Public Health
Bending Under Pressure
Every now and then, the Trump Administration shows signs of reluctantly giving in to reality.
The Trump Administration’s basic stance has been to pursue ideological purity all costs, beginning with the “shock and awe” campaign of the first year. Don’t expect miracles, but there are at least a few signs that the Administration is tempering that strategy. It’s a bit comforting to see indications that reality is slowly sinking in. It’s also evidence that resistance to Trump policies isn’t futile.
Any trend toward saner policies is likely to be very limited. For instance, Trump and his supporters are too invested in climate denial to ever admit that climate change is a serious problem. The best we might hope for is that they ease up just a little on their war against clean energy. There are at least some hints that this may be starting to happen.
CONTINUE READINGNoem’s Disastrous Reign at FEMA
The post-Noem agency is in desperate need of rebuilding.
It’s going to be very difficult for a new DHS head to shift course given the message coming from the White House. But without a change in the direction, a weaker FEMA will increase the country’s vulnerability to the disaster risks posed by an increasingly unruly climate. Noem has done great damage to FEMA, leaving the country more vulnerable to disasters. Trump’s desire to abolish the agency isn’t helping. Among her failings, her damage to the Federal Emergency Management Agency (FEMA) may not be the worst, but it’s far from the least. Restoring the FEMA will be a major undertaking and a heavy lift in an administration best known for agency destruction.
CONTINUE READINGThe Accelerating Decline of U.S. Public Health Policy
Just when we get over our shock over one development, another comes along.
It’s hard to believe how quickly a science-driven approach to protecting health has been replaced by ideology and quackery. Lack of expertise is now seen as a plus in making decisions, and the Administration is actively seeking to suppress information about problems that it would rather not address. I posted a month ago about the current evidence-free approach to health policy, Things have only gotten since then. It’s been one bad thing after another. All of this in only a month. There are 34 months left in Trump’s presidency, so you can only imagine how dangerous the situation will be by the time he leaves office.
CONTINUE READINGMAHA’s Evidence-Free Health Policy
No matter how good your intentions, ignoring the evidence is a recipe for disaster.
It seems plain that key health agencies are now in the hands of earnest, well-meaning people who, unfortunately, don’t know what they’re talking about. For example, the CDC’s advisory committee on vaccines is largely composed of anti-vaxxers. When the committee recently decided to eliminate a recommendation for Hepatitis B vaccines, none of the speakers who addressed the committee, and no one on the task force assigned to investigate the question, was an expert on the disease.
CONTINUE READINGIs This the End of Cost-Benefit Analysis?
Trump’s EPA is effectively abandoning economic analysis
Maybe the Administration means to keep cost-benefit analysis in place for some other kinds of regulations at EPA or elsewhere. But if the courts uphold the EPA’s refusal to quantify the enormous harms caused by air pollution, it’s hard to see an argument for quantifying many other regulatory benefits. In other settings, environmentalists might applaud the repeal of cost-benefit analysis. In the current setting, however, the purpose is all too plain: to make it easier for the Administration to ignore the ways it is endangering human life and health.
CONTINUE READINGThat Was the Year That Was
2025 had a lot of bad environmental news, but also a few rays of hope.
2025 has been a dark time for Americanswho care about the environment. Rather than being a repeat of his first term, which had been bad enough environmentally, Trump’s second term has been a tsunami of bad news. Besides some outright rollbacks, Trump has done his best to purge the government of programs and people implementing environmental law. Much of that has been illegal but effective anyway. The demolition of the East Wing will be remembered as a defining moment, the perfect metaphor for an Administration that has religiously embraced the motto, “move fast and break things.”
CONTINUE READINGA Strangely Important Case about… Boilers?
UCLA Law’s clinic files Ninth Circuit brief in defense of core air pollution control authority.
When I think about sources responsible for LA’s air pollution, I don’t first think about water heaters, boilers, and other medium-scale appliances. But it turns out that appliances that burn natural gas to heat water are, in aggregate, an incredibly significant source of nitrogen oxides (NOx), an air pollutant that worsens smog and causes serious …
Continue reading “A Strangely Important Case about… Boilers?”
CONTINUE READINGThe War on Public Health Continues
Friday’s layoffs announcements at CDC targeted infectious disease control
During the COVID outbreak, President Trump said, “If we stopped testing right now, we’d have very few cases, if any.” That philosophy seems to have taken hold during his second term in office. On Friday, the Administration fired more than a thousand CDC workers, incljding the scientists and doctors who provide key information and expertise about infectious disease outbreaks. The effect is to kneecap the government’s capacity to detect and track outbreaks.
CONTINUE READINGThe Compact for Censorship
The so-called compact is a thin front for massive incursion into free speech and academic freedom.
A key First Amendment principle prohibits the government from discriminating on the basis of viewpoint. This Compact contains a string of viewpoint-based rules. That’s a threat to any view the government doesn’t like, which definitely includes a belief in climate change or the benefits of renewable energy. Because violation of the agreement triggers draconian sanctions, and the Administration is the judge of what constitutes a violation, the chilling effect will be tremendous.
CONTINUE READINGIn His Own Words: The Unitary Executive Explains Science Stuff to Us
Inside the government, the war on science seems to be over, and ignorance has won.
In the past couple of days, the President has given us the benefit of his wisdom on highly technical issues. It seems clear that, as far as the government is concerned, the war on science is over, and ignorance has won.
I’m going to let the President make my case for me. Below are excerpts of Trump’s explanations of vaccine policy, autism causation, and climate science.
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