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    Ron DeSantis Has a Secret Theory of Trump

    Ron DeSantis has an enemies list, and you can probably guess who’s on it.There’s the “woke dumpster fire” of the Democratic Party and the “swamp Republicans” who neglect their own voters. There’s the news media, with modifiers like “legacy” or “corporate” adding a nefarious touch. There’s Big Tech, that “censorship arm of the political left,” and the powerful corporations that cave to the “leftist-rage mob.” There are universities like Harvard and Yale, which DeSantis attended but did not inhale. There’s the administrative state and its pandemic-era spinoff, the “biomedical security state.” These are the villains of DeSantis’s recently published book, “The Courage to Be Free: Florida’s Blueprint for America’s Revival,” and its author feels free to assail them with a fusillade of generically irate prose.There is one more antagonist — not an enemy, perhaps, but certainly a rival — whom DeSantis does not attack directly in his book, even as he looms over much of it. The far-too-early national polls for the 2024 Republican presidential nomination show a two-person contest with Donald Trump and DeSantis (who has yet to announce his potential candidacy) in the lead, and the Haleys, Pences and Pompeos of the world fighting for scraps. During his 2018 governor’s race, DeSantis aired an obsequious ad in which he built a cardboard border wall and read Trump’s “Art of the Deal” with his children, one of whom wore a MAGA onesie. Now DeSantis no longer bows before Trump. Instead, he dances around the former president; he is respectful but no longer deferential, critical but mainly by implication.Yes, there is a DeSantis case against Trump scattered throughout these pages. You just need to squint through a magnifying glass to find it.In the 250-plus pages of “The Courage to Be Free,” for instance, there is not a single mention of the events of Jan. 6, 2021. DeSantis cites Madison, Hamilton and the nation’s founding principles, but he does not pause to consider a frontal assault on America’s democratic institutions encouraged by a sitting president. The governor does not go so far as to defend Trump’s lies about the 2020 election; he just ignores them.However, DeSantis does write that an energetic executive should lead “within the confines of a constitutional system,” and he criticizes unnamed elected officials for whom “perpetuating themselves in office supersedes fulfilling any policy mission.” Might DeSantis ever direct such criticisms at a certain former president so willing to subvert the Constitution to remain in power? Perhaps. For the moment, though, such indignation exists at a safe distance from any discussion of Trump himself.When DeSantis explains how he chose top officials for his administration in Florida, he offers an unstated yet unsubtle contrast to Trump’s leadership. “I placed loyalty to the cause over loyalty to me,” DeSantis writes. “I had no desire to be flattered — I just wanted people who worked hard and believed in what we were trying to accomplish.” Demands for personal fealty have assumed canonical status in Trump presidential lore (who can forget his “I need loyalty” dinner with the soon-to-be-fired F.B.I. director James Comey?), and it is hard to recall another recent leader whose susceptibility to flattery so easily overpowered any possibility of political or ideological coherence.Where he describes his personal dealings with the former president, DeSantis jabs at Trump even as he praises him. In a meeting with Trump after Hurricane Michael struck Florida in late 2018, DeSantis asked for increased federal aid, particularly for northwestern Florida, telling the president that the region was “Trump country.” In the governor’s account, Trump responded with Pavlovian enthusiasm: “I must have won 90 percent of the vote out there. Huge crowds. What do they need?” DeSantis recalls how, after the president agreed to reimburse a large portion of the state’s cleanup expenses, Mick Mulvaney, then the acting White House chief of staff, pulled the governor aside and urged him to wait before announcing the help, explaining that Trump “doesn’t even know what he agreed to in terms of a price tag.”Even as DeSantis appears to thank Trump for assistance to Florida, he is showcasing an easily manipulated president who does not grasp the basics of governing.DeSantis boasts of how Florida stood apart from other states’ lockdown policies and how Tallahassee dissented from the federal response. Though he criticizes Trump-era federal guidelines, particularly early in the crisis, he rarely blames the president directly. “By the time President Trump had to decide whether the shutdown guidance should be extended beyond the original 15 days, there were reasons to question the main model used by the task force to justify a shutdown,” DeSantis writes, in his most pointed — yet still quite polite — disapproval.Rather than question the former president’s actions on Covid, DeSantis goes after Anthony Fauci, “one of the most destructive bureaucrats in American history,” an official whose “intellectual bankruptcy and brazen partisanship” turned major U.S. cities into hollowed-out “Faucivilles.” Fauci is the supervillain of DeSantis’s book, the destroyer of jobs and freedoms, the architect of a “Faucian dystopia.” Trump, it seems, was not in charge during the early months of Covid, but Fauci wielded unstoppable and unaccountable power — until a courageous governor had finally had enough. “As the iron curtain of Faucism descended upon our continent,” DeSantis writes, “the State of Florida stood resolutely in the way.”In “The Courage to Be Free,” DeSantis displays only enough courage to reprimand Trump by proxy.In fact, DeSantis’s broadest attack against Trump is also his most oblique. In the governor’s various references to Trump, the former president emerges less as a political force in his own right than a symptom of pre-existing trends that Trump was lucky enough to harness. Trump’s nomination in 2016 flowed mainly from the failure of Republican elites to “effectively represent the values” of Republican voters, the governor writes. DeSantis even takes some credit for Trump’s ascent: The House Freedom Caucus, of which DeSantis was a member, “identified the shortcomings of the modern Republican establishment in a way that paved the way for an outsider presidential candidate who threatened the survival of the stale D.C. Republican Party orthodoxy.”Trump has argued, not without reason, that he enabled DeSantis’s election as governor with his endorsement in late 2017 — and now DeSantis is suggesting he helped clear the path for Trumpism. The governor even notes the “star power” that Trump brought to American politics, the kind of thing critics used to say when dismissing Barack Obama as a celebrity candidate.If Trump’s success was not unique to him, but flowed from larger cultural or economic forces that rendered him viable, presumably someone else could channel those same forces, perhaps more efficiently, if only Republican voters had the courage to be free of Trump. And who might that alternative be?DeSantis pitches himself as not only a culture warrior, but a competent culture warrior. The culture warrior who stood up for parents and stood against Disney (yes, the Magic Kingdom rates its own chapter here). The culture warrior with the real heartland vibe (DeSantis’s family’s roots in Ohio and Pennsylvania come up a lot). The culture warrior who is “God-fearing, hard-working and America-loving” in the face of enemies who are oppressive, unbelieving, unpatriotic. The culture warrior who takes “bold stands,” displays “courage under fire,” is willing to “lead with conviction,” “speak the truth” and “stand for what is right.”The Free State of Florida, as DeSantis likes to call it, is not just the national blueprint of his book’s subtitle. It is “a beachhead of sanity,” a “citadel of freedom in a world gone mad,” even “America’s West Berlin.” (I guess the rest of us still live behind the Iron Curtain of Faucism.) No wonder Trump, who now says he regrets endorsing DeSantis for governor, has begun denigrating his rival’s achievements in the state where they both live.The governor’s prose can be flat and clichéd: Throughout the book, cautions are thrown to winds, less-traveled roads are taken, hammers are dropped, new sheriffs show up in town, dust eventually settles and chips fall wherever they may. (When members of Congress attempt to “climb the ladder” of seniority, he writes, they “get neutered” by the time they reach the top. That is one painful metaphor — and ladder.) And DeSantis’s red meat tastes a bit over overcooked. “Clearly, our administration was substantively consequential,” DeSantis affirms in his epilogue. Still, DeSantis’s broad-based 2022 re-election victory suggests there the competent culture warrior may have an appeal that extends beyond the hard-core MAGA base, even if Make America Substantively Consequential Again doesn’t quite fit on a hat.At times, DeSantis’s culture-war armor slips, as with his awkward ambivalence about his Ivy League education. He experienced such “massive culture shock” when arriving at the “hyper-leftist” Yale, he writes, that after graduating he decided to go on to … Harvard Law School? “From a political perspective, Harvard was just as left-wing as Yale,” DeSantis complains. Yes, we know. DeSantis informs his readers that he graduated from law school with honors, even if “my heart was not into what I was being taught in class,” and he mentions (twice) that he could have made big bucks in the private sector with a Harvard Law degree but instead chose to serve in the Navy. “I am one of the very few people who went through both Yale and Harvard Law School and came out more conservative than when I went in,” he assured voters during his 2012 congressional campaign.DeSantis wants both the elite validation of his Ivy League credentials and the populist cred for trash-talking the schools. Pick one, governor. Even Trump just straight-up brags about Wharton.Of course, whether DeSantis’s culture-war instincts are authentic or shtick matters less than the fact that he is waging those wars; the institutions, individuals and ideologies he targets are real regardless of his motives. But the blueprint of his subtitle implies a more systematic worldview than is present in this book. DeSantis’s professed reliance on “common sense” and “core” national values is another way of saying he draws on his own impulses and interpretations. It’s a very Trumpian approach.When DeSantis highlights his state’s renewed emphasis on civics education and a high-school civics exam modeled on the U.S. naturalization test — an idea that this naturalized citizen finds intriguing — it is a particularistic vision informed by the governor’s own political preferences. When DeSantis goes after Disney’s governance or tax status over its opposition to a Florida law over what can and cannot be taught in elementary schools, he is not making a statement of principle about business and politics; he just opposes the stance Disney has taken. When he brings up Russia more than two dozen times in his book, it never concerns Vladimir Putin’s challenges to America or war against Ukraine; it is always about DeSantis’s disdain for the “Trump-Russia collusion conspiracy theory.” (DeSantis’s subsequent dismissal of the war as a mere “territorial dispute” is therefore little surprise.) When he accuses the news media of pushing “partisan narratives,” he is not striking a blow for objective, independent coverage; he just prefers narratives that fit his own.DeSantis asserts that he has a “positive vision,” beyond just defeating his enemies on the left. But in “The Courage to Be Free,” defeating his enemies is the only thing the governor seems positive about. That may be enough to compete for the Republican nomination, but it’s not a blueprint for America. It’s not a substantive vision, even if it may prove a consequential one.The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips. And here’s our email: letters@nytimes.com.Follow The New York Times Opinion section on Facebook, Twitter (@NYTopinion) and Instagram. More

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    How the Right Became the Left and the Left Became the Right

    One of the master keys to understanding our era is seeing all the ways in which conservatives and progressives have traded attitudes and impulses. The populist right’s attitude toward American institutions has the flavor of the 1970s — skeptical, pessimistic, paranoid — while the mainstream, MSNBC-watching left has a strange new respect for the F.B.I. and C.I.A. The online right likes transgression for its own sake, while cultural progressivism dabbles in censorship and worries that the First Amendment goes too far. Trumpian conservatism flirts with postmodernism and channels Michel Foucault; its progressive rivals are institutionalist, moralistic, confident in official narratives and establishment credentials.These reversals are especially evident in a pair of prominent headlines from the last week. If you had been told at any point from, say, 1970 to 2005 that a disturbed-seeming man living in the Bay Area with a history of involvement with nudist activists and the hemp jewelry trade had allegedly followed his paranoid political delusions into a plan to assault an important national politician, the reasonable assumption would have been that his delusions belonged to the farthest reaches of the left and therefore his target was probably some notable Republican.By the same token, if you had been told in George W. Bush’s presidency that a trove of government documents would reveal the Department of Homeland Security essentially trying to collude with major corporations to regulate speech it considers dangerous or subversive, an effort extending from foreign threats to domestic ones, you would have assumed that this was all Republican overreach, a new McCarthyism — and that progressives would be up in arms against it.In our world, though, things are otherwise. The man who allegedly attacked Paul Pelosi while hunting the speaker of the House did, seemingly, belong to left-wing, Left Coast culture in the not-so-distant past. But at some point in his unhappy trajectory, he passed over to the paranoias of the extreme right — probably not in some semi-rational radicalization process in which he watched too many attack ads against Nancy Pelosi but more likely in a dreamlike way, the nightmares of QAnon matching his mental state better‌ than the paranoias of the left.His journey’s violent endpoint was singular and extreme, but this kind of left-to-right migration has more normal correlatives: the New Age-QAnon overlap, the Covid-era migration of formerly left-wing skeptics of Big Pharma onto right-wing shows and platforms, the way that all doubts about the medical establishment are now coded as right-wing, Trumpy, populist.And the political right’s response to the Pelosi attack reflects these shifts as well. The ethos of Fox Mulder in “The X-Files,” “Trust no one,” is a now dominant value on the right, which in this case encouraged a swift leap from reasonable questions about the details of the assault, based on inaccurate initial reports, to a very specific narrative about a gay assignation that the cops and the Pelosis were presumably covering up.As of this writing, several public references to this theory from prominent conservatives have been deleted. But the cover-up narrative will probably survive indefinitely as a reference point, an underground “truth,” like the left-wing conspiracies of old.One of those deleted tweets belonged to Elon Musk, the new impresario of Twitter, and it inevitably became an exhibit in the case for liberal panic over his takeover: What could be more indicative of the platform’s imminent descent into a democracy-destroying hellscape than conspiracy theories spread by the Chief Twit himself?But the alternative to Musk’s reign was clarified by the second recent illustration of our left-right reversal: a story from The Intercept, by Lee Fang and Ken Klippenstein, detailing the Department of Homeland Security’s migration into the social-media surveillance and the pressure the department has tried to exert on internet companies to flag and censor content along lines favored by the national security bureaucracy.On the surface, this is not a partisan story: The Intercept is a left-wing publication, and the current version of the D.H.S. anti-disinformation effort got started in the Trump administration.But everyone understands those efforts’ current ideological valence. The war on disinformation is a crucial Democratic cause, the key lawsuit filed against the Biden administration on these issues comes from Republican attorneys general (joined by doctors critical of the public-health establishment), and the most famous flashpoint remains the social-media censorship of the Hunter Biden laptop story, which Fang and Klippenstein suggest followed from what one could reasonably call a deep-state pressure campaign.Meanwhile, according to a draft report from the D.H.S. obtained by The Intercept, the list of online subject areas that the department is particularly concerned about includes “the origins of the Covid-19 pandemic and the efficacy of Covid-19 vaccines, racial justice, U.S. withdrawal from Afghanistan and the nature of U.S. support to Ukraine” — mostly areas where, whether in wisdom or in folly, the populist right is more likely to dissent from the establishment position.And for the future of Twitter, in particular, it’s notable that the Intercept story first points out that a committee advising DHS on disinformation policy included Twitter’s then-head of legal policy, trust and safety, Vijaya Gadde, and then notes that Gadde was one of the first people fired by Musk. It’s a tacit nod to the left-right switch: Under Musk the social-media giant is widely seen as moving “rightward,” but that could mean becoming less entangled with an arm of what was once George W. Bush’s national security state.The point of emphasizing this reversal isn’t to suggest that either side is likely to flip back. The evolving attitudes of right and left reflect their evolving positions in American society, with cultural liberalism much more dominant in elite institutions than it was a generation ago and conservatism increasingly disreputable, representing downscale constituencies and outsider ideas.But a stronger awareness of the flip might be helpful in tempering the temptations that afflict both sides. For progressives, that could mean acknowledging that the Department of Homeland Security’s disinformation wars, its attempted hand-in-glove with the great powers of Silicon Valley, would have been regarded as a dystopian scenario on their side not so long ago. So is it really any less dystopian if the targets are Trumpistas and Anthony Fauci critics instead of Iraq War protesters? And if it is a little creepy and censorious and un-American, doesn’t that make some of the paranoia evident on the right these days a little less unfathomable and fascist seeming, even a little more relatable?Then the Fox Mulder right might benefit from recalling the thing that conservatives — or this conservative, at least — used to find most insufferable about the anti-establishment left, which was not its skepticism but its credulity, not the eagerness to question official narratives but the speed with which implausible alternatives took root. (If parts of Oliver Stone’s “J.F.K.” make you understand where conspiracy theories come from, the part where the conspiracy gets “explained” should make you a Nixon Republican.)This is the key problem with the right today, whether the issue is the 2020 election or the Covid-vaccine debate or the attack on Paul Pelosi. Not the baseline of skepticism, not being attuned to weaknesses and inconsistencies in official narratives, not being open to scenarios of elite self-dealing and conspiracy and cover-up, all of which emphatically exist. It’s the swift replacement of skepticism with certainty, the shopping around for any narrative — even if it comes from Sidney Powell and Mike Lindell — to vindicate your initial theory, the refusal to accept that even institutions you reasonably mistrust sometimes get things right.Or to put this in terms of Musk and his hopes for Twitter: The ideal virtual town square would be a place where conservatives could discuss speculative, even conspiratorial theories of the day’s events — but also a place where they could be persuaded to abandon bad theories when the evidence dissolves them.Social-media and tribal incentives being what they are, that seems exceedingly unlikely. But if I had just paid billions to own a social media platform — and become both its main character and arguably the most important right-leaning figure in American life, pending the Donald Trump-Ron De‌ ‌Santis slugfest — I would be thinking about what it would take for a spirit of contrarianism and rebellion to aim, not simply at transgression, but at truth itself.In addition to my two weekly columns, I’m starting a newsletter, which will go out most Fridays and cover some of my usual obsessions — political ideas, religion, pop culture, decadence — in even more detail. You can subscribe here.The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips. And here’s our email: letters@nytimes.com.Follow the New York Times Opinion section on Facebook, Twitter (@NYTOpinion) and Instagram. More

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    Republicans Step Up Attacks on Fauci to Woo Trump Voters

    G.O.P. candidates, tapping into voters’ frustrations with a seemingly endless pandemic, are stepping up their attacks on Dr. Anthony S. Fauci.COLUMBUS, Ohio — When Jane Timken kicked off an eight-week advertising campaign on the Fox News Channel in her bid for the Republican nomination for Senate, she did not focus on immigration, health care or the economy. Her first ad was titled “Fire Fauci.”Her target — Dr. Anthony S. Fauci, President Biden’s top medical adviser for the coronavirus — is also under attack in Pennsylvania, where Mehmet Oz, a television doctor who has entered the Republican Senate primary there, calls him a “petty tyrant.” Dr. Oz recently ran a Twitter ad calling for a debate — not between candidates, but between him and Dr. Fauci.In Florida, Gov. Ron DeSantis released an advertisement last month telling Dr. Fauci to “pound sand” via the beach sandals the governor’s re-election campaign is now selling: “Freedom Over Fauci Flip-Flops.” In Wisconsin, Kevin Nicholson, a onetime Democrat running for governor as a conservative outsider, says Dr. Fauci “should be fired and referred to prosecutors.”Republican attacks on Dr. Fauci are not new; former President Donald J. Trump, irked that the doctor publicly corrected his falsehoods about the virus, called him “a disaster” and repeatedly threatened to fire him. Senator Rand Paul, Republican of Kentucky, has grilled Dr. Fauci in nationally televised hearings, and Dr. Fauci — true to his fighter-from-Brooklyn roots — has punched back.But as the 2022 midterm elections approach, the attacks have spread across the nation, intensifying as Dr. Fauci draws outsize attention in some of the most important state and local races on the ballot in November.The Republican war on Dr. Fauci is partly a sign of Mr. Trump’s strong grip on the party. But Dr. Fauci, both his friends and detractors agree, has also become a symbol of something deeper — the deep schism in the country, mistrust in government and a brewing populist resentment of the elites, all made worse by the pandemic.And Dr. Fauci, whose perpetual television appearances have made him the face of the Covid-19 response — and who is viewed by his critics as a high-and-mighty know-it-all who enjoys his celebrity — seems an obvious person to blame.Dr. Anthony S. Fauci has served as the director of the National Institute of Allergy and Infectious Diseases since 1984 and has advised eight presidents. He has never revealed a party affiliation. Tom Brenner for The New York Times“Populism is essentially anti: anti-establishment, anti-expertise, anti-intellectual and anti-media,” said Whit Ayres, a Republican strategist, adding that Dr. Fauci “is an establishment expert intellectual who is in the media.”For the 81-year-old immunologist, a venerated figure in the world of science, it is a jarring last chapter of a government career that has spanned half a century. As director of the National Institute of Allergy and Infectious Diseases, a post he has held since 1984, he has helped lead the response to various public health crises, including AIDS and Ebola, and advised eight presidents. He has never revealed a party affiliation. President George H.W. Bush once cited him as a hero..css-1xzcza9{list-style-type:disc;padding-inline-start:1em;}.css-3btd0c{font-family:nyt-franklin,helvetica,arial,sans-serif;font-size:1rem;line-height:1.375rem;color:#333;margin-bottom:0.78125rem;}@media (min-width:740px){.css-3btd0c{font-size:1.0625rem;line-height:1.5rem;margin-bottom:0.9375rem;}}.css-3btd0c strong{font-weight:600;}.css-3btd0c em{font-style:italic;}.css-1kpebx{margin:0 auto;font-family:nyt-franklin,helvetica,arial,sans-serif;font-weight:700;font-size:1.125rem;line-height:1.3125rem;color:#121212;}#NYT_BELOW_MAIN_CONTENT_REGION .css-1kpebx{font-family:nyt-cheltenham,georgia,’times new roman’,times,serif;font-weight:700;font-size:1.375rem;line-height:1.625rem;}@media (min-width:740px){#NYT_BELOW_MAIN_CONTENT_REGION .css-1kpebx{font-size:1.6875rem;line-height:1.875rem;}}@media (min-width:740px){.css-1kpebx{font-size:1.25rem;line-height:1.4375rem;}}.css-1gtxqqv{margin-bottom:0;}.css-1g3vlj0{font-family:nyt-franklin,helvetica,arial,sans-serif;font-size:1rem;line-height:1.375rem;color:#333;margin-bottom:0.78125rem;}@media (min-width:740px){.css-1g3vlj0{font-size:1.0625rem;line-height:1.5rem;margin-bottom:0.9375rem;}}.css-1g3vlj0 strong{font-weight:600;}.css-1g3vlj0 em{font-style:italic;}.css-1g3vlj0{margin-bottom:0;margin-top:0.25rem;}.css-19zsuqr{display:block;margin-bottom:0.9375rem;}.css-12vbvwq{background-color:white;border:1px solid #e2e2e2;width:calc(100% – 40px);max-width:600px;margin:1.5rem auto 1.9rem;padding:15px;box-sizing:border-box;}@media (min-width:740px){.css-12vbvwq{padding:20px;width:100%;}}.css-12vbvwq:focus{outline:1px solid #e2e2e2;}#NYT_BELOW_MAIN_CONTENT_REGION .css-12vbvwq{border:none;padding:10px 0 0;border-top:2px solid #121212;}.css-12vbvwq[data-truncated] .css-rdoyk0{-webkit-transform:rotate(0deg);-ms-transform:rotate(0deg);transform:rotate(0deg);}.css-12vbvwq[data-truncated] .css-eb027h{max-height:300px;overflow:hidden;-webkit-transition:none;transition:none;}.css-12vbvwq[data-truncated] .css-5gimkt:after{content:’See more’;}.css-12vbvwq[data-truncated] .css-6mllg9{opacity:1;}.css-qjk116{margin:0 auto;overflow:hidden;}.css-qjk116 strong{font-weight:700;}.css-qjk116 em{font-style:italic;}.css-qjk116 a{color:#326891;-webkit-text-decoration:underline;text-decoration:underline;text-underline-offset:1px;-webkit-text-decoration-thickness:1px;text-decoration-thickness:1px;-webkit-text-decoration-color:#326891;text-decoration-color:#326891;}.css-qjk116 a:visited{color:#326891;-webkit-text-decoration-color:#326891;text-decoration-color:#326891;}.css-qjk116 a:hover{-webkit-text-decoration:none;text-decoration:none;}Now, though, some voters are parroting right-wing commentators who compare Dr. Fauci to the brutal Nazi doctor Josef Mengele. Candidates in hotly contested Republican primaries like Ohio’s are trying to out-Trump one another by supplanting Speaker Nancy Pelosi with Dr. Fauci as a political boogeyman. Mr. DeSantis has coined a new term: “Faucism.” In Washington, lawmakers are taking aim at Dr. Fauci’s salary, finances and influence.“I didn’t make myself a polarizing figure,” Dr. Fauci declared in an interview. “I’ve been demonized by people who are running away from the truth.”The anti-Fauci fervor has taken its toll on his personal life; he has received death threats, his family has been harassed and his home in Washington is guarded by a security detail. His standing with the public has also suffered. In a recent NBC News Poll, just 40 percent of respondents said they trusted Dr. Fauci, down from 60 percent in April 2020.Still, Mr. Ayres said, Dr. Fauci remains for many Americans “one of the most trusted voices regarding the pandemic.” In a Gallup poll at the end of 2021, his job approval rating was 52 percent. On a list of 10 officials, including Mr. Biden and congressional leaders, only two scored higher: Chief Justice John G. Roberts Jr. and Jerome H. Powell, the chairman of the Federal Reserve.Republican strategists are split on whether attacking Dr. Fauci is a smart strategy. Mr. Ayres said it could help rev up the base in a primary but backfire in a general election, especially in a swing state like Ohio. But John Feehery, another strategist, said many pandemic-weary Americans viewed Dr. Fauci as “Mr. Lockdown,” and it made sense for Republicans “to run against both Fauci and lockdowns.”Here in Ohio, Ms. Timken, a Harvard graduate and former chairwoman of the Ohio Republican Party who promises to “advance the Trump agenda without fear or hesitation,” is doing just that. Her ad shows a parent struggling to put a mask on a screaming toddler, which she brands “child abuse.”Ms. Timken is one of at least three Republican candidates for Ohio’s Senate seat who are going after Dr. Fauci.Maddie McGarvey for The New York TimesThe spot, she said in an interview, was prompted by what she hears from voters who are resentful of vaccine mandates, confused by shifting public health advice and tired of being told what to do.“It taps into the real frustration they feel,” Ms. Timken said, “that Fauci claims to be the bastion of science, but I think he’s playing God.”She is one of three candidates with elite academic credentials who are going after Dr. Fauci in a crowded primary for the seat that Senator Rob Portman, a Republican, is giving up. The others are J.D. Vance, a lawyer with a Yale degree and the author of the best-selling memoir “Hillbilly Elegy,” and Josh Mandel, the former Ohio state treasurer, whose law degree is from Case Western Reserve University.Mr. Vance called Dr. Fauci “a ridiculous tyrant” during a rally with Representative Marjorie Taylor Greene, the far-right Republican banned from Twitter for spreading Covid misinformation. Mr. Mandel has railed against Dr. Fauci for months on Facebook and Twitter, calling him a liar and “one of the biggest frauds in American history.”Ohio Republicans are split between the Trump wing and centrists in the mold of John Kasich, the former governor. Those tensions were on display last week at Tommy’s Diner, a Columbus institution, and at a meeting of the Franklin County Republican Committee, which convened to vote on endorsements. Sentiments seemed to track with vaccination status.Mike Matthews, center, and George Wolf, right, are both vaccinated and didn’t find fault with Dr. Fauci. Andy Watkinson, at the table behind them, is unvaccinated and thinks Dr. Fauci “needs to retire.”Maddie McGarvey for The New York TimesAt the diner, Republicans like Mike Matthews, a retired state worker, and George Wolf, a retired firefighter, both of whom voted for Mr. Trump, found no fault with Dr. Fauci. Both are vaccinated. “I’ve never heard of anyone that I would trust more,” Mr. Wolf said.But at the next table, Andy Watkinson, a remodeling contractor who is unvaccinated, said he was a fan of Joe Rogan, the podcaster, provocateur and Fauci critic. “I think he’s done the same thing for 50 years and he’s in bed with all the pharma companies,” Mr. Watkinson said of Dr. Fauci, though there is no evidence of that. “He needs to retire.”At the committee meeting, views about Dr. Fauci were more strident.“He needs to be brought up on charges,” declared Lisadiana Bates, a former business owner who is home-schooling her children. Echoing Dr. Robert Malone, who has become a conservative celebrity by arguing that Covid vaccine mandates are unethical experiments, she asserted that Dr. Fauci had “violated the Nuremberg Code,” the set of research ethics developed after the Holocaust.“This whole thing is nothing but an experiment!” Ms. Bates exclaimed.Lisadiana Bates, a former business owner who is home-schooling her children, asserted that Dr. Fauci had “violated the Nuremberg code,” the set of research ethics developed after the Holocaust.Maddie McGarvey for The New York TimesThe roots of anti-Fauci campaign rhetoric can be traced to Washington, where Dr. Fauci has clashed repeatedly with two Republican senators who are also doctors: Mr. Paul, an ophthalmologist, and Senator Roger Marshall of Kansas, an obstetrician.Mr. Paul has fueled speculation that Covid-19 was the result of a lab leak produced by federally funded “gain-of-function” research — high-risk studies aimed at making viruses more infectious — in Wuhan, China. Dr. Fauci and other National Institutes of Health officials have said that the Wuhan research did not meet the criteria for gain-of-function studies, and that it is genetically impossible for viruses studied there to have produced the pandemic.The nuances of that dispute, however, have gotten lost in the increasingly hostile exchanges between the two men. In July, after Mr. Paul accused him of lying to Congress, Dr. Fauci shot back, “If anybody is lying here, senator, it is you.” Last month, Dr. Fauci arrived at a Senate hearing brandishing a fund-raising webpage for Mr. Paul that included a “Fire Dr. Fauci” graphic, and accused Mr. Paul of exploiting the pandemic for political gain.Later in that same hearing, Dr. Fauci muttered under his breath that Mr. Marshall was “a moron” — a comment caught on an open microphone — after the senator posted Dr. Fauci’s salary on a placard and demanded his financial disclosure forms, suggesting he might be engaged in financial “shenanigans” with the pharmaceutical industry.(Dr. Fauci’s financial disclosure forms, which Mr. Marshall has since posted on the internet, show investments in bonds and mutual funds, not drug companies. He is paid an annual salary of $434,312 under a provision that allows government doctors and scientists to be highly compensated, akin to what they could earn in the private sector.)Dr. Fauci said he did not regret the “moron” remark, or the pushback against Mr. Paul. But Ms. Timken said calling Mr. Marshall a moron was “beyond the pale.”Even some Fauci fans in academia and government say he might have been better off keeping his cool to avoid amplifying his Republican critics and alienating voters who need to hear his public health message. Some suggest he lower his profile; he says the White House asks him to go on TV.“He’s been pushing back in a way that is not common for us to see for American scientists, and I don’t know if it’s a good idea,” said Dr. Ashish K. Jha, the dean of the Brown University School of Public Health.If Democrats lose seats in the midterm elections, as many expect, Dr. Fauci may have a Republican-controlled Congress to contend with. Another Republican from Ohio, Representative Jim Jordan, who claims that Dr. Fauci knew the coronavirus “came from a lab,” has vowed that Republicans will investigate him if they win control of the House.Some of Dr. Fauci’s friends are urging him to avoid that possibility by retiring. He has been working on a memoir, but cannot look for a publisher while he is still a federal employee. Dr. Fauci says Republicans will not dictate the terms of his retirement, and he has no plans at the moment to step down. And, he said, he is not worried about any investigation.“I can’t think of what they would want to investigate except this whole pile of lies that they’re throwing around,” he said. More

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    In Trump’s Final Chapter, a Failure to Rise to the Covid-19 Moment

    #masthead-section-label, #masthead-bar-one { display: none }Covid-19 VaccinesVaccine QuestionsDoses Per StateAfter Your VaccineHow the Moderna Vaccine WorksWhy You’ll Still Need a MaskAdvertisementContinue reading the main storySupported byContinue reading the main story‘Covid, Covid, Covid’: In Trump’s Final Chapter, a Failure to Rise to the MomentAs the U.S. confronted a new wave of infection and death through the summer and fall, the president’s approach to the pandemic came down to a single question: What would it mean for him?President Trump not only ended up soundly defeated by Joseph R. Biden Jr., but missed his chance to show that he could meet the defining challenge of his tenure.Credit…Doug Mills/The New York TimesMichael D. Shear, Maggie Haberman, Noah Weiland, Sharon LaFraniere and Dec. 31, 2020Updated 9:57 p.m. ETWASHINGTON — It was a warm summer Wednesday, Election Day was looming and President Trump was even angrier than usual at the relentless focus on the coronavirus pandemic.“You’re killing me! This whole thing is! We’ve got all the damn cases,” Mr. Trump yelled at Jared Kushner, his son-in-law and senior adviser, during a gathering of top aides in the Oval Office on Aug. 19. “I want to do what Mexico does. They don’t give you a test till you get to the emergency room and you’re vomiting.”Mexico’s record in fighting the virus was hardly one for the United States to emulate. But the president had long seen testing not as a vital way to track and contain the pandemic but as a mechanism for making him look bad by driving up the number of known cases.And on that day he was especially furious after being informed by Dr. Francis S. Collins, the head of the National Institutes of Health, that it would be days before the government could give emergency approval to the use of convalescent plasma as a treatment, something Mr. Trump was eager to promote as a personal victory going into the Republican National Convention the following week.“They’re Democrats! They’re against me!” he said, convinced that the government’s top doctors and scientists were conspiring to undermine him. “They want to wait!”Throughout late summer and fall, in the heat of a re-election campaign that he would go on to lose, and in the face of mounting evidence of a surge in infections and deaths far worse than in the spring, Mr. Trump’s management of the crisis — unsteady, unscientific and colored by politics all year — was in effect reduced to a single question: What would it mean for him?The result, according to interviews with more than two dozen current and former administration officials and others in contact with the White House, was a lose-lose situation. Mr. Trump not only ended up soundly defeated by Joseph R. Biden Jr., but missed his chance to show that he could rise to the moment in the final chapter of his presidency and meet the defining challenge of his tenure.Efforts by his aides to persuade him to promote mask wearing, among the simplest and most effective ways to curb the spread of the disease, were derailed by his conviction that his political base would rebel against anything that would smack of limiting their personal freedom. Even his own campaign’s polling data to the contrary could not sway him.His explicit demand for a vaccine by Election Day — a push that came to a head in a contentious Oval Office meeting with top health aides in late September — became a misguided substitute for warning the nation that failure to adhere to social distancing and other mitigation efforts would contribute to a slow-rolling disaster this winter.His concern? That the man he called “Sleepy Joe” Biden, who was leading him in the polls, would get credit for a vaccine, not him.The government’s public health experts were all but silenced by the arrival in August of Dr. Scott W. Atlas, the Stanford professor of neuroradiology recruited after appearances on Fox News.With Dr. Deborah L. Birx, the coordinator of the White House virus task force, losing influence and often on the road, Dr. Atlas became the sole doctor Mr. Trump listened to. His theories, some of which scientists viewed as bordering on the crackpot, were exactly what the president wanted to hear: The virus is overblown, the number of deaths is exaggerated, testing is overrated, lockdowns do more harm than good.The president has long seen testing not as a vital way to track and contain the pandemic but as a mechanism for making him look bad by driving up the number of known cases.Credit…William DeShazer for The New York TimesAs the gap between politics and science grew, the infighting that Mr. Trump had allowed to plague the administration’s response from the beginning only intensified. Threats of firings worsened the leadership vacuum as key figures undercut each other and distanced themselves from responsibility.The administration had some positive stories to tell. Mr. Trump’s vaccine development program, Operation Warp Speed, had helped drive the pharmaceutical industry’s remarkably fast progress in developing several promising approaches. By the end of the year, two highly effective vaccines would be approved for emergency use, providing hope for 2021.The White House rejected any suggestions that the president’s response had fallen short, saying he had worked to provide adequate testing, protective equipment and hospital capacity and that the vaccine development program had succeeded in record time.“President Trump has led the largest mobilization of the public and private sectors since WWII to defeat Covid-19 and save lives,” said Brian Morgenstern, a White House spokesman.But Mr. Trump’s unwillingness to put aside his political self-centeredness as Americans died by the thousands each day or to embrace the steps necessary to deal with the crisis remains confounding even to some administration officials. “Making masks a culture war issue was the dumbest thing imaginable,” one former senior adviser said.His own bout with Covid-19 in early October left him extremely ill and dependent on care and drugs not available to most Americans, including a still-experimental monoclonal antibody treatment, and he saw firsthand how the disease coursed through the White House and some of his close allies.Yet his instinct was to treat that experience not as a learning moment or an opportunity for empathy, but as a chance to portray himself as a Superman who had vanquished the disease. His own experience to the contrary, he assured a crowd at the White House just a week after his hospitalization, “It’s going to disappear; it is disappearing.”Weeks after his own recovery, he would still complain about the nation’s preoccupation with the pandemic.“All you hear is Covid, Covid, Covid, Covid, Covid, Covid, Covid, Covid, Covid, Covid, Covid,” Mr. Trump said at one campaign stop, uttering the word 11 times.In the end he could not escape it.Supporters of Mr. Trump outside Walter Reed National Military Medical Center, where he was treated for the coronavirus, in October. He largely rejected aides’ efforts to use his bout with the illness to demonstrate a new compassion.Credit…Oliver Contreras for The New York Times‘The Base Will Revolt’By late July, new cases were at record highs, defying Mr. Trump’s predictions through the spring that the virus was under control, and deaths were spiking to alarming levels. Herman Cain, a 2012 Republican presidential candidate, died from the coronavirus; the previous month he had attended a Trump rally without a mask.With the pandemic defining the campaign despite Mr. Trump’s efforts to make it about law and order, Tony Fabrizio, the president’s main pollster, came to the Oval Office for a meeting in the middle of the summer prepared to make a surprising case: that mask wearing was acceptable even among Mr. Trump’s supporters.Arrayed in front of the Resolute Desk, Mr. Trump’s advisers listened as Mr. Fabrizio presented the numbers. According to his research, some of which was reported by The Washington Post, voters believed the pandemic was bad and getting worse, they were more concerned about getting sick than about the virus’s effects on their personal financial situation, the president’s approval rating on handling the pandemic had hit new lows and a little more than half the country did not think he was taking the situation seriously.But what set off debate that day was Mr. Fabrizio’s finding that more than 70 percent of voters in the states being targeted by the campaign supported mandatory mask wearing in public, at least indoors, including a majority of Republicans.Mr. Kushner, who along with Hope Hicks, another top adviser, had been trying for months to convince Mr. Trump that masks could be portrayed as the key to regaining freedom to go safely to a restaurant or a sporting event, called embracing mask-wearing a “no-brainer.”Mr. Kushner had some reason for optimism. Mr. Trump had agreed to wear one not long before for a visit to Walter Reed National Military Medical Center, after finding one he believed he looked good in: dark blue, with a presidential seal.But Mark Meadows, the White House chief of staff — backed up by other aides including Stephen Miller — said the politics for Mr. Trump would be devastating.“The base will revolt,” Mr. Meadows said, adding that he was not sure Mr. Trump could legally make it happen in any case.The president removed his mask upon arriving at the White House on Oct. 5, after being hospitalized with Covid-19. He was rarely seen wearing one again.Credit…Anna Moneymaker for The New York TimesThat was all Mr. Trump needed to hear. “I’m not doing a mask mandate,” he concluded.Aside from when he was sick, he was rarely seen in a mask again.The president had other opportunities to show leadership rather than put his political fortunes first..css-fk3g7a{font-family:nyt-franklin,helvetica,arial,sans-serif;font-weight:700;font-size:0.875rem;line-height:1.125rem;color:#121212 !important;}@media (min-width:740px){.css-fk3g7a{font-size:0.9375rem;line-height:1.25rem;}}.css-1sjr751{-webkit-text-decoration:none;text-decoration:none;}.css-1sjr751 a:hover{border-bottom:1px solid #dcdcdc;}.css-rqynmc{font-family:nyt-franklin,helvetica,arial,sans-serif;font-size:0.9375rem;line-height:1.25rem;color:#333;margin-bottom:0.78125rem;}@media (min-width:740px){.css-rqynmc{font-size:1.0625rem;line-height:1.5rem;margin-bottom:0.9375rem;}}.css-rqynmc strong{font-weight:600;}.css-rqynmc em{font-style:italic;}.css-zs9392{margin:10px auto 5px;font-family:nyt-franklin,helvetica,arial,sans-serif;font-weight:700;font-size:1.125rem;line-height:1.3125rem;color:#121212;}@media (min-width:740px){.css-zs9392{font-size:1.25rem;line-height:1.4375rem;}}#NYT_BELOW_MAIN_CONTENT_REGION .css-zs9392{font-family:nyt-cheltenham,georgia,’times new roman’,times,serif;font-weight:700;font-size:1.375rem;line-height:1.75rem;margin-bottom:20px;}@media (min-width:740px){#NYT_BELOW_MAIN_CONTENT_REGION .css-zs9392{font-size:1.5rem;line-height:1.875rem;}}.css-121grtr{margin:0 auto 10px;}.css-16ed7iq{width:100%;display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-align-items:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center;-webkit-box-pack:center;-webkit-justify-content:center;-ms-flex-pack:center;justify-content:center;padding:10px 0;background-color:white;}.css-pmm6ed{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-align-items:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center;}.css-pmm6ed > :not(:first-child){margin-left:5px;}.css-5gimkt{font-family:nyt-franklin,helvetica,arial,sans-serif;font-size:0.8125rem;font-weight:700;-webkit-letter-spacing:0.03em;-moz-letter-spacing:0.03em;-ms-letter-spacing:0.03em;letter-spacing:0.03em;text-transform:uppercase;color:#333;}.css-5gimkt:after{content:’Collapse’;}.css-rdoyk0{-webkit-transition:all 0.5s ease;transition:all 0.5s ease;-webkit-transform:rotate(180deg);-ms-transform:rotate(180deg);transform:rotate(180deg);}.css-eb027h{max-height:5000px;-webkit-transition:max-height 0.5s ease;transition:max-height 0.5s ease;}.css-6mllg9{-webkit-transition:all 0.5s ease;transition:all 0.5s ease;position:relative;opacity:0;}.css-6mllg9:before{content:”;background-image:linear-gradient(180deg,transparent,#ffffff);background-image:-webkit-linear-gradient(270deg,rgba(255,255,255,0),#ffffff);height:80px;width:100%;position:absolute;bottom:0px;pointer-events:none;}#masthead-bar-one{display:none;}#masthead-bar-one{display:none;}.css-qmg6q8{background-color:white;margin:1.5rem auto 1.9rem;max-width:600px;}#NYT_BELOW_MAIN_CONTENT_REGION .css-qmg6q8{padding:0;width:calc(100% – 40px);max-width:600px;margin-right:auto;margin-left:auto;}.css-qmg6q8 strong{font-weight:700;}.css-qmg6q8 em{font-style:italic;}@media (min-width:740px){.css-qmg6q8{margin:40px auto;}}.css-qmg6q8:focus{outline:1px solid #e2e2e2;}.css-qmg6q8 a{color:#326891;-webkit-text-decoration:none;text-decoration:none;border-bottom:1px solid #ccd9e3;}.css-qmg6q8 a:visited{color:#333;-webkit-text-decoration:none;text-decoration:none;border-bottom:1px solid #ddd;}.css-qmg6q8 a:hover{border-bottom:none;}.css-qmg6q8[data-truncated] .css-rdoyk0{-webkit-transform:rotate(0deg);-ms-transform:rotate(0deg);transform:rotate(0deg);}.css-qmg6q8[data-truncated] .css-eb027h{max-height:300px;overflow:hidden;-webkit-transition:none;transition:none;}.css-qmg6q8[data-truncated] .css-5gimkt:after{content:’See more’;}.css-qmg6q8[data-truncated] .css-6mllg9{opacity:1;}.css-11uwurf{border:1px solid #e2e2e2;padding:15px;border-radius:0;margin:0 auto;overflow:hidden;}@media (min-width:600px){.css-11uwurf{padding:20px;}}#NYT_BELOW_MAIN_CONTENT_REGION .css-11uwurf{border-top:1px solid #121212;border-bottom:none;}Covid-19 Vaccines ›Answers to Your Vaccine QuestionsWith distribution of a coronavirus vaccine beginning in the U.S., here are answers to some questions you may be wondering about:If I live in the U.S., when can I get the vaccine? While the exact order of vaccine recipients may vary by state, most will likely put medical workers and residents of long-term care facilities first. If you want to understand how this decision is getting made, this article will help.When can I return to normal life after being vaccinated? Life will return to normal only when society as a whole gains enough protection against the coronavirus. Once countries authorize a vaccine, they’ll only be able to vaccinate a few percent of their citizens at most in the first couple months. The unvaccinated majority will still remain vulnerable to getting infected. A growing number of coronavirus vaccines are showing robust protection against becoming sick. But it’s also possible for people to spread the virus without even knowing they’re infected because they experience only mild symptoms or none at all. Scientists don’t yet know if the vaccines also block the transmission of the coronavirus. So for the time being, even vaccinated people will need to wear masks, avoid indoor crowds, and so on. Once enough people get vaccinated, it will become very difficult for the coronavirus to find vulnerable people to infect. Depending on how quickly we as a society achieve that goal, life might start approaching something like normal by the fall 2021.If I’ve been vaccinated, do I still need to wear a mask? Yes, but not forever. Here’s why. The coronavirus vaccines are injected deep into the muscles and stimulate the immune system to produce antibodies. This appears to be enough protection to keep the vaccinated person from getting ill. But what’s not clear is whether it’s possible for the virus to bloom in the nose — and be sneezed or breathed out to infect others — even as antibodies elsewhere in the body have mobilized to prevent the vaccinated person from getting sick. The vaccine clinical trials were designed to determine whether vaccinated people are protected from illness — not to find out whether they could still spread the coronavirus. Based on studies of flu vaccine and even patients infected with Covid-19, researchers have reason to be hopeful that vaccinated people won’t spread the virus, but more research is needed. In the meantime, everyone — even vaccinated people — will need to think of themselves as possible silent spreaders and keep wearing a mask. Read more here.Will it hurt? What are the side effects? The Pfizer and BioNTech vaccine is delivered as a shot in the arm, like other typical vaccines. The injection into your arm won’t feel different than any other vaccine, but the rate of short-lived side effects does appear higher than a flu shot. Tens of thousands of people have already received the vaccines, and none of them have reported any serious health problems. The side effects, which can resemble the symptoms of Covid-19, last about a day and appear more likely after the second dose. Early reports from vaccine trials suggest some people might need to take a day off from work because they feel lousy after receiving the second dose. In the Pfizer study, about half developed fatigue. Other side effects occurred in at least 25 to 33 percent of patients, sometimes more, including headaches, chills and muscle pain. While these experiences aren’t pleasant, they are a good sign that your own immune system is mounting a potent response to the vaccine that will provide long-lasting immunity.Will mRNA vaccines change my genes? No. The vaccines from Moderna and Pfizer use a genetic molecule to prime the immune system. That molecule, known as mRNA, is eventually destroyed by the body. The mRNA is packaged in an oily bubble that can fuse to a cell, allowing the molecule to slip in. The cell uses the mRNA to make proteins from the coronavirus, which can stimulate the immune system. At any moment, each of our cells may contain hundreds of thousands of mRNA molecules, which they produce in order to make proteins of their own. Once those proteins are made, our cells then shred the mRNA with special enzymes. The mRNA molecules our cells make can only survive a matter of minutes. The mRNA in vaccines is engineered to withstand the cell’s enzymes a bit longer, so that the cells can make extra virus proteins and prompt a stronger immune response. But the mRNA can only last for a few days at most before they are destroyed.After he recovered from his bout with the virus, some of his top aides, including Mr. Kushner and Jason Miller, a senior campaign strategist, thought the illness offered an opportunity to demonstrate the kind of compassion and resolve about the pandemic’s toll that Mr. Trump had so far failed to show.When Mr. Trump returned from the hospital, his communications aides, with the help of Ivanka Trump, his daughter, urged him to deliver a national address in which he would say: “I had it. It was tough, it kicked my ass, but we’re going to get through it.”He refused, choosing instead to address a boisterous campaign rally for himself from the balcony of the White House overlooking the South Lawn.Mr. Trump never came around to the idea that he had a responsibility to be a role model, much less that his leadership role might require him to publicly acknowledge hard truths about the virus — or even to stop insisting that the issue was not a rampaging pandemic but too much testing.Alex M. Azar II, the health and human services secretary, briefed the president this fall on a Japanese study documenting the effectiveness of face masks, telling him: “We have the proof. They work.” But the president resisted, criticizing Mr. Kushner for pushing them and again blaming too much testing — an area Mr. Kushner had been helping to oversee — for his problems.“I’m going to lose,” Mr. Trump told Mr. Kushner during debate preparations. “And it’s going to be your fault, because of the testing.”Mr. Morgenstern, the White House spokesman, said that exchange between the president and Mr. Kushner “never happened.”Mr. Azar, who was sometimes one of the few people wearing a mask at White House events, privately bemoaned what he called a political, anti-mask culture set by Mr. Trump. At White House Christmas parties, Mr. Azar asked maskless guests to back away from him.Dr. Stephen M. Hahn, center, the commissioner of the Food and Drug Administration, Dr. Deborah L. Birx, the coordinator of the White House virus task force, and Alex M. Azar II, the secretary of health and human services, in the Oval Office in May. Conflicts on the president’s team only intensified as the year went on.Credit…Erin Schaff/The New York TimesDivisions and DisagreementsThe decision to run the government’s response out of the West Wing was made in the early days of the pandemic. The idea was to break down barriers between disparate agencies, assemble public health expertise and encourage quick and coordinated decision-making.It did not work out like that, and by fall the consequences were clear.Mr. Trump had always tolerated if not encouraged clashes among subordinates, a tendency that in this case led only to policy paralysis, confusion about who was in charge and a lack of a clear, consistent message about how to reduce the risks from the pandemic.Keeping decision-making power close to him was another Trump trait, but in this case it also elevated the myriad choices facing the administration to the presidential level, bogging the process down in infighting, raising the political stakes and encouraging aides to jockey for favor with Mr. Trump.The result at times was a systemwide failure that extended well beyond the president.“What we needed was a coordinated response that involved contributions from multiple agencies,” said Dr. Scott Gottlieb, who was commissioner of the Food and Drug Administration for the first two years of the Trump administration.“Someone needed to pull that all together early,” he said. “It wasn’t the job of the White House, either. This needed to happen closer to the agencies. That didn’t happen on testing, or on a whole lot of other things.”The relationship between Mr. Azar and Dr. Stephen M. Hahn, the commissioner of the Food and Drug Administration, grew increasingly tense; by early November, they were communicating only by text and in meetings.Dr. Birx had lost the clout she enjoyed early on in the crisis and spent much of the summer and fall on the road counseling governors and state health officials.Mr. Meadows was at odds with almost everyone as he sought to impose the president’s will on scientists and public health professionals. In conversations with top health officials, Mr. Meadows would rail against regulatory “bureaucrats” he thought were more interested in process than outcome.Some of the doctors on the task force, including Dr. Anthony S. Fauci and Dr. Robert R. Redfield, were reluctant to show up in person at the White House, worried that the disdain there for mask wearing and social distancing would leave them at risk of infection.Vice President Mike Pence was nominally in charge of the task force but was so cautious about getting crosswise with Mr. Trump as they battled for re-election that, in public at least, he became nearly invisible.The debates inside the White House increasingly revolved around Dr. Atlas, who had no formal training in infectious diseases but whose views — which Mr. Trump saw him deliver on Fox News — appealed to the president’s belief that the crisis was overblown.Dr. Scott W. Atlas, the Stanford professor of neuroradiology recruited after appearances on Fox News, became the sole doctor Mr. Trump listened to.Credit…Anna Moneymaker for The New York TimesHis arrival at 1600 Pennsylvania Avenue was itself something of a mystery. Some aides said he was discovered by Kayleigh McEnany, the White House press secretary. Others said John McEntee, the president’s personnel chief, had been Googling for a Trump-friendly doctor who would be loyal.Marc Short, Mr. Pence’s chief of staff, opposed hiring Dr. Atlas. But once the president and his team brought him in, Mr. Short insisted that Dr. Atlas have a seat at the task force table, hoping to avoid having him become yet another internal — and destructive — critic.Once inside, Dr. Atlas used the perch of a West Wing office to shape the response. During a meeting in early fall, Dr. Atlas asserted that college students were at no risk from the virus. We should let them go back to school, he said. It’s not a problem.Dr. Birx exploded. What aspect of the fact that you can be asymptomatic and still spread it do you not understand? she demanded. You might not die, but you can give it to somebody who can die from it. She was livid.“Your strategy is literally going to cost us lives,” she yelled at Dr. Atlas. She attacked Dr. Atlas’s ideas in daily emails she sent to senior officials. And she was mindful of a pact she had made with Dr. Hahn, Dr. Fauci and Dr. Redfield even before Dr. Atlas came on board: They would stick together if one of them was fired for doing what they considered the right thing.Health officials often had a hard time finding an audience in the upper reaches of the West Wing. In a mid-November task force meeting, they issued a dire warning to Mr. Meadows about the looming surge in cases set to devastate the country. Mr. Meadows demanded data to back up their claim.One outcome of the meeting was a Nov. 19 news conference on the virus’s dire threat, the first in many weeks. But while Mr. Pence, who led the briefing, often urged Americans to “do their part” to slow the spread of the virus, he never directly challenged Mr. Trump’s hesitancy on masks and social distancing. At the briefing, he said that “decision making at the local level” was key, continuing a long pattern of the administration seeking to push responsibility to the states.Mr. Azar had been cut out of key decision-making as early as February, when Mr. Pence took over the task force. Mr. Azar would complain to his associates that Mr. Pence’s staff and task force members went around him to issue orders to his subordinates.On tenterhooks about his job status, Mr. Azar found an opening that offered a kind of redemption, steering his attention through the summer and fall to Operation Warp Speed, the government’s effort to support rapid development of a vaccine, lavishing praise on Mr. Trump and crediting him for nearly every advance.Behind the scenes, Mr. Azar portrayed Dr. Hahn to the White House as a flailing manager — a complaint he also voiced about Dr. Redfield. In late September, he told the White House he was willing to fire Dr. Hahn, according to officials familiar with the offer.For their part, Dr. Hahn, Dr. Redfield, Dr. Birx and other senior health officials saw Mr. Azar as crushing the morale of the agencies he oversaw as he sought to escape blame for a worsening crisis and to strengthen his own image publicly and with the White House.Health officials on the task force several times took their complaints about Mr. Azar to Mr. Pence’s office, hoping for an intervention.Caitlin B. Oakley, a spokeswoman for Mr. Azar, said he had “always stood up for balanced, scientific, public health information and insisted that science and data drive the decisions.”Once eager to visit the White House, Dr. Hahn became disillusioned with what he saw as its efforts to politicize the work of the Food and Drug Administration, and he eventually shied away from task force meetings, fearing his statements there would leak.If there was a bureaucratic winner in this West Wing cage match, it was Dr. Atlas.He told Mr. Trump that the right way to think about the virus was how much “excess mortality” there was above what would have been expected without a pandemic.Mr. Trump seized on the idea, often telling aides that the real number of dead was no more than 10,000 people.As of Thursday, 342,577 Americans had died from the pandemic.Two coronavirus vaccines arrived at sites across the country this month. Mr. Trump was furious that a successful vaccine was not announced until after the election.Credit…Bryan Anselm for The New York TimesTrump vs. Vaccine RegulatorsIn an Oval Office meeting with senior health officials on Sept. 24, the president made explicit what he had long implied: He wanted a vaccine before the election, according to three people who witnessed his demand.Pfizer’s chief executive had been encouraging the belief that the company could deliver initial results by late October. But Mr. Trump’s aides tried in vain to make clear that they could not completely control the timing.Dr. Fauci and Dr. Hahn reminded West Wing officials that a company’s vaccine trial results were a “black box,” impossible to see until an independent monitoring board revealed them. A vaccine that did not go through the usual, rigorous government approval process would be a “Pyrrhic victory,” Mr. Azar told them. It would be a shot no one would take.Dr. Moncef Slaoui, the scientific leader of Operation Warp Speed, said the president never asked him to deliver a vaccine on a specific timetable. But he said Mr. Trump sometimes complained in meetings that “it was not going to happen before the election and it will be ‘Sleepy Joe’” who would ultimately get credit.In late October, science and regulations worked against Mr. Trump’s waning hopes for pre-Election Day good news. At the F.D.A., scientists had refined the standards for authorizing a vaccine for emergency use. And at Pfizer, executives realized that the agency was unlikely to authorize its vaccine on the basis of so few Covid-19 cases among its clinical trial volunteers.They decided to wait for more data, a delay of up to a week.When Pfizer announced on Nov. 9 — two days after Mr. Biden clinched his victory — that its vaccine was a stunning success, Mr. Trump was furious. He lashed out at the company, Dr. Hahn and the F.D.A., accusing “deep state regulators” of conspiring with Pfizer to slow approval until after the election.The president’s frustration with the pace of regulatory action would continue into December, as the F.D.A. went through a time-consuming process of evaluating Pfizer’s data and then that of a second vaccine maker, Moderna.On Dec. 11, Mr. Meadows exploded during a morning call with Dr. Hahn and Dr. Peter Marks, the agency’s top vaccine regulator. He accused Dr. Hahn of mismanagement and suggested he resign, then slammed down the phone. That night, the F.D.A. authorized the Pfizer vaccine.In the weeks that followed, Mr. Pence, Mr. Azar, Dr. Fauci and other health officials rolled up their sleeves to be vaccinated for the cameras.Mr. Trump, who after contracting Covid-19 had declared himself immune, has not announced plans to be vaccinated.Michael D. Shear More