Archives for category: Health

Nicholas Kristoff tried to estimate how many people will die because of Elon Musk’s frivolous cutting of foreign aid to desperate people? Of course, Musk relied on the authority given to his phony DOGE by Trump. So together, they bear responsibility for the deadly consequences. If either has a conscience, which is questionable, they will go to their graves someday knowing that they caused mass murders.

Kristof wrote in The New York Times:

As the world’s richest men slash American aid for the world’s poorest children, they insist that all is well. “No one has died as a result of a brief pause to do a sanity check on foreign aid funding,” Elon Musk said. “No one.”

That is not true. In South Sudan, one of the world’s poorest countries, the efforts by Musk and President Trump are already leading children to die.

Peter Donde was a 10-year-old infected with H.I.V. from his mother during childbirth. But American aid kept Peter strong even as his parents died from AIDS. A program started by President George W. Bush called PEPFAR saved 26 million lives from AIDS, and one was Peter’s.

Under PEPFAR, an outreach health worker ensured that Peter and other AIDS orphans got their medicines. Then in January, Trump and Musk effectively shuttered the U.S. Agency for International Development, perhaps illegally, and that PEPFAR outreach program ended. Orphans were on their own.

Without the help of the community health worker, Peter was unable to get his medicines, so he became sick and died in late February, according to Moses Okeny Labani, a health outreach worker who helped manage care for Peter and 144 other vulnerable children.

The immediate cause of death was an opportunistic pneumonia infection as Peter’s viral load increased and his immunity diminished, said Labani.

“If U.S.A.I.D. would be here, Peter Donde would not have died,” Labani said.

We worked with experts at the Center for Global Development who tried to calculate how many lives are at risk if American humanitarian assistance is frozen or slashed. While these estimates are inexact and depend on how much aid continues, they suggest that a cataclysm may be beginning around the developing world…

An estimated 1,650,000 people could die within a year without American foreign aid for H.I.V. prevention and treatment.

Achol Deng, an 8-year-old girl, was also infected with H.I.V. at birth and likewise remained alive because of American assistance. Then in January, Achol lost her ID card, and there was no longer a case worker to help get her a new card and medicines; she too became sick and died, said Labani.

Yes, this may eventually save money for United States taxpayers. How much? The cost of first-line H.I.V. medications to keep a person alive is less than 12 cents a day.

I asked Labani if he had ever heard of Musk. He had not, so I explained that Musk is the world’s wealthiest man and has said that no one is dying because of U.S.A.I.D. cuts.

“That is wrong,” Labani said, sounding surprised that anyone could be so oblivious. “He should come to grass roots.”

Another household kept alive by American aid was that of Jennifer Inyaa, a 35-year-old single mom, and her 5-year-old son, Evan Anzoo, both of them H.I.V.-positive. Last month, after the aid shutdown, Inyaa became sick and died, and a week later Evan died as well, according to David Iraa Simon, a community health worker who assisted them. Decisions by billionaires in Washington quickly cost the lives of a mother and her son.

“Many more children will die in the coming weeks,” said Margret Amjuma, a health worker who confirmed the deaths of Peter and Achol.

On a nine-day trip through East African villages and slums I heard that refrain repeatedly: While some are already dying because of the decisions in Washington, the toll is likely to soar in the coming months as stockpiles of medicines and food are drawn down and as people become weaker and sicker.

Two women, Martha Juan, 25, and Viola Kiden, 28, a mother of three, have already died because they lived in a remote area of South Sudan and could not get antiretroviral drugs when U.S.A.I.D. shut down supply lines, according to Angelina Doki, a health volunteer who supported them.

Doki told me that her own supply of antiretrovirals is about to run out as well.

“I am going to develop the virus,” Doki said. “My viral load will go high. I will develop TB. I will have pneumonia.” She sighed deeply and added, “We are going to die.”

In South Africa, where more than seven million people are H.I.V.-positive, the Desmond Tutu Health Foundation estimates that ending PEPFAR would lead to more than 600,000 deaths over a decade in that country alone.

Thom Hartmann asks a question that we should all ask? Why is there so much poverty in a land of plenty? Why is there such disparity in access to medical care? Why do working class people vote to elect a billionaire who is surrounded by other billionaires? Why did they think he had their best interests at heart when he has no heart?

Thom begins:

Welcome to America’s sickest reality show — where families turn to crowdfunding for cancer treatments while billionaires hoard obscene wealth. In no other developed nation do sick children depend on charity to survive, but here, it’s just another episode of our rigged system…

Consider the ubiquitous ad for the company that buys life insurance policies. The senior citizen in the ad says something to the effect of, “We learned that we could sell our policy when a friend did so to pay their medical bills.”

Wait a minute: we live in the richest country in the world, with the richest billionaires in the world, and we have people who must sell their life insurance policies — depriving their middle-class kids of an inheritance — because somebody got sick?

That sure isn’t happening in most European countries, Canada, Costa Rica, Japan, Taiwan, or South Korea. 

While every year over a half-million American families are wiped out so badly by medical debt that they must file for bankruptcy and often become homeless, the number of sickness-caused bankruptcies in all those countries combined is zero.

Another ad is for a company that sells “reverse mortgages” that let people strip equity out of their homes to cover living and medical expenses. Tom Sellick is a nice guy and all, but are there really that many seniors who are now destitute and thus must wipe out their largest store of wealth just to retire? And how much worse will this get as Elon Musk guts the Social Security administration?

Then there’s the ad for the Shriner’s hospital for children. One of the kids in the ad says to the camera that she was able to walk “because of people like you!” Here in American we must resort to crowdfunding medical care for children with deformities and birth defects?  What the hell?

Why aren’t we all funding cancer cures and help for disabled for kids with our tax dollars? With, at the very least, the tax dollars of America’s billionaires?

Oh, yeah, that’s right: billionaires in America pretty much don’t pay income taxes any more, and haven’t since Reagan. 

That ad is often followed by one for colostrum, a milk product that is supposed to help the immune system, with the ad’s pitch-lady saying something like, “There are over 90,000 chemicals in our environment that haven’t been tested for toxicity…” 

And, damn, she’s right.

Open the link and finish the article if you want to learn more.

Jeff Nesbit, who worked at both the National Institutes of Health and the National Science Foundation, wrote this article for The Contrarian. The question is one that I keep asking about many federal government programs that are being eliminated by Trump and Musk, like USAID.

Why? It makes no sense.

The fact that Trump chose Robert F.Kennedy Jr. as Secretary of Health and Human Services should have been an alarm bell; Kennedy is not only unqualified, he is stridently hostile to science.

The only beneficiary of this insane and reckless slashing of our most successful programs would be our international enemies, Russia and China. They want us to fail. Trump and Musk are making their dreams come true.

Nesbit wrote:

A siren call is cascading wildly through the corridors of every major academic center in America right now with a huge question firmly at its epicenter: Why are Health and Human Services Secretary Robert F. Kennedy, Elon Musk’s Department of Government Efficiency, and President Donald Trump’s White House team hellbent on destroying the National Institutes of Health, the world’s gold standard of biomedical research?

There isn’t an easy answer to the question, unfortunately.

What is true and known is that Kennedy’s HHS team has halted communications activities about NIH grantsthrottled necessary peer-reviewed grant-review meetings; ordered the federal agency staff to review dozens of keywords in thousands of existing grants and issue termination letters based on what it finds; threatened to fire hundreds of expert reviewers and core staff at the agencyplaced a cap on indirect costs that underpin basic scientific and medical research; and put woefully unprepared, lower-level career staff in charge of key functions at the agency.

The actions have ground NIH to a halt and sent shockwaves through academia and the biomedical research institutions that have created nearly all our life-saving breakthroughs in the past quarter century. Higher education leaders have halted Ph. D. programs in response. Major research labs are being shuttered or told to stop most of their research.

An American biomedical research enterprise that has been the envy of the world’s science and medical community for decades has been surprised and shocked by the careless destruction of core staff functions and almost mindless efforts to purge NIH of hundreds or thousands of grants for reasons that seem ideological at best and irrational and dangerous at worst.

The question, again, is why? Why are Kennedy, Musk and Trump determined to eviscerate the most successful biomedical research system the world has ever known—a scientific enterprise that produces life-saving medicines and leads to breakthroughs (via basic scientific and medical research) that the private sector would never support?

There was a time, once, that NIH was supported by majorities of Republican and Democratic politicians. NIH’s budget, which supports the entire biomedical research field, has grown year after year with large, non-controversial, bipartisan majorities in Congress.

Until now. Trump and Musk have clearly determined that NIH and the National Science Foundation (NIH’s companion in the world of basic scientific research funding) need to be eviscerated and then reoriented away from life-saving scientific and medical research toward some destination not yet revealed. And while this effort has been racing forward, there has been almost no pushback from politicians—at least not yet.

One reason for this is that scientists are historically apolitical and, to be blunt, quite bad at the political game that dominates Washington, D.C. Scientists aren’t nearly as adept as others at advocating for themselves or their priorities to politicians who make funding decisions…

Trump, Musk and Kennedy don’t trust scientists or academia—and clearly don’t hear or recognize the immense value that the biomedical research enterprise brings to American progress.

NSF funding built and then supported the internet and led to nearly every modern computer and basic scientific advancement we recognize in the hard sciences. NIH medical and scientific research led directly to the creation of nearly all the life-saving drugs developed in the past quarter century that Americans rely on today.

The economic impact to states with large bioscience research centers would be enormous. Tennessee, for instance, would be devastated by the NIH cuts. Vanderbilt University Medical Center is one of the top research hospitals in America. It received nearly half a billion dollars in 2024 for medical research, the second most in the country. Its budget would be cut by more than 10 percent. Nearly 50,000 jobs and 4,000 businesses in Tennessee are dependent on the biosciences research enterprise in the state and would be severely impacted by the NIH cuts.

Other states, such as Missouri, Michigan, Pennsylvania, and North Carolina, would be similarly devastated by the cuts. Washington University in St. Louis received $717 million from NIH last year and would lose an estimated $108 million. The University of Michigan received $708 million and stands to see a cut of $119 million. Two Pennsylvania universities – the University of Pennsylvania and the University of Pittsburgh – received nearly $1.3 billion and could lose $244 million. All of those add up to massive job losses and devastating impacts to each state’s economies.

But Trump, Musk and Kennedy don’t trust the scientific and medical research enterprise. They don’t hear the entreaties by scientists who merely want to do great work that benefits the greater good. And they don’t listen to those calls of bewilderment from scientific and medical research leaders that are falling on deaf ears. This could be happening because scientists are particularly bad at politics.

But it also could be that Trump, Musk and Kennedy are willing to destroy the most successful biomedical research enterprise the world has ever known simply because it is a direct way to harm elite academic institutions that they believe harbor leaders and academics who are ideologically opposed to their aims and politics.

And that is a dangerous story that every American needs to hear and fully take to heart right now—before the Trump administration capriciously destroys a hundred years of scientific and medical progress in a matter of weeks or months.

Jeff Nesbit was the assistant secretary for public affairs at Health and Human Services (which includes NIH) in the Biden administration, and the director of legislative and public affairs at NSF during the Bush and Obama administrations.

After I put this article in the queue, I came across this article about John’s Hopkins University:

More than 2,000 positions related to global health are being cut from the Johns Hopkins University after the Baltimore institution saw $800 million in federal grants disappear, a spokesperson confirmed Thursday.

Hopkins’ medical school; the Bloomberg School of Public Health, including its Center for Communication Programs; and JHPIEGO, the university’s health initiative that focuses on global public health, will be affected by the cuts. USAID was the main funder for both JHPIEGO and CCP.

“This is a difficult day for our entire community. The termination of more than $800 million in USAID funding is now forcing us to wind down critical work here in Baltimore and internationally,” Hopkins’ spokesperson said in a statement.

The Trump administration, through advisor Elon Musk and his Department of Government Efficiency, is slashing federal spending across agencies in an effort to end wasteful spending. Such cuts have an outsized effect on Hopkins, which comes in first of all universities in federally funded research. By extension, those cuts affect Baltimore and Maryland, where Hopkins is the city and state’s largest largest private employer. Hopkins says it accounts for more than $15 billion in economic output in the state.

The funding cuts for research institutions are hurting universities in multiple states.

Who determines that basic research in science and medicine are unimportant?

Trump wants to wipe out any program associated with Biden, no matter who is hurt. He wants to fire every employee hired during the previous four years. The State Department just announced revocation of security clearances for everyone who worked in the State Department during the Biden administration.

Never have we seen a President so driven by spite.

One of Trump’s latest cuts eliminates a $1 billion + program that enabled schools to buy fresh food from local farmers. The schools could offer healthy fresh foods, and the farmers supplemented their income. Win-win.

Trump killed it.

The Agriculture Department has axed two programs that gave schools and food banks money to buy food from local farms and ranchers, halting more than $1 billion in federal spending.

Roughly $660 million that schools and child care facilities were counting on to purchase food from nearby farms through the Local Food for Schools Cooperative Agreement Program in 2025 has been canceled, according to the School Nutrition Association.

State officials were notified Friday of USDA’s decision to end the LFS program for this year. More than 40 states had signed agreements to participate in previous years, according to SNA and several state agencies.

The Local Food Purchase Assistance Cooperative Agreement Program, which supports food banks and other feeding organizations, has also been cut. USDA notified states that it was unfreezing funds for existing LFPA agreements but did not plan to carry out a second round of funding for fiscal year 2025.

In a statement, a USDA spokesperson confirmed that funding, previously announced last October, “is no longer available and those agreements will be terminated following 60-day notification.

The spokesperson added: “These programs, created under the former Administration via Executive authority, no longer effectuate the goals of the agency. LFPA and LFPA Plus agreements that were in place prior to LFPA 25, which still have substantial financial resources remaining, will continue to be in effect for the remainder of the period of performance.” 

The Biden administration expanded the spending for both programs to build a more resilient food supply chain that didn’t just rely on major food companies. Last year, USDA announced more than $1 billion in additional funding for the programs through theCommodity Credit Corporation, a New Deal-era USDA fund for buying agricultural commodities.

The Trump administration’s move to halt the programs comes as school nutrition officials are becoming increasingly anxious about affording healthy food with the current federal reimbursement rate for meals. As food costs have risen in the last few years, more people are turning to food banks and other feeding organizations to supplement their increased grocery bills.

Now, what he have against Canada?

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.”