The Morning News The future of American public health that is Trumpcare.
Hospital. Credit: Nick Savchenko.

Trump probably doesn't know what public health is, and Mike Pence may try to kill us all.

Should you be somewhat comforted by Trump's vague public statements about his plans for public health—the most we really have is a line from his 100-day plan promising a hiring freeze on all federal employees except "the military, public safety, and public health"—please take care to remember the public health legacy of Mike Pence.

A manufactured HIV epidemic due to his Christian opposition to needle exchanges. Attempts to pass a law barring women from seeking abortions for, among other things, reported health defects in the fetsuses. Also, deep cuts to Indiana's now chronically-underfunded public health system.

Jan 12, 2017

[Disease prevention] is consistent with a conservative approach. The business argument for the CDC is a good one.

Here's hoping former CDC director and Surgeon General Dr. David Satcher's optimism is not misplaced.
↩︎ Georgia Health News
Jan 12, 2017

If Mike Pence doesn't kill us all, Tom Price will.

Per anonymous reports, the Trump Cabinet nominee that Senate Democrats are going to oppose hardest is Tom Price. Remember him? The virulently anti-Obamacare orthopedic surgeon/representative from Georgia who is a member of a fringe medical organization that, among other things, believes doctor participation in Medicare and Medicaid is "evil?" Who has a particular hostility towards evidence-based medicine? That guy?

Jan 12, 2017

If I asked him, “What is your stance on global health?,” I don’t know what he’d say. I don’t think anyone really does.

The consensus amongst public health crisis experts is that Trump has no idea what he's getting himself into, and that his propensity for sharing falsehoods could make a situation like an Ebola outbreak much worse.
↩︎ The Atlantic
Jan 12, 2017

Considering all possible evidence, Trump's public health agenda could kill thousands of Americans.

Following the various dire scenarios presented in this stack to their logical conclusion, one would likely end up somewhere close to the following fictional situation, by NYU bioethicist Art Caplan:

When two young black men were shot outside their home in Oklahoma after a mob confronted local police and national guardsmen Trump issued a statement that ‘these people would either obey lawful orders or they would be jailed’. When the CDC pointed out that sending infected or exposed people to jail would only serve to boost the epidemic he ordered detention-style camps built in every state. Many state authorities simply refused. The media had long ago given up any pretense of public health education in favor of covering the political battle between Trump, recalcitrant governors in many states, his own CDC amidst catcalls from the international community.

Jan 12, 2017
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