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Iko hakuna ruzivo, maererano neafidhavhiti, kuti Ashlock akazviita muchivako cheCapitol.

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Law enforcement officials told lawmakers Tuesday they were prepared for the possibility of limited violence on January 6 at the US Capitol, but the intelligence available ahead of time did not warn of a violent coordinated attack like the insurrection that overwhelmed officers and led to multiple casualties.

“The breach of the United States Capitol was not the result of poor planning or failure to contain a demonstration gone wrong,” former US Capitol Police Chief Steven Sund told two Senate committees at the first open hearing on the Capitol riot.
All four of the requested witnesses are slated to testify during today’s Senate hearing on the Jan. 6 Capitol attack, according to two sources familiar with the plans.
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The Senate Homeland Security and Governmental Affairs and Senate Rules committees invited the following witnesses to testify based on their critical roles in security planning for the joint session of Congress on Jan. 6:

Metropolitan Police Acting Chief Robert Contee
Former House Sergeant at Arms Paul Irving
Former Senate Sergeant at Arms Michael Stenger
Former United States Capitol Police Chief Steven Sund
As CNN previously reported, a committee aide described Tuesday’s hearing as a first opportunity to get answers to key questions surrounding the events of Jan. 6, including why the response from law enforcement was delayed and why the rioters were allowed to breach the building.

3 hr 15 min ago
At least 250 people have been charged in connection to the Capitol riot
From CNN’s Paul Murphy, Marshall Cohen and Hannah Rabinowitz

Federal prosecutors have charged at least 250 people in connection with the Capitol riot, according to a CNN analysis of court records and Department of Justice announcements.

These defendants come from 40 states and the District of Columbia, according to a CNN analysis.

Not surprisingly, there are more defendants hailing from the largest states in the country, like Texas, Florida, Pennsylvania, New York and California. But when analyzed on a per capita basis, the states with the most defendants as a share of the population are Montana, Biden’s home state of Delaware, and Pennsylvania.

There are 10 states that don’t have any defendants – primarily smaller states scattered across the country.

Ryan Ashlock of Westwood, Kansas, was the latest to be charged. He is facing charges of conspiracy, obstruction of law enforcement during a civil disorder, obstruction of Congress and knowingly entering or remaining in a restricted building.

The conspiracy charge is in connection with a group of five other individuals, said to be associated with the Proud Boys, that investigators previously charged with conspiracy in connection to the Capitol riot.

“ASHLOCK moved closely with the other subjects in proximity, but also appeared to gesture and communicate to one another before entering the Capitol in an apparent effort to coordinate their efforts, before ASHLOCK ultimately separated from the other subjects,” investigators wrote in an affidavit.

Like the others charged by prosecutors in the conspiracy, investigators say that Ashlock wore orange tape on his clothing, in addition to, “tactical style gear, including a vest, goggles, knee pads, and gloves.”

They also identified him as an individual seen in video pushing against a police barricade outside the Capitol and being pepper sprayed by police.

There’s no information, according to the affidavit, that Ashlock made it into the Capitol building.

The FBI investigator that authored the affidavit also explicitly stated it’s still under investigation, saying that there may be others that could be charged in this specific conspiracy.
This is the first time Americans are hearing in full why intelligence and operations failed dramatically on January 6 from the very people whose choices contributed to the crisis — information that will likely help shape the search for new leaders and possibly a new security management structure on Capitol Hill.
Acting Metropolitan Police Chief Robert Contee described a phone call shortly after the Capitol was breached by pro-Trump rioters, and how Pentagon officials were apparently unable or unwilling to quickly send in National Guard troops.
“I was surprised at the reluctance to immediately send the National Guard to the Capitol grounds,” he said.
Former House Sergeant at Arms Paul Irving testified that intelligence assessments before the January 6 attack incorrectly concluded that there was only a “remote” to “improbable” chance of a civil disturbance that day, according to prepared testimony.
Irving also disputed reports he was concerned by the “optics” of National Guard members appearing on Capitol Hill, and thus had declined to request reinforcements on January 4, two days beforehand.
“We did discuss whether the intelligence warranted having troops at the Capitol, and our collective judgment at that time was no — the intelligence did not warrant that,” he wrote in his prepared statement. “The intelligence did warrant the plan that had been prepared by Chief Sund.”
6 Capitol Police officers suspended, 29 others being investigated for alleged roles in riot
6 Capitol Police officers suspended, 29 others being investigated for alleged roles in riot
“Based on the intelligence, we all believed that the plan met the threat, and that we were prepared,” Irving added. “We now know that we had the wrong plan.”
In a previous letter, Sund said he asked Irving and former Sergeant at Arms Michael Stenger to request the National Guard before the event.
Irving said he “was concerned about the ‘optics’ and didn’t feel the intelligence supported it,” Sund wrote in his letter. The sergeant for the Senate, Stenger, suggested asking the Guard to be ready in case Sund needed them.
Captain says she’s still recovering from chemical burns
Captain Carneysha Mendoza of the US Capitol Police provided riveting testimony Tuesday morning about her firsthand experience responding to the insurrection.
“I proceeded to the Rotunda where I noticed a heavy smoke-like residue and smelled what I believed to be military grade CS gas — a familiar smell,” Mendoza said, mentioning that she served in the Army. “It was mixed with fire extinguisher spray deployed by the rioters. The rioters continued to deploy CS inside the Rotunda.”
CS is a reference to tear gas, which is often used by police as a riot control agent. Footage from the Capitol attack shows officers and rioters using chemical sprays against each other during the hours-long melee.
“Officers received a lot of gas exposure, which is a lot worse inside the building versus outside, because there’s nowhere for it to go,” Mendoza said. “I received chemical burns to my face that still have not healed to this day.”
She also described the terrifying moments while she and other officers brawled with hundreds of rioters.
“At some point, my right arm got wedged between the rioters and railing along the wall,” she testified. “A (DC police) sergeant pulled my arm free and had he not, I’m certain it would have been broken.”
Search for new Capitol Police chief
On Thursday, acting USCP Chief Yogananda Pittman is scheduled to testify in an open hearing in front of the House Appropriations Committee. That will also mark the first time Pittman takes questions publicly. She previously appeared in a closed-door hearing in which she apologized to lawmakers.
FBI and intel agencies hand over first documents to lawmakers ahead of Capitol attack hearings
FBI and intel agencies hand over first documents to lawmakers ahead of Capitol attack hearings
Her new testimony comes as officials are starting the search for a new USCP chief.
A congressional source told CNN that Congress is moving forward with hiring an outside entity to begin the search.
Several other committees working together have already received briefings and documents from intelligence agencies as part of the numerous probes.
The House Intelligence, Homeland Security, Oversight and Judiciary committees’ joint review prompted an initial production of documents last week from the FBI, Department of Homeland Security and National Counterterrorism Center, a congressional source told CNN. Additionally, they have received several briefings from the three agencies.
The source said so far the documents have mostly been finished intelligence products that the committee could already access.
This story has been updated with testimony from Tuesday’s hearing.

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President Joe Biden will sign an executive order on Wednesday to review the global supply chains used by four key industries in an effort to avoid the shortages in medical equipment, semiconductors and other goods seen as critical during the pandemic.
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China reliance targeted: Biden’s order will institute 100-day reviews of the global producers and shippers for: computer chips used in consumer products; large-capacity batteries for electric vehicles; pharmaceuticals and their active ingredients; and critical minerals used in electronics.
A national health care provider has administered COVID-19 vaccinations to people deemed ineligible for the scarce vaccine by local health departments, including people with connections to company leaders and customers of its concierge medical service, according to internal communications leaked to NPR.
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San Francisco-based One Medical has been allocated thousands of vaccine doses by local health departments in some of the areas they provide medical services. Ineligible individuals with connections to company leadership were set up with vaccine appointments, and patients who were disqualified from receiving the vaccine were nonetheless permitted to skip the line ahead of other high-risk patients.

The problems have occurred in numerous company locations across several states. The Washington State Department of Health, citing a complaint it received this month, told NPR it had halted COVID-19 vaccine distribution to the company. Other regulators have also received complaints or stopped providing the vaccine.

One Medical has branded itself a high-end health care provider serving a relatively affluent clientele that pays a $199 fee annually to receive easy online access to appointments, telemedicine and access to a streamlined, tech-focused medical experience. The company went public with an IPO in January 2020, with a valuation in the billions.

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One Medical’s shortcomings take place amid broader anecdotal evidence that suggests patients throughout the country are skipping the line due in part to loose enforcement. The situation highlights a serious ethical issue: Determining who is entitled to a vaccine at a time of scarce availability and who is responsible for enforcing eligibility rules.

Experts say an appropriate system for vaccine distribution focuses on first targeting those most at risk for serious consequences from COVID-19. “We’re trying to focus on those individuals who are most likely to develop severe illness or death, and to most likely be exposed to the virus,” said Gabriel Lázaro-Muñoz, who teaches medical ethics and health policy at the Baylor College of Medicine. “The overall goal is to save as many lives as possible, and with that we are not valuing any life over another.”

One Medical claims it does not allow for ineligible patients to be vaccinated knowingly, and that it was confident that it was “doing everything reasonably in our power to ensure… our adherence to state and local department of health vaccine eligibility guidelines.” But NPR obtained internal communications that tell a different story.

‘We are not policing’

Messages between doctors, medical practitioners, administrative staff and leadership show that multiple staffers across One Medical locations in several states — Washington, Oregon and California — privately raised the alarm about what they believed were lax oversight and inappropriate practices within the organization. They also show what appear to be favors done for those close to the organization’s senior staff.

“It seems if you don’t screen out those jumping the [queue], then many will jump in the line and push those that need the vaccine further behind, delaying a potentially life saving injection. This could impact MANY members,” one doctor in California wrote to his colleagues in January, according to the internal documents.

“I have had two [patients] today, both in their 20-30s without risk factors and are tech workers who have gotten their covid vaccines. One was thru us,” wrote another One Medical doctor in Washington state. “I’m curious how these [people] are able to sign up for vaccines when we have a long list of higher priority [patients]? … I just want to understand how they can be prioritized for a vaccine when those at higher tiers have to wait.”

These internal communications indicate that ineligible friends and family of One Medical leadership were vaccinated, as were work-from-home administrative, support and IT staff at its headquarters in San Francisco. While healthcare workers waited in line in January, One Medical made the decision to offer the vaccine to any of its San Francisco County staff, regardless of whether they were patient-facing staff.

Lázaro-Muñoz, the ethics professor, said that offering the vaccine to all staff regardless of whether they see patients was unethical.

“There might not be regulations stopping this company from giving [the COVID vaccine] to their employees. But from an ethical standpoint, when you look at what is right and wrong, this is wrong,” Lázaro-Muñoz told NPR. “Your life and the life of your co-workers and those who work in this company is not any more valuable than the life of the elderly people that are not getting access to that vaccine, thanks to your criteria and system of distributing that vaccine.”

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One Medical said that it had asked some of its staff to volunteer time in their clinics. However, all of its staff in San Francisco County were provided an opportunity to receive the vaccine, regardless of the nature of their job.

Further, patients of One Medical who were ineligible to be vaccinated based on local guidelines were also permitted to book vaccination appointments through an online portal. So was at least one executive of a partner organization with One Medical. Internal communications show providers trying to get eligible health care workers vaccinated, but instead told to put them on a wait list.

“Why are young patients without health problems, on a trial membership… allowed to book and receive a covid vaccine while healthcare workers are being waitlisted?” one medical professional asked in January. “I just saw two appointments for such.”

There were also shortcomings with the company’s system. A question asking patients whether they were in an eligible category was not added to the online portal until Jan. 14, though One Medical started vaccinating patients on Jan. 1. During this two-week period, COVID-19 cases in the United States reached its highest peak.

Following this, the internal documents show that in January, even if a patient noted that they were not in an eligible category for vaccination, some could continue to book an appointment for a COVID-19 vaccine. Suggestions on how the tech-heavy company could use algorithms to scan for ineligible patients were turned down.

The tech-heavy company said that blocking ineligible patients from booking vaccination appointments would have called for a complete overhaul of their system and was too technologically difficult to rebuild in the required timeframe.

The documents also show that in January One Medical was not verifying the eligibility of patients it vaccinated by requiring ID or other evidence at the point of vaccine administration.

“I have questions about our approach of not requiring [patients] to bring proof of vaccine eligibility,” said a One Medical staffer. “A quick Google search indicates that this is not consistent with many states’ requirements… I am concerned about advertising an overly permissive approach.”

“It seems crucial to at least attempt to ensure that the vaccines are going into the ‘right’ people’s arms.”

– a One Medical staff member

As ineligible patients began to get vaccines, staff began raising concerns that word was spreading about One Medical’s lax enforcement of eligibility requirements.

“I’ve had a few patients straight up tell me that once they realized there was no screening that they would be telling their friends…” another medical provider in California wrote. “My partner and I were shocked when we got ours through One Med… that at no point were we asked if we met criteria — let alone asked to prove it.”

Employees were told not to try to enforce the rules barring ineligible patients. “Scanning schedules and cancelling appointments [for ineligible patients] is not recommended,” Spencer Blackman, the director of clinical education at the company said in a communication to a range of staff. He added in another note to a doctor, “If this person sees themself in a tier that is being vaccinated they can attest to that and make an appointment. You don’t get to make the decision if someone ‘gets’ [a] vaccine or not.”

“We are not policing,” Blackman wrote in January, setting off objections in internal company communications.

When asked why One Medical did not verify eligibility, chief medical officer Andrew Diamond said, “There was never guidance that said ‘do not verify’… that would be counter to our principles.” When told NPR was in possession of communications that indicated otherwise, he responded, “that’s clearly not the guidance, nor is that the intent of the guidance. We’ve been far clearer since then.”

“If we don’t ‘police’ we contribute to inequity that rewards those who choose to lie/deceive … As a medical company with tech skills we CAN do more.”

– a One Medical staff member

In fact, many localities require medical providers to check for eligibility documentation. In Los Angeles County, where One Medical has been provided thousands of doses, vaccination is limited currently to healthcare workers, long-term care facility residents, and persons over the age of 65. Proper documentation of eligibility is required for vaccination. “Providers are then responsible for confirming eligibility responses and requesting accepted documentation of eligibility, once [the patient] arrives for onsite appointment,” an L.A. County Department of Public Health spokesperson said.

And in Alameda County, where the company was given close to 1,000 doses, the public health department said that personal ID and proof of a health care role is “required” for the vaccine doses that One Medical received.

As Forbes was preparing a story about One Medical’s practices, One Medical leadership sent out a note to staff warning of consequences, threatening them with “disciplinary action, up to and including termination” if they leaked internal communications. One Medical disputed this characterization. “One Medical is not, and has never been an organization that threatens its staff,” a spokesperson said, characterizing the note as merely “reminders about our business code of conduct.”

Regulators take action

It is not clear how many ineligible vaccine doses were distributed, and One Medical declined to provide a figure on how many total doses it had administered. But the company has likely provided tens of thousands of doses: Of just two jurisdictions that produced information on the doses it allocated to One Medical, San Francisco County said it had provided the company with 12,000 doses, while L.A. County has provided them with nearly 6,000 doses.

One Medical’s practices have not gone unnoticed by state and local regulators. The Washington State Department of Health told NPR that they had halted allocation of vaccine doses to One Medical due to a complaint received on February 10. “We are currently in communication with One Medical regarding the complaint we received,” a state spokesperson said. “We are removing them from the state’s Vaccine Locations webpage and One Medical will not be receiving vaccine from us until this issue is resolved.” One Medical disputed the reason for the halt, and said that it was a misunderstanding.

Bob Ferguson, the attorney general of Washington state, is also concerned about the wider issue of ineligible patients receiving COVID-19 vaccinations. While not commenting on whether or not there were any ongoing investigations into the topic, or on any individual company, a spokesperson for the attorney general said that Ferguson was “extremely concerned. And he has had conversations with his team about this issue.”

Los Angeles County’s Department of Public Health has also received a complaint about One Medical — and has reached out to express a warning by phone and email. “Public Health told One Medical if there are breaches and they are not holding tight to our priority groups, and checking and validating groups, we could not allocate vaccine to them any longer,” a spokesperson said. “We reinforced the fact that we could not provide vaccine to any entity not following our partner guidance for checking and ensuring people getting vaccinated are part of our priority groups.” One Medical claimed that complaints and warnings are both common for medical providers.

In Alameda County, California, which includes Oakland, the Public Health Department said that One Medical had received 975 doses of the COVID-19 vaccine, but received no more after the health care company indicated its desire to vaccinate ineligible patients. “Alameda County did not fulfill One Medical’s next request in early February for additional doses when they indicated that they planned to vaccinate more than their health care workers (who were the only approved group prioritized for vaccinations at the time),” said a county spokesperson. One Medical said that this explanation was “categorically untrue,” but did not contest that their vaccine allocation has not continued beyond the original 975 doses.

In San Francisco, where One Medical’s headquarters are based, the county’s Department of Public Health stressed: “One Medical was engaged primarily to provide vaccine to in-home support services (IHSS), other in-home care providers and healthcare workers… SF DPH expects all its vaccine provider partners to follow State and SF DPH vaccination eligibility guidelines.”

One Medical contested several elements of this story, claiming that it “does not allow for ineligible persons to be vaccinated knowingly.” It also said that it had fired several members of its clinical staff due to disregard for eligibility requirements.

“We are doing absolutely everything in our power to vaccinate as many eligible people as possible,” said Diamond, the chief medical officer of One Medical, attributing difficulties to the “fog of war” that occurs during a period of “myriad uncertainties, conflicting jurisdictional guidance and profound public anxieties.”

The reviews will seek to determine whether U.S. firms in these sectors are relying too much on foreign suppliers, particularly those in China, a senior administration official told reporters. They will also consider other vulnerabilities, like extreme weather and environmental factors.

“Clearly we are looking at the risks posed by dependence on competitor nations, but that is only one of a range of risks we are looking at,” the administration official said.

The order will also direct yearlong reviews for six sectors: defense, public health, information technology, transportation, energy and food production.

Those reviews will be “modeled after the process the Defense Department uses to regularly evaluate and strengthen the defense industrial base,” the official said.

Remedies unclear: If risks are identified in the supply chains for critical sectors, the administration will aim to push those companies to move their suppliers out of countries like China and back to the U.S. mainland or allied nations.

“Resilient supply chains are not the same thing as all products being made in America,” said a second senior official. “That’s not our intention here.”

Any strict directive from the White House for firms to relocate to the U.S. would risk angering allies like Canada and the European Union, which Biden already irked by strengthening “Buy American” provisions on his first day in office by making it more difficult for foreign companies to supply the U.S. government.

But how the White House will prod companies remains to be seen. If the risks are dire, the Biden administration could use the Defense Production Act, a Cold War-era emergency law, to force companies to produce certain goods domestically. Or the president could work with Congress to fashion incentives and worker-training programs to get suppliers to relocate to the U.S. or allies.

For now, the White House is not ”taking anything off the table,” the first official said, and strategies to fix the supply chains will depend on the weak spots identified.

Shortages abound: The order comes as automakers around the U.S. reel from a global shortage in semiconductors — the computer chips in everything from cell phones to SUVs — forcing manufacturers to halt auto production for weeks.

Risks to the battery supply chain are also apparent. Ford and Volkswagen recently told U.S. trade authorities that they would have to delay production of their new electric vehicle lines if their battery supplier — Korean firm SK Innovation — was blacklisted for intellectual property theft. The International Trade Commission subsequently blocked those batteries from entering the U.S., but gave the automakers a grace period to find new suppliers.

Those situations both came on the heels of widespread shortages of masks and other medical protective gear early in the pandemic, which affected hospitals and average consumers alike. The White House says it aims to get out in front of those issues next time around.

“We’re going to get out of the business of reacting to supply chain crises as they arise, and get into the business of getting ahead of future supply chain problems,” one of the senior administration officials said.

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The order comes as automakers around the U.S. reel from a global shortage in semiconductor

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President Joe Biden will sign an executive order on Wednesday to review the global supply chains used by four key industries in an effort to avoid the shortages in medical equipment, semiconductors and other goods seen as critical during the pandemic.
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San Francisco-based One Medical has been allocated thousands of vaccine doses by local health departments in some of the areas they provide medical services. Ineligible individuals with connections to company leadership were set up with vaccine appointments, and patients who were disqualified from receiving the vaccine were nonetheless permitted to skip the line ahead of other high-risk patients.

The problems have occurred in numerous company locations across several states. The Washington State Department of Health, citing a complaint it received this month, told NPR it had halted COVID-19 vaccine distribution to the company. Other regulators have also received complaints or stopped providing the vaccine.

One Medical has branded itself a high-end health care provider serving a relatively affluent clientele that pays a $199 fee annually to receive easy online access to appointments, telemedicine and access to a streamlined, tech-focused medical experience. The company went public with an IPO in January 2020, with a valuation in the billions.

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One Medical’s shortcomings take place amid broader anecdotal evidence that suggests patients throughout the country are skipping the line due in part to loose enforcement. The situation highlights a serious ethical issue: Determining who is entitled to a vaccine at a time of scarce availability and who is responsible for enforcing eligibility rules.

Experts say an appropriate system for vaccine distribution focuses on first targeting those most at risk for serious consequences from COVID-19. “We’re trying to focus on those individuals who are most likely to develop severe illness or death, and to most likely be exposed to the virus,” said Gabriel Lázaro-Muñoz, who teaches medical ethics and health policy at the Baylor College of Medicine. “The overall goal is to save as many lives as possible, and with that we are not valuing any life over another.”

One Medical claims it does not allow for ineligible patients to be vaccinated knowingly, and that it was confident that it was “doing everything reasonably in our power to ensure… our adherence to state and local department of health vaccine eligibility guidelines.” But NPR obtained internal communications that tell a different story.

‘We are not policing’

Messages between doctors, medical practitioners, administrative staff and leadership show that multiple staffers across One Medical locations in several states — Washington, Oregon and California — privately raised the alarm about what they believed were lax oversight and inappropriate practices within the organization. They also show what appear to be favors done for those close to the organization’s senior staff.

“It seems if you don’t screen out those jumping the [queue], then many will jump in the line and push those that need the vaccine further behind, delaying a potentially life saving injection. This could impact MANY members,” one doctor in California wrote to his colleagues in January, according to the internal documents.

“I have had two [patients] today, both in their 20-30s without risk factors and are tech workers who have gotten their covid vaccines. One was thru us,” wrote another One Medical doctor in Washington state. “I’m curious how these [people] are able to sign up for vaccines when we have a long list of higher priority [patients]? … I just want to understand how they can be prioritized for a vaccine when those at higher tiers have to wait.”

These internal communications indicate that ineligible friends and family of One Medical leadership were vaccinated, as were work-from-home administrative, support and IT staff at its headquarters in San Francisco. While healthcare workers waited in line in January, One Medical made the decision to offer the vaccine to any of its San Francisco County staff, regardless of whether they were patient-facing staff.

Lázaro-Muñoz, the ethics professor, said that offering the vaccine to all staff regardless of whether they see patients was unethical.

“There might not be regulations stopping this company from giving [the COVID vaccine] to their employees. But from an ethical standpoint, when you look at what is right and wrong, this is wrong,” Lázaro-Muñoz told NPR. “Your life and the life of your co-workers and those who work in this company is not any more valuable than the life of the elderly people that are not getting access to that vaccine, thanks to your criteria and system of distributing that vaccine.”

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One Medical said that it had asked some of its staff to volunteer time in their clinics. However, all of its staff in San Francisco County were provided an opportunity to receive the vaccine, regardless of the nature of their job.

Further, patients of One Medical who were ineligible to be vaccinated based on local guidelines were also permitted to book vaccination appointments through an online portal. So was at least one executive of a partner organization with One Medical. Internal communications show providers trying to get eligible health care workers vaccinated, but instead told to put them on a wait list.

“Why are young patients without health problems, on a trial membership… allowed to book and receive a covid vaccine while healthcare workers are being waitlisted?” one medical professional asked in January. “I just saw two appointments for such.”

There were also shortcomings with the company’s system. A question asking patients whether they were in an eligible category was not added to the online portal until Jan. 14, though One Medical started vaccinating patients on Jan. 1. During this two-week period, COVID-19 cases in the United States reached its highest peak.

Following this, the internal documents show that in January, even if a patient noted that they were not in an eligible category for vaccination, some could continue to book an appointment for a COVID-19 vaccine. Suggestions on how the tech-heavy company could use algorithms to scan for ineligible patients were turned down.

The tech-heavy company said that blocking ineligible patients from booking vaccination appointments would have called for a complete overhaul of their system and was too technologically difficult to rebuild in the required timeframe.

The documents also show that in January One Medical was not verifying the eligibility of patients it vaccinated by requiring ID or other evidence at the point of vaccine administration.

“I have questions about our approach of not requiring [patients] to bring proof of vaccine eligibility,” said a One Medical staffer. “A quick Google search indicates that this is not consistent with many states’ requirements… I am concerned about advertising an overly permissive approach.”

“It seems crucial to at least attempt to ensure that the vaccines are going into the ‘right’ people’s arms.”

– a One Medical staff member

As ineligible patients began to get vaccines, staff began raising concerns that word was spreading about One Medical’s lax enforcement of eligibility requirements.

“I’ve had a few patients straight up tell me that once they realized there was no screening that they would be telling their friends…” another medical provider in California wrote. “My partner and I were shocked when we got ours through One Med… that at no point were we asked if we met criteria — let alone asked to prove it.”

Employees were told not to try to enforce the rules barring ineligible patients. “Scanning schedules and cancelling appointments [for ineligible patients] is not recommended,” Spencer Blackman, the director of clinical education at the company said in a communication to a range of staff. He added in another note to a doctor, “If this person sees themself in a tier that is being vaccinated they can attest to that and make an appointment. You don’t get to make the decision if someone ‘gets’ [a] vaccine or not.”

“We are not policing,” Blackman wrote in January, setting off objections in internal company communications.

When asked why One Medical did not verify eligibility, chief medical officer Andrew Diamond said, “There was never guidance that said ‘do not verify’… that would be counter to our principles.” When told NPR was in possession of communications that indicated otherwise, he responded, “that’s clearly not the guidance, nor is that the intent of the guidance. We’ve been far clearer since then.”

“If we don’t ‘police’ we contribute to inequity that rewards those who choose to lie/deceive … As a medical company with tech skills we CAN do more.”

– a One Medical staff member

In fact, many localities require medical providers to check for eligibility documentation. In Los Angeles County, where One Medical has been provided thousands of doses, vaccination is limited currently to healthcare workers, long-term care facility residents, and persons over the age of 65. Proper documentation of eligibility is required for vaccination. “Providers are then responsible for confirming eligibility responses and requesting accepted documentation of eligibility, once [the patient] arrives for onsite appointment,” an L.A. County Department of Public Health spokesperson said.

And in Alameda County, where the company was given close to 1,000 doses, the public health department said that personal ID and proof of a health care role is “required” for the vaccine doses that One Medical received.

As Forbes was preparing a story about One Medical’s practices, One Medical leadership sent out a note to staff warning of consequences, threatening them with “disciplinary action, up to and including termination” if they leaked internal communications. One Medical disputed this characterization. “One Medical is not, and has never been an organization that threatens its staff,” a spokesperson said, characterizing the note as merely “reminders about our business code of conduct.”

Regulators take action

It is not clear how many ineligible vaccine doses were distributed, and One Medical declined to provide a figure on how many total doses it had administered. But the company has likely provided tens of thousands of doses: Of just two jurisdictions that produced information on the doses it allocated to One Medical, San Francisco County said it had provided the company with 12,000 doses, while L.A. County has provided them with nearly 6,000 doses.

One Medical’s practices have not gone unnoticed by state and local regulators. The Washington State Department of Health told NPR that they had halted allocation of vaccine doses to One Medical due to a complaint received on February 10. “We are currently in communication with One Medical regarding the complaint we received,” a state spokesperson said. “We are removing them from the state’s Vaccine Locations webpage and One Medical will not be receiving vaccine from us until this issue is resolved.” One Medical disputed the reason for the halt, and said that it was a misunderstanding.

Bob Ferguson, the attorney general of Washington state, is also concerned about the wider issue of ineligible patients receiving COVID-19 vaccinations. While not commenting on whether or not there were any ongoing investigations into the topic, or on any individual company, a spokesperson for the attorney general said that Ferguson was “extremely concerned. And he has had conversations with his team about this issue.”

Los Angeles County’s Department of Public Health has also received a complaint about One Medical — and has reached out to express a warning by phone and email. “Public Health told One Medical if there are breaches and they are not holding tight to our priority groups, and checking and validating groups, we could not allocate vaccine to them any longer,” a spokesperson said. “We reinforced the fact that we could not provide vaccine to any entity not following our partner guidance for checking and ensuring people getting vaccinated are part of our priority groups.” One Medical claimed that complaints and warnings are both common for medical providers.

In Alameda County, California, which includes Oakland, the Public Health Department said that One Medical had received 975 doses of the COVID-19 vaccine, but received no more after the health care company indicated its desire to vaccinate ineligible patients. “Alameda County did not fulfill One Medical’s next request in early February for additional doses when they indicated that they planned to vaccinate more than their health care workers (who were the only approved group prioritized for vaccinations at the time),” said a county spokesperson. One Medical said that this explanation was “categorically untrue,” but did not contest that their vaccine allocation has not continued beyond the original 975 doses.

In San Francisco, where One Medical’s headquarters are based, the county’s Department of Public Health stressed: “One Medical was engaged primarily to provide vaccine to in-home support services (IHSS), other in-home care providers and healthcare workers… SF DPH expects all its vaccine provider partners to follow State and SF DPH vaccination eligibility guidelines.”

One Medical contested several elements of this story, claiming that it “does not allow for ineligible persons to be vaccinated knowingly.” It also said that it had fired several members of its clinical staff due to disregard for eligibility requirements.

“We are doing absolutely everything in our power to vaccinate as many eligible people as possible,” said Diamond, the chief medical officer of One Medical, attributing difficulties to the “fog of war” that occurs during a period of “myriad uncertainties, conflicting jurisdictional guidance and profound public anxieties.”

The reviews will seek to determine whether U.S. firms in these sectors are relying too much on foreign suppliers, particularly those in China, a senior administration official told reporters. They will also consider other vulnerabilities, like extreme weather and environmental factors.

“Clearly we are looking at the risks posed by dependence on competitor nations, but that is only one of a range of risks we are looking at,” the administration official said.

The order will also direct yearlong reviews for six sectors: defense, public health, information technology, transportation, energy and food production.

Those reviews will be “modeled after the process the Defense Department uses to regularly evaluate and strengthen the defense industrial base,” the official said.

Remedies unclear: If risks are identified in the supply chains for critical sectors, the administration will aim to push those companies to move their suppliers out of countries like China and back to the U.S. mainland or allied nations.

“Resilient supply chains are not the same thing as all products being made in America,” said a second senior official. “That’s not our intention here.”

Any strict directive from the White House for firms to relocate to the U.S. would risk angering allies like Canada and the European Union, which Biden already irked by strengthening “Buy American” provisions on his first day in office by making it more difficult for foreign companies to supply the U.S. government.

But how the White House will prod companies remains to be seen. If the risks are dire, the Biden administration could use the Defense Production Act, a Cold War-era emergency law, to force companies to produce certain goods domestically. Or the president could work with Congress to fashion incentives and worker-training programs to get suppliers to relocate to the U.S. or allies.

For now, the White House is not ”taking anything off the table,” the first official said, and strategies to fix the supply chains will depend on the weak spots identified.

Shortages abound: The order comes as automakers around the U.S. reel from a global shortage in semiconductors — the computer chips in everything from cell phones to SUVs — forcing manufacturers to halt auto production for weeks.

Risks to the battery supply chain are also apparent. Ford and Volkswagen recently told U.S. trade authorities that they would have to delay production of their new electric vehicle lines if their battery supplier — Korean firm SK Innovation — was blacklisted for intellectual property theft. The International Trade Commission subsequently blocked those batteries from entering the U.S., but gave the automakers a grace period to find new suppliers.

Those situations both came on the heels of widespread shortages of masks and other medical protective gear early in the pandemic, which affected hospitals and average consumers alike. The White House says it aims to get out in front of those issues next time around.

“We’re going to get out of the business of reacting to supply chain crises as they arise, and get into the business of getting ahead of future supply chain problems,” one of the senior administration officials said.

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FDA said, companies will be able to submit smaller studies testing immune responses in people’s bodies rather than lengthy,

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A Food and Drug Administration review released Wednesday of the single-shot coronavirus vaccine made by pharmaceutical giant Johnson & Johnson found it was safe and effective and completely prevented hospitalizations and deaths in a large clinical trial.

The review sets the stage for a third coronavirus vaccine to be authorized as soon as this weekend, a point of hope in the middle of a pandemic that has killed more than a half-million people in the United States.
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The review, although positive, was more nuanced than regulators’ assessments of the first two coronavirus vaccines, reflecting a pandemic that has entered a more complicated phase as variants capable of slipping by some aspects of immunity have emerged. The Johnson & Johnson vaccine was more than 85 percent effective at preventing severe illness, including in a region dominated by a concerning variant, but only 66 percent protective overall when moderate cases were included.

The FDA scientists found that the “known benefits” of the vaccine included reducing the risk of symptomatic and severe cases of its disease, covid-19, at least two weeks after vaccination. The review found vaccine efficacy against severe covid-19 “was similarly high across the United States, South Africa, and Brazil.”

“We know this vaccine prevents 85 percent of the severe disease. . . . It was 100 percent effective in preventing hospitalization and deaths, and that’s really what’s important,” said Nancy M. Bennett, a professor of medicine and public health sciences at the University of Rochester School of Medicine and Dentistry. “Those facts are the most important thing to recognize.”

The vaccine was less effective in a subgroup of adults older than 60 who also had risk factors for severe illness, but regulators noted there were no deaths or cases requiring medical intervention a month after those older adults received vaccines. Overall, there were seven deaths in the trial, all in the group that received a placebo.

An external committee of scientific experts is scheduled to meet Friday to recommend whether the FDA should authorize the shot. If the regulatory deliberations follow the path of the previous two authorized coronavirus vaccines — a joint vaccine from U.S. pharmaceutical giant Pfizer and German biotech firm BioNTech, and one from U.S. biotech company Moderna — a decision could come this weekend.

Public health officials have eagerly awaited the arrival of the Johnson & Johnson vaccine because it is expected to streamline the logistics of a complicated mass vaccination campaign. The vaccine can be stored in a refrigerator for several months, which should ease the challenges of distributing frozen products, and it doesn’t require a follow-up visit for a booster shot.

Creating a new vaccine can involve thousands of people over several years. Here’s what it takes to produce a new FDA-approved vaccine. (John Farrell/The Washington Post)
The FDA advisory committee will consider the Johnson & Johnson vaccine at a “very tenuous time,” said Nahid Bhadelia, an infectious-disease doctor at Boston Medical Center. “Nobody knows how to feel.” While hospitalizations and deaths related to covid-19 are declining, there are concerns that variants could spoil the improving picture.

The Johnson & Johnson results highlight the challenge variants pose to all of the vaccines: The large, international trial found the vaccine was 72 percent effective at preventing cases of moderate to severe covid-19 in the United States, where variants of concern have only recently begun to be detected. But in South Africa, where a variant capable of evading some parts of immunity became dominant late last year, it was 57 percent effective against moderate to severe illness.

But the results also underscore a reassuring message: The immunity from the vaccine will prevent people from the worst outcomes, even if it allows some cases of coughs and fevers to slip by. The vaccine was 89 percent effective at preventing severe illness in South Africa.

The FDA, which on Monday issued new guidance to manufacturers on how to deal with variants, plans to brief the advisory committee Friday on the importance of getting ready for possible updates to vaccines. To streamline the process for getting clearance for modified vaccines, the FDA said, companies will be able to submit smaller studies testing immune responses in people’s bodies rather than lengthy, large trials in which researchers give half the participants a placebo and wait to see if people get sick or not.

Several manufacturers, including Johnson & Johnson, are studying potential modifications to their vaccines to counter variants such as those first detected in the United Kingdom and South Africa.

The vaccine appears to have met the safety and efficacy criteria laid out by the agency — efficacy of at least 50 percent and two months’ worth of follow-up safety data.

If an emergency use authorization is granted, about 2 million doses will be available to ship starting next week to states and other jurisdictions, according to two federal officials familiar with the situation who spoke on the condition of anonymity because they were not authorized to speak publicly. Supply will ramp up to 20 million doses by the end of March.

But public health experts have also expressed concerns that the public may compare vaccines tested under starkly different circumstances and make judgments about which one they should receive. In Europe, the less-spectacular data supporting the vaccine developed by the University of Oxford and British-Swedish pharmaceutical firm AstraZeneca has led to societal debate over whether people should defer vaccination until they can get one of the other shots, from Pfizer-BioNTech or Moderna.

“We have a really important job to do on how we message this,” said E. John Wherry, an immunologist at the University of Pennsylvania. “The day that an individual has a choice on which vaccine to get — that’s a great day, but probably won’t be until summer.” Until then, he said, people should take the vaccine they can get, because all are robustly effective.

Isaac Stanley-Becker contributed to this report.

This is a developing story. It will be updated.

Updated February 21, 2021
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Carolyn Y. Johnson
Carolyn Johnson is a science reporter. She previously covered the business of health and the affordability of health care to consumers. Follow
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Laurie McGinley
Laurie McGinley covers health and medicine for The Washington Post. She focuses on the Food and Drug Administration as well as cancer research and treatment. She was previously The Post’s health, science and environment editor. Follow

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