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    How Will Trump’s Covid Contrarians Handle the Next Pandemic?

    President-elect Donald J. Trump had already succeeded in rattling the nation’s public health and biomedical establishment by the time he announced on Tuesday that he had picked Dr. Jay Bhattacharya to run the National Institutes of Health. But amid growing fears of a deadly bird flu pandemic, perhaps no one was more rattled than experts in infectious disease.Dr. Bhattacharya, a Stanford University medical economist and outspoken opponent of lockdowns, masking, school closures and other Covid-19 mitigation measures, and Mr. Trump’s other health picks have one thing in common. They are all considered Covid contrarians whose views raise questions about how they would handle an infectious disease crisis.Robert F. Kennedy Jr., Mr. Trump’s choice for health secretary, has said he wants the N.I.H. to focus on chronic disease and “give infectious disease a break for about eight years.” Dr. Martin Makary, the president-elect’s choice to run the Food and Drug Administration, incorrectly predicted in 2021 that the nation was “racing toward an extremely low level of infection.”Dr. David Weldon, a Republican former congressman who is Mr. Trump’s choice to lead the Centers for Disease Control and Prevention, has espoused the debunked theory that thimerosal, a mercury compound in certain vaccines, causes autism. As a congressman, he introduced legislation that would strip the C.D.C. of its role in ensuring vaccine safety, saying the agency had a “conflict of interest” because it also promotes vaccination.And Dr. Mehmet Oz, the talk show host who has been picked by Mr. Trump to run Medicare and Medicaid, prodded officials in the first Trump administration to give emergency authorization for the malaria drug hydroxychloroquine to treat Covid-19. The F.D.A. later revoked the authorization when studies showed the drug carried risks, including serious heart issues, to coronavirus patients.Robert F. Kennedy Jr. has said he wants to focus on chronic diseases rather than infectious diseases as head of the Department of Health and Human Services. Haiyun Jiang for The New York TimesWe are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Trump Picks Stanford Physician Dr. Jay Bhattacharya to Head N.I.H.

    President-elect Donald J. Trump said on Tuesday evening that he had selected Dr. Jay Bhattacharya, a Stanford physician and economist whose authorship of an anti-lockdown treatise during the coronavirus pandemic made him a central figure in a bitter public health debate, to be the director of the National Institutes of Health.“Together, Jay and RFK Jr. will restore the NIH to a Gold Standard of Medical Research as they examine the underlying causes of, and solutions to, America’s biggest health challenges, including our Crisis of Chronic Illness and Disease,” Mr. Trump wrote on social media, referring to Robert F. Kennedy Jr., his choice to lead the N.I.H.’s parent agency, the Department of Health and Human Services.If confirmed by the Senate, Dr. Bhattacharya would lead the world’s premier medical research agency, with a $48 billion budget and 27 separate institutes and centers, each with its own research agenda, focusing on different diseases like cancer and heart disease.Dr. Bhattacharya is the latest in a series of Trump health picks who came to prominence during the coronavirus pandemic and who hold views on medicine and public health that are at times outside the mainstream. The president-elect’s health choices, experts agree, suggest a shake-up is coming to the nation’s public health and biomedical establishment.Dr. Bhattacharya is one of three lead authors of the Great Barrington Declaration, a manifesto issued in 2020 that contended that the virus should be allowed to spread among young healthy people who were “at minimal risk of death” and could thus develop natural immunity, while prevention efforts were targeted to older people and the vulnerable.Through a connection with a Stanford colleague, Dr. Scott Atlas, who was advising Mr. Trump during his first term, Dr. Bhattacharya presented his views to Alex M. Azar II, Mr. Trump’s health secretary. The condemnation from the public health establishment was swift. Dr. Bhattacharya and his fellow authors were promptly dismissed as cranks whose “fringe” policy prescriptions would lead to millions of unnecessary deaths.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Trump’s Choices for Health Agencies Suggest a Shake-Up Is Coming

    The picks to oversee public health have all pushed back against Covid policies or supported ideas that are outside the medical mainstream.A longtime leader of the anti-vaccine movement. A highly credentialed surgeon. A seven-term Florida congressman. A Fox News contributor with her own line of vitamins.President-elect Donald J. Trump’s eclectic roster of figures to lead federal health agencies is almost complete — and with it, his vision for a sweeping overhaul is coming into focus.Mr. Trump’s choices have varying backgrounds and public health views. But they have all pushed back against Covid policies or supported ideas that are outside the medical mainstream, including an opposition to vaccines. Together, they are a clear repudiation of business as usual.“What they’re saying when they make these appointments is that we don’t trust the people who are there,” said Dr. Paul Offit, director of the Vaccine Education Center at Children’s Hospital of Philadelphia and an adviser to the Food and Drug Administration.Some doctors and scientists are bracing themselves for the gutting of public health agencies, a loss of scientific expertise and the injection of politics into realms once reserved for academics. The result, they fear, could be worse health outcomes, more preventable deaths and a reduced ability to respond to looming health threats, like the next pandemic. “I’m very, very worried about the way that this all plays out,” Dr. Offit said.But other experts who expressed concerns about anti-vaccine views at the helms of the nation’s health agencies said that some elements of the picks’ unorthodox approaches were welcomed. After a pandemic that closed schools across the country and killed more than one million Americans, many people have lost faith in science and medicine, surveys show. And even some prominent public health experts were critical of the agencies’ Covid missteps and muddled messaging on masks and testing.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Owners of Colorado Funeral Home Admit to Abusing Nearly 200 Corpses

    Jon and Carie Hallford pleaded guilty to corpse abuse after dozens of decaying bodies were found at their funeral home.A couple who owned a funeral home at two locations in Colorado pleaded guilty on Friday to multiple counts of corpse abuse, more than a year after 191 bodies were found decaying at their businesses in a horrific scene, the authorities said.The couple, Jon and Carie Hallford, operated the Return to Nature Funeral Home in Colorado Springs and Penrose, Colo.They agreed to facing 15 to 20 years in prison after they each pleaded guilty in El Paso County Court to 191 felony counts of abuse of a corpse, Michael Allen, the district attorney for the 4th Judicial District of Colorado, said at a news conference.The Hallfords are scheduled to be sentenced in April.Return to Nature advertised to families that their loved ones would be given green burials that included the use of biodegradable caskets, baskets or shrouds.But when a foul odor led investigators to the Penrose location, they found at least 190 improperly stored corpses at the Hallfords’ funeral home in Penrose and Colorado Springs in October last year. They were arrested in November.“The impact on these family members has been immense,” Mr. Allen said.He added that the Hallfords deceived grieving families and that “having somebody violate that trust is something that they’ll likely never recover from.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Dr Martin Makary Chosen to Head the FDA

    President-elect Donald J. Trump announced on Friday that he would nominate Dr. Martin A. Makary, a Johns Hopkins University surgeon with a contrarian streak, to be commissioner of the Food and Drug Administration.In a post on social media, Mr. Trump said: “F.D.A. has lost the trust of Americans and lost sight of its primary goal as a regulator.” He said that Dr. Makary would work under Robert F. Kennedy Jr., the president-elect’s choice for the cabinet-level role as health secretary, to “properly evaluate harmful chemicals poisoning our nation’s food supply and drugs.”“I am confident that Dr. Makary, having dedicated his career to high-quality, lower-cost care will restore the F.D.A. to the gold standard of scientific research and cut the bureaucratic red tape at the agency to make sure Americans get the medical cures and treatments they deserve,” Mr. Trump said in a statement.Mr. Trump announced two other top health picks on Friday evening as well. He chose Dr. Dave Weldon, a physician and former congressman from Florida, to lead the Centers for Disease Control and Prevention.For years, Dr. Weldon championed the notion that thimerosal, a preservative once used widely in vaccines, caused an explosion of autism cases around the world. In 2007, he backed a bill proposing to take vaccine safety research out of the hands of the C.D.C. Health officials reject the idea that research shows any link between thimerosal and autism.Mr. Trump also put forward Dr. Janette Nesheiwat, a physician and Fox News contributor, to be surgeon general. She worked caring for patients after Hurricane Katrina, an announcement from Mr. Trump said, and on the front lines of the Covid pandemic in New York City. She also markets vitamin B and vitamin C dietary supplements.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Donald Trump Is Already Starting to Fail

    That was quick.Donald Trump is planting the seeds of his own political demise. The corrupt, incompetent and extremist men and women he’s appointing to many of the most critical posts in his cabinet are direct threats to the well-being of the country, but they’re also political threats to Trump and to his populist allies.To understand why, it’s important to remember a cardinal reality about Trump’s political career. He has now won two general elections when he was the only alternative to an unsatisfactory status quo, and he lost the one when he was the unsatisfactory status quo. If he can’t govern well, his populist partisan realignment will come apart before it can truly begin.One of the most maddening aspects of the 2024 election is the extent to which so many voters viewed Trump as a mostly normal political candidate. MAGA Republicans see Trump as a singular figure, but an immense number of voters thought the talk about Trump was overheated, in both directions.If you’re like most Americans and don’t follow the news closely, it’s easy to see why you would see Trump in more conventional terms. A Politico analysis of the Trump campaign’s ads showed that “the single most-aired ad from his campaign since the start of October is all about inflation, Medicare and Social Security — arguing that” Kamala Harris “will make seniors already struggling with high prices ‘pay more Social Security taxes,’ while unauthorized’ immigrants receive benefits.”That is a normal, conventional political message. Trump’s ads attacking Harris’s past support for taxpayer-funded transition surgery for people in prison and immigration detention were also an appeal to the mainstream, an effort to label Harris as extreme.One of the challenging realities of American politics is that while vast numbers of Americans participate in presidential elections, only small minorities of voters actually stay engaged. And the priorities of the two groups are not the same, far from it.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Jared Polis Wants to Win Back the Hippies

    It’s such a bother when politicians have to go and complicate your clean narrative about why they’re succeeding.Last week, I spoke to Jared Polis, the Democratic governor of Colorado. Polis’s state was, if not a bright spot for Democrats, a less-dark one. In New York, Democrats lost 11 points off their 2020 margin; in New Jersey, 10 points; in Massachusetts, nine and a half points; in California, nine points (though votes are still being counted); in Illinois, seven points. In Colorado, the difference was two and a half points. What is Polis, who won re-election in 2022 by a 19-point margin, doing right?One answer — and this, to be honest, was the answer I’d gone looking for — is focusing relentlessly on the cost of living. “You can’t just do one policy and expect, somehow, people will know it,” Polis told me. “But they generally understand the drumbeat of 30, 40 things you’re doing, each of which reduces costs in a different way. And so that’s been our strategy: to flood the zone with this work to reduce costs.”Polis points with pride to his successful efforts to expand pre-K and kindergarten and get a public insurance option onto the Colorado health exchanges — but also to his rejection of proposals to add benefits that would drive up costs. He’s happy to brag about reducing the tax rate for both businesses and individuals, walking me through every decimal-point reduction he achieved, and the many bills he’s signed to make it easier to build homes.“When you say something a lot, it means you generally believe it,” Polis said. “So here’s a line I often use: We want the best solutions from the left and the right to save people money.”But during our conversation, and in the days after, another answer emerged — and for Democrats this one is a little more challenging. Polis is a dissenter from the trends that swept through Democratic governance during the pandemic. He was unusual among Democratic governors for the emphasis he put on both personal responsibility and personal liberty. Colorado opened early, sparking a tourism boom, and Polis tried to rely more on information than compulsion.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    How Robert F. Kennedy Jr. Could Destroy One of Civilization’s Best Achievements

    Even among the chaos generated by Donald Trump’s recent cabinet picks, one stands out for the extensive suffering and lasting institutional damage it may cause: his choice of Robert F. Kennedy Jr. to lead the Health and Human Services Department.Modern public health is one of civilization’s great achievements. In 1900, up to 30 percent of infants in some U.S. cities never made it to their first birthday. Since that time, vaccines, sanitation and effective medications have eliminated many previously commonplace illnesses and consigned others to extreme rarity. It’s easy to take much of that for granted, especially as those days have receded from living memory, but those achievements are fragile and can be lost.The danger isn’t merely that Kennedy — who has almost no experience in government or large-scale administration, and who has shown a sometimes breathtakingly loose connection to the truth — would be incompetent or misleading. At the helm of a department with over 80,000 employees and a $3 trillion budget, one that oversees key agencies such as the Centers for Disease Control and Prevention, the Food and Drug Administration and the National Institutes of Health, he would have control over the nation’s medicines, food safety, vaccines and medical research. With that power he could inflict significant harm to the public health system — and to the public trust that would be needed to rebuild it once he’s gone.Kennedy has brought attention to some worthwhile public health concerns, such as the downsides of ultraprocessed foods and the value of exercise. But beyond those reasonable issues, he has filled the internet and the airwaves with views on vaccines, food safety, medicines and supplements that are a mix of grave misrepresentations and far-fetched conspiracies.His opposition to vaccines has attracted the most attention. He doesn’t say just that they merit closer scrutiny, as some “vaccine skeptics” claim. Last year he told a podcaster that “there’s no vaccine that is, you know, safe and effective.” When it later became expedient, he denied that he had ever said such a thing. The truth is that he has long promoted the lie that vaccines cause autism, and the extravagantly false claim that “researchers have done very little to study the health” of children after they get shots for once-common diseases.Outside of the medical community, few people still know about all the diseases whose safe and effective vaccines he is lying about, so let me remind you about one of them: diphtheria. Once known as “the strangling angel of children,” it causes its young victims to slowly and painfully suffocate, turn blue and gasp as a thick film fills their throat. They lie dying for many agonizing days. The disease has been all but wiped out, but in Spain a few years ago, it cost the life of an unvaccinated boy of 6. His distraught antivax parents promptly vaccinated their surviving child.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More