This book is an examination of the manner in which American presidents respond to pandemics and other public health crises. Skidmore argues that presidential performance in dealing with emergencies and pandemics varies, but those who are informed, focused, and confident that government can work are most likely to be successful. As an example, Gerald Fords Swine Flu program is widely derided as incompetent and politically motivated. Closer examination, however, suggests the contrary, demonstrating the potential of government to act quickly and effectively against public health emergencies, even when facing formidable obstacles. The American government has a mixed record ranging from excellent to unacceptable, even counterproductive, in dealing with emergency threats to life and health. Despite ideological arguments to the contrary, however, governments are important to effective responses, and in the American setting, presidential action is essential.
I Introduction
Twentieth-Century Successes
A Disturbing Development
The Importance of National, and Presidential, Action
II Pandemic Influenza
Influenza is not to be Taken Lightly
Influenza at its Most HorrendousSo Far
III Misguided Responses to Public Health Emergencies
The Tragedies of Kalaupapa and Carville
The Magic of the Marketplace, and Public Health Emergencies
Militant Passivity from the Left Hand, Authoritarianism from the Right
Ideology, Incompetence, but Some Thoughtful Planning
IV Appropriate Responses to Public Health Emergencies
Presidential Action and the San Francisco Earthquake
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