Covid-19 testing moves by the Centres for Disease Control and Prevention and the Justice Department are deepening the partisan divide over the handling of the pandemic in the US, with critics charging the measures are to benefit the White House as the election nears while the administration says they're addressing policy failures.
New CDC guidance that asymptomatic individuals shouldn't necessarily be screened was quickly questioned by public-health experts who said the shift could reduce the amount of testing done and lead to further spread.
Brett Giroir, a top Trump administration official overseeing coronavirus testing, defended the move on a call with newsmen Wednesday (Aug 26).
The change wasn't influenced by the White House, he said, and is intended to clarify to the public the limitations of such screenings, not to reduce how several tests are conducted.
He said health and science experts were involved, and the White House coronavirus task force signed off on it.
Giroir said that Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases and one of the administration's most prominent voices on the virus, was involved as well.
However, Fauci was in surgery when the recommendations were presented to the task force on Aug 20, his press office said.
Fauci "was not present for the meeting where the changes to the guidelines were discussed in detail and ultimately adopted by the Task Force," Niaid said in a statement.
While he'd seen an earlier version, "without having the benefit of the discussion that took place on August 20 at the Task Force meeting where the guidelines were finalised," Fauci now "has some concern" about how they'll be interpreted.
Democrats quickly piled on.
New York Governor Andrew Cuomo called the move "indefensible."
California Governor Gavin Newsom said, "I don't agree with the new CDC guidance, period, full stop."
A senior administration official said the White House didn't exert any pressure and that all task-force members were involved in the testing guidance changes.
Shortly after Giroir's press call, the Department of Justice announced that it's seeking data from four Democrat-led statesNew York, New Jersey, Pennsylvania and Michiganfor a potential investigation into virus deaths at nursing homes. It said the states had required facilities to accept residents "often without adequate testing."
In a press release, the agency compared Covid mortality rates in New Jersey and New Yorkthe early epicentres of the pandemic in the USunfavourably to those in Republican-led Texas and Florida, which became hot spots afterwards on and benefited from advancements in treating patients and stopping the virus's spread.
While New Jersey and New York still lead US states with the most deaths, Texas and Florida are now among the top five by fatalities, according to Johns Hopkins University data.
The moves raised eyebrows further as the Republican National Convention is well underway, with President Donald Trump's acceptance speech Thursday.
Critics suggested that his administration is trying to take control of the narrative concerning the pandemic in an effort to fend off criticism about Trump's leadership.
Public-health experts said they worry these actions, along with further partisan divisions and questions about whether treatment and vaccine research could be influenced by politics, could impede the country's ability to stem the new coronavirus.
"We politicise public health at the public's peril," said Howard Forman, director of the Yale School of Public Health's health-care management programme.
No matter who is elected, "what's happening now undermines our trust in our public-health infrastructure and will doom our efforts to get maximum vaccine uptake."
Trump's Role Trump has repeatedly insisted that he has done a great job battling the coronavirus, though he downplayed it for weeks and repeatedly predicted it would fade away while criticising his health officials.
He has also regularly drawn a line between blue stateswhich were among the first hitand red states that saw cases rise afterwards on.
The virus has weighed on Trump's poll numbers. Democratic nominee Joe Biden has held a steady lead in the presidential race, though one that polls indicate has shrunk.
Biden has routinely hammered Trump over his handling of the pandemic, as the US outpaces similar countries in cases and deaths.
Trump could see a political bounce if he can distract from questions of his handling of the virus, or defer the blame for the glut of American cases and deaths.
Trump has said previously that he'd like testing slowed down, though the White House said it was a joke and health officials said they hadn't been ordered to do so.
The president regularly complains that US testing totals are exaggerating the footprint of the virus and that young adults with only mild symptoms shouldn't count as a case.
"We're focused on aggressively shielding the highest-risk individuals. Those living in nursing homes and long-term care facilities are less than one per cent of the US population but account for nearly half of all fatalities," Trump said in mid-August, speaking at his New Jersey golf club.
"That's why we've rushed nursing home funding, protective gear, and rapid testing equipment. And we will announce additional measures to protect nursing home residents."
This week's Republican convention, meanwhile, has made little mention of the virus, though one video montage praised Trump for his handling, including selectively edited clips from New York's governor, among others.
Trump is, in other words, campaigning on the moments of praise by Cuomo while the Department of Justice takes aim at Cuomo's handling of the pandemic.
The focus of the Justice Department inquiry is state policies that mandated nursing homes accept patients regardless of whether they had Covid-19.
Several public health experts believe that was an error early on in the crisis that contributed to high death tolls, though similar policies were enacted by other states.
Cuomo, who has previously defended the policy and said the state was following CDC guidance, reversed it in May.
"At least 14 statesincluding Kentucky, Utah and Arizonahave issued similar nursing guidance all based on federal guidelinesand yet the four states listed in the DOJ's request have a Democratic governor," Cuomo and Michigan Governor Gretchen Whitmer said in a statement.
In Pennsylvania, where Governor Tom Wolf's handling of the coronavirus has been a target for Republicans for months, more than two-thirds of the 7,624 Covid deaths in the state were from residents of nursing homes or personal-care facilities, according to the state health department.
In Michigan, which advanced a bipartisan bill this summer to put elderly Covid-19 patients in separate facilities, deaths of nursing-home residents made up 31 per cent of the 6,690 virus fatalities as of Aug 25.
Alyana Alfaro, a spokesperson for New Jersey Governor Phil Murphy, defended the state's actions.
It "followed CDC guidance and took numerous actions to protect residents of our nursing homes," she said in an emailed statement.
"That this request from the Department of Justice, sent only to four states with Democratic governors, was announced by press release during the Republican National Convention speaks volumes concerning the nature of the review," Alfaro said.