also had pandemic response plans drawn up after the SARS outbreak in 2002, which had been regularly reviewed and practiced. Finally, their citizens had been educated and prepared to take any epidemic seriously, so that people did not try to escape lockdowns and spread the disease further.Even middle-income countries can manage this. Vietnam, whose per-capita GDP was only about $6,600 in 2018 (or about 12 percent as much as the U.S.), squelched its initial epidemic with a lightning-fast deployment of mass testing, contact-tracking, quarantine, and public education measures (though it has since been dealing with new infections from foreign travelers). If the state is on top of the situation, mass lockdowns and the associated economic devastation can be limited or avoided.European countries were considerably behind the curve. Most have good enough or better medical systems, but their bureaucracies were caught flat-footed on the response. Italy has a world-class health care system, and the state actually moved quite quickly to put through testing, lockdown, and quarantine measures, but it simply wasn't fast enough to halt the outbreak. Worse, Italian citizens initially did not take the crisis seriously enough. Many resisted social distancing advisories and continued going out to public gatherings when the epidemic was in its early stages — encouraged by mixed messages from some authorities. Notice of a mass lockdown in northern Italy leaked before it could be implemented, and thousands fled to the south, where they spread the disease. And once an outbreak has gotten out of hand, even the best health care system in the world will be overwhelmed, because none are prepared to treat such gigantic surges of critically ill patients.Still, Italy is now working to the absolute utmost to fight the crisis, and appears to have slowed the growth of new cases. Other European countries, belatedly jolted into action by the Italian example, are taking drastic steps to limit disease transmission, build up their testing and treatment capacity, and keep their populations protected in the meantime. Here the famously generous European welfare states come in handy — countries like Denmark and Norway already have generous sick leave so infected people do not have to come to work, plus unemployment benefits to catch people who lose their job, and so on. These countries were also quick to pass business support measures to limit layoffs and prevent bankruptcies until the crisis passes.The United States, by contrast, has faceplanted on every single aspect of the response. Our health care system is a bitter joke by Taiwanese or Italian standards. We do not even have universal coverage, and what coverage we have is a usurious, fragmented, Kafkaesque nightmare that routinely bankrupts people who get sick. President Trump's direct response has also been horrifically bungled. We still do not have enough tests at least two months after we should have had them. He has not secured supplies of vital equipment like masks and ventilators, and hospitals are already running short. He did not even start activating the Army Corps of Engineers until a couple days ago. Hospital ships that Trump boasted were on their way turned out to be docked for maintenance and will take days to get moving. An economic support measure (which contains some emergency paid leave and unemployment insurance provisions that are worse than what most European countries have in normal times) is bogged down in Congress.Perhaps worst of all, Trump, Republican politicians, and right-wing media consistently downplayed the epidemic for weeks as it gathered strength. As the virus quietly spread through the population, Trump was still claiming "The coronavirus is very much under control in the USA," and conservative media was claiming it was no worse than the flu. Just in the last few days, Republican hack propagandists like Sean Hannity have pivoted on a dime from "I see it, again, as like, let's bludgeon Trump with this new hoax," to "this program has always taken the coronavirus seriously. We've never called the virus a hoax." The result is a persistent partisan split in how likely Americans are to understand the threat posed by the outbreak.At any rate, this all suggests the sketch of a broad policy agenda to fix this outbreak and head off future ones. First, the wretched American health care system needs to be sharply augmented on an emergency basis and eventually replaced with something that actually works, like Medicare-for-all. Second, the federal government is in shambles and needs a total overhaul. To start with, we should copy Taiwan's pandemic systems so that response teams and supplies are always ready to go on a moment's notice. More broadly, state capacity, which has been gutted by decades of conservative austerity, anti-science, and anti-expertise dogmatism, must be rebuilt across the board. Conservatives have insisted for decades that the government is all but useless, and today we are all paying the price. Third, Trump should be turfed out of office and the conservative movement should be comprehensively defeated politically. It turns out there are some serious downsides to having a narcissistic reality TV host in charge of the country.I have little hope that very much of this will come to pass. But in a crisis, sometimes what seemed impossible can happen very quickly. Let's hope somebody is trying to learn the lessons Taiwan and other Asian democracies are teaching us.Want more essential commentary and analysis like this delivered straight to your inbox? Sign up for The Week's "Today's best articles" newsletter here.More stories from theweek.com Top coronavirus doctor puts head in hands when Trump mentions 'Deep State Department' at briefing Bloomberg's last FEC filing shows he spent nearly $1 billion on his failed presidential run Senate GOP stimulus plan would exclude up to 64 million tax filers from full rebate, economist says
Related Stories
Latest News
Top news around the world
Academy Awards

‘Oppenheimer’ Reigns at Oscars With Seven Wins, Including Best Picture and Director

Get the latest news about the 2024 Oscars, including nominations, winners, predictions and red carpet fashion at 96th Academy Awards

Around the World

Celebrity News

> Latest News in Media

Watch It
Millie Bobby Brown & Jake Bongiovi Celebrate “Three Years of Bliss” Ahead of Wedding
March 24, 2024
C4Ehegcq1-A
Kate Middleton & Prince William "Enormously Touched" by Public Support
March 24, 2024
s8fig-RCjFc
Gisele Bündchen Denies Cheating on Ex-Husband Tom Brady
March 23, 2024
_SpRMagA8BM
Eminem, 50 Cent & Snoop Dogg Present Dr. Dre with a Star on the Walk of Fame
March 19, 2024
4bNLs1hxVp8
Opening Remarks for the Variety Summit October 20th, 2023 Jay Penske
March 18, 2024
c6Z707iLq8E
'Everybody Was S----ing Their Pants': Nick Thune Jokes About Being Born in the '70s and Fatherhood
March 16, 2024
mm7Baf6o2d8
Gunna Says Tour Will Up Creativity in Rap, Endorses Flo Milli | TMZ
March 22, 2024
QfMU24fw-Qo
Reporter Taylor Lorenz Says Palace Botched Kate Cancer News Rollout | TMZ Live
March 22, 2024
o43ZucdiyEo
Riley Strain's Body Found After Going Missing in Nashville 2 Weeks Ago | TMZ NOW
March 22, 2024
1m1zM-4_Cs8
Kyle Richards hasn’t spoken to co-star Dorit Kemsley, denies sending her a ‘manipulative’ text
March 24, 2024
LqLZzDP1hm4
Jordan Emanuel on her connection to 'RHOSLC' star Meredith Marks, advice from Amanda Batula
March 24, 2024
5NPAwlOov1Y
Kate Middleton’s uncle Gary apologizes after slamming ‘fickle’ Meghan Markle in scathing interview
March 24, 2024
JWG9kitALZk
TV Schedule
Late Night Show
Watch the latest shows of U.S. top comedians

Sports

Latest sport results, news, videos, interviews and comments
Latest Events
20
Mar
CHAMPIONS LEAGUE: Playoffs - Women
SK Brann W - Barcelona W
20
Mar
CHAMPIONS LEAGUE: Playoffs - Women
Hacken W - PSG W
19
Mar
CHAMPIONS LEAGUE: Playoffs - Women
SL Benfica W - Lyon W
19
Mar
CHAMPIONS LEAGUE: Playoffs - Women
Ajax W - Chelsea W
17
Mar
SPAIN: La Liga
Atletico Madrid - Barcelona
17
Mar
ENGLAND: FA Cup
Manchester United - Liverpool
17
Mar
ITALY: Serie A
Inter Milan - Napoli
17
Mar
ENGLAND: Premier League
Brighton - Manchester City
17
Mar
GERMANY: Bundesliga
Borussia Dortmund - Eintracht Frankfurt
17
Mar
ENGLAND: FA Cup
Chelsea - Leicester City
17
Mar
ITALY: Serie A
Roma - Sassuolo
17
Mar
ITALY: Serie A
Verona - AC Milan
17
Mar
ITALY: Serie A
Juventus - Genoa
16
Mar
GERMANY: Bundesliga
Darmstadt - Bayern Munich
16
Mar
ENGLAND: FA Cup
Manchester City - Newcastle United
16
Mar
ENGLAND: Premier League
Fulham - Tottenham Hotspur
16
Mar
SPAIN: La Liga
Osasuna - Real Madrid
13
Mar
CHAMPIONS LEAGUE: 1/8 Final
Atletico Madrid - Inter Milan
12
Mar
CHAMPIONS LEAGUE: 1/8 Final
Barcelona - Napoli
12
Mar
CHAMPIONS LEAGUE: 1/8 Final
Arsenal - Porto
11
Mar
ENGLAND: Premier League
Chelsea - Newcastle United
10
Mar
ENGLAND: Premier League
Liverpool - Manchester City
10
Mar
SPAIN: La Liga
Real Madrid - Celta Vigo
10
Mar
ENGLAND: Premier League
Aston Villa - Tottenham Hotspur
10
Mar
ITALY: Serie A
Juventus - Atalanta
10
Mar
ITALY: Serie A
Fiorentina - Roma
10
Mar
ITALY: Serie A
AC Milan - Empoli
Find us on Instagram
at @feedimo to stay up to date with the latest.
Featured Video You Might Like
zWJ3MxW_HWA L1eLanNeZKg i1XRgbyUtOo -g9Qziqbif8 0vmRhiLHE2U JFCZUoa6MYE UfN5PCF5EUo 2PV55f3-UAg W3y9zuI_F64 -7qCxIccihU pQ9gcOoH9R8 g5MRDEXRk4k
Copyright © 2020 Feedimo. All Rights Reserved.