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Uncontrolled Spread: Why Covid-19 Crushed Us and How We Can Defeat the Next Pandemic

Uncontrolled Spread: Why Covid-19 Crushed Us and How We Can Defeat the Next Pandemic - Scott Gottlieb

Uncontrolled Spread: Why Covid-19 Crushed Us and How We Can Defeat the Next Pandemic


The former FDA commissioner outlines how the United States must prepare for future pandemics by learning from the mistakes made handling the Covid-19 outbreak.

In the early 2000s, Scott Gottlieb spent years at the U.S. Food and Drug Administration developing a "Pandemic Influenza Plan" to ready the United States for the threat of a global pandemic. Besides developing a response playbook, the Bush Administration also drilled for the event.

But when he returned to Washington as FDA director in 2017, Gottlieb discovered that the agency had been using the same outdated plan and obsolete tools to face Ebola, Zika, and swine flu. Shortly after his departure in late 2019, Covid-19 hit the United States. Members of the Trump administration were slow to mount an effective response.

Nine months later, the federal government's response remains woefully inadequate and the Trump administration continues to focus on the wrong things. Schools should be opening safely and the government should be building the infrastructure for hundreds of millions of vaccines. Instead, the administration is cutting funding, has amassed warehouses full of hydroxychloroquine, and speak as if the virus has disappeared, even as infections--and deaths--continue to rise.

In System Failure, Gottlieb identifies the reasons why the U.S. was so underprepared for the pandemic, from failing to enlist the private sector in large-scale manufacturing of testing supplies and medical equipment to resolutely sticking to the narrative that Covid would go away on its own. He warns that if we don't correct these failures, the virus will continue to flourish, more people will get sick and die, and may impact the distribution of a vaccine when one is available.

Hard-hitting and informed by Gottlieb's experience both in government and medicine, System Failure is the essential inside account of one of the most tragic--and preventable--failures in American history.


Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.


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The former FDA commissioner outlines how the United States must prepare for future pandemics by learning from the mistakes made handling the Covid-19 outbreak.

In the early 2000s, Scott Gottlieb spent years at the U.S. Food and Drug Administration developing a "Pandemic Influenza Plan" to ready the United States for the threat of a global pandemic. Besides developing a response playbook, the Bush Administration also drilled for the event.

But when he returned to Washington as FDA director in 2017, Gottlieb discovered that the agency had been using the same outdated plan and obsolete tools to face Ebola, Zika, and swine flu. Shortly after his departure in late 2019, Covid-19 hit the United States. Members of the Trump administration were slow to mount an effective response.

Nine months later, the federal government's response remains woefully inadequate and the Trump administration continues to focus on the wrong things. Schools should be opening safely and the government should be building the infrastructure for hundreds of millions of vaccines. Instead, the administration is cutting funding, has amassed warehouses full of hydroxychloroquine, and speak as if the virus has disappeared, even as infections--and deaths--continue to rise.

In System Failure, Gottlieb identifies the reasons why the U.S. was so underprepared for the pandemic, from failing to enlist the private sector in large-scale manufacturing of testing supplies and medical equipment to resolutely sticking to the narrative that Covid would go away on its own. He warns that if we don't correct these failures, the virus will continue to flourish, more people will get sick and die, and may impact the distribution of a vaccine when one is available.

Hard-hitting and informed by Gottlieb's experience both in government and medicine, System Failure is the essential inside account of one of the most tragic--and preventable--failures in American history.


Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.



Has America's COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America's pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.


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