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When Making Art Means Leaving the United States

The Atlantic

www.theatlantic.com › culture › archive › 2023 › 06 › beyond-the-shores-review-tamara-walker-richard-wright › 674526

In the June 1940 issue of The Atlantic, the iconoclastic Black American author Richard Wright responded to a review of his recently published novel, Native Son, that had appeared in this magazine the month prior. Wright’s rebuttal, titled “I Bite the Hand That Feeds Me,” took his reviewer to task for a great many critical misreadings, most involving his characterization of the novel’s murderous protagonist, Bigger Thomas. But among the most arresting lines was an observation wholly removed from Chicago, where Native Son is set, and Mississippi, where both Wright and the critic, David L. Cohn, were born. After asserting that “the Negro problem in America is not beyond solution,” Wright dropped a parenthetical that portended a core tension in his future work: “I write from a country—Mexico—where people of all races and colors live in harmony and without racial prejudices or theories of racial superiority. Whites and Indians live and work and die here, always resisting the attempts of Anglo-Saxon tourists and industrialists to introduce racial hate and discrimination.”

Wright’s view of racism as a uniquely American inheritance would recur through much of his work—most intensely in “I Choose Exile,” an unpublished but later resurfaced 1951 essay in which Wright waxed poetic about France (“above all, a land of refuge”). Wright was by no means the first Black American creative figure to find artistic freedom and relative safety only after leaving the United States. Paris played host, and later home, to Josephine Baker and other Black American performers, as well as James Baldwin and William Gardner Smith. The city looms large in the Black intellectual history of the 20th century, and for many on this side of Y2K, the prospect of finding freedom overseas remains as alluring as ever.

Beyond the Shores: A History of African Americans Abroad, a new book by the historian Tamara J. Walker, contextualizes the eternal conundrum of Wright’s work and politics by focusing on a different phase of his elective exile. Walker’s book constructs a lineage of Black Americans nurturing creative ingenuity through migration, making the case for freedom of movement as a companion to the freedom of expression. But it also elucidates the complex ways that anti-Black racism manifested both within the United States and in the countries where her subjects sought (and sometimes found) refuge. For example, Wright spent 1950 in Buenos Aires, then referred to as “the Paris of the Americas,” where the first film adaptation of Native Son was being shot. Unlike his travels in Paris or Mexico, his experience of Argentina was “one of the darkest times of his life,” Walker writes, and was rarely referenced in his own work. By situating his experience within a larger tradition of Black exodus, Walker paints a more nuanced portrait of the mordant literary figure—someone whose prescience, born partly of exile, still troubles the literary canon.

Of the loose cadre of Black expats living on either side of the Seine, Wright was certainly the most sanguine about his years in Europe. The author wrote about his time in Paris with breathless enthusiasm, maintaining until his death in 1960 that “there is more freedom in one square block of Paris than there is in the entire United States of America!” Both Baldwin and Gardner Smith, however, rejected Wright’s view of Paris as a racial utopia, even as they both found some measure of comfort and success there. Not long after Wright’s death, Baldwin published “Alas, Poor Richard,” a sorrowful account of their fractured friendship in which he criticized his erstwhile friend and mentor for idealizing a country that “would not have been a city of refuge for us if we had not been armed with American passports.”  

Walker, an associate professor of Africana studies at Barnard College of Columbia University, takes up this contradiction in her book: Each chapter of Beyond the Shores relays the story of one or two people (many of them artists of some kind—authors, singers, pianists, filmmakers) who traveled to one or two places during a specific decade. Their journeys take them to some expected vistas (Paris, London, post–World War II Germany) as well as to destinations with far less scholarship on Black American presence: Đà Nẵng, Kabondo, Kisumu, Yangiyul. In a chapter focusing on Ricki Stevenson, an American journalist turned tour guide in modern Paris, Walker underscores the enduring truth of Baldwin’s civil-rights-era critique. The multigenerational presence of Black people from African and West Indian nations once colonized by France began in the 17th century, when they were trafficked as human cargo. That many white Parisians would welcome an upwardly mobile American auteur in the early 20th century didn’t mean racial tolerance was inherently embedded in French society, as evidenced by the rising popularity of the far-right National Front—and its “calls for the eviction of non-white immigrants from France” and treatment of “French-born Arabs and Blacks as noncitizens”—in the 1980s.

Read: I tried to be a communist

Subjects are introduced in chronological order, with Walker making deft connections across chapters and narratives by mapping changes in policies, movements, and prevailing social attitudes in the United States, as well as in the other countries. The chapter about Richard Wright’s time in Argentina, for example, lays out how the threat of political and financial backlash from the United States kept other nations (including France) from hosting film adaptations of Native Son. The censorship followed Wright outside American borders: Spanish-language translations of the film were titled Sangre Negra, or “Black Blood,” rather than Hijo Nativo, which might have engendered more audience identification with its protagonist.

The first chapter points the reader toward the Washington, D.C.–born singer and actor Florence Mills, who made her Paris debut in 1926, when she was 30 years old. By then, Mills had been performing for two decades across the United States, earning rave reviews in productions such as the all-Black Broadway musical Shuffle Along. But Mills knew that Broadway success would not carry her to Hollywood, as it had for white actors. When the impresario of Blackbirds, the revue she’d been headlining, signed the cast up for a Paris run, Mills took a chance on moving to the city where she’d heard of more opportunities for Black singers, vaudeville acts, and cabaret performers.

Upon making her debut in France, Mills immediately drew comparisons to Josephine Baker, whose influence on modern cultural production is ubiquitous. But in recounting Mills’s years in Europe, Walker expands upon that narrow resemblance. Part of what makes Beyond the Shores so satisfying is Walker’s vivid depictions of the environments that her subjects entered when they immigrated. Their stories are rendered not solely through what they produced, but also through what they saw, what they ate, what they must have felt. Walker describes the pillars of diasporic nightlife that earned parts of 1920s Paris the nickname “French Harlem,” where “patrons could dance to Martinican biguines, which derived from the folk songs of the enslaved, Senegalese orchestra tunes that included elements of Cuban music that traveled to African airways and migrated to France, and even some African American jazz.”

View of American author Richard Wright as he walks in the Luxembourg Gardens, Paris, France, 1959 (Gisele Freund/Photo Researchers History/Getty)

In such a setting, Mills and her fellow performers could move through everyday life—and toward bigger stages—without being hobbled by the crushing weight of Jim Crow. The Black press in America took note: One headline from the New York Amsterdam News read, “Colored Artists Holding Sway and Being Treated Like Human Beings by the French.” Walker takes care to complicate such assessments, enumerating the organizations in France that were fighting anti-Blackness on their home turf even as American performers garnered acclaim. And of course, Mills’s time in Paris was not without moments of overt discrimination, especially when a local economic downturn led to an influx of white American patrons at bars and cafés. Walker approaches these points of difficulty with empathetic rigor, as she does with moments of discomfort between Black Americans and other Black people they encountered in their travels. The American passport functions, in some instances, as a totem of whiteness: “In Nigeria, locals alternately called African American Peace Corps volunteers ‘white black’ and ‘native foreigners,’” Walker writes, “while Cameroonians referred to one volunteer as a ‘Black white woman.’”

With each story, Beyond the Shores builds a canon of Black creative expression that crosses both temporal and geographic barriers. “Bringing Florence back into the mainstream spotlight does more than simply renew attention to her remarkable life and career,” Walker writes. “It’s an opportunity to remember that Baker was just one of countless African American performers who made their way to the City of Light, left indelible marks on its cultural landscape, and turned it into a destination for new forms of music, dancing, and cross-cultural mingling that would be felt for decades to come.” Walker threads Beyond the Shores together with excavations of her own family’s journeys too: In the book’s prologue, she explains how hearing about her grandfather’s service abroad in World War II prompted some of her earliest childhood questions about Black migration. As others’ stories unfold, so does her own, giving the book the feel of a travel memoir without ever losing the gravity of a historical compendium. The interplay deepens the book’s storytelling; by observing the past through the lives of others, she seems to suggest, we can imagine an alternate vision of our own future.

The Cancer-Drug Market Is a Disaster

The Atlantic

www.theatlantic.com › health › archive › 2023 › 06 › cancer-drug-market-dysfunction-supply-shortage › 674512

Last November, FDA inspectors found almost farcical conditions when they inspected an Indian manufacturing plant that supplies medical drugs to the United States. The plant, owned by Intas Pharmaceuticals, had hardly any working systems for ensuring the purity or sterility of its products. And its employees were trying to conceal evidence of these problems by shredding and hiding documents or, as one quality-control officer admitted, dousing them in acid.

Intas provided America with a lot of frontline chemotherapy drugs—half of the country’s supply in some cases—that are used to treat more than a dozen types of cancer. When the disastrous inspection led the company to halt production, other manufacturers couldn’t make up the difference. Hospitals are now reeling: In a recent survey, 93 percent of U.S. cancer centers said they were experiencing a shortage of the drug carboplatin, while 70 percent were low on another, cisplatin.

Even short delays in cancer treatment can increase a patient’s odds of death, and substitute medications may be less effective or more toxic, if they exist at all. Chemo drugs often run dry—“I can’t think of a year in the past 10 or 12 where we didn’t face some kind of shortage,” Yoram Unguru, a pediatric oncologist at the Herman & Walter Samuelson Children’s Hospital at Sinai, told me—but the current crisis is unprecedented in scale, for reasons that go beyond Intas’s woes. Fourteen cancer drugs are currently scarce, jeopardizing the care of hundreds of thousands of Americans. “I’ve been doing this forever, and this is absolute lunacy,” Patrick Timmins III, a gynecologic oncologist at Women’s Cancer Care Associates, told me.

By delivering drugs at lower doses or over longer intervals, most oncologists are still managing to treat most of their patients—but barely. “Patients often say to us, I just need a plan,” Eleonora Teplinsky, an oncologist at Valley Health System, told me, and the shortages riddle every plan with question marks. Some institutes have already been forced to ration care. Timmins no longer has enough cisplatin and carboplatin to treat patients with recurrent tumors, even though those drugs can improve one’s quality of life or offer decent odds of another remission. “A lot of people are going to be hurt,” he told me. “Lives will be shortened.” Such tragedies are especially galling because the drugs in shortage aren’t expensive, state-of-the-art treatments that patients might struggle to access anyway, but cheap ones that have existed for decades. “It’s just unfathomable that a patient wouldn’t be able to receive them,” Amanda Fader, a gynecologic oncologist at Johns Hopkins, told me.

Intas screwed up, but how could one manufacturer’s downfall trigger such widespread problems? The coronavirus pandemic made plain how reliant the U.S. is on brittle international supply chains, but this much-discussed fragility doesn’t explain the current shortages: Cancer drugs are not scarce for the same reasons that yeast, toilet paper, or couches were. They’re scarce because the market for some of our most important medicines—the ones that should be most accessible—is utterly dysfunctional, in a way that is both very hard to fix but also entirely fixable.

Many recent supply-chain problems were caused by an external force—a pandemic, a hurricane, a stuck ship—that throttled a product’s availability, leading to surging demand and dwindling stocks. But most cancer-drug shortages are caused by internally generated problems, created within the market because of its structure. In other words, “they’re self-inflicted wounds,” Marta Wosińska, a health-care economist at the Brookings Institution, told me.

Generic drugs such as cisplatin are sold at extremely low prices, which overall have fallen by more than 50 percent since 2016. These ever-tightening margins have forced many manufacturers to tap out of the market; for example, the U.S. gets all its vincristine, an anti-leukemia drug, from just one company.

Such drugs are also hard to make. Because they’re injected into the bloodstream, often of severely ill people, they must be manufactured to the highest possible standards, free of microbes and other contaminants. But quality costs money, and generic drugs are so unprofitable that manufacturers can rarely afford to upgrade machinery or train employees. If anything, they’re compelled to cut corners, which makes them vulnerable to spontaneous manufacturing problems or disastrous inspections. And because they usually run at full capacity, any disruption to production has severe consequences. The affected manufacturer might fail to financially recover and leave the market too. Its competitors might struggle to ramp up production without triggering their own cascading shortages. And the drugs, which were never profitable enough to manufacture in surplus, quickly run out.

These principles apply not only to cancer drugs but to generics as a whole, dozens or hundreds of which have been in shortage at any given time for the past decade. The markets that produce them are frail and shrinking. And even when a drug is manufactured by many companies, they might all rely on the same few suppliers for their active pharmaceutical ingredients (APIs)—the chemicals at the core of their medicines. Mariana Socal, a pharmaceutical-market expert at Johns Hopkins, has shown that a third of the APIs in America’s generic-drug supply are made in just two or three (mostly overseas) facilities, and another third are made in just one.

The supply chains that link these chemicals to finished drugs are also frustratingly opaque. Consider fludarabine, one of the cancer drugs that’s currently in shortage. The FDA has approved 12 companies to make it, but only five actually market it; only because of a Senate-committee inquiry is it publically known that of those five, only one makes the drug itself; two others get theirs from Europe, and one of those used to supply the final two. Meanwhile, six facilities are registered to make fludarabine’s API, but it’s again unclear which ones really do, or which manufacturers they supply, or even, for one of them, which country it is in. The fludarabine market is clearly weaker than it first appears, but how weak is hard to gauge. The same goes for cisplatin and carboplatin, Socal told me: She and other experts thought their markets looked resilient, until the Intas shutdown dispelled the illusion.

This opacity masks not only the market’s weaknesses but also its strengths. Erin Fox, a drug-shortage expert at the University of Utah Health, oversees a drug budget of more than $500 million, and would love to spend it on manufacturers that make the most reliable medicines, even if their products cost a little more. But “we just don’t know which products are higher-quality than others,” she told me. The FDA has an internal scoring system that it uses to decide which facilities to inspect, Fox said, but because those data aren’t publicly available, manufacturers can distinguish themselves only through price. “We get a race to the bottom where companies undercut each other to get the lowest price, and then quit either because their manufacturing is so poor, or they can’t afford to make medicines anymore,” Fox said. As Wosińska and Janet Woodcock of the FDA identified in 2013, “The fundamental problem … is the inability of the market to observe and reward quality.”

The average generic-drug shortage lasts for about a year and a half. Many people I spoke with hoped that the current wave could abate more quickly if other manufacturers slowly ramp up. The FDA is also looking to import scarce drugs from international suppliers, and has temporarily allowed a Chinese company to sell its cisplatin in the U.S. But ultimately, “it’s very hard to solve a shortage after it started,” Allen Coukell, of the nonprofit Civica Rx, told me. They need to be prevented from happening at all.

Some commonly suggested preventive measures might not work very well, because they misdiagnose the problem. Politicians often focus on bolstering domestic manufacturing, but Wosińska, Fox, and others told me that many drug shortages have been caused by manufacturing problems in American facilities. Because American drugmakers are subject to the same flawed markets as foreign ones, moving the problem inshore doesn’t actually solve it. Nor does stockpiling generic drugs, though a worthwhile idea. These strategies work well against an external shock like a pandemic, Wosińska said: When faced with unpredictable external forces, it pays to build a large buffer. But because the shocks that cause drug shortages arise from predictable forces inherent to the market, the best bet is to reimagine the market itself—a “very difficult problem but a solvable one,” Stephen Colvill, the executive director and a co-founder of the nonprofit RISCS, told me.

A few new initiatives show how this could be done. Civica Rx, which was launched in 2018, sources generic drugs from manufacturers that it vets for quality; it then builds up rolling six-month inventories of those drugs, which it supplies to hospitals through long-term contracts. (Civica is also building its own generics-manufacturing facility in Virginia.) RISCS, founded in 2019, uses confidential data from manufacturers to rate generic-drug products according to the robustness of their supply chains. The FDA has also been developing its own rating system—the “quality management maturity” (QMM) program—that assesses a manufacturer’s quality-control practices; the program successfully completed two pilots but is still being developed and has no firm launch date, an FDA spokesperson said.

In theory, these initiatives should allow hospitals to make better purchasing decisions, and shift the market toward drug companies that are least likely to be responsible for shortages. In practice, Wosińska thinks that hospitals need to be pulled into such a culture shift. For example, she and her colleague Richard G. Frank argue that Medicare could reward hospitals for proactively choosing reliable vendors or participating in programs like Civica. The FDA could support such a scheme by finally launching its QMM program. Congress could require manufacturers to disclose more details about their products and suppliers, so that supply chains can be fully mapped. HHS could offer loans to generic-drug manufacturers for upgrading or expanding their facilities. The point, Wosińska told me, is to do all of this at once, and shift the market into a new stable state. The solution, she said, needs to be comprehensive.

It also needs to be coordinated. The drug-shortage problem lingers partly because “it’s not obvious who’s responsible for solving it,” Joshua Sharfstein, a health-policy expert at Johns Hopkins, told me. The FDA is a candidate, but economic matters sit outside its wheelhouse. Instead, Sharfstein and others suggest that the drug-shortage problem could be owned by the Administration for Strategic Preparedness and Response. It already works to shore up medical supplies in the event of emergencies such as pandemics or natural disasters, and ongoing shortages of generic drugs are effectively a perpetual state of emergency that we’re trapped in.

Meanwhile, the exact consequences of the shortages are hard to measure. Some of today’s cancer patients will suffer, or even die, because they couldn’t get treated in time, or were given lower doses, or were given more toxic drugs as substitutes. But it’s almost impossible to know if any individual person would have fared better in a world where shortages never happened: If they died, was it because of a few weeks’ delay or because their tumor was always going to be hard to treat? The impact of the shortages can only really be assessed at a population level, and that evidence takes a long time to collect. “I don’t think we’ll see the full downside for many years,” Yoram Unguru told me.

The measures needed to prevent such shortages will also take years to implement—if they ever are. The coronavirus pandemic revealed just how frail our supply chains and health-care system are, but it also showed how quickly attention and resources can disappear once a problem is thought to abate. But the drug problem isn’t abating, and is actually compounding the problems the pandemic created. When health-care workers can’t help their patients, whether because their hospitals are inundated by COVID or because their drugs have run out, the resulting moral distress can be unbearable. Such conditions during the pandemic drove so many health-care workers to quit that “you can feel the system shaking,” Patrick Timmins III said. He worries that this exodus followed by the current drug shortages are “a one-two punch” that will be visible to outsiders only when they have neither the drugs to cure them nor the health-care workers to treat them.

Inside the Mind of Robert F. Kennedy Jr.

The Atlantic

www.theatlantic.com › politics › archive › 2023 › 06 › robert-f-kennedy-jr-presidential-campaign-misinformation-maga-support › 674490

This story seems to be about:

Robert F. Kennedy Jr.’s speech is warbling, crackling, scratchy—sort of like Marge Simpson’s. His voice, he told me, is “fucked up.” The official medical diagnosis is spasmodic dysphonia, a neurological disorder that causes involuntary spasms in the larynx. He didn’t always sound this way; his speaking style changed when he was in his 40s. Kennedy has said he suspects an influenza vaccine might have been the catalyst. This idea is not supported by science.

He was telling me about his life with one arm outstretched on the velvet sofa of his suite at the Bowery Hotel in Lower Manhattan. It was the end of May, and a breeze blew in through the open doors leading to a private terrace. Two of his aides sat nearby, typing and eavesdropping. A security guard stood in the hallway.

Kennedy was finishing a plate of room-service risotto, and his navy tie was carefully tucked into his white button-down shirt. He’s taller, tanner, and buffer than the average 69-year-old. He is, after all, a Kennedy. His blue eyes oscillate between piercing and adrift, depending on the topic of discussion.

He told me that he’s surrounded by “integrative medical people”—naturopaths, osteopaths, healers of all sorts. “A lot of them think that they can cure me,” he said. Last year, Kennedy traveled to Japan for surgery to try to fix his voice. “I’ve got these doctors that have given me a formula,” he said. “They’re not even doctors, actually, these guys.”

I asked him what, exactly, he was taking.

“The stuff that they gave me? I don’t know what it is. It’s supposed to reorient your electric energy.” He believes it’s working.

When he was 19, Kennedy jumped off a dock into shallow water, which he says left him nearly paralyzed. For decades, he could hardly turn his head. Seven years ago, at a convention of chiropractors, a healer performed a 30-minute “manipulation of energy”—making chanting noises while holding his hands six inches over Kennedy’s body. The next morning, his neck felt better. “I don’t know if they had anything to do with each other, but, you know, it was weird,” he said.

Though he’s been a member of the premier American political dynasty his whole life and a noted environmentalist for decades, most people are just now discovering the breadth and depth of Kennedy’s belief system. He has promoted a theory that Wi-Fi radiation causes cancer and “leaky brain,” saying it “opens your blood-brain barrier.” He has suggested that antidepressants might have contributed to the rise in mass shootings. He told me he believes that Ukraine is engaged in a “proxy” war and that Russia’s invasion, although “illegal,” would not have taken place if the United States “didn’t want it to.”

Kennedy reached a new level of notoriety in 2021, after the publication of his conspiratorial treatise The Real Anthony Fauci: Bill Gates, Big Pharma, and the Global War on Democracy and Public Health. It has sold more than 1 million copies, according to his publisher, “despite censorship, boycotts from bookstores and libraries, and hit pieces against the author.” The book cemented his status as one of America’s foremost anti-vaxxers. It also helped lay the foundation for his Democratic presidential primary campaign against Joe Biden.

[Read: The 2024 U.S. presidential race: A cheat sheet]

On the campaign trail, he paints a conspiratorial picture of collusion among state, corporate, media, and pharmaceutical powers. If elected, he has said he would gut the Food and Drug Administration and order the Justice Department to investigate medical journals for “lying to the public.” His most ominous message is also his simplest: He feels his country is being taken away from him. It’s a familiar theme, similar to former President Donald Trump’s. But whereas Trump relies heavily on white identity politics, Kennedy is spinning up a more diverse web of supporters: anti-vaxxers, anti-government individuals, Silicon Valley magnates, “freethinking” celebrities, libertarians, Trump-weary Republicans, and Democrats who believe Biden is too old and feeble for a second term.

So far, Kennedy is polling in the double digits against Biden, sometimes as high as 20 percent. What had initially been written off as a stunt has evolved into a complex threat to both Biden and the establishment wing of the Democratic Party. Put another way: Kennedy’s support is real.

He is tapping into something burrowed deep in the national psyche. Large numbers of Americans don’t merely scoff at experts and institutions; they loathe them. Falling down conspiratorial internet rabbit holes has become an entirely normal pastime. Study after study confirms a very real “epidemic of loneliness.” Scores of people are bored and depressed and searching for narratives to help explain their anxiety and isolation. Scroll through social media and count how many times you see the phrase Burn it down.

Even though Kennedy remains a long-shot candidate, his presence in the 2024 race cannot be ignored. “My goal is to do the right thing, and whatever God wants is going to happen,” Kennedy told me. He now earnestly believes that in 12 months, he will be the Democratic nominee for president.

“Every individual, like every nation, has a darker side and a lighter side,” Kennedy told me. “And the easiest thing for a political leader to do is to appeal to all those darker angels.”

He was talking about George Wallace, the segregationist Alabama governor and subject of Kennedy’s senior thesis at Harvard.

“Most populism begins with a core of idealism, and then it’s hijacked,” he said. “Because the easiest way to keep a populist movement together is by appealing—you employ all the alchemies of demagoguery—and appealing to our greed, our anger, our hatred, our fear, our xenophobia, tribal impulses.”

Does Kennedy consider himself a populist? “He considers himself a Democrat,” his communications director, Stefanie Spear, told me in an email. The most charitable spin on Kennedy’s candidacy is that he aims to be the iconoclastic unifier of a polarized country. He looks in the mirror and sees a man fighting for the rights of the poor and the powerless, as his father did when he ran for president more than half a century ago.

Kennedy markets himself as a maverick, someone outside the system. But he’s very much using his lineage—son of Attorney General Robert F. Kennedy, nephew of President John F. Kennedy and Senator Ted Kennedy—as part of his sales pitch. Now living in Los Angeles with his third wife, the actor Cheryl Hines, he nonetheless launched his campaign in Boston, the center of the Kennedy universe. The phrase I’M A KENNEDY DEMOCRAT is splashed across the center of his campaign website. Visitors can click through a carousel of wistful black-and-white family photos. There he is as a young boy with a gap-toothed smile, offering a salute. There he is visiting his Uncle John in the Oval Office.

[Alan Brinkley: The legacy of John F. Kennedy]

Robert F. Kennedy and his wife, Ethel, with their seven children, in February 1963. (Ethel was expecting their eighth child in June.) The boys, from left, are Robert Jr., 8; David, 7; Michael, 4; and Joe, 10. The girls, from left, are Kathleen, 11; Kerry, 3; and Mary Courtney, 6. (AP)

In reality, his relationship with his family is more complicated. Several of his siblings have criticized his anti-vaccine activism around COVID. Last year, at an anti-vaccine rally in Washington, D.C., Kennedy suggested that Jews in Nazi Germany had more freedom than Americans today. In response, his sister Kerry Kennedy tweeted, “Bobby’s lies and fear-mongering yesterday were both sickening and destructive. I strongly condemn him for his hateful rhetoric.” (He later issued an apology.) In 2019, a trio of notable Kennedys wrote an op-ed in Politico pegged to a recent measles outbreak in the United States. RFK Jr., they said, “has helped to spread dangerous misinformation over social media and is complicit in sowing distrust of the science behind vaccines.” Several Kennedys serve in the Biden administration, and others—including RFK Jr.’s younger sister Rory and his first cousin Patrick—are actively supporting Biden’s reelection effort.

Multiple eras of Kennedy’s life have been marked by violence and despair. He was just 14 years old when his father was assassinated. His second wife, Mary Richardson Kennedy, struggled with mental illness and died by suicide while the couple was estranged and in the process of divorcing. He told me he believes that “almost every American has been exposed, mostly within their own families, to mental illness, depression, drug addiction, alcoholism.” In 1983, Kennedy himself was arrested for heroin possession and entered rehab. He recently told The Washington Post that he still regularly attends 12-step meetings.

Kennedy maintains a mental list of everyone he’s known who has died. He told me that each morning he spends an hour having a quiet conversation with those people, usually while out hiking alone. He asks the deceased to help him be a good person, a good father, a good writer, a good attorney. He prays for his six children. He’s been doing this for 40 years. The list now holds more than 200 names.

I asked him if he felt that his dad or uncle had sent him any messages encouraging him to run for president.

“I don’t really have two-way conversations of that type,” he said. “And I would mistrust anything that I got from those waters, because I know there’s people throughout history who have heard voices.”

He laughed.

“It’s hard to be the arbiter of your own sanity. It’s dangerous.”

The morning before we met, I watched a recent interview Kennedy had given to ABC News in which he said, “I don’t trust authority.” In our conversation, I asked him how he planned to campaign on this message while simultaneously persuading voters to grant him the most consequential authority in the world.

“My intention is to make authority trustworthy,” he said, sounding like a shrewd politician. “People don’t trust authority, because the trusted authorities have been lying to them. The media lies to the public.”

I was recording our conversation on two separate devices. I asked him if the dual recordings, plus the fact that he could see me taking notes, was enough to convince him that whatever I wrote would be accurate.

“Your quotes of mine may be accurate,” he said. “Do I think that they may be twisted? I think that’s highly likely. ”

I wondered why, if that was the case, he had agreed to talk with me at all.

“I’ll talk to anybody,” he said.

That includes some of the most prominent figures in right-wing politics. He told me that he’d met with Trump before he was inaugurated, and that he had once flown on Trump’s private plane. (Later he said he believes Trump could lead America “down the road to darkness.”) He told me how, as a young man, he had spent several weeks in a tent in Kenya with Roger Ailes—they were filming a nature documentary—and how they had remained friends even though Kennedy disapproved of Ailes’s tactics at Fox News. He also brought up Tucker Carlson. I asked if he’d spoken with the former Fox News host since his firing earlier this spring.

“I’ve texted with him,” Kennedy said.

“What’s he up to?” I asked.

“He’s—you know what he’s up to. He’s starting a Twitter … thing. Yeah, I’m going to go on it. They’ve already contacted me.”

Kennedy told me he’s heard the whispers about the nature of his campaign. Some people believe his candidacy is just a stalking-horse bid to help elect Trump, or at least siphon support away from Biden.

One week before Kennedy entered the race, the longtime Trump ally and self-proclaimed “dirty trickster” Roger Stone wrote a curious Substack post titled “What About Bobby?” in which he suggested the idea of a Trump-Kennedy unity ticket. In a text message to me, Stone said his essay was nothing but a “whimsical” piece of writing, noting that the idea had “legal and political” obstacles. A photo of the two men—plus former National Security Adviser Michael Flynn, a notable conspiracy theorist—had been circulating on the internet; Stone called it opposition research from Biden’s team. “Contrary to Twitter created mythology, I don’t know Robert Kennedy,” he texted. “I have no role in his campaign, and certainly played no role in his decision to run.”

I asked Kennedy about a recent report that had gotten some attention: Had Steve Bannon encouraged him to enter the race?

[From the July/August 2022 issue: American Rasputin]

“No,” he said. “I mean, let me put it this way: I never heard any encouragement from him. And I never spoke to him.” He then offered a clarification: He had been a guest on Bannon’s podcast during the pandemic once or twice, and the two had met a few years before that.

When I asked Bannon if he had urged Kennedy to challenge Biden, he said, “I don’t want to talk about personal conversations.” He told me he believes Kennedy could be a major political figure. “I was pleasantly surprised when he announced,” he said.

“He’s drawing from many of those Trump voters—the two-time Obama, onetime Trump—that are still disaffected, want change, and maybe haven’t found a permanent home in the Trump movement,” Bannon said. “Populist left, populist right—and where that Venn diagram overlaps—he’s talking to those people.” Bannon told me the audience for his podcast, War Room, “loves” Kennedy. “I think Tucker’s seeing it, Rogan’s seeing it, other people—the Tucker-Rogan-Elon-Bannon-combo-platter right, obviously some of us are farther right than others—I think are seeing it. It’s a new nomenclature in politics,” he said.

“And obviously the Democrats are scared to death of it, so they don’t even want to touch it. They want to pretend it doesn’t exist.”

Photograph by Chris Buck for The Atlantic

Perhaps more than anyone in politics, Kennedy is the embodiment of the crunchy-to-conspiracist pipeline—the pathway from living a life honoring the natural world to questioning, well, everything you thought you knew. For much of his life, he was a respected attorney and environmentalist. In the 1980s, Kennedy began working with the nonprofit Riverkeeper to preserve New York’s Hudson River, and he later co-founded the Waterkeeper Alliance, which is affiliated with conservation efforts around the world. Like many other environmentalists, he grew distrustful of government, convinced that regulatory agencies had fallen under the thrall of the corporations they were supposed to be supervising.

I asked Kennedy if there was a link between his earlier work and his present-day advocacy against vaccines. “The most direct and concrete nexus is mercury,” he said.

In the 2000s, Kennedy said, he read a report about the presence of mercury in fish. “It struck me then that we were living in a science-fiction nightmare where my children and the children of most Americans could now no longer engage in this seminal primal activity of American youth, which is to go fishing with their father and mother at their local fishing hole and come home and safely eat the fish,” he said.

As an environmentalist, Kennedy traveled around the country giving lectures, and about two decades ago, mercury poisoning became a focal point of these talks. He soon noticed a pattern: Mothers would approach him after his speeches, telling him about their children’s developmental issues, which they were convinced could be traced back to vaccines that contained thimerosal, a mercury-based preservative. “They all had kind of the same story,” Kennedy said. “Which was striking to me, because my inclination would be to dismiss them.”

[Read: Inside the mind of an anti-vaxxer]

He said that one of these women, a Minnesotan named Sarah Bridges, showed up on his front porch with a pile of studies 18 inches deep, telling him, “I’m not leaving here until you read those.” Kennedy read the abstracts, and his beliefs about vaccines began to shift. He went on to become the founder of Children’s Health Defense, a prominent anti-vaccine nonprofit.

When I contacted Bridges, she noted that she is a college friend of Kennedy’s sister-in-law and clarified that she had approached Kennedy while visiting his family’s compound in Hyannis Port, Massachusetts. Nevertheless, she confirmed that she gave Kennedy a stack of documents related to thimerosal, and that this likely was the beginning of his anti-vaccine journey.

Bridges’s family story is tragic: One of her children ended up in the hospital after receiving the pertussis vaccine. He now lives with a seizure disorder, developmental delays, and autism—conditions Bridges believes were ultimately caused by his reaction to the vaccine, even though studies have shown that vaccines do not cause autism. Bridges says she received compensation from the National Vaccine Injury Compensation Program, colloquially known as “vaccine court,” for her son’s brain damage.

Bridges doesn’t consider herself an anti-vaxxer. She told me that she still talks with Kennedy once in a while, but that she was surprised to learn he was running for president. She’s a lifelong Democrat, and declined to say whether she would support him in the election. She did tell me that she has received two doses of the COVID vaccine. She views the extremity of her son’s reaction as the exception, not the rule. “I think the American public is smart enough that we can have a nuanced conversation: that vaccines can both be a public good and there can be—and there, I think, is—a subset of people who don’t respond to them,” she said.

Kennedy’s campaign manager, the former Ohio congressman and two-time presidential candidate Dennis Kucinich, strongly objects to anyone labeling his candidate “anti-vaxx.” When I used the term to describe Kennedy, Kucinich told me that such a characterization was a “left-handed smear” and “a clipped assessment that has been used for political purposes by the adherents of the pharmaceutical industry who want to engage in a sort of absurd reductionism.” Kennedy, he said, stands for vaccine safety.

I asked Kucinich to specify which vaccines Kennedy supports. He seemed flummoxed.

“No!” he said. “This is … no. We’re not—look, no.”

At one point, Kennedy looked me dead in the eye and asked if I knew where the term conspiracy theory came from. I did not. He informed me that the phrase was coined by the CIA after his uncle’s assassination in 1963 as part of a larger effort to discredit anyone who claimed that the shooter, Lee Harvey Oswald, hadn’t acted alone. This origin story is not true. A recent Associated Press fact-check dates the term’s usage as far back as 1863, and notes that it also appeared in reports after the shooting of President James Garfield in 1881.

JFK’s assassination and Kennedy’s father’s, just five years apart, are two of the defining moments of modern American life. But they are difficult subjects to discuss with surviving family members without feeling exploitative. Kennedy doesn’t shy away from talking about either murder, and embraces conspiracy theories about both.

“I think the evidence that the CIA murdered my uncle is overwhelming, I would say, beyond a reasonable doubt,” he said. “As an attorney, I would be very comfortable arguing that case to a jury. I think that the evidence that the CIA murdered my father is circumstantial but very, very, very persuasive. Or very compelling. Let me put it that way—very compelling. And of course the CIA participation in the cover-up of both those murders is also beyond a reasonable doubt. It’s very well documented.” (In a written statement, a CIA spokesperson said: “The notion that CIA was involved in the deaths of either John F. Kennedy or Robert F. Kennedy is absolutely false.”)

Two years ago, hundreds of QAnon supporters gathered in Dealey Plaza, the site of JFK’s assassination. They were convinced that JFK Jr., who died in a plane crash in 1999, would dramatically reappear and that Donald Trump would be reinstated as president. I asked Kennedy what he made of all this.

“Are you equating them with people who believe that my uncle was killed by the CIA?” he asked. There was pain in his voice. It was the first time in our conversation that he appeared to get upset.

[From the June 2020 issue: The prophecies of Q]

Robert F. Kennedy Jr. as pallbearer during his father’s funeral (Photo by Fairchild Archive / Penske Media / Getty)

Unlike many conspiracists, Kennedy will actually listen to and respond to your questions. He’s personable, and does not come off as a jerk. But he gets essential facts wrong, and remains prone to statements that can leave you dumbfounded. Recently, the Fox News host Neil Cavuto had to correct him on air after he claimed that “we”—as in the United States—had “killed 350,000 Ukrainian kids.”

I brought up the QAnon adherents who’d flocked to Dallas because I wanted to know how he felt about the fact that so many disparate conspiracies in America were blending together. I asked him what he would say to Alex Jones, the conspiracist who spent years lying about the 2012 massacre at Sandy Hook Elementary School.

“There’s only so many discussions that you can have, and only so many areas where you can actually, you know, examine the evidence,” Kennedy said. “I’d say, ‘Show me the evidence of what you’re saying, and let’s look at it, and let’s look at whether it is conceivably real.’” He told me he didn’t know exactly what Jones had said about the tragedy. When I explained that Jones had claimed the whole thing was a hoax—and that he had lost a landmark defamation suit—Kennedy said he thought that was an appropriate outcome. “If somebody says something’s wrong, sue them.”

“I mean,” he said, “I know people whose children were killed at Sandy Hook.”

Who will vote for Kennedy?

He was recently endorsed by the Clueless star Alicia Silverstone. Earlier this month, Jack Dorsey, the hippie billionaire and a Twitter co-founder, shared a Fox News clip of Kennedy saying he could beat Donald Trump and Ron DeSantis in 2024. “He can and will,” Dorsey tweeted. Another tech mogul, David Sacks, recently co-hosted a fundraiser for Kennedy, as well as a Twitter Spaces event with him alongside his “PayPal mafia” ally Elon Musk. Sacks, whose Twitter header photo features a banner that reads FREE SPEECH, has an eclectic history of political donations: Mitt Romney, Hillary Clinton, and DeSantis, to name a few.

Kennedy continues to win praise from right-wing activists, influencers, and media outlets. While some of this support feels earnest, like a fawning multithousand-word ode from National Review, others feel like a wink. The New York Post covered his campaign-kickoff event under the headline “‘Never Seen So Many Hot MILFs’: Inside RFK Jr’s White House Bid Launch.”

So far, Kennedy hasn’t staged many rallies. He favors long, winding media appearances. (He’s said that he believes 2024 “will be decided by podcasts.”) He recently talked COVID and 5G conspiracy theories with Joe Rogan, and his conversation with Jordan Peterson was removed from YouTube because of what the company deemed COVID misinformation. The day we met, Kennedy told me that he had just recorded a podcast with the journalist Matt Taibbi.

I asked Taibbi, who wrote for me when I was an editor at Rolling Stone and who now publishes independently on Substack, if he could see himself voting for Kennedy next year.

“Yeah, it’s possible,” Taibbi said. “I didn’t vote for anybody last time, because it was …” He trailed off, stifling laughter. “I just couldn’t bring myself to do it. So if he manages to get the nomination, I would certainly consider it.”

Years ago, in a long Rolling Stone article, Kennedy falsely asserted that the 2004 election had been stolen. The article has since been deleted from the magazine’s online archive.

“I’ve never been a fan of electoral-theft stories,” Taibbi said. “But I don’t have to agree with RFK about everything,” he added. “He’s certainly farther along on his beliefs about the vaccine than I am. But I think he is tapping into something that I definitely feel is legitimate, which is this frustration with the kind of establishment reporting, and this feeling of a lack of choice, and the frustration over issues like Ukraine—you know, that kind of stuff. I totally get his candidacy from that standpoint.”

Kennedy’s campaign operation is lean. He told Sacks and Musk that he has only about 50 people on the payroll. He’s beginning to spend more time in the early-voting state of New Hampshire. I asked Kucinich about Kennedy’s plans for summer: large-scale rallies? A visit to the Iowa State Fair? He could offer no concrete details, and told me to stay tuned.

[Read: The case for a primary challenge to Joe Biden]

Despite the buzz and early attention, Kennedy does not have a clear path to the nomination. No incumbent president in modern history has been defeated in a primary. (Kennedy’s uncle Ted came close during his primary challenge to Jimmy Carter in the 1980 election.) Following decades of precedent, the Democratic National Committee won’t hold primary debates against a sitting president.

“We’re not spending much time right now thinking about the DNC,” he said. “We’re organizing our own campaign.”

Spokespeople for the DNC, the Biden campaign, and the White House did not offer comment for this article.

“Democrats know RFK Jr. isn’t actually a Democrat,” Jim Messina, who led Barack Obama’s 2012 reelection campaign and is in close touch with the Biden 2024 team, said in a statement. “He is not a legitimate candidate in the Democratic primary and shouldn’t be treated like one. His offensive ideas align him with Trump and the other GOP candidates running for president, and are repellent to what Democrats and swing voters are looking for.”

I asked Kennedy what he thought would be more harmful to the country: four more years of Biden or another term for Trump.

“I can’t answer that,” he said.

He paused for a long beat. He shook his head, then pivoted the conversation to Russia.

“I think that either one of them is, you know, I mean, I can conceive of Biden getting us into a nuclear war right now.”

Kennedy’s 2024 campaign, like Trump’s, has an epic We are engaged in a final showdown tenor to it. But maybe this sentiment runs deeper than his current candidacy. These are the opening lines of Kennedy’s 2018 memoir, American Values:

From my youngest days I always had the feeling that we were all involved in some great crusade, that the world was a battleground for good and evil, and that our lives would be consumed in that conflict. It would be my good fortune if I could play an important or heroic role.

[Read: The martyr at CPAC]

Since meeting Kennedy, I’ve thought about what he said about populism—how it emerges, how it’s exploited and weaponized. He seems to believe that he is doing the right thing by running for president, that history has finally found him, as it found his uncle and father. That he is the man—the Kennedy—to lead America through an era of unrelenting chaos. But I don’t know how to believe his message when it’s enveloped in exaggeration, conspiracy, and falsehoods.

The United States has grown only more conspiratorial in the half century since the publication of Richard Hofstadter’s “The Paranoid Style in American Politics.” There are those who refuse to get the COVID vaccine because of the slim potential of adverse side effects, and then there are those who earnestly fear that these innoculations are a way for the federal government to implant microchips in the bodies of citizens. The line between fact and fantasy has blurred, and fewer and fewer Americans are tethered to something larger or more meaningful than themselves.

Kennedy was raised in the Catholic Church and regularly attended Mass for most of his life. These days, he told me, his belief system is drawn from a wide array of sources.

“The first line of the Tao is something to the effect that ‘If it can be said, then it’s not truth’—that the path that is prescribed to you is never the true path, that basically we all have to find our own path to God, and to enlightenment, or nirvana, or whatever you call it,” he said.

He’s now walking his family’s path, determined to prevail in the battle of good against evil. He’s said he’s running under the premise of telling people the truth.

But as with so many of the stories he tells, it’s hard to square Kennedy’s truth with reality.