I’ve spent the last couple days writing posts I’ve then set aside about what we’ve learned in two years about the CDC and FDA and whether they are, institutionally, up to the challenge of managing the crisis of pandemic response. To paraphrase Sonny Corleone, during a pandemic we need a wartime CDC. And it’s clear we don’t have one. The institutional apparatus designed for managing ‘ordinary’ infectious diseases, researching and improving care for chronic maladies simply isn’t designed for what we’ve confronted in the last two years.