LOCAL COLUMN
OPINION: Robert Kennedy Jr. is making America sick again
Health and Human Services Secretary Robert F. Kennedy Jr. says he wants to Make America Healthy Again. But by spreading distrust of vaccines, weakening confidence in public-health institutions and supporting a schedule that turns two MMR shots into six separate injections, he is doing the opposite 鈥 making America sick again.
On Aug. 10, President Donald Trump signed an executive order that substantially changes childhood vaccine policy in the U.S. Two parts of that order are especially disturbing. First, vaccines against influenza, COVID-19, rotavirus, meningococcal disease and in some circumstances hepatitis A and hepatitis B, were moved into a category called "shared clinical decision-making." Second, the order calls for eventually replacing the combined measles-mumps-rubella vaccine with three separate vaccines given at separate visits. The order also encourages states to reconsider school vaccine requirements and directs the Justice Department to support legal challenges to certain state vaccine laws. Trump claimed without evidence that the combined MMR vaccine can be 鈥漲uite lethal.鈥
The idea of "shared decision-making" sounds sensible, and in many corners of medicine it is. My patient with severe coronary artery disease but no symptoms, for example, may reasonably choose between bypass surgery and medical therapy. Both can be legitimate options, and the best choice depends on the individual patient. That is not the right model for long-established childhood vaccines. Vaccination and remaining unvaccinated are not medically equivalent choices. Serious vaccine complications are rare. The diseases vaccines prevent can cause hospitalization, permanent disability and death. Placing these vaccines in a "shared decision" framework risks suggesting that getting the shot and skipping it are equally sound medical choices. They are not.
The implications for states are significant. New Mexico and others that maintain vaccine requirements built on more than 40 years of evidence-based guidelines could now face federal pressure and legal challenges to weaken them. These policies closely track Kennedy鈥檚 long-standing vaccine-skeptical views.
The MMR change is just as troubling. There is no evidence that separating the vaccines makes children safer. It does mean more shots, more office visits, more inconvenience and more chances for vaccination to be delayed or missed altogether.
Perhaps the most disturbing example of Kennedy's influence, however, is what has happened at the Centers for Disease Control and Prevention. I can no longer take what the agency's website says about vaccines at face value; I find myself double-checking it against other sources. For years, the CDC stated clearly that vaccines do not cause autism. In November 2025, Kennedy acknowledged he personally ordered the CDC to change that language. The revised website now says the claim "vaccines do not cause autism" is "not an evidence-based claim," because studies haven't ruled out the possibility that infant vaccines contribute to autism.
The modern fear of an MMR-autism link traces back to Andrew Wakefield's 1998 paper in The Lancet 鈥 a report involving just 12 children. That paper was later retracted and discredited, and Wakefield was found guilty of serious professional misconduct and struck from the British medical register. Since then, the question has been studied in vastly larger populations. A Danish study of 657,461 children found no increased autism risk following MMR vaccination. A meta-analysis of more than 1.2 million children likewise found no association between vaccination, MMR, thimerosal and autism. In 2025, the World Health Organization again reviewed the evidence and reached the same conclusion. Yet under Kennedy's influence, the CDC weakened its message anyway. That matters because parents reasonably expect the CDC's website to reflect the best available science. Instead, the nation's leading public-health agency now manufactures uncertainty where decades of research have produced consistent answers.
Kennedy has further undermined public confidence by reshaping the system that makes vaccine recommendations. In June 2025, he removed all 17 members of the CDC's Advisory Committee on Immunization Practices 鈥 physicians and scientists with deep backgrounds in infectious disease, epidemiology, immunology and vaccine research 鈥 and replaced them with his own appointees. Several had previously made strong public statements questioning vaccines, and some lacked the vaccine expertise traditionally represented on the committee. This was not a routine personnel change. It reshaped the scientific advisory system Americans have relied on for vaccine guidance for decades.
The loss of public confidence can now be measured. A KFF Health Information and Trust Tracking Poll published in February 2026 found that only 47% of Americans trusted the CDC at least a fair amount to provide reliable vaccine information 鈥 the lowest level since the COVID-19 pandemic. As trust falls, vaccination rates fall and preventable diseases return.
Measles is the clearest example. In 2020, the 近距离内射合集 States had only 13 reported measles cases. In 2025, there were 2,289. As of Aug. 13, there were already 2,566 confirmed cases 鈥 the highest annual total in more than 35 years, with dozens of active outbreaks. At the same time, MMR vaccination among kindergartners has fallen to 92.5%, below the roughly 95% threshold needed for community protection. Kennedy's policies mean measles isn't going away anytime soon.
Compounding the problem, most younger parents have never seen what these diseases can do. Before vaccination, millions of Americans contracted measles every year. Roughly 48,000 were hospitalized, 1,000 developed encephalitis and 400 to 500 died annually. As we are now witnessing again, measles can cause pneumonia, brain injury and death. Mumps can cause orchitis and occasionally impaired fertility. Rubella during pregnancy can cause devastating congenital abnormalities. These diseases didn't become harmless 鈥 they became uncommon because vaccines worked. Vaccines became victims of their own success: We stopped seeing the diseases, so people stopped fearing them. Kennedy has helped replace fear of the diseases with fear of the vaccines.
Kennedy has made some sensible recommendations along the way, like eating more fruits and vegetables and less processed food. But those ideas don't offset the damage done by undermining vaccine science and public trust.
The central issue is trust. Science advances by asking questions 鈥 but there is a profound difference between asking an unanswered question and repeatedly casting doubt on one that has already been carefully studied and answered. Kennedy has done the latter, promoting uncertainty after the evidence was already in.
The Trump-Kennedy public health statements will harm our country for years to come because a significant number of people believe that when the president of the 近距离内射合集 States says that the MMR vaccine is 鈥渜uite lethal鈥 he is telling the truth.
Barry W. Ramo, MD, is the director New Heart Fitness and Health.