What happened
President Trump signed a nonbinding executive order this week recommending a radical overhaul of the U.S. childhood vaccine schedule, a policy proposal that health experts warned will only sow more mistrust and confusion about lifesaving immunizations. The order proposes reducing the number of recommended childhood vaccines from 18 to 11, downgrading vaccines for diseases such as Covid, hepatitis A and B, and RSV to optional for most children. It directs government health officials to plan for separating the doses in the measles, mumps, and rubella vaccine, which has been administered as a combined injection for 55 years. The order also authorizes the Justice Department to challenge state vaccine regulations deemed insufficiently respectful of parental objections. Trump claimed without evidence that the combined MMR vaccine can be “quite lethal” if given at once.
With Health Secretary Robert F. Kennedy Jr. by his side, Trump made several other false claims. He said children were being pumped with “vats” of vaccine—the MMR shot is actually a fraction of a teaspoon—and revived the debunked theory that vaccines cause autism. Pediatricians were aghast. “As measles cases reach a 35-year high in the U.S.,” said American Academy of Pediatrics president Dr. Andrew Racine, Trump’s executive order is “not only disheartening but dangerous.” Several states, including New York and Illinois, declared they would keep current childhood immunization rules in place. “We will continue to be guided by the science,” said New York state Health Commissioner James McDonald.
What the columnists said
Trump claimed “nothing bad can happen from what we’re doing,” said Jonathan Cohn in The Bulwark. But “bad things are happening already.” Nearly 2,500 people have contracted measles this year as anti-vax rhetoric has pushed MMR vaccination rates below the community protection threshold. At least two children have died from the disease. And now many more parents will wrongly believe that a proven protection is unsafe, all because “they heard it from the president.”
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Trump insists he isn’t promoting “vaccine skepticism,” said The Wall Street Journal in an editorial. He claims he’s merely aligning the U.S. with other “peer, developed nations” such as Denmark. But governments with “socialized health systems” have fewer vaccine recommendations because they don’t want to pay to cover rarer diseases, such as meningitis, and because problems like mother-to-child transmission of hepatitis B are “less common” there.
“Almost nothing Trump called for is practical or possible today,” said Michael Hiltzik in the Los Angeles Times. No American company even manufactures the individual components for separate measles, mumps, and rubella vaccines. Successive shots would leave kids vulnerable to the diseases for longer. But Trump and Kennedy “have been beating the anti-vaccination drum for years.” They long for the “good old days” before “excessive” immunizations. “They would expose millions of children to severe disease and death” in the name of misguided nostalgia. “In heaven’s name, why?”
