““I look at it this way: The first time, we have an excuse. There were about 100,000 deaths that came from that original surge,” Birx told CNN chief medical correspondent Sanjay Gupta. “All of the rest of them, in my mind, could have been mitigated or decreased substantially.”
In sum, Birx suggested that thousands of American deaths were all but unavoidable as a result of the initial surge of the coronavirus in February and March of last year. But she said better adherence to public health guidelines — including mask-wearing and social distancing — could’ve saved the lives of many of the 450,000 people (and counting) in the US who have died since then.”
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“While Birx’s suggestion that as many as 100,000 deaths were too difficult to prevent is arguable — a better-prepared federal government could have limited spread and saved lives by building out a testing infrastructure much more quickly than the one overseen by Trump”
https://www.vox.com/22356524/birx-sanjay-gupta-cnn-interview-trump-coronavirus-response