Dr Anthony Fauci, the federal government's top infectious disease expert, told AP that the US does not yet have the critical testing and tracing procedures needed to begin reopening the nation's economy.
"We have to have something in place that is efficient and that we can rely on, and we're not there yet," Fauci, a member of the White House's coronavirus task force, said last Wednesday.
Among Fauci's top concerns: that there will be new outbreaks in locations where social distancing has eased, but public health officials don't yet have the capabilities to rapidly test for the virus, isolate any new cases and track down everyone that an infected person came into contact with.
His concerns are echoed by several Republicans.
Wyoming Governor Mark Gordon, a Republican, on Saturday said his state's testing capacity was inadequate and urged a larger role for the federal Government.
He said states have been competing with each other to try to get more testing supplies, a process he described as "a slog."
"It's a perilous set of circumstances trying to figure out how to make this work, and until we've got the testing up to speed — which has got to be part of the federal Government stepping in and helping — we're just not going to be there."
Ohio Governor Mike DeWine, a Republican, plans to keep applying pressure on the Food and Drug Administration to address the rationing of a key component that is necessary to produce tests. He said full testing capacity can't be reached unless it is more widely distributed.
Republican Maryland Governor Larry Hogan today called the lack of virus testing "probably the number one problem in America, and has been from the beginning of this crisis."
"And I can tell you, I talk to governors on both sides of the aisle nearly every single day," he said on CNN. "The Administration, I think, is trying to ramp up testing, and trying — they are doing some things with respect to private labs. But to try to push this off to say that the governors have plenty of testing, and they should just get to work on testing, somehow we aren't doing our job, is just absolutely false. "
TRUMP: "Some partisan voices are attempting to politicise the issue of testing, which they shouldn't be doing, because I inherited broken junk." — news briefing.
TRUMP: "We inherited a broken, terrible system." — news briefing.
THE FACTS: His repeated insistence that the Obama Administration is to blame for initial delays in testing is wrong. The novel coronavirus did not exist until late last year, so there was no test to inherit.
The Centres for Disease Control and Prevention instead struggled to develop its own test for the coronavirus in January, later discovering problems in its kits sent to state and county public health labs in early February.
It took the CDC more than two weeks to come up with a fix to the test kits, leading to delays in diagnoses in February, a critical month when the virus took root in the US. Not until February 29 did the FDA decide to allow labs to develop and use their own coronavirus diagnostic tests before the agency reviews them, speeding up the supply. Previously, the FDA had only authorised use of a government test developed by the CDC.
The US bypassed a test that the World Health Organisation quickly made available internationally. Trump has said that test was flawed; it wasn't.
DEATH RATES
TRUMP: "The United States has produced dramatically better health outcomes than any other country. ... On a per capita basis, our mortality rate is far lower than other nations of Western Europe, with the lone exception of possibly Germany. ...You hear we have more death. But we're a much bigger country than any of those countries by far." — news briefing.
THE FACTS: His suggestion that the US response to the coronavirus has been better than many other countries' because its mortality rate is "far lower" is unsupported and misleading.
In each country, for instance, the age and overall health of the population are important factors. Many countries in western Europe such as Italy have an older population than the US, and senior citizens are at an especially high risk of death from Covid-19.
Beyond age, underlying health conditions increase risk, too. Indeed, an AP analysis of available state and local data found nearly one-third of US deaths are among African Americans, with black people representing about 14 per cent of the population in the areas covered in the analysis. Health conditions such as obesity, diabetes and asthma are more common in the black community.
But more broadly, it's too early to know the real death rate from Covid-19 in any country. Look at a count kept by Johns Hopkins University, and you can divide the number of recorded deaths with the number of reported cases. The maths nevertheless provide a completely unreliable measurement of death rates, and the Johns Hopkins tally is not intended to be that.
Firstly, the count changes every day as new infections and deaths are recorded.
More importantly, every country is testing differently. Knowing the real denominator, the true number of people who become infected, is key to determining what portion of them die. Some countries, the US among them, have had trouble making enough tests available. When there's a shortage of tests, the most sick people get tested first. Even with a good supply of tests, someone who's otherwise healthy and has mild symptoms may not be tested and thus go uncounted.
The only way to tell how many went uncounted early on is to do a completely different kind of testing — blood tests of the population to find how many people bear immune system antibodies to the virus, something only now starting in selected places.
ECONOMY
TRUMP: "China was supposed to catch us. ... For years, I've heard, 'By 2019, China will catch us.' There's only one problem: Trump got elected in 2016. That was a big difference. And we were going leaps and bounds above China." — news briefing.
THE FACTS: No matter who got elected in 2016 — Trump or Democrat Hillary Clinton — China's economy could not have caught up to America's.
Even if the US economy had not grown at all since 2016, China's gross domestic product — the broadest measure of economic output — would have had to have surged by 79 per cent in three years to pull even with America's. That comes to growth of more than 21 per cent a year — something even China's super-charged economy has never approached.
Before the coronavirus outbreak, the Chinese economy had been slowly narrowing the gap because every year it grows much faster than America's. In 2019, for example, the International Monetary Fund predicted Chinese GDP to increase 6.2 per cent, more than double the 2.6 per cent growth it expects for the United States. The global pandemic isn't expected to change that trend line: last week, the IMF said the US economy will fall 5.9 per cent this year and China's will manage to grow 1.2 per cent.
That means China has got a long way to go to surpass the US, whether Trump is president or not.
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