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Is a prominent vaccine denier the best pick for Health & Human Services?

Is a prominent vaccine denier the best pick for Health & Human Services?

USA Today12-02-2025

Jacksonville Florida Times-Union
Leaders must commit to proven science
President Donald Trump's inauguration speech promoted a healthy America. 'Together, we will end the chronic disease epidemic and keep our children safe, healthy and disease-free.' However, doing so demands that his administration commit to proven principles of health science.
Infectious diseases have challenged us throughout history. Smallpox, cholera, typhus and tuberculosis wiped out entire cities. Around 1800, Edward Jenner created an effective vaccine against smallpox, ushering in a new age. By the mid-20th century, vaccines had been developed against common childhood infections like measles, mumps, rubella and chickenpox.
These diseases affect vision, hearing and fertility — they also kill. All have been controlled by universal vaccination.
The horror of polio converted the skeptics. During the 1940s, Jacksonville closed parks and swimming pools to control spread. I have friends who were permanently paralyzed. Two decades later, I worked at Boston Children's Hospital helping people my age on the polio ward. Daily survival required an iron lung (predecessor to the ventilator) to assist paralyzed breathing muscles.
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Desperate parents clamored for the new polio vaccines developed by Jonas Salk and Albert Sabin. Within years, polio cases disappeared.
Today, many parents have forgotten that horror or were born long after the eradication of polio. Childhood vaccines were once mandatory, but now, hundreds of thousands of school children are not protected against horrific but preventable infections. They are victims of vaccine-deniers who — without credible evidence — have eroded confidence and undermined the health of our communities.
So, the question for President Trump (and the Senate) is: Should the most prominent denier of established medical science head the Department of Health and Human Services?
Stephen Entman, M.D. (retired), Jacksonville
Don't close off refugee sponsorship
Last month, when President Donald Trump signed an executive order ending humanitarian parole programs and suspending refugee admissions, my mind flashed back to 2022. Moved by the devastation of the war in Ukraine, I decided to sponsor a refugee family through the Uniting for Ukraine program.
Using the Welcome Connect website, I met Grigory, a Ukrainian man looking for a safe place for his family while he remained in Ukraine to fight. My husband and our two friends decided to sponsor his wife, Inna; her sister Liudmyla; and their children, Margo and Max. We welcomed them in September 2022 and Grigory joined us later in January 2023.
We helped them secure housing, work permits, jobs and English lessons. In return, they enriched our lives, strengthening our ties to friends, neighbors and a new culture. We still celebrate birthdays and holidays together and both families are thriving in St. Augustine.
We had hoped to sponsor Liudmyla's husband and son, but with the recent policy changes, this door to safety has officially closed — not only for this family, but for thousands of Ukrainians simply wanting to reunite with their families.
Sponsorship profoundly changes the lives of both the sponsors and the families they welcome. When we close these pathways, we turn away from our core values and deny ourselves the contributions these newcomers bring.
America should be expanding, not eliminating, programs that uphold ideals we have always held as a country — the right to freedom and security for all who seek it through the legal pathways we create.
Elizabeth Langland, St. Augustine
Local support for Operation Christmas Child
The overwhelming generosity of the people of Jacksonville helped provide joy to children in need through Operation Christmas Child shoebox gifts this season. Across the U.S., the Samaritan's Purse project collected 10.5 million shoebox gifts in 2024. Combined with those collected from partnering countries last year, the ministry is now sending over 11.9 million shoebox gifts to children worldwide.
Shoebox packers brought joy and hope to children around the world through fun, personalized gifts. For many children, this is the first gift they have ever received. Each shoebox gift is a tangible expression of God's love, given to children in need around the world.
Since 1993, Operation Christmas Child has collected and delivered more than 232 million gift-filled shoeboxes to children in more than 170 countries and territories.
Across the region, shoebox packers often shop for deals on shoebox items throughout the year, and many serve at a deeper level by becoming a year-round volunteer. Information about more ways to get involved can be found at samaritanspurse.org/occ.
Although local Jacksonville drop‑off locations for shoebox gifts are closed until Nov. 17-24, 2025, anyone can still be a part of this life-changing project by packing a shoebox gift online in just a few simple clicks at samaritanspurse.org/buildonline.
These simple gifts, packed with love, remind children around the world that they are loved and not forgotten.
Molly Miller, Samaritan's Purse, Boone, N.C.
Tax cuts won't help our kids
Assume you have a friend who cannot control his spending. This friend is so reckless that he now has personal debt that is seven times his annual salary and the interest on said debt takes 20% or more of that income.
Would you tell your friend to cut his income? You would not. If you were a good friend you would probably suggest he find a way to make more money or just declare bankruptcy and start over.
That story is relevant because our national debt is currently $36 trillion, our 2024 tax revenue was $4.9 trillion and our interest cost was $1.1 trillion. The ratios are identical to those of your hypothetical friend. So, why is the current administration pushing to cut taxes?
Unlike your hypothetical friend above, our government does not have the option to default on debt. This means that the $36 trillion will be passed to future generations. Every child born today will start with a repayment schedule for roughly $100,000 in debt. Is this fair?
We must start paying our bills and stop acting like the national debt is not a problem. For no other reason, do it for the kids.
Scott Schleifer, Jacksonville
There goes the rule of law
Thanks to Donald Trump for again proving that America is no longer a country of law and order. It's bad enough that a 34-time convicted felon can manipulate the legal system, put himself above the law and avoid all accountability by being elected president.
But when convicted, violent insurrectionists from the Jan. 6 riots are given not only a complete pass on their abhorrent, criminal actions, but are also consoled for having suffered as 'hostages,' it showcases the stunning and perverse weakness of our entire justice system.
Where's the outrage from leading Republicans and police unions? Crickets. So much for the GOP 'backing the blue.' This reprehensible action was not surprising, but it is shockingly disgusting. See ya, Lady Justice — it was nice while it lasted.
Philip May, Jacksonville
'Robber barons,' 2.0
Donald Trump's propaganda promises us a new golden age, but we've seen all this before. In the late 19th century, the administration of Grover Cleveland was propelled by the same type of business interests. This was the world of Cornelius Vanderbilt, J.P. Morgan, Jacob Astor, Andrew Carnegie and their ilk.
At the recent inauguration, we saw their 21st-century counterparts flanking the new president and cheering him on for their benefit. Two of those tech titans, Jeff Bezos and Elon Musk, have been appointed to make our government into a business. So brace yourself to be dominated by a new outbreak of "robber barons.'
Sharon Scholl, Atlantic Beach

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House tax-and-spending bill and other Trump administration changes could make millions of people lose their health insurance coverage
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The FDA Wants AI To Speed Up Health Care Decisions — Here's Why Experts Are Concerned
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The FDA Wants AI To Speed Up Health Care Decisions — Here's Why Experts Are Concerned

Read on Donald Trump and Robert F. Kennedy's war on health care in the U.S. Earlier this week, Dr. Marty Makary, the commissioner of the U.S. Food and Drug Association and Dr. Vinay Prasad, the director of the Center for Biologics Evaluation and Research, published an article in the Journal of the American Medical Association about the FDA's plans to use artificial intelligence to accelerate decision-making in a realm of health-related fields. Exactly what AI use at the FDA will look like is still to be determined, but the article stated that AI could be used to: accelerate the approval of drugs and devices reduce animal testing address 'concerning' ingredients in food. 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Kennedy also repeatedly promises 'radical transparency' in health care, yet AI threatens that transparency, experts say. 'I haven't been able to find great, transparent information about exactly where and how they're using AI. They talk about using it for review, but in what way?' said Marnik. 'The law doesn't prohibit innovation, but it does demand accountability,' said Lee. 'Any AI implementation must be subject to clear statutory authority, rigorous oversight and published methodologies to preserve public trust,' she added. This goes back to transparency. 'The core concern is opacity. AI tools, especially proprietary or black-box models, can obscure how decisions are made. If a drug is greenlit or a food ingredient is flagged based on an algorithm that the public can't scrutinize, it erodes due process and patient safety,' Lee said. 'This move also raises critical structural questions: If an AI system contributes to a faulty approval or missed red flag, who's accountable? 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I really don't,' she said. 'We also need to consider bias in training data. If the AI is trained on historically biased data — say, clinical trials that underrepresent women or communities of color, we risk automating disparities in approvals or warnings,' Lee said. Research shows that AI itself is biased and even is known to prop up racist stereotypes. More, how would AI handle the so-called 'DEI-related' words that are currently banned from science research by the Trump administration? 'I don't even know if, because of all these banned words, if applications that even have words that have been considered banned would even pass through these AI models designed by people creating the word bans,' added Malaty Rivera, who added that she wants to know how equity and unbiased review will be ensured in the AI process. 'I would love to see the methodology. I would love to see the ways in which it's not going to cause further harm,' she said. Many people are leery of AI, and for good reason. It's taking jobs, has plagiarism issues, is linked to privacy concerns and, as mentioned above, it's known to be biased. But, when used properly, there are pros to AI both at the FDA and in everyday life. 'In food regulation, especially, this could be a breakthrough. AI can scan molecular structures and evaluate safety profiles at a scale no human team could match,' said Lee. 'But the system has to be designed to prioritize health, not convenience,' 'I do think eventually AI will be a useful tool in helping streamline things and potentially even helping analyze big data sets,' Marnik said, 'but I think that there's a lot of steps we have to go through to make sure that's actually happening correctly before it's used on such a federal level. Malaty Rivera noted that AI isn't going anywhere and while it could be useful to review thousands of pages of information, it would be a mistake to completely remove humans from the process. No matter what AI is used for at the FDA, processes must be in place to ensure fairness and accuracy, experts say. 'If this is going to be what you want to eventually use, there should be essentially a scientific process to establish that the system is actually working as well as you think it's working and is actually working as well as a human review process,' Marnik said, adding that without systems (and people) to make sure AI is functioning properly, there can be major issues. Lee noted informed decisions need to be reviewed, explained and equitable for patients, researchers and policy makers. 'AI in health care is not just a tech issue; it's a trust issue,' Lee said. Otherwise, more people could be led to distrust the medical system. And levels of distrust are already high, with roughly two-thirds of Americans expressing a lack of faith in the medical establishment. 'The FDA's AI pilot comes at a moment when public trust in health institutions is already fragile. Getting this right means building the right guardrails now, not after the first high-profile failure,' Lee said. 'That includes independent audits, transparent reporting, human oversight and clear legal responsibility.' Malaty Rivera said if she believed in the scientific rigor and integrity of the people at the helm of the FDA, the use of AI in health and science would be one thing. 'But I don't. And so I don't trust these decision makers to be designing and/or navigating these tools,' she said. Malaty Rivera also added that the people appointed under the MAHA regime have an agenda that isn't evidence-based science. 'The agenda is this alternative, contrarian version of health and wellness that is often spreading a lot of harmful misinformation,' she said. Marnik added that she doesn't think AI is currently able to do rigorous scientific reviews or find limitations associated with scientific data, which is crucial for the FDA when it comes to medical approvals. 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US lawmakers pass tougher penalties for fentanyl traffickers
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