SARS, H1N1, Ebola, Zika, and now the COVID-19 pandemic blindsided U.S. public health officials and the world at large. Although this is a newsworthy headline, it is not entirely accurate. Hyperbole may sell newspapers, but has ignored the great progress that has been made in national public health emergency preparedness. This narrative downplays the lessons learned, many which resulted in improvements in preparedness. Preparedness for well understood threats and expert knowledge of how to respond to those threats – from a scientific, medical, and logistics perspective – is already established. Addressing the many lurking yet unknown threats is more challenging.