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    White House reportedly picks Kennedy deputy to replace fired CDC chief

    The White House has reportedly chosen a deputy of Robert F Kennedy Jr to serve as the acting head of the US Centers for Disease Control and Prevention (CDC), a decision that comes as the standoff over the firing of director Susan Monarez, has deepened, with Monarez’s lawyers claiming she will not depart unless Donald Trump himself removes her.The Washington Post reported on Thursday, citing two people familiar with the decision, that the White House has selected Jim O’Neill, currently the deputy secretary of the Department of Health and Human Services. The decision would give Kennedy a CDC chief who will be on board with his efforts to overhaul federal vaccine policy, the Post reported.Monarez, an infectious disease specialist who was confirmed as CDC chief just a month ago, was fired on Wednesday, according to a statement from the HHS, which gave no reason for the departure.However, the apparently ousted director has refused to be removed. Her lawyers claim that while the White House has said that she is “not aligned with the president’s agenda”, only the president himself can dismiss her.“As a presidential appointee, senate confirmed officer, only the president himself can fire her,” Monarez’s lawyer Mark Zaid posted on Bluesky.“For this reason, we reject notification Dr Monarez has received as legally deficient and she remains as CDC Director. We have notified the White House Counsel of our position.”A spokesperson for Trump, Kush Desai, said: “As her attorney’s statement makes abundantly clear, Susan Monarez is not aligned with the President’s agenda of Making America Healthy Again. Since Susan Monarez refused to resign despite informing HHS leadership of her intent to do so, the White House has terminated Monarez from her position with the CDC.”Meanwhile, White House press secretary Karoline Leavitt told reporters at her press briefing that a replacement for Monarez would be announced “very soon”.The decision to remove Monarez has sparked further turmoil within the CDC, with four of its other senior leaders resigning over what they condemned as political interference in their work, budget cuts and the spread of misinformation under the Trump administration.The CDC is ultimately overseen by Robert F Kennedy Jr, the US health secretary who is known for founding an anti-vaccine group and in his current role has cut funding for medical research, removed scientific advisers and on Wednesday restricted the use of Covid vaccines for Americans.“First it was independent advisory committees and career experts. Then it was the dismissal of seasoned scientists. Now, Secretary Kennedy and HHS have set their sights on weaponizing public health for political gain and putting millions of American lives at risk,” Monarez’s lawyers said in a statement.“When CDC Director Susan Monarez refused to rubber-stamp unscientific, reckless directives and fire dedicated health experts, she chose protecting the public over serving a political agenda. For that, she has been targeted.”Monarez and Kennedy clashed over vaccine policy, while CDC leaders were angry and upset over how the administration handled a deadly situation earlier this month when a gunman fired upon the agency’s headquarters in Atlanta, killing a police officer, according to the New York Times.The four senior officials to resign from the CDC are Debra Houry, the chief medical officer; Daniel Jernigan, the vaccine safety chief; Jennifer Layden, head of the office for public health data; and Demetre Daskalakis, who ran the office that issues vaccine recommendations.On social media, Bernie Sanders, an independent US senator who serves as the ranking member on the health, education, labor and pensions committee, said that the attempt to fire Monarez was “outrageous” and demanded a hearing.“Vaccines save lives. Period,” Sanders said on X. More

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    CDC officials who quit in protest lead call to ‘get politics out of public health’

    Senior CDC vaccine research and public health leaders who resigned in protest told hundreds of supporters across the street from campus on Thursday that the Trump administration needs to “get politics out of public health”.The agency is reeling from the firing of the CDC chief, Susan Monarez, but Monarez, who was confirmed as CDC chief just a month ago, has refused to be removed. Four senior leaders – Debra Houry, Demetre Daskalakis, Daniel Jernigan and Jennifer Layden – then resigned in protest, citing the alleged spread of misinformation under the Trump administration and political interference in their work. The staffers cheered and applauded them at the event on Thursday.“You are the people that protect America, and America needs to see that you are the people that protect America, and we are going to be your loudest advocates,” said Daskalakis to the throng. Daskalakis, who was accompanied at the rally by Houry and Jernigan, is now the former director of the National Center for Immunization and Respiratory Diseases and is known for his leadership in HIV prevention and vaccination programs and the Biden administration’s response to the mpox outbreak.The three, plus Jennifer Leyden, who led the office of public health data, resigned together on Thursday to make a statement about the damage the administration had done to public vaccine research, and in protest of the administration’s response to vaccine disinformation, they said.“We agreed to do this together. We’ve been talking about it for months, and then past few days, it was just escalating,” said Houry, the CDC’s former chief medical officer. “If one of us retired, it would have been a blip. When the three of us do it together, it’s more powerful and just shows the state of our agency.” She and the others are asking for Congress to intervene, to put a stop to political interference in the organization’s work.The agency is overseen by the US health secretary, Robert F Kennedy Jr, who in recent days restricted the use of Covid vaccines for Americans and has removed scientific advisers and cut funding for medical research. Kennedy has reportedly tapped the deputy health secretary, Jim O’Neill, an investor in libertarian billionaire Peter Thiel’s orbit, as the CDC’s interim leader. Monarez was the first CDC director in 50 years to not hold a medical degree. O’Neill would be the second.The staff and supporters of the CDC gathered across the street from the campus in Atlanta, and Houry, Daskalakis and Jernigan were met with applause and handshakes, a marked difference from this morning when they were escorted off campus.View image in fullscreen“They are essentially trying to undo a lot of the science that has been settled for vaccine policies,” Jernigan said. The dismissal “was a tipping point for us that we had to say we’ve got to do something. We need to get the politics out of public health. We need to make sure that we’re using objective science in the making of vaccine and other treatment decisions. Until we can do that and get back to that, ideology will be just driving the policies rather than the science driving the policies.”The turmoil at the CDC comes as the agency is still recovering from the attack of a gunman who fired more than 500 rounds into the Atlanta offices before killing the DeKalb police officer David Rose. More than two weeks later, the White House had said nothing about the shooting, Houry said. Staffers were “concerned about speaking about vaccines in our science because they’re worried they’ll be targeted”, she said. “That’s unacceptable … This was an act of domestic terrorism. They need to address this.”The shooting has done more than shaken up the staff. The community is questioning whether their lives are valued by the federal government, said Dr Jasmine Clark, an Emory University professor of microbiology and state representative in the suburbs north of Atlanta, who is running for Congress. The speed with which the event was organized – not a walkout, more like a long lunch – spoke to the sentiment in the building, she said.“So many people in my community said they feel like no one values their life, and what am I doing when I go to work every day? It’s a privilege that people have no idea what happens in that building, and the fact that they don’t know means they’re doing a good job. But unfortunately we have an administration that does not value that work and in fact actively devalues the work and spreads misinformation that cost the life of Officer David Rose.” More

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    Democrats seek ‘immediate answers’ after reported arrests of firefighters by US border agents

    Patty Murray, the Washington senator, has called for the Trump administration to provide “immediate answers” about reports that two firefighters were detained by border agents as they were responding to a wildfire in the state.Federal immigration authorities on Wednesday staged an operation on the scene of the Bear Gulch fire, a nearly 9,000-acre (3,600-hectare) blaze in the Olympic national forest, where they arrested two people who were part of a contract firefighting crew, the Seattle Times first reported. The fire is the largest currently burning in the state.Authorities made the firefighters line up to show ID, the Seattle Times reported. One firefighter told the newspaper that they were not permitted to say goodbye to their detained colleagues.“I asked them if his [co-workers] can say goodbye to him because they’re family, and they’re just ripping them away,” the firefighter said to the Seattle Times, adding that the federal agent swore and told the firefighter to leave.The operation sparked widespread condemnation in the state. Murray in her statement released on Thursday morning demanded information about the whereabouts of the firefighters and the administration’s policy around immigration enforcement during wildfires.The Trump administration’s immigration policy is “fundamentally sick”, Murray said. She continued: “Trump has wrongfully detained everyone from lawful green-card holders to American citizens – no one should assume this was necessary or appropriate.”The US border patrol later on Thursday released some information on the operation, saying that it had assisted the Bureau of Land Management after that agency requested help after terminating contracts with two companies following a criminal investigation.While verifying the identities of contract personnel, federal agents identified two people “present in the United States illegally”, border patrol said in a statement, including one person who had a previous order of removal.The agency did not provide more details about the nature of the criminal investigation and the identities of the firefighters have not been made public.Authorities arrested the men on charges of illegal entry, and escorted 42 others off federal lands, according to the border patrol statement.The US Forest Service said in a statement that it was aware of the border patrol operation and that the activities did not interfere with firefighting efforts.Murray in her statement said the president had been undercutting firefighting abilities in other ways, including by “decimating” the US Forest Service. The administration significantly cut budgets and staffing at the agencies that manage much of the country’s federal lands, leaving the US unprepared for this year’s fire season, the Guardian previously reported.“Here in the Pacific north-west, wildfires can [burn] and have burned entire towns to the ground. We count on our brave firefighters, who put their lives on the line, to keep our communities safe – this new Republican policy to detain firefighters on the job is as immoral as it is dangerous,” said Murray, who has represented Washington in the US Senate since 1993.“What’s next? Will Trump start detaining immigrant service members? Or will he just maintain his current policy of deporting Purple Heart veterans?”Nearly 430 personnel are responding to the Bear Gulch fire on the state’s Olympic peninsula. Firefighters told the Seattle Times that two contract crews had been sent to cut wood and were waiting for a supervisor when federal law enforcement arrived in the area. More

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    ‘Nightmare’: family in shock after Ice moves LA teen out of state without their knowledge

    The family of 18-year-old Benjamin Guerrero-Cruz was shocked when they found out that US Immigration and Customs Enforcement (Ice) had discreetly moved him out of California, according to California congresswoman Luz Rivas, who spoke with his relatives and reviewed federal detention records.Guerrero-Cruz, who was first detained in Van Nuys neighborhood while walking his dog, was transferred late Monday from the Adelanto detention facility in San Bernardino county to a remote holding site in Arizona without any notification given to his family.The next day, Ice prepared to send him to Louisiana, a key hub for deportation flights. At the last moment, however, Guerrero-Cruz was removed from the plane and returned to Adelanto, where he remains in custody, according to Rivas’s office.“The nightmare for him, his family, and thousands in similar situations is not over yet,” Rivas said in a statement. “I will not accept the current reality that ICE shuffles and transfers detainees without notifying their family to inflict psychological pain for all of those involved.“Benjamin and his family deserve answers behind Ice’s inconsistent and chaotic decision-making process, including why Benjamin was initially transferred to Arizona, why he was slated to be transferred to Louisiana afterward, and why his family wasn’t notified of his whereabouts by Ice throughout this process,” the statement continued.Rivas introduced legislation on Tuesday that would require Ice to contact a detainee’s immediate family within 24 hours of a transfer. Current rules only mandate notification in the event of a detainee’s death.According to the Department of Homeland Security, Guerrero-Cruz faces deportation to Chile after overstaying his visa, which obliged him to leave the US by 15 March 2023.The teen was initially arrested on 8 August and held in downtown LA for a week. One of his former teachers, Liz Becerra, visited Guerrero-Cruz at an Ice processing center in Adelanto, an hour and a half north of LA.She said that Guerrero-Cruz spoke about being surrounded by masked men while walking his dog, handed over to federal agents, and then brought to the metropolitan detention center in downtown LA. He was not allowed to shower or brush his teeth for a week, Becerra said.Once he was moved to Adelanto, he said he was being kept in a small cell with about two dozen other men with little access to food and water.This pattern of detainees being shifted between multiple sites reflects a broader practice under what the Trump administration is touting as the largest deportation initiative in US history.An analysis of Ice data by the Guardian found that in June this year, average daily arrests were up 268% compared with June 2024. It also found that, despite Trump’s claims that his administration is seeking out the “worst of the worst”, the majority of people being arrested by Ice now have no criminal convictions.As a result, detention facilities have been increasingly overcrowded, and the US system was over capacity by more than 13,500 people as of July. More

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    RFK Jr faces calls to quit as CDC chief fired and senior staff resign: ‘an embarrassment’

    It’s been a tumultuous week for US health agencies, with the departure of several top officials, uncertainty around new Covid vaccine restrictions, and even more experts calling for the removal of top health official Robert F Kennedy Jr.The director of the US Centers for Disease Control and Prevention (CDC), Susan Monarez, was fired by the Trump White House after some controversy, and four other top officials also resigned.“[The] CDC basically imploded yesterday and now it’s truly in shambles,” said Katelyn Jetelina, an epidemiologist and former senior adviser for the CDC. “This is a national security risk to Americans. Without steady-headed, evidence-informed leadership, everything from outbreaks to data to chronic diseases to injury is in jeopardy.”Kennedy also released controversial and confusing restrictions on Covid vaccines on Wednesday.“I’m worried that these confusing changes will cause chaos in the vaccine distribution system that will make it harder for people–even those at high risk of severe illness–to get the Covid vaccines they may want,” said Jennifer Nuzzo, a professor of epidemiology and director of the Pandemic Center at Brown University school of public health.The chaos on Wednesday intensified scrutiny of Kennedy after controversial moves on vaccines and the shooting at the CDC reportedly motivated by anti-vaccine briefs.Kennedy “has to go”, said Colin Carlson, an assistant professor of epidemiology at Yale University’s school of public health, who has joined other health professionals to call for his resignation or termination.Monarez, who was confirmed as the CDC head only weeks ago on July 31, was released from her post on Wednesday evening per a post on X by the US Department of Health and Human Services (HHS).But lawyers representing Monarez, Mark S. Zaid and Abbe Lowell, responded in a statement posted to Bluesky that she had neither resigned nor been fired.“She will not resign,” Zaid wrote.Monarez had refused to “rubber-stamp reckless, unscientific directives,” the statement said. An hour and a half later, the White House doubled down and said Monarez had officially been fired.Four other top officials at the CDC also resigned on Wednesday including Debra Houry, the CDC’s chief medical officer; Demetre Daskalakis, director of the National Center for Immunization and Respiratory Diseases; Daniel Jernigan, the director of the National Center for Emerging and Zoonotic Infectious Diseases; and Jennifer Layden, director of the office of public health data, surveillance and technology.Daskalakis wrote in his resignation letter that he had “never experienced such radical non-transparency, nor have I seen such unskilled manipulation of data to achieve a political end”.Daskalakis, a key figure in the Covid, mpox, and bird flu responses, added that “no CDC subject matter expert from my Center has ever briefed the Secretary” – during the worst measles outbreak in the US in decades that left two children and one adult dead.Earlier on Wednesday, Kennedy announced on X that updated mRNA Covid boosters were being approved for people “at higher risk”. There was no press release from the US Food and Drug Administration (FDA).The Pfizer vaccine is approved for anyone who is 5 years old or older with health conditions. The emergency use authorization for Pfizer’s pediatric vaccine was rescinded, as the Guardian previously reported might happen – which means it is no longer available to children under 5.The Moderna vaccine is approved for anyone over the age of 6 months with health conditions. That appears to mean there are no Covid vaccines available for children or adults without health conditions, as the summer Covid wave intensifies.Yet Kennedy also appeared to contradict himself in the post, writing: “These vaccines are available for all patients who choose them after consulting with their doctors.”Kennedy “very much contradicted himself yesterday, making a confusing situation even more confusing”, Jetelina said.FDA head Marty Makary said on X that any adult may choose to get the Covid vaccine. The officials seem to be referring to a practice known as off-label use, where a physician prescribes a medication for a use other than what it was approved for, Nuzzo said.“It’s possible for people who are not eligible to get them off label. But whether they will practically be able to do that is another question,” she said.In some states, pharmacists and other vaccinators are unable to administer vaccines to people who are not explicitly eligible.“It’s also dubious whether doctors will be willing to vaccinate off label, possibly worrying about legal risks. We’re already hearing about pregnant women being unable to get Covid vaccines after the secretary tweeted,” Nuzzo said.It’s not yet clear which higher-risk conditions may qualify. The CDC has a list for previous vaccines, but in May top FDA officials proposed a more stringent list of conditions. The proposed list included pregnancy, the recommendation for which Kennedy removed in May.There is confusion about whether patients may self-attest to a condition or if they need to provide proof – which may make it difficult for pharmacists and other vaccinators to interpret and implement the new rules. These restrictions may also make it harder for people to access the vaccines even when they’re eligible.“This is another way to reduce access to vaccines: Mass confusion,” Jetelina said.Usually the CDC’s independent advisory committee on immunization practices (ACIP) meets to issue recommendations for the updated shots. Right now, the ACIP website lists the August/September meeting as “TBD”. These recommendations affect insurance coverage of the vaccines.This week’s moves are only part of the bedlam currently within US health agencies.On Tuesday, Kennedy said in a cabinet meeting that a fast-paced research project on autism was to identify “certain interventions” that are “almost certainly causing autism”. He said these results would be announced in September.This project, which included the creation of a national research registry of autistic people, has been panned by researchers and advocates as an unscientific attempt to link vaccines to autism.Last week, the CDC appointed Retsef Levi, a professor of operations management at the MIT Sloan school of management, to lead an ACIP task force on Covid vaccines. Levi has said mRNA vaccines “cause serious harm including death, especially among young people”, adding: “We have to stop giving them immediately!”Senator Patty Murray, a Democrat from Washington, called on Wednesday for Kennedy to be fired, writing: “we cannot let RFK Jr. burn what’s left of CDC.”Kennedy is “an embarrassment to both sides of the aisle”, said Carlson. “Seeing Patty Murray and the American Public Health Association (APHA) come to the same conclusion – that RFK has to go – gives me a lot of hope. Let’s fight. I think we can win.” More

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    CDC in crisis: who are the top officials resigning or being forced out?

    A dispute over the dismissal of Susan Monarez, director of the US Centers for Disease Control and Prevention (CDC), has intensified, with her attorneys asserting she will not leave unless the president himself takes action.Monarez was officially removed late on Wednesday following a heated exchange in which the US health secretary, Robert F Kennedy Jr, attempted to oust her, according to the White House. Her lawyer has countered that Monarez has no intention of resigning.As she was confirmed by the Senate, unlike previous CDC directors, Monarez technically serves at the will of the president, so Kennedy alone may not have had the authority to terminate her.Monarez, an infectious disease expert, was sworn in just a month ago by Kennedy but soon found herself at odds with him over vaccine policy, according to individuals familiar with the matter. In the wake of her removal, four senior CDC leaders abruptly resigned, apparently out of frustration with Kennedy’s approach to vaccines and his management style.Here’s a breakdown of the CDC leaders involved.Susan Monarez Director, Centers for Disease Control and Prevention View image in fullscreenMonarez is a microbiologist with bachelor’s, master’s and doctoral degrees from the University of Wisconsin. She joined the CDC as principal deputy director in January 2025, briefly served as acting director, and was confirmed by the Senate as the agency’s 21st director on 31 July. She became the first director without a medical degree and the first confirmed under a 2023 law.On 27 August, she was dismissed over conflicts about vaccine policy, a move her legal team has argued was improper because only the president has the authority to remove her.Debra HouryFormer chief medical officer and deputy director for program and science at the CDCView image in fullscreenHoury, a physician with degrees from Emory University and Tulane University, previously worked as an emergency doctor and at various facilities in Atlanta, as well as serving in academic leadership roles. At the CDC, she served as chief medical officer and deputy director for program and science.She resigned in late August 2025 following Monarez’s removal, citing the spread of vaccine misinformation, looming budget reductions and political meddling that she said undermined the agency’s mission.Demetre DaskalakisFormer director of the National Center for Immunization and Respiratory Diseases at the CDCView image in fullscreenDaskalakis, a public health physician known for his leadership in HIV prevention and vaccination programs, led the CDC’s National Center for Immunization and Respiratory Diseases. He received his medical degree from the NYU School of Medicine and completed postgraduate medical training at Harvard Medical School in 2003, before joining the CDC in 2020 as director of the division of HIV/Aids Prevention.He resigned from the CDC on 28 August, publishing a letter that denounced political interference, data manipulation and what he called a decline in scientific integrity.Daniel JerniganFormer director of the National Center for Emerging and Zoonotic Infectious Diseases at the CDCView image in fullscreenJernigan, a longtime CDC official, directed the National Center for Emerging and Zoonotic Infectious Diseases and played a key role in influenza and pandemic preparedness. Jernigan first joined the CDC’s epidemic intelligence service in 1994 and worked in the respiratory diseases branch on the prevention and control of bacterial respiratory pathogens.He left his position in August 2025 after Monarez’s ouster, joining other top officials in objecting to what they saw as the politicization of science and diminished trust in the agency’s leadership.Jennifer LaydenFormer director of office of public health data, science, technology at the CDCView image in fullscreenLayden, who led the office of public health data, surveillance, and technology at the CDC, focused on modernizing outbreak tracking and response systems. Layden received both her doctor of medicine and her doctorate in epidemiology from the University of Illinois at Chicago.Formerly Illinois’ chief medical officer, she also resigned after Monarez’s removal in August 2025, warning about the damaging effects of political influence on science-based decision-making. More

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    How Elon Musk’s billionaire Doge lieutenant took over the US’s biggest MDMA company

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    View image in fullscreenMonths before Antonio Gracias took a leading role in the dismantling of the federal government by the “department of government efficiency” (Doge), he was at Burning Man.In the dusty Nevada desert, Gracias, a billionaire private equity investor and one of Elon Musk’s closest friends, attended Nova Heaven, a sunrise rave tribute to victims of the Hamas-led 7 October terrorist attack, and found himself dancing next to Rick Doblin – the US’s most prominent advocate for psychedelic drugs.As hundreds of burners shuffled their sandy feet to psytrance music, Gracias started up a conversation. He had a piece of business advice.Doblin, 71 with an avuncular smile and tranquil, confident demeanor, is the founder of the Multidisciplinary Association for Psychedelic Studies (Maps), and has spent decades trying to legalize drugs such as MDMA, commonly known as ecstasy, for use in the treatment of trauma.Once mostly viewed as a party drug, medical researchers and advocates have seen promising results when using MDMA as a therapy aid. Gracias is a believer. He gave Maps $1m in 2020 and poured another $16m into funding psychedelics research at Harvard in 2023. Although his usual billionaire-casual attire would look more at home on Shark Tank than at a rave, he is part of a growing movement among Silicon Valley’s right wing that has become enamored with the potential – both therapeutic and commercial – of consciousness-altering drugs.Earlier that year, the pharmaceutical arm of Maps, a for-profit public benefit corporation called Lykos Therapeutics, had raised $100m as it awaited a Food and Drug Administration (FDA) decision on whether to allow MDMA for psychotherapy treatment of post-traumatic stress disorder (PTSD). Approval could turn Lykos into a multibillion-dollar pharma enterprise with exclusive US rights to sell the drug for therapeutic use for a period of six years.View image in fullscreenA few weeks before Burning Man, however, the FDA rejected the application over concerns about inadequate trial data. Doblin announced that he was exiting Lykos’s board, and the company laid off 75% of its staff. The business was in turmoil.On the playa – according to Doblin’s recounting of events – Gracias told him that the FDA’s rejection wasn’t his fault and blamed the company’s other leaders for the failure. Let Lykos go bust and start again with a clean slate, Gracias advised, before the two men parted ways in the desert.Weeks after their dancefloor meeting, Doblin reached out to Gracias with a proposition. The investors and board of Lykos were not going to let the company go bankrupt. Would Gracias consider launching a takeover bid and seizing operational control?As they corresponded about a potential plan, Doblin put Gracias in contact with the British hedge fund billionaire Christopher Hohn. By January, just before Gracias joined Doge, Gracias and Hohn were working on a takeover of Lykos.At the end of May, Lykos confirmed in a brief statement on its website that foundations owned by Gracias and Hohn had led a $50m Series B funding round that recapitalized the business. The sparse post included few details of the deal, and years of previous news releases from Lykos no longer appeared on the company’s website. In the following weeks, Lykos appointed a new CEO and chief medical officer and remade the board of directors. Gracias and Hohn are now in control of the most prominent MDMA therapy company in the US. Gracias, Doblin said, is taking a hands-on role in its operations.“It was the magic of Burning Man,” Doblin said. “I was sort of looking for a white knight that would come in and would be more focused on healing and on public benefit.”Gracias’s new leadership of Lykos comes at a pivotal moment for psychedelics treatment in the US. Top Trump administration health officials, such as the secretary for health and human services, Robert F Kennedy Jr, have said they are open to accelerating the use of psychedelic therapy while wealthy tech backers have moved to solidify control over the industry.But the takeover also highlights the ethical questions posed by Doge, even as its prominent leader, Musk, has left the government. Doge staffers like Gracias have received unprecedented access to US agencies, including their processes and staff. There have been few guardrails on their work, or the ways they leverage that access in their non-governmental lives. Just a few months ago, it was hard to imagine that an active government employee at an agency embedded across the government would assume control over a pharmaceutical company seeking FDA approval.“Maps and Gracias are going to try to seize the moment that we’re in,” said Ifetayo Harvey, a former Maps employee and executive director of the People of Color Psychedelic Collective. “I think the aim is to get MDMA-assisted psychotherapy approved by the FDA by any means necessary.”The Guardian reached out to Gracias via Lykos and his private equity firm with an interview request, a request for comment and a detailed list of questions. Neither Lykos nor the firm responded.Of drugs and DogeIn late July, a group of workers from the Service Employees International Union, the largest healthcare union in the US, marched down West Washington Boulevard in Chicago. They gathered outside the Valor Equity Partners investment firm, where Gracias is founder and CEO, to protest about his work with Doge, and what they see as its attacks on social security. At the front of the march, two demonstrators carried a banner with a message painted in bold white letters: “Antonio Gracias we will not forget your cruelty.”While Gracias was gaining control of Lykos, he had also been engaged in another power play, as a member of Doge, which shortly after Donald Trump’s inauguration had begun gutting federal agencies and seizing control over government databases.Gracias arrived at Doge as a longtime friend and business associate of Musk, with a relationship going back more than two decades. He was an early investor in Tesla through Valor Equity Partners, and was on the board of the automaker from 2007 until 2021. He still serves on the board of SpaceX, Musk’s rocket company, and is an investor in Neuralink, Musk’s brain chip venture. Valor has reportedly been in talks with lenders to raise $12bn for Musk’s xAI artificial intelligence firm. During Musk’s takeover and gutting of Twitter in 2022, Gracias acted as a mix of enforcer and proxy who tersely communicated Musk’s dictates to staff, according to the book Character Limit. Last year, he also contributed $1m to Musk’s America Pac effort to re-elect Trump.View image in fullscreenGracias and Musk’s ties go beyond business. The two men have gone on multiple personal and family vacations together, including a trip to the magician David Copperfield’s Bahamas island, according to a deposition Gracias gave in a 2023 court case. They have spent Christmas and other holidays together, and Gracias was a groomsman at the wedding of Musk’s brother Kimbal.Gracias and Musk have also taken illegal drugs together, witnesses told the Wall Street Journal. Multiple news outlets have reported that Musk has himself used MDMA and psilocybin mushrooms, as well as recreationally used ketamine. Musk has stated that he has used prescription ketamine to treat depression, and has vehemently denied reports of drug use impairing his abilities.As one of Musk’s most prominent staffers at Doge, Gracias began working at the Social Security Administration (SSA) and led a taskforce that involved accessing immigration data at the Department of Homeland Security. He appeared on stage alongside Musk in March to present misleading claims about immigrants and public benefits, and then in April on the All-In podcast promoted the conspiracy theory that Democrats were attempting to “import voters”, a favorite theory of Musk’s.Gracias claimed during his media appearances to be rooting out corruption at the SSA and specifically touted his efforts to uncover proof of immigrants illegally voting en masse. Yet the cases Gracias cited were hardly indicative of widespread malicious voter fraud, experts told NPR, such as a recently immigrated Ukrainian mother and daughter who told investigators they simply didn’t know they couldn’t vote.Gracias remained with Doge even after Musk’s very public breakup with Trump, with Politico reporting that he regularly visited the White House to meet with top officials such as the deputy chief of staff, Stephen Miller.Double-dipping with DogeGracias’s time in government ended in July, after his presence at Doge caught the attention of the AFL-CIO, the nation’s largest federation of unions. An AFL-CIO report in June raised questions about Gracias’s fiduciary responsibilities as CEO of Valor as the private equity firm manages retirement plans for public employees such as teachers and municipal workers.“We noted Antonio Gracias appeared to be moonlighting for Doge when he’s supposed to be running Valor for the benefit of those pension plans,” said Brandon Rees, deputy director of corporations and capital markets for the AFL-CIO.The report cited flight records, which the Guardian has viewed, that showed Valor’s private jet made 23 trips from the Washington DC region between January and April – suggesting Gracias was spending a large amount of time at Doge. In late July, the American Federation of Teachers sent a letter to nine public pension funds asking them to review the union’s investments with Valor, worth about $1.8bn.One week later, Gracias announced in a lengthy statement on X that he had already resigned from Doge on 4 July and denied claims he had abandoned his responsibilities.“I hope this is a moment where our compassion can be stronger than our anger,” he wrote.Valor Equity Partners did not respond to requests for comment on this article and a detailed set of questions.The pension fund controversy highlighted the ethical gray areas that Doge created, as some of its top staffers chose to pull double duty between public and private work. While Doge claimed to function with transparency, it has made public only a partial explanation of how its staffers accessed and used government data, as well as how their work may have informed their own future business endeavors. Doge’s broad mandate to reshape federal agencies allowed it to operate akin to a parallel government with little oversight or disclosure about its activities, ethics watchdogs and labor groups allege, and created larger concerns about what might constitute conflicts of interest for its staffers.“With the lack of transparency, it leaves us really grasping at what it even means to be Doge,” said Faith Williams, a policy director at the Project on Government Oversight, a non-profit watchdog group. “We have seen so many, if not outright conflicts of interest then potential for conflicts of interest, and if not outright corruption, potential for corruption.”That hazy dynamic raises questions about Gracias’s new leadership of Lykos, according to ethics experts, and what it might mean for a former Doge member to now be seeking regulatory approval. Although Gracias worked primarily with the SSA, Doge’s staffers have also been embedded in the FDA and fired employees reviewing clinical trials for Musk’s Neuralink.Government ethics rules generally prohibit federal employees from representing private enterprises to agencies while working in government. There are also rules limiting how former employees can represent private interests even after they have left the government, in an effort to prevent workers from trying to seek favor for a future regulatory decision.“You can’t be greasing the wheels and then say, ‘OK, now I’m going to quit and go pursue that approval,’” said Cynthia Brown, senior ethics counsel at the non-profit watchdog group Citizens for Responsibility and Ethics in Washington.Doblin denied that Gracias’s role at Doge posed any conflict of interest, saying that the billionaire did not work with the FDA. Lykos did not respond to questions related to Gracias’s work at Doge.Ecstatic expectations – dashedBefore the FDA rejected Lykos’s application, the psychedelics world had been riding high, anticipating that MDMA would soon be approved and behind it a slew of other treatments. Venture capitalists, politicians and wellness-minded celebrities had descended on the industry with a fervor, attending events such as Maps’ annual psychedelics conference in Denver, Colorado, in droves. Recent years featured speakers including future NFL hall of fame quarterback Aaron Rodgers, former Texas governor Rick Perry and former senator Kyrsten Sinema.View image in fullscreenThe 2024 application was the zenith of Doblin’s four-decade campaign to legalize MDMA for therapy purposes, part of his goal to reach “net zero trauma by 2070”. He founded Maps in 1986 on the premise that psychedelic drugs, which the US has long designated as illegal schedule 1 substances with a high potential for abuse, could have beneficial therapeutic uses and had been unfairly vilified, much like cannabis. The idea has gained significant scientific support, with preliminary evidence from studies showing that MDMA therapy can reduce PTSD symptoms.Doblin has also suggested more grandiose and outre uses for MDMA therapy, such as conflict resolution between Israelis and Palestinians. Maps has meanwhile trained therapists in a wide range of countries, including conflict zones such as Ukraine, on how to conduct therapy with the drug.As Doblin sought out funding and support for Maps and Lykos over the past decade, former employees say he began looking to broader circles of investors. They included advocates for military veterans interested in treating PTSD, big names in corporate finance and, controversially, the Republican donor Rebekah Mercer.One method was to court investors with invitations to parties where drugs were being used, according to Harvey, the former Maps employee.“Definitely part of their fundraising strategy is ‘Meet rich people at Burning Man, do psychedelics with them and get Maps money,’” Harvey, who was Doblin’s executive assistant in 2015, said.Maps denied that it used drugs to as a means of drumming up investment.“MAPS conducts all fundraising activities with the highest integrity and maintains strict ethical boundaries in all donor relationships and fundraising activities. MAPS does not supply controlled substances at any events or gatherings, nor do we use substances as a fundraising tool or strategy,” Maps said in a statement.Doblin also told Business Insider last year that giving drugs to donors was “not common”.Psilocybin ValleyGracias’s takeover of Lykos adds to a constellation of venture capitalists and tech world elites who have invested heavily in psychedelics. Another major player alongside Lykos is Atai Life Sciences, which is testing a synthetic version of a drug secreted by a species of toad, and is backed by Peter Thiel’s VC firm.While the juxtaposition of investors known for companies such as Palantir or initiatives like Doge may seem incongruous with the wellness world’s pronouncements about psychedelics, it is actually a culmination of a symbiotic relationship that stretches back to at least the 1970s.“There’s been decades and decades of overlap between Silicon Valley and psychedelics,” said Brad Burge, founder of psychedelics PR firm Integration Communications and a former Maps marketing director. “It’s just new in this epoch to be seeing this level of funding from highly public people.”Gracias is not even the only member of Doge with ties to the psychedelics industry. Before joining the agency, Alexandra Beynon worked as head of engineering for her husband’s at-home ketamine therapy company Mindbloom. Dylan Beynon, who founded the company, posted on X that he had previously met with Gracias to talk about an investment with Mindbloom, although no partnership materialized.Nor is Gracias the only member of Musk’s orbit to have donated to Maps. The former Tesla and SpaceX board member Steve Jurvetson, who the Wall Street Journal reported attended parties and consumed drugs with Musk, has also donated $2.6m to Maps through a non-profit he founded with his wife. In 2012, the non-profit organization that Musk founded with his brother Kimbal also directly donated $10,000 to Maps. The money went to funding the Temple of Whollyness at Burning Man, a complex wooden art sculpture that tech money helped build before it was ceremoniously burned down.A bump from TrumpGracias’s takeover of Lykos comes at a fortuitous time for the psychedelics industry, with the Trump administration and Republican lawmakers embracing alternative drugs as part of the “Make America healthy again” movement. Although the Biden administration was also open to the use of psychedelics therapy, experts say, some top Trump health officials have gone further, calling for accelerating and re-evaluating the FDA review process.“This line of therapeutics has tremendous advantage if given in a clinical setting, and we are working very hard to make sure that that happens within 12 months,” Kennedy said during a House committee meeting in late June, adding that the FDA commissioner, Marty Makary, agreed that psychedelics were a promising treatment.Trump’s pick for surgeon general, Casey Means, has praised using psilocybin mushrooms for therapy as one of the most meaningful experiences of her life, much like Steve Jobs. Her brother Calley Means, one of Kennedy’s top advisers, meanwhile told Politico in June that the Republican party had become the “party of psychedelics research”.The new administration’s outlook is potentially good news for Lykos, which is still recovering after the FDA ruled that the clinical trials it published in 2021 and 2023 suffered from bias issues and did not meet standards. One concern from those reviewing the studies was the difficulty of a double-blind test, since it was obvious to participants who got MDMA and who did not.The FDA’s ruling required Lykos to conduct another phase 3 clinical trial, probably a years-long endeavor that could cost millions. The company sought to contest the findings, while some advocates, including Doblin, blamed the anti-corporate psychedelics group Psymposia, accusing it of influencing the FDA against approval. Psymposia denied it was the sole reason for the FDA rejection.“The FDA rejected Lykos for flawed science, not because of Psymposia, and the public still deserves better than pseudoscientific therapy,” Psymposia said in a statement. “Gracias’ willingness to back a company rejected for safety failures while pushing disinformation at Doge suggests a consistent disregard for facts in pursuit of profit.”Other researchers took a middle ground, believing that while MDMA therapy showed promise, it wasn’t ready for prime time.“It’s very possible that MDMA is a safe and effective treatment under the right conditions,” said Mason Marks, lead of the Project on Psychedelics Law and Regulation at Harvard Law School’s Petrie-Flom Center. “But I don’t think that was demonstrated adequately by the data, and there were a lot of question marks.”While Trump health officials project optimism, there is also wariness within the psychedelics industry that the new administration’s support for psychedelics therapy could risk politicizing the drugs or lead to a loosened scientific review of their safety and efficacy. Such a result could end up setting back the industry in the long run, some advocates argue.“If it’s politicized in that way, then what happens in the future when we have a differently politicized administration?” said Burge. “Are they going to be able to roll that back and cite that there wasn’t sufficient evidence, and that psychedelic therapies were only approved because this particular administration felt like doing so?”There’s little that would prevent the FDA under Kennedy and its new commissioner Makary from reversing the agency’s ruling against Lykos, Marks said. The FDA is not bound by its previous decision and has the power to request a less stringent follow-up trial, throw out its decision altogether or authorize a substance for emergency use. In June, the FDA also announced a Commissioner’s National Priority Voucher program that would allow qualifying drug developers to shorten the agency’s review time from 10 to 12 months to one to two months.“I can’t really speak on the negotiations with the FDA,” Doblin said. “I hope that instead of a phase 3 study that the FDA may determine, I believe, that the data we gathered was valid.”Any rollback of the ruling, even a partial one, could carry extraordinary benefits for Lykos and Gracias. More