I believe America's "testing failure" is dramatically overblown. America has run 4.32 million. The next closest country is Germany at 2.07 million. Italy is next at 1.51 million. Now let's take a look at testing in terms of percentage of the population:
United States: 1.30%
Germany: 2.45%
South Korea: 1.13%
Canada: 1.51%
United Kingdom: 0.82%
France: 0.71%
Netherlands: 1.00%
Belgium: 1.48%
Sweden: 0.94%
Finland: 1.24%
Norway: 2.74%
Singapore: 1.62%
Italy: 2.50%
Spain: 1.99%
America falls somewhere in the middle among this group of countries, which is an accomplishment considering how many people there are and how physically large the country is. Germany, as an example, is smaller than the state of Montana. It is much easier to test people in a country as dense. I’ve heard people saying the lack of testing is an indictment on our healthcare system, and that narrative is just false.
Testing is one of the key elements in stopping the spread of the virus. The steps are:
- Test
- Quarantine if Positive
- Interview to determine direct and casual contacts
- Trace Contacts
- Test Contacts
- Quarantine if Positive
- Continue the cycle as long as there are positive contacts.
In regard to stopping the spread of the virus, the need for testing is dependent on the number of people available to test, quarantine, interview, and trace contacts. The process is most effective in the early stages of the epidemic. Had there been enough testing and contact tracing in late February and March, we could have seen a considerable reduction in the number of cases and deaths, possibility even stopping the spread.
The second real reason for testing is pretty obvious, making sure a person is actually infected.
Third, when starting the opening of businesses, testing and interviewing positive cases can produce valuable information as to which business sectors are the safest to open up but it takes a lot testing to get good information.
Lastly, the number of tests should not be based on size of population because population size is not inductive of number of cases per capita. Japan has large population yet not many cases considering the size of nation. Some smaller countries have had large outbreaks.