Nearly every living former director or acting director of the US Centers for Disease Control and Prevention from the past half-century took to the pages of The New York Times on Monday to jointly argue that Health and Human Services Secretary Robert F. Kennedy Jr. "is endangering every American's health."
"Collectively, we spent more than 100 years working at the CDC, the world's preeminent public health agency. We served under multiple Republican and Democratic administrations," Drs. William Foege, William Roper, David Satcher, Jeffrey Koplan, Richard Besser, Tom Frieden, Anne Schuchat, Rochelle Walensky, and Mandy Cohen highlighted.
What RFK Jr. "has done to the CDC and to our nation's public health system over the past several months—culminating in his decision to fire Dr. Susan Monarez as CDC director days ago—is unlike anything we have ever seen at the agency, and unlike anything our country has ever experienced," the nine former agency leaders wrote.
Known for spreading misinformation about vaccines and a series of scandals, Kennedy was a controversial figure long before President Donald Trump chose him to lead HHS—a decision that Senate Republicans affirmed in February. However, in the wake of Monarez's ouster, fresh calls for him to resign or be fired have mounted.
As the ex-directors detailed:
Secretary Kennedy has fired thousands of federal health workers and severely weakened programs designed to protect Americans from cancer, heart attacks, strokes, lead poisoning, injury, violence, and more. Amid the largest measles outbreak in the United States in a generation, he's focused on unproven "treatments" while downplaying vaccines. He canceled investments in promising medical research that will leave us ill-prepared for future health emergencies. He replaced experts on federal health advisory committees with unqualified individuals who share his dangerous and unscientific views. He announced the end of US support for global vaccination programs that protect millions of children and keep Americans safe, citing flawed research and making inaccurate statements. And he championed federal legislation that will cause millions of people with health insurance through Medicaid to lose their coverage. Firing Dr. Monarez—which led to the resignations of top CDC officials—adds considerable fuel to this raging fire.
Monarez was nominated by Trump, and was confirmed by Senate Republicans in late July. As the op-ed authors noted, she was forced out by RFK Jr. just weeks later, after she reportedly refused "to rubber-stamp his dangerous and unfounded vaccine recommendations or heed his demand to fire senior CDC staff members."
"These are not typical requests from a health secretary to a CDC director," they wrote. "Not even close. None of us would have agreed to the secretary's demands, and we applaud Dr. Monarez for standing up for the agency and the health of our communities."
After Monarez's exit, Trump tapped Jim O'Neill, an RFK Jr. aide and biotech investor, as the CDC's interim director. Critics including Robert Steinbrook, director of Public Citizen's health research group, warn that "unlike Susan Monarez, O'Neill is likely to rubber-stamp dangerous vaccine recommendations from HHS Secretary Kennedy's handpicked appointees to the Advisory Committee on Immunization Practices and obey orders to fire CDC public health experts with scientific integrity."
The agency's former directors didn't address O'Neill, but they wrote: "To those on the CDC staff who continue to perform their jobs heroically in the face of the excruciating circumstances, we offer our sincere thanks and appreciation. Their ongoing dedication is a model for all of us. But it's clear that the agency is hurting badly."
"We have a message for the rest of the nation as well: This is a time to rally to protect the health of every American," they continued. The experts called on Congress to "exercise its oversight authority over HHS," and state and local governments to "fill funding gaps where they can." They also urged philanthropy, the private sector, medical groups, and physicians to boost investments, "continue to stand up for science and truth," and support patients "with sound guidance and empathy."
Doctors, researchers, journalists, and others called their "must-read" piece "extraordinary" and "important."
"Just an astonishing, powerful op-ed that drives home what we are losing and what's already been lost," said University of Michigan Law School professor Leah Litman. "We are so incredibly fortunate to live with the advances [of] modern medicine and health science. Destroying and stymying it is just unforgivable."