The New England Journal of Medicine urges people to vote Trump out in an extraordinary editorial

The first question at Wednesday's vice presidential debate was why the U.S. has fared so much worse than other countries in handling the COVID-19 pandemic. The New England Journal of Medicine had offered an answer hours earlier, in a very unusual editorial: The U.S. government has, uniquely in the world, "failed at almost every step." The 202-year-old medical journal's editors did not endorse Joe Biden, as Scientific American did last month, or mention President Trump by name, but the message was a clear prescription to vote him out in November.

"The United States came into this crisis with enormous advantages," the editors detail. But "the response of our nation's leaders has been consistently inadequate. The federal government has largely abandoned disease control to the states. Governors have varied in their responses, not so much by party as by competence. But whatever their competence, governors do not have the tools that Washington controls. Instead of using those tools, the federal government has undermined them."

The federal government's "weak and inappropriate" policies have cause additional U.S. deaths "at least in the tens of thousands," the editorial estimates, concluding:

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"We rarely publish editorials signed by all the editors," Dr. Eric Rubin, the NEJM's editor-in-chief, told CNN. And "the reason we've never published an editorial about elections is we're not a political journal and I don't think that we want to be a political journal — but the issue here is around fact, not around opinion. There have been many mistakes made that were not only foolish but reckless and I think we want people to realize that there are truths here, not just opinions." Read the full editorial at The New England Journal of Medicine.