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The decisions of some states to end their lockdowns as early as possible — at levels of infection considerably higher than those that triggered reopening in Western Europe — appear to have consigned the United States to a far longer battle with the virus.Italy’s sudden surge of coronavirus in March swamped hospitals, pushed the nation into a strict lockdown and forced its doctors to ration life-saving ventilators. The European nation opened its …

Virtually every country has,” said Jennifer Kates, director of the Kaiser Family Foundation’s global health policy work. Instead, governors like New Jersey’s Phil Murphy and Michigan’s Gretchen Whitmer broke the lockdown orders that they had extended just days before to join the protests themselves — moves that confused many Americans about the need for social distancing and fueled charges of hypocrisy from conservatives.But in Italy, there’s been much less disagreement over scientists’ recommendations — including lockdowns that were more restrictive than those applied in the United States — particularly after the virus swiftly tore through the nation in early March, peaking at 6,557 new cases announced on March 21. The European nation opened its restaurants and stores a month ago, albeit under new, national safety measures, even as U.S. states wrestled with inconsistent, hasty reopening efforts that have been blamed for new virus spikes. Coordination between nations. Global health officials seized on Italy — as the first country outside of China to be battered by the virus — as a disturbing case study for the rest of the world. “But the worst performers in Europe with the bad luck to get hit first, like Italy and Spain … they are now down 85, 95 percent in terms of case counts from the peak.”Another significant difference: how national leaders abroad publicly incorporated the advice of their top health advisers, even as Trump often undermined the messages of experts like infectious disease doctor Anthony Fauci — sometimes as they shared the same stage.“I would rather spend this summer in Rome with my family than in Phoenix.”But the all-encompassing faith in the U.S. infrastructure turned out to be misplaced, exemplified by the CDC’s early failure on testing, which contributed to coronavirus’ silent spread. About 200,000 Italians were sickened and 29,000 died from the virus by May 1 alone. “They had a much more hard-nosed and a much more consistent approach to limiting transmission.”Even as the coronavirus situation began to worsen across the winter, Trump administration leaders repeatedly touted the U.S. health system as an advantage that other nations lacked — and, as independent experts acknowledged, for good reason.Countrywide lockdowns. Trump has eschewed a mask in public and has sometimes mocked others for wearing face coverings — despite requirements that people wear masks in certain states and ample science that they work to prevent the virus’ spread.The experts acknowledged that Covid-19 has proven to be a fearsome opponent and that small flare-ups can quickly mushroom into major outbreaks, changing the calculus on which countries have contained the virus.“At the present time, in Italy people consider themselves safer,” he said.“Both we and Western Europe were really slow to act,” said Jeremy Konyndyk of the Center for Global Development, who helped oversee international aid efforts during the Obama administration. “This may be the primary point of difference with what we are seeing in the U.S.”“We may end up being the worst of any country in the world in terms of our response,” Jha said. The U.S. has in the past, and could in the future, shown tremendous leadership in health crises. (Adjusted for population, that would be equivalent to about 35,400 new cases in the United States.) He pointed to Germany as a good example, where its public health institute “has been a constant adviser to the government, and the government has taken the information and used it.”“I think there are going to be states in our country that can replicate Italy,” said Ashish Jha, head of Harvard’s Global Health Institute, noting that New York has made its own dramatic strides in containing the virus.Even basic protections have been politicized in the United States. “They’d ask, ‘Why are we shutting down Montana when the problem is Manhattan?’”Alexandra Phelan of Georgetown’s Center for Global Health Science and SecurityEuropean countries’ “initial reopening phase was more or less comparable to our full lockdown phase. All market data delayed 20 minutes.“It seems we lived a nightmare because at the end of February we were on television, on 'Master Chef.' Everybody was talking about us. There were lots of people, new clients and a lot of work. Then, in a few days, everything changed in an incredible way,” Francesco Sciacca said.Microsoft Italy Chief Operating Officer Barbara Cominelli told Fox News that studies have found “smart-workers” to be as much as 25 percent more productive than the traditional office-based employees. Microsoft has been using the model since pre-coronavirus days, and was extremely busy during the lockdown helping clients get their own employees set up in remote situations.“We believe in a balanced situation,” Cominelli said.