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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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RFK Jr. collects his reward. The sanewashing of RFK Jr.

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Evening Read

Illustration by Diego Mallo. Source: Mark Peterson / Redux.

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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Stephanie Bai contributed to this newsletter.

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The number of E. coli cases linked to onions used by McDonald’s has cracked 100. The Food and Drug Administration said in an update that the number of people sickened by the fast food bacteria outbreak has climbed from 90 to 104.

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Donald Trump is heading back to the White House. He has inflation to thank.

In poll after poll, focus group after focus group, Americans said the economy was bad—and the economy was bad because prices were too high. This was always going to be a problem for Kamala Harris. “Excess” inflation—defined as the cumulative growth of prices in one presidential term compared with the term preceding it—is highly predictive of electoral outcomes, according to the Northwestern economist Robert Gordon. It is a crucial part of how voters decide whether they are better off and want to stick with the incumbent. The measure strongly pointed to a Trump victory. Indeed, since the global post-pandemic inflation spike began, ruling parties around the world, on the left and the right, have been toppled.

Still, before this week, Democrats had good reasons to believe that they might be spared the inflation backlash. Households’ spending power improved more and faster in the United States than in other countries. On paper, families were doing better than they were before the pandemic, particularly at the low end of the income spectrum. Real wages—meaning wages adjusted for prices—jumped 13.2 percent for the lowest-income workers from 2019 to 2023; real wages for the highest-income workers climbed 4.4 percent.

[From the April 2024 issue: What would it take to convince Americans that the economy is fine?]

But voters do not make their decisions at the polls on the basis of price-adjusted time series. Nor do they seem to appreciate pundits and politicians telling them that their lived experience is somehow incorrect—that they are truly doing great; they just don’t know it.

Prices spiked more during the Biden administration than at any point since the early 1980s. In some categories, they remain unsustainably high. Home prices have jumped an astonishing 47 percent since early 2020. This has made homeowners wealthier on paper, but has priced millions of people out of the housing market. The situation with rented homes is no better. Costs are up more than 20 percent since COVID hit, and have doubled in some places. The number of cost-burdened renters is at an all-time high.

In response to inflation, the Federal Reserve raised interest rates. Inflation statistics do not include the cost of borrowing, but many Americans experienced higher rates—the supposed cure for higher prices—as making costs worse. Mortgage rates more than doubled from their pandemic-era level, adding insult to home-buying injury. The interest payment on a new-car loan has grown nearly as much. Credit-card APRs climbed to all-time highs, making many families’ buffer against month-to-month earnings and spending changes a costly one. If you include the cost of borrowing, inflation peaked at 18 percent, not 9 percent.

When asked over the past few years about their personal financial stressors, however, voters mostly haven’t focused on housing or auto loans. They overwhelmingly brought up everyday purchases, above all the price of groceries and fast food. Food inflation outpaced the overall rate for much of the Biden administration; in 2022, when inflation was 6.5 percent, the price of groceries grew by 11.8 percent. The price hikes cooled off in 2023, but prices themselves remained far higher than Americans were used to: Margarine, eggs, peanut butter, crackers, and bread all cost more than 40 percent more than they did just a few years ago. That everyday indignity seems to be what made inflation so salient for voters. The mental math families were tasked with felt excruciating. The sticker shock remained shocking.

[Annie Lowrey: The worst best economy ever]

The optimistic story for the Harris campaign was that, after a year of subdued price growth, the American people would have gotten used to higher bills and appreciated the earning power they gained from the tight labor market. Instead, anger at inflation lingered, even among tens of millions of working-class Americans who had gotten wealthier. This is not a purely economic story; it’s a psychological one too. People interpret wage gains as a product of their own effort and high costs as a policy problem that the president is supposed to solve. Going to the polls, voters still ranked the economy as their No. 1 issue, inflation as the No. 1 economic problem, and Trump as their preferred candidate to deal with it. In interviews, many voters told me they felt as if Democrats were gaslighting them by insisting that they were thriving.

Voters who expect Trump’s victory to herald a return to 2019 prices or relief from the cost-of-living crisis might be due for disappointment, though. Trump’s signature economic proposal of huge global tariffs would immediately raise the cost of household goods. And his promise to round up and deport millions of undocumented immigrants could create a labor shortage that would raise the cost of food, construction, home health care, and child care. He has offered no serious plan to address the deep, tangled problems that have made a middle-class life so unobtainable for so many Americans. Those problems preceded the Biden administration, and they will outlast the second Trump administration too.