Reflections on the COVID-19 pandemic in the USA: Will we be better prepared next time?
Author(s) -
Gonzalo Bearman,
Rachel Pryor,
Rebecca Vokes,
Kaila Cooper,
Michelle Doll,
Emily Godbout,
Michael Stevens
Publication year - 2020
Publication title -
international journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.278
H-Index - 89
eISSN - 1878-3511
pISSN - 1201-9712
DOI - 10.1016/j.ijid.2020.05.059
Subject(s) - pandemic , health care , preparedness , agency (philosophy) , workforce , population , political science , overcrowding , economic growth , business , covid-19 , medicine , infectious disease (medical specialty) , sociology , environmental health , economics , disease , social science , pathology , law
The United States (US) spends more on healthcare than any other country with little evidence of better, or even comparable, outcomes. We reflect on the US and the COVID-19 pandemic and focus on cultural, economic and structural barriers that threaten both current and future responses to infectious diseases emergencies. These include the US healthcare delivery model, the defunding of public health, a scarcity of infectious diseases physicians, the market failure of vaccines and anti-infectives and the concept of American exceptionalism. Without institutionalizing the lessons learned, the US will be positioned to repeat the missteps of COVID-19 with the next pandemic.
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