Monday, February 3, 2020

Is the US prepared for the Coronavirus?

"In 2018, the Trump administration fired the government’s entire pandemic response chain of command, including the White House management infrastructure.” (Foreign Policy)
According to Foreign Policy, the actions taken to essentially gut the reforms to epidemic response made by the Obama administration in the aftermath of the faults made apparent by our handling of the 2014 Ebola outbreak will likely impair our ability to react to the emerging likely pandemic in a coordinated manner.  These actions have included:
  1. Reducing $15 billion in national health spending and cutting the global disease-fighting operational budgets of the CDC, NSC, DHS, and HHS.
  2. Eliminating the $30 million Complex Crises Fund.
  3. Ordering the shutdown of the NSC’s entire global health security unit.  Pressured DHS epidemic team to resign.  “Neither the NSC nor DHS epidemic teams have been replaced.”
  4. Cutting the global health section of the CDC so “that much of its staff was laid off and the number of countries it was working in was reduced from 49 to merely 10.”
Moreover, the US Agency for International Development (US AID) has come under repeated fire from both the White House and Secretary of State Mike Pompeo. And while Congress has so far managed to block Trump administration plans to cut the US Public Health Service Commissioned Corps by 40%, the “disease-fighting cadres have steadily eroded as retiring officers go unreplaced.”

The administration’s actions on this front sound distressingly familiar, a government led by the “uninterested,” as chronicled by Michael Lewis’s book, The Fifth Risk.

...Or one where political machinations are primary drivers of action, as demonstrated by the imbroglio over the phantom Alabama leg of Hurricane Dorian.

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