Most critically, Trump has set up a narrative that will impair the USʼs ability to manage any serious outbreak. He has argued for cutting spending for the CDC, National Institutes of Health (NIH; Bethesda, Maryland USA), and Medicare directly related to communicable diseases and will directly hinder any public health response. He is oblivious to the current status of emergency medicine departments in all hospitals, rural and urban, which are currently overloaded and have no beds for influenza patients. Patients must remain in emergency rooms until critical care beds open somewhere in the system, and that may take days. In no manner is our current health system capable of handling a serious outbreak, and the failure to begin a dialogue with practicing medical professionals is being ignored.