Abcarian: Another Big Lie: RFK Jr. wants to make America healthy again
'More people would die of overdoses,' she replied. Pretty simple.
Now, maybe you are the sort of person who thinks it's OK for people to die from overdose because they shouldn't be taking drugs like fentanyl in the first place. If you are that callous, I don't have much to say to you.
Read more: Abcarian: The government's pronatalism warps family values
But if you consider addiction a disease, as most medical experts do, then you would certainly be in favor of anything that helps preserve lives, and helps avoid the grief of those whose loved ones have died accidentally from a drug overdose.
And if you had spent, say, 14 years as a heroin addict, you would surely push as hard as you could to make Narcan, the trade name of naloxone, as widely available as possible, especially at a moment when fentanyl continues to kill Americans in depressingly high numbers.
That, at any rate, is what I would expect from Health and Human Services Secretary Robert F. Kennedy Jr., the aforementioned heroin addict. However, a leaked version of President Trump's budget proposes cutting the department's $56-million program that distributes naloxone kits and trains people on how to use them.
Read more: RFK Jr. said his agency will find the cause of autism. These researchers have actually been looking
The leaked document is a preliminary plan, and Kennedy has not specifically addressed the proposed cut. In fact, in late April at a drug summit in Nashville, he spoke about his addiction and acknowledged that solving the addiction crisis requires strategies including maintenance treatments using suboxone and methadone, which lessen drug cravings; fentanyl detectors to prevent unwitting ingestion of the drug; and Narcan, which has saved countless lives.
But in the face of numerous news reports about the proposed cuts, Kennedy has not offered full-throated, public support for the naloxone program. Maybe he simply doesn't have time, busy as he's been overseeing what the Washington Post described as 'a sweeping purge of the agencies that oversee government health programs.'
In his quest to 'make America healthy again,' Kennedy — with Elon Musk's Department of Government Efficiency — has slashed 20,000 of the agency's 82,000 employees for an estimated annual savings of $1.8 billion. Here are some of the Health and Human Services programs that have vanished amid the cost-cutting frenzy:
The Centers for Disease Control and Prevention's lead poisoning prevention staff was sacked. 'They played a key role in addressing lead contamination in applesauce pouches,' reported the Post.
Read more: Covered California pushes for better healthcare as federal spending cuts loom
The black lung screening program for coal miners was briefly killed off before an outcry led to a temporary reinstatement.
Programs on smoking cessation, diabetes prevention and cancer screenings have all been canceled.
The Food and Drug Administration lost senior veterinarians who worked to keep milk and pet food safe during the bird flu outbreak.
Scientists at the U.S. labs that track sexually transmitted diseases, such as drug-resistant gonorrhea and viral hepatitis, were laid off.
The list goes on. But the most worrisome development in all this bloodletting is how Kennedy's antipathy toward vaccines is playing out.
Read more: Abcarian: Kennedy's hypocritical approach to public health puts us all at risk
For years, he has promoted conspiracy theories and undermined public confidence in vaccines.
Last month, he announced that in September, he will reveal the cause of autism, which has eluded actual experts for decades.
Chillingly, he has reportedly hired David Geier, who has no medical license, no scientific training and has been described as a 'vaccine cynic and fraudster,' to conduct a study on whether vaccines and autism are linked. This is insanity masquerading as science.
The question has been studied, you might say, almost to death. The scientific consensus is clear — vaccines do not cause autism.
But can you imagine the damage Kennedy's war on vaccines is going to do to the health of American children? These days, it takes very little to shake the public's faith in vaccines.
Read more: Hiltzik: RFK Jr.'s views on autism show that anti-science myths are rampant at the agency he leads
After all, the misconception about vaccines and autism took flight after a single, fraudulent 1998 study involving only 12 children. The study was retracted, and its author Andrew Wakefield, guilty of ethical breaches and scientific misconduct, lost his medical license over it.
And yet the lie lives on.
Just last week, Kennedy told American parents to 'do your own research' on vaccines as if the average American mother is capable of running a double-blind study at her kitchen table in her abundant downtime.
'It seems the goal of this administration is to prove that vaccines cause autism, even though they don't,' Autism Science Foundation president Alison Singer told the Post. 'They are starting with the conclusion and looking to prove it. That's not how science is done.'
We are at a sad moment in American history for so many reasons. But putting a charlatan like Kennedy in charge of the nation's health is like hiring an arsonist as your fire chief. It's not going to end well.
Bluesky: @rabcarian.bsky.social Threads: @rabcarian
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RFK Jr. says cancer screenings are too 'woke' now. As an actual doctor, I disagree.
A 6-centimeter mass. These are the words that shattered my patient's heart, but ultimately gave her a chance at saving and prolonging her life. Weeks earlier, without any worries about her health, she had seen a doctor for a checkup. Following the U.S. Preventive Services Task Force recommendations, her doctor found out she was a former smoker and ordered a scan. Lung cancer was found, which is how she ended up in my hospital for chemotherapy and immunotherapy. Without the task force guidelines, my patient's primary care doctor may not have ordered this scan, and her cancer may not have been caught before it spread to Stage 4, or it was uncurable. The task force has released screening recommendations for patients over the past 40 years that have caught infections, detected cancers and otherwise saved lives countless times. However, it is now reported that Health and Human Services Secretary Robert F. Kennedy Jr. is considering removing and replacing all 16 expert members of this task force for purely political and culture war reasons. This would be a disaster for public health. RFK Jr. thinks preventing curable disease is too 'woke' The Preventive Services Task Force is tasked with providing screening recommendations for finding diseases before they become deadly. These guidelines are evidence-based and updated frequently as new scientific studies are released. Primary care doctors rely on these as they approach which diagnostic tests are most impactful and highest yield for their patients. Insurance companies use the task force's recommendations to know what studies to cover. Their work is important and essential. But we'll be in danger if RFK Jr. wants to upend this institution. Opinion: RFK Jr. is an unserious man. But his misinformed vaccine policy will be deadly. He has already done it once. In June, Kennedy fired all 17 members of the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices, a committee that makes recommendations on vaccine schedules, for reasons that made little sense. He replaced them with known vaccine skeptics, hampering both sound scientific work and public trust in the organization. This, by the way, at a time when measles cases in the U.S. are at their highest in 30 years. Now it's reported that Kennedy might make these removals within the Preventive Services Task Force because the members are too "woke.' Don't make America backward again in public health Keep in mind, these are individuals who are recommending things like cervical cancer screening is good, or look for post-partum depression in pregnant persons. Opinion: I'm a doctor. Trump's crusade against universities undermines the future of your health. These are sound recommendations that should be noncontroversial. What is woke in that? Some point to things like the word choice of 'persons' instead of 'women'? Don't be a snowflake, and get over yourself. These are important recommendations that are meant to reach all Americans. Opinion alerts: Get columns from your favorite columnists + expert analysis on top issues, delivered straight to your device through the USA TODAY app. Don't have the app? Download it for free from your app store. Even if he doesn't go through with this purge, RFK Jr. is instilling a distrust in our expert medical and scientific institutions. If he does go through with it, he will undermine the pillar of public health that is preventative services at the same time that another pillar, access to care for the vulnerable, has been hacked away at by the Medicaid cuts in the Big Beautiful Bill. Taking these actions will not make America healthy again. It'll make America backward again in public health, and backward in the fight against cancer and disease. We need to sound the alarm to stop all these actions that are harming our fellow Americans. Dr. Thomas K. Lew is an assistant clinical professor of Medicine at the Stanford University School of Medicine and an attending physician of Hospital Medicine at Stanford Health Care Tri-Valley. All expressed opinions are his own. Follow him on X: @ThomasLewMD You can read diverse opinions from our USA TODAY columnists and other writers on the Opinion front page, on X, formerly Twitter, @usatodayopinion and in our Opinion newsletter. This article originally appeared on USA TODAY: Kennedy is making a culture war out of cancer prevention | Opinion Solve the daily Crossword
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RFK Indefinitely Postponed A Critical Meeting — And It Could Have 'Devastating Effects' On All Of Us
It's hard to keep track of the funding cuts, layoffs, vaccine recommendation changes and other major shake-ups happening within the country's federal public health organizations at the hands of the Trump administration and Robert F. Kennedy Jr., the health and human services secretary. One of the latest changes is RFK Jr's postponement of a preventive health panel meeting by the United States Preventive Services Task Force (USPSTF), which was scheduled for July 10 and the rumored dismissal of all task force members, as reported by the Wall Street Journal. The USPSTF sets guidelines for preventive health screenings for conditions such as diabetes, depression and cancer in children and adults. Insurance companies are then required to cover these screenings based on the USPSTF's guidelines. This news comes not long after Kennedy postponed the meeting of the Advisory Committee on Immunization Practices (ACIP), which sets vaccine recommendations, and replaced the entire committee with individuals known to spread vaccine and health misinformation, according to earlier HuffPost reporting. The changes to the USPSTF meeting and task force members is worrisome for a few reasons and could directly impact your health. Here's what doctors want you to know: This task force sets preventive screening recommendations. Changes or delays to the meeting schedule can mean missed diagnoses or changes to what insurance companies cover. The United States Preventive Services Task Force, which was formed in 1984, is a group of non-partisan volunteers who are 'nationally recognized experts' in the fields of primary care, prevention and evidence-based medicine, according to the USPTF website. All members are screened for biases, are chosen through public nomination and appointed by the Health and Human Services secretary. They serve four-year terms with new task force members rotating in each year. 'The cancellation of this specific task force ... is going to affect every American if [Kennedy and the U.S. Department of Health and Human Services does] what they did to the ACIP and fire or remove the 16 independent medical experts who really scour the literature and then grade the evidence for each of their recommendations,' Dr. Anita Patel, a pediatric critical care doctor in Washington, D.C., told HuffPost. Once again, this hasn't been done yet, but it is allegedly in the works. One of the significant roles of the task force is to make recommendations and guidelines for preventative care services such as mammograms, colonoscopies, depression screenings and more, said Patel. Insurance companies are then required to cover these screenings and services as part of the Affordable Care Act. Doctors across the country also follow these guidelines when recommending health services for patients. In response to the reports of the dismissal of current task force members, the American Medical Association sent a letter to RFK Jr. in support of the task force in which they said, 'USPSTF plays a critical, non-partisan role in guiding physicians' efforts to prevent disease and improve the health of patients by helping to ensure access to evidence-based clinical preventive services.' Sen. Elizabeth Warren (D-Mass.) and Sen. Angus King (I-Maine) also backed the task force by introducing a resolution that underscores the importance of the group, according to NPR. 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Will health insurance pay for Covid vaccines this fall?
If you want a Covid shot this fall, will your employer's health insurance plan pay for it? There's no clear answer. Health and Human Services Secretary Robert F. Kennedy Jr., a longtime anti-vaccine activist, has upended the way Covid vaccines are approved and for whom they're recommended, creating uncertainty where coverage was routine. Agencies within HHS responsible for spelling out who should get vaccinated aren't necessarily in sync, issuing seemingly contradictory recommendations based on age or risk factors for serious disease. But the ambiguity may not affect your coverage, at least this year. 'I think in 2025 it's highly likely that the employer plans will cover' the Covid vaccines, said Dr. Jeff Levin-Scherz, a primary care doctor who is the population health leader for the management consultancy WTW and an assistant professor at Harvard's T.H. Chan School of Public Health. They've already budgeted for it, 'and it would be a large administrative effort to try to exclude coverage for those not at increased risk,' he said. With so much in flux, it's important to check with your employer or insurer about coverage policies before you roll up your sleeve. Here's what we know so far, and what remains unclear. How have the recommendations changed? What used to be straightforward is now much murkier. Last year, the Moderna and Pfizer-BioNTech Covid vaccines were recommended for anyone at least 6 months old. This year, the recommendation by the Centers for Disease Control and Prevention is narrower. Although the vaccines are broadly recommended for adults 19 and older, they are no longer recommended for healthy pregnant people or for healthy children 6 months through 17 years old. Kennedy announced the changes in a video in May, citing safety risks for young people and pregnant people as justification. But his claims have been widely disputed by experts in vaccines, pediatrics, and women's health. An analysis by found that the secretary 'misrepresented scientific research to make unfounded claims about vaccine safety for pregnant people and children.' In addition, recently announced changes to the vaccine approval framework have further chipped away at eligibility. Moderna announced July 10 that the Food and Drug Administration had fully approved its Spikevax Covid vaccine — but approval is restricted to adults 65 and older, and for people from 6 months through 64 years old who are at increased risk of developing a serious case of Covid. Two other Covid vaccines expected to be available this fall, Novavax's Nuvaxovid and Moderna's mNexspike, are also restricted. They are approved for people 65 or older and those 12 to 64 who have underlying health conditions that put them at higher risk of developing severe Covid. Notably, Pfizer's Comirnaty Covid vaccine is still approved or authorized for people 6 months of age and older without any restrictions based on risk factors for Covid — at least for now. But the FDA could change that at any time, experts said. Increasing restrictions 'is definitely the direction they are moving,' said Jen Kates, a senior vice president at KFF who authored a KFF analysis of vaccine insurance coverage rules. KFF is a health information nonprofit that includes KFF Health News. HHS did not provide an on-the-record comment for this article. How might these changes alter my insurance coverage for the vaccine? That's the big question, and the answer is uncertain. Without insurance coverage, people could owe hundreds of dollars for the shot. Most private health plans are required by law to cover recommended vaccines, whether for Covid, measles, or the flu, without charging their members. But that requirement kicks in after the shots are recommended by a federal panel — the Advisory Committee on Immunization Practices — and adopted by the CDC director, according to the KFF analysis. The committee hasn't yet voted on Covid vaccine recommendations for this fall. Its next meeting is expected to occur in August or September. Still, employers and insurers can opt to cover the vaccines on their own, as many did before the law required them to do so. But they may require people to pay something for it. In addition, the narrower recommendations from different HHS agencies might result in some health plans declining to pay for certain categories of people to get certain vaccines, experts said. 'I don't think an employer or insurer would deny coverage,' Kates said. 'But they could say: You have to get this product.' That could mean a 45-year-old with no underlying health conditions raising their covid risk might have to get the Pfizer shot rather than the Moderna version if they want their health plan to pay for it, experts said. In addition, up to 200 million people may qualify for the vaccines because they have health conditions such as asthma or diabetes that increase their risk of severe disease, according to a commentary published by FDA officials in the New England Journal of Medicine. Health care professionals can help people determine whether they qualify for the shot based on health conditions. Tina Stow, a spokesperson for AHIP, which represents health plans, said in a statement that plans will continue to follow federal requirements for vaccine coverage. What are the options for people who are pregnant or have children they want to have vaccinated? Many parents are confused about getting their kids vaccinated, according to an Aug. 1 KFF poll. About half say they don't know whether federal agencies recommend healthy children get the vaccine this fall. Among the other half, more say the vaccine is not recommended than recommended. Meanwhile, Kennedy's recommendation that healthy children not get vaccinated has a notable caveat: If a parent wishes a child to get a Covid vaccine and a health care provider recommends it, the child can receive it under the 'shared clinical decision-making' model, and it should be covered without cost sharing. Some policy experts point out that this is the way care for kids is typically provided anyway. 'Outside of any requirements, vaccines have always been provided through shared decision-making,' said Amanda Jezek, senior vice president of public policy and government relations at the Infectious Diseases Society of America. There's no similar allowance for pregnant people. However, even though Kennedy has stated that Covid vaccines are no longer recommended for healthy pregnant people, pregnancy is one of the underlying medical conditions that put people at high risk for getting very sick from Covid, according to the CDC. That could make pregnant people eligible for the shot. Depending on the stage of someone's pregnancy, it could be difficult to know whether someone should be denied the shot based on their condition. 'This is uncharted territory,' said Sabrina Corlette, co-director of Georgetown University's Center on Health Insurance Reforms. How will these changes affect access to the vaccine? Will I still be able to go to the pharmacy for the shot? 'If far fewer are expected to be vaccinated, fewer sites will offer the vaccinations,' Levin-Scherz said. This could be an especially notable hurdle for people looking for pediatric doses of a covid vaccine, he said. In addition, pharmacists' authority to administer vaccines depends on several factors. For example, in some states they can administer shots that have been approved by the FDA, while in others the shots must have been recommended by the ACIP, said Hannah Fish, senior director of strategic initiatives at the National Community Pharmacists Association. Since ACIP hasn't yet recommended covid shots for the fall, that could create a speed bump in some states. 'Depending on the rules, you still may be able to get the shot at the pharmacy, but they might have to call the physician to send over a prescription,' Fish said. What do these changes mean long-term? It's impossible to know. But given Kennedy's vocal skepticism of vaccines and his embrace of long-disproven theories about connections between vaccines and autism, among other things, medical and public health professionals are concerned those views will shape future policies. 'The recommendation changes that were made with respect to children and pregnant women were not necessarily made in good science,' Corlette said. It's already a challenge to convince people they need annual covid shots, and shifting guidelines may make it tougher, some public health experts warn. 'What's concerning is that this could even further depress the uptake of the covid vaccines,' Jezek said. KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling, and journalism. This article was originally published on Solve the daily Crossword