How bureaucracy killed hundreds of thousands of Americans

Shapiro

Trust the bureaucracy – it is the same mistake that the government always makes. And they did it again during the development and distribution of vaccines.

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Throughout the COVID-19 pandemic, the media spread barrels of paint because of the federal government’s mistakes. We hear endlessly about the failure to speed up testing, the confusion about wearing masks, and debates about the proper blocking policy. But when the history of this era is written, the fundamental mistake made by the United States government will not be rhetorical excesses of the president or conflicting public health councils. It will be the same mistake the government always makes: relying on bureaucracy.

Now we know that the miraculous Modern vaccine for COVID-19 was designed by January 13, 2020. This happened just two days after the virus was sequenced. As David Wallace-Wells writes for New York magazine, “the Modern vaccine project lasted an entire weekend. … When the first American death was announced, a month later, the vaccine had already been manufactured and shipped to National Institutes of Health to start their Phase I clinical trial. “Meanwhile, for six weeks, Dr. Anthony Fauci assured Americans that there was little to worry about COVID-19.

Advance to the end of 2021. Hundreds of thousands of Americans have died. Tens of thousands of Americans continue to die every week. The Food and Drug Administration has not yet released the Oxford-AstraZeneca vaccine, which costs a fraction of the other vaccines (about $ 4 per dose, as opposed to $ 15 to $ 25 per dose for the Modern vaccine or $ 20 per dose for the Pfizer-BioNTech vaccine) The FDA approval process has cost us critical months, with thousands of Americans dying every day. As Dr. Marty Makary of Johns Hopkins University said to me this week, “Security is your eternal excuse. They are a totally broken federal bureaucracy … Why didn’t we have a combined Phase I-Phase II clinical trial for these vaccines? “

This is an excellent question, of course. Phase I trials involve a small number of participants, who are monitored. Phase II trials involve larger numbers. A large number of Americans would have volunteered for a combined Phase I-Phase II trial. And even after we learned that vaccines were effective, the FDA postponed it. Data were collected in late October, suggesting that Phase II / III tests were successful. The FDA quickly requested more results, which it did not receive until November. It then took until December 11 for the FDA to issue emergency use authorization for the Pfizer vaccine. The Modern vaccine was not released until December 18, almost a year after it was produced.

The disgrace continues. The government continued to contain secondary doses of the vaccine, although the first doses have a significant effect. As Makary says: “We are at war. The first dose gives immunity that can reach 80 to 90 percent protection and we can probably give half the dose, as suggested by Dr. Moncef Slaoui … We can quadruple our supply during the night. “

Meanwhile, states remain confused by guidelines from the Centers for Disease Control and Prevention on how to share vaccines. It took up to nine days after the FDA authorized the Pfizer vaccine for the CDC to release its recommendations. These recommendations were still complex and confusing and often replete with self-destructive patterns – although it was perfectly obvious from the start that the solution should be based on age.

Americans rely on government – a government supposedly made up of well-meaning experts – to help us overcome a pandemic. The government not only failed with conflicting information and incoherent blocking policy, but it also actively blocked the main mechanism for ending the pandemic, thanks to bureaucratic swelling. If what Americans learn from the COVID-19 pandemic is that centralized government is the all-purpose solution, they are learning exactly the lesson that is likely to end in mass death in the future.

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