Wednesday, October 1, 2008

On Sept. 23, 2008 Elias Zerhouni announced that he would step down as NIH Director at the end of October, right before the election to avoid any confusion about political issues and to call attention to the vacancy for the incoming transition. I was asked to be Acting Director and refused; Steve Katz was considered but was rejected by the WH because of the LA Times story on him and conflict of interest a few years ago. Betsy Nabel either withdrew her name or was not asked because of an issue of a COI of one of her recently hired Senior Advisors. Raynard Kington (current deputy NIH Director) should have been asked directly but was not. Not clear why the DHHS and/or the WH are uncomfortable with him. One version is that he is not well known in the Congress and among constituencies; anther more cynical version is that the WH has a problem with a gay man (he is married and has an adopted child). The WH and/or DHHS tried to then get me to agree to be publicly appointed as a “Senior Advisor” to the Acting Director to quell the concerns of the outside people and indicate that a strong, visible, experienced person such as me was “watching the store” even though Kington would be appointed as the official Acting Director. I told Elias and Jamie Burke (White House Liason Office) that this was impossible and no way would I do this. I told them explicitly that I did not want to do it in the first place; second – it was an insult to Kington and would undermine his authority; third – people would come directly to me and circumvent Kington’s authority; fourth – it looks stupid. She actually agreed and so the decision was to appoint Kington cleanly and have me be available “behind the scenes with no announcements” to advise him if he needed advice.