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Donald Trump appears to experience the world through the glow of a television screen. He has long placed a premium on those who look the part in front of the camera. Paging Dr. Mehmet Oz.

Trump has picked Oz to lead the Centers for Medicare and Medicaid Services. CMS, as the agency is known, falls under the Department of Health and Human Services (HHS). Last week, Trump nominated Robert F. Kennedy Jr. to serve as HHS secretary. As you may have guessed, Kennedy and Oz are not only friends but kindred spirits. Oz is a global adviser at iHerb, a for-profit company that offers “Earth’s best-curated selection of health and wellness products at the best possible value.” He and Kennedy, two relative outsiders, are now positioned to enjoy a symbiotic relationship within Trump’s chaotic ecosystem.

Oz was last seen running for a Pennsylvania Senate seat in 2022. He lost to John Fetterman, who, despite dealing with the aftereffects of a stroke, carried the state by five points. Throughout that race, Oz struggled to combat the perception that he was a charlatan and carpetbagger who primarily lived in New Jersey. (Fetterman’s team repeatedly tagged Oz as an out-of-touch elitist, trolling him, for example, when he went grocery shopping for crudités and lamented high prices.) After that electoral defeat, Oz’s political dreams seemed all but dashed. But he wisely remained loyal to Trump—a person who has the ability to change trajectories on a whim.

In the pre-Trump era, it might have been a stretch to describe CMS administrator as an overtly political position. But Oz’s objective under Trump couldn’t be clearer. In a statement, Trump, using his reliably perplexing capitalization, telegraphed that Oz will bring a certain ethos to the job—a little MAGA, a little MAHA. Oz, Trump promised, will “cut waste and fraud within our Country’s most expensive Government Agency, which is a third of our Nation’s Healthcare spend, and a quarter of our entire National Budget.” And, because he’s Trump, he mentioned Oz’s nine daytime Emmy Awards.

Some 150 million Americans currently rely on the agency’s insurance programs, including Medicaid, Medicare, and Obamacare. Oz has been a proponent of Medicare Advantage for All. Though that sounds like the Medicare for All initiative championed by progressives such as Senator Bernie Sanders, the two programs are quite different. At its core, Medicare for All would set the U.S. on a path toward nationalizing health care. Trump would never go for that. But Medicare Advantage already exists within America’s patchwork private/public system, and Oz might push to strengthen it. He could also face budgetary pressure to weaken it. Oz’s own health-care views haven’t remained consistent. Though he once praised the mandatory universal models of Germany and Switzerland, as a Republican politician he threw his support behind privatized Medicare.

When asked about Oz’s nomination, Fetterman, his former opponent, told CNN: “As long as he’s willing to protect and preserve Medicaid and Medicare, I’m voting for the dude.” Some people were pissed. Victoria Perrone, who served as the director of operations on Fetterman’s Senate campaign, called out her old boss on social media: “Dr. Oz broke his pledge to ‘do no harm’ when he said red onions prevent ovarian cancer. My sis died of OC in 6/2022. This is a huge personal betrayal to me. We know he won’t protect the Medicaid that paid for her treatments,” Perrone posted on X. “I feel like I’ve been duped and 2 years of working on your campaign was a waste,” she added.

The above argument is illustrative of another reality Trump acknowledged in announcing his pick: “Make America Healthy Again” keeps growing. Oz, Trump declared, “will work closely with Robert F. Kennedy Jr. to take on the illness industrial complex, and all the horrible chronic diseases left in its wake.” He went a step further, promising that Oz will bring “a strong voice to the key pillars of the MAHA Movement.” Oz holds degrees from Harvard and Penn, and he worked as a professor of surgery at Columbia. In spite of that pedigree, Oz has spent years facing credible accusations of medical quackery for his endorsement of dietary supplements. In 2014, he received a dramatic dressing-down on Capitol Hill. Senator Claire McCaskill read three statements that Oz had made on his eponymous show:

“You may think magic is make-believe, but this little bean has scientists saying they’ve found the magic weight-loss cure for every body type: It’s green coffee extract.”

“I’ve got the No. 1 miracle in a bottle to burn your fat: It’s raspberry ketone.”

“Garcinia cambogia: It may be the simple solution you’ve been looking for to bust your body fat for good.”

Oz’s defense that day was that his job was to be a “cheerleader” for the Dr. Oz audience. “I actually do personally believe in the items I talk about in the show. I passionately study them. I recognize oftentimes they don’t have the scientific muster to present as fact, but nevertheless, I would give my audience the advice I give my family,” he testified.

He emerged from that hearing largely unscathed. Two years later, Oz would go on to read what he claimed were Trump’s medical records on that same show. He famously praised Trump’s testosterone levels and supposed all-around health. Four years after that, once Trump was president, Oz sent emails to White House officials, including Trump’s son-in-law Jared Kushner, pushing them to rush patient trials for hydroxychloroquine, an unproven treatment for COVID.

In the next Trump administration, those are the sorts of exchanges Oz could be having with Kennedy—or with Trump himself. How did we get here? Oz landed this gig because he’s good on TV, yes, but also because, when he entered the political arena, he fully aligned himself with Trump. The 47th president rewards loyalty. If there’s one thing that’s become clear from his administration nominations so far, it’s that.

Some of Trump’s appointments will be less consequential than others. Anything involving the health and well-being of tens of millions of Americans is inarguably serious. Oz’s confirmation is not guaranteed, but his selection has already confirmed that nothing about Trump 2.0 is mere bluster.

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Put Down the Vacuum

By Annie Lowrey

The other night, a friend came over. A dear friend. A friend who has helped me out when I’ve been sick, and who brought over takeout when I had just given birth. Still, before he arrived, I vacuumed.

I thought about this while reading the Gender Equity Policy Institute’s recent report on gender and domestic labor. The study finds that mothers spend twice as much time as fathers “on the essential and unpaid work” of taking care of kids and the home, and that women spend more time on this than men, regardless of parental and relationship status. “Simply being a woman” is the instrumental variable, the study concludes.

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President-elect Donald Trump’s pick to oversee the Centers for Medicare and Medicaid Services (CMS) has reported owning as much as $600,000 in stock from companies benefiting from private Medicare services.

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This is an edition of The Atlantic Daily, a newsletter that guides you through the biggest stories of the day, helps you discover new ideas, and recommends the best in culture. Sign up for it here.

Among Donald Trump’s recent Cabinet nominations is a pick that has alarmed the scientific community: Robert F. Kennedy Jr. for secretary of Health and Human Services. With this choice, Trump has further elevated a conspiracy-minded vaccine skeptic with no medical background, whose views are often not rooted in science. I spoke with my colleague Yasmin Tayag, who covers health, about the damage RFK Jr.’s proposals could do to Americans’ trust in public health—whether he is confirmed or not.

The Elevation of Fringe Beliefs

Lora Kelley: As you’ve written, some of Robert F. Kennedy’s concerns—such as taking on ultra-processed foods and removing toxins from the environment—seem appealing to Americans across the political spectrum, yet his proposed solutions for these problems could pose a danger to Americans. Could you help me understand the gap between some of his seemingly commonsense proposals and the fringe ideologies behind them?

Yasmin Tayag: A lot of Kennedy’s health proposals actually make sense to me: investing in regenerative agriculture, and increasing access to preventive health care, and even removing toxins from the environment are things that sound good to pretty much anyone, regardless of their political party. Kennedy, of course, was until recently a Democrat, and a lot of his environmental and health concerns do reflect the things that the left has historically worried about.

The problem is that when you start looking at how he’s going to execute on these goals, you realize that his track record of proposing solutions is not based in science. We can all agree that it’s a good idea to take toxins out of the environment, but we might not all agree that fluoride is a toxin, as Kennedy seems to suggest. And so you have to ask: How is Kennedy going to make these decisions?

He’s a science skeptic, even though he claims to be a champion of science that lets people make their own decisions about their health. His view is that science as an institution has been so corrupted by corporate influence—he’s always railing against Big Pharma—that anything that comes out of the science institution that we’ve long relied on is bad.

Lora: Even if he doesn’t get confirmed, could Kennedy’s nomination still have an impact on Americans’ trust in public health?

Yasmin: Kennedy being so publicly considered for such a prominent health role has already given legitimacy to the fringe ideas that he’s entertained over the years. He’s said in the past that he believes 5G cellular technology controls our behavior, and he has implied that antidepressants are linked to mass shootings.

For a lot of the public, this might be their first time really having to think about health topics such as fluoridation. If this is not something you think about normally, and all of a sudden, here’s this guy all over the news, talking about his doubts about things that have long been accepted as scientific fact, I think it’s reasonable that people would also start feeling confused. The fact that he is in the public eye and getting a lot of airtime to discuss his skepticism is, at the very least, putting a spotlight on these fringe beliefs and, at worst, making them seem more legitimate than they are.

Lora: Given that bird flu may be a growing threat, how do you anticipate Kennedy might respond to a pandemic as the head of HHS?

Yasmin: It’s unlikely that we would see anything close to a streamlined public-health response, in part because Kennedy is so skeptical of vaccines. That could mean a hesitation to invest in the production of vaccines, or a lack of encouragement for Americans to use them. But I think the broader impact might be if he continues to legitimize the view that vaccines are something to be afraid of. People may refuse to take them.

During the height of the coronavirus pandemic, we had people who believed in science leading HHS, and the response was pretty mediocre: inconsistent communication, inadequate testing, little coordination between state and federal agencies. But at least the interventions made sense from a scientific perspective. With someone who does not believe in basic health principles, we may see an unpredictable response—or even no response.

Lora: What kind of power does this role actually come with?

Yasmin: If Kennedy becomes secretary of HHS, he’s going to have an enormous influence on American public health—he would oversee the Food and Drug Administration, the Centers for Disease Control, the National Institutes of Health, Medicare and Medicaid, and the Administration for Children and Families, among others. And on top of overseeing all of those departments, he would also be the primary adviser to the president on health. So he would be the one telling Donald Trump what health priorities should be. That’s a really scary prospect, because a lot of Kennedy’s perspective on the world doesn’t seem to be rooted in any kind of scientific reality, at least not a mainstream one. He wouldn’t always be able to implement his ideas directly—removing fluoride from water, for example, can happen only at the state and local level—but his endorsement alone could go a long way.

His appointment, though he still needs to be confirmed, seems plausible to me. Kennedy’s audience is a big one—MAGA meets woo-woo, as our colleague Elaine Godfrey has called it—that could further expand support for Trump. But there are still a number of Republican senators he’ll have to win over. Some might take issue with his views on health. Others may feel threatened by his plans to remove corporate influence from the government—Big Pharma, for example, has long provided campaign money to both parties. Kennedy’s plans to overhaul food and pharmaceuticals would also require a ton of regulation, which is exactly what Republicans don’t want. The biggest pitfall for Kennedy would be if his goals run up against Trump’s economic priorities. He was an environmental lawyer, so he’s very anti-oil, whereas Trump is deeply pro-oil. In his past speeches, Trump has said that Kennedy can do whatever he wants, as long as he doesn’t “touch the oil.” I could see Trump or others in the party pushing back on him for that reason.

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The Man Who Will Do Anything for Trump

By Elaina Plott Calabro

Kash Patel was dangerous. On this both Trump appointees and career officials could agree.

A 40-year-old lawyer with little government experience, he joined the administration in 2019 and rose rapidly. Each new title set off new alarms.

When Patel was installed as chief of staff to the acting secretary of defense just after the 2020 election, Mark Milley, the chairman of the Joint Chiefs of Staff, advised him not to break the law in order to keep President Donald Trump in power. “Life looks really shitty from behind bars,” Milley reportedly told Patel. (Patel denies this.)

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