Your slow paying attention start, Trump's emasculation of your health agencies, and the expertise
lost as a result of that all contributed to putting you behind the eight-ball from the beginning.
Your population being so much bigger than ours and your number of homeless
and lack of universal healthcare coverage also make it more difficult for you.
There are others, of course, which you know ofbetter.
Probably the most damaging contributors to the incompetence and neglect would be Trump, and HIS GOP.
It was Plato who said, “He, O men, is the wisest, who like Socrates, knows that his wisdom is in truth worth nothing”