Total tests per capita they're around 19th. Total tests per infected they're very far down the list.
Nah. Slow and far behind. The first case in the USA was in January. By the end of February NY was a disaster. Early March people were asking why they hadn't ramped up production of PPE. Trump ordered the increased production in April. 2 months too late.
Both. Enforced at the state level, encouraged by federal. The federal leadership didn't actively encourage it.
Trump and other white house members deliberately downplayed the virus. Trump even openly admitted that he downplayed it.
It's a bit complex. Much of it is done at state level but domestic travel restrictions, country borders, and state committee organisation is all done at the federal level. In a crisis the country leadership needs to effectively communicate policy advisement with the states. Trump's stance was "They'll figure it out for themselves"
Somewhat agree. The criticism from NEJM isn't that they want the economy to open or close. It's the inconsistent way they handled it resulting the virus still spreading. They even compare it to NZ and other countries that had stronger restrictions for a shorter amount of time and managed to control the virus effectively while the US put half effort restrictions in place leading to not stopping the virus at all. The journal is encouraging an all or nothing approach if you actually want to stop the virus. Sitting in the middle is useless.