Archives for category: Medicine

In the world of science and medicine, vaccines have been one of the greatest achievements in history. Many diseases that afflicted humanity have been eradicated, thanks to vaccines.

When I was a child, my family worried about measles, mumps, chickenpox, and worst of all, polio. Now it’s rare to hear of anyone getting those diseases, although measles is making a comeback among unvaccinated children.

Only a crackpot would oppose vaccines whose safety and effectiveness have been demonstrated for decades.

We have at least two crackpots trying to discourage vaccinations. One is the nation’s top public health official, Robert F. Kennedy Jr., who has a long record as a vaccine opponent.

Now there is the Surgeon General of Florida, Dr. Joseph A. Lapado. He has decided to eliminate all vaccine requirements for school children.

Make no mistake. This is dangerous. This encourages the spread of deadly diseases among children.

Florida plans to become the first state to end all vaccine mandates, including for schoolchildren, rejecting a practice that public health experts have credited for decades with limiting the spread of infectious diseases.

Patricia Mazzini of The New York Times reported:

Dr. Joseph A. Ladapo, the Florida surgeon general, made the announcement on Wednesday alongside Gov. Ron DeSantis, a Republican. Mr. DeSantis rose to national prominence during the coronavirus pandemic, and over time he has espoused increasingly anti-vaccine views.

“Who am I to tell you what your child should put in their body?” Dr. Ladapo, a vocal denigrator of vaccines, said to applause during an event on Wednesday in Valrico, Fla., near Tampa. “Your body is a gift from God.”

He added that the administration would be “working to end” all vaccine mandates. “Every last one of them is wrong and drips with disdain and slavery,” Dr. Ladapo said.

Dr. Ladapo has faced repeated criticism from others in his field for his stances on public health. He allowed parents to choose whether to send unvaccinated children to school during a measles outbreak in Weston, Fla., in 2024, rejecting longstanding, evidence-based public health guidelines. The misinformation he spread about Covid vaccines prompted a public rebuke from the Centers for Disease Control and Prevention in 2023.

It is unclear what the process of undoing the state’s longstanding vaccine mandates might look like. Dr. Ladapo said the Florida Department of Health, the agency he oversees, would do away with rules promulgating vaccine mandates. State lawmakers “are going to have to make decisions” as well, Dr. Ladapo said. “That’s how this becomes possible.”

All 50 states have at least some vaccination requirements for children entering school, though all allow for medical exemptions, and most allow exemptions for religious or personal reasons. The number of students receiving exemptions has been increasing in recent years, and immunization rates have been falling, according to KFF, a health policy research group.

Mr. DeSantis, who appointed Dr. Ladapo as surgeon general in 2021, also announced the creation of a commission to align Florida with goals laid out by Robert F. Kennedy Jr., President Trump’s secretary of Health and Human Services and a vocal vaccine skeptic. The commission will be headed by Casey DeSantis, the governor’s wife.

If Florida follows through on this nutty policy, the law should ban access to vaccines to the children of state officials who endorse this policy. No hypocrisy!

Nine former directors of the Centers for Disease Prevention and Control wrote a joint opinion piece for The New York Times. These are men and women devoted to public health who served in both Republican and Democratic administrations. They agree that what Robert F. Kennedy Jr. is doing to the Department of Health and Human Services is outrageous and dangerous.

They write:

We have each had the honor and privilege of serving as director of the Centers for Disease Control and Prevention, either in a permanent or an acting capacity, dating back to 1977. Collectively, we spent more than 100 years working at the C.D.C., the world’s pre-eminent public health agency. We served under multiple Republican and Democratic administrations — every president from Jimmy Carter to Donald Trump — alongside thousands of dedicated staff members who shared our commitment to saving lives and improving health.

What the health and human services secretary, Robert F. Kennedy Jr., has done to the C.D.C. and to our nation’s public health system over the past several months — culminating in his decision to fire Dr. Susan Monarez as C.D.C. director days ago — is unlike anything we had ever seen at the agency and unlike anything our country had ever experienced.

Mr. Kennedy has fired thousands of federal health workers and severely weakened programs designed to protect Americans from cancer, heart attacks, strokes, lead poisoning, injury, violence and more. Amid the largest measles outbreak in the United States in a generation, he’s focused onunproven treatments while downplaying vaccines. He canceled investments in promising medical research that will leave us ill prepared for future health emergencies. He replaced experts on federal health advisory committees with unqualified individuals who share his dangerous and unscientific views. He announced the end of U.S. support for global vaccination programs that protect millions of children and keep Americans safe, citing flawed research and making inaccurate statements. And he championed federal legislation that will cause millions of people with health insurance through Medicaid to lose their coverage. Firing Dr. Monarez — which led to the resignations of top C.D.C. officials — adds considerable fuel to this raging fire.

We are worried about the wide-ranging impact that all these decisions will have on America’s health security. Residents of rural communities and people with disabilities will have even more limited access to health care. Families with low incomes who rely most heavily on community health clinics and support from state and local health departments will have fewer resources available to them. Children risk losing access to lifesaving vaccines because of the cost.

This is unacceptable, and it should alarm every American, regardless of political leanings.

To finish reading the article, open the link.

Concerned about RFK Jr.’s assault on vaccines, I called my local CVS pharmacist a few days ago to schedule every vaccine for which I was eligible. I got the flu vaccine and the RSV vaccine.

I asked for the COVID-19 vaccine, but was told that the latest version would not be available until mid-October. I’m in the eligible group (over 65), but no vaccine yet. When I got home, I learned that the vaccine is not available in certain states, including New York. I worry that RFK Jr. may decide to cancel the vaccine altogether.

Wajahat Ali writes on his blog, The Left Hook, about RFK Jr.’s threat to public health:

In today’s Democracy-ish, Danielle and I spend the hour discussing the most dangerous horseman of Trump’s Apocalyptic cult: RFK Jr. 

Oh, you know, the scion of the Kennedy empire who was a heroin addict, suffered from brain worms, ate exotic animals, and was described as a predator by his own cousin.

That RFK Jr., who promotes reckless and dangerous anti-vaxx conspiracies, eugenics, and has no medical background or training. That’s the wealthy, mediocre, white man that Trump has elevated as the director of America’s Health and Human Services.

I mean, what could go wrong? 

Who needs vaccines during COVID or the rise of measles? Who needs Medicaid except 20% of Americans who depend on it for healthcare? Who needs the National Institute of Health or the CDC staffed by competent, qualified professionals who have spent their lives devoted to saving lives?

Not the United States, because we aren’t a bunch of woke, weak pansies who listen to so-called experts, damn it!

Welcome to Trump and MAGA’s pro-death march led, in part, by RFK Jr. and his broligarch friendswho are perfectly fine killing Americans to make a profit and advance their white supremacist agenda. 

We bring all the receipts. It’s depressing, but it’s worth hearing to ensure you stay informed, safe, and protected.

Here’s Danielle’s write-up at DAM DIGEST:


In the United States, public health has long depended on institutions like the Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH), and the Department of Health and Human Services (HHS). For decades—through Republican and Democratic administrations alike—these agencies functioned under a shared goal: protecting Americans’ health through science, research, and expertise.

But in recent years, that foundation has begun to crack. The appointment of Robert F. Kennedy Jr. (RFK Jr.), an outspoken anti-vaccine activist with no medical training, to lead HHS has brought that crisis into sharp focus. His presence in the nation’s top public health office signals a seismic shift—one where politics trumps science, conspiracy theories replace research, and ideology threatens lives.

The Erosion of Trust in Science

During the COVID-19 pandemic, more than one million Americans died, while public health officials faced harassment, death threats, and relentless political attacks. Former CDC Director Anthony Fauci, who spent his career working to save lives, became a target of right-wing media and extremist groups.

Instead of rallying around experts, leaders like Donald Trump and his allies downplayed the severity of the pandemic, promoted misinformation about masks and vaccines, and openly mocked scientists. This politicization of science directly fueled vaccine hesitancy, prolonging the crisis and causing unnecessary deaths.

Now, five years after the peak of the pandemic, the United States faces a resurgence of diseases once thought to be under control—measles, polio, and other preventable illnesses—precisely because vaccination rates have dropped.

RFK Jr.: Conspiracies Over Credentials

RFK Jr.’s position is especially alarming given his history of promoting anti-vaccine propagandaand debunked eugenics myths. He has falsely claimed that autism and other health conditions are caused by vaccines and even suggested that COVID-19 was “targeted to spare Jews and Black people”—a statement widely condemned as antisemitic and racist.

Despite his lack of medical training, Kennedy insists he can “diagnose” children by sight, attributing health challenges to supposed “mitochondrial issues visible in their faces.” Licensed physicians, including those trained at Harvard and Mayo Clinic, have dismissed such claims as pseudoscience.

Yet under the Trump administration, this man now wields control over Medicare, Medicaid, the CDC, NIH, and national vaccine policy—institutions responsible for the health of over 330 million Americans.

The Resignations and Walkouts

The consequences are already unfolding. After Kennedy moved to push out CDC Director Dr. Susan Monarez—a Trump appointee who nonetheless refused to abandon science—top scientists and health officials resigned in protest. Dr. Dimitri Daskalakis, a respected infectious disease expert, wrote in his resignation letter that serving under Kennedy was “untenable” because HHS leadership was no longer guided by science.

Soon after, CDC staff staged mass walkouts, warning the public that American lives are being endangered by unqualified leadership. These resignations leave critical gaps at the very moment the nation faces rising COVID variants, climate-driven disease risks, and growing vaccine hesitancy.

Cuts That Will Cost Lives

Beyond personnel, the Trump–Kennedy administration has overseen massive funding cuts:

  • $500 million slashed from vaccine research
  • $1 trillion cut to Medicaid, threatening to shutter rural hospitals and nursing homes
  • Reductions in NIH research funding
  • Cuts to foreign aid and peacekeeping operations, destabilizing global health security

These moves directly undermine America’s preparedness for the next pandemic. As climate change accelerates, experts warn that new infectious diseases are almost inevitable. Yet instead of strengthening systems, leaders are dismantling them.

The Bigger Picture: A Pro-Death Movement

This moment cannot be seen in isolation. It reflects a broader “pro-death” political movement that prizes ideology over evidence, power over public health, and partisan gain over human life. Whether it was Trump pushing “herd immunity” at the expense of vulnerable Americans, or Kennedy advancing conspiracy theories that endanger children, the pattern is clear: science is under attack.

The result? Americans are less safe, less protected, and less prepared for the crises ahead.

Why This Matters Now

The rise of unqualified, conspiracy-driven figures like RFK Jr. at the helm of America’s most critical health institutions is not just political theater—it is a direct threat to public safety. The decisions made today about vaccines, research funding, and disease response will determine whether millions live or die in the years ahead.

Public trust in science and medicine must be restored. That means demanding qualified leaders, protecting the integrity of institutions like the CDC and NIH, and pushing back against those who seek to weaponize public health for political gain.

Because as history has shown—from pandemics to polio eradication—science saves lives. Conspiracies cost them.

Dr. Jeremy Faust writes a very informative blog called Inside Medicine about federal public health policy and developments. Yesterday was a day filled with drama and chaos.

Robert F. Kennedy, a dedicated foe of vaccines, decided he could not work with the newly appointed Director of the Centers for Disease Control and Prevention, Dr. Susan Monarez. She was sworn in on July 31.

Apparently they disagree over vaccine policy. Monarez recognizes that vaccines are safe and effective, but her boss RFK thinks they are dangerous and cause autism.

He ousted her. She refused to resign. In short order, RFK got Trump to fire her.

When it was clear that RFK had taken control of the CDC, its top leaders resigned. Dr. Faust posted their resignation letters on his Substack blog.

Previously, RFK had fired the expert advisory panel on vaccines and replaced them with a group that included well-known vaccine deniers. RFK announced yesterday that he would place restrictions on eligibility for the new COVID-19 vaccine (those over 65 can get it, but anyone younger has to prove they need it). RFK told Trump that he expects to release a paper on the causes of autism in September, and his critics expect more undermining of the safety of vaccines.

All in all, an ugly demonstration that RFK is utterly unqualified to be the nation’s leading public health official. Given his ignorance of science and his ideological rigidity, he is in fact the leading danger to public health.

Dr. Faust wrote:

Moments ago, Inside Medicine broke news that three top career CDC officials have resigned from the agency, hours after the Washington Post reported that newly-confirmed Director Dr. Susan Monarez has been ousted, having run afoul of Health Secretary Robert F. Kennedy Jr

Here are the emails that each of the officials sent to their CDC colleagues by Dr. Deb Houry, Dr. Demetre Daskalakis, and Dr. Daniel Jernigan. 

Dr. Deb Houry, Deputy Director for Program and Science/Chief Medical Officer:

“Over the past decade, I have had the honor of working for six CDC directors, from both Republican and Democratic administrations. To me, these leaders and my colleagues were not “Red” or “Blue,” but red, white, and blue—united in the shared purpose of protecting health and saving lives in our beloved country and globally. I have served during this time in various leadership roles, including as CDC’s senior-most career leader and lead for the transition as the current administration assumed office.

I’ve always been proud to be part of an institution that is committed to using science and data to drive our life-saving work and inform our messaging. We have worked tirelessly to enhance openness through public-facing data dashboards, providing real-time access to trends for conditions such as mpox, H5N1, measles, and overdose deaths, allowing the public to make informed decisions. Additionally, I have witnessed the rapid translation of science into action, with some Morbidity and Mortality Weekly Reports (MMWRs) being published within a week of an outbreak.

For the good of the nation and the world, the science at CDC should never be censored or subject to political pauses or interpretations. Vaccines save lives—this is an indisputable, well-established, scientific fact. Informed consent and shared decision-making must focus not only on the risks but also on the true, life-saving benefits that vaccines provide to individuals and communities. It is, of course, important to question, analyze, and review research and surveillance, but this must be done by experts with the right skills and experience, without bias, and considering the full weight of scientific evidence. Recently, the overstating of risks and the rise of misinformation have cost lives, as demonstrated by the highest number of U.S. measles cases in 30 years and the violent attack on our agency.

CDC must continue its work on all diseases, including noncommunicable health conditions, which include many of the leading causes of death in the US. I have seen the value of integrating these efforts with those of other CDC programs, as we did with the Zika virus. Integrating expertise from across the agency is critical to our effectiveness in addressing novel and emerging diseases. CDC has proven its value in addressing conditions like hypertension, diabetes, cancer, overdose, and mental health issues, as evidenced by the progress in reducing overdose deaths this year. However, proposed budget cuts and reorganization plans will negatively impact CDC’s ability to address these conditions, worsening the nation’s health.

I love this agency. Nevertheless, I have submitted my resignation today. I am committed to protecting the public’s health, but the ongoing changes prevent me from continuing in my job as a leader of the agency. This is a heartbreaking decision that I make with a heavy heart.

To the CDC staff, you are the reason I stayed and showed up each day during difficult times. I have done my best to provide support so that you can continue your critical work. Thank you for your continued commitment to our mission and the work you do every day.

As I move on to the next phase of my career, I will continue to advocate for the values that have always driven my work—science, data, and evidence-based solutions to public health challenges. I have been privileged to contribute to the CDC’s mission in many roles, including as Chief Medical Officer, and I am deeply grateful to have had the opportunity to serve alongside you.

Deb Houry, MD, MPH.”

Dr. Demetre Daskalakis, Director of the National Center for Immunization and Respiratory Diseases:

“It has been a great pleasure to serve in the role of Director of NCIRD. I wish I could say more in person, but wanted to make sure that you all have heard from me directly that I have submitted my resignation. I am not able to serve in this role any longer because of the ongoing weaponizing of public health. You are the best team I have ever worked with, and you continue to shine despite this dark cloud over the agency and our profession.

Please take care of yourself and your teams and make the right decisions for yourselves. I will send a longer email to our Center this evening or in the morning.

Demetre Daskalakis.”

Dr. Daniel Jernigan, National Center for Emerging and Zoonotic Infectious Diseases:

Colleagues: I wanted to let you know directly that I have submitted my resignation as Director of the National Center for Emerging and Zoonotic Infectious Diseases effective tomorrow. This was a very difficult decision for me. I have had the incredible opportunity to serve the American people doing meaningful and impactful work for over 30 years.

Since 1994, I have worked at CDC with some of the most intelligent, driven, and compassionate people, working to detect, control, and prevent infectious diseases. These efforts have had significant impact mitigating illness, preventing deaths, and improving the lives of millions of people.

I believe strongly in the mission of public health and the leadership that CDC has given for almost 80 years; however, given the current context in the Department, I feel it is best for me to offer my resignation.

I am so grateful for being able to work with all of you and know that you will continue doing the highest level of science and public health.

Thanks

Dan.”


Analysis: The end of an era. 

The news of these resignations set off a firestorm in public health circles. This is not normal. There had been speculation that this particular trio of leaders would resign depending on how the September meeting of Secretary Kennedy’s newly-installed CDC Advisory Commitee on Immunization Practices went. There has been mounting fear that Secretary Kennedy will attempt to link vaccines to autism in a forthcoming HHS report, and that ACIP will be expected to remove many of its recommendations, some decades old, that have protected American children from death and severe illness from preventable diseases. But news of Monarez’s ouster meant that the writing was on the wall, moving these resignations up by weeks. 

Frankly, the very future of the CDC is unknown. Thousands of good scientists and other agency officials remain. But without these key leaders—non-partisan career officials widely respected both internally and beyond—the agency is genuinely at risk of losing its ability to carry out its core mission. That’s not because any three people, (regardless of how experienced or respected they may be) are irreplaceable, but, rather, for what their departures portend. Other leaders and career scientists may also soon exit or be forced out. At some point, core mission activities that keep us safe will be at risk of being unfulfilled. 

When these losses will translate to decreased safety to Americans that is noticeable is an open question. But, we’re about to find out…