I don't know quite where it comes from—gerontocracy, bureaucracy, inequality, status-quo bias, anti-expertise—but America's exceptional COVID case count comes from a national epidemic of unlearning.
theatlantic.com/ideas/archive/…
An epidemic is a race between duel contagions—the biological contagion (the host-seeking virus) and the social contagion (the population's ability to learn and adapt).