Biden Takes Aggressive, Immediate Action to Contain COVID-19 Crisis

The President Releases National COVID-19 Strategy and Signs Executive Actions to Expand Testing, Administer Vaccines, Advance Racial Equity, and Safely Reopen Schools and Businesses

 

President Joe Biden released the National Strategy for the COVID-19 Response and Pandemic Preparedness — a comprehensive, 198-page roadmap to guide America out of this pandemic. To jumpstart this strategy, he signed 10 Executive Orders and other directives to move quickly to contain the COVID-19 crisis by expanding testing, administering vaccines, advancing racial equity, and safely reopening schools and businesses © Karen Rubin/news-photos-features.com

Today, on his first full day in the White House, President Joe Biden released the National Strategy for the COVID-19 Response and Pandemic Preparedness — a comprehensive, 198-page roadmap to guide America out of this pandemic. To jumpstart this strategy, he signed 10 Executive Orders and other directives and took additional actions to move quickly to contain the COVID-19 crisis by expanding testing, administering vaccines, advancing racial equity, and safely reopening schools and businesses. These steps build on actions President Biden took yesterday to rejoin the World Health Organization, encourage masking, and to create his White House COVID-19 Response Team.
 
Here are more details on the steps that President Biden took today to immediately put his National Strategy into action.
 
IMMEDIATELY EXPAND EMERGENCY RELIEF AND EXERCISE THE DEFENSE PRODUCTION ACT (DPA)
 
Manufacture and Deliver Supplies for Vaccination, Testing, and Personal Protective Equipment (PPE)
 President Biden is taking immediate action to fill supply shortfalls for vaccination supplies, testing supplies, and PPE, and to ensure that these critical supplies equitably reach American communities, especially communities of color and other underserved communities hit hardest by the virus. The President will issue an Executive Order directing relevant agencies to exercise all appropriate authorities, including the DPA, to accelerate manufacturing, delivery, and administration to meet shortfalls in equipment and supplies needed for the COVID-19 response, beginning with action to increase the availability of critical supplies such as N95 masks, isolation gowns, nitrile gloves, PCR sample collection swabs, test reagents, pipette tips, laboratory analysis machines for PCR tests, high-absorbency foam swabs, nitrocellulose material for rapid antigen tests, rapid test kits, and all the necessary equipment and material to accelerate the manufacture, delivery, and administration of COVID-19 vaccine.
 
Reimburse States So They Can Deploy the Emergency Personnel and Supplies Americans Need
The President will issue a Presidential Memorandum directing the Federal Emergency Management Administration (FEMA) to increase federal reimbursement to states and Tribes from 75 percent to 100 percent of the cost for National Guard personnel and emergency supplies, such as PPE, cleaning and sanitizing efforts, and the personnel and equipment needed to create vaccination centers. The order also includes restoring full reimbursement for eligible costs necessary to support safe school reopening through the FEMA Disaster Relief Fund. To help address the health and financial crises faced by Tribal Nations throughout our country and to advance Tribal sovereignty in our COVID-19 response, this Memorandum also expands FEMA resources for Tribal governments.
 
MITIGATE SPREAD THROUGH EXPANDING TESTING, TREATMENT, AND THE PUBLIC HEALTH WORKFORCE, AND ESTABLISHING CLEAR PUBLIC HEALTH STANDARDS
 
Establish the Pandemic Testing Board, Expand Testing, and Strengthen the Public Health Workforce
To control the COVID-19 pandemic and safely reopen schools and businesses, the U.S. must have wide-spread testing. President Biden will issue an Executive Order that establishes the COVID-19 Pandemic Testing Board to bring the full force of the federal government’s expertise to expanding testing supply and increasing access to testing. The federal government will increase testing capacity by directing the use of the DPA and other authorities to procure more tests and expand manufacturing capacity where possible. The Executive Order will promote surge capacity for testing in the United States, onshore test manufacturing, expand the public health workforce, support COVID-19 screening for schools, and ensure that underserved communities, including communities of color, can equitably access tests.
 
Bolster Access to COVID-19 Treatments and Clinical Care
Effective treatments for COVID-19 are critical to saving lives. President Biden will sign an Executive Order directing studies, including large-scale randomized trials, to identify treatments for COVID-19 and to ensure that such studies address the needs of diverse populations. The Executive Order establishes a comprehensive, integrated, equitable, and coordinated preclinical drug discovery and development program to allow therapeutics to be evaluated and developed in response to pandemic threats. The Order also outlines steps to improve clinical care, provide assistance to long-term care facilities and intermediate care facilities for people with disabilities, increase health care workforce capacity, expand access to programs designed to meet long-term health needs of patients recovering from COVID-19, and support access to safe and effective COVID-19 therapies for those without coverage.
 
Improve Data to Combat COVID-19
Metrics and metric-driven public health guidance will be essential to controlling the pandemic. President Biden’s Executive Order will enhance the United States’ collection, production, sharing, and analysis of data to support an equitable COVID-19 response and recovery. The federal government will work with state, local, Tribal and territorial governments to aggregate and analyze data to track access to vaccines and testing, reopen schools and businesses, and address disparities in COVID-19 infections and health outcomes. And, the federal government will create publicly available dashboards with national and state-by-state level information, consistent with privacy protections,  on cases, testing, vaccinations, and hospital admissions to make real-time information available to policymakers and the public.
 
MOUNT A SAFE, EFFECTIVE, COMPREHENSIVE VACCINATION CAMPAIGN
 
Take Immediate Actions to Convert Vaccines into Vaccinations
The Biden-Harris Administration will spare no effort to ensure the public can get vaccinated safely, effectively and equitably. To meet the aggressive vaccination target of 100 million shots by the end of his first 100 days in office, President Biden will take immediate action to improve the vaccination program. Yesterday, he directed FEMA to begin standing up the first federally-supported community vaccination centers, with the goal of standing up 100 centers in the next month. The Centers for Disease Control and Prevention (CDC) will also launch the federal pharmacy program — making vaccines available to communities in their local pharmacies beginning next month. And, he tasked the U.S. Public Health Services Commissioned Corps with expanding its workforce and preparing for deployment. Central to this effort will be expanded support and collaboration with state, local, Tribal and territorial governments, including the establishment of COVID Response Liaisons for each state — a model based on the response to Hurricane Sandy.
 
SAFELY REOPEN SCHOOLS, BUSINESSES, AND TRAVEL WHILE PROTECTING OUR WORKERS
 
Direct Action to Support Students & Safely Reopen Schools
President Biden will issue an Executive Order directing the Departments of Education and Health and Human Services (HHS) to provide guidance on safe reopening and operating for schools, child care providers, and institutions of higher education. Ensuring the safety of students and educators and adherence to science will be paramount. And, the Order directs the Departments of Education and Health and Human Services to collect data around reopening and school closures so state and local officials have metrics to inform decision-making and can better understand the impact of closures on students from families with low-incomes, students of color, English-language learners, students with disabilities and others.
 
The COVID-19 Response Team will work to ensure that testing materials, support for contact tracing, and vaccinations for teachers are equitably provided to support in-person care and learning. Finally, the order encourages the Federal Communications Commission to increase connectivity options for students lacking reliable home broadband, so that they can continue to learn if their schools are operating remotely.
 
This work will be supported by the Presidential Memorandum directing FEMA to offer reimbursement for eligible emergency supplies, such as PPE for schools and child care providers.
 
The Administration will engage with educators and their unions, students and their families, state and local education and public health officials, civil rights advocates, and other experts in the field. And, the Department of Education will work with HHS to ensure that guidance for schools is updated based on the latest science and any developments in the pandemic, including the spread of new coronavirus variants that may have a higher transmission rate. The Administration will always be honest about the challenges we face, directly addressing how and whether changes in the pandemic may impact the reopening of schools or the ability of schools to remain open.
 
Help Protect Workers from COVID-19
Millions of Americans, many of whom are people of color, immigrants, and low-wage workers, continue to put their lives on the line to keep the country functioning through the pandemic. President Biden will sign an Executive Order calling on the Occupational Safety and Health Administration (OSHA) to immediately release clear guidance for employers to help keep workers safe from COVID-19 exposure. It also asks OSHA and Mine Safety and Health Administration to determine whether to establish emergency temporary standards that require employers to take steps to keep workers safe from COVID-19 and it directs OSHA to enforce worker health and safety requirements, targeting the worst violators. With the goal of protecting all workers from COVID-19, the order instructs agencies to explore ways to protect workers who are not always covered by OSHA standards, such as those who are self-employed.

Promote Safe Travel
To protect travelers from COVID-19, President Biden will issue an Executive Order to require mask-wearing in airports, on certain modes of public transportation, including many trains, airplanes, maritime vessels, and intercity buses. For air travel, this Executive Order also requires international travelers to produce proof of a negative COVID-19 test prior to departing for the United States and to comply with CDC guidelines for self-isolation and self-quarantine upon arrival. The Executive Order also calls for the consideration of additional public health measures in domestic travel and for consultation with foreign governments and other stakeholders to implement public health measures for safe travel, including at land and sea borders.
 
PROTECT THOSE MOST AT RISK AND ADDRESS INEQUITIES FACED BY COMMUNITIES OF COLOR AND OTHER UNDERSERVED GROUPS
 
Advance Health Equity in the Nation’s COVID-19 Response
In order to address the disproportionate and severe impact of COVID-19 on communities of color and other underserved populations, President Biden will issue an Executive Order to ensure an equitable pandemic response and recovery. The order establishes a COVID-19 Health Equity Task Force to provide specific recommendations to the President for allocating resources and funding in communities with inequities in COVID-19 outcomes by race, ethnicity, geography, disability, and other considerations. The federal government will expand equity data collection; increase access to PPE, testing, therapies, and vaccines in underserved communities and high-risk settings; and assess and update pandemic response plans to ensure equity. The health workforce, including community-based workers, will be expanded to assist with contact tracing, vaccination, and linkage to care. Additionally, the Biden Administration will work with states, local jurisdictions, Tribal communities, and territories to address unmet basic needs, including food, housing, and childcare, for individuals and families affected by COVID-19.
 
RESTORE U.S. GLOBAL LEADERSHIP AND BUILD BETTER PREPAREDNESS
 
Advance U.S. Global Leadership, Support the Health and Humanitarian Response to COVID-19, and Protect Against Future Biological Threats
America’s withdrawal from the world stage and retreat from the World Health Organization has impeded progress on the global COVID-19 response and left the United States and the world more vulnerable to future pandemics. Yesterday, President Biden signed letters to the United Nations Secretary General and World Health Organization Director General to cease America’s withdrawal from the organization and to outline U.S. intent to work constructively with the WHO to strengthen and reform it.
Today, President Biden will sign a Presidential Directive to restore America’s leadership, support the international pandemic response effort, promote resilience for future threats, and advance global health security and the Global Health Security Agenda. This directive restores U.S. leadership and seeks to support the international health and humanitarian response to the COVID-19 pandemic and its secondary impacts, global health security and diplomacy, and better biopreparedness and resilience for emerging and future biological threats.
 
RACIAL EQUITY IMPACT
 
The COVID-19 crisis has shined a light on and exacerbated the persistent racial inequities in our healthcare system and our economy. Americans of color are being infected and dying from COVID-19 at higher rates, while workers of color disproportionately put themselves at risk of exposure to COVID-19 on the frontline of this crisis to keep our country running. Changing the course of the COVID-19 crisis requires mobilizing an equitable response across the whole of our government. The new  COVID-19 Health Equity Task Force will intensely focus on these issues. The actions to  expand the availability of testing and vaccines in communities of color, and other underserved communities, ensure that new clinical treatments are developed to serve diverse Americans, and safely reopen our schools so that children who are facing disproportionately high risks of learning loss can get back into the classroom. These actions will also support Native communities and Tribal governments to address the health and economic crises in Indian country.
 
WORKER IMPACT
 
These executive actions will help keep millions of workers healthy and safe from COVID-19. They direct agencies to provide new guidance so that employers and schools know what they need to do to keep workers safe. They’ll increase access to personal protective equipment, testing, and vaccines that will help reduce the spread of COVID-19 in workplaces across the country. They’ll help ensure more people are wearing masks when they travel, immediately providing more protection to many airline workers, bus drivers, and other transportation workers, and providing Americans safe ways to travel to work.
 
With the support of funding from the President’s American Rescue Package, the President’s plan to safely reopen schools will help students engage in in-person learning, parents return to work and prevent more educators from being laid off, as we combat the virus and make schools safe for students and educators again.
 
These measures will help keep workers safe and healthy, get more Americans back to work, and ultimately reduce the spread of the virus.

See: BIDEN ADMINISTRATION IMPLEMENTS A NATIONAL STRATEGY FOR COVID-19 RESPONSE, PANDEMIC PREPAREDNESS

Biden Administration Implements a National Strategy for COVID-19 Response, Pandemic Preparedness

Surprise! There wasn’t any Trump Administration plan to distribute COVID-19 vaccines. And those supplies that were supposedly held in reserve? The jokes on you – there aren’t any. The incoming Biden Administration – locked out of meaningful engagement during the transition – finds it has to basically create a vaccine distribution program almost from scratch, while holding to a goal of administering 100 million doses in the first 100 days. © Karen Rubin/news-photos-features.com

Surprise! There wasn’t any Trump Administration plan to distribute COVID-19 vaccines. And those supplies that were supposedly held in reserve? The jokes on you – there aren’t any. The incoming Biden Administration – locked out of meaningful engagement during the transition – finds it has to basically create a vaccine distribution program almost from scratch, while holding to a goal of administering 100 million doses in the first 100 days. As each day continues to post new record numbers of deaths (well over 400,000 now, with as many as 100,000 more deaths by February forecast), hospitalizations choking state’s health care systems, the number of infections soaring over 22 million and new strains that are even more transmissible, Biden’s first Executive Order, signed within minutes of entering the White House, was to require mask-wearing at federal facilities and in interstate commerce, while launching a national, patriotic campaign to mask-up for 100 days. And the first order of business for the Biden Administration has been to introduce, for the first time, a national strategy to get a handle on the coronavirus pandemic that has so devastated lives and livelihoods.

Here it is: –Karen Rubin/news-photos-features.com

National Strategy for the COVID-19 Response
and Pandemic Preparedness

January 21, 2021

Executive Summary


We can and will beat COVID-19. America deserves a response to the COVID-19 pandemic that is driven by science, data, and public health — not politics. Through the release of the National Strategy for the COVID-19 Response and Pandemic Preparedness, the United States is initiating a coordinated pandemic response that not only improves the effectiveness of our fight against COVID-19, but also helps restore trust, accountability and a sense of common purpose in our government.
 
On January 9, 2020, the World Health Organization announced that there were 59 cases of coronavirus-related pneumonia. Just one year later, the United States has experienced over 24 million confirmed COVID-19 cases and over 400,000 COVID-19 deaths. America has just 4% of the world’s population, but 25% of the world’s COVID-19 cases and 20% of all COVID-19 deaths. And our nation continues to experience the darkest days of the pandemic, with record numbers of cases, hospitalizations and deaths. Over 77,000 Americans lost their lives to COVID-19 in December, and across our nation businesses are closing, hospitals are full, and families are saying goodbye to their loved ones remotely.
 
The National Strategy provides a roadmap to guide America out of the worst public health crisis in a century. It outlines an actionable plan across the federal government to address the COVID-19 pandemic, including twelve initial executive actions that will be issued by President Biden during his first two days in office:
 
The National Strategy is organized around seven goals:

  1. Restore trust with the American people.
  2. Mount a safe, effective, and comprehensive vaccination campaign.
  3. Mitigate spread through expanding masking, testing, treatments, data, health care workforce, and clear public health standards.
  4. Immediately expand emergency relief and exercise the Defense Production Act.
  5. Safely reopen schools, businesses, and travel while protecting workers.
  6. Protect those most at risk and advance equity, including across racial, ethnic and rural/urban lines.
  7. Restore U.S. leadership globally and build better preparedness for future threats.

 
To execute on the National Strategy, the White House will establish a COVID-19 Response Office responsible for coordinating the pandemic response across all federal departments and agencies. Through implementation of the National Strategy, the United States will make immediate progress on the seven goals. To monitor outcomes, the National Strategy will establish a data-driven, evidence-based approach to evaluating America’s progress in the fight against COVID-19.
 
The federal government cannot solve this crisis alone. Full implementation of the National Strategy for COVID-19 will require sustained, coordinated, and complementary efforts of the American people, as well as groups across the country, including State, local, territorial, and Tribal governments; health care providers; businesses; manufacturers critical to the supply chain; civic, religious and civil rights organizations; and unions. It will also require a global effort to contain the virus and advance health security.
 
America has always risen to the challenge and we will do so now. In collaboration with the people of this country, the United States government will lead an effective COVID-19 response that gets us back to our lives and loved ones. As we’ve seen during this pandemic, we can’t solve our problems as a divided nation. The only way we come through this is together as fellow Americans and as the United States of America.
 

On the eve of his inauguration, President-elect Joe Biden  along with Dr. Jill Biden, Vice President-elect Harris and Douglas Emhoff  participated in a memorial honoring the 400,000 lives lost to COVID-19, as 400 lights lit the Lincoln Memorial Reflecting Pool. This was the first-ever lighting around the reflecting pool of the Lincoln Memorial. “To heal, we must remember.” © Karen Rubin/news-photos-features.com

Goal 1: Restore trust with the American people.

The federal government should be the source of truth for the public to get clear, accessible, and scientifically accurate information about COVID-19. To rebuild the trust of the American people, the National Strategy will signal clear public leadership and a commitment to a robust whole-of-government response that puts science first. The federal government will be transparent with the American people, maintaining an open line of communication with the public and all stakeholders. To continue to restore trust, the United States will:
 
Establish a national COVID-19 response structure where decision-making is driven by science and equity. The Biden-Harris Administration has developed a unified plan to rebuild expert leadership across the government and regain the trust of the American public. As part of the strategy, on his first day in office, President Biden issued Executive Order Organizing and Mobilizing the U.S. Government to Provide a Unified And Effective Response to Combat COVID-19 and to Provide United States Leadership on Global Health and Security establishing a White House COVID-19 national response structure to coordinate across the U.S. Government and restoring the White House Directorate on Global Health Security and Biodefense established by the Obama-Biden Administration. The COVID-19 Response office will establish clear lines of communications with all governors, state public health officials and immunization managers, and local leaders.
 
Conduct regular expert-led, science-based public briefings. The federal government will conduct regular, expert-led, science-based public briefings and release regular reports on the state of the pandemic. Experts and scientists at the U.S. Centers for Disease Control and Prevention (CDC) will also develop clear, evidence-based, metric-driven public health guidance and effectively and frequently communicate and distribute guidance and updates to the American people.
 
Publicly share data around key response indicators. Metrics and metric-driven public health guidance will be essential to controlling the pandemic. President Biden will issue Executive Order Ensuring a Data-Driven Response to COVID-19 and Future High Consequence Public Health Threats directing steps to enhance federal agencies’ collection, production sharing, and analysis of, and collaboration with respect to, data to support an equitable COVID-19 response and recovery. As further detailed in National Strategy Goals Two, Three, and Six, the federal government will track a range of performance measures and data including cases, testing, vaccinations, and hospital admissions, and will make real-time information readily available to the public and to policymakers at the federal, state, and local level. The CDC will also maintain a public dashboard tracking COVID-19 cases at the county level, so that Americans can gauge the level of transmission in their own communities to make their own informed choices.
 
Engage the American people. The federal government cannot solve this crisis alone. It will take regular engagement with the public, state and local leaders, the private sector, unions, community volunteers, and health care providers to guide policy and implementation. The Administration will prioritize outreach to state and local governments, the public and private sectors, vulnerable communities, students, workers, and community leaders, using input from these stakeholders to drive the government’s COVID-19 response.
 
Lead science-first public health campaigns. The Administration will lead world-class public education campaigns — covering topics like masking, testing, vaccinations and vaccine hesitancy — designed with diversity and inclusivity in mind, including communications in multiple languages, to maximize reach and effectiveness. The campaigns will be coordinated, across national, state, and local levels, and engage with the private and public sector. They will be anchored by science and fact-based public health guidance. The Administration will work to counter misinformation and disinformation by ensuring that Americans are obtaining science-based information.
 

Goal 2: Mount a safe, effective, comprehensive vaccination campaign.

The United States will spare no effort to ensure Americans can get vaccinated quickly, effectively, and equitably. The federal government will execute an aggressive vaccination strategy, focusing on the immediate actions necessary to convert vaccines into vaccinations, including improving allocation, distribution, administration, and tracking. Central to this effort will be additional support and funding for state, local, Tribal, and territorial governments — and improved line of sight into supply — to ensure that they are best prepared to mount local vaccination programs. At the same time, the federal government will mount an unprecedented public campaign that builds trust around vaccination and communicates the importance of maintaining public health measures such as masking, physical distancing, testing, and contact tracing even as people receive safe and effective vaccinations. To mount a safe, effective, comprehensive vaccination campaign, the United States will:
 
Ensure the availability of safe, effective vaccines for the American public. The national vaccination effort will be one of the greatest operational challenges America has ever faced. To ensure all Americans can be vaccinated quickly, the President has developed a plan for expanding vaccine manufacturing and purchasing COVID-19 vaccine doses for the U.S. population by fully leveraging contract authorities, including the Defense Production Act; deploying onsite support to monitor contract manufacturing operations; and purchasing additional FDA-authorized vaccines to deliver as quickly as possible. The effort includes prioritizing supplies that could cause bottlenecks, including glass vials, stoppers, syringes, needles, and the “fill and finish” capacity to package vaccine into vials.
 
Accelerate getting shots into arms and get vaccines to the communities that need them most. The success of the national vaccination effort will depend on reaching communities across the United States. To achieve this, the federal government will take a series of steps to simplify and strengthen the allocation and distribution process. In order to expand the supply available to states, the Administration will end the policy of holding back significant levels of doses, instead holding back a small reserve and monitoring supply to ensure that everyone receives the full regimen as recommended by the FDA. The United States will accelerate the pace of vaccinations by encouraging states and localities to move through the priority groups more quickly — expanding access to frontline essential workers and individuals over the age of 65, while staying laser-focused on working to ensure that the highest-risk members of the public, including those in congregate facilities, can access the vaccine where and when they need it. The Administration will also improve the allocation process by providing states and localities with clear, consistent projections to inform their planning. Through it all, the United States will work to ensure that the vaccine is distributed quickly, effectively and equitably, with a focus on making sure that high-risk and hard-to-reach communities are not left behind.
 
Create as many venues as needed for people to be vaccinated. The federal government — in partnership with state and local governments — will create as many venues for vaccination as needed in communities and settings that people trust. This includes, but is not limited to federally run community vaccination centers, in places like stadiums and conference centers, federally-supported state and locally operated vaccination sites in all 50 states and 14 territories,  pharmacies and retail stores, federal facilities like Veterans Affairs hospitals, community health centers, rural health clinics, critical access hospitals, physician offices, health systems, urgent care centers, and mobile and on-site occupational clinics
 
Focus on hard-to-reach and high-risk populations. As the United States accelerates the pace of vaccinations nationwide, we remain focused on building programs to meet the needs of hard-to-reach and high-risk populations, and meeting communities where they are to make vaccinations as accessible and equitable as possible. The federal government will deploy targeted strategies to meet the needs of individuals at increased risk and others who need to take extra precautions, according to the CDC, as well as the communities hardest hit by this pandemic. Local public health officials will play a critical role.
 
Fairly compensate providers, and states and local governments for the cost of administering vaccinations. Fairly compensating providers, and state and local governments for the costs of vaccine administration will be critical to expanding vaccination participation. President Biden will work with Congress to expand the Federal Medicaid Assistance Percentage (FMAP) to 100 percent for vaccinations of Medicaid enrollees—with the goal of alleviating state costs for administration of these vaccines and supporting states in their work to meet the needs of their communities. The Department of Health and Human Services will ask the Centers for Medicare & Medicaid Services to consider whether current payment rates for vaccine administration are appropriate or whether a higher rate may more accurately compensate providers. The federal government will fund vaccine supply and will greatly expand funding for vaccine administration by allowing state and local governments to reimburse vaccination administration expenses through the FEMA Disaster Relief Fund and by ensuring that workforce and equipment expenses for state and local-run sites are also eligible.
 
Drive equity throughout the vaccination campaign and broader pandemic response. The federal government will drive equity in vaccinations by using demographic data to identify  communities hit hardest by the virus and supporting them, ensuring no out-of-pocket costs for vaccinations, and making sure vaccines reach those communities. Working with state, local, and community-based organizations and trusted health care providers, like community health centers, will be central to this effort.
 
Launch a national vaccinations public education campaign. The United States will build public trust through an unprecedented vaccination public health campaign at the federal, State, Tribal, territorial, local and community level. The public education campaign will support vaccination programs, address vaccine hesitancy, help simplify the vaccination process for Americans, and educate the public on effective prevention measures. The campaign will be tailored to meet the needs of diverse communities, get information to trusted, local messengers, and outline efforts to deliver a safe and effective vaccine as part of a national strategy for beating COVID-19.
 
Bolster data systems and transparency for vaccinations. The operational complexity of vaccinating the public will make robust data and its use in decision-making related to vaccinations more important than ever. The federal government, with CDC, will track distribution and vaccination progress, working hand-in-hand with states and localities to support their efforts. The Administration will build on and strengthen the federal government’s approach to data collection related to vaccination efforts, removing impediments and developing communication and technical assistance plans for jurisdictions and providers. The Administration, through HHS and other federal partners, will rely on data to drive decision-making and the national vaccinations program.
 
Monitor vaccine safety and efficacy. The Administration will ensure that scientists are in charge of all decisions related to vaccine safety and efficacy. The FDA will also continue to honor its commitment to make relevant data on vaccine safety and efficacy publicly available and to provide opportunities for public, non-governmental expert input. Through expanded and existing systems, the CDC and FDA will ensure ongoing, real-time safety monitoring. Through it all, the Administration will communicate clearly with the American public to continue to build trust around the vaccine and its benefits for individuals, their families and communities.
 
Surge the health care workforce to support the vaccination effort. A diverse, community-based health care workforce is essential to an effective vaccination program. The United States will address workforce needs by taking steps to allow qualified professionals to administer vaccines and encourage states to leverage their flexibility fully to surge their workforce, including by expanding scope of practice laws and waiving licensing requirements as appropriate.

President Joe Biden’s first Executive Order is to mandate mask-wearing at federal facilities and interstate commerce in order to mitigate the surge in the coronavirus pandemic © Karen Rubin/news-photos-features.com

Goal 3: Mitigate spread through expanding masking, testing, treatment, data, workforce, and clear public health standards.

A comprehensive national public health effort to control the virus — even after the vaccination program ramps up — will be critical to saving lives and restoring economic activity. The federal government will partner with state, local, Tribal, and territorial leaders to implement a cohesive strategy to significantly reduce the spread of COVID-19 and release clear public health guidance to the public about what to do and when, including implementing mask mandates; expanding testing; strengthening the public health workforce; modernizing data collection and reporting capabilities for COVID-19 and future epidemics; and providing equitable access to treatment and clinical care. To mitigate the spread of COVID-19 through clear public health standards, the United States will:
 
Implement masking nationwide by working with governors, mayors, and the American people. The President has asked the American people to do what they do best: step up in a time of crisis and wear masks. He has issued Executive Order Protecting the Federal Workforce and Requiring Mask-Wearing which directs compliance with CDC guidance on masking and physical distancing in federal buildings, on federal lands, and by federal employees and contractors. Additionally, the President will issue Executive Order Promoting COVID-19 Safety in Domestic and International Travel which directs applicable agencies to take immediate action to require mask-wearing on some airplanes, trains, and certain other forms of public transportation in the United States. He has called on governors, public health officials, mayors, business leaders, and others to implement masking, physical distancing, and other CDC public measures to control COVID-19.
 
Scale and expand testing. To control the COVID-19 pandemic and safely reopen schools and businesses, America must have wide-spread testing. A national testing strategy is a cornerstone to reducing the spread of COVID-19 and controlling outbreaks, and clear federal guidance and a unified national approach to implementation are essential. The President will issue Executive Order Establishing the National Pandemic Testing Board and Ensuring a Sustainable Public Health Workforce for COVID-19 and Other Biological Threats which establishes the COVID-19 Pandemic Testing Board to oversee implementation of a clear, unified approach to testing. The federal government will expand the rapid testing supply and double test supplies and increase testing capacity. The Administration will also increase onshore test manufacturing, fill testing supply shortfalls, enhance laboratory capacity to conduct testing over the short- and long-term, and expand surveillance for hotspots and variants.
 
Effectively distribute tests and expand access to testing. The federal government will support school screening testing programs to help schools reopen. The Administration will also stand up a dedicated CDC Testing Support Team, fund rapid test acquisition and distribution for priority populations, work to spur development and manufacturing of at-home tests and work to ensure that tests are widely available. Through Executive Order Establishing the National Pandemic Testing Board and Ensuring a Sustainable Public Health Workforce for COVID-19 and Other Biological Threats the President will direct agencies to facilitate testing free of charge for those who lack health insurance and to clarify insurers’ obligation to cover testing. The federal government will also provide testing protocols to inform the use of testing in congregate settings, schools, and other critical areas and among asymptomatic individuals. Further, technical assistance will support more widespread adoption of testing to improve timely diagnosis and public confidence in the safety of settings like schools.
 
Prioritize therapeutics and establish a comprehensive, integrated COVID-19 treatment discovery and development program. Effective treatments for COVID-19 are critical to saving lives. The federal government will establish a comprehensive, integrated, and coordinated preclinical drug discovery and development program, with diverse clinical trials, to allow therapeutics to be evaluated and developed rapidly in response to COVID-19 and other pandemic threats. This includes promoting the immediate and rapid development of therapeutics that respond to COVID-19 by developing new antivirals directed against the coronavirus family, accelerating research and support for clinical trials for therapeutics in response to COVID-19 with a focus on those that can be readily scaled and administered, and developing broad-spectrum antivirals to prevent future viral pandemics. President Biden will issue Executive Order Improving and Expanding Access to Care and Treatment for COVID-19 which also outlines steps to bolster clinical care capacity, provide assistance to long-term care facilities and intermediate care facilities for people with disabilities, increase health care workforce capacity, expand access to programs designed to meet long-term health needs of patients recovering from COVID-19, and support access to safe and effective COVID-19 therapies for those without coverage.
 
Develop actionable, evidence-based public health guidance. CDC will develop and update public health guidance on containment and mitigation that provides metrics for measuring and monitoring the incidence and prevalence of COVID-19 in health care facilities, schools, workplaces, and the general public, including metric-driven reopening guidance that the federal government communicates widely. Informed by up-to-date national and state data, the CDC will provide and update guidance on key issues such as physical distancing protocols, testing, contact tracing, reopening schools and businesses, and masking. The CDC also will provide focused guidance for older Americans and others at higher risk, including people with disabilities. 
 
Expand the U.S. public health workforce and increase clinical care capacity for COVID-19.
In addition to supporting the surge in health care workers for vaccination efforts detailed in Goal Two, the federal government will also build and support an effective public health workforce to fight COVID-19 and the next public health threat. As part of the President’s commitment to provide 100,000 COVID-19 contact tracers, community health workers, and public health nurses, the Administration will establish a U.S. Public Health Jobs Corps, provide support for community health workers, and mobilize Americans to support communities most at-risk. The United States will also provide technical support for testing, contact tracing, and other urgent public health workforce needs to better prepare for public health crises.
 
Improve data to guide the response to COVID-19. Federal agencies will make increased use of data to guide the public health response against COVID-19. To that end, Agencies will collect, aggregate, share, and analyze non-personally identifiable data, and take steps to make it publicly available and in a machine-readable form to enhance COVID-19 response efforts. And the federal government will facilitate evidence-based decision-making through focused data-based projects. These efforts will require collaboration with state, local, Tribal, and territorial governments to aggregate and analyze data for critical decisions to track access to vaccines and testing, reopen schools and businesses, address disparities in COVID-19 infections and health outcomes, and enhance critical monitoring capacity where needed. In addition, critical response activities such as workforce mobilization and vaccination appointment scheduling may require new technology solutions. The federal government will provide technical support to ensure that these systems meet mission critical requirements to support a robust response.
 

Goal 4: Immediately expand emergency relief and exercise the Defense Production Act.

It’s past time to fix America’s COVID-response supply shortage problems for good. The United States will immediately address urgent supply gaps, which will require monitoring and strengthening supply chains, while also steering the distribution of supplies to areas with the greatest need. As new vaccines, testing protocols, and treatments are developed, they will also need to be manufactured in sufficient supply. To respond to this unprecedented operational challenge, the President is immediately expanding emergency relief by giving state and local governments the support they need. To make vaccines, tests, Personal Protective Equipment (PPE), and other critical supplies available for the duration of the pandemic, the President has directed the use of all available legal authorities, including the Defense Production Act (DPA), instructing departments and agencies to expand the availability of critical supplies, to increase stockpiles so that PPE is available to be used in the recommended safe manner, and to start to fill all supply shortfalls immediately. To expand emergency relief and strengthen the supply chain, the government will:
 
Increase emergency funding to states and bolster the Federal Emergency Management Agency (FEMA) response. The President will issue a Presidential Memorandum entitled  Extend Federal Support to Governors’ Use of National Guard to Respond to COVID-19 and to Increase Reimbursement and other Assistance Provided to States, directing FEMA to fully reimburse states for the cost of National Guard personnel and emergency supplies, including emergency supplies like PPE for schools and child care providers.
 
Fill supply shortfalls by invoking the Defense Production Act (DPA). The United States is taking immediate action to fill supply shortfalls for vaccination supplies, testing supplies, and PPE. The President will issue Executive Order A Sustainable Public Health Supply Chain which directs agencies to fill supply shortfalls using all available legal authorities, including the DPA, and the United States has identified twelve immediate supply shortfalls that will be critical to the pandemic response, including shortages in the dead-space needle syringes available to administer the vaccine. The President has directed relevant agencies to exercise all appropriate authorities, including the DPA, to accelerate manufacturing, delivery, and administration to meet shortfalls in these twelve categories of critical supplies, including taking action to increase the availability of supplies like N95 masks, isolation gowns, nitrile gloves, polymerase chain reaction (PCR) sample collection swabs, test reagents, pipette tips, laboratory analysis machines for PCR tests, high-absorbency foam swabs, nitrocellulose material for rapid antigen tests, rapid test kits, low dead-space needles and syringes, and all the necessary equipment and material to accelerate the manufacture, delivery, and administration of COVID-19 vaccine.
 
Identify and solve urgent COVID-19 related supply gaps and strengthen the supply chain.The A Sustainable Public Health Supply Chain executive order will also direct federal agencies to fill supply shortfalls using all available legal authorities.The federal government will focus on the near-term goal of building a stable, secure, and resilient supply chain with increased domestic manufacturing in four key critical sectors:

  • Antigen and molecular-based testing;
  • PPE and durable medical equipment;
  • Vaccine development and manufacturing; and
  • Therapeutics and key drugs.

 
The federal government will immediately focus on procuring supplies that will be critical to control the spread of COVID-19 by initiating contracts, entering into purchase commitments, making investments to produce supplies and expanding manufacturing capacity.
 
Secure the pandemic supply chain and create a manufacturing base in the United States. To respond more effectively to this crisis, and ensure that the United States is able to respond more quickly and efficiently to the next pandemic, we need a resilient, domestic public health industrial base. The U.S. Government will not only secure supplies for fighting the COVID-19 pandemic, but also build toward a future, flexible supply chain and expand an American manufacturing capability where the United States is not dependent on other countries in a crisis. To this end, A Sustainable Public Health Supply Chain will direct the development of a new Pandemic Supply Chain Resilience Strategy.
 
Improve distribution and expand availability of critical materials. After conducting a review of existing COVID-19 and related pandemic supply chain distribution plans and working in consultation with state and regional compacts, the United States will coordinate distribution plans, prioritizing areas of highest-risk and highest need, and set up a structure to improve the distribution of critical materials. To work toward expanding the affordability and accessibility of supplies, A Sustainable Public Health Supply Chain will direct the Department of Defense (DOD), HHS, and Department of Homeland Security (DHS) to develop recommendations to address the pricing of COVID-19 supplies. The federal government will also reduce the opacity of the market for critical supplies and supply chains by clearly and rapidly communicating with states, health care providers, and manufacturers about federal interventions.
 

Goal 5: Safely reopen schools, businesses, and travel, while protecting workers.

Reopening schools, businesses, travel, and our economy will require major, unified federal investments in rapid testing, an expanded rapid response public health workforce, clear guidance and protections, and support for people to stay home when they are infected to stop the spread of COVID-19. At the same time that the United States takes immediate steps to achieve an overall decrease in COVID-19 spread, it will also support the safe operation of schools, businesses, and travel. To protect workers and safely reopen, schools, businesses, and travel, the United States will:
 
Implement a national strategy to support safely reopening schools. The United States is committed to ensuring that students and educators are able to resume safe, in-person learning as quickly as possible, with the goal of getting a majority of K-8 schools safely open in 100 days. The President will issue Executive Order Supporting the Reopening and Continuing Operation of Schools and Early Childhood Education Providers which directs a national strategy for safely reopening schools, including requiring the Departments of Education and HHS to provide guidance on safe reopening and operating, and to develop a Safer Schools and Campuses Best Practices Clearinghouse to share lessons learned and best practices from across the country. Presidential Memorandum Extend Federal Support to Governors’ Use of National Guard to Respond to COVID-19 and to Increase Reimbursement and other Assistance Provided to States will restore full reimbursement for eligible costs necessary to support safe school reopening through the FEMA Disaster Relief Fund and the President has called on Congress to provide at least $130 billion in dedicated funding to schools, $350 billion in flexible state and local relief funds that will help districts avoid lay-offs and close budget gaps, and additional resources so that schools can safely reopen, including funds to implement screening testing. The Administration will release a handbook that helps schools and local leaders implement the precautions and strategies necessary for safe reopening. It will also work with states and local school districts to support screening testing in schools, including working with states to ensure an adequate supply of test kits.
 
Support safe operations at child care centers and at-home providers. With enrollments down and costs up due to COVID-19 precautions, child care providers are struggling to stay afloat while providing vital services to their communities. Due to increased costs and lower enrollment, a recent survey of child care providers showed that most child care providers expect that they will close within a few months without relief, or are uncertain how long they can stay open.[1] If not addressed, child care providers will close and millions of parents will be left to make devastating choices between caring for their children and working to put food on the table. President Biden has called on Congress to provide $25 billion in emergency stabilization to support hard-hit child care providers through the pandemic. These funds would help providers pay rent, utilities, and payroll, as well as cover pandemic-related costs like personal protective equipment, ventilation supplies, smaller group sizes, and alterations to physical spaces that improve safety. The President has also called on Congress to provide $15 billion to help families struggling to afford child care.
 
Support equitable reopening and operation in higher education. College enrollment for high school graduates was down more than 20% in 2020 compared to 2019, and students from low-income families are nearly twice as likely to report canceling their plans to attend college. Reopening and keeping colleges open is critical to ensuring that all Americans have a shot at a college credential — but it must be done safely, to protect the health of students, faculty, staff, and the broader community. To support colleges through the pandemic, President Biden has requested that Congress provide an additional $35 billion in emergency stabilization funds for higher education.
 
Protect workers and issue stronger worker safety guidance. It is critical that the federal government protect the health and safety of America’s workers and take swift action to prevent workers from contracting COVID-19 in the workplace. The President will issue Executive Order  Protecting Worker Health and Safety which directs the Occupational Safety and Health Administration (OSHA) to issue updated guidance on COVID-19 worker protections. It also directs OSHA and the Mine Safety and Health Administration (MSHA) to consider whether emergency temporary standards, including with respect to mask-wearing, are necessary. President Biden is taking steps to cover workers not typically covered by OSHA or MSHA by directing agencies like the Department of Transportation to keep workers safe. He has also called on Congress to extend and expand emergency paid leave; to allow OSHA to issue standards covering a broad set of workers, like many public workers on the frontlines; to provide additional funding for worker health and safety enforcement, and to provide grant funding for organizations to help keep vulnerable workers healthy and safe from COVID-19.  
 
Provide guidance and support to safely open businesses. To maintain safe operations during the pandemic, businesses need to know how to change their practices to protect employees and customers. As the conditions of the pandemic continue to evolve and more Americans get vaccinated, the business community needs clear information from the federal government on what to expect and how to adapt their operations. Many businesses affected by the pandemic–particularly the smallest ones–need additional support to adjust their physical spaces and purchase PPE and supplies. The United States will immediately work to prioritize funds under the recent COVID relief package to the companies hardest hit by COVID-19 and in compliance with public health restrictions, ensuring that small businesses have the funds they need to operate safely. Further, the Small Business Administration will work with the Department of Labor to disseminate updated OSHA guidance on worker safety and support businesses in implementing the updated guidance.
 
Promote Safe Travel. Ensuring that people can safely travel will be critical for families and to jumpstarting the economy, which is why the President will issue an executive order that requires mask-wearing on certain public modes of transportation and at ports of entry to the United States. For international air travel, Executive Order Promoting COVID-19 Safety in Domestic and International Travel will require a recent negative COVID-19 test result prior to departure and quarantine on arrival, consistent with CDC guidelines. The Executive Order will also direct agencies to develop options for expanding public health measures for domestic travel and cross-border land and sea travel and calls for incentives to support and encourage compliance with CDC guidelines on public transportation.
 

Goal 6: Protect those most at risk and advance equity, including across racial, ethnic and rural/urban lines.

The COVID-19 pandemic has exposed and exacerbated severe and pervasive health inequities among communities defined by race, ethnicity, geography, disability, sexual orientation/gender identity, and other factors. Addressing this pandemic’s devastating toll is both a moral imperative and pragmatic policy. The federal government will address disparities in rates of infection, illness and death.  Each of the goals of this National Strategy include comprehensive actions that will address these disparities and advance equity. In addition, the United States will:
 
Establish the COVID-19 Health Equity Task Force. The President will issue Executive Order Ensuring an Equitable Pandemic Response and Recovery which establishes a high-level task force to address COVID-19 related health and social inequities and help coordinate an equitable pandemic response and recovery. The Task Force will convene national experts on health equity and provide recommendations on how to mitigate COVID-19 health inequities.
 
Increase data collection and reporting for high risk groups. The fragmented and limited availability of data by race, ethnicity, geography, disability and other demographic variables delays recognition of risk and a targeted response. President Biden will issue the Executive Order Ensuring a Data-Driven Response to COVID-19 and Future High-Consequence Public Health Threats directing federal agencies to expand their data infrastructure to increase collection and reporting of health data for high risk populations, while reaffirming data privacy. Using these data, the federal government will identify high-risk communities, track resource distribution and evaluate the effectiveness of the response. Finally, HHS will optimize data collection from public and private entities to increase the availability of data by race, ethnicity, geography, disability, and other demographic variables, as feasible.
 
Ensure equitable access to critical COVID-19 PPE, tests, therapies and vaccines. The continued surge of COVID-19 highlights the critical importance of meaningful access to PPE, tests, therapies, and vaccines to prevent spread and reduce illness and death in high-risk populations and settings. The federal government will center equity in its COVID-19 response, providing PPE, tests, vaccines, therapeutics and other resources in a fair and transparent way. A targeted, stakeholder- and data-informed vaccination communication campaign will be launched to encourage vaccination in all communities. Additionally, the CDC will work with states and localities to update their pandemic plans. Finally, through prioritizing diverse and inclusive representation in clinical research and strengthening enforcement of anti-discrimination requirements, the federal government will increase access to effective COVID-19 care and treatment.
 
Expand access to high quality health care. The federal government will work to expand affordable coverage to increase access to care during this pandemic, and the Task Force will provide recommendations to align federal incentives with improved clinical outcomes. Specific actions include efforts to increase funding for community health centers, provide greater assistance to safety net institutions, strengthen home- and community-based services, expand mental health care, and support care and research on the effects of long COVID.
 
Expand the clinical and public health workforce, including community-based workers. In order to assure equitable PPE distribution, testing, contact tracing, social support for quarantine and isolation and vaccination, there must be sufficient workforce to serve the communities in greatest need. The federal government will augment the health workforce, including with community based workers, as outlined in Goal Three above, to help fill this critical gap. The federal government will create a United States Public Health Workforce Program of new community based workers to assist with testing, tracing and vaccination. Additionally, it will deploy federal workers to assist with the COVID-19 response in under-resourced areas.
 
Strengthen the social service safety net to address unmet basic needs. With millions of families already struggling pre-pandemic to meet basic needs, including food, housing and transportation, COVID-19 has exacerbated these challenges. These challenges contribute to difficulties by many to adhere to public health guidance regarding social distancing and quarantine/isolation. This Administration is committed to addressing these needs in multiple ways, including providing paid sick leave, child care support, and rental assistance, with requested Congressional appropriations. Additionally, it will undertake agency actions to designate COVID-19 health equity leads and extend eligibility and enrollment flexibilities for select programs during the pandemic, as well work with community-based, multi-sector organizations to align health and social interventions.
 
Support communities most at-risk for COVID-19. The federal government is committed to supporting populations that are most vulnerable to COVID-19. Whether residing in congregate settings (such as prisons, nursing and group homes, and homeless shelters), serving as essential workers, living as a person with a disability, or bearing the burden of chronic medical conditions, these vulnerable populations are disproportionately composed of people of color. The CDC will develop and update clear public health guidance for such high-risk populations and settings to further minimize the risk of COVID infection, and work with states to update their pandemic plans to incorporate such guidance as necessary.

Goal 7: Restore U.S. leadership globally and build better preparedness for future threats.

U.S. international engagement to combat COVID-19, promote health, and advance global health security is urgent to save lives, promote economic recovery, and develop resilience against future biological catastrophes. America’s withdrawal from the world stage has impeded progress on a global COVID-19 response and left the U.S. more vulnerable to future pandemics. The Biden-Harris Administration will restore America’s role in leading the world through global crises, advancing global health security and the Global Health Security Agenda, including by supporting the international pandemic response effort, providing humanitarian relief and global health assistance, and building resilience for future epidemics and pandemics. The President will issue a National Security Directive that directs steps to restore U.S. leadership globally and build better preparedness. In addition, the United States of America will:
 
Restore the U.S. relationship with the World Health Organization and seek to strengthen and reform it. The World Health Organization (WHO) is essential to coordinating the international response to COVID-19 and improving the health of all peopleOn his first day in office, the President sent letters informing the UN Secretary-General and the WHO Director General of his decision to cease the previous Administration’s process of withdrawal from the WHO and meet its financial obligations. The United States is participating in the WHO Executive Board meeting this month, and will take actions to strengthen and reform the WHO.
 
Surge the international COVID-19 public health & humanitarian response. The United States will commit to multilateralism in the international COVID-19 public health and humanitarian response. The President will restore U.S. leadership on the global COVID-19 response and health security, laying out an active role for the United States in surging the health and humanitarian response to COVID-19, and supporting global vaccine distribution and research and development for treatments, tests, and vaccines. The United States will support the Access to COVID-19 Tools (ACT) Accelerator, join the COVID-19 Vaccines Global Access (COVAX) Facility, and seek to strengthen other existing multilateral initiatives, such as the Coalition for Epidemic Preparedness Innovations; Gavi, the Vaccine Alliance; and the Global Fund to Fight AIDS, Tuberculosis, and Malaria. The United States will also take steps to enhance humanitarian relief and support for the capacity of the most vulnerable communities to prevent, detect, respond to, mitigate, and recover from impacts of COVID-19, such as food insecurity and gender-based violence.
 
Restore U.S. leadership to the international COVID-19 response and advance global health security and diplomacy. The United States will promote sustainable global health and global health security, rebuild health security alliances, elevate U.S. efforts to support the Global Health Security Agenda, and revitalize U.S. leadership. The United States will advance global health security financing, promote efforts to harmonize crisis response and early warning for public health emergencies, and strengthen global pandemic supply chains. The United States will also work within the UN Security Council and with partners to strengthen multilateral public health and humanitarian cooperation on the COVID-19 response, global institutions to combat disease, and a global health security architecture to prevent, detect, and respond to future biological threats.
 
Build better biopreparedness and expand resilience for biological threats. The United States is committed to strengthening U.S. biopreparedness and capacity to counter COVID-19 and future biological threats. The President has immediately restored the White House National Security Council Directorate for Global Health Security and Biodefense, originally established by the Obama-Biden administration. He has reconstituted White House and Administration-wide infrastructure for monitoring and responding to emerging biological risks. And to improve the United States’ preparedness, the Administration will work to secure funding and Congressional support to establish an integrated, National Center for Epidemic Forecasting and Outbreak Analytics to modernize global early warning and trigger systems to prevent, detect, and respond to biological threats. The United States will also review and seek to strengthen our pandemic supply chain, public health workforce, medical countermeasure development and distribution, bioeconomic investment and technology-related risks.

_______


[1] https://www.naeyc.org/sites/default/files/globally-shared/downloads/PDFs/our-work/public-policy-advocacy/naeyc_policy_crisis_coronavirus_december_survey_data.pdf

Biden Inaugurated President:’This is our historic moment of crisis and challenge and unity is the path forward’

Joseph R. Biden Jr. takes oath of office of President of the United States (c) Karen Rubin/news-photos-features.com

By Karen Rubin, News-Photos-Features.com

The inauguration of Joe Biden as America’s 46th president would have been historic – the first woman/Black/South Asian vice president, the man who was the youngest US Senator becoming the oldest US president – but it has taken place amid historic circumstances which twisted the traditions and pomp and circumstance that normally accompany the peaceful transition of power. Because for the first time, the transition of power was not peaceful.

The dignitaries, pared down because of the pandemic, and the onlookers exclusively confined to National Guard, Capitol Police and security personnel because of the threat of domestic terrorism, looked out on a sea of flags down the length of the National Mall, where people would have been. And there was no outgoing President on the podium, though there were three prior Presidents: Barack Obama, George W. Bush and Bill Clinton – and no cordial greeting at the White House, gracious tour for the first ladies, or sharing a limousine to the Capitol to demonstrate to the world the essence of democracy: that the loser accepts loss and hands off the office with an aim toward protecting the nation against enemies foreign and domestic.

Two Wednesdays ago, there was an armed insurrection of the Capitol intended to disrupt the certification of Biden as president, the first time the Capitol Building had been invaded since the War of 1812; one Wednesday ago, Donald Trump became the first president impeached for the second time for his part in inciting the insurrection and attempting to overturn a free and fair election, and this Wednesday, “democracy prevailed,” as Biden said in his inaugural.

In every way the man and the message were 180 degrees turned around from Trump’s inauguration four years ago when the theme of Trump’s inaugural address was “American carnage” – that turned out to be his agenda and as he departed, he left 400,000 dead and 24 million sickened by COVID-19; millions facing eviction or foreclosure; millions of jobless; hundreds of thousands of businesses shuttered; civil unrest and hostility not seen since the Civil War.

Biden is completely different, starting with his Inauguration-eve national Memorial to the 400,000 lives lost to COVID-19, with a dramatic lighting display at the Lincoln Memorial Reflecting Pool.

Biden’s inaugural message was focused on “unity”, but not in a Pollyannish-way.

He cast unity as the key to survival – to end the pandemic, to restore economic prosperity, and to save democracy: “To overcome these challenges – to restore the soul and to secure the future of America – requires more than words. It requires that most elusive of things in a democracy: Unity.”

He stressed the need for truth and the end of lies “told for power and for profit” (an actual applause line).

And each of us has a duty and responsibility, as citizens, as Americans, and especially as leaders – leaders who have pledged to honor our Constitution and protect our nation — to defend the truth and to defeat the lies.

His speech was idealistic and uplifting, full of promise and possibility yet remarkably frank:

“Through a crucible for the ages America has been tested anew and America has risen to the challenge. Today, we celebrate the triumph not of a candidate, but of a cause, the cause of democracy,” he said.

“The will of the people has been heard and the will of the people has been heeded. We have learned again that democracy is precious. Democracy is fragile. And at this hour, my friends, democracy has prevailed…”

He listed the litany of unprecedented crises intersecting all at once, saying, “To overcome these challenges – to restore the soul and to secure the future of America – requires more than words. It requires that most elusive of things in a democracy: Unity…

“Today, on this January day, my whole soul is in this: Bringing America together. Uniting our people. And uniting our nation…

“This is our historic moment of crisis and challenge, and unity is the path forward.”

He said, “This is a time of testing. We face an attack on democracy and on truth. A raging virus. Growing inequity. The sting of systemic racism. A climate in crisis. America’s role in the world. Any one of these would be enough to challenge us in profound ways. But the fact is we face them all at once, presenting this nation with the gravest of responsibilities. Now we must step up. All of us.”

In probably the starkest contrast to his precedessor, Biden said, “Take a measure of me and my heart..I pledge this to you: I will be a President for all Americans….I will give my all in your service thinking not of power, but of possibilities. Not of personal interest, but of the public good.” 

But he returned to his theme that overcoming these crises will require all of us.  “It is a time for boldness, for there is so much to do… We will be judged, you and I, for how we resolve the cascading crises of our era…

“May this be the story that guides us. The story that inspires us. The story that tells ages yet to come that we answered the call of history. We met the moment. That democracy and hope, truth and justice, did not die on our watch but thrived. That our America secured liberty at home and stood once again as a beacon to the world…

“That is what we owe our forbears, one another, and generations to follow. So, with purpose and resolve we turn to the tasks of our time. 

“Sustained by faith.  Driven by conviction. And, devoted to one another and to this country we love with all our hearts.”

Here is his inaugural address, highlighted:

President Joseph R. Biden delivers his inaugural address: “Today, on this January day, my whole soul is in this: Bringing America together. Uniting our people. And uniting our nation…This is our historic moment of crisis and challenge, and unity is the path forward.” © Karen Rubin/news-photos-features.com

Inaugural Address of President Joseph R. Biden, Jr.

Chief Justice Roberts, Vice President Harris, Speaker Pelosi, Leader Schumer, Leader McConnell, Vice President Pence, distinguished guests, and my fellow Americans. 

This is America’s day.

This is democracy’s day. 

A day of history and hope.

Of renewal and resolve.

Through a crucible for the ages America has been tested anew and America has risen to the challenge. 

Today, we celebrate the triumph not of a candidate, but of a cause, the cause of democracy.

The will of the people has been heard and the will of the people has been heeded.

We have learned again that democracy is precious.

Democracy is fragile.

And at this hour, my friends, democracy has prevailed.

So now, on this hallowed ground where just days ago violence sought to shake this Capitol’s very foundation, we come together as one nation, under God, indivisible, to carry out the peaceful transfer of power as we have for more than two centuries.
  
We look ahead in our uniquely American way – restless, bold, optimistic – and set our sights on the nation we know we can be and we must be.

I thank my predecessors of both parties for their presence here. 

I thank them from the bottom of my heart. 

You know the resilience of our Constitution and the strength of our nation. 

As does President Carter, who I spoke to last night but who cannot be with us today, but whom we salute for his lifetime of service. 

I have just taken the sacred oath each of these patriots took — an oath first sworn by George Washington. 

But the American story depends not on any one of us, not on some of us, but on all of us.

On “We the People” who seek a more perfect Union.

This is a great nation and we are a good people. 

Over the centuries through storm and strife, in peace and in war, we have come so far. But we still have far to go. 

We will press forward with speed and urgency, for we have much to do in this winter of peril and possibility.

Much to repair.

Much to restore.

Much to heal.

Much to build.

And much to gain. 

Few periods in our nation’s history have been more challenging or difficult than the one we’re in now.

A  once-in-a-century virus silently stalks the country. 

It’s taken as many lives in one year as America lost in all of World War II.

Millions of jobs have been lost.

Hundreds of thousands of businesses closed.

A cry for racial justice some 400 years in the making moves us. The dream of justice for all will be deferred no longer.

A cry for survival comes from the planet itself. A cry that can’t be any more desperate or any more clear. 

And now, a rise in political extremism, white supremacy, domestic terrorism that we must confront and we will defeat.

To overcome these challenges – to restore the soul and to secure the future of America – requires more than words. 

It requires that most elusive of things in a democracy: 

Unity.

Unity.

In another January in Washington, on New Year’s Day 1863, Abraham Lincoln signed the Emancipation Proclamation. 

When he put pen to paper, the President said, “If my name ever goes down into history it will be for this act and my whole soul is in it.”

My whole soul is in it.

Today, on this January day, my whole soul is in this: 

Bringing America together. 

Uniting our people.  

And uniting our nation.

I ask every American to join me in this cause.

Uniting to fight the common foes we face: 

Anger, resentment, hatred.

Extremism, lawlessness, violence.

Disease, joblessness, hopelessness.

With unity we can do great things. Important things.

We can right wrongs.

We can put people to work in good jobs.

We can teach our children in safe schools.

We can overcome this deadly virus.

We can reward work, rebuild the middle class, and make health care 
secure for all.

We can deliver racial justice.

We can make America, once again, the leading force for good in the world.

I know speaking of unity can sound to some like a foolish fantasy. 
 
I know the forces that divide us are deep and they are real.

But I also know they are not new. 

Our history has been a constant struggle between the American ideal that we are all created equal and the harsh, ugly reality that racism, nativism, fear, and demonization have long torn us apart.

The battle is perennial. 

Victory is never assured.

Through the Civil War, the Great Depression, World War, 9/11, through struggle, sacrifice, and setbacks, our “better angels” have always prevailed. 

In each of these moments, enough of us came together to carry all of us forward.

And, we can do so now. 

History, faith, and reason show the way, the way of unity.

We can see each other not as adversaries but as neighbors.

We can treat each other with dignity and respect.

We can join forces, stop the shouting, and lower the temperature.

For without unity, there is no peace, only bitterness and fury.

No progress, only exhausting outrage.

No nation, only a state of chaos.

This is our historic moment of crisis and challenge, and unity is the path forward. 

And, we must meet this moment as the United States of America. 

If we do that, I guarantee you, we will not fail.

We have never, ever, ever failed in America when we have acted together.

And so today, at this time and in this place, let us start afresh.

All of us.

Let us listen to one another.

Hear one another. 

See one another.

Show respect to one another.

Politics need not be a raging fire destroying everything in its path.

Every disagreement doesn’t have to be a cause for total war.

And, we must reject a culture in which facts themselves are manipulated and even manufactured. 

My fellow Americans, we have to be different than this. 

America has to be better than this. 

And, I believe America is better than this.

200,000 flags stand in for people on the National Mall who would have attended the Inauguration of the 46th President of the United States © Karen Rubin/news-photos-features.com

Just look around.

Here we stand, in the shadow of a Capitol dome that was completed amid the Civil War, when the Union itself hung in the balance. 

Yet we endured and we prevailed.

Here we stand looking out to the great Mall where Dr. King spoke of his dream.

Here we stand, where 108 years ago at another inaugural, thousands of protestors tried to block brave women from marching for the right to vote. 

Today, we mark the swearing-in of the first woman in American history elected to national office – Vice President Kamala Harris.

Don’t tell me things can’t change. 

Kamala Harris is administered the oath of office in as the first woman, first Black, first South Asian Vice President of the United States by the first Latina Supreme Court Justice, Sonia Sotomayor (c) Karen Rubin/news-photos-features.com

Because here is the thing about life: There is no accounting for what fate will deal you. 

There are some days when we need a hand. 

There are other days when we’re called on to lend one.

That is how we must be with one another.

And, if we are this way, our country will be stronger, more prosperous, more ready for the future. 

My fellow Americans, in the work ahead of us, we will need each other. 

We will need all our strength to persevere through this dark winter. 

We are entering what may well be the toughest and deadliest period of the virus. 

We must set aside the politics and finally face this pandemic as one nation. 

I promise you this: as the Bible says weeping may endure for a night but joy cometh in the morning. 

We will get through this, together

The world is watching today. 

So here is my message to those beyond our borders: America has been tested and we have come out stronger for it. 

We will repair our alliances and engage with the world once again. 

Not to meet yesterday’s challenges, but today’s and tomorrow’s.  

We will lead not merely by the example of our power but by the power of our example
.

We will be a strong and trusted partner for peace, progress, and security.

We have been through so much in this nation.

And, in my first act as President, I would like to ask you to join me in a moment of silent prayer to remember all those we lost this past year to the pandemic. 

To those 400,000 fellow Americans – mothers and fathers, husbands and wives, sons and daughters, friends, neighbors, and co-workers. 

We will honor them by becoming the people and nation we know we can and should be. 

Let us say a silent prayer for those who lost their lives, for those they left behind, and for our country. 

Amen. 

President Joe Biden leads a silent prayer for those lives lost to COVID-19, now numbering over 400,000 (c) Karen Rubin/news-photos-features.com


This is a time of testing. 

We face an attack on democracy and on truth.

A raging virus.

Growing inequity.

The sting of systemic racism.

A climate in crisis.

America’s role in the world.

Any one of these would be enough to challenge us in profound ways.

But the fact is we face them all at once, presenting this nation with the gravest of responsibilities. 

Now we must step up. 

All of us. 

It is a time for boldness, for there is so much to do.

And, this is certain. 

We will be judged, you and I, for how we resolve the cascading crises of our era. 

Will we rise to the occasion? 

Will we master this rare and difficult hour? 

Will we meet our obligations and pass along a new and better world for our children?

I believe we must and I believe we will. 

And when we do, we will write the next chapter in the American story. 

It’s a story that might sound something like a song that means a lot to me. 

It’s called “American Anthem” and there is one verse stands out for me: 

“The work and prayers
of centuries have brought us to this day
What shall be our legacy?
What will our children say?…
Let me know in my heart
When my days are through
America
America
I gave my best to you.”

Let us add our own work and prayers to the unfolding story of our nation.

If we do this then when our days are through our children and our children’s children will say of us they gave their best. 

They did their duty.

They healed a broken land.

My fellow Americans, I close today where I began, with a sacred oath.

Before God and all of you I give you my word.

I will always level with you.

I will defend the Constitution.

I will defend our democracy.

I will defend America.

I will give my all in your service thinking not of power, but of possibilities.

Not of personal interest, but of the public good. 

And together, we shall write an American story of hope, not fear.

Of unity, not division.

Of light, not darkness.

An American story of decency and dignity.

Of love and of healing. 

Of greatness and of goodness.

May this be the story that guides us.

The story that inspires us.

The story that tells ages yet to come that we answered the call of history.

We met the moment.

That democracy and hope, truth and justice, did not die on our watch but thrived.

That our America secured liberty at home and stood once again as a beacon to the world.

That is what we owe our forbears, one another, and generations to follow.

So, with purpose and resolve we turn to the tasks of our time. 

Sustained by faith. 

Driven by conviction.

And, devoted to one another and to this country we love with all our hearts.

May God bless America and may God protect our troops.

Thank you, America.

Amanda Gorman, national youth poet laureate encapsulated the themes of the inauguration in her galvanizing poem, “The Hill We Climb” © Karen Rubin/news-photos-features.com
Lady Gaga performs the National Anthem at the nation’s 59th Presidential Inauguration © Karen Rubin/news-photos-features.com

Jennifer Lopez sings “This Land is Your Land” at the nation’s 59th Presidential Inauguration © Karen Rubin/news-photos-features.com

Garth Brooks performs “Amazing Grace” at the nation’s 59th Presidential Inauguration © Karen Rubin/news-photos-features.com.

_________________

© 2021 News & Photo Features Syndicate, a division of Workstyles, Inc. All rights reserved. For editorial feature and photo information, go to www.news-photos-features.com, email [email protected]. Blogging at www.dailykos.com/blogs/NewsPhotosFeatures. ‘Like’ us on facebook.com/NewsPhotoFeatures, Tweet @KarenBRubin

Tom Hanks Hosts Dazzling Primetime ‘Celebrating America’ Special for Biden-Harris Inauguration

President Joe Biden and First Lady Jill Biden watch the climatic fireworks display that closed out a sensational Celebrating America primetime Inauguration celebration from the balcony of the White House © Karen Rubin/news-photos-features.com

WASHINGTON — Instead of traditional inaugural balls, the historic Inauguration of President Joe Biden and Vice President Kamala Harris featured a dazzling “Celebrating America” primetime special hosted by Tom Hanks on January 20 from 8:30-10:00 p.m. ET/PT that showcased the American people’s resilience, heroism and unified commitment to coming together as a nation to heal and rebuild.

The capstone prime-time program celebrating the beginning of a new national journey toward an America united, featured remarks from President-elect Biden and Vice President-elect Harris and included remarks, performances that represent the rich diversity and extensive talent America offers, and the American heroes who are helping their fellow Americans through this crisis.

During the primetime special, country artists Tyler Hubbard and Tim McGraw sang a duet and the Black Pumas performed. The program also included DJ Cassidy’s Pass The Mic, featuring Ozuna and Luis Fonsi.
 
The artists joined Lin-Manuel Miranda, Jon Bon JoviAnt Clemons, Foo FightersJohn LegendDemi LovatoBruce Springsteen, and Justin Timberlake in the line-up for the primetime special. Additionally, the special included appearances from actors Kerry Washington and Eva Longoria, Skyhook Foundation Chairman and the NBA’s all-time leading scorer Kareem Abdul-Jabbar, Founder of World Central Kitchen Chef José Andrés, labor leader Dolores Huerta, and the first woman MLB general manager Kim Ng.
  
Some of the American heroes who were featured include:

Anthony Gaskin of Virginia is a UPS driver who was celebrated by a neighborhood along his route for his hard work and dedication during the pandemic.

Cavanaugh Bell, 8, of Maryland made care packages for elderly people, started a pantry with food and essential supplies in his community, and delivered a truck full of supplies to the Pine Ridge Reservation in South Dakota.

Mackenzie Adams of Washington state is a kindergarten teacher at Glenwood Elementary School who went viral for videos of her energetic remote lessons.

Sarah Fuller of Texas is the first woman to play and score in a Power Five college football team. In addition to playing on the Vanderbilt University football team, Fuller helped lead Vanderbilt’s women’s soccer team to an SEC championship.

Morgan Marsh-McGlone, 8, of Wisconsin started a virtual lemonade stand that has raised over $50,000 to feed food insecure families after learning that some kids who used to get meals in school were going hungry because of COVID-19.

Sandra Lindsay of New York is a director of critical care at Northwell Health in New York and is the first American to receive a COVID-19 vaccine outside of a clinical trial. The program will be carried live by ABC, CBS, CNN, NBC, MSNBC, and PBS. It will be streamed live at https://BidenInaugural.org/watch and on PIC social media channels: YouTubeFacebookTwitter, and Twitch. The PIC’s streaming partners, including Amazon Prime Video, Microsoft Bing, NewsNOW from Fox, and AT&T U-verse (Channel 212/1212 in SD/HD) and DIRECTV (Channel 201).

Over the course of five days of programming, “America United” activities honored traditions while safely allowing more Americans than ever before to participate from their own homes. These activities included “United We Serve,” a National Day of Service on January 18, Martin Luther King Jr. Day; a nationwide COVID-19 Memorial to Lives Lost on January 19; and the official Inaugural Ceremonies, a wreath laying on Arlington National Cemetery, and a “Parade Across America” on January 20. The events culminated with the “Celebrating America” program. The Presidential Inaugural Committee also installed an extensive public art display, a “Field of Flags,” which covered the National Mall up to 13th Street with 200,000 flags, to represent the American people who are unable to travel to Washington, DC.

Biden Inauguration Features Virtual Parade Across America

The FDNY EMS Emerald Pipes & Drums will represent New York State in the Inaugural virtual Parade Across America on January 20 at 3:15 PM ET celebrating America’s heroes and highlighting the diversity, heritage, and resilience of the country © Karen Rubin/news-photos-features.com

WASHINGTON — The Biden-Harris Inauguration will feature a virtual “Parade Across America” on January 20 at 3:15 PM ET with diverse, dynamic performances in communities in all 56 states and territories, to celebrate America’s heroes, and highlight the diversity, heritage, and resilience of the country.
 
Additionally, the University of Delaware Drumline and the Howard University Drumline — the alma maters of President-elect Biden and Vice President-elect Harris — will join the Presidential Escort in Washington. They will escort the President-elect and Vice President-elect from 15th Street to the White House and help kick off the “Parade Across America” with live performances.
 
“As a nation, we are strengthened by our respect for one another. By lifting up voices from all walks of life, in every corner of our country, we want the first moments of the Biden-Harris Administration to be a celebration of an inclusive, resilient united America,” said PIC CEO and President of Delaware State University, Tony Allen.
 
Following the Inaugural Ceremonies and a visit to the Arlington National Cemetery, President-elect Biden and Vice President-elect Harris will receive a Presidential Escort from 15th Street to the White House. In addition to the drumlines, the escort will include representatives of every branch of the military, including the U.S. Army Band, a Joint Service Honor Guard, and the Commander-in-Chief’s Guard and Fife and Drum Corps from the 3rd U.S. Infantry “The Old Guard.”
 
The parade will be hosted by actor, director, and producer Tony Goldwyn and feature well-known performers and athletes, including:

Jon Stewart

New Radicals, who will reunite for the first time in 22 years

DJ Cassidy’s Pass The Mic, featuring Earth Wind & Fire, Nile Rodgers, Kathy Sledge, The Trans Chorus of Los Angeles, The Washington Chorus, The Triumph Baptist Church Choir, and everyday Americans

Andra Day, featuring inspirational figure skater Kaitlyn Saunders, also known as The Skate Kid

Olympic athletes, including Nathan Chen, Allyson Felix, and Katie Ledecky

Viral sensation and feel-good skateboarder Nathan Apodaca, also known as DoggFace

The parade will include the United States Coast Guard Band and the U.S. Marine Corps Silent Drill Platoon. It will also feature a Dance Across America, led by director and choreographer Kenny Ortega. The segment will include 275 participants in 30 states and two territories. Additionally, the Ryan Martin Foundation, a wheelchair basketball program, will join the parade.
 
In addition, the parade will feature heroes in communities across the country, including:

Dr. Jason Campbell, the “TikTok Doc,” is a resident in the Department of Anesthesiology in Portland, Oregon. He uses the platform to entertain to lift spirits during the COVID-19 pandemic and connect with young people.

Cathy Cluck is an AP U.S. History teacher at Westlake High School in Austin, Texas. To teach her students during virtual learning, Cathy went on a 15 day road trip to virtually teach history from the places where it happened, highlighting our theme of “Across America” by living it. 

Mama Mikki Stevens is an 80-year old performer from Coeur d’Alene, Idaho, who leads a community-service oriented, musical/comedy performance organization Red Hot Mamas. They have performed in two inaugural parades and three Macy’s Thanksgiving Day Parades. Since the pandemic hit, they have performed in assisted living and retirement home parking lots – parading around the buildings so all the quarantined residents could see the performance.

Jason Zgonc is a 12-year old trumpeter from Atlanta, Georgia who played all summer during hospital workers’ break times to cheer them up. Jason’s piece ends with him in a virtual duet with Ethan Bensdorf, the New York Philharmonic trumpeter who inspired him to do this. 

The parade will also feature performers and speakers in communities across the country:

Colorado: D’Evelyn High School Marching Band

Connecticut: Native American Women’s Veterans Warriors

Delaware: Chinese Cultural Arts Center

Florida: Andrew Jackson High School JR Air Force ROTC

Idaho: Red Hot Mamas

Illinois: South Shore Drill Team

Indiana: Culver Academies

Iowa: Isiserettes Drill and Drum Corps

Louisiana: Youth Empowerment Project (YEP)

Massachusetts: MA Veterans of Foreign Wars Honor Guard

Michigan: Michigan’s Multi-Jurisdictional Mounted Police Drill Team and Color Guard

New Jersey: Teaneck High School Flag Twirlers

New York: FDNY EMS Emerald Pipes & Drums

Nevada: Mariachi Joya – Las Vegas High School

North Carolina: High Country Cloggers

Ohio: Kenton Ridge Marching Cougar Band

Oregon: American Sidesaddle Association

Pennsylvania: Boy Scout Troop 358

Puerto Rico: Puerto Rico Royalty Winterguard, Centenaria Banda Colegio University of Puerto Rico Mayagüez, Latin Power Dance & Arts, Banda Macaná de Guayanilla

South Carolina: 81st Readiness Division

Texas: Kilgore College Rangerettes

USVI: Batons, Dancers, Steel Drums, Street Parade

Virginia: Tragedy Assistance Program For Survivors [TAPS]

International: Military Children Connected Overseas

The event will be livestreamed at https://BidenInaugural.org/watch starting at 3:15 PM ET on January 20 and on the PIC’s social media platforms including YouTubeFacebookTwitter, and Twitch. The PIC’s streaming partners, including Amazon Prime Video, Microsoft Bing, NewsNOW from Fox, and AT&T U-verse (Channel 212/1212 in SD/HD) and DIRECTV (Channel 201), will also carry the program live.

Over the course of five days of programming, “America United” activities will honor inaugural traditions while safely allowing more Americans than ever before to participate from their own homes. These activities include, “United We Serve,” a National Day of Service on January 18, Martin Luther King Jr. Day; a nationwide COVID-19 Memorial to Lives Lost on January 19; and the official Inaugural Ceremonies, a wreath laying on Arlington National Cemetery, and a “Parade Across America,” and a “Celebrating America” primetime program on January 20. The PIC will also install an extensive public art display — a “Field of Flags,” which will cover the National Mall up to 13th Street — to represent the American people who are unable to travel to Washington, DC.

For the latest updates on inaugural programming and activities, visit bideninaugural.org.

Biden, Harris Preside Over Nationwide Memorial to 400,000 Lives Lost to COVID-19

In his first stop after arriving in Washington, D.C. on the eve of his inauguration, President-elect Joe Biden  along with Dr. Jill Biden, Vice President-elect Harris and Douglas Emhoff  participated in a memorial honoring the 400,000 lives lost to COVID-19, as 400 lights lit the Lincoln Memorial Reflecting Pool. This was the first-ever lighting around the reflecting pool of the Lincoln Memorial. “To heal, we must remember.” © Karen Rubin/news-photos-features.com

In his first stop after arriving in Washington, D.C. on the evening before his inauguration, President-elect Joe Biden along with Dr. Jill Biden, Vice President-elect Harris and Douglas Emhoff will participated in a memorial, lighting the Lincoln Memorial Reflecting Pool with 400 lights to honor the 400,000 lives lost to COVID-19. This was the first-ever lighting around the reflecting pool of the Lincoln Memorial.

The memorial featured the lighting around the reflecting pool at the Lincoln Memorial Reflecting Pool, as hundreds of towns, cities, tribes, landmarks, and communities all across the country joined the tribute in a national moment of unity. Iconic buildings like the Empire State Building in New York City and the Space Needle in Seattle, WA were lit in solidarity. Other places across America that participated, included Wilmington, DE, where a short time before, as Biden left for Washington DC, he paid tribute saying “Delaware will always be in my heart.” Also, Oakland, CA; Miami, FL; Atlanta, GA; Chicago, IL; Dearborn, MI; Las Vegas, NV; Philadelphia, PA; Scanton, PA; Charleston, SC; Houston, TX; and tribal lands throughout the nation.
 
In brief, but poignant and moving remarks, Biden said, “To heal, we must remember. And it is hard sometimes to remember, but that’s how we heal. It is important to do that as a nation. That is why we are here today. Between sundown and dusk, let us shine the lights in the darkness along this sacred pool of reflection and remember all who we have lost.”

Harris said, “We gather tonight, a nation in mourning, to pay tribute to the lives we have lost. A grandmother or grandfather who was our whole world. A parent, partner, sibling, or friend who we still cannot accept, is no longer here. And for many months, we have grieved by ourselves. Tonight, we grieve —and begin healing — together.
 
“Though we may be physically separated, we, the American people, are united in spirit. And my abiding hope, my abiding prayer, is that we emerge from this ordeal with a new wisdom. To cherish simple moments. To imagine new possibilities. And to open our hearts, just a little more, to one another.”

They were joined by:

Cardinal Wilton Gregory, Archbishop of Washington, who will deliver the Invocation;

Yolanda Adams, a nationally-recognized gospel singer who will sing Hallelujah;

Lori Marie Key, with Saint Joseph Mercy Health System in Michigan who will sing Amazing Grace.

After Key sang “Amazing Grace,” Biden said, “I mean this from the bottom of my heart, if there are any angels in Heaven they are all nurses. We know from our family experience the courage and pain you observe for others. Thank you.”

“The inauguration of President-elect Joe Biden and Vice President-elect Kamala Harris represents the beginning of a new national journey — one that renews its commitment to honor its fallen and rise toward greater heights in their honor. In that spirit, it is important that we pay tribute to those we have lost — and their families — and come together to unite our country, contain this virus, and rebuild our nation,” said PIC CEO and President of Delaware State University Tony Allen.
 
Yolanda Adams triumphantly carries the torch for contemporary gospel and inspirational music. With 13 releases Yolanda has earned a multitude of accolades including four Grammy Awards and selling nearly 10 million albums worldwide. Not only is Yolanda a phenomenal vocalist, but she is also an author, record company executive, fashion designer, mother, and the host on her award-winning nationally syndicated radio show “The Yolanda Adams Morning Show.” Adams grew up in Houston, Texas. After graduating from Texas Southern University, she began a career as a schoolteacher and part-time model in Houston. Yolanda first began to garner attention for her singing in 1982. She released her breakthrough album “Mountain High… Valley Low” in 1999.
 
Lori Marie Key, RN is a 29-year old nurse who worked in her hospital’s COVID-19 unit. She gained prominence in April after a video was circulated over the internet of her singing Amazing Grace during a shift change at St. Mary Mercy Hospital in Livonia, MI, part of Saint Joseph Mercy Health System, which is a member of national health system Trinity Health. Lori Marie Key appeared on Good Morning America, and she was named Nurse of the Week by “Daily Nurse.” 
 
Cardinal Wilton Gregory is the seventh Archbishop of the Archdiocese of Washington and the first African American Cardinal in the Roman Catholic Church. Cardinal Gregory grew up in Chicago where he was ordained a priest of the Archdiocese of Chicago on May 9, 1973, and three years after his ordination began graduate studies at the Pontifical Liturgical Institute (Sant’ Anselmo) in Rome. There, he earned his doctorate in sacred liturgy in 1980. Cardinal Gregory has served in many leading roles in the Catholic Church including as President of the U.S. Conference of Catholic Bishops (USCCB) from 2001 – 2004. During his tenure in office, the crisis of sex abuse by Catholic clergy escalated; and under his leadership, the bishops implemented the “Charter for the Protection of Children and Young People.” The Charter also includes guidelines for reconciliation, healing, accountability, and prevention of future acts of abuse.

Presidential Inauguration Events Get Underway. Here’s How to Participate

Capitol Building, Washington DC, decorated for inauguration of President Barack Obama, January 2009 (c) Karen Rubin/news-photos-features.com

Joe Biden might not get the grand, celebratory inauguration that is traditional (though he did have the largest, with Barack Obama in 2008, and again in 2012 so he knows what it is like), but there is still great programming. Much as the sensational and inspiring Democratic National Convention which was mostly virtual, the Presidential Inaugural Committee (PIC) has planned many events for the inauguration of Joseph R. Biden, Jr. as the 46th President and Kamala D. Harris as Vice President (and first woman) to celebrate the beginning of a new national journey toward an America united.

Over the course of five days of programming, “America United” activities will honor our traditions while safely allowing more Americans than ever before to participate from their own homes.

For the full schedule of events, click here.

Saturday January 16th
America United: An Inauguration Welcome Event Celebrating America’s Changemakers: On Saturday, January 16, the PIC will host a welcome event to celebrate America, reflect and honor our history, and highlight the incredible diversity of the nation. Featuring musical performances, celebrity appearances, and remarks from some of the most popular leaders from across the country, the event will kick off five days of programming leading into the inauguration. The event will stream live on Saturday, January 16, from 7:00-8:30 PM ET at bideninaugural.org and on PIC social media platforms.

Monday January 18th
United We Serve: A Celebration of the National MLK Day of Service: On Monday, January 18, 2021, thousands of volunteers across the country will participate in the National Day of Service – an opportunity for all Americans to unite and serve at a time when the global pandemic calls on us to work together and support our communities. Find an event near you here.

The day will culminate in an hour-long celebration that will feature a diverse array of entertainers, inspiring speakers, and stories celebrating the legacy of Martin Luther King Jr. and the Biden-Harris Administration’s commitment to service. The event will stream live on Monday, January 18, from 8:00-9:00 PM ET at bideninaugural.org and on PIC social media platforms.

If you haven’t signed up to volunteer yet, it’s not too late! So many volunteer organizations are in need right now, and our goal is to encourage everyone to find an organization they can volunteer with, not only on Monday, but throughout the year. Join in honoring the life and legacy of Dr. King by signing up to volunteer and spreading the word among friends, family, and neighbors.

Tuesday January 19th
Nationwide COVID-19 Memorial: On Tuesday, January 19th, the PIC will host a memorial to remember and honor the lives lost to COVID-19 as part of inaugural activities. A Washington, D.C. ceremony on Tuesday, January 19, will feature a lighting around the Lincoln Memorial Reflecting Pool, and PIC is inviting cities and towns around the country to join in illuminating buildings and ringing church bells at 5:30 p.m. ET in a national moment of unity and remembrance. The event will stream live on Tuesday, January 19, from 5:30-6:30 PM ET at bideninaugural.org and on PIC social media platforms.

Wednesday January 20th
Inauguration: On Wednesday, January 20, the 59th Inaugural Ceremonies will begin broadcasting at 10:00 AM ET. At noon, Joseph R. Biden, Jr. and Kamala D. Harris will be sworn in as President and Vice President of the United States on the West front of the U.S. Capitol.

Pass In Review: After the official swearing-in ceremony on the West front of the U.S. Capitol, the President, Dr. Biden, Vice President, and Mr. Emhoff will participate in a Pass In Review on the East front with members of the military. Pass In Reviews are a long-standing military tradition that reflect the peaceful transfer of power to a new Commander-in-Chief.

Arlington National Cemetery Wreath Laying Ceremony at the Tomb of the Unknown Soldier: The President, Dr. Biden, the Vice President, and Mr. Emhoff will visit Arlington National Cemetery following the swearing-in ceremony and Pass In Review at the U.S. Capitol following the Inaugural ceremonies. They will be joined by President Barack Obama and Michelle Obama, President George W. Bush and Laura Bush, and President Bill Clinton and Secretary Hillary Clinton.

Presidential Escort and Parade Across America: The President will receive a Presidential Escort to the White House. This will be followed by a “Parade Across America,” which will be televised for the American people and feature diverse, dynamic performances in communities across the country.

“Celebrating America” Primetime Special: This will be the capstone prime-time program for the inauguration of Joseph R. Biden, Jr. and Kamala D. Harris to celebrate the beginning of a new national journey toward an America united. This night will be hosted by Tom Hanks on January 20 from 8:30-10:30 pm. ET and will showcase the American people’s resilience, heroism, and unified commitment to coming together as a nation to heal and rebuild. 

Eva Longoria and Kerry Washington will introduce segments throughout the night ranging from stories of young people making a difference in their communities to musical performances. Foo Fighters, John Legend, Bruce Springsteen, Demi Lovato, Justin Timberlake, Ant Clemons, and Jon Bon Jovi will perform from iconic locations across the country, with additional performances to be announced. 
 
The program will be carried live by ABC, CBS, CNN, NBC, MSNBC, and PBS. It will be streamed live on PIC social media channels: YouTube, Facebook, Twitter, and Twitch. The PIC’s streaming partners, including Amazon Prime Video, Microsoft Bing, NewsNOW from Fox, and AT&T DIRECTV and U-verse, will also be carrying the program live.

Events will be live streamed at bideninaugural.org and on the PIC’s social media platforms, including YouTube, Facebook and Twitter.

Memo from Incoming White House Chief of Staff Ron Klain to Incoming White House Senior Staff on First 10 Days of Biden Administration

(Psst: I’m sharing with you inside information on Joe Biden’s first actions in the first days of becoming President of the United States. Has anyone been this prepared, this ready from Day One to act on what was promised during the campaign? Or for that matter, to have key appointments and personnel standing by.)
White House, Washington DC (c) Karen Rubin/news-photos-features.com
Memo from Incoming White House Chief of Staff Ron Klain to Incoming White House Senior Staff on the First Ten Days of the Administration
From:         Ron Klain, Chief of Staff
To:               Incoming White House Senior Staff
Re:               Overview of First Ten Days
Date:           January 16, 2021
  President-elect Biden is assuming the presidency in a moment of profound crisis for our nation. We face four overlapping and compounding crises: the COVID-19 crisis, the resulting economic crisis, the climate crisis, and a racial equity crisis. All of these crises demand urgent action. In his first ten days in office, President-elect Biden will take decisive action to address these four crises, prevent other urgent and irreversible harms, and restore America’s place in the world. 

During the campaign, President-elect Biden pledged to take immediate action to start addressing these crises and build back better. As president, he will keep those promises and sign dozens of executive orders, presidential memoranda, and directives to Cabinet agencies in fulfillment of the promises he made. These executive actions will deliver relief to the millions of Americans that are struggling in the face of these crises. President-elect Biden will take action — not just to reverse the gravest damages of the Trump administration — but also to start moving our country forward.

These actions will change the course of COVID-19, combat climate change, promote racial equity and support other underserved communities, and rebuild our economy in ways that strengthen the backbone of this country: the working men and women who built our nation. While the policy objectives in these executive actions are bold, I want to be clear: the legal theory behind them is well-founded and represents a restoration of an appropriate, constitutional role for the President. 

Full achievement of the Biden-Harris Administration’s policy objectives requires not just the executive actions the president-elect has promised to take, but also robust Congressional action. The president-elect made the case for his first major legislative proposal earlier this week, and will continue to advance legislative solutions to critical problems, such as in the immigration bill he will send to Congress on his first day in office; the build back better recovery proposal to create millions of good-paying union jobs that he will unveil in the coming weeks; and his ongoing support for legislation related to voting rights, the minimum wage, combatting violence against women, and more. 

In order to highlight the actions the president-elect is taking, we are spreading these initial executive actions over a ten-day period. An outline of the president-elect’s plan for this period appears below. This list is not exhaustive; additional actions will be added as they complete a final legal clearance process.

On Inauguration Day, President-elect Biden will sign roughly a dozen actions to combat the four crises, restore humanity to our immigration system, and make government function for the people. As previously announced, he will ask the Department of Education to extend the existing pause on student loan payments and interest for millions of Americans with federal student loans, re-join the Paris Agreement, and reverse the Muslim Ban. The president-elect will launch his “100 Day Masking Challenge” by issuing a mask mandate on federal property and inter-state travel — part of a critical effort to begin to bend the curve on COVID. And, we will take action to extend nationwide restrictions on evictions and foreclosures and provide more than 25 million Americans greater stability, instead of living on the edge every month. 

On January 21, the president-elect will sign a number of executive actions to move aggressively to change the course of the COVID-19 crisis and safely re-open schools and businesses, including by taking action to mitigate spread through expanding testing, protecting workers, and establishing clear public health standards. 

On January 22, the president-elect will direct his Cabinet agencies to take immediate action to deliver economic relief to working families bearing the brunt of this crisis. 

Between January 25 and February 1, the president-elect will sign additional executive actions, memoranda and Cabinet directives. The president-elect will fulfill his promises to strengthen Buy American provisions so the future of America is made in America. He will take significant early actions to advance equity and support communities of color and other underserved communities. He will take action to begin fulfilling campaign promises related to reforming our criminal justice system. The president-elect will sign additional executive actions to address the climate crisis with the urgency the science demands and ensure that science guides the administration’s decision making. President-elect Biden will take first steps to expand access to health care – including for low-income women and women of color. He will fulfill his promises to restore dignity to our immigration system and our border policies, and start the difficult but critical work of reuniting families separated at the border. And, President-elect Biden will demonstrate that America is back and take action to restore America’s place in the world. 

As noted above, this list is not comprehensive. More items and more details will be forthcoming in the days ahead.

Of course, these actions are just the start of our work. Much more will need to be done to fight COVID-19, build our economy back better, combat systemic racism and inequality, and address the existential threat of the climate crisis. But by February 1st, America will be moving in the right direction on all four of these challenges — and more — thanks to President-elect Joe Biden’s leadership. 

Biden Elevates Science to Cabinet Rank: ‘Science is about Discovery, Hope, Possibility’

March for Science in New York City, 2017. Americans are hungry to restore America’s global leadership in science and technology and the breakthroughs that benefit humanity. Said Biden in announcing his team of science advisors, “We know that science is discovery, not fiction. It’s also about hope. And that’s America. It’s in the DNA of this country. We’re on the cusp of some of the most remarkable breakthroughs that will fundamentally change our way of life. We can make more progress in the next 10 years than we made in the last 50 years. But we also face some of the most dire crises in generations, where science is critical to whether we meet this moment of peril with the promise we know that is in reach.”  © Karen Rubin/news-photos-features.com

Everything about Joe Biden who takes the oath of office of President of the United States on January 20 at 12:01 pm is polar opposite his predecessor, but is most clear in his focus, emphasis and respect for science. And each one of his speeches announcing his administration appointments could stand as an Inaugural Address – again, polar opposite to “American Carnage” that turned out not to be an assessment but Trump’s agenda. Each of his nominees and appointees has been expert, experienced, intelligent and dedicated to their mission as well as public service. In announcing his key science advisors, Biden said that the single word he used to explain the United States was “possibilities.”

That’s what the people on this stage — and the departments they will lead — represent.  They are the ones asking the most American of questions — what’s next? What is the next big breakthrough? How can we make the impossible possible?

“They were asking questions as a call to action. To inspire. To help us imagine the future and figure out how to make it real and improve the lives of the American people…

“We know that science is discovery, not fiction. It’s also about hope. And that’s America. It’s in the DNA of this country. We’re on the cusp of some of the most remarkable breakthroughs that will fundamentally change our way of life. We can make more progress in the next 10 years than we made in the last 50 years. But we also face some of the most dire crises in generations, where science is critical to whether we meet this moment of peril with the promise we know that is in reach.”

Biden has  charged his team to focus on five key areas: the pandemic and public health; the economy and shared prosperity; solving the climate crisis with American jobs; restoring America’s technological leadership in the global marketplace; and ensuring health and trust in science and technology in the nation.

“These are each questions that are calls to action.”  

Biden nominated:

Dr. Eric Lander to be Presidential Science Advisor and Director of the Office of Science and Technology Policy, an office that is being elevated to Cabinet rank.

Biden appointed:

Dr. Alondra Nelson as Deputy Director of the Office of Science and Technology Policy

Dr. Frances Arnold  as Co-Chair of the President’s Council of Advisors on Science and Technology, the first American woman to win a Nobel Prize in Chemistry

Dr. Maria Zuber as Co-Chair of the President’s Council of Advisors on Science and Technology

Dr. Francis Collins will stay on as Director of the National Institutes of Health

Biden added, “to the American people, this is the team that will help restore your faith in America’s place on the frontier of science and discovery and hope.”

Here is a highlighted transcript of his remarks in Wilmington, Del., January 16, 2021 announcing his key science advisors: –Karen Rubin/news-photos-features.com

Good afternoon.

Two of the most extraordinary, yet least known, departments at the White House are the Office of Science and Technology Policy and the President’s Council of Advisors on Science and Technology.

They are composed of some of the most brilliant scientific minds in the world.

When I was vice president I had an intense interest in everything they were doing and I paid enormous attention to these issues. 

As president, I’ll pay great attention to these issues again. 

When I travelled the world as vice president, I was often asked to explain America to other world leaders. 

And I remember one conversation vividly I had with Xi Jinping, the Chinese leader. 

He asked me if I could explain America to him. And I said, “Yes, I could. In one word: Possibilities.”

Possibilities.

That’s what the people on this stage —  and the departments they will lead — represent. 

They are the ones asking the most American of questions — what’s next? What is the next big breakthrough? How can we make the impossible possible?

And they weren’t just asking questions for the sake of it.

They were asking questions as a call to action.

To inspire. To help us imagine the future and figure out how to make it real and improve the lives of the American people.

This the team that asks us to imagine every home in America being powered by renewable energy within the next 10 years.

Imagine 3D printers restoring tissues after traumatic injuries and hospitals printing organs for organ transplants.

Imagine, and then rally the scientific community to do it. 

Using science, data, and discovery was a governing philosophy of the Obama-Biden administration.

On everything from the economy and environment, to criminal justice reform and national security. And, on health care.

For example, a belief in science led to our efforts to map the human brain and to develop more precise and individualized medicine.

And it led to our ongoing mission to end cancer as we know it — something that is deeply personal to my family, to Kamala’s family, and countless families across America.

When President Obama asked me to lead the Cancer Moonshot, I knew we had to inject a sense of urgency in the fight.

We believed we could double the rate of progress and do in five years what would take ten.

Jill and I traveled around the country and the world, meeting with thousands of cancer patients and their families, physicians, researchers, philanthropists, technology leaders, and heads of states.

We sought to better understand and break down the silos and stovepipes that prevent sharing of information and impede advances in cancer research and treatment, while building a focused and coordinated effort at home and abroad.

We made progress, but there is so much more we can do.

When I announced that I would not run for president in 2015, I said that I had only one regret  —  that I wouldn’t be the president who presided over the end of cancer as we know it. 

As president, I will do everything we can to get it done. 

It will be a top priority for me and Kamala, and a signature issue for Jill as First Lady.

We know that science is discovery, not fiction. It’s also about hope.

And that’s America. It’s in the DNA of this country.

We’re on the cusp of some of the most remarkable breakthroughs that will fundamentally change our way of life.

We can make more progress in the next 10 years than we made in the last 50 years.

But we also face some of the most dire crises in generations, where science is critical to whether we meet this moment of peril with the promise we know that is in reach.

In 1944, President Franklin Roosevelt asked his science advisor: how could the United States further advance scientific research in the crucial years following the Second World War. The response led to some of the most groundbreaking discoveries over the last 75 years. 

We can do it again.

So today, I am proud to announce the team of some of the country’s most brilliant and accomplished scientists to lead the way. 

I’m asking them to focus on five key areas to start.

First, the pandemic and what can we learn about what is possible,  or what should be possible, to address the widest range of our public health needs?

Second, the economy, and how can we build back better to ensure prosperity is fully shared across America and among all Americans?

Third, how can science help us confront the climate crisis with American jobs and ingenuity?

Fourth, how can we ensure the United States leads the world in the technologies and industries of the future that will be critical to our economic prosperity and national security, especially as we compete with China and other nations?

And fifth, how can we ensure the long-term health and trust in science and technology in our nation? 

These are each questions that are calls to action.

And I am honored to announce the team that is answering the call to serve.

As Presidential Science Advisor and Director of the Office of Science and Technology Policy — I nominate Dr. Eric Lander.

A pioneer in the scientific community. A principal leader of the Human Genome Project.

It’s not hyperbole to suggest that Dr. Lander’s work has changed the course of human history.

His role in helping us map the genome pulled back the curtain on human disease, allowing scientists ever since — and for generations to come — to explore the molecular basis for some of the most devastating illnesses affecting our world.

And the applications of his pioneering work are poised to lead to incredible cures and breakthroughs in the years to come.  Dr. Lander now serves as the president and founding director of the Broad Institute at MIT and Harvard — the world’s foremost non-profit genetic research organization.

I came to appreciate Dr. Lander’s extraordinary mind when he served as a Co-Chair of the President’s Council of Advisors on Science and Technology during the Obama-Biden administration.

I’m grateful we can work together again.

I have always said that the Biden-Harris administration will also lead with science and truth.

That’s how we’re going to overcome this pandemic and build our country back better than before. And that’s why, for the first time in history, I will be elevating the Presidential Science Advisor to Cabinet rank.

As Deputy Director of the Office of Science and Technology Policy, I appoint Dr. Alondra Nelson.

A professor at the Institute for Advanced Study in Princeton. President of the Social Science Research Council.

And one of America’s leading scholars, an award-winning author and researcher exploring the connections between science and our society.

The daughter of a military family — her Dad served in the Navy, while her mom was an Army cryptographer.

Dr. Nelson developed a love of technology from a young age — tinkering with the early computing products and code-breaking equipment she grew up with in her home.

And that passion forged a lifelong curiosity about the inequities and the power dynamics that sit beneath the surface of scientific research and the technologies we build.

Dr. Nelson has fused those insights into science and technology and society, like few before her in history.

Breaking new ground in our understanding of the role that science plays in American life, and opening the door to a future in which science better serves all people.

As Co-Chair of the President’s Council of Advisors on Science and Technology, I appoint Dr. Frances Arnold.

Director of the Rosen Bioengineering Center at CalTech. One of the world’s leading experts in protein engineering. A lifelong champion of renewable energy solutions who has been inducted into the National Inventors Hall of Fame.

Not only is she the first woman to be elected to all three of the National Academies of Science, Medicine, and Engineering, she is also the first American woman to win the Nobel Prize in Chemistry. 

A daughter of Pittsburgh — she worked as a cab driver and a jazz club server before making her way to Princeton and Berkeley and a career on the leading edge of human discovery.

She survived breast cancer, and overcame tragic losses in her family, while rising to the top of a field still overwhelmingly dominated by men.

Her passion has been a steadfast commitment to renewable energy for the betterment of our planet and of humankind.

She is an inspiring figure to scientists across fields and across nations.

And I want to thank Dr. Arnold for agreeing to join us as Co-Chair of the first all-woman team to lead the President’s Council of Advisors on Science and Technology, which leads me to the next member of the team.

As Co-Chair of the President’s Council of Advisors on Science and Technology, I appoint Dr. Maria Zuber.

A trailblazing geophysicist and planetary scientist. 

A former chair of the National Science Board.

The first woman to lead a science department at MIT, and the first woman to lead a NASA robotic planetary mission.

Growing up in coal country — in a small town in Carbon County, Pennsylvania, about 50 miles south of Scranton — she dreamed of exploring outer space.

Reading every book she could find and listening to her mom’s stories about watching the earliest rocket launches on television.

Maria became the first person in her family to go to college — and never let go of her dream.

Today, she oversees the Lincoln Laboratory at MIT and leads the institution’s Climate Action Plan.

She has played a leadership role in ten NASA missions.

Her groundbreaking work in planetary mapping has generated some of the most accurate  topographic maps humanity has ever produced of the Moon and of Mars.

Not only is she an explorer of outer space, she is one of our most accomplished explorers in generations.

I am honored that she has agreed to answer this call to service and to help us chart new courses of discovery.

Finally, I am pleased to announce that Dr. Francis Collins, who could not be here today, will stay on as Director of the National Institutes of Health at this critical moment.

I’ve known Dr. Collins for many years and worked with him closely. He is brilliant, a pioneer, and a true leader.

Above all, he is a model public servant and I am honored and thankful to be working with him again. 

To each of you and your families, thank you for your willingness to serve in the administration.

And to the American people, this is the team that will help restore your faith in America’s place on the frontier of science and discovery and hope.

Biden Outlines COVID-19 Vaccination Plan: More Sites, More Vaccinators, More Cooperation Between Fed, Local Health

State and local public health officials have been frustrated by limited supply and vaccinators even as they try to expand COVID-19 vaccination sites. President-Elect Joe Biden announced his detailed plan to dramatically increase vaccinations, with a goal of 100 million in his first 100 days © Karen Rubin/news-photos-features.com

With a promise to “manage the hell out of this thing,” President-Elect Joe Biden laid out a cogent, detailed, realistic plan to “efficiently and equitably vaccinate” the population, with a pledge to administer 100 million doses in his first 100 days.

Biden plans to use a “whole of government,”  “whole of society” approach, enlisting FEMA, the Defense Production Act, the National Guard, to set up federally manned and funded sites including mobile clinics to complement local communities, and increase supply of vaccines and vaccinators.

Our plan is as clear as it is bold:

“Get more people vaccinated for free.

“Create more places for them to get vaccinated.

“Mobilize more medical teams to get shots into peoples’ arms.

“Increase supply and get it out the door as soon as possible.

“This will be one of the most challenging operational efforts ever undertaken by our country.

“You have my word that we will manage the hell out of this operation.”

Biden continued
:

“For God’s sake, wear a mask for yourself, for your loved ones, for your country,” he declared in remarks from Wilmington on January 15. “These are life and death matters. We need you to stick with the hand washing, social distancing, and avoid indoor gatherings with people outside your household.

“We’ll be a partner to the states and cities, so where things are working, we’ll help do more of the good work, and where things can improve, we’ll bring more resources to bear to get folks tested and vaccinated.

“We will work closely with nonprofits and the private sector who we know all want to partner with us in this effort. 

“The more people we vaccinate and the faster we do it, the sooner we can put this pandemic behind us.

“And the sooner we can build our economy back better, and get back to our lives and loved ones.

“As we’ve seen during this pandemic, we can’t solve our problems as a divided nation.

“The only way we come through this is together as fellow Americans and as the United States of America.

“Vice-President-elect Harris and I ran on that vision. And starting noon on Wednesday, that is exactly how we are going to govern and ask for your help.”

Here’s Biden’s plan:

The COVID-19 pandemic is getting worse by the day — more people are hospitalized with COVID-19 than ever before, the death rate is up almost 20 percent, and we’re nearing 400,000 deaths total. At the same time, there is a new, more contagious strain spreading across the country and we are woefully behind on vaccinating the U.S. population. 

President-elect Biden will confront this historic challenge with the full strength of the federal government — working closely with local communities already in the trenches. He will lead an unprecedented, whole-of-society effort that mobilizes every resource available — across the public and private sectors. It will take every American doing their part. 

As we move forward to get vaccines in arms as quickly as possible, we will not leave anyone behind. Communities across the country are counting on it. The health and economic security of our nation depend on it.

Today, the president-elect outlined key highlights of his plan to efficiently and equitably vaccinate the U.S. population. This includes taking action to: 

Get more people vaccinated

  • Encourage states to allow more people to be vaccinated including individuals 65 and older as well as frontline workers. The process of establishing priority groups was driven by science, but the implementation has been too rigid and confusing. We now see doses of vaccines sitting in freezers unused while people who want the vaccine cannot get it. President-elect Biden’s plan encourages states to open up eligibility beyond healthcare workers and long-term care facility residents and staff, to include frontline essential workers like teachers, first responders, grocery store employees, and anyone who is 65 and older. It won’t mean that everyone in these groups will get vaccinated immediately, as supply is not where it needs to be. But it will mean that as vaccines become available, they will reach more people who need them. For states with the capacity and supply to further expand, we encourage that as well. The federal government will continue to look to the CDC Advisory Committee on Immunization Practices (ACIP) framework for an equitable, effective vaccination program.
  • Ensure equity throughout the vaccination process to reach those in hard-to-reach, marginalized communities. We will ensure that there is equity in the vaccination process by using data to target resources to hard-hit communities, ensuring no out-of-pocket costs for vaccinations, and equitable access to vaccines in marginalized and medically-underserved communities. Partnerships with state, local and community-based organizations and trusted health care providers, like community health centers, will be central to this effort.

Create more vaccination sites

  • Stand up new, federally-supported community vaccination centers across the country. Getting as many people vaccinated as quickly as possible will require close coordination between the federal government and all states and territories. Knowing that not all states and jurisdictions have the resources to scale vaccinations at the pace this crisis demands, the Biden-Harris administration will leverage federal resources and emergency contracting authorities to launch new vaccination sites and to expand state and local efforts across the country. With the support of Federal Emergency Management Administration (FEMA), these sites will mobilize thousands of clinical and non-clinical staff and contractors who will work hand-in-glove with the National Guard and state and local teams. The program will be scaled based on what is working best on the ground for state and local partners, and the communities they serve. 
  • Fully reimburse state deployment of the National Guard to support vaccinations and provide additional FEMA assistance. Many states are planning to use their National Guard to support vaccine distribution efforts, including to support critical transportation and logistics functions. To further support states, President-elect Biden’s plan fully reimburses states for the use of the National Guard and provides 100% cost match for state and local emergency costs through FEMA.
  • Launch mobile vaccination clinics and provider partnerships to reach underserved urban areas and rural communities. President-elect Biden will deploy mobile vaccination clinics in the most hard-to-reach communities and to support those who face challenges accessing vaccination sites, including individuals who live in underserved urban and rural areas. The federal government will partner with states and local providers, including primary care providers, to ensure that they have the resources needed to help get vaccines to the communities they serve. The federal government will launch targeted programs to engage community health centers, rural health clinics, critical access hospitals, and tribal health services to ensure that we can meet the needs of all communities. 
  • Make vaccines available in pharmacies. Millions of Americans turn to their local pharmacies every day for their medicines, flu shots, and much more. Nearly 90 percent of Americans live within five miles of a pharmacy. President-elect Biden will quickly jumpstart efforts to increase capacity at chain and independent pharmacies across the country to get Americans vaccinated. 
  • Launch a new partnership with Federally Qualified Health Centers nationwide. Federally Qualified Health Centers (FQHCs) serve more than 30 million patients each year — one in 11 people nationwide. Many are people of color and many live in rural communities. FQHC patients are often individuals struggling to make ends meet. Given the critical role that these providers play in their communities, President-elect Biden will launch a new program to ensure that FQHCs can directly access vaccine supply where needed. At the same time, the administration will encourage jurisdictions to engage and work closely with health centers in their community vaccination planning. And to ensure that health centers have the resources they need to successfully launch vaccination programs, President-elect Biden has called on Congress to provide additional funds to support community health centers, and HHS will launch a new program to provide guidance, technical assistance, and other resources to prepare and engage these providers nationwide. 
  • Launch new models to serve high-risk individuals. The administration will make programs available for high-risk congregate settings, including homeless shelters, jails, and institutions that serve individuals with intellectual and developmental disabilities.

Increase supply and get it out the door as quickly as possible

  • Ensure a robust vaccine supply and spur manufacturing. To help people get vaccinated more quickly, the president-elect will maximize the manufacture of vaccine and vaccine supplies for the country, including using the Defense Production Act. This effort will prioritize supplies that could cause bottlenecks, including glass vials, stoppers, syringes, needles, and the “fill and finish” capacity to package vaccine into vials.
  • Be a reliable partner for states by providing actionable data on vaccine allocation timelines and delivery. To effectively plan and scale distribution, states and localities rely on both advanced understanding of their allocations and timely delivery of their ordered doses. Under President-elect Biden’s plan, the federal government will provide regular projections of the allocations states and localities will receive. The federal government will build on the operational plans in place to ensure the effective distribution, storage, and transit of vaccines to states, including support for maintaining or augmenting the vaccine-specific required cold chain. The federal government will also fully leverage the Defense Production Act to fill any distribution gaps, including with respect to any needed refrigeration, transportation, or storage facilities. 
  • Increase vaccine availability while maintaining a commitment to the two-dose schedule. President-elect Biden’s plan will release the vast majority of the vaccines when they are available, so more people can get vaccinated quickly, while still retaining a small reserve for any unforeseen shortages or delays. To continue ensuring second-dose availability on the timeline recommended by the FDA, the Biden-Harris administration will closely monitor development, production and release of vaccines, and use the DPA as needed to ensure adequate supply for second doses on the timeline recommended by the FDA. 

Mobilize more personnel to get shots in arms. 

  • Surge the public health workforce to support the vaccination effort. A diverse, community-based public health workforce is essential to an effective vaccination program. President-elect Biden will address workforce needs by taking steps to allow additional qualified professionals to administer vaccines and strongly encourage states to use their flexibility fully to surge their workforce, including by expanding scope of practice laws and waiving licensing requirements as appropriate. The federal government, in partnership with states, will provide appropriate training, including thorough use of the U.S. Public Health Service Commissioned Corps. The president-elect will also act swiftly to amend the current COVID-19 Public Readiness and Emergency Preparedness Act declaration to permit certain qualified professionals, including retired medical professionals, that are not licensed under state law to administer vaccines to be able to do so with appropriate training in order to expand the number of qualified professionals able to administer the vaccine. 
  • Mobilize a public health jobs program to support COVID-19 response. President-elect Biden has asked Congress to make an historic investment in expanding the public health workforce, funding 100,000 public health workers to nearly triple the country’s community health roles. These individuals will be hired to work in their local communities to perform vital tasks like vaccine outreach and contact tracing in the near term, and to transition into community health roles to build our long-term public health capacity that will help improve quality of care and reduce hospitalization for low-income and underserved communities.

Ensure the American people have the information and confidence they need to get vaccinated 

  • Launch a federally led, locally focused public education campaign. The federal government will build public trust through increased transparency, communication around progress and setbacks, and a public education campaign that addresses vaccine hesitancy and is tailored to meet the needs of local communities. The campaign will work to elevate trusted local voices and outline the historic efforts to deliver a safe and effective vaccine as part of a national strategy for beating COVID-19.