Robert F. Kennedy, Jr. has expressed opposition to gender-affirming well being look after transgender minors and questioned proof linking HIV to AIDS, two points that critics say ought to give senators second ideas about confirming him as Well being and Human Providers secretary.
Whereas Kennedy’s vaccine skepticism has acquired extra consideration, his remarks on LGBTQ points, together with feedback throughout a podcast final 12 months that chemical substances in consuming water may very well be making kids homosexual or transgender, have additionally raised critical alarms.
“RFK Jr.’s history of denying basic scientific truth, from the cause of AIDS to the legitimacy of transgender health care, they represent a grave threat to the health and well-being of the LGBTQ+ community, and he is poised now for one of the most powerful and consequential positions in shaping the nation’s health care and public health policies. In this context, disinformation isn’t just harmful, it is deadly,” stated Alex Sheldon, government director of GLMA, an affiliation of LGBTQ well being care professionals.
Trump has stated he plans to let Kennedy “go wild on health,” unnerving some LGBTQ well being care suppliers and researchers, given Kennedy’s previous statements and coverage proposals.
In December, Kennedy advised the conservative political commentator Patrick Guess-David that transgender minors shouldn’t be in a position to entry medicines like puberty blockers and hormones “without permission,” however fell wanting opposing gender-affirming care altogether or endorsing federal restrictions.
By Might, nevertheless, Kennedy’s place had change into extra conservative. He wrote on the social platform X that whereas people identified with gender dysphoria “deserve compassion and respect,” he’d change into “troubled” by the thought of giving puberty blockers to minors, labeling them as “repurposed castration drugs.” He additionally referred to transition-related surgical procedure as “mutilation” and stated such remedies ought to be postponed till maturity.
Main skilled medical organizations say gender-affirming well being look after transgender adults and minors is medically obligatory and will be lifesaving — a number of research hyperlink puberty blockers and hormone substitute remedy to decrease charges of suicidality in transgender adolescents.
Surgical procedures are usually not typically beneficial for trans youths underneath 18, in line with the World Skilled Affiliation for Transgender Well being, and the one type of gender-affirming care for youngsters earlier than puberty is social assist, similar to permitting a baby to decide on clothes, hairstyles or a reputation that extra intently aligns with their gender identification.
“[Kennedy’s] comments on transgender health care, in a lot of ways, reflect a confusion that is very widespread right now among a lot of people in U.S. society who don’t know what it means to be transgender, and how deep and long-standing both the evidence and clinical practice on this topic are,” stated Kellan Baker, government director of Whitman-Walker Well being, a Washington-based nonprofit centered on LGBTQ well being care.
Kennedy’s skepticism of established medical and scientific consensus extends to areas outdoors LGBTQ well being. He has a protracted report of selling deceptive claims about vaccines and lately known as for water techniques to take away fluoride from public consuming water, hailed as one of many best public well being achievements of the twentieth century.
“Having an individual with a clear ideological bent on health care is going to make everyone unhealthy,” stated Dr. Meredithe McNamara, an assistant professor of pediatrics at Yale College of Medication. “The injury executed by the metastasis of scientific disinformation will land most squarely on youngsters — youngsters who want vaccines, youngsters who want gender-affirming care.
“With the megaphone that he will have and the false legitimacy that this appointment would give him, I am deeply concerned that people will become even more steeped in misinformation, and even more swayed by the outlandish things that he says,” stated McNamara, a co-founder of Yale Regulation College’s Integrity Venture, which disseminates scientific and authorized data in assist of LGBTQ youth.
Kennedy’s suspicion over whether or not HIV causes AIDS — he’s advised the occasion drug poppers could be the true offender — has additionally involved public well being consultants. In his 2021 ebook “The Real Anthony Fauci,” Kennedy claimed that Fauci, who led the response towards the HIV epidemic within the Nineteen Eighties, had sabotaged efficient remedies for AIDS.
“HIV prevention and care research has been incredibly important for our communities — it’s kept millions of people alive around the world,” stated Sean Cahill, director of well being coverage analysis on the Fenway Institute in Boston. However “there’s still a lot of work to do in terms of HIV prevention and HIV treatment, and the idea that he’s questioning whether HIV causes AIDS is very perplexing.”
Kennedy has additionally stated he intends to shake up the Nationwide Institutes of Well being, a division of HHS that features the Workplace of AIDS Analysis, by firing 600 federal staff, a transfer that threatens to stymie medical advances in treating the illness. As head of HHS, Kennedy would additionally assist oversee the President’s Plan for Emergency AIDS Reduction (PEPFAR), a program first licensed in 2004 that gives HIV prevention and remedy in additional than 50 international locations.
Past Kennedy, physicians and public well being consultants stated insurance policies proposed by the president-elect and the incoming administration would drastically reshape the well being care panorama for LGBTQ People, not essentially for the higher. The agenda on Trump’s web site says he plans to reverse Biden-era insurance policies and steering supporting gender-affirming well being look after transgender minors and signal an government order instructing federal companies to stop applications “that promote the concept of sex and gender transition at any age.”
The agenda additionally guarantees to declare that any hospital or clinician who gives gender-affirming care to minors would “no longer meet federal health and safety standards for Medicaid and Medicare — and will be terminated from the program immediately.” Slicing federal funding to hospitals, a lot of which depend on authorities cash to stay operational, would disrupt well being care for everybody, not simply trans individuals, stated McNamara, of Yale Medical College.
“It’s impossible to discriminate against a single group of people without hurting everyone else, and bans, restrictions and threats that target evidence-based health care will show us that over time,” she stated.
It’s anticipated that Kennedy, a detailed Trump ally, will honor the expectations of the president-elect, that means HHS guidelines increasing entry to gender-affirming care and prohibiting sexual orientation and gender identification discrimination in well being care settings will probably be on the chopping block within the subsequent administration. A rule finalized by the division in April strengthening protections for LGBTQ foster youth may be focused.
The federal rulemaking course of is commonly prolonged, and it might take a number of years to utterly reverse and substitute guidelines instituted by the Biden administration. However hospitals and clinicians that present gender-affirming care, anticipating the administration’s actions, are prone to reply properly earlier than the brand new guidelines are finalized, stated one doctor in Massachusetts, who requested their identify not be revealed due to security and privateness considerations.
“There will definitely be health care systems that are proactively seeking to minimize their risk of retribution by the Trump administration. So, that means, even before rules go into effect, health care systems will roll back access to care and will roll back research infrastructures around this,” the doctor stated. “Their aim is to make use of federal constructions to remove this care and silence researchers.”
Baker, of Whitman-Walker Well being, stated he’s hopeful that profession scientists and well being care consultants at HHS, a sweeping company that employs greater than 80,000 federal staff throughout the U.S. and all over the world, will assist rein in a few of Kennedy and the Trump administration’s proposals.
“There’s a lot of concern that different parts of the administration’s agenda will be driven by things other than science,” he stated. “At the same time, we’re all hoping that the realities of running a federal agency like HHS will encourage the Secretary and the entire administration to rely on the people who know that science the best.”
