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      Mike Pence urges Senate Republicans to reject RFK Jr for US health secretary

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      Mike Pence, the former vice-president, urged Senate Republicans on Friday to reject Donald Trump’s choice of Robert F Kennedy Jr as health secretary – although he cited Kennedy’s support for abortion rights, while other critics are most outraged at his stance against vaccines.Pence’s comments came as public alarm mounted among Democrats and in health circles about Kennedy, while there were bipartisan warnings that another of Trump’s choices, the far-right congressman Matt Gaetz for attorney general, faces “an uphill battle” to win confirmation in the US Senate, despite Republicans winning the majority in the upper congressional chamber.Pence cited his conservative views on abortion for his opposition to Kennedy’s elevation to secretary of health and human services (HHS).“The Trump-Pence administration was unapologetically pro-life for our four years in office. There are hundreds of decisions made at HHS every day that either lead our nation toward a respect for life or away from it, and HHS under our administration always stood for life,” Pence said in a statement released by his conservative non-profit, Advancing American Freedom.“I believe the nomination of RFK Jr to serve as Secretary of HHS is an abrupt departure from the pro-life record of our administration and should be deeply concerning to millions of Pro-Life Americans who have supported the Republican Party and our nominees for decades.”Prominent medical professionals have joined leading Democrats in speaking out against Kennedy, who has embraced a multitude of debunked health-related conspiracy theories, and whose proposed elevation to the government’s top health job represents “a clear and present danger to the nation’s health” and “a catastrophe”, according to some critics.“I think this is an extraordinarily bad choice. He does not plan to lean on evidence and rigorous analysis to make decisions but instead to use his own ideas,” Dr Ashish Jha, Covid-19 coordinator for the Biden White House and dean of Brown University’s School of Public Health, told CNN.Dr Richard Besser, former acting director of the powerful US Centers for Disease Control and Prevention (CDC), told the network that Kennedy’s views criticizing childhood vaccines, including the false claim that they cause autism, were “dangerous”.“Frankly, I find it chilling. He has done so much to undermine the confidence that people have in that incredible intervention,” he said.Trump has been assembling a cabinet for his second term in office, making announcements this week from his residence in Florida, and on Thursday named Kennedy to lead HHS and its associated agencies.He praised the politician, a former independent presidential candidate and outcast from the Democratic Kennedy political dynasty, at a black-tie gala at Mar-a-Lago on Thursday night.“If you like health and if you like people that live a long time, it’s the most important position,” he said. Directly addressing Kennedy, who was in the ballroom of Trump’s Mar-a-Lago residence and private resort club, he added: “We want you to come up with things and ideas, and what you’ve been talking about for a long time.”Democrats were quick to express outrage. The California representative Robert Garcia called it “fucking insane” and described Kennedy as “a tin foil hat conspiracy theorist”.The Massachusetts representative Jake Auchincloss promised to “fight back in Washington to protect the integrity” of federal public health agencies if Kennedy is confirmed by the Senate.“RFK Jr is a conspiracist & quack who threatens the health of Americans. He’s not simply angling for more sunshine & exercise (no one disagrees with that). He seeks to overturn evidence-driven, peer-reviewed research on medicines & more,” Auchincloss posted to X.Shares in several of the world’s biggest pharmaceutical companies and vaccine manufacturers, including Moderna, AstraZeneca and GSK, plummeted on Friday in reaction to the news.Kennedy has previously said “there’s no vaccine that is safe and effective” but told NBC in a post-election interview that he “won’t take away anybody’s vaccines”.skip past newsletter promotionafter newsletter promotionTrump on Thursday nominated a vocal ally of his to be interior secretary – Doug Burgum, the Republican North Dakota governor. The role would put him in charge of national parks and public lands, and he has strong links to the fossil fuel industry, where many companies have strong appetites for government permits to drill and mine on federal land.Republicans will have a majority of at least 53-47 seats in the chamber during the next Congress, but even so, two other of Trump’s picks are already receiving bipartisan pushback: Gaetz and the former Democratic congresswoman turned Republican Tulsi Gabbard, named for director of national intelligence. Former secretary of state Hillary Clinton once described her as a “favorite of the Russians”.Gaetz resigned as a US representative for Florida on Wednesday, in effect suspending the planned release on Friday of a report by the House of Representatives ethics committee into allegations of sexual misconduct, including that he had sex with a 17-year-old girl, which he has denied. His nomination as the nation’s leading law enforcement officer was seen by some as a direct challenge by Trump to the incoming Republican Senate majority to defy his authority.“For me the message to the administration is simply that Matt Gaetz has a very long, steep hill to get across the finish line and it will require the spending of a lot of capital,” North Dakota’s Republican senator Kevin Cramer told the Washington Post.“That ethics report is clearly going to become a part of the record.”On Friday, Joni Ernst, Republican senator for Iowa, also said the report was expected to feature prominently in a confirmation hearing. “We’ll talk about it for certain, but I know he’s going to have an uphill battle [for confirmation],” she told NBC News.Other Republicans demanded the release of the report, including Washington congressman Dan Newhouse and Texas senator John Cornyn.Meanwhile former defense secretary and Republican US senator Chuck Hagel published an opinion piece in the New York Times challenging Trump’s controversial nominee for defense secretary, Pete Hegseth, as a potential “danger” to political independence, good ethics and progress towards equality in the US military. He also questioned the potential for Trump to sidestep Senate confirmations.Trump has signaled he could resort to rare recess appointments, the archaic process allowing a president to install his nominees while Congress is not in session. More

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      With these outrageous appointments, Trump is showing us exactly how he intends to rule | Jonathan Freedland

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      He wasn’t kidding. Donald Trump really does want to rule as an extremist strongman, with contempt for the planet, for America’s allies and for the rule of law. He’s made that crystal clear this week, announcing one bombshell appointment after another, each one a declaration of intent. Few things tell you more about a president than their hires – personnel is policy, as they used to say in Ronald Reagan’s White House – and Trump is telling us exactly who he is.The latest name added to the roster is a storied one: Robert F Kennedy Jr, now lined up for the role of health secretary. You may have known of Bobby Kennedy. Bobby Kennedy may be a hero of yours. But, boy, his son is no Bobby Kennedy. Once an admired environmental campaigner, now he is an anti-vaxxer conspiracy theorist who promotes treatments that don’t work – such as hydroxychloroquine for Covid – and rails against those that do, spreading the long-debunked claim that childhood vaccines are linked to autism and opposing fluoridation of water to prevent tooth decay. Apparently unchastened by the pandemic, Kennedy believes US public health officials have been too focused on infectious diseases. Or as he memorably put it: “We’re going to give infectious disease a break for about eight years.” If deadly pathogens could lick their lips, they would.At least the RFK nod was not a surprise: Trump had long said he wanted to let Kennedy “go wild” with the nation’s health. More of a jawdropper is the new president’s choice for attorney general, the most senior law enforcement officer in the land: Matt Gaetz. For two years, Gaetz was under federal investigation for child sex trafficking and statutory rape. (No charges were brought.) Until this week, his fellow members of the House of Representatives were running their own ethics committee inquiry into Gaetz – handily halted, thanks to his resignation just days before they were about to report – examining, besides the allegations of underage sexual abuse, accusations that he engaged in illicit drug use, displayed to colleagues, on the floor of the House, nude photos and videos of previous sexual partners, converted campaign funds for personal use and accepted gifts banned under congressional rules.Some wonder if naming such a man as head of the US justice department is a diversionary tactic, designed to distract attention from the clutch of other nominations that are scarcely less outrageous, in the hope that those will look reasonable by comparison. In this view, Trump knows that Gaetz will never be attorney general, that his nomination will be blocked in the Senate where, even though the Republicans have a majority, too many will balk. Gaetz is chum, thrown into the water to satisfy the piranhas, so that Trump can quietly ensure his other nominees get through. And what a rum bunch they are.As director of national intelligence, overseeing 18 separate intelligence agencies including the CIA and NSA, Trump has turned to Tulsi Gabbard, a fringe Democratic congresswoman before she defected to the Republicans, best known for meeting Bashar al-Assad while the Syrian dictator was busy slaughtering hundreds of thousands of his own people, and for parroting Kremlin talking points.When Russia invaded Ukraine, Gabbard was swift to blame the west, even repeating the Moscow propaganda line that the US had stationed secret biolabs across Ukraine. One of Vladimir Putin’s mouthpiece TV channels took to referring to Gabbard as Russia’s “girlfriend”. When asked if she was, in fact, a Russian agent, the talking head on the Kremlin-backed network replied: “Yes.” Now consider that at the core of the US relationship with its allies – including Britain – is intelligence-sharing and ask yourself whether the likes of MI6 could in all conscience share what they know with such a person.Her proposed counterpart over at the Pentagon, set to be in charge of the mightiest, richest military in human history, is the weekend host of Fox News’s breakfast show, Pete Hegseth. Admittedly, he served in Iraq and Afghanistan – and as a prison guard in Guantánamo Bay – but Hegseth has never run a whelk stall, let alone one of the world’s biggest organisations, employing close to 3 million people. His rank inexperience would be worrying enough, until you become familiar with what he believes.He’s covered in tattoos, including symbols favoured by the Christian nationalist far right, among them the slogan Deus Vult and the Jerusalem cross, which celebrates the medieval Crusades when Christians earned their spurs slaughtering infidel Muslims and Jews. These days, he backs the ultra-right Jewish fundamentalists who seek to rebuild the ancient temple on Jerusalem’s Temple Mount, the site revered by Muslims as al-Haram al-Sharif, a move so incendiary it’s a byword for triggering holy war.Hegseth will find company in Trump’s choice of ambassador to Israel, former Arkansas governor and evangelical Christian Mike Huckabee. Like Hegseth, Huckabee is against a two-state solution, insists on calling the West Bank by its biblical Hebrew name – Judea and Samaria – and is adamant that “There’s no such thing as an occupation.” In 2008 he said, “there’s really no such thing as a Palestinian”.All of which makes you wonder how those many Arab and Muslim American voters in Michigan and elsewhere, persuaded that Trump had to be a better option for the Palestinians than Kamala Harris, feel now.We’ve barely got to Lee Zeldin, Trump’s choice to head the Environmental Protection Agency, despite having repeatedly voted against clean water and clean air legislation, and having expressed doubts over whether climate breakdown is “as serious a problem” as people say it is. Or to the self-confessed puppy killer who will head the Department of Homeland Security. Or indeed the man who will lead the new department reviewing government contracts, including, in an arrangement open to spectacular corruption, contracts with his own companies: namely, Elon Musk.Still, you get the picture. How, then, to make sense of these choices? Some hope it’s no more than an opening bid by Trump, the arch-negotiator: offer the Senate something obviously unacceptable, then haggle from there. Others wonder if it’s part of a dark, deliberate strategy, by which Trump, the agent of chaos, appoints those who are not so much disruptors as wreckers, men and women who can be relied on to make the agencies they lead collapse in failure. When the federal government is a smoking ruin, then all power will have to reside in the single man at the top.My own view is simpler. At the heart of it is the quality all would-be strongmen value most: loyalty. Trump knows that a character as tawdry as Gaetz, despised by his own colleagues, would owe everything to him. As attorney general, he would do whatever Trump asked, working his way through Trump’s enemies list, prosecuting whoever had crossed his boss, delivering the retribution Trump yearns for.What’s more, Gaetz and the rest are a kind of test, one that Putin deploys often. You push your allies to defend what they know cannot be defended, to make concessions they would once have considered unpalatable. As the analyst Ron Brownstein put it this week, “Each surrender paves the way for the next.” It is, he says, “a cardinal rule of strongman dominance”.So now it is up to the Republicans in the Senate. Will they abase themselves yet further, and nod through this parade of ghouls and charlatans? Or will they at last find their backbone and say no to the would-be autocrat who has taken over their party and now looms over all three branches of the US government? After all we’ve seen these last eight years, what do you think is the answer?

      Jonathan Freedland is a Guardian columnist More

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      RFK Jr condemned as ‘clear and present danger’ after Trump nomination

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      Donald Trump’s nomination of Robert F Kennedy Jr as US secretary of health and human services has prompted widespread criticisms towards Kennedy, an anti-vaccine activist who has embraced a slew of other debunked health-related conspiracy theories.In a Truth Social post on Thursday, Trump claimed that Americans have been “crushed by the industrial food complex and drug companies” and that Kennedy “will restore these Agencies to the traditions of Gold Standard Scientific Research, and beacons of Transparency, to end the Chronic Disease epidemic, and to Make America Great and Healthy Again!”In response to Kennedy’s nomination, Public Citizen, a progressive nonprofit organization focusing on consumer advocacy, said: “Robert F Kennedy Jr is a clear and present danger to the nation’s health. He shouldn’t be allowed in the building at the department of health and human services (HHS), let alone be placed in charge of the nation’s public health agency.”“Donald Trump’s bungling of public health policy during the Covid pandemic cost hundreds of thousands of lives. By appointing Kennedy as his secretary of HHS, Trump is courting another, policy-driven public health catastrophe,” the organization added.Apu Akkad, an infectious disease physician at the University of Southern California, called the announcement a “scary day for public health”.“I’m saying this over and over – but it will be of the utmost importance to ONLY make public health decisions or changes based on robust evidence. I hope we have at least learned this much from Covid,” Akkad added on X.The conservative pundit and lawyer George Conway also commented on Kennedy’s nomination, along with that of Tulsi Gabbard and Matt Gaetz.“Very little of what Trump does these days amazes me. Any one of the last three of Trump’s Cabinet-level picks (Gabbard as DNI, Gaetz as AG, RFK Jr for HHS), standing alone, would arguably have been the worst in American history. The fact that Trump made all three in a span of roughly 24 hours is astonishing,” Conway wrote.California’s Democratic representative Robert Garcia called the nomination “fucking insane”, writing on X: “He’s a vaccine denier and a tin foil hat conspiracy theorist. He will destroy our public health infrastructure and our vaccine distribution systems. This is going to cost lives.”Alastair McAlpine, a pediatric physician at British Columbia’s children’s hospital, wrote: “It is hard to overstate what a terrible decision this is. RFK Jr has no medical training. He is a hardcore anti-vaccine and misinformation peddler. The last time he meddled in a state’s medical affairs (Samoa), 83 children died of measles.”According to FactCheck.org, in 2018, two infants in Samoa died when nurses accidentally prepared the MMR (measles, mumps and rubella) vaccine with an expired muscle relaxant instead of water. Following the infants’ deaths, the Samoan government temporarily suspended the vaccination program.The temporary suspension prompted Kennedy and his anti-vaccine nonprofit Children’s Health Defense to reportedly spread various falsehoods about vaccinations across the island, in turn resulting in a drastic decline in vaccination rates.A year later, a measles outbreak on the island caused by a sick traveler ended up infecting more than 57,000 people and killing 83, including children.In an interview for a documentary, Shot in the Arm, Kennedy said he bears no responsibility for the outcome.On another health issue, Kennedy has said that Trump would push to eliminate fluoride from drinking water, a mineral that strengthens teeth and reduces cavities, according to the Centers for Disease Control and Prevention.Throughout his own independent campaign trail, Kennedy has also touted the effectiveness of raw milk and ivermectin, an anti-parasitic drug that has been disproved as a Covid cure. In addition to health-related conspiracies, Kennedy has admitted to decapitating a beached whale and collecting its head, and to dumping a dead bear cub in New York City’s Central Park a decade ago because he did not have time to skin it and eat it later.Kennedy has also said that he had a worm in his brain which “ate a portion of it and then died” and vowed “to eat five more brain worms and still beat” Trump and Joe Biden in a staged debate earlier this year. More

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      Trump expected to announce RFK Jr as his pick to lead US health department

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      Donald Trump has announced he will nominate former independent presidential candidate Robert F Kennedy Jr as the US secretary of health and human services (HHS) in his administration.Kennedy, an anti-vaccine activist, will be a contentious pick to lead the US health department, and the role will need to be confirmed by the Senate.Trump, in a post on his Truth Social platform on Thursday, claimed Americans have “for too long” been “crushed by the industrial food complex and drug companies who have engaged in deception, misinformation, and disinformation when it comes to Public Health”.“HHS will play a big role in helping ensure that everybody will be protected from harmful chemicals, pollutants, pesticides, pharmaceutical products, and food additives that have contributed to the overwhelming Health Crisis in this Country,” the president-elect wrote. “Mr. Kennedy will restore these Agencies to the traditions of Gold Standard Scientific Research, and beacons of Transparency, to end the Chronic Disease epidemic, and to Make America Great and Healthy Again!”Kennedy had attempted to win the White House himself during the 2024 presidential election but his bid never took off in the polls. After ending his attempt, he eventually endorsed Trump, who promised to put him into an influential position when it comes to health policy.Kennedy became one of Trump’s top surrogates, which came as a surprise to some observers as he is the scion of a famous Democratic dynasty and has had a long history of environmental activism often in causes which Trump will likely do great damage to.skip past newsletter promotionafter newsletter promotionHowever, Kennedy has also become well-known for his anti-vaccine beliefs and embrace of other conspiracy theories around health and wellness issues.His campaign was marked by at times bizarre scandals that ranged from part of his brain had been eaten by a worm to admitting to staging a dead bear corpse in Central Park as the victim of a hit-and-run accident.Kennedy’s nomination to Trump’s government is likely to boost already strong fears that he is keen on appointing extremists and loyalists to his administration rather than experts and technocrats. It follows on jobs for hard-right Stephen Miller on the issue of immigration, Fox News star Pete Hegseth at the Department of Defense and scandal-plagued Maga loyalist Matt Gaetz as attorney general. More

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      Trump White House: after Susie Wiles, who else could be in the cabinet

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      The former US president Donald Trump, due to return to the White House in January, has not yet engaged in formal discussions regarding his new cabinet. Nevertheless, amid his plane journeys, television appearances and rallies, speculation and rumours have swirled around several figures who could find roles in his administration.Confirmed offers of a roleSusie WilesView image in fullscreenConfirmed role: Chief of staffTrump has named Susie Wiles as his White House chief of staff, the first woman to hold the influential role. She was previously the campaign manager for his successful bid for re-election. Although her political views remain somewhat ambiguous, she is seen as having led a successful and streamlined presidential race. Supporters believe she could introduce a level of organisation and discipline that was frequently absent throughout Trump’s first term, marked by a series of changes in the chief of staff role.Expected cabinet picksElon MuskView image in fullscreenPotential role: unspecifiedElon Musk, who turned into a fully fledged cheerleader for Trump and who holds billions in federal contracts, has reportedly sought a role in a second Trump administration in charge of the regulators that oversee him. Trump has appeared to rule out a cabinet role for Musk, but has said he wants the tech billionaire to have some sort of an unspecified role in his administration. The world’s wealthiest person has proposed the establishment of a Department of Government Efficiency.Robert F Kennedy JrView image in fullscreenPotential role: unspecifiedRobert F Kennedy Jr, the son of the assassinated Bobby Kennedy and nephew of JFK, whose independent campaign for president has at times reached as high as 10% of the vote, strongly believes he has a shot at a role in Trump’s cabinet after he backed the Republican. While senior members of Trump’s campaign have ruled out Kennedy getting a job in the Department of Health, Trump has said he would let him “do what he wants” with women’s healthcare if he makes it to the White House, citing how Kennedy would be able to “go wild” on food and medicines.Doug BurgumView image in fullscreenPotential role: ‘energy tsar’The Financial Times reports that Doug Burgum, governor of North Dakota, is being considered for an “energy tsar” role. The role and its powers have yet to be finalised. However, Trump has called the climate crisis “one of the great scams of all time” and has promised to “drill, baby, drill”. It’s expected any climate or energy secretary would be tasked with rolling back environmental regulations.In 2023, Burgum ran a short-lived campaign for the Republican nomination for president. He went on to become a highly visible, prolific Trump surrogate and advised Trump on energy policy.Mike PompeoView image in fullscreenPotential role: secretary of defenceMike Pompeo, a former CIA director and secretary of state and devoted ally of Trump, chose not to challenge his ex-boss for the Republican nomination. The staunch supporter of Israel and a sworn enemy of Iran is widely considered a key contender for a top role in the new administration, possible as secretary of defence.Richard GrenellView image in fullscreenPotential role: secretary of stateRichard Grenell, an ex-Fox News contributor who is among Trump’s closest foreign policy advisers, is probably in the running for secretary of state or other top foreign policy and national security posts. A former US ambassador to Germany and vocal backer of Trump’s America First credo on the international stage in his first term, he has advocated for setting up an autonomous zone in eastern Ukraine to end the war there, a position Kyiv considers unacceptable.Tom CottonView image in fullscreenPotential role: secretary of defenceThe far-right Republican senator from Arkansas emerged as a dark-horse contender to be Trump’s running mate in the final weeks of the vice-presidential selection process. In a notorious 2020 New York Times op-ed headlined Send In the Troops, Tom Cotton, likened Black Lives Matter protests to a rebellion and urged the government to deploy the US military against demonstrators by invoking the Insurrection Act. He is well liked among Trump donors and also seen as a contender for secretary of defence.Cotton has said he won’t take a role.Ben CarsonView image in fullscreenPotential role: secretary of housing and urban developmentA retired neurosurgeon and former US housing secretary, Ben Carson has pushed for a national abortion ban – a posture at odds with most Americans and even Donald Trump himself. During his 2016 run he ran into controversy when he likened abortion to slavery and said he wanted to see the end of Roe v Wade. When the supreme court reversed its decision in the Dobbs case, he called it “a crucial correction”. Carson could be nominated by Trump as housing and urban development secretary.Scott BessentView image in fullscreenPotential role: unspecifiedA key economic adviser to Trump and ally of JD Vance, Scott Bessent, the manager of Key Square macro hedge fund, is seen as a possible cabinet contender. The Wall Street investor and a prominent Trump fundraiser has praised Trump’s use of tariffs as a negotiating tool.Mike WaltzView image in fullscreenPotential role: secretary of defence, or secretary of stateA former US army green beret, who now serves as a congressman for Florida, Michael Waltz has solidified his reputation as a leading advocate for a tougher stance on China within the House of Representatives. He played a leading role in sponsoring legislation aimed at reducing the US’s dependence on minerals sourced from China. Waltz is known to have a solid friendship with Trump and has also voiced support for US assistance to Ukraine, while concurrently pushing for greater oversight of American taxpayer funds allocated to support Kyiv’s defence efforts. He has been tipped in the US media as a contender for either defence secretary or secretary of state.Robert LighthizerView image in fullscreenPotential role: trade or commerce secretaryRobert Lighthizer is Donald Trump’s most senior trade official. He is a firm believer in tariffs and was one of the leading figures in Trump’s trade war with China. Described by Trump as “the greatest United States trade representative in American history”, Lighthizer is almost certain to be back in the new cabinet. Though Scott Bessent and the billionaire hedge fund manager John Paulson probably have a better shot at becoming treasury secretary, Lighthizer has a few outside chances: he might be able to reprise his old role as US trade representative or become the new commerce secretary.Brooke RollinsView image in fullscreenPotential role: unspecifiedA former domestic policy adviser in the White House, Brooke Rollins has a close personal relationship with Trump. Considered by many to be one of Trump’s more moderate advisers, she backed the former president’s first-term criminal justice reforms that lessened prison sentences for some relatively minor offences.Donald Trump JrView image in fullscreenPotential role: unspecifiedAlthough he has been less prominent on the campaign trail than in previous election cycles, the 47th president’s eldest son, Donald Trump Jr, was active behind the scenes and advocated for his friend JD Vance as running mate. He has built a loyal following in the Maga universe via his Triggered podcast and has taken a role along with his brother Eric Trump in the transition process to establish a new administration. The formal co-chairs of the transition are the Cantor Fitzgerald chief executive, Howard Lutnick, and Linda McMahon, the former wrestling executive who led the Small Business Administration during Trump’s first term.Stephen MillerView image in fullscreenPotential role: unspecifiedA senior policy adviser in the early part of Trump’s first term who was the chief architect of the Muslim travel ban, Stephen Miller is expected to be back in the White House for a second Trump term that the president-elect has said will bring the largest mass deportation in US history. The anti-immigration extremist is also the founder of America First Legal, a group described by him as the right’s “long-awaited answer” to the American Civil Liberties Union, and is already helping drive plans for the second Trump term.Includes reporting by Reuters More

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      Trump’s queasy prescription to ‘make America healthy again’ takes shape

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      From assertions that America’s highest-profile vaccine critic would lead health agencies to new promises for “massive reform” of Obamacare, the chaotic last week of Donald Trump’s presidential campaign will probably serve as a preview of what “Make America healthy again” could mean should the former president regain power.The jumble of proposals echoed conservative policy documents, channeled the residual anger of the post-pandemic anti-vaccine movement and alarmed experts who help set the nation’s health policies.“My first reaction is that a Trump administration would be the most anti-public health, anti-science administration in history,” said Lawrence Gostin, a global health law professor at Georgetown Law School.“In my mind, health is very much on the ballot,” he said.Over the last week of the campaign, Trump said he would let the nation’s foremost vaccine skeptic “go wild” at the nation’s food and drug agencies and refused to rule out banning certain vaccines. The Republican House speaker, Mike Johnson, also promised “massive reform” of Obamacare should Trump win.Vaccines are among society’s most effective public health interventions, saving an estimated 154 million lives worldwide over 50 years, according to a study in the Lancet. Obamacare has grown in popularity even among Republicans.“It reminds me of the chaos of the first administration, right in the midst of the pandemic,” said Gostin, referring to a time when Trump floated bogus treatments for Covid from injecting disinfectant to ivermectin to hydroxychloroquine – all debunked and often actively harmful.“But it’s far worse,” continued Gostin, “because while Trump at least was surrounded by credible scientists like Tony Fauci, I don’t think there will be any similar restraint in the next Trump administration.”The official Republican party platform is short on details, but blames immigrants for high healthcare prices, and says the party will “commit” to lowering healthcare prices through “choice” and “transparency”. It also pledges to “protect” Medicare from Democrats, who it claims plan to allow “tens of millions of new illegal immigrants” to enroll in the program.Voters in both parties cite healthcare costs as their top health-related issue. However, transparency measures would probably only result in a 1% reduction in healthcare prices over 10 years, according to the Congressional Budget Office. “Choice” is often a euphemism for reducing health insurance regulations, which would allow Americans to buy plans that cover fewer services.Undocumented migrants are not eligible to enroll in Medicare, and the Democratic presidential candidate, Kamala Harris, backed away from a policy that would have provided government-backed healthcare to all residents of the US, regardless of immigration status.A detailed look at how Trump’s supporters might attempt to change US health policy is found in the conservative playbook Project 2025. There, health policy proposals are dominated by calls to restrict abortion and diminish the role of scientific research.In it, the Department of Health and Human Services (HHS) should be known as the “Department of Life”, approval for medication abortion should be withdrawn, and health policy should promote “fatherhood” and the “nuclear family” and stop research that amounts to “woke transgender activism”.HHS should stop focusing on “LGBTQ+ equity” and end policies that are “subsidizing single-motherhood, disincentivizing work, and penalizing marriage”. Its sub-agencies, such as the Centers for Disease Control and Prevention, should be split in two with the power to make policy recommendations severely curtailed. The “incestuous relationship” between government researchers and vaccine manufacturers should end, the plan says.As voters head to the polls, the people who might institute these policies have also come into focus. Robert F Kennedy Jr, the former independent candidate and staunch vaccine critic, said he had been “promised” a role helming the nation’s health agencies by Trump.“The key, which President Trump has promised me, is control of the public health agencies,” said Kennedy on a Zoom call with supporters, according to ABC News. Those agencies include “HHS and its sub-agencies, CDC, Food and Drug Administration, [National Institutes of Health] and a few others. And also the [United States Department of Agriculture], which is, you know, key to making America healthy”.skip past newsletter promotionafter newsletter promotionKennedy ended his presidential run and endorsed Trump in August after a conspiracy theory-fueled campaign that revealed he had health issues related to a brain worm, once sawed the head off a whale and dumped a dead bear in Central Park.Dr Joseph Ladapo has been floated as a potential pick for the head of HHS. The Harvard University-educated Florida surgeon general warned state residents against using Covid-19 vaccines and allowed unvaccinated children to go to school during a measles outbreak.Although ideas floated by Trump’s supporters may be easily disproved, health researchers and policy experts said they take the threat of their influence deadly serious, with the last week highlighting how legitimate concerns about the power of pharmaceutical and chemical companies can be exploited.“I think we leaned into a libertarian left hook,” said Dr Paul Offit, director of the vaccine education center at Children’s Hospital of Philadelphia and a member of an advisory committee on vaccines for the US Food and Drug Administration (FDA).Offit said he worried vaccine mandates primed some Americans to believe vaccine misinformation, and even though he supported them, worried they may “have done more harm than good”.Another research advocate who spoke anonymously to Science magazine said: “We’re all in a state of panic … I don’t know anybody who isn’t worried about this.”Soon, the nation will know the extent to which such messages resonated with voters.“I’m surprised that anti-vaccine rhetoric is considered to be convincing enough to get you elected,” said Offit. “I’m surprised that such a significant portion of the population would be compelled by that.”Read more of the Guardian’s 2024 US election coverage

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      RFK Jr says Trump would push to remove fluoride from drinking water

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      Robert F Kennedy Jr, a prominent proponent of debunked public health claims whom Donald Trump has promised to put in charge of health initiatives, said Saturday that the former president would push to remove fluoride from drinking water on his first day in office if elected.Fluoride strengthens teeth and reduces cavities by replacing minerals lost during normal wear-and-tear, according to the US Centers for Disease Control and Prevention. The addition of low levels of fluoride to drinking water has long been considered one of the greatest public health achievements of the last century.Kennedy made the declaration Saturday on Twitter/X alongside a variety of claims about the heath effects of fluoride.“On January 20, the Trump White House will advise all U.S​. water systems to remove fluoride from public water,” Kennedy wrote. Trump and his wife, Melania Trump, “want to Make America Healthy Again”, he added, repeating a phrase Trump often uses and links to Kennedy.Trump told NBC News on Sunday that he had not spoken to Kennedy about fluoride yet, “but it sounds OK to me. You know it’s possible.”The Republican nominee declined to say whether he would seek a cabinet role for Kennedy, a job that would require Senate confirmation, but added: “He’s going to have a big role in the administration.”Asked whether banning certain vaccines would be on the table, Trump said he would talk to Kennedy and others about that. Trump described Kennedy as “a very talented guy and has strong views”.The sudden and unexpected weekend social media post evoked the chaotic policymaking that defined Trump’s White House tenure, when he would issue policy declarations on Twitter at virtually all hours. It also underscored the concerns many experts have about Kennedy, who has long promoted debunked theories about vaccine safety, having influence over US public health.

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      In 1950, federal officials endorsed water fluoridation to prevent tooth decay, and continued to promote it even after fluoride toothpaste brands hit the market several years later. Though fluoride can come from a number of sources, drinking water is the main source for Americans, researchers say.Officials lowered their recommendation for drinking water fluoride levels in 2015 to address a tooth condition called fluorosis, that can cause splotches on teeth and was becoming more common in US kids.In August, a federal agency determined “with moderate confidence” that there is a link between higher levels of fluoride exposure and lower IQ in kids. The National Toxicology Program based its conclusion on studies involving fluoride levels at about twice the recommended limit for drinking water.A federal judge later cited that study in ordering the US Environmental Protection Agency (EPA) to further regulate fluoride in drinking water. US district judge Edward Chen cautioned that it’s not certain that the amount of fluoride typically added to water is causing lower IQ in kids, but he concluded that mounting research points to an unreasonable risk that it could be. He ordered the EPA to take steps to lower that risk, but didn’t say what those measures should be.In his X post Saturday, Kennedy tagged Michael Connett, the lead attorney representing the plaintiff in that lawsuit, the environmental advocacy group Food & Water Watch.skip past newsletter promotionafter newsletter promotionKennedy’s anti-vaccine organization has a lawsuit pending against news organizations including the Associated Press, accusing them of violating antitrust laws by taking action to identify misinformation, including about Covid-19 and Covid-19 vaccines. Kennedy is on leave from the group but is listed as one of its attorneys in the lawsuit.What role Kennedy might hold if Trump wins on Tuesday remains unclear. Kennedy recently told NewsNation that Trump asked him to “reorganize” agencies including the US Centers for Disease Control and Prevention, the National Institutes of Health, the Food and Drug Administration and some agencies under the Department of Agriculture.But for now, the former independent presidential candidate has become one of Trump’s top surrogates. Trump frequently mentions having the support of Kennedy, a scion of a Democratic dynasty and the son of former attorney general Robert Kennedy and nephew of John F Kennedy.Kennedy traveled with Trump on Friday and spoke at his rallies in Michigan and Wisconsin.Trump said Saturday that he told Kennedy: “You can work on food, you can work on anything you want” except oil policy.“He wants health, he wants women’s health, he wants men’s health, he wants kids, he wants everything,” Trump added. More

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      RFK Jr could lead US health and food safety in a second Trump term

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      Robert F Kennedy Jr could assume some control over US health and food safety in a second Trump administration, according to reports on Saturday, alarming Democrats who believe the former environmental lawyer and independent presidential candidate could be empowered to act on his vaccine-sceptical views.According to the Washington Post, Kennedy has met with Trump transition officials to help draw up an agenda for a new administration and could take a broad “health tsar” position that would not require confirmation by the Senate.Kennedy, who ended his White House bid and endorsed Trump, and his advisers have also been drafting 30-, 60- and 90-day plans for a second Trump term, the outlet reported, citing a source “familiar” with the planning process.Kamala Harris slammed the idea, saying Friday that Kennedy is “the exact last person in America who should be setting healthcare policy for America’s families and children”.The Democratic candidate further described Kennedy as “someone who has routinely promoted junk science and crazy conspiracy theories”.Last week, Kennedy warned in a post on X that the “FDA’s war on public health is about to end. This includes its aggressive suppression of psychedelics, peptides, stem cells, raw milk, hyperbaric therapies, chelating compounds, ivermectin, hydroxychloroquine, vitamins, clean foods, sunshine, exercise, nutraceuticals and anything else that advances human health and can’t be patented by Pharma.”He added: “If you work for the FDA and are part of this corrupt system, I have two messages for you: 1 Preserve your records, and 2 Pack your bags.”Ted Kennedy Jr, a cousin of RFK Jr and a healthcare lawyer, said he was “deeply concerned” about Trump’s choice.“We can’t put anyone in charge of healthcare who doesn’t understand how doctors and scientists develop best practices and keep us safe, and has no medical background and no knowledge about how health care is organized, delivered and paid for,” he told Stat.But Trump seems determined. He told rightwing figure Tucker Carlson last week that Kennedy was “going to work on health and women’s health”.“He really wants to with the pesticides and the, you know, all the different things. I said, he can do it,” Trump said. “He can do anything he wants. He wants to look at the vaccines. He wants – everything. I think it’s great. I think it’s great.”“He’s a great guy. I’ve known him a long time. And all he wants to do – it’s very simple – he wants to make people healthy,” Trump told NBC News on Friday. Campaign officials previously told the outlet that Kennedy might spearhead an “Operation Warp Speed for childhood chronic disease”, a reference to the Trump administration’s $20bn Covid vaccine development program.But the discussion over a potential role for Kennedy in a new Trump administration has also raised the topic of the response to the 2020-21 Covid-19 pandemic that has been largely absent from the campaign trail.JD Vance, Trump’s vice-presidential pick, expressed scepticism about the Covid vaccine during a sit-down with podcaster Joe Rogan released on Thursday.“I took the vax, and you know, I haven’t been boosted or anything, but the moment where I really started to get red-pilled on the whole vax thing was the sickest that I have been in the last 15 years by far was when I took the vaccine,” the Ohio senator told Rogan.Kennedy, who has also expressed doubts about Covid vaccines, told a rally last week that Trump had promised him “control” of public health agencies like the Department of Health and Human Services and the Department of Agriculture.Howard Lutnick, the Trump transition team co-chair, confirmed to CNN this week that he’d spent two-and-a-half hours with Kennedy “and it was the most extraordinary thing”.“I said: ‘So, tell me. How’s it going to go?’ And he said: ‘Why don’t you just listen to me explain things,’” Lutnick said. He did not deny that Kennedy was correct to say he would lead public health agencies in a Trump administration.“I think it’ll be pretty cool to give him the data. Let’s see what he comes up with,” Lutnick added.In a statement, Trump campaign spokesperson Karoline Leavitt said there were “no formal decisions” about potential Trump administration appointments. But she added that the former president “has said he will work alongside passionate voices like RFK Jr to make America healthy again by providing families with safe food and ending the chronic disease epidemic plaguing our children”, referring to type 2 diabetes. More