A PDF of this letter can be viewed HERE.
October 20, 2023
Senator Bill Cassidy, M.D.
Ranking Member, Senate Committee on Health, Education, Labor, and Pensions
455 Dirksen Senate Office Building
Washington, DC 20510
RE: HELP Committee RFI seeking input on opportunities to continue modernizing the U.S. Centers for Disease Control and Prevention
Dear Ranking Member Cassidy,
On behalf of the CEO Members of Business Roundtable, we thank the Committee on Health, Education, Labor, and Pensions for the opportunity to comment on proposals to continue modernizing the U.S. Centers for Disease Control and Prevention (CDC). Business Roundtable is an association of more than 200 chief executive officers (CEOs) of America’s leading companies, representing every sector of the U.S. economy. Business Roundtable CEOs lead U.S.-based companies that support one in four American jobs and almost a quarter of U.S. GDP.
We commend you and your colleagues for working to improve communication and transparency between the CDC and the public and agree that there are lessons to be learned from the CDC’s response to the COVID-19 pandemic.
From the start of the COVID-19 outbreak, Business Roundtable companies closely monitored data and guidance from the CDC. Companies communicated often, and to the best of their ability, with their employees to ensure their workforces remained safe. At the same time, our companies in the biopharmaceutical space invested heavily in research and development and helped bring 3 vaccines, 7 therapeutics and 1 antiviral against COVID-19 to the market in less than a year, when typical vaccine development takes 5 to 10 years or more. When these vaccines were made available to the public, Business Roundtable companies led the efforts to encourage their employees to get vaccinated against COVID-19.
We appreciate your efforts to identify actions that will enhance communication between the CDC and the American people and improve trust in our public health institutions. The COVID-19 pandemic exacted a devastating toll on the life, health, and economic circumstances of Americans, and also eroded the trust in public health institutions that is vital to a successful public health response. Despite the best efforts of so many on the federal, state, and local levels, and in the private sector, and the resilience shown by our fellow citizens and communities, the COVID-19 pandemic has left a tenuous relationship between the CDC and the American public.
Our member companies share the Committee’s interest in looking toward the future for a more open, collaborative, and responsive CDC. In pursuit of this goal, we provide the following comments in response to this RFI:
What steps can CDC take to identify more, and engage in, external partnerships? This includes partnerships with the interagency, academia, and the private sector.
Business Roundtable member companies demonstrated firsthand the importance of collaboration between public health authorities and the private sector during the COVID-19 pandemic. Public-private partnerships were responsible for rapidly developing, testing, manufacturing and distributing many of the COVID-19 vaccines, tests, therapeutics, and other vital response materials such as personal protective equipment (PPE). Our member companies touched all aspects of the COVID-19 response, from manufacturing vaccines, distributing them through the supply chain, administering vaccines and tests at pharmacies and retailers, leading corporate vaccination initiatives, and making health and safety improvements in the workplace.
Given our daily reach to hundreds of millions of Americans, the business community should be considered an essential partner to CDC and be given real-time, clear, and actionable information to work with in future public health emergencies. Congress should consider ways to formalize engagement between CDC and private sector partners to seek advice and share perspectives. Congress should also encourage CDC to see such partnerships as an effective vehicle for the apolitical distribution of public health system data.
CDC’s Center for Forecasting and Outbreak Analytics intends to provide information to support timely decision-making and action. How can this approach be applied across CDC, and how can CDC’s data better inform the actions of other federal, state, and local decision-makers?
To better understand and respond to future pandemics, public health data systems must be modernized to provide more accurate and timely information to aid policymakers in decision-making on both the front and back ends of any future public health emergency. Greater coordination across agencies and transparency to the public around public health data is critical for future pandemic preparedness.
In addition to collecting and sharing more timely data that is focused on the most meaningful metrics, Business Roundtable also recognizes that how data is communicated is also essential.
In the future, the federal government needs to do a better job of reporting evidence in a clear and helpful manner to avoid any perception of improper political bias. Business Roundtable encourages the Committee to consider how the CDC Center for Forecasting and Outbreak Analytics could be expanded to help inform and prepare the private sector for future potential outbreaks. It will be just as important that the information the Center reports out is timely and accurate as it is that the communication is clear and understandable. The spread of disease and mitigation measures, such as widespread closures, during the COVID pandemic took a major toll on businesses. Future threats identified by the Center are in most cases not going to be nearly as significant as what we faced during COVID. It is critical that messages about new outbreaks not unnecessarily scare or confuse the public and that businesses understand how to appropriately respond.
Which aspects of CDC’s Moving Forward Initiative do you think are progressing well, and which could be improved? What role, if any, do you think Congress can play in helping to improve this work?
Thank you for the opportunity to provide feedback and lessons learned toward a common goal of improving CDC operations and enhancing public trust. Business Roundtable stands ready to work with members of the HELP Committee to modernize the CDC and strengthen the U.S. public health system of the future through transparency and clarity.
Sincerely,
Corey Astill
Vice President, Health and Retirement Committee
Business Roundtable
1000 Maine Avenue, SW
Suite 500
Washington, DC 20024
Phone: (202) 872-1260