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u.s. department of health and human services
Critics Say RFK's MAHA Report Offers 'Half-Baked Finger-Pointing' Instead of Real Policy Solutions
"To be meaningful, the findings of the report must translate into concrete actions that truly advance a healthier, more sustainable food system for America's farmers and consumers."
May 23, 2025
Hours after Republicans in the U.S. House passed a budget reconciliation package Thursday that would slash hundreds of billions of dollars in healthcare and federal food assistance programs for low-income Americans, the nation's top health agency released a highly anticipated report on chronic diseases in children—one that had nothing to say about the impacts those cuts will have on millions of children and instead offered a litany of complaints about families' lifestyles, vaccines, and "overmedicalization," with few solutions.
Led by Health and Human Services Secretary Robert F. Kennedy Jr., the so-called "Make America Healthy Again" Commission released The MAHA Report, urging the federal government to "act decisively" to reverse "the childhood chronic disease crisis by confronting its root causes—not just its symptoms."
But longtime campaigners in the food safety realm said that while the report's partial focus on the wide use of pesticides, herbicides, and other chemicals—many of which are banned in Europe—is a positive step, the document gave little indication that Kennedy and other Trump administration officials plan to listen to scientists who warn that these chemicals are linked to cancer, birth defects, and immune function.
As Civil Eatsreported in April, dozens of GOP lawmakers wrote to Kennedy and other commission members including Agriculture Secretary Brooke Rollins and Environmental Protection Agency Administrator Lee Zeldin, warning that a push to limit pesticides in food was being pushed by "activist groups promoting misguided and sometimes malicious policies masquerading as health solutions."
"Protecting children's health and building a healthy food system must trump pesticide corporations' profits," said George Kimbrell, legal director of Center for Food Safety, in a Thursday statement. "Policy and governance must be based on sound science and reject fearmongering and lobbying influence alleging that these toxins are needed for a healthy food system or agricultural economy."
The report also includes numerous mentions of health guidelines and standards in Europe, but Zeldin was clear in a call with reporters as the document was released that ensuring the health of American children "cannot happen through a European mandate system that stifles growth."
The commission suggested that U.S. farmers will continue to use 300 millions of pounds of glyphosate and 70 million pounds of atrazine per year—herbicides that, respectively, have been the subject of thousands of lawsuits filed by cancer patients and contaminate the drinking water of 40 million Americans.
While the World Health Organization has classified glyphosate as a probable carcinogen and numerous countries have banned the weed-killer, the MAHA Commission said "human studies are limited" regarding glyphosate and similar products. The report allowed that "a selection of research studies... have noted a range of possible health effects."
Even that language was enough to anger agricultural groups and the Republican politicians who are allied with them, with the American Soybean Association accusing the commission of "glaring misinformation and anti-farmer findings" on Friday.
Kimbrell said the report "falls woefully short of providing any next steps in how the government is going to stop this health epidemic from continuing."
"To be meaningful, the findings of the report must translate into concrete actions that truly advance a healthier, more sustainable food system for America's farmers and consumers," he said.
The report also makes no mention of factory farming and its link to antibiotic resistance via corporate farmers' widespread antibiotic use; the leading causes of death for children in the U.S., gun violence and car accidents; and dental cavities, which is one of the most common chronic health problems in children.
Kennedy has spearheaded an effort to remove fluoride from public drinking water, saying in the report that exposure to high levels of fluoride is linked to low IQ in children. Widespread community water fluoridation has been linked to a sharp decrease in tooth decay among children, with the Centers for Disease Control and Prevention hailing the practice, now used in 60% of the country, as a major public health achievement.
Medical organizations have said concerns about fluoridation raised by Kennedy and others are unfounded.
During his confirmation hearings, Kennedy dismissed the idea that healthcare should be a human right—falsely claiming Americans prefer the for-profit health insurance industry to government-run systems that have been shown to be far less costly and have better outcomes. The report also makes no mention of the harms of tying healthcare to profit, even as it compared U.S. life expectancy and healthcare costs unfavorably to those in other wealthy nations.
In a video posted to social media, dietician Jessica Knurick emphasized that Kennedy is right to point out the nation's "chronic disease problem."
"But he gets the causes and the solutions completely wrong," she said. "His causes are not evidence-based and they play into the idea of scientific and regulatory corruption to erode trust in science. And his solutions distract from evidence-based solutions that could actually help while actively undermining public health."
With the MAHA Report focusing heavily on sedentary lifestyles and low-income people's reliance on ultraprocessed, inexpensive food, Food and Water Watch (FWW) senior policy analyst Rebecca Wolf said the document amounts to "half-baked finger-pointing that blames the sick."
"Improving public health in America cannot happen without reigning in corporate control. It is a grave mistake to exclude Big Ag from culpability," said Wolf. "Any administration serious about public health must strictly regulate the corporations putting our food and water supplies at risk."
Policy solutions that went ignored in the report, said Wolf, include:
- Closing the "Generally Recognized as Safe" loophole that allows corporations to self-certify the safety of food additives without Food and Drug Administration approval;
- Canceling plans to roll back existing regulations for per- and polyfluoroalkyl substances, or PFAS;
- Fully funding and staffing food safety agencies, which have been slashed by the Trump administration; and
- Stopping state legislatures from passing laws called "Cancer Gag Act legislation" by opponents, which would limit pesticide manufacturer liability in health-related lawsuits.
"The report is right to highlight the health impacts of ultraprocessed foods, microplastics, PFAS, and pesticides," said FWW, "but falls short of directing real policy recommendations capable of reigning in corporate polluters."
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'Absolute Bloodbath' as Trump Administration Eviscerates Federal Health Agencies
"There is no way this makes Americans healthier."
Apr 01, 2025
HIV prevention. Anti-tobacco advocacy. The safety of mining workers.
All are among the health priorities that evidently have no place in U.S. President Donald Trump and Health and Human Services Secretary Robert F. Kennedy's vision to "Make America Healthy Again," following the mass firing of 10,000 people at the nation's top health agencies on Tuesday.
The layoffs hit the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA), with some staffers informed of their dismissal after they arrived at work—only to be told to return home.
Kayla Tausche at CNN reported that laid off employees at the HHS building in Rockville, Maryland were forced to do a "walk of shame" past dozens of their former colleagues who were lined up outside the building, waiting to learn their own fate.
The employees who were laid off Monday evening into Tuesday are the latest of more than 100,000 federal workers who have lost their jobs since Trump took office and placed billionaire tech mogul and megadonor Elon Musk at the help of the so-called Department of Government Efficiency. Last week, Kennedy said the federal health agency workforce would be reduced from about 82,000 to 62,000 people, with the restructuring making room for what he called "the Administration for a Healthy America" at HHS.
"We're going to do more with less," said the secretary, who has expressed skepticism about the scientifically proven benefits of vaccinations and claimed without evidence that the rate of chronic disease rose over the four years that former President Joe Biden was in the White House.
Kennedy said last week that communications for the health agencies would be brought under his control in the "restructuring," and many of the layoffs impacted people responsible for relaying information to the public.
Twenty people who handle public communications for one National Institutes of Health (NIH) program analyzing the genes of volunteers for health research were among those placed on administrative leave Tuesday—a precursor to being laid off, one official toldUSA Today.
The FDA's Office of Media Affairs was also disbanded, as well as most of the 50-person communications team for the agency's Center for Drug Evaluation and Research, which manages information on drug approvals, shortages, and potential risks.
"The general public likely won't feel the results of these HHS layoffs immediately," said Larry Levitt, executive vice president of KFF. "But eventually, these layoffs will affect the health information available to people, access to care and prevention, and oversight of health and social services."
Other impacted employees include those in internal agencies focused on the health of senior citizens, people with disabilities, and minority communities, and workers studying asthma, lead poisoning, radiation damage, and the health effects of extreme heat and wildfires.
The administration appeared to see HIV prevention as a key target, placing the director of the National Center for HIV, Viral Hepatitis, STD, and TB Prevention on administrative leave and dismantling teams that do HIV research and surveillance.
Despite his claims last week about wanting to fight chronic disease, Kennedy did not outline plans to better equip the federal government to fight heart disease, diabetes, and other chronic conditions. At the CDC, The New York Times reported Tuesday, "entire departments studying chronic diseases and environmental problems were cut."
In a post on LinkedIn on Tuesday, former FDA Commissioner Robert Califf, who served under Biden and former President Barack Obama, said the agency "as we've known it is finished" and warned the federal government was losing critical institutional knowledge by firing thousands of people.
"I believe that history will see this [as] a huge mistake," said Califf. "I will be glad if I'm proven wrong, but even then there is no good reason to treat people this way. It will be interesting to hear from the new leadership how they plan to put 'Humpty Dumpty' back together again."
Journalist Sam Stein of The Bulwarkcalled the mass firings "an absolute bloodbath" with a "generation of scientists, healthcare officials being wiped out."
Brown University professor Dr. Craig Spencer said the country "will regret this."
"These are the people who make sure the medications you and your children take are safe. These are the people who perform and oversee research on cancer, infant health, and so, so, so much more. These are the people who make sure new devices that physicians and patients use are effective," said Spencer. "And now, thousands of them are gone. There is no way this makes Americans healthier."
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Trump Administration Slammed for Slashing $12 Billion in Funding for State Health Services
"These are not people who want to make America healthy," said one advocate for people with disabilities. "They want to make the sick disappear."
Mar 26, 2025
The U.S. Department of Health and Human Services canceled more than $12 billion in federal funding for state health departments across the nation, money that is used to track infectious diseases and provide mental health services, addiction treatment, and other critical care.
NBC Newsreported Wednesday that $11.4 billion of the canceled grants were earmarked by the Centers for Disease Control and Prevention (CDC) for state and community health departments, nongovernmental organizations, and international recipients following the Covid-19 pandemic. Around $1 billion worth of grants are being pulled from the Substance Abuse and Mental Health Services Administration.
"The Covid-19 pandemic is over, and HHS will no longer waste billions of taxpayer dollars responding to a nonexistent pandemic that Americans moved on from years ago," Andrew Nixon, a spokesperson for the Department of Health and Human Services said in a statement. "HHS is prioritizing funding projects that will deliver on President [Donald] Trump's mandate to address our chronic disease epidemic and Make America Healthy Again."
This is just stunning. HHS has abruptly canceled more than $12 billion in federal grants to states that were being used for tracking infectious diseases, mental health services, addiction treatment and other urgent health issues.
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— Charles Ornstein ( @charlesornstein.bsky.social) March 26, 2025 at 1:36 PM
However, experts point to the certainty of future pandemics—like an avian flu strain that mutates to pass between humans—in urging public health policy planners to maintain or even increase preparedness and response funding.
NBC News reported that the 13 agencies overseen by HHS were sent notices starting Monday, which informed them that they have 30 days to reconcile their expenditures.
For some state and community healthcare providers, the effects of the cuts were immediate.
There was an abrupt $11B cut to local/state public health (PH) infrastructure yesterday. I don't think people realize what this means: -Want an updated system to check your immunizations instead of digging through docs? PH no longer able to carry out upgrades to immunization information systems
— Katelyn Jetelina ( @kkjetelina.bsky.social) March 26, 2025 at 11:34 AM
As The New York Timesreported:
In Lubbock, Texas, public health officials have received orders to stop work supported by three grants that helped fund the response to the widening measles outbreak there, according to Katherine Wells, the city's director of public health.
On Tuesday, some state health departments were preparing to lay off dozens of epidemiologists and data scientists. Others, including Texas, Maine, and Rhode Island, were still scrambling to understand the impact of the cuts before taking any action.
In interviews, state health officials predicted that thousands of health department employees and contract workers could lose their jobs nationwide. Some predicted the loss of as much as 90% of staff from some infectious disease teams.
"We learned yesterday that the federal government has unilaterally terminated approximately $226 million in grants to Minnesota Department of Health related to the Covid-19 pandemic," Minnesota Commissioner of Health Dr. Brooke Cunningham said in a statement. "This termination is effective immediately and impacts ongoing work and contracts. This action was sudden and unexpected."
Lori Freeman, CEO of the National Association of County and City Health Officials, toldCBS News that much of the funding would have expired soon anyway.
"It's ending in the next six months," she said. "There's no reason—why rescind it now? It's just cruel and unusual behavior."
Colorado Department of Public Health and Environment communications director Kristina Iodice toldNBC News, "We are concerned that this sudden loss of federal funding threatens Colorado's ability to track Covid-19 trends and other emerging diseases, modernize disease data systems, respond to outbreaks, and provide critical immunization access, outreach, and education—leaving communities more vulnerable to future public health crises."
The first Trump administration was widely criticized for shortcomings in these fields. A congressional panel issued a 2022 report accusing top administration officials of "failed stewardship" and a "persistent pattern of political interference" that undermined the nation's response to Covid-19, which to date has killed more than 1.2 million people in the United States and is still claiming hundreds of lives each week, according to CDC figures.
Wednesday's reportingd came as HHS, CDC, and other critical agencies braced for more cuts and layoffs ordered by Elon Musk's Department of Government Efficiency, or DOGE. HHS Secretary Robert F. Kennedy Jr. and his aides are also "nearing their final decisions on a sweeping restructuring of the department," CBS Newsreported last week.
Last month, Senate Democrats demanded answers from Kennedy regarding the purge of more than 5,000 HHS workers after the agency "blindly followed" a "baseless directive" by Trump and DOGE that the lawmakers said is "blatantly undermining Americans' health and safety."
As Common Dreamsreported Wednesday, public health experts have also condemned the administration's decision to terminate funding for Gavi, the global vaccine alliance—a move critics warned could result in the deaths of over 1 million children in the Global South.
"Investing in Gavi brings other benefits for our world and the American people," the alliance said. "Here's why: By maintaining global stockpiles of vaccines against deadly diseases like Ebola, mpox, and yellow fever, we help keep America safe. These diseases do not respect borders, they can cross continents in hours and cost billions of dollars."
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