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Illustration: Eniola Odetunde/Axios

The United States keeps reacting too late to the coronavirus, prolonging its economic pain and multiplying its toll on Americans’ health.

Why it matters: The spread and impact of the coronavirus may be unfathomable, but it's not unpredictable. And yet the U.S. has failed to respond accordingly over and over again.

First, it happened with testing — a delay that allowed the virus to spread undetected.

  • Then we were caught flat-footed by the surge in demand for medical supplies in emerging hotspots.
  • And the Trump administration declined to issue a national shelter-in-place order. The resulting patchwork across the country left enough economic hubs closed to crash the economy, but enough places up and running to allow the virus to continue to spread rampantly.

Between the lines: Proactive containment and mitigation steps would have required extraordinary political and economic capital, especially if they had come early in the process, when many Americans didn't grasp the full weight of this challenge.

  • But making decisions based on today’s information — without an understanding of how much worse tomorrow will be — is also politically and economically risky, and carries the extra cost of more deaths.

What they're saying: A senior Health and Human Services official told me that if they could do it all over again, they would have engaged the private sector to ramp up medical manufacturing in mid-January — about two months earlier than ended up happening.

  • “By waiting to fully appreciate and acknowledge this as a once-in-a-lifetime crisis, this was a colossal missed opportunity," the official said.
  • Now, even as testing and hospital capacity remain limited, President Trump is eager for an economic recovery — even though, by all estimates, the outbreak is only going to get worse.
  • Removing social distancing measures is “a catastrophically bad idea. The human cost would be devastating, and the economic toll from that devastation might be even steeper than what we’re seeing right now,” Indiana University’s Aaron Caroll and Harvard’s Ashish Jha wrote earlier this week in The Atlantic.

Case in point: The Trump administration squashed rumors more than a week ago that it was considering a national shelter-in-place policy. But it might have done some good at that point.

  • “The economic impact is severe in scope, but limited in duration," Raymond James wrote in a research note dated March 15.
  • But just a week later, the firm published a new note: “The government has likely missed its window ... The failure to establish a nationwide lockdown and instead allow individual states to make those decisions is likely going to result in the spread continuing.”

The bottom line: When I asked the HHS official how all of this keeps happening, the official said it’s at least partially due to disconnects — between Trump and his administration; between the government and the private sector, and between the U.S. and the rest of the world.

  • “At the end of the day, the virus has slipped through all those cracks that exist between all of these entities,” the official said.

Go deeper

Updated 2 hours ago - Technology

3D printing's next act: big metal objects

Chief Scientist Andy Bayramian makes modifications to the laser system on Seurat's 3D metal printer. Photo courtesy of Seurat Technologies.

A new metal 3D printing technology could revolutionize the way large industrial products like planes and cars are made, reducing the cost and carbon footprint of mass manufacturing.

Why it matters: 3D printing — also called additive manufacturing — has been used since the 1980s to make small plastic parts and prototypes. Metal printing is newer, and the challenge has been figuring out how to make things like large car parts faster and cheaper than traditional methods.

Updated 4 hours ago - Technology

Mayors see cryptocurrency as a way to address income inequality

Illustration: Sarah Grillo/Axios

At the U.S. Conference of Mayors' meeting in D.C. this week, there's buzz around the idea of giving cryptocurrency accounts to low-income people.

Why it matters: Cities have been experimenting with newfangled ways to address income inequality — like guaranteed income programs — and the latest wave of trials could involve paying benefits or dividends in bitcoin, stablecoin or other digital currencies.

Updated 4 hours ago - Politics & Policy

Omicron dashboard

Illustration: Aïda Amer/Axios

  1. Health: FDA OKs antiviral drug remdesivir for non-hospitalized COVID patients — Walensky: CDC language "pivoting" on "fully vaccinated" — Fauci: "Confident" Omicron cases will peak in February
  2. Vaccines: Team USA 100% vaccinated against COVID ahead of Beijing Olympics — Kids' COVID vaccination rates are particularly low in rural America — Annual COVID vaccine preferable to boosters, says Pfizer CEO.
  3. Politics: Arizona governor sues Biden administration over COVID funds tied to mandates — Biden concedes U.S. should have done more testing — Arizona says it "will not be intimidated" on anti-mask school policies.
  4. World: Greece imposes vaccine mandate for people 60 and older — Austria approves COVID vaccine mandate for adults — Beijing officials urge COVID-19 "emergency mode" before Winter Olympics.
  5. Variant tracker