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 Aides said the president believed that Pfizer could have announced the success of its clinical trial before Nov. 3 but deliberately chose to hold up the news, possibly not to taint the company’s vaccine as a last-minute effort to save Mr. Trump’s re-election bid. White House aides were particularly incensed that Mr. Biden publicly said his public health advisers knew of Pfizer’s results on Sunday, before aides said the news had reached the White House. Beyond Mr. Trump’s Twitter feed, the federal bully pulpit — an essential component of an effective infectious disease response — has largely gone silent. Dr. Anthony S. Fauci, the government’s top infectious disease expert, said in an interview on Tuesday that the vaccine would be “a game changer” over time.

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