#preventable diseases

LETTERS FROM AN AMERICAN

September 4, 2025 (Thursday)

Heather Cox Richardson

Sep 05, 2025

Senators challenged the decisions of Health and Human Services Secretary Robert F Kennedy Jr. as he testified before the Senate Finance Committee for about three hours today. Kennedy has slashed through thousands of advisors and staffers at the Centers for Disease Control and Prevention (CDC) who do not share his animosity toward vaccines and has canceled $500 million in research funding for mRNA vaccine research. Last week he fired the newly confirmed director of the CDC, Susan Monarez, when she refused to preapprove the recommendations of a vaccine advisory panel Kennedy had stacked with anti-vaccine advocates.

Because of Kennedy’s history of repeating debunked lies and breaking promises he made to the Senate, Senator Ron Wyden (D-OR), the highest ranking Democrat on the Finance Committee, asked that the committee swear Kennedy in before he began his testimony. Committee chair Mike Crapo (R-ID) declined. Wyden said: “This committee’s unwillingness to swear this witness is basically a message that it is acceptable to lie to the Senate Finance Committee about hugely important questions like vaccines.”

During his testimony, Kennedy insisted his purges are designed to restore faith in the CDC after it “failed miserably” during the coronavirus pandemic. He called the CDC “the most corrupt agency at HHS, and maybe the government.” He denied the official tally that more than 1.2 million Americans have died from covid-19, and denied that new government guidelines for the covid vaccine mean that people cannot get them. He was combative and seemed angry that he was being questioned. He repeatedly suggested Democratic senators were lying when they quoted facts or data that didn’t fit his narrative.

Republican senator Bill Cassidy of Louisiana, a doctor who was instrumental in securing Kennedy’s confirmation, noted that pharmacies might not offer covid vaccines after Kennedy said the shots are no longer recommended for healthy adults under 65 or for children. Cassidy said “Effectively, we’re denying people vaccines.” Kennedy retorted: “You’re wrong.”

On Monday, nine former directors of the CDC wrote an op-ed in the New York Times warning that Kennedy is “endangering every American’s health,” and yesterday more than 1,000 current and former employees of the Department of Health and Human Services wrote a public letter saying that Kennedy is endangering the health of the nation by spreading inaccurate information. They called for Kennedy to resign or be fired.

Former CDC director Monarez published an op-ed in the Wall Street Journal today warning that Kennedy and his anti-vaccine colleagues “use a familiar playbook: discredit research, weaken advisory committees, and use manipulated outcomes to unravel protections that generations of families have relied on to keep deadly diseases at bay. Once trusted experts are removed and advisory bodies are stacked, the results are predetermined. That isn’t reform. It is sabotage.”

Egged on by President Donald J. Trump in summer 2020, people involved in the MAGA movement zeroed in on government attempts to combat the coronavirus pandemic as an assault on their freedom. Now Kennedy and adherents of the Make America Healthy Again (MAHA) branch of MAGA are attacking vaccines in general as a government assault on freedom.

In a letter issued to the states today, the Department of Health and Human Services reiterated that states “must respect state religious and conscience exemptions from vaccine mandates.” It reiterated Kennedy’s position that American freedom dictates the removal of the government’s power to require Americans to get vaccines. “States have the authority to balance public health goals with individual freedom,” the letter quotes Kennedy as saying. “Protecting both public health and personal liberty is how we restore faith in our institutions and Make America Healthy Again.”

Yesterday, Florida became the first state to move to eliminate all vaccine requirements for public school students. If the state legislature agrees, the move would end Florida’s previously required vaccinations for polio, tetanus, chicken pox, hepatitis B, and measles, mumps, and rubella (MMR). No state mandates the covid vaccine.

Florida Surgeon General Dr. Joseph Ladapo said that every government vaccine mandate “is wrong and drips with disdain and slavery.” He added: “People have a right to make their own decisions, informed decisions. What you put into your body is because of your relationship with your body and your god. I don’t have that right. Government does not have that right.” After Florida’s announcement, CNN’s Aaron Blake noted, top Trump health advisor Mehmet Oz appeared to agree with it, saying on the Fox News Channel: “I would definitely not have mandates for vaccinations.”

For decades, the Republican Party has called for the dismantling of government regulations with the argument that such regulations were destroying American freedom. As Ronald Reagan put it in 1964 in his speech supporting Barry Goldwater for president, on the one hand there was “individual freedom consistent with law and order,” and on the other hand was “the ant heap of totalitarianism.”

But the fight over vaccines illustrates the difference between freedom from government overreach and freedom to build a life that is not cramped by preventable obstacles. The CDC estimates that between 1994 and 2003, childhood vaccinations prevented 32 million hospitalizations and 1,129,000 deaths among children, and saved at least $540 billion. Removing those vaccines removes the individual freedom to determine one’s future.

While they might not articulate these two very different forms of freedom, Americans certainly seem aware of them and appear eager to preserve the concept that the government has a role to play in protecting individuals’ freedom to build a life free of preventable obstacles. A KFF poll released today shows that 81% of American parents support public school requirements that students be vaccinated for measles and polio. In Florida, that number is 82%.

Even as Kennedy and Florida reject vaccines as government overreach that restricts freedom, Democratic states are embracing them as protecting Americans’ freedom to live without the threat of illness or death from preventable diseases. Yesterday, California, Oregon, and Washington announced a “West Coast Health Alliance” to coordinate information about vaccines and public health based in science rather than ideology. Nine states in the Northeast are forming a similar “Northeast Public Health Collaboration.”

Today Massachusetts governor Maura Healey announced measures to make sure vaccines continue to be available to all Massachusetts residents, despite the restrictions set out by Trump and Kennedy. “We won’t let Donald Trump and Robert Kennedy get between patients and their doctors,” Healey said. “When the federal government fails to protect public health, Massachusetts will step up. The actions we are announcing today will make sure people can continue to get the vaccines they need and want in Massachusetts.”

At the turn of the last century, when wealthy industrialists controlled Congress and the Supreme Court and prevented federal laws from addressing the abuses of industrialization and the concentration of wealth, certain state governments stepped in to figure out how to use government power to protect their citizens. Under Governor Robert “Fighting Bob” La Follette, Wisconsin led the way, bringing together researchers, lawmakers, and state officials to craft policies that would end corruption, promote education and social welfare, and create a strong and fair economy.

The “Wisconsin Idea” made that state “literally a laboratory for wise experimental legislation aiming to secure the social and political betterment of the people as a whole,” Republican president Theodore Roosevelt wrote. “All through the Union we need to learn the Wisconsin lesson.” His presidency launched the idea that the government must defend Americans’ right to live free of economic coercion, industrial pollution, and laws that privilege corporations.

Aside from using the idea of freedom from government overreach to get rid of vaccine mandates, the Trump administration appears generally to have jettisoned that Republican position. Instead, it is using the power of the government to attack those it perceives as political enemies, the same charge made by the House of Representatives against President Richard M. Nixon as it considered impeachment proceedings in 1974.

Today the Department of Justice launched a criminal investigation into Lisa Cook, a governor of the U.S. Federal Reserve, for allegedly committing mortgage fraud by claiming two separate properties as her primary residence. Robert Faturechi, Justin Elliott, and Alex Mierjeski of Pro Publica reported today that three of Trump’s own Cabinet members—Labor Secretary Lori Chavez-DeRemer, Transportation Secretary Sean Duffy, and EPA administrator Lee Zeldin—have all done the same.

A video released today by right-wing activist James O’Keefe—who often edits his material to mislead viewers—showed the Department of Justice’s acting deputy chief of special operations, Joseph Schnitt, saying that Jeffrey Epstein associate and convicted sex trafficker Ghislaine Maxwell was moved to a minimum security prison camp because the government is “offering her something to keep her mouth shut.” He also told an undercover journalist that both that the Epstein files exist and that before their release, the government will “redact every Republican and conservative person in those files and leave all the liberal, Democratic people.”

Tonight the Department of Justice published what appears to be an apology of sorts that confirms the material in the video. In an apparent screenshot of an email, Schnitt says he was talking to a woman he had met on a dating app and that his comments were “my own personal comments on what I’ve learned in the media and not from anything I’ve done or learned via work.”

Even more dramatic a government assault on freedom is the administration’s deployment of troops in Los Angeles and Washington, D.C., and its threat to deploy troops in Chicago and other cities. Now it has gone so far as to assert the government’s power to order the military to kill individuals Trump declares are gang members smuggling drugs, as it did by apparently killing 11 people on what they claimed was a drug boat.

With Trump and his loyalists abandoning the avowed Republican commitment to freedom from government overreach except when it serves their political interests—by attacking vaccines, for example—Americans determined to prevent the dismantling of our modern government are beginning to speak up to defend government protection of our freedom to live without unwarranted outside interference.

Recently, the 18 universities that make up the Big Ten Conference announced they will be running an ad during sporting events that “focuses on how Big Ten universities make America healthier, safer and more prosperous through everything from discovering new medical treatments to developing healthier foods to driving economic growth.”

Pushing back on the Trump administration’s attacks against universities and scientific research, they intend to highlight the importance of their work for the public good.

LETTERS FROM AN AMERICAN

Johnson & Johnson is currently, like right this minute, trying to extend their patent on the TB drug bedaquiline, keeping it out of generic for another four years. TB killed about 30,000 people last week and is the world's deadliest infectious disease.

If this drug does not go generic now it could affect 6 million people in the next four years (the time it would take the "new" patent to run out). Out of those millions of people who get TB, but can't get bedaquiline, most of them will die. From a PREVENTABLE DISEASE.

Why is this happening? Money. But also, because TB is not an issue in countries like the US. We can afford its $1.50 a pill price. But if you live in a poor country, that's too much money to spend on something you need to take for up to four months.