Governor, president at loggerheads
The Biden administration and Michigan’s Democratic governor are locked in an increasingly tense standoff over the state’s worst-in-thenation coronavirus outbreak, with a top federal health official Monday urging the governor to lock down her state.
As the governor, Gretchen Whitmer, publicly called again for a surge of vaccine supply, the director of the Centers for Disease Control and Prevention said at a White House news conference that securing extra doses was not the most immediate or practical solution to the outbreak. She said that Michigan — whose metro areas include 16 of the 17 worst outbreaks in the nation — needed to enact shutdown measures to stamp out the crush of infections.
“The answer is not necessarily to give vaccine,” said the director, Dr. Rochelle Walensky. “The answer to that is to really close things down, to go back to our basics, to go back to where we were last spring, last summer, and to shut things down.”
Michigan’s outbreak — driven by a highly infectious virus variant, loosened restrictions, travel, youth sporting events and uneven compliance with the remaining rules — is by far the worst in the country. The state is averaging seven times as many cases each day as it was in late February, and hospitalizations have roughly doubled in the past two weeks.
Nonetheless, Whitmer has stopped well short of the farreaching shutdowns that made her a political lightning rod last summer, with armed protesters storming the Statehouse to demand an end to coronavirus restrictions.
The Biden administration, however, has held fast to distribAndy uting vaccines by state population, not by triage, shying away from anything that could look like inequitable distribution or political favoritism at a time when vaccine supply remains tight in many places.
“It’s important to understand how we’ve approached vaccine distribution from the beginning: It’s done with equity in mind. It’s done with the adult population in mind,” the White House press secretary, Jen Psaki, said Monday. “We don’t pick by our friends. We don’t pick through a political prism.”
Michigan’s renewed fight with the virus was a warning for other states seeing new increases in cases and could have far-reaching consequences. Reports of new cases have increased by 45% in Illinois over the past two weeks, with especially high infection rates around Peoria. And as new, more contagious variants spread, caseloads are rising in Minnesota, Pennsylvania and several other states.
In recent days, Whitmer, an ally of President Joe Biden’s, has diverged repeatedly from the president, asking him in a private call last week for extra vaccines. After being turned down, she continuing to press her case in public that vaccination is the answer.
Bobby Leddy, a spokesman for Whitmer, said the state was suffering not from a failure of policymaking, but from the new variants that are more contagious and from Michiganders who are not complying with the governor’s orders. “Which is why it’s important for us to ramp up vaccinations as quickly as possible,” he said.
Whitmer was joined in the call for more vaccines by Reps. Fred Upton, a Republican, and Debbie Dingell, a Democrat, who sent a letter last week to Biden pleading for extra doses for their state.
Whitmer, who called last week for voluntary pauses to indoor dining, youth sports and in-person high school, said Monday that she planned to extend existing restrictions on inperson office work for six more months. She has also appealed to Michigan residents to take more “personal responsibility,” language that echoed Republican governors and contrasted sharply with her own response to earlier surges.
White House officials have said they are working with Michigan to help the state use the doses it still has on shelves. Eighty percent of those delivered so far have been administered, according to data reported by the CDC.
Slavitt, a White House pandemic adviser, said Monday that instead of playing whack-amole by rushing vaccines to hot spots, the federal government was working to help Michigan more efficiently administer the doses it has.
“We know there are appointments available in various parts of the state,” he said, “and so that means that we have excess vaccine in some parts of the state.”
Slavitt said that the federal government had also offered to send Michigan extra supplies of monoclonal antibody treatments for people with COVID19, and that it was sending more tests to the state and was helping to set up more test sites. He added that a team from the CDC was working in Michigan, as were 140 new vaccinators from the Federal Emergency Management Agency.
Whitmer, who spoke Monday after touring a vaccination site in Ypsilanti, said she was grateful for the offer of additional therapeutics and personnel. But, she said, “we have been working incredibly hard to make sure we get what we need to get people vaccinated, and that includes lobbying for additional vaccines to come into Michigan.”
During previous surges in Michigan, Whitmer shut down businesses and schools as she saw fit, drawing intense protest from Republicans in the state, who viewed her as an avatar of government overreach. The state still has a mask mandate in place and strict capacity limits on a number of activities.
The clash between the Biden administration and Michigan also revealed disagreement among public health experts, some of whom have said Michigan’s outbreak requires a fast and drastic shift in how doses are distributed.
“What you see is that Michigan is an outlier that’s profound,” said Dr. Eric Topol, a professor of molecular medicine at Scripps Research in La Jolla, Calif. “This is a precedent in the country. It’s about plasticity, flexibility in responding, in being able to pivot.”