Using primary data collected from interviews with federal and state government officials and secondary data related to PPE distribution and state healthcare statistics, we discovered evidence that the use of the Strategic National Stockpile (SNS) to distribute personal protective equipment to state and local agencies in need during the height of COVID-19 was indeed poorly designed to cope with the COVID-19 emergency, leaving many states with shortages of badly needed medical supplies. As a result, many states struggled to organize an uncoordinated procurement response—which we suggest is due to federalism issues. To overcome federalism challenges and increase future disaster preparedness, we recommend four necessary reforms to the SNS that include (1) the incorporation of uncompensated industry experts into SNS administration, (2) the provision of an emergency production board for times of crisis, (3) elevated political leadership for the SNS, (4) improvement of federal-state supply chain governance.

中文翻译：

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应对下一次灾难的新采购模式：通过有效利用国家战略储备克服灾难联邦制问题

利用通过采访联邦和州政府官员收集的主要数据以及与个人防护装备分发和州医疗保健统计相关的二手数据，我们发现有证据表明，使用国家战略储备 (SNS) 向有需要的州和地方机构分发个人防护装备在 COVID-19 高峰期间，应对 COVID-19 紧急情况的设计确实很差，导致许多州急需的医疗用品短缺。结果，许多州难以组织不协调的采购响应——我们认为这是由于联邦制问题。为了克服联邦制挑战并加强未来的备灾能力，我们建议对 SNS 进行四项必要的改革，包括 (1) 将无偿行业专家纳入 SNS 管理，(2) 为危机时期提供紧急生产委员会，(3) ) 提升对 SNS 的政治领导力，(4) 改善联邦-州供应链治理。