Even in these extraordinary times, the sight of the president of the United States presenting a slide which announced as a “goal” the death of up to 240,000 of its citizens was almost beyond belief. To hit the lowest end of the target, a staggering 100,000 American deaths, would show that his administration had done “a very good job”, Donald Trump claimed this week. The highest end would be more than double the US casualties in the first world war. This could only be considered a positive outcome because the alternative is so shocking: without mitigation measures, if people fail to stay at home as advised, the US could be heading for between 1.5 million and 2.2 million deaths.
The US is now the new centre of the pandemic, with more than a fifth of the million cases reported worldwide, and more than 5,000 deaths. The vast majority of Americans – more than 300 million – are now under some form of lockdown, though the stringency of restrictions varies greatly and a few states are still holding out. Those measures have come too late to stop hospitals from being overwhelmed.
The richest country in the world is structurally ill-equipped to cope with such a crisis. The lack of universal healthcare or basic employment rights such as statutory sick pay, and the low incomes on which so many Americans survive, are conducive to the spread of disease and to it having the most serious consequences. » | Editorial | Friday, April 3, 2020
