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What Went Wrong

America's Covid Response and Lessons for the Future

Gregory E. Pence

We thought we were a nation ready for any crisis. Covid showed us how much we have yet to learn.

America's response to Covid cost too many lives, set our children back in their education, and forever damaged our trust in our government's ability to protect and guide us through crises. Conflicting values and strategies received too little ethical consideration as we blindly followed an overly simplified prime directive to stop infections and save lives.

In What Went Wrong, Gregory Pence reveals how the best of intentions resulted in disastrous consequences for our nation. As many as 400,000 non-Covid deaths occurred as a by-product of poor planning and implementation of medical policies. We continue to realize the long-term effects on our nation, including millions of children now being years behind in reading and math. Proportionally, America suffered more deaths during the pandemic than any other developed country.

So where do we go from here? Hindsight on the pandemic shows us how important and complex the ethical implications of public health policy are. Unless we learn from America's failures, the next pandemic could be even worse.

  • Details
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  • Author
  • Author
  • TOC
  • TOC
  • Reviews
  • Reviews
  • Features
  • Features
Rowman & Littlefield Publishers
Pages: 200 • Trim: 5½ x 8½
978-1-5381-9970-1 • Hardback • April 2025 • $34.00 • (£25.00)
978-1-5381-9972-5 • eBook • April 2025 • $32.50 • (£25.00)
Subjects: Social Science / Disease & Health Issues, Medical / Public Health, Philosophy / Ethics / Applied Ethics, Philosophy / Ethics / Bioethics, Philosophy / Ethics & Moral Philosophy, Philosophy / Social, Medical / Epidemiology

Gregory Pence is an award-winning bioethicist with nearly 50 years' of experience in the field, teaching at the University of Alabama at Birmingham Medical Center. His books include Pandemic Bioethics, Brave New Bioethics, How to Build a Better Human: An Ethical Blueprint, and Overcoming Addiction: Seven Imperfect Solutions and the End of America's Greatest Epidemic. He lives in Birmingham, Alabama.

Preface

Chapter 1. The Prime Directive

Chapter 2. Overview of Viruses, Pandemics, and Covid

Chapter 3. Education on Lockdown

Chapter 4. Who Shall Live When Not All Can?

Chapter 5. Philosophical Questions Raised by Pandemics

Chapter 6. Investigating Covid’s Origins

Chapter 7. Vaccines and their Ethical Issues

Chapter 8. Truthful Messaging, Testing, and Public Trust

Chapter 9. Censoring False Messages about Covid and Vaccines

Chapter 10. Abandoning the Dying and the Infirms

Chapter 11. Failures of Contact Tracing

Chapter 12. Federal Largesse during Covid

Chapter 13. Failures of International Cooperation

Chapter 14. Rethinking Vaccine Mandates

Chapter 15. Changes Accelerated by Covid

Chapter 16. The Challenge of Long Covid and Disability

Chapter 17. The Mysteries of Good and Bad Covid Leadership

Chapter 18. Why Operation Warp Speed Almost Didn’t Happen

Chapter 19. Future Problems and Positives

What Went Wrong takes a long, hard look at how the pandemic was handled in America. As Covid is unlikely to be the last pandemic, this book is a necessary stimulus to think hard about how we can do better next time.


— Peter Singer, Ira W. DeCamp Professor of Bioethics, Emeritus, Princeton University


A wonderfully clear, even-handed, and insightful analysis of all the things that went wrong (and the few that went right) in handling the Covid pandemic.


— Nicholas Wade, science writer, The New York Times


An essential text on the US Covid pandemic response. As a long-standing bioethicist, Pence has a clear-eyed view of how the excessively political Covid response in the US contributed to poorer outcomes in the country. Pence discusses harm reduction as a strategy to manage pandemics, the loss of trust in public health in the US, and ways—​via an honest appraisal and hard look at our response—​to regain that trust. This is a well-referenced and brilliant examination with a profoundly hopeful viewpoint that ethics will win out in future pandemics.


— Monica Gandhi, director, UCSF-Bay Area Center for AIDS Research


What Went Wrong covers the most controversial aspects of the US handling of the COVID-19 pandemic. It’s clear from reading the book that one of the biggest failures in the US response to COVID-19 was a failure of leadership, from our scientific and public health institutions to the White House. Greg provides an astute and painful reminder of what went wrong during the COVID-19 pandemic, but it is a vital and necessary exercise to prevent it from happening again. Unless we learn from our past, we are destined to repeat it.


— Francis Sweeney, MD, Straight Talk MD Podcast


Offers insights into why so many Americans needlessly died of Covid.

Explains why America's botched response to Covid caused as many deaths as Covid itself.

Shows that the lab-leak theory of Covid's origins is the best explanation.

Examines the behind-the-scenes politics of fighting Covid in the Trump and Biden years.

Exposes the hidden medical decisions that determined who lived and died during Covid.

Discusses the negative impact of school lockdowns on children’s long-term development.

Concludes with practical but impactful lessons for the future.



What Went Wrong

America's Covid Response and Lessons for the Future

Cover Image
Hardback
eBook
Summary
Summary
  • We thought we were a nation ready for any crisis. Covid showed us how much we have yet to learn.

    America's response to Covid cost too many lives, set our children back in their education, and forever damaged our trust in our government's ability to protect and guide us through crises. Conflicting values and strategies received too little ethical consideration as we blindly followed an overly simplified prime directive to stop infections and save lives.

    In What Went Wrong, Gregory Pence reveals how the best of intentions resulted in disastrous consequences for our nation. As many as 400,000 non-Covid deaths occurred as a by-product of poor planning and implementation of medical policies. We continue to realize the long-term effects on our nation, including millions of children now being years behind in reading and math. Proportionally, America suffered more deaths during the pandemic than any other developed country.

    So where do we go from here? Hindsight on the pandemic shows us how important and complex the ethical implications of public health policy are. Unless we learn from America's failures, the next pandemic could be even worse.

Details
Details
  • Rowman & Littlefield Publishers
    Pages: 200 • Trim: 5½ x 8½
    978-1-5381-9970-1 • Hardback • April 2025 • $34.00 • (£25.00)
    978-1-5381-9972-5 • eBook • April 2025 • $32.50 • (£25.00)
    Subjects: Social Science / Disease & Health Issues, Medical / Public Health, Philosophy / Ethics / Applied Ethics, Philosophy / Ethics / Bioethics, Philosophy / Ethics & Moral Philosophy, Philosophy / Social, Medical / Epidemiology
Author
Author
  • Gregory Pence is an award-winning bioethicist with nearly 50 years' of experience in the field, teaching at the University of Alabama at Birmingham Medical Center. His books include Pandemic Bioethics, Brave New Bioethics, How to Build a Better Human: An Ethical Blueprint, and Overcoming Addiction: Seven Imperfect Solutions and the End of America's Greatest Epidemic. He lives in Birmingham, Alabama.

Table of Contents
Table of Contents
  • Preface

    Chapter 1. The Prime Directive

    Chapter 2. Overview of Viruses, Pandemics, and Covid

    Chapter 3. Education on Lockdown

    Chapter 4. Who Shall Live When Not All Can?

    Chapter 5. Philosophical Questions Raised by Pandemics

    Chapter 6. Investigating Covid’s Origins

    Chapter 7. Vaccines and their Ethical Issues

    Chapter 8. Truthful Messaging, Testing, and Public Trust

    Chapter 9. Censoring False Messages about Covid and Vaccines

    Chapter 10. Abandoning the Dying and the Infirms

    Chapter 11. Failures of Contact Tracing

    Chapter 12. Federal Largesse during Covid

    Chapter 13. Failures of International Cooperation

    Chapter 14. Rethinking Vaccine Mandates

    Chapter 15. Changes Accelerated by Covid

    Chapter 16. The Challenge of Long Covid and Disability

    Chapter 17. The Mysteries of Good and Bad Covid Leadership

    Chapter 18. Why Operation Warp Speed Almost Didn’t Happen

    Chapter 19. Future Problems and Positives

Reviews
Reviews
  • What Went Wrong takes a long, hard look at how the pandemic was handled in America. As Covid is unlikely to be the last pandemic, this book is a necessary stimulus to think hard about how we can do better next time.


    — Peter Singer, Ira W. DeCamp Professor of Bioethics, Emeritus, Princeton University


    A wonderfully clear, even-handed, and insightful analysis of all the things that went wrong (and the few that went right) in handling the Covid pandemic.


    — Nicholas Wade, science writer, The New York Times


    An essential text on the US Covid pandemic response. As a long-standing bioethicist, Pence has a clear-eyed view of how the excessively political Covid response in the US contributed to poorer outcomes in the country. Pence discusses harm reduction as a strategy to manage pandemics, the loss of trust in public health in the US, and ways—​via an honest appraisal and hard look at our response—​to regain that trust. This is a well-referenced and brilliant examination with a profoundly hopeful viewpoint that ethics will win out in future pandemics.


    — Monica Gandhi, director, UCSF-Bay Area Center for AIDS Research


    What Went Wrong covers the most controversial aspects of the US handling of the COVID-19 pandemic. It’s clear from reading the book that one of the biggest failures in the US response to COVID-19 was a failure of leadership, from our scientific and public health institutions to the White House. Greg provides an astute and painful reminder of what went wrong during the COVID-19 pandemic, but it is a vital and necessary exercise to prevent it from happening again. Unless we learn from our past, we are destined to repeat it.


    — Francis Sweeney, MD, Straight Talk MD Podcast


Features
Features
  • Offers insights into why so many Americans needlessly died of Covid.

    Explains why America's botched response to Covid caused as many deaths as Covid itself.

    Shows that the lab-leak theory of Covid's origins is the best explanation.

    Examines the behind-the-scenes politics of fighting Covid in the Trump and Biden years.

    Exposes the hidden medical decisions that determined who lived and died during Covid.

    Discusses the negative impact of school lockdowns on children’s long-term development.

    Concludes with practical but impactful lessons for the future.



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