Archives for category: Health

Heather Cox Richardson wrote about the GOP hearings on Dr. Anthony Fauci, led by Senator Rand Paul. Why attack Dr. Fauci? It’s a useful distraction from pressing issues of this day: Trump’s flailing war on Iran; rising inflation; the Epstein files; cuts to Medicaid and Medicare.

During the pandemic, Dr. Fauci was the voice of reason and the voice of science.

What were Republicans doing during the pandemic? Trump was their voice, and he told people to relax, COVID would simply disappear on its own. He suggested that people could protect themselves by injecting bleach or taking Ivermectin pills. He is as qualified to offer medical advice as Robert F. Kennedy Jr.

Trump deserves credit for investing in the development of a vaccine for COVID. Dr. Fauci oversaw the race to create an effective vaccine.

Once available, Dr. Fauci urged people to get the shot. Trump, instead of taking credit for the rapid production of the vaccine, allied himself with anti-Vaxxers. Be it noted, however, that Trump and his family received the vaccine.

In this post, Richardson wrote about Trump’s plummeting poll numbers and the military quagmire in Iran, then wrote about the attacks on Dr. Fauci:

And so, Republicans are devoting themselves to serving red meat to their MAGA base, ginning up sound bites for distribution on social media.

On the menu today was Dr. Anthony Fauci, the 85-year-old former director of the National Institute of Allergy and Infections Diseases who, serving in that capacity for 38 years, advised seven different presidents of both parties. President George W. Bush awarded Fauci the Presidential Medal of Freedom for his work in creating the President’s Emergency Plan for AIDS Relief (PEPFAR), which has saved an estimated 26 million lives. Trump named Fauci to the President’s Coronavirus Task Force in January 2020.

But, as Savannah Behrmann and Jeanine Santucci of USA Today reported in October 2020, Trump turned on Fauci as he cautioned against Trump’s confident predictions that the disease would disappear quickly. By February 28, Trump insisted that Democrats were “politicizing” covid, and by April 26, news broke that Trump wanted to sideline Fauci, although Fauci was considered trustworthy and viewed favorably by a 3:1 margin.

By the summer, as Trump’s panic over how the economic crisis caused by the pandemic might hurt his reelection prospects, he turned on Fauci, who continued to support measures to stop the spread of the disease. Trump worked to undermine Fauci’s warnings, saying that the doctors and the Centers for Disease Control and Prevention were “lying” about covid.

By July, he mused about why Fauci had a high approval rating and he didn’t. When Fauci testified to Congress that U.S. cases were spiking while European countries were seeing sharp drops in covid cases because European countries had shut down 95% of their economies while the U.S. had shut down only 50%, Trump posted: “Wrong! We have more cases because we have tested far more than any other country…. If we tested less, there would be less cases.”

As Trump continued to criticize Fauci and yet ran a campaign ad suggesting Fauci endorsed his reelection, the doctor continued to emphasize that he was “not a political person.” He added: “And I have never—either directly or indirectly—endorsed a political candidate.” In October he dismissed Trump’s attacks, saying: “They don’t bother me. I know what my job is, and I’ve gotta do it and I’m going to do it. So that kind of—whatever you want to call it—is to me, I just, it’s noise.”

As Aaron Rupar reminded us today, Trump himself awarded a presidential commendation to Fauci “in recognition of [his] exceptional effort on Operation Warp Speed.”

But with the arrival of a vaccine that helped to put the worst of the pandemic behind us, MAGA Republicans began to demonize Dr. Fauci not only as the source of the mask mandates and school shutdowns they hated, but also as the source of the virus itself, alleging—without evidence—that the disease had escaped from a lab in Wuhan, China, for which the U.S. National Institutes of Health provided funding.

After voters reelected Trump to the presidency in 2024, he and his loyalists vowed to prosecute Fauci. Trump ally Steve Bannon called for “rough Roman justice” for Fauci, as well as special counsel Jack Smith and former chairman of the Joint Chiefs of Staff Mark Milley. Before he left office, former president Joe Biden issued a preemptive pardon for Fauci—and others—to protect them from political prosecution, saying: “The issuance of these pardons should not be mistaken as an acknowledgment that any individual engaged in any wrongdoing, nor should acceptance be misconstrued as an admission of guilt for any offense.”

But Republicans have continued to demonize Fauci, ginning up anger against him in their base even as the rest of the country has moved on. Now, with the political tides running so strongly against the Republicans before the 2026 midterm elections, they are clearly trying to rekindle the fury of the last presidential election.

As the Associated Press reported today, for years, Senator Rand Paul (R-KY) has accused Fauci of lying about the origins of covid, an accusation Fauci has called “preposterous” in testimony before Congress. Paul has repeatedly called for Fauci’s arrest and imprisonment and, in 2023, published a book with Fauci on the cover, explicating what he called the “Great Covid Cover-Up.”

The Trump administration has fed Paul’s crusade, with Secretary of Health and Human Services Robert F. Kennedy Jr. searching for eight months to find Fauci’s private diary on government computers, then handing the files over to Paul and to Senator Ron Johnson (R-WI). Neither Kennedy, Paul, nor Johnson told Fauci they had obtained his 1,000-page diary before they published it, in full, last week.

In July 2021, Fauci wrote in his diary that an analysis of the viruses used in the Wuhan lab “clearly indicate(s) that it is molecularly impossible for the viruses under the auspices of the NIH grant to have been manipulated into or evolved into” the covid virus.

Now chair of the Homeland Security and Governmental Affairs Committee, Paul subpoenaed Fauci in June to appear before the committee. Unwillingly, as his lawyers noted Paul’s many statements calling for Fauci to be jailed, Fauci did so today.

In an opening statement, Fauci said that he believed “the sole reason [Paul] is calling me before this committee is to get me to say something—anything—that could vindicate his repeated public pledges that I end up, in his words, quote, behind bars, unquote.”

“Any reasonable person who has followed his unhinged obsession with me would readily come to the same conclusion,” he said. “Therefore, although it pains me to do so because of the respect I have for the legislative branch of government and my decades-long record of cooperating with Congress, under the advice of my attorneys, I will invoke my right under the 5th Amendment of the Constitution to refrain from answering your questions.”

More than 100 times he did exactly that as Republicans berated him, calling him “a narcissist and a megalomaniac and a liar,” mocking him, and asking him, “Do you feel like you’re in deep sh*t?” What Republicans did not do is introduce any evidence that the 85-year-old lifelong public servant had broken any laws.

More to the point was Senator Bernie Moreno (R-OH) yelling at Fauci about closings during the pandemic, blustering: “Who the f*ck do you think you were?” F-bombs are rare on the Senate floor, and the outburst has gotten significant media attention.

That attention has distracted from the other reason Moreno is in the news. As Abby Vesoulis of Mother Jones reported, Moreno has said nothing as his daughter’s ex-husband, Representative Max Miller (R-OH), has been credibly charged with the violent abuse of her and their 2-year-old daughter. As the Republicans struggle to hold on to their congressional majorities, Republican leaders have refused to call for Miller, who is running for a third term, to resign.

The blogger “Liberty Beats News” reported the following disturbing story. Secretary of Defense Pete Hegseth is obsessed with the idea of “lethality” and “masculinity” that leads to stories like this one, as well as bias against women, who don’t have the same levels of testosterone as men. Even without the testosterone that Hegseth demands, women seem to be capable of exemplary leadership. Hegseth, however, continues to block most women from leadership roles in the military.

Blogger Liberty Brats News reports:

Pentagon Announces Mandatory Testosterone Testing for Troops Over 30 — And the Science Behind It Is Shakier Than Hegseth Is Selling It

Defense Secretary Pete Hegseth is framing declining testosterone as a fixable threat to military “lethality,” but the medicine tells a messier story: most people prescribed testosterone therapy never get properly diagnosed first, and the FDA has flagged real cardiovascular risk

WASHINGTON — July 15, 2026

Defense Secretary Pete Hegseth announced Wednesday that all active-duty service members age 30 and older will be required to undergo annual testosterone deficiency screening as part of their existing periodic health assessment — branding the effort “The High-T Department of War” in a video posted to social media.

What Was Announced

Under the new policy, troops 30 and up will be tested annually; those under 30 can opt in voluntarily. If a service member is found to have a deficiency, testosterone replacement therapy (TRT) is offered, not mandated — the choice to actually take it remains with the individual. Hegseth framed it as a health and performance initiative: “It’s about restoring and optimizing your natural capabilities, protecting your longevity, and ensuring you have the biological foundation required to sustain the fight.” The Pentagon has not clarified whether the requirement or the treatment option extends to women in the military, whose testosterone levels also decline with age.

The Marketing Language vs. the Actual Medicine

Hegseth’s own phrase, “High-T,” isn’t a medical term — it’s borrowed directly from a social media fitness and masculinity trend, where influencers encourage men to chase higher testosterone numbers as a marker of strength and virility. That distinction matters, because the FDA has never approved testosterone therapy on that basis. 

The only FDA-approved use for TRT is treating clinical hypogonadism — a specific, diagnosable medical condition involving genuine testicular or pituitary dysfunction, confirmed through repeated blood tests and documented symptoms. Simply having a number that’s lower than it used to be isn’t the same thing as having a treatable deficiency, and the FDA has never approved TRT as a tool for boosting combat performance, aggression, or “lethality” in men with normal age-related hormone decline.

What “Low Testosterone” Actually Means — And Doesn’t

Testosterone drops by roughly 1% a year after age 30, according to the Mayo Clinic — a completely normal, expected part of aging, not a malfunction. True testosterone deficiency, called hypogonadism, affects an estimated 5.6% of men between 30 and 79. That means the overwhelming majority of the men this policy will test every year have testosterone levels that are simply aging normally, not failing. 

Testosterone Levels By Age: Normal Ranges 2026 Guide

A 2026 Endocrine Society study presented at its annual meeting found that most men who are already being prescribed testosterone therapy in civilian medicine never received proper, guideline-based diagnostic testing beforehand — meaning a huge share of current TRT patients may not actually meet the medical bar for needing it in the first place. One of the study’s independent reviewers, a reproductive endocrinologist at Imperial College London, called overprescribing “a problem of our time,” driven in part by corporate telehealth providers with minimal clinical oversight — a dynamic a mandatory military-wide testing program risks reproducing at scale.

The Risks Nobody’s Talking About in the Announcement

Testosterone therapy isn’t risk-free. The FDA issued a formal safety communication requiring TRT products to carry warning labels about a possible increased risk of heart attack and stroke. The research since then has been genuinely mixed — some large studies have found elevated cardiovascular risk in men on TRT, while others, including a comprehensive Harvard-affiliated review of 72 studies, found no compelling evidence of increased heart disease or cancer risk. What that actually means is that the cardiovascular safety of giving testosterone therapy to a large, mostly healthy population has not been settled science — which makes rolling it out across the entire U.S. military, framed as a performance and readiness initiative, a real-world experiment on hundreds of thousands of people rather than a proven intervention.

A Broader Pattern

This isn’t happening in isolation. The FDA moved in April to expand access to TRT more broadly, and Hegseth has spent his tenure building what he calls a “warrior ethos” around hyper-masculine physical standards — requiring all combat roles to meet a single “highest male standard,” warning against “fat generals and admirals,” and mocking transgender troops in public remarks. 

Notably, Health and Human Services official Dr. Mehmet Oz has already publicly praised Trump’s own testosterone levels, according to RFK Jr., calling them the highest he’s seen in a man over 70 — a strange data point to have entered the public discourse days before this policy, and a reminder that “optimizing testosterone” has become as much a cultural signal in this administration as a medical one.

Bottom Line

Nothing about this policy is inherently sinister — screening for a real, underdiagnosed medical condition isn’t unreasonable on its face. What doesn’t hold up is the marketing: testosterone testing doesn’t measure “lethality,” normal aging isn’t a deficiency, and the treatment itself carries cardiovascular questions that haven’t been fully answered even in civilian medicine, where prescribing already outpaces proper diagnosis. Framing a hormone panel as the key to combat readiness sells better on social media than it does in a peer-reviewed journal.

Sources

• Forbes — “Hegseth Announces ‘Testosterone Deficiency’ Screening For Soldiers 30 And Over,” July 15, 2026. forbes.com/sites/saradorn/2026/07/15/hegseth-announces-testosterone-deficiency-screening-for-soldiers-30-and-over/

• Newsweek — “Hegseth’s New Military Testosterone Rules: Who Is On The Hook?” July 15, 2026. newsweek.com/hegseth-announces-new-required-pentagon-testosterone-tests-who-it-impacts-12200211

• NOTUS — “Testosterone-Fueled Troops? Hegseth Says Military to Begin Testing Hormones,” July 15, 2026. notus.org/defense/testosterone-troops-hegseth-testing

• Stars and Stripes — “‘High-T Department of War’: Hegseth announces annual testosterone screenings for service members age 30 or older,” July 15, 2026. stripes.com/theaters/us/2026-07-15/hegseth-approve-testosterone-testing-troops-22274442.html

• The Hill — “Pentagon to screen troops over 30 for testosterone,” July 15, 2026. thehill.com/policy/defense/5969935-hegseth-testosterone-testing-dod/

• Endocrine Society — “Testosterone therapy in men may be overprescribed, inconsistent with clinical guidelines,” June 13, 2026. endocrine.org/news-and-advocacy/news-room/2026/papaleontiou-press-release-endo-2026

• U.S. FDA Drug Safety Communication — “FDA cautions about using testosterone products for low testosterone due to aging,” fda.gov/Drugs/DrugSafety/ucm436259.htm

• Harvard Gazette — “Study finds no direct links between testosterone therapy, diseases,” Harvard Medical School review of 72 studies. news.harvard.edu/gazette/story/2004/01/study-finds-no-direct-links-between-testosterone-therapy-diseases

When Elon Musk started his Department of Governmental Efficiency (DOGE), one of his first targets was USAID, the U.S. Agency for International Development, the agency that sent food, medicine and health workers to the world’s neediest nations.

Musk and his DOGE shut down USAID. On February 3, 2025, Musk boasted on Twitter:

We spent the weekend feeding USAID into the wood chipper. Could [have] gone to some great parties. Did that instead.

Clearly, Musk was very proud of what he did. American farmers complained that they lost $2 billion in sales that had previously been purchased by USAID to ship abroad to needy people.

Immediately, there were dire predictions that people would die without the food and medicine provided by the U.S.

Musk at first ignored the critics, but eventually insisted that no child had died as a result of closing down USAID.

Nicholas Kristof of The New York Times responded:

Elon Musk is newly minted as humanity’s first trillionaire, but the world’s richest man seems grumpy. And he definitely is not a fan of mine.

“Kristof is lying through his teeth,” he announced on social media this week.

I got on his nerves for pushing back at his claims that his demolition of the United States Agency for International Development last year did not cost lives. The fracas began after Representative Ro Khanna, a California Democrat, said that Musk had “possibly sentenced to death” a large number of children, and Musk retorted that it was “time to sue this liar.”

“There is not even a single dead child!” Musk protested on social media. I noted that I had met many families of children who had died — and that’s when he concluded that I was lying.

Musk’s assertion that not a single child died is absurd, yet he doubled down: “They cannot cite a single name of someone who died out of the ‘millions’ they falsely claim have died. Not a single name!”

On X, I began to give Musk some names. Let me elaborate:

Jibia was a 10-year-old girl, ranking third out of 58 students in her fourth-grade class in Rwamwanja, Uganda. Aid cuts meant that the local clinic ran out of $2 bed nets to protect from mosquitoes, as well as anti-malaria medicines. Jibia died of malaria last July, her mother told me outside the family home. Medical records confirmed that, and health workers told me that she would have been fine without the aid cuts: Replacing her tattered bed net with a new one could have prevented malaria, and in any case drugs would have helped her to recover promptly.

Yamah Freeman hemorrhaged while pregnant with her third child in her village in Liberia. The United States had provided ambulances to the local hospital, but the aid cuts under Musk and President Trump meant that the ambulances had no fuel. The strongest young men in the village placed her on their shoulders and raced down the path toward town, shouting encouragement to her as they ran, but she bled to death along the way. Her parents and sister told me about this, and I visited her grave.

Achol Deng, 8, had been infected with H.I.V. at birth in South Sudan but had been kept alive by American-provided medicines costing just 12 cents a day. The dismantling of U.S.A.I.D. and the resulting chaos meant that she lost her caseworker and access to medicines, and soon died of an opportunistic infection, health workers told me.

I could keep going. A Boston University researcher estimated that the aid cuts have cost more than 750,000 lives worldwide. A study published in The Lancet, the British medical journal, forecast that at present rates, the aid defunding will cost 9.4 million lives by 2030.

These figures may not be accurate; we just don’t have solid mortality data, and the aid cuts have also reduced data collection. What I can say after visiting numerous impoverished villages is that aid cuts are unquestionably costing the lives of many children.

Some prominent conservatives leaped to the defense of Musk, saying in effect: Why is it our job to save the lives of children in South Sudan? Why don’t rich liberals write checks? Why don’t other countries do more?

Those are fair questions. But if any of us came across an ambulance that had run out of gas with a hemorrhaging woman inside, surely we would happily hand over a $10 bill to save her life.

Until Trump’s second term, American aid cost just 23 cents for every $100 of gross national income and saved a life approximately once every 10 seconds. Seems like a bargain to me. Certainly it appears wiser than spending billions of dollars on a war with Iran.

I say “wiser” because all this is not just about compassion but also about self-interest. Aid money serves national security and protects us from diseases. I’ve noted that the current Ebola outbreak in Africa may have gotten out of control precisely because we cut aid spending in the region.

Yes, other countries should do more, impoverished countries should be less corrupt, and our own aid can be allocated more wisely. But note that some countries in Europe are significantly more generous than America, spending up to 10 times as much on aid as a share of national income as we do.

Should liberals donate more to humanitarian causes? Sure. But compassion isn’t a liberal impulse — it’s a human one. It was evangelicals and Republicans who in 2003 started the single best aid program ever, the President’s Emergency Plan for AIDS Relief, or PEPFAR; it has saved more than 26 million lives so far. Some of the most heroic aid workers I’ve met in dangerous locations have been Christian missionaries, from nuns to doctors; they would dispute the idea that empathy is woke.

It’s reasonable to ask how much we should spend or how we should reform the system. But why would anyone begrudge $2 bed nets or $4 malaria vaccines to save children’s lives?

So let me offer a challenge to Musk: Come with me on a reporting trip to South Sudan or Somalia or Mozambique. Meet starving children whose lives can be easily saved. Hold them. Look into their eyes. Talk to their terrified moms.

You’ll understand that these kids are just like ours, except that they didn’t do as well in the lottery of birth — and that just because we can’t save every child’s life doesn’t mean we should save none of them.

Back in the late 1960s, opponents of the war in Vietnam used to torment President Lyndon B. Johnson by shouting at him,

Hey, hey, LBJ,

How many kids did you kill today?

I can’t think of a word that rhymes with “Musk.” Can you?

Jan Resseger is a perceptive observer of policy and a passionate defender of children. She writes on this post about the myriad ways in which Trump’s signature legislation harms children. This bill will make many children hungrier, poorer, and less healthy.

She writes:

Huge omnibus laws filled with myriad amendments and unrelated provisions are always passed without sufficient public attention to the details and long term consequences.  House Resolution 1, which the President has called the “One Big Beautiful Bill” was an omnibus tax and reconciliation law. President Trump signed HR 1 into law just a year ago on the 4th of July. The law poses a number of threats to the well-being of children and to public schooling.  Many of us who follow public education policy are well aware of the Trump administration’s expansion of the privatization of public education with the new tuition tax credit school voucher program buried in HR 1, but other provisions of this federal law have also begun imperiling the welfare of our society’s most vulnerable children. The damage will only expand in the coming months and years.

The Center on Budget and Policy Priorities recently updated threats to children’s welfare in HR1: “Already the law is raising costs for families and taking away health coverage, food assistance, and other essentials from people who are already struggling to afford to meet their basic needs—all while showering more tax breaks on the wealthiest households and funding a violent immigration detention and deportation agenda. The law’s harm will only deepen as its more than $1 trillion in cuts for Medicaid and the Affordable Care Act… marketplaces fully take effect and states fully implement SNAP eligibility restrictions and take drastic measures ahead of the federal government’s significant shift of SNAP costs to states… (T)he law’s cuts will expand the still-deep inequities long experienced by those who face the most economic discrimination and poverty, including Black, Latino, and Indigenous people and families with people who are immigrants.”

For political reasons, many of HR 1’s punitive provisions were delayed so that they will kick in only after the 2026 midterm election. The provisions with some of the most serious implications for families with children include future cuts to Medicaid and the Children’s Health Insurance Program (CHIP). The Center on Budget and Policy Priorities predicts: “The harmful… megabill will take health coverage away from millions of people and dramatically raise health care costs for millions more.  The law cuts $1.1 trillion from Medicaid and ACA marketplaces… The work requirement… will take away coverage for childless adults and some parents who can’t prove that they are participating in countable ‘community engagement’ activities at least 80 hours per month.”

KFF adds: “For the first time, the law conditions Medicaid eligibility for Medicaid expansion enrollees on meeting work and reporting requirements. These work requirements, which will go into effect in January 2027, or sooner at state option, represent the largest source of enrollment declines in the law.”

There are, however, two areas in which HR 1 has already seriously impacted families with children.

Sharp Drop in SNAP Participation     It has been widely predicted that millions of families who need food assistance will, by 2028, loose access to food stamps (SNAP) due to the provisions of HR 1. The Center on Budget and Policy Priorities’ Dottie Rosenbaum and Joseph Llobrera report, however, that the sharp drop in access to SNAP has actually begun in 2026:

“Millions of people are losing food assistance through SNAP due to the 2025… HR 1.  This includes many children and others not targeted by HR 1’s eligibility restrictions.  In fact, more people are losing SNAP, and faster, than the Congressional Budget Office (CBO) predicted.  The latest data show that about 4.7 million fewer people (including 808,000 children)  participated in SNAP in March 2026 compared to the average month in fiscal year 2025… The most likely reason is the impact of HR 1’s shifting of enormous new SNAP costs to states, which they owe starting in fiscal year 2028.  CBO estimated the cost shift mandate would have no impact until 2028, but it has already led many states to erect barriers to people’s SNAP participation, such as requiring more paperwork and imposing other requirements that states often don’t have the staff to administer.”  In 2028, HR 1 requires states to start paying part of SNAP costs, and states are already trying to make participation “harder to navigate” with “more paperwork, shortening certification periods or adding more case reviews.” (Emphasis is mine.) HR 1 ‘s SNAP requirements will reduce future coverage among parents by adding a work requirement for parents and caregivers of children who are 14 years old or over.

This week the Center for American Progress released a report demonstrating that HR 1 may eventually  also reduce free school meals for children and school districts that now qualify: “When children lose access to SNAP and Medicaid, they may also lose their direct certification for free school meals. This harm expands beyond individual impacts. As a result, schools participating in the Community Eligibility Provision CEP may fall below the 25 percent of direct certified students required to qualify for the CEP, ending free school meals for the entire school or district.”

Spending on Immigration     Last July, the American Immigrant Council summed up how HR 1 would help fund the President’s expanded immigration enforcement—what we have watched during the past year: “H.R. 1 provides $170.7 billion in additional funding for immigration- and border enforcement-related activities to the Department of Homeland Security (DHS) and its sub-agencies, Immigration and Customs Enforcement (ICE) and Customs and Border Protection (CBP, as well as for the Department of Defense (DOD) for activities related to the military’s presence along parts of the southern border.”

The Center for Law and Social Policy (CLASP) details some of the consequences so far for children in immigrant families across the United States: “This historic ballooning of immigration enforcement funding has turbocharged family separations and child and family detention, threatening child safety and well-being. An estimated 205,000 children, 145,000 of whom are U.S. citizens, have experienced having a parent in detention… Moreover, the high level of disenrollment in SNAP and Medicaid is in part due to HR 1’s exclusion of lawfully present immigrants, such as asylum seekers and refugees, as well as the chilling effect on people whose children are likely eligible but are disenrolling because they are concerned about their participation being used against them in immigration proceedings.”

Research has shown for decades that family poverty and problems like hunger and homelessness contribute to achievement gaps as children enter school.  Thirty years ago in The Manufactured Crisis, David Berliner and Bruce Biddle declared: “the larger the proportion of citizens who live in poverty, the greater challenge for public schools.” (p. 220)

More recently the National Education Policy Center’s Kevin Welner explained the correlation of children’s economic circumstances with their school achievement: “Those of us who work in or with schools never question the enormous impact that a teacher or school can have on a student. But this essential truth coexists with another truth: that differences between schools account for a relatively small portion of measured outcome differences. That is, opportunity gaps in the U.S arise primarily outside of schools. This should not be a surprise. Poverty, concentrated poverty, and racialized poverty are pervasive features of America. School improvement efforts cannot directly help children and their families overcome decades of policies that perpetuate systemic racism and economic inequality. When children are born in the United States, their educational and life outcomes can all be predicted based on their parents’ education, income and wealth… Inequality in the U.S. is stark and enduring.”

The tangled issues buried in the mammoth HR 1, what President Trump calls the “One Big Beautiful Bill,” threaten the well-being of millions of poor children enrolled in our nation’s urban and rural public schools. It will be urgently important for educators and public school advocates to press Congress to correct the bill’s myriad injustices.

Pete Hegseth announced recently that he was ending mandatory vaccines for the military. He jumped on the RFK Jr. bandwagon, believing the nonsense that vaccines are a personal choice, not a necessary part of public health.

Then reality bit.

The flu took down more than 100 recruits at Lackland Air Force Base, a training facility for new members of the military.

The military lives in close quarters. When one person catches a contagious disease, it spreads.

After the number infected with the flu rose past 200, Hegseth reversed himself and restored the mandatory vaccine.

Not even Hegseth can stop a contagious disease from spreading.

The New York Times reported that doctors and hospitals are reporting a surge in diseases that had been eliminated by vaccines, like whooping cough. As the number of people who decline vaccinations increases, the diseases that would have protected them are increasing in number.

Thanks, Robert F. Kennedy, Jr., for putting the lives of many people at risk!

Doctors around the country say they are seeing more cases of serious, sometimes life-threatening illnesses that vaccines have long kept at bay, including whooping cough and bacterial infections that can cause pneumonia or meningitis.

The concern among doctors comes on the heels of a resurgence of measles nationwide, fueled by distrust in vaccines that grew during the Covid-19 pandemic, and that Health Secretary Robert F. Kennedy Jr. and President Trump have amplified. Public health experts have long seen measles as a harbinger: Because it is so exceptionally contagious, it can be the first disease to spike as vaccination rates broadly decline, and a sign of more to come.

For some of these diseases, national data show clear and substantial increases in recent years; for others, the increases are small, or there are anecdotal indications from doctors on the ground of increases that public statistics don’t currently confirm.

While most children recover, these diseases aren’t benign. Many children endure extended hospitalizations. Some infections can be fatal.

Dr. Meghan Hofto, a pediatric hospitalist at the University of Alabama at Birmingham, is one of the doctors who said she is seeing more illnesses that she used to encounter only rarely. This year, she and her colleagues have treated more children than usual with persistent diarrhea. A child with a run-of-the-mill stomach virus might need a day or so of IV fluids, but these patients were being hospitalized for three or four days.

The culprit: Rotavirus, which once caused tens of thousands of hospitalizations a year in the United States but was largely swept away by vaccines introduced 20 years ago. These vaccines were so effective that Dr. Hofto could recall treating only four or five children with rotavirus in the past decade. Now, she said she had treated about that many already this year, and none of them were vaccinated.

Dr. Jessica Kirk, a pediatric hospitalist in Fairhope, Ala., recently treated an unvaccinated toddler who was hospitalized with pneumonia from two simultaneous infections, Haemophilus influenzae and Streptococcus pneumoniae. Routine childhood vaccines can protect against both S. pneumoniae and a common form of H. influenzae, but vaccinations against both illnesses have declined in recent years.

The child that Dr. Kirk treated for both infections needed antibiotics and oxygen to get through the illness.

Some of these conditions can lead to serious complications. H. influenzae and S. pneumoniae infections can cause sepsis, meningitis and pneumonia. Dr. Hofto said she had treated 4- to 6-week-old infants with whooping cough, or pertussis, who seemed fine at times but then stopped breathing after a coughing fit. “It’s hard to know when they’re safe to go home,” she said.

Many children with whooping cough don’t have anti-vaccine parents, she said. They are just too young to have been vaccinated yet, and the disease has been circulating more in recent years as overall vaccination rates have declined. There were more than 28,000 cases reported last year, compared with around 7,000 in 2023.

Andrew Nixon, a spokesman for the Department of Health and Human Services, said in an emailed statement, “We reject the premise that providing Americans with transparent information about the benefits and risks of medical products undermines public health.”

Even when the worst doesn’t happen, emergency room doctors are having to subject some unvaccinated children with high fevers to more invasive testing, including spinal taps, to rule out life-threatening infections that vaccinated children are protected from. Infections like H. influenzae and S. pneumoniae can be hard to recognize because they can resemble less serious illnesses before rapidly leading to complications. And because near-universal vaccination prevented them for so long, many doctors have little experience diagnosing them.

Despite appearances, the most powerful person in the Trump administration is not Donald Trump: it’s Russell Vought, Director of Office of Management and Budget. He is the brains of this administration. Vought was at the Heritage Foundation and was one of the writers of project 2025. He controls the budget and makes the decisions about which government programs should live or die. Trump has impulses, whims, and passing fancies; Vought is methodical and determined to impose his rightwing views on the entire federal government. Every federal grant, Vought believes, should align with Trump’s anti-woke, anti-DEI agenda.

Tony Romm wrote about Vought’s strategy in The New York Times:

The White House is seeking to exert more control over billions of dollars in annual government grants, aiming to restrict a vast swath of funding — in health, housing, science and transportation — so that it primarily serves the purposes and organizations politically aligned with President Trump.

While the administration says that its primary goal is to safeguard taxpayer money, its proposal amounts to a major escalation in its attempt to reimagine the nation’s spending, even as Congress and the courts continue to rebuke the president for abusing such powers.

Mr. Trump’s ambitions were made clear in a roughly 400-page blueprint that was released to little fanfare on Friday. If finalized, it would require all federal grants to be approved by the president’s political appointees, who must ensure that the money would “demonstrably advance the president’s policy priorities.”

For the agencies that issue those awards and the nonprofit groups, local governments, universities and other entities that receive the money, the Trump administration would also impose a set of highly prescriptive and political criteria.

The government could not issue grants to projects or groups that “deny the biological reality of sex or the sex binary in humans,” for example. Nor could it seek to fund initiatives that “promote anti-American values,” contribute to illegal immigration, advance diversity, equity and inclusion or assist in voter registration.

The rules would further limit the ability of grant recipients to engage in some “issue advocacy.” Those that are funded would be scrutinized for their compliance with “religious liberty laws” and their “memberships and affiliations” with outside groups. And they could face the outright termination of their grants if the Trump administration someday determines that their actions are not in the “public interest.”

The restrictions echo the string of executive orders that Mr. Trump signed shortly after returning to office, many of which have been challenged or blocked in court. This time, however, the White House has pursued its restrictions by proposing a regulation, which is expected to become final after the government solicits public comment. The result could be applied far more broadly, and perhaps in ways that are harder to fight legally or undo later, according to budget experts.

The consequences could fall hardest on health and science, a field in which Mr. Trump has pursued some of the steepest cuts in his second term.

In exchange for federal assistance, researchers would face limits on the subjects that they can explore, the foreign labs with which they may collaborate and even the conferences at which they can appear. Dr. Georges C. Benjamin, the chief executive of the American Public Health Association, a professional organization and advocacy group, said the policy could “devastate innovation, science and research” in the United States.

Those of us who live in the Northeast have to worry about the danger of Lyme disease, a very serious disease that occurs because of tick bites. If you live in a high-rise building, it’s not a problem. But if you garden or walk in the woods, you and your dog are at risk of getting a tick on your body. They burrow into your skin, and they carry diseases that can be very dangerous, even fatal. Our pets can be protected against ticks with tick collars or serums, but there’s nothing we can do to protect ourselves other than to cover up, use repellent sprays, and keep checking to see if there’s any ticks on our body or our scalp.

In the Northeast, ticks are abundant. On the island of Martha’s Vineyard, off the coastline of Massachusetts, there are 11 times as many ticks as in the rest of the state. Residents are eager to find ways to protect themselves.

Secretary of Health and Human Services Robert F. Kennedy Jr. recently traveled to New Hampshire to talk about his plans to combat Lyme disease.

Rich DiPentima, public health specialist, explained that Kennedy’s ignorance and his contempt for vaccines were evident.

He wrote in InDepthNH:

On Friday, DHHS Secretary Robert F. Kennedy Jr. visited New Hampshire to promote improved treatment, diagnostics and prevention strategies to reduce the burden of Lyme disease.  I applaud Mr. Kennedy’s efforts to improve the much needed advancements in Lyme disease diagnosis and treatment, however, his approach to prevention reflects a poor understanding of the epidemiology of Lyme disease.

In his comments, Kennedy explained that the HHS is launching a “major, new multimillion dollar” program which will see the HHS and Centers for Disease Control (CDC) partner with researchers, to develop and deploy practical strategies to eliminate ticks on wildlife before they can breed on deer.  This comment suggests that deer are the major reservoir for Lyme disease.  In fact, most cases of Lyme disease result when individuals are bitten by infected ticks that have been on rodents and other small mammals, not deer.

Lyme disease is transmitted by infected black legged, aka deer ticks. The primary reservoir for Lyme disease in the northeastern U.S., which is caused by the bacteria Borrelia burgdorferi, is the white-footed mouse. When the black legged tick bites an infected mouse it becomes infected and then can transmit the disease to humans and other mammals like deer, dogs etc.  As such, strategies to prevent deer from becoming infected would be very unproductive and have very limited value in reducing Lyme disease cases in humans.  In order to do so, you would need to greatly reduce the number of mice and other small rodents that carry Lyme disease as well as reduce the tick population. Considering the huge population of mice and other small mammals as well as ticks, this would be impossible and a waste of resources. 

What was conspicuously absent from Mr. Kennedy’s prevention strategy discussion was a vaccine.  This is not surprising considering Mr. Kennedy’s history of anti-vaccine activity.  We had a Lyme disease vaccine, LYMErix, which was voluntarily discontinued in 2002 due to low consumer demand, negative media coverage and unproven concerns regarding adverse side effects.  However, Pfizer and Valneva pharmaceutical companies have developed a promising vaccine candidate known as PF-07307405 (VLA15) which is currently in phase 3 trials and could be released in 2027.

If Mr. Kennedy was truly serious about preventing Lyme disease on a large scale, the most effective and efficient means would be by developing a safe and effective vaccine.  As was done during COVID under Mr. Trump’s Warped Speed project, the government, working with private pharmaceutical companies like Pfizer and Valneva, could greatly speed up the process and have a safe and effective  vaccine available next year.  That would be a game changer with regard to Lyme disease primary prevention.  Currently, our pet dogs get vaccinated against Lyme disease.  I look forward to the day when we can also enjoy real protection from this terrible disease.  

Rich DiPentima, RN, MPH
Former Asst. Director NH Division of Public Health Services, Deputy Public Health Director Manchester Health Dept., Retired Air Force Public Health Officer and former State Representative.
Portsmouth, NH 03801

Heather Cox Richardson sums up the quagmire in which Trump is stuck, unable to bully Iran, and, according to him, “bored” by the stalemate in negotiations. His response, as she shows, is to unleash a flurry of unhinged tweets about his grandeur, his historical significance, and his self-regard. One can only imagine the reaction of the media and the public if any other president posted similar images and words. At minimum, there would be widespread concern about his deepening megalomania.

She wrote:

As we enter the summer months, we’re hitting the ground running. There is so much news today, I’m going to have to let some of it splash over into tomorrow to do it justice. For today, Iran and its role in the president’s deteriorating mental condition are going to take center stage.

Over the weekend, there were what I’m going to have to call the usual reports of an imminent agreement between the U.S. and Iran to end hostilities, with the usual outcome.

Last week the U.S. and Iran appeared to be making headway on a 60-day memorandum of understanding to continue the ceasefire and to establish a framework for further talks about Iran’s nuclear program. But President Donald J. Trump is caught between a rock and a hard place in these negotiations.

His base demands that he look strong and accomplish what, after the initial strikes failed, he claimed to have started the war for: to make sure Iran doesn’t have the capacity to produce a nuclear weapon. He also needs to reopen the Strait of Hormuz—which was open before he began the strikes—and get oil flowing again from that region of the Middle East. Prices in the U.S. are rising, and the looming threat of oil reserves running out adds even more pressure to consumer prices.

And Congress returns to work tomorrow, raising the possibility that lawmakers will pass a war powers resolution requiring Trump to withdraw American forces from the region. House speaker Mike Johnson (R-LA) sent House members home a day early before the Memorial Day holiday out of concern such a measure would pass.

But Iran is in no hurry to throw Trump a lifeline. Their negotiators now maintain they have a right to control the Strait of Hormuz. They are demanding reparations for the damage inflicted in the country during the war, and they say they won’t negotiate over the nuclear program until there is a ceasefire.

But these conditions are all problematic for Trump’s negotiators. Permitting Iran to control the strait is not just about oil; it’s about the principle of freedom of the seas set out after World War II. Global trade depends on that concept. The exchange of money is also a problem for Trump. He has spent much of his political life attacking the Joint Comprehensive Plan of Action that China, France, Germany, Russia, the U.K., the U.S., and the European Union negotiated with Iran during the Obama administration, claiming that former president Obama “gave” Iran $1.7 billion. In fact, the JCPOA simply permitted the release of Iranian assets frozen overseas by sanctions, but much of Trump’s base believes that Obama showed weakness by buying an agreement.

And then there is the nuclear issue.

So what has tended to happen in negotiations is that the teams come up with a framework, details leak to the media, and Trump’s base hears that Trump has weakened on some of his maximalist demands. They complain, Trump then posts something false about the talks or incendiary about Iran, and the negotiations fall apart.

And the cost of the war, in both lives and treasure, and the pressure on U.S. consumers and the economy continue to mount.

Last Friday, Trump and his advisors spent two hours discussing the latest round of negotiations in the Situation Room. According to Erika Solomon and Farnaz Fassihi of the New York Times, that agreement included the release of about $24 billion in frozen Iranian assets and a postwar “investment fund” to rebuild Iran, with one diplomat telling the journalists the number on the table was $300 billion. Talks about Iran’s nuclear program would be deferred.

On Friday morning, Trump posted, once again, that the strait would be opened and that Iran must never have a nuclear weapon. But then he emerged from the Situation Room without the “final determination” on the agreement he had promised. On Saturday, Mohsen Rezaie, one of the advisors to Iran’s supreme leader, posted: “As predicted, the President of the United States is betraying diplomacy for the third time.”

Over the weekend, Trump’s social media account posted repeated attacks on Democrats and on the judges who have been deciding against him in legal cases. He posted long defenses of his alterations to monuments in Washington, D.C., and AI images of capital landmarks covered in trash and graffiti juxtaposed with ones gleaming and fresh, with captions that blame Democrats for the former and praise Trump for the latter.

His posts seemed designed primarily to reassure himself. By Saturday, so many of the musical acts his team had lined up to play at his Freedom 250 “Great American State Fair” from late June through the beginning of July had bailed that Trump posted that he was “thinking about bringing the Number One Attraction anywhere in the World, the man who gets much larger audiences than Elvis in his prime, and he does so without a guitar, the man who loves our Country more than anyone else, and the man who some say is the Greatest President in History (THE GOAT!), DONALD J. TRUMP, to take the place of these highly paid, Third Rate “Artists,” and give a major speech, rallying the Country forward like I have done ever since being President!” He continued: “Two years ago, the United States was DEAD. Now we have the “HOTTEST” Country anywhere in the World. I don’t want so-called “Artists” that get paid far too much money, who aren’t happy. I only want to be surrounded by Happy People, Smart People, Successful People, and People that know how to WIN. So, by copy of this TRUTH, I am ordering my Representatives to look at the feasibility of doing an AMERICA IS BACK Rally on Wednesday, Washington, D.C., same time, same location. Only Great Patriots invited—It will be a Wild and Beautiful Celebration of America! President DONALD J. TRUMP”

It was an odd echo of his December 19, 2020, tweet calling his base to Washington, D.C., in which he wrote: “Big protest in D.C. on January 6th. Be there, will be wild!”

Odder still was what followed: image after image of Trump as a great leader. There were images of Trump alongside first president George Washington, one of them showing the two presidents riding horses together in colonial garb beside a racecar with TRUMP across the hood, the White House in the background, and the Space Shuttle overhead. In an AI image, Trump is dunking a basketball over an exhausted New York governor Kathy Hochul, a Democrat; in another image, he and Patriots football player Tom Brady stand talking, backlit, under a caption that reads “GOAT.”

There were pictures of Trump kissing the American flag; Mount Rushmore with Trump’s sculpture in line with those of George Washington, Thomas Jefferson, Theodore Roosevelt, and Abraham Lincoln (who looks somewhat alarmed); Trump apparently as a superhero admiral with armor on his chest that bears an American eagle; Trump standing near King Charles; Trump with China’s president Xi Jinping.

A series of AI images in the style of the 1950s Dick and Jane readers show a town parade festooned with flags and patriotic bunting, little girls laughing together at an old-fashioned town fair, and little boys in a suburb playing ball. All of the images read: “AMERICA IS BACK!” And in them, all of the people are white.

He posted an image of a white family from that era standing beside a Cadillac Coupe DeVille parked on a suburban street, with the caption: “BILLIONS WERE SPENT TO CONVINCE YOU THIS IS EVIL.”

Then Trump’s account posted a series of images contrasting his vision of Biden’s America versus his own. In his images, Biden’s world was one of theft, illegal squatting, violence, and illegal immigration. The images of Trump’s “solutions” to these problems showed people imprisoned, arrested, and deported.

At 1:02 this morning, Trump posted: “Iran really wants to make a deal, and it will be a good one for the U.S.A. and those that are with us. But don’t the Dumocrats, and various seemingly unpatriotic Republicans, understand that it is MUCH tougher for me to properly do my job and negotiate, when political hacks keep negatively ‘chirping,’ at levels never seen before, over and over again, that I should move faster, or move slower, or go to war, or not go to war, or whatever. Just sit back and relax, it will all work out well in the end—It always does! President DJT”

A minute later, his account posted: “Has anyone ever seen a happy Dumocrat???”

Then, later this morning, Iranian officials said they were suspending negotiations with the U.S. until Israel, which entered the war alongside the U.S., stops its strikes on Lebanon, strikes they say violate the ceasefire agreement. They warned they would close the Strait of Hormuz entirely—a few ships have been making the transit—and move against the Bab al-Mandab strait at the outlet of the Red Sea, as well. On CNBC, Trump told Eamon Javers that he doesn’t care if peace negotiations with Iran end. “I couldn’t care less,” he said. Negotiations were starting “to get very boring.”

But oil prices jumped sharply with the announcement of the suspension and the threat to the Bab al-Mandab, and at 1:43 in the afternoon, Trump posted: “Talks are continuing, at a rapid pace, with the Islamic Republic of Iran.” At 5:47, he posted on social media that he had spoken with Prime Minister Benjamin Netanyahu of Israel and indirectly with Hezbollah, and that they both agreed to stop striking each other.

The Pentagon has been trying to control information coming out about its actions for months now, but that effort is now ramping up. This afternoon, Scott Nover of the Washington Post reported that the Pentagon has designated its press office as a classified space—a Sensitive Compartmented Information Facility, or SCIF—and even those journalists who have not had their press badges rescinded will require an appointment to talk to the press secretary. 

Notes:

X:

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Trump’s Truth:

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Trump has spent a lot of time rescuing, pardoning and trying to reward the people who joined him in attempting to overturn his election loss in 2020. He is a giant baby. He is a sore loser. He lost decisively, and he refuses to accept it. More than 60 federal and state courts, including the U.S. Supreme Court, rejected his appeals because there was no evidence of election fraud.

Someday, with time, we will look back on Trump’s refusal to accept his defeat as a low point in our history. Of course, we will look at his two terms in office as the absolute nadir of our history, as a time he spent rolling back civil rights, environmental protections, international alliances, access to healthcare, defunding medical and scientific research, bullying universities, and censoring the mass media.

Trump bullied Governor Jard Polis of Colorado to free Tina Peters, and Polis succumbed:

Tina Peters, the former clerk convicted of participating in a scheme to chase election conspiracy theories promulgated by President Donald Trump, was released from prison Monday after the president successfully pressured Colorado’s Democratic governor into commuting her sentence.

Peters’ release was confirmed by the Colorado Department of Corrections. The state agency said it would have no more information about the 70-year-old inmate. Her sentence was shortened by Gov. Jared Polis last month after Trump waged a lengthy pressure campaign against the governor and his state.

Peters served less than a quarter of her nine-year sentence.

Peters was the first local election official to be charged with breaching security after the 2020 election. She snuck in an outside computer expert affiliated with My Pillow Chief Executive Mike Lindell — who himself denied that Trump lost the White House in 2020 — and the person copied the county’s Dominion Voting Systems computer server as it was updated in 2021.

Peters then joined Lindell onstage at a “cybersymposium” that promised to reveal proof that the election was rigged. Video and photos of the computer system upgrade, including passwords, were posted online. The move stoked false claims that voting machines were manipulated to steal the election from Trump.

Peters was convicted in 2024 of attempting to influence a public servant, conspiracy to commit criminal impersonation, violation of duty and other crimes by jurors in Mesa County, a Republican stronghold that supported Trump. An appeals court upheld her conviction in April, but ordered Peters to be resentenced because it said the judge who sent her to prison wrongly punished her for speaking out about election fraud.

Trump had championed Peters’ case, but because she was convicted under state law, he did not have the power to pardon her. Instead, the president pressured Polis to do so, lambasting him on social media and disinviting him to a White House meeting with other governors. The Trump administration also announced plans to dismantle the National Center for Atmospheric Research in Colorado and relocated the U.S. Space Command to Alabama.

Polis commuted Peters’ sentence on May 15. In a letter, he wrote that although Peters was convicted of serious crimes and deserved to spend time in prison, the sentence was “extremely unusual and lengthy” for a first-time non-violent offender.

Colorado Secretary of State Jena Griswold, a Democrat, called the move a “dark day for democracy” and said it amounted to “selling out our state’s justice system for Trump.”