Asking Bill Gates a few questions about the US response to COVID-19

WIRED: You have been warning us about a global pandemic for years. Now that it has happened just as you predicted, are you disappointed with the performance of the United States?

Bill Gates: Yeah. There’s three time periods, all of which have disappointments. There is 2015 until this particular pandemic hit. If we had built up the diagnostic, therapeutic, and vaccine platforms, and if we’d done the simulations to understand what the key steps were, we’d be dramatically better off. Then there’s the time period of the first few months of the pandemic, when the US actually made it harder for the commercial testing companies to get their tests approved, the CDC had this very low volume test that didn’t work at first, and they weren’t letting people test. The travel ban came too late, and it was too narrow to do anything. Then, after the first few months, eventually we figured out about masks, and that leadership is important.

So you’re disappointed, but are you surprised?

I’m surprised at the US situation because the smartest people on epidemiology in the world, by a lot, are at the CDC. I would have expected them to do better. You would expect the CDC to be the most visible, not the White House or even Anthony Fauci. But they haven’t been the face of the epidemic. They are trained to communicate and not try to panic people but get people to take things seriously. They have basically been muzzled since the beginning. We called the CDC, but they told us we had to talk to the White House a bunch of times. Now they say, “Look, we’re doing a great job on testing, we don’t want to talk to you.” Even the simplest things, which would greatly improve this system, they feel would be admitting there is some imperfection and so they are not interested.

Anyone surprised? I’m not. Still, a good reason to read the whole article and learn something about what could be done, what should be done.

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