Tag Archives: Jr.

Who Will Die?

Among the travesties being committed by a lawless and determinedly stupid administration, its assault on science–and particularly medical science– is among the acts most likely to affect all Americans negatively. Ironically, the administration’s anti-science, anti-expertise tantrum has already proved to hit devoted MAGA Neanderthals the hardest.

While there have always been medical skeptics, this expanded retreat from sound medical advice began in earnest during the pandemic, when the “give me liberty” MAGA cult refused to wear masks, continued to sponsor and attend public gatherings, and–especially– refused to get vaccinated. They died of Covid in disproportionate numbers.

In the wake of the 2020 election, there was some speculation that–at least in some deep Red congressional districts–a fall-off in Republican votes was due to that disproportionate death rate. (I’ve been unable to find confirmatory data for that speculation, but the fact that unvaccinated folks were much more likely to suffer and die has been repeatedly documented.)

The designation of MAGA folks as a cult has become widespread, and the evidence for that continues to mount. During the pandemic, followers of their massively ignorant cult leader obediently ingested bleach and Ivermectin, a medication intended for horses; today, RNK, Jr.–he of the brain worm and an assortment of bizarre conspiracy theories–is busily substituting those theories for medical science. His cuts at HHS are already imperilling public health, and are likely to make it more difficult for sane Americans to receive the vaccines that protect us from a wide variety of diseases.

The dramatic politicization of health care is likely to affect us all, but–again, ironically–it is much more likely to affect the cult’s true believers. I recently came across an article describing how the choice of a doctor has become partisan. Research published in the British Journal of Political Science finds that Americans’ trust in their personal physicians—an area that the study notes “was once a rare nonpartisan sanctuary”—has become increasingly divided along political lines, with potentially serious implications for public health.

Here–in a nutshell–is what the study found.

Trust reversal: While Republicans were slightly more trusting of their doctors a decade ago, Democrats are now 12 percentage points more likely to express “a great deal” of trust in their physicians.

Political preferences matter: Both Republicans and Democrats strongly prefer doctors who share their political affiliation, sometimes placing as much importance on political alignment as on shared race or gender.

Health implications: With Trump voters over 50 being 11 percentage points less likely to closely follow their doctor’s advice, this partisan divide could affect health outcomes and potentially widen existing mortality gaps between Republican and Democratic counties.

It hasn’t always been this way.

In 2013, Republicans actually reported slightly higher trust in their personal doctors than Democrats. By 2022, the tables had turned dramatically, with Democrats approximately 12 percentage points more likely than Republicans to report “a great deal” of trust in their physicians.

The study noted that the General Social Survey–a research instrument that tracks American attitudes– found diminished “confidence in the scientific community, education, the press, and many other institutions had already polarized along partisan lines by 2010. Medicine, however, remained stubbornly nonpartisan until 2021.”

The COVID-19 pandemic thrust public health officials into the spotlight, where they quickly became lightning rods for partisan conflict. The study found strong evidence that as medical authorities like Dr. Anthony Fauci became political targets, the distrust spilled over into Americans’ relationships with their own personal doctors….

Between 2001 and 2019, researchers observed a growing gap in death rates between Republican and Democratic counties, with people in Democratic counties living longer. If partisan divides continue to influence healthcare decisions, this gap may widen further, creating a feedback loop where political identity affects health outcomes, which then reinforce political divisions.

As the linked article concludes, if this polarization continues or increases, and Americans increasingly make critical life choices based on political identity, those choices could mean the difference between early diagnosis and late-stage disease. That makes the stakes of this particular aspect of our deepening political divisions literally matters of life and death.

If the results of the stupidity were confined to those applauding it, that would be one thing. (Admittedly, still a bad thing, but–hey, I’m not a nice human–somewhat fitting.) But we’re all likely to inhabit a far less protective world. Cuts to the FDA alone will mean slower approval of new medications, fewer food safety inspections, and lapses in new medical products. Other cuts have decimated research into diseases like HIV, Parkinsons and Alzheimers.

The cult’s dominance threatens us all.

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Republican Lemmings

Lemmings are small rodents living in the Northern Hemisphere, primarily in the Arctic. They are known for large migrations– but mostly for a myth of their mass suicides, as large numbers follow their leaders off cliffs.

Today’s GOP is filled with the human variety of lemmings. We saw them emerge during the pandemic, as anti-science hysteria led to the rejection of mask wearing and vaccination.  Even after the pandemic, vaccination rates have continued to fall–and that decline has followed a partisan pattern.

There are two ways people can avoid vaccination. Families can get a religious or medical exemption from state laws requiring childhood vaccinations in order to send their children to public school. Or adults can simply fail to take advantage of vaccine availability. In states that voted for Donald Trump, the number of children receiving exemptions has increased.  Adult noncompliance rose in both blue and red states, but more in red states. 

Although states, not the federal government, set vaccine mandates, the incoming administration could encourage anti-vaccine sentiment and undermine state programs. Trump’s nominee RFK, Jr. would absolutely do so. He dismisses out of hand any studies that refute his beliefs. As the linked article notes,

He claims that the measles-mumps-rubella vaccine causes autism, despite more than a dozen studies performed in seven countries on three continents involving thousands of children showing that it doesn’t.

He has claimed that “there is no vaccine that is safe and effective.” (Childhood vaccines have prevented more than one million deaths and 32 million hospitalizations over the past three decades.) He has encouraged people not to vaccinate their babies: “I see somebody on a hiking trail carrying a little baby, I say to him, ‘Better not get him vaccinated.’”

When asked about the polio vaccine, Mr. Kennedy claimed that it caused an “explosion in soft tissue cancers” that killed “many, many, many, many, many more people than polio ever did.” Setting aside the fact that an “explosion in soft tissue cancers” hasn’t occurred, studies comparing children who received early batches of polio vaccines with unvaccinated children found no differences in cancer incidence. By 1979, paralytic polio was eliminated from the United States. When Mr. Kennedy says he wants vaccines to be better studied, what he really seems to be saying is he wants studies that confirm his fixed, immutable, science-resistant beliefs. 

The author of the article, a doctor who previously served at the FDA, explained that the panel authorizing vaccines is composed of actual “skeptics,” who require significant evidence of efficacy before approving them.

Vaccine skepticism is baked into the systems with which health experts monitor vaccines after they’re authorized for use. We know that clinical trials are not enough; we need to constantly ask questions and examine new data. That’s why we have surveillance systems that can detect problems too rare to be picked up in clinical trials. 

That ongoing surveillance allowed the FDA to discover that the Johnson & Johnson Covid-19 vaccine caused dangerous clotting in about one in 250,000 people.

Detecting such risks allows us to weigh these rare harms against the enormous benefits of these vaccines.

Mr. Kennedy, on the other hand, has claimed that the Covid-19 vaccines, which have saved the lives of at least three million Americans, are “the deadliest vaccine ever made.”

Kennedy routinely misrepresents studies he cites and ignores data that doesn’t support his conclusions. And this is the person that Donald Trump has nominated to be Secretary of Health, presumably as a reward for Kennedy’s political support. 

In one sense, the nomination of JFK, Jr. is no different from Trump’s other choices, none of which have been even slightly based on the suitability of the nominee. Trump rather obviously sees these positions as rewards for loyalty–I rather doubt the notion of qualification has ever occurred to him. (After all, he himself is massively unqualified for the Presidency.–or for that matter, any responsible position.)

All of which brings us back to the issue of those Republican lemmings. At this point, it is more likely than not that this parade of clowns, misfits and ideologues will be confirmed by a Senate controlled by Republican invertebrates who value their own immediate political prospects far–far–above concerns for government competence and/or the common good. (And yes, Indiana’s Todd Young is one of them.)

 It isn’t very nice to point this out, but people who take Kennedy’s anti-vaccine delusions seriously are overwhelmingly MAGA crazies and Christian Nationalists, so–on the bright side– we might see a decline in the number who will survive to vote for GOP troglodytes. 

Meanwhile, sane Americans will watch as the lemmings go over the cliff. Unfortunately, they’ll take rational governance with them.

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Speaking Of Lunatics…

Third-party candidates in two-party America share several characteristics, one of which might be called a martyr complex. After all, application of elementary logic leads to the inevitable conclusion that–while such a candidate might manage to be a spoiler depriving one of the major party nominees of success–he or she has zero chance of actually winning.

That logic explains why so many of these “spoiler” candidates are–to put it mildly–less than rational. While some social activists probably run simply to make a point or to bring attention to a pet issue–Ralph Nader comes to mind–  others come to us straight from their private fantasy-lands.

This year, for example, Robert F. Kennedy’s quixotic candidacy comes directly from an alternate universe. If this sad, deluded man was not a member of a storied political family, he’d have been escorted off the public stage a long time ago. As an article in Mother Jones recently pointed out, his distance from reality isn’t limited to his anti-vaccine beliefs, and far too much of the media coverage of his campaign has served to normalize this very abnormal man.

He’s a conspiracy theorist who has made a lot of money pushing baseless or disproven notions about vaccines, Covid, and other hot-button subjects. At the start of his 2024 presidential bid, the media reported his history as a disinformationalist on multiple fronts. Yet now he’s largely covered as another character in the ongoing presidential horse race.

Most of the recent stories about him focus on his standing in the polls, what voters he’s attracting, and speculation regarding his potential impact on the outcome. In such pieces, his extreme conspiracism is often not conveyed fully and sometimes not even mentioned. A recent Washington Post story on Kennedy family members endorsing President Joe Biden noted in mild fashion that  RFK Jr. “has embraced controversial, unfounded claims on issues including vaccines and the Jan. 6, 2021, attack on the U.S. Capitol.” A Wall Street Journal article on chaos within his campaign merely said Kennedy “has promoted conspiracy theories—in particular on vaccines—and espouses political views from across the spectrum.” A New York Times piece referred to him as a “vaccine skeptic” who has promoted “vaccine misinformation and conspiracy theories about the government.”

The article proceeded to focus on one of Kennedy’s many conspiracy theories–one that has received minimal coverage– noting that “He is much further around the bend than [the media] indicates. With his advancement of unhinged and outlandish conspiracy theories, RFK Jr. is in the league of Alex Jones.”

The author noted RFK, Jr.’s evidently fervent belief that a “global elite led by the CIA had been planning for years to use a pandemic to end democracy and impose totalitarian control on the entire world,”  a claim he has repeated at public events and on podcasts, and for which he has claimed to have proof. That “proof” revolves around something called “Event 201.” During one interview, Kennedy told listeners who might be skeptical of his description of that event to “do the research. The meeting is still on YouTube.”

As the Mother Jones article notes, the video of Event 201 does indeed remain on YouTube—”as does an entire website devoted to the exercise—and it in no way matches Kennedy’s description. Not even close.”

The remainder of the lengthy article takes each description of that event offered by JFK, Jr. and patiently and thoroughly debunks it.

Other claims made by Kennedy have been shown to be equally unfounded/unscientific/looney. He has asserted that chemicals present in water sources cause transgender identity, has repeatedly endorsed the idea that the increase in mass shootings is due to heightened use of antidepressants, and has accused the CIA of assassinating his uncle. Just last June, in an interview with the Washington Post, he reaffirmed his belief that Republicans had stolen the 2004 election, and that John Kerry, the Democratic candidate, had really won.

In his defense, it is likely that Kennedy (unlike con artists like Alex Jones) actually believes these things. That is sad. It is sadder still that many Americans tell pollsters they plan to vote for him, in most cases not because they agree with any of his bizarre assertions, but because they are unaware of how demented he really is. The only thing they know about him is his name, and that he is the nephew of the former President.

If MAGA’s devotion to Trump hadn’t already proved the extent of American political ignorance and hostility to reality, the fact that a meaningful percentage of voters claim to be supporting this very troubled man should conclusively prove the point.

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Non-Profit Doesn’t Necessarily Mean “Do-Gooder”

I was intrigued to come across an essay by John Dilulio, Jr. in a publication I had previously not encountered: American Purpose. 

I have been familiar with Dilulio–a political scientist currently at the University of Pennsylvania–since his work on George W. Bush’s “Faith-Based Initiative.” (Thanks to a generous Ford Foundation grant, I helmed a three-year, three state study of that initiative.) In the 1990’s,  Dilulio was best known in criminal justice circles for his hostile analysis of young criminals and his condemnation of violent juveniles as ”superpredators,” a position from which he later–and properly–retreated.

The essay in American Purpose addressed a very different issue: the nonprofit status of American organizations, a status that entitles such organizations to various types of tax avoidance. The “nonprofit sector,” he tells us, consists of organizations

that enjoy one or more of four types of tax exemptions, subsidies, or supports: tax-free property owned by the organizations; tax-deductible donations to the organizations; taxpayer-funded grants, contracts, or fees to the organizations; and taxpayer-funded payments to individuals for purchasing goods or services from the organizations.

Intriguing indeed. But, you ask, why do we need any such “nonprofit sector?” What criteria should be used to determine which existing or new organizations receive some, all, or none of those four tax privileges? Who is supposed to benefit from their existence, and by what measures? And, last but not least, how might we mitigate the moral hazard when some of these organizations inevitably use their tax privileges for private gains or to evade public accountability, or behave in ways that are both deceptive and self-dealing?

The essay began with the good news: something like 92 percent of all nonprofits are small, community-based, and serve local needs. Fewer than 3 percent lobby for government grants or contracts.

At the top of the nonprofit pyramid, however, are less publicly beneficial organizations–and those are especially prevalent in health care.

At its very top, the tax-privileged sector is dominated by the ten nonprofit health systems that in 2021 each collected $14.5 billion or more in annual revenues, and by a dozen nonprofit universities that are among the most well-endowed universities in America. Is enough being done to ensure that these tax-privileged titans’ board members, CEOs, presidents, and other leaders are using their respective tax privileges in the public interest while refraining from individual or institutional self-dealing?

Dilulio cites a 2023 article in which Rice University economists Derek Jenkins and Vivian Ho wrote that, “Nonprofit hospitals, which currently comprise approximately 58 percent of U.S. hospitals, have been repeatedly criticized by scholars and policymakers for failing to live up to a poorly articulated standard of ‘charity care’ and benevolence,” and for failing to justify their tens of billions of dollars a year in federal, state, and local tax breaks.  He also cited a 2022 report by the Economic Research Institute, which found that, while nonprofit hospital CEOs are paid, on average, $600,000 a year, the ten highest-paid nonprofit health systems executives made $7 million a year or more;  the CEO of Kaiser Permanente was paid nearly $18 million in 2018.

Back when I was a practicing lawyer, I saw how this worked. If a corporation being formed could credibly point to some charitable purpose, and could successfully argue for nonprofit status, monetary gains that would otherwise constitute–and be taxed as– profit could be diverted/mischaracterized as “overhead costs.” These “nonprofits” could divert what would otherwise be profit into generous salaries and lots of perks for management. (Does a health organization executive really need a luxury car supplied by the nonprofit entity? What about that corporate jet?)

The essay has much more information, and offers suggestions for legislative interventions. If you are interested in the various ways in which nonprofit status can be–and has been– gamed, it’s well worth the time to click through and read in its entirety.

My own first reaction was that this situation–the culture of “game-playing” that has allowed greed to infect and distort significant elements of a system originally intended to serve the public good–has become widespread. It isn’t limited to health care and a handful of elite universities.

Assuming we emerge from the November election with American democracy still largely intact, we need to address a multitude of structural distortions, and not just those affecting the electoral system. The misuse of nonprofit status is one of them.

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The Eternal Target

Robert Hubbell is the author of one of the newsletters that appear in my inbox each weekday; some months ago, my sister recommended that I add him to my daily read and I can echo her endorsement.

Hubbell recently considered the anti-Semitism displayed by one of RFK, Jr.’s many conspiracy theories–this one, that the Chinese had “bio-engineered”  COVID  to disproportionately target Caucasians and Black people., while immunizing Ashkenazi Jews and Chinese people.

As Hubbell wrote

Over the weekend, we learned that Kennedy’s conspiratorial thinking regarding the origins of Covid and the (alleged) evils of vaccines led him to the place where many conspiracy theories seem to inevitably land—blaming “the Jews” for the world’s problems. Most conspiracy theories begin by blaming the ubiquitous and anonymous “they”, which inexorably morphs over time to “liberal elites,” then “Bill Gates and George Soros,” and then “the Jews.”

 I sure wish we Jews were as powerful as these conspiracy-addled  lunatics clearly think we are. (Really, if I had a space laser, don’t you think I’d have used it against some of these nutcases by now??)

In Hubbell’s subsequent discussion of Junior’s “bioweapon” theories, he meticulously examined the ignorance it required.

He claims that the Chinese and American governments are developing “ethnic bioweapons.” The notion that governments are building bioweapons that will selectively attack people based on their “ethnicity” is a delusion based on monumental ignorance about DNA, biology, race, ethnicity, science, politics, and reality. It is the stuff of 1950s comic books, adolescent imagination, and Nazi eugenics—which is how sheer stupidity morphs into absolute evil in the reality free cauldron of conspiracy theories.

Hubbell examined RFK,Jr.’s “copious documentation” (so that we don’t have to), and found that–to the extent any legitimate documentation exists regarding “ethnic bioweapons”– “it relates to the fear that some government might exploit the gene editing technology CRSPR/Cas9 to develop ethnic bioweapons in the future.”

Rather obviously, a concern about what might occur  sometime in the future is not “evidence” that U.S. and China are developing bioweapons targeted at various genetic groups.

What struck me about this particular eruption of anti-Semitism–and Hubbell’s ability to demonstrate the ignorance that prompted it–was an insight it prompted about the nature of conspiracy theories in general: people who don’t understand the world they inhabit, and who are unable to tolerate the ambiguities resulting from that lack of understanding, are desperate for answers and explanations they can comprehend.

Conspiracy theories provide those answers. (So do some religions.)

Are LGBTQ people more visible than they used to be? There must be more of them, and that means that some groups–librarians and Drag Queens among them– are “grooming” children and turning them gay.

Are the FBI and Department of Justice closing in on Donald Trump’s myriad crimes? That’s convincing evidence that those federal agencies have been “weaponized” against Republicans.

Did your 87-year-old grandfather die a month after getting a COVID vaccine? Was your sister-in-law’s next-door neighbor’s brother’s child diagnosed as autistic after getting her measles vaccine? Aha! Evidence that vaccines are dangerous.

Are you a man who’s unable to get a date? (Okay, unable to get laid?) It isn’t because you’re unattractive or unpleasant (or nuts). As your fellow Incels will tell you, it’s evidence that “women’s lib” groups have poisoned relations between the sexes.

Is your life not unfolding in ways you had hoped? Are your children behaving in ways that you disapprove? It’s evidence that some shadowy group–probably the Jews–is running the world in ways that disadvantage good White Christians like you…

I’m sure readers of this blog can add to the list….

There is a reason for the growing political and social gap between educated and uneducated Americans. And by “educated” I don’t mean people with degrees; I mean people who read books and newspapers, open themselves to the lessons of history, and respect science and technical expertise. Educated people are humans who recognize–and have learned to live with– the inevitable ambiguities of modern life. They are people who understand that the world is a complicated place, that we humans are still learning about causes and effects, and there are many questions we can’t answer.

They are people who can tell the difference between evidence and fantasy, and are comfortable saying “I don’t know.”

Other people–those who are frantic for simple answers and desperate for someone or some group  to blame for their distress– cope by adopting fantasies that justify their fear and hatred of the “other.”

Today’s America evidently has a lot of them. Until their fevers subside, they can and do make life for the rest of us very uncomfortable–and for some of us “others,” very unsafe.

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