Trump virus testing strategy leaves it to individual states
The Trump administration’s new testing strategy, released Sunday to Congress, holds individual states responsible for planning and carrying out all coronavirus testing, while planning to provide some supplies needed for the tests.
The proposal also says existing testing capacity, if properly targeted, is sufficient to contain the outbreak. But epidemiologists say that amount of testing is orders of magnitude lower than many believe the country needs.
The report cements a stance that has frustrated governors in both parties, following the administration’s announcement last month that the federal government should be considered “the supplier of last resort” and that states should develop their own testing plans.
“For months, it was a tennis game. It was going back and forth between the feds and the states, and it’s now landed with the states,” said Scott Becker, executive director of the Association of Public Health Laboratories.
Becker noted that the federal government plans to distribute some testing supplies, including swabs and viral transport media, and to store test kits in the strategic national stockpile.
“That’s actually quite significant,” he said.
The Department of Health and Human Services prepared the strategy, which meets requirements under the Paycheck Protection Program and Health Care Enhancement Act, signed into law by President Donald Trump on April 24, that federal agencies come up with a strategic testing plan within 30 days. It was reported earlier by The
Washington Post.
Becker, public health experts and Democratic leaders panned the proposal, saying the strategy runs the risk of states competing with one another and may create deep inequities among them.
The strategy mirrors a divide that has played out in Congress for months. As they negotiated the virus relief bill in March, Democratic lawmakers pushed to require the administration to submit this national testing plan to Congress. Republicans resisted, saying those decisions belonged to each state.
Becker and others said it’s reasonable to expect states to implement some aspects of the testing, such as designating test sites. But acquiring tests involves reliance on national and international supply chains — which are challenging for many states to navigate.
“That’s our biggest question, that’s out biggest concern, is the robustness of the supply chain, which is critical,” Becker said. “You can’t leave it up to the states to do it for themselves. This is not the Hunger Games.”
In a joint statement Monday, House Speaker Nancy Pelosi; Sen. Chuck Schumer, the Democratic leader; Rep. Frank Pallone, Democratic chairman of the House Energy and Commerce Committee; and Sen. Patty Murray, the ranking Democrat on the
Senate’s health committee, said the Trump administration was not taking responsibility for ramping up national testing capacity.
“This disappointing report confirms that President Trump’s national testing strategy is to deny the truth that there aren’t enough tests and supplies, reject responsibility and dump the burden onto the states,” the lawmakers said.
Experts also took issue with the report’s assertion that continuing to test only 300,000 a day, by targeting only those likely to be positive, would be enough to contain the outbreak.
“On the face of it, the idea that 300,000 tests a day is enough for America is absurd,” said Dr. Ashish Jha, director of the Harvard Global Health Institute.
He offered a quick rundown of the numbers to illustrate the estimate’s inadequacy. Most hospitals nationwide now test everyone who is admitted for any reason, 100,000 tests each day, fearing that they may be asymptomatic and yet still spreading the virus. Testing the 1.6 million residents of nursing homes — known to be at high risk of coronavirus infection — and workers every two weeks would require 150,000 more tests each day. Add high-risk places like meatpacking plants that need testing, and the numbers rapidly build.