First shipments of Covid-19 vaccine will fall short

With the Pfizer vaccine emergency use authorization expected later this month, and perhaps also for the Moderna vaccine, states are learning there’s not enough for them to fully vaccinate those designated as their first and top priority.

Earlier this week, the CDC’s Advisory Committee on Immunization Practices recommended that the very first batch of Americans to get vaccinated should be frontline health care workers and residents of long term care facilities such as nursing homes. Together, they add up to about 24 million people.

Federal officials estimate about 40 million vaccines will be available by the end of the month if both Moderna and Pfizer get US Food and Drug Administration authorization — only enough to vaccinate 20 million people, because two doses are needed for each person.

When can I get a coronavirus vaccine?

But even that number will fall short. Pfizer is only expected to have 6.4 million doses of vaccine ready by mid-December.

A CNN analysis of the state breakdowns of what they plan to receive shows all will fall short of what they would need to fully vaccinate health care workers and long term care residents. CNN was able to confirm the expected size of the first shipment of vaccine for at least 45 states.

Now states must decide how they will ration the vaccine among their top priority groups and how the small first installment affects the timetable of when groups down the line can be vaccinated. Some states are already being forced to triage — choosing which healthcare workers are a higher priority than others.

California must vaccinate 2.4 million healthcare workers first and Governor Gavin Newsom said earlier this week that the state is only receiving 327,000 doses of the vaccine from Pfizer to start with.

Since that covers just a fraction of the healthcare workers needed to get vaccinated, Newsom said Thursday the state would be trimming its list of top priority group of healthcare workers even further to decide who gets vaccinated first.

Health care workers and long-term care facility residents should get Covid-19 vaccine first, CDC vaccine advisers say

“It’s one thing when you hear the national news about, well, we broadly all agree that our healthcare workers and skilled nursing residential care and assisted living facilities should be prioritized, but that is millions and millions of people. When you only have a few hundred thousand doses of vaccines – doses, you need two doses — you can cut that in half in terms of the total number of people that actually will be fully vaccinated. We have to look at some prioritization of those doses, and we’ve done just that,” Newsom said Thursday.

The Covid-19 vaccine in California will now go first to acute care facilities, nursing homes, dialysis centers and first responders before going to groups like home healthcare workers.

Alabama is receiving far less of the Pfizer vaccine than they were first promised from the initial shipment. Instead of their first shipment being 112,000 doses from Pfizer, the state will receive 40,950 doses, according to Alabama Department of Public Health Officer, Karen Landers. The state has designated 300,000 health care workers and 22,000 residents of long-term care facilities as among the highest priority group to be vaccinated.

First shipments of Pfizer vaccine to be delivered December 15

“The Alabama Department of Public Health will follow its Phase 1a allocation of Covid-19 vaccine and, as necessary, ask providers to sub-categorize persons within Phase 1a based upon supply,” Landers told CNN. “For example, healthcare personnel who work in emergency rooms, Covid-19 units, have underlying health problems, or other factors, may receive the initial vaccines.”

Montana is only receiving around 9,750 doses of the Pfizer vaccine from the first shipment when it has more than 40,000 healthcare workers to vaccinate before moving on to the rest of the state’s population.

“We’ll likely be receiving several thousand subsequent doses in the coming weeks” Governor Steve Bullock said in a news conference earlier this week.

New York Governor Andrew Cuomo said his state will receive 170,000 doses of Pfizer’s vaccine on December 15th. The state’s highest priority groups include 85,000 nursing-home residents and 130,000 nursing home facility workers.

For some states, the difference between the amount of vaccine they expect to receive and the number of people labeled as the state’s highest priority are not as far off.

In Texas, the state expects 224,250 doses of the Pfizer vaccine the week of December 14, but will end up with 1.4 million doses when combining shipments from Pfizer and Moderna by the end of December. The state estimated it needs to vaccinate 1.6 million health care workers to complete its first phase of the process.

West Virginia Governor Jim Justice gave more detail in his Friday announcement of what the state will be receiving by sharing not only the initial shipment, but the ordering cap for each week. Justice said that West Virginia is expected to receive 60,000 doses of the vaccine from Pfizer on December 15 and 26,000 from Moderna the week after. The state can order up to 16,000 new doses from Pfizer a week and up to approximately 5,000 from Moderna each week.

The state has said its first priority group is approximately 100,000 healthcare workers, long-term care facility staff and residents, individuals critical to community infrastructure and emergency response, public health officials, and first responders.

A leaderless America slips deep into a grim pandemic winter

The darkest holiday season in modern history beckons, yet President Donald Trump and his closest aides, sulking after his election defeat, are doing little to save lives, apart from claiming credit for a vaccine that represents a way out of the nightmare of 2020 but remains months away for most Americans.
The Democratic-controlled House of Representatives and GOP-led Senate will return to Washington this week, but have shown no signs they can get together to ease the consequent economic pain of millions of unemployed Americans amid scenes of long Great Depression-style lines outside food banks.

But even a President-elect who promises to replace Trump’s neglect with a science-based approach to the pandemic can only do so much before he takes office on January 20, when the health crisis and economic toll are likely to be far worse.

The current President spent Sunday firing off delusional new claims to bolster his fantasy that the election was stolen, which did nothing to advance his inept legal cases but further poisoned hopes of national unity when he’s gone.

By contrast, top government health experts blanketed Sunday talk shows, warning of an alarming post-Thanksgiving rise in Covid cases, overwhelmed hospitals and exhausted health workers and pleaded with a country beset by pandemic fatigue to mitigate the pain and death for a few more months.
“This is a really dangerous time,” government testing czar Adm. Brett Giroir said on CNN’s “State of the Union” on Sunday.

Biden waits in the wings

Developments over the Thanksgiving weekend reflected a juxtaposition between an incoming President who is gearing up to tackle a staggering national crisis and a sitting commander-in-chief who retains his authority but is pursuing baseless claims over election fraud that will complicate the task of his successor.

It was left to the heads of government health agencies, some of whom were effectively muzzled by the President ahead of the election, to muster national resolve.

Since Biden has little capacity to limit the explosion in Covid-19 cases, his most critical initial task will be to preside over the distribution of a vaccine developed by private companies in coordination with the current White House.

Giroir, the assistant secretary for health, said on “State of the Union” that he was “really” confident in the plan to distribute the vaccine, ahead of Food and Drug Administration meetings in the coming weeks to consider an emergency use authorization. Highest risk groups, including health workers and elderly people living in assisted living facilities, could start getting injections before the end of the year. A decision is expected after a December 10 meeting of an FDA committee but it could be late spring before most Americans see a vaccine — or the double shots that some require.

Giroir’s confidence is encouraging. But it must be seen as another upbeat assessment from an administration that has made repeated optimistic assessments on the provision of protective equipment for front-line workers, falling death rates, expanding testing and forecasts about hospital occupancy that have all proven to be empty.

Dr. Megan Ranney, a Brown University emergency physician who has been treating Covid patients, said Sunday that political failures had brewed a disaster in the nation’s hospitals.

“We have been talking for months about the need for increased supplies of personal protective equipment, about the need for increased testing supplies, we still desperately need those,” Ranney said on CNN “Newsroom.”

“But even if those were all available, the trouble is that the surge in Covid-19 patients right now is so great, it is overwhelming hospitals, it is overwhelming available beds and worst of all, it is overwhelming the number of available staff.”

Grim warnings from top health officials

The unity of messaging from government health experts over the weekend was remarkable and ominous — and only emphasized the silence of Trump, who has repeatedly lied about the US “rounding the corner” on the crisis, or Vice President Mike Pence, who heads the White House coronavirus task force.

Giroir told CNN’s Dana Bash that he was “very concerned” about high levels of Thanksgiving travel and asked Americans to avoid high risk areas like bars and other indoors spaces.

America’s top infectious diseases specialist, Dr. Anthony Fauci, warned of a potential “surge superimposed upon that surge that we’re already in” heading into December.

“We’re entering into what really is a precarious situation because we’re in the middle of a steep slope,” Fauci said on NBC’s “Meet the Press.”

US Surgeon General Jerome Adams pleaded with Americans to stick to mask wearing and social distancing.

“I want to be straight with the American people, it’s going to get worse over the next several weeks,” he said on “Fox News Sunday.” “The actions that we take in the next several days will determine how bad it is or whether or not we continue to flatten our curve.”

And another senior member of the White House coronavirus task force, Dr. Deborah Birx, who said she hopes to begin briefing Biden’s team this week after a transition delayed by the President, said people who traveled for the holiday should get tested and avoid vulnerable relatives.

“To every American, this is the moment to protect yourself and your family,” Birx said on CBS’s “Face the Nation.”

Pressure mounts on Congress to avert economic devastation

With the President absent, it will fall to governors and mayors to pick up the mantle of leadership again. But a flurry of new restrictions on public gatherings and restrictions on restaurants is likely to further damage an economy that has been hammered by the pandemic.

So pressure is rising on Congress to break out of its partisan stasis and offer more help to millions of Americans who are out of work because of the pandemic.

Pressure mounts on Congress to help struggling Americans as Covid-19 surges

Lawmakers will return to Washington after the holiday this week after months of the two chambers failing to pass a new and combined Covid-19 aid package. The prospects for progress still look grim with a funding deal needed to avert a partial government shutdown by December 11. In the past, however, such deadlines have sometimes spurred a modicum of political cover that allows incremental deals. Still, a more comprehensive pandemic package may have to await the arrival of the new President in January. But the reality of divided power in Washington — pending two runoffs in Georgia that will decide control of the Senate — and the likelihood that Senate Republicans will rediscover their budget hawk instincts with a Democrat in the White House, only add to Biden’s huge problems. There is also concern that the failure of Congress to act will hamper the ability of states to train workers and effectively distribute several vaccine candidates.

Biden, who will have further meetings with his transition team this week and is finally due to receive the President’s Daily Brief, is pressing ahead with building out his White House team.
On Sunday, he named an all-female White House messaging operation, which will include former Obama White House communications director Jen Psaki, a former CNN political commentator, returning to the White House as press secretary and Kate Bedingfield, a top campaign official, as the new West Wing’s communications director.
The President-elect is also expected to make official the nomination of former Federal Reserve Chair Janet Yellen to be the first woman to serve as Treasury secretary. If confirmed, Adewale “Wally” Adeyemo — Biden’s pick for deputy Treasury secretary — would be the first Black person to hold that powerful position.
Biden is expected to build out his diverse economic team with Neera Tanden, who would be the first woman of color to lead the Office of Management and Budget. Tanden, the chief executive of the Center for American Progress, is a controversial figure among some progressives after working as a campaign aide to Hillary Clinton in her 2016 battle for the nomination against Vermont Sen. Bernie Sanders. Biden is also poised to name Cecilia Rouse, a Princeton economist, to lead the Council of Economic Advisers, elevating another Black woman in a high-profile role in the incoming administration.
While Biden was building a new administration, Trump spent the weekend playing golf, and at Camp David while launching fresh, spurious claims about election fraud. He claimed there was “tremendous cheating” by Democrats in a Fox Business interview that featured almost no pushback from sympathetic anchor Maria Bartiromo.

Providing no evidence for his lies about the “greatest fraud in the history of our country,” the President more importantly offered no answers or responsibility for the testing days ahead in the worst domestic crisis to afflict the country since World War II.

CNN’s Jeff Zeleny contributed to this report.

Joe Biden stakes out his anti-Trump presidency

In restoring a more conventional version of the presidency, Biden is using his mandate to counter the political forces that led to Trump’s rise and which still delivered more than 73 million votes to the President, albeit in a losing cause.

His Washington restoration is not without risk, and is already coming into conflict with Trump’s blend of nihilistic conservatism that is likely to dictate the Republican Party’s strategy even when he has left the Oval Office.

“Let’s begin the work to heal and unite America and the world,” Biden said.

His recruits, many of them protégés, represent the antithesis of the philosophy, style and comportment of Trump’s authoritarian, “America First” and anti-science White House that is driven by conspiracy theories and a personality cult.

Secretary of State nominee Antony Blinken has toiled for decades in government and on Capitol Hill, while rubbing shoulders with the diplomatic crowd. Jake Sullivan, the next national security adviser, is a Rhodes scholar and Yale Law graduate who is also a domestic policy expert. Biden’s pick to be ambassador to the United Nations, Linda Thomas-Greenfield, has flown the flag for the United States in foreign embassies for 30 years.

Biden’s domestic, health and economic policy teams, expected to be revealed after Thanksgiving, will likely share the same blend of experience and knowledge after catching the eye of a President-elect who has more years on his Washington clock than any modern predecessor.

In an interview with NBC’s “Nightly News” on Tuesday, Biden said he would consider appointing a Republican to his Cabinet who had voted for Trump.

“The purpose of our administration is once again uniting. We can’t keep this virulent political dialogue going. It has to end,” Biden said.

His overarching point is this: the American people, after watching chaos, nepotism and anti-intellectualism in government amid a pandemic that killed a quarter million of their fellow citizens and as the US turned its back on its friends abroad, now just want people who know what they are doing and don’t make too much noise doing it. Each of his nominees highlighted on Tuesday from Thomas-Greenfield, who is Black, and Homeland Security Secretary nominee Alejandro Mayorkas, who is Hispanic, represent individual departures from Trumpism in personality, background and qualifications.

Multilateralism, diplomacy, quiet competence, scientific rigor, inclusivity, collegiality between top officials, respect for civil servants, the intelligence community and a welcome for immigrants are in.

Bashing allies, populism, nationalism, White House backbiting, despot coddling, ring-kissing Cabinet meetings, political hacks running spy agencies, and downplaying politically inconvenient threats — like killer viruses — are out.

Former New Orleans mayor Mitch Landrieu believes that Biden’s nominees reflect the man who chose them.

“The President-elect has been demonstrating and modeling what presidential behavior looks like,” Landrieu told CNN’s Brooke Baldwin.

“He is just trying to demonstrate to the people of America what it looks like when you have a president that is balanced, that is stable that is thoughtful and experienced,” he said.

The President-elect is likely to adopt that persona again when he delivers a Thanksgiving address to the American people from his hometown of Wilmington, Delaware, on Wednesday.

A completely different America

The sharp turn that America will take on Inauguration Day on January 20 reflects the stark choice that was before voters on November 3 — which has been only made more clear during Trump’s subsequent attempt to steal the election. It also underscores the elasticity of an American political system that has the ingrained capacity to counter the excesses of its leaders and often produces presidents who are the opposite of their predecessors.

Four years ago, Trump won an election after a campaign in which he vowed to destroy the political and economic establishment in Washington. His presidency tore at the institutions of federal power and the consensus of elites on economic, domestic, immigration and foreign policy.

His one-time political guru Steve Bannon once referred to this chaotic crusade to rip up regulations, tax rules, diplomatic traditions, and the decorum of the presidency itself as the “deconstruction of the administrative state.”

In many ways, in placing his faith in seasoned Washington hands like Blinken and Director of National Intelligence nominee Avril Haines, Biden is rebuilding that administrative state. Perhaps only the President-elect himself is a more establishment, experienced and conventional figure than former secretary of state and long-time senator John Kerry, who will serve as presidential climate envoy and is exactly the kind of global citizen that Bannon and his fellow travelers decry.

Biden is not hiding his belief that more government is good. In a statement released on Monday after the Trump administration finally agreed to begin a transition, his team vowed to gain a complete understanding of Trump’s “efforts to hollow government agencies.”

And several of Biden’s national security nominees on Monday made a point of paying tribute to the unseen functionaries of government who keep the country running but were treated like an enemy within during the Trump years.

“My fellow career diplomats and public servants around the world. I want to say to you, America is back, multilateralism is back, diplomacy is back,” said Thomas-Greenfield. Haines spoke publicly to members of the covert community who were often on Trump’s target list.

“The work you do, oftentimes under the most austere conditions imaginable, is just indispensable,” said Haines. Several nominees offered fealty to the American ideal, Congress, the American public and democracy. While they all praised Biden, there was little of the exaggerated praise and expressions of personal loyalty that Trump requires of his subordinates. Haines told her new boss that she’d tell him bad news that he’d rather not hear, in another implied criticism of the Trump administration.

A different breed of official

The impression of professionalism and competence given by the group was a contrast to the late-term personnel on whom Trump has relied, who in many cases were unqualified for the great roles of state but prospered by prioritizing loyalty to the President.

Not all of Trump’s initial Cabinet picks were in the same mold. Those like Defense Secretary James Mattis and Director of National Intelligence Dan Coats were experienced and experts in their fields. But their attempts to play the role that Biden expects of his appointees were frustrated when they were constantly undermined by Trump who saw his government as in exclusive service to his personal needs. And these officials, who were dubbed “adults” in the press, frequently spent their time reigning in an erratic President’s worst impulses.

Biden’s approach is designed for the circumstances in which he will take office. With Covid-19 raging out of control he will face a nation badly in need of an organized strategy to roll out the vaccine that could restore normal life. Just not being Trump and signing back up to the Paris climate accord will give him instant wins on the world stage.

But in the longer term, the test of his presidency will be whether his vision of calm, deliberative leadership can pacify a nation whose politics resembles an unruly jungle, where his opponents didn’t wait until he won the election to try to delegitimize him and where there is no longer a common version of truth.

After all, President Barack Obama once tried to engage his opponents with facts and logic within the traditions of the US governing system. It didn’t get him far with Republican opponents whose political existence was directed towards thwarting whatever he proposed.

If things go wrong, Biden will face claims that the return of the administrative state triggered disaster, which will fuel Trump if he runs again in 2024 and the candidates who hope he won’t so they get a shot.

Abroad, Biden must prove whether indulging allies, a methodical policy process and the grunt work of dialogue can constrain a world of rising US rivals who have rocked the fraying global system in which he came of age. Experience and foreign policy expertise in successive administrations never solved some of the thorniest issues — like North Korea’s nuclear quest.

One reason Trump won four years ago is that many Americans believed that the globalized instincts of a generation of Washington elites caused their jobs to go abroad and the wars in which their kids were sent to fight.

One potential GOP candidate, Florida Sen. Marco Rubio, wasted no time in putting down a populist marker with this in mind on Tuesday.

“Biden’s cabinet picks went to Ivy League schools, have strong resumes, attend all the right conferences & will be polite & orderly caretakers of America’s decline,” Rubio tweeted. “I support American greatness. And I have no interest in returning to the ‘normal’ that left us dependent on China.”

His tweet, which overlooked the fact that many Trump officials also went to Ivy League schools, encapsulated the duel between Biden’s traditional White House leadership at home and abroad, and the populism harnessed by Trump.

US election: Don’t ignore Trump’s election mischief.

That’s the truth, even though last desperate gasps of the Trump era increasingly bear one striking similarity to its origin: it all seems like a hopeless joke.

When the reality star descended his golden escalator at Trump Tower way back in 2015, his shock brand of race-baiting populism seemed like a futile attempt to make himself relevant and kickstart a flagging media career. The idea that he had a shot at becoming President of the United States seemed laughable.

But, dismissed by the media and ridiculed by fellow Republicans, Trump found a way to hopscotch from conspiracy theory to conspiracy theory all the way to the White House. And then nobody was laughing any more.

Now, it’s Trump remaining in office that seems impossible. Trump was clearly rejected by voters at the polls — nearly 6 million more people chose Biden — and his legal challenges in multiple states have all faltered.

But those lawsuits have had a very real effect, sowing or solidifying doubts in the minds of his supporters about the election results. Now, Republican officials in Michigan are buying into Trump’s alternate reality and want to rescind their certification of election results in Detroit. He’s apparently invited lawmakers from the state to the White House Friday.

And Rudy Giuliani is still ginning things up. On Thursday afternoon, Giuliani, hair dye dripping down his face, gave a wild press conference where he alleged a massive multi-state conspiracy to steal the election from the President. As evidence, he pointed to votes in Philadelphia, a barely concealed mimic of the Detroit complaint and a clear effort to disenfranchise voters in cities with large Black populations.

Here’s a fact check of Giuliani.

“That press conference was the most dangerous 1hr 45 minutes of television in American history. And possibly the craziest. If you don’t know what I’m talking about, you’re lucky,” said Chris Krebs, the DHS election security official recently fired by Trump, in a tweet.

The multi-pronged conspiracy is not millions more voters choosing Biden. It’s the expanding effort to overturn results in at least three states and undo a solid electoral defeat. It would be sad and funny if it weren’t quite literally about ignoring the voters to keep Trump in power.

And so it’s extremely distressing that Trump is on the phone with Republican officials who now say they want to rescind their certification of votes in Wayne County, which covers Detroit — a step that is normally just a technicality.

It’s also aggravating that a mid-level political appointee, GSA Administrator Emily Murphy, won’t take the next step — another technicality, “ascertainment” — needed to let Biden’s transition begin.
Anxiety is starting to rise in unexpected places. JP Morgan, for instance, is laying out the nightmare scenario for investors. As CNN’s Matt Egan wrote:

Much of Wall Street views the Trump campaign’s efforts to overturn the election results as a desperate sideshow destined to fail. But JPMorgan is telling clients there’s still a chance that this process descends into chaos. It is 2020, after all.

Michael Cembalest, chairman of market and investment strategy at JPMorgan Asset Management, warned in a report Wednesday of the “remote risk of an American horror story” and “constitutional mayhem.”

: Trust the votes

It was not that long ago that Utah Republican Sen. Mitt Romney was leading the GOP. Now he’s “shunned” by some, as he told David Axelrod in an Axe Files podcast released Thursday.

Most people seized on Romney’s comments about the consequences of Trump’s potential actions as a lame duck President.

Mistrust of democracy. But I heard Romney say something else that completely hits the mark:

“Both here and around the world we are seeing a reduction in the confidence people have in voting,” Romney said.

“And if people don’t believe in voting, and don’t have confidence in voting, how can you have democracy, because democracy is fundamentally based on people voting.”

“And if the United State of America doesn’t believe that we have voting that’s reliable, why, how can you expect a country that’s just becoming a democracy to adopt this practice and use it as a basis for determining its future.”

The counterargument to this is that the 2020 election, despite Trump’s silly allegations of rigging, drew a record number of voters. For now, at least, voters are voting. And that’s a good thing. Georgia’s hand recount of its election reaffirmed Biden’s victory over Trump and found no widespread voter fraud — just like we thought it would.

Paralyzed Senate. He also described how the Senate, which is necessary to pass any major legislation, votes on very little major legislation.

“Over the years the Senate has moved and moved to a point where I think there’s a reluctance to vote on things that might be bad votes for members of the majority’s party,” Romney said.

As a result we don’t vote on much. Not either up or down, things we agree with, but if it’s bad for Senator X, Y or Z, why then we don’t want to take that vote. We vote very rarely on matters of substance. Just as a particular, I think in the two years I’ve been in the Senate, we haven’t had a single vote on a matter related to health care, immigration, tax policy, climate change, the list goes on.”

: Where schools are closed but restaurants are open

As more people around the country deal with new restrictions on schooling and movement, Greg Krieg writes about the special situation in New York City, where schools were shut after school ended Wednesday — so suddenly that kids left their textbooks in class. Some excerpts from Krieg:

Poor delivery. It is a demoralizing setback for a city that slowly re-opened after seeing more than 30,000 pandemic deaths and now faces a deadly winter surge of new Covid-19 infections. The news was delivered to principals by the city’s schools chancellor at around 2 p.m. on Wednesday, after hours of uncertainty, and set off a scramble among parents juggling child care needs and work responsibilities.

Conflicting standards. Part of the public confusion — and private differences — centered on how the city and state measure coronavirus test positivity rates. Some nine months into the pandemic, they are still employing different metrics to settle some of the most pressing issues facing New Yorkers.

Bars and gyms stay open! Frustration over the process and timing of the shutdown bubbled over almost immediately after the mayor, following hours of uncertainty, tweeted out his decision. That anger was compounded by the fact that city restaurants, bars and gyms — the places most experts say the virus is most apt to spread — remain open at limited capacities in accordance with guidelines set by the state.

: Now, reconsider Thanksgiving plans

The CDC has updated its guidance and now says you should really consider not traveling for Thanksgiving.

“The reason that we made the update is that the fact that over the week we’ve seen over a million new cases in the country,” Dr. Erin Sauber-Schatz, the CDC’s lead for Community Intervention and Critical Population Task Force, said during the briefing.

I changed my plans this week and it didn’t make me sad so much as angry. When will this end?

I will admit to complaining about Thanksgiving in recent years. There are hassles. How to cook the turkey. Where to celebrate. Who’s coming. Who isn’t. Traffic. Those frustrations seem silly today, like the complaints you hear from people who don’t like to to celebrate their birthday.

So skip the big meal this year, but definitely celebrate your birthday. You don’t know how many more you’ll get.

As Donald Trump ignores deepening coronavirus crisis, Joe Biden calls for urgent response

The continuing power struggle between two men with diametrically different philosophies on how the US should handle the virus has left the nation rudderless at this critical moment — forced by Trump into a governing crisis as he refuses to let the transition to the Biden presidency proceed and pass on knowledge that could be critical to slowing the spread of the virus next year.

This past week, some Republicans in Congress finally seemed to take note of how the President’s blockade was threatening national security — as Republican Sens. James Lankford of Oklahoma, Chuck Grassley of Iowa and Senate Majority Whip John Thune of South Dakota, among others, stepped up to say that the President-elect should begin receiving intelligence briefings as is customary during the transition of power.
But there is no indication that top GOP leaders are applying that same logic to the deadly increase in coronavirus cases, even though the number of patients in US hospitals hit an all time pandemic high last week, according to data from the Covid Tracking Project. As of Saturday, more than 69,000 Americans were hospitalized, according to the organization’s tallies.

The President is still adhering to the same hands-off approach that led so many voters to reject his leadership on Election Day, inaccurately stating that the increase in cases is the result of increased testing as he tries to focus public attention on his administration’s efforts to speed up a vaccine through Operation Warp Speed.

The President spent most of Saturday golfing and tweeting his baseless and debunked conspiracy theories about how the election was rigged, and driving by a crowd of his supporters who gathered in Washington to protest the election results on the basis of his lies and propaganda.

He barely addressed the virus on Twitter Saturday, tweeting: “Congress must now do a Covid Relief Bill. Needs Democrats support. Make it big and focused. Get it done!”

Amid that leadership vacuum, many doctors and top medical experts are bracing for even greater holiday spikes, noting that Americans have simply let their guards down and given in to the desire to return to normal life. The President unquestionably played a role in those attitudes as the administration abandoned its coronavirus task force briefings months ago and he tried to win reelection by advancing the falsehood that the US was “rounding the corner.”

RELATED: Live results from CNN’s Election Center

Given the complexities of rapid vaccine distribution and the potential for catastrophic consequences if doctors, hospitals and first responders don’t have what they need to handle the current rise in Covid-19 cases, Democrats — and even some Republicans from past administrations — are sounding the alarm about the need for more communication between the outgoing and incoming administrations in this grave moment of national crisis.

“We have a president who has gone AWOL,” said Leon Panetta, who served as White House chief of staff under former President Bill Clinton and as CIA director and secretary of defense under former President Barack Obama. “AWOL from the election and its results, AWOL from Covid-19 and the impact it’s having, AWOL from the transition and frankly AWOL from the presidency.”

“That has created a dangerous moment here,” Panetta told CNN’s Wolf Blitzer Saturday night on “The Situation Room.”

Lack of communication raises alarm about virus response

Trump is blocking any meaningful exchange of coronavirus information — beginning with the refusal of his appointee at the General Services Administration to ascertain the election, the first step that would allow the flow of transition funds and streamlined background checks for incoming staff.
That’s forced the Biden team to get up to speed on the pandemic response by back-channeling with governors, members of the private sector and the medical community as they try to shape the nation’s coronavirus response plan for next year.
While Biden is publicly projecting calm about the governing crisis — allowing the Trump campaign’s election challenges to work their way through the courts, where they are amassing a growing string of defeats — he called for “urgent action” Friday by the Trump administration, including an acknowledgment of how serious the current Covid-19 situation is.
As Trump refuses to concede, his agencies awkwardly prepare what they can for a Biden transition

“This crisis demands a robust and immediate federal response, which has been woefully lacking. I am the president-elect, but I will not be president until next year,” Biden said, underscoring the limitations of his position. “The crisis does not respect dates on the calendar, it is accelerating right now…. Right now is a moment for shared responsibility and shared action. Together, we have the power to rein in this virus. And I promise you, from the moment I am sworn in on January 20, I will do everything in my power to lead this unified national effort.”

The President-elect’s advisers have been increasingly vocal about their concerns about the lack of information sharing between the current and future administrations.

“This is truly a national security threat,” Dr. Celine Gounder, an infectious diseases specialist, epidemiologist and Biden Transition Covid-19 board member, said on CNN’s “Anderson Cooper 360” Friday evening. “I cannot even imagine another situation — if we were in the midst of a war — that you wouldn’t have handoff of information and plans to a succeeding president.”

As the US smashed through another set of coronavirus records on Friday evening, Dr. Vivek Murthy, co-chair of Biden’s transition coronavirus advisory board, told Blitzer it was “a grim day for the country.”

“We’re at a point now, even pre-Thanksgiving, where we are surging beyond any level that we have seen over the last eight months,” Murthy, a former surgeon general under President Barack Obama, said on “The Situation Room.” “What we do over these next few weeks is going to have a profound impact on whether this spread increases or whether we ultimately control the spread of this virus.”

Local leaders weigh stronger measures to curb the virus

In the absence of a vigorous federal response, local leaders are once again considering more dramatic action to control the spread, which could create major economic and logistical disruptions.

The 2.4% test positivity rate in New York City is now close enough to the 3% threshold that could lead the city to close schools and transition students to remote learning, a possibility that New York Gov. Andrew Cuomo discussed during a call with journalists Saturday where he added that some schools might be able to “test out” of closures if they have a much lower positivity rate than the surrounding area.

The resurgence in Oregon, where cases topped more than 1,000 a day for the third day in a row Saturday, led Gov. Kate Brown to announce a “two week freeze” on Friday that will limit social gatherings to six people and two households, close restaurants and bars and place new limits on the number of people who can gather within faith-based organizations. The freeze will span from November 18 to December 2.

“I know it’s hard and I know everybody is weary but we are trying to stop this ferocious virus from spreading,” Brown said.

In Los Angeles, where cases have surged from about a 1,000 a day three weeks ago to nearly 4,000 on Saturday, according Mayor Eric Garcetti, officials created the largest testing center in America at Dodger Stadium — ushering some 8,000 people through the testing regimen on a single day this past week.

On Saturday, the Navajo Nation ordered a new three-week stay-at-home lockdown, restricting travel and only allowing residents to leave their homes for emergencies or to pick up groceries, medicine and firewood.

“We are inching closer and closer to a major public health crisis in which we could potentially see our hospitals filling up with patients,” Navajo Nation President Jonathan Nez said in a statement. “Our health care system on the Navajo Nation cannot sustain a long-term surge in Covid-19 cases. The safest place to be is at home.”

CNN’s Elizabeth Joseph, Sheena Jones, Jenn Selva, Konstantin Toropin and Paul Vercammen contributed to this report.

Trump shows transition will be as turbulent as his presidency

Trump’s refusal to concede the election, delusional tweets about states tipping his way and failure to so far grant President-elect Joe Biden access to federal funding and resources to power up his administration mean America is in for a rocky 71 days. Trump may be a lame duck, but he retains the authorities of the presidency until noon on January 20, and his chokehold on the Republican Party was if anything strengthened by winning 70 million votes last week. So the President has the power — institutional and political — and apparently the motivation to create a great deal of disruption before returning to civilian life.
Attorney General William Barr, who has shown a propensity for using his own power to advance the President’s political aspirations, on Monday told prosecutors they should examine unsupported allegations of voting irregularities before states certify results in the coming weeks. The move will raise concerns of a fresh attempt by the Trump administration to overturn the will of voters, but like the President’s campaign, Barr’s memo failed to produce any evidence of fraud/ However, it did lead the top election crimes prosecutor to quit in protest over the change in policy.

And Trump waited only two days after the election was called for Biden to start exacting retribution on those he sees as enemies inside his administration.

Esper’s firing reflected the President’s capacity to rock key agencies of the government in his remaining weeks in office to make it easier to enforce his will and create disruption in the government that could hobble Biden’s early days in office.

“Frankly, he can do a lot of damage, by destabilizing every major agency, by firing a whole series of senior leaders,” Democratic Sen. Chris Coons of Delaware told CNN’s Wolf Blitzer on Monday.

Monday’s developments emphasized that while Biden’s margins in states where the result of the election have yet to be finalized make any overturning of results almost impossible, Republicans are seeking to create a shadow over his triumph in order to delegitimize his presidency in the minds of millions of conservative voters. That may end up being Trump’s most destructive legacy.

A transition that is more important than normal

Trump agency tasked with transition process has yet to recognize Biden's victory

Traditionally, and in accordance with law, an outgoing administration makes available financing, office space and other federal resources to make the business of inheriting an entity as vast as the multi-trillion dollar US government as smooth as possible, on the principle that even political opponents share a desire to preserve the national interest. Typically, this process begins within hours of an election being called.

New administrations swiftly send “landing teams” into federal agencies to get up to speed in operations, to consider staffing needs and to receive briefings on vital programs. In national security and military departments, incoming officials learn of covert activity under way, behind-closed-doors diplomacy and threat information that a new president needs to know. The process also allows officials to get a jump on establishing their national security clearances.

The current transition is even more critical given the raging coronavirus pandemic that is as bad now as it has ever been and a consequent economic crisis.
But so far, Trump-appointed General Services Administration administrator Emily Murphy has yet to trigger the procedure to initiate the transition — known of ascertainment — as the President continues to insist baselessly that his second term is being stolen by Democrats.

His attitude — hardly surprising after his consistent prioritization of his personal and political goals — and the organizational roadblocks mean the next few months will be as acrimonious and chaotic as the previous three-and-a-half years of his presidency.

“I think this is going to be the most hostile and tumultuous presidential transition in modern history, at least since the 1932 transition in the middle of the Great Depression,” said Rebecca Lissner, a non-resident scholar at Georgetown University and co-author of the new book “An Open World” that lays out a new roadmap for US foreign policy.

“What we need to fear is what can happen when you have an outgoing Trump administration that actively hobbles the incoming Biden team whether by virtue of incompetence or whether by virtue of outright sabotage, something that does become a more distinct possibility in light of the President’s refusal to accept the result of the election,” Lissner said.

Biden team steps up rhetoric

Biden transition team announces coronavirus advisers, including whistleblower Rick Bright

Some national security experts are worried that the President could take steps such as ordering all US troops out of Afghanistan or seek to radically change the US footprint in Asia — moves that might be difficult for Biden to reverse.

And if a President who has consistently chafed at the limits of his power and politicized the Justice Department pursues pardons for his acolytes caught up in criminal cases — or even seeks to create prospective immunity for his family members or himself — he will stoke massive controversy and recriminations.

So far, the Biden team has sought to give the President space to digest his defeat. But with the Trump campaign vowing to pursue long-shot legal challenges, delays in starting the transition become more serious the more time passes.

Trump’s obstruction contrasts with recent handovers of power in which presidents have ordered their staff to do everything to accommodate their successor’s teams. Obama administration officials were surprised and grateful with cooperation from President George W. Bush’s White House during the last economic crisis in 2008-09. President Barack Obama sought to offer the same courtesy to Trump’s nascent administration, but in many cases incoming officials on a mission to gut the federal government turned a blind eye.

The President-elect on Monday got straight to work on the most important task his administration will face from day one: tackling the pandemic. He announced the formation of an advisory board that sent a strong message that science and not politics would dictate the fight against the virus.

It was an almost surreal moment, after months of Trump’s misinformation over the virus, when a figure of authority who is close to assuming the mantle of the presidency pleaded with Americans of all political persuasions to wear masks.

“It’s not a political statement,” Biden said.

One advantage for Biden is that his staff numbers seasoned Washington hands such as Ron Klain — who served as chief of staff to vice presidents Biden and Al Gore — and Jake Sullivan, a former senior national security aide, who are prepped for senior West Wing roles. Despite such experience, however, Democratic operatives have been on the outside for the last four years. So it was significant to see Coons strike a new note of urgency on Monday evening on the need to get the process moving properly as the Biden camp realizes a contested transition is a possibility.

“President Trump needs to accept that he has lost the election. His allies and colleagues here in the Senate need to speak up about this matter and we need to move forward,” Coons said on “The Situation Room.” Those remarks will be interpreted as a calculated escalation of the Biden camp’s rhetoric since Coons is close to Biden and is considered a possible candidate for a Cabinet post, including secretary of state.

The Biden team has come to realize that the transition is going to be more contentious than they had initially assumed, CNN’s Jeff Zeleny reports.

The GOP calculation

Top Republicans skeptical court challenges will change election, even as many defend Trump

Only a minority of Republicans, including Sens. Ben Sasse of Nebraska, Mitt Romney of Utah, Lisa Murkowski of Alaska and Susan Collins of Maine, have publicly accepted that Biden won the election. Others, as they have throughout the Trump administration, have treated the situation with delicacy because they hope to have a political future.

Republican Senate Majority Leader Mitch McConnell said in a Senate floor speech that the President had every right to pursue legal challenges to the election despite the fact that even GOP officials running elections in key states say there is no evidence to support Trump’s claims of massive fraud.

“Let’s not have any lectures. No lectures, about how the President should immediately, cheerfully accept preliminary election results from the same characters who just spent four years refusing to accept the validity of the last election and who insinuated that this one would be illegitimate too, if they lost again,” McConnell said on the Senate floor, referring to Democrats.

The newly reelected Kentucky senator, is as always, plotting several moves ahead in his political power game. While the nation’s interests might dictate a smooth transition, McConnell’s Republicans have no incentive to cross Trump’s fervent supporters. A likely pair of Georgia run-off elections is looming in January that will decide control of the Senate. And looking forward, there remains no option for Republicans, as they contemplate a tough slate of seats to defend in the 2022 midterm elections, but to rely on Trump’s base.

Still, there is also a sense that Republicans are going out of their way to give the President time to accept reality — just the latest occasion when his ego has dictated the course of governance over the last four years.

As the days pass, and the Trump campaign fails to produce convincing evidence and arguments to back up the President’s claims of electoral fraud, the inevitability of Biden’s assumption of power will set in.

Many foreign leaders are already looking past Trump. Canadian Prime Minister Justin Trudeau released a photograph of himself during a telephone conversation with he President-elect on Monday.

Even inside the White House, where sources told CNN that aides have been threatened with the sack if they look for new jobs, the fiction that Trump will be in power past January is beginning to fray. The President now sees “a path to losing,” an adviser told CNN’s Jim Acosta on Monday evening.

But that doesn’t mean the next two months are going to be an easy ride.

Donald Trump uses Midwestern swing to launch false attacks on doctors while Covid cases rise

“Our doctors are very smart people. So what they do is they say, ‘I’m sorry but everybody dies of Covid,’ ” Trump said at a rally in Waterford Township, Michigan, on Friday. Unearthing conspiracy theories from the bowels of the Internet, the President claimed with no evidence that doctors from other countries list underlying diseases as the cause of death, while US doctors choose coronavirus.

“With us, when in doubt — choose Covid,” Trump said. “Now they’ll say ‘Oh that’s terrible what he said,’ but that’s true. It’s like $2,000 more, so you get more money.”

Trump’s falsehood about doctors on the front lines of the pandemic angered Biden, who criticized the President for attacking first-responders at his subsequent rallies in Falcon Heights, Minnesota, and in Milwaukee.

“The President of the United States is accusing the medical profession of making up Covid deaths so they make more money. Doctors and nurses go to work every day to save lives. They do their jobs. Donald Trump should stop attacking them and do his job,” Biden said in Minnesota.

View Trump and Biden head-to-head polling
The clashing messages of the two candidates stood in stark contrast as they both campaigned in Wisconsin and Minnesota on Friday, with each man attempting to broaden his potential path to 270 electoral votes. Trump won Wisconsin by less than a percentage point in 2016 but narrowly lost Minnesota, and he and Biden are now vying for those pivotal blue-collar voters who abandoned Democrats four years ago to choose Trump’s outsider message.
Though some of those voters have drifted away from the President because they disapprove of his handling of the virus, he has continued to insist on holding huge rallies — he has more than a dozen planned in seven states before Election Day, including four in Pennsylvania on Saturday alone — which only draws attention to the fact that he is dangerously flouting the safety guidelines of his own experts at the US Centers for Disease Control and Prevention, daring Americans to hold him accountable for it on Election Day.
Older women voters want to send a message to Trump in November

Biden delivered a closing argument grounded in his desire to unify the country and be a president for all people, pledging to work “as hard for those who don’t support me as those who do.”

The former vice president told Minnesota voters that Trump has “simply given up” and questioned how many lives could have been saved if Trump had been candid with the American people about the risks the virus posed early this year. The former vice president also pleaded with voters not to give up their sense of optimism, while acknowledging that was a difficult request at a time when nearly 230,000 Americans have died from the virus.

Meanwhile, Trump slashed against the “arrogant, far-left political class,” suggested Biden would flood Minnesota with terrorist refugees, and made the wild claim that Democrats like Biden want to “imprison you in your homes while letting anarchists, agitators and vandals roam free as they destroy your cities and states.”

Trump’s claims about profiteering doctors sparked a backlash beyond the campaign trail. Susan Bailey, the president of the American Medical Association, said in a statement that the claim that doctors are overcounting Covid-19 patients or “lying to line their pockets is a malicious, outrageous, and completely misguided charge.”

“Covid-19 cases are at record highs today,” Bailey said as Friday marked the highest single day of cases in the United States since the pandemic began. “Rather than attacking us and lobbing baseless charges at physicians, our leaders should be following the science and urging adherence to the public health steps we know work — wearing a mask, washing hands and practicing physical distancing.”

Emergency physician and former Baltimore Health Commissioner Dr. Leana Wen told CNN’s Wolf Blitzer on Friday night that doctors are risking their lives at a time when one person is now being diagnosed with Covid-19 every second.

“We have one American dying of coronavirus every two minutes, and that number is increasing,” Wen said on “The Situation Room.” “In some states, one in two people who are getting tested are testing positive. That means that we’re not doing nearly enough testing, and that every person who tests positive is a canary in a coal mine.”

Wen added that there are likely to be “many more dozens of other cases that we’re not detecting, and that escalation is going to increase in the weeks to come.”

Trump rails against nation’s Covid-19 focus

The angry tone of Trump’s rallies and his attacks on doctors stem in part from his frustration that the country is so focused on the pandemic in the closing days of the election. Poll after poll has shown that coronavirus is the top issue on the minds of American voters and a broad majority of the electorate disapproves of Trump’s handling of the virus.

While Trump has gotten away with holding large rallies in other states, Minnesota has been particularly vigilant both with enforcement and contact tracing, and Trump lashed out on Friday at Minnesota officials who curtailed the size of his rally due to safety concerns.

The Minnesota Department of Health reported three Covid-19 outbreaks related to Trump campaign events held in the state in September. The state’s health department has linked at least 23 cases to Trump campaign rallies with the President in Bemidji and Duluth and a rally with Vice President Mike Pence in Minneapolis, according to information the department provided to CNN in an email last week.

But dismissing safety concerns as irrelevant, Trump argued that state officials, including Minnesota Attorney General Keith Ellison, a Democrat, have created two sets of standards — one for the protesters who demonstrated against police brutality after the police killing of George Floyd in Minneapolis in May and a different set for his supporters.

“Keith Ellison sided with flag burning extremists over law-abiding Americans. He treats you like second-class citizens,” Trump said in Rochester, Minnesota, on Friday night where state officials limited the crowd to 250 people. “He believes that the pro-American voters have fewer rights than anti-American demonstrators.”

As part of that argument, Trump once again conflated Black Lives Matter demonstrations, which were largely peaceful across the country this year, with the far smaller number of protests that turned violent and have served as a helpful foil as he tries to argue that Biden would coddle criminals while fomenting what he described as “vile anti-police rhetoric.”

Speaking in Falcon Heights, a suburb of St. Paul, Biden refuted that argument by zeroing in on the difference between peaceful protesters and violent agitators who took advantage of this year’s movement for racial justice.

“Burning and looting is not protesting, it’s violence clear and simple — and will not be tolerated,” Biden said at his event, which he said was seven miles from where Floyd was killed by a police officer. “But these protests are a cry for justice.”

The former vice president argued that Trump’s divisive language about the protests and his effort to pit Americans “against one another based on race, gender, ethnicity and national origin” are part of an effort to distract from his handling of the pandemic.

During his final event of the day in Milwaukee, Biden noted that the state is now experiencing a record level of coronavirus hospitalizations.

“This week, Wisconsin, like other states, set a new record for daily cases. Hospitals are running short on beds, just had to open a field hospital. That’s what we’re facing. We’ve now hit 9 million cases,” Biden said Friday night. “Millions of people out of work; on the edge and they can’t see the light. They’re not sure how dark it’s going to remain … and the thing that bothers me the most was a President who gave up.”

Donald Trump’s last push for reelection is being overshadowed by White House admission on pandemic

“We are not going to control the pandemic,” Meadows told CNN’s Jake Tapper on “State of the Union” Sunday, arguing that “proper mitigation factors” like therapies and vaccines should be the priority.

The window into the administration’s thinking came as Trump spent the weekend constructing a giant confidence trick for voters, declaring the country was “rounding the corner beautifully” in the battle against Covid-19.

The latest signs that Trump is putting his political priorities ahead of his duty of care to the American people come as the President plans a frantic week of packed rallies that flout good social distancing practice.

View Trump and Biden head-to-head polling
But the weekend of grim health data and controversy means the climax of the campaign will be overshadowed by the pandemic — a tough reality for Trump since 60% of Americans in a recent CNN Poll disapproved of his crisis management. The President has all along downplayed the threat from the virus. He mocked mask wearing, turning the practice into a culture war issue, and pressured Republican governors to open their states before the virus was under control, helping to unleash a wave of infections in the Sun Belt during the summer. As a result, his handling of the pandemic is a central campaign issue, and his behavior in recent days signals there will be no change to the White House’s approach to the pandemic if he wins the election — no matter how bad the virus gets this winter.
The final week of the campaign opens with Trump trailing Biden in national popular vote polls by 9 or 10 points and by smaller margins in many of the states that will decide the election on November 3. If the polling is accurate, Trump does have a narrow path to reelection but will need to make good on his vow to massively expand his political base with new conservative voters, and he will have to almost run the table in competitive states.
How Biden has more paths than Trump to 270 electoral votes
Remarkably, more than 58 million Americans have cast early ballots, surpassing all early voting in the 2016 election, meaning that it will be more difficult for either candidate to shake up the dynamics of the race at the last minute. Biden appears to have more routes to the 270 electoral votes needed for victory, but Democrats are nervous after a late surge by Trump in 2016 carried him to a shock victory over Hillary Clinton.
“I’m one of those folks, or competitors, it’s not over till the bell rings. And I feel superstitious when I predict anything other than going to be a hard fight,” Biden said in an interview aired on CBS’ “60 Minutes” on Sunday when asked whether Trump could still defeat him. “We feel good about where we are. But, you know, I don’t underestimate how he plays.”

Meadows sends shock waves through Washington

The extent to which the White House has all but given up fighting the pandemic — for instance, public briefings by top government scientists have disappeared — was made clear by Meadows.

The issue with his comments is that a vaccine, even if it is approved by regulators in the coming months, is unlikely to be available to all Americans by well into next year. The kind of state-of-the-art treatments that helped Trump beat his case of Covid-19 are not yet available to the general public or the tens of thousands of Americans now getting infected every day. Public health officials like Dr. Robert Redfield, the head of the CDC, have said masks are one of the most powerful weapons to fight the virus.

Biden leapt on Meadows’ comments as he tries to make a case that Trump’s denial and downplaying of the greatest public health crisis in 100 years means he should be disqualified from serving a second term.

Fact check: Trump makes at least 16 false or misleading claims to '60 Minutes'

He said the White House chief of staff had “stunningly admitted this morning that the administration has given up on even trying to control this pandemic, that they’ve given up on their basic duty to protect the American people.

“This wasn’t a slip by Meadows, it was a candid acknowledgment of what President Trump’s strategy has clearly been from the beginning of this crisis: to wave the white flag of defeat and hope that by ignoring it, the virus would simply go away. It hasn’t, and it won’t.”

The President and Pence — the head of the coronavirus task force — have consistently refused to model the social distancing and mask wearing that is the most effective way to cut infections until treatments and vaccines arrive.

On Sunday for instance, the President mixed with supporters who were unmasked and closely huddled together, offering fist bumps and signing “Make America Great Again” hats.

That is exactly the wrong message the President should be sending given a new modeling study from the University of Washington’s Institute for Health Metrics and Evaluation that notes that in September only 49% of Americans reported that they “always” wear a mask in public. If that number was 95%, more than 100,000 lives could be saved from Covid-19 through February, according to the study.
In a new opinion piece in The Wall Street Journal on Sunday, Dr. Scott Gottlieb, the former commissioner of the Food and Drug Administration, warned that it might be time to consider a limited and temporary national mask mandate.

“Deaths are starting to rise again, and vaccines won’t be widely available until next year even in the best-case scenario. Everyone banding together to wear masks, for a limited time, will be the least costly way for society to weather a difficult winter,” Gottlieb wrote.

Pence an ‘essential worker’

Even as news broke of the multiple infections in the vice president’s office, the White House declared he was an “essential worker” — a designation normally reserved for first responders and front-line medical staff — and said he would go on with his campaign program.

Pence, who was wearing a mask, clapped and jogged up to his podium at an event in North Carolina Sunday, the latest attempt by Trump and his team to foster a false impression of normality as the crisis deepens every single day. He never brought up the infections among his inner circle, barely mentioning the virus at the rally.

But the virus is now rising in 35 states and is steady in 15. New infections rose past 80,000 cases on both Friday and Saturday, breaking previous single-day records. US Surgeon General Dr. Jerome Adams cautioned Friday that hospitalizations are up in 75% of the jurisdictions across the country. Deaths will likely also soon start rising.

The utter disconnect between the fast worsening reality and the behavior of Trump and Pence prompted David Gergen, an adviser to presidents of both parties who was speaking on CNN, to condemn what he said was, “a President and a vice president putting their own peoples’ lives at risk to advance their own political good fortunes.”

Build your own road to 270 electoral votes with CNN’s interactive map
The comments by Meadows appeared to be in line with the philosophy of White House adviser Dr. Scott Atlas, who has the President’s ear and has infuriated government scientists on the White House coronavirus task force. Atlas has cast doubt on mask wearing and appears to favor an approach akin to herd immunity — letting the virus circulate freely in society to build resistance among citizens. Such an approach could cost hundreds of thousands more lives, according to William Haseltine, chair and president of ACCESS Health International.

Meadows’ statement also had troubling echoes for another expert.

“I hear a lot of herd immunity in that statement and that is horrifying,” Dr. Jonathan Reiner, a professor of Medicine at George Washington University, told CNN on Sunday.

“We can control the pandemic,” said Reiner, citing Washington, DC’s low incidence of the virus after earlier spikes and crediting mask wearing for the improved situation..

“What the chief of staff is saying is surrender. No, no, no, we get everyone to mask up — that is how we get the rates down.”

The responsibilities of leaders

The comments by Meadows caused awkward moments for several Republican senators, in town to advance the Supreme Court nomination of Amy Coney Barrett to a final floor vote on Monday.

“We all have control, and we all have responsibility as leaders to set an example that consists of doing the right thing to stop the spread,” the second-ranking Senate Republican, John Thune of South Dakota, told reporters.

“There are certain elements of it that yes, we cannot control. It’s a virus. It’s very aggressive. It wants to infect a lot of people, but there are things about our own behavior that we can control.”

The other South Dakota senator, Mike Rounds, said the government should “definitely not” stop trying to control Covid-19. Indiana Republican Sen. Mike Braun advised throwing “the kitchen sink at getting the virus under control.”

The new cases of Covid-19 in the White House could not be closer to Pence.

Marc Short, his chief of staff, tested positive on Saturday, the vice president’s office announced in a statement late in the day. Sources told CNN that Marty Obst, a senior adviser to Pence who is not a government employee, and at least three staffers in Pence’s office also tested positive for the virus in recent days. Zach Bauer, a longtime aide and one of the staffers who works closest with Pence, has tested positive for coronavirus, CNN learned Sunday.

New fears about coronavirus at the White House will not stop Trump swearing in Barrett after her expected Senate confirmation on Monday — despite the fact that her Rose Garden announcement ceremony last month turned into what the government’s top infectious disease specialist Dr. Anthony Fauci called a “superspreader” event.

The event is due to take place at 9 p.m. ET, outside, a source familiar with the invitation told CNN.

2020 election: Trump lashes out wildly as he seeks an election comeback

But Trump’s quest for distractions simply underscored how he is ignoring the true and most dangerous adversary facing America — the pandemic that has buckled his false reelection narrative of a nation on the rebound and has left millions out of work. His frantic efforts to save his presidency lacked the focus of his populist, nationalist economic arguments in 2016 — and an opponent in Hillary Clinton, who he was conveniently able to cast as a villain for his outsider message.

Trump, in the middle of a grueling set of rallies after recovering from the virus, traveled to Erie, where he needs to outperform his strong 2016 showing to cut Biden’s current lead in Pennsylvania, potentially the pivotal 2020 swing state.

“You guys aren’t even open yet. What the hell is going on with your state?” Trump said at the rally, accusing Pennsylvania’s Democratic Gov. Tom Wolf of keeping the commonwealth shut down for no reason. After reducing its case and death numbers from its initial bout with the virus early in the year, Pennsylvania is now seeing its cases of Covid-19 rise again, all across the state.

The pandemic’s haunting presence in the final days of the campaign was underscored when first lady Melania Trump was forced to cancel her own plans to attend the rally, owing to the aftereffects of her Covid-19 infection.
And while Trump slams his opponent as soft on China, the latest New York Times report on his own tax records reveals that the President has extensive interests in the country and even maintains a bank account there.

The Chinese account, the newspaper said, is controlled by Trump International Hotels Management and it paid $188,561 in taxes in the country from 2013 to 2015. Earlier Times disclosures have shown how the President has paid almost no US federal tax on his fortune for years. Trump insists he has paid millions to the Treasury.

Trump creates a scene during ’60 Minutes’ interview

Trump had spent the day performing antics that might appeal to his most loyal voters and provide fodder for conservative media but threaten to further alienate more moderate voters he needs to attract.

The President sat for a CBS “60 Minutes” interview — an age-old staple of campaigns — but sources said he walked out after 45 minutes and refused to complete a segment with Vice President Mike Pence. Soon afterward, Trump tweeted a gotcha photo of correspondent Stahl not wearing a mask in the White House.

A person familiar with the situation told CNN that the image from the tweet shows Stahl with her producers immediately after Trump had ended the interview, before she had gone back to get her personal belongings to put her mask back on. She had a mask on from the time she entered the White House and just before the interview began.

Trump abruptly ends '60 Minutes' interview before planned taping of joint appearance with Pence

Then, in another sign of frivolity, White House press secretary Kayleigh McEnany sent out a photo of herself handing Stahl a thick book that she said listed all the President’s achievements on health care. Later, Trump, in a show of presidential whining, tweeted that he might release the interview before Sunday’s air date to prove what a “FAKE and BIASED interview is all about.”

The spectacle of a White House ambushing a TV reporter would be extraordinary in normal times, but it shows a profound lack of seriousness in the middle of a domestic crisis that has killed more than 220,000 Americans and as experts say an alarming rise in Covid infections may be a week away.

Trump demands action from Barr

Earlier, in a phone call to Fox News, the President called on Barr to open a preelection probe into his false claims that the former vice president is guilty of corruption in Ukraine — the country that Trump tried to coerce into interfering in the election to damage Biden in an abuse of power that got him impeached.

“We’ve gotta get the attorney general to act. He’s gotta act. And he’s gotta act fast,” Trump said in the interview. “This is major corruption and this has to be known about before the election.”

The demand was the latest indication of how Trump has no compunction about using the powers of his office — meant to be reserved for the American national interest — to try to damage his political foes in full public view.

In the same interview, Trump took another shot at Fauci, the government’s top infectious diseases specialist, who is warning that a feared fall and winter spike of Covid-19 is already materializing. On Monday, an unchained Trump described the respected doctor as an “idiot” and a “disaster.”

He followed up Tuesday by tarnishing the apolitical reputation that Fauci has built in decades of service to six presidents.

“He’s a nice guy. The only thing I say is he’s a little bit, sometimes not a team player. But he is a Democrat and I think that he’s just fine,” Trump said.

Fauci is not registered with any political party.

Expert sees rapid escalation in Covid cases

Trump’s attacks on Fauci underscore his most intractable problem in his effort to finally settle on an attack that negatively defines Biden and could broaden the President’s appeal wider than the fervent support of his most faithful voters. Trump’s failure to properly manage the pandemic and his constant denial about its impact on American life means he is at a disadvantage on the issue that appears likely to define the election. Experts are now warning of a fast-worsening situation across almost the entire nation just at the moment the President wants to declare victory over the emergency.

Dr. Scott Gottlieb, former commissioner of the US Food and Drug Administration, is predicting a swift escalation of infections, which have recently raced back to average around 50,000 a day.

“It’s going to be a difficult fall and winter. I think we’re about two or three weeks behind Europe — so we’re about a week away from starting to enter a period where we’re going to see a rapid acceleration in cases,” Gottlieb told CNBC’s Shepard Smith on Monday.

After several days of criticizing NBC’s Kristen Welker, who will moderate Thursday’s debate in Nashville, Trump is now grumbling about the decision by the presidential debate commission to mute the mics for a portion of the encounter after his boorish interruptions in the first debate.

“These are not good people. This commission — a lot of funny things go on with them,” he said on Fox.

“I think the whole thing is crazy.”

A source close to Biden told CNN that the Democratic nominee is getting ready for Trump to “bully and deflect” onstage and is preparing for him to go after his family as well.

Throughout this campaign cycle, Trump has tried and failed to disqualify Biden from the presidency. The veteran Democrat has proven remarkably resilient, and Tuesday was another case study in why, as it showed all the ways that the President is limiting his own potential appeal.

Biden has a clear path to 270

Another riotous day at the White House unfolded with Trump, who is desperate not to be the first President since George H.W. Bush ousted after a single term, trailing Biden in enough swing states to cost him the election.

CNN Poll of Polls averages across 10 key battleground states suggest tight races heading into the final two weeks of the campaign in seven states and Biden ahead in the other three. Crucially, the averages suggest Biden holds a sizable lead in Pennsylvania, Michigan and Wisconsin, which could form a path for him to get to the magic number of 270 electoral votes.

In Pennsylvania, Biden averages 52% support to Trump’s 43% in polling conducted between September 20 and October 5. In both Wisconsin and Michigan, the averages show Biden with 51% and Trump with 43%.

Trump’s hopes in Pennsylvania took a further blow with Monday night’s Supreme Court decision that means mail-in ballots — mostly preferred by Democrats — can be counted in the Keystone State for up to three days after Election Day on November 3. He called the decision “ridiculous” and “very strange.”

Across multiple states, voters are not waiting until November 3 to make their choices. Early voting records are tumbling everywhere.

More than 675,000 absentee ballots have been returned in Ohio, nearly double the figure at the same point four years ago.

More than 2 million voters have already cast ballots in North Carolina, a state where Trump tried to raise doubts about the legitimacy of early voting.

More than 27% of registered voters have already cast their ballots in Texas, and New Hampshire has seen nearly double the number of absentee ballots returned in all of 2016.

It is not possible to deduce exactly which candidate may have the advantage in early voting. The eagerness of voters to make their choices does reflect strong support for democracy even in the most extreme circumstances. And it makes one thing clear: The election is beginning to be decided right now, and the capacity of either candidate to change its dynamics is increasingly limited.

Still, Trump is putting his hopes in the kind of late surge that helped him beat Clinton in 2016 and is scheduling a flurry of swing state rallies to try to build momentum, even though the events will put his supporters — and people they will later meet — at a higher risk of contracting Covid-19.

CNN’s MJ Lee and Rick Davis contributed to this story.