When it comes to the bullshit, batshit-crazy anti-vaxxer movement that currently has the United States in its un-scientific grip, I’ve focused most of my attention on RFK Jr. And, frankly, for good reason. For arguably decades, but definitely for the last five to ten years, RFK Jr. was the most infamous anti-vaxxer in the world. Kennedy would deny this, of course. In fact, it is old habit for him to talk out of both sides of his mouth when it comes to vaccines, but his anti-vaxxer side speaks much more loudly. And, because of course, one of his chief claims has been that there is a link between childhood vaccinations and autism.
When Donald Trump tasked Kennedy with finding the “cause” of autism, it came off looking like Trump fulfilling his promise to let Kennedy promote his pet conspiracy theories in exchange for gobbling up the MAHA vote when he ran for president. Then Trump himself started parroting some of the same claims you would normally hear from Kennedy. Still, it all looked like performative promise-keeping.
All of that has changed. Donald Trump just made himself the most famous anti-vaxxer on the planet. On Monday, Trump signed an Executive Order making enormous changes to vaccine schedule recommendations for children, both limiting the number of vaccines recommended and advising that vaccines be split up and not offered in combo-shots.
The vaccine changes are not backed by evidence or spurred by new findings. Rather, they are based on false anti-vaccine fearmongering about harms, including the debunked claim that they cause autism, and misinformation that multiple vaccinations can “overwhelm” children’s immune systems. This false claim has also been repeatedly debunked and explained.
During a signing event at the White House on Monday afternoon, Trump falsely claimed that pediatricians “have a vaccination that looks like the size of a bottle of soda,” that is “poured into a little child’s body, and bad things happen in too many cases. This is an explosion; this is an epidemic,” Trump said.
He also tied the new vaccine recommendations to his goal of finding out “what’s going on with autism.” Dozens of high-quality studies encompassing data on millions of children have found no evidence linking the neurodevelopmental condition to immunizations. Nevertheless, Trump suggested that the changes outlined in the order would reduce autism rates in the US.
This is madness. Trump has no understanding of the science or medicine behind vaccines. The fact that he’s layering lies into his signing ceremony for this unscientific proclamation should tell you everything you need to know. It was not that long ago that my own children received their childhood vaccines. I can promise you that no doctor approached them with a syringe the size of a soda can to pour into them. These are lies. Bald-faced lies.
And, while this has been pitched as putting America in line with the vaccine schedules of other developed nations, that is also a lie.
Under the new recommendations, Trump said children should get fewer vaccines, suggesting that the US recommends an excessive number of vaccines compared with other high-income countries. In reality, by dropping down to only 11 recommended vaccinations, the US becomes an outlier in recommending so few, according to fact-checking by Stat News in January. The only other country that recommends so few vaccines is Denmark, a small, relatively homogenous country with universal healthcare.
As for breaking up the MMR vaccine into individual shots, that specific part of the EO also came with lies from Trump. In the signing ceremony, he claimed that the combo MMR shot was “quite lethal.” There is has never been a death linked between the MMR shot and a person with a normally functioning immune systems. Those who are immuno-compromised are already warned against getting the combo shot. In fact, that warning and inability to get what are otherwise normal vaccinations is why it’s so damned important that everyone else immunize based on the previous recommendations, which were made under good science. It’s herd immunity that protects the immuno-compromised. This EO, to whatever extent it is implemented, will be “quite lethal” or otherwise produce negative health outcomes for a non-zero number of people, mostly young children.
This EO will almost certainly result in the deaths of at least some children.
And why? Ego, it appears.
The order is in line with reports that Trump personally promotes the debunked claim that vaccines cause autism and that he wants part of his legacy tied to curing autism. Trump had reportedly put pressure on anti-vaccine Health Secretary Robert F. Kennedy Jr. to do more to link vaccines and autism. In the signing event, Trump praised Kennedy, saying, “He’s doing a fantastic job,” and telling the anti-vaccine advocate “I’m proud of you.”
That Trump would prioritize his own legacy over the health of American children is about as surprising dilated pupils at a Grateful Dead concert. But Trump now directly owns the consequences of promoting anti-vaxxer conspiracy theories to his dedicated flock, as well as the health outcomes for their children. I expect lawsuits to come fast and furious from medical associations and institutions. And I hope they work, but they won’t be enough.
Some percentage of the country will listen to Dear Leader, because that is how cults work. And their innocent children, vulnerable to the misinformed demands of their parents, will be hurt. Perhaps time, money, and effort will be wasted doing trials on individual vaccinations for measles, mumps, and rubella. What comes next is not certain.
But what is certain is that this EO is crafted from a place of selfish ignorance. It does no good and can only cause harm. And our own president is the one harming us.