Covid, Government Failure and Unintended Consequences

See After a Pandemic Failure, the U.S. Needs a New Public Spirit by Zeynep Tufekci in The New York Times. Excerpts: 

"One of the most dangerous things about Covid-19 is not necessarily what it does to any given person who is infected by the coronavirus but that someone can be contagious and not even know about it for days — if at all. The disease can spread before symptoms start and sometimes even without any ever appearing.

At the start of the pandemic, this meant that the number of people who needed to be tested would be far, far greater than the number of people who were visibly sick after suspecting that they came into contact with the virus. This was the first major test for the Food and Drug Administration and the C.D.C. — develop a test and deploy it at scale — and it was one they resoundingly failed."

Their delay in developing a sufficient number of reliable tests and in systematically collecting surveillance data meant that health responders didn’t have a clear sense of where the virus was spreading as it started to rip across the country. But even if they didn’t necessarily know where the virus was, there were simple precautions that officials could advise anyone to take, such as wearing masks. This was another critical test the United States failed. The C.D.C. didn’t advise people to wear masks until April 2020, when more than a thousand people a day were dying from Covid and many thousands more were infected.

Yet another failure is America’s approach to rapid at-home tests. Here, they are expensive, the supply is fickle, and the public remains confused about their use. The home tests can’t detect the minute levels of virus that the lab tests can find but do return positives when viral loads are high. That means they can alert people within minutes when they are likely to be most infectious. With frequent and widespread use, they can help dampen spread. While many countries have embraced at-home tests as a way to have a more normal daily life — in Britain you can get a pack of tests free, and other countries sell them in vending machines — the United States only recently started increasing their availability and working to reduce their costs.

For too long, F.D.A. officials authorized only a few tests and required a prescription for them. Experts argued tests that failed to detect all infections would give people a false sense of confidence. It was similar to the argument made by officials who initially said masks would make people ignore other public safety measures: The public wasn’t to be trusted. Instead, regulators denied people crucial, if imperfect, tools rather than educate and empower them.

That distrust of the public could not have enhanced the public’s trust in officials, which was so vital, and so lacking, when the government urged people to get vaccinated. This is true across the political spectrum. When it was reported in September 2020 that some vaccines might be available by early November, it was often Democrats and liberals who expressed great skepticism about the speed and suspected the Trump administration was pressuring regulatory agencies to take shortcuts with safety."

"There’s been significant underfunding of public health in the United States, along with other parts of our national infrastructure, but the problem is deeper than just lack of resources. Former officials frequently end up working for the very companies they oversaw, often helping them stave off regulation or acting as lobbyists writing laws to benefit their companies.

Many politicians from both parties are unwilling or incapable of reining in this process; it’s reasonable to assume that’s at least partly because they are cozy with powerful interests that help them get elected."