Pittsburgh Post-Gazette

Levine tapped as assistant health secretary

- By Kris B. Mamula

President-elect Joe Biden has tapped Pennsylvan­ia Health Secretary Dr. Rachel Levine to be his assistant secretary of health in the U.S. Department of Health and Human Services, leaving her poised to become the first openly transgende­r federal official to be confirmed by the U.S. Senate.

Gov. Tom Wolf, who offered Dr. Levine “heartfelt congratula­tions” on Tuesday, said he would name her replacemen­t later this week.

A pediatrici­an and former Pennsylvan­ia physician general, the 63-year-old Dr. Levine was appointed to her current post by Mr. Wolf in 2017, making her one of the few transgende­r people serving in elected or appointed positions nationwide. She won confirmati­on by the Republican-majority Pennsylvan­ia Senate and, like health secretarie­s across the country, was thrust into the spotlight as the public face of the state’s response to the coronaviru­s pandemic.

Reviews of her tenure are likely to be mixed and passionate. The onslaught of COVID-19 was followed by lockdowns for schools and restrictio­ns for businesses as officials attempted to slow the spread of the deadly virus, commerce stalled and the jobless rate climbed.

Dr. Levine is leaving amid a lumbering rollout of the COVID-19 vaccine in a state that has no central registry for the shots and where pharmacies

and hospitals compete to register people for the inoculatio­ns — each with different eligibilit­y criteria.

“It’s the biggest debacle the state has ever done,” Shawn Nairn, owner of Acorx Pharmacy in Carnegie, said about the rollout. “From the provider perspectiv­e, it’s a mess.”

Dr. Levine’s potential new boss seems to be impressed with how she handled the difficult role and appreciate­s the experience she will add to his administra­tion.

“Dr. Rachel Levine will bring the steady leadership and essential expertise we need to get people through this pandemic — no matter their zip code, race, religion, sexual orientatio­n, gender identity, or disability — and meet the public health needs of our country in this critical moment and beyond,” Mr. Biden said in a statement. “She is a historic and deeply qualified choice to help lead our administra­tion’s health efforts.”

Strong work ethic

Dr. Levine, a native of the Boston suburb of Wakefield, Mass., and the daughter of two attorneys, is a graduate of Harvard College and Tulane Medical School whose nickname during her residency at Mount Sinai Hospital in New York was “Torpedo” for her work ethic. “I have the capacity to work really hard,” she said in a 2017 interview with the LGBT Center of Central Pennsylvan­ia.

She and her then-wife, who have since divorced, moved to Central Pennsylvan­ia from Manhattan in 1993 in what she called the “biggest transition in life.” The couple, who were married just before Dr. Levine finished medical school, are parents of a son and daughter.

From age 5 or 6, Dr. Levine said she felt something was “different with me,” adding “gender was like a splinter in my brain. I knew that something was off. I really felt that I was a young girl, young woman.” A heavy work schedule kept her from seeking counseling about it until she was 40 years old, she said in the 2017 interview.

She began to transition to female dress and appearance while working as a professor of pediatrics and psychiatry at Penn State Hershey Medical Center, she said.

Dr. Levine, who played football and hockey in high school, taught at the Penn State College of Medicine and saw patients there and later at Hershey Medical Center, where she worked for 19 years in adolescent medicine. In 2015, she accepted Mr. Wolf’s invitation to become physician general of Pennsylvan­ia, an opportunit­y she said in the 2017 interview “just dropped out of the sky.”

She considers the signing of standing physician orders in 2015 to allow first responders and the general public access to the narcotic overdose antidote naloxone without a prescripti­on — saving the lives of at least 2,300 people who would’ve otherwise died — as among her biggest achievemen­ts.

Another signature achievemen­t, she said, was her work on LGBT issues, which she has done both as a public speaker and as part of her outreach work with government agencies.

Face of Pa.’s response

For more than 10 months now, Dr. Levine has been the face of Pennsylvan­ia’s response to the coronaviru­s pandemic, holding livestream­ed briefings several times a week, often ending with a patient reminder to “stay calm, stay home, stay safe.” In some quarters, she’s been hailed as a hero for addressing the state’s medical needs during the pandemic.

But, like health officials in other states, she has also faced criticism over her handling of the public health crisis. Some Republican legislator­s have even called for her firing or resignatio­n.

She has also been the target of hate-filled, transphobi­c attacks.

After the announceme­nt Tuesday that Dr. Levine would be departing, Pennsylvan­ia House Majority Leader Kerry Benninghof­f, a Republican from Centre County, and House Appropriat­ions Committee Chairman Stan Saylor, a Republican from York County, asked Mr. Wolf for a briefing on the state’s vaccine distributi­on strategy, saying the rollout lacked a clearly defined plan while overlookin­g those in most need of the inoculatio­n.

Without a central registry for people who want the vaccine, the state has posted a map of places where it’s available. Mr. Nairn, from Acorx Pharmacy, like other pharmacist­s, said phone calls have been nonstop with people asking for the vaccine, and the calls have increased since the Health Department’s announceme­nt Tuesday it was reducing the age for eligibilit­y to 65 from 70 and 16 to 64 for people with chronic medical problems.

“Since reducing the age [limits], every place out there is blowing up,” he said, adding he had received 300 calls in one hour. “I’m getting a thousand calls, and I’m only probably getting 200 doses of the vaccine. It’s a very poorly thought-out plan.”

State Health Department officials on Tuesday said vaccine supplies were hampering the planned setup of mass vaccinatio­n clinics.

New federal team

Vice President-elect Kamala Harris called Dr. Levine “a remarkable public servant with the knowledge and experience to help us contain this pandemic, and protect and improve the health and well-being of the American people.”

Mr. Biden and his transition team have already begun negotiatin­g with members of Congress, promoting speedy passage of his $1.9 trillion plan to bring the coronaviru­s, which has killed nearly 400,000 people in the United States, under control.

The goal is to enlist federal emergency personnel to run mass vaccinatio­n centers and provide 100 million immunizati­on shots in the new administra­tion’s first 100 days while using government spending to stimulate the pandemic-hammered economy.

Dr. Levine joins Mr. Biden’s nominee for health and human services secretary, Xavier Becerra, a Latino politician who rose from humble beginnings to serve in Congress and as California’s attorney general.

Businessma­n Jeff Zients is Mr. Biden’s coronaviru­s response coordinato­r, while the president-elect picked infectious-disease specialist Rochelle Walensky to run the Centers for Disease Control and Prevention, Vivek Murthy as surgeon general and Yale epidemiolo­gist Marcella Nunez-Smith to head a working group to ensure fair and equitable distributi­on of vaccines and treatments.

The government’s top infectious disease expert, Dr. Anthony Fauci, will also work closely with the Biden administra­tion.

A transition official said Tuesday that Dawn O’Connell will serve as senior counselor for coronaviru­s response to the health and human services secretary. She most recently served as director of the Coalition for Epidemic Preparedne­ss Innovation­s and was the senior counselor and deputy chief of staff to Health and Human Services Secretary Sylvia Burwell during the Obama administra­tion.

 ?? Dan Zampogna/Commonweal­th ?? Pennsylvan­ia Secretary of Health Dr. Rachel Levine was appointed by Gov. Tom Wolf in 2017.
Dan Zampogna/Commonweal­th Pennsylvan­ia Secretary of Health Dr. Rachel Levine was appointed by Gov. Tom Wolf in 2017.

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