When Robert F. Kennedy Jr. took office in February 2025, the Department of Health and Human Services oversaw food and hospital inspections, health insurance for roughly half of the American population, vaccine recommendations, and the scientific research infrastructure that underpins most of what your doctor tells you. It was imperfect, often bureaucratic, and in genuine need of reform in places. What it did not need was to be systematically dismantled by someone who rejected the scientific foundations it was built on.
That is what happened anyway.
Within his first two months Kennedy announced the elimination of approximately 10,000 HHS jobs on top of another 10,000 employees who had already taken buyouts, collapsed 28 agencies into 15, and closed half of HHS’s regional offices. The cuts did not fall evenly. They targeted, as 19 state attorneys general would later document in federal court, specific programs and areas of expertise â the ones Kennedy had already decided were part of the problem. Infectious disease surveillance. Vaccine research. The scientific advisory infrastructure that had taken decades to build.
The research bleeding is quieter than the vaccine headlines but may prove more lasting. The National Institutes of Health cut approximately $2.7 billion in research funding, including a 31 percent reduction in cancer research. Five hundred million dollars in contracts to develop vaccines using mRNA technology, the same technology that saved millions of lives during the pandemic were canceled. Four NIH directors were fired or forced out. The FDA’s vaccine chief was removed. A CDC director Kennedy himself had hired was gone within a month. As one Georgetown University public health law professor put it, America is being hollowed out of its scientific leadership, and it will be extraordinarily difficult to reverse.
But it is the vaccine story that will be most immediately felt in pediatricians’ offices and school hallways across the country.
Kennedy promised during his confirmation hearings that he would not touch vaccine policy. Instead he fired all 17 sitting members of the CDC’s Advisory Committee on Immunization Practices, the expert body that has guided vaccine recommendations since 1964 and replaced them with known vaccine skeptics. The reconstituted committee promptly began downgrading recommendations. Then in January 2026, the CDC unilaterally reduced the universally recommended childhood vaccine schedule from 17 vaccines to 11, cutting protection against rotavirus, influenza, hepatitis A, hepatitis B and meningococcal disease from routine recommendations, not based on any new safety data, but modeled after Denmark, a country with universal free healthcare that is an outlier even among its European peers.
The consequences are not theoretical. A measles outbreak has spread to 26 states with over 960 confirmed cases centered in South Carolina. Two children have died from whooping cough. Vaccination rates have been falling since Kennedy took office. Last flu season saw 280 child deaths from influenza, the highest toll in more than a decade, and the federal government has now made the flu vaccine a matter of parental discretion rather than routine recommendation.
There is a clock ticking that most people don’t know about. Major health insurers pledged to keep covering the old vaccine schedule through the end of 2026. That pledge expires in December. After that, whether parents pay out of pocket for vaccines that were covered last year is an open question, and in a country where cost is already a barrier to preventive care for millions of families, the answer will show up in infection rates within a year or two.
None of this happened by accident. None of it happened without warning. Kennedy’s record as a vaccine skeptic was not hidden during his confirmation process, it was the central concern of every senator who questioned him, and he addressed each concern with a promise he did not keep. The damage being done to American public health is real, it is documented, and it is the direct result of placing ideological conviction above scientific evidence at the highest level of the public health system.
The question worth asking, and the one we will address next, is not whether Kennedy knows what he is doing. He does. The more useful question is why a genuinely intelligent person, with a real history of fighting for public health, arrived here. Because the answer to that question is the one that might actually help us understand how to stop it from happening again.
Making America Sick â Part 4 of 4: The Fight Back
If you have read this far and are feeling the particular kind of helplessness that comes from watching something important being dismantled by someone who cannot be reasoned with, this part is for you.
Because the resistance is real, it is organized, and some of it is winning.
The most important thing to understand is that Kennedy overplayed his hand legally, repeatedly, and the courts have noticed. He did not just pursue aggressive policy changes, he pursued them sloppily, skipping the procedural requirements that exist precisely to prevent any single person from unilaterally rewriting public health infrastructure. That sloppiness has created legal openings that are now being used effectively.
In March 2026 a federal judge in Massachusetts sided with the American Academy of Pediatrics and blocked Kennedy’s overhaul of the CDC’s vaccine advisory committee, the one he had stacked with skeptics after firing all 17 original members. The judge invalidated votes the reconstituted panel had already taken, including decisions to downgrade hepatitis B and COVID recommendations. More significantly, the same ruling found that the CDC had exceeded its legal authority when it unilaterally reduced the childhood vaccine schedule from 17 to 11 vaccines in January, because it did so without going through the proper advisory process. The mechanism Kennedy used to do the most damage to vaccine policy is the same mechanism that is now being used to undo it.
The states have mobilized in ways that matter. Fifteen states have sued to rescind the new vaccine schedule entirely and dismantle Kennedy’s replacement advisory committee. Nineteen states and the District of Columbia are separately fighting the HHS restructuring and mass layoffs on constitutional grounds, arguing the administration violated the separation of powers and the appropriations clause, essentially that Kennedy dismantled agencies Congress had funded and mandated without the legal authority to do so. A judge has already blocked further reorganization while that case proceeds. These are not symbolic lawsuits. They are methodical, well-resourced legal challenges built on solid procedural ground, and they are advancing.
Perhaps the most quietly encouraging development is what the medical establishment itself has done. When Kennedy changed the vaccine schedule, major hospital systems and clinicians across the country simply ignored it. The American Academy of Pediatrics published its own independent vaccine schedule, declaring the federal process no longer credible, and told its members to follow that instead. This matters more than it might seem. The federal government can change its recommendations, but it cannot force pediatricians to follow them. The professional infrastructure of American medicine, the societies, the hospitals, the training programs, the peer review systems, is largely intact and largely in open rebellion against what Kennedy is doing. That infrastructure is where the actual practice of medicine happens, and it is not waiting for federal permission to protect children.
Were the signs obvious? Yes. Could this have been prevented? Yes. Did it happen purely because of politics? Yes. But we also knew who Robert F. Kennedy Jr. was before he was confirmed, and we knew he was Trump’s chosen instrument for reshaping American public health. That makes all of us who watched and waited at least a little complicit in the complacency that allowed it to happen.
Casting blame now doesn’t cure a child with measles or restore a cancer research grant. It doesn’t rebuild the institutional knowledge that walked out the door with the scientists who were fired. The courts are working, and working effectively, but they are slow by design. The best and most immediate course of action is the one closest to home, your doctor, your pediatrician, your state legislature, your voice used early rather than late.
We knew. Now we act.
Know the insurance cliff and act before it hits. Major insurers pledged to keep covering the old vaccine schedule through end of 2026. That pledge expires in December. Before then, contact your state insurance commissioner and ask specifically what protections your state is putting in place to ensure continued vaccine coverage after the federal schedule changes. If your state has not addressed this, say so publicly and say it to your state legislators by name. This is the kind of specific, time-bound pressure that actually moves state government.
Talk to your pediatrician directly. Ask them which schedule they are following. The answer in most cases will be the American Academy of Pediatrics schedule, not the federal one. But parents who don’t ask won’t know, and parents who don’t know may make decisions based on federal guidance that their own doctor has already rejected. This is a conversation that takes five minutes and could matter enormously.
Support the organizations doing the legal work. The American Academy of Pediatrics, the American Public Health Association, and American Oversight are carrying the heaviest load in court right now. They are nonprofit organizations fighting well-funded federal legal teams. They need resources and they need visibility. Sharing their work, citing their findings, and donating if you are able is not performative, it is direct support for the people holding the legal line.
Pay attention to your state legislature. Anti-vaccine activists are already moving into statehouses to use the federal schedule changes as leverage to loosen school vaccine requirements. This is happening right now in Florida and Texas and it will spread. School board meetings and state legislative hearings are where this battle will be won or lost at the community level, and they are chronically under-attended by the people who would push back. You do not have to become an activist. You have to show up once and bring two people who agree with you.
Understand what is reversible and what isn’t. The legal framework to restore the vaccine schedule exists and is being actively pursued. The court victories so far suggest it is achievable. What is harder to reverse is the institutional knowledge that walked out the door with the fired scientists, the research that wasn’t funded, the surveillance systems that went dark, and the public trust that eroded while the outbreaks spread. Those are long term repair projects that will require sustained political will across multiple administrations. That is not a reason for despair. It is a reason to vote in every election at every level with health policy as a primary consideration, and to say so out loud when you do.
The measles outbreak will not be the last consequence we see from what has happened at HHS over the past year. The cancer research that wasn’t funded will show up in treatment outcomes years from now. The children who didn’t get vaccinated because their parents received confusing guidance from the federal government will be vulnerable in ways that won’t be visible until the next outbreak arrives. The damage has a long tail.
But so does the resistance. The courts are not done. The states are not done. The medical establishment is not done. And the accumulated weight of evidence-based medicine, built over more than a century by people who understood that complexity requires sustained attention rather than simple answers, does not disappear because one man with a broken compass was handed the keys for a few years.
He was given those keys through a political transaction. They can be taken back through a democratic one.
That is not optimism. That is how the system is supposed to work, and right now, imperfectly and under enormous pressure, it is working.
Pay attention. Show up. Talk to your pediatrician.
The burger and the shake are not going to fix this either.
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