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

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      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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      Trump Picks Brooke Rollins, a Conservative Lawyer, to Lead Agriculture Dept.

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      President-elect Donald J. Trump on Saturday chose Brooke Rollins, his former White House domestic policy adviser, to helm the Agriculture Department, whose wide-ranging purview includes supporting farmers who grow the nation’s two biggest crops, corn and soybeans, and setting the nutrition standards in school cafeterias across the nation.Ms. Rollins, a conservative lawyer, was considered for Mr. Trump’s chief of staff, but ultimately lost to Susie Wiles, his campaign manager. She is the chief executive of the America First Policy Institute, a prominent think tank founded in 2021 to promote Mr. Trump’s agenda and staffed with many who worked in the first Trump administration.“Brooke’s commitment to support the American farmer, defense of American food self-sufficiency and the restoration of agriculture-dependent American small towns is second to none,” Mr. Trump wrote on social media, in announcing his selection.Before her tenure in the White House, Ms. Rollins served as president of the conservative Texas Public Policy Foundation, an influential nonprofit that has worked to push public funding to private schools, increase the role of Christianity in civic life and heavily promote fossil fuels.Ms. Rollins hails from Glen Rose, Texas, and is a former member of National FFA Organization, which promotes agricultural education for youth, and 4-H, a youth development organization. She studied agricultural development at Texas A&M University and said of her career in a recent video recorded for Ag Women Connect: “It all started in agriculture.”If confirmed, Ms. Rollins would oversee an agency with an annual budget of more than $200 billion and nearly 100,000 employees. The department, responsible for promoting, subsidizing and regulating the nation’s agriculture sector, has a sprawling portfolio. It also administers most federal food assistance programs, supports rural development in part by providing electricity to the most isolated areas of the country, and manages nearly 200 million acres of national forests and grasslands.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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      Florida Surgeon General Urges End to Fluoride in Water, Backing RFK Jr.’s Push

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      Florida’s surgeon general issued guidance on Friday that called for a halt to adding fluoride to the water supply, backing a similar push by Robert F. Kennedy Jr. — President-elect Donald J. Trump’s pick to lead the Department of Health and Human Services.Dr. Joseph A. Ladapo, who was appointed by Gov. Ron DeSantis, a Republican, cited recent research that highlighted the potential risk of heightened exposure to the chemical — including lower I.Q.s in children. Health experts agree that excessive exposure to fluoride over a long period of time can cause health problems, but the Centers for Disease Control and Prevention and the American Dental Association say that fluoridated water does not pose any of these risks at the level currently recommended by the Environmental Protection Agency.“Due to the neuropsychiatric risk associated with fluoride exposure,” Dr. Ladapo’s guidance said, “particularly in pregnant women and children, and the wide availability of alternative sources of fluoride for dental health, the State Surgeon General recommends against community water fluoridation.”Dr. Ladapo has played a prominent role in Mr. DeSantis’s administration, often supporting the governor in political fights over pandemic-era health policy. More recently, Dr. Ladapo called for a halt to the use of Covid vaccines earlier this year, citing widely debunked concerns about contaminants in the vaccine.He also contradicted widespread medical guidance about the spread of measles, sending a letter to parents after an outbreak of the disease at an elementary school that said it was up to parents and guardians to determine when their children can attend school, even if those children have not been vaccinated for measles.The guidance on fluoridation in Florida follows heightened attention on the issue after recent statements by Mr. Kennedy, an environmental lawyer who has no medical or public health degrees, and Mr. Trump. Mr. Kennedy declared on social media this month that, as president, Mr. Trump would advise communities to stop adding fluoride to drinking water. Mr. Kennedy described the chemical as “an industrial waste associated with arthritis, bone fractures, bone cancer, IQ loss, neurodevelopmental disorders and thyroid disease.”In a recent interview with NBC News, Mr. Trump said the idea of doing away with fluoridation “sounds OK to me.”Sheryl Gay Stolberg More

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      Candidatos anteriores se vieron perjudicados por menos de lo que rodea a los elegidos de Donald Trump

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      Impuestos atrasados, consumo de marihuana y niñeras indocumentadas descalificaron a anteriores elecciones presidenciales para altos cargos. Algunos de los candidatos del presidente electo enfrentan mayores cuestionamientos.Un aspirante a la Corte Suprema se retiró tras revelarse que había fumado marihuana en su juventud. Dos candidatos a fiscal general fueron eliminados cuando salió a la luz que habían empleado a inmigrantes indocumentadas como niñeras. Un tercer candidato al gabinete —nada menos que un exlíder del Senado— fue rechazado por no pagar impuestos sobre un automóvil y un chofer que le había prestado un socio. Incluso unos tuits malintencionados bastaron para hundir a un candidato.Los problemas legales y éticos que rodean a algunas de las personas seleccionadas por el presidente electo Donald Trump para ocupar altos cargos en el gobierno, por no hablar de su historial de declaraciones públicas que levantan cejas, son mucho más profundos que el tipo de revelaciones que han acabado con candidaturas en el Senado en el pasado.Lo que antes se consideraba descalificante para un candidato presidencial parece francamente benigno en comparación con las acusaciones de conducta sexual inapropiada y consumo de drogas ilícitas por parte de su candidato a fiscal general, detalladas en un informe secreto del Congreso, una acusación de agresión sexual seguida de un acuerdo pagado por su elección para dirigir el Pentágono y una antigua adicción a la heroína reconocida por el futuro secretario de salud.No hace tanto tiempo que los candidatos a puestos de alto nivel, e incluso algunos de los menos conocidos, tenían que ser irreprochables, hasta el punto de que una cuestión fiscal relativamente menor podía hacerlos fracasar. Pero es evidente que los tiempos están cambiando en lo que respecta a los nombramientos en los albores del segundo gobierno de Trump.“Los estándares aparentemente están evolucionando”, dijo el senador John Cornyn, republicano por Texas y miembro principal del Comité Judicial. El panel consideraría la nominación del exrepresentante Matt Gaetz, republicano de Florida, para fiscal general si se presenta formalmente.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

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      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

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      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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      Trump’s Cabinet Picks, Panned in Washington, Thrill Many of His Voters

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      Where Donald J. Trump’s critics see underqualified nominees with questionable judgment, his voters described them as mavericks recruited to shake up Washington.To his detractors, President-elect Donald J. Trump’s cabinet looks like a rogues’ gallery of people with dubious credentials and questionable judgment.His supporters see something different.“It’s a masterpiece,’’ Eileen Margolis, 58, who lives in Weston, Fla., and owns a tattoo business, said of Mr. Trump’s cabinet picks unveiled over the past week. “If it was a painting, it would be a Picasso.”A “brilliant alliance,’’ is how Joanne Warwick, 60, a former Democrat from Detroit, described many of the nominees.“It’s pretty much a star cast,’’ said Judy Kanoui of Flat Rock, N.C., a retiree and lifelong Democrat who voted for Mr. Trump for the first time this month.Democrats, and even some Republicans, worry that these nominees for top positions in government are inexperienced, conflicted and potentially reckless. But in interviews with almost two dozen Trump voters around the country, his supporters were more likely to describe them as mavericks and reformers recruited to deliver on Mr. Trump’s promise to shake up Washington.In Robert F. Kennedy Jr., the nominee for health and human services secretary, Mr. Trump’s supporters see a crusader searching for new solutions to chronic illnesses, not a conspiracy theorist promoting questionable and debunked ideas about vaccines and fluoride.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

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      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