No form of pandemic preparedness helped to ameliorate or shorten the pandemic; compared to other countries, the US did not perform poorly because of cultural values such as individualism, collectivism, selfishness, or lack of trust

Is it possible to prepare for a pandemic? Robert Tucker Omberg, Alex Tabarrok. Oxford Review of Economic Policy, Volume 38, Issue 4, Winter 2022, December 14 2022, Pages 851–875, https://doi.org/10.1093/oxrep/grac035

Abstract: How effective were investments in pandemic preparation? We use a comprehensive and detailed measure of pandemic preparedness, the Global Health Security (GHS) Index produced by the Johns Hopkins Center for Health Security (JHU), to measure which investments in pandemic preparedness reduced infections, deaths, excess deaths, or otherwise ameliorated or shortened the pandemic. We also look at whether values or attitudinal factors such as individualism, willingness to sacrifice, or trust in government—which might be considered a form of cultural pandemic preparedness—influenced the course of the pandemic. Our primary finding is that almost no form of pandemic preparedness helped to ameliorate or shorten the pandemic. Compared to other countries, the United States did not perform poorly because of cultural values such as individualism, collectivism, selfishness, or lack of trust. General state capacity, as opposed to specific pandemic investments, is one of the few factors which appears to improve pandemic performance. Understanding the most effective forms of pandemic preparedness can help guide future investments. Our results may also suggest that either we aren’t measuring what is important or that pandemic preparedness is a global public good.

JEL H12 - Crisis Management I10 - General I18 - Government Policy; Regulation; Public Health