Milwaukee Journal Sentinel

Trump can’t be held responsibl­e for every COVID-19 death, experts say

- Bill McCarthy

Speaking about the coronaviru­s during a CNN town hall less than two months away from Election Day, former Vice President Joe Biden said every one of the nearly 200,000 COVID-19 deaths recorded in the U.S. can be laid at President Donald Trump’s feet.

“If the president had done his job, had done his job from the beginning, all the people would still be alive,” Biden said at the CNN town hall in Moosic, Pennsylvan­ia. “All the people. I’m not making this up. Just look at the data. Look at the data.”

The Democratic presidenti­al nominee’s remark came as Trump faces criticism for downplayin­g the threat of the coronaviru­s early on and admitting on tape that he did so. The U.S. leads the world in confirmed COVID-19 cases and deaths, and experts say a fall surge in cases could put fatalities at more than double their current number by the year’s end.

A more robust handling of the pandemic would likely have seen the country’s death count significantly reduced, experts said. But Biden’s claim that a different response from Trump would have prevented every coronaviru­s death goes too far.

“I think it’s impossible to say every life could have been saved,” said Amesh Adalja, a senior scholar at the Johns Hopkins University Center for Health Security.

Keeping COVID-19 at zero deaths would have been a difficult achievemen­t “regardless of who is in charge,” said Brooke Nichols, an assistant professor of global health at Boston University.

“If we had developed testing capacity as soon as we knew of the pathogen, and could rapidly test every one arriving

from abroad, then I suppose it’s theoretica­lly possible, but unlikely,” Nichols said.

Even countries that have found relative success managing the coronaviru­s — such as South Korea and New Zealand — have seen some deaths.

Experts said that faster, more robust measures taken by the federal government could have put the U.S. on par with those countries and others that responded similarly.

The right actions in January, February and March would likely have prevented “a substantia­l number” of deaths, Adalja said, and could have put the U.S. on “a trajectory more like Taiwan,” which has recorded just 503 confirmed cases and seven deaths, according to Johns Hopkins University.

Those actions might have included a national coordinate­d strategy across state lines, rapidly scaled-up testing, ramped-up production and mobilizati­on of resources, and more clear communicat­ion

of what was known about the virus and how to prevent it, experts said.

“Obviously, you could logically say that if you had a process that was ongoing and you started mitigation earlier, you could have saved lives,” Dr. Anthony Fauci, the nation’s top infectious disease expert, told CNN in April. “Obviously, no one is going to deny that.”

One May study from Columbia University estimated that the U.S. could have averted roughly 36,000 COVID-19 deaths before May if sweeping mitigation measures imposed on March 15 had instead gone into effect a week earlier.

Almost 54,000 deaths would have been avoided in that time frame had the same interventi­ons started two weeks earlier, the study said.

“Had we mustered the political and public will to act as we did two weeks earlier, 90% of deaths through the beginning of May would have been averted,” said study author Jeffrey Shaman, a professor of environmen­tal health sciences.

But the study “doesn’t blame Trump,” Shaman said, although he added that “the country has witnessed a complete lack of federal leadership.”

Other experts have also made estimates. A pair of epidemiolo­gists wrote in an April op-ed for the New York Times that “an estimated 90% of deaths” from the first wave of U.S. cases “might have been prevented by putting social distancing policies into effect two weeks earlier.”

Op-ed co-author Nicholas Jewell, a professor of biostatist­ics at the University

of California, Berkeley, said it would be “magical thinking” to suggest 100% of COVID-19 deaths could have been prevented. “I haven’t seen any country really succeed to that extent,” Jewell said.

In a June op-ed for Stat, researcher­s compared the U.S. response with similar nations. Accounting for differences in population and the different timings of the outbreaks in each country, they concluded that the U.S. could have prevented many deaths.

If, for example, the U.S. “had acted as effectively as Germany, 70% of U.S. coronaviru­s deaths might have been prevented” in the four months after the U.S. recorded its first 15 cases of the coronaviru­s, the researcher­s wrote. More lives would have been saved had the U.S. mirrored the responses of other countries such as South Korea, they said.

The picture hasn’t been much rosier of late. “If you look at May and June 1, since then, we’ve done dreadfully in the U.S.,” Jewell said.

Still, Biden’s claim that “all the people would still be alive” had Trump responded differently is an overstatem­ent. “I don’t see how there is any truth to that,” Nichols said.

The Biden campaign did not respond to requests for comment.

Our ruling

Biden said, “If the president had done his job, had done his job from the beginning, all the people would still be alive. All the people. I’m not making this up. Just look at the data.”

Experts disagreed with that assessment. A stronger U.S. response could have saved many lives, experts said, but not every one.

We rate this statement False.

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