Archives for category: Health

Heather Cox Richardson reports on the depredation of Elon Musk, whom Trump has empowered to destroy government services. This destruction is the prelude to privatization. At the Department of Agriculture, his DOGE boys laid off bird flu experts. At the Departnent of Transportation, they laid off air traffic controllers. The story was repeated across the government. Nothing is off-limits from the DOGE vandals, other than the billions of dollars awarded to Elon Musk every year. One can’t help wondering, at least I can’t, whether this crippling of our government was Putin’s idea.

Richardson wrote:

Yesterday, Treasury Secretary Scott Bessent made it clear that the Trump administration’s goal is to slash the federal government and to privatize its current services. As the stock market has dropped and economists have warned of a dramatic slowdown in the economy, he told CNBC “There’s going to be a natural adjustment as we move away from public spending to private spending. The market and the economy have just become hooked, we’ve become addicted to this government spending, and there’s going to be a detox period.”

Bessent’s comments reveal that the White House is beginning to feel the pressure of the unpopularity of its policies. Trump’s rejection of 80 years of U.S. foreign policy in order to prop up Russia’s Vladimir Putin has left many Americans as well as allies aghast. Trump’s claims that Putin wants peace were belied when Russia launched massive strikes at Ukraine as soon as Trump stopped sharing intelligence with Ukrainian forces that enabled them to shoot down incoming fire.

The administration’s dramatic—and likely illegal and unconstitutional—cuts are infuriating Americans who did not expect Trump to reorder the American government so completely. While billionaire Elon Musk and President Donald Trump repeatedly say they are cutting only “waste, fraud, and abuse” from the government, that insistence appears to be rhetorical rather than backed by fact. And yesterday, new cuts appeared to continue the gutting of government services that generally appear to be important to Americans’ health, safety, and economic security.

On Friday night, employees at the Department of Health and Human Services (HHS)—about 80,000 of them—received an email offering them a buyout of up to $25,000 if they resign and giving them a deadline of March 14 to respond. Also as of Friday, nearly 230 cases of measles have been confirmed in Texas and New Mexico, and two people have died.

The secretary of HHS, Robert F. Kennedy Jr., is frustrating even allies with his response to the outbreak. Kennedy, who has long been an anti-vaccine activist, said last week that measles outbreaks were “not unusual,” and then on Sunday he posted pictures of himself hiking above Coachella Valley in California. On Monday the top spokesperson at HHS, a former Kennedy ally, quit in protest. As Adam Cancryn of Politicoreported, Kennedy has said that the measles vaccine protects children and the community, but has said the decision to vaccinate is personal and that parents should talk to healthcare providers about their options. He has also talked a lot about the benefits of nutritional supplements like cod liver oil, which is high in Vitamin A, in treating measles. In fact, vaccines are the key element in preventing people from contracting the disease..

“It’s a serious role, he’s just a couple of weeks in and measles is not a common occurrence, and it should be all hands on deck,” one former Trump official told Adam Cancryn, Sophie Garder, and Chelsea Cirruzzo of Politico. “When you’re taking a selfie out at Coachella, it’s pretty clear that you’re checked out.”

In another blockbuster story that dropped yesterday, the Social Security Administration announced it will begin to withhold 100% of a person’s Social Security benefits if they are overpaid, even if the overpayment is not their fault. Under President Joe Biden the agency had changed the policy to recover overpayments at 10% of monthly benefits or $10, whichever was greater.

Those who can’t afford that level of repayment can contact Social Security, the notice says, but acting commissioner Leland Dudek has said he plans to cut at least 7,000 jobs—more than 12% of the agency—although its staff is already at a 50-year low. He is also closing field offices, and senior staff with the agency have either left or been fired.

Dudek yesterday retracted an order from the day before that required parents of babies born in Maine to go to a Social Security office to register their baby rather than filling out a form in the hospital. Another on Thursday would also have stopped funeral homes from filing death records electronically.

One new father told Joe Lawlor of the Portland Press Herald that he had filled out the form for his son’s social security number and then his wife got a call saying they would have to go to the Social Security office. But when he tried to call Social Security headquarters to figure out what was going on, the wait time was an estimated two hours. So he called a local office, where no one knew what he was talking about. “They keep talking about efficiency,” he said. “This seemed to be something that worked incredibly efficiently, and they broke it overnight.”

The administration did not explain why it had imposed this rule in Maine. Senator Angus King of Maine, an Independent, said he was glad the administration had changed its mind, but added that “this rapid reversal has raised concerns among Maine people and left many unanswered questions about the Social Security Administration’s motivations.”

Trump has said that Social Security “won’t be touched” as his administration slashes through the federal government.

Trump also said there would not be cuts to Medicare and Medicaid, but on Wednesday the nonpartisan Congressional Budget Office, which figures the financial cost of legislation, said that Republicans will have to cut either Medicare, Medicaid, or the Children’s Health Insurance Program in order to meet their goal of cutting at least $880 billion from the funding controlled by the House Energy and Commerce Committee. Cutting the funding for every other program in the committee’s purview would save a maximum of $135 billion, Jacob Bogage of the Washington Post noted, meaning the committee will have to turn to the biggest ticket items: healthcare programs.

Also yesterday, the Department of Homeland Security said it was getting rid of union protections for the approximately 47,000 employees of the Transportation Security Administration who screen about 2.5 million passengers a day before they can board airplanes. A new agreement in May 2024 raised wages for TSA workers, whose pay has lagged behind that of other government employees. Union leaders say the move is retaliation for its challenges to the actions of the administration toward the 800,000 or so federal workers it represents.

As Jonathan Swan and Maggie Haberman of the New York Times have reported more detail about the Cabinet meeting Trump convened abruptly on Thursday, we have learned more about Musk’s determination to cut the government. As Musk appeared to take charge of the meeting, he clashed with Secretary of Transportation Sean Duffy, who complained that Musk’s team at the Department of Government Efficiency is trying to lay off air traffic controllers.

Swan and Haberman report that Duffy asked what he was supposed to do. He continued by saying: I have multiple plane crashes to deal with now, and your people want me to fire air traffic controllers? Musk said it was a lie that they were laying off air traffic controllers, and also insisted that there were people hired under diversity, equity, and inclusion initiatives working as air traffic controllers. When Duffy pushed back, Musk said Duffy should call him with any concerns, an echo of the message he gave to members of Congress. Like them, Cabinet members are constitutionally part of the government. Musk is not.

What Musk is, according to an interview published today by Aaron Rupar and Thor Benson in Public Notice, is a businessman who believes that there is waste wherever you look and that it is always possible to do something more cheaply. Ryan Mac and Kate Conger, who wrote a book about Musk’s takeover of Twitter, Character Limit, said that creating confusion is part of the point. Musk creates drama, Conger said, to scare away workers he doesn’t want and attract ones he does.

The pain that he is inflicting on the country is not making him popular, though. Protests at Tesla dealerships that handle his cars are growing, as are instances of vandalism against Tesla dealerships and charging stations, which now number more than a dozen, including attacks with bottles filled with gasoline and set on fire. Pranshu Verma and Trisha Thadani of the Washington Post report that Tesla’s stock has dropped more than 35% since Trump took office. Tesla sales have dropped 76% in Germany, 48% in Norway and Denmark, and 45% in France.

On Thursday, another of Musk’s SpaceX rockets exploded, raining debris near south Florida and the Bahamas. The Federal Aviation Administration said 240 flights were disrupted by the debris.

The New York Times editorial board today lamented the instability that Musk is creating, noting that the government is not a business, that “[t]here are already signs the chaos is hurting the economy,” and that “Americans can’t afford for the basic functions of government to fail. If Twitter stops working, people can’t tweet. When government services break down, people can die.”

The editorial board did not let Trump hide behind Musk entirely, noting that he has increased instability not only with DOGE, but also “with his flurry of executive orders purporting to rewrite environmental policy, the meaning of the 14th Amendment and more; his on-again-off-again tariffs; and his inversion of American foreign policy, wooing Vladimir Putin while disdaining longtime allies.”

One of the things that the radical extremists in power hated about the modern American state was that it was a nonpartisan machine that functioned pretty well regardless of which party was in charge. Now Musk, who is acting as if he is not bound by the constitution that set up that machine, is taking a sledgehammer to it.

In the Public Notice interview, Thor Benson asked Ryan Mac: “What’s something about Elon’s huge role in the Trump administration that people perhaps aren’t understanding?” Mac answered that Musk is the manifestation of the nation’s extreme wealth inequality. “What happens,” he asked, “when there is unfettered capitalism that allows people to accumulate this much money and this much power?”

The EPA is the Environmental Protection Agency. It was established in 1970 during the Nixon administration. The creation of EPA was a response to public and scientific concern about pollution of the air, land, and water by chemicals discarded by industry.

Republicans at the time were conservatives, and they prided themselves on championing clean air and clean water.

But in the age of Trump, environmental protection is considered a hindrance to industry. It also is a burden to the coal industry.

Trump appointed one of his most loyal allies to lead EPA. This is how he defines its mission:

“We are driving a dagger straight into the heart of the climate change religion to drive down cost of living for American families, unleash American energy, bring auto jobs back to the U.S. and more,” EPA Administrator Lee Zeldin said in a news release.

  1. To drive down the cost of living.
  2. To unleash American energy.
  3. To bring back auto jobs to the U.S.

Notice what’s missing? Any reference to reducing toxic pollution from the air, land, and waters.

Zeldin announced that he intends to eliminate dozens of EPA regulations. More toxic chemicals will be dumped into lakes and streams. More smokestacks will belch smoke into the air. More brownfields of chemicals will poison the land.

A sad day for America.

Secretary of Health and Human Services Robert F. Kennedy Jr. promised at his confirmation hearings that he was no longer a vaccine-denier and swore he would follow the science.

He lied.

When addressing the death of a Mennonite child in Texas who was unvaccinated, Kennedy attributed the death to poor nutrition and lack of exercise, not to her parents’ failure to get her vaccinated. He emphasized that the choice to get vaccinated was personal, not a matter of public health. And he reiterated the risks of getting vaccinated. He is an unrepentant vaccine-denier. The Atlantic just published a story by Tom Bartlett, who interviewed the child’s father. Mennonites don’t trust vaccines. Bartlett points out that before the measles vaccine was introduced in 1963, 400-500 measles deaths occurred every year. Measles deaths are rare now.

The New York Times reported:

In a sweeping interview, Robert F. Kennedy Jr., the health and human services secretary, outlined a strategy for containing the measles outbreak in West Texas that strayed far from mainstream science, relying heavily on fringe theories about prevention and treatments.

He issued a muffled call for vaccinations in the affected community, but said the choice was a personal one. He suggested that measles vaccine injuries were more common than known, contrary to extensive research.

He asserted that natural immunity to measles, gained through infection, somehow also protected against cancer and heart disease, a claim not supported by research.

He cheered on questionable treatments like cod liver oil, and said that local doctors had achieved “almost miraculous and instantaneous” recoveries with steroids or antibiotics.

The worsening measles outbreak, which has largely spread through a Mennonite community in Gaines County, has infected nearly 200 people and killed a child, the first such death in the United States in 10 years.

Another suspected measles death has been reported in New Mexico, where cases have recently increased in a county that borders Gaines County.

The interview, which lasted 35 minutes, was posted online by Fox News last week, just before the President Trump’s address to Congress. Segments had been posted earlier, but the full version received little attention.

Mr. Kennedy offered conflicting public health messages as he tried to reconcile the government’s longstanding endorsement of vaccines with his own decades-long skepticism.

Mr. Kennedy acknowledged that vaccines “do prevent infection” and said that the federal government was helping ensure that people have access to “good medicines, including those who want them, to vaccines.”

“In highly unvaccinated communities like Mennonites, it’s something that we recommend,” he said.

Mr. Kennedy described vaccination as a personal choice that must be respected, then went on to raise frightening concerns about the safety of the vaccines.

He said he’d been told that a dozen Mennonite children had been injured by vaccines in Gaines County. People in the community wanted federal health workers arriving in Texas “to also look at our vaccine-injured kids and look them in the eye,” Mr. Kennedy said.

Yet the M.M.R. vaccine itself has been thoroughly studied and is safe. There is no link to autism, as the secretary has claimed in the past. While all vaccines have occasional adverse effects, health officials worldwide have concluded that the benefits far outweigh the very small risks of vaccination.

Mr. Kennedy asserted otherwise: “We don’t know what the risk profile is for these products. We need to restore government trust. And we’re going to do that by telling the truth, and by doing rigorous science to understand both safety and efficacy issues….”

In later comments, Mr. Kennedy suggested that severe symptoms mainly affected people who were unhealthy before contracting measles.

“It’s very, very difficult for measles to kill a healthy person,” he said, adding later that “we see a correlation between people who get hurt by measles and people who don’t have good nutrition or who don’t have a good exercise regimen.”

West Texas is “kind of a food desert,” he added. Malnutrition “may have been an issue” for the child who died of measles in Gaines County.

Texas health officials said the child had “no known underlying conditions.”

Dr. Wendell Parkey, a physician in Gaines County with many Mennonite patients, said the idea that the community was malnourished was mistaken.

Mennonites often avoid processed foods, raise their own livestock and make their own bread, he noted. From a very young age, many members of the community also help with farming and other physically demanding jobs.

“They’re the healthiest people out here,” he said. “Nutritionally, I would put them up against anybody.”

In Trump’s chaotic effort to weaken and shred the federal government, no agency is immune, not even the National Institutes of Health, a world-class scientific research institution.

The Washington Post published an overview of the dizzying changes there. The #2 person in the agency was expected to be chosen as Acting Director, but he was passed over for a little-known staff member, who was known for opposing the views of Dr. Fauci during the pandemic. And that was just the start.

The NIH has 6,200 scientists on staff. It is a huge biomedical grant-making machine that dispenses funding to some 2,500 research organizations across the nation.

Science writers Carolyn Y. Johnson and Joel Achenbach reported:

In just six weeks, the Trump administration overturned NIH’s leadership, slowed its main mission of identifying the best new science to fund and silenced personnel at the biggest sponsor of biomedical research in the world — a nearly $48 billion enterprise that supports the work of some 300,000 external scientists.
“It’s terrible. It’s awful. People are afraid to open their emails,” one NIH senior scientist said….

Even in a climate of fear, NIH employees say they want to protect their institution. They worry this winter of disruption may be causing lasting damage to the way science is conducted in the United States.

“The whole thing could just disappear,” said Phil Murphy, senior investigator and chief of the laboratory of molecular immunology at the National Institute of Allergy and Infectious Diseases (NIAID). “The biomedical research enterprise in the United States depends largely on NIH dollars. You take the dollars away, the labs go away, and you lose the next generation of scientists.”

I wonder if Dr. Phil Murphy might soon be replaced by a graduate student in political science for his remarks. Or a college dropout on the DOGE team.

In normal times, thousands of scientists on the 320-acre campus conduct basic research on problems such as ALS and heart disease. Clinicians at the research hospital care for patients in cutting-edge clinical trials. Much of this work continued.

But then came a hiring freeze, a travel ban, a communications pause and cancellations of routine grant-review meetings. Scientists were even told they could not purchase the basic lab supplies needed to keep experiments going…

Trump’s executive orders to terminate diversity, equity and inclusion initiatives, as well as programs that support “gender ideology,” forced officials to scan the agency for activities, websites, grants and programs that might need to be modified or pulled down..

In the second week, NIH staff members were told by their new director that they could resume work on clinical trials for new drugs.

But senior officials were grappling with a jaw-dropping memo from Trump’s Office of Management and Budget that called for a pause on federal grant activity — one of NIH’s main reasons to exist.

This order seemed to encompass most activities that spread NIH grants across the country, including making research awards, evaluating the most meritorious scientific proposals and even just continuing the funding of existing projects that needed renewal.

Lawsuits were filed, and NIH employees found themselves whipsawed between administration policies and court orders.

On Jan. 29, Tabak wrote a note to colleagues asking them to prepare a summary of activities related to the executive orders on diversity and on sex as a biological variable, as well as efforts to bring them into compliance.

Did this mean a ban on trials that compared how different groups reacted to experimental drugs?

Meanwhile a federal judge ordered the Trump administration to unfreeze NIH funding. But they didn’t.

Then came the biggest blow yet: Late that afternoon, NIH officials were caught off guard by a request from HHS chief of staff Heather Flick Melanson and principal deputy chief of staff Stefanie Spear to post a document immediately.

HHS declared that henceforth NIH would cap at 15 percent the indirect cost rates, or “overhead,” in funding it sends to research institutions. As NIH officials read the notice, they realized it was a seismic shift in policy that would threaten the foundation of biomedical research in the United States.

Reforms to the indirect-costs policy had been debated over the years. There had long been an argument that the cost of helping universities and medical centers pay for “facilities and administrative costs” had gotten out of hand. Indirect rates were sometimes 50 percent or higher, meaning that a research grant supporting a $100,000 scientific project would come with another $50,000 in indirect funding.

The notice made several references to an analysis from a Heritage Foundation white paper, titled “Indirect Costs: How Taxpayers Subsidize University Nonsense.”

As NIH officials worked to post the notice, HHS officials grew impatient with every passing minute. Hurry up, they demanded, according to multiple officials familiar with the events. The conflict was first reported by the Atlantic.

“We [NIH] had nothing to do with it, and this was a really totally inappropriate thing that was foisted upon us with no warning,” one official with knowledge of the notice said. A change like this typically would have been carefully reviewed for weeks before it was posted.

It went live on the NIH website in about an hour.

Many universities responded that they would not be able to cover the cost of hosting major scientific research or experiments with only 15% of the overhead covered.

The cap of 15 percent on indirect costs was temporarily halted by a court as well.

An internal memo that same day from the office of general counsel stated, in bold font: “All payments that are due under existing grants and contracts should be un-paused immediately.”

But a day later, nothing had changed.
“We have (like you all) been struggling with specific issues that would benefit from discussion on Thursday — even if we don’t have firm guidance,” NIAID Director Jeanne Marrazzo wrote in an email to other leaders on Feb. 11. Among the issues: “When can we anticipate being able to issue awards?”

In a leadership meeting that week, officials discussed an alarming new legal concern: The indirect-costs cap NIH had posted on Friday could put staff at risk of violating the Antideficiency Act, according to multiple people present for the discussion. The law prohibits federal agencies from spending federal funds in advance or in excess of an appropriation.

Leaders were concerned that individual grant managers could face criminal charges for doing their jobs…

With veteran leaders… gone, NIH scientists braced for mass firings as the Trump administration and Elon Musk’s U.S. DOGE Agency implemented a plan to terminate probationary employees across the government. On Feb. 14, Valentine’s Day, more than a thousand such employees at NIH awaited their fates. Some received a chilling email:
“You have been identified as an employee on a probationary period and may receive a letter today from HHS informing you that you will be terminated and/or placed on admin leave.”

The wait proved excruciating. The termination notices didn’t arrive until the weekend.

The agency reeled from losing nearly 1,200 NIH staff in the government-wide firing of probationary workers. So rattled were employees that many believed a rumor that all the institute’s leaders were about to be fired, a total decapitation of NIH bosses. That didn’t happen….

Thousands of grant proposals from outside scientists, often representing months of work, were stuck in the pipeline — essentially freezing the future of American science. Through an arcane bureaucratic pause, dozens of meetings that are key parts of the review process were canceled that week.

Then came the Musk email, asking people to list five things they did last week. Then came the email telling people to ignore the previous email. Then came the same Musk email: respond or quit.

Dr. Francis S. Collins, the eminent former director of NIH, announced that he was resigning from the laboratory where he had worked for almost four years.

The Boston Globe reported that NIH had abruptly terminated grants at mid-point in Massachusetts and across the country.

In an unprecedented move, the National Institutes of Health is abruptly terminating millions of dollars in research awards to scientists in Massachusetts and around the country, citing the Trump administration’s new restrictions on funding anything related to diversity, equity, and inclusion, transgender issues, or research that could potentially benefit universities in China.

The sweeping actions would appear to violate court rulings from federal judges in Rhode Islandand Washington, D.C., that block the Trump administration from freezing or ending billions of dollars in government spending, said David Super, a constitutional law expert at Georgetown Law, who reviewed some of the termination letters at the Globe’s request.

In a related case brought by an association of higher education officials that specifically challenged Trump’s various DEI executive orders, a federal judge in Maryland twice over the past month blocked the administration from terminating funding, saying in his most recent decision the restrictions “punish, or threaten to punish, individuals and institutions based on the content of their speech, and in doing so they specifically target viewpoints the government seems to disfavor.”

Super added that the termination letters are also “unlawful” because the NIH is imposing conditions on funding that did not exist at the time the grants were awarded.

Chaos? Disruption?

It’s fair to say that the masterminds behind this fiasco are either stupid or malevolent or both.

Peter Green explores one of the strangest paradoxes of our time: how can people be “pro-life” and also oppose any gun control? Guns kill people. Guns kill thousands of people every year. Consistency would demand that a person who is pro-life would also want to regulate the sale of guns.

But no. Among the most zealous pro-life governors is Ron DeSantis of Florida. He doesn’t want any woman to get an abortion, regardless of the peril to her life or the fetus. But when it comes to guns, DeSantis wants everyone to have at least one.

Green writes:

This week in his State of the State speech, Ron DeSantis announced that it was time to get over the Marjorie Stoneman Douglas High School shooting–that would be the one in Parkland in which a 19-year-old killed 17 and injured 17 others in the deadliest mass shooting at a high school in US history. 

After that shooting, the state put in place a piddly excuse for an attempt to make such horrors less likely, but even that is too much for DeSantis, who specifically wants to get rid of language raising the age to purchase a shotgun or rifle from 18 to 21 and also the red flag law that lets family members or law enforcement petition the court to remove someone’s firearms id they are risk to themselves of others. You know– like maybe a 19 year old with a long history of racism and fascination with mass shootings. “We need to be a strong Second Amendment state. I know many of you agree, so let’s get some positive reform done for the people in this state of Florida,” DeSantis was quoted by the Florida Phoenix

Also, he’d like to have open carry in the state.

Because nothing is more important than an American’s God-given right to shoot other people. Because we should go to any length to “protect” a fetus, but once it’s a live child, its life is less important than someone’s right to fire off a couple of rounds at anyone that bugs them. Because this is one more way politicians can show that for all their talk, they don’t particular care about young humans. 

On the right column of the blogspot version of this blog, I have had one image parked for years. It’s not complicated

I would say that it’s the least we could do, but of course the least we can do is nothing, and Ron DeSantis would like us to get back to doing that. 

The only bright spot here is that the legislature doesn’t seem to have his back on this. Good. DeSantis should be ashamed that he can’t even produce a bad argument for his favored policies other than complaining that Florida has “lagged on this issue.” What a bummer– imagine all the people who are going to some other state because it’s easier to shoot people there. 

Heather Cox Richardson sums up the dizzying events of the past few days. It’s hard to keep track of the array of court orders, overturned, affirmed, or Elon Musk emails, warning government employees to answer or resign, or tariffs, announced, then paused, then announced, then paused again. Is Trump’s intent to dazzle us with nonstop dung?

Trump has disrupted the Western alliance, having made common cause with Putin in his unprovoked and brutal war on Ukraine. Trump is destabilizing not only our alliances with other nations but our government as well. He has approved of draconian cuts to every department, ordered by Elon Musk or his team of kids. The determination to cut 80,000 jobs at the Veterans Administration, most held by veterans, may be a wake-up call for Republicans.

This country is in desperate trouble. When will Republicans in Congress stand up for the Constitutionand stop the madness?

She writes:

This morning, Ted Hesson and Kristina Cooke of Reuters reported that the Trump administration is preparing to deport the 240,000 Ukrainians who fled Russia’s attacks on Ukraine and have temporary legal status in the United States. Foreign affairs journalist Olga Nesterova reminded Americans that “these people had to be completely financially independent, pay tax, pay all fees (around $2K) and have an affidavit from an American person to even come here.”

“This has nothing to do with strategic necessity or geopolitics,” Russia specialist Tom Nichols posted. “This is just cruelty to show [Russian president Vladimir] Putin he has a new American ally.”

The Trump administration’s turn away from traditional European alliances and toward Russia will have profound effects on U.S. standing in the world. Edward Wong and Mark Mazzetti reported in the New York Times today that senior officials in the State Department are making plans to close a dozen consulates, mostly in Western Europe, including consulates in Florence, Italy; Strasbourg, France; Hamburg, Germany; and Ponta Delgada, Portugal, as well as a consulate in Brazil and another in Turkey.

In late February, Nahal Toosi reported in Politicothat President Donald Trump wants to “radically shrink” the State Department and to change its mission from diplomacy and soft power initiatives that advance democracy and human rights to focusing on transactional agreements with other governments and promoting foreign investment in the U.S.

Elon Musk and the “Department of Government Efficiency” have taken on the process of cutting the State Department budget by as much as 20%, and cutting at least some of the department’s 80,000 employees. As part of that project, DOGE’s Edward Coristine, known publicly as “Big Balls,” is embedded at the State Department.

As the U.S. retreats from its engagement with the world, China has been working to forge greater ties. China now has more global diplomatic posts than the U.S. and plays a stronger role in international organizations. Already in 2025, about 700 employees, including 450 career diplomats, have resigned from the State Department, a number that normally would reflect a year’s resignations.

Shutting embassies will hamper not just the process of fostering goodwill, but also U.S. intelligence, as embassies house officers who monitor terrorism, infectious disease, trade, commerce, militaries, and government, including those from the intelligence community. U.S. intelligence has always been formidable, but the administration appears to be weakening it.

As predicted, Trump’s turn of the U.S. toward Russia also means that allies are concerned he or members of his administration will share classified intelligence with Russia, thus exposing the identities of their operatives. They are considering new protocols for sharing information with the United States. The Five Eyes alliance between Australia, Canada, New Zealand, the United Kingdom and the U.S. has been formidable since World War II and has been key to countering first the Soviet Union and then Russia. Allied governments are now considering withholding information about sources or analyses from the U.S.

Their concern is likely heightened by the return to Trump’s personal possession of the boxes of documents containing classified information the FBI recovered in August 2022 from Mar-a-Lago. Trump took those boxes back from the Department of Justice and flew them back to Mar-a-Lago on February 28.

A CBS News/YouGov poll from February 26–28 showed that only 4% of the American people sided with Russia in its ongoing war with Ukraine.

The unpopularity of the new administration’s policies is starting to show. National Republican Congressional Committee chair Richard Hudson (R-NC) told House Republicans on Tuesday to stop holding town halls after several such events have turned raucous as attendees complained about the course of the Trump administration. Trump has blamed paid “troublemakers” for the agitation, and claimed the disruptions are part of the Democrats’ “game.” “[B]ut just like our big LANDSLIDE ELECTION,” he posted on social media, “it’s not going to work for them!”

More Americans voted for someone other than Trump than voted for him.

Even aside from the angry protests, DOGE is running into trouble. In his speech before a joint session of Congress on Tuesday, Trump referred to DOGE and said it “is headed by Elon Musk, who is in the gallery tonight.” In a filing in a lawsuit against DOGE and Musk, the White House declared that Musk is neither in charge of DOGE nor an employee of it. When pressed, the White House claimed on February 26 that the acting administrator of DOGE is staffer Amy Gleason. Immediately after Trump’s statement, the plaintiffs in that case asked permission to add Trump’s statement to their lawsuit.

Musk has claimed to have found billions of dollars of waste or fraud in the government, and Trump and the White House have touted those statements. But their claims to have found massive savings have been full of errors, and most of their claims have been disproved. DOGE has already had to retract five of its seven biggest claims. As for “savings,” the government spent about $710 billion in the first month of Trump’s term, compared with about $630 billion during the same timeframe last year.

Instead of showing great savings, DOGE’s claims reveal just how poorly Musk and his team understand the work of the federal government. After forcing employees out of their positions, they have had to hire back individuals who are, in fact, crucial to the nation, including the people guarding the U.S. nuclear stockpile. In his Tuesday speech, Trump claimed that the DOGE team had found “$8 million for making mice transgender,” and added: “This is real.”

Except it’s not. The mice in question were not “transgender”; they were “transgenic,” which means they are genetically altered for use in scientific experiments to learn more about human health. For comparison, S.V. Date noted in HuffPost that in just his first month in office, Trump spent about $10.7 million in taxpayer money playing golf.

Josh Marshall of Talking Points Memo pointed out today that people reporting on the individual cuts to U.S. scientific and health-related grants are missing the larger picture: “DOGE and Donald Trump are trying to shut down advanced medical research, especially cancer research, in the United States…. They’re shutting down medicine/disease research in the federal government and the government-run and funded ecosystem of funding for most research throughout the United States. It’s not hyperbole. That’s happening.”

Republicans are starting to express some concern about Musk and DOGE. As soon as Trump took office, Musk and his DOGE team took over the Office of Personnel Management, and by February 14 they had begun a massive purge of federal workers. As protests of the cuts began, Trump urged Musk on February 22 to be “more aggressive” in cutting the government, prompting Musk to demand that all federal employees explain what they had accomplished in the past week under threat of firing. That request sparked a struggle in the executive branch as cabinet officers told the employees in their departments to ignore Musk. Then, on February 27, U.S. District Judge William Alsup found that the firings were likely illegal and temporarily halted them.

On Tuesday, Senate majority leader John Thune (R-SD) weighed in on the conflict when he told CNN that the power to hire and fire employees properly belongs to Cabinet secretaries.

Yesterday, Musk met with Republican— but no Democratic— members of Congress. Senators reportedly asked Musk—an unelected bureaucrat whose actions are likely illegal—to tell them more about what’s going on. According to Liz Goodwin, Marianna Sotomayor, and Theodoric Meyer of the Washington Post, Musk gave some of the senators his phone number and said he wanted to set up a direct line for them when they have questions, allowing them to get a near-instant response to their concerns.” Senator Lindsey Graham (R-SC) told reporters that Musk told the senators he would “create a system where members of Congress can call some central group” to get cuts they dislike reversed.

This whole exchange is bonkers. The Constitution gives Congress alone the power to make appropriations and pass the laws that decide how money is spent. Josh Marshall asks: “How on earth are we in this position where members of Congress, the ones who write the budget, appropriate and assign the money, now have to go hat in hand to beg for changes or even information from the guy who actually seems to be running the government?”

Later, Musk met with House Republicans and offered to set up a similar way for the members of the House Oversight DOGE Subcommittee to reach him. When representatives complained about the random cuts that were so upsetting constituents. Musk defended DOGE’s mistakes by saying that he “can’t bat a thousand all the time.”

This morning, U.S. District Judge John McConnell Jr. ruled in favor of a group of state attorneys general from 22 Democratic states and the District of Columbia, saying that Trump does not have the authority to freeze funding appropriated by Congress. McConnell wrote that the spending freeze “fundamentally undermines the distinct constitutional roles of each branch of our government.” As Joyce White Vance explained in Civil Discourse, McConnell issued a preliminary injunction that will stay in place until the case, called New York v. Trump, works its way through the courts. The injunction applies only in the states that sued, though, leaving Republican-dominated states out in the cold.

Today, Trump convened his cabinet and, with Musk present, told the secretaries that they, and not Musk, are in charge of their departments. Dasha Burns and Kyle Cheney of Politicoreported that Trump told the secretaries that Musk only has the power to make recommendations, not to make staffing or policy decisions.

Trump is also apparently feeling pressure over his tariffs of 25% on goods from Canada and Mexico and an additional 10% on imports from China that went into effect on Tuesday, which economists warned would create inflation and cut economic growth. Today, Trump first said he would exempt car and truck parts from the tariffs, then expanded exemptions to include goods covered by the U.S.-Mexico-Canada trade agreement (USMCA) Trump signed in his first term. Administration officials say other tariffs will go into effect at different times in the future.

The stock market has dropped dramatically over the past three days owing to both the tariffs and the uncertainty over their implementation. But Trump denied his abrupt change had anything to do with the stock market.

“I’m not even looking at the market,” Trump said, “because long term, the United States will be very strong with what’s happening.”

ProPublica estimated the number of children who will die–of starvation or lack of medical care–because DOGE closed down USAID. The deaths of hundreds of thousands of children, in addition to their families, are the direct result of the shuttering foreign aid. These lives don’t matter to Trump and Musk; they are not white. Musk is a well-known pro-catalyst; he thinks women must have more babies. He himself now has 14 children, by different mothers. But he seems to care only about white babies.

Here is a portion of their report:

For weeks, some of the federal government’s foremost authorities on global health have repeatedly warned Secretary of State Marco Rubio and other leaders about the coming death toll if they carried out the Trump administration’s plan to end nearly all U.S. foreign aid around the world.

In their clearest accounting yet, top officials have estimated the casualties: One million children will not be treated for severe acute malnutrition. Up to 166,000 people will die from malaria. New cases of tuberculosis will go up by 30%. Two hundred thousand more children will be paralyzed by polio over the next decade.

Instead of acting on the repeated warnings, top administration officials, including the State Department’s director of foreign assistance, Peter Marocco, thwarted their own experts’ efforts to keep the U.S. Agency for International Development’s most vital programs up and running, according to internal memos and estimates compiled by global health leaders at the agency and obtained by ProPublica.

President Donald Trump’s political appointees, along with billionaire Elon Musk’s Department of Government Efficiency, pressed ahead with their plan to dismantle USAID by ignoring and impeding staff who tried to protect lifesaving operations — even as the administration publicly insisted that those programs remained online — according to the memos and interviews with government officials.

During exchanges outlined in one of the memos, a DOGE engineer emailed staff and said they were not allowed to review the programs they were canceling. At another point, USAID’s then-deputy chief of staff, Joel Borkert, told agency personnel to take a “draconian” approach to approving waivers.

The explosive memos — which include summaries of email exchanges and top-level meetings inside USAID, as well as internal agency research — were sent by Nicholas Enrich, acting assistant administrator for global health. ProPublica also obtained detailed breakdowns of lifesaving programs managed by the bureau and the projected impact of cutting them. Enrich was placed on leave Sunday.

Enrich told The New York Times he released the memos, which multiple other officials contributed to, after learning he was being placed on leave, as thousands of others at the agency have been. The memos were circulated to the staff and obtained by ProPublica.

The documents identify several key senior policymakers behind the scenes while also puncturing the administration’s claims of a careful, deliberative review of USAID programming. The records also represent the government’s most explicit concerns to date memorialized by a senior official from inside Trump’s administration.

The State Department, USAID and Elon Musk did not respond to questions about this story. Rubio and Marocco did not respond to a request for an interview.

Since the inauguration, Rubio, Musk and Marocco have taken dramatic steps to incapacitate USAID, the largest foreign aid donor in the world, by firing its employees and halting operations. The global health bureau was one of the first parts of the agency targeted for mass layoffs.

Then, last week, they abruptly cancelled 10,000 foreign aid projects, which account for 90% of USAID’s humanitarian operations and about half of the State Department’s. Lifesaving programs that were still operating around the world were forced to close down immediately.

How do you sleep at night, when you know that your actions were responsible for the deaths of hundreds of thousands of children? And their parents?

The New York Times story that was linked in the story gave more details:

The Trump administration’s decision to withdraw foreign aid and dismantle the U.S. Agency for International Development is likely to cause enormous human suffering, according to estimates by the agency itself. Among them:

  • up to 18 million additional cases of malaria per year, and as many as 166,000 additional deaths;
  • 200,000 children paralyzed with polio annually, and hundreds of millions of infections;
  • one million children not treated for severe acute malnutrition, which is often fatal, each year;
  • more than 28,000 new cases of such infectious diseases as Ebola and Marburg every year.

Those stark projections were laid out in a series of memos by Nicholas Enrich, acting assistant administrator for global health at U.S.A.I.D., which were obtained by The New York Times. Mr. Enrich was placed on administrative leave on Sunday.

This was the opening of Enrich’s bold memo, as reprinted in the New York Times:

Takeaway: The temporary pause on foreign aid and delays in approving lifesaving humanitarian assistance (LHA) for global health will lead to increased death and disability, accelerate global disease spread, contribute to destabilizing fragile regions, and heightened security risks-directly endangering American national security, economic stability, and public health. If the pause leads to permanent contract terminations, the $7.7B in resources appropriated by Congress are no longer be used to support these lifesaving global health programs, which could potentially result in wasted resources. The impacts on mortality and morbidity are summarized in the tables below. While the Foreign Assistance Review is set to take place in the coming weeks, it is important to recognize that a mechanism-by-mechanism approach may overlook the broader impact of these programs across global health program areas. This includes missed opportunities to enhance efficiency and cost-effectiveness within LHA program areas.

Marco Rubio, how do you feel about the deaths of so many people? Does it trouble you? Can you look in the mirror in the morning without seeing a murderer reflected back to you?

We know that Trump and Musk don’t care. What about you, Mr. Rubio?

During his Senate confirmation hearings, Robert F. Kennedy Jr. tried to downplay his decades-long reputation as an opponent of vaccines. He even persuaded a Republican physician, Senator Bill Cassidy of Louisiana, that he would be guided by science, not his ideology. Why Senators believe nominees who try to disown their past is a mystery.

Dr. Paul Offit is a pediatrician who specializes in communicable diseases, vaccine research, and immunology. He teaches at the University of Pennsylvania. In this piece, he chastises RFK Jr. for his indifference to the death of a child because of his failure to get vaccinated.

On February 26, 2025, a school-aged child in West Texas died from measles. This marked the first child death in the US from the disease since 2003. The death was part of a larger outbreak in this Mennonite community that included 146 people, 20 of whom were hospitalized. The outbreak wasn’t an isolated event. Additional cases of measles had been reported in Alaska, California, Georgia, Kentucky, New Jersey, New Mexico, New York City, and Rhode Island. Measles is a winter-spring disease. We still have at least three months to go before the end of a typical measles season.

At a White House meeting on February 27th, the newly installed Secretary of Health and Human Services, Robert F. Kennedy Jr., responded to the events in Texas. Failing to immediately acknowledge the tragedy of a preventable death, he said that “measles outbreaks are not unusual” and that they happen every year. In truth, measles had been eliminated from the United States by 2000. At that time, due to a high level of population immunity, the virus wasn’t transmitted from one American child to another even after people with measles from other countries entered the United States. Unfortunately, owing to unfounded fears about measles vaccine safety, a critical percentage of parents have now chosen not to vaccinate their children, dropping immunization rates below the level required for herd immunity.

RFK Jr. also tried to dismiss the nearly two dozen hospitalizations in West Texas by claiming that they were “mainly for quarantine,” when in fact children were hospitalized for severe measles pneumonia. RFK Jr. apparently doesn’t understand that children exposed to measles are quarantined at home, not in the hospital. Indeed, the last place you would want to quarantine a child would be in a hospital filled with a vulnerable population of children, many of whom are particularly susceptible to the disease.

RFK Jr.’s dismissal of the Texas outbreak as “nothing to see here” was even more disheartening in that perhaps no one has contributed more to the perception that the measles-mumps-rubella (MMR) vaccine is dangerous than him. For 20 years, he and his organization, Children’s Health Defense, has claimed that the MMR vaccine causes autismdespite studies showing that it doesn’t.

The West Texas measles outbreak wasn’t RFK Jr.’s first experience with a Mennonite community. On July 31, 2021, in the middle of the Covid pandemic, RFK Jr. stood in front of 1,500 people in Lancaster County, Pennsylvania, home to one of the largest Mennonite communities in the United States, and talked about his experiences with measles as a child. The transcript from his talk later surfaced:

He said that “the cure for measles is chicken soup and vitamin A.” In other words, measles is no big deal. Two years earlier, RFK Jr. had traveled to Samoa before an outbreak of measles that had caused 5,600 cases and 83 deaths, mostly in children less than four years old. Despite this experience, he was still capable of dismissing the disease as a trivial, harmless infection of children.

RFK Jr.’s comments at the White House the day after the measles death were most remarkable for what he didn’t say. He didn’t say that the death was especially tragic because it was entirely preventable. And he didn’t say loudly and clearly that under-vaccinated communities in the United States needed to get vaccinated to avoid a similar tragedy. And that they needed to do it soon. This wasn’t surprising. For RFK Jr. to have spoken forcefully about the importance of vaccines in the face of a growing epidemic would have gone against everything that he had said and done for the last 20 years.

Anti-vaccine activists don’t change their stripes. Even when they’re given the enormous responsibility of protecting the nation’s children.

Mercedes Schneider writes about a remarkable decision by Louisiana’s top health official.

He has decided that getting vaccinated should be a personal decision, not a mandate that applies to everyone. It’s not possible to stop the spread of a highly contagious disease if vaccination is optional.

Please open the link to read the order of the Louisiana Surgeon General.

A lot of people, mainly children, will get seriously ill, and some will die, because of this idiocy.

Schneider writes:

If it were only that easy:

Do you want to contract polio? Measles? Smallpox? 

No?

Well, now it is only a matter of personal choice: Just say you don’t want a disease, and you will not catch a disease.

Of course, that’s not how it works. If it did– if one’s “personal choice” could prevent disease, especially disease epidemic– then count me in. I really don’t care for shots, anyway.

But you know what I like less that those shots?

The diseases themselves.

When I enrolled in my masters program at West Georgia in 1995, I received a letter stating that I needed to have a booster of the MMR (measles mumps rubella) vaccination since my first shot in that two-shot series occured before I was a year old (I was 10 months old at the time).

So, I went to the health clinic where I received my childhood vaccinations, and I received the booster.

While I was there, the nurse asked if I wanted to also have a tetanus shot, as I had not had one for 10 years.

I remember that shot making my arm ache. I replied, “I hate that shot.”

Without missing a beat, and dryly-stated, she responded, “You would like lockjaw even worse.”

Indeed I would. And so, I also received a tetanus booster.

If you want the benefit of disease protection without incurring the full wrath of a disease, the prophylactic properties of unvaccinated personal choice fall far short.

Nevertheless, in the name of “personal choice,” the Louisiana surgeon general has decided that the Louisiana Department of Health (LDH) will no longer promote vaccinations, as Contagion Live reports on February 16, 2025:

The Louisiana Surgeon General, Ralph Abraham, MD, is advocating for autonomy over one’s body and that the Louisiana Department of Health (LDH) will no longer be publicly promoting vaccination, but rather saying it is a discussion between people and their providers. Abraham told the LDH staff to not encourage vaccines, and LDH will no longer have vaccination events, according to a memo sent late last week (see below).

“The State of Louisiana and LDH have historically promoted vaccines for vaccine preventable illnesses through our parish health units (PHUs), community health fairs, partnerships and media campaigns. While we encourage each patient to discuss the risks and benefits of vaccination with their provider, LDH will no longer promote mass vaccination,” Abraham wrote in the memo.

So, no campaign to stop outbreaks from happening, but Louisiana will promote vaccination once there is an outbreak.

If I have an outbreak of measles, there is no longer a vaccination option for me to prevent it. I just need to plug it out. By the way, at 57 years old, I now fall into the category of people likely to experience complications, including pneumonia and encephalitis (I.e;. brain swelling, whereby “most people require hospitalization so they can receive intensive treatment, including life support.”)

However, I am vaccinated against measles, so the odds are pretty slim (3 in 100).

Speaking of measles, the personal choice prophylactic is currently falling short in neighboring Texas, where NBC News reportsthat by February 14, 2025, 49 cases had been confirmed in rural West Texas:

On Friday, the number of confirmed cases rose to 49, up from 24 earlier in the week, the state health department said. The majority of those cases are in Gaines County, which borders New Mexico.

Most cases are in school-age kids, and 13 have been hospitalized. All are unvaccinated against measles, which is one of the most contagious viruses in the world.

The latest measles case count likely represents a fraction of the true number of infections. Health officials — who are scrambling to get a handle on the vaccine-preventable outbreak — suspect 200 to 300 people in West Texas are infected but untested, and therefore not part of the state’s official tally so far.

The fast-moving outbreak comes as Robert F. Kennedy Jr. takes the helm of the Department of Health and Human Services. Kennedy, a vaccine skeptic, has long sown distrust about childhood vaccines, and in particular, the measles-mumps-rubella (MMR) vaccine, falsely linking it to autism.

The Centers for Disease Control and Prevention can only send in its experts to assist if the state requests help. So far, Texas has not done so, the CDC said.

The CDC has sent approximately 2,000 doses of the MMR vaccine to Texas health officials at their request. However, most doses so far are being accepted by partially vaccinated kids to boost their immunity, rather than the unvaccinated.

Without widespread vaccination, experts say, the outbreak could go on for months.

Seems like a good time to promote measles vaccination in Louisiana.

Nah. Let’s just wait until the outbreak finds its way to East Texas then crosses the state line.

I borrowed this from Andrea Junker at BlueSky:

DISEASES ERADICATED OR DECIMATED BY SCIENCE:

  1. Chickenpox
  2. Diphtheria
  3. Measles
  4. Pertussis
  5. Pneumococcal Infection
  6. Polio
  7. Tetanus
  8. Typhoid
  9. Yellow Fever
  10. Smallpox

DISEASES ERADICATED OR DECIMATED BY RFK JR. OR PRAYER:
1.


    1. 4.
      5.
      6.
      7.
      8.
      9.