Identifying Strengths and Weaknesses From the United State's Response to the Covid-19 Pandemic
Ahmad Elhaija, Rita Debbaneh, Simran Purohit
Affiliation: University of California, Los Angeles (UCLA)
Published: April 12, 2023
DOI: http://doi.org/10.58417/DKHT3186
Abstract: COVID-19 is a respiratory disease that was declared to be a pandemic by the WHO on March 11th, 2020 (1). A catastrophic public health crisis, its effects are still being felt to this day and will certainly be experienced in the years to come–both in the United States and abroad. Furthermore, the secondary effects of the pandemic across measures of social, emotional, educational, economic, mental, and physical health continue to have a lasting impact, especially on low-income and racial and ethnic minorities in the United States (2). The pandemic further stressed individuals from minority groups already facing challenges posed by lower socioeconomic status, gaps in insurance coverage, and geographic barriers that limit access to essential healthcare services and affect the quality of care they receive (3). Despite these challenges, various United States organizations established health care equity initiatives to address the public health crisis (4). A 2021 report by the University of California-San Francisco Global Institute of Health Sciences critiqued the U.S response to the outbreak by assessing domestic leadership, the measures taken, and the resulting impact on healthcare, the economy, and American lives. For example, the report found that none of the steps needed to respond effectively had been taken when the virus was first detected in the U.S (5). From a political perspective, the report found that federal guidance was sluggish and unclear, leading to varied strategies among individual states; partisanship also contributed to the fragmented subnational measures. Additionally, the Center of Disease Control’s (CDC) early rejection and later promotion of face-mask use increased public division over masking mandates (6). This lack of organization extended towards public health interventions: ineffective contact-tracing and problems with test-kit development and capacity resulted in dramatically increased endemicity. Accompanying lockdowns continued to renew, shuttering businesses and leaving almost 27 million Americans unemployed by the end of 2020 (7). The pandemic’s effects were especially seen in hospitals where ICUs greatly exceeded capacity and high burnout provoked physician attrition rates. Despite these shortcomings, the U.S commitment to creating a vaccine was notable. Collaboration between the private and public sectors led to a both accelerated and safe treatment development (8). Furthermore, the increased use of telemedicine during the pandemic could foster more accessible healthcare for underserved communities (9). Ultimately, the report concluded that preemptive measures should be taken to better fortify the U.S in the event of a future pandemic. Steps to consider include apolitical public health institutions, swift and better-coordinated responses from experts, and investments in resources to combat pathogen outbreaks.
Amended: September 2025
Works Cited
1. Cucinotta, Domenico, and Maurizio Vanelli. “WHO Declares COVID-19 a Pandemic.” PubMed, vol. 91, no. 1, Mar. 2020, pp. 157–60.
https://doi.org/10.23750/abm.v91i1.9397
2. National Academies of Sciences, Engineering, and Medicine, et al. “Addressing the Long-Term Effects of the Covid-19 Pandemic on Children and Families”. National Academies Press, 16 Mar. 2023. https://www.ncbi.nlm.nih.gov/books/NBK594915/.
3. Elhaija, Ahmad, et al. “Bridging Health Disparities: Examination of Healthcare
Utilization and Care in the U.S. Hispanic Community.” The Journal of Healthcare
Solutions, 25 Apr. 2024. https://doi.org/10.58417/NLQU7190.
4. American Medical Association and American Medical Association. “COVID-19 Health
Equity Initiatives Across the United States.” American Medical Association, 1
5. He, Lu, et al. “Why do people oppose mask wearing? A comprehensive analysis of U.S. tweets during the COVID-19 pandemic.” Journal of the American Medical Informatics Association, vol. 28, no. 7, Mar. 2021, pp. 1564–73. https://doi.org/10.1093/jamia/ocab047.
6. Sekhri Feachem, Neelam, et al. “The United States’ Response to COVID-19: A Case Study”. Institute for Global Health Sciences, University of California, San Francisco, Feb. 2024. https://globalhealthsciences.ucsf.edu/wp-content/uploads/2024/02/covid-us-case-s
tudy.pdf.
7. "Unemployment Rates During the COVID-19 Pandemic." Congress.gov, Library of Congress, 9 September 2025,https://www.congress.gov/crs-product/R46554.
8. “NIH to Launch Public-private Partnership to Speed COVID-19 Vaccine and Treatment Options.” National Institutes of Health (NIH), 11 Apr. 2025, https://www.nih.gov/news-events/news-releases/nih-launch-public-private-partner
ship-speed-covid-19-vaccine-treatment-options.
9. Dolouei, Ilia, et al. “Preparing Medical Students with the Knowledge to Provide Telehealth in Underserved Communities." The Journal of Healthcare Solutions, July 2025. https://doi.org/10.58417/OWFD3072.