WASHINGTON– U.S. Senator Tom Udall (D-N.M) joined 19 Senate Democrats in a letter to U.S. Department of Health and Human Services (HHS) Secretary Alex Azar to express their concern regarding reports of political influence at HHS, demand more information on staffing issues related to the COVID-19 response efforts, and ask whether staff turmoil and turnover is hindering HHS’ work. The senators’ letter follows reports about the removal of Dr. Rick Bright as Director of the Biomedical Advanced Research and Development Authority (BARDA) earlier this month after Dr. Bright reportedly questioned the Trump administration’s public promotion of untested and unproven treatments for the novel coronavirus.
According to the reports, Dr. Bright was removed from the position in retaliation for his insistence that treatments being touted by the Trump administration be scientifically tested. The senators also raised concerns regarding several other troubling issues—including one incident where a senior Health Department official faced reassignment for raising concerns about the lack of protections for Department staff receiving passengers repatriated from Wuhan, China, and another where someone with no public health, management, or medical experience was given a key leadership position in the COVID-19 response efforts. The letter also cited several occasions where senior health officials were contradicted or limited from conveying information to the public. These instances seem to indicate a troubling trend where senior officials are forced to choose between letting political concerns or objective science drive the administration's COVID-19 response.
The senators wrote, “We write to raise concerns about reports of political interference in the Department of Health and Human Services (HHS) response to the 2019 Novel Coronavirus (COVID-19) pandemic, and whether turmoil and staff turnover are hindering your agency’s work. Recent reports about the demotion of the Director of the Biomedical Advanced Research and Development Authority (BARDA) again raise concerns about whether political and ideological influence instead of public health and scientific expertise are driving decisions at the Department and across the federal government.”
The senators continued, “In the midst of the response to the COVID-19 pandemic, it is of the utmost importance that there be stable leadership within HHS and that decisions are driven by science and the public health. Any leadership changes being made at this time should be executed only to the extent necessary to ensure the Department and its employees are best positioned for the COVID-19 response. Our response to this crisis cannot be steady if its leadership is being constantly shuffled and if experts are being constrained or removed when they insist on following the science and sticking to the facts.”
The letter was co-signed by Senators Patty Murray (D-Wash.), Gary Peters (D-Mich.), Michael Bennet (D-Colo.), Bob Casey Jr. (D-Pa.), Tammy Baldwin (D-Wisc.), Sherrod Brown (D-Ohio), Brian Schatz (D-HIawaii), Kirsten Gillibrand (D-N.Y.), Chris Van Hollen (D-Md.), Debbie Stabenow (D-Mich.), Tina Smith (D-Minn.), Ed Markey (D-Mass.), Ron Wyden (D-Ore.), Jack Reed (D-R.I.), Chris Murphy (D-Conn.), Elizabeth Warren (D-Mass.), Amy Klobuchar (D-Minn.), Kamala Harris (D-Calif.), and Richard Blumenthal (D-Conn.).
Read the full text of the letter below and HERE .
Dear Secretary Azar:
We write to raise concerns about reports of political interference in the Department of Health and Human Services (HHS) response to the 2019 Novel Coronavirus (COVID-19) pandemic, and whether turmoil and staff turnover are hindering your agency’s work. Recent reports about the demotion of the Director of the Biomedical Advanced Research and Development Authority (BARDA) again raise concerns about whether political and ideological influence instead of public health and scientific expertise are driving decisions at the Department and across the federal government.
In the midst of the response to the COVID-19 pandemic, it is of the utmost importance that there be stable leadership within HHS and that decisions are driven by science and the public health. Any leadership changes being made at this time should be executed only to the extent necessary to ensure the Department and its employees are best positioned for the COVID-19 response. Our response to this crisis cannot be steady if its leadership is being constantly shuffled and if experts are being constrained or removed when they insist on following the science and sticking to the facts.
BARDA is responsible for overseeing partnerships to spur development of vaccines, drugs, and diagnostics to respond to infectious diseases and other public health threats. Congress has recently tripled the agency’s budget as part of the COVID-19 response. Dr. Rick Bright has led BARDA since late 2016 and previously worked in the agency’s Influenza and Emerging Infectious Diseases Division, at the Centers for Disease Control and Prevention (CDC), as an advisor to the World Health Organization (WHO), and in the biotechnology industry.
On April 21, Dr. Bright was reportedly removed from his position as BARDA Director within the Office of the Assistance Secretary for Preparedness and Response (ASPR). On April 22, Dr. Bright said he had been removed as retaliation for his “insistence that the government invest the billions of dollars allocated 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.” It is our understanding that an investigation has not yet been conducted, and we expect the Department will fully cooperate with any inquiry as required under the law.
Dr. Bright’s removal comes amid a number of troubling actions taken by the Trump Administration to limit the ability of public health officials to share information with the public about the outbreak and to push back against problematic decisions within HHS. Earlier this week, after CDC Director Dr. Robert Redfield warned of subsequent waves of COVID-19 outbreaks, President Trump declared that Dr. Redfield “was totally misquoted in the media,” but Dr. Redfield says the quote was accurate. A senior HHS official faced reassignment for raising concerns about the lack of protections for HHS staff receiving passengers repatriated from Wuhan. Since raising concerns about the arrival of COVID-19 in the United States, Dr. Nancy Messonnier, Director of CDC’s National Center for Immunization and Respiratory Diseases, has not spoken publicly about the virus.
These actions threaten the credibility and effectiveness of the federal COVID-19 response. If employees believe they cannot speak up without facing reprisal, that could have a profound chilling effect—deterring employees from providing critical information about the virus and potentially harming efforts to find effective treatments or develop a vaccine. Further, if the American people perceive the information coming from their government as political, they could be less likely to follow public health guidance. Any actions to politicize or silence the civil service put lives at risk.
The Trump Administration’s response to the pandemic has been plagued by challenges in identifying clear leadership and lines of communication, and these latest personnel actions raise yet more concerns about those key components of the response. At the same time, individuals with limited public health expertise are being placed in leadership positions. For example, your chief of staff and the Department’s lead coordinator in the early months of the response has no public health, management, or medical experience. It is of the utmost importance that federal leaders instead send a clear message that officials working in the best interest of the public at all ranks of government are experienced, empowered, and entrusted to lead the response, and that retaliation will not be tolerated. We therefore request you respond to the following questions by no later than May 13, 2020:
1. What mechanisms are in place to ensure political and ideological influence play no role in the Department’s COVID-19 response, including personnel decisions?
2. How does the Department communicate with its employees about how to file complaints about potential waste, fraud, abuse, and risks to public health or safety?
3. What steps is the Department taking to ensure whistleblowers and other civil servants are protected from retaliation and that allegations of retaliation are addressed appropriately?
4. What steps has the Department taken this year to reassure employees they will not be retaliated against for raising issues and concerns in order to protect the public interest?
5. Are there any plans for additional personnel changes in HHS leadership in the coming weeks or months? If so, what measures are in place to ensure staff within any affected offices or agencies have clear information about leadership and communications structures?
6. What actions has the Department taken to ensure BARDA staff have clear information about leadership and communications structures?
7. Why was Dr. Bright removed as BARDA Director? Please explain the role of the Office of the Secretary, Office of the General Counsel, and Office of the Inspector General with respect to Dr. Bright’s removal.
Thank you in advance for your attention to this matter.
Sincerely,
