The Dictatorship
Doctors clash with Trump administration over vaccines
It’s normal for parents, or anyone, to have questions about vaccinations — but what happens if your pediatrician urges a shot that’s under attack by the Trump administration?
That’s getting more likely: The nation’s leading doctors groups are in an unprecedented standoff with federal health officials who have attacked long-used, lifesaving vaccines.
The revolt by pediatricians, obstetricians, family physicians, infectious disease experts and internists came to a head when an advisory panel handpicked by Health Secretary Robert F. Kennedy Jr. urged an end to routine newborn vaccination against hepatitis B, a virus that can cause liver failure or liver cancer.
That vaccine saves lives, helped child infections plummet and has been given safely to tens of millions of children in the U.S. alone, say the American Academy of Pediatrics and other doctors groups that vowed Tuesday to keep recommending it.
But that’s not the only difference. That Advisory Committee on Immunization Practices now is examining possible changes to the entire childhood vaccination schedulequestioning certain ingredients and how many doses youngsters receive.
Pushing back, the American Academy of Pediatrics has issued its own recommendations for youngsters. Other medical groups — plus some city and state public health departments that have banded together — also are issuing their own advice on certain vaccines, which largely mirrors pre-2025 federal guidance.
This article is part of AP’s Be Well coverage, focusing on wellness, fitness, diet and mental health. Read more Be Well.
“We owe our patients a consistent message informed by evidence and lived experience, not messages biased by political imperative,” Dr. Ronald Nahass, president of the Infectious Diseases Society of America, told reporters Tuesday.
But Nahass acknowledged the inevitable consumer confusion, recounting a relative calling him last weekend for advice about hepatitis B vaccination for her new grandbaby.
“Most Americans don’t have a Cousin Ronnie to call. They are left alone with fear and mistrust,” he said, urging parents to talk with their doctors about vaccines.
New guidelines without new data concern doctors
Hepatitis B isn’t the only vaccine challenge. Kennedy’s health department recently changed a Centers for Disease Control and Prevention webpage to contradict the longtime scientific conclusion that vaccines don’t cause autism. Federal agencies also moved to restrict COVID-19 vaccinations this fall, and are planning policy changes that could restrict future flu and coronavirus shots.
But when it comes to vaccine advice, “for decades, ACIP was the gold standard,” said Dr. Jake Scott, an infectious disease physician and Stanford University researcher.
The panel once routinely enlisted specialists in specific diseases for long deliberations of the latest science and safety data, resulting in recommendations typically adopted not only by the CDC but by the medical field at large, he said.
Last week’s meeting of Kennedy’s panel, which includes vaccine skeptics, marked a radical departure. CDC specialists weren’t allowed to present data on hepatitis B, the childhood vaccine schedule or questions about vaccine ingredients. Few of the committee members have public health experience, and some expressed confusion about the panel’s proposals.
At one point, a doctor called in to say the panel was misrepresenting her study’s findings. And the panel’s chairman wondered why one dose of yellow fever vaccine protected him during a trip to Africa when U.S. children get three doses of hepatitis B vaccine. The hepatitis B vaccine is designed to protect children for life from a virus they can encounter anywhere, not just on a trip abroad. And other scientists noted it was carefully studied for years to prove the three-dose course offers decades of immunity — evidence that a single dose simply doesn’t have.
“If they’ve got new data, I’m all for it — let’s see it and have a conversation,” said Dr. Kelly Gebo, an infectious disease specialist and public health dean at George Washington University, who watched for that. “I did not see any new data,” so she’s not changing her vaccine advice.
Committee members argued that most babies’ risk of hepatitis B infection is very low and that earlier research on infant shot safety was inadequate.
Especially unusual was a presentation from a lawyer who voiced doubt about studies that proved benefits of multiple childhood vaccines and promoted discredited research pointing to harms.
“I don’t think at any point in the committee’s history, there was a 90-minute uninterrupted presentation by someone who wasn’t a physician, a scientist, or a public health expert on the topic — let alone someone who, who makes his living in vaccine litigation,” said Jason Schwartz, a vaccine policy expert at Yale University.
By abandoning data and the consensus of front-line doctors, the ACIP is “actively burning down the credibility that made its recommendations so powerful,” added Stanford’s Scott. “Most parents will still follow their pediatricians, and AAP is holding the line here. But the mixed messages are precisely what erode confidence over time.”
Parents already have a choice — they need solid guidance
Trump administration health officials say it’s important to restore choice to parents and to avoid mandates. That’s how the panel’s hepatitis B recommendation was framed — that parents who really want it could get their children vaccinated later.
Parents already have a choice, said Dr. Aaron Milstone of the American Academy of Pediatrics. The government makes population-wide recommendations while families and their doctors tailor choices to each person’s health needs.
But many doctors don’t — or can’t — do their own lengthy scientific review of vaccines and thus had relied on the ACIP and CDC information, Yale’s Schwartz noted.
They “rely on trusted expert voices to help navigate what is, even in the best of times, a complicated landscape regarding the evidence for vaccines and how best to use them,” he said.
That’s a role that the pediatricians and other doctors groups, plus those multistate collaborations, aim to fill with their own guidelines — while acknowledging it will be a huge task.
For now, “ask your questions, bring your concerns and let us talk about them,” said Dr. Sarah Nosal, of the American Academy of Family Physicians, urging anyone with vaccine questions to have an open conversation with their doctor.
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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.
The Dictatorship
Iran negotiator or private investor? Raskin launches investigation into Jared Kushner.
House Judiciary Democrats are launching a new investigation into President Donald Trump’s son-in-law — and Iran ceasefire negotiator — Jared Kushner, citing his “glaring and incurable conflict of interest.”
In a letter obtained first by MS NOW, Rep. Jamie Raskin, D-Md., writes that Kushner’s dual roles as Trump administration peace envoy and leader of a private equity firm have “been haunting American foreign policy since President Trump returned to Washington in 2025,” with the Iran war only compounding concerns that Kushner’s financial work could distort his priorities.
“Your client Saudi Arabia,” Raskin writes, “wants to see a continuation and escalation of President Trump’s Iran war, but the American people have an interest in minimizing the loss of American lives and treasure in this conflict.”
“To whom do your professional obligations and fiduciary duties belong?” Raskin asks in the letter, which was sent to Kushner, his firm, and the State Department on Thursday.

Kushner, who is married to Trump’s eldest daughter Ivanka, founded the investment firm Affinity Partners in 2021 after serving as a senior adviser during Trump’s first administration.
Affinity’s largest and earliest investor, according to The New York Timesis Saudi Arabia’s Public Investment Fund, which is led by Crown Prince Mohammed bin Salman. The fund invested roughly $2 billion after the first Trump White House ended. Sovereign wealth funds tied to other Gulf nations, such as Qatar and the United Arab Emirates, have also invested.
Affinity has earned a 25% rate of return since 2021, according to a person familiar with the firm’s internal dynamics.
Since Trump returned to the White House, Kushner has taken on the role of peace envoy, working on negotiations between Ukraine and Russia, Israel and Hamas and, most recently, the U.S. and Iran. The latter two, critics note, are in the region that is the source of sizable investments in Kushner’s firm.
“You cannot both be a diplomat and a financial pawn of the Saudi monarchy at the same time,” Raskin writes in the letter. “You cannot faithfully represent the United States with billions of dollars in Saudi and Emirati cash burning a hole in every pocket of every suit you own.”
In a statement shared with MS NOW, Ian Brekke, chief legal officer for Affinity, said Kushner “has complied with all applicable laws and requirements and has always operated in the best interests of the United States.”
“Jared is not raising funds and has not done business in Gaza, Ukraine or Iran and has no intention to do so,” Brekke said.
In response to a March report in The New York Times that Kushner had taken recent steps to raise money for his firm from governments in the Middle East, Brekke wrote, “Affinity had early conversations with its anchor investor and does not intend to take in any additional capital while Jared is volunteering for the government.”
And in a statement to MS NOW, White House spokesperson Anna Kelly said Kushner had “sacrificed time with his family and livelihood” to work on the Trump administration’s initiatives overseas. She called Raskin “an attention-seeking loser who has saved zero lives and hasn’t accomplished anything.”
As part of the new House Judiciary investigation that Democrats are unilaterally launching, Raskin is asking Kushner to hand over a trove of materials tied to his work for Affinity and with the government.
The documents Raskin wants include: records of his communications with Saudi, Emirati, Qatari, and Israeli officials and their state-linked investment funds dating back to 2022; the financial records detailing all investors in his Affinity investment fund; records of meetings with investors dating back to July2024; and all communications relating to financial investments in Gaza, Ukraine, Iran, and other areas where Kushner has played a role as a negotiator.

Raskin is also requesting Kushner’s communications with the White House and the Trump campaign, including with Trump himself, dating back to July 2024 regarding his role in the new administration.
While Kushner is unlikely to play ball with Democrats — and as long as Republicans don’t side with Democrats, Raskin doesn’t have the unilateral ability to subpoena Kushner — the inquiry is a bit of a preview of the investigations Democrats will launch should their party win control of the House.
As the midterms approach, Democrats are pledging to make rooting out corruption in the Trump administration a central focus. And while Kushner could ignore Raskin now, that would be much more difficult next year if Democrats take back the committee gavels.
For Raskin, this is the latest step in a yearslong effort to review Kushner’s activities.
In 2023, while serving as ranking member of the House Oversight Committee, Raskin wrote to Kushner questioning whether his business interests may have influenced his work during the first Trump administration.
In 2024, Raskin and Sen. Ron Wyden, D-Ore., called on the Department of Justice to appoint a special counsel to review possible violations of the Foreign Agents Registration Act.
Kevin Frey is a congressional reporter for MS NOW.
The Dictatorship
House extends surveillance powers until April 30 after late-night revolt sinks GOP plan
WASHINGTON (AP) — The House early Friday approved a short-term renewal until April 30 of a controversial surveillance programused by U.S. spy agencies in a post-midnight vote after Republicans revolted and refused President Donald Trump’s push for a longer extension.
GOP leaders rushed lawmakers back into session to late Thursday with a series of back-to-back votes that collapsed in dramatic failure, before they quickly pushed ahead the stopgap measure as they race to keep the surveillance program running past Monday’s expiration date.
First they unveiled a new plan that would have extended the program for five years, with revisions. Then they tried to salvage a shorter 18-month renewal that Trump had demanded and Speaker Mike Johnson had previously backed. Some 20 Republicans joined most Democrats in blocking its advance.
Shortly after 2 a.m. they quickly agreed to the 10-day extension, which was agreed to on a voice vote without a formal roll call. It next goes to the Senate, which is gaveling for a rare Friday session, as Congress races to keep the surveillance program running.
“We were very close tonight,” said Johnson after the late-night action.
But Democrats blasted the middle-of-the-night voting as amateur hour. “Are you kidding me? Who the hell is running this place?” said Rep. Jim McGovern, D-Mass., during a fiery floor debate.
At the center of the standoff that has stretched throughout the week is Section 702 of the Foreign Intelligence Surveillance Act,which permits the CIA, National Security Agency, FBI and other agencies to collect and analyze vast amounts of overseas communications without a warrant. In doing so, they can incidentally sweep up communications involving Americans who interact with foreign targets.
U.S. officials say the authority is critical to disrupting terrorist plots, cyber intrusions and foreign espionage.
Surveillance program fight is a debate over privacy and security
Its path to passage has teetered all week in a familiar fight, as lawmakers weigh civil liberties concerns against intelligence officials’ warnings about national security risks.
Opponents of the surveillance tool point to past misuses. FBI officials repeatedly violated their own standards when searching intelligence related to the Jan. 6, 2021, attack on the Capitol and racial justice protests in 2020, according to a 2024 court order.
Trump and his allies had lobbied aggressively all week for a clean renewal of the program, without changes.
A group of Republicans traveled to the White House on Tuesday, and on Wednesday CIA Director John Ratcliffe spoke directly with GOP lawmakers. House Majority Leader Steve Scalise said Thursday there had “been negotiations late into the night with the White House and some of our members.”
“I am asking Republicans to UNIFY, and vote together on the test vote to bring a clean Bill to the floor,” Trump wrote on Truth Social this week. “We need to stick together.”
The result of days of negotiations
Thursday’s proceedings came to a standstill as lawmakers retreated behind closed doors and Johnson reached for an agreement to resolve the standoff.
Shortly before midnight GOP leaders announced a new proposal, a five-year extension, with revisions. The changes were designed to win over skeptics of the surveillance program who have demanded greater oversight to protect Americans’ privacy.
Among the changes are new provisions to ensure that only FBI attorneys can authorize queries on U.S. persons, and to require the Office of the Director of National Intelligence to review such cases, said Rep. Austin Scott, R-Ga., during the debate.
But the final product, a 14-page amendment, did not go far enough for some holdouts in either party.
With Johnson controlling a slim majority, he has little room for dissent. As the Republicans fell short on both efforts before the short extension, a handful of Democrats stepped in to try to help them advance the longer extensions, but most Democrats were opposed.
“We just defeated Johnson’s efforts to sneak through a 5-year FISA authorization tonight,” said Democratic Rep, Ro Khanna of California. “Now, they will have to fight in daylight.”
The Dictatorship
Acting ICE Director Todd Lyons resigns
Todd Lyons, the acting head of U.S. Immigration and Customs Enforcement, is resigning from the agency later this spring, the Department of Homeland Security confirmed to MS NOW.
He will remain in his role until May 31. The circumstances surrounding his departure were not immediately clear, and officials have not publicly identified his replacement.
“Director Lyons has been a great leader of ICE and key player in helping the Trump administration remove murderers, rapists, pedophiles, terrorists, and gang members from American communities,” DHS Secretary Markwayne Mullin said in a statement.
“He jumpstarted an agency that had not been allowed to do its job for four years. Thanks to his leadership, American communities are safer.”
Lyons, a longtime immigration enforcement official who assumed the acting directorship in 2025, has overseen ICE during a period of expanded deportation operations under President Donald Trump. His tenure has coincided with a sharp increase in enforcement tactics under the administration, including the killings of Renee Good and Alex Prettiby immigration officers in Minnesota in January.
ICE has cycled through multiple acting leaders in recent years and has lacked a Senate-confirmed director. Lyons’ departure comes at a pivotal moment for the agency as it navigates ongoing legal challenges and political divisions tied to the administration’s hardline immigration crackdown agenda. In recent months, Lyons has faced growing scrutiny, including a court order requiring him to appear before a federal judge over concerns that the agency failed to comply with directives related to detainees’ rights.
Earlier Thursday, Lyons testified before a House Appropriations subcommitteewhere he faced questions from lawmakers over ICE’s budget, enforcement priorities and compliance with court orders.
During the hearing, Lyons defended the agency’s recent surge in operations, arguing that increased resources were necessary to carry out its mission, while acknowledging ongoing legal challenges and scrutiny surrounding detainee treatment and due process protections.
Before assuming the top post, Lyons previously held senior roles within ICE’s Enforcement and Removal Operations division, where he helped oversee deportation efforts nationwide.
Following the announcement of his resignation, White House border czar Tom Homan said Lyons “served selflessly as a highly respected and effective” as the acting ICE chief.
“I commend him for a distinguished law enforcement career and the countless contributions he has made to protect our country and advance its interests,” Homan said in a statement.
White House Deputy Chief of Staff Stephen Miller praised Lyons as a “phenomenal patriot and dedicated leader.”
Didi Martinez is a freelance field producer for MS NOW.
Ebony Davis is a breaking news reporter for MS NOW based in Washington, D.C. She previously worked at BLN as a campaign reporter covering elections and politics.
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