WASHINGTON (AP) — Mail piling up. Constant attacks from the president. Cuts to overtime as record numbers of ballots are expected to pass through post offices this fall.

The success of the 2020 presidential election could hinge on a most unlikely government agency: the U.S. Postal Service. Current signs are not promising.

The Postal Service already was facing questions over how it would handle the expected spike of mail-in ballots due to the coronavirus pandemic, but several operational changes imposed by its new leader have led to mail backlogs across the United States as rumors of additional cutbacks swirl, fueling worries about the November vote.

“It seems like they’re just trying to turn customers away from the post office,” said Jim Sizemore, president of the American Postal Workers Union chapter in the Cincinnati region. He said his offices are behind on deliveries because of new rules specifying when mail can go out.

The pandemic has forced states to expand voting by mail as a safe alternative to in-person polling places. Some states are opting to send ballots to voters or allowing people to use fear of the virus as a reason to cast an absentee ballot. That’s led to predictions of an an unprecedented amount of mail voting in the presidential election.

Trailing in the polls, President Donald Trump has been sowing public distrust in the Postal Service’s ability to adequately deliver ballots and has, without evidence, said allowing more people to vote by mail will result in rampant corruption.

The agency’s new leader, Postmaster General Louis DeJoy, a former supply-chain CEO and a major donor to Trump and other Republicans, has pushed cost-cutting measures to eliminate overtime pay and hold mail until the next day if postal distribution centers are running late.

DeJoy, 63, of North Carolina, was tapped to head the service by a Trump-appointed board of governors and started in June. He is the first postmaster general in nearly two decades who is not a career postal employee.

DeJoy has said repeatedly that the Postal Service is in a financially untenable position and needs to rein in expenses. This past week, it reported $2.2 billion in losses during the three months that ended in June.

Postal leaders want at least a $10 billion infusion from Congress as well as regulatory changes that would end a costly mandate that they fund in advance billions of dollars in retiree health benefits.

“Without dramatic change, there is no end in sight, and we face an impending liquidity crisis,” DeJoy told the Postal Service’s governing board Friday.

Memos from post office leadership, obtained by The Associated Press, detailed an elimination of overtime and a halting of late delivery trips that are sometimes needed to make sure deliveries arrive on time. One document said if distribution centers are running behind, “they will keep the mail for the next day.” Another said: “One aspect of these changes that may be difficult for employees is that — temporarily — we may see mail left behind or mail on the workroom floor or docks.”

Additional records obtained by AP outline upcoming reductions of hours at post offices, including closures during lunch and on Saturdays. Rumors have also circulated about the potential for entire offices to shutter, after the Postal Service told Sen. Joe Manchin, D-W.Va., that regional managers there have identified 12 offices for “feasibility studies.” Postal employees have been recently instructed not to talk to news media while on duty, according to another memo obtained by AP.

The changes have taken their toll on the Postal Service’s 630,000 employees.

“As they risk their health each day along with other front-line essential workers, letter carriers have become angry, frustrated and embarrassed by various USPS management initiatives that are now resulting in delayed mail and undelivered routes in many areas of the country,” said Fredric Rolando, president of the National Association of Letter Carriers, which represents nearly 300,000 carriers nationwide.

The new policies have angered lawmakers from both parties and drawn criticism from former President Barack Obama, who said the current administration is “undermining the Postal Service in an election that’s going to be dependent on mail-in ballots.”

DeJoy has been the target of multiple letters from members of Congress who have called on the postmaster general to rescind his measures and have complained about a lack of transparency from the agency. Eighty-four House members, including four Republicans, signed a letter that said it is “vital that the Postal Service does not reduce mail delivery hours, which could harm rural communities, seniors, small businesses and millions of Americans who rely on the mail for critical letters and packages.”

House Speaker Nancy Pelosi, D-Calif., and Senate Minority Leader Chuck Schumer, D-N.Y., had a closed-door meeting with DeJoy this past week to discuss the agency’s worsening performance and need for emergency funding. Schumer later described it as “a heated discussion.”

Pelosi and Schumer followed up with a letter to DeJoy that said the operational changes “threaten the timely delivery of mail — including medicines for seniors, paychecks for workers, and absentee ballots for voters — that is essential to millions of Americans.”

During a meeting Friday with the Postal Service governing board, DeJoy said the agency is not slowing down election mail and remains committed to fulfilling its role in elections.

“Although there will likely be an unprecedented increase in election mail volume due to the pandemic, the Postal Service has ample capacity to deliver all election mail securely and on-time in accordance with our delivery standards, and we will do so,” he said. “However, as discussed, we cannot correct the errors of the Election Boards if they fail to deploy processes that take our normal processing and delivery standards into account.”

In West Virginia, Sini Melvin, president of an American Postal Workers Union chapter in a northern part of the state, said she has serious concerns about the post office’s ability to deliver ballots on time this fall if current policies hold.

“It’s like they’re setting us up for failure,” she said,

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Izaguirre reported from Charleston, West Virginia. The Associated Press produced this coverage with support from the Carnegie Corporation of New York.

ROME (AP) — With confirmed coronavirus cases in the U.S. hitting 5 million Sunday, by far the highest of any country, the failure of the most powerful nation in the world to contain the scourge has been met with astonishment and alarm in Europe.

Perhaps nowhere outside the U.S. is America’s bungled virus response viewed with more consternation than in Italy, which was ground zero of Europe’s epidemic. Italians were unprepared when the outbreak exploded in February, and the country still has one of the world’s highest official death tolls at over 35,000.

But after a strict nationwide, 10-week lockdown, vigilant tracing of new clusters and general acceptance of mask mandates and social distancing, Italy has become a model of virus containment.

“Don’t they care about their health?” a mask-clad Patrizia Antonini asked about people in the United States as she walked with friends along the banks of Lake Bracciano, north of Rome. “They need to take our precautions. … They need a real lockdown.”

Much of the incredulity in Europe stems from the fact that America had the benefit of time, European experience and medical know-how to treat the virus that the continent itself didn’t have when the first COVID-19 patients started filling intensive care units.

M ore than four months into a sustained outbreak, the U.S. reached the 5 million mark, according to the running count kept by Johns Hopkins University. Health officials believe the actual number is perhaps 10 times higher, or closer to 50 million, given testing limitations and the fact that as many as 40% of all those who are infected have no symptoms.

“We Italians always saw America as a model,” said Massimo Franco, a columnist with daily Corriere della Sera. “But with this virus we’ve discovered a country that is very fragile, with bad infrastructure and a public health system that is nonexistent.”

With America’s world’s-highest death toll of more than 160,000, its politicized resistance to masks and its rising caseload, European nations have barred American tourists and visitors from other countries with growing cases from freely traveling to the bloc.

France and Germany are now imposing tests on arrival for travelers from “at risk” countries, the U.S. included.

“I am very well aware that this impinges on individual freedoms, but I believe that this is a justifiable intervention,” German Health Minister Jens Spahn said last week.

Mistakes were made in Europe, too, from delayed lockdowns to insufficient protections for nursing home elderly and critical shortages of tests and protective equipment for medical personnel.

Hard-hit Spain, France, Britain and Germany have seen infection rebounds with new cases topping 1,000 a day, and Italy’s cases went over 500 on Friday. Some scientists say Britain’s beloved pubs might have to close again if schools are to reopen in September.

Europe as a whole has seen over 207,000 confirmed virus deaths, by Johns Hopkins’ count.

In the U.S., new cases are running at about 54,000 a day — an immensely high number even when taking into account the country’s large population. And while that’s down from a peak of well over 70,000 last month, cases are rising in nearly 20 states, and deaths are climbing in most.

In contrast, at least for now Europe appears to have the virus somewhat under control.

“Had the medical professionals been allowed to operate in the States, you would have belatedly gotten to a point of getting to grips with this back in March,” said Scott Lucas, professor of international studies at the University of Birmingham, England. “But of course, the medical and public health professionals were not allowed to proceed unchecked,” he said, referring to President Donald Trump ‘s frequent undercutting of his own experts.

When the virus first appeared in the United States, Trump and his supporters quickly dismissed it as either a “hoax” or a scourge that would quickly disappear once warmer weather arrived. At one point, Trump suggested that ultraviolet light or injecting disinfectants would eradicate the virus. (He later said he was being facetious).

Trump’s frequent complaints about Dr. Anthony Fauci have regularly made headlines in Europe, where the U.S. infectious-disease expert is a respected figure. Italy’s leading COVID-19 hospital offered Fauci a job if Trump fired him.

Trump has defended the U.S. response, blaming China, where the virus was first detected, for America’s problems and saying the U.S. numbers are so high because there is so much testing. Trump supporters and Americans who have refused to wear masks against all medical advice back that line.

‪”There’s no reason to fear any sickness that’s out there,” said Julia Ferjo, a mother of three in Alpine, Texas, who is “vehemently” against wearing a mask. ‪Ferjo, 35, teaches fitness classes in a large gym with open doors. She doesn’t allow participants to wear masks.

‪”When you’re breathing that hard, I would pass out,” she said. “I do not want people just dropping like flies.”

And health officials watched with alarm as thousands of bikers gathered Friday in the small South Dakota city of Sturgis for an annual 10-day motorcycle rally. The state has no mask mandates, and many bikers expressed defiance of measures meant to prevent the virus’s spread.

Dr. David Ho, director of the Aaron Diamond AIDS Research Center at Columbia University Irving Medical Center, who is leading a team seeking treatments for COVID-19, decried such behavior, as well as the country’s handling of the virus.

“There’s no national strategy, no national leadership, and there’s no urging for the public to act in unison and carry out the measures together,” he said. “That’s what it takes, and we have completely abandoned that as a nation.”

When he gets on Zoom calls with counterparts from around the globe, “everyone cannot believe what they’re seeing in the U.S. and they cannot believe the words coming out of the leadership,” he said.

Amid the scorn from other countries, Trump national security adviser Robert O’Brien, newly recovered from a bout with the virus, gave an upbeat picture Sunday on CBS’ “Face the Nation.”

“We’re going to fight like heck. We’re working hard on vaccines. We’re working hard on testing machines that are portable and fast. … We’re working on therapeutics,” he said. “I’m so impressed with our scientists and our doctors and our first responders and the folks who are attacking this disease, and God bless them all.”

Many Europeans point proudly to their national health care systems that not only test but treat COVID-19 for free, unlike the American system, where the virus crisis has only exacerbated income and racial inequalities in obtaining health care.

“The coronavirus has brutally stripped bare the vulnerability of a country that has been sliding for years,” wrote Italian author Massimo Gaggi in his new book “Crack America” (Broken America), about U.S. problems that long predated COVID-19.

Gaggi said he started writing the book last year and thought then that the title would be taken as a provocative wake-up call. Then the virus hit.

“By March the title wasn’t a provocation any longer,” he said. “It was obvious.”

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Pane reported from Boise, Idaho. AP reporters from around Europe contributed.

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Follow AP’s pandemic coverage at http://apnews.com/VirusOutbreak and https://apnews.com/UnderstandingtheOutbreak