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The New Dark Age


Sargent: That’s rough stuff. And Democratic Senator Maria Cantwell called RFK a “charlatan,” and other Dems brutally exposed him in many other ways. Matt, what did you make of those exchanges?

Gertz: Well, look, I think that they are a body blows to Robert F. Kennedy’s credibility. After all, these are conservative Republicans, strong supporters of President Trump, but also medical doctors who understand that what Kennedy has been doing has really been ripping away at the fabric of the U.S. health system and the nation’s ability to fight serious infectious diseases and threatening the vaccine regimen that protects our children and all of us from those diseases. I will say, though, it’s unfortunate that they’ve come to the conclusion that there’s something to be worried about here after they already voted to confirm him. It’s not like it’s somehow a surprise that Robert F. Kennedy is an anti-vax kook. That has been his political project for the last decade and a half. He and the nonprofit that he oversaw were at the forefront of trying to reduce Americans’ trust in vaccines and in pushing the false claim that vaccines cause autism in children.

Sargent: Well, Matt, I will tell you what. I think that these Republican senators probably went to RFK and went to Trump before the vote on him and said, You can’t really go too far with this stuff. We’ve got to support you because we’re all with President Trump and so forth, but you really can’t let this get out of hand, man. And then all of a sudden they see they’ve got a full-blown sociopath destroying public health in this country, and they’re like, Oh ****. Now I don’t mean to let them off the hook, but—

Gertz: No, of course. I think the problem is once they voted for him, they gave up the power that they had over him. Now he’s in that position. Donald Trump shows no indication of wanting to remove him. So absent the House attempting to impeach him and the Senate removing him from office, which just seems like comical in its plausibility, there isn’t really a lot they can do other than express their deep concern with the person that they have put in such a position of power.

Sargent: Well, they certainly have a lot to friggin explain for doing that. A lot of deaths on their hands as well. You looked at a bunch of the chyrons that Fox News was running during this hearing. One quoted RFK angrily accusing a Democratic senator of making stuff up about his vaccine stance. Another chyron on Fox suggests that it’s wrong to say RFK is denying people vaccines. And as you noticed, Fox ran that latter chyron pretty relentlessly throughout much of the questioning. Matt, can you talk about that? And what else did you see on Fox News along these lines?
 
Also, I think weird voice to republican has to be a life pipeline. It's probably pretty alienating to sound that stupid, which leads to be evil ****** people

Ben Shapiro, Jordan Peterson, RFK, Trump, Elon Musk. There are probably others.
 
Trump’s war against climate change science will allow History to judge him as having committed crimes against humanity, and against all life in Earth.

And his war on medical science is astonishing. I still have not figured out what his purpose is in destroying medical research in the United States. Any American praising this assault on human knowledge is a collaborator in crimes against humanity, IMHO.


A second novel element is the sabotage of America by an American president and his American partners. They apparently seek to bring down America in order to consolidate their power at home and allow their foreign autocratic allies to prosper. Many dictators have over time created situations conducive to mass ignorance, impoverishment, and disease. Here we have a focused and intense effort to set America back a generation in education, health, research, and climate policy, and eradicate foreign assistance that brought America goodwill abroad.

Science and medicine are areas in which the Trump administration’s departure from the traditions of elected autocrats is most evident. Almost all autocrats politicize science and medicine. The history of Nazi racial science and the Soviet practice of deploying mental health professionals to have dissenters committed to psychiatric institutions are two examples.

Yet most dictatorships proceed more gradually to change the institutional framework in which science and medicine are practiced. They close down some universities and research centers, and start others to do the kind of work that is in line with their ideological goals. The Nazis did not create the Reich Ministry for Education and Science until May 1934, fourteen months after the Enabling Act.

Other than in a post-coup or post-revolution environment, launching a wrecking ball on science immediately after you take office, as Trump has done, is unusual. So is naming a conspiracy theorist as Secretary of Health and Human Services who engineered the departures of ¼ of his department (20,000 workers!) in just four months. The speed and resolve to pull federal money for research, and curtail the work of America’s most prestigious institutions, such as the National Institutes of Health, has been shocking.

Trump and MAGA are Americans doing this to America. That’s sabotage on an unprecedented level, and not enough media outlets are writing about it in these terms or asking why this is happening.

The rush to ruin America is real enough to scientists and public health practitioners. The Union of Concerned Scientists reports 479 attacks on science from January to August, and grant approval and funding processes increasingly politicized to destroy programs and activities in environmental justice, LGBTQ+ health, and other objectionable areas.

“In rapid bursts, Mr. Trump has also laid off large teams of scientists, pulled the plugon thousands of research projects and proposed deep spending cuts for new studies,” the New York Times reported in late August, adding that next year’s proposed $44 billion budget cut would be “the largest drop in federal support for science since World War II.”

Let’s repeat that: the Trump administration wants to bring about the largest drop in federal support for American science since World War II. You’ve got to have a real thirst to end America’s superpower status to want such an ambitious cut. You’ve got to really want other nations to thrive.

But science has been “long a key driver of the US’s global pre-eminence,” as Guardian journalist Robert Tait writes, and so it has to be destroyed. And the purge must be so thorough that it will take decades to recover.



 
Trump and Company really seem determined to destroy the higher education that has been the envy of the world up till now.


The Trump administration this week tried to make nine elite research universities an offer they can’t refuse. In exchange for vaguely defined funds, MIT, Dartmouth, Brown, Vanderbilt, the University of Virginia, and others were asked to sign a nine-page “Compact for Academic Excellence in Higher Education” that amounts to complete adoption of the MAGA higher-education agenda. If they don’t agree? “The institution elects to forego federal benefits,” seemingly including federal contracts and access to student loans.

The compact is the newest escalation in Trump’s attempt to impose ideological dominance over America’s world-class colleges and universities. The document is breathtaking in its ambition, plainly illegal, and shot through with the tensions that mark Trumpism in its latest form.

Bringing higher education to heel has been a top White House priority. It began with massive cuts to federal research funding and charges that some schools violated the civil rights of Jewish students and faculty during protests about the war in Gaza. Whereas Harvard chose to fight the matter in court, Columbia agreed to a sweeping settlement that restored hundreds of millions of dollars in federal grants. The deal went far beyond legitimate civil-rights concerns, requiring Columbia to implement Trump-dictated policies around hiring, admissions, DEI, academics, and student discipline, all under the monitoring of the Office of Civil Rights. That success spurred the White House to explore new ways of dictating terms to universities. The compact, it seems, is the result.…

…..For the entire history of this country, the federal government has allowed colleges and universities to grow and flourish according to their own determination of what higher education means. The resulting system is, for all its flaws, the envy of the world. The smartest people on Earth come to America to live, learn, invent, and prosper, because they know our universities are free. The Trump administration is trying to bring that tradition to an end.

The compact is not a statute passed by Congress or a regulation written with public consent. It is only the ideological will of the president, offered with the logic and ethics of a mafia protection racket. Shakedown artists browbeat and threaten so they can take something that doesn’t belong to them. They also do it to establish who has power and who should live in fear. Universities that accept this bargain will be selling their souls for nothing but a promise of safety that will surely be broken in turn.
 
Six former Surgeon Generals of the United States have issued a statement warning Americans of the danger to the health of Americans represented by RFK Jr. and his disastrous policies. Published in the Washington Post. I wonder who to believe? These people, or RFK Jr., a 14 year heroin addict, who put rabbits and mice in a blender, to feed to his raptors, and did so as a form of yuk it up entertainment for all his cousins at his basement drug parties? It’s not a tough choice.


The writers are all former U.S. surgeons general.
As former U.S. surgeons general appointed by every Republican and Democratic president since George H.W. Bush, we have collectively spent decades in service as the Nation’s Doctor. We took two sacred oaths in our lifetimes: first, as physicians who swore to care for our patients and, second, as public servants who committed to protecting the health of all Americans.

Today, in keeping with those oaths, we are compelled to speak with one voice to say that the actions of Health and Human Services Secretary Robert F. Kennedy Jr. are endangering the health of the nation. Never before have we issued a joint public warning like this. But the profound, immediate and unprecedented threat that Kennedy’s policies and positions pose to the nation’s health cannot be ignored.

Despite differences in perspectives, we have always been united in an unwavering commitment to science and evidence-based public health. It is that shared principle that led us to this moment.

Over recent months, we have watched with increasing alarm as the foundations of our nation’s public health system have been undermined. Science and expertise have taken a back seat to ideology and misinformation. Morale has plummeted in our health agencies, and talent is fleeing at a time when we face rising threats — from resurgent infectious diseases to worsening chronic illnesses.
Repairing this damage requires a leader who respects scientific integrity and transparency, listens to experts and can restore trust to the federal health apparatus. Instead, Kennedy has become a driving force behind this crisis.

HHS is the one of the largest civilian agencies in the federal government, with a nearly $2 trillion budget and oversight of programs and agencies that touch every American family and business: Medicare, Medicaid, the Centers for Disease Control and Prevention, the Food and Drug Administration, the National Institutes of Health and more. It requires steady, ethical leadership grounded in science.

By contrast, Kennedy has spent decades advancing dangerous and discredited claims about vaccines — most notoriously, the thoroughly discredited theory that childhood vaccines cause autism. He has promoted misinformation about the HPV vaccine, which protects against cervical cancer, and he has repeatedly misrepresented the risks of mRNA technology and coronavirus vaccines, despite their lifesaving impact during the pandemic.

This year, as the United States faced its worst measles outbreak in more than 30 years, Kennedy de-emphasized vaccination and directed agency resources toward unproven vitamin therapies. The result: months-long outbreak, three preventable deaths and the first measles-related child death in the U.S. in over two decades.

More recently, Kennedy removed every member of the Advisory Committee on Immunization Practices, replacing its scientific experts with individuals who often lacked basic qualifications, some of whom are vaccine conspiracy theorists. The new committee has already begun casting doubt on the hepatitis B vaccine for newborns, despite decades of data affirming its effectiveness and strong safety profile.
Discrediting vaccines undermines one of the most important public health tools in American history. Thanks to widespread immunization, we eradicated smallpox, eliminated polio in the U.S. and prevented an estimated 1.1 million deaths and 508 million infections among children born between 1994 and 2023. Operation Warp Speed, initiated under President Donald Trump, brought lifesaving mRNA vaccines to the world in record time.

Yet Kennedy continues to ignore science and the public’s wishes. Most recently, HHS proposed new warning labels on products containing acetaminophen (Tylenol), citing a supposed link between prenatal use and autism. This move has been widely condemned by the scientific and medical communities, who have pointed out that the available research is inconclusive and insufficient to justify such a warning. In an extraordinary and unprecedented response, the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists and other leading health organizations issued public guidance urging physicians and patients to disregard HHS’s recommendation. Instead of helping pregnant women make informed decisions during a critical period in their lives, Kennedy’s decisions risk causing confusion, fear and harm.

Rather than combating the rapid spread of health misinformation with facts and clarity, Kennedy is amplifying it. The consequences aren’t abstract. They are measured in lives lost, disease outbreaks and an erosion of public trust that will take years to rebuild.
It is essential to note that good science and public health require not only evidence but also people — the scientists, public health professionals and civil servants whose expertise protects millions of Americans. Yet under Kennedy’s leadership, the HHS workforce has been badly damaged. He has silenced and sidelined hundreds of scientists, public health officials and medical professionals, creating an atmosphere of fear and distrust. Many of the nation’s top public health professionals — people we have worked with during crises — have resigned or retired early. They describe a culture of intimidation, where scientific findings are censored, evidence is disregarded and career officials are pressured to rubber stamp conclusions that are not backed by science.

The shooting at CDC headquarters in Atlanta this year only deepened the crisis. As former commanding officers of the U.S. Public Health Service Commissioned Corps, we know that caring for your people is the sacred duty of a leader. Yet, in the face of tragedy, Kennedy denigrated CDC staff as corrupt and repeated conspiracy theories that contribute to the targeting of the very staff he is charged with protecting. We will not soon forget the heartbreaking calls we received from CDC employees, expressing how scared and betrayed they felt for simply doing their jobs to serve the American people.

It’s worth reminding ourselves what Kennedy puts at risk. The FDA approves lifesaving drugs and holds pharmaceutical companies to high standards of safety and effectiveness. NIH pursues and funds cutting-edge research. CDC leads in emergencies from pandemics to opioids to natural disasters. Agencies at HHS spearhead efforts to address issues regarding mental health, substance-use disorders, primary care shortages and health insurance coverage for millions of seniors, disabled individuals, and low-income Americans. Mismanaging HHS endangers America’s health, undermines national security and damages our economic resilience and international credibility.

America’s public health systems are essential to the well-being of the nation. We are clear-eyed about the fact that these systems need to be improved, including paying more attention to areas such as disease prevention, mental health and chronic illness. But reform must be grounded in truth, transparency and scientific evidence. Without this foundation, we risk not only halting progress but reversing it — costing lives in the process.

Secretary Kennedy is entitled to his views. But he is not entitled to put people’s health at risk. He has rejected science, misled the public and compromised the health of Americans. The nation deserves a health and human services secretary who is committed to scientific integrity and can restore morale and trust in our public health agencies. Having served at senior levels in government, we know that politics are complicated. But this is bigger than politics. It’s about putting the health of Americans first.
 
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