The vaccine mandate fight comes to Congress

From: POLITICO Pulse - Thursday Dec 09,2021 03:02 pm
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Quick Fix

— The Senate passed a high-profile rebuke of the White House’s vaccine requirement for large businesses in a sign Republicans believe they can turn mandates into a wedge issue.

— Health experts around the world want to accelerate the Covid-19 booster campaign, amid early indications Omicron is better at evading the vaccines.

— The Senate’s debt limit deal came together during a series of rare face-to-face negotiating sessions between Chuck Schumer and Mitch McConnell.

WELCOME TO THURSDAY PULSE — where in today’s edition of “things over there are not like here,” Finland’s prime minister has apologized for going clubbing until 4 a.m. — but only because she’d previously come into close contact with a Covid-19 case. Send tips and your favorite Finnish clubs to acancryn@politico.com and sowermohle@politico.com.

 

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At a time when the science has never been more promising, the Democrats’ latest drug pricing scheme puts patients in harm’s way by threatening future treatments and cures. Learn more.

 
Driving the Day

THE VAX MANDATE FIGHT HITS THE FLOOR — President Joe Biden’s vaccine-or-test mandate for large businesses is hung up in the courts — but that’s not going to stop Republicans from trying to turn it into a winning political issue in the interim.

The Senate on Wednesday night passed a measure disapproving the administration’s vaccine requirement, in a high-profile rebuke of a key component of Biden’s Covid-19 response, POLITICO’s Alice Miranda Ollstein reports.

The vote was largely symbolic — and there’s no chance the White House would agree to wipe out its own mandate. But the 52-48 vote represents a first salvo in what’s likely to be a lengthy GOP assault on Democrats’ support for vaccination requirements.

Senate Republicans likened the administration’s embrace of mandates to “authoritarianism” and panned it as “government in overdrive,” betting that voters will bristle at being told what to do.

They also got some bipartisan cover in the process: Sens. Joe Manchin (D-W.Va.) and Jon Tester (D-Mont.) sided with the GOP in supporting the disapproval measure. The two centrists are among a number of high-profile Democrats who’ve raised concerns about the requirement on businesses in recent days, as POLITICO’s West Wing Playbook reported earlier this week.

Still, the GOP is walking a tightrope with its talking points. Some Republican senators went to lengths to stress they supported vaccination — but not a government requirement that people must get it.

But that positioning is already tenuous, especially as influential conservatives continue to fuel resistance to the vaccine among Republican voters — and in some cases spread misinformation. Hours before the vote, Sen. Ron Johnson (R-Wis.) used a tele-town hall appearance to recommend mouthwash as a treatment for Covid-19.

There’s little evidence mouthwash can protect against Covid-19, and it’s certainly not better than the vaccines. But Johnson has previously pushed a series of other unproven treatments for the disease.

As for the White House, its support for the mandate hasn’t wavered. “It’s based on a 50-year-old law, and we are confident in our ability to implement it,” press secretary Jen Psaki said.

OMICRON DRIVES FRESH PUSH FOR BOOSTERS — Early signs that the Omicron variant can spread widely among vaccinated people are driving fresh urgency around the world to administer booster shots, POLITICO Europe’s Helen Collis reports.

The effort comes amid studies from South Africa, Sweden and Germany that suggest the variant is better than prior strains at evading the protection provided by the Covid-19 vaccines. The new variant has cropped up around the world over the past few weeks, and some experts predict it could overtake Delta as the dominant strain in some areas by year’s end.

It remains unclear how contagious Omicron is and whether a rise in cases will result in similar surges in severe illness. But global health officials are pushing for widespread booster campaigns to build as much protection against the virus as possible.

“At the moment, triple vaccination is the best protection,” said Christian Drosten, head of virology at Berlin’s Charité hospital. “Don’t wait, just boost.”

Vaccine makers are still conducting their own studies on their shots’ efficacy against Omicron. But Pfizer and BioNTech, as well as Moderna, have already indicated they could quickly develop modified vaccines that specifically target the new variant.

PFIZER’s BOOSTER LIFTS IMMUNITY ACROSS AGE GROUPS — A new Israeli study indicates that a third dose of the Pfizer-BioNTech vaccine increases immunity against the Delta variant for those 16 and older, POLITICO’s Lauren Gardner reports.

The findings, published in the New England Journal of Medicine, showed that the booster cut infection rates and severe illness by similar amounts across all age groups. Meanwhile, a second Israeli study found that patients 50 and older who got a booster had 90 percent lower death rates from Covid-19 over nearly two months compared to those who didn’t get one.

The studies were finalized before Omicron emerged, so it’s unclear how the booster would’ve responded to the new variant. But Pfizer earlier on Wednesday said preliminary lab results show its booster increases antibody defenses against Omicron 25-fold.

That’s enough to provide a similar antibody level as the initial two-dose series does against the original virus and other variants.

 

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In Congress

HOW SCHUMER AND MCCONNELL BROKERED A DEBT DEAL — An agreement to end the Senate’s standoff over the debt limit came together after a series of rare face-to-face negotiating sessions between Majority Leader Chuck Schumer and Mitch McConnell, the chamber’s top Republican, POLITICO’s Burgess Everett and Marianne LeVine report.

Over the last couple weeks in November, the two hammered out a one-time deal that cleared the way for Democrats to raise the debt ceiling on their own — allowing both leaders to save face and avoid throwing the nation into crisis.

The pact removes another item from the Senate’s packed to-do list and adds to the chamber’s surprising productivity so far this month. The chamber has also struck deals to fund the government complete a defense bill and stopped billions of dollars in Medicare pay cuts from taking effect.

Yet December could well mark the high point of Schumer and McConnell’s relationship. The Senate is expected to soon shift its focus back to Democrats’ $1.7 trillion spending bill, returning both sides to their corners for a tooth-and-nail fight over the fate of one of President Joe Biden’s key agenda items.

Meanwhile: Becerra meets with child care groups. HHS Secretary Xavier Becerra held a roundtable with representatives from seven children’'s advocacy groups Wednesday to tout the spending bill’s investments in child care, Head Start and pre-K. The organizations included the National Head Start Association, National Indian Child Care Association and Child Care Aware of America.

 

DON’T MISS CONGRESS MINUTES: Need to follow the action on Capitol Hill blow-by-blow? Check out Minutes, POLITICO’s new platform that delivers the latest exclusives, twists and much more in real time. Get it on your desktop or download the POLITICO mobile app for iOS or Android. CHECK OUT CONGRESS MINUTES HERE.

 
 
Coronavirus

FIRST IN PULSE: ANOTHER TRUMP ALUM IS WRITING A COVID BOOK — Brett Giroir is the latest Trump-era health official circulating a book manuscript about the administration’s pandemic response, POLITICO’s David Lim reports.

Giroir, who served as Trump’s Covid-19 testing czar, has been sending the manuscript to publishers detailing his recollections of the crisis — during which he sat on the White House Coronavirus Task Force and led efforts to scale up testing availability.

Giroir is just one of several former senior Trump officials peddling in-the-room accounts of the administration’s rocky final year, including former White House press secretary Stephanie Grisham and former chief of staff Mark Meadows.

Those books have at times surfaced unflattering new episodes, such as Meadows’ revelation that Trump was more seriously ill with Covid-19 than he let on.

Paul Mango, the former HHS deputy chief of staff, will also soon release a book chronicling the work of Operation Warp Speed, which will likely take a rosier view of the Covid-19 response. That account — chest thumpingly titled “Warp Speed: Inside the Operation that Beat COVID, the Critics, and the Odds” — is due out in March.

UK RAMPS UP COVID RESTRICTIONS — U.K. Prime Minister Boris Johnson is imposing indoor mask mandates, requiring proof of vaccination to get into certain large venues and encouraging people to work from home as part of a stepped-up effort to curb Omicron’s spread, POLITICO Europe’s Andrew McDonald and Emilio Casalicchio report.

The measures represent England’s “Plan B” contingency aimed at preventing a spike in hospitalizations and deaths, even as officials defended their initial test-and-trace approach to the pandemic.

Yet the move comes as Johnson tries to weather a Covid-related scandal, POLITICO Europe’s Annabelle Dickson reports. The prime minister is under fire over a staff Christmas party held last year that’s fueled questions about whether the event broke lockdown rules.

The government has denied that it violated any restrictions. But footage of aides joking about a Christmas party that would have broken lockdown rules emerged earlier this week, prompting the resignation on Wednesday of government spokesperson Allegra Stratton.

 

BECOME A GLOBAL INSIDER: The world is more connected than ever. It has never been more essential to identify, unpack and analyze important news, trends and decisions shaping our future — and we’ve got you covered! Every Monday, Wednesday and Friday, Global Insider author Ryan Heath navigates the global news maze and connects you to power players and events changing our world. Don’t miss out on this influential global community. Subscribe now.

 
 
What We're Reading

Tennessee’s medical licensing board deleted a policy opposing coronavirus misinformation from its website for fear that a conservative state lawmaker would dissolve the board and replace its members if it didn’t, The Tennessean’s Brett Kelman reports.

HHS inadvertently sent BuzzFeed News’ Dan Vergano the department’s entire 2020 investigation into the CDC’s initial Covid-19 testing failures, revealing in full how the agency’s shortcomings led it to distribute thousands of faulty tests.

Biogen’s top scientist was pushed out of the company amid the fallout from the controversial approval of its Alzheimer’s drug, Aduhelm, STAT News’ Adam Feuerstein and Damian Garde report.

 

A message from PhRMA:

The Democrats’ hyper-partisan drug pricing plan is a detriment to patients and the future of medical research.

The plan guts the very incentives necessary to encourage investment in further research and development after medicines are approved, giving the government the power to pick winners and losers for lifesaving medicines.

While some would have you believe this is “negotiation,” it isn’t. It’s government price setting that does little to address patient affordability and will decimate the competitive ecosystem in the United States that has brought hope to so many Americans in the form of new medical advances where before there were none. No matter what they call it, this plan will result in the same outcome: negative consequences for the patients with the most need. Read more.

 
 

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