Appeals Court Revives Tylenol Suits

 A number of posts have discussed Trump's support for discredited notions about autism The Sept 22 White House news conference was a firehose of lies. The next month, he posted an unfounded warning about Tylenol.  RFK then tiptoed away from the idea that it definitely causes autism.  A BMJ lit review debunked the idea. A Lancet review did likewise.

Jonathan Stempel at Reuters:

A federal appeals court on Monday revived more than 500 private lawsuits against Tylenol maker Kenvue (KVUE.N), opens new tab over ‌the painkiller's alleged link to autism.

The 2nd U.S. Circuit Court of Appeals in Manhattan said a district court judge improperly excluded expert testimony from three doctors offered by parents and guardians who tied Tylenol use during pregnancy to autism and attention deficit hyperactivity disorder (ADHD) in children.

There is no firm scientific ​evidence of such a link. The issue drew greater attention after President Donald Trump and top U.S. health officials in ​September suggested a link to autism.

In a 64-page decision for a three-judge panel, Circuit Judge Guido Calabresi ⁠said the testimony from the three doctors, including the dean of Harvard University's School of Public Health, reflected methodologies used by ​other scientists, and "constitute acceptable interpretations of scientific evidence where scientists may, and in fact do, disagree."

Calabresi stressed that the appeals court ​was not deciding whether using acetaminophen causes autism or ADHD, or whether elected officials should do more to protect public health.

 

Kaine Proposal to Block the Special Education Shift

 In The Politics of Autism, I write about social services, special education, and the Individuals with Disabilities Education Act. 

Project 2025 proposed to turn IDEA into a "no strings" block grant, effectively gutting the law and destroying protections that disability families have long relied upon. During the 2024 race, Trump denied any connection to the project, but now he proclaims it, praising OMB director Russ Vought "of Project 2025 fame."

Trump and Vought are now accomplishing their goal of ravaging the law. Instead of turning it into a block grant, they have tried firing most of the staff who enforce it.   More recently, they have shifted  OSERS to HHS and OCR to the Justice Department's Civil Rights Division, headed by a political hack who uses the r-word as a slur.

Zachary Schermele at  USA TODAY:

As Education Department officials work to quell fears about Robert F. Kennedy Jr.'s agency having a new role in special education, the Senate is eyeing a bipartisan reproach of the move.

Sen. Tim Kaine, D-Virginia, told USA TODAY he's confident that a measure being voted on this month to block the change will pass out of the Senate's education committee with at least some Republican support.

While the exact details of the legislation aren't definitive yet, he said the plan is to advance an amendment that would shield the Education Department's special ed programs from shifting to the Health and Human Services Department. HHS is led by Kennedy, whose controversial past comments have left the disability rights community on edge since the so-called "interagency agreement" was announced in June. He said during a press conference last year, for instance, that autism "destroys families."

Lilla Ross at SmartBrief:

 “These are not just bureaucratic moves,” said Andrew Marcum, academic director of Disability Studies Programs at the CUNY School of Professional Studies, in an interview. “There are reasons why we have special education within a department of education, and it has to do with many decades of organizing and activism.”

...

“The reason that we stopped having the health department oversee education for disabled students is because of the recognition that it’s not a health issue, it’s an educational issue,” Marcum said. “It’s how do we make our classrooms accessible? How do we make our curriculum accessible? How do we make the teaching accessible?”

The concern is not only symbolic. The Education Department’s special education office monitors state compliance with IDEA and helps guide how schools serve students with disabilities. Its civil rights office handles discrimination complaints, including those involving disability access. Moving or splitting that work, advocates say, could make an already difficult system harder for families to navigate.

Marcum said the key questions are practical: who will have the expertise to oversee schools, how states will be held accountable and what happens to families seeking help when services are denied.

Moving Special Ed: Failure of Reassurance

 In The Politics of Autism, I write about social services, special education, and the Individuals with Disabilities Education Act. 

Project 2025 proposed to turn IDEA into a "no strings" block grant, effectively gutting the law and destroying protections that disability families have long relied upon. During the 2024 race, Trump denied any connection to the project, but now he proclaims it, praising OMB director Russ Vought "of Project 2025 fame."

Trump and Vought are now accomplishing their goal of ravaging the law. Instead of turning it into a block grant, they have tried firing most of the staff who enforce it.   More recently, they have shifted  OSERS to HHS and OCR to the Justice Department's Civil Rights Division, headed by a political hack who uses the r-word as a slur.

Jonaki Mehta at NPR:

In a call with disability rights advocates Thursday, officials from the U.S. Department of Education tried to ease concerns about plans to move the agency's special education offices to the Department of Health and Human Services (HHS).

"Today's briefing left more questions than answers for parents and educators," says Chad Rummel, who leads the Council for Exceptional Children, and was one of many disability advocates who attended the call. "Today we heard that there is no clear and transparent plan around the move to HHS."

According to a recording of the call obtained by NPR, the acting assistant secretary overseeing special education, Kelly Rogers, said she wanted to reassure advocates that the move would not harm federal protections for students with disabilities. "The U.S. Health and Human Services is not taking over IDEA. Period." Rogers was referring to the Individuals with Disabilities Education Act, a federal law that guarantees students with disabilities a quality public education alongside their nondisabled peers.

Yet Rogers also said in the same breath that staff at the Office for Special Education and Rehabilitative Services (OSERS) — many of the people actually responsible for supporting states and schools in implementing IDEA — would be moving to HHS. She said she would continue to oversee that staff from her perch at the Education Department "with additional support by HHS."

While department officials have been pitching this move as a way to streamline federal bureaucracy in education, advocates think it is doing the opposite. "This proposal appears to add another layer of bureaucracy while creating additional confusion and uncertainty for families, educators, and state agencies," says Denise Marshall, CEO of the Council of Parent Attorneys and Advocates (COPAA).
...

"The administration acknowledged today what the law has always required: The Department of Education and the secretary of education remain legally responsible for administering and enforcing IDEA. This reorganization neither advances the stated goal of closing the department nor transfers new authority to the states," says Marshall of COPAA. She called on Congress to step in and stop this move — a federal agency can only be completely dissolved by an act of Congress.

But as Marshall and other advocates pointed out, administration officials seem keenly aware of this fact, which may be why the Education Department is keeping some staff, including Rogers, at the Education Department.

Marshall called the strategy "a sham."

Imported Measles Cases

In The Politics of Autism, I analyze the myth that vaccines cause autism. This bogus idea can hurt people by allowing diseases to spread.    Examples include measles, COVID, flu, and polio.  A top antivaxxer is HHS Secretary RFK Jr. He is part of the "Disinformation Dozen." He helped cause a deadly 2019 measles outbreak in Samoa.

Some social media commenters blame the increased invidence of meassles in the United States on undocumented immigrants.  There are a couple of problems with this notion.  First, ever since President Biden finally clamped down in early 2024, border crossings have declined greatly.  Second, most "imported" cases come from US residents returning from trips abroad.

Mathis AD, Raines K, Filardo TD, et al. Measles Update — United States, January 1–April 17, 2025. MMWR Morb Mortal Wkly Rep 2025;74:232–238. DOI: http://dx.doi.org/10.15585/mmwr.mm7414a1.

A multistate measles outbreak, predominantly affecting members of close-knit communities with low measles vaccination coverage in New Mexico, Oklahoma, and Texas began in January 2025. As of April 17, a total of 800 cases have been reported in the United States in 2025; 654 (82%) cases in New Mexico, Oklahoma, and Texas have been associated with the ongoing outbreak. These cases represent an approximately 180% increase over the 285 measles cases reported in the United States during all of 2024, and the second highest annual case count in the United States in 25 years. Overall, 771 (96%) patients have been unvaccinated or had unknown vaccination status (77% were unvaccinated, and 14% had unknown vaccination status when excluding 590 cases reported by Texas, which requires explicit consent by law [i.e., opt-in] to enroll in the Texas Immunization Registry), 85 (11%) patients have been hospitalized, and three patients have died. Among 48 (6%) internationally imported cases, 44 (92%) occurred among U.S. residents. 

 Lee AD, Clemmons NS, Patel M, Gastañaduy PA. International Importations of Measles Virus into the United States During the Postelimination Era, 2001-2016. J Infect Dis. 2019 Apr 19;219(10):1616-1623. doi: 10.1093/infdis/jiy701. PMID: 30535027; PMCID: PMC6474820.

Background

Although measles was declared eliminated from the United States in 2000, measles cases and outbreaks continue to occur, resulting from importations of the disease from countries where it remains endemic.
Methods

We describe the epidemiology of international importations of measles virus into the United States during the post-elimination era.
Results

From 2001 to 2016, 553 imported measles cases were reported to the Centers for Disease Control and Prevention. A median of 28 importations occurred each year (range: 18–80). The median age of imported case-patients was 18 years (range: three months–75 years); 87% were unvaccinated or had an unknown vaccination status. U.S. residents (as opposed to foreign visitors) accounted for 62% of imported measles cases. Overall, 62% of all imported case-patients reported travel to countries in the Western Pacific and European Regions of the World Health Organization during their exposure periods. The number of measles importations from specific countries was related to the incidence of measles in and the volume of travel to and from the source country.
Conclusions

Our findings emphasize the importance of measles vaccination of U.S. residents aged ≥6 months before international travel according to Advisory Committee on Immunization Practices recommendations and supporting global measles elimination efforts

2,231 Measles Cases

In The Politics of Autism, I analyze the myth that vaccines cause autism. This bogus idea can hurt people by allowing diseases to spread.    Examples include measles, COVID, flu, and polio.  A top antivaxxer is HHS Secretary RFK Jr. He is part of the "Disinformation Dozen." He helped cause a deadly 2019 measles outbreak in Samoa.

From CDC:

As of July 9, 2026, 2,231 confirmed* measles cases were reported in the United States in 2026. Among these, 2,218 measles cases were reported by 42 jurisdictions: Alaska, Arizona, California, Colorado, Connecticut, District of Columbia, Florida, Georgia, Idaho, Illinois, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, New Jersey, New Mexico, New York City, New York State, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Wisconsin, and Wyoming. A total of 13 measles cases were reported among international visitors to the United States.

There have been 32 new outbreaks** reported in 2026, and 93% of confirmed cases (2,082 of 2,231) are outbreak-associated (717 from outbreaks starting in 2026 and 1,365 from outbreaks that started in 2025).

In just a week or two, we are very likely to top last year's total of 2,289, for the greatest number of annual cases in 35 years.

Lena H. Sun at WP:

When South Carolina was battling an outbreak that ultimately sickened 997 people, most of them this year, the health department had lost dozens of epidemiologists, infection preventionists and other public health staff as a result of federal funding cuts, said Linda Bell, who recently retired as state epidemiologist.

“That was just very taxing for the remaining staff,” Bell said in an interview.

South Carolina scrambled to hire temporary staff, but Bell said the reinforcements couldn’t replace the expertise that had been lost and officials ultimately shifted from containment to mitigation.

The virus surged through dozens of schools in Spartanburg County, the outbreak epicenter, which long had lower childhood vaccination rates than much of the state. Students were sent into quarantine multiple times before the outbreak was declared over in April. Schools that required multiple rounds of quarantine had average vaccination rates of 77 percent, according to a recent study by Cornell University researchers.

Researchers said South Carolina’s outbreak reflected a pattern seen repeatedly in the U.S., in which faith communities with shared views on vaccination sustain and amplify transmission. Twenty-nine cases were linked to one church.

“I think that we transitioned from containment to mitigation because we saw ongoing spread for weeks and weeks,” said Bell, who retired in April.

...

Messages from elected and appointed leaders who reject evidence-based public health recommendations have undermined outbreak responses, said Bell, who did not identify officials by name. Since taking office, Health Secretary Robert F. Kennedy Jr. has questioned vaccine safety, reshaped federal vaccine policy and criticized long-standing vaccination recommendations.

“In the past ... we were battling the diseases,” Bell said. “We were not battling this misinformation that is now coming from an entirely different stream that is within the federal government.”

 

Falling Short on IDEA Part B

 In The Politics of Autism, I write about social services, special education and the Individuals with Disabilities Education Act. 

 Kara Arundel at K-12 Dive:

• More than half of U.S. states and territories did not meet annual targets for implementing federal special education services for students with disabilities ages 3-21, according to a summary of the state determinations issued June 18 by the U.S. Department of Education.
• The latest annual state determinations for implementing the Individuals with Disabilities Education Act also found that only 22 states meet the law’s implementation requirements and improvement efforts for early intervention services to infants and toddlers with disabilities and developmental delays.
• As schools experience both an uptick in the number of students with disabilities qualifying for special education services and a special educator shortage, the IDEA state and district accountability system play an important role in ensuring schools are meeting students’ needs.

From the departmental summary:

MEETS REQUIREMENTS Alabama Massachusetts Rhode Island Connecticut Missouri Republic of Marshall Islands Florida Nebraska South Dakota Illinois New Hampshire Texas Indiana New Jersey Virginia Kansas Ohio Wisconsin Kentucky Pennsylvania Wyoming 

NEEDS ASSISTANCE (one year) Maryland Minnesota North Dakota 

NEEDS ASSISTANCE (two or more consecutive years) Alaska Georgia Oklahoma American Samoa Guam Oregon Arkansas Hawaii Republic of Palau Arizona Idaho Puerto Rico California Iowa South Carolina Colorado Louisiana Tennessee Commonwealth of the Northern Mariana Islands Michigan Utah Mississippi Virgin Islands Delaware Montana Washington Federated States of Micronesia Nevada West Virginia North Carolina

NEEDS INTERVENTION Bureau of Indian Education New Mexico New York District of Columbia Vermont Maine

Autism Journalism

In The Politics of Autism, I discuss coverage of autism in the mass media.

Kristen Hwang at the Association of Health Care Journalists:

In the face of government-sanctioned misinformation campaigns about autism, journalists must do more to include autistic voices in stories and recognize the nuance in each person’s disability experience, panelists at Health Journalism 2026 said.

Autism and other forms of neurodiversity are normal variations in brain function and should not be framed as a condition that needs to be “cured,” Milena Bates, speaker and co-founder of the Minnesota Autistic Alliance, said during the session.

“Neurodiversity is just a fact, same as diversity in general,” Bates said.

That means a universal autistic experience doesn’t exist and that reporters should seek out a variety of perspectives for their stories. People require varying levels of interventions and support, and a therapy that is helpful for one person may be harmful for another. Without neurodiverse voices, stories about the community are often “wrong about a lot of things,” Bates said.

Speaking with autistic people is particularly important, argued Bates and Julia Métraux, disability reporter for Mother Jones, at a time when Trump administration officials have pushed a narrative that erases the dignity of people with disabilities.

In 2025, U.S. Health and Human Services Secretary Robert F. Kennedy Jr. declared the country would “eliminate” the “autism epidemic” within five months. Kennedy has supported policies casting doubt on vaccine safety and insisted, despite decades of evidence to the contrary, that vaccines cause autism.

The over-medicalization of autism, the implication that it is a disease that can spread, and the suggestion that autistic people need to change is harmful, disability advocates say.

Opposition to Moving Special Ed Out of the Education Dept

 In The Politics of Autism, I write about social services, special education, and the Individuals with Disabilities Education Act. 

Project 2025 proposed to turn IDEA into a "no strings" block grant, effectively gutting the law and destroying protections that disability families have long relied upon. During the 2024 race, Trump denied any connection to the project, but now he proclaims it, praising OMB director Russ Vought "of Project 2025 fame."

Trump and Vought are now accomplishing their goal of ravaging the law. Instead of turning it into a block grant, they have tried firing most of the staff who enforce it.   More recently, they have shifted  OSERS to HHS and OCR to the Justice Department's Civil Rights Division, headed by a political hack who uses the r-word as a slur.

Mackenzie Wilkes at POLITICO:

“I anticipate that it will become increasingly difficult for states to get both the support and the oversight that is needed,” said Stephanie Smith Lee, former director of the Office of Special Education Programs under President George W. Bush.

...

But transferring special education could get a harsh rebuke this month from lawmakers on Capitol Hill who oversee IDEA and both the education and health agencies. Sen. Bill Cassidy (R-La.), chair of the Senate Health, Education, Labor and Pensions Committee, promised committee member Sen. Tim Kaine (D-Va.) in an unrelated markup after the agreements were struck, that the panel would vote on the issue.

The promise from Cassidy, who lost his bid for reelection in May after Trump endorsed a primary challenger, came after Kaine proposed an amendment to prohibit the transfer of the special education and rehabilitative services office. The Virginia Democrat withdrew the amendment after Cassidy committed to Kaine’s ask for the panel to vote on bipartisan legislation or the amendment.

“I will publicly commit to working with him for the next markup in July at finding something which is an accommodation for everyone’s concerns,” Cassidy, who doesn’t support special education being moved to HHS, said at the June 17 HELP Committee meeting. The Louisiana Republican also said he’d prefer that the Labor Department oversee the program if an agreement is struck.

Lee’s organization, along with hundreds of disability, education and civil rights groups have pressed Congress to block the transfer of special education to HHS and the Education Department’s civil rights enforcement to the Justice Department.

“State education leaders and educators⸺including both general and special educators⸺also rely on ED’s expertise, guidance, monitoring, and technical assistance; responsibilities that Congress unilaterally funds and directs the Department to provide,” the groups wrote in an open letter to lawmakers urging Congress to “reject these transfers and preserve the Department of Education’s longstanding and Congressionally mandated roles.”

Antivaxxer Faces Murder Charges

 In The Politics of Autism, I analyze the myth that vaccines cause autism. This bogus idea can hurt people by allowing diseases to spread.    Examples include measles, COVID, flu, and polio.  A top antivaxxer is HHS Secretary RFK Jr. He is part of the "Disinformation Dozen." He helped cause a deadly 2019 measles outbreak in Samoa.

Liam Quinn at People:

An Idaho mother was charged with the murders of her 18-month-old twins more than a year after suggesting their deaths were the result of vaccinations.

Andrea Shaw was indicted on two counts of first-degree murder on Monday, June 29, the Payette Police Department said in a press release.

Previously, Payette police said the 18-month-old twins were found dead in a shared bed on May 1, 2025. Authorities did not reveal a cause of death.

Days after the two children, a boy and a girl, were found dead, Shaw and her husband appeared on a podcast produced by Children's Health Defense, an anti-vaccine organization formerly led by current U.S. Health and Human Services Secretary Robert F. Kennedy Jr.

On the podcast, Shaw suggested that the twins got sick and died shortly after they received three vaccinations.\

...

Multiple large-scale studies have found that vaccines are safe. There is no scientific link between vaccines and autism, according to the Centers for Disease Control and Prevention.

Katie Francis at The Daily Beast:

Children’s Health Defense was formerly led by Health and Human Services Secretary Robert F. Kennedy Jr., and teamed with Shaw in a lawsuit against the American Academy of Pediatrics for “defrauding” families about the safety of vaccines.

In the lawsuit, it claims that the young boy and girl died “eight days after receiving their 18-month vaccines.”

It continues: “On April 23, 2025, both twins were administered hepatitis A, influenza, and DTaP vaccines at their pediatrician’s office in Payette, Idaho. Prior to vaccination, Mrs. Shaw and her mother-in-law warned the pediatrician about a family history of adverse reactions to the flu vaccine on the father’s side.

...

Despite Shaw’s strong anti-vaccine statements in connection with her childrens’ deaths, KDTV has stated that the indictment against her alleges suffocation.

Prevention of Drowning

The Politics of Autism discusses the dangers facing autistic people, including wandering and drowning.

From the Massachusetts Office of the Child Advocate:

Ahead of the 4th of July weekend, the Office of the Child Advocate (OCA) and the Massachusetts Department of Developmental Services (DDS) are expanding their Autism, Wandering & Water Safety awareness campaign focused on drowning prevention and emergency preparation for children with autism. The safety campaign includes a dedicated webpage mass.gov/AutismWaterSafety, with tools and strategies to help prevent these deaths.

The campaign includes videos in English and Spanish featuring a local mother whose child is autistic and has in the past wandered away, with information about tools to help caregivers keep their children safe.

 Jonaki Mehta and Janet W. Lee at NPR:

Kids with autism are 160 times more likely than other children to die from drowning, according to a seminal 2017 study from Columbia University. In fact, in Florida, most children drown in backyard pools. That's largely because about half of autistic children have a tendency to wander from safe settings. That fact, combined with an attraction to water can make for a dangerous combination. Quality swim lessons can help.

That's one of the reasons Mackenzie's parents enrolled her in Swim Buddies, the YMCA of South Florida's low-cost program aimed at children with disabilities. It's also why the state of Florida, which has one of the highest childhood drowning rates in the nation, is expanding a voucher program on July 1 that will put children ages 1-7 who have autism at the front of the line for subsidized swim lessons. "We have tragic circumstances and stories across the state of Florida of young children with autism that are wandering away, they're eloping from their homes, from their classrooms," says Florida state Rep. Anna Eskamani, a Democrat, and one of the lawmakers who sponsored the bipartisan bill that changed the state's swim vouchers.

2,170 Measles Cases

 In The Politics of Autism, I analyze the myth that vaccines cause autism. This bogus idea can hurt people by allowing diseases to spread.    Examples include measles, COVID, flu, and polio.  A top antivaxxer is HHS Secretary RFK Jr. He is part of the "Disinformation Dozen." He helped cause a deadly 2019 measles outbreak in Samoa.

From CDC:

As of July 2, 2026, 2,170 confirmed* measles cases were reported in the United States in 2026. Among these, 2,158 measles cases were reported by 41 jurisdictions: Alaska, Arizona, California, Colorado, Connecticut, District of Columbia, Florida, Georgia, Idaho, Illinois, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, New Jersey, New Mexico, New York City, New York State, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Texas, Utah, Vermont, Virginia, Washington, Wisconsin, and Wyoming. A total of 12 measles cases were reported among international visitors to the United States.

There have been 31 new outbreaks** reported in 2026, and 93% of confirmed cases (2,019 of 2,170) are outbreak-associated (659 from outbreaks starting in 2026 and 1,360 from outbreaks that started in 2025).

For the full year of 2025, a total of 2,289 confirmed* measles cases were reported in the United States.

Alllie Yang at NY Post:

Measles only needs a small opening — and it got one.

For the second year in a row, cases of measles — known as the world’s most infectious disease — will hit record highs, and 2026 is on track to be substantially worse than 2025.

In a matter of weeks, we’re likely to blow past last year’s total, hitting the highest number of cases in 35 years.

“This is a major public health warning sign,” epidemiologist Dr. Syra Madad told The Post. “The US is already close to last year’s total with about half the year still ahead.”

...

“Unless we interrupt transmission quickly, 2026 is likely to surpass 2025 and could do so substantially,” Madad warned.

“We should be cautious about making exact projections because outbreaks can slow when vaccination campaigns, isolation, contact tracing and community engagement are effective. But the current pattern is deeply concerning.

Trump and Institutions

In The Politics of Autism, I discuss court cases involving the civil rights of people with autism and other disabilities. 

For decades, people with autism and other developmental disabilities languished in large institutions, many of which were snake pits.  

Annie Ma at AP:

Last month, the Education Department announced it would offload oversight of special education to the Department of Health and Human Services, led by Robert F. Kennedy Jr., whose comments on the limits of disabilities such as autism have drawn sharp rebukes from advocates and lawmakers.

Meanwhile, following a White House push to police homelessness, the Department of Justice released guidance that lowered the barrier to institutionalizing any person with a disability.

Taken together, the actions signal a worrying return to a reality where people with disabilities are pushed to the margins of society, advocates said.

Trump has long called for bringing back the mental institutions.

February 22, 2018:

So we're going to be talking seriously about opening mental health institutions again, in some cases, reopening. I can tell you, in New York, the Governors in New York did a very, very bad thing when they closed our mental institutions, so many of them. You have these people living on the streets. And I can say that, in many cases throughout the country, they're very dangerous. They shouldn't be there. So we're going to be talking about mental institutions. And when you have some person like this, you can bring them into a mental institution, and they can see what they can do. But we've got to get them out of our communities.

February 26, 2018:

But, in the old days, you would put him into a mental institution. And we had them in New York, and our government started closing them because of cost. And we're going to have to start talking about mental institutions, because a lot of the folks in this room closed their mental institutions also.

 August 14, 2019:

And we're looking at mental institutions, which we used to have. Like, as an example, where I come from in New York, they closed up almost all of their mental institutions—or many of them—and those people just went onto the streets. And they did it for budgetary reasons. Well, New York is not unique; they've done that in many places.

January 20, 2026:

Signed an Executive order to bring back mental institutions and insane asylums. We're going to have to bring them back. Hate to build those suckers, but you've got to get the people off the streets.

You know, we used to have—when I was growing up, we had, in my area in Queens—I grew up in Queens. We had a place called Creedmoor. Creedmoor. Did anybody know that? Creedmoor. It was a big—I said, "Mom, why are those bars on the building?"

I used to play Little League Baseball there, at a place called Cunningham Park. I was quite the baseball player. You wouldn't believe it. But I said to my mother, "Mom"—she would be there. Always there for me. She said, "Son, you could be a professional baseball player." I said, "Thanks, Mom."

I said, "Why are those bars on the windows?" Big building. Big, powerful building. It loomed over the park, actually. It was pretty—she said, "Well, people that are very sick are in that building." I said, "Boy." I used to always look at that building, and I'd see this big building—big, tall building. It loomed over the park. It was sort of—now that I think, it was a pretty unfriendly sight.

But I'll never forget. I don't know if it's still there, because they got rid of most of them. You know, they—the Democrats in New York, they took them down, and the people live on the streets now. That's why you have a lot of the people in California and other places, they live on the streets. They took the mental institutions down. They're expensive.

But I'd say: "Why does that building have those bars? Boy." It didn't—it wasn't normal. You know, you're used to looking at, like, a window. But this, when you look at it, all the steel—vicious steel, tiny windows, bars all over the place. Nobody was getting out. It's called a mental institution. That was an insane asylum.

 

Vaccine Myths and the Malleable Middle

In The Politics of Autism, I analyze the myth that vaccines cause autism. This bogus idea can hurt people by allowing diseases to spread.    Examples include measles, COVID, flu, and polio.  A top antivaxxer is HHS Secretary RFK Jr. He is part of the "Disinformation Dozen." He helped cause a deadly 2019 measles outbreak in Samoa.

Alex Montero et al. at KFF: 

With childhood vaccination rates in the U.S. continuing to decline as measles cases rise across the U.S., KFF’s latest Tracking Poll on Health Information and Trust shows that several commonly circulated vaccine myths remain pervasive among the public. Many adults say they have heard false claims about the measles and COVID-19 vaccines, including that the measles, mumps, and rubella (MMR) vaccines have been proven to cause autism in children (66%), that more people have died from the COVID-19 vaccines than the virus (46%), that mRNA vaccines can alter DNA (36%), or that measles vaccines are more dangerous than measles itself (29%).

...

When looking at patterns of belief across the four false vaccine claims, a new analysis shows that some adults are consistent or leaned myth believers (8% who say all four claims are either “probably” or “definitely true”), or myth deniers (55% who deny all four claims, saying they are either “probably” or “definitely false”). At the same time, about three in ten (31%) fall in a “mixed middle” group, providing a range of true and false answers across the four vaccine myths and lacking certainty on at least half of the false claims. This group may be an important focus for those looking to counter vaccine misinformation and dispel confusion. Black adults, Hispanic adults, Republicans, younger adults, and those without a college degree are all more likely than their counterparts to fall into this “mixed middle” group, as are individuals who go to social media or AI for health information. Notably, nearly half of parents who report skipping or delaying recommended vaccines for their children fall in the “mixed middle,” indicating that these parents’ decisions may be driven, at least in part, by uncertainty and confusion.