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Why Oz Is the Doctor Trump Ordered

The Atlantic

www.theatlantic.com › newsletters › archive › 2024 › 11 › why-oz-is-the-doctor-trump-ordered › 680727

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.

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.

Related:

Trump is coming for Obamacare again. (From January) Why is Dr. Oz so bad at Twitter? (From 2022)

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Another theory of the Trump movement What the men of the internet are trying to prove Arash Azizi: The problem with boycotting Israel

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Republican members of the House Ethics Committee blocked the release of the investigation into the sexual-misconduct and drug-use allegations against former Representative Matt Gaetz. Jose Ibarra, who was found guilty of killing Laken Riley on the University of Georgia campus, was sentenced to life in prison without possibility of parole. Trump tapped former WWE CEO Linda McMahon, who previously led the U.S. Small Business Administration during Trump’s first term, to be the secretary of education.

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Evening Read

Video by Joanne Imperio / The Atlantic. Sources: Archive Films / Getty; Internet Archive; Prelinger Associates / Getty.

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.

Read the full article.

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Stephanie Bai contributed to this newsletter.

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The RFK Jr. Effect

The Atlantic

www.theatlantic.com › newsletters › archive › 2024 › 11 › the-rfk-jr-effect › 680683

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.

Related:

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Speaker Mike Johnson reportedly urged the House Ethics Committee to not publicly release its probe into former Representative Matt Gaetz’s alleged sexual misconduct and illicit drug use. Russian President Vladimir Putin and German Chancellor Olaf Scholz had a call about the future of the Ukraine war. It was their first conversation since late 2022. Trump selected North Dakota Governor Doug Burgum to be the Interior Department secretary last night; if confirmed by the Senate, Burgum would oversee the country’s public lands.

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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.)

Read the full article.

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Stephanie Bai contributed to this newsletter.

When you buy a book using a link in this newsletter, we receive a commission. Thank you for supporting The Atlantic.

The Democrats Need an Honest Conversation on Gender Identity

The Atlantic

www.theatlantic.com › politics › archive › 2024 › 11 › democrats-dishonest-gender-conversation-2024-election › 680604

One of the mysteries of this election is how the Democrats approached polling day with a set of policies on gender identity that they were neither proud to champion—nor prepared to disown.

Although most Americans agree that transgender people should not face discrimination in housing and employment, there is nowhere near the same level of support for allowing transgender women to compete in women’s sports—which is why Donald Trump kept bringing up the issue. His campaign also barraged swing-state voters and sports fans with ads reminding them that Kamala Harris had previously supported taxpayer-funded gender-reassignment surgery for prisoners. The commercials were effective: The New York Times reported that Future Forward, a pro-Harris super PAC, found that one ad “shifted the race 2.7 percentage points in Mr. Trump’s favor after viewers watched it.” The Harris campaign mostly avoided the subject.

Since the election, reports of dissent from this strategy have begun to trickle out. Bill Clinton reportedly raised the alarm about letting the attacks go unanswered, but was ignored. After Harris’s loss, Representative Seth Moulton of Massachusetts went on the record with his concerns. “I have two little girls, I don’t want them getting run over on a playing field by a male or formerly male athlete, but as a Democrat I’m supposed to be afraid to say that,” he told the Times. The recriminations go as far as the White House, where allies of Joe Biden told my colleague Franklin Foer that the current president would have countered Trump’s ads more aggressively, and “clearly rejected the idea of trans women competing in women’s sports.”

One problem: Biden’s administration has long pushed the new orthodoxy on gender, without ever really explaining to the American people why it matters—or, more crucially, what it actually involves. His officials have advocated for removing lower age limits for gender surgeries for minors, and in January 2022, his nominee for the Supreme Court, Ketanji Brown Jackson, refused to define the word woman, telling Senator Marsha Blackburn of Tennessee, “I’m not a biologist.”

[Thomas Chatterton Williams: What the left keeps getting wrong]

On sports—an issue seized on by the Trump campaign—Biden’s White House has consistently prioritized gender identity over sex. Last year, the Department of Education proposed regulations establishing “that policies violate Title IX when they categorically ban transgender students from participating on sports teams consistent with their gender identity just because of who they are.” Schools were, however, allowed to limit participation in specific situations. (In April, with the election looming, this part of the Title IX revision was put on hold.) Harris went into the campaign tied to the Biden administration’s positions, and did not have the courage, or strategic sense, to reject them publicly. Nor did she defend them.  

The fundamental issue is that athletes who have gone through male puberty are typically stronger and faster than biological females. Rather than contend with that fact, many on the left have retreated to a comfort zone of claiming that opposition to trans women in women’s sports is driven principally by transphobia. But it isn’t: When trans men or nonbinary people who were born female have competed in women’s sports against other biological females, no one has objected. The same season that Lia Thomas, a trans woman, caused controversy by swimming in the women’s division, a trans man named Iszac Henig did so without any protests. (He was not taking testosterone and so did not have an unfair advantage.) Yet even talking about this issue in language that regular Americans can understand is difficult: On CNN Friday, when the conservative political strategist Shermichael Singleton said that “there are a lot of families out there who don’t believe that boys should play girls’ sports,” he was immediately shouted down by another panelist, Jay Michaelson, who said that the word boy was a “slur,” and he “was not going to listen to transphobia at this table.” The moderator, Abby Phillips, also rebuked Singleton, telling him to “talk about this in a way that is respectful.”

A few Democrats, such as Colin Allred, a Senate candidate in Texas, attempted to counter Republicans’ ads by forcefully supporting women’s right to compete in single-sex sports—and not only lost their races anyway, but were attacked from the left for doing so. In states such as Texas and Missouri, the political right is surveilling and threatening to prosecute parents whose children seek medical treatments for gender dysphoria, or restricting transgender adults’ access to Medicaid. In this climate, activists believe, the Democrats should not further jeopardize the rights of a vulnerable minority by legitimizing voters’ concerns. “Please do not blame trans issues or trans people for why we lost,” Sam Alleman, the Harris campaign’s LBGTQ-engagement director, wrote on X. “Trans folks have been and are going to be a primary target of Project 2025 and need us to have their backs now more than ever.”

During the race, many journalists wrote about the ubiquity—and the grimness—of the Trump ads on trans issues, notably Semafor’s David Weigel. But at the time, I was surprised how dismissive many commentators were about their potential effect, given the enormous sums of money involved. My theory was that these ads tapped into a larger concern about Democrats: that they were elitists who ruled by fiat, declined to defend their unpopular positions, and treated skeptics as bigots. Gender might not have been high on voters’ list of concerns, but immigration and the border were—and all the same criticisms of Democratic messaging apply to those subjects, too.

Not wishing to engage in a losing issue, Harris eventually noted blandly that the Democrats were following the law on providing medical care to inmates, as Trump had done during his own time in office. On the integrity of women’s sports, she said nothing.

[Read: Why Biden’s team thinks Harris lost]

How did we get here? At the end of Barack Obama’s second term, gay marriage was extended to all 50 states, an achievement for which LGBTQ groups had spent decades campaigning. In 2020, the Supreme Court’s decision in Bostock v. Clayton County found that, in the words of conservative Justice Neil Gorsuch, “an employer who fires an individual merely for being gay or transgender defies the law.” Those advances meant that activist organizations, with large staffs and existing donor networks, had to go looking for the next big progressive cause. Since Trump came to power, they have stayed relevant and well funded by taking maximalist positions on gender—partly in reaction to divisive red-state laws, such as complete bans on gender medicine for minors. The ACLU, GLAAD, the Human Rights Campaign, and other similar groups have done so safe in the knowledge that they answer to their (mostly wealthy, well-educated) donors, rather than a more diverse and skeptical electorate. “The fundamental lesson I hope Dem politicians take from this election is that they should not adopt positions unless they can defend them, honestly, in a one-on-one conversation with the median American voter, who is a white, non-college 50-yr-old living in a small-city suburb,” the author (and Atlantic contributing writer) James Surowiecki argued last week on X.

Even now, though, many Democrats are reluctant to discuss the party’s positions on trans issues. The day after Moulton made his comments, his campaign manager resigned in protest, and the Massachusetts state-party chair weighed in to say that they “do not represent the broad view of our party.” But Moulton did not back down, saying in a statement that although he had been accused of failing “the unspoken Democratic Party purity test,” he was committed to defending the rights of all Americans. “We did not lose the 2024 election because of any trans person or issue. We lost, in part, because we shame and belittle too many opinions held by too many voters and that needs to stop.”

Gilberto Hinojosa, the chair of the Texas Democrats, faced a similar backlash. He initially told reporters, “There’s certain things that we just go too far on, that a big bulk of our population does not support,” but he quickly walked back the comments. “I extend my sincerest apologies to those I hurt with my comments today,” Hinojosa said. “In frustration over the GOP’s lies to incite hate for trans communities, I failed to communicate my thoughts with care and clarity.” (On Friday, he resigned, citing the party’s “devastating” election results in the state.)

The tragedy of this subject is that compromise positions are available that would please most voters, and would stop a wider backlash against gender nonconformity that manifests as punitive laws in red states. America is a more open-minded country than its toughest critics believe—the latest research shows that about as many people believe that society has not gone far enough in accepting trans people as think that it has gone too far. Delaware has just elected the first transgender member of Congress, Sarah McBride. But most voters think that biological sex is real, and that it matters in law and policy. Instructing them to believe otherwise, and not to ask any questions, is a doomed strategy. By shedding their most extreme positions, the Democrats will be better placed to defend transgender Americans who want to live their lives in peace.

Musk’s Twitter Is the Blueprint for a MAGA Government

The Atlantic

www.theatlantic.com › technology › archive › 2024 › 11 › elon-musk-twitter-federal-government › 680530

In a recent interview, the former Republican presidential candidate Vivek Ramaswamy made an offhanded comment that connected a few dots for me. Ramaswamy was talking with Ezra Klein about the potential for tens of thousands of government workers to lose their job should Donald Trump be reelected. This would be a healthy development, he argued. It could happen, he said, by reinstituting the Trump executive order Schedule F—which stripped certain civil servants of their job protections, allowing them to be fired more easily—and installing a government-efficiency commission to be led by Elon Musk. Ramaswamy said Trump should get rid of 75 percent of federal-government employees “on day one.” Up for debate, he argued, is whether some of those people would eventually be rehired. “That’s not the character of, certainly, what Elon did at Twitter, and I don’t think it’s going to be the character of what the most important part of that project actually looks like, which is shaving down and thinning down the bureaucracy.”

Ramaswamy’s invocation of Twitter is meaningful. In 2022, after acquiring the social network, Musk infamously purged Twitter’s ranks and fired 80 percent of its employees in the first six months, and then made a series of management decisions that ultimately threw the company into further financial disarray. Listening to Ramaswamy speak and hearing the respect in his voice as he cited the centibillionaire’s tenure, it became clear that he sees a blueprint for the Trump administration. Should Musk be appointed as a federal firing czar, it will likely not be because of his electric cars or rockets or internet-beaming satellites: It will be because he acted out the dream of draining the swamp, albeit on a smaller scale. Musk’s purchase of Twitter is not just a Republican success story; it is the template for the MAGA federal government. Even Musk’s mom said as much in a recent interview with Fox News: “He’s going to just get rid of people who are not working, or don’t have a job, or not doing a job well, just like he did on Twitter … He can do it for the government, too.”

Musk’s argument for gutting Twitter was that the company was so overstaffed that it was running out of money and had only “four months to live.” Musk cut so close to the bone that there were genuine concerns among employees I spoke with at the time that the site might crash during big news events, or fall into a state of disrepair. “I am fully convinced that if Musk does what he is saying he will do, it will be an absolute shitshow,” a trust-and-safety engineer at a different tech company told me in 2022. Musk did fire most of the trust-and-safety employees, as well as those in charge of curation and “human rights,” and the Machine Learning Ethics, Transparency, and Accountability team. The purge of these people in particular delighted some right-wing commentators, who saw Musk’s dismissals as a long-overdue excision of the woke bureaucracy inside the company. “Nothing of value was lost,” one MAGA account tweeted at the news of the firings.

[Read: I watched Elon Musk kill Twitter’s culture from the inside]

Twitter did not self-destruct as my sources feared it would (though parts of it have, perhaps most memorably when Musk tried to host Spaces events with Trump and with Florida Governor Ron DeSantis, only for them to glitch out). Small-scale disruptions aside, the site has mostly functioned during elections, World Cups, Super Bowls, and world-historic news events. But Musk’s cuts have not spared the platform from deep financial hardship. His chaotic managerial strategy for Twitter has been to rebrand the site as X, alienate many of its most important advertisers, institute a dubious paid subscription program, and dabble in AI features in the hopes of someday turning the platform into an “everything app.” The end result has been calamitous for the company’s bottom line. Soon after taking over, ad revenues plummeted 40 percent, and the bleeding hasn’t stopped. According to estimates, last year, X lost about 52 percent of its U.S. advertising revenue. A recent Fidelity report suggested that the company may have lost nearly 80 percent of its value since Musk bought it (for arguably way more than it was worth). If this keeps up, some have speculated that Musk may have to sell some of his Tesla stock to keep the company afloat. Musk’s financiers have also been left with massive loans on their balance sheets in what The Wall Street Journal has called “the worst buyout for banks since the financial crisis.”

Trump and Ramaswamy don’t seem to care about any of this. What matters is that Musk has turned X into a political weapon in service of the MAGA movement. X, as I wrote last week, has become a formidable vector for amplifying far-right accounts and talking points; it is poisoning the information environment with unverified rumors and conspiracy theories about election fraud. The far-right faithful do not care that his platform has occasionally labeled pro–Kamala Harris accounts as spam, temporarily banned journalists, restricted accounts that have tweeted the word cisgender, and complied with foreign-government requests to censor speech. Nor do Republican lawmakers seem to care that Musk is wielding his platform to get Trump elected, even after they spent the better part of a decade outraged that tech platforms were supposedly biased against conservatives. Their silence on Musk’s clear bias coupled with their admiration for his activism suggest that what they really value is the way that Musk was able to seize a popular communication platform and turn it into something that they can control and wield against their political enemies.

This idea is not dissimilar from the vision articulated by the Heritage Foundation’s Project 2025, the conservative policy proposal to reshape the federal government in a second Trump administration. Project 2025 is a dense, often radical, and unpopular set of policy proposals that, as my colleague David A. Graham notes, “would dissolve the Education Department and the National Oceanic and Atmospheric Administration, slash Medicare and Medicaid, ban pornography, establish federal abortion restrictions, repeal some child-labor protections, and enable the president to lay off tens of thousands of federal career workers and replace them with political appointees.” Put another way: If Trump were elected and decided to make Project 2025 a reality, his administration would take an existing piece of bureaucratic infrastructure, strip it of many of those who can check its power, and then wield that power to ideological ends and against their political enemies.

The parallels between this element of Project 2025 and Musk’s Twitter are stark. They should also be alarming. The federal government is not a software company, nor should it be run like one. Perhaps there is bloat in our departments and agencies, but civil servants labor over daily technical problems that are crucial to a functioning country—such as census taking, storm tracking, and preparing for pandemics. To simply cut these people with abandon (and replace others with political appointees) could have severe consequences, such as stifling disaster response and increasing the likelihood of corruption.

Consider also the financial dynamic. Last week in a virtual town hall, Musk said that the Trump administration’s second-term agenda—which includes tax cuts, slashing the federal budget, and tariffs on imports, “necessarily involves some temporary hardship,” but would ultimately result in longer-term prosperity. “We have to reduce spending to live within our means,” Musk added. The line is similar to his justification for the layoffs at Twitter, which at the time he called “painful” and necessary so that Twitter could balance its budget. But Musk bought the platform with no idea of how to turn it into a profitable business. His primary interest seems to be prioritizing shitposting and trolling rather than finding advertisers or making good on his ideas to turn X into a WeChat-style commercial app. Musk has never appeared interested in understanding the mechanics of a social network or the complexities of content moderation or even the specifics of the First Amendment. His incuriousness about the thing he ended up in charge of has been exceeded only by his desire to use it as a personal playground and political weapon.

Before Musk officially took over Twitter, the tech oligarch at least feigned an interest in running the company with an eye toward actual governance. “For Twitter to deserve public trust, it must be politically neutral, which effectively means upsetting the far right and the far left equally,” he tweeted in 2022. Trump, however, has made no effort to disguise the vindictive goals of his next administration and how he plans, in the words of the New York Times columnist Jamelle Bouie, to “merge the office of the presidency with himself” and “rebuild it as an instrument of his will, wielded for his friends and against his enemies.” In other words, he plans to run the Elon Musk Twitter playbook on the entire country.