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I think the president is 100% correct.

My last few articles have had a similar theme.

We Want Them Infected doctors clearly do not want to get on the wrong side of their boss.

I think the president has a deeper point about the evidence to support combination and concomitant administration.

Meanwhile, here’s what Trump is saying today:

A screenshot of a tweet from Donald J. Trump advising against Tylenol for pregnant women and young children, and suggesting to give vaccines in separate medical visits rather than combined.

Kennedy confirmed this more than just idle chatter in a recent press conference:

Reporter: The president has asked to break up the MMR vaccine into three separate shots. Is that something you’re going to direct ACIP to consider or take action on?

RFK Jr: We’re looking at the feasibility of that now.

Unfortunately, WWTI doctors, specifically Dr. Prasad, seem poised to turn these delusions into reality. In an interview with his fellow disinformation superspreader Bari Weiss titled Trump’s Vaccine Chief on Childhood Vaccinations, Dr. Prasad had this exchange:

Bari Weiss: The MMR has been administered in one single vaccine, for measles, mumps, and rubella, since the early 1970s. The president, in saying that the shot should be broken up, is more than implying that the combined shot is dangerous. Is it? 

Vinay Prasad: I believe MMR is an important vaccine. I think the president has a deeper point about the evidence to support combination and concomitant administration. By background, combination vaccines combine two or more into a single vial or shot, while concomitant administration means administering two or more at the same visit. Historically, FDA has had stronger levels of evidence for combination than concomitant administration, but that is changing. We are planning new guidance to raise the bar for concomitant administration, and we have a paper now submitted in a medical journal. Stay tuned.

This is dangerous stuff.  Before someone messes with the vaccine schedule, they better have a very good reason. That’s the medically conservative approach. Combination vaccines are nothing new- even Bari Weiss knew the MMR has been used since the early 1970s- and if someone feels they are unsafe, the burden is on them to prove it, not the other way around.  Since Dr. Prasad feels we need “stronger levels of evidence”, it is his job to generate that evidence.  He is the medical establishment.

This is vindication

Unsurprisingly one person is overjoyed by all this, Andrew Wakefield. He and Trump go way back, and with WWTI doctors in charge, he is taking a victory lap. He recently said:

For three decades, I’ve stood by the principle that we must protect our children by questioning a vaccine schedule that has grown unchecked and untested. President Trump announced a sweeping plan to reform the childhood vaccine schedule. And he did it by adopting the very recommendation I made back in 1998.

That includes splitting the MMR vaccine into individual measles, mumps, and rubella shots… delaying the hepatitis B vaccine until age 12… removing mercury and aluminum… spacing out vaccines, stopping the “too many too soon” approach… and eliminating Tylenol use around vaccination. For the millions of parents whose children were injured, ignored, gaslit, and shamed — this is vindication. But more importantly, it’s hope.

This is about being pro-safety, pro-transparency, and pro-child — and particularly pro the right of parents to choose on behalf of their children. The autism epidemic is real — and it’s time we confronted it with honesty.

We’ll see what Dr. Prasad’s “new guidance” says, but he appears poised to stop the “too many too soon” approach and start making Wakefield’s dreams a reality.

In this administration, you serve not only at the pleasure of the president, but for the pleasure of the president.

We need to be clear that we are witnessing Trump Based Medicine (TBM), where Trump’s deranged ramblings, derived from frauds like Wakefield and cranks like Kennedy, get laundered through esteemed professors from esteemed universities who absurdly claim, “the president has a deeper point about the evidence to support combination and concomitant administration.

Of course, in the Trump administration, the truth is whatever he says it is. His feelings come first, and no one who works under him can disagree in any way. That includes the doctors serving- tenuously– under his reign. As one sage commenter said here recently:

In this administration, you serve not only at the pleasure of the president, but for the pleasure of the president. And if that means spouting BS until the cows come home, you’ll do it with a smile on your face. Or else you’re out of a job.

They’re right, and a slavish devotion to Trump is now official policy at the HHS. According to an article titled HHS Employees Now Being Measured by Loyalty to Trump’s Policies:

The Trump administration is using a new metric for assessing people’s job performance at the Department of Health and Human Services: whether they “clearly and demonstrably support implementation” of President Donald Trump’s policy agenda.

Tens of thousands of HHS employees have to fulfill four “critical elements” for their annual performance reviews, which take place at the end of the fiscal year. One of those elements, “Faithful Support of Administration of the Law and the President’s Policies,” lays out how workers now have to essentially prove their loyalty to Trump’s policies.

AAP Evidence-Backed Immunization Schedule Reflects Break from CDC Advisers.  

At least there is a silver lining to this politicization of science- it’s all obvious and out in the open. WWTI doctors aren’t fooling anyone, and no reasonable person takes them seriously. Could you imagine a pediatrician caring what Vinay Prasad, Marty Makary, or Jay Bhattacharya has to say about vaccines or anything else for that matter?  Of course not. Everyone know they are mindless mouthpieces for their Dear Leader, and medical organizations and large swaths of the country are wisely forming their own guidelines in response. Today, the headlines read: 

Obviously, WWTI doctors can do a lot of damage moving forward. They can deceive a lot of parents and create devastating regulatory barriers to vaccines. Measles and pertussis are already spreading under their “leadership”, and rather than focusing keeping children healthy, WWTI doctors aim only to spread doubt and mistrust about vaccines. That’s what they do best.

However, amongst their peers, their ultimate fate may be a richly deserved irrelevancy. Their “new guidance to raise the bar for concomitant administration” will be delivered with great fanfare and drama, and though Wakefield will celebrate, doctors who actually care for sick people will know it’s just worthless TBM. And when it comes to making decisions for our patients and families, we will all roll our eyes and simply ignore it.

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  • Dr. Jonathan Howard is a neurologist and psychiatrist who has been interested in vaccines since long before COVID-19. He is the author of "We Want Them Infected: How the failed quest for herd immunity led doctors to embrace the anti-vaccine movement and blinded Americans to the threat of COVID."

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Posted by Jonathan Howard

Dr. Jonathan Howard is a neurologist and psychiatrist who has been interested in vaccines since long before COVID-19. He is the author of "We Want Them Infected: How the failed quest for herd immunity led doctors to embrace the anti-vaccine movement and blinded Americans to the threat of COVID."