This tone was struck early, even before Biden assumed office. First, the transition team distanced itself from one of its scientific advisors who, in a New York Times op-ed, called for a national shutdown of four to six weeks. Later, after internal debate, Biden’s transition team decided not to warn the public against attending social gatherings during the 2020 holiday season, even as few were vaccinated and hospital beds were quickly filling. When Biden assumed office in January, he warned the public that, There’s nothing we can do to change the trajectory of the pandemic in the next several months.
For his top pandemic policy advisor, Biden appointed Jeffrey Zients, a wealthy campaign donor with a background in private equity and management consulting, not public health. Zients has been known as the “ambassador to the business community” under the Obama administration.
Who remained unvaccinated by late 2021? While the media often highlights the notable partisan divide in vaccination rates, it’s also notable that half of unvaccinated adults didn’t vote for Trump — many did not vote at all. The unvaccinated are largely low-income, uninsured, pregnant, incarcerated, and children (including those under 5, for whom vaccination has not been authorized). While vaccination rates are high for people ages 65 and up, those in their late 70s and older have lower vaccination rates than younger seniors, suggesting a lack of autonomy (i.e. needing to rely on others to access health care) may play a role. And while racial gaps in vaccination rates have narrowed considerably, huge inequalities in covid death rates remain. By my own calculations, age-adjusted covid mortality rates in the US between August 1, 2021 and December 4, 2021 were 30% higher for Black and Latino people, 100% higher for American Indians/Alaska Natives, and 340% higher for Pacific Islanders compared to non-Hispanic whites.
Finally, the Biden administration has exaggerated the proportion of hospitalizations and deaths attributed to the unvaccinated. For instance, Fauci claimed in July, 2021 that only 1% of covid deaths were among vaccinated people, but CDC’s data for the previous week showed the actual figure was 17%. By December, 2021 when Zients assured vaccinated Americans that they had “done the right thing” and “will get through this”, the share of vaccinated deaths had increased to 28%. Vaccines continue to provide powerful risk reduction for severe illness, but they are not a panacea. Amid high viral transmission levels, more than a thousand vaccinated people will continue to die each week (particularly those who are older, immunocompromised, or otherwise high-risk). But framing vaccination as a way to opt out of the pandemic, and understanding the unvaccinated to be political enemies, has helped absolve the administration of its responsibilities.
Justin Feldman
By January 20th, 2021, Biden’s inauguration day, the US had reported more than 410.000 Covid deaths, with a daily average of about 3100. One year later, the death toll more than doubled to over 860.000 (not even accounting for the likely higher figures because of poorly reported death causes) on a daily average of 2100 – in a nutshell, all you need to know about the Biden’s administration pandemic response.