Reuters: U.S.

Wednesday, April 22, 2020

Overnight Health Care: Overnight Health Care: Doctor says he was removed from federal post after opposing funding for unproven drugs | Trump: I 'disagree strongly' with Georgia governor on reopening| Battle heats up for phase-four coronavirus relief bill

 
 
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Welcome to Wednesday's Overnight Health Care. 

There are more than 842,000 confirmed cases of COVID-19 in the U.S., and 46,609 deaths due to the disease.

The former head of a federal agency at the forefront of any potential approved COVID-19 treatment says he was removed after advocating against promoting unproven drug therapies. 

Meanwhile, the Trump administration announced how it would allocate some $40 billion in CARES Act funding aimed at health care providers, and former New York City Mayor Michael R. Bloomberg is pitching in millions in an effort to help New York's tri-state area hire thousands of contact tracers. 

We'll start with a shakeup:

Making waves: Doctor says he was removed from federal post after opposing funding for unproven drugs

Rick Bright, the former head of Biomedical Advanced Research and Development Authority (BARDA), made a series of claims about why he was removed from his post. 

BARDA is a relatively small federal agency that has flown under the radar until the coronavirus outbreak. The agency will be at the forefront of efforts to develop a potential treatment for COVID-19. 

Bright said in a statement that he was forced out because he prioritized science instead of promoting unproven treatments.

More specifically, Bright said he was removed as BARDA director because he limited the broad use of chloroquine and hydroxychloroquine, two drugs that President Trump repeatedly pushed as potential cures without evidence of effectiveness.

Bright was moved to a narrower job at the National Institutes of Health (NIH).

“I believe this transfer was in response to my insistence that the government invest the billions of dollars allocated by Congress to address the Covid-19 pandemic into safe and scientifically vetted solutions, and not in drugs, vaccines and other technologies that lack scientific merit,” he said. 

"Sidelining me in the middle of this pandemic and placing politics and cronyism ahead of science puts lives at risk and stunts national efforts to safely and effectively address this urgent public health crisis."

Background: Hydroxychloroquine is used to treat malaria and conditions such as lupus and arthritis, but has not been approved as a recommended treatment for COVID-19. 

Trump has called it a "game changer" against the virus despite limited evidence that it works.

Watch this space: Bright is represented by attorneys at the law firm Katz, Marshall & Banks, the same group that represented Christine Blasey Ford. In 2018, Ford accused Supreme Court Justice Brett Kavanaugh of sexual assault.

Read more here.

Trump: I 'disagree strongly' with Georgia governor's decision to start reopening economy

President Trump said Wednesday that he disagrees “strongly” with Georgia Gov. Brian Kemp's (R) decision to allow bowling alleys, hair salons and other businesses to reopen on this Friday.

“I want him to do what he thinks is right, but I disagree with him on what he's doing,” Trump said at a White House press briefing.

Trump said Kemp’s decision violates guidelines the administration issued last week for states to follow before reopening parts of their economies.

Kemp said Monday that businesses allowed to reopen will be required to stagger shifts, keep workspaces six feet apart, and screen workers for respiratory illnesses and fevers.

Workers may also have to wear masks and gloves when “appropriate.”

Theaters, private social clubs and restaurants will be allowed to reopen April 27 and will be required to follow the same rules.

Read more here.

CDC director tries to walk back remarks on coronavirus

Centers for Disease Control and Prevention (CDC) Director Robert Redfield on Wednesday tried to temper remarks he made about the threat of a second wave of the novel coronavirus, saying the thrust of his comments was meant to urge Americans to embrace the vaccine for the flu.

“I didn’t say that this was going to be worse. I said it was going to be more difficult and potentially more complicated because we would have flu and coronavirus circulating at the same time,” Redfield said at the top of a White House briefing Wednesday evening.

The CDC director's comments came hours after President Trump complained about a Washington Post report from Tuesday that included the top health official's remarks, saying the CDC chief would make a clarifying statement.

“The key to my comments and the reason that I really wanted to stress them was to appeal to the American public and to embrace the flu vaccine with confidence,” Redfield said Wednesday.

Read more here.

Gillibrand, Bennet propose hiring thousands for new 'Health Force'

Sens. Kirsten Gillibrand (D-N.Y.) and Michael Bennet (D-Colo.) on Wednesday announced new legislation aimed at hiring hundreds of thousands of new public health workers into a "Health Force" modeled after New Deal programs during the Great Depression. 

The bill would provide $55 billion per year to hire hundreds of thousands of people who would help carry out testing, contact tracing and eventually vaccinating to fight the coronavirus. 

Gillibrand compared the program to the Works Progress Administration of the 1930s.

“We must take the same kind of bold action now in the face of twin health and economic threats,” she said on a press call.  

The need: Former Centers for Disease Control and Prevention Director Tom Frieden has estimated that as many as 300,000 workers are needed to conduct contact tracing, a key step to safely reopen the economy. 

Read more here

Trump administration offers plan for hospital funds to coronavirus hot spots, uninsured patients

The administration has finally explained how it will allocate the remainder of the CARES Act funding for providers. The money comes as lawmakers in both parties have been urging the administration to move at a faster pace.

Hospitals on the front lines of the COVID-19 pandemic will receive $10 billion from the CARES Act beginning next month. An additional $10 billion will be sent as early as next week to rural hospitals and health clinics. 

HHS rushed $30 billion to providers just after the CARES legislation passed, but much of that first wave bypassed hospitals in states on the front lines of the areas hardest hit by the coronavirus. Instead, it went to hospitals based on a share of their Medicare revenue.

Azar said the agency will begin distributing an additional $20 billion this week based on providers' overall patient revenue. Payments will go out weekly, on a rolling basis.

Uninsured reimbursement: When President Trump declined to open a special ObamaCare enrollment period, administration officials ultimately decided that hospitals would be able to use a portion of the $100 billion to get reimbursed for treating uninsured patients. Health and Human Services officials outlined the process hospitals will go through, but declined to say how much of the funding will be dedicated for the uninsured.

Read more here 

Battle heats up for phase-four coronavirus relief bill

The Senate’s passage of a $484 billion coronavirus relief bill on Tuesday is setting the stage for negotiations on an even bigger package that could rival the $2.2 trillion CARES Act passed by Congress last month.

The legislation would funnel tens of billions if not hundreds of billions to state and local governments and could address infrastructure spending and election security.

Democratic leaders want Congress to begin thinking about “CARES 2” after the Senate deal, but Senate Majority Leader Mitch McConnell (R-Ky.) has once again started sounding concerned about the debt level.

Speaking to reporters, Senate Democratic Leader Charles Schumer (D-N.Y.) said “we will need a big, strong and active [fourth bill]. It’ll have to come very soon. The needs are large and great.”

But McConnell hit the pause button.

“I think it's also time to begin to think about the amount of debt we're adding to our country and the future impact of that,” he said. “Let's weigh this very carefully, because the future of our country in terms of the amount of debt that we're adding up is a matter of genuine concern.”

Read more here

Related: McConnell says he supports letting states declare bankruptcy amid coronavirus

McConnell says GOP will confirm Trump court picks through pandemic

Coronavirus oversight lags as trillions in relief head out the door

Cuomo: NY, NJ and CT to launch contact tracing program with help from Bloomberg 

New York Gov. Andrew Cuomo (D) announced Wednesday that New York will partner with New Jersey and Connecticut to launch a tri-state contact tracing program. 

The New York governor said during his daily press briefing, that he’s discussed the “massive undertaking” with New Jersey Gov. Phil Murphy (D) and Connecticut Gov. Ned Lamont (D). He said there is no timeline for the program, but tracing is “starting now” and will increase “incrementally.”

“When do you stop ramping up? Maybe never,” he said.

The three states will work with Bloomberg, Johns Hopkins University and Vital Strategies to institute the program, which he said is “harder done than said.” 

Helping out with the project: Former New York Mayor (and presidential candidate) Michael Bloomberg. 

Bloomberg has volunteered to contribute upwards of $10 million through the Johns Hopkins Bloomberg School of Public Health and help coordinate the effort with the involved governments. 

Read more here

 

Related: State governments face financial abyss with coronavirus

California governor orders autopsies back to December to find out how long coronavirus has been in the state

South Dakota speedways expected to draw hundreds of fans to weekend races

 

What we’re reading

How Jared Kushner is tackling the White House’s coronavirus response — without any evidence experience (ProPublica)

HHS chief Azar had aide, former dog breeder, steer pandemic task force (Reuters)

States rushing to reopen are likely making a deadly error, coronavirus models and experts warn (The Washington Post)

Coronavirus deaths in U.S. nursing, long-term care facilities top 10,000 (Wall Street Journal)

Health chief’s early missteps set back coronavirus response (Wall Street Journal) 

 

State by state

Reopening the DMV: Officials have benchmarks for easing restrictions, but we’re far from meeting them. (Washington Post

Gov. Tim Walz announces plan to expand COVID-19 testing (Star Tribune

'We hope to be a model': the California town testing every resident for coronavirus (Guardian)

State officials say White House wrong on Maine’s testing capacity (Portland Press Herald)

 

Op-eds at The Hill

Dollars alone can't measure the value of mental health investments

The data is in — stop the panic and end the total isolation

 

 

 
 
 
 
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