How a California congresswoman's relentless questioning led CDC chief to commit to free coronavirus testing
WASHINGTON - Rep. Katie Porter, D-Calif., did the math.
Like a host of "The Price Is Right," Porter asked a Department of Health and Human Services official to guess what it would cost for an uninsured American to receive a coronavirus test, itemizing everything from the initial flu test to the expensive emergency room visit. She tallied up the total cost on a whiteboard: an estimated $1,331 out of pocket.
She turned to Robert Redfield, the director of the Centers for Disease Control and Prevention, and quickly transformed her demeanor from an amiable game-show host into a formidable principal doling out discipline.
"Dr. Redfield," she asked, "do you want to know who has the coronavirus and who doesn't? Not just rich people, but everybody who might have the virus?"
It was the beginning of a relentless line of questioning from Porter that, in just five minutes, would pry a promise out of Redfield to ensure that coronavirus testing would be free for all Americans. The stunning exchange between the doctor and lawmaker, during a House Oversight and Reform Committee hearing, led many to credit Porter with potentially saving lives amid the federal government's uneven response to the pandemic, calling her "brilliant" and a "hero."
"How many lives did Katie Porter save today using a whiteboard, a bull---- detector, and an ability to retain focus?" television producer Hart Hanson wrote on Twitter, linking to a video of Porter's questioning that has since been viewed nearly 20 million times.
Thursday's hearing focused on problems with the government's response to the novel coronavirus, particularly the utter dearth of available diagnostic tests. Despite assurances from President Donald Trump that the process is "very smooth," the lack of testing has raised questions about barriers to identifying coronavirus patients if people can't get tested in the first place. Porter was additionally worried about a financial barrier: that uninsured or underinsured Americans would forego seeking testing out of fear of the medical costs.
And so in five minutes, Porter sought to dismantle that barrier altogether.
She began grilling Redfield by pointing to a federal statute that gives the CDC director the power to "authorize payment for the care and treatment of patients subject to medical examination, quarantine, isolation, and conditional release." The existing statute, Porter argued, meant that the federal government should be able to pay for everyone's coronavirus tests without needing any new legislation.
"Dr. Redfield, will you commit the CDC right now to using that existing authority to pay for diagnostic testing free to every American, regardless of insurance?" she asked.
"Well," he replied, "I can say we're going to do everything to make sure everybody can get the care they - "
Porter interrupted him: "Nope, not good enough. Reclaiming my time."
She asked him the same question again, this time more sternly, more impatiently.
"What I'm going to say is," Redfield responded, "I'm going to review it in detail with the CDC and the department."
"No," Porter shot back. And again: "I'm reclaiming my time."
At that point, Porter said she and two colleagues had already sent a letter to HHS seeking responses by Wednesday about how the agency planned to tackle insurance issues with coronavirus testing - and the agency had already blown that deadline. Now, she said, he still wasn't giving an answer.
So she asked Redfield a third time: "Will you commit to invoking your existing authority under 42 CFR 71.30 to provide coronavirus testing for every American regardless of insurance coverage?"