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The Economist10 min

Covid-19: Why is America's death toll so high?

Idrees Colun

Press Conference

On April 11, the United States surpassed Italy as the global leader in coronavirus fatalities with over 20,500 deaths, a crisis exacerbated by early federal inaction and delayed testing rollout. A disjointed national response driven by structural federalism and deep partisan polarization resulted in divergent state policies, from New York's strict lockdowns to Florida's prolonged delays, which allowed unchecked viral transmission across borders. Compounded by a fragmented healthcare system lacking universal coverage and adequate ICU capacity, analysts attribute the mounting death toll to this combination of erratic leadership, systemic fragmentation, and low public compliance in certain regions.