Summary of The Big Fail by Joe Nocera and Bethany McLean: What the Pandemic Revealed About Who America Protects and Who It Leaves Behind
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Summary of The Big Fail by Joe Nocera and Bethany McLean: What the Pandemic Revealed About Who America Protects and Who It Leaves Behind
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The Big Fail is a comprehensive analysis of American capitalism and the leaders responsible for the failure to protect its citizens during the COVID-19 pandemic. The authors, Bethany McLean and Joe Nocera, investigate the reasons behind America's rise to the world leader in COVID deaths, focusing on the impact of supply chain issues, polarized approaches, and the role of private equity firms in maximizing shareholder value. The book is essential reading for understanding the future of American capitalism.
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Summary of The Big Fail by Joe Nocera and Bethany McLean - GP SUMMARY
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Summary of The Big Fail
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Summary of
Joe Nocera and Bethany McLean’s Book
What the Pandemic Revealed About Who America Protects and Who It Leaves Behind
GP SUMMARY
Summary of The Big Fail by Joe Nocera and Bethany McLean: What the Pandemic Revealed About Who America Protects and Who It Leaves Behind
By GP SUMMARY© 2023, GP SUMMARY.
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INTRODUCTION
In February 2023, Bret Stephens of The New York Times published a column about the efficacy of masking during the COVID-19 pandemic. The study, conducted by the Cochrane Library, found that there was little or no
evidence that masking reduced the incidence of COVID-19 in a population. The public health establishment dismissed the study, focusing on respiratory viruses other than COVID-19. The CDC director, Rochelle Walensky, questioned the reliance on studies done for other respiratory viruses and continued to recommend masks in high-risk communities. Sociologist Zeynep Tufekci followed Stephens's column with a similar argument, stating that the review is not able to address the question of whether mask wearing itself reduces people's risk of contracting or spreading respiratory viruses.
Personal attacks were also directed at Jefferson, while Stephens was lambasted. The mask controversy was a microcosm of the pandemic itself, as masks were a symbol of one's politics during the pandemic. Opinion and bias trumped fact-finding and scientific inquiry, and those who dissented from the liberal mainstream were silenced and castigated for their supposed personal failings.
The debate over masks during the pandemic highlights the need for a deeper understanding of the virus's origins, its effects, and its treatment. Despite the resources available, America did not fare well during the pandemic, with an excess death rate of 1.3 million deaths. The book argues that America could not have done better, and pretending differently is a dangerous fiction. The pandemic revealed deep-seated issues, such as preexisting illnesses and the inability of politicians to fix them. The book also highlights the intensified divides and the unpreparedness of the economy for crises like the pandemic, as well as the encroaching mores of capitalism on society's morals.
The book also shares the success story of Operation Warp Speed, which teaches lessons about leadership, setting aside personal politics for the greater good, and cooperation between business and government. The core of the story is the failure of government to set the right rules for managing a pandemic or establishing the boundaries of capitalism. The book hopes to inspire a necessary look in the mirror and learn from the horror of the pandemic.
PART I
CONTAGION
The Scapegoat
The first sighting of COVID-19 in the United States occurred on January 19, 2020, when a man in his thirties returned from Wuhan, China, with a mild cough and pneumonia-like symptoms. The CDC had sequenced the novel coronavirus, which was not yet known. At this early stage of the pandemic, it was almost impossible to get tested for COVID-19. The illness didn't even have a name, so it wasn't clear if the disease was being transmitted more broadly. Washington State had to wait until the CDC had manufactured its test and developed its own test.
The lack of urgency in testing was due to the fact that most pathogens in recent years had largely bypassed the United States. Wuhan was sealed off, and Western scientists didn't know how contagious it was or how it spread. The pandemic's true fury wouldn't be felt outside China until it hit Italy in mid-February.
The first inkling of the Wuhan outbreak came not from China but from Taiwan's economic and cultural office in the United States. A document began circulating on the internet about an urgent notice issued by the Wuhan Municipal Health Commission citing a pneumonia of unknown cause
and noting that patients had come from the seafood market. It took another three days for a Chinese health official to contact Dr. Robert Redfield, the director of the CDC, and Dr. George Fu Gao, his Chinese counterpart, who informed Redfield about the existence of the virus.
With a presidential election less than a year away, this was not welcome news at the White House. However, when China shared the initial data on the first twenty-seven human cases, not all could be traced back to the market, and some were clustered within families.
The COVID-19 pandemic was a complex and contentious event, with differing opinions on the severity of the virus. Wuhan Hospital's chief of respiratory medicine expressed concerns about human-to-human transmission, but no information was shared with researchers from the WHO. The Shanghai Public Health Clinical Center, led by Zhang Yongzhen, claimed that the virus should be contagious through respiratory passages. However, preliminary investigations conducted by Chinese authorities found no clear evidence of human-to-human transmission.
The situation was exacerbated by the president's unwillingness to choose a path, as well as the atomization of teamwork due to loyalties and feuds developed during Trump's three years in office. The White House Coronavirus Task Force was formed on January 29, and Trump named Azar to lead it. Azar signed an order declaring a public health emergency, but the task force was focused on extracting Americans stuck in Hubei Province.
Key people were left off the task force, and there was no coordination. The task force was obsessed with trying to extract the Americans stuck in Hubei Province, which distracted the entire interagency process of the US government. The Chinese and WHO both privately criticized the US for its efforts to evacuate people, leading to the release of masks and other PPE to placate the Chinese.
The WHO declared COVID-19 a public-health emergency of international concern
on January 30, but was not ready to call it a pandemic. The agency was not ready to use the term pandemic,
fearing that people would freak out if it was used. The struggle between those who wanted to do everything and those who wanted to do nothing was exacerbated by the Trump administration's lack of coordination and understanding of the situation.
The response to the COVID-19 pandemic was characterized by a schizophrenic and scattered nature. While public health scientists had long known that travel bans were ineffective, the husband of a Chicago woman who had been infected in China also contracted the virus, confirming human-to-human transmission. Trump immediately agreed to a travel ban, allowing him to appear to be taking action. However, it was already too late as at least 430,000 people had arrived in the United States on direct flights from China since New Year's Eve.
The Moleskys, a retired teacher and couple, flew to Japan to board the Diamond Princess cruise ship. They were among the 380 or so Americans on the ship with 2,664 other guests and 1,045 crew from fifty-six countries. On February 5, there were ten positives, causing the ship's captain to announce that all guests would have to stay in their rooms for at least the next fourteen days. This was the first time China's approach, a forced