How Trump Gutted Obama’s Pandemic-Preparedness Systems

The Trump/Pence regime continues to try to re-write the regime's bungled response to the coronavirus pandemic, that has ranged from (i) the dissolution of the Obama pandemic directorate within the National Security Council, (ii) a willful blindness to anything that doesn't conform to a right wing ideology, to (ii) Trump's rejection of science and objective facts while pandering to his knuckle dragging base (today he called armed protesters who stormed thew Michigan legislature "very good people"). It is critical in the lead up to 2020 election that voters understand the Trump regime's ineptitude and role in making the pandemic even worse. A piece in Vanity Fair reviews the bungling that is the hallmark of the Trump/Pence regime.  Here are article excerpts:

When the first reported cases of Ebola in Guinea came to light in March 2014, it set off a mad scramble inside the Obama White House to track and contain the spread of the virus, which killed around 50% of the people it infected. Though not nearly as contagious as the current coronavirus, an epidemic, or even a pandemic, seemed possible if the disease weren’t confined to its West African redoubts. The Obama White House had clear protocols and chains of command for these kinds of threats. “The way to stop the forest fire is to isolate the embers,” Beth Cameron, a former civil servant who ran the White House’s National Security Council Directorate for Global Health Security and Biodefense, told me.

In the summer of 2018, on John Bolton’s watch, the team Cameron once ran was one of three directorates merged into one amid an overhaul and streamlining of Donald Trump’s National Security Council. And the position Monaco previously held, homeland-security adviser, was downgraded, stripped of its authority to convene the cabinet.

Obama’s team never faced a crisis as serious as the novel coronavirus, a truly unprecedented challenge. But officials who worked on past crises and experts on pandemic response believe that Trump’s dismissal—and in some aspects, wholesale discarding—of the Obama administration’s preparedness structures and principles, and the current administration’s ideas about government. . . . have left them dangerously unprepared.

“What the administration lacked in February, and still lacks today is articulating an overall strategy for managing this crisis,” a former administration official told me.

Trump has yet to do this. “President Trump has, throughout this, seemed a little schizophrenic about his role, . . . . “On the one hand, he clearly wants all the credit for it when things go right. On the other hand, he has furiously attempted to avoid having to take ownership for the success of the effort…he wants the credit without the accountability.”

The biggest difference between Obama’s approach and Trump has to do with science. “Traditionally, we have had a situation where the response is always scientifically, technically proven,” says a former government official. “Of course there are political considerations. But the options that are presented are fundamentally sound from a scientific perspective.”

In the current situation, the president decides which scientists and governmental organizations are listened to. “We’re seeing that institutions like the FDA and the CDC have been curtailed; their ability to do the right thing has been curtailed,”  . . .

Trump critics are quick to draw contrast between the COVID-19 and Ebola crises. Obama, they assert, was guided by objective facts. “One of the principles [that] President Obama was very clear on when it came to public health crises is you have to be guided by science and facts and speak clearly and consistently and credibly on those issues,” . . . . “President Obama’s view was, we’re not going to be buffeted by the political winds here. We’re going to go with what the scientists and the public health experts tell us is in our best interest,” she said.

The U.S. crisis response structure has not been equipped to span all 50 states. “The system...is very heavily designed around a relatively short duration, very geographically specific incidents, things like hurricanes and earthquakes and tornadoes and tsunamis,” the former administration official told me. The refrain is, “locally executed, state managed, and federally supported.” And the thinking goes, when a locality gets overwhelmed—say a hurricane or a tornado hits—it goes to its state; if that state gets overwhelmed it will go to neighboring states for assistance, mutual aid; and when that system is exhausted, the federal government steps in with additional resources.

It is this federal-support piece that has been missing, sources I spoke with say.

The reorganization and streamlining of the National Security Council in the Trump era, specifically whether Bolton dismantled an office focused on pandemics, has emerged as a point of discussion and competing narratives. At the start of the Trump administration, Tom Bossert held the position and, as an assistant to the president, had the highest rank of commissioned officers in the White House. Cameron recalled that during the presidential transition, Rice pushed for pandemics to be one of the three topics covered in an exercise with the incoming administration.

But when Bolton was tapped to replace H.R. McMaster, Bossert was shown the door and the position was downgraded to a deputy assistant to the president, no longer able to convene the cabinet. . . . Today, the position of homeland-security adviser is vacant.

The role of the homeland-security adviser was created after the 9/11 attacks, the premise being that one person in the West Wing, steps away from the Oval Office, was focused solely on immediate domestic threats. “The idea is you want somebody in the White House who is directly and immediately responsible to the president on these issues,” explained Monaco, who earned the nickname “Dr. Doom” from Obama in the role. . . . you need to have that direction and an ability to quickly break through bureaucratic impediments and move quickly...pursuant to an overall strategy.”

The novel coronavirus is exposing the inadequacies of a cornerstone of Trump’s (and Kushner’s) governing philosophy. “The entire argument behind electing Donald Trump is that business can handle anything better than the government, right? So the entire philosophy, the entire ideology of every senior leader in the White House and that they’ve installed across the federal government is, ‘Get the private sector to do it.

But the problem is, there are some things only the federal government can do, after all. “This is the crisis for this administration, just as every administration faces, that challenges its ideology and worldview to its core and cannot be effectively addressed with that worldview.”

With no sign that Trump is poised to fill the leadership vacuum, sources I spoke with fear the devastation is only beginning. “I think that we will eventually come out the other side, but it’s going to be one where it would take longer and they would lead to more loss of life,” the former government official told me.

Juliette Kayyem, a former homeland-security official in the Obama administration who played a critical role in the H1N1 crisis and the vaccination rollout, was blunt in her assessment. “President Trump does not have the capacity to govern a mass vaccine-distribution program because that’s going to be some really hard decisions,” she told me. For instance, who gets it first? . . . . The biggest problem she sees today is, “This president doesn’t make decisions based on objective criteria.”

Why Trump Failed America

If one is honest, looks at the facts, all of Trump's lies, and considers all the ways that the Trump/Pence regime weakened America's ability to meet the Covid-19 crisis  - e.g, disbanding the National Security Council pandemic directorate, slashing funding for the CDC, and rescinding Obama era regulations for nursing homes that might has slowed the spread of the virus among the  nursing home residents - the only conclusion is that Trump has spectacularly failed America. But even beyond all of this, there is an added reason for Trump's failure: he is a malignant narcissist who lies incessantly and cares only about himself and satiating his unquenchable ego.  All the warning signs were on open display ranging from his boasts about "grabbing p*ssy" without consequence to being able to shoot someone on 5th Avenue without consequence.  Sadly, Trump's calls to racism and religious extremism were followed by many who should have known better even as Democrats in a funk stayed home and by default voted for Trump.  A column at CNN looks at all of this and Trump's very nature that guaranteed his huge failure to safeguard America.  Americans should never again put someone with Trump's mental and psychological illness in the Oval Office - or any high office.  Here are column excerpts:

Watching President Donald Trump wrestle with this epic crisis reminds me of the old fable about the Scorpion and the Frog.

You'll remember that the scorpion asks the frog for a ride across a river, only to sting the frog when they are midway across. When the startled frog asks why the scorpion would repay his kindness so cruelly and kill them both, the scorpion shrugs. "It's my nature." Trump could have made this unparalleled and agonizing trial for our country an occasion for personal triumph — if he were only able to take the personal out of it. But that is not his nature.

This moment of extraordinary pain and crisis calls for steadiness and sobriety; empathy for the widespread pain and suffering of others; absolute transparency; a willingness to listen and learn; and rigorous, disciplined attention to detail. None of these qualities are within his nature.

Many governors across America have enhanced their popularity simply by doing their jobs during this deadly outbreak of the coronavirus. Even in a polarized nation, it might have been the same for Trump if, from the start, he had leveled with the country about the nature of the threat, followed expert advice and made the case for the painful and decisive steps required to save lives.   But that's not his nature. Instead, the [Trump] President spent six weeks dismissing the threat and offering false assurances as public health experts frantically warned what was to come.
 Trump ostensibly feared that an acknowledgment of the severity of the virus and the draconian steps required to protect Americans would tank the stock market and the economy, which he had hoped to make the springboard to his re-election. So he insisted on an alternative storyline. US cases would not surpass 15, he said in February, even as some public health experts warned of a potential pandemic. "Miraculously," he suggested with a flourish, the virus could just fade away with a change in the weather.
 As Covid-19 had begun its deadly march across the nation, Trump was accusing Democrats and the media of politicizing the disease in what amounted to a Coronavirus "hoax" to damage him.

While some governors were mobilizing against the threat, [Trump] the President sent the nation and federal bureaucracy the opposite signal, delaying the necessary steps, which cost the nation valuable time to gird for the battle and deepened the crisis.
 Since the day he finally recalibrated, appearing at the podium in the White House briefing room in March to declare war on Covid-19, [Trump] the President has spent most of his briefing time spinning his administration's uneven and tardy response (which he rated a 10 out of 10) rather than giving the American people the sober and accurate assessment they need. Truth and accountability are not his nature. Americans of all stripes are bound together by a common calamity, hungry for a unifying leader who will rise above partisanship. But that is not Trump's nature. He has suggested that governors, desperately asking the federal government for more testing supplies, were acting out of political motivation.
 Trump is who Trump has been from the beginning of his long career in the public eye: a super narcissist and shameless self-promoter, unwilling to accept responsibility or the truth and unable to think about anyone but himself. If he had been more in this historic moment, it would have done so much to strengthen his brand and his prospects of reelection -- not to mention comfort his wounded country. But it is no surprise that he could not. It's just not his nature.

The Missing 6 Weeks: How Trump Failed the Biggest Test

Yesterday Donald Trump inflicted himself on Norfolk, Virginia, just across the harbor from where I sit.  Trump visited Norfolk for the photo op of the Navy hospital ship Comfort casting off to head to New York City.  Trump desperately wants to remain the center of the news - such is what happens when one is a malignant narcissistic - and wants to rewrite history to hide the reality that when leadership was needed back in January, 2020, he miserably failed the test,  Rather that act boldly when the first case of coronaviris appeared in the USA, Trump equivocated and lied, all standard  mode of operation for a man who cares about no one but himself.  Norfolk and the Navy needed Trump in town like a hole in the head but none of that mattered.  It was all about the photo op for the narcissist.  A long piece in The Guardian (it is a must read) looks at Trump's massive failure when it counted most.  The lesson?  Do not elect a reality TV personality to hold a critically important position.   Every American who voted for Trump due to his pandering to their prejudices, racism and bigotry shares a responsibility for the disaster that continues to unfold.  Here are article excerpts: 

When the definitive history of the coronavirus pandemic is written, the date 20 January 2020 is certain to feature prominently. It was on that day that a 35-year-old man in Washington state, recently returned from visiting family in Wuhan in China, became the first person in the US to be diagnosed with the virus.

On the very same day, 5,000 miles away in Asia, the first confirmed case of Covid-19 was reported in South Korea. The confluence was striking, but there the similarities ended.

In the two months since that fateful day, the responses to coronavirus displayed by the US and South Korea have been polar opposites.

One country acted swiftly and aggressively to detect and isolate the virus, and by doing so has largely contained the crisis. The other country dithered and procrastinated, became mired in chaos and confusion, was distracted by the individual whims of its leader, and is now confronted by a health emergency of daunting proportions.

Within a week of its first confirmed case, South Korea’s disease control agency had summoned 20 private companies to the medical equivalent of a war-planning summit and told them to develop a test for the virus at lightning speed. A week after that, the first diagnostic test was approved and went into battle, identifying infected individuals who could then be quarantined to halt the advance of the disease.

Some 357,896 tests later, the country [South Korea] has more or less won the coronavirus war. On Friday only 91 new cases were reported in a country of more than 50 million.

The US response tells a different story. Two days after the first diagnosis in Washington state, Donald Trump went on air on CNBC and bragged: “We have it totally under control. It’s one person coming from China. It’s going to be just fine.”

A week after that, the Wall Street Journal published an opinion article by two former top health policy officials within the Trump administration under the headline Act Now to Prevent an American Epidemic. Luciana Borio and Scott Gottlieb laid out a menu of what had to be done instantly to avert a massive health disaster.

It was not until 29 February, more than a month after the Journal article and almost six weeks after the first case of coronavirus was confirmed in the country that the Trump administration put that advice into practice. Laboratories and hospitals would finally be allowed to conduct their own Covid-19 tests to speed up the process.

Those missing four to six weeks are likely to go down in the definitive history as a cautionary tale of the potentially devastating consequences of failed political leadership. Today, 86,012 cases have been confirmed across the US, pushing the nation to the top of the world’s coronavirus league table – above even China.

More than a quarter of those cases are in New York City, now a global center of the coronavirus pandemic, with New Orleans also raising alarm. Nationally, 1,301 people have died.

Most worryingly, the curve of cases continues to rise precipitously, with no sign of the plateau that has spared South Korea.

“The US response will be studied for generations as a textbook example of a disastrous, failed effort,” Ron Klain, who spearheaded the fight against Ebola in 2014, told a Georgetown university panel recently. “What’s happened in Washington has been a fiasco of incredible proportions.”

[T]he White House had all the information it needed by the end of January to act decisively. Instead, Trump repeatedly played down the severity of the threat, blaming China for what he called the “Chinese virus” and insisting falsely that his partial travel bans on China and Europe were all it would take to contain the crisis.

“We didn’t use that time [the six week period] optimally, especially in the case of testing,” said William Schaffner, an infectious diseases specialist at Vanderbilt University medical center. “We have been playing reluctant catch-up throughout.”

As Schaffner sees it, the stuttering provision of mass testing “put us behind the eight-ball” right at the start. “It did not permit us, and still doesn’t permit us, to define the extent of the virus in this country.”

In the absence of sufficient test kits, the US Centers of Disease Control and Prevention (CDC) initially kept a tight rein on testing, creating a bottleneck. “I believe the CDC was caught flat-footed,” was how the governor of New York, Andrew Cuomo, put it on 7 March. “They’re slowing down the state.”

The CDC’s botched rollout of testing was the first indication that the Trump administration was faltering as the health emergency gathered pace. Behind the scenes, deep flaws in the way federal agencies had come to operate under Trump were being exposed.

In 2018 the pandemic unit in the national security council – which was tasked to prepare for health emergencies precisely like the current one – was disbanded. . . . . Disbanding the unit exacerbated a trend that was already prevalent after two years of Trump – an exodus of skilled and experienced officials who knew what they were doing.

“There’s been an erosion of expertise, of competent leadership, at important levels of government,” a former senior government official told the Guardian.

“Over time there was a lot of paranoia and people left and they had a hard time attracting good replacements,” the official said. “Nobody wanted to work there.” . . . . It was hardly a morale-boosting gesture when Trump proposed a 16% cut in CDC funding on 10 February – 11 days after the World Health Organization had declared a public health emergency over Covid-19.

The Food and Drug Administration (FDA), which regulates the diagnostic tests and will control any new treatments for coronavirus, has also shown vulnerabilities. The agency recently indicated that it was looking into the possibility of prescribing the malaria drug chloroquine for coronavirus sufferers, even though there is no evidence it would work and some indication it could have serious side-effects.

The decision dismayed experts, given that Trump has personally pushed the unproven remedy on a whim. It smacked of the wave of anti-science sentiment sweeping federal agencies under this presidency.

As the former senior official put it: “We have the FDA bowing to political pressure and making decisions completely counter to modern science.”

Trump has designated himself a “wartime president”. But if the title bears any validity, his military tactics have been highly unconventional. He has exacerbated the problems encountered by federal agencies by playing musical chairs at the top of the coronavirus force.

On 24 February, Trump claimed “the coronavirus is very much under control in the USA”. The next day, Nancy Messonnier, the CDC’s top official on respiratory diseases, took the radically different approach of telling the truth, warning the American people that “disruption to everyday life might be severe”.

Trump was reportedly so angered by the comment and its impact on share prices that he shouted down the phone at Messonnier’s boss, the secretary of health and human services, Alex Azar.

“Messonnier was 100% right. She gave a totally honest and accurate assessment,” Konyndyk told the Guardian. And for that, Trump angrily rebuked her department. “That sent a very clear message about what is and isn’t permissible to say.”

Konyndyk recalls attending a meeting in mid-February with top Trump administration officials present in which the only topic of conversation was the travel bans. That’s when he began to despair about the federal handling of the crisis.

“I thought, ‘Holy Jesus!’ Where’s the discussion on protecting our hospitals? Where’s the discussion on high-risk populations, on surveillance so we can detect where the virus is. I knew then that the president had set the priority, the bureaucracy was following it, but it was the wrong priority.”

So it has transpired. In the wake of the testing disaster has come the personal protective equipment (PPE) disaster, the hospital bed disaster, and now the ventilator disaster.

In a phrase that will stand beside 20 January 2020 as one of the most revelatory moments of the history of coronavirus, he said: “Respirators, ventilators, all of the equipment – try getting it yourselves.”

To date, the Trump administration has supplied 400 ventilators to New York. By Cuomo’s estimation, 30,000 are needed.

“We are seeing the emergence of 50-state anarchy, because of a total vacuum of federal leadership. It’s absurd that thinktanks and Twitter are providing more actionable guidance in the US than the federal government, but that’s where we are.”

Early on in the crisis, Griffeth said, it dawned on her and many of her peers that the federal government to which they would normally look to keep them safe was nowhere to be seen. They resigned themselves to a terrible new reality.

What is most distressing is that the death toll in rural areas and many red states that put Trump in office will likely be far less severe than in urban areas where voters knew Trump was incompetent and unfit for office and voted for Hillary Clinton who would have relied on experts rather than boasting and lying on Twitter. 

The Trump Regime's Disturbing Response to the Coronavirus

So far America seems to have dodge a bullet when it comes to the coronavirus.  That said, there is absolutely no assurance that this will continue and, if it does not, the Trump/Pence regime's response is frightening, especially since science denying Mike Pence has been put in charge of the regime's response and has censorship power over legitimate experts.  Just as disturbing, the regime has indicated that whether one can receive needed treatment if the virus spreads will depend upon one's ability to pay since big Pharma cannot be denied the ability to make huge profits.  A piece in the New York Times looks at the disturbing prospects facing America.  Here are highlights:

So, here’s the response of the Trump team and its allies to the coronavirus, at least so far: It’s actually good for America. Also, it’s a hoax perpetrated by the news media and the Democrats. Besides, it’s no big deal, and people should buy stocks. Anyway, we’ll get it all under control under the leadership of a man who doesn’t believe in science.

From the day Donald Trump was elected, some of us worried how his administration would deal with a crisis not of its own making. Remarkably, we’ve gone three years without finding out: Until now, every serious problem facing the Trump administration, from trade wars to confrontation with Iran, has been self-created. But the coronavirus is looking as if it might be the test we’ve been fearing.

The story of the Trump pandemic response actually began several years ago. Almost as soon as he took office, Trump began cutting funding for the Centers for Disease Control and Prevention, leading in turn to an 80 percent cut in the resources the agency devotes to global disease outbreaks. Trump also shut down the entire global-health-security unit of the National Security Council.

Experts warned that these moves were exposing America to severe risks. “We’ll leave the field open to microbes,” declared Tom Frieden, a much-admired former head of the C.D.C., more than two years ago. But the Trump administration has a preconceived notion about where national security threats come from — basically, scary brown people — and is hostile to science in general. So we entered the current crisis in an already weakened condition.

The first reaction of the Trumpers was to see the coronavirus as a Chinese problem — and to see whatever is bad for China as being good for us. Wilbur Ross, the commerce secretary, cheered it on as a development that would “accelerate the return of jobs to North America.”

The story changed once it became clear that the virus was spreading well beyond China. At that point it became a hoax perpetrated by the news media. Rush Limbaugh weighed in: “It looks like the coronavirus is being weaponized as yet another element to bring down Donald Trump.

And in case you’re wondering, no, the coronavirus isn’t like the common cold. In fact, early indications are that the virus may be as lethal as the 1918 Spanish Flu, which killed as many as 50 million people.
 Financial markets evidently don’t agree that the virus is a hoax; by Thursday afternoon the Dow was off more than 3,000 points since last week. Falling markets appear to worry the administration more than the prospect of, you know, people dying.
 At that point the administration appears to have finally realized that it might need to do something beyond insisting that things were great. But according to The Washington Post’s Greg Sargent and Paul Waldman, it initially proposed paying for a virus response by cutting aid to the poor — specifically, low-income heating subsidies. Cruelty in all things.

On Wednesday Trump held a news conference on the virus, much of it devoted to incoherent jabs at Democrats and the media. He did, however, announce the leader of the government response to the threat. Instead of putting a health care professional in charge, however, he handed the job to Vice President Mike Pence, who has an interesting relationship with both health policy and science.

Early in his political career, Pence staked out a distinctive position on public health, declaring that smoking doesn’t kill people. He has also repeatedly insisted that evolution is just a theory. As governor of Indiana, he blocked a needle exchange program that could have prevented a significant H.I.V. outbreak, calling for prayer instead.

And now, according to The Times, government scientists will need to get Pence’s approval before making public statements about the coronavirus.

If the facts don’t make Trump look good, he and his allies attack the messengers, blaming the news media and the Democrats — while trying to prevent scientists from keeping us informed. And in choosing people to deal with a real crisis, Trump prizes loyalty rather than competence.

Maybe Trump — and America — will be lucky, and this won’t be as bad as it might be. But anyone feeling confident right now isn’t paying attention.