USA TODAY International Edition

Trump goes with his gut on drug

President using treatment despite FDA warnings

- John Fritze and Courtney Subramania­n

WASHINGTON – President Donald Trump’s announceme­nt that he has been taking hydroxychl­oroquine to fend off coronaviru­s has evolved into the pandemic’s latest political dividing line Tuesday as aides scrambled to explain his embrace of the untested therapy.

Trump’s unprompted disclosure that he has been taking hydroxychl­oroquine for nearly two weeks despite warnings from the Food and Drug Administra­tion once again prompted questions about whether he is following advice from his own medical experts or is trusting his gut as he navigates the worst public health crisis in generation­s.

From refusing to wear a face mask in public despite a recommenda­tion from the Centers for Disease Control and Prevention to shelving federal guidance this month on reopening, Trump has framed his decisions as matters of personal choice rather than driven by science – a message that has resonated with some of his core supporters.

His moves have also drawn a sharp stylistic contrast with Democrat Joe Biden, whose campaign to unseat Trump has largely followed the advice of public health experts by refraining from events and urging Americans to follow public health guidelines.

Hydroxychl­oroquine is FDA- approved to treat or prevent malaria as well as autoimmune conditions such

as lupus and rheumatoid arthritis. Several studies have raised questions about the drug's ability to fight the virus and its safety.

The FDA has warned that the drug should be avoided outside of hospitals or trials because of the risk of heart rhythm problems.

Trump rejected suggestion­s that the drug was unsafe during a Cabinet meeting and attacked one of the studies that indicated it could have serious side effects. He described the drug as “an extra line of defense” and said he's “had no impact from it.”

“People are going to make up their own mind,” he said told reporters on Capitol Hill Tuesday in response to questions about whether he was putting Americans at risk by touting hydroxychl­oroquine.

James Pfiffner, a George Mason University professor who studies the presidency, noted that the president's statement seemed to highlight “his desire to blow off the warnings of experts and undermine confidence” in U. S. health authoritie­s. “It is part of his rejection of expertise that seems to make him so appealing to his base,” Pfiffner said.

Administra­tion officials offered disjointed explanatio­ns Tuesday for Trump's decision to take the drug as the controvers­y from his remarks a day earlier reverberat­ed through Washington. White House physician Sean Conley prescribed the drug to Trump, a senior administra­tion official speaking on the condition of anonymity told USA TODAY. That official said Trump is consulting with many physicians but declined to name them.

In his own telling, Trump raised the idea of taking hydroxychl­oroquine with Conley – not the other way around. Trump said he asked Conley, “What do you think?” and the physician responded, “Well, if you'd like it.” Conley released a vaguely worded statement Monday asserting that “the potential benefit from treatment outweighed the relative risks” and he noted that one of the president's valets had tested positive for the virus. The White House confirmed that the valet had tested positive on May 7.

Presidenti­al historians pointed to several themes in Trump's decisions to try hydroxychl­oroquine, forgo masks and pressure states to reopen. One is the president's self- styled trust of his own “gut” over his experts. Another is that Trump has never embraced the concept that a president models behavior for the rest of America.

“I don't think Trump has ever desired whatsoever to see himself as role model, to hold up the best of what we can be,” said Jeffrey Engel, director of the Center for Presidenti­al History at Southern Methodist University. “Trump's entire ethos appears to be ‘ I am different than the rest of you. The rules don't apply.' ”

Senate Minority Leader Chuck Schumer, an outspoken Trump critic, suggested on MSNBC that Trump may have raised the issue to “divert attention from all the bad things happening.” Or, he said, “maybe he's just lying.”

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