Inside the epic White House fight over hydroxychloroquine

The White House coronavirus task force had its biggest fight yeton Saturday, pitting economic adviser Peter Navarro against infectious disease expert Anthony Fauci. At issue: How enthusiastically should the White House tout the prospects of an antimalarial drug to fight COVID-19?

Behind the scenes: This drama erupted into an epic Situation Room showdown. Trump’s coronavirus task force gathered in the White House Situation Room on Saturday at about 1:30pm, according to four sources familiar with the conversation. Vice President Mike Pence sat at the head of the table.

  • Numerous government officials were at the table, including Fauci, coronavirus response coordinator Deborah Birx, Jared Kushner, acting Homeland Security Secretary Chad Wolf, and Commissioner of Food and Drugs Stephen Hahn.
  • Behind them sat staff, including Peter Navarro, tapped by Trump to compel private companies to meet the government’s coronavirus needs under the Defense Production Act.

Toward the end of the meeting, Hahn began a discussion of the malaria drug hydroxychloroquine, which Trump believes could be a “game-changer” against the coronavirus.

  • Hahn gave an update about the drug and what he was seeing in different trials and real-world results.
  • Then Navarro got up. He brought over a stack of folders and dropped them on the table. People started passing them around.
  • “And the first words out of his mouth are that the studies that he’s seen, I believe they’re mostly overseas, show ‘clear therapeutic efficacy,'” said a source familiar with the conversation. “Those are the exact words out of his mouth.”

Navarro’s comments set off a heated exchange about how the Trump administration and the president ought to talk about the malaria drug, which Fauci and other public health officials stress is unproven to combat COVID-19.

  • Fauci pushed back against Navarro, saying that there was only anecdotal evidence that hydroxychloroquine works against the coronavirus.
  • Researchers have said studies out of France and China are inadequate because they did not include control groups.
  • Fauci and others have said much more data is needed to prove that hydroxychloroquine is effective against the coronavirus.
  • As part of his role, Navarro has been trying to source hydroxychloroquine from around the world. He’s also been trying to ensure that there are enough domestic production capabilities inside the U.S.

Fauci’s mention of anecdotal evidence “just set Peter off,” said one of the sources. Navarro pointed to the pile of folders on the desk, which included printouts of studies on hydroxychloroquine from around the world.

  • Navarro said to Fauci, “That’s science, not anecdote,” said another of the sources.

Navarro started raising his voice, and at one point accused Fauci of objecting to Trump’s travel restrictions, saying, “You were the one who early on objected to the travel restrictions with China,” saying that travel restrictions don’t work. (Navarro was one of the earliest to push the China travel ban.)

  • Fauci looked confused, according to a source in the room. After Trump imposed the travel restrictions, Fauci has publicly praised the president’s restriction on travel from China.
  • Pence was trying to moderate the heated discussion. “It was pretty clear that everyone was just trying to get Peter to sit down and stop being so confrontational,” said one of the sources.
  • Eventually, Kushner turned to Navarro and said, “Peter, take yes for an answer,” because most everyone agreed, by that time, it was important to surge the supply of the drug to hot zones.
  • The principals agreed that the administration’s public stance should be that the decision to use the drug is between doctors and patients.
  • Trump ended up announcing at his press conference that he had 29 million doses of hydroxychloroquine in the Strategic National Stockpile.

Between the lines: “There has never been a confrontation in the task force meetings like the one yesterday,” said a source familiar with the argument. “People speak up and there’s robust debate, but there’s never been a confrontation. Yesterday was the first confrontation.”

  • In response to a request for comment on Axios’ reporting, Katie Miller, a spokesperson for the vice president, said: “We don’t comment on meetings in the Situation Room.”

The bottom line: The way to discuss the drug’s potential has become a fraught issue within the Trump administration.

  • Most members of the task force support a cautious approach to discussing the drug until it’s proven.
  • Navarro, on the other hand, is convinced based on his reading that the drug works against the coronavirus and speaks about it enthusiastically.
  • Some of Trump’s favorite TV hosts, including Fox’s Sean Hannity, and friends including Rudy Giuliani, have also been touting the malaria drug for the coronavirus. Trump has made no secret who he sides with.
  • “What do you have to lose? Take it,” the president said in a White House briefing on Saturday. “I really think they should take it. But it’s their choice. And it’s their doctor’s choice or the doctors in the hospital. But hydroxychloroquine. Try it, if you’d like.”

[Axios]

Trump Refuses to Allow Dr. Fauci to Answer Question on Dangers of Hydroxychloroquine

During a press briefing Sunday night purportedly aimed at providing the U.S. public with crucial information amid the ongoing coronavirus pandemic, President Donald Trump refused to allow the nation’s top infectious disease expert to answer a reporter’s question about the efficacy of an anti-malaria drug that the president has recklessly touted as a possible COVID-19 treatment despite warnings from medical professionals.

Before Dr. Anthony Fauci could respond to the question about hydroxychloroquine, Trump—who was standing back and off to the side of the podium—complained that Fauci had already spoken about the drug “15 times.”

“You don’t have to ask the question again,” said Trump, stepping forward and moving closer to Fauci as another reporter began asking a separate question.

“This is a really chilling moment from a science standpoint, with Trump having just pushed an unproven COVID treatment and Fauci, the top infectious disease expert in the U.S., getting muzzled on live TV,” tweeted Andrew Freedman, a climate reporter for the Washington Post. “Was clear Trump didn’t want to be contradicted.”

Dr. Lucky Tran, a biologist, said Trump’s interruption was “unacceptable.”

“Dr. Fauci, one of the world’s top infectious disease scientists, was just censored live at a White House press conference,” tweeted Tran.

The exchange came just hours after Fauci, in an appearance on CBS‘ “Face the Nation” Sunday morning, said that “in terms of science, I don’t think we could definitively say [hydroxychloroquine] works.”

“The data are really just at best suggestive,” said Fauci. “There have been cases that show there may be an effect and there are others to show there’s no effect.”

During a press briefing Saturday evening, Trump said “I really think they should they should take it,” referring to coronavirus patients and hydroxychloroquine. Three people in Nigeria overdosed on the drug last month after the president said, without evidence, that the drug may be able to combat the novel coronavirus.

In a joint statement on March 25, the American Medical Association, American Pharmacists Association, and American Society of Health-System Pharmacists said “there is no incontrovertible evidence to support off-label use of medications for COVID-19.”

“What do I know?” Trump asked during the press briefing Sunday night. “I’m not a doctor.”

Media

Trump Calls Media Critics ‘Bad for the World’, Tells Press Get Coronavirus Crisis Over With ‘THEN Go Back To Your Fake News’

At Saturday’s coronavirus task force briefing, President Donald Trump once again lit into the media over reporting on his administration’s response to the Covid-19 pandemic.

“Every decision that we’re making is made to save lives. It’s really our sole consideration, we want to save lives. We want as few lives lost as possible,” said Trump, leading into his remarks about the press.

“It’s therefore critical that certain media outlets stop spreading false rumors and spreading fear and even panic with the public. It’s just incredible,” said Trump, shaking his head, “I could name them, but, it’s the same ones. Always the same ones.”

“I guess they’re looking for ratings, I don’t know what they’re looking for,” he said. “So bad for our country.”

He then said that the media’s approval ratings with the public are “the lowest they’ve ever been.”

“It’s so bad for our country, so bad for the world,” said the president. “Ought to put it together for a while, get this over with and then go back to your fake news.”

[Mediaite]

Trump says he agrees with Navy Capt. Crozier’s firing

President Donald Trump defended the firing of Navy Capt. Brett Crozier during a coronavirus task force press conference Saturday afternoon, calling Crozier’s letter asking for help for the sailors of the USS Theodore Roosevelt “not appropriate.” 

Trump said he did not make the decision to fire Crozier, but he disagreed with Crozier’s actions and suggested the captain was at fault for the coronavirus infections on board the aircraft carrier for docking the ship in Vietnam.

“Perhaps you don’t do that in the middle of a pandemic,” Trump said, adding the letter was “not appropriate” and “he shouldn’t be talking that way in a letter.” 

Crozier had circulated a four-page letter later obtained by the San Francisco Chronicle asking for “decisive action” as the coronavirus ravaged his crew. 

“We are not at war, and therefore cannot allow a single Sailor to perish as a result of this pandemic unnecessarily,” Crozier wrote. 

Four days after he pleaded for help, Crozier was fired by the Navy. 

Acting Navy Secretary Thomas Modly said Crozier had “exercised extremely poor judgment” in distributing the letter. 

The Navy said Saturday 44% of the crew of the USS Theodore Roosevelt had been tested for the coronavirus, and 155 service members had tested positive. About 1,548 service members had been moved onshore. None had been hospitalized. 

[USA Today]

Trump Again Touts Hydroxychloroquine, Which Has Major Potential Side Effects, as COVID-19 Treatment

President Donald Trump is again touting a drug used to treat certain other diseases and says he may take it himself in hope that it will help fend off the new coronavirus.

Trump says “there’s a rumor out there” that hydroxychloroquine is effective, declaring “I may take it.”

He has often pointed to hydroxychloroquine as a possible cure and urged people to take it, despite more sober assessments of its effectiveness by medical professionals.

The drug has long been used to treat malaria, rheumatoid arthritis and lupus. Very small preliminary studies suggested it might help prevent coronavirus from entering cells and possibly help patients clear the virus sooner.

But the drug has major potential side effects, especially for the heart, and large studies are underway to see if it is safe and effective for treating COVID-19.

[Time]

Reality

Navy captain fired by Trump administration for trying to save his crew

The Navy captain fired by the Trump administration for issuing a stark warning about the risk to his crew from the coronavirus outbreak has been given a standing ovation as he left his post.

Captain Brett Crozier, was relieved of his command of the aircraft carrier USS Theodore Roosevelt on Thursday after his superiors lost confidence in his ability to lead.

As Capt Crozier left on Thursday night he was given a standing ovation and cheered on by members of the 5,000-strong crew, who chanted “Captain Crozier, Captain Crozier” as he departed.

Earlier in the week, Capt Crozier sent a letter to the Navy, obtained by the San Francisco Chronicle, asking for the crew to be isolated completely in order to try and stop the spread of a coronavirus outbreak onboard the ship.

“Removing the majority of personnel from a deployed US nuclear aircraft carrier and isolating them for two weeks may seem like an extraordinary measure…This is a necessary risk,” he wrote.

“Keeping over 4,000 young men and women on board the TR is an unnecessary risk and breaks faith with those Sailors entrusted to our care.”

During his press conference on Thursday evening, acting Navy Secretary Thomas Modly said the decision to sack Capt Crozier was his alone and explained that the captain’s actions forced his hand.

“I have no doubt in my mind that Captain Crozier did what he thought was in the best interest of the safety and well-being of his crew,” he said. “Unfortunately, it did the opposite. It unnecessarily raised the alarm of the families of our sailors and Marines with no plans to address those concerns.”

Mr Modly added his admiration for the captain: “I expect no congratulations for it. Captain Crozier is an incredible man.”

Earlier in the day, at his daily press conference, President Donald Trump was asked by a reporter if he thought the decision was the correct one, replying: “No, I don’t think that at all.”

The decision to relieve the captain of his duties was criticised by the Democratic frontrunner for the presidential nomination, Joe Biden, who released a statement on Thursday evening saying that Capt Crozier should not have been fired.

“Donald Trump’s Acting Navy Secretary shot the messenger – a commanding officer who was faithful to both his national security mission and his duty to care for his sailors, and who rightly focused attention on a broader concern about how to maintain military readiness during this pandemic,” said Mr Biden.

“The Navy sent a chilling message to the rest of the fleet about speaking truth to power. The poor judgment here belongs to the Trump Administration, not a courageous officer trying to protect his sailors.”

According to a tracking project hosted by Johns Hopkins University, upwards of 245,601 people have tested positive for coronavirus in the US. The death toll has reached at least 6,058.

The Centers for Disease Control and Prevention has recommended a two-week ban on gatherings of more than 50 people as part of the battle to contain the spread of the contagion.

[The Independent]

After lying about it on Sunday, Trump on Monday repeats claim that New York asked for more ventilators than it will need

Speaking with the coronavirus task force in the White House Rose Garden on Sunday, March 29, President Donald Trump lied to PBS reporter Yamiche Alcindor that he didn’t say that some equipment governors are requesting for their coronavirus responses is not actually needed (he had in fact said that to Fox’s Sean Hannity.)

The following day, Trump did a 54-minute interview on Fox & Friends, and he repeated his claim that some medical equipment requested by New York and other states won’t be needed, despite reports of widespread shortages of medical supplies, especially ventilators.

Predictably, none of the show hosts questioned him on his contradictory statements. 


DONALD TRUMP (PRESIDENT OF THE UNITED STATES): We delivered 4,000 ventilators to New York to their warehouse which happens to be located, which is interesting, in Edison, New Jersey. It was signed off, they were delivered, and they weren’t used. And we said a number of days later, why aren’t you using these ventilators? I don’t know what happened but we delivered thousands of them and we’ve delivered them to a lot of people. You know, there’s a whole question about that. I think New York should be fine, based on the numbers that we see, they should have more than enough.
I mean, I’m hearing stories that they’re not used or they’re not used right but what we find anywhere from two to four thousand that have been sent and aren’t used, you know, we’ve done a job. Now we’re still getting more ventilators. We’re going to have — after this is over, we’ll be selling, they will be selling ventilators for $1 a piece. We’ll have a lot of them. But, you know, they have to build them because for the most part, the whole world is short on ventilators.

On March 28, The Washington Post reported that a recent batch of medical supplies sent from an emergency federal stockpile fell far short of what state leaders have requested — Massachusetts and Maine received about 17% and 5%, respectively, of protective gear they requested, and Colorado got enough supplies “for only one full day of statewide operations.” In contrast, Florida — home to a pro-Trump governor and electorate — is receiving three times the supplies it requested. (The Post did note however that aid disbursement does “not appear to follow discernible political or geographic lines.”)

Throughout March, Fox shows — that Trump obsessively watches — engaged in sensationalist coverage blaming Democratic-leaning states for the viral spread of COVID-19. One particular focal point was Trump favorite Tucker Carlson speculating that homeless people and their “filth” are to blame for spreading the virus in California. Trump also demanded on March 27 that governors should be grateful for any assistance the federal government provides. The same day Hannity said that New York Gov. Andrew Cuomo should stop “whining, bitching, and complaining” about a lack of medical supplies and instead “thank Donald Trump” for the help.

[Media Matters]

Trump Bashes CNN’s Jim Acosta at Coronavirus Presser: ‘I Could Cause Panic Much Better Than Even You’

President Donald Trump continued on Monday what is becoming a tradition at his daily coronavirus press conference: lacing into White House reporters.

At his Monday presser in the Rose Garden, Trump selected CNN’s Jim Acosta for a question. The CNN senior White House correspondent asked Trump about his previous comments downplaying the threat of the coronavirus.

“What do you say to Americans who believe that you got this wrong?” Acosta asked.

Trump defended his past statements, claiming they were “all true” and the product of his efforts to “keep the country calm.”

The president then dropped an odd claim: “I don’t want panic in the country. I could cause panic much better than even you. I would make you look like a minor league player. But you know what? I don’t want to do that. I want to have our country be calm and strong and fight and win and it will go away.”

Trump then started attacking CNN for Acosta’s question, which he deemed “nasty” and “snarky.” (He would, later in the press conference, call a question from PBS reporter Yamiche Alcindor as “snarky” as well.)

[Mediaite]

Trump Berates Reporter, Calls Her ‘Threatening’ For Asking About Comments He Made on Coronavirus

President Donald Trump berated PBS White House correspondent Yamiche Alcindor for a question she asked, at Sunday’s press conference on the coronavirus, regarding his war of words with U.S. governors.

In response, Trump bashed Alcindor in personal terms, billing her question as “threatening.”

“I have two questions,” the PBS reporter started. “The first is, you’ve said repeatedly that you think that some of the equipment that governors are requesting, they don’t need.”

Trump cut in: “I didn’t say that.”

“You said it on Sean Hannity’s Fox News — you said that you might…” Alcindor replied before being interrupted.

“Why don’t you people act…why don’t you act in a little more positive?” Trump said. “It’s always trying to get you, get you. And you know what, that’s why nobody trusts the media anymore.”

“Excuse me, you didn’t hear me,” he continued, as Alcindor attempted to continue her question. “That’s why you used to work for Times, and now you work for somebody else. Look, let me tell you something, be nice. Don’t be threatening.”

“Be nice. Go ahead,” Trump added.

“My question is, how is that going to impact how you fill these orders for ventilators or masks?” Alcindor asked.

“We’re producing a tremendous number of ventilators,” Trump stated. “We’re doing a great job on it.”

Later in the exchange, Trump again called Alcindor’s question “threatening,” while also calling her a “fine journalist.”

“You know, when journalists get up and you’re a journalist, a fine journalist and ask questions that are so threatening, we’re all on the same team,” Trump stated.

Alcindor replied, “I was quoting you directly from your interview with Sean Hannity.”

Trump did make the comments that Alcindor asked him about. In an interview with Hannity this week, the president said of governors: “A lot of equipment is being asked for that I don’t think they will need.”

The PBS correspondent attempted to ask her second question, but Trump said, “That’s enough” and a White House staffer removed the microphone from Alcindor. It was later returned to her by CNN reporter Jeremy Diamond.

[Mediaite]

Media

Trump moves the coronavirus goal posts, pre-spinning 100,000 deaths as ‘a very good job’

On Feb. 26, when there were 15 reported cases of the novel coronavirus in the United States, President Trump predicted the number of cases would soon be “down to close to zero.”

On March 5, he hailed the fact that there were about 3,000 deaths worldwide but only 11 in the United States.

On March 9, he noted that there were just 22 U.S. deaths and compared the virus to the seasonal flu, which has killed 37,000 people this year.

On March 13, he said the 2009 swine flu had killed 14,000 people in the United States and called the Obama administration’s response to it “a disaster.”

On Sunday night, the same president set the goal posts for his administration’s response to the coronavirus in a very different place. In a White House briefing in the Rose Garden, Trump referenced new data from his task force and said that between 100,000 and 200,000 deaths would represent a victory over the coronavirus.

In doing so, Trump seemed to suddenly embrace coronavirus projections that he had previously shrugged off and downplayed. Rather than put an optimistic spin on what lies ahead, he instead sought to use the most dire projections to pre-spin his administration’s response as a success.

As The Washington Post’s Philip Rucker reported, Trump pointed no fewer than 16 times to the most dire projections of 2 million or more U.S. deaths in the Sunday briefing. This was most prominently projected in an Imperial College London study that spurred a more aggressive response in the United States and Britain two weeks ago.

“So you’re talking about 2.2 million deaths, 2.2 million people from this,” Trump said. “And so if we could hold that down, as we’re saying, to 100,000 — it’s a horrible number, maybe even less — but to 100,000. So we have between 100 and 200,000, and we altogether have done a very good job.”

Trump added, “But to point to up to 2.2 million deaths and maybe even beyond that, I’m feeling very good about what we did last week.”

As The Post’s William Booth reported when the Imperial College London study came out, that 2.2 million figure was a worst-case scenario in which virtually no precautions were taken — and Trump, to his credit, acknowledged that at one point Sunday.

The number was halved if the two countries were more aggressive:If Britain and the United States pursued more-ambitious measures to mitigate the spread of the coronavirus, to slow but not necessarily stop the epidemic over the coming few months, they could reduce mortality by half, to 260,000 people in the United Kingdom and 1.1 million in the United States.

But it was significantly lower for Britain if the most aggressive steps were taken:Finally, if the British government quickly went all-out to suppress viral spread — aiming to reverse epidemic growth and reduce the case load to a low level — then the number of dead in the country could drop to below 20,000. To do this, the researchers said, Britain would have to enforce social distancing for the entire population, isolate all cases, demand quarantines of entire households where anyone is sick, and close all schools and universities — and do this not for weeks but for 12 to 18 months, until a vaccine is available.

As Booth noted, the model didn’t provide a number for the United States in the case of the most aggressive response. But if you apply the same percentage-wise decline to both Britain and the United States — as the study did between the worst-case scenario and the middle option — it would be about 85,000 deaths in the United States. That’s pretty close to what Trump is now aiming for.

Whether that would actually be the victory that Trump says it would be is subjective. But it’s notable that he’s now playing up those projections, after he spent the initial weeks of the outbreak suggesting the situation was “under control” and floating the idea that the virus could suddenly, miraculously disappear. The number of deaths he’s now talking about would be substantially higher than the seasonal flu and swine flu numbers he has repeatedly compared the current situation with — and in the latter case argued signified a failed response.

The swine flu, of course, was significantly less deadly than the coronavirus. But that didn’t stop Trump from making a comparison that has now turned out to be rather shortsighted. The flu comparison also was faulty from the start because the mortality rate and the transmission rate have been shown to be substantially lower.

The problem with setting the goal posts for your own success in the middle of a crisis is that there is so much you don’t know, and you can wind up setting an expectation that will later suggest you didn’t take things seriously enough or that your response was a failure. But Trump did it again Sunday — albeit in a significantly less optimistic way.

[Washington Post]

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