白宫的“让美国再次健康”委员会在周四发布的一份报告中对美国的慢性病提出了一系列批评，这是由卫生与公众服务部部长小罗伯特·F·肯尼迪领导的跨政府委员会的第一个主要副产品
首先，该报告将许多慢性病归咎于过度加工的食品、环境中的化学物质、久坐不动的行为以及儿童对数字设备的过度依赖。这也表明儿童疫苗需要进一步研究。
美国总统唐纳德·特朗普(Donald Trump)周四下午在白宫举行的一场MAHA活动中表示，“我们不会停止，直到我们击败美国的慢性病疫情，我们将首次完成这项工作。”。
特朗普承诺推动报告中概述的历史性进步立场，并打击“企业游说者或特殊利益集团”，称肯尼迪的马哈运动“炙手可热”。
“与其他政府不同，我们不会被企业游说者或特殊利益集团压制或吓倒。我希望这个团体做他们必须做的事情，”特朗普说，提到了环境中的有毒化学物质、儿童用药过量和超加工食品等问题。
但是，特朗普的承诺和报告的调查结果虽然明显偏离了总统第一任期的优先事项，但仍然只是MAHA运动将试图制定的非常早期的预测，以及特朗普将如何坚定地袖手旁观政策变化，一旦这些变化受到行业团体的攻击，这些团体肯定会在任何重大监管问题上与政府斗争。
“在接下来的80天里，委员会将在本报告工作的基础上，制定一份大胆的变革性公共卫生改革路线图，供我们考虑。这是一个考虑因素，我们会列出事实。让我向整个摩诃运动表示祝贺。这场运动已经变得非常火热，”特朗普说。
就目前而言，这份69页的文件仍然没有明确最终政策计划的大部分内容，包括解决肯尼迪关注的慢性病需要多少成本，以及可能采取哪些措施来遏制这些疾病。
肯尼迪在周四早些时候的电话会议上告诉记者，该委员会还没有为未来的健康倡议提供资金的预算，并指出官员们计划在未来几个月内制定政策建议。
“没有预算，”肯尼迪说。“在这一点上，没有具体的政策可以在预算中得到资助。我们将在未来100天内制定出政策建议。”
“这一过程的下一阶段是为总统提出政策建议，然后我们将在接下来的四年里实施这些政策建议，”他继续说道。
尽管缺乏预算细节，肯尼迪坚持认为，从长远来看，解决慢性健康问题将节省资金。
肯尼迪说:“从长期来看，我们将节省更多的钱，即使在短期内，我们也可以减少开支，这是我们在本届政府期间打算做的。”。
官员们，包括凯利手段，一个特殊的政府雇员和肯尼迪的顾问谁反对超加工食品和农药的存在，赞扬了这份报告。
“事实上，美国政府的一份官方文件……为关于杀虫剂的投诉提供了可信度，并在其中列出了特定杀虫剂的名称，这是一个巨大的象征，”他告诉美国广播公司新闻。
随着报告到期日的临近，食品中农药的问题在过去几周内遇到了很多行业阻力。
农业部长布鲁克·罗林斯(Brooke Rollins)和环境保护局(Environmental Protection Agency)局长李·泽尔丁(Lee Zeldin)都是马哈委员会的成员，对该行业的监督比肯尼迪更直接，他们周四小心翼翼地确保农民感觉政府仍然坚定地支持他们，尽管报告中对农药提出了批评。
虽然肯尼迪和MAHA运动的其他人质疑商店货架上食品成分的安全或健康，但罗林斯强调美国的食品供应仍然是安全的。
“食品供应是100%安全的，”罗林斯说。“这不仅仅是安全。它是世界上最安全的。我们继续确保人们理解这一点，这真的非常非常重要，”她补充道。
罗林斯承诺，肯尼迪和马哈委员会不会“损害我们美国农业发挥最大作用的能力”，泽尔丁表示，任何监管农药的举措都将根据农民的成本进行仔细考虑。
“美国农民依赖这些产品，除了国会规定的基于风险的科学程序外，进一步监管或限制作物保护工具的行动必须涉及对充分保护、替代方案和生产成本的必要考虑，”他说。
泽尔丁补充说，农业实践中的任何快速变化都可能“对美国农业和国内粮食供应产生不利影响”
尽管向行业做出了保证，但美国玉米种植者协会(National Corn Growers Association)等组织立即谴责这份报告是“基于恐惧的”。美国玉米种植者协会经常与拜耳等生产农药的公司合作赞助。
“让美国再次健康”报告中充满了基于恐惧而不是基于科学的关于杀虫剂的信息。国家玉米种植者协会在一份声明中说:“我们深感不安的是，这种程度的说法没有任何科学依据，也没有考虑到环保局专家对这些产品的长期评估。”。
该报告还呼吁对儿童疫苗进行新的研究，几十项高质量的研究发现，儿童疫苗是安全有效的。
尽管该报告称疫苗可以保护儿童免受传染性疾病的侵害，但它也声称家长们担心疫苗的“适当使用”及其在儿童慢性疾病中的“可能作用”。
“尽管儿童疫苗计划有所增长，但对疫苗和慢性病之间的联系、疫苗损伤的影响以及疫苗计划制定中的利益冲突的科学调查有限。这些领域值得进一步研究，”报告指出。
几十项研究未能发现疫苗数量的增加与儿童患更多慢性病之间的联系。
White House releases RFK Jr.-led report on chronic disease
The White House's Make America Healthy Again Commission offered a range of critiques about chronic disease in America in a report released Thursday, the first major byproduct of the cross-government commission headed by Health and Human Services Secretary Robert F. Kennedy Jr.
Chiefly, the report blames many chronic illnesses on ultra-processed foods, chemicals in the environment, sedentary behavior and over-reliance on digital devices among children. It also suggests childhood vaccines need to be studied further.
“We will not stop until we defeat the chronic disease epidemic in America, we're going to get it done for the first time ever,” President Donald Trump said during a MAHA event at the White House on Thursday afternoon.
Trump committed to pushing the historically progressive stances outlined in the report and fighting “the corporate lobbyist or special interest,” calling Kennedy’s MAHA movement “hot.”
“Unlike other administrations, we will not be silenced or intimidated by the corporate lobbyist or special interest. And I want this group to do what they have to do,” Trump said, mentioning issues like toxic chemicals in the environment, overprescription of children and ultra processed foods.
But Trump's pledges and the findings of the report, while notable for its departure from the president’s priorities in his first term, is still only a very early predictor of what the MAHA movement will attempt to enact -- and how staunchly Trump will stand by the policy changes once they come under fire from industry groups that will certainly fight the administration over any significant regulation.
“Over the next 80 days, the commission will build on its work in this report to develop a roadmap to bold and transformative public health reforms for our consideration. It's a consideration, and we'll lay out the facts. Let me say congratulations to the entire MAHA movement. This movement has become very hot,” Trump said.
For now, the 69-page document still leaves much of the ultimate policy plan unclear, including how much it will cost to address the chronic illnesses that Kennedy is focused on and what steps might be taken to curtail them.
Kennedy told reporters on a call earlier Thursday that the commission doesn't yet have a budget to fund the future health initiatives, noting officials plan to develop policy recommendations in the next few months.
"There is no budget," Kennedy said. "At this point, there's no concrete policy that could be funded in a budget. We're going to work out the policy recommendations over the next 100 days."
"The next stage of this process is to come up with policy recommendations for the president, and then we'll spend the next four years implementing those policy recommendations," he continued.
Despite the lack of budget details, Kennedy maintained that addressing the chronic health issues would save money in the long term.
"We're going to save a lot more money in the long run and even in the short run, we can reduce the numbers, which we intend to do during this administration," Kennedy said.
Officials including Calley Means, a special government employee and adviser to Kennedy who has fought against the presence of ultra-processed foods and pesticides, praised the report.
"The fact that an official U.S. government document … gives credibility to complaints about pesticides and names specific pesticides in there is a monumental symbol," he told ABC News.
The issue of pesticides in food found a lot of industry pushback in the last few weeks as the report neared its due date.
Secretary of Agriculture Brooke Rollins and Environmental Protection Agency Administrator Lee Zeldin, who both sit on the MAHA Commission and have more direct oversight than Kennedy over the industry, were careful Thursday to ensure that farmers felt like the administration remained steadfastly behind them, despite the criticism of pesticides in the report.
While Kennedy and others in the MAHA movement have questioned the safety or health of the ingredients in foods on store shelves, Rollins stressed that the U.S. food supply remains safe.
"The food supply is 100% safe," Rollins said. "It isn't just safe. It is the safest in the world. And it's really, really important that we continue to make sure that people understand that," she added.
Rollins pledged that Kennedy and the MAHA Commission will not "compromise the ability of our American agriculture to do what they do best," and Zeldin said that any moves to regulate pesticides would be carefully considered against the cost to farmers.
"American farmers rely on these products, and actions that further regulate or restrict crop protection tools, beyond risk-based and scientific processes set forth by Congress, must involve thoughtful consideration of what is necessary for adequate protection, alternatives and cost of production," he said.
Zeldin added that any quick changes in agricultural practices could have "adverse impact on American agriculture and the domestic food supply."
Even with their assurances to the industry, groups like the National Corn Growers Association, which often partners for sponsorships with companies like Bayer, which produces pesticides, immediately denounced the report as "fear-based."
“The Make America Healthy Again Report is filled with fear-based rather than science-based information about pesticides. We are deeply troubled that claims of this magnitude are being made without any scientific basis or regard for a long history of EPA expert evaluations of these products," the National Corn Growers Association said in a statement.
The report also calls for new studies on childhood vaccines, which dozens of high-quality studies have found to be safe and effective.
Although the report states that vaccines protect children from infectious diseases, it also claims parents are concerned about their "appropriate use" and their "possible role" in chronic diseases among children.
"Despite the growth of the childhood vaccine schedule, there has been limited scientific inquiry into the links between vaccines and chronic disease, the impacts of vaccine injury, and conflicts of interest in the development of the vaccine schedule. These areas warrant future inquiry," the report states.
Dozens of studieshave failed to find a link between an increased number of vaccines and more chronic disease among children.
