Uncontrolled Spread: Why COVID-19 Crushed Us and How We Can Defeat the Next Pandemic

Has America’s COVID-19 catastrophe taught us anything?

In Uncontrolled Spread, physician and former FDA commissioner Scott Gottlieb shows how COVID-19 was able to trounce America’s pandemic preparations and outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.

A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We’d prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn’t fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak leadership aggravated these woes. We didn’t view a public health disaster as a threat to our national security.

Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.