Fortune | FORTUNE 2024年11月16日
Even if RFK Jr. fires everyone at the FDA, if won’t matter because he doesn’t know anyone with the ‘technical expertise’ to alter the rules, former chief counsel says
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特朗普提名反疫苗人士罗伯特·肯尼迪担任卫生与公众服务部部长,引发了投资者和公共卫生官员的担忧。肯尼迪曾散布关于疫苗的虚假信息,并计划在“让美国再次健康”计划中推行包括去除自来水中的氟化物和推广生牛奶消费等政策。此举导致医药股下跌,FDA员工也担心工作岗位和机构的未来。公共卫生专家警告称,大幅削减公共卫生部门可能危及食品安全、儿童健康和癌症筛查等方面。尽管FDA疫苗主管彼得·马克斯表示愿意与肯尼迪进行对话,但许多人对肯尼迪的任命表示担忧,认为这可能会对美国公共卫生造成负面影响。

🦠特朗普提名反疫苗人士罗伯特·肯尼迪担任卫生与公众服务部部长,引发市场和公共卫生领域的担忧,其“让美国再次健康”计划可能导致卫生政策发生重大变化。

📉肯尼迪的提名导致医药股大幅下跌,疫苗制造商一夜之间损失超过80亿美元市值,投资者对肯尼迪的政策方向表示担忧。

⚠️公共卫生专家警告称,肯尼迪的政策可能导致公共卫生部门大幅削减,危及食品安全、儿童健康和癌症筛查等公共卫生领域。

🤔FDA疫苗主管彼得·马克斯表示愿意与肯尼迪进行对话,但许多FDA员工担心工作岗位和机构的未来,并考虑离职。

🚨前FDA总法律顾问丹·特洛伊认为,即使肯尼迪上任,也未必能对FDA造成“地震般的变化”,因为缺乏具备专业知识的人才来推动政策变革。

But Dan Troy, a former chief counsel for the FDA during President George W. Bush’s first term, said that despite Kennedy’s lofty goals, there’s unlikely to be “seismic changes” within the agency. If Kennedy—or other members of Trump’s proposed cabinet—follow through with staff purges, they’ll lack the framework for altering the agency’s course, Troy argued.“Who are you going to put in place?” he told Reuters. “Who has the technical expertise to write these rules that are going to really change the paradigm?” Kennedy, who has espoused complete falsehoods on vaccines risks, including the proven-untrue claim they cause autism, has boasted sweeping policy changes in his “Make America Healthy Again” (MAHA) plan. Those changes may include removing fluoride from tap water, despite evidence it helps fight tooth decay, and promoting the consumption of raw milk, which is associated with the bird flu outbreak in dairy cows, bacterial infections, and various parasites. In a Thursday X post thanking Trump for his nod, Kennedy said he plans to “clean up corruption, stop the revolving door between industry and government, and return our health agencies to their rich tradition of gold-standard, evidence-based science.” Trump, who endorsed MAHA, said he’ll let Kennedy “go wild on health.”Kennedy and the FDA did not immediately respond to Fortune’s requests for comment.Investors have already expressed panic over Kennedy’s prospective HHS spot. Share prices of Big Pharma companies plummeted Thursday following Trump’s decision, including Moderna, which fell 5%, and Novavax, which closed down 7%, on Thursday. Vaccine-makers lost over $8 billion in market value overnight.Public health scrambleTroy’s dismissal of Kennedy as a profound public health threat is the contrarian opinion thus far, with FDA employees and public health officials sounding the alarms on the future of health agencies under Kennedy.“If we were to come in and wholesale remove departments of public health and areas in public health, everyone in our country would be at risk,” Richard Besser, former acting director of the Centers for Disease Control and Prevention, told PBS shortly after the election.He argued that drastic staff and department cuts would compromise the safety of food; the classroom safety of children, given they may be around unvaccinated peers; and increase the risk for individuals who may have cancer, as they would have less access to free screenings that could detect the disease early.Dozens of FDA employees have considered leaving the agency as a result of Kennedy’s appointment, citing risks of post-employment restrictions and getting fired. But Dr. Peter Marks, the FDA’s top vaccine official, has taken a measured response to the prospect of Kennedy leading the HHS.“What I would ask of him is that he keep an open mind,” he said this week during a Milken Institute event in Washington, D.C., prior to Trump’s decision. “We’re happy to try to show as much of the data as we can. And I think the data are essentially overwhelming, in certain areas, but we’ll just have to engage in the dialogue.”How many degrees of separation are you from the globe's most powerful business leaders? Explore who made our brand-new list of the 100 Most Powerful People in Business. Plus, learn about the metrics we used to make it.

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罗伯特·肯尼迪 特朗普 卫生与公众服务部 疫苗 公共卫生
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