Former Food and Drug Administration (FDA) Commissioner Scott Gottlieb is calling for more transparency from the U.S. Centers for Disease Control and Prevention (CDC) if the agency âexpects Americans to follow its guidance.â
Gottlieb emphasized in an op-ed published by The Wall Street Journal on Sunday the importance of keeping the public informed of the reasoning behind new guidelines.
Opening his piece, he mentioned the CDCâs decision to issue new guidance about how far apart children need to be while in school.
Noting the distance has changed from 6 feet to 3 feet, the former FDA commissioner explained it âapplies only to schools, not society more broadly, and only when prevalence is low and schools are taking other measures, such as keeping kids in social âpods.'â
âIf the CDCâs guidance were applied universally â to include work and retail â that one adjustment could restore substantially more commercial activity,â he said.
While stressing the distance is âalways better when it comes to contagion,â Gottlieb proceeded to suggest the 6-foot requirement might have been âthe single costliest measure CDC has recommended.â
Gottlieb questioned what science contributed to the guideline, âNobody knows for sure.â
âMost agree the guideline derives from a belief that Covid is largely spread through respiratory droplets, like flu,â Gottlieb suggested. âOld studies suggest that larger respiratory droplets are unlikely to travel more than 6 feet, and therefore close contact with an infected person is the primary mode of exposure.â
He continued, âThis research was hardly conclusive, but by most accounts it formed the basis for the initial Covid recommendations. More-recent research shows that the novel coronavirus can also spread through airborne particles, known as aerosols, especially indoors.â

Gottlieb argued the reliance by some on the flu blueprint caused public health officials to both overestimate and underestimate the virus significantly.
Health officials focused more on scrubbing surfaces than investing in improving air ventilation and filtration, according to the former FDA commissioner.
âWe underestimated the protective role of wearing high-quality masks,â Gottlieb also said. âExperts were trying to protect Americans, and we canât blame them for being wrong in the absence of good information.â
When discussing how the Biden administration can help, he encouraged them to consider reforming the decision-making process.
âThe agencyâs guidance, even though it is nonbinding, has more impact than many regulations, but much less transparency and public scrutiny,â he wrote.
Gottlieb recognized the agency does not identify the science behind its recommendations and Americans are unaware of the basis for the initial guidance to stay 6 feet apart.
âThe public is willing to follow sensible, evidence-based directions. But experts can ask people to sacrifice only so much before resistance starts to form, given the social and economic hardship,â Gottlieb wrote.
He concluded, âIf the CDC expects Americans to follow its guidance, it has to be more transparent and get the public invested in how these decisions are made.â
