We would have to start taking some action. I fear we will have spots as bad as Italy.
You already where the guaranteed hot spots are:
Boston, metro NYC, LA, SF, metro Seattle
I hope you are wrong, but fear you are right. Public Health is mostly going to be a state effort, with support from the feds. Of course, just as Bush was blamed for local and state failures with Hurricane Katrina, the left will do their best to blame Trump for local and state failures. But Trump isn't GW Bush, and Pence isn't Michael "Brownie" Brown.