The coronavirus and the Trump administration

The failure of the Trump administration to prepare for an epidemic is greater than I thought, as indicated by this Jan. 31 article by Laurie Garrett in Foreign Policy magazine.

The epidemic control efforts unfolding today in China—including placing some 100 million citizens on lockdown, shutting down a national holiday, building enormous quarantine hospitals in days’ time, and ramping up 24-hour manufacturing of medical equipment—are indeed gargantuan.

It’s impossible to watch them without wondering, “What would we do? How would my government respond if this virus spread across my country?”

For the United States, the answers are especially worrying because the government has intentionally rendered itself incapable.

In 2018, the Trump administration fired the government’s entire pandemic response chain of command, including the White House management infrastructure.

In numerous phone calls and emails with key agencies across the U.S. government, the only consistent response I encountered was distressed confusion.

If the United States still has a clear chain of command for pandemic response, the White House urgently needs to clarify what it is—not just for the public but for the government itself, which largely finds itself in the dark.  [snip]

In the spring of 2018, the White House pushed Congress to cut funding for Obama-era disease security programs, proposing to eliminate $252 million in previously committed resources for rebuilding health systems in Ebola-ravaged Liberia, Sierra Leone, and Guinea.

Under fire from both sides of the aisle, President Donald Trump dropped the proposal to eliminate Ebola funds a month later.  

But other White House efforts included reducing $15 billion in national health spending and cutting the global disease-fighting operational budgets of the CDC, NSC, DHS, and HHS. And the government’s $30 million Complex Crises Fund was eliminated.  

In May 2018, Trump ordered the NSC’s entire global health security unit shut down, calling for reassignment of Rear Adm. Timothy Ziemer and dissolution of his team inside the agency.  

The month before, then-White House National Security Advisor John Bolton pressured Ziemer’s DHS counterpart, Tom Bossert, to resign along with his team.  Neither the NSC nor DHS epidemic teams have been replaced.

The global health section of the CDC was so drastically cut in 2018 that much of its staff was laid off and the number of countries it was working in was reduced from 49 to merely 10.  [snip]

And though Congress has so far managed to block Trump administration plans to cut the U.S. Public Health Service Commissioned Corps by 40 percent, the disease-fighting cadres have steadily eroded as retiring officers go unreplaced.  [snip]

… State-level health leaders told me that they have been sharing information with one another and deciding how best to prepare their medical and public health workers without waiting for instructions from federal leadership. 

The most important federal program for  local medical worker and hospital epidemic training, however, will run out of money in May, as Congress has failed to vote on its funding.

The HHS Office of the Assistant Secretary for Preparedness and Response (ASPR) is the bulwark between hospitals and health departments versus pandemic threats; last year HHS requested $2.58 billion, but Congress did not act.

Source: Foreign Policy.

The failure isn’t just Trump’s.  Congress has responsibility for oversight of the federal government.  The Democrats with their new majority in the House of Representatives could have prioritized investigating the functioning of governmental departments instead of impeachment.

For that matter, Republicans in the Senate and House could have exercised their oversight functions.  The Washington press corps could have investigated.  But if they had, would we the people have paid attention?  Or would we have found President Trump’s tweets more interesting?

But the main question now is not: Who is to blame?  It is: What do we—we Americans as a nation—do next?

∞∞∞

If you want to follow developments on the COVID-19 virus on a regular basis, I would recommend the headline services on the Naked Capitalism web log—a Links roundup that runs each morning and a 2:00 p.m. Water Cooler than runs each weekday afternoon.  Naked Capitalism is a politics and general interest blog, not a medical blog, but they’ve done an excellent job of keeping on top of the coronavirus situation.

LINKS

Trump Has Sabotaged America’s Response to the Coronavirus Pandemic by Laurie Garrett for Foreign Policy.

Trumpworld vs. Coronavirus by Rod Dreher for The American Conservative.

Doctor: ‘It Has Begun’ by Rod Dreher for The American Conservative.

New York Is Making Its Own Coronavirus Vaccine After the CDC’s Tests Have Repeatedly Failed by Dan Vergano for Buzzfeed News.  [Added 2/29/2019]

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