I wonder if the US will have to make testing and treatment for covid 19 free? Surely they can't have sick people wandering the streets spreading the virus far and wide? The social costs will be even higher than the medical costs? Or am I just dreaming...
A couple of points about the US which now has local person to person transmission identified in Oregan, Washington state and California.
Trump has placed Pence as his 'coronavirus tzar'. Pencel was heavily criticised for his slow response to a HIV epidemic in Indiana when he was governor there. A report found that 90% of infections could have been prevented if he had acted sooner. This was because of his religious hard line on sex and having a lack of respect for science and evidence based medicine. He was more driven by ideology than practical pragmatic decision making.
He is also a republican who believes in small state and putting commerce before social good. So ideologically is opposed to state paying for things. He will quite happily allow the death of poor people chalking it up to gods will.
The other point about health insurance and many Americans lacking it, is that since Trump came into power and destroyed the Affordable Care Act, he also made it legal for the sale of 'junk insurance'. Junk insurance is insurance which isnt really worth it's cost. It might be cheaper than other schemes but it has a huge amount of exemptions and excess fees.
This means that even people WITH insurance may find themselves facing huge bills due to coronavirus. This was highlighted by the case if a man who went to China and returned with symptoms. He was tested for the disease at a cost of $3500 which he thought his insurance would cover. It came back negative but he still ended up with a bill if $1300. Imagine if you had a family of 4 and got stuck with this.
I don't have much hope for the US. Trump devastated the country's national pandemic response agencies. He's stuck a guy with a proven terrible record on epidemics in charge. Ideologically the republican party are about as far from you want in a pandemic because of their ideological beliefs. The poorest in us society don't vote republican and black Americans generally are in poorer health to begin with.
Statements coming from senior figures in government about a vaccine are that they want it to be 'affordable'. Affordable not free. By definition this means that some people will not be able to afford.
In other words they ideologically actively happy for COVID-19 to kill the poorest.