The state's that didn't have them were the ones that chose to oppose publicly the pressure coming from the Trump Administration.
Trump is responsible for the decisions made and policies advocated by people he placed in positions of responsibility. Selecting the right subordinates is perhaps the most important core function of any Chief Executive.
In case you just tuned in, Fauci had been around since Reagan.
Trump didn't pick him, he inherited him. Milley should have been sent packing.
The pressure, though, came from the Medical Establishment: NIAID (Fauci), the CDC, and the FDA. Trump, not being a doctor, and subjected to the propaganda media (who would think they'd
lie about something like a pandemic and public health, for Pete's sake?)
I don't think Trump, nor many Americans could comprehend or even believe that such an egregious violation of the public trust was in motion.
(Keep in mind I was pointing out that the virus was lab created, that HCQ/Azithromycin/Zinc and IVM/Doxycycline/Zinc were promising protocols that were not given a fair shake because the EUA for the jabs would
not have gone into effect if viable and effective treatments were available, in early 2020--and I'm not a doctor.)
Billions of dollars in profits for the companies that fund most of the medical research out there were at stake. Many of us saw through what was going on, were branded conspiracy theorists or nutters, and eventually we were proven right.
We, however, had the benefit of less filtered information, the ability to chase down research that was done before the pandemic, and some of us are scientists who could at least understand what was going on and how the protocols worked.
Trump does not have a science background, and is not a doctor, so he was at the mercy of their perfidy.
In the end, all that did was have far fewer people trust their doctors.
I don't blame him, because he was told what was needed and provided it, based on that information. The sources are the problem, and through administrations from Reagan on, they had been trusted.
Either way, as my state and others proved, the decision was up to the States, and the responsibility for the choices made there should reside with those officials who made them, not Trump who had no authority to make those decisions on a State or local level.