A disproven medical theory could be guiding RFK Jr.'s health policy
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U.S. Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. is noted for his series of controversial claims, and some health experts believe this might be due to an obsolete medical theory he has promoted. Known as miasma theory, this belief system goes back centuries but has long been superseded by the basic theory of germs. However, some on the fringes of the medical community still promote it, which could be driving some of RFK Jr.'s more contentious HHS decisions.
It is the disproven belief that diseases are "caused by inhaling air that was infected through exposure to corrupting matter," according to the National Center for Biotechnology Information. It was believed this "bad air" could have been infected by "rotting corpses, the exhalations of other people already infected, sewage or even rotting vegetation."
Miasma theory was one of the "first ideas that civilization hatched to try to explain why people get sick," said NPR. It goes back to Hippocrates, who "wrote in a book called 'Epidemics' that epidemics came from some type of pollution — some pollution of the atmosphere," Dr. Howard Markel, an emeritus professor of medical history at the University of Michigan, said to NPR.
Germ theory was discovered in the last few centuries, though, revealing that it "wasn't some mysterious stench in the air from rotting garbage that spread diseases," said NPR. Instead, "bacteria and viruses and other microscopic materials were actually what caused illness," Melanie Kiechle, a historian at Virginia Tech, said to NPR. Miasma theory is "debunked, essentially."
Kennedy "doesn't believe in a foundational scientific principle: germ theory," said Ars Technica. He wrote a section promoting miasma theory in his 2021 book, "The Real Anthony Fauci," which criticized the former director of the National Institute of Allergy and Infectious Diseases. In the section, Kennedy "promotes the 'miasma theory' but gets the definition completely wrong."
Kennedy's book states that miasma theory "emphasizes preventing disease by fortifying the immune system through nutrition and by reducing exposures to environmental toxins and stresses," according to Ars Technica. In Kennedy's view, abandoning miasma theory led to a "pharmaceutical paradigm that emphasized targeting particular germs with specific drugs rather than fortifying the immune system."
One of the main criticisms of Kennedy's approach is that "miasma theory, as historians of medicine and science understand it, is not what [Kennedy] is saying it is," Nancy Tomes, a historian of germ theory at Stony Brook University, said to NPR. This could lead to policy decisions coming as a result of miasma theory, which experts question. For Kennedy, vaccines are a "modern-day miasma," Dr. Paul Offit, a vaccine expert at the University of Pennsylvania, said to NPR.
Kennedy's "unscientific belief that germs don't actually cause disease will likely have far worse consequences," said Jalopnik. This is a "threat to modern medicine and health in this country, as well as across the world." And many doctors believe this is all part of an effort to promote an anti-vax agenda. Kennedy is "trying to give this false veneer of intellectualism by saying, 'Oh, the miasma theory,'" Dr. Amesh Adalja, a scholar at the Johns Hopkins Bloomberg School of Public Health Center for Health Security, said to NPR. This is "obfuscation to support his idea that vaccines are not valuable."

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Chicago Tribune
19 hours ago
- Chicago Tribune
US measles count now tops 1,200 cases, and Iowa announces an outbreak
The U.S. logged fewer than 20 measles cases this week, though Iowa announced the state's first outbreak Thursday and Georgia confirmed its second Wednesday. There have been 1,214 confirmed measles cases this year, the Centers for Disease Control and Prevention said Friday. Health officials in Texas, where the nation's biggest outbreak raged during the late winter and spring, confirmed six cases in the last week. There are three other major outbreaks in North America. The longest, in Ontario, Canada, has resulted in 2,179 cases from mid-October through June 17. The province logged its first death June 5 in a baby who got congenital measles but also had other preexisting conditions. Another outbreak in Alberta, Canada, has sickened 996 as of Thursday. And the Mexican state of Chihuahua had 2,335 measles cases and four deaths as of Friday, according to data from the state health ministry. Other U.S. states with active outbreaks — which the CDC defines as three or more related cases — include Arizona, Colorado, Illinois, Kansas, Montana, New Mexico, North Dakota and Oklahoma. In the U.S., two elementary school-aged children in the epicenter in West Texas and an adult in New Mexico have died of measles this year. All were unvaccinated. Measles vaccination rates drop after COVID-19 pandemic in counties across the USMeasles is caused by a highly contagious virus that's airborne and spreads easily when an infected person breathes, sneezes or coughs. It is preventable through vaccines and has been considered eliminated from the U.S. since 2000. There are a total of 750 cases across 35 counties, most of them in West Texas, state health officials said Tuesday. Throughout the outbreak, 97 people have been hospitalized. State health officials estimated less than 1% of cases — fewer than 10 — are actively infectious. 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Washington Post
a day ago
- Washington Post
Administration to phase out NIH support of HIV clinical guidelines
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Yahoo
a day ago
- Yahoo
Medicare go-broke date pushed up three years in latest trustees report
This story was originally published on Healthcare Dive. To receive daily news and insights, subscribe to our free daily Healthcare Dive newsletter. A key trust fund underpinning Medicare's hospital benefit will go broke three years earlier than previously expected absent congressional action, threatening benefits for seniors, according to the Medicare trustees' annual report released Wednesday. The Medicare Hospital Insurance trust fund will be depleted in 2033, instead of 2036, as Medicare spending continues to outpace the program's income, the trustees — a group comprised of the HHS, Treasury and Labor secretaries, along with the Social Security commissioner — warned. The bleaker outlook is due to higher-than-expected spending for hospital care, hospice services and physician-administered drugs. The trustees called on Congress to act quickly to stabilize Medicare, though near-term action is unlikely as the Republican majority focuses on advancing their reconciliation megabill. Medicare has been teetering on the edge of insolvency for a while. But the latest report from Medicare's trustees is more dire than last year's, which projected Medicare would become insolvent in more than a decade. Now, Medicare's hospital trust fund will start running out of money in eight years — when today's 57-year-olds first become eligible for the program. The looming go-broke date is a result of the fund's substantial shortfall as Medicare costs continue to grow rapidly, trustees said in the report. Medicare costs are expected to increase from 3.8% of the gross domestic product in 2024 to 6.2% in 2050 before reaching 6.7% in 2099, the report projects. Costs to another fund that pays Parts B and D, called the Supplemental Medical Insurance trust fund, are also climbing, increasing pressure on beneficiary budgets and the federal budget. (Though, the Supplemental Medical Insurance trust fund is largely funded by premiums and general revenue that resets each year and doesn't face the same solvency concerns.) This year's estimates, which are based on current payment rates, could be conservative, trustees said. Under an alternate scenario, in which provider payments grow at a rate more consistent with underlying medical costs — a change aggressively lobbied for by physician associations — Medicare spending will rise to 8.8% of the GDP in 2099 rather than 6.7%, according to the report. The precarious footing of the federal insurance program, which covers almost 69 million people in the U.S., is due to the country's underlying demographic shifts, according to experts. More and more Americans are aging into Medicare, while at the same time the number of workers paying into its trust fund is dropping. More seniors are also selecting privatized Medicare Advantage plans, which are more expensive than traditional Medicare coverage. If and when the U.S. hits Medicare's go-broke date, the hospital trust fund, which pays hospitals and providers of post-acute services and also covers some of the cost of private Medicare Advantage plans, will have inadequate income to fund those benefits. Medicare payments would immediately be cut by 11%, according to the report. Those cuts would grow over time, likely disrupting services for seniors and reimbursement for providers. It's worth nothing that there's a significant degree of uncertainty in trustees' projections, which vary based on macroeconomic forces in a given year. For example, in 2020, in the early throes of COVID-19, the board predicted the hospital trust fund would run out by 2026. That deadline was pushed back to 2028 and then 2031 in subsequent years' reports, amid a broader economic rebound and more care shifting to cheaper outpatient settings. Still, the fund hasn't met the trustees' test for short-range financial adequacy since 2003, and has triggered funding warnings since 2018. To date, Congress has not allowed Medicare to go under. But legislators' lack of action despite years of warnings is a source of heartburn for budget hawks, Medicare advocates and physician lobbies. Experts say lawmakers need to act soon given many reforms to stabilize Medicare could take a few years to go into effect. 'The projections in this report show that change is needed to address Medicare's financial challenges,' the Medicare trustees wrote in their report. 'The sooner solutions are enacted, the more flexible and gradual they can be.' According to the Committee for a Responsible Federal Budget, restoring Medicare solvency would require Congress to boost the payroll tax rate by 14% or reduce Medicare spending by 9% — both politically unappetizing proposals. Other reforms that could curb Medicare spending, like implementing site-neutral payments or reducing overpayments in MA, have more bipartisan support but aren't a policy priority on the Hill. Republicans are currently focused on hammering out legislation to extend tax cuts from President Donald Trump's first term, cut green energy programs, fund border control and curb Medicaid spending. 'We are running out of time to phase in changes gradually and avoid harsh cuts, sharp tax increases, or unacceptable borrowing. Demagoguing this issue may be politically expedient, but it will ultimately prove ruinous for the tens of millions of Americans that rely on the programs,' Maya MacGuineas, the president of the CRFB, said in a statement Wednesday. Recommended Reading Medicare go-broke date extended to 2036, but warning bells continue ringing