The STAT report reveals the Trump administration discarding Biden-era Ebola playbooks spanning hundreds of pages on repatriation and response coordination, yet overlooks how this erodes cumulative lessons from the 2014-2016 West African epidemic that killed over 11,000. An observational analysis in The Lancet Infectious Diseases (n=27,000 cases across three countries, no RCT feasible due to ethics) demonstrated that standardized federal protocols reduced secondary transmission by 40% when paired with rapid evacuation; discarding them invites repetition of coordination failures seen in prior U.S. responses. CDC internal reviews post-2014 further exposed gaps in interagency handoffs that Biden plans explicitly addressed, while Trump-era staffing exits mirror 2017-2020 attrition patterns linked to delayed H1N1 and Zika readiness. Long-term, this departure weakens WHO-aligned frameworks, with implications for vaccine equity in low-resource settings where observational cohort studies (sample sizes 5,000-15,000) consistently tie U.S. logistical support to faster containment. Conflicts of interest in pharmaceutical lobbying for outbreak contracts remain unexamined in coverage, potentially prioritizing domestic optics over evidence-based international partnerships.