Abstract The United States (US) spends more on healthcare than any other country with little evidence of better, or even comparable, outcomes. We reflect on the US and the COVID-19 pandemic and focus on cultural, economic and structural barriers that threaten both current and future responses to infectious diseases emergencies. These include the US healthcare delivery model, the defunding of public health, a scarcity of infectious diseases physicians, the market failure of vaccines and anti-infectives and the concept of American exceptionalism. Without institutionalizing the lessons learned, the US will be positioned to repeat the missteps of COVID-19 with the next pandemic.

中文翻译：

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对美国 COVID-19 大流行的反思：下次我们会做好更好的准备吗？


摘要 美国 (US) 在医疗保健方面的支出比任何其他国家都多，但几乎没有证据表明其结果更好，甚至可比。我们反思美国和 COVID-19 大流行，并重点关注威胁当前和未来传染病紧急情况应对措施的文化、经济和结构性障碍。其中包括美国的医疗保健提供模式、公共卫生资金的减少、传染病医生的稀缺、疫苗和抗感染药物的市场失灵以及美国例外论的概念。如果不将吸取的教训制度化，美国将在下一次大流行中重蹈 COVID-19 的覆辙。