Birx cedes White House turf to Atlas while hitting the road to spread her public health gospel
https://www.cnn.com/2020/10/29/politics/deborah-birx-task-force-scott-atlas/index.html
Dr. Deborah Birx emerged from a meeting at the White House one day in late summer with a new resolution: Never again would she sit in a meeting with
Dr. Scott Atlas and
listen to him pontificate on the pandemic.
That's when she went all-in on a plan to essentially abandon the White House and avoid the growing influence of Atlas, a radiologist with no expertise in epidemiology who was nevertheless rising in influence with
President Donald Trump.
Birx, a physician with decades of experience in global health, told a friend that she would take her message directly to the people and simply sidestep the kind of misleading messages she'd just heard from Atlas in that meeting. The friend requested anonymity to discuss the exchange with CNN.
Now
Atlas is Trump's single go-to adviser on the coronavirus. And Birx, one of the most prominent figures of the early pandemic, is in North Dakota.
She has now been to 40 states and logged more than 20,000 miles, many of them since that fateful August meeting. She tours the country by commercial air, advising small groups of state and local officials on combating transmission. She pulls a small suitcase packed with essentials and an array of the signature scarves she wears each day. Her friends call it her "self-exile."
"Her personality is to pick up and go where the fight is," said a colleague of hers for many years. "She always told us -- keep your bags packed. She'd say if you're assigned to another country, don't sit in the embassy -- go to the distant villages. You need to go where the action is, see what they are doing."
It's a handy personal credo given that Trump hasn't consulted in person with Birx in months. She still belongs to the White House coronavirus task force, but it rarely meets these days and its reports aren't widely disseminated. The President isn't deploying her to anything, so she's deploying herself.
"I've known Debbie a long time," said Dr. Jerome Kim, the director general of the International Vaccine Institute, and a former colleague at the Walter Reed Army Institute of Research. "She really is completely driven by getting things done and being effective, and I think she's frustrated."
"If she can't get it done in the White House, the way to do it is go into the field and use personal diplomacy to convince politicians there is a right way to do this and a right way to approach things, and the consequences of failure are significant," Kim said. "Without an authority coordinating things centrally, the only thing you can do is make people aware of the facts and the truth, and my guess is this is her solution," said Kim.
Finding her lane
For months, Birx put up with Trump's rhetoric about the pandemic. She told friends she could live with it, though, as long as she could occasionally get a chance to weigh in with the President.
But soon after Atlas was formally named to the task force on August 10, Birx told friends, it became clear that she wasn't going to get much time with Trump -- if any at all.
After that August meeting, she came out of the room and told a friend Atlaswas "not going to tell me what to do," the friend said, recounting the conversation.
She felt even further vindicated recently when Atlas tweeted about the folly of requiring mask-wearing and
Twitter removed the tweet. She said to a friend that she wished the administration would take the same editorial approach to his statements.
Birx's own future is uncertain, like so many in the federal health bureaucracy. She's on the outs with the current administration and, if former Vice President Joe Biden is elected, it's not clear if she would be invited to stay on. Though it's a move she has successfully navigated before, working first for President George W. Bush, then President Barack Obama and now Trump. Some prominent health officials may have harmed their credibility with Biden by working to remain relevant in the Trump orbit all these months.
But even if Birx no longer has Trump's ear, she still has a public persona. And plenty of officials around the country -- struggling to deal with the pandemic in the absence of a coordinated national strategy -- are more than happy to have her help.
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