One effect is the shockingly belated and limited testing, well below others, making it impossible to implement the successful test-and-trace strategies that have prevented the epidemic from breaking out of control in functioning societies. Even the best hospitals lack basic equipment. The U.S. is now the global epicenter of the crisis. This only skims the surface of Trumpian malevolence, but there's no space for more here. It is tempting to cast the blame on Trump for the disastrous response to the crisis. But if we hope to avert future catastrophes, we must look beyond him. Trump came to office in a sick society, afflicted by 40 years of neoliberalism, with still deeper roots.