Archives for category: Medicine

Some years back–actually it was 2019–I read an article that gladdened my heart. It was written in The Atlantic by gazillionaire Nick Hanauer. It was titled “Better Schools Won’t Fix America.”

Nick is an interesting guy. He is an entrepreneur in Seattle. He works alongside other successful venture capitalists, and for a time, partnered with Bill Gates to persuade the Washington legislature to endorse charter schools as a remedy to replace “failing” public schools.

But somewhere along the way, he had a change of mind and heart. He realized that the basic problem in the U.S. was income inequality, not “failing schools.”

He began his 2019 article:

Long ago, I was captivated by a seductively intuitive idea, one many of my wealthy friends still subscribe to: that both poverty and rising inequality are largely consequences of America’s failing education system. Fix that, I believed, and we could cure much of what ails America.

This belief system, which I have come to think of as “educationism,” is grounded in a familiar story about cause and effect: Once upon a time, America created a public-education system that was the envy of the modern world. No nation produced more or better-educated high-school and college graduates, and thus the great American middle class was built. But then, sometime around the 1970s, America lost its way. We allowed our schools to crumble, and our test scores and graduation rates to fall. School systems that once churned out well-paid factory workers failed to keep pace with the rising educational demands of the new knowledge economy. As America’s public-school systems foundered, so did the earning power of the American middle class. And as inequality increased, so did political polarization, cynicism, and anger, threatening to undermine American democracy itself.Great public schools are the product of a thriving middle class, not the other way around.

Taken with this story line, I embraced education as both a philanthropic cause and a civic mission. I co-founded the League of Education Voters, a nonprofit dedicated to improving public education. I joined Bill Gates, Alice Walton, and Paul Allen in giving more than $1 million eachto an effort to pass a ballot measure that established Washington State’s first charter schools. All told, I have devoted countless hours and millions of dollars to the simple idea that if we improved our schools—if we modernized our curricula and our teaching methods, substantially increased school funding, rooted out bad teachers, and opened enough charter schools—American children, especially those in low-income and working-class communities, would start learning again. Graduation rates and wages would increase, poverty and inequality would decrease, and public commitment to democracy would be restored.

But after decades of organizing and giving, I have come to the uncomfortable conclusion that I was wrong. And I hate being wrong.

What I’ve realized, decades late, is that educationism is tragically misguided. American workers are struggling in large part because they are underpaid—and they are underpaid because 40 years of trickle-down policies have rigged the economy in favor of wealthy people like me. Americans are more highly educated than ever before, but despite that, and despite nearly record-low unemployment, most American workers—at all levels of educational attainment—have seen little if any wage growth since 2000.

To be clear: We should do everything we can to improve our public schools. But our education system can’t compensate for the ways our economic system is failing Americans. Even the most thoughtful and well-intentioned school-reform program can’t improve educational outcomes if it ignores the single greatest driver of student achievement: household income.

Hanauer recognized that the hollowing out of the middle class was harming our entire society:

In short, great public schools are the product of a thriving middle class, not the other way around. Pay people enough to afford dignified middle-class lives, and high-quality public schools will follow. But allow economic inequality to grow, and educational inequality will inevitably grow with it.

Hanauer’s turnaround resonated with me. He was boldly breaking ranks with his peers. I doubt he suffered ostracism, because many of the elites toy with education; it is not a vital interest to them. In my limited experience, watching the uber-rich participate on behalf of charter schools, it appeared that many were going along with the crowd, while some thought that privatization was a miracle cure.

Hanauer understood that children need a good start in life and they need a stable, secure home life to do their best in school. He understood that economic inequality undermined many children’s interest in school, which was less important than survival or a warm winter coat or medical care. He even understood that the decades-long efforts to stamp out unions contributed to economic inequality.

We spoke on the phone. I did a podcast with him. I was impressed by his keen intellect and independence of mind.

With each book I wrote about privatization, I insisted that schools are vital institutions in educating children, but they can’t do it alone. In Reign of Error, I spelled out what I considered a life-course approach to improving the chances of giving children the education they need and deserve.

In the competition between public schools and charter schools, the only measure that outsiders considered was test scores. But I knew that was not right. For many young people, it’s miraculous when they manage to show up for school. They chose to go to school, not to babysit a younger sibling, not to take a part-time job delivering to customers, not to hang out in the local park.

What kind of a school was that? I came to understand that the closest approximation of a school that I imagined was a community school. Community schools provide wraparound services to students and their parents.

In the year 2000, health officials declared that measles had been eliminated in the United States, thanks to a successful program to vaccinate all children against the disease.

But, thanks to Robert F. Kennedy Jr, who is now Secretary of Health and Human Services, measles is back.

RFK Jr. is often described as a “vaccine skeptic.” He would be more accurately described as a fierce opponent of vaccines.

South Carolina reported nearly 800 cases last Tuesday, and the number is likely to grow.

CNN reported:

With 789 cases reported as of Tuesday, the South Carolina outbreak surpassed a massive outbreak in Texas, which reached 762 cases before it ended in August last year. Two children died during the outbreak in Texas…

“It breaks my heart to see that my state is the number one outbreak currently in the United States since the 1990s,” Dr. Anna Kathryn Rye Burch, a pediatric infectious diseases physician with Prisma Health in South Carolina, told CNN Wednesday. “We have this amazing vaccine that would help protect us all from getting the measles, and we are just seeing that people aren’t as excited about getting that vaccine anymore. This is why we’re seeing measles come back into the United States…”

Measles was declared eliminated in the US in 2000, meaning there has not been continuous transmission for more than a year at a time.

Before 2025, there were an average of about 180 measles cases reported each year since elimination, according to US Centers for Disease Control and Prevention data. The US reported more than 2,200 confirmed measles cases in 2025 — significantly more than there have been in any year since 2000.

https://www.cnn.com/2026/01/27/health/largest-us-measles-outbreak-south-carolina?utm_source=cnn_Evening+Newsletter+-+Thursday%2C+January+29%2C+2026&utm_medium=email&bt_ee=gvqCy2mCVeUEqO7zOX61HyRkKAF7F461fS0rgklCK%2Bs9goDd85EFJdHLZMXX1kfC&bt_ts=1769725134216

The Trump administration is engaged in a war against science and medicine. It has eliminated funding in many crucial areas of research conducted by universities and by the National Institutes of Health. Incalculable damage has been done to set back the search for cures for cancer, Alzheimer’s, heart disease, infectious diseases, HIV, respiratory diseases, and pediatric cancer. People will die because of the ignorance of those who close down ongoing, vital research.

Trump has consistently claimed that “climate change” is a hoax. He has said that the term “climate change” refers to the weather. He hates wind farms and has cut federal funding for them. He has hated wind farms since wind turbines were built near his Trump International Golf Links in Scotland. He sued to block them but repeatedly lost.

Now he is closing down a major hub of climate research.

The New York Times reported:

The Trump administration said it will be dismantling the National Center for Atmospheric Research in Colorado, one of the world’s leading Earth science research institutions.

The center, founded in 1960, is responsible for many of the biggest scientific advances in humanity’s understanding of weather and climate. Its research aircraft and sophisticated computer models of the Earth’s atmosphere and oceans are widely used in forecasting weather events and disasters around the country, and its scientists study a broad range of topics, including air pollution, ocean currents and global warming.

But in a social media post announcing the move late on Tuesday, Russell Vought, the director of the Office of Management and Budget, called the center “one of the largest sources of climate alarmism in the country” and said that the federal government would be “breaking up” the institution.

Mr. Vought wrote that a “comprehensive review is underway” and that “any vital activities such as weather research will be moved to another entity or location.”

USA Today first reported on the White House plans.

Scientists, meteorologists and lawmakers said the move was an attack on critical scientific research and would harm the United States.

The National Center for Atmospheric Research was originally founded to provide scientists studying Earth’s atmosphere with cutting-edge resources, such as supercomputers, that individual universities could not afford on their own. It is now widely considered a global leader in both weather and climate change research, with programs aimed at tracking severe weather events, modeling floods and understanding how solar activity affects the Earth’s atmosphere.

The center’s research has often proved useful in unexpected places, such as when its studies of downdrafts in the lower atmosphere in the 1970s and 1980s led to development of wind shear detection systems around airports that helped address the cause of hundreds of aviation accidents during that era.

Federal Judge Rita F. Lin ruled that the federal government cannot withhold $1.2 billion in funding for medical and scientific research as punishment for alleged anti-Senitism. This is an important victory for free speech, academic freedom, and the First Amendment. The Trump administration’s efforts to impose its views on the nation’s institutions of higher education—and U.S. research funding as leverage is unprecedented in American history.

The Los Angeles Times reported the decision.

A federal judge on Friday blocked the Trump administration from imposing a $1.2-billion fine on UCLA along with stipulations for deep campus changes in exchange for being eligible for federal grants.

The decision is a major win for universities that have struggled to resist President Trump’s attempt to discipline “very bad” universities that he claims have mistreated Jewish students, forcing them to pay exorbitant fines and agree to adhere to conservative standards.

A spokesperson for the U.S. Department of Justice did not immediately respond to a request for comment.

The preliminary injunction, issued by U.S. District Judge Rita F. Lin of the Northern District of California, rendered moot — for now — nearly every aspect of a more than 7,000-word settlement offer the federal government sent to the University of California in August after suspending $584 million in medical, science and energy research grants to the Los Angeles campus.

The government said it froze the funds after finding UCLA broke the law by using race as a factor in admissions, recognizing transgender people’s gender identities, and not taking antisemitism complaints seriously during pro-Palestinian protests in 2024 — claims that UC has denied.

The settlement proposal outlined extensive changes to push UCLA — and by extension all of UC — ideologically rightward by calling for an end to diversity-related scholarships, restrictions on foreign student enrollment, a declaration that transgender people do not exist, an end to gender-affirming healthcare for minors, the imposition of free speech limits and more.

“The administration and its executive agencies are engaged in a concerted campaign to purge ‘woke,’ ‘left,’ and ‘socialist’ viewpoints from our country’s leading universities,” Lin wrote in her opinion. “Agency officials, as well as the president and vice president, have repeatedly and publicly announced a playbook of initiating civil rights investigations of preeminent universities to justify cutting off federal funding, with the goal of bringing universities to their knees and forcing them to change their ideological tune.

Universities are then presented with agreements to restore federal funding under which they must change what they teach, restrict student anonymity in protests, and endorse the administration’s view of gender, among other things. Defendants submit nothing to refute this….”

Universities including Columbia, Brown and Cornell agreed to pay the government hundreds of millions to atone for alleged violations similar to the ones facing UCLA. The University of Pennsylvania and University of Virginia also reached agreements with the Trump administration that were focused, respectively, on ending recognition of transgender people and halting diversity, equity and inclusion efforts.

Friday’s decision, for the time being, spares the UC from having to proceed with negotiations that it reluctantly entered with the federal government to avoid further grant cuts and restrictions across the system, which receives $17.5 billion in federal funding each year. UC President James B. Milliken has said that the $1.2-billion fine would “completely devastate” UC and that the system, under fire from the Trump administration, faces “one of the gravest threats in UC’s 157-year history.”

This is not the first time a judge rebuked Trump for his higher education campaign.

Massachusetts-based U.S. District Judge Allison Burroughs in September ordered the government to reverse billions in cuts to Harvard. But that case did not wade directly into settlement negotiations.

Those talks have proceeded slowly. In a court hearing last week, a Department of Justice lawyer said “there’s no evidence that any type of deal with the United States is going to be happening in the immediate future.” The lawyer argued that the settlement offer was only an idea that had not received UC approval.
Because of that, he said, a lawsuit was inappropriate. Lin disagreed.

“Plaintiffs’ harm is already very real. With every day that passes, UCLA continues to be denied the chance to win new grants, ratcheting up defendants’ pressure campaign,” she wrote. “And numerous UC faculty and staff have submitted declarations describing how defendants’ actions have already chilled speech throughout the UC system.”

The case was brought by more a dozen faculty and staff unions and associations from across UC’s 10 campuses, who said the federal government was violating their 1st Amendment rights and constitutional right to due process.

UC, which has avoided directly challenging the government in court, was not party to the suit.
“This is not only a historic lawsuit — brought by every labor union and faculty union in the UC — but also an incredible win,” said Veena Dubal, a UC Irvine law professor and general counsel for one of the plaintiffs, the American Assn. of University Professors, which has members across UC campuses.

Dubal called the decision “a turning point in the fight to save free speech and research in the finest public school system in the world.”
Asked about Friday’s outcome, a spokesperson said UC “remains focused on our vital work to drive innovation, advance medical breakthroughs and strengthen the nation’s long-term competitiveness. UC remains committed to protecting the mission, governance, and academic freedom of the university.”

Dr. Paul Offit is a medical doctor who specializes in children’s infectious diseases. He is appalled by the actions and policies of Robert F. Kennedy Jr., because they endanger the health of our nation, especially children.

Robert F. Kennedy Jr. is a disgrace to his family name. He should not have been put in charge of public health. Not only is he totally unqualified, but his beliefs about medicine are dangerous.

Dr. Offit writes:

On April 15, 2025, Dr. Fiona Havers, an epidemiologist at the CDC, presented data on the impact of COVID-19 on children the previous year. She found that COVID-19 had caused thousands of children to be hospitalized; 20 percent of whom were admitted to the intensive care unit. Virtually all were unvaccinated, half were previously healthy, and 152 had died, most less than 4 years of age. The conclusion was clear; young children in the United States who had never been vaccinated will still benefit from a COVID-19 vaccine. Although the pandemic was over, the virus wasn’t.

Six weeks later, on May 27, 2025, Robert F. Kennedy Jr., the Secretary of Health and Human Services (HHS), in a video posted on X, said that COVID-19 vaccines would no longer be recommended for young, healthy children. When asked to provide evidence for this unilateral, behind-closed-doors decision, he couldn’t.
This week, the American Academy of Pediatrics (AAP) released its own recommendations. Consistent with the CDC’s findings—and in direct contrast to Kennedy’s edict—the AAP stated, “Infants and children 6 to 23 months of age are at high risk for severe COVID-19…All infants and children in this age group [should] receive the 2025-2026 COVID-19 vaccine…Those who are previously unvaccinated should receive an initial series.”

Hours after the AAP released its statement, Kennedy fired back, posting on X that the AAP was engaging in a “pay-to-play scheme to promote commercial ambitions of AAP’s Big Pharma benefactors.” Kennedy linked to a page showing that the AAP’s Friends of Children Fund, a charity that focuses on adolescent mental health and suicide prevention, had received donations from several vaccine makers. Kennedy also claimed that the medical journal that published the AAP’s recommendations, Pediatrics, was part of this same “pay-to-play scheme.” Kennedy’s actions were a tiresome rerun of his many accusations over the past 20 years. Whenever scientists, doctors, public health officials, academic institutions, scientific journals, or medical or professional societies claim that a vaccine is safe, effective, or valuable, he says that they are all in the pocket of the pharmaceutical industry. No one is to be trusted, except him.

Kennedy’s conflict-of-interest gambit is a misdirection game. If he can get the press and the public to talk about conflicts-of-interest, he can distract from his decision to recommend against COVID-19 vaccines for children that wasn’t supported by the evidence.

Then Kennedy made a veiled threat, posting on X that the “AAP should be candid with doctors and hospitals that recommendations that diverge from the CDC’s official list are not shielded from liability under the 1986 Vaccine Injury Act.” Defy me, argued Kennedy, and I will make sure that doctors and hospitals that recommend COVID-19 vaccines for young children could be sued. It was an empty threat. Doctors and hospitals are protected from liability related to COVID-19 vaccines by the PREP Act. Kennedy’s threat was yet another mean-spirited attempt at misdirection.

Pediatricians, parents, and public health officials are confused by these conflicting recommendations. Epidemiological evidence says one thing, Kennedy another. This confusion will likely result in some young children failing to receive a COVID-19 vaccine. It is also likely that some of these children will be admitted to the hospital, or intensive care unit, or die as a result. And when that happens, we won’t have to look any further than the man who for the past 20 years has been an anti-vaccine propagandist, science denialist, and conspiracy theorist to understand why.

W.H. Auden, a British American poet, wrote, “When all the mass and majesty of this world, when all that carried weight and always weighed the same, lay in the hands of others. They were small and could not hope for help and no help came.” How many children will have to suffer needlessly at the hands of RFK Jr. before someone, anyone steps up to save them?

I’m reminded that protestors against the war in Vietnam used to chant,

“Hey, hey, LBJ,

How many kids did you kill today?”

When will they say that about RFK?

Paul Offit, MD., is a doctor, a real one. His blog is titled “Beyond the Noise.” Its author is a pediatric infectious diseases physician, author, FDA advisor, grandfather, and co-inventor of a rotavirus vaccine.

“‘To Serve Man” was my favorite Twight Zone episode.

He writes:

The best explanation for the current public health nightmare is that we are reliving a Twilight Zone episode from March 2, 1962.

I’ve been trying to understand the recent inexplicable actions of our Department of Health and Human Services (HHS). Now, I’m pretty sure I’ve figured it out. We are being forced to relive a Twilight Zone episode that originally aired on March 2, 1962. It was called “To Serve Man.”

In “To Serve Man”, 9-foot-tall aliens come to earth and address congressional delegates and journalists. The aliens promise to solve the world’s food shortages with better agricultural techniques. They promise a cleaner environment, free from harmful chemicals. They promise a world free from war. These promises strangely mimic those made by today’s Make America Healthy Again (MAHA) movement. Led by the Secretary of Health and Human Services, Robert F. Kennedy Jr., MAHA has promised to connect public health to the environment, to modernize standards for the use of chemicals, to eliminate pesticides and artificial dyes and ultra-processed foods. By embracing the central tenets of MAHA, we can live longer, better lives.

The aliens kept their promises. Wars ended. Food was plentiful. Humans thrived. There was, however, one grotesque catch. “To Serve Man” wasn’t a treatise on better health, it was a cookbook on how to prepare and serve humans—as food. It was about fattening us up for when invaders transported us back to their planet.

In “To Serve Man”, the aliens were easy to spot. They were 9-feet tall and had mechanical voices. Today, the aliens among us are much harder to spot. For example, the man who leads the MAHA movement looks and talks like us. He appears to be one of us. Nonetheless, Robert F. Kennedy Jr. offers several clues that he is not from this world. For example, he doesn’t believe in the germ theory—that bacteria or viruses cause specific diseases. He believes that no vaccine is beneficial, that HIV is not the cause of AIDS, that unpasteurized milk is safe, that he and his family can swim safely in bacteria-infested creeks, and that natural measles infection prevents cancer, heart disease, and autoimmune disease. Measles infections should be embraced, argues Kennedy, not feared. No one from this planet—or at least no one who has lived here within the past 150 years—could possibly believe these things to be true.

The price paid for the false promises made by aliens in “To Serve Man” was that people were taken to another planet and eaten. Today, on this planet, Robert F. Kennedy’s MAHA movement might help us to eat better and live longer. But, like the aliens in “To Serve Man,” there is a hideous catch. RFK Jr. is laser-focused on making vaccines less available, less affordable, and more feared. During the past year, for the first time in twenty years, two healthy children died from measles. Also, 266 children died from influenza, more than anything we’ve experienced since the 2009 swine flu pandemic. And ten children have died this year from pertussis; the previous year, two children died. This will only get worse.

In “To Serve Man,” Congress didn’t realize that we were dinner for aliens until it was too late. One can only hope that Congress will realize that Kennedy, the man behind the MAHA movement, is not one of us. The alien in “To Serve Man” was named Kanamit. Same first letter. Same number of letters and syllables. Do you see my point? It’s really the only explanation that makes sense.

I’ve been trying to understand the recent inexplicable actions of our Department of Health and Human Services (HHS). Now, I’m pretty sure I’ve figured it out. We are being forced to relive a Twilight Zone episode that originally aired on March 2, 1962. It was called “To Serve Man.”

In “To Serve Man”, 9-foot-tall aliens come to earth and address congressional delegates and journalists. The aliens promise to solve the world’s food shortages with better agricultural techniques. They promise a cleaner environment, free from harmful chemicals. They promise a world free from war. These promises strangely mimic those made by today’s Make America Healthy Again (MAHA) movement. Led by the Secretary of Health and Human Services, Robert F. Kennedy Jr., MAHA has promised to connect public health to the environment, to modernize standards for the use of chemicals, to eliminate pesticides and artificial dyes and ultra-processed foods. By embracing the central tenets of MAHA, we can live longer, better lives.

The aliens kept their promises. Wars ended. Food was plentiful. Humans thrived. There was, however, one grotesque catch. “To Serve Man” wasn’t a treatise on better health, it was a cookbook on how to prepare and serve humans—as food. It was about fattening us up for when invaders transported us back to their planet.

In “To Serve Man”, the aliens were easy to spot. They were 9-feet tall and had mechanical voices. Today, the aliens among us are much harder to spot. For example, the man who leads the MAHA movement looks and talks like us. He appears to be one of us. Nonetheless, Robert F. Kennedy Jr. offers several clues that he is not from this world. For example, he doesn’t believe in the germ theory—that bacteria or viruses cause specific diseases. He believes that no vaccine is beneficial, that HIV is not the cause of AIDS, that unpasteurized milk is safe, that he and his family can swim safely in bacteria-infested creeks, and that natural measles infection prevents cancer, heart disease, and autoimmune disease. Measles infections should be embraced, argues Kennedy, not feared. No one from this planet—or at least no one who has lived here within the past 150 years—could possibly believe these things to be true.

The price paid for the false promises made by aliens in “To Serve Man” was that people were taken to another planet and eaten. Today, on this planet, Robert F. Kennedy’s MAHA movement might help us to eat better and live longer. But, like the aliens in “To Serve Man,” there is a hideous catch. RFK Jr. is laser-focused on making vaccines less available, less affordable, and more feared. During the past year, for the first time in twenty years, two healthy children died from measles. Also, 266 children died from influenza, more than anything we’ve experienced since the 2009 swine flu pandemic. And ten children have died this year from pertussis; the previous year, two children died. This will only get worse.

In “To Serve Man,” Congress didn’t realize that we were dinner for aliens until it was too late. One can only hope that Congress will realize that Kennedy, the man behind the MAHA movement, is not one of us. The alien in “To Serve Man” was named Kanamit. Same first letter. Same number of letters and syllables. Do you see my point? It’s really the only explanation that makes sense.

There is no end to the Trump administration’s assault on academic freedom. Particularly poisonous is its withdrawal of billions of dollars for scientific research to punish universities that defy his policies. Trump is determined to obliterate any sign of “diversity, equity, and inclusion” or any tolerance of anti-Semitism.

Speaking for myself, I wholeheartedly support diversity, equity, and inclusion. Speaking as a Jew, I resent Trump’s hypocritical, duplicitous use of anti-Semitism, an issue he has never cared about and that he cynically exploits.

Until now, research grants were awarded based on scientific merit and peer review. In the proposed changes, the universities that adhere to Trump policies and values would have a competitive advantage.

The Trump cabal is prepared to withhold funding from the nation’s top researchers if they are suspected of including nonwhite, non-male researchers in order to increase D or E or I. They assume that “merit” is found only in white males.

They are willing to deny research grants to Harvard and UCLA and give them to No-Name State Agricultural University, just to make a point.

They are willing to sacrifice research into pediatric cancer, heart disease, Alzheimer’s and other afflictions just because they include researchers who are not white men.

What a disgrace this administration is.

Laura Meckler and Susan Svrluga of The Washington Post wrote:

The White House is developing a plan that could change how universities are awarded research grants, giving a competitive advantage to schools that pledge to adhere to the values and policies of the Trump administration on admissions, hiring and other matters.

The new system, described by two White House officials, would represent a shift away from the unprecedented wave of investigations and punishments being delivered to individual schools and toward an effort to bring large swaths of colleges into compliance with Trump priorities all at once.

Universities could be asked to affirm that admissions and hiring decisions are based on merit rather than racial or ethnic background or other factors, that specific factors are taken into account when considering foreign student applications, and that college costs are not out of line with the value students receive.

“Now it’s time to effect change nationwide, not on a one-off basis,” said a senior White House official, who like the other official described the plan on the condition of anonymity because it is still being developed.

Under the current system, the federal government’s vast research funding operation awards billions of dollars’ worth of grants based on peer reviews and scientific merit.

The administration says it is working to enforce civil rights laws, which it contends many universities have violated by embracing diversity, equity and inclusion programs or failing to adequately protect Jewish students or staff from antisemitism. But the effort is almost certain to add to criticism from outside experts who say the administration is already overstepping its authority to try to impose its values on higher education.

Ted Mitchell, president of the American Council on Education, said the outlines of the proposal amounted to an “assault … on institutional autonomy, on ideological diversity, on freedom of expression and academic freedom.”

“Suddenly, to get a grant, you need to not demonstrate merit, but ideological fealty to a particular set of political viewpoints. That’s not merit,” he said. “I can’t imagine a university in America that would be supportive of this…”

Since President Donald Trump returned to office in January, his administration has launched investigations of and pulled research funding from universities including Columbia, Harvard and UCLA, and then worked to extract concessions in exchange for restoring the money. Officials say the punishments are an effort to enforce federal laws that bar funding for schools that discriminate on the basis of sex, race or national origin.

The White House has faced setbacks in court — including a big loss this month in its high-profile fight with Harvard and another setback this week in California — and has not reached as many settlement agreements as Trump officials had hoped for.
The senior White House official described the new system as an opportunity for schools to show they are in compliance, as interpreted by the administration. Those that do so, the official said, would be rewarded with a “competitive advantage” in applying for federal grants…

Erwin Chemerinsky, dean of the University of California at Berkeley’s law school, said “no one will object” if the White House simply requires universities to pledge compliance with existing law.
But Chemerinsky, one of the attorneys representing UC researchers in a lawsuit challenging terminated federal research funding, also said the administration’s view of what the law requires could be at odds with other interpretations: “It all depends on what the conditions are, and whether those conditions are constitutional.”
Chemerinsky said it would be a First Amendment violation to put schools at a disadvantage in competing for funding if they profess a belief in diversity, for example, because government is not allowed to discriminate based on viewpoint. He said it “would be very troubling” if the White House proposal deviates from the standards that have been used in awarding grants based on the quality and importance of the science, peer review and merit, and uses ideology as the judgment standard instead.

Vermont Senator Bernie Sanders wrote an article for The New York Times calling for Health and Human Services Secretary Robert F. Kennedy Jr. to resign. Since Sanders was chairman of the Senate Committee overseeing HHS, he argues with facts, not just indignation.

He writes:

Robert F. Kennedy Jr., the secretary of health and human services, is endangering the health of the American people now and into the future. He must resign.

Mr. Kennedy and the rest of the Trump administration tell us, over and over, that they want to Make America Healthy Again. That’s a great slogan. I agree with it. The problem is that since coming into office President Trump and Mr. Kennedy have done exactly the opposite.

This week, Mr. Kennedy pushed out the director of the Centers for Disease Control and Prevention after less than one month on the job because she refused to act as a rubber stamp for his dangerous policies. Four leading officials at C.D.C. resigned the same week. One of those officials said Mr. Kennedy’s team asked him to “change studies that have been settled in the past” apparently to fit Mr. Kennedy’s anti-vaccine views. This is not Making America Healthy Again.

Despite the overwhelming opposition of the medical community, Secretary Kennedy has continued his longstanding crusade against vaccines and his advocacy of conspiracy theories that have been rejected repeatedly by scientific experts.

It is absurd to have to say this in 2025, but vaccines are safe and effective. That, of course, is not just my view. Far more important, it is the overwhelming consensus of the medical and scientific communities.

The American Academy of Pediatrics, the country’s largest professional association of pediatricians, representing over 67,000 doctors who treat our children every day, calls immunizations “one of the greatest public health achievements,” which prevents tens of thousands of deaths and millions of cases of disease.

The American Medical Association, the largest professional association of physicians and medical students, representing over 270,000 doctors along with 79 leading medical societies, recently said that vaccines for flu, R.S.V. and Covid-19 are “the best tools to protect the public against these illnesses and their potentially serious complications.”

The World Health Organization, an agency with some of the most prominent medical experts around the globe, recently noted that over the past 50 years, vaccines have saved at least 154 million lives and reduced the infant deaths by 40 percent.

Against the overwhelming body of evidence within medicine and science, what are Secretary Kennedy’s views? He has claimed that autism is caused by vaccines, despite more than a dozen rigorous scientific studies involving hundreds of thousands of children that have found no connection between vaccines and autism.

He has called the Covid-19 vaccines the “deadliest” ever made despite findings cited by the W.H.O. that Covid shots saved over 14 million lives throughout the world in 2021 alone.

He has ridiculously questioned whether the polio vaccine has killed more people than polio itself did even though scientists have found that the vaccine has saved 1.5 million lives and prevented around 20 million people from becoming paralyzed since 1988.

He has absurdly claimed that “there’s no vaccine that is safe and effective.”

Who supports Secretary Kennedy’s views? Not credible scientists and doctors. One of his leading “experts” that he cites to back up his bogus claims on autism and vaccines had his medical license revoked and his study retracted from the medical journal that published it.

Many of his supporters are from Children’s Health Defense — the anti-vaccine group he founded and profited from — and a small circle of loyalists that have spread misinformation and dangerous conspiracy theories on vaccines for years.

The reality is that Secretary Kennedy has profited from and built a career on sowing mistrust in vaccines. Now, as head of H.H.S., he is using his authority to launch a full-blown war on science, on public health and on truth itself.

What will this mean for the health and well-being of the American people?

Short term, it will be harder for Americans to get lifesaving vaccines. Already, the Trump administration has effectively taken away Covid vaccines from many healthy younger adults and kids, unless they fight their way through our broken health care system. This means more doctor’s visits, more bureaucracy and more people paying higher out-of-pocket costs — if they can manage to get a vaccine at all.

Covid is just the beginning. Mr. Kennedy’s next target may be the childhood immunization schedule, the list of recommended vaccines that children receive to protect them from diseases like measles, chickenpox and polio. The danger here is that diseases that have been virtually wiped out because of safe and effective vaccines will resurface and cause enormous harm.

Two years ago, when I was the chairman of the Senate Health, Education, Labor and Pensions Committee, I held a hearing with the major government officials responsible for protecting us from a new pandemic, including the head of the C.D.C. Without exception, every one of these agency heads said that, while they could not predict the exact date, there will be a future pandemic and we must be much better prepared for it than we are today.

Unfortunately, Secretary Kennedy’s actions are making a worrisome situation even worse by defunding the research that could help us prepare for the next pandemic. This month, he canceled nearly $500 million in research for the kinds of vaccines that helped us stop the Covid pandemic. At the same time, Mr. Kennedy is cutting funding to states to prepare and respond to future outbreaks of infectious diseases. This is unacceptable.

America’s health care system is already dysfunctional and wildly expensive, and yet the Trump administration will be throwing an estimated 15 million people off their health insurance through a cut of over $1 trillion to Medicaid and the Affordable Care Act. This cut is also expected to result in the closing of or the decline in services at hundreds of nursing homes, hospitals and community health centers. As a result of cuts to the Affordable Care Act, health insurance costs will soar for millions of Americans. That is not Making America Healthy Again.

Secretary Kennedy is putting Americans’ lives in danger, and he must resign. In his place, President Trump must listen to doctors and scientists and nominate a health secretary and a C.D.C. director who will protect the health and well-being of the American people, not carry out dangerous policies based on conspiracy theories.

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.

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