Several recent announcements have demonstrated how little has been learned from the response to the COVID-19 pandemic, and the potential need for a national reckoning to assess shortfalls and develop recommendations for preparing for and responding to future pandemics and other biological risks. To this end, the United States should create a national commission—not unlike the 9/11 Commission—to develop a way forward. To date, no such reckoning has occurred, yet changes are being implemented at lower levels of government in an uncoordinated manner and the “ad hoc-ery” continues to guide our preparedness and response efforts to emerging infectious diseases. The U.S. response to the monk
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