I’ve reported since last year on Trump officials’ efforts to change CDC scientific reports to better align with Trump’s own claims on coronavirus.

Today’s @COVIDOversight release fills in some timeline gaps, and I wanted to flag some key moments in a short thread.
1. Even in covid early days, Trump officials leaned on government experts to change their language and findings.

Trump in April installing longtime ally MICHAEL CAPUTO to oversee HHS comms ramped up those efforts. (Caputo recruited friend PAUL ALEXANDER as a scientific adviser.)
2. Across the summer, Caputo, Alexander and others battled with top doctors, which reporters began to reveal.

@bylenasun @jdawsey1 detailed how Alexander berated then-CDC director Redfield; @owermohle showed Alexander trying to muzzle Fauci from talking about kids’ covid risks.
3. But one major irritant for Trump officials: the CDC’s flagship Morbidity and Mortality Weekly Reports, which had been off-limits to political appointees for decades.

Alexander demanded editing control in this Aug 8 email first obtained by POLITICO: politico.com/f/?id=00000176…
4. After weeks of demanding edits, Alexander on Sept. 9 detailed to Caputo examples of changes that he claimed he’d been able to get the CDC to make to the MMWRs, per new documents released today.

(One change prompted Alexander’s “yippee!!!” comment.)
5. Two days later, on Sept. 11, POLITICO first reported Alexander and Caputo’s meddling with CDC reports.

Public health groups quickly sounded alarms, noting that the reports were intended to provide scientific findings and inform the covid response.

politico.com/news/2020/09/1…
6. But the media attention didn’t stop Alexander; by Sept. 13, he was calling for changes to another CDC report on how kids could get covid at child-care facilities and spread to others.

(Alexander argued that parents instead got sick when they picked kids up from school.)
7. The issue quickly came to a head: @COVIDOversight on Sept. 14 opened a probe into Trump officials’ interference in CDC reports, and Caputo took medical leave on Sept. 16.

HHS also announced that Alexander was “permanently” departing as well. politico.com/news/2020/09/1…
8. Today, there are still questions about the extent of political interference.

Former CDC chief Redfield — who claimed last year the reports were protected — recently alleged to @drsanjaygupta that former HHS leaders like Azar had tried to change them too. (Azar denies it.)

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More from @ddiamond

15 Mar
About half of GOP voters tell pollsters they don’t want vaccine.

But after two-hour focus group with @FrankLuntz, many hardcore Trump voters changed their mind.

I watched them go from no to yes. Here’s how @DrTomFrieden, @GovChristie and others did it. washingtonpost.com/health/2021/03…
One big takeaway: Trump voters said they didn’t want to hear from politicians, not even Trump.

Kevin McCarthy’s pitch to the voters — including saying he got mad at pharma companies for waiting til after the election — seemed to only boost their doubts.
Perhaps unsurprisingly, a widely hailed pro-vaccine ad with former presidents Obama, Bush, Clinton and Carter (but not Trump) was roundly panned by the focus group.

You can watch the Trump voters watching it in real-time and getting frustrated by the message.
Read 6 tweets
8 Mar
Trump spent months playing down the risk of covid — even after he got sick. Is it such a surprise that so many GOP voters echo his rhetoric and don’t trust the gov’t response?

A short thread on this story. washingtonpost.com/health/2021/03…
First: At least 25% of GOP voters have consistently said 👎 to vax, per @kff polls. kff.org/coronavirus-co…

“The thing that’s most concerning to me right now is that share of ‘definitely not’ is not budging among the public overall, including Republicans,” said @lizhamel.
WHY THE RESISTANCE? — Having talked to GOP voters, some parrot Trump’s claims that covid is “just a flu.”

Others are hyper-vigilant about covid but claim the vax is unnecessary or was developed too fast. Still more cite their own infections and immunity.

There’s no one answer.
Read 6 tweets
18 Feb
After talking to folks tonight about Biden’s HHS/CMS leadership picks, it’s interesting how his selection of Becerra/Brooks-LaSure is shaping up to be the inverse of the Azar/Verma dynamic, in more ways than one.

A thread for health policy wonks…
washingtonpost.com/health/2021/02…
First, the résumés are kinda inverted. 

Azar — who had been HHS deputy and its top lawyer, plus a pharma president — had prepared for years to run HHS.

Becerra has many defenders, but what he doesn’t have is HHS experience (and relatively little executive experience overall).
It’s the opposite case with Biden/Trump’s CMS picks.

Brooks-LaSure was a well-regarded Obama HHS/CMS veteran who co-led Biden’s HHS transition team.

Verma, meanwhile, was a DC outsider who spent much of her early time at CMS learning programs beyond Medicaid (her specialty).
Read 5 tweets
12 Feb
Biden moving to wipe out Trump’s Medicaid work requirements on Friday, per draft plan obtained by the Post. washingtonpost.com/health/biden-e… with @goldsteinamy, confirming @adamcancryn’s scoop
The Medicaid work requirements were championed by Trump appointee SEEMA VERMA — even as the pandemic worsened.

Here’s Verma defending the policy at an Aspen Institute talk in October 2020, arguing work requirements could help lift people out of poverty.
But the Biden administration will release its own analysis critical of Trump’s policy, steered by former @HarvardChanSPH standout BEN SOMMERS — one of the nation’s most prominent researchers on Medicaid — two officials told the Post.
Read 4 tweets
8 Feb
NEW: The House @COVIDOversight panel is renewing its probe into Trump political interference in covid response, alleging further meddling in testing and treatments.

washingtonpost.com/health/2021/02…
In one internal email obtained by the panel, a Trump appointee argued that widespread testing for covid was backfiring by hurting efforts to reopen the economy.

“The purpose of testing is NOT to detect low risk and asymptomatic people,” Paul Alexander wrote.
In another email, Alexander pushed FDA officials on boosting access to hydroxychloroquine, touting an embargoed BMJ analysis on the supposed benefits of a drug favored by Trump.

(However, the analysis later published by BMJ found “no evidence” of those benefits.)
Read 4 tweets
26 Jan
SCOOP: Biden is set to a tap a nurse, SUSAN ORSEGA, as acting surgeon general — a role traditionally filled by a doctor. washingtonpost.com/health/2021/01…
Biden asked for JEROME ADAMS’ resignation last week, leaving a hole in the surgeon general’s office. washingtonpost.com/us-policy/2021…

While VIVEK MURTHY is Biden’s pick as full-time surgeon general, he must be confirmed and his hearings aren’t scheduled yet.
Meanwhile, @JeromeAdamsMD defended doctors’ decisions to stay, not quit Trump’s task force.

“If Dr. Birx or I weren’t there, many medical/ public health conversations would’ve had no input whatsoever from a woman, or a person or color,” Adams writes.

foxnews.com/politics/fauci…
Read 4 tweets

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