On April 21, 2020, I was removed from my positions as the Director of BARDA and HHS Deputy Assistant Secretary for Preparedness and Response by HHS leadership and involuntarily transferred to a more limited and less impactful position at the National Institutes of Health. I believe this transfer was in response to my insistence that the government invest funding allocated to BARDA 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. While my intention in testifying today is to be forward looking, I spoke out then and I am testifying today because science — not politics or cronyism — must lead the way to combat this deadly virus.
The world is confronting a great public health emergency which has the potential to eclipse the devastation wrought by the 1918 influenza which globally claimed over 50 million lives. We face a highly-transmissible and deadly virus which not only claims lives but is also disrupting the very foundations of our societies. The American health-care system is being taxed to the limit, our economy is spiraling downward — leading to mass unemployment — and our population is being paralyzed by fear stemming from the lack of a coordinated response and a dearth of accurate, clear communication about the path forward. Americans yearn to get back to work, to open their businesses and provide for their families. I get that. We need a national coordinated strategy to look at all of these pieces and to ensure that they fit well together. To conceive and implement this strategy, our government must draw on the guidance of the best scientific minds.
In my position as BARDA Director, I led portions of a coordinated response; development of vaccines, drugs and diagnostics. In January of this year, I pushed for our government to obtain virus samples from China and to secure more funding for BARDA to be able to get started quickly on the development of critical medical countermeasures. HHS leadership was dismissive about 3 my dire predictions about what I assumed would be a broader outbreak and the pressing need to act, and were therefore unwilling to act with the urgency that the situation required. Understanding that the United States had a critical shortage of necessary supplies and PPE to deal with a pandemic, in January, February and March, 2020, I pushed HHS to ramp up US production of masks, respirators and other critical supplies, such as medicine, syringes and swabs. Again, my urgency was dismissed and I was cut out of key high-level meetings to combat COVID-19. When I was nevertheless able to convey these urgent concerns by speaking directly with a senior White House advisor and with members of Congress who better understood the urgency to act, I faced hostility and marginalization from HHS officials. And finally, when I resisted efforts to promote and enable broad access to an unproven drug, chloroquine, to the American people without transparent information on the potential health risks, I was removed from BARDA.
While I am unfortunately no longer leading BARDA, I am an expert in these areas and fully understand the grave risks we are facing. I continue to believe that we must act urgently to effectively combat this deadly disease. Our window of opportunity is closing. If we fail to develop a national coordinated response, based in science, I fear the pandemic will get far worse and be prolonged, causing unprecedented illness and fatalities. While it is terrifying to acknowledge the extent of the challenge that we currently confront, the undeniable fact is there will be a resurgence of the COVID19 this fall, greatly compounding the challenges of seasonal influenza and putting an unprecedented strain on our health care system.. Without clear planning and implementation of the steps that I and other experts have outlined, 2020 will be darkest winter in modern history.
First and foremost, we need to be truthful with the American people. They want the truth. They can handle the truth. Truth, no matter how unpleasant, decreases the fear generated by uncertainty. The truth must be based on scientific evidence — and not filtered for political reasons. We must know and appreciate what we are up against. We have the world’s greatest scientists — they must be permitted to lead. Let them speak truthfully without fear of retribution. We must listen so that the government can then take the most powerful steps to save lives.
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