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Former Biden Advisors Call for a Pandemic Strategy to the 'New Normal.



WASHINGTON — On the day President Biden was inaugurated, the advisory board of health experts who counseled him during his transition officially ceased to exist. But its members have quietly continued to meet regularly over Zoom, their conversations often turning to frustration with Mr. Biden’s coronavirus response.

Now, six of these former advisers have gone public with an extraordinary, albeit polite, critique — and a plea to be heard. In three opinion articles published on Thursday in The Journal of the American Medical Association, they called for Mr. Biden to adopt an entirely new domestic pandemic strategy geared to the “new normal” of living with the virus indefinitely, not to wiping it out.

The authors are all big names in American medicine. Several, including Dr. Luciana Borio, a former acting chief scientist at the Food and Drug Administration, and Dr. David Michaels, a former head of the Occupational Safety and Health Administration now with George Washington University’s School of Public Health, have held high-ranking government positions. Dr. Ezekiel Emanuel, an oncologist, medical ethicist and University of Pennsylvania professor who advised former President Barack Obama, organized the effort.

Like any White House, Mr. Biden’s prizes loyalty and prefers to keep its differences in house; in that regard, the articles are an unusual step. The authors say they wrote them partly because they have not made headway talking directly to White House officials.

“From a macroperspective, it feels like we are always fighting yesterday’s crisis and not necessarily thinking what needs to be done today to prepare us for what comes next,” Dr. Borio said.

The authors shared the articles with White House officials before they were published, but it was unclear whether the administration would adopt any of their suggestions. Dr. Anthony S. Fauci, Mr. Biden’s top medical adviser for the pandemic, declined to comment on the articles.

The White House press secretary, Jen Psaki, told reporters she had not read the articles, and dismissed a question about whether the president “is coming around to accepting” that Covid-19 is here to stay, even though several recent media accounts suggested that the administration was beginning to operate under that assumption. Mr. Biden’s recent emphasis on keeping schools open and businesses running even when cases are soaring also suggests a recalibration, as does a recent decision by the Centers for Disease Control and Prevention to recommend that people with Covid isolate for five days instead of 10.

“The president’s goal is to defeat the virus,” Ms. Psaki said, adding, “The president’s focus and objective now is to save as many lives as possible.”

Outlining their ideas for the “new normal” strategy, Dr. Emanuel and two co-authors — Michael T. Osterholm, an epidemiologist at the University of Minnesota, and Dr. Celine Gounder, an infectious disease expert at New York University — pointedly noted that in July, Mr. Biden proclaimed that “we’ve gained the upper hand against this virus,” which in retrospect was clearly not the case.

Now, with the Omicron variant fueling an enormous new surge, they wrote, the United States must avoid becoming stuck in “a perpetual state of emergency.” The first step, they wrote, is recognizing that the coronavirus is one of several respiratory viruses circulating, and developing policies to address all of them together.

To be better prepared for inevitable outbreaks — including from new coronavirus variants — they suggested that the administration lay out goals and specific benchmarks, including what number of hospitalizations and deaths from respiratory viruses, including influenza and Covid-19, should prompt emergency mitigation and other measures.

In addition to urging the administration to adopt a longer view, the authors took pointed issue with some of Mr. Biden’s current policies and stances — especially on political lightning rod issues. They called for more aggressive use of vaccine mandates, which have drawn fierce opposition from Republicans, and said the nation needed a digital verification system for vaccination — so-called vaccine passports — which Mr. Biden has resisted in the face of Republican attacks on the concept.

“Relying on forgeable paper cards is unacceptable in the 21st century,” wrote Dr. Borio, Dr. Emanuel and Dr. Rick Bright, the chief executive of the Rockefeller Foundation’s Pandemic Prevention Institute.

The most surprising thing about the articles is that they were written at all. Several of the authors said in interviews they were dismayed that the administration seemed caught off guard by the Delta and Omicron variants. Dr. Bright, who helped write two of the pieces, recalled the warning he issued when

By: Sheryl Gay Stolberg
Title: Former Biden Advisers Urge a Pandemic Strategy for the ‘New Normal’
Sourced From: www.nytimes.com/2022/01/06/us/politics/former-biden-advisers-pandemic-strategy.html
Published Date: Fri, 07 Jan 2022 00:04:04 +0000

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