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The Dictatorship

How RFK Jr. and the CDC are making your summer cookout riskier

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How RFK Jr. and the CDC are making your summer cookout riskier

As of Friday, the Centers for Disease Control and Prevention’s Health Alert Network, tasked with sending critical public health information on disease outbreaks and prevention tips to health professionals and the public, hadn’t published an alert since March 18. That March alert focused on the risk of dengue infection, particularly in Puerto Rico and the U.S. Virgin Islands.

There’s been no shortage of news the public should have been informed about since then, including outbreaks of salmonella and listeria this month, but the CDC has grown noticeably silent.

There’s been no shortage of news the public should have been informed about since then.

And now we’ve reached Memorial Day, when families traditionally enjoy foods at picnics and barbecues. Imagine going to such a cookout and not knowing if it’s been determined that the brand of meat on the table is free of potentially deadly bacteria.

The CDC’s reluctance to provide transparent information about current disease outbreaks leaves Americans vulnerable. Front-line health care workers get less information to share with their patients on how to mitigate the spread of outbreaks, and the general public doesn’t receive timely warnings on what diseases to look out for or what foods or produce to avoid if there’s an active foodborne illness spreading.

As a physician and public health expert, I rely regularly on CDC newsletters to help inform my articles and videos in educating the public on the most pressing health issues. Without these newsletters and health alerts, finding credible sources on important health updates has become more difficult.

When the public lacks information on disease outbreaks, people can’t take precautions to protect themselves or others. The absence of transparent communication breeds confusion and mistrust.

“Public health functions best when its experts are allowed to communicate the work that they do in real time, and that’s not happening,” Kevin Griffis, the director of communications at the CDC until March, told NPR. “That could put people’s lives at risk.”

Speaking of the general absence of information coming from the CDC, Dr. Jodie Guest, a professor and senior vice chair of the department of epidemiology at Emory University’s Rollins School of Public Health, told NPR, “The whole goal is to say, this is what we know. And here are the best recommendations from experts in the field.”

Americans are already paying the price for the lack of effective communication during disease outbreaks.

Americans are already paying the price for the lack of effective communication during disease outbreaks. Look no further than the current measles outbreak in Texaswhere over 700 people have been infected, including two unvaccinated children who have died. Some infected children with measles were hospitalized with vitamin A toxicity after Health and Human Services Secretary Robert F. Kennedy Jr. wrongly touted vitamin A as a treatment for measles.

The clamps on health communication represents a public health crisis in the making. People have died and will continue to die if evidence-based health recommendations are not more transparent to the American public. The two measles deaths in Texas could have been entirely prevented with vaccination.

We must demand more from the CDC and hold the agency accountable for providing lifesaving health information that has been a part of its DNA for decades. The next foodborne illness will not wait for a press release or federal funding.

In his first address to HHS workers, Kennedy promised “radical transparency” with respect to health initiatives to help restore public trust in health. Instead, flu vaccination campaigns have been halted, medical journals are receiving threatening letters from the Justice Department alleging bias and conflict of interest issues, and important health information on disease outbreaks is not being communicated broadly through the avenues of the CDC.

The American public deserves better from the CDC. Public health is an invisible infrastructure that supports everything from our schools to our economy and daily living. When it’s dismantled, everything falls apart. Our ability to stay healthy depends in large part on receiving clear and effective communication. If the CDC stays silent, then the American people will be in the dark on trying to mitigate the spread of deadly disease outbreaks.

Another disease outbreak is always around the corner. And the CDC needs to recommit to its mission and make sure the American public will be informed about it.

Dr. Omer Awan

Dr. Omer Awan M.D., MPH, CIIP, is a practicing radiologist physician in Baltimore, Maryland, who writes about the most pressing issues in healthcare and public health.

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The Dictatorship

Monday’s Mini-Report, 3.16.26

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Monday’s Mini-Report, 3.16.26

Today’s edition of quick hits.

* A big loss for RFK Jr.: “A federal judge on Monday blocked key parts of Health Secretary Robert F. Kennedy Jr.’s effort to reshape U.S. vaccine policy, including a move to reduce the number of shots routinely recommended for children.”

* After Minnesota, it was clear that Bovino’s professional future was not bright: “Border Patrol official Greg Bovino, most widely recognized for leading the Trump administration’s immigration crackdown, will retire at the end of the month, CBS News reported, citing two sources directly familiar with his decision.”

* It’s not just oil: “The war with Iran is driving up more than gasoline prices. It is beginning to hit semiconductors, medical imaging, backyard gardens and even children’s party balloons.”

* In the Middle East: “At least four Palestinians, including two boys and a woman pregnant with twins, were killed Sunday by an Israeli airstrike in the war-torn Gaza Strip, hospital authorities said.”

* In Ukraine: “A combined missile and drone attack on the Kyiv region killed at least four people and wounded at least 15 overnight into Saturday, according to the head of the regional administration for the Ukrainian capital.”

* Whether the White House understands this or not, moves like these are likely to push consumer prices higher: “Some 200,000 immigrant truck drivers will begin to lose their commercial driver’s licenses as they expire under a new Trump administration rule that takes effect Monday.”

* Small gestures can have a significant meaning: “A temporarily new-issued dime that commemorates America’s 250th anniversary is drawing criticism for its lack of olive branches — a symbol of peace. Instead, the back of the dime showcases the Great Seal of the United States, featuring a bald eagle, but it’s clutching only arrows, a symbol of war, and lacks the traditional olive branch in its other talon.”

* I wish reports like these were less common: “The University of Florida’s College Republicans chapter was disbanded after a finding that some of its members had violated a statewide organization’s rules, including making an antisemitic gesture.”

* You mean presidents can’t change federal laws through largely symbolic executive orders? “The Justice Department on Friday moved to dismiss charges against a veteran who set an American flag on fire across the street from the White House following an executive order seeking to crack down on flag burning.”

* Best wishes for a speedy recovery: “White House Chief of Staff Susie Wiles has breast cancer but will stay in her role as she gets treatment, President Donald Trump announced Monday.”

See you tomorrow.

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

Trump is failing at the business of war

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ByNicholas Grossman

The Iran was is exposing President Donald Trump’s unfitness for national leadership. The lie-filled bluster and escalation he relied on to succeed in business and domestic politics aren’t workingand the situation is out of his control. The world is interconnected and other people get a say, including oil companies and energy markets. But Trump never understood that, and since he has no other moves, he’s kept doubling down despite no plausible path to victory, making things worse.

With Venezuela, Trump said he attacked to take oilequating his personal rapaciousness with national interest. After U.S. special operations forces ousted Venezuelan president Nicolas MaduroTrump found the rest of the Venezuelan regime more pliable, including now-interim President Delcy Rodriguez, and told U.S. energy companies to go get Venezuela’s oil.

To address this crisis of his own making, Trump tried saying the war is almost over and the U.S. already won.

Except those companies didn’t want it. Which shouldn’t have been a surprise. Venezuela’s oil deposits are dirty, needing considerable refinement, and drilling isn’t profitable unless oil is priced higher than it was at the time. The infrastructure is poor, and U.S. companies would have to spend billions developing it. And the security situation was volatile after the U.S. military overthrew the national leader. Oil is flammable, and platforms would be a target if an insurgency develops.

But apparently it was a surprise to the White House. Trump berated energy executivesbut that didn’t work. They won’t throw away money just because he told them to.

With the Iran war, Trump is trying to bully not only energy companies, but the entire global energy market. Except the war is disrupting supply, making prices rise no matter what he says.

Trump ordered the U.S. military to attack Iran, and hasn’t articulated a clear goalbut did issue existential threats. At various times he’s called for regime change, told Iranians to overthrow the government, and demanded “unconditional surrender.”

And this comes after Trump reneged on the Iran nuclear deal without cause in his first term. That showed Iran that the United States in general, and Trump specifically, cannot be trusted to honor any agreement, and will react to concessions by demanding more.

In response to the U.S.-Israeli attack, Iran played its biggest card, closing the Strait of Hormuz. It’s a narrow choke point at the end of the Persian Gulf, and a kink in the waterway leaves it exposed to a lot of Iran’s coastline. About 20% of the world’s oil passes through Hormuz, and it isn’t hard for Iran to stop the traffic.

Iran can’t prevent U.S. and Israeli forces from flying over the gulf, and they probably couldn’t keep the U.S. Navy out of it, but to close the strait, they don’t need to. They only have to make shipping companies afraid to sail, and insurance companies think the risk of insuring the ships is too high. With threats, a few attacks on tankers, and now possibly sea mines, Iran has.

Again, this shouldn’t have been a surprise. For example, “Closing Time: Assessing the Iranian Threat to the Strait of Hormuz” by Caitlin Talmadge appeared in the leading journal International Security in 2008.

There’s no one to sue, no rules to manipulate, just the hard realities of resource shortages and war.

To address this crisis of his own making, Trump tried saying the war is almost over and the U.S. already won. It made the oil price drop back down for a bit, but as U.S.-Israeli bombardment continued and market disruptions got worse, it rose again.

Trump tried telling ships to traverse the Strait of Hormuz, but most wouldn’t, and a few who did exploded, presumably at Iran’s hand.

He tried releasing oil from America’s strategic reserve, and some other countries did from theirs. But that’s a Band-Aid on a gaping wound, and had little impact.

Then he tried bombing Kharg, an island in the gulf that Iran uses for oil exports. The apparent logic is that hindering Iran’s shipping will get Iran to stop blocking everyone else’s.

That recalls one of Trump’s go-to moves in business: the bad faith lawsuit. He’d break a contract, screw someone over, and dare them to sue him. Or would initiate legal action himself. Either way, he bet that he’d have more resources and greater tolerance for a protracted legal fight, and the other party would settle even when the facts were on their side.

That won’t work with Iran.

By making the threat existential, Trump set the bar for the Iranian regime at survival, and incentivized them to use whatever leverage they have. America’s military can overwhelm Iran’s, and is doing a lot more damage to Iran than the Iranians can do back. But even without its main source of revenue, Iran can keep up a defensive war for a while. Especially since the only thing it really needs to do is keep getting some shots off, such as with relatively cheap, domestically-produced Shahed dronesor small boats laden with explosives. The U.S. probably can’t stop that by force without a large ground invasion and indefinite occupation of Iran’s gulf coastline—a massive, costly undertaking—and maybe not even then.

Much of the time when Trump was in the private sector and messed up, his rich dad bailed him out or he’d declare bankruptcy. Instead of holding equity or debt, Trump would have the business pay him a salary and bonusesso that money was gone when the company went under, and his partners and contractors would take most of the losses.

When Trump stiffed lenders, there was usually someone else he could get to give him money. That’s how the Trump Organization ended up with a lot of Russian financing — by that point, just about everyone else wouldn’t touch him.

Now he’s done that to America. After a year of Trump denigratingthreatening, and tariffing U.S. alliesno one is willing to help rescue the U.S. from a mess of its own making, no matter how much he browbeats them.

Trump started something that quickly spiraled and seems out of ideas. There’s no one to sue, no rules to manipulate, just the hard realities of resource shortages and war.

And there’s a good chance Iran can tolerate being bombed more than the U.S. can tolerate a rapidly rising oil price and the economic damage it causes.

Nicholas Grossman

Nicholas Grossman is a political science professor at the University of Illinois, editor of Arc Digital and the author of “Drones and Terrorism.”

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Federal judge temporarily blocks RFK Jr.’s changes to vaccine policy

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Federal judge temporarily blocks RFK Jr.’s changes to vaccine policy

A federal judge in Boston dealt a blow to the Trump administration’s yearlong effort to change American vaccine policy on Monday, temporarily blocking many of the administration’s moves from going forward.

In a 45-page ruling, U.S. District Judge Brian Murphy largely sided with six medical organizations that last year sued the Department of Health and Human Services and its secretary, Robert F. Kennedy Jr., over the department’s changes to its vaccine recommendations, including a January memo that reduced the number of universally recommended vaccinations from 17 to 11. The lawsuit claimed the HHS changes violated federal law.

Murphy on Monday called the January edict “arbitrary and capricious because it abandoned the agency’s longstanding practice of getting recommendations from [the Advisory Committee on Immunization Practices] before changing the immunization schedules without sufficient explanation.” The advisory committee, known as ACIP, is a panel operating under the Centers for Disease Control and Prevention, which makes recommendations about how vaccines should be used in the U.S., based on the latest research.

“The CDC cannot simply bypass ACIP in altering the immunization schedules,” Murphy wrote.

At the time it issued the memo in January, HHS defended its process by arguing it was fulfilling the orders of President Donald Trump, who weeks earlier had directed HHS to align America’s vaccine recommendations with the best practices from peer countries.

Murphy also temporarily blocked the appointments of many of Kennedy’s handpicked members of ACIP, saying the appointees “appear distinctly unqualified.”

Last summer, Kennedy abruptly dismissed all 17 sitting members of the committee and began replacing them with his own picks, many of whom have expressed vaccine-skeptical views.

Murphy temporarily blocked 13 of Kennedy’s newly appointed ACIP members from participating in future committee meetings. However, his ruling did not apply to the two newest members of ACIP, whose appointments were announced last month.

In a statement, HHS spokesperson Andrew Nixon told MS NOW, “HHS looks forward to this judge’s decision being overturned just like his other attempts to keep the Trump administration from governing.”

Will McDuffie is a reporter for MS NOW.

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