I wanted to clear something up here. At present, public health policy regarding the COVID-19 response is largely being decided on and set at the state level, however that is not how it has to be, since the Federal gov't has the authority to establish national policies. My take on this is that the states and local gov't has been making policy to fill the vacuum left by a lack of national policy. A lack of national policy would be IMO a failure on the part of the Executive branch, which would lead back to the White House.The biggest public health challenge in the United States is that these policies are largely implemented at the state and local level; so we can’t blame everything on the White House. The federal government has financial resources and can help set the tone, but it is ultimately up to these state governments to decide what makes sense for them. This is precisely where many of the problems with America’s Covid-19 response emerge – and that is because of how public health has become a partisan issue.