What we could have had today is the ability to identify, isolate, and thus properly quarantine those who are ill or spreading, but we did not as a society deem it valuable to invest in (outside of places like S Korea). It's a classic pay me now or pay me later situation; now we are reaping the lack of investment in the past (even before the current ineptitude).
I always thought the lack of a comprehensive nation healthcare system or at least a plan that covered everyone in some way in the US would bite us if there ever was a pandemic. We as a society decided that long term planning was not economically viable or even desirable. But we did not even do a minimum. Now we have to hope for the best.
As a nation having everyone (not just some people) healthy and when not have access to affordable healthcare is a benefit to the nation as a whole and the economy, something that the new German nation back in the late 1800's figured out. How we get there in the US in the future I don't know, I just hope we come to the same realization and do something.