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Under Intense Criticism, Trump Says Government Will Buy More Ventilators Under Intense Criticism, Trump Says Government Will Buy More Ventilators
(about 16 hours later)
WASHINGTON — Faced with a torrent of criticism from cities and states that have been pleading for help to deal with the most critically ill coronavirus victims, President Trump announced on Friday that the federal government would buy thousands of ventilators from a variety of makers, though it appeared doubtful they could be produced in time to help hospitals that are now overwhelmed.WASHINGTON — Faced with a torrent of criticism from cities and states that have been pleading for help to deal with the most critically ill coronavirus victims, President Trump announced on Friday that the federal government would buy thousands of ventilators from a variety of makers, though it appeared doubtful they could be produced in time to help hospitals that are now overwhelmed.
His announcement came shortly after authorizing the government to “use any and all authority available under the Defense Production Act,” a Korean War-era authority allowing the federal government to commandeer General Motors’ factories and supply chains, to produce ventilators.His announcement came shortly after authorizing the government to “use any and all authority available under the Defense Production Act,” a Korean War-era authority allowing the federal government to commandeer General Motors’ factories and supply chains, to produce ventilators.
It was the latest example of Mr. Trump’s mixed messages about how to ramp up production to meet a national crisis. Just 24 hours before, he had dismissed the complaints of mayors and governors who said that they were getting little of the equipment they needed for an expected onslaught of serious cases. And this week he praised companies that — General Motors included — were rallying to help provide necessary equipment.It was the latest example of Mr. Trump’s mixed messages about how to ramp up production to meet a national crisis. Just 24 hours before, he had dismissed the complaints of mayors and governors who said that they were getting little of the equipment they needed for an expected onslaught of serious cases. And this week he praised companies that — General Motors included — were rallying to help provide necessary equipment.
But he turned on G.M. on Friday, accusing it of “wasting time” and seeking to “rip off” the government. “Our fight against the virus is too urgent to allow the give-and-take of the contracting process to continue to run its normal course,” the president said.But he turned on G.M. on Friday, accusing it of “wasting time” and seeking to “rip off” the government. “Our fight against the virus is too urgent to allow the give-and-take of the contracting process to continue to run its normal course,” the president said.
But it was unclear whether Mr. Trump’s use of the law would make much difference. He was essentially ordering the company to do something it had already arranged to do: G.M. announced earlier on Friday that it was moving forward with an emergency joint venture with a small manufacturer, Ventec Life Systems, even in the absence of a contract from the Federal Emergency Management Agency.But it was unclear whether Mr. Trump’s use of the law would make much difference. He was essentially ordering the company to do something it had already arranged to do: G.M. announced earlier on Friday that it was moving forward with an emergency joint venture with a small manufacturer, Ventec Life Systems, even in the absence of a contract from the Federal Emergency Management Agency.
Company executives seemed stunned by the president’s effort to command them to carry through with an effort they had initiated.Company executives seemed stunned by the president’s effort to command them to carry through with an effort they had initiated.
In a late-afternoon news conference, Mr. Trump said, “Now it turns out we will have to be producing large numbers.” He said that over the next 100 days, “we will either make or get, in some form, over 100,000 additional units,” more than three times the nation’s annual production. Later, he insisted, “We’re going to have plenty.”In a late-afternoon news conference, Mr. Trump said, “Now it turns out we will have to be producing large numbers.” He said that over the next 100 days, “we will either make or get, in some form, over 100,000 additional units,” more than three times the nation’s annual production. Later, he insisted, “We’re going to have plenty.”
Most of those will have to come from finding existing units, industry executives say, because production lines are already stretched to the limit.Most of those will have to come from finding existing units, industry executives say, because production lines are already stretched to the limit.
Mr. Trump appointed Peter Navarro, the China hawk among his trade advisers, to coordinate use of the Defense Production Act, and Mr. Navarro immediately made it clear that the White House planned to make an example of G.M.Mr. Trump appointed Peter Navarro, the China hawk among his trade advisers, to coordinate use of the Defense Production Act, and Mr. Navarro immediately made it clear that the White House planned to make an example of G.M.
Mr. Trump’s announcement at his coronavirus task force’s daily briefing came on a day of intensive criticism of the administration’s slow response and lack of leadership in a pandemic that has now resulted in over 1,500 deaths in the United States. More than 100,000 people here have been infected with the coronavirus, according to a New York Times database. The United States is the only country so far to hit that milestone.Mr. Trump’s announcement at his coronavirus task force’s daily briefing came on a day of intensive criticism of the administration’s slow response and lack of leadership in a pandemic that has now resulted in over 1,500 deaths in the United States. More than 100,000 people here have been infected with the coronavirus, according to a New York Times database. The United States is the only country so far to hit that milestone.
Much of the criticism has focused on the absence of sufficient stockpiles of basic materials like masks and ventilators, and especially on the lack of urgency in organizing increased production and distribution.Much of the criticism has focused on the absence of sufficient stockpiles of basic materials like masks and ventilators, and especially on the lack of urgency in organizing increased production and distribution.
Officials in more than 200 American cities, large and small, report a dire need for face masks, ventilators and other emergency equipment to respond to the coronavirus outbreak, according to a survey released on Friday.Officials in more than 200 American cities, large and small, report a dire need for face masks, ventilators and other emergency equipment to respond to the coronavirus outbreak, according to a survey released on Friday.
“It is abundantly clear that the shortage of essential items such as face masks, test kits, personal protective equipment, ventilators and other items needed by health and safety personnel has reached crisis proportions in cities across the country,” Tom Cochran, the chief executive of the United States Conference of Mayors, said in a letter accompanying the survey’s findings.“It is abundantly clear that the shortage of essential items such as face masks, test kits, personal protective equipment, ventilators and other items needed by health and safety personnel has reached crisis proportions in cities across the country,” Tom Cochran, the chief executive of the United States Conference of Mayors, said in a letter accompanying the survey’s findings.
Mr. Trump responded late Friday afternoon that “we have done a hell of a job” and wanted mayors and governors to “be appreciative.” He accused his critics of seeking political advantage.Mr. Trump responded late Friday afternoon that “we have done a hell of a job” and wanted mayors and governors to “be appreciative.” He accused his critics of seeking political advantage.
More than 90 percent — or 192 cities — told the conference that they did not have an adequate supply of face masks for police officers, firefighters or emergency workers. In addition, 92 percent of cities reported a shortage of test kits to diagnose who has contracted the virus — a problem Mr. Trump has said in recent days was all but solved — and 85 percent said they did not have a sufficient supply of ventilators available to health facilities.More than 90 percent — or 192 cities — told the conference that they did not have an adequate supply of face masks for police officers, firefighters or emergency workers. In addition, 92 percent of cities reported a shortage of test kits to diagnose who has contracted the virus — a problem Mr. Trump has said in recent days was all but solved — and 85 percent said they did not have a sufficient supply of ventilators available to health facilities.
Roughly two-thirds of the cities said they had not received any emergency equipment or supplies from their state, the report said. And of those that did receive state aid, nearly 85 percent said it was not enough to meet their needs.Roughly two-thirds of the cities said they had not received any emergency equipment or supplies from their state, the report said. And of those that did receive state aid, nearly 85 percent said it was not enough to meet their needs.
In total, the conference tabulated that cities needed 28.5 million face masks, 24.4 million other items of personal protection equipment, 7.9 million test kits and 139,000 ventilators.In total, the conference tabulated that cities needed 28.5 million face masks, 24.4 million other items of personal protection equipment, 7.9 million test kits and 139,000 ventilators.
But it is the ventilator issue that swamped the White House late this week, as mayors, governors and members of Congress predicted that doctors would have to leave some patients to die in the coming weeks because the machines would not be available.But it is the ventilator issue that swamped the White House late this week, as mayors, governors and members of Congress predicted that doctors would have to leave some patients to die in the coming weeks because the machines would not be available.
In New York, the epicenter of the virus in the United States, doctors and nurses have reported that they were being forced to experiment with putting several patients on a single ventilator — a largely untested, unapproved practice that state authorities are now permitting in an effort to keep alive older adults or immunocompromised patients who could not breathe on their own.In New York, the epicenter of the virus in the United States, doctors and nurses have reported that they were being forced to experiment with putting several patients on a single ventilator — a largely untested, unapproved practice that state authorities are now permitting in an effort to keep alive older adults or immunocompromised patients who could not breathe on their own.
Stories of nurses reusing 85-cent masks because they are in short supply, or others using plastic bags to cover their faces, have reinforced an image of a nation that, for all of its advanced medicine, was caught ill prepared and underfunded by a pandemic.Stories of nurses reusing 85-cent masks because they are in short supply, or others using plastic bags to cover their faces, have reinforced an image of a nation that, for all of its advanced medicine, was caught ill prepared and underfunded by a pandemic.
Both the president and Dr. Deborah L. Birx, the top health expert on his coronavirus task force, have played down the immediate need for a large number of ventilators in New York and other states.Both the president and Dr. Deborah L. Birx, the top health expert on his coronavirus task force, have played down the immediate need for a large number of ventilators in New York and other states.
“We were reassured after meeting with colleagues in New York there are still beds remaining and over 2,000 ventilators that have not been used yet,” Dr. Birx said on Thursday. “To say that to the American people, to make the implication when they need a hospital bed, it won’t be there, or when they need that ventilator, it won’t be there, we don’t have evidence of that right now.”“We were reassured after meeting with colleagues in New York there are still beds remaining and over 2,000 ventilators that have not been used yet,” Dr. Birx said on Thursday. “To say that to the American people, to make the implication when they need a hospital bed, it won’t be there, or when they need that ventilator, it won’t be there, we don’t have evidence of that right now.”
But Mr. Trump went much further in an interview on Fox.But Mr. Trump went much further in an interview on Fox.
“I don’t believe you need 40,000 or 30,000 ventilators,” Mr. Trump said Thursday night, discussing an urgent request from Gov. Andrew M. Cuomo of New York. “You know, you’re going to major hospitals sometimes, they’ll have two ventilators. And now, all of a sudden, they’re saying, can we order 30,000 ventilators?”“I don’t believe you need 40,000 or 30,000 ventilators,” Mr. Trump said Thursday night, discussing an urgent request from Gov. Andrew M. Cuomo of New York. “You know, you’re going to major hospitals sometimes, they’ll have two ventilators. And now, all of a sudden, they’re saying, can we order 30,000 ventilators?”
Mr. Trump’s accusation that the need was being inflated prompted special anger in New York.Mr. Trump’s accusation that the need was being inflated prompted special anger in New York.
“When the president says the state of New York doesn’t need 30,000 ventilators, with all due respect to him, he’s not looking at the facts of this astronomical growth of this crisis,” said Mayor Bill de Blasio of New York City. “If they don’t have a ventilator, a lot of people are just not going to make it.”“When the president says the state of New York doesn’t need 30,000 ventilators, with all due respect to him, he’s not looking at the facts of this astronomical growth of this crisis,” said Mayor Bill de Blasio of New York City. “If they don’t have a ventilator, a lot of people are just not going to make it.”
A ventilator, Mr. de Blasio added, “means someone lives or dies.”A ventilator, Mr. de Blasio added, “means someone lives or dies.”
And Mr. Cuomo, responding to an accusation by the president that New York was warehousing the ventilators it was being sent rather than immediately deploying them, said that the current number of hospitalizations did not yet require their use, but that the state was bracing for a sharp rise in cases in the coming weeks. “We’re gathering them in a stockpile so when we need them, they will be there,” he said.And Mr. Cuomo, responding to an accusation by the president that New York was warehousing the ventilators it was being sent rather than immediately deploying them, said that the current number of hospitalizations did not yet require their use, but that the state was bracing for a sharp rise in cases in the coming weeks. “We’re gathering them in a stockpile so when we need them, they will be there,” he said.
The city now has more than 23,000 cases of the coronavirus, a quarter of the nation’s total, and deaths are already approaching 400.The city now has more than 23,000 cases of the coronavirus, a quarter of the nation’s total, and deaths are already approaching 400.
Mr. Trump’s abrupt change on the need for ventilators appeared to be in response to news reports that his administration had decided at the last minute not to announce a $1.5 billion contract with G.M. because of concern about the high cost and slow delivery of the machines.Mr. Trump’s abrupt change on the need for ventilators appeared to be in response to news reports that his administration had decided at the last minute not to announce a $1.5 billion contract with G.M. because of concern about the high cost and slow delivery of the machines.
Those reports prompted Mr. Trump to lash out first at the cities, then at G.M. and its chief executive, Mary T. Barra, who he accused of inaction.Those reports prompted Mr. Trump to lash out first at the cities, then at G.M. and its chief executive, Mary T. Barra, who he accused of inaction.
Updated June 16, 2020Updated June 16, 2020
The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.
The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.
The company has pared back its early estimates of how many ventilators it could ship in April or May, reducing them to 5,000 to 7,500 from 20,000. But even that would be a huge surge; its partner, Ventec, produces only a few hundred a month.The company has pared back its early estimates of how many ventilators it could ship in April or May, reducing them to 5,000 to 7,500 from 20,000. But even that would be a huge surge; its partner, Ventec, produces only a few hundred a month.
Critics of the Trump administration have said that planning for increased production should have begun in late January or February, when the alarm sounded that the virus was headed to the United States. And even with the president’s announcement on Friday, it appeared highly unlikely that many new ventilators would reach the cities in time for this first, devastating wave of the coronavirus.Critics of the Trump administration have said that planning for increased production should have begun in late January or February, when the alarm sounded that the virus was headed to the United States. And even with the president’s announcement on Friday, it appeared highly unlikely that many new ventilators would reach the cities in time for this first, devastating wave of the coronavirus.
Existing manufacturers like Medtronic and Ventec said they stepped up production weeks ago, but they were limited by the availability of parts from more than a dozen countries.Existing manufacturers like Medtronic and Ventec said they stepped up production weeks ago, but they were limited by the availability of parts from more than a dozen countries.
That suggests that the overall boost will not have a major effect until early summer, industry executives said — perhaps in time for a “second wave” of infections.That suggests that the overall boost will not have a major effect until early summer, industry executives said — perhaps in time for a “second wave” of infections.
Because Mr. Trump played down the severity of the coronavirus for much of January and February, and into the beginning of March, the White House got a late start in assessing how much equipment would be needed.Because Mr. Trump played down the severity of the coronavirus for much of January and February, and into the beginning of March, the White House got a late start in assessing how much equipment would be needed.
His son-in-law and senior adviser, Jared Kushner, began focusing on the shortages only two weeks ago, and started with the critical absence of test kits, which has made it impossible to map how far the virus has spread or to identify emerging hot spots.His son-in-law and senior adviser, Jared Kushner, began focusing on the shortages only two weeks ago, and started with the critical absence of test kits, which has made it impossible to map how far the virus has spread or to identify emerging hot spots.
Then Mr. Kushner focused on the medical equipment shortages, working with the National Association of Manufacturers, the Business Roundtable and groups of former and current executives who gathered under the hashtag #StopTheSpread. Some of those executives now say they are operating on their own and no longer coordinating with the White House because they could not get clear signals about what the government wanted, or when.Then Mr. Kushner focused on the medical equipment shortages, working with the National Association of Manufacturers, the Business Roundtable and groups of former and current executives who gathered under the hashtag #StopTheSpread. Some of those executives now say they are operating on their own and no longer coordinating with the White House because they could not get clear signals about what the government wanted, or when.
But it was the G.M.-Ventec deal that attracted the most attention because it seemed the model for a crash merger of high-technology and deep manufacturing experience. G.M. was moving ahead in its Kokomo, Ind., factory, where it makes precision electronic components.But it was the G.M.-Ventec deal that attracted the most attention because it seemed the model for a crash merger of high-technology and deep manufacturing experience. G.M. was moving ahead in its Kokomo, Ind., factory, where it makes precision electronic components.
The White House had been preparing to unveil the G.M.-Ventec joint venture this week, and had hoped to announce that upward of 20,000 ventilators would be available in weeks, and that ultimately 80,000 would be produced. But the company complained that FEMA would not commit to spending the $250 million or so it would take to retool the factory.The White House had been preparing to unveil the G.M.-Ventec joint venture this week, and had hoped to announce that upward of 20,000 ventilators would be available in weeks, and that ultimately 80,000 would be produced. But the company complained that FEMA would not commit to spending the $250 million or so it would take to retool the factory.
And with FEMA still evaluating a $1.5 billion proposal from those companies, Mr. Trump got angry at news reports that described the bureaucratic maneuvering. He soon blamed G.M.And with FEMA still evaluating a $1.5 billion proposal from those companies, Mr. Trump got angry at news reports that described the bureaucratic maneuvering. He soon blamed G.M.
On Friday morning, Mr. Trump declared on Twitter that the company “MUST immediately open their stupidly abandoned Lordstown plant in Ohio, or some other plant, and START MAKING VENTILATORS, NOW!!!!!!”On Friday morning, Mr. Trump declared on Twitter that the company “MUST immediately open their stupidly abandoned Lordstown plant in Ohio, or some other plant, and START MAKING VENTILATORS, NOW!!!!!!”
He angrily accused G.M. of backtracking and “as usual with ‘this’ General Motors, things just never seem to work out.” He claimed the company had promised 40,000 ventilators, and “now they are saying it will only be 6000, in late April, and they want top dollar. Always a mess with Mary B.,” a Ms. Barra.He angrily accused G.M. of backtracking and “as usual with ‘this’ General Motors, things just never seem to work out.” He claimed the company had promised 40,000 ventilators, and “now they are saying it will only be 6000, in late April, and they want top dollar. Always a mess with Mary B.,” a Ms. Barra.
Within an hour, G.M. and Ventec announced that they would begin producing ventilators at the Kokomo plant, and that the machines would be “scheduled to ship as soon as next month.”Within an hour, G.M. and Ventec announced that they would begin producing ventilators at the Kokomo plant, and that the machines would be “scheduled to ship as soon as next month.”
But the statement offered no estimates of numbers and did not address the president’s criticism — leaving it unclear if the companies would simply begin production themselves.But the statement offered no estimates of numbers and did not address the president’s criticism — leaving it unclear if the companies would simply begin production themselves.
David E. Sanger and Annie Karni reported from Washington, and Maggie Haberman from New York. Noah Weiland contributed reporting from Washington.David E. Sanger and Annie Karni reported from Washington, and Maggie Haberman from New York. Noah Weiland contributed reporting from Washington.