For much of the past two years, America has been first in line for COVID-19 vaccines and treatments. Now, as drugmakers develop the next generation of therapies, the White House is warning that if Congress doesn’t act urgently the U.S. will have to take a number. Already the congressional stalemate over virus funding has forced the federal government to curtail free treatment for the uninsured and to ration monoclonal antibody supplies. And Biden administration officials are expressing increasing alarm that the U.S. is also losing out on critical opportunities to secure booster doses and new antiviral pills that could help the country maintain its reemerging sense of normalcy, even in the face of potential new variants and case spikes. Japan, Vietnam, the Philippines, and Hong Kong have all placed orders for treatments and vaccine doses that the U.S. can’t yet commit to, according to the White House. Months ago, the White House began warning that the country had spent through the money in the $1.9 trillion American Rescue Plan that was dedicated directly to COVID-19 response. It requested an additional $22.5 billion for what it called “urgent” needs in both the U.S. and abroad. The Senate last month closed in on smaller $10 billion package focused on domestic needs. But even that deal fell apart as lawmakers objected to an announcement from the Centers for Disease Control and Prevention that it would end Trump-era border restrictions related to the pandemic. The White House this week is mounting a push for doctors to get less stingy about prescribing the antiviral pill Paxlovid, which was initially rationed for those at the highest risk for severe outcomes from COVID-19 but is now more widely available. A 20 million-dose order placed last year by the government helped boost manufacturing capacity. Paxlovid, when administered within five days of symptoms appearing, has been proven to bring about a 90% reduction in hospitalizations and deaths among patients most likely to get severe disease. Some 314 Americans are now dying each day from the coronavirus, down from more than 2,600 during the height of the omicron wave earlier this year. The U.S. used similar advance-purchase agreements to boost the domestic supply and manufacture of COVID-19 vaccines, through what was known in the Trump administration as “Operation Warp Speed.” Now, with a new generation of treatments on the horizon, the U.S. is falling behind. Japan has already placed an initial order for drugmaker Shionogi’s upcoming COVID-19 antiviral pill, which studies have shown to be at least as effective as Pfizer’s treatment and has fewer drug-to-drug interactions and is easier to administer. Because of the funding delays, officials say, the U.S. has yet to place an advance order, which would help the company scale manufacturing to widely produce the pill. “We know companies are working on additional, promising life-saving treatments that could protect the American people, and without additional funding from Congress, we risk losing out on accessing these treatments, as well as tests and vaccines, while other countries get in front of us in line,” said White House spokesman Kevin Munoz. “Congress must act urgently upon return from recess to provide the funding needed to secure new treatments for the American people and to avoid this dangerous outcome.” Complicating matters further are the long lead times to manufacture the […]

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