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The Dictatorship

RFK Jr. is truly terrible at his job

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RFK Jr. is truly terrible at his job

Health and Human Services Secretary Robert F. Kennedy Jr.’s decision to terminate $500 million in federal funding for mRNA vaccine development threatens to unravel one of medicine’s greatest recent achievements. His claim that these vaccines “fail to protect effectively against upper respiratory infections like Covid and flu“ represents a fundamental misunderstanding of vaccinology that could cost lives in future pandemics.

As an infectious disease physician who cared for dozens of critically ill Covid patients in December 2020, I witnessed a remarkable shift in the months that followed. As mRNA vaccines became available in early 2021, severe cases among vaccinated individuals became extremely rare. Deaths were almost exclusively among those who declined vaccination, which was tragic given how preventable these outcomes had become.

It sends a troubling message to scientists: why invest in novel platforms if political ideology can defund them despite their success?

No vaccine for respiratory viruses has ever provided complete, lasting protection against all infections. Not the flu vaccine. Not RSV vaccines. That never should have been the expectation. Some vaccines, like those for measles or polio, can effectively prevent infection and transmission, but these target fundamentally different viruses that don’t constantly mutate and reinfect the respiratory tract. The purpose of respiratory virus vaccines is to prevent severe disease, hospitalization and death. By that measure, mRNA vaccines have been revolutionary.

The data confirms what I witnessed firsthand. According to research by the Centers for Disease Control and Preventionunvaccinated individuals had 53 times the risk of death compared to those who had been fully vaccinated during the Delta wave in 2021. A New England Journal of Medicine study analyzing over 6 million Covid cases found that protection against death remained above 90% and remarkably durable, even as protection against infection declined.

In winter 2020, my hospital’s ICU overflowed with COVID patients. Like many colleagues worldwide, I watched patient after patient die despite our best efforts. It was unlike anything any of us had ever seen. By summer 2021, after vaccines rolled out widely, the change was undeniable. Far fewer patients arrived with respiratory failure. Nursing homes saw deaths plummet.

As vaccine expert Paul Offit stated in December 2020: “All you want to do is keep people out of the hospital and keep them out of the morgue and I think this vaccine can certainly do that.” Even then, before vaccines were widely available, experts understood the real goal.

The speed of mRNA vaccine development was unprecedented. We went from discovering a new virus to having an authorized vaccine in under a year, breaking the previous record of four years. Unlike traditional vaccines that require growing viruses in labs, mRNA vaccines can be designed in days once scientists have the genetic sequence.

The impact has been profound. Studies estimate Covid vaccination saved millions of lives worldwide, with estimates ranging from 2.5 million to 14.4 million. In the United States alone, the Commonwealth Fund found the vaccination program prevented 3.2 million deaths.

Secretary Kennedy’s critique that mRNA vaccines “fail to protect effectively against upper respiratory infections” sets an impossible standard that no respiratory vaccine has ever met. I understand why this distinction can be confusing. Public health messaging hasn’t always been clear, and the unfortunate term “breakthrough infection” made it sound like vaccines had failed when someone got Covid after vaccination. This language was deeply problematic. Getting Covid after vaccination isn’t a sign of vaccine failure. The real measure of effectiveness is staying out of the hospital, avoiding serious complications and surviving what could have been fatal.

The scientists who developed mRNA vaccine technology won the 2023 Nobel Prize in Medicine for enabling “the development of effective mRNA vaccines against Covid-19” during one of the greatest threats to human health in modern times. Now we’re abandoning this proven platform because it doesn’t achieve something no respiratory vaccine has ever achieved.

The scientific consensus is clear: mRNA vaccines saved millions of lives and could save millions more in future emergencies.

The HHS decision affects 22 projects worth nearly $500 million, dismantling infrastructure critical for future pandemic response. Secretary Kennedy promises to invest in “safer, broader vaccine platforms” and mentions “whole-virus vaccines.” But mRNA vaccines have been administered billions of times globally with an excellent safety profile. More concerning, traditional vaccine approaches are far slower to develop. The beauty of mRNA vaccines is that they can be updated within months when viruses mutate or new pathogens emerge.

This decision reinforces the false narrative that vaccines “failed” unless they completely prevent infection. It sends a troubling message to scientists: why invest in novel platforms if political ideology can defund them despite their success?

When the next viral threat emerges, and it will, we may not have the rapid, flexible response that mRNA technology offers. This means slower vaccine development and more lives lost.

Vaccines aren’t some niche drug. We’re talking about medicines that apply to literally every human being on the planet. We should have learned from the Covid pandemic that everyone is potentially susceptible to pandemic threats. The scientific consensus is clear: mRNA vaccines saved millions of lives and could save millions more in future emergencies.

It’s been less than five years since SARS-CoV-2 killed millions worldwide and overwhelmed health systems globally. To abandon the very technology that got us through that crisis is not just shortsighted. It’s reckless.

Jake Scott

Dr. Jake Scott is an infectious disease physician and Clinical Associate Professor at Stanford University School of Medicine in the Division of Infectious Diseases and Geographic Medicine.

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The Dictatorship

Judge blocks Trump order to end funding for NPR and PBS

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Judge blocks Trump order to end funding for NPR and PBS

WASHINGTON (AP) — Citing the First Amendment, a federal judge on Tuesday agreed to permanently block the Trump administration from implementing a presidential directive to end federal funding for National Public Radio and the Public Broadcasting Service, two media entities that the White House has said are counterproductive to American priorities.

The operational impact of U.S. District Judge Randolph Moss’ decision was not immediately clear — both because it will likely be appealed and because too much damage to the public-broadcasting system has already been done, both by the president and Congress.

Moss ruled that President Donald Trump’s executive order to cease funding for NPR and PBS is unlawful and unenforceable. The judge said the First Amendment right to free speech “does not tolerate viewpoint discrimination and retaliation of this type.”

“It is difficult to conceive of clearer evidence that a government action is targeted at viewpoints that the President does not like and seeks to squelch,” wrote Moss, who was nominated to the bench by President Barack Obama, a Democrat.

White House spokesperson Abigail Jackson said Moss’ decision is “a ridiculous ruling by an activist judge attempting to undermine the law.”

“NPR and PBS have no right to receive taxpayer funds, and Congress already voted to defund them. The Trump Administration looks forward to ultimate victory on the issue,” Jackson said in a statement.

PBS, with programming ranging from “Sesame Street” and “Mister Rogers’ Neighborhood” to Ken Burns’ documentaries, has been operating for more than half a century. NPR has news programming from “All Things Considered” and cultural shows like the “Tiny Desk” concerts. For decades, the fates of both systems have been part of a philosophical debate over whether government should help fund their operations.

Punishment for ‘past speech’ cited in decision

The judge noted that Trump’s executive order simply directs that all federal agencies “cut off any and all funding” to NPR, which is based in Washington, and PBS, based in Arlington, Virginia.

“The Federal Defendants fail to cite a single case in which a court has ever upheld a statute or executive action that bars a particular person or entity from participating in any federally funded activity based on that person or entity’s past speech,” the judge wrote.

Last year, Trump, a Republican, said at a news conference he would “love to” defund NPR and PBS because he believes they’re biased in favor of Democrats.

“The message is clear: NPR and PBS need not apply for any federal benefit because the President disapproves of their ‘left wing’ coverage of the news,” Moss wrote.

NPR accused the Corporation for Public Broadcasting of violating its First Amendment free speech rights when it moved to cut off its access to grant money appropriated by Congress. NPR also claims Trump wants to punish it for the content of its journalism.

“Public media exists to serve the public interest — that of Americans — not that of any political agenda or elected official,” said Katherine Maher, NPR’s president and CEO. She called the decision a decisive affirmation of the rights of a free and independent press.

PBS chief Paula Kerger said she was thrilled with the decision. The executive order, she said, is “textbook” unconstitutional viewpoint discrimination and retaliation. “At PBS, we will continue to do what we’ve always done: serve our mission to educate and inspire all Americans as the nation’s most trusted media institution.”

Last August, CPB announced it would take steps toward closing itself down after being defunded by Congress.

A victory, though incremental, for press freedom

Plaintiffs’ attorney Theodore Boutrous said Tuesday’s ruling is “a victory for the First Amendment and for freedom of the press.”

“As the Court expressly recognized, the First Amendment draws a line, which the government may not cross, at efforts to use government power — including the power of the purse — ‘to punish or suppress disfavored expression’ by others,” Boutrous said in a statement. “The Executive Order crossed that line.”

The judge agreed with government attorneys that some of the news outlets’ legal claims are moot, partly because the CPB no longer exists.

“But that does not end the matter because the Executive Order sweeps beyond the CPB,” Moss added. “It also directs that all federal agencies refrain from funding NPR and PBS — regardless of the nature of the program or the merits of their applications or requests for funding.”

NPR and three public radio stations sued administration officials last May. While Trump was named as a defendant, the case did not include Congress — and the legislative body has played a large role in the public-broadcasting saga in the past year.

Trump’s executive order immediately cut millions of dollars in funding from the Education Department to PBS for its children’s programming, forcing the system to lay off one-third of the PBS Kids staff. The Trump order didn’t impact Congress’ vote to eliminate the overall federal appropriations for PBS and NPR, which forced the closure of the Corporation for Public Broadcasting, the entity that funneled that money to the TV and radio networks.

___

AP Media Writer David Bauder and AP writer Darlene Superville contributed to this report.

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The Dictatorship

‘I don’t care about that’: Trump moves the goal posts on Iran’s uranium stockpile

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‘I don’t care about that’: Trump moves the goal posts on Iran’s uranium stockpile

More than a month into the war in Iran, there’s still great uncertainty about why the United States launched this military offensive in the first place. There’s reason to believe, however, that the conflict has something to do with Iran’s nuclear program.

At an unrelated White House event on Tuesday, for example, Donald Trump said“I had one goal: They will have no nuclear weapon, and that goal has been attained.”

It was a curious comment, in part because by the president’s own assessmentIran didn’t have a nuclear weapon before he decided to launch the war, and in part because Secretary of State Marco Rubio this week presented the administration’s four major objectives in the conflict, none of which had anything to do with Iran’s nuclear program.

As for whether Trump’s newly manufactured “goal” has actually been “attained,” The New York Times reported“Unless something changes over the next two weeks — the target Mr. Trump set to begin withdrawing from the conflict — he will have left the Iranians with 970 pounds of highly enriched uranium, enough for 10 to a dozen bombs. The country will retain control over an even larger inventory of medium-enriched uranium that, with further enrichment, could be turned into bomb fuel, if the Iranians can rebuild that capacity after a month of steady bombing.”

The American president has acknowledged that these details are true, though he apparently no longer cares. Ahead of an Oval Office address to the nation about the war in Iran, the Republican spoke to Reuters about his perspective:

Of the enriched uranium, Trump said: ‘That’s so far ⁠underground, I ​don’t care about that.’

‘We’ll always be watching it by satellite,’ he added. He said Iran was ‘incapable’ of developing a weapon ​now.

The president’s comments definitely have a practical element: It’s been an open question for weeks as to whether Trump intends to try to seize Iran’s uranium stockpile, which would require ground troops and be profoundly dangerous for U.S. military service members.

If Trump told Reuters the truth and is prepared to let Iran keep the uranium it already has because he no longer “cares about that,” it would drastically reduce the likelihood of a ground invasion — one that would almost certainly cost lives.

But there’s another element to this worth keeping in mind as the process moves forward: Ever since the Obama administration struck the original nuclear agreement with Iran in 2015, Trump has insisted that it was wrong to allow the country to hold onto nuclear materials that might someday be used in a nuclear weapon.

A decade later, he’s suddenly indifferent to Iran’s uranium stockpile — which has only grown larger since Trump abandoned the Obama-era policy.

Trump’s goalposts, in other words, are on the move.

Indeed, if the American president’s comments reflect his true perspective (and with this guy, one never really knows), we’re due for a serious public conversation about the motives and objectives for the war. Because as things stand, before the war, Iran had a regime run by radical religious clerics and the Islamic Revolutionary Guard; the country had a significant uranium stockpile; and the Strait of Hormuz was open.

And now, Trump’s apparent vision for a successful offensive will include Iran with a regime run by radical religious clerics and the Islamic Revolutionary Guard; the country still holding a significant uranium stockpile; and the Strait of Hormuz will be open.

Mission accomplished, I guess?

Steve Benen is a producer for “The Rachel Maddow Show,” the editor of MaddowBlog and an MS NOW political contributor. He’s also the bestselling author of “Ministry of Truth: Democracy, Reality, and the Republicans’ War on the Recent Past.”

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The Dictatorship

Mike Johnson caves to the Senate, paving the way for likely DHS shutdown deal

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Just days after labeling the Senate deal to end the record-breaking shutdown at the Department of Homeland Security a “crap sandwich,” Speaker Mike Johnson, R-La., now appears ready to swallow it whole.

Johnson and Senate Majority Leader John Thune, R-S.D., announced Wednesday they will move forward with the two-track approach senators unanimously backed last Friday. They will pass a bill to fund most of DHS — with the exception of Immigration and Customs Enforcement and parts of Customs and Border Patrol — and then look to approve money for ICE and CBP in a separate reconciliation package.

“In following this two-track approach, the Republican Congress will fully reopen the Department, make sure all federal workers are paid, and specifically fund immigration enforcement and border security for the next three years so that those law-enforcement activities can continue uninhibited,” Johnson and Thune said in a joint statement.

The announcement amounts to a stunning reversal for Johnson, who was facing pressure from conservatives to oppose the Senate deal. Their objections centered on the lack of money for ICE, as well as the Senate’s failure to include new voter ID restrictions, championed by President Donald Trump, with the so-called SAVE America Act.

Instead, Johnson on Friday forced a House vote on an alternative measure to fund all of DHS for eight weeks. While it passed almost entirely along party linesthe stopgap measure stood no chance in the Senate, where Democrats have repeatedly rejected a similar proposal in recent weeks.

Lawmakers were back to square one.

But it turns out, all they needed was a little push from Trump.

Less than three hours before Johnson and Thune’s announcement, Trump urged Republicans — in a lengthy statement on Truth Social — to pass funding for ICE and border patrol through budget reconciliation. While that approach allows GOP lawmakers to bypass Democratic opposition, it requires near-unanimous GOP support.

Trump said he wants the legislation on his desk by June 1 — an ambitious timeline that dramatically increased pressure on Republicans.

“We are going to work as fast, and as focused, as possible to replenish funding for our Border and ICE Agents, and the Radical Left Democrats won’t be able to stop us,” Trump wrote on Truth Social. “We will not allow them to hurt the families of these Great Patriots by defunding them. I am asking that the Bill be on my desk NO LATER than June 1st.”

With Johnson suddenly on board, lawmakers appear poised to end the DHS shutdown just as soon as the House can reconvene. It’s unclear exactly when that might happen. The House isn’t due back until April 14. But Johnson could always call lawmakers back sooner — or look to pass the Senate bill while both chambers are out on recess through a special process.

Because the House never technically sent its 60-day continuing resolution to the Senate, the House could just recede from its amendment of the Senate-passed bill and immediately send the legislation to the president.

Either way, barring another sudden shift from Trump or House leadership, the longest government shutdown in U.S. history may soon be over — and Democrats are already taking a victory lap.

“Throughout this fight, Senate Democrats never wavered,” Senate Minority Leader Chuck Schumer said in a statement. “We were clear from the start: fund critical security, protect Americans, and no blank check for reckless ICE and Border Patrol enforcement.”

“We were united, held the line, and refused to let Republican chaos win,” Schumer added.

Kevin Frey is a congressional reporter for MS NOW.

Mychael Schnell is a reporter for MS NOW.

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