a guy who opposed condom distribution in Africa to combat the HIV epidemic, in favor of abstinence promotion.
Meanwhile, the Surgeon General is the guy who oversaw Pence's HIV outbreak in Indiana where together they refused to do the evidence-based thing of instituting a needle exchange program, on bullshit moralizing grounds, until after dozens of people had been unnecessarily infected, which remains the largest acute localized outbreak of HIV in US history.
And HHS Secretary Azar, no all-star himself, did try to go up the chain with various concerns and issues once the CDC made him aware of the novel virus outbreak in China, but like all Trump toadies he won't act without permission out of fear of doing something Trump won't like. The White House staff would not let him speak to Trump on the phone. He did not get to speak to Trump UNTIL 15 DAYS LATER (as reported in WaPo).
Whatever bullshit "we inherited a broken system" Trump wants to push, the facts are that HE appointed a clusterfuck's worth of incompetent sycophants who are totally outmatched by the task at hand.
America never stood a chance.