Watching this clip of Dr. Birx, five of my own observations after serving in the Trump administration: 

1. You can’t stay above crazy: On any issue, the crazy will catch up to you

2. There’s no policy: You’re always a Tweet away from all going sideways https://twitter.com/daniel_lewis3/status/1253482576699969537

3. You can’t speak credibly: Since there’s no policy, nobody speaks credibly for our country

4. Diplomacy is impossible: Foreign parties know that only Trump counts and he changes on a whim 

5. You may need to resign: In any senior role, your integrity will be tested

The crazy has now caught up to our public health institutions in the middle of a deadly pandemic. It’s hard to think of a worse case scenario.

I mentioned the “effectiveness trap” on @MeetThePress just now. Here’s some background on that concept, which I never imagined might become relevant even to our public health experts and professionals. https://twitter.com/brett_mcgurk/status/1197233705762164736?s=21 https://twitter.com/brett_mcgurk/status/1197233705762164736