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Senate confirms Vivek H. Murthy as surgeon general

Biden adviser returns to role he held during the Obama administration

Vivek H. Murthy fist bumps Sen. Richard Burr (R-N.C.) at the end of his confirmation hearing before a Senate committee last month. (Caroline Brehman/Pool/AP)

The Senate on Tuesday voted 57 to 43 to confirm Vivek H. Murthy as United States surgeon general, ensuring that a top ally of President Biden will play a visible role in responding to the coronavirus pandemic.

All 50 Senate Democrats and Independents voted to support Murthy, joined by seven Republicans.

“Glad he was confirmed today — and I’m looking forward to working with him to address this pandemic and the underlying health inequities it has made way worse,” tweeted Sen. Patty Murray (D-Wash.), who chairs the Senate Health, Education, Labor and Pensions Committee, calling Murthy a “highly experienced, crisis-tested leader.”

The surgeon general, also known as the “nation’s doctor,” typically serves as a prominent spokesperson on public health issues but has a limited role in policymaking. But Biden has pledged that Murthy — who advised him in the Obama White House, on the board of the Biden Institute at the University of Delaware and, most recently, during the presidential campaign and transition — will have an expanded role in his administration.

“He will be a key public voice on the covid response to restore public trust and faith in science and medicine,” Biden said when he nominated Murthy in December. “One of the reasons, doc, I asked you to do this, when you speak, people listen. They trust you. You have a way of communicating.”

The surgeon general also oversees the U.S. Public Health Service commissioned corps, a uniformed service of about 6,000 public health workers who have helped staff the coronavirus response and administer vaccines but struggled earlier this year to get vaccinations of their own.

Murthy, 43, first served as surgeon general during the Obama administration, working on public health issues such as the opioid crisis. He also pursued his own work combating loneliness and the stigma of mental illness. He was the nation’s first Senate-confirmed Asian American surgeon general.

His original 2013 nomination was stalled in the Senate for more than a year, in part because gun rights organizations faulted Murthy for saying gun violence was a public health problem — a stance Murthy has continued to espouse.

The Senate on March 23 voted 57 to 43 to confirm Vivek H. Murthy as U.S. surgeon general. (Video: The Washington Post)

Murthy’s nomination to return as surgeon general under Biden drew scrutiny from watchdogs who flagged that Murthy was paid more than $2 million in coronavirus-related consulting fees last year by companies in the cruise, travel and other industries, setting up a potential conflict in his role as public health spokesperson. Senate Democrats sidestepped the issue, and Senate Republicans said they generally support nominees with industry experience. Murthy has pledged to recuse himself from any conflicts as surgeon general.

Sen. Tammy Duckworth (D-Ill.) earlier Tuesday pledged to withhold her votes for Biden’s nominees until the president put forward a more diverse slate, faulting the White House for failing to have a single Asian American or Pacific Islander member of the Cabinet. Duckworth said she would support Murthy and other nominees who were racial minorities or LGBTQ.

Sens. Bill Cassidy (R-La.), Susan Collins (R-Maine) and Mitt Romney (R-Utah) were among the Senate Republicans who crossed the aisle to support Murthy.

Advocates for Asian Americans and Pacific Islanders had been pushing for Murthy’s confirmation, seeking representation across the Biden administration. The surgeon general is a sub-Cabinet-level position. Katherine Tai, an Asian American woman, earlier this month won Senate confirmation as U.S. trade representative, a Cabinet-level position.

Murthy briefly served in the Trump administration, although Trump fired Murthy in early 2017, about halfway through Murthy’s four-year term. Trump replaced Murthy with Jerome Adams, a former Indiana health official and longtime ally of former vice president Mike Pence. Biden asked for Adams’s resignation in January, clearing the way for Murthy to return to his prior role.

“The most important job of a doctor is to help patients heal,” Murthy testified to the Senate health committee in his confirmation hearing last month. “And if confirmed, that will be my mission as surgeon general — to do whatever I can to help heal our communities and our nation.”

Susan Orsega, a rear admiral in the U.S. Public Health Service commissioned corps and a nurse practitioner, has served as acting surgeon general since January.

Coronavirus: What you need to know

New coronavirus booster: The CDC recommends that anyone 6 months or older get an updated coronavirus shot this fall, but the vaccine rollout has seen some hiccups, especially for children. Here’s what you need to know about the new coronavirus vaccines, including when you should get it.

Coronavirus variants: Scientists are concerned about the new BA. 2.86 coronavirus variant, a highly mutated form of the coronavirus that threatens to be the most adept yet at slipping past the body’s immune defenses. EG. 5, a new coronavirus subvariant, unofficially nicknamed “Eris,” is becoming a dominant strain in countries including the United States and Britain.

Rising covid-19 hospitalizations: The United States is experiencing a bump in coronavirus transmission for the first time since the public health emergency ended in May. It is exposing the challenges of avoiding the virus when free testing is no longer widely accessible. Here’s how coronavirus experts are approaching this fall’s expected rise in infections.

Covid deaths: Covid-19 was the fourth leading cause of death in the United States last year, and covid deaths dropped 47 percent between 2021 and 2022.

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