From Clinton to Trump, 20 years of boom and mostly bust in prepping for pandemics - 0 views
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In April 1998, president Bill Clinton read a Richard preston novel, "The Cobra Event," about a biological attack on the U.S. using a lethal virus that spreads like the common cold.
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the result was the first federal government effort to marshal resources in preparation for a pandemic, including the creation of the National Emergency Medical Stockpile, which stowed vaccines and medical gear in secret locations around the country. Bernard was appointed as the first official on the National Security Council whose sole job was to focus on health threats.
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Instead, it kicked off a boom-and-bust cycle of pandemic preparedness that persisted into the Trump administration. By many accounts, Trump fell on the bust side of the equation when he fired his top biosecurity adviser, allowed the disbanding of his global health unit, and initially downplayed the coronavirus as it spread across the world.
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The result was a perfect storm: A U.S. government not well prepared for a pandemic, run by a president who was slow to act after his intelligence community and public health advisers were warning about the dangers.
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U.S. government over 20 years of successive administrations and Congresses failed to heed the warnings by taking basic steps that would have made it easier to quickly respond to a fast spreading and lethal pathogen. They didn't set up and fund a large volunteer medical reserve corps, for example, or build surplus hospital capacity, or create a system to quickly produce and deploy virus tests.
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elected officials from both parties have never fully geared up for the biological threat, former officials and public health experts told NBC News. Each new White House deprioritized the issue, only to elevate it later after some defining event led to a presidential revelation. They then belatedly scrambled to respond with ambitious plans and initiatives, which faded after a few years.
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"Here's the problem: In 10 years, if there's no pandemic, then everybody starts getting a bit relaxed," said Michael Leavitt, a former Utah governor who served as secretary of Health and Human Services in the Bush administration.
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When President George W. Bush took office in 2001, Bernard wrote a transition memo. He soon learned the Bush team had eliminated his job as White House biodefense czar.
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But after 9/11 and the subsequent anthrax attacks, the newly created Department of Homeland Security hired Bernard back, with added staff, to run a bio-preparedness unit.
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After Bush read a book about the 1918 influenza pandemic in 2005, he forced his administration to double down on pandemic preparation, replenishing the stockpile and creating an early warning system.
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officials deserved "at least a B-plus," and Mount Sinai virologist peter palese called the overall response "excellent." Republicans in Congress praised the CDC for developing a vaccine in six months.
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When Ebola erupted in Africa in 2014, Obama brought in an outsider, Ron Klain, to run the federal response. The effort was widely praised, as was Obama's response to the 2016 Zika virus outbreak. But afterward, the Obama administration failed to fully replenish the federal stockpiles, according to research by propublica and USA Today.
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Under Obama and a mostly Republican-controlled Congress, public health spending declined. per capita public health spending, adjusted for inflation, rose from $39 in 1960 to $281 in 2008, and fell by 9.3 percent from 2008 to 2016, according to a 2016 study published in the American Journal of public Health. It has fallen further under the Trump administration, records show.
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During the transition from Obama to Trump, Obama officials conducted a tabletop exercise based on a pandemic with incoming Trump aides. But in his second year as president, Trump fired his top official in charge of pandemic response, Tom Bossert, and did not replace him. Trump then allowed his national security adviser to disband the NSC's global health unit. As a result, when alerts about coronavirus began to emanate from the intelligence and public health communities, there was no senior official in the White House to coordinate a response.
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"Every administration has at some point in time gotten religion and realized there is a program and dusted it off and used it," Clarke told NBC News."Except this one."
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"The disease-causing microbes of the planet," wrote Garrett, "far from having been defeated, [are] posing ever greater threats to humanity."
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The exercise predicted many of the problems besetting the coronavirus response – confused lines of authority, shortages of medical gear, controversies over social distancing.
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They failed to set up a system that would insure the rapid deployment of tests for a novel virus. And they failed to replenish a federal stockpile that hospital officials say is both insufficiently stocked and rife with defective gear.
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Those failures — and the late start on gear purchases by the Trump administration — have severely hampered the U.S. response to coronavirus, said Scott Gottlieb, who ran the FDA from 2017 to 2019.
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"In no way, shape or form can anyone say that we weren't warned, that the information wasn't available and shared with them," he said. "We've known about the risk of pandemics, and war gamed them literally going back some 30 years."