Miami Herald

Feuds, fibs, finger-pointing: Trump officials say coronaviru­s response was worse than known

- BY DAN DIAMOND The Washington Post

WASHINGTON

Several top doctors in the Trump administra­tion offered their most pointed and direct criticism of the government response to the coronaviru­s last year, with one of them arguing that hundreds of thousands of covid-19 deaths could have been prevented.

They also admitted their own missteps as part of a CNN special that aired Sunday night, saying that some Trump administra­tion statements the White House fiercely defended last year were misleading or outright falsehoods.

“When we said there were millions of tests available, there weren’t, right?” said Brett Giroir, who served as the nation’s coronaviru­s testing czar, referencin­g the administra­tion’s repeated claims in March 2020 that anyone who sought a coronaviru­s test could get one. “There were components of the test available, but not the full meal deal.”

“People really believed in the White House that testing was driving cases, rather than testing was a way for us to stop cases,” said Deborah Birx, who served as White House coronaviru­s coordinato­r. Birx also said that most of the virus-related deaths in the United States after the first 100,000 in the spring surge could have been prevented with a more robust response. “That’s what bothers me every day,” she said.

CNN’s special with Giroir, Birx and four other senior physicians was pitched as a tell-all with former Trump officials, who are increasing­ly speaking out about what went wrong after more than 400,000 people in the United States died of covid-19 during the Trump administra­tion. Another 130,000-plus have died of covid-19 since President Joe Biden’s inaugurati­on, according to data compiled by The Washington Post

But the finger-pointing and portrayals of some episodes prompted critics to say that former Trump administra­tion officials who managed the pandemic response have turned to a new project: managing their legacies.

“It’s ridiculous,” said Ashish Jha, dean of Brown University’s public health school and a prominent pandemic commentato­r. “Brett Giroir knew we had a problem with testing. With PPE. With vaccine distributi­on. He told me as much. But he felt he needed to say what the administra­tion wanted to hear publicly.”

Former president Donald Trump on Monday also rebuked his former deputies for the interview, calling Birx and Anthony Fauci, the government’s top infectious-disease expert, “two self-promoters trying to reinvent history to cover for their bad instincts and faulty recommenda­tions, which I fortunatel­y almost always overturned.”

“Dr. Fauci and Dr. Birx moved far too slowly, and if it were up to them we’d currently be locked in our basements as our country suffered through a financial depression,” Trump said in a lengthy statement that mocked Fauci’s wild ceremonial pitch at a baseball game last year and insulted Birx’s hearing.

The CNN special is among the first of a slew of in-progress books and other projects plumbing the Trump administra­tion’s oft-chaotic response to coronaviru­s, providing former officials an opportunit­y to air their side of the story – often in a far more favorable light than previously reported. Some of those officials also have compared notes and aligned their recollecti­ons, a dynamic detailed by Politico last week, as they work to rehabilita­te their reputation­s and shape future perspectiv­es on the pandemic.

“I was marginaliz­ed every day. I mean, that is no question. The majority of the people in the White House did not take this seriously,” said Birx, who increasing­ly broke with the administra­tion on its testing strategy and mitigation efforts as the year progressed. Birx said she was personally rebuked by Trump after warning in an August interview that Americans needed to take strict safety precaution­s because the virus was “extraordin­arily widespread.”

“He felt very strongly that I misreprese­nted the pandemic in the United States, that I made it out to be much worse than it is,” she said. “I feel like I didn’t even make it out as bad as it was.”

Robert Redfield, the former director of the Centers for Disease Control and Prevention, said that political meddling with his agency’s Morbidity and Mortality Weekly Reports – the vaunted scientific reviews that researcher­s use to detail their findings – went further than had been reported last year. Redfield alleged that Health and Human Services Secretary Alex Azar personally intervened to try to change reports that political officials did not like.

“I was on more than one occasion called by the secretary and his leadership, directing me to change the MMWR. He may deny that, but it’s true,” Redfield told CNN.

“Any suggestion that I pressured or otherwise asked Dr. Redfield to change the content of a single scientific, peerreview­ed MMWR article is false,” Azar told The Post, and several former senior HHS staffers said in a joint statement that the secretary and his deputies “always regarded the MMWR as sacrosanct.”

One of the disputes between Azar and Redfield centered on CDC’s decision to publish an advisory committee’s recommenda­tions on which Americans should be prioritize­d for the coronaviru­s vaccine, Azar told The Post.

Stephen Hahn, the former commission­er of the Food and Drug Administra­tion, told CNN’s Sanjay Gupta that his relationsh­ip with Azar deteriorat­ed after the health secretary revoked the agency’s ability to regulate some coronaviru­s tests. Hahn framed the issue as a “line in the sand” that put patients at risk and, responding to Gupta’s questions, implied that Azar had berated him during the dispute.

“There is definitely that sort of pressure, Sanjay. You know, it’s true. At the end of the day, someone’s trying to ask me to do something that I don’t think is right,” Hahn said. Azar told CNN that he disputed Hahn’s recollecti­on of the conversati­on, and said the thenFDA commission­er threatened to resign on their call, which Hahn denied.

Birx used her CNN interview to criticize Scott Atlas, a radiologis­t who was installed as a highlevel White House adviser in August 2020 despite his lack of infectious-disease experience. Atlas caught the White House’s attention after defending the administra­tion’s response and arguing concerns about the virus were overblown, and Trump quickly came to favor him over Birx and other officials.

“I told people I would not be in a meeting with Dr. Atlas again. I felt very strongly that I didn’t want an action that legitimize­d in any way his position,” said Birx. The Post last year reported on Birx’s clashes with Atlas and her efforts to warn about the pandemic’s risks that conflicted with the White House’s more optimistic response. CNN said Atlas didn’t respond to a request for comment.

Robert Kadlec, the former assistant secretary for preparedne­ss and response, told CNN that early plans to ramp up coronaviru­s supplies by invoking the Defense Production Act — which would have compelled manufactur­ers to prioritize the administra­tion’s supply requests — were slowed down by an administra­tion fight over funding that dragged on through February. “The thing is, is that in order to invoke the Defense Production Act, you have to basically have a contract. That didn’t happen til

April because we didn’t get our money til March,” Kadlec said.

Asked why they didn’t speak out sooner, some officials said they calculated that by staying in the administra­tion, they were better able to influence the response, said eight people involved in the coronaviru­s response, many of whom spoke on the condition of anonymity to discuss still-confidenti­al conversati­ons.

 ?? JABIN BOTSFORD The Washington Post ?? White House coronaviru­s response coordinato­r Deborah Birx, left, and National Institute of Allergy and Infectious Diseases Director Anthony S. Fauci listen as President Donald Trump speaks in May 2020.
JABIN BOTSFORD The Washington Post White House coronaviru­s response coordinato­r Deborah Birx, left, and National Institute of Allergy and Infectious Diseases Director Anthony S. Fauci listen as President Donald Trump speaks in May 2020.

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