A health worker wearing protective equipment crouches beside the coffin of a suspected Ebola victim during safe burial procedures outside a family home in the community of Mongbwaluon on May 24, 2026 in the Democratic Republic of Congo. (Photo by Michel Lunanga/Getty Images)
DOCTORS AROUND THE COUNTRY are baffled, disturbed, and in some cases aghast at the Trump administration’s plan for Americans who get Ebola overseas—in particular, the decision not to bring these patients back home, to one of the facilities that the federal government created precisely for this purpose.
And if you want to know why these medical professionals are upset, ask infectious disease physician Tara Palmore.
Palmore knows better than most what Ebola care looks like in the American facilities, because she provided it during the 2014 outbreak. Although most of the cases were in West Africa, nearly a dozen infected Americans got treatment in the United States, including one who ended up at a facility inside the National Institutes of Health Clinical Center in Bethesda, Maryland.¹
That is where Palmore was working at the time. And in a phone interview on Thursday, she described the unit to me—how the surfaces are all nonporous, lest they absorb infected bodily fluids that can’t be fully wiped away, and how there’s extra space for medical equipment, because staff have to bring machines to the patient rather than the other way around.
Another distinguishing feature of the unit, Palmore said, is the sealing of every wall, door, and window seam. It’s part of a system to maintain negative pressure, so that air is circulated only through special filters—a system that patients and staff cannot see but can sometimes hear, because of the high-powered fans. “It can be a little loud in there,” Palmore said.
For her and her colleagues, though, a bigger issue was...
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