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The Dictatorship

The most alarming aspect of RFK Jr.’s potential appointment is bigger than vaccines

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The most alarming aspect of RFK Jr.’s potential appointment is bigger than vaccines

As a physician who has dedicated my life to improving public health, I find myself deeply troubled and, frankly, alarmed at the prospect of Robert F. Kennedy Jr. becoming the secretary of Health and Human Services. This isn’t just a matter of political disagreement. It’s a scenario that could have profound, far-reaching consequences for the health and well-being of every American, including you and your loved ones.

Despite overwhelming scientific evidence that supports the safety and efficacy of vaccines, Kennedy has repeatedly promoted debunked theories inaccurately linking vaccines to autism and other health issues.

The Department of Health and Human Services (HHS) is the principal agency for protecting the health of all Americans. It oversees critical institutions like the Centers for Disease Control and Prevention (CDC), the Food and Drug Administration (FDA) and the National Institutes of Health (NIH), which are responsible for disease prevention, food and drug safety, medical research and implementing health policies that affect every American. Imagine a health care system where scientifically proven treatments are called into question, where long-established safety nets we take for granted are dismantled and where misinformation guides critical health policies. This isn’t a dystopian fiction — it’s a very real possibility if Kennedy assumes this pivotal role.

One of the most alarming aspects of Kennedy’s potential appointment is his long-standing skepticism of vaccines. Despite overwhelming scientific evidence that supports the safety and efficacy of vaccines, Kennedy has repeatedly promoted debunked theories inaccurately linking vaccines to autism and other health issues. Although he told NPR that “we’re not going to take vaccines away from anybody,” that’s small consolation.

If he were to implement policies based on these unfounded beliefs, it could lead to, among other things, decreased vaccination rates, potentially causing outbreaks of preventable diseases; weakened immunization programs, putting vulnerable populations at risk; and erosion of public trust in vital health institutions.

Over at the NIH and FDA, Kennedy’s skepticism toward established medical practices and pharmaceutical companies could lead to delays in drug approvals, potentially withholding lifesaving treatments from patients; reduced funding for critical medical research; and the promotion of unproven or dangerous alternative treatments. The FDA has drawn Kennedy’s particular attention, and he has said he intends to overhaul the agencyspecifically its nutrition regulators. While improving our food system is a worthy goal, Kennedy’s approach, which includes promoting raw milk consumption, could expose Americans to increased risks from foodborne illnesses.

Kennedy’s national reputation was built on his environmental advocacy, but even there his approach has been antiscientific. Should he bring his approach to chemical regulation to the role of HHS secretary, it could have unintended consequences. Without the proper scientific backing and researchoverzealous regulation could impede the development of actually beneficial products and treatments.

Perhaps most concerning is the potential for Kennedy’s views to shape broader public health policy. His stance on issues like water fluoridationdespite its proven benefits for dental health, could lead to policy changes that harm millions of Americans.

Our health and the health of our loved ones is too important to be guided by unfounded theories and misguided policies.

The HHS secretary approves policies and decisions that have a direct effect on your daily life, such as the safety of the food you eat and the drugs you take; the availability and cost of health care services; the information you receive about health risks and preventive measures; and the funding and direction of medical research that can lead to new treatments for diseases.

With Kennedy’s unscientific views guiding these decisions, it could mean less reliable health information from government sources; increased risk of infectious disease outbreaks in your community; reduced access to proven medical treatments; and higher health care costs due to ineffective policies.

In an era when public health challenges are increasingly complex, we need leadership at HHS that is firmly grounded in scientific evidence and best practices. Kennedy’s appointment could undermine decades of progress in public health and put Americans at unnecessary risk.

As a physician, I urge all Americans to consider the implications of this potential appointment carefully. The health and well-being of our nation depend on having leadership at HHS that respects and upholds scientific integrity and evidence-based practices. A role for healthy skepticism is appropriate, but our health and the health of our loved ones is too important to be guided by unfounded theories and misguided policies.

Dr. Kavita Patel

Dr. Kavita Patel is a teaching professor of medicine, Division of Hospital Medicine at Stanford University and a board certified internal medicine physician. She served in the Obama administration as director of policy for the Office of Intergovernmental Affairs and Public Engagement in the White House. Her area of expertise is around the intersection of health policy, clinical medicine and innovation. She also spends time advising venture capital and is a medical contributor for NBC news.

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The Dictatorship

Justice Jackson keeps calling out what she sees as needless Supreme Court interventions

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Justice Jackson keeps calling out what she sees as needless Supreme Court interventions

Justice Ketanji Brown Jackson continues to speak out when she believes her colleagues are misusing their power. The latest example came Monday, when the Biden appointee dissented from a Supreme Court ruling in favor of law enforcement in a Fourth Amendment case.

In District of Columbia v. R.W.the high court majority disagreed with a ruling from D.C.’s appeals court that said a police officer violated the amendment by stopping a person without reasonable suspicion. In an unsigned through the court opinion, the justices said the D.C. court failed to properly consider the “totality of the circumstances.” The justices summarily reversed the lower court.

Jackson, however, saw the maneuver by her colleagues as heavy-handed.

In her dissent, she wrote that if the court’s intervention “reflects disapproval” of the D.C. court’s “assessment of which particular facts to weigh and to what extent, I cannot fathom why that kind of factbound determination warranted correction by this Court.” She deemed the move “not a worthy accomplishment for the unusual step of summary reversal.”

A notation at the end of the majority’s opinion said that Justice Sonia Sotomayor would have denied D.C.’s petition for high court review, but she didn’t join Jackson’s dissent or write her own to elaborate.

Jackson’s dissent follows a lecture she gave last week at Yale Law School in which she criticized what she saw as her colleagues’ disrespect of lower courts’ work.

Monday’s ruling appeared among several high court actions on a 25-page order lista routine document containing the latest action on pending appeals. The list is mostly unexplained denials of petitions for review, but sometimes it contains opinions and justices writing separately to explain themselves.

In another case on the list, Sotomayor, Jackson and the court’s third Democratic-appointed justice, Elena Kagan, all noted their dissent from the majority’s unexplained summary reversal in favor of law enforcement in a qualified immunity case.

It takes four justices to grant review of a petition. That simple math underscores the lack of power wielded by the three Democratic appointees, especially on the most contentious issues.

On that note, one of the new cases the court took up on Monday involves its latest foray into religion in public life, which the religious side has been winning at the court. The new case is an appeal from Catholic preschools in Colorado that want public funding while still admitting, as they wrote in their petition“only families who support Catholic beliefs, including on sex and gender.” The case will be heard in the next court term that starts in October.

Jordan Rubin is the Deadline: Legal Blog writer. He was a prosecutor for the New York County District Attorney’s Office in Manhattan and is the author of “Bizarro,” a book about the secret war on synthetic drugs. Before he joined MS NOW, he was a legal reporter for Bloomberg Law.

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The Dictatorship

The White House’s personal, financial and diplomatic lines keep blurring

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The White House’s personal, financial and diplomatic lines keep blurring

About a month ago, when Donald Trump spoke at a conference for Saudi Arabia’s sovereign investment fund, it was hard not to notice the complexities of the circumstances. On the one hand, Riyadh has helped steer the White House’s policy in Iran. On the other hand, the president’s son-in-law, having already received billions of dollars from Saudi Arabia, recently turned to the Middle Eastern country for more money for his private investment firm.

All the while, Saudi officials remain focused on private dealings with Trump’s family business, as the Republican extended his public support to the sovereign investment fund, ignored Pentagon concerns about selling F-35 fighter jets to Saudi Arabia and designated Saudi Arabia a “major non-NATO ally” as part of a new security agreement.

The trouble is, it’s not just the Saudis.

The New York Times reported on wealthy interests in Syria with ambitions plans for the nation’s future who needed the U.S. to drop the economic sanctions that crippled the country during Bashar al-Assad’s reign. One Syrian-born businessman, Mohamad Al-Khayyat, secured a meeting with Republican Rep. Joe Wilson of South Carolina, who recommended that plans for a luxury golf course carry the Trump Organization brand as a way of getting the American president’s attention.

The Times’ report, which has not been independently verified by MS NOW, added that the businessman was way ahead of the congressman. He’d already planned to propose a Trump-branded resort. The same businessman’s brothers, who enjoy the backing of Thomas Barrack, the American president’s special envoy to Syria, were also negotiating a real estate partnership with Ivanka Trump and Jared Kushner.

The Times summarized the broader context nicely:

Such a mixing of personal and diplomatic affairs has long been the norm in Middle Eastern nations, where a small set of players have historically run, and profited from, their dominant role in society. But it has become the way Washington operates in Mr. Trump’s second term, too.

Business discussions involving the president’s family … are consistently blurred with important policy decisions or consequential nation-to-nation negotiations.

Not to put too fine a point on this, but developments like these aren’t supposed to happen in the U.S. If a foreign country wants a change in federal economic sanctions, it’s supposed to go through proper diplomatic and economic channels as part of a formal process to prevent corruption and potential conflicts of interests.

In 2026, that model has been torn down — and replaced with what the Times described as “a warped system of executive patronage,” which is awfully tough to defend.

The article added:

Mohamad Al-Khayyat returned to Washington late last year toting a special stone celebrating the proposed golf course, carved with the Trump family emblem. He presented it to Mr. Wilson in his Capitol Hill office to deliver to the White House. Mr. Al-Khayyat then joined meetings with other lawmakers to push the sanctions repeal.

Weeks later, legislation for a permanent repeal won approval in Congress and was signed into law by Mr. Trump in late December.

This was no doubt noticed by officials and monied interests elsewhere, sending a clear signal about how to interact with the U.S. government (at least until January 2029).

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

Monday’s Campaign Round-Up, 4.20.26: Obama makes one last pitch ahead of Virginia race

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Monday’s Campaign Round-Up, 4.20.26: Obama makes one last pitch ahead of Virginia race

Today’s installment of campaign-related news items from across the country.

* This week’s biggest election is in Virginia, where voters will decide whether to advance a Democratic redistricting effort. Ahead of Tuesday’s balloting, Barack Obama filmed one last pitch to the electorate in the commonwealth.

* With former Rep. Eric Swalwell out of California’s gubernatorial race, billionaire Tom Steyer is spending heavily to claim the front-runner slot. The Associated Press reported“Data compiled by advertising tracker AdImpact show Steyer has spent or booked over $115 million in ads for broadcast TV, cable and radio — nearly 30 times the amount of his nearest Democratic rival.”

* On a related note, the California Teachers Association, which had backed Swalwell, threw its support behind Steyer’s bid last week.

* When Donald Trump held an event in Nevada last week, many watched to see whether Joe Lombardo, the state’s Republican governor who is facing a tough re-election fight in the fall, appeared at the gathering. He did notthough Lt. Gov. Stavros Anthony spoke at the event.

* In Pennsylvania, Democratic Sen. John Fetterman isn’t up for re-election until 2028, but Punchbowl News asked every other Democratic member of the state’s congressional delegation whether the incumbent senator should run for a second term as a Democrat. Not one said he should.

* Jack Daly, a political operative who pleaded guilty in 2023 to defrauding thousands of conservative political donors, has lost some Republican clients of late, but the National Republican Senatorial Committee has continued to use the services of Daly’s firm.

* And in Tennessee, Republican Rep. Andy Ogles appears to be running for re-election, though his fundraising is badly lacking: As of the end of March, the far-right incumbent only had around $85,000 cash on handwhich lags his GOP primary opponent, former Tennessee Agriculture Commissioner Charlie Hatcher, who has around $150,000 in his campaign account.

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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