On Thursday, President-elect Donald Trump introduced he chosen Robert F. Kennedy Jr. to function his secretary of the Division of Well being and Human Providers.
“The protection and well being of all People is an important function of any administration, and HHS will play an enormous function in serving to be sure that all people will probably be shielded from dangerous chemical compounds, pollution, pesticides, pharmaceutical merchandise, and meals components which have contributed to the overwhelming well being disaster on this nation,” Trump shared in a put up to X (previously Twitter). “Mr. Kennedy will restore these companies to the traditions of gold customary scientific analysis, and beacons of transparency, to finish the power illness epidemic, and to make America nice and wholesome once more!”
However what, precisely, does any of this imply? This is what you must know.
First, this is what the Division of Well being and Human Providers does within the first place
The Division of Well being and Human Providers (HHS) is a sprawling federal company whose mission is “to reinforce the well being and well-being of all People by offering for efficient well being and human providers and by fostering sound, sustained advances within the sciences underlying drugs, public well being, and social providers.”
The HHS oversees 11 companies, together with the Meals and Drug Administration (FDA), whose job is to control “medical investigations of merchandise below its jurisdiction, resembling medicine, organic merchandise, and medical units.” The HSS additionally oversees any public well being threats via the Facilities for Illness Management and Prevention (CDC) and helps medical analysis via the Nationwide Institutes of Well being (NIH).
The HHS additionally enforces health-related legal guidelines, coordinates responses to emergencies like pandemics, and oversees the operation of the Inexpensive Care Act, Medicare, and Medicaid.
What has RFK stated concerning the division prior to now?
Kennedy has been a pointy critic of federal well being companies. In October, he tweeted that the “FDA’s struggle on public well being is about to finish. This contains its aggressive suppression of psychedelics, peptides, stem cells, uncooked milk, hyperbaric therapies, chelating compounds, ivermectin, hydroxychloroquine, nutritional vitamins, clear meals, sunshine, train, nutraceuticals and anything that advances human well being and cannot be patented by Pharma. If you happen to work for the FDA and are a part of this corrupt system, I’ve two messages for you: 1. Protect your information, and a pair of. Pack your luggage.”
Kennedy has argued that the CDC and FDA are too intently aligned with the pharmaceutical and meals industries, resulting in what he describes as compromised insurance policies.
Kennedy has additionally lengthy been a vocal and prolific critic of vaccines, stating that “there is not any vaccine that’s protected and efficient,” which flies within the face of many years of science on the efficacy of vaccines, including that he believes the FDA to have too shut of a relationship with drug producers over vaccines. Del Bigtree, the previous director of communications for Kennedy’s election marketing campaign, informed Reuters he expects that Kennedy will probably be trying into each FDA worker’s ties to the pharmaceutical trade. “You are going to see a vetting technique of, how do the individuals have the roles right here? What have been their conflicts of curiosity,” Bigtree stated. “You are going to watch a transparency that ought to have occurred … and it is all going to be made public.”
And, as CNN reported, whereas Kennedy remarked he would “instantly” start finding out vaccine security and efficacy, he acknowledged that he wouldn’t “take vaccines away from anyone.”
Kennedy famous in a further assertion Thursday, “I stay up for working with the greater than 80,000 staff at HHS to free the companies from the smothering cloud of company seize to allow them to pursue their mission to make People as soon as once more the healthiest individuals on Earth.”
What has RFK stated are his main targets?
As Kennedy outlined within the tweet above and in his key coverage positions on the homepage of the Make America Wholesome Once more web site, he has a laundry checklist of issues he’d wish to deal with. This is a fast breakdown of those particularly focusing on meals and drinks within the U.S.
Public water
Kennedy additionally dedicated to formally recommending states and municipalities take away fluoride from public water. “We don’t want fluoride in our water,” Kennedy shared on NPR’s Morning Version. “It’s a really dangerous option to ship it into our methods.” And whereas including fluoride to water was lengthy heralded for bettering dental well being in People, it seems the Nationwide Toxicology Division, which sits below the HHS, agrees with Kennedy — not less than partly — already. “Since 1945, using fluoride has been a profitable public well being initiative for lowering dental cavities and bettering basic oral well being of adults and youngsters,” it defined on its web site.
There’s a concern, nonetheless, that some pregnant ladies and youngsters could also be getting extra fluoride than they want as a result of they now get fluoride from many sources, together with handled public water, water-added meals and drinks, teas, toothpaste, floss, and mouthwash, and the mixed complete consumption of fluoride could exceed protected quantities.” So, in 2015, the U.S. Public Well being Service really helpful fluoridation in water be lowered to 0.7 milligrams per liter nationwide.
Nonetheless, it is important to notice that the federal authorities is not accountable for this — native municipalities are. However, as Kennedy moreover informed NBC following the presidential election, “I believe fluoride is on its means out … I am not going to compel anyone to take it out, however I will advise the water districts. I will give them good details about the science, and I believe fluoride will disappear.”
Vitamin departments
Kennedy shared in an interview with NBC that he would minimize employees in “the vitamin departments” on the FDA, including they’ve “to go. They are not doing their job. They are not defending our children.”
Meals components
“We’re betraying our kids by letting these industries poison them,” Kennedy stated at a marketing campaign rally in November concerning the processed meals trade. Because the New York Instances reported, Kennedy has particularly referred to as out Froot Loops for having synthetic substances and highlighting how the corporate’s Canadian model has fewer than the U.S. model — with Canada’s model made with pure colorings from blueberries and carrots and the U.S. product containing purple dye 40, yellow 5 and blue 1, together with Butylated hydroxytoluene. It is a place that seems to have bipartisan help. In 2023, California Gov. Gavin Newsom signed a invoice banning 4 meals components: Purple dye No. 3, potassium bromate, brominated vegetable oil, and Propylparaben, with the ban starting in 2027. This stance additionally has help from meals coverage consultants and medical professionals.
“The thought of lowering unhealthy and ultra-processed meals is a very good concept,” Dr. Federica Amati, an Affiliation for Vitamin accredited nutritionist, a visiting analysis fellow at King’s School London, and lead nutritionist at Zoe, shared with Meals & Wine. Nonetheless, as Amati added, “I believe blanket statements about getting chemical compounds out of meals will not be a useful narrative basically. I believe flipping that over and saying, ‘make nearly all of your weight loss plan from entire meals,’ which is a really well-established public well being advice, tackles this downside of chemical compounds — however with out truly pointing fingers at issues that we’re unsure about.”
Amati famous one different tip for not simply Kennedy however for all of us: “Learn to cook dinner. If you do not know the way it’s a strong funding in your well being.”
Environmental toxins
The entrance web page of the MAHA web site reads, “One among MAHA’s prime priorities is the elimination of dangerous chemical compounds and toxins from America’s meals, water, and air. MAHA advocates for complete testing and monitoring of environmental toxins to make sure that all People have entry to scrub, protected, and wholesome dwelling circumstances.” Contemplating the huge variety of research showcasing the risks of pesticides, which may be a great factor. The one downside is, that is all the knowledge we have got on his plans. He hasn’t shared which chemical compounds, precisely, he’d go after and the way.
Farms
To go together with this environmental toxins dialogue, Kennedy has additionally acknowledged he is seeking to overhaul farming within the U.S., together with eradicating some crop subsidies. “They make corn, soybeans, and wheat artificially low cost, so these crops find yourself in lots of processed kinds,” he wrote within the Wall Road Journal. “Soybean oil within the Nineteen Nineties turned a significant supply of American energy, and high-fructose corn syrup is in all places. Our subsidy program is so backward that lower than 2% of farm subsidies go to vegetables and fruit.”
“America’s present ag coverage is destroying America’s well being on each degree,” he added in a video message. “It destroys the well being of America’s soil and water by tilting the taking part in discipline in favor of extra chemical compounds, extra herbicides, extra pesticides, extra concentrated mono-crops and feedlots, and eventually, it destroys the well being of customers.” The reply, he added, is to “encourage sustainable, regenerative farming … ban the worst agricultural chemical compounds,” and to supply extra “pure, unprocessed meals.”
Nonetheless, this, Dana O’Brien, a biotechnology advisor, shared in an essay on Agri-Pulse, would imply a “wholesale change in politics and farm coverage. It represents a big elevation of anti-technology considering by a significant occasion candidate for president of the USA and have to be reconciled with the help many farm organizations are giving to the Trump marketing campaign.” He added, “The truth of what’s occurring is extraordinarily harmful for farmers, for rural communities, and for American innovation.”
SNAP programming
It seems Kennedy additionally needs to reshape the Supplemental Vitamin Help Program, which is utilized by greater than 40 million individuals within the U.S. Kennedy wrote within the Wall Road Journal he needs to “Cease permitting beneficiaries of the Supplemental Vitamin Help Program to make use of their meals stamps to purchase soda or processed meals. 9 % of all SNAP funding goes to sweetened drinks, based on 2011 information. It’s nonsensical for U.S. taxpayers to spend tens of billions of {dollars} subsidizing junk that harms the well being of low-income People.”
Will any of RFK’s plans truly occur?
That is all an enormous … perhaps. For starters, he has to get confirmed. And even when he does, his want checklist will depend on the longer term political dynamics, scientific feasibility, funding, and the general public urge for food for any of those modifications.
As Reuters famous, his guarantees would require the brand new “Trump administration to strip federal staff of protections towards arbitrary firing put in place by lawmakers.” Nonetheless, some 18,000 FDA staffers do not even depend on funding from Congress. The 18,000 FDA employees are additional shielded as a result of their salaries should not solely funded by Congress, with almost 50% of the company’s finances coming from “person charges,” which Reuters defined are funds made by pharmaceutical and medical system producers to fund the employees assets wanted to evaluate their merchandise. The FDA famous that these feeds don’t compromise “the company’s dedication to scientific integrity, public well being, regulatory requirements, affected person security, and transparency.”
Moreover, as Dan Troy, former chief counsel on the FDA below Republican President George W. Bush’s first administration, shared with Reuters, even when Kennedy have been in a position to hearth a lot of staffers, “who’re you going to place in place? Who has the technical experience to write down these guidelines which can be going to actually change the paradigm?”
Even when he does hearth all these FDA staff and change them, he nonetheless probably will not hit Trump’s “mandate.”
“Trump gave him a mandate to scale back power ailments in two years. That is unimaginable,” Daybreak Matusz, a part-time teacher on the College of Nevada Las Vegas’ vitamin program and likewise a doctoral candidate in UNLV’s Physician of Public Coverage program, stated. “That’s an unimaginable enterprise. Possibly his inevitable failure of that can begin to make individuals understand that well being would not exist in a vacuum. Vitamin would not exist in a vacuum. Public coverage doesn’t exist in a vacuum.” As Matusz added, you possibly can have two individuals with the very same illness, like sort two diabetes, who’re the identical age, identical top, and identical weight. “You would give metformin to at least one individual, and it might utterly deliver their blood sugar ranges again right down to regular vary. You would give metformin to the opposite individual, and it will not make a dent.” Well being, Matusz says, may be very “individualized, and folks do not understand that.”
Matusz did observe, “I believe they’ve good intentions. They’re simply going about it the incorrect means.”