Robert F. Kennedy Jr., a vocal vaccine skeptic, has emerged as a potential key player in President-elect Donald Trump’s administration. Trump has encouraged Kennedy to “go wild on health,” though the specifics of his role remain unclear.
Kennedy’s influence is of particular concern to public health experts, as his views on vaccines and public health could impact national health policies. Dr. Jerome Adams, former U.S. Surgeon General under Trump, warned that Kennedy’s influence might erode vaccination efforts and harm the nation’s public health, security, and economy.
Kennedy’s influence grew as he aligned with Trump’s agenda, vowing to dismantle the public health system, attack corruption, and overhaul agriculture policy. Kennedy’s 2024 candidacy and role as a Trump surrogate helped solidify his standing as a leader of a movement challenging the establishment, particularly the regulatory state.
Trump’s electoral victory, in the eyes of their supporters, signifies a mandate to reform what they see as broken health institutions. With the Republicans controlling the Senate, Kennedy may have the opportunity to be confirmed for prominent health roles such as Secretary of Health and Human Services or Commissioner of the FDA.
Kennedy has set forth a broad agenda for reform, with Trump urging him to address “corruption” in regulatory agencies and focus on evidence-based science.
While Kennedy stated he would not take away vaccines, his emphasis on informed choice worries public health experts, especially regarding school vaccination requirements. Kennedy also moved beyond vaccine issues to focus on the rising rates of chronic diseases, framing this as a key issue in his partnership with Trump under the “Make America Healthy Again” slogan.
A key part of Kennedy’s philosophy is his criticism of the healthcare and food industries, which he accuses of profiting from disease. As a leading figure in the “medical freedom” movement, Kennedy has advocated for alternative medicine, natural foods, and reforming the National Institutes of Health (NIH).
His stance on vaccines, particularly his debunked claims linking them to autism, continues to cause concern. He also plans to challenge the FDA’s stance on various treatments, including psychedelics and alternative therapies, which he argues are suppressed by big pharmaceutical interests.
Public health experts fear Kennedy’s positions will negatively impact vaccination efforts and further undermine scientific consensus on health issues. The CDC, for example, has raised alarms over the increase in measles outbreaks, which could be exacerbated by anti-vaccine rhetoric.
Florida’s Surgeon General, Dr. Joseph Ladapo, a known vaccine skeptic, has also been considered for roles in the new administration, furthering concerns about the administration’s stance on public health. While Kennedy’s influence on specific health roles remains uncertain, his public pronouncements continue to shape the debate on health policy.
In addition to health care reform, Kennedy has expressed interest in transforming the nation’s food and agriculture policies. His proposals include scaling back pesticide use and restricting food stamp purchases of unhealthy foods. Kennedy has also supported alternative healthcare models, such as individual health savings accounts.
While some of his ideas, like removing processed foods from schools, could gain bipartisan support, others face significant opposition from powerful industries. As Kennedy’s influence grows, it remains to be seen how his unconventional views will shape Trump’s second-term policies and whether they will lead to meaningful reforms in public health.