"Trump's refusal to participate in a coordinated global effort to respond to COVID19 is the 21st century equivalent of the U.S. not joining the League of Nations."The Trump administration's apparent lack of interest in cooperation has alarmed global health officials and diplomats as they seek to end the pandemic..The fear is that Trump will be content with allowing the race to develop and distribute the vaccine to devolve into a global contest—and that poorer countries will be left behind in the rush to procure doses. In essence: that the president's "America First" view of world affairs as an atavistic scramble for power will lead to unnecessary suffering and death."