Intended for healthcare professionals

Letters Future healthcare coverage in the US

Being reckless with public health is an efficient way to cause outbreaks

BMJ 2025; 388 doi: https://doi.org/10.1136/bmj.r455 (Published 10 March 2025) Cite this as: BMJ 2025;388:r455
  1. Rachel Gur-Arie, assistant professor1,
  2. Ben Kasstan-Dabush, lecturer2
  1. 1Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA
  2. 2Global Health Policy Unit, University of Edinburgh, Edinburgh, UK
  1. rgurarie{at}asu.edu

Jha discusses some of the ways in which Donald Trump’s presidency might transform the US healthcare system.1 The Trump administration is being reckless with public health through the guise of a commitment to “government efficiency.” We are concerned about the implications for vaccine programmes, which could be a target for “de-funding” considering Robert F Kennedy Jr’s record of vaccine safety revisionism.2

US state level public health relies …

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