{"id":10224,"date":"2020-06-22T23:57:33","date_gmt":"2020-06-23T06:57:33","guid":{"rendered":"https:\/\/worldcampaign.net\/?p=10224"},"modified":"2020-06-24T04:47:09","modified_gmt":"2020-06-24T11:47:09","slug":"post2-94","status":"publish","type":"post","link":"https:\/\/worldcampaign.net\/?p=10224","title":{"rendered":"&#8220;\u2018The U.S. has hamstrung itself\u2019: How America became the new Italy on coronavirus&#8221;, Politico"},"content":{"rendered":"<p>By Dan Diamond and Sarah Wheaton, 6\/22\/2020<\/p>\n<section class=\"page-content__row page-content__row--story mobile-spacing\">\n<div class=\"container container--story story-layout--fluid-fixed\">\n<p class=\" story-text__paragraph\">Three months ago, public health officials feared that America would be swamped by Covid-19 like Italy. Today, the U.S. would be lucky to swap its coronavirus crisis for theirs.<\/p>\n<p class=\" story-text__paragraph\">Italy\u2019s sudden surge of coronavirus in March swamped hospitals, pushed the nation into a strict lockdown and forced its doctors to ration life-saving ventilators. About 200,000 Italians were sickened and 29,000 died from the virus by May 1 alone. Global health officials seized on Italy \u2014 as the first country outside of China to be battered by the virus \u2014 as a disturbing case study for the rest of the world. In private meetings, White House officials worried that Italy was a preview of the storm about to hit the U.S. health system.<\/p>\n<p class=\" story-text__paragraph\">But Italy announced just 264 new Covid-19 cases on Saturday \u2014 the same day that the United States reported nearly 32,000. The European nation opened its restaurants and stores a month ago, albeit under new, national safety measures, even as U.S. states wrestled with inconsistent, hasty reopening efforts that have been blamed for new virus spikes. And Italy\u2019s outbreak has dramatically ebbed from its mid-March peak, while America\u2019s new per capita cases remain on par with Italy&#8217;s worst day \u2014 and show signs of rising further, with record hospitalizations in states like Arizona, Florida and Texas last week.<\/p>\n<aside class=\"story-enhancement \">\n<div class=\"dispatch-parent story-enhancement bump-in\">\n<section class=\"dispatch-parent-flex\">\n<div class=\"dispatch-today\">\n<p class=\" story-text__paragraph\">\u201cI think there are going to be states in our country that can replicate Italy,\u201d said Ashish Jha, head of Harvard\u2019s Global Health Institute, noting that New York has made its own dramatic strides in containing the virus.<\/p>\n<\/div>\n<\/section>\n<\/div>\n<\/aside>\n<\/div>\n<\/section>\n<section class=\"page-content__row page-content__row--story main-section\">\n<div class=\"container container--story story-layout--fixed-fluid\">\n<div class=\"container__column container__column--story\">\n<div class=\"container__row container__row--story story-layout--fluid-fixed\">\n<div class=\"container__column container__column--story center-horizontally\">\n<div class=\"story-text\">\n<p class=\" story-text__paragraph\">\u201cBut I would rather spend this summer in Rome with my family than in Phoenix.\u201d<\/p>\n<p class=\" story-text__paragraph\">Italy is not alone in driving coronavirus down to manageable levels. Its Western European neighbors Spain and France grappled with damaging outbreaks that killed tens of thousands and prompted lockdowns, only to drive daily new cases below 500. Meanwhile, Germany was able to fend off the virus with relatively low mortality, which some credit to the nation\u2019s robust test-and-trace strategy. The collective recovery of the European nations \u2014 punctuated by Italy\u2019s apparent turnaround \u2014 stands in stark contrast to the muddle facing many parts of America, where the death toll has now topped 120,000.<\/p>\n<p class=\" story-text__paragraph\">Jha and other public health experts say that America\u2019s piecemeal, politicized approach to fighting coronavirus has left the United States ever-further behind the Western European nations that were similarly threatened by the virus but moved more judiciously to fend it off. They also say that Western Europe is a better comparison point for the United States than nations like South Korea and Singapore, which had been scarred by previous viral outbreaks and were more prepared to handle the arrival of Covid-19. After the <a href=\"https:\/\/www.politico.eu\/article\/coronavirus-europe-failed-the-test\/\" target=\"_blank\">damaging initial spike in cases<\/a>, European Union members&#8217; total daily case count is now <a href=\"https:\/\/www.washingtonpost.com\/world\/2020\/06\/19\/countries-keeping-coronavirus-bay-experts-watch-us-case-numbers-with-alarm\/\" target=\"_blank\">about one-eighth<\/a> of the U.S. daily cases \u2014 despite having roughly the same population.<\/p>\n<p class=\" story-text__paragraph\">\u201cBoth we and Western Europe were really slow to act,\u201d said Jeremy Konyndyk of the Center for Global Development, who helped oversee international aid efforts during the Obama administration. \u201cBut the worst performers in Europe with the bad luck to get hit first, like Italy and Spain \u2026 they are now down 85, 95 percent in terms of case counts from the peak.\u201d<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"page-content__row page-content__row--story main-section\" data-content-section=\"9\">\n<div class=\"container container--story story-layout--fixed-fluid\">\n<div class=\"container__column container__column--story\">\n<div class=\"container__row container__row--story story-layout--fluid-fixed\">\n<div class=\"container__column container__column--story center-horizontally\">\n<div class=\"story-text\">\n<p class=\" story-text__paragraph\" data-content-child-index=\"1-1\">\u201cIn the US, we\u2019ve struggled to get it down one-third \u2014 and in the last few days, it looks like it could rebound again,\u201d Konyndyk added.<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"1-1\"><strong>Partisan fights bog down U.S. response<\/strong><\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"1-3\">Public health experts cited multiple factors for why the fortunes of the United States have differed from Western Europe \u2014 starting with the intense politicization that worked against a disciplined response, and the federal government\u2019s decision to let individual states take the lead in reopening. The decisions of some states to end their lockdowns as early as possible \u2014 at levels of infection considerably higher than those that triggered reopening in Western Europe \u2014 appear to have consigned the United States to a far longer battle with the virus.<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"1-4\">President Donald Trump and some Republican governors have bristled at public health experts\u2019 advice, questioning predictions on viral spread and pushing back on recommended lockdowns. GOP-led states like Georgia and Texas reopened their economies<b> <\/b>despite requests from public health experts to wait for more testing and fewer cases.<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"1-5\">Meanwhile, Trump\u2019s allies and pundits on Fox News pushed malaria drugs as possible Covid-19 cures, despite scant evidence, leading to largely fruitless efforts that consumed the time of senior federal officials \u2014 including scientists whose time would have been better spent pursuing other therapies.<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"1-7\">\u201cThere are plenty of people, on cable TV and elsewhere, who exploited that the virus was primarily in New York and other places to say that it&#8217;s a blue state problem,\u201d said Harvard\u2019s Jha. \u201cThey\u2019d ask, \u2018Why are we shutting down Montana when the problem is Manhattan?\u2019\u201d<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"1-7\">Democrats, meanwhile, didn\u2019t condemn hundreds of thousands of people for violating restrictions on mass gatherings to protest police brutality this month. Instead, governors like New Jersey\u2019s Phil Murphy and Michigan\u2019s Gretchen Whitmer broke the lockdown orders that they had extended just days before to join the protests themselves \u2014 moves that confused many Americans about the need for social distancing and fueled charges of hypocrisy from conservatives.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"page-content__row page-content__row--story main-section\">\n<div class=\"container container--story story-layout--fixed-fluid\">\n<div class=\"container__column container__column--story\">\n<div class=\"container__row container__row--story story-layout--fluid-fixed\">\n<div class=\"container__column container__column--story center-horizontally\">\n<div class=\"story-text\">\n<p class=\" story-text__paragraph\">Even basic protections have been politicized in the United States. Trump has eschewed a mask in public and has sometimes mocked others for wearing face coverings \u2014 despite requirements that people wear masks in certain states and ample science that they work to prevent the virus\u2019 spread.<\/p>\n<p class=\" story-text__paragraph\">The president also swiped at mask-wearers in a <a href=\"https:\/\/www.wsj.com\/articles\/trump-talks-juneteenth-john-bolton-economy-in-wsj-interview-11592493771\" target=\"_blank\">Wall Street Journal interview<\/a>last Wednesday, suggesting that some Americans are wearing coverings to signal their disapproval with him. He has repeatedly voiced his hesitation about the widespread coronavirus testing urged by public health experts, including controversial remarks at his rally on Saturday.<\/p>\n<p class=\" story-text__paragraph\">&#8220;When you do testing to that extent, you&#8217;re going to find more people,&#8221; Trump said during his rally in Tulsa, Okla. &#8220;You&#8217;re going to find more cases. So I said to my people, slow the testing down please.&#8221; White House officials claimed Trump was joking.<\/p>\n<p class=\" story-text__paragraph\">But in Italy, there\u2019s been much less disagreement over scientists\u2019 recommendations \u2014 including lockdowns that were more restrictive than those applied in the United States \u2014 particularly after the virus swiftly tore through the nation in early March, peaking at 6,557 new cases announced on March 21. (Adjusted for population, that would be equivalent to about 35,400 new cases in the United States.) While some protested, residents largely went along with restrictions that effectively banned jogging, instituted one-at-a-time entry policies for grocery stores and saw the Pope livestream his Easter Mass from an empty St. Peter\u2019s Basilica.<\/p>\n<p class=\" story-text__paragraph\">That still wasn\u2019t enough to spare Italy from horrific consequences in the early spring: Doctors had to make decisions on the fly about <a href=\"https:\/\/www.politico.eu\/article\/coronavirus-italy-doctors-tough-calls-survival\/\" target=\"_blank\">who would get life-saving care<\/a> when there weren\u2019t enough beds to go around. Dead bodies had to be stored in sealed-off rooms until funeral services were available in the worst-hit regions.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"page-content__row page-content__row--story main-section\" data-content-section=\"16\">\n<div class=\"container container--story story-layout--fixed-fluid\">\n<div class=\"container__column container__column--story\">\n<div class=\"container__row container__row--story story-layout--fluid-fixed\">\n<div class=\"container__column container__column--story center-horizontally\">\n<div class=\"story-text\">\n<p class=\" story-text__paragraph\" data-content-child-index=\"2-0\">\u201cThe Italian crisis provoked by Covid-19 is the most serious event in Italian history after World War II,\u201d Italian doctors Ciro Indolfi and Carmen Spaccarotella <a href=\"https:\/\/casereports.onlinejacc.org\/content\/early\/2020\/04\/22\/j.jaccas.2020.03.012\" target=\"_blank\">wrote in April&#8217;s Journal of the American College of Cardiology<\/a>. \u201cIt is a national human, health, and economic tragedy.\u201d<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"2-0\">But the devastation hit home in a way that prompted broad acceptance of lockdown measures. Political leaders largely embraced the need for personal protection and have even policed each other. Prime Minister Giuseppe Conte regularly wears a mask in public \u2014 and when he attempted to remove it to speak to his parliament in April, <a href=\"https:\/\/www.youtube.com\/watch?v=dSHp4eoMv34\" target=\"_blank\">he was heckled<\/a> by fellow lawmakers.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"page-content__row page-content__row--story main-section\" data-content-section=\"23\">\n<div class=\"container container--story story-layout--fixed-fluid\">\n<div class=\"container__column container__column--story\">\n<div class=\"container__row container__row--story story-layout--fluid-fixed\">\n<div class=\"container__column container__column--story center-horizontally\">\n<div class=\"story-text\">\n<p class=\" story-text__paragraph\" data-content-child-index=\"2-1\">When far-right populist leader Matteo Salvini tried to take a page from the Trump playbook, tweeting accusations that the virus came from a Chinese lab and <a href=\"https:\/\/www.politico.eu\/article\/matteo-salvini-coronavirus-occupies-italian-parliament-in-lockdown-protest\/\" target=\"_blank\">occupying the parliament<\/a> in protest of lockdowns, <a href=\"https:\/\/www.politico.eu\/article\/italy-matteo-salvinis-league-coronavirus-slump\/\" target=\"_blank\">the move backfired<\/a>. His party, the League, is still the most popular party in Italy\u2019s polls, backed by about 25 percent of voters,<b> <\/b>but support has dropped since February and its lead over the center-left Democratic party has narrowed considerably.<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"2-2\">\u201cOne issue that was amazing about all this: Italians took the quarantine seriously, they collaborated with the central orders and were able to follow the guidelines\u201d despite widespread economic suffering, said Raffaella Sadun, a Harvard Business School professor who advised Italy\u2019s prime minister on the crisis. \u201cThis may be the primary point of difference with what we are seeing in the U.S.\u201d<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"2-2\"><strong>National leadership takes center stage<\/strong><\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"2-4\">The early wave of coronavirus cases blindsided leaders around the globe \u2014 although those leaders adopted significantly different paths to respond.<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"2-5\">\u201cWhoever the leadership was, we would\u2019ve had an outbreak. Virtually every country has,\u201d said Jennifer Kates, director of the Kaiser Family Foundation\u2019s global health policy work. \u201cThe United States clearly performed poorly at many points along the way in January, in February, in March.\u201d<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"2-6\">In the United States, Trump\u2019s deputies <a href=\"https:\/\/www.politico.com\/news\/2020\/03\/07\/trump-coronavirus-management-style-123465\" target=\"_blank\">struggled to convince<\/a> the president to take necessary steps to fend off Covid-19 across February and March, ranging from mobilizing more parts of the federal government to ensuring the availability of adequate testing. Even after Trump recognized the severity of the crisis by mid-March, the White House largely delegated the subsequent response to states \u2014 forcing governors to end up bidding against each other for supplies and resources, and fueling broader chaos.<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"2-7\">But in famously fractious Italy, after some initial confusion over who was in charge, national leadership devised a more centralized plan that regional governors could follow. In Germany, lawmakers gave the federal government emergency authority to impose health measures across the 16 states. Likewise, the European Union leaders in Brussels <a href=\"https:\/\/www.politico.eu\/article\/coronavirus-europe-failed-the-test\/\" target=\"_blank\">ultimately convinced<\/a> national capitals to stop hoarding medical supplies, coordinate border closures and start discussing the appropriate standards for ending lockdowns well in advance.<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"2-7\">The European countries\u2019 response hasn\u2019t been seamless. Spain was initially hamstrung by <a href=\"https:\/\/www.politico.eu\/article\/devolved-spain-struggles-for-unity-against-coronavirus-pedro-sanchez\/\" target=\"_blank\">Madrid\u2019s failure to get its fractious regions in line<\/a>, and German Chancellor Angela Merkel has faced her own challenges from unhappy regional leaders. But up-front coordination and quick decisions paid dividends across the monthslong crisis, experts said.<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"2-7\">\u201cOne of the strengths about a federation or a nation is that you can centralize priorities and goods like acquiring personal protective equipment, or policies like when to test for coronavirus,\u201d said Alexandra Phelan of Georgetown\u2019s Center for Global Health Science and Security.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"page-content__row page-content__row--story main-section\" data-content-section=\"31\">\n<div class=\"container container--story story-layout--fixed-fluid\">\n<div class=\"container__column container__column--story\">\n<div class=\"container__row container__row--story story-layout--fluid-fixed\">\n<div class=\"container__column container__column--story center-horizontally\">\n<div class=\"story-text\">\n<p class=\" story-text__paragraph\" data-content-child-index=\"3-1\">\u201cThat central cohesive role of a federal government has been lacking in the United States,\u201d Phelan added. \u201cIn a way, the U.S. has hamstrung itself.\u201d<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"3-2\">Another significant difference: how national leaders abroad publicly incorporated the advice of their top health advisers, even as Trump often undermined the messages of experts like infectious disease doctor Anthony Fauci \u2014 sometimes as they shared the same stage.<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"3-3\">&#8220;Countries that have had good understanding between political leaders and public health leaders have done the best,\u201d said David Heymann, a professor of infectious disease epidemiology at the London School of Hygiene &amp; Tropical Medicine who led the global response to the SARS outbreak in 2003. He pointed to Germany as a good example, where its public health institute \u201chas been a constant adviser to the government, and the government has taken the information and used it.\u201d<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"3-3\"><strong>No time for American exceptionalism<\/strong><\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"3-5\">Even as the coronavirus situation began to worsen across the winter, Trump administration leaders repeatedly touted the U.S. health system as an advantage that other nations lacked \u2014 and, as independent experts acknowledged, for good reason.<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"3-6\">A <a href=\"https:\/\/www.ghsindex.org\/\" target=\"_blank\">scorecard issued<\/a> by the Nuclear Threat Initiative and the Johns Hopkins Center for Healthy Security in October 2019 ranked the United States the most-prepared nation to face a pandemic, citing ample investments in infectious disease detection and response, led by organizations like the Centers for Disease Control. Meanwhile, Italy ranked 31st in preparedness, falling behind nations like Estonia and Indonesia.<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"3-7\">But the all-encompassing faith in the U.S. infrastructure turned out to be misplaced, exemplified by the CDC\u2019s early failure on testing, which contributed to coronavirus\u2019 silent spread. Trump\u2019s own vows in February and March that the virus would simply \u201cdisappear\u201d put the United States out of step with other developed nations.<\/p>\n<p class=\" story-text__paragraph\" data-content-child-index=\"3-8\">\u201cHow much of that was America knows best, America can handle this\u2026 that was certainly part of the decision-making,\u201d said Kates of the Kaiser Family Foundation. \u201cThat turned out to be the wrong call.\u201d<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"page-content__row page-content__row--story main-section\">\n<div class=\"container container--story story-layout--fixed-fluid\">\n<div class=\"container__column container__column--story\">\n<div class=\"container__row container__row--story story-layout--fluid-fixed\">\n<div class=\"container__column container__column--story center-horizontally\">\n<div class=\"story-text\">\n<p class=\" story-text__paragraph\">Meanwhile, the administration\u2019s aggressive, isolationist posture \u2014 with Trump bashing global health experts and threatening to yank the United States\u2019 funding from the World Health Organization \u2014 has done little to help coordination. And nations like Italy, which provide universal health care access to citizens, simplified residents\u2019 efforts to get tested and treated.<\/p>\n<p class=\" story-text__paragraph\">The insular thinking in the United States has alarmed global health experts, who said that opportunities to learn from other nations were missed.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"page-content__row page-content__row--story main-section\">\n<div class=\"container container--story story-layout--fixed-fluid\">\n<div class=\"container__column container__column--story\">\n<div class=\"container__row container__row--story story-layout--fluid-fixed\">\n<div class=\"container__column container__column--story center-horizontally\">\n<div class=\"story-text\">\n<p class=\" story-text__paragraph\">\u201cThere was no sound reason to think that a virus capable of overwhelming the health systems of China and Italy would prove any less dangerous in the United States,\u201d Konyndyk of the Center for Global Development <a href=\"https:\/\/www.foreignaffairs.com\/articles\/united-states\/2020-06-08\/exceptionalism-killing-americans\" target=\"_blank\">wrote in Foreign Affairs<\/a> this month. \u201cBut leaders across American society imagined that somehow the United States would be spared the ravages of the disease.\u201d<\/p>\n<p class=\" story-text__paragraph\"><strong>A push to reopen<\/strong><\/p>\n<p class=\" story-text__paragraph\">If the United States had waited just a few more weeks to lift lockdowns \u2014 or more rigorously imposed them in the first place \u2014 that could\u2019ve driven cases down much further, experts agree.<\/p>\n<p class=\" story-text__paragraph\">\u201cWe know that a one-week delay in imposing lockdowns, given the exponential nature of transmission, could have reduced cases by 50 percent,\u201d said Georgetown\u2019s Phelan, who acknowledges the downsides of social distancing for economies.<\/p>\n<p class=\" story-text__paragraph\">European countries\u2019 \u201cinitial reopening phase was more or less comparable to our full lockdown phase. And they were much more judicious and consistent in how they applied it,\u201d said Konyndyk. \u201cThey had a much more hard-nosed and a much more consistent approach to limiting transmission.\u201d<\/p>\n<p class=\" story-text__paragraph\">The experts acknowledged that Covid-19 has proven to be a fearsome opponent and that small flare-ups can quickly mushroom into major outbreaks, changing the calculus on which countries have contained the virus.<\/p>\n<p class=\" story-text__paragraph\">But for now, the European Centre for Disease Prevention and Control \u2014 modeled on the U.S. CDC \u2014 has given European countries a pat on the back last week.<\/p>\n<p class=\" story-text__paragraph\">\u201cDecreasing trends in disease incidence are observed and sustained\u201d in almost all EU countries, the European health agency\u2019s <a href=\"https:\/\/www.ecdc.europa.eu\/en\/current-risk-assessment-novel-coronavirus-situation\" target=\"_blank\">latest threat assessment declared<\/a>. While no one knows exactly which types of social distancing measures are best, or just how intense they need to be, the ECDC said, \u201csuch measures appear to have been associated, at least temporarily, with decreases in the number of newly reported cases.\u201d<\/p>\n<p class=\" story-text__paragraph\">\u201cThe lesson for the United States, in my opinion, is \u2026 the only strategy, in the absence of the vaccine and specific therapy, during the Covid-19 pandemic is social isolation and the use of masks,\u201d said Indolfi, the Italian cardiologist.<\/p>\n<p class=\" story-text__paragraph\">Indolfi \u2014 who lives in Calabria, a southern region of Italy that <a href=\"https:\/\/www.nytimes.com\/2020\/04\/21\/world\/europe\/italy-coronavirus-south.html\" target=\"_blank\">experts worried<\/a>was at high risk if Covid-19 got a foothold, given its lack of infrastructure \u2014 noted that his nation\u2019s coronavirus intensive care wards are virtually empty and that the pandemic \u201ccan be considered practically over.\u201d<\/p>\n<p class=\" story-text__paragraph\">\u201cAt the present time, in Italy people consider themselves safer,\u201d he said.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"page-content__row page-content__row--story main-section\">\n<div class=\"container container--story story-layout--fixed-fluid\">\n<div class=\"container__column container__column--story\">\n<div class=\"container__row container__row--story story-layout--fluid-fixed\">\n<div class=\"container__column container__column--story center-horizontally\">\n<div class=\"story-text\">\n<p class=\" story-text__paragraph\">Several experts like Phelan, who also serve as public health professors, said that they\u2019d already begun incorporating the U.S. response into their classes as a lesson on public health failures.<\/p>\n<p class=\" story-text__paragraph\">\u201cI know for my course, this is pretty much going to be all we\u2019ll talk about,\u201d said Phelan, who teaches national and global health law at Georgetown.<\/p>\n<p class=\" story-text__paragraph\">Kates, of the Kaiser Family Foundation, concluded, \u201cYou would not look to the United States as a case study of how to do this well. The U.S. has in the past, and could in the future, shown tremendous leadership in health crises. &#8230; The fact that we couldn&#8217;t do it in this case \u2014 it is depressing, as a global health person.\u201d<\/p>\n<p class=\" story-text__paragraph\">Harvard\u2019s Jha, who said he\u2019s long championed some flexibilities in the U.S. health system compared to nations with socialized health care, said he\u2019s come to his own grim conclusion about America\u2019s often scattershot response to coronavirus.<\/p>\n<p class=\" story-text__paragraph\">\u201cWe may end up being the worst of any country in the world in terms of our response,\u201d Jha said. \u201cItaly\u2026 they&#8217;re going to do way better than us.\u201d<\/p>\n<p class=\" story-text__paragraph\"><i>Carlo Martuscelli contributed to this report.<\/i><\/p>\n<p class=\" story-text__paragraph\"><a href=\"https:\/\/www.politico.com\/news\/2020\/06\/22\/united-states-italy-traded-places-coronavirus-333122\">Politico<\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>By Dan Diamond and Sarah Wheaton, 6\/22\/2020 Three months ago, public health officials feared that America would be swamped by Covid-19 like Italy. Today, the U.S. would be lucky to swap its coronavirus crisis for theirs. Italy\u2019s sudden surge of coronavirus in March swamped hospitals, pushed the nation into a strict lockdown and forced its [&hellip;]<\/p>\n","protected":false},"author":1001004,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[],"_links":{"self":[{"href":"https:\/\/worldcampaign.net\/index.php?rest_route=\/wp\/v2\/posts\/10224"}],"collection":[{"href":"https:\/\/worldcampaign.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/worldcampaign.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/worldcampaign.net\/index.php?rest_route=\/wp\/v2\/users\/1001004"}],"replies":[{"embeddable":true,"href":"https:\/\/worldcampaign.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=10224"}],"version-history":[{"count":5,"href":"https:\/\/worldcampaign.net\/index.php?rest_route=\/wp\/v2\/posts\/10224\/revisions"}],"predecessor-version":[{"id":10238,"href":"https:\/\/worldcampaign.net\/index.php?rest_route=\/wp\/v2\/posts\/10224\/revisions\/10238"}],"wp:attachment":[{"href":"https:\/\/worldcampaign.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10224"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/worldcampaign.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10224"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/worldcampaign.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10224"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}