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      Trump confirms he will utilize US military to conduct mass deportations

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      Donald Trump said on Monday that his administration would declare a national emergency and use the US military to carry out mass deportations of undocumented immigrants.In an early morning social media post, Trump responded “TRUE!!!” to a post by Tom Fitton, the president of the conservative group Judicial Watch, who wrote on 8 November that the next administration “will use military assets to reverse the Biden invasion through a mass deportation program”.Since his decisive victory, Trump has said he intends to make good on his campaign promise to execute mass deportations, beginning on the first day of his presidency. But many aspects of what he has described as the “largest deportation program in American history” remain unclear.Trump has previously suggested he would rely on wartime powers, military troops and sympathetic state and local leaders. Such a sprawling campaign – and the use of military personnel to carry it out – is almost certain to draw legal challenges and pushback from Democratic leaders, some of whom have already said they would refuse to cooperate with Trump’s deportation agenda.Through personnel announcements, the president-elect has put together a team of loyalists and hardliners to implement a second-term immigration crackdown.Tom Homan, the acting director of Immigration and Customs Enforcement in his first administration, was named “border czar” with a wide-ranging remit. In a short social media post announcing the position, Trump said Homan would be “in charge of all Deportation of Illegal Aliens back to their Country of Origin”.Also returning for a second term is Stephen Miller, a chief defender of the last administration’s most controversial immigration policies, including the use of family separation as a means of deterrence. Miller was named White House deputy chief of staff for policy and a homeland security adviser, giving him far-reaching influence over immigration policy.Rounding out the team, he nominated the South Dakota governor, Kristi Noem, a loyalist with a long record as an immigration hardliner, to be his next secretary of the Department of Homeland Security.Experts and advocates say a deportation campaign on the scale Trump has outlined would raise legal and logistical challenges, not to mention the soaring costs and infrastructure needed to detail and deport millions of people, many of whom have lived in the country for at least a decade, contribute to the workforce and share a household with US citizen family members.Trump and Miller have described plans to federalize state national guard personnel and deploy them for immigration enforcement, including sending troops from friendly Republican-governed states into neighboring states with governors who decline to participate. Miller has also advocated for building large-scale detention “camps” and tents.In his first post-election interview, Trump told NBC News that he had “no choice” but to implement a mass deportation plan, regardless of cost.“It’s not a question of a price tag,” he said. “It’s not – really, we have no choice. When people have killed and murdered, when drug lords have destroyed countries, and now they’re going to go back to those countries because they’re not staying here. There is no price tag.”According to an estimate by the American Immigration Council, deporting 1 million people a year would cost more than $960bn over a decade.Trump at various points claimed he would deport at least 15 million – and even as many as 20 million – people who are in the US illegally, but the figure is unverified.skip past newsletter promotionafter newsletter promotionThere were an estimated 11 million people living in the United States without authorization as of 2022, according to an analysis by Pew Research. Migration to the US border reached record levels in 2022 and 2023 before dropping dramatically in 2024, following stepped-up enforcement by Mexico and an asylum clampdown by the Biden administration.It is unclear who the Trump administration would target for deportation. His campaign trail rhetoric often failed to distinguish between immigrants who have lawful status and those in the country illegally. And throughout the campaign, Trump claimed that immigrants crossing the US southern border in recent years were driving up crime, even though violent crime is down across the country and studies show immigrants commit crimes at lower rates than US citizens.During the campaign, Trump’s team repeatedly refused to rule out deporting Dreamers, young adults brought to the US as children, hundreds of thousands of whom are allowed to live and work in the US under an Obama-era program known as Deferred Action for Childhood Arrivals (Daca).Questions remain about how the raids would be conducted and where people would be detained. Civil liberties advocates have already raised concerns about people with lawful status or even US citizens being swept up in a sprawling dragnet.Meanwhile, advocates have pushed back against Trump’s assertion that he enters office with a mandate to carry out mass raids. They point to data that has found most people do not support mass deportations, especially when respondents are informed about the potential impacts on the economy, the workforce and American families.“The term strategy is clear, foment fear, panic and chaos into our communities, because as bullies, this is what they thrive on,” Greisa Martínez Rosas, the executive director of United We Dream Action, a network of groups that advocate for Dreamers said during a post-election debrief. She added: “Trump may be re-elected, but he does not have a mandate to come into and rip apart our communities.” More

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      How Trump 2.0 might affect the wildfire crisis: ‘The harms will be more lasting’

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      In the days that followed Donald Trump’s election win, flames roared through southern California neighborhoods. On the other side of the country, wildfire smoke clouded the skies in New York and New Jersey.They were haunting reminders of a stark reality: while Trump prepares to take office for a second term, the complicated, and escalating, wildfire crisis will be waiting.As the climate crisis unfolds, communities across the country are spending seasons under smoke-filled skies. Federal firefighters are overworked and underpaid, the cost of fire suppression has climbed, and millions of people are at risk of losing their insurance. Landscapes and homes alike have been reduced to ash as the world continues to warm.The president-elect has offered few plans to address the emergency. Instead, he’s promised to deliver a wave of deregulation, cripple climate-supporting agencies, and clear departments of logistical experts relied upon during disasters.His allies, including the authors of Project 2025, a conservative playbook for a second Trump administration, have recommended privatizing parts of the federal government that now serve the public good.In the past week, Trump’s announcements for key cabinet nominations has already shown he’s begun to solidify an anti-science agenda.“Whatever happens at a broad scale is going to affect our ability to manage risks, respond to emergencies, and plan for the future, “ said University of California climate scientist Daniel Swain. “I don’t see any way there won’t be huge effects.”Here are the challenges ahead:Setting the stakesLooking back at his first term, Trump had a poor record managing large wildfire emergencies – and he had many opportunities. After presiding over the response to destructive blazes that left a devastating toll, including the Camp fire that claimed the lives of 85 people in and around the town of Paradise, in 2020 he told a crowd in Pennsylvania that high-risk fire states such as California, and their residents, were to blame.“I said you gotta clean your floors, you gotta clean your forests – there are many, many years of leaves and broken trees and they’re like, like, so flammable, you touch them and it goes up,” he said. That year, a record 10.2m acres were charred across the US.In a signal of how politicized disaster management in the Trump era became, he added: “Maybe we’re just going to have to make them pay for it because they don’t listen to us.”Such comments raised fears among experts and officials working to protect these landscapes and the neighborhoods near them that Trump didn’t understand the magnitude of the risks US forests faced.He’s been unwilling to embrace the strategies that the scientists and landscape managers recommend to help keep catastrophic fire in check, including a delicate and tailored approach to removing vegetation in overgrown forests, protecting old-growth stands, and following those treatments with prescribed burning.The risks and challenges have only intensified since his first term.Some in the wildfire response communities are hopeful that Trump will cut red tape that’s slowed progress on important forest treatments, but others have highlighted a blunt approach could do more harm than good.Many have voiced concerns over ambitions set out in Project 2025 to curb prescribed burning in favor of increasing timber sales.Meanwhile, federal firefighters are waiting to see whether Trump and a Republican-led Congress will secure long-overdue pay raises.The US Forest Service (USFS), the largest employer of federal firefighters, has seen an exodus of emergency responders over abysmally low pay and gaps in support for the unsustainable and dangerous work they do.Federal firefighters who spend weeks at a time on the fireline and rack up thousands of hours in overtime each summer, make far less than their state- and city-employed counterparts with paychecks that rival those of fast-food employees. That exodus has hampered its ability to keep pace with the year-round firefighting needs.“Doing less with your resources makes a task like fire suppression and fuels management extremely more challenging,” said Jonathan Golden, legislative director of the advocacy group Grassroots Wildland Firefighters.Joe Biden facilitated a temporary pay raise for federal wildland firefighters, but those expire at the end of the year. With Trump promising large cuts to federal budgets and the bureaucrats who operate them, many fear the Republican leadership in Congress won’t push the legislation needed to ensure these essential emergency responders keep their raise.If the pay raises are allowed to expire, many more federal firefighters will walk out the door – right when they are needed most.“The job isn’t going to get any easier,” Golden said. “My hope is that we continue to have a well-staffed and well-funded professional workforce that can answer the call year-round – because that’s what is required.”skip past newsletter promotionafter newsletter promotionEmergencies on the riseBillion-dollar weather and climate disasters are on the rise. There was a historic number in the US in 2023 with a total of 28 – surpassing the previous record of 22 in 2022. With more than a month left, there have already been 24 this year.Trump has a history of stalling in the aftermath of natural disasters, opting instead to put a political spin on who receives aid. For wildfires during his first term, that meant threatening California and other Democratic-majority states with delayed or withheld funding to punish them for their political leanings.This time, some fear he may also reduce the amount of aid provided by Fema. Project 2025 has called for a shift in emergency spending, putting the “majority of preparedness and response costs to states and localities instead of the federal government” and either eliminating or armoring grants that fund preparedness to push Trump’s political agenda.The framework advises the next president to remove all unions from the department and only give Fema grants to states, localities and private organizations who “can show that their mission and actions support the broader homeland security mission”, including the deportation of undocumented people.These tactics could hamper both preparedness and recovery from wildfires and other disasters, especially in high-risk blue states such as California and others across the west.The administration has also been advised by Project 2025 authors to dismantle or severely hamper the National Oceanic and Atmospheric Administration, whose forecasting has been essential to warn when dangerous weather arises, and remove all mention of the climate crisis in federal rhetoric and research.Trump’s picks of a former congressman Lee Zeldin to head the Environmental Protection Agency and North Dakota governor Doug Burgum as the Department of Interior secretary – two agencies deeply connected to US climate policy – indicate his strong skepticism of the climate crisis. Zeldin and Burgum have clear directives to oversee rampant deregulation and expedite extraction on public lands.“Folks at federal agencies are already being gently advised to think about the language they use to describe things,” Swain said. He thinks the effects will be far-reaching, especially when it comes to wildfire preparedness and response. Disabling science and weather-focused agencies could reduce important intel that responders rely on, reduce nimbleness and hamper efforts to plan into the future.“A lot of people are thinking this is going to be the second coming of the first Trump administration and I don’t think it’s the right way to be thinking about it,” Swain said.“This time, it’s highly plausible that the disruption and the harms will be a lot deeper and more lasting – it will be much harder to reverse.”Big picture problemsEven before Trump retook the White House, the US was missing the mark on its ambitious climate goals. But scientists and experts have offered clear warnings about how Trump’s policies could accelerate dire outcomes.“Climate change is a huge crisis and we don’t have time to spare,” said Julia Stein, deputy director of the Emmett Institute on climate change and the environment at the UCLA School of Law.Stein pointed to the potential for many of these policies to be challenged in court, much like they were the first time around. States such as California, which is also home to one of the world’s largest economies to back it, are already preparing to challenge Trump’s policies. The directives of the first Trump administration were often legally vulnerable, Stein said, and she thinks they might be again this time around, especially if he attempts to rid the agencies of career bureaucrats and their deep knowledge of how things work.In a state where wildfires are always a risk, California is also bolstering its own approach, doubling down on landscape treatments and investing in preparation, mitigation, and response according to Stein, who noted the $10bn climate bond just passed by voters there that will go toward wildfire prevention and mitigation.Still, fires don’t recognize borders. The threats continue to push into areas that aren’t accustomed to them, and larger swaths of the country will be forced to grapple with smoke. Without partners in federal agencies that manage lands across the US, states will struggle to address the mounting challenges on their own.“Continuing to enforce those laws in California will blunt some of the impact for Californians,” she said. “The unfortunate thing – especially when it comes to climate change – there are going to be national and global consequences for inaction at the federal level.” More

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      Trump nominates big tech critic Brendan Carr to chair telecommunications regulator

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      President-elect Donald Trump will tap Brendan Carr, a critic of the Biden administration’s telecom policies and big tech, as chair of the Federal Communications Commission (FCC), he has said in a statement.Carr, 45, is the top Republican on the FCC, the independent agency that regulates telecommunications.He has been a harsh critic of the FCC’s decision not to finalize nearly $900m in broadband subsidies for Elon Musk’s SpaceX satellite internet unit Starlink, as well as the commerce department’s $42bn broadband infrastructure program and President Joe Biden’s spectrum policy.Last week, Carr wrote to Meta’s Facebook, Alphabet’s Google, Apple and Microsoft saying they had taken steps to censor Americans. Carr said on Sunday the FCC must “restore free speech rights for everyday Americans.“The president-elect has scorned actions by Disney’s ABC, Comcast’s NBC and Paramount Global’s CBS and suggested they could lose their FCC licenses for various actions. Trump also sued CBS over its 60 Minutes interview with vice-president Kamala Harris.Carr criticized NBC for letting Harris appear on Saturday Night Live just before the election.Trump in his first term called on the FCC to revoke broadcast licenses, prompting then FCC Chair Ajit Pai to reject the idea, saying “the FCC does not have the authority to revoke a licence of a broadcast station based on the content.“The FCC issues eight-year licenses to individual broadcast stations, not to broadcast networks.In 2022, Carr, a strong critic of China, became the first FCC commissioner to visit Taiwan. He has been an advocate of the FCC’s hard line on Chinese telecom companies.Carr was a strong opponent of the FCC’s decision in April to reinstate landmark net neutrality rules that were repealed during the first Trump administration. The Biden FCC rules were put on hold by a federal appeals court.Trump nominated Carr to the FCC during in his first administration in January 2017, after he had served as the FCC’s general counsel.The incoming administration will need to nominate a Republican to fill a seat on the five-member commission before it can take full control of the agency.Carr “is a warrior for Free Speech, and has fought against the regulatory Lawfare that has stifled Americans’ Freedoms, and held back our Economy,” Trump said in a statement on Sunday. More

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      Ex-CDC acting director calls RFK Jr’s false vaccine theories ‘cruel’

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      The former acting director of the US Centers for Disease Control and Prevention has criticized Robert F Kennedy Jr’s nomination by Donald Trump as secretary of the country’s health and human services (HHS), calling his false vaccine theories “cruel”.In a new interview on ABC, Richard Besser, who led the CDC during Barack Obama’s administration, called Kennedy’s push to falsely link vaccines to autism a “cruel thing to do”, adding, “There are things we do for our own health, but there are things we do that are good for ourselves, our families and our communities and vaccination falls into that category.”“Having someone who denies that in that role is extremely dangerous,” Besser said about Kennedy.“We need to, as a nation, address chronic diseases in children and one of the dangerous things about RFK Jr is that there are bits of things he says that are true and they’re mixed in … It makes it really hard to sort out what things you should follow because they’re based on fact and which things are not,” he continued.Besser went on to say that experts should address chronic diseases – including autism – but to “keep [on] lifting the idea [that] that has something to do with vaccinations is really a cruel thing to do”.In a separate interview on Sunday, Deborah Birx, the former White House coronavirus response coordinator under Trump’s administration, said that Kennedy will require a team that has “really come out of the industry” in order to manage the HHS.“I think the most important thing is what team he would bring with him, because you’re talking about really a large … corporation with a highly diverse group, which you have to really bring together and, frankly, eliminate some of the duplication set between these agencies to really become more cost effective,” said Birx.“Having a management person at his side, a chief of staff, perhaps that has really come out of industry that would know how to bring and look and bring those individuals together that are running the other agencies because … HHS is probably one of our most complicated departments,” she added.Birx also agreed that there is no scientific evidence that vaccines cause autism, saying: “I’m actually excited that in a Senate hearing he would bring forward his data and the questions that come from the senators would bring forth their data.”“That hearing would be a way for Americans to really see the data that you’re talking about, that we can’t see that causation right now,” she said.skip past newsletter promotionafter newsletter promotionKennedy has previously said that “there’s no vaccine that is safe and effective.” However, following Trump’s re-election, Kennedy said that he “won’t take away anybody’s vaccines”.His nomination has been widely criticized by health experts who condemned him as a “clear and present danger” to public health. More

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      Republican senator calls for release of Matt Gaetz ethics report to chamber

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      Discussion on Donald Trump’s selection of Matt Gaetz, the former Florida congressman who had been accused of sexual misconduct, for US attorney general continued on Sunday, with Republican senator Markwayne Mullin calling for an unreleased ethics report to be released to the Senate.Mullin told NBC’s Meet the Press that the Senate, which will oversee Gaetz’s confirmation hearings to become attorney general, “should have access to that” but declined to say if it should be released publicly.Gaetz resigned from his seat in Congress on Wednesday soon after the president-elect made his controversial pick, frustrating plans by a congressional ethics panel to release a review of claims against Gaetz, including sexual misconduct and illegal drug use. Gaetz denies any wrongdoing.Republican House speaker Mike Johnson repeated his position on Sunday that the survey should remain out of the public realm. Gaetz had faced a three-year justice department investigation into the same allegations that concluded without criminal charges being brought.Johnson said the principle was that the ethics committee’s jurisdiction did not extend to non-members of the House. “There have been, I understand, I think, two exceptions to the rule over the whole history of Congress and the history of the ethics committee,” Johnson told CNN, adding that while he did not have the authority to stop it “we don’t want to go down that road.”Trump’s selection of Gaetz, while successfully provoking Democrats’ outrage, is also seen as a test for Republicans to bend Trump’s force of will. Mullin has previously noted situations in which Gaetz had allegedly shown colleagues nude photographs of his sexual conquests and described him as “unprincipled”.But the senator said he had not made a decision on whether to support Gaetz in a confirmation vote. “I’m going to give him a fair shot just like any individual,” Mullin said.The pending report seems likely to emerge in some form after other senior Republicans, including senators Susan Collins, John Cornyn and Thom Tillis have all said they believe it should be shown to them.Separately, Pennsylvania Democratic senator John Fetterman repeated his advice to members of his own party to not “freak out” over everything Trump does, pointing out that for at least the next two years, Republicans can “run the table”.Fetterman, who won decisive re-election in the state this month, said he looked forward to reviewing some of Trump’s nominations but others “are just absolute trolls”, including Gaetz.For Democrats, who are still trying to figure out reasons for their devastating loss at the ballot box this month, their outrage at Trump’s nominations “gets the kind of thing that he wanted, like the freak out”.skip past newsletter promotionafter newsletter promotion“It’s still not even Thanksgiving yet and if we’re having meltdowns at every tweet or every appointment.”Democrats, Fetterman added, should be “more concerned” about Republicans being able “to run the table for the next two years. Those are the things you really want to be concerned about, not small tweets or, you know, random kinds of appointments.”But Democratic senator-elect Adam Schiff told CNN that Gaetz was “not only unqualified, he is really disqualified” to become the country’s top lawyer.“Are we really going to have an attorney general [with] … credible allegations he was involved in child sex-trafficking, potential illicit drug use, obstruction of an investigation? Who has no experience serving in the justice department, only being investigated by it,” Schiff said. More

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      Trump’s defense pick reportedly paid sexual assault accuser but denies claims

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      Peter Hegseth, the military veteran, Fox & Friends chat host and Donald Trump’s pick to head the department of defense, reportedly paid a woman who accused him of sexual assault – an encounter that he insists was consensual.According to the Washington Post, the unnamed woman was paid an unknown sum after signing a nondisclosure agreement.In a statement to the outlet, Hegseth’s attorney said that Hegseth was “visibly intoxicated” at the time of the incident and police who had looked into the woman’s claim had concluded that “the complainant had been the aggressor in the encounter.”In the statement, Hegseth lawyer Timothy Parlatore said his client had agreed to pay an undisclosed amount to the woman because he feared that revelation of the matter “would result in his immediate termination from Fox”.The claim against Hegseth came to light this week after a friend of the accuser supplied the Trump transition team with “a detailed memo” outlining the claim that Hegseth sexually assaulted a 30-year-old conservative group staffer in his room after drinking at a Monterey, California, hotel bar in October 2017.Hegseth was a speaker at a conference of the California Federation of Republican Women conference when the encounter that led to the investigation took place. Police have said a complaint was filed four days after the alleged encounter, and the complainant had bruises to her thigh.Hegseth made a payment to the woman after she threatened litigation in 2020, his attorney confirmed.skip past newsletter promotionafter newsletter promotion“Mr Hegseth is completely innocent,” Parlatore said. “Not only did she take advantage of him, but we believe she then extorted him knowing that at the height of the #MeToo movement the mere public allegation would likely result in his immediate termination from Fox News.”Earlier this week, after the claim was revealed Trump campaign spokesman Steven Cheung said “Hegseth has vigorously denied any and all accusations, and no charges were filed. We look forward to his confirmation as United States Secretary of Defense so he can get started on Day One to Make America Safe and Great Again.”Hegseth’s path to Senate confirmation has been complicated over concerns about his inexperience and extreme views. More

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      Musk publicly supports Lutnick for treasury secretary as Trump considers pick

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      Elon Musk has publicly weighed in on Donald Trump’s choice for US treasury secretary, one of the remaining key incoming cabinet nominations the president-elect will make in the coming days.Musk urged followers on X to support a candidate that would not be “business as usual” and “will actually enact change” as he threw his support behind Trump’s transition co-chair Howard Lutnick to lead the treasury department.Lutnick, former CEO of Cantor Fitzgerald, a firm that lost 658 employees in the 9/11 attacks, is believed to be up against Scott Bessent, the founder of capital management firm Key Square who has said he wants the US to remain the world’s reserve currency and use tariffs as a negotiating tactic.“My view fwiw is that Bessent is a business-as-usual choice, whereas @howardlutnick will actually enact change,” Musk posted on Saturday. “Business-as-usual is driving America bankrupt, so we need change one way or another.”Musk urged his followers to “weigh in on this for Donald Trump to consider feedback”.Lutnick told the Wall Street Journal recently that whomever Trump hires will “be loyal to the policies of the president”, telling the outlet: “For my whole life I was a fiscal conservative, social liberal … The Democratic Party moved away from me.”Both Lutnick and Bessent are supportive of Trump’s trade tariff polices, a tactic he used against China during his first term. “Tariffs are a means to finally stand up for Americans,” Bessent wrote in an op-ed on Fox News on Friday.But both candidates argue that lowering taxes would offset the higher import costs and promote economic growth.But some economists have warned that tariffs could weaken growth, boost inflation and lower employment. A recent paper by the Peterson Institute for International Economics predicted inflation would climb to at least 6% by 2026, and consumer prices would be 20% higher over the next four years.Musk’s intervention in the battle between Lutnick and Bessent for the key post – one who advises the president on economic and fiscal matters, including spending and taxes – comes amid anxiety over the space and transport entrepreneur’s proximity to Trump.Musk, the world’s wealthiest person, is set to co-chair an advisory department, the department of government efficiency, or Doge, in the new administration to cut departments and reduce as much as $2tn wasteful federal spending.skip past newsletter promotionafter newsletter promotionAccording to the Washington Post, some in Trump’s circle expressed surprise that Musk would weigh in on the choice of treasury secretary. “People are not happy,” one said, according to the outlet, adding that Musk was acting as a “co-president”.Musk, who spent more than $100m in support of Trump’s campaign, has been a near constant presence around the president-elect, including sitting in with Trump on a call with Ukraine president Volodymyr Zelenskyy.On Saturday, Musk appeared to mock Zelenskyy’s claim Ukraine is an independent country that could not be forced to the negotiating table with Russia, posting on X that the Ukrainian leader’s “sense of humor is amazing”.Musk and Trump later on Saturday sat together ringside at New York’s Madison Square Garden, site of a widely-criticized pre-election rally, for a UFC title fight. Alongside them were house speaker Mike Johnson, Robert F Kennedy Jr, Joe Rogan, Tulsi Gabbard, and Vivek Ramaswamy, who is set to head Doge with Musk. More

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      The appointment of Robert F Kennedy has horrified public health experts. Here are his three most dangerous ideas | Devi Sridhar

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      The announcement that Donald Trump has appointed Robert F Kennedy as the US secretary of health and human services has sent shock waves through the health and scientific community. Kennedy ran as an independent presidential candidate before bowing out and supporting Trump’s run in exchange for an influential position, so we have a pretty good idea of his positions on public health.The main goal Kennedy has trumpeted recently is to “Make America healthy again”. At face value, it’s a noble aim. That’s the essence of public health: how to reduce risk factors for disease and mortality at a population level and improve the quality of health and wellbeing. But behind this slogan comes a darker, conspiracy-laden agenda. As someone who has spent a lot of time researching global public health, these are the positions I believe could be the most dangerous.Anti-vaxxer viewsKennedy is well known as a prominent anti-vaxxer. He has claimed that vaccines can cause autism, and also said that “there’s no vaccine that is safe and effective”. He called the Covid-19 vaccine the “deadliest vaccine ever made”. None of these claims are true: repeat studies have shown that the MMR vaccine does not cause autism, we have numerous safe and effective vaccines against childhood killers such as whooping cough and measles, and the Covid-19 vaccines have saved millions of lives globally.Much of what he is saying is what people want to hear: being anti-vax is increasingly a way to build a fanbase. I have seen this as a scientist: if you talk about childhood vaccinations, you get daily abuse. If you talk about the dangers of vaccines, you can end up with a cult following, as Russell Brand and Andrew Wakefield have. It’s not even clear that Kennedy personally believes what he’s saying: guests invited to a holiday party at his home in December 2021 were told to be vaccinated or tested for Covid-19 (he blamed his wife).The big question is about how much harm he can do in the next few years as the man who oversees health agencies in the US. Will he roll back budgetary allocations for vaccination campaigns? Eliminate research into new vaccines? With avian flu continuing to spread in mammals and birds, will he support the stockpiling and rollout of H5N1 vaccines if necessary in a future outbreak or pandemic? If his appointment is approved, experts say that vaccines will be “the first issue on the table”.The “benefits” of raw milkSimilarly, he has tweeted about the benefits of raw milk, which has become a bizarre Maga talking point generally. Raw milk consumption is a risk factor for a number of dangerous illnesses from E coli to salmonella, but is even more worrying with the widespread infection of dairy herds in the US. While pasteurisation has been shown to kill the H5N1 virus in milk and prevent its ability to infect, raw milk retains its pathogens. This year, 24 cats who drank raw milk on a farm become infected by avian flu; 12 died and 12 suffered from blindness, difficulty breathing and other serious health problems. This is when we need federal agencies to regulate what is being sold to the public and ensure clear communication of the health risks. Instead, raw milk demand has gone up, with some vendors claiming that “customers [are] asking for H5N1 milk because they want immunity from it”. (There’s a certain irony in the logic behind vaccination – training our immune system in how to respond to a pathogen – being used in this situation.)Anti-pharmaceutical conspiracy theoriesPart of the problem of the “Make America healthy again” campaign is that it contains nuggets of truth within a larger false narrative. We know that the prices charged by “big pharma” in the US are a problem – but instead of thinking this is a conspiracy to medicate the public when that’s not in their best interests, it’s worth reflecting on how the UK has managed to negotiate more reasonable prices. This is where government can have real power: ensuring fair prices for healthcare providers and individuals, and going after the extraordinary profit margins of pharmaceutical companies. But instead of taking this on – for instance, Trump could have negotiated Covid-19 vaccine prices in his first presidency – it is easier to demonise all pharma companies. Many of them of course play a valuable role in trialling and bringing drugs and vaccines to market. They just need to be regulated.Taking on these ideas will be a challenge when their proponent is leading US health policy. How do you try to engage with those who believe things that are simply not true? It’s hard: a recent Nature study found that the more time you spend on the internet trying to validate what is true and not true, you more you go down the rabbit hole of false information. Those who believe outlandish theories are generally people who think of themselves as more intelligent than the average person, have a lot of time to do their own research on the internet, and are convinced that everyone else is being duped.The US has a big health problem. Life expectancy is going dramatically backwards, Covid-19 killed a huge number of working-age Americans and trust in the federal government is at 23%. But the solution, if we look to healthier countries such as Denmark and South Korea, involves basic public health interventions, access to affordable medical care and trust in government. And not drinking raw milk.

      Prof Devi Sridhar is chair of global public health at the University of Edinburgh

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