Pandemic responsePoor U.S. Pandemic Response Will Reverberate in Health Care Politics for Years, Health Scholars Warn

By Simon F. Haeder and Sarah E. Gollust

Published 4 November 2020

Much has been written about the U.S. coronavirus response. Yet little is known about the views of a group of people particularly well qualified to render judgment on the U.S. response and offer policy solutions: academic health policy and politics researchers. We have surveyed 400 researchers, and the highlight the damaged reputation to government institutions. The surveyed scholars also believe the poor government response will shift the politics of health care.

Much has been written about the U.S. coronavirus response. Media accounts frequently turn to experts for their insights – commonly, epidemiologists or physicians. Countless surveys have also queried Americans and individuals from around the world about how the pandemic has affected them and their attitudes and opinions.

Yet little is known about the views of a group of people particularly well qualified to render judgment on the U.S.‘s response and offer policy solutions: academic health policy and politics researchers. These researchers, like the two of us, come from a diverse set of disciplines, including public health and public policy. Their research focuses on the intricate linkages between politics, the U.S. health system and health policy. They are trained to combine applied and academic knowledge, take broader views and be fluent across multiple disciplines.

To explore this scholarly community’s opinions and perceptions, we surveyed hundreds of U.S.-based researchers, first in April 2020 and then again in September. Specifically, we asked them about the U.S. COVID-19 response, the upcoming elections and the long-term implications of the pandemic and response for the future of U.S. health policy and the broader political system.

Overall, the results of our survey – with 400 responses, which have been published in full in our recent academic article – paint a picture of a damaged reputation to government institutions. Surveyed scholars also believe the poor government response will shift the politics of health care. At the same time, our findings don’t show strong belief in major policy changes on health.

Parceling Out the Blame
We first asked respondents how much responsibility various actors bear for the lack of preparedness in the U.S. Here scholars overwhelming assign blame to one source: 93% of respondents blamed President Trump for the overall lack of preparedness “a lot” or “a great deal.” Moreover, 94% in April and 98% in September saw political motivations as the main drivers of the president’s actions.

The Centers for Disease Control and Prevention and the Food and Drug Administration, as well as Congress, also deserve a significant amount of blame, survey respondents said. At the other end of the spectrum, scholars were relatively content with the response by local and state governments as well as that of the World Health Organization.

Notably, perceptions grew significantly more negative for all entities between April and September. This likely reflects frustrations with the continued inability to rein in the spread of the virus.