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A blog written for those whose interests more or less match mine.

How Trump Wasted the Best Tool He Had to Fight Coronavirus

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Eric Cortellessa writes in the Washington Monthly:

Out of all the responsibilities President Donald Trump has shirked during the COVID-19 pandemic, from not pressing China for information on the virus in its early weeks to not building up a testing regime in the United States, none has been more derelict than his administration’s failure to provide front-line healthcare workers with the medical and protective equipment they need.

What’s most exasperating is that there was a system in place to provide that equipment: the U.S. Strategic National Stockpile, an integrated collection of secret, federally-controlled warehouses with billions of dollars worth of precisely the kind of critical supplies that were needed in this crisis, such as masks and ventilators.

Once the CIA warned Trump of a coming pandemic in January, his administration should have immediately ordered more such equipment to meet the coming surge. That he didn’t left American hospitals overwhelmed. It left states having to claw to obtain the materials they need to save lives. Of course, it didn’t help that Trump did nothing to replenish or update the stockpile in his first three years in office; by mid-April, it had already distributed 90 percent of the stockpile’s supplies.

The president and his administration then compounded these grievous errors with lies and misinformation. The president’s son-in-law Jared Kushner has said the stockpile was for the federal government, not the states. In fact, it was built precisely for states and localities to use in the case of an emergency. Trump, meanwhile, has repeatedly blamed his predecessor for leaving him with a depleted stockpile. “Our cupboards were bare,” he told reporters last weekend. Yet the Obama administration, having used the stockpile to deal with the swine flu and the Ebola crises, tried to increase funding for it, but was blocked by Tea Party Republicans and sequestration.

Trump’s mismanagement of the reserve is more than just another case of the administration’s tendency to shift blame and spew lies. It gets at the heart of one of the key roles of any president—to prepare for threats that have not yet happened.

One president who exemplified this foresight was Bill Clinton, who created the Strategic National Stockpile in his second term. For more insight into this, I spoke with Richard Clarke, Clinton’s chief counterterrorism adviser on the National Security Council and the man the president tasked with building the stockpile.

The following Q&A has been edited and condensed for clarity.

What led to the creation of the national stockpile? It’s been reported that President Clinton came up with the idea after reading a bioterrorism thriller. Is that true? 

There were a lot of novels out. Richard Preston wrote one. The president was a great reader of everything. He stayed up late every night reading. He went through several books a week. I recall getting a couple bounced over to me, with questions like, “Could this really happen?”

But it wasn’t just that he had read novels. There were two events in the mid-1990s that, together, jarred the president: the Oklahoma City bombing, which was done by two Americans with an 18-wheel tractor trailer filled with explosives, and separately, in Tokyo, a fringe group called the Aum Shinrikyo developed their own biological and chemical weapons and tried them out on the Tokyo subway.

This caused the president, among others, to think: What if those two things came together? What if, suddenly, we had large attacks using chemical or biological weapons on our subways? President Clinton asked me to see if we were at all prepared to handle that. We came back to him and said we weren’t. There were no detection capabilities for most of these kinds of attacks. There were no response capabilities in most cities. Nobody was trained, nobody was equipped.

Not only would we not be able to deal with the consequences, we wouldn’t even have detected the attack. There was no detection equipment deployed anywhere. The Army had some for battlefield use, but there was nothing in any cities. There was nothing in the White House. We wouldn’t have known if the White House had been sprayed with a biological weapon.

So we started a program. It was originally designed to deal with bioterrorism. But we also realized that you could use it for a pandemic.

How did you realize that?

Well, in investigating all that, we found a lot of interest from the Public Health Service and the Centers for Disease Control and Prevention. They told us a very similar thing could happen naturally—an emerging infectious disease, like the 1918 flu. We weren’t prepared for that either. What we figured out was, we could set up a nationwide detection system and an international system that would work for both biological attacks from terrorists and emerging infectious diseases.

The president secured money from Congress to put into the Public Health Service and the CDC to create a stockpile. A lot of it was grant money that went down to the state and county level, so they could have labs that would be able to detect and test. They set up a system so that when people came to emergency rooms and reported illnesses, that information would go into a national monitoring system. We realized that if a big event happened in any city, the city would be overwhelmed. So we set up a national stockpile of emergency medical gear that included medicines, hospital beds, ventilators, and put it in warehouses around the country.

We had a plan that when the equipment reached near its expiration date, it would be rotated, either through the Defense Department or Veterans medical systems, so that the equipment would be used before their expiration dates.

How was the stockpile set up so that the government could use it if a real crisis happened? . . .

Continue reading. There’s much more.

Written by Leisureguy

25 April 2020 at 8:43 am

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