What, Ben, you mean have "big government" controlling our lives???? (sorry, I just couldn't help myself - I don't know how much of that attitude has actually kept us from having some nationwide political leadership and regulation on this).
I agree that we have been hearing CDC, NIH, AMA, and other government-run or professional organizations warning us on this issue for decades, but I don't think they necessarily have the clout to mandate anything at this point. I hope that the current "hype" will, if nothing else, put pressure on regulatory agencies (such as TJC) to require that stringent policies be put into place.
Much of what is done to counteract spread of resistant bacteria is done on a hospital by hospital basis in this country. I know that the public hospital I worked in for 32 years was very attuned to the issue of antibiotic resistance, and managed to dramatically reduce incidents of MRSA and VRE. But not all hospitals have either administration or staff on the cutting edge of awareness of things like this. And then there is what goes on outside hospitals: over-prescribing antibiotics for patients with viral infections, just to keep them happy (but no more healthy), feeding antibiotics to livestock to enable overcrowding and factory farming, widespread addition of antibacterials to items such as toothpaste, soap, etc., which are not really necessary for good health or safety. All of these things contribute to creating populations of bacteria that are resistant to the substances used.
I read this morning that China uses 10 times the amount of antibiotics per capita that the U.S. does; I'm sure many countries where prescriptions are not required may also abuse antibiotics. It's ultimately a global issue and not just a local one.