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There's a saying that Robert F Kennedy Jr is very fond of. He utilized it connected nan time he was confirmed arsenic US wellness secretary. "A patient personification has a 1000 dreams, a sick personification only has one," he said arsenic he stood successful nan Oval Office. "60% of our organization has only 1 dream – that they get better."
The astir powerful nationalist wellness charismatic successful nan US has made it his ngo to tackle what he describes arsenic an pandemic of chronic unwellness successful America, a catch-all word that covers everything from obesity and glucosuria to bosom disease.
His test that nan US is experiencing an pandemic of sick wellness is simply a position shared by galore healthcare experts successful nan country.
But Kennedy besides has a history of promoting unfounded wellness conspiracies, from nan proposal that Covid-19 targeted and spared definite taste groups to nan thought that chemicals successful pat h2o could beryllium making children transgender.
Chip Somodevilla / Staff via Getty
Robert F Kennedy Jr has made it his ngo to tackle what he describes arsenic an pandemic of chronic unwellness successful America
And aft taking office, he slashed thousands of jobs astatine nan Department of Health and Human Services and eliminated full programmes astatine nan Centers for Disease Control (CDC).
"On nan 1 hand, it's extraordinarily breathtaking to person a national charismatic return connected chronic disease," says Marion Nestle, a retired professor of nationalist wellness astatine New York University. "On nan other, nan dismantling of nan national nationalist wellness servants of nan state cannot perchance thief pinch nan agenda."
Kennedy is reviled by parts of nan aesculapian and technological communities. He was described to maine arsenic an "evil nihilist" by Dr Amesh Adalja, an infectious illness expert and elder clever clever astatine Johns Hopkins University.
But moreover immoderate of Kennedy's critics judge that he is bringing thrust and ambition to areas of healthcare that person been neglected. Is it imaginable that nan man who attracts truthful overmuch disapproval - and successful immoderate quarters, dislike - mightiness really commencement making America patient again?
American 'kids swimming successful a toxic soup'
There's 1 manufacture that Kennedy had group his sights connected agelong earlier joining nan Trump administration: multinational nutrient companies have, he has said, poisoned American children pinch artificial additives already banned successful different countries.
"We person a procreation of kids who are swimming astir successful a toxic crockery correct now," he claimed connected Fox News past year.
His first target was nutrient colourings, pinch a committedness to shape retired nan usage of petroleum-based dyes by nan extremity of 2026.
Chemicals, pinch names for illustration 'Green No. 3' and 'Red No. 40', person been linked to hyperactivity and behavioural issues successful children, and crab successful immoderate animal studies.
"What's happening successful this management is really interesting," says Vani Hari, a nutrient blogger and erstwhile Democrat who is now an influential sound successful nan Make America Healthy Again (MAHA) movement. "MAHA is each astir really do we get group disconnected processed food, and 1 measurement to do that is to modulate nan chemicals companies use."
There are immoderate signs this unit whitethorn beryllium paying off.
The nutrient elephantine PepsiCo, for example, said successful a caller trading update that Lays crisps and Tostitos snacks "will beryllium retired of artificial colours by nan extremity of this year".
Jeff Greenberg via Getty Images
Robert Kennedy backs a nutrient measure successful Texas that could target additives successful definite fizzy drinks (not needfully those pictured)
Kennedy struck a voluntary statement pinch nan nutrient manufacture but it only came aft individual states from California to West Virginia had already started introducing their ain laws.
"In nan lawsuit of nutrient dyes, companies will person to enactment because states are banning them [anyway] and they won't want to person to formulate abstracted products for abstracted states," says Prof Nestle, an writer and longtime professional of nan industry.
More precocious Kennedy has signalled he backs a extremist nutrient measure successful Texas that could target additives successful immoderate products ranging from sweets, to cereals and fizzy drinks.
Packets whitethorn soon person to transportation a high-contrast explanation stating, "WARNING: This merchandise contains an constituent that is not recommended for quality depletion by nan due authority successful Australia, Canada, nan European Union, aliases nan United Kingdom."
The Consumer Brands Association, which represents immoderate of nan largest nutrient manufacturers, opposes this, saying nan ingredients utilized successful nan US nutrient proviso are safe and person been rigorously studied.
It's difficult to ideate that benignant of regularisation could ever beryllium signed disconnected successful a authorities for illustration Texas without nan governmental backing of Kennedy and President Trump.
Is RFK 'drifting into misinformation'?
"He can't alteration everything successful a short magnitude of time, but I deliberation nan rumor of nutrient dyes will soon beryllium history," says Ms Hari, who testified earlier nan Senate connected this taxable past year.
But others interest that nan flurry of announcements connected additives is tinkering astir nan edges of what is simply a overmuch wider problem.
"While immoderate of these individual actions are important, they are a driblet successful nan water successful nan larger discourse of chronic disease," argues Nicola Hawley, professor of epidemiology astatine Yale School of Public Health. "There is simply a attraction connected individual prime and entree to earthy food, but that wholly ignores nan big, systematic and structural barriers [to patient eating] for illustration poorness and really fierce trading of junk nutrient to children."
The US government, for example, still heavy subsidises crops including maize and soya beans, cardinal ingredients successful processed foods.
Kennedy is now updating nan US nationalist dietary guidelines, an important archive utilized to style everything from schoolhouse meals to assistance programmes for nan elderly. A simplification successful added sugars and a move to much locally originated full foods is expected. Plus he has called connected states to prohibition millions of Americans from utilizing nutrient stamps, a use benefit, to bargain junk nutrient aliases sugar-sweetened drinks.
He has besides backed section officials who want to extremity adding fluoride to drinking water, describing it arsenic a "dangerous neurotoxin". It is utilized successful immoderate countries, including successful parts of nan US, to forestall bony decay, and whilst location is still statement astir nan imaginable wellness effects, nan NHS says a reappraisal of nan risks has recovered "no convincing evidence" to support immoderate concerns. Other fluoride investigation has recovered nan mineral only has detrimental wellness effects astatine highly precocious levels.
Prof Hawley besides argues location is simply a hostility betwixt Kennedy's "important message" connected nutrient and chronic disease, and what she feels is simply a deficiency of policies backed by coagulated technological evidence.
"You've sewage this situation of him drifting into misinformation astir nan links betwixt additives and chronic disease, aliases biology consequence factors," she argues. "And that really conscionable undermines nan science."
'He is not anti vax, he is anti corruption'
That hostility is moreover clearer erstwhile it comes to different of Kennedy's large concerns.
Vaccines are still listed connected nan CDC website arsenic 1 of nan awesome nationalist wellness achievements of nan past century, alongside family readying and baccy control. They forestall countless cases of illness and disablement each year, and prevention millions of lives, according to nan American Medical Association.
Kennedy, though, is nan best-known vaccine sceptic successful nan country. The activistic group he ran for 8 years, Children's Health Defense, many times questioned nan information and efficacy of vaccination.
In 2019 he described nan disgraced British expert Andrew Wakefield arsenic nan "most unfairly maligned personification successful modern history" and told a crowd successful Washington that "any conscionable society" would beryllium building statues of him.
Wakefield was struck disconnected nan UK aesculapian registry successful 2010 aft his investigation falsely linked nan MMR (measles, mumps and rubella) vaccine to autism, starring to a spike successful bales cases successful England and immoderate different countries.
Over nan past year, Kennedy has many times insisted he is not "anti-vax" and will not beryllium "taking distant anybody's vaccines". Faced pinch a deadly bales outbreak successful unvaccinated children successful westbound Texas, he posted that nan MMR was "the astir effective measurement to forestall nan dispersed of nan disease".
In different comments though, he described vaccination as a "personal choice" and emphasised replacement treatments specified arsenic vitamin A supplements.
A immense woody pinch nan drugmaker Moderna to create a vaccine to combat vertebrate flu successful humans was scrapped, and caller rules were brought successful which could mean immoderate vaccines request other testing earlier they tin beryllium updated each winter.
In May, Kennedy posted a video connected societal media saying nan authorities would nary longer endorse Covid vaccines for patient children and pregnant women.
However, immoderate doctors constituent retired that reducing eligibility would simply bring nan US into statement pinch different countries, including nan UK, wherever free Covid boosters are restricted to those complete 75 aliases pinch weakened immune systems.
"They are really conscionable aligning themselves pinch everyone else, which is not successful immoderate measurement outrageous," says Prof Adam Finn, a paediatric expert and 1 of nan UK's starring experts connected vaccines.
EPA
Over nan past year, Kennedy has insisted he is not "anti-vax" and will not beryllium "taking distant anybody's vaccines"
Then successful June, Kennedy abruptly sacked each 17 members of nan influential master committee, which advises nan CDC connected vaccine eligibility. He accused nan sheet of being "plagued pinch persistent conflicts of interest" and rubber-stamping caller vaccines without due scrutiny.
A new, overmuch smaller, committee handpicked by nan management now has nan powerfulness to change, aliases moreover drop, captious recommendations to immunise Americans for definite diseases, arsenic good arsenic style nan puerility vaccination programme.
"It underscores conscionable really overmuch we are backsliding now," says Dr Amesh Adalja, nan infectious illness expert and elder clever clever astatine Johns Hopkins University. "I deliberation progressively nan sheet will go irrelevant if RFK Jr is capable to style it nan measurement he wants to."
The caller sheet made its first determination past week, voting to extremity recommending a mini number of flu vaccines that still incorporate nan preservative thimerosal, thing Kennedy wrote a book astir successful 2015.
His critics opportunity that a caller era of vaccine argumentation has arrived successful nan US. Whilst his supporters opportunity nary subject, including vaccine safety, should beryllium considered off-limits.
"Everything has to beryllium unfastened to chat and Bobby Kennedy is not anti-vaccine, he's anti-corruption," argues Tony Lyons, who co-founded nan governmental action committee that supported his independent statesmanlike campaign.
"It's astir being pro-science, pro-capitalism, and believing you person an responsibility to nan nationalist to do a thorough occupation of researching immoderate merchandise that is put successful nan arms of 40 cardinal children."
The autism puzzle
Weeks aft Kennedy took agency news emerged that nan CDC would unfastened a investigation task into nan nexus betwixt vaccines and autism.
Since Wakefield's now-discredited Lancet insubstantial successful 1998, which linked autism to nan MMR vaccine fixed to children, location person been galore world studies that person looked astatine this successful item and recovered nary reputable link.
"There is thing to statement immoderate more, it has been settled by science," says Eric Fombonne, an autism interrogator and professor emeritus astatine Oregon Health & Science University.
Kennedy, though, has hired David Geier, a noted vaccine sceptic, to look again astatine nan data.
Today autism is wide understood to beryllium a lifelong spectrum condition. It tin see those pinch precocious support needs who are non-speaking, and those pinch above-average intelligence who mightiness struggle pinch societal relationship aliases communication.
Most researchers judge a emergence successful cases complete decades is down to a broadening successful nan measurement children pinch autism are defined, arsenic good arsenic improved awareness, knowing and screening.
But successful April, Kennedy dismissed that idea, describing autism arsenic "preventable". He blamed a mysterious biology trigger for nan summation successful eight-year-olds being diagnosed.
"This is coming from an biology toxin… [in] our air, our water, our medicines, our food," he said.
Alex Wong via Getty Images
RFK Jr blamed a mysterious biology trigger for nan summation successful eight-year-olds being diagnosed pinch autism
He pledged a monolithic investigation effort to find that origin by September and "eliminate those exposures".
Dr Fombonne powerfully disputes this. "It is nonsensical and shows a complete absence of understanding," he says. "We person known for galore years that autism has a beardown familial component."
In nan aforesaid speech, Kennedy said that galore autistic children will ne'er "pay taxes, ne'er clasp a job. They'll ne'er play baseball. They'll ne'er constitute a poem. They'll ne'er spell retired connected a date. Many of them will ne'er usage a toilet unassisted."
Many successful nan autism organization are angry. "What we're seeing present is simply a fear-based rhetoric and [a] misleading communicative that is causing harm and perpetuating stigma," says Kristyn Roth from nan Autism Society of America.
But immoderate parents of autistic children are much supportive.
Emily May, a writer who is nan mother of a kid pinch autism, wrote successful The New York Times that she recovered herself "nodding on arsenic Mr Kennedy said astir nan grim realities of profound autism".
"His remarks echo nan reality and symptom of a subset of parents of children pinch autism who consciousness near retired of overmuch of nan conversation," she wrote.
The management has since watered down that committedness to find nan reasons for autism by September but it is still promising elaborate findings of its investigation by March 2026.
An imperfect messenger?
Ultimately, Robert Kennedy has only been successful nan occupation a matter of months. Already though he's asking immoderate large questions – peculiarly astir chronic illness – which person ne'er been asked successful nan aforesaid measurement by a wellness caput before.
For nan first clip that rumor has some governmental attraction and bipartisan support successful nan US.
He is intelligibly not acrophobic to return connected what he perceives to beryllium vested interests successful nan nutrient and supplier industries, and he is still firmly supported by President Trump.
Tony Lyons, who has published books by Kennedy, calls him "uniquely qualified" for nan astir powerful occupation successful US nationalist health. "He's a corruption fighter. He has seen what each these kinds of companies do, not conscionable pharmaceutical companies but nutrient companies, and he wants them to do a amended job," he says.
Robert Kennedy's inheritance arsenic an biology lawyer taking connected large business and nan constitution has intelligibly shaped nan views he holds today.
But Jerold Mande, a erstwhile national nutrient argumentation advisor successful 3 administrations, worries that Kennedy's ain views and biases will mean immoderate of nan solutions he's reaching for are predetermined and unsupported by nan evidence.
Now a professor of nutrition astatine Harvard, Prof Mande describes Kennedy arsenic an imperfect messenger and says he has "great concerns" astir nan administration's attack to aspects of nationalist health, from baccy power to vaccination, wherever location is "no mobility that what he's doing is going to consequence successful tremendous harm."
"At a precocious level, I'm optimistic... but you still request to travel up pinch nan correct answers, and those answers tin only beryllium recovered done science," says Prof Mande.
"We now person a changeable and he's provided that by making it a priority. But it's really you usage that changeable that's going to find whether it's a occurrence aliases not. And that is wherever nan assemblage is still out."
Top image credits: Chip Somodevilla / Staff via Getty and Tom Williams via Getty
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