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US COVID-19 Response Under Scrutiny Amid High Death Toll

Free News Reader  ·  August 21, 2026

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US COVID-19 Response Under Scrutiny Amid High Death Toll

  • The United States experienced a significantly higher COVID-19 death rate compared to other wealthy nations, with over one million excess deaths in 2020 and 2021 that could have been averted.
  • Experts like Dr. Jennifer Nuzzo from Johns Hopkins Center for Health Security have highlighted that a major factor contributing to this disparity was the insufficient progress in vaccinating adults, especially given the US was among the first to have vaccines available.

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The COVID-19 pandemic exposed significant vulnerabilities in the United States’ public health system, leading to a higher death toll compared to other high-income countries. Analyses show that the US had the highest COVID-19 death rate among wealthy industrialized nations, surpassing countries like Britain, Germany, Canada, and Japan. This disparity was particularly evident during the Omicron wave.

A key factor identified by experts, such as Dr. Jennifer Nuzzo, an epidemiologist at the Johns Hopkins Center for Health Security, is the insufficient vaccination of adults in the US, especially considering the country was an early recipient of COVID-19 vaccines. The vast majority of these deaths, according to Nuzzo, were preventable, having occurred after vaccines became available. Additionally, the politicization of public health measures, including masking and vaccination, has been cited as a challenge to an effective national response.

Studies have also indicated a long-standing trend of worsening US mortality rates compared to other rich nations, a trend exacerbated by the pandemic. In 2020 and 2021 alone, over one million excess deaths in the US could have been averted if its death rates had mirrored those of its peer countries. While mortality rates for those aged 75 and older rose in many countries during the pandemic, the US notably exceeded others in death rates among individuals under 65.

The US also saw a substantial number of excess deaths, which are fatalities beyond what would typically be expected. In the first 12 months of the pandemic, an estimated 646,514 excess deaths occurred in the US, a 22% increase over expected numbers. While many of these were directly attributed to COVID-19, others were linked to causes like strokes and homicides, potentially due to disruptions in care or unrecognized COVID-19 cases. The pandemic caused the largest spike in US mortality in 100 years, with deaths increasing by 19% between 2019 and 2020.