Hi, Apoorva. What exactly does this report signify?
The Trump administration said last month that it considered the states responsible for setting and meeting testing goals and for coming up with an overall testing strategy that works for each state. With this report, it’s making that stance official. It’s telling the states: We’ll support and encourage you, and even provide some supplies, but ultimately this is your responsibility. And that sets up an everyone-for-themselves, “Hunger Games”-style competition between states.
Doesn’t it make sense for each state to identify and manage its own public health needs?
To a certain extent, yes. States have always managed their own public health, but they have traditionally received enormous amounts of guidance and support from the federal government. So they have not had to develop a ton of expertise on their own. This move essentially represents the federal government “walking away from that partnership in the middle of a pandemic,” Dr. Ashish Jha, director of the Harvard Global Health Institute, told me. States also can’t negotiate international supply chains on their own.
What about the testing numbers?
The report also said that by focusing only on people likely to be positive, the country should be able to get by with 300,000 tests a day. There are no epidemiologists I know of who would agree with that. Most models suggest at least a million tests per day, ranging up to as many as 100 million, depending on whether you want to just bring down the number of infections a little or suppress the outbreak entirely.
Special guests include Representative Debra Haaland of New Mexico and Reshma Saujani, founder and chief executive of Girls Who Code and author of “Brave, Not Perfect.” Hosted by Monica Drake, assistant managing editor of The Times.
This content was originally published here.