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Dr. Scott Gottlieb on uncommon coronary heart irritation in younger Covid vaccine recipients

Rare instances of heart inflammation in young people after receiving their second Covid vaccine dose require further inquiry, Dr. Scott Gottlieb told CNBC on Friday.

However, the former Food and Drug Administration commissioner said the cases have mostly been mild and should not dissuade people from signing up for the two-shot regimens from Pfizer and Moderna.

“At this point, the risk/benefit still favors vaccination certainly in this age group,” Gottlieb, a Pfizer board member, said in an interview on “Squawk Box.” “That’s what CDC and FDA have also affirmed.”

A day earlier, the Centers for Disease Control and Prevention indicated it has seen a higher-than-projected number of cases of heart inflammation in 16-to-24-year-olds following their second Covid shot—  275 recorded occurrences compared with expectations of 10 to 102.

In people age 30 and below, there’s been 475 total reports of myocarditis or pericarditis, which according to the CDC involves inflammation of the heart muscle or the lining around it. Men make up the vast majority of reported instances of post-vaccine myocarditis or pericarditis.

Of the 270 people who developed the conditions and have been discharged from the hospital, 81% have fully recovered, according to CDC data. The remaining 19% either still have symptoms or their status is not known. Fifteen people are still hospitalized, the CDC said.

Symptoms, which include chest pain and shortness of breath, typically develop when a few days of receiving the vaccine, according to the CDC.

Gottlieb said many questions remain about the connection between the heart inflammation and the Covid vaccines from Pfizer and Moderna.

“I think at this point you need to assume there’s a causal relationship between the vaccine and these observations until you can prove otherwise,” said Gottlieb, who led the FDA from 2017 to 2019 in the Trump administration.

Gottlieb said what’s not known yet is whether there’s something specific about the vaccines that are causing heart inflammation. “We know the vaccine induces inflammatory response. That’s why you get a fever. That’s why you get injection-site pain because your immune system is stimulated.”

“Is this a more generalized inflammatory response from the vaccine that’s localizing in the heart in some patients?” Gottlieb asked. “Or is this something that’s more direct, where the vaccine itself is triggering some kind of very targeted immune reaction and it’s manifesting in this way? We don’t have the answers to these questions.”

It’s possible additional cases haven’t been recorded, Gottlieb said, but “we are probably capturing most of the severe cases.” He added, “When you look at the number of people who are having severe cases of pericarditis, it’s very small numbers right now.”

Roughly 141.5 million people in the U.S. have been fully vaccinated against Covid, according to CDC data. The vaccines have been critical in driving down the number of coronavirus cases in the U.S. to their lowest levels since early in the pandemic.

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Health

Dr. Scott Gottlieb agrees with new CDC masks steerage

The CDC’s updated face mask instructions are likely to induce vaccine-reluctant Americans to get a Covid shot, said Dr. Scott Gottlieb told CNBC on Friday.

“This will be a pretty strong incentive for many people who may have been on the fence to get vaccinated to get vaccinated,” the former commissioner for the US Food and Drug Administration told Squawk Box.

In most indoor and outdoor areas, fully vaccinated people are currently not required to wear face covering or maintain a social distance of 6 feet from other people, the Centers for Disease Control and Prevention said Thursday. Masks still need to be worn in businesses that need them, according to the CDC, as well as on airplanes and public transportation.

Still, the health department’s laid-back demeanor is a major development in America’s efforts to fight the coronavirus. According to CDC data, 36% of the US population has been fully vaccinated against Covid. Approximately 47% of Americans have received at least one dose of Covid vaccine.

The pace of new vaccinations has slowed in recent weeks, causing government officials to look for ways to encourage more Americans to sign up for a Covid shot. This includes efforts to build trust in the vaccine, expand availability to hard-to-reach communities, and create incentives. In Ohio, for example, Governor Mike DeWine unveiled a plan that would give five state residents $ 1 million through a lottery. The recipient must be vaccinated to qualify for the prize.

According to Gottlieb, who headed the FDA in the Trump administration from 2017 to 2019, the loose guidance from the CDC alone could be enough to boost vaccinations. Today he is a board member of the vaccine manufacturer Pfizer.

“I wouldn’t be surprised if the number of people getting vaccinated increases because now there is more value to vaccination. You can walk around in a mask in an honest way,” he said.

Gottlieb acknowledged the concerns of some public health experts who believe that unvaccinated people will use the new CDC guidelines as cover to forego a mask in businesses. However, he said, “I think people who are going to do this would have done it anyway.”

In general, Gottlieb said the CDC’s mask decision is now correct, as the country has seen a continued decline in new coronavirus infections and a significant portion of the population has been vaccinated to protect against serious illness and death.

He specifically pointed out the high vaccination rates among older Americans who are at increased risk of dying from Covid. Almost 72% of America 65+ is fully vaccinated.

“I think the worst thing you can say about the measures taken by the CDC is,” Well, maybe you could have waited another week, “said Gottlieb.” At some point we have to move past coronavirus and live normally again “he added.” We are at this point right now. We’re about to take off masks and return to normal activities. “

Dr. Ashish Jha, dean of Brown University’s School of Public Health, told CNBC on Thursday that the new mask line was “really great news” for people who are fully vaccinated. However, Jha said he believes states should keep their inner mask mandates for another month. This would allow people who received their first Covid shot on April 19 – the day all U.S. citizens aged 18 and older were eligible – to get a full vaccination, he said.

Disclosure: Scott Gottlieb is a CNBC employee and a member of the boards of directors of Pfizer, genetic testing startup Tempus, healthcare technology company Aetion, and Illumina biotech. He is also co-chair of the Healthy Sail Panel for Norwegian Cruise Line Holdings and Royal Caribbean.

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Health

Dr. Scott Gottlieb expects little impression on U.S. Covid instances

The restrictions recently announced by the Biden government on travelers from India are unlikely to play a significant role in limiting new coronavirus cases in the US, said Dr. Scott Gottlieb told CNBC on Friday.

“Will it have an impact? Perhaps a minor impact on margins in terms of reducing introductions. This will not affect our trajectory dramatically at this point,” the former Commissioner of the Food and Drug Administration told Closing Bell. “It will probably do more harm to India than any good it attributes to us.”

Gottlieb, who sits on the board of directors at Covid vaccine maker Pfizer, believes the White House’s main reasons for restricting travel from India are concerns about the variant of coronavirus known as B.1.617. It was first discovered in the country and is considered highly contagious.

“But that variant is here anyway, and frankly the best way to reduce the risk of this variant is to get more Americans vaccinated,” said Gottlieb, who headed the FDA in the Trump administration from 2017 to 2019, the best Backstop against the spread of this variant without restricting travel at this point. “

White House press secretary Jen Psaki announced the travel restrictions on Friday, which will go into effect on Tuesday. India has seen a sharp spike in Covid cases in the past few weeks and weighs heavily on its health system as the daily death toll hit new records.

According to someone familiar with the matter, the travel order is likely to be for non-US citizens or permanent residents who have recently been to India. This means that the restrictions will have a similar format to those put in place on many trips to the US from China, Brazil and the European Union, effectively excluding most of the visitors from India to the US

“There are some studies that show that implementing travel restrictions can delay the introduction of a virus to a new area – and most of the studies that have been done have looked at pandemic influenza-related introduction and perhaps reduction the height of the epidemic that another country will experience, “said Gottlieb.

If the US had introduced travel restrictions earlier in the pandemic, “which weren’t that leaky,” Gottlieb said, it would be possible that the coronavirus would have taken longer to penetrate the country and limit the severity of the outbreak.

“But at this point we have enough viruses here in the US not to prevent the virus from being brought in from India,” he said.

The White House did not immediately respond to CNBC’s request to comment on Gottlieb’s comments.

Coronavirus cases in the US have continued to decline as more Americans are vaccinated against Covid. On Friday, data from the Centers for Disease Control and Prevention showed that more than 100 million Americans were fully vaccinated.

However, the pace of daily re-vaccinations has slowed, and states are working to find ways to target Americans who are not particularly eager to get a Covid shot.

“I think we can keep working on it,” said Gottlieb, suggesting that a decrease in the average number of shots per day “doesn’t mean we’re doing a bad job.” He added, “I think it’s inevitable that it slows down when you get into weaker demand.”

“Things like vaccination buses, where they just drive up to communities and people can show up on site without waiting and get vaccinated. That way, more people are vaccinated,” added Gottlieb. “Delivering vaccines through construction sites will also help.”

Disclosure: Scott Gottlieb is a CNBC employee and a member of the boards of directors of Pfizer, genetic testing startup Tempus, health technology company Aetion Inc., and biotech company Illumina. He is also co-chair of the Healthy Sail Panel for Norwegian Cruise Line Holdings and Royal Caribbean.

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Business

New CDC masks steerage is complicated, however the fitting step: Scott Gottlieb

Dr. Scott Gottlieb said Wednesday that the Centers for Disease Control and Prevention will need to update their coronavirus policies faster if the pandemic situation improves.

The day before, the U.S. Department of Health issued new, relaxed guidelines that require fully vaccinated people to wear masks outdoors.

“The guidelines issued by CDC are a step in the right direction, in my opinion, but relatively confusing,” Gottlieb, a former commissioner for the Food and Drug Administration, told CNBC’s Squawk Box. “It is not very clear what they prescribe. I think we need simpler rules if we want to prescribe something about society.”

People who have been fully vaccinated – two weeks after their final dose – can safely exercise and go to small outdoor gatherings without wearing a face mask, according to the new CDC guidance. However, the agency recommends that those who are fully vaccinated continue to wear masks when attending a crowded outdoor event, such as an outdoor event. B. a parade, a sports game or a concert.

The CDC also said that if those other participants are fully vaccinated, it is safe for unvaccinated Americans to forego wearing a mask while attending a small outdoor gathering with friends and family.

The CDC needs to better define what it wants to achieve at this stage of the pandemic when national infection rates are falling and more than 54% of adults in the US have received at least one dose of vaccine, said Gottlieb, who sits on the board of directors at Covid vaccine maker Pfizer.

“I think the public health goal should be to try to protect vulnerable populations in gathering environments. So keep focusing on nursing homes, day care centers where young children live, and trying to prevent major outbreaks and overarching events to prevent.” he said.

According to CDC data, around 68% of US citizens age 65 and over have been fully vaccinated, while around 82% of the most at-risk populations have received at least one dose.

“We won’t be able to prevent a single rollout where a single person spreads a virus to a single person, but against the backdrop of the decline [coronavirus] Prevalence, rising vaccination rates and more vulnerable Americans protected by vaccinations, we have to lean forward, “said Gottlieb, who headed the FDA in the Trump administration from 2017 to 2019.

The 7-day average of new coronavirus cases per day in the US is around 53,800, according to a CNBC analysis of Johns Hopkins University data. That is 17% less than a week ago.

The US has an average of 676 new Covid deaths per day based on a seven day moving average. This is evident from CNBC’s analysis of the Johns Hopkins data. This corresponds to a decrease of 6% compared to a week ago.

Gottlieb, who called for an end to outdoor mask requirements earlier this week, said he was concerned about the impact of the CDC, which continues to be overly cautious with its guidelines.

“I think the risk to CDC as an institution – it’s a hugely important institution – is that it will lose its relevance and people will stop listening,” he said, warning those in the US to the coronavirus guidelines establish.

“The challenge is that if we do not lift these restrictions with the same speed and efficiency that we have placed on them, we will lose credibility as public health officials to reintroduce them in the future because more of the rest of the world People will worry that this is the case. ” a one-way street, “he said.

The CDC did not immediately respond to CNBC’s request for comment.

Disclosure: Scott Gottlieb is a CNBC employee and a member of the boards of directors of Pfizer, genetic testing startup Tempus, health technology company Aetion Inc., and biotech company Illumina. He is also co-chair of the Healthy Sail Panel for Norwegian Cruise Line Holdings and Royal Caribbean.

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Politics

Tim Scott Will Ship the Republican’s Rebuttal to Biden

After President Biden delivered his first joint address to Congress on Wednesday night, the task of countering the president’s vision rests with Senator Tim Scott of South Carolina.

Scott, 55, offers a kind of unapologetic conservatism that has helped him rise from a seat on Charleston County Council to national notoriety in the Republican Party.

More than a decade ago, Mr Scott raised his profile as a vocal critic of the Obama administration and brought a wave of tea party support to Washington, winning a seat in the House of Representatives in 2010 and endearing himself to conservative groups with a strong little government philosophy .

As the only black Republican in the Senate, Mr. Scott has also become a pioneer within his party breaking a number of historical barriers and rising in an environment that was often hostile to black politicians.

In the primary election for his first House campaign, Mr. Scott defeated Paul Thurmond, the son of former Senator Strom Thurmond, who for years helped lead the Republican Party’s resistance to racial integration. And in 2013, when then-Gov. Nikki Haley appointed Mr. Scott to fill a position left by former Senator James DeMint. He entered the Senate as the first black politician since the reconstruction to represent a southern state.

Mr Scott was tapped by Republican leaders – Senator Mitch McConnell of Kentucky and Rep. Kevin McCarthy of California – to provide the counter-argument at a time when the GOP was keen to increase its support for people of color. And during his years in the Senate, Mr. Scott has often advised colleagues on racial issues.

More recently, as the debate about police brutality has intensified, Mr Scott has had his own candid experience in the Senate of police profiling against racism. He has also positioned himself as an informed voice on the challenges of working families, referring to his early years growing up poor with a single working mother.

While many of the policy proposals Mr Biden is due to discuss Wednesday have met with stiff opposition from Republicans, Mr Scott has stated that he does not intend his rebuttal to constitute an excoriation of the President’s agenda similar to the highly charged rhetoric that has become common on Capitol Hill.

“We face serious challenges on several fronts, but I am more confident than ever about America’s promise and potential,” said Scott in a statement anticipating his remarks. “I look forward to having an honest conversation with the American people and sharing the Republicans’ optimistic vision of expanding opportunities and empowering working families.”

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Health

Dr. Scott Gottlieb says carry them for open air

Dr. Scott Gottlieb told CNBC on Monday that outdoor masks mandates are no longer required at this point in the coronavirus pandemic.

Public health officials should generally be more relaxed about outdoor activities, said Gottlieb, who serves on the board of directors at Covid vaccine maker Pfizer.

“People could choose to wear a mask if they want. I think there shouldn’t be any requirement that they wear masks outdoors,” the former commissioner for the Food and Drug Administration said on Squawk Box.

Steps should be taken “to allow more outdoor gatherings, larger groups, sporting events and the like,” he added. “The weather is warming up. We have the ability to take more activity outside. We know that outdoor activity is less of a risk than indoor activity.”

The Chief Medical Officer of the White House, Dr. Anthony Fauci, agrees to the risk of coronavirus transmission outdoors. In an interview on Sunday, he suggested that the Centers for Disease Control and Prevention could change their attitude towards wearing masks outdoors.

“What I think … the country will be hearing soon are updated guidelines from the CDC,” Fauci said on ABC’s “This Week with George Stephanopoulos.” “The CDC is a science-based organization. You don’t want to make guidelines unless you look at the data and back it up. However, if you look at the common sense situation, the risk is obviously very small, especially when You are vaccinated. “

President Joe Biden is expected to announce new CDC guidelines for wearing masks outdoors as early as Tuesday, a source familiar with the discussions told NBC News. However, the source cautioned that the recommendations are still being finalized and are likely to provide guidance for people who are fully vaccinated versus those who don’t.

The CDC’s current guidelines on face covering state the following: “Masks may not be required when traveling alone outside of others or with people in your household. However, some areas may have mask mandates when out in public. Please check the rules in your region (e.g. in your city, your district or your state). Also check whether federal mask mandates apply to your whereabouts. “

In their respective mask requirements, several states say people do not need to wear them when outside and keep a physical distance of at least 6 feet from anyone who is not in their household.

Gottlieb said he believes it is time to end the requirements for external masks as vaccination levels in the US reduce the number of new infections. More than 42% of the US population have received at least one dose of vaccine, according to CDC data, including 28.5% who were fully vaccinated.

As of Monday, the 7-day average of new daily coronavirus infections in the US was 58,160, according to a CNBC analysis of data compiled by Johns Hopkins University. That number is down 14% from a week ago.

“The gains we are currently seeing against the virus are solidified by vaccinations and immunity in the population, while before we saw people, they were the result of behaviors that people were more careful about what they were doing,” Gottlieb said . who headed the FDA during the Trump administration. “Now it’s the result of immunity. We can be sure that these will solidify.”

Disclosure: Scott Gottlieb is a CNBC employee and a member of the boards of directors of Pfizer, genetic testing startup Tempus, health technology company Aetion Inc., and biotech company Illumina. He is also co-chair of the Healthy Sail Panel for Norwegian Cruise Line Holdings and Royal Caribbean.

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Health

U.S. could by no means attain ‘true herd immunity,’ says Dr. Scott Gottlieb

Dr. Scott Gottlieb told CNBC on Friday he believes the United States may struggle to achieve “true herd immunity” to Covid, suggesting there will be coronavirus infections in the years to come.

However, the former commissioner of the U.S. Food and Drug Administration stressed that new cases alone should not be the metric that gets the greatest focus as more people are vaccinated against Covid.

“I don’t think we should think about achieving herd immunity. I don’t know that we will ever achieve real herd immunity where this virus simply no longer circulates,” said Gottlieb at “Closing Bell”. “I think it will always be circulating at low levels. That should be the goal of keeping virus levels down.”

Gottlieb, who serves on the board of directors at Covid vaccine maker Pfizer, expects the US to make significant strides toward that goal in the coming weeks.

“I think we’ll reach a point this summer where the spread of this virus will be extremely low. We’ll likely see the cases collapse pretty soon sometime in May. We’re already seeing it in parts of the country.” said Gottlieb.

Even so, according to Gottlieb, the US could flatten about 5,000 to 10,000 new coronavirus cases per day this summer, partly due to how commonplace Covid testing has become. “We’re going to see a lot of asymptomatic and mildly symptomatic infections,” he said.

“I think the bottom line is that vaccination is dramatically reducing the susceptibility of the American population, and that’s what we really need to focus on,” said Gottlieb, who headed the FDA in the Trump administration from 2017 to 2019.

“We shouldn’t just focus on cases. There will be cases, but we should focus on how many people are hospitalized and get this virus. That will drop dramatically when we introduce the vaccines,” he said.

Public health experts have stressed throughout the pandemic that the more people in a population have immunity protection for a particular virus, the less easily it will spread. While vaccines have been shown to reduce transmission, Gottlieb isn’t the first to point out that achieving permanent herd immunity is likely to be a challenge for Covid.

The Chief Medical Officer of the White House, Dr. Anthony Fauci, has estimated that 75% to 85% of the population vaccinated against Covid would create an “umbrella” of immunity. “That could even protect the vulnerabilities that weren’t vaccinated or where the vaccine wasn’t effective,” he told CNBC in December, shortly after the FDA approved Pfizer’s emergency use of Pfizer.

About 41% of the US population have now received at least one dose of Covid vaccine, and 27.5% are fully vaccinated, according to the latest information from the Centers for Disease Control and Prevention. CDC data show that a total of more than 220 million doses were administered.

Gottlieb previously said that the US could theoretically get to a point where Covid, like other diseases like polio and smallpox, will be eradicated. “It is possible. We do not seem ready to do this and take the collective action that is required,” he told CNBC on April 16.

“It will take people who practice a civic virtue to get vaccinated, even if they individually feel low risk of infection,” he said. “Because even if they are at low risk, they can still get and transmit the infection, and you cannot eradicate a disease where you have a significant contingent of people who will continue to catch and transmit it.”

Disclosure: Scott Gottlieb is a CNBC employee and a member of the boards of directors of Pfizer, genetic testing startup Tempus, health technology company Aetion Inc., and biotech company Illumina. He is also co-chair of Norwegian Cruise Line Holdings and Royal Caribbean’s Healthy Sail Panel.

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Politics

Scott Stringer Has Skilled to Be Mayor for A long time. Will Voters Be Persuaded?

Scott Stringer’s deep experience in New York City politics has yet to translate into momentum in the mayor’s race. Could an endorsement from the Working Families Party help?

The New York City mayoral race is one of the most consequential political contests in a generation, with immense challenges awaiting the winner. This is the second in a series of profiles of the major candidates.

April 14, 2021

On a late February morning in TriBeCa, the most seasoned politician in the New York City mayor’s race was sitting outside, futzing with his fogging-up eyeglasses as he wrestled with an assessment of an election that appeared to be slipping from his grasp.

For Scott M. Stringer, every chapter of his steady ascent through New York politics — serving on a community planning board as a teenager; becoming a protégé of Representative Jerrold Nadler; moving from district leader to state assemblyman, Manhattan borough president and finally, city comptroller — has laid the groundwork for a long-expected mayoral bid.

He has deep experience, boasts a raft of endorsements and verges on jubilant when describing his passion for his hometown. For much of the mayoral campaign, none of that has been enough to generate a surge of enthusiasm around his candidacy, according to polling and interviews with more than 30 activists, lawmakers and other New York Democrats.

Mr. Stringer is working hard to change that.

“If I was a book, and you’re in a bookstore and you saw the cover of the book, you may say, ‘I’m not sure I want to read that,’” Mr. Stringer said, framing a picture of himself with his hands, reaching from his head to his midline.

“What my job is, is to get people of all different backgrounds to take that book off the shelf, open up the book, look at the different chapters of my career and the issues I’ve championed.”

Mr. Stringer, 60, would appear to have the resources, the résumé and the name recognition to do just that, trailing only Eric Adams, the Brooklyn borough president, in funds on hand so far.

He is hoping that his carefully cultivated political network and a mood of citywide emergency will help him attract voters motivated by both his progressive pitch and his pledges of steady managerial competence.

On Tuesday, Mr. Stringer was endorsed as the first choice of the Working Families Party, aiding his efforts to emerge as the race’s left-wing standard-bearer.

Still, in recent months, it is Andrew Yang — embraced as a celebrity from the 2020 presidential race — who has led polls and infused significant energy into the mayoral campaign. Mr. Stringer, who began the race as a top candidate, has scrambled to brand Mr. Yang as an unserious purveyor of “half-baked ideas” even as he dominates news media coverage.

Mr. Adams and Maya D. Wiley, a former counsel to Mayor Bill de Blasio, beat out Mr. Stringer for several major labor endorsements. Those candidates and others in the crowded field are also competing with Mr. Stringer for either the “government experience” mantle or the title of left-wing standard-bearer.

And for all of his prominent supporters, detailed policy plans and ambitious ideas on issues like climate and post-pandemic education, Mr. Stringer is also a white man who spent his career rising through traditional political institutions. New York Democrats in several recent races have preferred to elevate candidates of color and political outsiders.

Now he faces his most challenging balancing act to date, as he campaigns as a veteran government official while seeking to ally himself with the activist left.

“He’s trying to thread this needle between new and old supporters,” said Susan Kang, a member of the steering committee of the New York City Democratic Socialists, in an interview late last month. “You know how if you try to make everybody happy, you don’t make anybody happy? That is something that has given people pause.”

Yet with the Working Families Party’s endorsement, Mr. Stringer found new cause for optimism. It was a signal to deeply progressive voters that the group believes they should unite around supporting Mr. Stringer’s candidacy, at a time of growing left-wing concern about Mr. Yang.

Mr. Stringer remains in contention for other major endorsements, including one from the United Federation of Teachers. And he is aware that many voters have just begun to pay attention. Major debates do not begin until May, and the race to the June 22 primary may not crystallize until more candidates hit the airwaves with television advertising in the final weeks of the race.

Still, one supporter recently compared Mr. Stringer to Senator Elizabeth Warren of Massachusetts, Mr. Stringer’s choice in the 2020 presidential primary. Like Ms. Warren, Mr. Stringer has a long list of policy plans and is thoughtful about governance. But Ms. Warren, the ally noted, did not win.

Mr. Stringer said his campaign planned to be “very aggressive” in the coming weeks, “reminding people of my record and who I am and what I believe in and what I would do as mayor.”

“I need a message moment,” he said.

Any book written about Mr. Stringer would have a common theme: He is a political animal.

Mr. Stringer, born to a politically active Jewish family, was raised in Washington Heights. His father was counsel to Mayor Abraham Beame, his mother was elected to the City Council, and his stepfather also worked in city government.

He made his campaign trail debut at age 12, volunteering for Representative Bella S. Abzug, his mother’s cousin, who went on to run for mayor.

At 16, he was tapped for a community planning board position. His appointment made the front page of The New York Times, and while on the board, he honed a version of at least one line that he still uses today: that the A train was his “lifeline.” Soon he was working for Mr. Nadler, serving on his assembly staff.

“He was a little cocky,” Mr. Nadler recalled. “He learned to restrain that and to work with people very carefully.”

Mr. Stringer, who did a stint as a tenant organizer, also served as a Democratic district leader in the 1980s, building a base on the Upper West Side, where the political culture reflects a vibrant Jewish community.

Longtime observers tend to reach for Yiddish phrases of affection and derision to describe him. Admirers call the affable Mr. Stringer, a married public-school father of two sons, a “mensch.” Detractors privately dismiss the nasal-voiced candidate as a “nebbish.”

New York City voters have often embraced politicians with more boldly distinctive personas.

Mr. Stringer, who once taught his parrot to say “Vote for Scott,” is working on it.

Asked in a campaign video to share something about himself that might surprise others, Mr. Stringer insisted, “I really am funny.” After a reporter asked him to tell a joke, Mr. Stringer spent the rest of an hourlong interview sprinkling his remarks with wisecracks.

“Scott, when he’s not doing his work politically, he’s actually quite funny, he’s got a great personality” said Michael Mulgrew, the president of the United Federation of Teachers. “But I guess because of his years of experience, he’s guarded when he’s doing his governmental work.”

Mr. Stringer was elected to the State Assembly in 1992, following failed efforts running bars. In Albany, he pressed for some reforms of the State Capitol’s insular political culture, including a requirement that lawmakers be present in order to cast their votes.

He mulled and abandoned several options for higher office, including a 2013 mayoral bid. Instead, he ran for city comptroller. In the greatest test of his career, he faced a late entry from Eliot Spitzer, the deep-pocketed and aggressive former governor who resigned after revelations of his involvement with a prostitution ring.

Many had expected Mr. Spitzer to steamroll Mr. Stringer. For awhile, he seemed on track to do so. But Mr. Stringer held his own in a brutally personal race and overcame a polling deficit, though Mr. Spitzer beat Mr. Stringer with Black voters by significant margins.

“We were not just behind early, we were behind at the end,” Mr. Stringer said. “I fought back through the debates, through the campaigning, and I won. So for me, this positioning is what I’m used to.”

There are key differences, though: In 2013, Mr. Stringer had overwhelming support from unions and the political establishment. Now, labor endorsements are more scattered.

And this race is unfolding in a pandemic. He had been cautious about in-person campaigning, after his mother died from Covid-related complications. Now vaccinated, he is seeking to match the more frenetic pace that some rivals, most notably Mr. Yang, have maintained for months.

As comptroller, Mr. Stringer handled issues from housing authority audits to promoting kosher and halal food in public schools.

He also supported closing Rikers Island and was a key part of the effort to divest $4 billion in city pension funds from fossil fuel companies; he cited that initiative when asked to name the proudest accomplishment of his career.

People who have watched Mr. Stringer in the role say that he has been active in issuing audits and reports on issues vital to the city’s well-being, while embracing a time-honored comptroller tradition of tangling with the mayor.

“Have there been contracts that have gone haywire? It doesn’t seem so,” said State Senator John C. Liu, who preceded Mr. Stringer as comptroller and has yet to endorse in the mayor’s race. “Has the office conducted audits that improved the performance of agencies? I believe there have been some.”

On the whole, Mr. Liu ruled, “He has done a fine job as comptroller.”

Kathryn S. Wylde, who heads the business-aligned Partnership for New York City, said that she believed Mr. Stringer had been “bold on corporate governance issues, he’s been bold in taking on the mayor.”

Mr. Stringer has pressed for more disclosures about board diversity, and he has sharply criticized the de Blasio administration over issues ranging from affordable housing to its handling of prekindergarten contracts.

“He’s done an aggressive job — and substantive — on all the key responsibilities of the comptroller,” Ms. Wylde said.

To many New Yorkers, Mr. Stringer retains a reputation of being a traditional Democrat. He supported Hillary Clinton over Senator Bernie Sanders in the 2016 presidential race, and served as a delegate for Mrs. Clinton. In 2018, he supported Gov. Andrew M. Cuomo over his progressive challenger, Cynthia Nixon.

Mr. Stringer has since called for Mr. Cuomo’s resignation amid accusations of sexual harassment.

Last September, a group of New York’s leading left-leaning lawmakers, many of them women and people of color, gathered at Inwood Hill Park to cheer on Mr. Stringer’s announcement for mayor.

It was a scene years in the making.

In early 2018, Alessandra Biaggi and Jessica Ramos were political unknowns, seeking to topple powerful moderate members of the State Senate. Mr. Stringer heard out Ms. Biaggi over a side of pickles at the Riverdale Diner; Ms. Ramos of Queens sought his support at drinks in Albany.

He became an early champion of several insurgent progressives, cultivating genuine relationships over strategy sessions, phone calls and meals. Those endorsements were an uncertain political bet at the time.

By last fall, they appeared to have paid off: As he announced his mayoral campaign, he was flanked by a diverse group of progressive lawmakers — including State Senators Biaggi and Ramos — who, to their admirers, represent the future of the party.

It is less clear if their endorsements will translate into grass-roots enthusiasm for Mr. Stringer among voters who are skeptical of his left-wing bona fides.

In his 2005 borough president race, a rival ran an ad criticizing Mr. Stringer for taking real estate developer money at a time when the city’s traditional power donors were looking for receptive politicians (the mayor at the time, the billionaire Michael R. Bloomberg, accepted no donations). It wasn’t until much more recently that he said he would stop taking cash from big developers, as prominent progressives highlighted the issue.

He has become a sharp critic of segregated schools, saying definitively that he wants to eliminate the admissions exam that determines access to top city high schools, which some critics say perpetuates racial inequality. But he has not typically been associated with major integration efforts in past years.

And he appears uncomfortable discussing aspects of the policing debate.

Amid protests over the killing of George Floyd, Mr. Stringer declared that it was time to defund the police.

But Mr. Stringer no longer emphasizes calls to “defund,” a term associated with a specific movement — another reminder that he is not fully part of the activist left. Pressed on whether he believed the phrase was divisive, Mr. Stringer would not answer directly.

“I have used it,” he said. “I don’t think you should be judged based on, you know, one word or another word. And I do believe that when you’re going to talk about these issues, you have to be prepared to come forth with a plan.”

He has proposed reallocating $1.1 billion in police funds over four years and has been more specific on the matter than some of his rivals, though Dianne Morales, perhaps the race’s most left-wing candidate, has pushed for far more, urging $3 billion in cuts from the police budget.

No saga better illustrates Mr. Stringer’s political high-wire act than his 2019 endorsement in the Queens district attorney race. His embrace of Tiffany L. Cabán, the choice of the New York Democratic Socialists, over Melinda Katz, a colleague from his Assembly days who narrowly won, delighted progressive activists but stunned old allies.

Critics who spoke with him at the time say Mr. Stringer had privately described New Yorkers as moving to the left, and they sensed that he wanted to embrace that shift. Mr. Stringer has said he believed Ms. Cabán, who is now running for City Council, was the more qualified candidate, but he also sounded testy when pressed on his decision in an interview with a Jewish outlet, to the irritation of some activists.

“Scott, you know, seemed to have changed some of his positions over the years,” said Representative Gregory Meeks, the chairman of the Queens Democrats. “That has caused him, in Queens County at least, which I can speak to, to have some difficulty.”

From Mr. Stringer’s earliest days in politics, he learned to think strategically about relationships.

He has maintained communication with business leaders, and his central message that he will be prepared from Day 1 to “manage the hell out of the city” is not ideological.

Ms. Wylde said that some business leaders “know him as a steady hand.”

“When I think he’s going totally off the deep end, we have a conversation,” she added.

Ranked-choice voting, which enables voters to support up to five candidates, will test Mr. Stringer’s political skills like never before.

Even if he is not the favorite of deeply progressive voters, he hopes to be their second choice. That could also work with moderates who see him as more of a manager than a firebrand. But first he must cement his standing as a leading candidate in the homestretch of the race.

Mr. Stringer knows that he has significant work to do.

In a campaign video he filmed to introduce himself to voters, he said that his favorite movie was “The Candidate,” a 1972 film that traced the arc of a dazzling young candidate, played by Robert Redford, who had little understanding of government process.

He has little in common with Mr. Redford’s character. But Mr. Stringer, too, must prove that he can win.

Categories
Health

Dr. Scott Gottlieb on Fauci, Paul alternate on face masks

Americans should continue to wear face masks at this point in the pandemic to protect themselves from coronavirus transmission, said Dr. Scott Gottlieb told CNBC on Friday.

Hopefully the guidelines should change in the coming months.

“We have to be careful this month. I don’t think this is the time to start lifting … the simpler remedies like wearing masks, things like that,” said the former Commissioner of the Food and Drug Administration on ” Squawk Box “. “”

Gottlieb’s comments came in response to a heated exchange between the White House Medical Director, Dr. Anthony Fauci, and GOP Senator Rand Paul from Kentucky. In a Senate committee hearing, Paul, an ophthalmologist before going into politics, suggested to Fauci that it was “theater” to advise people to wear masks even after vaccinating against Covid.

“You want to get rid of the hesitation about the vaccine? Tell them they can stop wearing their mask after they get the vaccine,” Paul said, claiming there was a “practically 0% chance” that someone would was vaccinated, could get Covid-19. The senator had Covid a year ago.

Fauci forcibly pushes back against Paul and says: “I have a completely different opinion than you.” The nation’s leading expert on infectious diseases stressed that the presence of new variants of the virus makes it important to wear face masks in public, even for those who have been vaccinated.

Gottlieb, who headed the FDA in the Trump administration from 2017 to 2019, said March was a “difficult” month in the pandemic battle. New infections have declined dramatically since their peak in January, but he said the downward trend has started to plateau despite more Americans receiving Covid shots.

“In April and May things may look a lot clearer, and it’s obvious we can take our masks off,” said Gottlieb, who serves on Pfizer’s board of directors and one of the EU-approved two-shot Covid vaccines manufactures US for emergencies. “It’s not that obvious right now.”

At the same time, Gottlieb agreed with Paul’s view that there was something to give Americans to look forward to when they were vaccinated. Paul said to Fauci, “Give them a reward instead of telling them that Nanny State will be there for three more years and that you will have to wear a mask forever.”

Gottlieb said he’s not sure if public health experts, including Fauci, are suggesting that people wear masks for eternity. However, Gottlieb emphasized: “There must be light at the end of the tunnel.”

“I think we need to recognize that if the population is vaccinated and the general vulnerability of the population decreases, we can take more risks. This includes going out without masks and doing things in congregation environments,” said the ex-FDA- Boss said.

Nearly 23% of the US population have received at least one dose of a Covid vaccine, according to the Centers for Disease Control and Prevention. Just over 12% of the population is fully vaccinated. Pfizer and Moderna vaccines require two doses for complete protection, while the vaccine recently approved by Johnson & Johnson is a single shot.

A number of states have lifted or eased restrictions on businesses in the pandemic in the past few weeks. Some governors, like Tate Reeves, governor of Mississippi, and Greg Abbott, governor of Texas, both Republicans, have also given up their state’s mask mandates.

While Gottlieb has previously said that mask requirements should be the final measure to mitigate Covid, the doctor said he sees a scenario in the not-too-distant future where Americans won’t need them in public.

“If infection rates go low this summer, which I think they will, and we have fully vaccinated 50% or 60% of the adult population, we won’t be wearing masks on the beach on July 4th. We won’t.” probably wearing masks indoors when we don’t want to, “said Gottlieb.

As the fall and winter roll around bringing in colder weather, coronavirus cases could increase, Gottlieb said, adding that “we may get some of the mitigation back on track”. However, he said, “I think a lot of people will still be wearing masks, probably me too, when I travel this winter.”

Categories
Business

Kim Scott and Jake Rosenfeld Have Concepts About Making Pay Extra Equitable

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Walmart announced last month that it was raising wages for some of its low-wage workers. Investors responded by beating up their stocks, sending them down more than 6 percent that day.

That wasn’t quite as bad as in 2015, when the retailer’s shares fell 10 percent after it was announced that a wage hike would hurt profits.

Walmart wasn’t fancy. Half of Walmart’s hourly employees, or about 730,000 employees, are still making less than $ 15 an hour after the last increase went into effect last week. The retail giant made $ 13.5 billion in profits last fiscal year.

In recent years, managing directors have publicly expressed their commitment to “stakeholder capitalism” and “doing good by doing good”. However, when it comes to paying workers wages that can support their families, investors send a clear message to executives: raise wages at your own risk.

That’s a problem. The share of employee compensation in our national production has declined sharply for decades, and in particular since 2000. Low-wage workers at companies like Amazon, McDonald’s and Walmart rely on public support like grocery stamps to make ends meet from the Government Accountability Office, according to an October report. A shocking 30 percent of Americans couldn’t easily come up with $ 400 on their own in an emergency, and women and people of color generally earn less than their peers.

However, two new books highlight good ideas for a fairer distribution of wages, some of which are new and some of which are no longer used. You may even be able to help investors accept this reallocation.

Kim Scott is concerned about how bias affects employee pay. In her new book, Just Work, Ms. Scott, a former executive at Apple and Google, challenges managers to assess the gender, racial and ethnic pay gap. “Unless you believe that white men are superior to others and are paid more because of it, it is impossible to believe that bias is not a factor,” she writes. American women, for example, only earn about 85 percent of the earnings of men.

Ms. Scott’s recommendations are not common practice in most organizations, but they make sense. The first is to ensure that no person has unilateral power over the compensation. Companies should have fixed salaries or salary ranges for each role. People hired for the same job should have similar, if not identical, letters of offer. Job candidates can haggle for signing bonuses if necessary, but even then only within a scope that the company determines and discloses.

Another strategy for a fairer wage distribution that Ms. Scott advocates is compensation transparency, in which companies publish the compensation for a specific position. This is common with Buffer, a social media tools company, and many government agencies as well. “More and more companies are realizing that the easiest way to close wage differentials is to solve the puzzle,” Ms. Scott writes.

Ms. Scott also urges company executives to examine the gap between executive pay and that of their worst paid employees. Research shows that increasing compensation for low-wage workers is one of the most effective ways to narrow the persistent racist pay gap. “If you are responsible for the compensation, you can pay people who are paid less and less,” Ms. Scott writes. “I’m not talking about communism. I am speaking of general human decency. “

Some companies think similarly. Costco recently increased its starting wage from $ 15 to $ 16 an hour. The retailer has long been a case study of how higher wages can be a good business strategy to reduce employee turnover and theft and improve customer service. Best Buy and Target raised the minimum wage to $ 15 an hour last year. According to Amazon, Amazon benefited from higher work ethic and retention, as well as a significant increase in applications, after the starting salary for all U.S. employees was raised to $ 15 an hour in 2018.

PayPal for the past few years has focused on employee financial health, including a metric known as net disposable income, or what employees have left after taxes and necessary living expenses. It increased the company’s salaries and health insurance contributions for its worst-paid workers, resulting in greater employee satisfaction and retention.

Jake Rosenfeld takes up the myths about how companies give compensation in “You get paid for what you’re worth”. One of the biggest myths is that what we get paid reflects our performance, argues Rosenfeld, professor of sociology at Washington University in St. Louis.

In theory, workers should be paid based on how much money a company is making from their work, and this may be clear to some rainmakers. But that is often not the case. Mr. Rosenfeld blames several structural factors for undermining the bond between the value workers who contribute to their employer’s income and their compensation, including non-compete agreements, opacity about salaries, company performance, and market concentration.

In addition, Mr. Rosenfeld makes the provocative claim that measuring the performance of most individual workers is unsuccessful. “For many jobs today, the entire effort to measure marginal productivity is wrong – not because the right tools were not developed, but because there is no way to separate the productivity of one worker from that of others in the organization,” he said.

He argues that even if it is possible to link individual performance to sales, as is the case with salespeople and lawyers, performance-based payment has deep shortcomings, such as: B. the creation of cutthroat competition between colleagues.

What is the alternative when performance-based pay is so problematic? One way is to link pay to performance across the company. Profit-sharing programs, where companies give their employees a percentage of their income, were common in the US before the 1980s, but have largely disappeared since then.

Mr. Rosenfeld also suggests an approach where younger workers are unlikely to find fans: pay is based on seniority. It robs managers of their ability to play favorites, reduces the effects of bias, and rewards the experience. “The seniority-based compensation ensures that we are paid for our improvement,” argues Rosenfeld.

American political leaders play a role here. The federal minimum wage proposal of $ 15 did not make it under the latest economic legislation. But democratic leaders have vowed to pass it sooner or later. (President Biden has also committed to strengthening unions, the decline of which since the 1980s has helped weaken workers’ leverage over compensation.)

A significant majority of American voters have historically supported raising the minimum wage to $ 15. And even this level is not enough to provide workers with an income sufficient to cover basic costs in many parts of the country.

As Walmart was very clearly reminded, investors are not necessarily on the same page as the general public when it comes to better wages. This is myopic. Researchers like Zeynep Ton, a professor at the MIT Sloan School of Management, have shown that businesses can be just as profitable by paying higher wages thanks to benefits like higher quality goods and services and lower turnover. When workers struggle to make ends meet, it holds the economy back because they consume less.

In addition, fair pay is an important basis for a fair society. Now is a good time to reset assumptions about why we get paid, what we get paid, and how compensation is determined. There are new approaches for those who are open to them.

What do you think? How can fairer pay be made? And can it ever really be associated with performance? Let us know: dealbook@nytimes.com.