Presented by the Coalition to Strengthen America’s Healthcare: Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
Nov 21, 2024 View in browser
 
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By Chelsea Cirruzzo and Ben Leonard

Presented by the Coalition to Strengthen America’s Healthcare

Driving The Day

Robert F. Kennedy Jr., speaks at a campaign event.

While progressive Democrats agree with many of Robert F. Kennedy Jr.'s stances on health care, corporate regulations and the environment, they're not supporting his nomination as HHS secretary. | Morry Gash/AP

DEALBREAKERS Robert F. Kennedy Jr. has pushed a number of views that would put him in the ranks of progressive Democrats: going after Big Pharma, weeding out corporate influence in government agencies, calling for stronger federal regulations on food and the environment.

But progressives — and even groups built around goals similar to those Kennedy touts — aren’t lining up to support him as HHS secretary, POLITICO’s Marcia Brown, Daniel Payne and Megan Messerly report.

Many say he’s a threat to public health and not to be trusted, whether because of the conspiracies he’s pushed about vaccines or his embrace of President-elect Donald Trump.

Some privately worry that by openly partnering with Kennedy, they’ll boost his baseless claims about vaccine safety or his ability to roll back their other policy goals.

Even so: Some progressive groups and lawmakers, while still skeptical, have said they want to work together with the incoming administration where they can. A few have even acknowledged the unique opportunity before them; few previous HHS secretaries have centered nutrition, the environment or chronic disease in their agendas the way Kennedy has.

The dynamics extend from advocacy groups to lawmakers on Capitol Hill.

Sen. Elizabeth Warren (D-Mass.), for instance, said she would “do what I need to do” to advance her constituents’ interests, while also saying Kennedy “would be a real threat to public health.”

Sen. Cory Booker (D-N.J.) posted a video to X this week delivering a script that sounded like something Kennedy would say, decrying unhealthy food. Kennedy thanked him. But Booker told POLITICO he’s skeptical that a Trump administration would work toward progressive goals around regulating food ingredients and promoting good nutrition.

There are rare exceptions, like Colorado Democratic Gov. Jared Polis, who posted on X shortly after Trump named Kennedy that he was “excited” by the pick and looking forward to “partnering with him to truly make America healthy again.”

Polis was roundly condemned by fellow Democrats.

WELCOME TO THURSDAY PULSE. Expelled former congressmember George Santos was spotted back on Capitol Hill last night. Send your tips, scoops and feedback to ccirruzzo@politico.com and bleonard@politico.com and follow along @ChelseaCirruzzo and @_BenLeonard_.

 

A message from the Coalition to Strengthen America’s Healthcare:

NEW REPORT: Hospitals are there for rural Americans 24 hours a day, 7 days a week, 365 days a year providing crucial access to care. In rural America, where access to physicians for routine and preventative care is especially limited, Americans rely heavily on hospitals for their care. In 2021 alone, rural patients turned to hospital Emergency Departments 18 million times for immediate care.

 
In Congress

HHS Secretary Xavier Becerra speaks during a hearing on Capitol Hill.

HHS Secretary Xavier Becerra testified on Capitol Hill on Wednesday regarding oversight at HHS' Office of Refugee Resettlement. | Tasos Katopodis/Getty Images

HHS RULE IN GOP CROSSHAIRS — House Republicans grilled HHS Secretary Xavier Becerra on Wednesday over a rule the administration finalized earlier this year to vet potential sponsors of unaccompanied migrant children under age 18, Chelsea reports.

During a hearing about HHS’ Office of Refugee Resettlement, which places unaccompanied minors with sponsors, members of the House Judiciary Subcommittee on Immigration Integrity, Security, and Enforcement, including subcommittee Chair Tom McClintock (R-Calif.) and Rep. Jeff Van Drew (R-N.J.), argued that the rule loosened requirements on background checks.

Sponsors are adults, which can include family members, deemed suitable to care for a child.

“This was a giant step back from rigorous vetting,” McClintock said, saying it fails to disqualify sponsors with criminal backgrounds, while Van Drew argued the rule was “designed to create barriers to placing the [unaccompanied minors] in secure facilities.”

“Yes, you do do background checks, but they’re not good enough, and that was done in the rule,” Van Drew said during the hearing.

Context: The ORR received referrals for more than 118,000 unaccompanied minors requiring sponsor placement in 2023.

But HHS, under Becerra, has garnered criticism from the Hill after a New York Times report found that the Biden administration lost immediate contact with at least a third of migrant children.

In April, the administration finalized a rule enforcing a 1997 settlement agreement to set standards for placement of children. The first Trump administration, which had instituted a controversial policy of separating families and holding children in detention facilities, had tried to terminate the settlement but was blocked by the courts.

With a Republican-led Congress and White House, the HHS rule will likely face further scrutiny and potential changes next year.

Becerra defended the rule Wednesday, denying that it fails to adequately vet sponsors.

“[Sponsors] go through the full level of extensive checking on background … so we want to make sure there’s no ambiguity as to what their responsibility is: to make sure that they are putting … the safety of that child first before they place that child with a sponsor,” he said.

BILL NYE WEIGHS IN — President-elect Donald Trump’s pick to lead HHS has “lost his way,” Bill Nye, an engineer best known for his 1990s TV show “Bill Nye the Science Guy,” told reporters Wednesday, Lauren reports.

In response to questions about Robert F. Kennedy Jr., Nye touted fluoride’s role in preventing cavities, noting that he believes his dental health is better because the mineral is added to the drinking water supply.

Kennedy has said he wants fluoride, which occurs naturally but can be added by state or local governments, out of drinking water.

Nye, an advocate for the National Ataxia Foundation, said he was in the Capitol “trying to get the FDA just a bit of a nudge” to consider data around a potential treatment for spinocerebellar ataxia, a group of inherited brain disorders that affects physical coordination and loss of fine motor skills. The genetic condition runs in Nye’s family.

Nye seemingly nodded to Kennedy’s unfounded claims about vaccine safety.

“His other claims are extraordinary, and I really hope somebody will reconsider his position,” he said.

 

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AROUND THE AGENCIES

TRUMP’S PLAN TO CUT RULES, WORKERS — The Trump administration wants fewer employees and fewer regulations — and thinks it has the legal standing to do so.

In a Wall Street Journal op-ed published Wednesday, Trump advisers Elon Musk and Vivek Ramaswamy, who will co-lead an effort to reduce government waste, argued that the Supreme Court case that overturned the Chevron doctrine would allow President-elect Donald Trump to nullify thousands of regulations.

The Chevron doctrine, upended this summer, was a legal principle that gave federal agencies deference on issues in their areas of expertise.

Without it, Musk and Ramaswamy say they could achieve “structural reductions in the federal government” in rules and staff, promising to slash both federal regulations and federal workforce numbers equally.

“[T]he use of executive orders to roll back regulations that wrongly bypassed Congress is legitimate and necessary to comply with the Supreme Court’s recent mandates,” they write.

Trump’s choice for HHS Secretary, Robert F. Kennedy Jr., has already said he wants to cut 600 National Institutes of Health employees.

 

A message from the Coalition to Strengthen America’s Healthcare:

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HEALTH INSURANCE

1 IN 4 INSURED ADULTS ‘UNDERINSURED’ — Nearly a quarter of adults with health insurance were underinsured — meaning they have high out-of-pocket costs that made it difficult to afford care at some point during the year, according to a new report out today by the Commonwealth Fund.

How they did it: The Commonwealth Fund asked a nationally representative sample of more than 8,200 adults, ages 18 to 64, about their health insurance between March and June of this year.

Their findings: Among those considered underinsured, two-thirds had coverage through their employee, 14 percent had individual or marketplace plans, and 11 percent used Medicaid.

Of the underinsured group, 57 percent said they’ve missed out on care because of cost, and 44 percent said they have medical debt.

Two in 5 adults who skipped or delayed care because of cost said their health problems worsened.

Why it matters: While the uninsured rate has declined in recent years, insured people still face high costs for care. The study authors said lawmakers should target removing medical debt from credit cards and extending pandemic-era premium tax credits — but the latter’s future is shaky with a Republican-controlled Congress.

 

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Names in the News

Kevin Elkins has joined Polsinelli’s health care litigation practice group. He previously was a partner with Epstein Becker & Green P.C.

Jens Vogel is now president and chief operating officer of biotech company Mirai Bio. He previously was global head of biotech at Bayer Pharmaceuticals.

WHAT WE'RE READING

Reuters reports that the CDC expects respiratory illnesses, like respiratory syncytial virus, to rise in the coming weeks.

STAT reports that Robert F. Kennedy Jr. is exploring a plan to change how physician pay is determined.

 

A message from the Coalition to Strengthen America’s Healthcare:

NEW REPORT: Rural patients turned to hospital Emergency Departments 18 million times in 2021 alone. Hospitals provide essential care in rural America, where access to physicians for routine and preventative care is limited, providing immediate, unscheduled care.

 
 

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