The Biden Administration Rejected an October Proposal for “Free Rapid Tests for the Holidays”
With omicron cases spreading like wildfire, the White House is finally taking steps to make free antigen tests available to all. But this fall, Vanity Fair has learned, it dismissed a bold plan to ramp up rapid testing ahead of the holidays. Frustrated experts explain how confusion, distrust, and a single-minded fixation on vaccinating Americans left testing on the back burner for so long.
On October 22, a group of COVID-19 testing experts joined a Zoom call with officials from the Biden administration and presented a strategy for overhauling America’s approach to testing.
The 10-page plan, which Vanity Fair has obtained, would enable the U.S. to finally do what many other countries had already done: Put rapid at-home COVID-19 testing into the hands of average citizens, allowing them to screen themselves in real time and thereby help reduce transmission. The plan called for an estimated 732 million tests per month, a number that would require a major ramp-up of manufacturing capacity. It also recommended, right on the first page, a nationwide “Testing Surge to Prevent Holiday COVID Surge.”
The antigen tests at the center of the plan can detect the virus when patients are at their most contagious. Though less sensitive than polymerase chain reaction (PCR) laboratory tests, which can detect the virus’s genetic material at any stage of infection, antigen tests provide a quick snapshot in time for those seeking assurance that they are safe to travel or won’t accidentally infect vulnerable relatives.
The plan, in effect, was a blueprint for how to avoid what is happening at this very moment—endless lines of desperate Americans clamoring for tests in order to safeguard holiday gatherings, just as COVID-19 is exploding again. Yesterday, President Biden told David Muir of ABC News, “I wish I had thought about ordering” 500 million at-home tests “two months ago.” But the proposal shared at the meeting in October, disclosed here for the first time, included a “Bold Plan for Impact” and a provision for “Every American Household to Receive Free Rapid Tests for the Holidays/New Year.”
https://www.vanityfair.com/news/2021/12/the-biden-administration-rejected-an-october-proposal-for-free-rapid-tests-for-the-holidays#storyend
Three days after the meeting, on October 25, the COVID-19 testing experts—who hailed from the Harvard T.H. Chan School of Public Health, the Rockefeller Foundation, the COVID Collaborative, and several other organizations—received a back channel communication from a White House official. Their big, bold idea for free home tests for all Americans to avoid a holiday surge, they were told, was dead. That day, the administration instead announced an initiative to move rapid home tests more swiftly through the FDA’s regulatory approval process.
The meeting attendees came away with mixed opinions. “The White House, in baseball terms, was playing small ball,” said Dr. Steven Phillips, a vice president of science and strategy for the Covid Collaborative, a team of high-level experts working to develop consensus recommendations for policy makers. “When it comes to rapid testing, they’re bunting the players along.” But Andrew Sweet, managing director of COVID-19 response and recovery at the Rockefeller Foundation, found the White House “responsive” and believes the meeting laid the groundwork for future announcements.
An administration official who attended the meeting told Vanity Fair that, while everyone present shared the same goal of expanding rapid testing as soon as possible, the plan could not be implemented at that time: “We did not have capacity to manufacture over-the-counter tests at that scale.” The problem, in essence, was twofold: The FDA had authorized only a handful of different home tests, and those it had authorized could not increase manufacturing fast enough.
On December 2, with omicron threatening an imminent wave of new infections, Biden announced a smattering of smaller-scale plans that included requiring insurance companies to reimburse privately insured patients who buy at-home rapid tests, which sell for as much as $35 for a box of two tests—if you can find them amid widespread shortages. Four days after that, White House press secretary Jen Psaki seemed to deride the very idea of free nationwide home tests. “Should we just send one to every American?” she mused sarcastically from the briefing room podium. “Then what happens if you—if every American has one test? How much does that cost, and then what happens after that?”
https://www.vanityfair.com/news/2021/12/the-biden-administration-rejected-an-october-proposal-for-free-rapid-tests-for-the-holidays