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(CNN) – In an unprecedented move, the New England Journal of Medicine on Wednesday published an editorial written by its editors condemning the Trump administration for its response to the Covid-19 pandemic — and calling for the current leadership in the United States to be voted out of office.

“We rarely publish editorials signed by all the editors,” said Dr. Eric Rubin, editor-in-chief of the medical journal and an author of the new editorial.

The editorial, which Rubin said was drafted in August, details how the United States leads the world in Covid-19 cases and deaths. So far, more than 7.5 million people in the United States have been diagnosed with Covid-19 and more than 200,000 people have died of the disease.

“This crisis has produced a test of leadership. With no good options to combat a novel pathogen, countries were forced to make hard choices about how to respond. Here in the United States, our leaders have failed that test. They have taken a crisis and turned it into a tragedy,” the editorial says.

It does not endorse a candidate, but offers a scathing critique of the Trump administration’s leadership during the pandemic.

“Anyone else who recklessly squandered lives and money in this way would be suffering legal consequences. Our leaders have largely claimed immunity for their actions. But this election gives us the power to render judgment,” the editorial says. “When it comes to the response to the largest public health crisis of our time, our current political leaders have demonstrated that they are dangerously incompetent. We should not abet them and enable the deaths of thousands more Americans by allowing them to keep their jobs.”

The New England Journal of Medicine began publishing in 1812. There have been only four previous editorials collectively signed by its editors in the recent past: one in 2014 about contraception; an obituary that same year for a former editor-in-chief; an editorial that year about standard-of-care research and an editorial in 2019 about abortion.

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