Monday, 30 March 2020

Inside G.M.’s Race to Build Ventilators, Before Trump’s Attack

The automaker and its partner, Ventec, had spent more than a week figuring out how to make thousands of the lifesaving devices when the White House said G.M. was “wasting time.”

Credit…AJ Mast/General Motors

While much of the U.S. economy has ground to a halt because of the coronavirus outbreak, several dozen workers in orange vests and hard hats were hauling heavy equipment on Sunday at a General Motors plant in Kokomo, Ind.

The crew was part of a crash effort to make tens of thousands of ventilators, the lifesaving machines that keep critically ill patients breathing. The machines are in desperate demand as hospitals face the prospect of dire shortages. New York State alone may need 30,000 or more.

President Trump on Friday accused G.M. and its chief executive, Mary T. Barra, of dragging their feet on the project and directed his administration to force the company to make ventilators under a 1950s law. But accounts from five people with knowledge of the automaker’s plans depict an attempt by G.M. and its partner, Ventec Life Systems, a small maker of ventilators, to accelerate production of the devices.

With deaths surging as cases snowball, the two companies have moved urgently to find parts, place orders and deploy workers, the people said. Tasks that normally would take weeks or months have been completed in days. The companies expect production to begin in three weeks and the first ventilators to ship before the end of April.

On March 19, G.M. began collaborating with Ventec, which normally makes about 200 machines a month, to figure out how to make about 10 times as many in that time. Working through the weekend of March 21 and 22, they hurried to find new suppliers that could provide parts in high volumes, said the five people, who asked not to be named because they fear it would further antagonize Mr. Trump.

Over the weekend, G.M. called in workers to clear out the Kokomo plant, which has been idled because of the outbreak, of machinery previously used to make electrical components for cars. Over the next few days, the automaker and Ventec plan to begin setting up an assembly line. G.M. is already taking applications for the hundreds of jobs.

“We continue to work around the clock on our efforts with Ventec,” G.M. said in a statement on Sunday night. “We are working as fast as we can to begin production in Kokomo.”

“I’m pretty amazed at what they’ve done,” said Kristin Dziczek, vice president for industry and economics at the Center for Automotive Research in Ann Arbor, Mich. “But automotive production involves a massive supply chain, and G.M. has risen to the occasion on other big manufacturing challenges.”

Mr. Trump does not see it that way. On Friday, he said on Twitter that Ms. Barra and G.M. had promised to provide 40,000 ventilators “very quickly” but were now telling the administration that the company could produce only 6,000 by late April and wanted “top dollar” for the machines. “Always a mess with Mary B,” he said.

G.M. wasn’t negotiating price and other details with the government. Ventec has led the talks with the Federal Emergency Management Agency and the Department of Health and Human Services about how many ventilators the government would like to buy, and at what price. The automaker has said it will not make a profit on the ventilators it assembles and is seeking only to cover its costs.

G.M.’s involvement in ventilators began with a phone call asking for help.

This month, Ms. Barra was contacted by a representative of Stop the Spread, a nonprofit campaign started by Rachel Romer Carlson, the chief executive of Guild Education, and Kenneth I. Chenault, the chairman and managing director at the venture capital firm General Catalyst and a former chief executive and chairman of American Express, four people familiar with the discussion said.

The two wrote an opinion essay on March 18 in The New York Times calling on corporate executives to join the fight against the pandemic. Some 1,500 corporate executives have signed a letter pledging to help in response to their plea.

The four people familiar with the call said that Ms. Barra had offered to help and that the representative from Stop the Spread suggested the company ought to use its manufacturing and purchasing might to help Ventec scale up ventilator production.

Ventec isn’t a giant in the ventilator industry, but it is known for its VOCSN model, which received approval from the Food and Drug Administration in 2017. The VOCSN, which is the size of a large toaster oven, combines a number of functions that had previously been performed by several machines to pump air into the lungs, suction out secretions and produce oxygen when a central oxygen line is not available. The device is used in critical-care hospital units but also can be used for home care.

Around the time of the call, G.M., Ford and Fiat Chrysler were grappling with whether to keep their plants running. The United Automobile Workers union was putting pressure on the companies to do more to protect workers. The day after Ms. Barra spoke to Stop the Spread, G.M. and the other two large U.S. automakers said they would shut down plants until at least March 30.

The next day, Phil Kienle, G.M.’s head of manufacturing for North America, and a few other executives flew to Ventec’s headquarters in Bothell, Wash. Early on Friday, March 20, the G.M. team sat down with Ventec executives to learn how the ventilators are made, and what parts are required. Ventec had already started a push to ramp up production to 1,000 a month. The group concluded that with G.M.’s resources, 20,000 a month would be possible, four people familiar with the talks said.

The next day, G.M. emailed its suppliers specifications of Ventec parts, asking if any could produce them in high volumes. Mr. Kienle’s team quickly zeroed in on Kokomo as a location to assemble the machines, a person familiar with the matter said. The plant, unlike much grittier car assembly factories, has the type of clean room needed for making medical devices.

On the evening of Sunday, March 22, G.M.’s purchasing chief, Shilpan Amin, emailed Ms. Barr and other top executives to let them know that the company and Ventec had secured commitments from suppliers to produce 95 percent of the needed parts, according to three people familiar with the email.

By last Tuesday, G.M. and Ventec had the details of their collaboration hammered out, which they discussed publicly early in the week. G.M. would operate as a contract manufacturer for Ventec, which would sell and distribute the machines. Ventec also plans to increase production at its plant in Washington State.

As talks progressed, coronavirus cases were soaring in New York City, and climbing as well in Boston, Detroit, New Orleans and elsewhere. In a news conference, Gov. Andrew M. Cuomo of New York complained that the federal government had provided only 400 ventilators to the state. “You pick the 26,000 people who are going to die because you only sent 400 ventilators,” Mr. Cuomo said last Tuesday.

Two days later, Mr. Trump disputed the governor’s numbers while calling in to Sean Hannity’s show on Fox News. “I don’t believe you need 40,000 or 30,000 ventilators,” Mr. Trump said. “You go into major hospitals sometimes, and they’ll have two ventilators.”

The federal government hasn’t indicated how many machines the ventilator makers, including G.M. and Ventec, ought to produce, two people familiar with the talks said. Ventec never received a confirmation from the government about which machine it was interested in acquiring, how many it wanted and how much it was willing to spend.

At the same time, administration officials told The Times that they were struggling to understand how many ventilators the two companies could produce. On Wednesday afternoon, FEMA told the White House that it needed more time to assess offers for ventilators.

When Mr. Trump lashed out at G.M. on Friday, executives at both companies were stunned. G.M. executives were furious Mr. Trump would attack the company after it had made so much progress in a week and the administration had earlier been supportive of their effort. (The president also took aim at Ford Motor on Friday, writing, “FORD, GET GOING ON VENTILATORS, FAST!!!!!” Ford is helping General Electric’s health care division increase production of its ventilators.)

“What we’ve accomplished in five days is incredible,” Larryson Foltran, who works in a technology support group at G.M., wrote on Facebook, noting he had been working 14 to 18 hours a day. He said the president’s posts had bothered him “on a deeper level.”

Ultimately, G.M. and Ventec executives decided that they would offer no direct response to the president because responding would only invite more criticism from the White House, two people familiar with those discussions said.

Even if the federal government ultimately declines to buy the machines Ventec and G.M. make, the companies are moving ahead because they know there will be other customers around the country, and across the world, four people familiar with their plans said.

But Mr. Trump’s Twitter posts appear to have unnerved other corporate leaders. A person familiar with the Stop the Spread campaign said several corporate executives who had been willing to contribute to the effort earlier had backed away for fear of becoming targets for Mr. Trump as Ms. Barra had.

At a White House news conference on Sunday, the president struck a different tone. “General Motors is doing a fantastic job,” Mr. Trump said. “I don’t think we have to worry about General Motors now.”

  • Updated March 24, 2020

    • How does coronavirus spread?

      It seems to spread very easily from person to person, especially in homes, hospitals and other confined spaces. The pathogen can be carried on tiny respiratory droplets that fall as they are coughed or sneezed out. It may also be transmitted when we touch a contaminated surface and then touch our face.

    • What makes this outbreak so different?

      Unlike the flu, there is no known treatment or vaccine, and little is known about this particular virus so far. It seems to be more lethal than the flu, but the numbers are still uncertain. And it hits the elderly and those with underlying conditions — not just those with respiratory diseases — particularly hard.

    • What should I do if I feel sick?

      If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

    • What if somebody in my family gets sick?

      If the family member doesn’t need hospitalization and can be cared for at home, you should help him or her with basic needs and monitor the symptoms, while also keeping as much distance as possible, according to guidelines issued by the C.D.C. If there’s space, the sick family member should stay in a separate room and use a separate bathroom. If masks are available, both the sick person and the caregiver should wear them when the caregiver enters the room. Make sure not to share any dishes or other household items and to regularly clean surfaces like counters, doorknobs, toilets and tables. Don’t forget to wash your hands frequently.

    • Should I wear a mask?

      Experts are divided on how much protection a regular surgical mask, or even a scarf, can provide for people who aren’t yet sick. The W.H.O. and C.D.C. say that unless you’re already sick, or caring for someone who is, wearing a face mask isn’t necessary. And stockpiling high-grade N95 masks will make it harder for nurses and other workers to access the resources they need. But researchers are also finding that there are more cases of asymptomatic transmission than were known early on in the pandemic. And a few experts say that masks could offer some protection in crowded places where it is not possible to stay 6 feet away from other people. Masks don’t replace hand-washing and social distancing.

    • Should I stock up on groceries?

      Plan two weeks of meals if possible. But people should not hoard food or supplies. Despite the empty shelves, the supply chain remains strong. And remember to wipe the handle of the grocery cart with a disinfecting wipe and wash your hands as soon as you get home.

    • Should I pull my money from the markets?

      That’s not a good idea. Even if you’re retired, having a balanced portfolio of stocks and bonds so that your money keeps up with inflation, or even grows, makes sense. But retirees may want to think about having enough cash set aside for a year’s worth of living expenses and big payments needed over the next five years.


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