The editors of the Washington Post want a “reset” of the CDC:
How the CDC reached this point is clear. Political pressure and manipulation by the Trump administration early in the pandemic played a role, as has deep polarization in American politics, which has fostered greater skepticism about science and debate over whether public health interventions infringe on personal freedom. But the trouble also lies in how the CDC is structured, funded and directed. These deficiencies can be fixed in the wake of the pandemic, and the CDC could come out of it stronger and more nimble. The nation needs a more robust CDC — not a smaller one, as former Food and Drug Administration commissioner Scott Gottlieb recently called for in a Post op-ed.
They point to a report by the Center for Strategic and International Studies.
Every bureaucracy, public or private, has many of the problems they identify. The larger the bureaucracy the more endemic the problems. Can the CDC by improved? Definitely.
IMO there are three umbrella objectives:
- Focus
- Reduce overlap with other agencies
- Increase accountability
The CDC originally began as a mosquito abatement agency. While I don’t think it needs to go back that far, it should focus more narrowly on domestic public health. It shouldn’t have international programs—that should be under the State Department. It shouldn’t do research or issue grants for research except as it relates directly to public health. Basic research should be within the province of the National Institute of Health. It shouldn’t be in the approvals business—that should be the Food & Drug Administration.
Professional management might help.
I don’t have insider knowledge on how to increase accountability but that’s obviously an issue. The CDC isn’t alone in this regard.
One last observation. If they’re looking for rapid response, IMO they may want to try the military (although I’m beginning to have doubts). Large civil bureaucracies just aren’t built for rapid reponse.







