By ALI SWENSON, Related Press
WASHINGTON (AP) — Within the whirlwind first yr of President Donald Trump’s second time period, a few of the most polarizing adjustments have taken place inside the Division of Well being and Human Providers, the place Robert F. Kennedy Jr. has overtly rebuffed the medical institution as he converts the concepts of his Make America Wholesome Once more motion into public coverage.
Since coming into workplace in February, the well being secretary has overseen a dramatic reshaping of the businesses he oversees, together with eliminating 1000’s of jobs and freezing or canceling billions of {dollars} for scientific analysis. As a part of his marketing campaign in opposition to persistent illness, he has redrawn the federal government’s place on subjects comparable to seed oils, fluoride and Tylenol. He additionally has repeatedly used his authority to advertise discredited concepts about vaccines.
The division’s fast transformation has garnered reward from MAHA supporters who say they lengthy considered HHS as corrupt and untrustworthy and have been ready for such a disruption. And each Democrats and Republicans have applauded a few of the company’s actions, together with efforts to encourage wholesome consuming and train, and offers to decrease the costs of expensive medicine.
However most of the drastic adjustments Kennedy has led on the division are elevating grave issues amongst docs and public well being consultants.
“At the least within the fast or intermediate future, the USA goes to be hobbled and hollowed out in its scientific management,” mentioned Lawrence Gostin, a Georgetown College public well being regulation professor who was faraway from a Nationwide Institutes of Well being advisory board earlier this yr with a letter that mentioned he was now not wanted. “I believe it is going to be terribly tough to reverse all of the injury.”
HHS spokesperson Andrew Nixon denied any menace to scientific experience on the company and lauded its work.
“In 2025, the Division confronted long-standing public well being challenges with transparency, braveness, and gold-standard science,” Nixon mentioned in a press release. “HHS will carry this momentum into 2026 to strengthen accountability, put sufferers first, and defend public well being.”
The overhaul comes alongside broader uncertainties within the nation’s well being system, together with Medicaid cuts handed by Congress this yr and expiring Inexpensive Care Act subsidies which are placing hundreds of thousands of Individuals’ insurance coverage protection in jeopardy.
Right here’s a better have a look at Kennedy’s first yr main the nation’s well being company:
Kennedy’s vaccine views ripple throughout the division
After a few years spent publicly assailing vaccines, Kennedy sought throughout his affirmation course of to reassure senators he wouldn’t take a wrecking ball to vaccine science. However lower than a yr later, his well being division has repeatedly pushed the bounds of these commitments.
In Might, Kennedy introduced the Facilities for Illness Management and Prevention would now not suggest COVID-19 vaccines for wholesome kids and pregnant girls — a transfer instantly questioned by public well being consultants who noticed no new knowledge to justify the change.
In June, Kennedy fired a complete 17-member CDC vaccine advisory committee — later putting in a number of of his personal replacements, together with a number of vaccine skeptics.
That group has made choices which have shocked medical professionals, together with declining to suggest COVID-19 photographs for anybody, including new restrictions on a mixture shot in opposition to chickenpox, measles, mumps and rubella and reversing the longstanding advice that each one infants obtain a hepatitis B shot at start.
Kennedy in November additionally personally directed the CDC to abandon its place that vaccines don’t trigger autism, with out supplying any new proof to assist the change. Whereas he left the previous language on the web site to maintain a promise he made to Republican Sen. Invoice Cassidy, he added a disclaimer saying it remained due to the settlement.
Public well being researchers and advocates strongly refute the up to date web site and word that scientists have totally explored the difficulty in rigorous analysis spanning many years, all pointing to the identical conclusion that vaccines don’t trigger autism.
Kennedy has promised a wide-ranging effort to review environmental elements that probably contribute to autism and in an Oval Workplace occasion with Trump in September promoted unproven and in some instances discredited ties between Tylenol, vaccines and the advanced mind dysfunction.
Kennedy reconfigures HHS with huge staffing and analysis cuts
Inside two months of taking workplace, Kennedy introduced a sweeping restructuring of HHS that may shut down whole businesses, consolidate others into a brand new one centered on persistent illness and lay off some 10,000 workers on high of 10,000 others who had already taken buyouts.
Whereas elements of the hassle are nonetheless tied up in courtroom, 1000’s of the mass layoffs had been allowed to face. These and voluntary departures considerably thinned out the sprawling $1.7 trillion division, which oversees meals and hospital inspections, medical health insurance for roughly half of the nation and vaccine suggestions.
Kennedy additionally has fired or pressured out a number of leaders at HHS, amongst them 4 administrators on the Nationwide Institutes of Well being, the Meals and Drug Administration’s former vaccine chief and a director of the CDC whom he had employed lower than a month earlier.
On high of staffing cuts, he has overseen important cuts to scientific analysis. That features NIH slashing billions of {dollars} in analysis initiatives and the termination of $500 million in contracts to develop vaccines utilizing mRNA expertise.
Amid the cuts, Kennedy has proposed or funded some new analysis on subjects associated to his MAHA objectives, together with autism, Lyme illness and meals components.
MAHA positive aspects momentum, regardless of some stumbles
Kennedy began utilizing the phrase “MAHA” on the marketing campaign path final yr to explain his campaign in opposition to poisonous exposures and childhood persistent illness, however 2025 was the yr it grew to become ingrained within the nationwide lexicon.
In his tenure to this point, the well being secretary has made it the centerpiece of his work, utilizing the MAHA branding to wage battle on ultra-processed meals, stress firms to part out synthetic meals dyes, criticize fluoride in ingesting water and push to ban junk meals from this system that subsidizes grocery retailer runs for low-income Individuals.
The thought has even unfold past Kennedy’s company throughout the federal authorities.
Protection Secretary Pete Hegseth has appeared with Kennedy to advertise health with pull-up shows. Transportation Secretary Sean Duffy teamed up with Kennedy in early December to announce $1 billion in funding for airports to put in sources like playgrounds and nursing pods for moms and infants. And Environmental Safety Company administrator Lee Zeldin not too long ago introduced he’s working towards unveiling a MAHA agenda with health-related objectives for his personal division.
MAHA has earned widespread recognition among the many American public — even because it has endured some administration foibles. In Might, for instance, HHS confronted scrutiny for releasing a MAHA report that contained a number of citations to research that didn’t exist.
However to the extent that the initiative has included calls to motion that aren’t primarily based on science — comparable to urging mistrust in vaccines or selling uncooked milk, which is way extra possible than pasteurized milk to result in sickness — critics say it may be harmful.
