Facts: In 2018 Trump fired his Homeland Security Advisor, whose job was to coordinate a response to a global pandemic. He was not replaced. In 2018 the NSC director for medical and bio-defense preparedness left the job and was not replaced. In 2019 the NSC's Senior Director for Global Health Security and Bio-defense left the job and was not replaced. Trump shut down the entire Global Health Security and Bio-defense agency. Trump didn't appoint a doctor to head the response to the pandemic; he appointed Mike Pence. Trump's initial denials and casual attitude have helped the virus to spread.