Pandemic Center

It’s Election Day in parts of the country, so we thought it was time to talk politics.

Dr. Craig Spencer, from Brown University’s School of Public Health, penned a Substack last week that stopped us cold. In it, he makes a bold case that public health needs to get more political—not partisan, but political in the sense of organizing, mobilizing, and demanding what people say they value: cleaner air, safer food, prevention that actually gets funded.


It’s a striking call at a moment of profound change — what some call a reimagining, others a dismantling — of public health itself. But if you look at the polling across Republicans, Democrats, and the MAHA “curious,” there’s surprising common ground right in public health’s wheelhouse.

It’s time, Spencer argues, for public health to step into the political arena to fight for change or watch the system unravel.

Before he set foot in 200 Independence Avenue, Washington DC, Robert F Kennedy Jr, US president Donald Trump’s secretary of health and human services, had raised more than a few eyebrows from America’s medical establishment. Around 17,000, to be precise – that’s how many doctors signed a letter from the Committee to Protect Health Care urging senators to reject his nomination, saying he was “unqualified to lead” and was “actively dangerous”.

Their petition failed. Today, Kennedy Jr, better known as RFK, is head of an agency with an almost two trillion-dollar budget and a little over 80,000 employees. On Monday, speaking from the White House, Trump and the US secretary of health and human services said women should not take acetaminophen, also known by the brand name Tylenol, “during the entire pregnancy.” It was announced that the Food and Drug Administration would begin notifying doctors that the use of acetaminophen “can be associated” with an increased risk of autism, but neither Trump or Kennedy Jr provided any peer reviewed medical evidence to support this. They also raised unfounded concerns about vaccines contributing to rising rates of autism.

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The Trump Administration has made significant changes to the departments in charge of public health. Dr. Craig Spencer, an emergency medicine physician who teaches public health policy at Brown University, discusses the impact he expects on the health of average Americans and for the future of public health research.

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The White House’s AI Action Plan, released in July, mentions “health care” only three times. But it is one of the most consequential health policies of the second Trump administration. Its sweeping ambitions for AI—rolling back safeguards, fast-tracking “private-sector-led innovation,” and banning “ideological dogmas such as DEI”—will have long-term consequences for how medicine is practiced, how public health is governed, and who gets left behind.

When the Pfizer-BioNTech COVID-19 vaccine was authorized for emergency use by the Food and Drug Administration (FDA) in December 2020, President Donald Trump referred to it as a "medical miracle."

"This is one of the greatest scientific accomplishments in history. It will save millions of lives and soon end the pandemic once and for all," Trump said at the time in a speech delivered from the Oval Office.

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I don’t know exactly when I was infected with Ebola. As a doctor in a treatment center in Guinea in 2014, I faced hundreds of potential exposures during the outbreak there.

If I had to guess, the virus probably breached my protective gear while my colleagues and I cared for a young woman in the final moments of her battle with the disease. Each time she vomited or soiled herself, we changed her linens, gently laying her listless body back onto clean, burgundy floral sheets. I knew this ritual wouldn’t save her life. I also knew it carried substantial personal risk. But I refused to let her die without dignity. I know there are many who would do the same.

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