The US does not have a healthcare system that is available to every citizen. The US has a healthcare marketplace that creates huge gaps of underserved people as the COVID19 pandemic has shown. We still don’t know how the pandemic developed. Was it man-made, or a typical animal to human transference? Scientist are still working to discover the origins of the pandemic and to stay ahead of variants. The United States has emerged as a weak player in handling infectious disease because of our lack of a system with equal access and protection for all citizens. An enemy could attack the US with a virus that morphs while remaining virulent. That enemy could watch the wealthy get protected through social distancing, work from home, and access to quality healthcare. The poor would be hit hard early and spread the disease which could then morph to overcome the advantages of the wealthy. Our economy and military would be rapidly overwhelmed because we have not systematically monitored and responded to threats like COVID19. America must build a first rate healthcare system that includes public health, and universal access, because the survival of the nation depends on it.