Positive test ratio does tell you what type of shape you're in. If 20% of a specific geographic area are testing positive (as some parts of the South are) vs. 2-4% (as Illinois has for the past few weeks), that is indicative of the spread (or lack of) of the virus. Number of cases is often reported by the media and while the numbers show increases (from 20K to now over 60K) that grab headlines, that number wouldn't be as meaningful if the % of positive cases was much lower than where it is in several parts of the country.
Most states have not not implemented robust contact tracing and are still lacking enough to keep up with the spread and hired enough to keep up with the early demand that resulted from the initial shelters in place. As recently as a few weeks back, Illinois was still behind, but most of the country was (and is). The CDC has issues guidelines around this prior to re-opening, and many states are still behind and/or catching up now to the demands from re-opening that were not considered. Nationwide, there needs to be at least 200K+. In order to keep up with the spread, there needs to be high % of new cases traced within 24 hours. Some of that is due to privacy concerns, etc. around the technology. NY has more contact tracing, but in many cases, aren't able to get cooperation from people. Now that the disease is spreading in many area's though, while contact tracing can be helpful for new(er) outbreaks, it's not enough to keep up with the spread.
The Defense Production Act should be more widely used for more PPE . The increased cases and re-opening of the country are both conflicting and increasing the shortages that we're seeing in specific parts of the country right now. We continue to be at the mercy of other countries for our supplies without invoking more domestic production. I have no disagreement.
The federal government has allowed the states to deal with their own situations (outside of the CARES act). More money will be coming if politics can be removed from the situation, but unfortunately that ship sailed a long time ago.
I appreciate your post. Thoughtful and legitimate criticism.