Vaccine gap widens as July 4 deadline looms — Misinformation fuels anti-Fauci outrage — Biden administration touts Obamacare gains

From: POLITICO Pulse - Monday Jun 07,2021 02:14 pm
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By Sarah Owermohle and Adam Cancryn

Presented by the Pharmaceutical Care Management Association

With Susannah Luthi and Joanne Kenen

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Quick Fix

— The partisan divide on Covid-19 vaccination is growing, as the nation inches toward President Joe Biden’s goal of providing at least one shot to 70 percent of adults by July 4.

Rhetorical attacks on top infectious disease official Anthony Fauci are taking on a whole new level of vitriol.

The Biden administration over the weekend celebrated record Obamacare enrollment numbers, bolstered by coronavirus relief money.

WELCOME TO MONDAY PULSE This weekend marked a somber milestone: 40 years since the first reported cases of a mysterious pneumonia that would soon be known as AIDS. Send tips to sowermohle@politico.com and Adam at acancryn@politico.com.

 

A message from the Pharmaceutical Care Management Association:

The Biden Administration postponed the effective date for the Medicare rebate rule until 2023. Despite the delay, uncertainty remains. The cleanest path forward to avoid disruption to Part D, caused by monthly premium increases, is for Congress to quickly repeal the rebate rule outright.

 
Driving the Day

VACCINE GAP WIDENS AS INDEPENDENCE DAY LOOMS — Increasingly stark divides in vaccination rates are complicating efforts to reach unvaccinated people in conservative areas, write Dan Goldberg and Alice Miranda Ollstein.

The numbers: All but one of the 39 congressional districts where at least 60 percent of residents have received a coronavirus shot are represented by Democrats, according to a new and detailed Harvard University analysis. By contrast, Republicans represent all but two of the 30 districts where fewer than one-third of residents have received a shot.

The data underscores how vaccinating the holdouts has become the latest political fault line in a nation that has been similarly split over mask-wearing, Covid safety restrictions on businesses and even the severity of a virus that’s killed nearly 600,000 Americans.

There are two vaccine conversations, say public health experts and House lawmakers representing districts with low vaccination rates. One is aimed at chipping away at vaccine hesitancy among conservative white Republicans, while the other is centered around reducing socioeconomic barriers to vaccination for poorer populations and communities of color.

And the chances of Americans meeting Biden’s July 4 goal could be fading. Vaccination rates have dropped more than two-thirds from an April peak, imperiling the president’s summer milestone, report the Washington Post’s Dan Diamond, Dan Keating and Chris Moody.

BLOWBACK OVER FAUCI’S EMAILS HEATS UP — Social media sites have had to pull down posts to quell Fauci-related misinformation, after more than 3,000 emails between Fauci and a range of officials, lawmakers, scientists and average people were released as part of a Freedom of Information Act Request filed by multiple news outlets.

Within hours of the emails’ publication, the hashtag #FauciLeaks was trending on Twitter, and Fauci’s detractors falsely claimed the emails had been “leaked” in a renewed campaign to discredit him, Natasha Korecki writes with your host Sarah.

The anger continued over the weekend, when roughly 75 protesters showed up to an event with Fauci at a Harlem, New York vaccination site on Sunday. They chanted “Fire Fauci,” and “Freedom over fear,” while carting anti-Fauci and anti-vaccine signs, pool reporter Jada Yuan from The Washington Post reported.

Fauci has tried to defend himself. He reiterated on Rachel Maddow’s MSNBC show Friday night that he thinks it's important to investigate the disease's origins, amid newly bipartisan interest in the theory that the coronavirus spread after a laboratory accident in China.

“The question is extremely legitimate. You should want to know how this happened so that we can make sure it doesn't happen again,” he said. “But what's happened, in the middle of all of that, I've become the object of extraordinary, I believe, completely inappropriate, distorted, misleading and misrepresent[ative] attacks.”

BIDEN ADMINISTRATION TOUTS RECENT OBAMACARE GAINS — The most significant gain came from the aid bill’s expansion of Medicaid, after the government put an emergency freeze on removing people from the rolls — even people who, in ordinary times, would no longer be eligible for the safety net coverage, Susannah Luthi writes.

By the numbers: Nearly 11.3 million people have signed up for the Obamacare exchanges — slightly topping the program’s previous record high of 11.1 million in 2016, and a jump from the nearly 10.8 million who enrolled in 2020, per HHS data. Meanwhile, more than 14.9 million people are now covered by expanded Medicaid — 2.5 million more than the prior record in 2018.

The caveats: The jury is still out on what the government’s ultimate return on the recent massive investment in Obamacare will be. The Biden administration reopened general signups early and will keep them open through August 15, while the last aid package also drastically increases the government’s marketing budget for Obamacare. Plus, Congress has just poured billions of dollars, amounting to a nearly 30 percent increase, into expanding subsidies for people who had been locked out of the individual market due to the high cost of premiums. So, Susannah writes, it would have been more surprising if the exchanges hadn’t seen an uptick.

 

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Around the World

SENATORS PROMISE COVID SHOTS FOR TAIWAN — The U.S. will give Taiwan 750,000 coronavirus vaccines, amid complaints from Taiwanese officials that China is hindering its efforts to secure doses, three American senators said Sunday.

Taiwan faces a severe vaccine shortage and has geopolitical significance that makes it a flash point in U.S.-China relations, The Associated Press reported. Sens. Tammy Duckworth (D-Ill.), Chris Coons (D-Del.) and Dan Sullivan (R-Alaska) made the pledge during a three-hour stop on the island over the weekend.

“I’m here to tell you that the United States will not let you stand alone,” Duckworth said. Taiwan was included on a list of countries that the Biden administration last week promised would receive the first 25 million batch of at least 80 million doses it plans to donate.

 

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Public Health

GETTING VACCINATED CAN BE TOUGH, TAKE IT FROM US — It took our very determined pro-vaccine health care editor-at-large Joanne Kenen two months, five doctors, one nurse practitioner, two blood tests, one EKG, and a bunch of Benadryl to finally get safely vaccinated against the coronavirus, after she had a troubling reaction to her first dose.

In a POLITICO Magazine piece, Joanne describes how hard it was for even a savvy health consumer to figure out what she needed — and how to get it. There are many patients with complicated health histories out there — some of whom probably give up getting their second shot after similar troubles.

The episode reminded Joanne that so much in health care comes down to trust: “Every unsolved problem allowed to fester,” she writes, “undermines a battered public health system just at the moment we need to be rebuilding trust, not fear.”

 

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Names in the News

Logan Hoover is now director of legislative affairs at the National Hospice and Palliative Care Organization. He previously was legislative director for Rep. Tom Reed (R-N.Y.).

Natalie Davis , co-founder of United States of Care, has been named acting executive director of the group.

Caroline Powers has been named senior vice president for external affairs at Dana-Farber Cancer Institute. She was most recently senior director of federal relations at the American Cancer Society Cancer Action Network.

 

A message from the Pharmaceutical Care Management Association:

Medicare beneficiaries appreciate the Biden Administration’s decision to delay the prescription drug rebate rule which would increase Medicare Part D premiums 25% and cost taxpayers $170 billion. Congress and the Administration should now permanently repeal the rebate rule and instead advance real solutions that lower the costs of prescription drugs.

 
What We're Reading

Biden’s promise of a public option may be fizzling as lawmakers deadlock between moderate reforms and progressives’ push for universal health care, NBC’s Benjy Sarlin and Sahil Kapur report.

The U.S. is on track to fall short of Biden’s July 4 vaccine goal, according to an analysis by CNN’s Harry Enten.

Excessive drinking has steadily become a bigger problem in the U.S., and it surged this past year amid pandemic isolation and changing social practices, writes the Atlantic’s Kate Julian.

 

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