Redfield backs Kennedy's efforts on vaccines
Robert Redfield, who headed the Centers for Disease Control and Prevention during the first Trump administration, supports Robert F. Kennedy Jr.'s efforts on vaccines.
Kennedy's nomination and eventual confirmation as secretary of the Department of Health and Human Services was complicated by his decades-old vaccine skepticism. And he has alienated many public health officials who fear he could discourage the public from getting routine vaccinations long proven safe.
But Redfield is fully supporting Kennedy — even after Kennedy refused to say vaccines do not cause autism during his confirmation hearing — and is now calling for more vaccine research, too.
'I'm in clinical practice two half days a week right now, and largely doing Covid and long Covid, and I have a number of patients that have very serious long term consequences from the mRNA vaccines,' Redfield said during POLITICO's First 100 Days: Health Care event Wednesday. 'Let's get that systematically reviewed by the experts.'
Redfield supported Kennedy throughout his nomination and confirmation process, agreeing with Kennedy's points on a renewed effort to study and treat chronic disease and the impact of processed foods.
At the same time, Redfield spoke about his long-time commitment to promoting vaccine uptake, arguing that Kennedy's approach will eventually encourage vaccine confidence once HHS lets the public 'see the information.'
A wide variety of data on vaccine safety is already publicly available.
— Avian flu: Redfield also spoke in dire terms about the possibility of an avian flu pandemic.
'The Covid pandemic was a real challenge. There's no question about that. But to me, it was a minor epidemic compared to the epidemic that's coming — which is a bird flu pandemic,' Redfield said. 'So this is not a time to cut our ability to have a rapid public health response agency.'
But he doesn't think vaccines will be the solution, he said, because of the low efficacy of some flu vaccines. Instead, he said that the focus should instead be on developing effective antiviral drugs.
— CDC terminations: Redfield demurred when asked about the Trump administration's move last week to terminate thousands of HHS employees. Instead, he emphasized that the CDC needs to be reformed.
'I don't know what the ultimate consequences are going to be — whether it's going to be good or not good — but I do think, though, that we could all try to focus this time to transform our health system and our health agencies so that they're focused on health,' Redfield said, arguing that CDC has moved away from its 'primary mission' as a 'public health response agency,' and become too much like an academic institution.
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Texas Ranks Low In Antidepressant Use Despite Higher Depression Rates
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'I refuse to give up': Michigan researchers, health officials grapple with funding cuts
'I refuse to give up': Michigan researchers, health officials grapple with funding cuts Show Caption Hide Caption Video: MSU breast cancer researcher Jamie Bernard talks about funding uncertainty MSU breast cancer researcher Jamie Bernard talks about federal funding uncertainty on Thursday, May 8, 2025, at her lab in East Lansing. Michigan public health officers say they've had to cut services and lay off workers after the Trump administration slashed funding, affecting their ability to work to stop the spread of disease. Scientists from the University of Michigan and Michigan State University say federal cuts to their research could halt development for new cancer treatments and eviscerate the scientific workforce. Using words like "devastating," "heartbreaking," and "shortsighted," Michigan public health leaders and researchers at the state's largest universities described the effects of President Donald Trump's efforts to slash federal government spending — through executive orders, cuts to federal grants, and stop work orders — and the wide-reaching fallout. Some local health departments have laid off workers and cut back on the services they can provide at regional laboratories and at community and in-school health clinics, and have seen disruptions in their ability to stop the spread of infectious disease, said Norm Hess, executive director of the Michigan Association for Local Public Health. When the U.S. Department of Health and Human Services revoked $11.4 billion in COVID-19-related grants in late March, the effects were felt across Michigan in ways that might not have been anticipated, he said. 'While everyone agrees the emergency response phase of COVID-19 is over, the funding streams created for pandemic response have been supporting laboratories monitoring other diseases around the state, from legionella to tuberculosis to measles, as well as water quality inspections and other sampling work,' Hess said. 'Federal leaders rescinded those grants, clearly thinking it was a responsible way to recover money that was being misspent. Instead, it's a great example of unintended consequences. Everyone agrees government should spend public dollars efficiently and effectively, but it appears they did not check to see what they were actually eliminating when cutting grants that had 'COVID' on the label.' Although Michigan Attorney General Dana Nessel has joined other states in challenging many of the Trump administration's cuts to federal public health and university research funding, including the $11.4 billion in COVID-19-related grants, Hess said it's too risky for local health departments to count on money that may or may not be awarded to them in the end. "You can't turn it off, and then if money comes, turn it back on," he said. Cuts hit research on the science of aging When he took office, Trump pledged to eliminate waste, fraud and abuse in federal spending, and "make America healthy again" by shifting priorities of the nation's top health agencies and taking aim at research and programs that focused on diversity, equity and inclusion. But medical researchers at Michigan State University and the University of Michigan say his administration's abrupt cuts to funding for scientific studies, clinical trials and training programs have all but gutted their life's work and could halt the development of new treatments for diseases like cancer as well as eviscerate the future scientific workforce. University of Michigan psychology professor Toni Antonucci lost the $13 million federal grant that supported her research on health disparities among aging Americans. It focused on minority populations, including African Americans, and comes at a moment in history when the U.S. population is older than it ever has been and is growing increasingly diverse. "I have never thought that politics should be involved in research, and, unfortunately, this is clearly the case here," said Antonucci, who has worked at U-M since the 1970s. 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U-M professor: Slashed grants suggest 'you just don't matter' Gary Harper, a U-M professor of health behavior and health equity, learned in late March that his nearly $1.15 million five-year grant from the National Institutes of Health had been rescinded. "It's devastating," said Harper. "I am an openly gay man, and have been involved in activism, research, clinical work, and policy work in the HIV field for 40 years, starting out in 1985 as an old-time activist at a time when we were burying our friends every week. ... This is the first time in the history of my academic career that I've been without federal research or training funds." Harper is co-director of the SOAR at U-M, which stands for Student Opportunities for AIDS/HIV Research. It's a two-year intensive mentoring program that provides HIV-related research opportunities to undergraduate students, propelling them toward graduate school, and, eventually, the HIV research workforce. 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Harper and SOAR's co-director are scrambling together the money themselves to pay for the final year of the program. Slowly, he said, that is coming together, but his other work through the Adolescent Medicine Trials Network (ATN) for HIV/AIDS Intervention has also been targeted by the federal cuts. A study on transgender youths was canceled, he said, and funding for the leadership group that oversees equity and inclusion in all ATN studies also was eliminated. He also lost grant funding to study gay and bisexual men in Kenya living with HIV. Still, he said, "I'm not going to let this get me down. "I try and show power and strength and resilience to the students, to give them hope that this, too, shall pass. This is a moment in time, but this is not your entire life. ... Your lives do matter. You are special and you are perfect, just the way you are." 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Bernard runs a research lab at MSU, where a team of scientists are working to 'stop breast cancer from ever starting in the first place or prevent it so much that you've delayed it and you die of some other natural cause before you have to deal with cancer," she said. "I am in a place where I don't know if I should be accepting students in the fall. What's my next move? Am I still allowed to study what I've been studying? So it's a confusing time, a frustrating time, a time of high anxiety in our department of pharmacology and toxicology.' Bernard said the NIH canceled a grant for a graduate student from Puerto Rico who is Hispanic, and had applied through a mechanism that provided funding for predoctoral students who are disabled, identify as Black, Hispanic, American Indian or Alaska Native, or who are from socioeconomically disadvantaged backgrounds. "Just simply because she was a minority, the grant mechanism that she applied with, they withdrew it," Bernard said. "The white woman in my lab, her grant is going to be reviewed. ... It's so awful." The work they're doing, she said, "really should be bipartisan, nonpartisan — not even partisan. It's freaking cancer research." Ph.D. student reexamines future in scientific research The political climate is chasing Alex Chapman, a Ph.D. student at MSU who is studying migraines and pain, away from a career in academia. Chapman, 24, who is originally from Richmond, Virginia, secured a federal grant studying a neuropeptide that's upregulated in people with migraines, before Trump took office in January. Many of her friends and colleagues haven't been so lucky. "Science is being so vilified that I'm considering careers in other places or different avenues because it's just hard to see a future in a place that doesn't value science at all," she said. "It's heartbreaking. ... My career options are kind of dwindling, and the more time that passes, the more fellowships and different opportunities just keep becoming defunded," Chapman said, noting that a fellowship she was eyeing through the U.S. Agency for International Development (USAID) has been axed. She considered shifting toward public policy work, helping government leaders understand "why we should fund pain research," but then she attended a symposium and heard a woman who works in public policy speak about the cuts there, too. "She was like, 'This is a great fellowship. It's been defunded. This was an awesome fellowship. It's been defunded,' " Chapman said. When entrepreneur Elon Musk, who headed the new Department of Government Efficiency early in the Trump administration, criticized the use of federal dollars on scientific studies of legumes and aggression in hamsters, Chapman said, it showed that he couldn't see the full impact of the work. "If you just simplify it like that, maybe it does seem silly, but you're looking at the small picture," she said. "The point of research is to zoom out and look at the bigger picture. When you understand the best process of planting beans or why certain strains of corn are more susceptible to different fungi, you help people more effectively and efficiently plant food. This will help us in the face of climate change. "If you understand why a hamster is aggressive after ingesting a certain substance, you understand the role of that substance and how it could potentially affect humans." That small-picture view — and the cuts made because of it — could have generational impacts on the United States and the world, Chapman said. "This isn't just shutting down one study that focuses on hamsters fighting," she said. "It's preventing a new generation of scientists from coming into the (field), which is going to stunt our growth as a nation, which is going to prevent new ideas from happening, which is going to lead to ... horrible damage that would take years, if not decades, to recover. "People are afraid to come out and criticize this because of the way the government has treated them, especially foreign students. When it gets to the point where the government can strike fear in your heart if you speak out against them, especially about something regarding science, it's a very scary place to be." Local public health departments rattled, services cut Nick Derusha, the director and health officer of the LMAS District Health Department, which also includes Luce and Mackinac counties, said his part of the eastern Upper Peninsula has been rattled by a Trump administration stop-work order that means there's no money to run clinics that provide medicine like methadone to help people wean off opioid drugs and reduce the risk of overdose deaths in Alger and Schoolcraft counties. "We take a really holistic approach to that program," Derusha said. "We're not just providing medication-assisted treatment. We have peer recovery coaches. We have community health workers. We have a lot of staff that are there to support them in many other ways, not just the medication. "When funding is abruptly eliminated like that, we can't just drop people off the caseload. We needed to find a way for them to be able to continue to receive services or some type of off-ramp. We worked with the local hospital, and we agreed for three more months, which is kind of nearing the end here, to continue to provide those services, absent the funding. But the long-term ability of us to do that is not likely." In addition, Derusha said the LMAS department lost $512,000 a year to pay for a courier system for its laboratory services. Because the district is so sprawling — it covers four U.P. counties — when test samples need to be shipped to the regional lab in Luce County, ordinary mail often doesn't get them delivered quickly enough. Without the courier system, it means slower results for important public health testing, he said, which could delay treatments and lead to poorer outcomes. The LMAS District Health Department isn't alone. The Mid-Michigan Health Department, which includes Clinton, Gratiot and Montcalm counties, announced in April it will no longer investigate or treat latent tuberculosis infections because of "funding cuts and workforce limitations." Mental health services for school-age children are being cut, too, said Andrea Cole, president of the Ethel and James Flinn Foundation, a Detroit-based nonprofit dedicated to improving the quality, scope, and delivery of mental health services in Michigan. A $1 billion grant was terminated through the Department of Education in late April to pay for in-school social workers, counselors and other mental health professionals — even though 70% of children who receive mental health services get them through their schools, she said. "A lot of the federal cuts were to the most vulnerable and underserved populations," Cole said. "Schools are faced with the possibility of laying off those people that they hired under that grant if they don't have funding to continue it." And the students will be left without that critical mental health support when "they need it more than ever," Cole said. Hess said all of these cuts, along with proposed legislation — the Big, Beautiful Bill Act, which has passed the U.S. House of Representatives and now is under consideration in the U.S. Senate — that would slash Medicaid and Supplemental Nutrition Assistance Program (SNAP) benefits, and a state Senate budget proposal that also seeks to trim funding even more, public health in Michigan could dramatically change. More: Whitmer: Trump's 'big, beautiful bill' could cost Michigan $900 million a year for food stamps More: 700,000 Michigan residents could lose health insurance under Medicaid cuts, report shows "We don't want to give the impression that the sky is falling, and that public health is going to pack up and go home," Hess said. "We've been here for 100 years, and we've seen ups and downs over the years. Health officers are used to kind of making things work, but this is sort of a unique situation. 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6 hours ago
South Dakota is on track to spend $2 billion on prisons in the next decade
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Some Democratic-led states have worked to close prisons and enact changes to lower inmate populations, but that's a tough sell in Republican-majority states such as South Dakota that believe in a tough-on-crime approach, even if that leads to more inmates. For now, state lawmakers have set aside a $600 million fund to replace the overcrowded 144-year-old South Dakota State Penitentiary in Sioux Falls, making it one of the most expensive taxpayer-funded projects in South Dakota history. But South Dakota will likely need more prisons. Phoenix-based Arrington Watkins Architects, which the state hired as a consultant, has said South Dakota will need 3,300 additional beds in coming years, bringing the cost to $2 billion. Driving up costs is the need for facilities with different security levels to accommodate the inmate population. Concerns about South Dakota's prisons first arose four years ago, when the state was flush with COVID-19 relief funds. Lawmakers wanted to replace the penitentiary, but they couldn't agree on where to put the prison and how big it should be. A task force of state lawmakers assembled by Republican Gov. Larry Rhoden is expected to decide that in a plan for prison facilities this July. Many lawmakers have questioned the proposed cost, but few have called for criminal justice changes that would make such a large prison unnecessary. 'One thing I'm trying to do as the chairman of this task force is keep us very focused on our mission,' said Lieutenant Gov. Tony Venhuizen. 'There are people who want to talk about policies in the prisons or the administration or the criminal justice system more broadly, and that would be a much larger project than the fairly narrow scope that we have.' South Dakota's incarceration rate of 370 per 100,000 people is an outlier in the Upper Midwest. Neighbors Minnesota and North Dakota have rates of under 250 per 100,000 people, according to the Sentencing Project, a criminal justice advocacy nonprofit. Nearly half of South Dakota's projected inmate population growth can be attributed to a law approved in 2023 that requires some violent offenders to serve the full-length of their sentences before parole, according to a report by Arrington Watkins. When South Dakota inmates are paroled, about 40% are ordered to return to prison, the majority of those due to technical violations such as failing a drug test or missing a meeting with a parole officer. Those returning inmates made up nearly half of prison admissions in 2024. Sioux Falls criminal justice attorney Ryan Kolbeck blamed the high number of parolees returning in part on the lack of services in prison for people with drug addictions. 'People are being sent to the penitentiary but there's no programs there for them. There's no way it's going to help them become better people,' he said. 'Essentially we're going to put them out there and house them for a little bit, leave them on parole and expect them to do well.' South Dakota also has the second-greatest disparity of Native Americans in its prisons. While Native Americans make up one-tenth of South Dakota's population, they make up 35% of those in state prisons, according to Prison Policy Initiative, a nonprofit public policy group. Though legislators in the state capital, Pierre, have been talking about prison overcrowding for years, they're reluctant to dial back on tough-on-crime laws. For example, it took repeated efforts over six years before South Dakota reduced a controlled substance ingestion law to a misdemeanor from a felony for the first offense, aligning with all other states. 'It was a huge, Herculean task to get ingestion to be a misdemeanor,' Kolbeck said. Former penitentiary warden Darin Young said the state needs to upgrade its prisons, but he also thinks it should spend up to $300 million on addiction and mental illness treatment. 'Until we fix the reasons why people come to prison and address that issue, the numbers are not going to stop,' he said. Without policy changes, the new prisons are sure to fill up, criminal justice experts agreed. 'We might be good for a few years, now that we've got more capacity, but in a couple years it'll be full again,' Kolbeck said. 'Under our policies, you're going to reach capacity again soon.'
