Articles of the Day: Two Views of the Coronavirus, Rick Bright (at the top) and Scott Atlas (following). Which would you prefer to be in charge?

Whistle-Blowing Scientist Quits Government With Final Broadside

Dr. Rick Bright, who said he was demoted at the health department for blowing the whistle on a politicized coronavirus response, remains concerned about White House interference.

By Sheryl Gay StolbergOct. 6, 2020

Rick Bright said he had submitted his “involuntary resignation,” because his bosses had made his work life intolerable.
Rick Bright said he had submitted his “involuntary resignation,” because his bosses had made his work life intolerable.Pool photo by Greg Nash

WASHINGTON — Rick Bright, a senior vaccine scientist who said he was demoted this spring for complaining about “cronyism” and political interference in science, resigned his final government post on Tuesday, saying he had been sidelined and left with nothing to do.

In a new addendum to the whistle-blower complaint he filed in May, Dr. Bright’s lawyers say officials at the National Institutes of Health, where he worked after his demotion, rejected his idea for a national coronavirus testing strategy “because of political considerations.” He also accused them of ignoring his request to join the $10 billion effort to fast-track a coronavirus vaccine, known as Operation Warp Speed.

“I long to serve the American people by using my skills to fight this pandemic,” Dr. Bright wrote on Sept. 25 to Dr. Francis Collins, the director of the institutes, noting that he had 25 years of experience in vaccine development. “The taxpayers who pay my salary deserve no less.”

Dr. Bright’s resignation from the Department of Health and Human Services comes six months after he was ousted as the chief of the department’s Biomedical Advanced Research and Development Authority and reassigned to a narrower job at the health institutes, which also fall under the health department. At the N.I.H, he was supposed to take the lead on developing novel point-of-care coronavirus tests. His lawyers said he did that, creating a team that awarded eight contracts to build up coronavirus testing and exhausted its budget.

But, one of his lawyers said on Tuesday, Dr. Bright “remains very concerned” about the politicization of science from the White House, especially with the arrival from Stanford’s Hoover Institution of Dr. Scott W. Atlas, a neuroradiologistwithout training in epidemiology or infectious diseases. Dr. Atlas’s aversion to mask wearing and his belief that “herd immunity” could stop Covid-19 have made him a favorite of President Trump’s.

During his weekly meetings with Adm. Brett P. Giroir, the assistant secretary for health, it has become clear that President Trump’s new science adviser, Dr. Scott Atlas, “who lacks a background in infectious disease, is ‘calling the shots’ at the White House,” Dr. Bright’s lawyers wrote.

Dr. Collins did not immediately respond to a request for comment. But officials at the Department of Health and Human Services have previously said that they strongly disagree with Dr. Bright’s characterizations, and Mr. Trump has called Dr. Bright a “disgruntled employee” on Twitter. An N.I.H. official said on Tuesday that the agency could “confirm that Dr. Bright has resigned, effective today,” adding that it “does not discuss personnel issues beyond confirming employment.”

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Dr. Bright has been given “no meaningful work” since Sept. 4, the lawyers wrote.

“Dr. Bright was forced to leave his position at N.I.H. because he can no longer sit idly by and work for an administration that ignores scientific expertise, overrules public health guidance and disrespects career scientists, resulting in the sickness and death of hundreds of thousands of Americans,” the lawyers, Debra Katz and Lisa Banks, said in a statement.

In his initial complaint filed in May, Dr. Bright detailed what he called “cronyism” in the federal health apparatus, including White House pressure on the Food and Drug Administration to grant an emergency approval for hydroxychloroquine, an antimalarial drug championed by Mr. Trump as a treatment for Covid-19. (The F.D.A. later revoked the emergency authorization, saying studies showed the drug’s risks outweighed its benefits.)

The complaint detailed clashes between Dr. Bright and higher-ups at the health department, and included email messages showing that, as early as January, when the president was saying the outbreak was “totally under control,” Dr. Bright was pressing for the government to stock up on masks and drugs. His entreaties were ignored.

“Lives were endangered, and I believe lives were lost,” he told a House subcommittee in May.

The special counsel’s office said at the time that it had found “reasonable grounds to believe” the Trump administration was retaliating against Dr. Bright, and recommended that Mr. Trump’s health secretary, Alex M. Azar II, reinstate Dr. Bright while it investigated. But the office has no authority to enforce its recommendation, and Dr. Bright did not get back his job.

While at the N.I.H., the addendum says, Dr. Bright “successfully launched a program to expand Covid-19 diagnostic testing,” and then joined with a colleague on a paper recommending development of “a robust national testing infrastructure,” including a plan to greatly expand testing of asymptomatic people. A draft of the paper was sent to Dr. Collins on Sept. 4.

But while Dr. Collins praised Dr. Bright for developing a “thoughtful” plan that “includes a lot of good points,” he declined to support it because he feared that the Trump administration would not back it and that it would “step on the toes” of other teams within the Department of Health and Human Services.

Dr. Bright, the lawyers wrote, was “disturbed that Dr. Collins appeared willing to bow to political pressure.”

A New Coronavirus Adviser Roils the White House With Unorthodox Ideas

Dr. Scott Atlas arrived at the White House as a coronavirus contrarian, questioning controls like masks. He has angered top health officials while pushing a suite of disputed policy prescriptions.

By Noah WeilandSheryl Gay StolbergMichael D. Shear and Jim TankersleyPublished Sept. 2, 2020Updated Sept. 9, 2020

Dr. Scott W. Atlas is neither an epidemiologist nor an infectious disease expert, but his frequent appearances on Fox News Channel and his ideological surety caught the president’s eye.
Dr. Scott W. Atlas is neither an epidemiologist nor an infectious disease expert, but his frequent appearances on Fox News Channel and his ideological surety caught the president’s eye.Anna Moneymaker for The New York Times

WASHINGTON — Dr. Scott W. Atlas has argued that the science of mask wearing is uncertain, that children cannot pass on the coronavirus and that the role of the government is not to stamp out the virus but to protect its most vulnerable citizens as Covid-19 takes its course.

Ideas like these, both ideologically freighted and scientifically disputed, have propelled the radiologist and senior fellow at Stanford University’s conservative Hoover Institution into President Trump’s White House, where he is pushing to reshape the administration’s response to the pandemic.

Mr. Trump has embraced Dr. Atlas, as has Mark Meadows, the White House chief of staff, even as he upsets the balance of power within the White House coronavirus task force with ideas that top government doctors and scientists like Anthony S. Fauci, Deborah L. Birx and Jerome Adams, the surgeon general, find misguided — even dangerous — according to people familiar with the task force’s deliberations.

That might be the point.

“I think Trump clearly does not like the advice he was receiving from the people who are the experts — Fauci, Birx, etc. — so he has slowly shifted from their advice to somebody who tells him what he wants to hear,” said Dr. Carlos del Rio, an infectious disease expert at Emory University who is close to Dr. Birx, the White House coronavirus response coordinator.

Dr. Atlas is neither an epidemiologist nor an infectious disease expert, the two jobs usually associated with pandemic response. But his frequent appearances on Fox News Channel and his ideological surety caught the president’s eye.

So when Mr. Trump resumed his coronavirus news conferences in July and August, it was Dr. Atlas who helped prepare his briefing materials, according to people familiar with them. And it was his ideas that spilled from the president’s mouth.

“He has many great ideas,” Mr. Trump told reporters at a White House briefing last month with Dr. Atlas seated feet away. “And he thinks what we’ve done is really good, and now we’ll take it to a new level.”

The core of his appeal in the West Wing rests in his libertarian-style approach to disease management in which the government focuses on small populations of at-risk individuals — the elderly, the sick and the immune-compromised — and minimizes restrictions for the rest of the population, akin to an approach used to disastrous effect in Sweden. The argument: Most people infected by the coronavirus will not get seriously ill, and at some point, enough people will have antibodies from Covid-19 to deprive the virus of carriers — “herd immunity.”

“Once you get to a certain number — we use the word herd — once you get to a certain number, it’s going to go away,” Mr. Trump told Laura Ingraham on Fox News on Monday night.

Dr. Atlas’s push has led to repeated private confrontations with Dr. Birx, who in recent weeks has been advocating rigorous rules on wearing masks, limiting bars and restaurants, and minimizing large public gatherings.

Dr. Atlas declined a request to be interviewed, but Judd Deere, a White House spokesman, accused the news media of trying to “distort and diminish” his beliefs and record, adding that the adviser “is working to carry out the president’s No. 1 priority: protecting the health and safety of the American people.” White House officials said there had never been an attempt to shift policy to anything resembling herd immunity.

“There’s never been any advocacy of a herd immunity strategy coming from me to the president, to anyone in the administration, to the task force, to anyone I’ve spoken to,” Dr. Atlas said in a radio interview Tuesday.

White House officials said administration policy continued to focus on efforts to curb the spread of the disease while pushing to rapidly develop medical therapies to minimize deaths, as well as a vaccine. The president and his aides believe effective treatments are critical to allowing the country to return to normal.

But health officials say Dr. Atlas’s beliefs, argued in news media appearances and private conversations, have begun to shift the administration’s thinking.

Before joining the task force, Dr. Atlas pitched his ideas as a health commentator on Fox News, which is in part how he attracted Mr. Trump’s attention. His arrival at the White House has coincided with less visible roles for Dr. Birx and Dr. Fauci, the director of the National Institute for Allergy and Infectious Diseases.

Dr. Anthony S. Fauci and Dr. Deborah L. Birx, two top health officials on the coronavirus task force, often find Dr. Atlas’s ideas misguided or dangerous, according to people familiar with the task force’s deliberations.
Dr. Anthony S. Fauci and Dr. Deborah L. Birx, two top health officials on the coronavirus task force, often find Dr. Atlas’s ideas misguided or dangerous, according to people familiar with the task force’s deliberations.Doug Mills/The New York Times

Dr. Atlas pushed for the Centers for Disease Control and Prevention to publish a new recommendation last week that people without Covid-19 symptoms need not be tested, even if they were exposed to an infected person — a move that ran counter to evidence that people without symptoms could be the most prolific spreaders.

In a tense coronavirus task force meeting in which the guidelines were debated, Dr. Atlas angered Dr. Robert R. Redfield, the C.D.C. director, and Dr. Birx, according to senior administration officials.

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But it is Dr. Atlas’s embrace of herd immunity that has alienated his colleagues the most.

“When you isolate everyone, including all the healthy people, you’re prolonging the problem because you’re preventing population immunity,” Dr. Atlas said in a Fox News radio interview in July. “Low-risk groups getting the infection is not a problem. In fact, it’s a positive.”

In a Fox News interview in June, he lamented that “misinformation has spread” about herd immunity, arguing: “The reality is that when a population has enough people who have had the infection, and since these people don’t have a problem with the infection, that’s not a problem. That’s not a bad thing.”

In Sweden, the government allowed restaurants, gyms, shops, playgrounds and schools to remain open as the virus spread, asking its citizens to follow social distancing and hygiene guidelines and protect more vulnerable parts of the population.

The Washington Post on Monday reported Dr. Atlas’s advocacy for such a model.

That “soft lockdown” in Sweden had calamitous consequences, even in a country less densely populated and healthier than the United States. Thousands more people died than in neighboring countries that imposed strict lockdowns. The country’s economy also continued to struggle, and Sweden still falls far short of what scientists view as a possible threshold for herd immunity.

But the idea has gained traction in conservative circles. Senator Rand Paul, Republican of Kentucky, says the United States needs to look at Sweden “before letting the nanny-staters shut the economy down again.”

The conservative radio host Rush Limbaugh discussed it on his show in Apriland cheered Dr. Atlas’s hiring at the White House, saying he was “countering Fauci.”

“Scott Atlas is a brilliant guy, and he thinks by early October that we could well be burned out of Covid,” Mr. Limbaugh said.

Kevin Hassett, a former chairman of Mr. Trump’s Council of Economic Advisers, who returned briefly to the White House this spring to help with the response to the pandemic, called Dr. Atlas “a legendary physician, and one of the smartest guys I know.”

He cited Dr. Atlas’s early warnings for governors to protect nursing homes from the virus. “He’s very similar to President Trump, in that you never have to wonder what he thinks,” Mr. Hassett said.

Mr. Trump is clearly enamored with Dr. Atlas’s arguments, which back up the president’s desire to restart the economy, open schools and move beyond the daily drumbeat of dire virus news.

But fully embracing any version of a policy resembling herd immunity has profound medical and political risks. Simply allowing the virus to travel through most of the population could lead to hundreds of thousands, if not millions, of deaths. And medical officials are still not sure how long that immunity might last, and how long-lasting some effects of the virus could be.

“Trying to get to herd immunity other than with a vaccine isn’t a strategy,” said Dr. Tom Frieden, a former C.D.C. director. “It’s a catastrophe.”

Dr. David Dowdy, an infectious disease epidemiologist at Johns Hopkins University who has researched and written about herd immunity, said that “the appeal of the concept of herd immunity is that it suggests we can simply go about doing our regular daily lives and the coronavirus pandemic will take care of itself,” but that it has been tried and has not worked. “Where we have had less stringent responses, we’ve had more cases and more deaths,” he said.

Dr. Atlas’s medical background — chief of neuroradiology at Stanford University Medical Center from 1998 to 2012 and editor of the textbook “Magnetic Resonance Imaging of the Brain and Spine” — appears incongruous with his current role.

But Dr. Atlas does have political connections in Mr. Trump’s world. He has advised the president’s personal lawyer Rudolph W. Giuliani, and his Hoover Institution employs several staunch supporters of Mr. Trump’s handling of the virus.

Some Hoover scholars were early opponents of state and local government moves to shut down economic activity in March and April, including Richard Epstein, a law professor who predicted in March that only 500 Americans would die of the virus.

Another Hoover scholar, David R. Henderson, wrote in May: “If the lockdowns are ended immediately, will there be more deaths than if the they were not ended forthwith? Probably. But that won’t be enough to declare that ending the lockdown was a failure.”

In Washington, Dr. Atlas has introduced new tension to the coronavirus task force.

In one of his first meetings, he argued over the science of mask wearing. As Drs. Fauci and Birx maintained that drops in caseloads reflected public health measures such as social distancing and mask-wearing, Dr. Atlas insisted that peaks and declines could have merely been the virus running its course, senior administration officials said.

In other discussions, he argued that children cannot spread the virus, despite numerous studies that have shown that children can carry the virus, transmit it and die from it.

In a June interview with the Hoover Institution, he called it “literally irrational” to close schools. “All over the world, Switzerland, Iceland, Australia, the United Kingdom, Ireland, Asian countries, there is a minimal, if any, risk of children transmitting the disease, even to their parents,” he said.

Dr. Atlas brought a similar argument to an August event encouraging school reopenings with Mr. Trump and Betsy DeVos, the education secretary.

His role in the White House has given conservative media a new official to present as a scientific authority on the coronavirus.

“The reality is that there’s certain data that’s very controversial about masks,” he told Tucker Carlson, the Fox News host, in August, railing against the “massive amount of fear bordering on hysteria.”

Dr. Atlas has also regularly promoted an idea that immunologists say is simply wrong, that immune cells called T cells, programmed with infection from other coronaviruses, can function like antibodies to prevent Covid-19.