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Kennedy Presses Ahead With HHS Overhaul, Consolidating Power Over U.S. Public Health

Repopulated advisory panels signal a durable shift in federal public-health policy.

Overview

  • Backed by President Trump, the HHS secretary has proceeded with workforce cuts and reorganization even as some firings face legal challenges and a proposed new agency stalls in Congress.
  • After replacing all 17 ACIP members with new appointees, the panel voted to end universal hepatitis B vaccination at birth and shifted several recommendations toward individual choice.
  • Major medical societies have sued over the vaccine-policy changes, with the case pending and the department seeking dismissal.
  • Public-health messaging now centers on the Make America Healthy Again brand, while pro-vaccine advertising and longstanding prevention campaigns have sharply declined, according to tracking data and staff accounts.
  • High-level departures and the firing of the Senate-confirmed CDC director prompted warnings that the agencies’ scientific capacity has been weakened, as the administration contemplates further changes to preventive-care advisory bodies.