USA TODAY US Edition

The smart way forward on the coronaviru­s

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Somehow, the idea has taken root that there’s a trade-off between dealing with the coronaviru­s and keeping the economy afloat.

As governors have implemente­d social distancing and business closure orders, some critics have said that these measures go too far. And as the White House’s initial 15-day guidelines expire Tuesday, President Donald Trump expressed a desire to ease up on the restrictio­ns and even spoke of packed churches on Easter.

That won’t be happening. On Sunday evening, Trump acknowledg­ed the reality that the way forward requires patience and more pain, announcing that the White House would be extending its social distancing guidelines through April 30.

Relaxing too soon would let the virus course its way through the system, producing enormous economic — as well as human — costs. Until the spread is brought under control, frightened people would stay home anyway. Supply chains would be interrupte­d. Governors who resisted social distancing initially would be forced to relent.

For this reason, it would be better for America to see the economy and coronaviru­s mitigation as one and the same thing, not an either/or propositio­n. And for this reason, Trump should cease making aspiration­al statements and focus on a national action plan, guided by science, that melds economic and public health interests in a way that instills public confidence.

Such a plan would look much like the road map that Dr. Scott Gottlieb, a former Food and Drug Administra­tion commission­er, and other leading public health experts released on Sunday:

❚ First, flatten the curve. At least for the next several weeks, social distancing should be the norm, to slow the spread of the virus and prevent the health care system from being overwhelme­d. During this period, the federal government should use all powers in its disposal — including the Defense Production Act — to secure, produce and distribute much needed equipment for hospitals, clinics and emergency medical services.

Will this have severe and disruptive economic consequenc­es? Of course. That’s why Congress just approved a $2 trillion relief measure, 2 1/2 times the size of the stimulus passed during the 2008 financial crisis. The Federal Reserve is also taking extraordin­ary steps to keep credit flowing.

❚ Implement widespread real-time testing. Delays in developing and distributi­ng test kits left the nation largely flying blind as the disease spread.

Widespread quick-result testing is a key to a more robust economy. Once the number of cases declines, and infected people can be quickly identified and isolated, governors will have more latitude to loosen restrictio­ns on dining out, going to stores and other normal activities. During this period, people would still have to practice self-distancing and avoid mass gatherings.

❚ Push ahead on therapies and a vaccine. The final element of an action plan is the only part that seems to be on track: an all-out effort to develop treatments and a vaccine. Some therapies have promise but need to be tested in clinical trials. Given how far the coronaviru­s has spread, most experts don’t expect it to go away without a vaccine. Widespread administra­tion of such a vaccine is, unfortunat­ely, not likely until sometime next year at best.

No one knows precisely how long it will take before the number of U.S. cases peaks. Gottlieb said Sunday that he thinks April will be “a hard month,” but that “we’ll be coming out of this” in May. Dr. Anthony Fauci, the nation’s leading infectious disease expert, said, “The virus itself determines that timetable” for easing up.

The coronaviru­s might show some seasonalit­y, like colds and the flu. If this is the case, the combinatio­n of social distancing and hot, humid weather could drive the numbers of infected people way down this summer. This shouldn’t be seen as cause for declaring victory but as a chance to prepare for a possible second wave in the fall.

By pushing on these three fronts — an immediate focus on keeping hospitals from being overwhelme­d, an intermedia­te push for widespread testing and a longer-term campaign to defeat this pathogen — Americans will not only be healthier. They will also sense that things are heading in the right direction, which would be the most potent economic stimulus of all.

 ?? JOHN MINCHILLO/AP ?? Emergency medical service workers on Sunday in New York.
JOHN MINCHILLO/AP Emergency medical service workers on Sunday in New York.

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