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Experts say we may to tighten access to coronavirus testing

Testing is once again becoming a critical weakness in the U.S.' response to the coronavirus pandemic, and experts say we may need to revive tighter standards about who can get a test.

Why it matters: Although testing has gotten a lot better over the course of the pandemic, the pandemic has gotten worse, and that means the U.S. needs to prioritize its resources — which might mean that frequent testing solely to help open businesses or schools just isn't feasible.


Where it stands: The U.S. is conducting more than 800,000 tests per day, on average — an enormous leap from the severe testing shortages the country experienced in the spring. But it's still not enough to keep up with demand.

  • Getting the results of a test often takes take longer than a week, and sometimes almost two weeks, which makes them a lot less helpful. The longer it takes to identify positive cases, the more time the virus has to spread.
  • “That dramatic scale up is unprecedented, but demand has also been unprecedented,” said Julie Khani, president of the American Clinical Laboratory Association.

The big picture: Two factors are driving demand for tests higher than the system can handle: the U.S.' high caseload; and precautionary testing tied to reopening.

  • Reducing turnaround times will require doing fewer tests, “and that’s in some ways taking a step backward,” said Johns Hopkins’ Caitlin Rivers. But “there is a need to identify, 'Who really does need a test? And for whom should that be high quality?'”

What they’re saying: “I’m not sure we have a shortage of testing in this country, per se. I think what we have is a shortage of smart testing," the University of Minnesota’s Michael Osterholm said.

  • “We have many examples of well people being tested throughout the country that are not contacts, they just want to know,” he said.
  • In a white paper published earlier this year, Osterholm and his colleagues wrote that most workplace or school-based testing is a low priority.
  • There also needs to be more rigor about the timing of tests for people who might have been exposed to the virus, to avoid wasteful testing.

Between the lines: That may dash the hopes of using frequent testing as a tool to resume work, travel or other elements of pre-pandemic life, at least for now.

  • Even as capacity continues to grow, including through new tests coming onto the market, it's hard to imagine a world where every sports team, business and university is able to regularly test asymptomatic people indefinitely.

The other side: Given how easily people can spread the virus before they begin to feel sick, testing still needs to be available to a lot of people who aren't symptomatic or don't know for sure that they were exposed to the virus.

  • “It’s a better conversation to be had about how [we can] increase resources instead of how [we can] decrease testing," said Saskia Popescu, an epidemiologist at the University of Arizona.

Supply-chain issues make it hard to scale up testing supply, though.

  • Rivers and her colleagues this week called for the federal government to do an end-to-end analysis to identify bottlenecks in the testing supply chain, as part of a reset of the U.S. coronavirus response.
  • “We need basically an infusion of resources for the lab side,” Popescu said. “We need not just the actual resources like reagents and swabs, but also we need people — for them to not only do the tests, but then also communicate them.”

The bottom line: Ultimately, the best way to reduce pressure on our testing infrastructure would be to reduce the number of cases, which reduces the number of people at risk of infection.

  • “Testing is not a replacement for wearing a mask,” Khani said.

In photos: Fortified capitols see only small protests

Small groups of protesters rallied outside fortified statehouses over the weekend ahead of President-elect Joe Biden's inauguration Wednesday.

The big picture: Some rallies attracted armed members of far-right extremist groups but there were no reports of clashes, as had been feared. The National Guard and law enforcement outnumbered demonstrators, as officials took security steps to avoid a repeat of the Jan. 6 U.S. Capitol insurrection, per AP.

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Trump to issue at least 100 pardons and commutations before leaving office

President Trump plans to issue at least 100 pardons and commutations on his final full day in office Tuesday, sources familiar with the matter told Axios.

Why it matters: This is a continuation of the president's controversial December pardon spree that saw full pardons granted to more than two dozen people — including former Trump campaign chair Paul Manafort, longtime associate Roger Stone and Charles Kushner, the father of Trump's senior adviser and son-in-law Jared Kushner.

  • Those set to be pardoned before Trump exits the White House will be a mix of criminal justice and people connected to the president, the sources said.
  • CNN first reported this news.

Go deeper: Convicts turn to D.C. fixers for Trump pardons

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  • Rep. Jim McGovern (D-Mass.) said police may also have to be at his constituent meetings.
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Episode 3: The conspiracy goes too far. Trump's outside lawyers plot to seize voting machines and spin theories about communists, spies and computer software.

President Trump was sitting in the Oval Office one day in late November when a call came in from lawyer Sidney Powell. "Ugh, Sidney," he told the staff in the room before he picked up. "She's getting a little crazy, isn't she? She's really gotta tone it down. No one believes this stuff. It's just too much."

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What we're hearing: Among them is Nickie Lum Davis, a Hawaii woman who pleaded guilty last year to abetting an illicit foreign lobbying campaign on behalf of fugitive Malaysian businessman Jho Low. Trump confidante Matt Schlapp also is seeking a pardon for a former biopharmaceutical executive convicted of fraud less than two months ago.

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Members of the House Republican Conference ignored leader Kevin McCarthy last week when he warned them against criticizing colleagues by name based on intelligence that doing so could trigger more political violence.

Why it matters: McCarthy made clear that name-dropping opponents, instead of spelling out complaints in more general terms, can put a literal target on a politician, especially with tensions so high following the events of Jan. 6.

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