Phase I of America’s response to COVID is coming to an end, and there is little question that it has been a disaster for the country and increasingly for the Republican Party. The numbers are staggering - 50,000 lives lost, depression level unemployment numbers, and historic levels of debt. As we wrote in our new Thursday poll roundup, recent polling has begun to once again show broad dissatisfaction with the President and his Party - if the election were held today, Democrats would almost certainly win both the White House and the Senate. A new New York Times story confirms that the GOP establishment is increasingly worried about this very thing this fall.
All of this takes us to the question that is likely more than any other going to define the 2020 election - why has America’s response to COVID been so ineffective, and will Trump learn from his extraordinary missteps and course correct?
There are two principle ways that a nation can fight a pandemic like COVID-19: mandatory stay at home policies to slow the spread of the virus and a national testing/tracing/isolation program that allows things to stand backup. Remarkably, five months after the US first learned of COVID, the President has chosen to do neither of these things. He has refused to stand up a national testing/tracing regime and, through his recent embrace of the very unpopular “Liberate!” movement, has actually worked to undermine the stay at home orders which have done so much to slow the spread of the virus after it was allowed to run wildly across the country due to his early inaction. That the President chose to essentially call an end to the national stay at home efforts, ones he didn’t call for and wasn’t enforcing, prior to establishing a plan for Phase II - standing up the country - remains one of the most reckless things that our very reckless President has ever done.
America now has no plan for what happens next; we have no Phase II. In fact, the President has repeatedly said that it isn’t his job to manage this and instead that it is up to the states. But do we leave it to the states to repel foreign armies, defeat terrorism, counter cyber threats from abroad, hunt down serial killers, respond to extreme weather events, or even, let’s say, fashion an economic response to COVID-19? No, of course we don’t leave it to the states to fight such extraordinary battles on their own; and nor did we fund or design our public health system to do so in a case of a pandemic. There is no way forward here without the President and his team leading us. Or perhaps Congress forcing him to do so if he continues to refuse to do what’s necessary now.
Let’s talk for a bit about what a national Phase II plan could look like. It can and should include:
1) A national testing/tracing/isolation plan
2) A permanent fix to the medical supply chain
3) A national approach to social distancing and masking at work and in public spaces
4) Clear rules regarding international and domestic travel and foreign entrants into the US
5) Immunity certification, if immunity in fact exists
6) Creative solutions to giving our young people and students something to do this summer and potentially this fall
7/ A plan to ensure the 2020 elections take place without challenge
8) Safe harbor liability protections for entities which adhere to agreed-upon national guidelines
What we have to do before standing up the country in the next few weeks and months is incredible - hundreds of thousands of tracers have to be hired, hundreds of millions of tests produced, an entire type of testing not even approved yet by the FDA - antibody testing - has to be launched, rules regarding travel have to be established, decisions about coming testing and isolation regimes being mandatory or voluntary have to be debated and settled on...
It is hard to see how all of this will be established across the US as quickly as we need without Congress starting to get involved and helping to lead and fund Phase II. The urgency of a true national response is perhaps best understood using an example. Let's say that in a few weeks I travel from DC to Boston for a meeting. While there I test positive for COVID. What happens next? Am I quarantined in Boston? If so, where? If a hotel, who pays? We know that the MA-based tracers would work to establish my contacts locally, but how will my tracing down here in DC/MD/VA happen? Who is responsible for that, and how are these efforts coordinated? Let’s assume I took a plane to Boston. Everyone who was on that plane will have to be traced and tested. But they have now scattered to 10 other states - who does this work and coordinates it all?
The point of this example is that there is no possibility that the US can stand itself back up as we all envision without the federal government playing a leading role. If it doesn’t, then we may not be able to travel inside the US (let alone outside) until we have a vaccine. For why would Massachusetts, now without community transmission, accept any traveler from parts of the US where the virus is still live and spreading? Or is the idea that MA would essentially set up a border, and test everyone who comes into the state? To enable travel, even potentially across state lines for a daily commute, the public must have confidence that we have a way of effectively and rapidly isolating new infections, and removing those people from society - a confusing, erratic, and inefficient state by state regime isn’t going to cut it, and nor should the American people accept it - we are one nation, and should act like one.
What is worrisome about where the President’s head is at right now is that in a recent press briefing he weighed in on all this, and endorsed the idea of internal borders. It was a bit shocking at the time, but it is pragmatic recognition that if he does not set up a single national system then we will break into parts, separate regions or states, for what could be two years.
Okay, you get it. Phase II is going to be hard, really hard, and we are way behind where we should be. Important pieces of the plan are months away from being ready and critical debates haven’t even begun. And we have to get it right to stand our society and economy back up. The President’s current approach, like his approach to Phase I, is profoundly stupid and unserious. Congress needs to step in now, and work to forge a cogent and effective plan for Phase II. It should consult with the nation’s governors, particularly from the most impacted states, and lead where the President refuses to.
This has been a terrible few months for this great nation. But in order to make sure this tragedy doesn’t become something which damages the nation beyond repair, our leaders must come together in the coming days around a single national approach to Phase II of our response to COVID - living with it and returning to work in the months before we have a vaccine.