Not until President Donald Trump is long gone will Americans feel the full impact of his most destructive policies and his administration’s incompetence. Today’s topic: Measles.
“For children, the risks of measles are especially grave. Complications, which occur in 1 in 5 people who have the disease, can include pneumonia, blindness, permanent neurologic injury, and death. These outcomes are well-documented, particularly among young children and those with delayed access to medical care.” (Theresa Cheng, MD, JD, assistant clinical professor in the Department of Emergency Medicine at UCSF-Zuckerberg San Francisco General Hospital and a lawyer.)
Measles is preventable, but community immunity requires a 92-94% vaccination rate. Since the introduction of the measles vaccine in 1963, the incidence of the disease has decreased by over 99%, thanks to the combination of immunity through prior exposure and vaccination rates above the required threshold.
Secretary of Health and Human Services Secretary Robert F. Kennedy Jr. is reversing that remarkable public health achievement.
Someone who does not get vaccinated puts others—mostly children who have no voice in the critical decision to protect or jeopardize their health—at serious risk of injury or death.
Three recent stories about measles have implications that are far more consequential for the fate of humanity than Trump’s racist memes or his destabilizing antics on the world stage.
Story No. 1: Measles Outbreak in South Carolina
Between 1991 and 2024, South Carolina had a total of only 8 measles cases—6 of which occurred within a single household in 2018.
In October 2025, the state reported the first three cases in the current outbreak.
As of February 17, South Carolina had 962 confirmed measles cases; 253 involve children under 5, 615 are ages 5 to 17, 85 are adults, and nine ages are unknown.
Since the outbreak, 20 individuals have been hospitalized with complications related to the disease.
Ninety-five percent of the infected individuals were not vaccinated.
The area of the state experiencing the greatest number of cases (95% of them) also led the state in the decline in vaccination rate: Spartanburg County’s rate dropped from 93.9% in 2021-2022 to 88.9% the current school year—well below the critical threshold required for community immunity.
Story No. 2: Anti-Vaxxers Determine America’s Public Health Policy
Kennedy has gutted the Department of Health and Human Services. He has replaced scientific and medical experts with hacks who adhere here to his willful ignorance.
One of those appointees is the leader of the federal panel that recommends vaccines for Americans, Dr. Kirk Milhorn, chair of the Advisory Committee on Immunization Practices. On January 22, Milhorn said that vaccines protecting children from polio and measles, and perhaps all diseases, should be optional.
“What we are doing is returning individual autonomy to the first order—not public health but individual autonomy to the first order.”
What he and his colleagues are actually doing is killing us. Kennedy has already dropped six vaccines from the childhood immunization schedule.
Story No. 3: States Are the Last Line of Defense
Only individual states, which have ultimate responsibility for vaccine schedules, have saved the country from the full destructive force of Kennedy’s anti-science, anti-vaxxer crusade. But his ascension as head of the nation’s federal public health policy has empowered his allies to target state childhood vaccination mandates.
The Medical Freedom Act Coalition includes the Children’s Health Defense—a nonprofit group that Kennedy co-founded. It is pushing legislation that would end state laws that codify vaccination schedules. Such legislation is pending in several states.
Asked about the effort, Kennedy said he was not involved, but added, “I believe in freedom of choice.”
As the impact of his attack on science intensifies, the overall public health costs will be staggering.
Earlier this month, Chris Anders, a Republican state lawmaker in West Virginia, introduced a bill that would eliminate his state’s school vaccination mandates, including the requirement that county health departments offer free shots to low-income children.
“If people decide not to be vaccinated, that is their choice,” he argued. “Just like if they decide not to wear a seatbelt or a motorcycle helmet or anything else. If they decide that, they suffer the consequences.”
Kennedy, Milhorn, Anders, and their like-minded anti-vaxxers march under the “freedom of choice” banner. It’s a red herring that omits a crucial element of the equation: Someone who does not get vaccinated puts others—mostly children who have no voice in the critical decision to protect or jeopardize their health—at serious risk of injury or death.
For a long time to come, everyone else’s kids will bear those consequences.
Epilogue: Ripple Effects
The measles vaccine is the small tip of an enormous public health iceberg. Kennedy and his anti-vaxxers in charge of public health have “sent a chill through the entire [vaccine] industry,” according to Dr. John Coller of Johns Hopkins University, a member of the executive committee of the Alliance for mRNA Medicines.
As Kennedy creates unwarranted fears about the safety and efficacy of lifesaving vaccines, some Americans will continue to believe him and vaccine sales will suffer. As he cuts research funding for new vaccine development, America will be unprepared for the next pandemic. As the impact of his attack on science intensifies, the overall public health costs will be staggering.
Future historians will scratch their heads in disbelief at what we are doing to ourselves and our children.
