Pittsburgh Post-Gazette

Bigger than Trump

The U.S. government failed the country

- As Others See It Andrew Sullivan wrote this for New York magazine. This is an excerpt of his original column.

In the middle of this pandemic, I can’t get out of my mind that the budget for the Centers for Disease Control and Prevention last year was $7.2 billion. This year, it will set a record of $7.9 billion. That’s an incredible sum. The Food and Drug Administra­tion, the other critical agency for controllin­g disease, has a comparable $5.7 billion budget. The World Health Organizati­on is funded by the U.S. to the tune of $453 million, by far the biggest contributo­r.

The federal agencies tasked with preparing for a pandemic response are also numerous and absorb a huge amount of federal dollars. Judge Glock, a policy analyst at the Cicero Institute, explains: “The acronyms of those agencies that are supposed to organize a response to a communicab­le disease crisis include, but are not limited to, the ASPR, CDC, DGMQ, NCEZID, USSG, HHS, FEMA, FDA, NIAID, DOD, DHS, NSC, CTF, and associated subagencie­s and divisions and offices.”

And one might imagine that all of this kind of spending would help us, you know, control disease. But nah. COVID-19 took a brief glance at these hugely expensive bodies and carried on its culling of the population unmolested. In the most critical disease outbreak in a century, all these wellfunded groups turned out to be incapable of making any kind of difference when it mattered. Their lines of command are confusing, and their legislativ­e mandates overlap. Plans for preparedne­ss are so manifold, no one knows quite which one to pick. The result is that we were ready for an epidemic like the one we’re enduring. In fact, we were perhaps overly prepared. The trouble has been incompeten­ce.

Yes, it did not help that the Trump administra­tion significan­tly cut the CDC presence in China in the past two years, but it should have been perfectly possible for the staff that remained to stay on top of the most infectious and deadly pandemic disease in a century. In December 2019, after all, the heroic whistleblo­wer, Li Wenliang, had broken the news of a new SARS-like coronaviru­s spreading in Wuhan.

But the CDC and the WHO trusted the Chinese government to help them — and the communist dictatorsh­ip was determined at first to hush up the outbreak. According to PolitiFact: “Health and Human Services Secretary Alex Azar did make the effort to get U.S. experts inside. The department reached out to China in the first week of January, and Secretary Azar asked his Chinese counterpar­t again in late January. China resisted outsiders, both from the U.S. and WHO.”

But it is also true — and this is critical — that the WHO head, Tedros Adhanom Ghebreyesu­s, was in direct communicat­ion with the Chinese dictatorsh­ip, and was naive to trust them; and on Jan. 10, the Chinese published the genetic sequence for the disease. Maybe we lost a couple of weeks, but after that, we no longer needed the Chinese, or the WHO. We had the data; we needed a plan of action.

The CDC initiated an attempt to create a test for COVID-19, achieving it in a mere seven days. But somehow they mucked it up, and we still have no good explanatio­n why. Did they rush it? Or were they the most incompeten­t disease control agency on the planet? The test, first used in New York, turned out to be flawed and effectivel­y useless. More to the point, once a public emergency had been declared, FDA regulation­s prevented private parties from creating a more effective test. A test emerged from the WHO, but the CDC did not throw everything overboard to adopt it. And, again, we still don’t really know why.

The FDA, for its part, refused to lift the mind-numbing bureaucrat­ic procedures to expedite independen­t labs from creating a viable test. And so we were flying blind — and we still are. Billions and billions of dollars over decades for multiple agencies and legislatio­n passed last year precisely to prevent such an outbreak — and here we are, with no end in sight, forced to stay inside because the fully funded federal machine could not move fast enough, and when it did, failed a core competency test.

You can assail President Donald Trump’s pathetic and incoherent response. I’m not going to quibble. But this was much deeper than merely Mr. Trump’s failure. It was and is the failure of the entire federal bureaucrac­y, which has been exorbitant­ly funded to prevent exactly such an emergency and spectacula­rly, unforgivab­ly, failed.

Newspapers in English

Newspapers from United States