5
#000000
#FFFFFF
covid-19
To Create Shared Prosperity, Rebuild Trust in Government
Government needs to deliver for everyone, not just the wealthy. Local government can lead the way.
Aug 31, 2025
We all want to live in healthy, safe, and thriving communities. We expect our tax dollars to serve the common good, and we want to trust that government represents our interests. But today, the federal government falls far short of this goal; only 22% of Americans trust it.
Local governments, in many places but not all, continue to deliver for their residents. They are leading the fight against climate change without federal support. They took charge in their immediate and ongoing responses to Covid-19. And they continue to resist, creating sanctuary cities to protect immigrant communities threatened during the first Trump administration. Today, local governments prepare for a difficult future shaped by the policies of the current Trump administration, including the unnecessary deployment of federal troops to Los Angeles and Washington, DC.
Yet the work of local governments has never been more difficult. Americans continue to lose trust in government, and as conditions worsen, faith in government erodes further. This decline is not accidental—it stems from decades of funding cuts, deregulation, misinformation, voter suppression, and government missteps. It feels like the biggest beneficiaries of government today are the wealthy and large corporations, which continue to make record profits despite recessions, pandemics, and climate change.
The lack of trust in government and the concentration of wealth and power in a small elite are connected. A deliberate effort to undermine the government’s ability to deliver for all feeds a downward spiral of distrust. Consider how US President Donald Trump empowered Elon Musk to lead mass layoffs and weaken or shut down critical agencies, undermining services people depend on. This move fuels privatization, deregulation, wealth concentration, and further distrust in government.
So, where do we go from here? For government to ensure shared prosperity, we must first rebuild trust. That requires government to deliver for everyone, not just the wealthy.
The long road to rebuilding trust must start with rejecting the fearmongering and scarcity mentality that has left us isolated and unhappy. We must demand better results from both government and our economic system. We need a system rooted in mutual care and shared prosperity.
This transformation begins from the ground up; it depends on each of us cultivating a culture of belonging and connection in our daily lives. I see this willingness in the empathy and care people show for neighbors, the environment, and future generations. Government can correct course only if we engage with it and demand more—because we are committed to doing better ourselves. Over time, civic participation can rebuild trust in government—though not as it is, but as a transformed institution committed to nurturing relationships.
Local governments can create opportunities for residents to relate to each other better and forge stronger relationships. Because local government is closer to its constituents than state or federal agencies, it can offer more immediate opportunities for civic engagement and connection. I believe assigning local government the role of cultivating a sense of belonging is key to achieving shared economic prosperity and to overcoming the polarization that currently grips our communities.
Local governments can evolve by partnering with local leaders and civil society groups that—in many communities—are fulfilling key roles once held by local governments. By building true, trusting collaborations, governments can expand their capacity and impact, reshape how communities relate to public institutions, and restore trust and faith in their work.
When we share responsibility for our communities—when neighbors connect, participate, and help shape our governance—we push government to serve all of us better.
To be clear, local governments cannot create a culture of belonging alone. Many governments need to commit to a sustained process of reconciliation, especially with communities of color, to overcome their checkered past. As I write this essay, immigrant communities in Los Angeles and throughout the country are being terrorized by federal law enforcement agencies, often with the support of local law enforcement, separating families, traumatizing neighbors and neighborhoods, and severely eroding trust between the government and communities. There is no way around the fact that governments at each scale have inflicted harm on communities. Nor can we ignore the fact that government is how we organize how we live. What government looks like, and how it interacts with us, remains our choice—that is the essence of democracy.
Some might view the suggestion that governments should cultivate residents’ sense of connection and belonging as an example of “mandate creep.” But if not local government, then who is responsible for nurturing connections between neighbors and fostering the culture of our communities?
Consider the processes involved in governance—updating general plans, budgeting, making and implementing new laws. These processes have a tremendous impact on our lives, yet few people participate. What difference would it make if more people were involved? If local governments had more resources and expertise to increase participation, could we achieve better governance? If local governments prioritized participation and equipped public servants to engage more residents directly, perhaps we would feel more satisfied—or at least better understand the decisions shaping our lives.
Local governments can also foster a culture of belonging by creating and maintaining spaces for people to meet and build community. Sidewalks, streets, parks, libraries, transit, community centers, and gardens—spaces that local governments oversee—constitute the public realm. While we often view these places as hard infrastructure, their potential to foster “soft infrastructure” such as civic relationships and human capital remains underdeveloped. What if governments designed public spaces to maximize connection? During the pandemic, they temporarily used infrastructure this way—through slow streets, free transit, health services in community centers, and redesigned parks. If it worked then, why not all the time?
Local governments can further strengthen communities through local culture and civic pride. Where we come from shapes our sense of belonging. Even in a transient, digital world, most people spend much of their lives in one place. Local culture—its history, art, celebrations, customs, and people—plays a big role in how we feel about our communities and can bind us together. I saw this in Berlin during the 48 Stunden Neukölln festival, where streets, shops, and homes displayed art for the public, turning the entire neighborhood into a vibrant gallery. People mingled, explored, and took pride in their community. We can use cultural programming to deepen civic pride and participation, tying culture more closely to governance.
Ultimately, rebuilding faith in government begins with rebuilding faith in each other. When we share responsibility for our communities—when neighbors connect, participate, and help shape our governance—we push government to serve all of us better. The journey to restore faith in government and the process of restoring our social bonds are inseparable. Only by working together can we create the thriving, healthy communities we all desire.
Keep Reading
Show Less
Trump Taps 'Manifestly Unqualified' Peter Thiel Protégé as Acting CDC Director After RFK's Purge
A health researcher for Public Citizen said Trump's interim CDC director has "no medical or public health background and extremist libertarian views."
Aug 29, 2025
After pushing out his own handpicked Centers for Disease Control and Prevention (CDC) director, infectious disease expert Susan Monarez, fueling a wave of outraged resignations this week, US President Donald Trump has appointed a loyal acolyte to replace her at Health and Human Services Secretary Robert F. Kennedy Jr.'s side.
On Thursday, the president tapped one of RFK's top aides as interim CDC director: biotech investor Jim O'Neill, a man with no medical experience but extensive experience profiting from healthcare while working at billionaire GOP megadonor Peter Thiel's venture capital firm, Mithril Capital.
Unlike his predecessor, whose ouster came as she tried to push back against RFK's anti-vaccine agenda, O'Neill fits snugly into the secretary's efforts to restrict access to the Covid-19 vaccine, and potentially ban it outright, as the Daily Beast reported earlier this week.
"A tech investor with no medical or public health background and extremist libertarian views, Jim O'Neill was unfit for the number two position at HHS and manifestly unqualified to lead the CDC," said Dr. Robert Steinbrook, director of Public Citizen's health research group, on Friday.
Just as Kennedy did during his confirmation hearings, O'Neill insisted he was "pro-vaccine," noting that he was "an adviser to a vaccine company." However, this is belied by his record on the subject.
He has championed unproven cures like ivermectin, hydroxychloroquine, and vitamin D supplements to protect against Covid-19, and has accused the CDC under the administration of former President Joe Biden of downplaying the vaccine's dangers while railing against mandates.
O'Neill has also praised Kennedy's response to the measles outbreak that swept across the US earlier this year, during which the secretary downplayed the severity and cast unfounded doubt on the effectiveness and safety of the measles vaccine that had virtually eradicated the disease before vaccination rates began to decline.
"Unlike Susan Monarez," Steinbrook said, "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."
O'Neill melds medical crankery with a Thielite strain of anarcho-libertarianism. He has served on the board of the Seasteading Institute, an organization founded by Patri Friedman, the grandson of the right-wing economist Milton Friedman, who advocates for corporations like Apple and Google to form their own floating cities at sea, which would be governed as corporate "dictatorships" free from the constraints of democratic governance.
That anti-government ethos extends to his views on the healthcare system, which O'Neill says is flawed not because of the rampant profiteering of the private companies that run it, but because it is supposedly not "free market" enough.
In 2014, he advocated for the Food and Drug Administration (FDA) to begin approving drugs for the market without conducting clinical trials to determine their effectiveness. "Let people start using them, at their own risk," he argued, "Let's prove efficacy after they've been legalized."
He has also argued for the government to allow people to sell their own internal organs. This process often results in deteriorating health for the disproportionately poor people who partake.
While working at HHS under the administration of former President George W. Bush, O'Neill also opposed the FDA regulation of companies that use algorithms to perform laboratory tests.
At the time, he was focused on DNA testing products like 23andMe, but a report from the consumer watchdog group Public Citizen says that "a decade after he made this remark, it's clear how dangerous such a concept is," noting that "with the development and proliferation of artificial intelligence, algorithms are omnipresent in the practice of medicine, including in diagnostic tools, medical devices, AI assistants to doctors, and personalized medicine."
In addition to Thiel's ideology, he reportedly brings several conflicts of interest to the CDC director job from his time working at Thiel's venture capital firm.
Accountable.US reported Friday that O'Neill "took money from, helped incubate, or was otherwise linked to at least eight medical industry startups with direct business before the department he could help run."
These include firms he advised, like the pharmaceutical company ADvantage Therapeutics or the National Institutes of Health grantee Rational Vaccines, which manufactures herpes drugs.
It also includes four companies seeded by his Thiel-affiliated venture capital firm Breakout Labs, some of which have received government funding or have products awaiting FDA approval.
Though O'Neill agreed to divest from some of these companies and abstain from involvement in decision-making with them as part of his ethics agreement, the report notes that "he did not promise to abstain from decisions involving these companies for the duration of his term, or to abstain from doing business with them after departing HHS."
"O'Neill would be in a prime position to ensure favorable outcomes for several medical industry startups he's been financially linked to that have direct business before HHS and the CDC," said Accountable.US executive director Tony Carrk. "How can American patients be sure that proper vetting of these companies would take place on O'Neill's watch and that public health will be a higher priority over the profits of his former clients?"
Though Steinbrook describes O'Neill as "manifestly unqualified" for the position, he said, "No credible public health authority is likely to work for Kennedy, who is dictating the agency's decisions based on whim, not science."
"The only path forward," Steinbrook said, "is for Kennedy to go, which Congress, professional organizations, medical journals, and the public should demand."
Keep Reading
Show Less
'Wednesday Night Massacre at CDC'
"I am unable to serve in an environment that treats CDC as a tool to generate policies and materials that do not reflect scientific reality and are designed to hurt rather than to improve the public's health," said top CDC official who resigned in protest.
Aug 28, 2025
It's being called the Wednesday Night Massacre.
Total "chaos" erupted at the Centers for Disease Control on Wednesday after the forced removal of CDC Director Susan Monarez, handpicked by President Donald Trump just months ago, was followed by the disgruntled resignations of other top officials at the agency who openly warned that health secretary Robert F. Kennedy Jr. is running the place into the ground while putting the nation's public health system at risk of collapse and threaten millions of lives.
That Monarez was no longer the director was announced by the Department of Health and Human Services, led by RFK Jr., via social media on Wednesday afternoon. Hours later, lawyers for Monarez said her removal was a firing, not a resignation, and they accused the director of "weaponizing public health for political gain" after she clashed with Kennedy over new immunization guidelines related to the Covid-19 vaccine.
A letter from Monarez's lawyer said she was targeted because she challenged the new policy that would put "millions of American lives at risk" and represents deeper concerns about the agency's agenda under Kennedy's leadership.
Her ouster, her legal team said, "is about the systematic dismantling of public health institutions, the silencing of experts, and the dangerous politicization of science. The attack on Dr. Monarez is a warning to every American: Our evidence-based systems are being undermined from within."
"The CDC is being decapitated. This is an absolute disaster for public health." —Dr. Robert Steinbrook, Public Citizen
In an announcement earlier Wednesday, the Food and Drug Administration (FDA) narrowed the kinds of conditions people need to have in order to receive approval for available Covid-19 vaccines.
As the Washington Post reports, the new FDA guidance sparked concern among public health experts who say the policy shift "injects uncertainty for Americans not considered high-risk who want to get another coronavirus vaccine. They said it's not clear who will ultimately be able to get the shot, whether insurance will cover it and whether they can get vaccinated at their local pharmacy."
In response to Monarez's firing—and other underlying issues at the agency under RFK Jr.'s leadership, at least four other top CDC officials resigned in protest Wednesday night.
Demetre C. Daskalakis, director of the National Center for Immunization and Respiratory Diseases; Daniel Jernigan, director of the National Center for Emerging and Zoonotic Infectious Diseases; Dr. Jennifer Layden, who led the office of public health data; and CDC Chief Medical Officer Debra Houry all submitted their resignations.
Dr. Richard Pan, a pediatrician and a former Democratic state senator in California, was among those who declared the events should be seen as the "Wednesday Night Massacre at the CDC"—a reference to the infamous Saturday Night Massacre during the Watergate scandal under President Richard Nixon in 1973.
In his explosive resignation letter made public, Dr. Daskalakis said he did not make the decision lightly.
"However," he stated, "after much contemplation and reflection on recent developments and perspectives brought to light by Secretary Robert F. Kennedy Jr., I find that the views he and his staff have shared challenge my ability to continue in my current role at the agency and in the service of the health of the American people. Enough is enough."
The letter continues:
I am unable to serve in an environment that treats CDC as a tool to generate policies and materials that do not reflect scientific reality and are designed to hurt rather than to improve the public’s health. The recent change in the adult and children’s immunization schedule threaten the lives of the youngest Americans and pregnant people. The data analyses that supported this decision have never been shared with CDC despite my respectful requests to HHS and other leadership. This lack of meaningful engagement was further compounded by a “frequently asked questions” document written to support the Secretary’s directive that was circulated by HHS without input from CDC subject matter experts and that cited studies that did not support the conclusions that were attributed to these authors. Having worked in local and national public health for years, I have never experienced such radical non-transparency, nor have I seen such unskilled manipulation of data to achieve a political end rather than the good of the American people.
It is untenable to serve in an organization that is not afforded the opportunity to discuss decisions of scientific and public health importance released under the moniker of CDC. The lack of communication by HHS and other CDC political leadership that culminates in social media posts announcing major policy changes without prior notice demonstrate a disregard of normal communication channels and common sense. Having to retrofit analyses and policy actions to match inadequately thought-out announcements in poorly scripted videos or page long X posts should not be how organizations responsible for the health of people should function.
Critics of RFK Jr. and Trump, including public health advocates and Democratic lawmakers charged with oversight, slammed the chaos and the deeper threat to the American people that the administration's misguided attacks on the CDC have triggered.
"President Trump and Sec. Kennedy are trying to purge anyone who stands up against their anti-science agenda at the CDC," said Sen. Rafael Warnock (D-Ga.). "They're risking disease outbreak and another pandemic just to advance their own extremist goals."
Sen. Bernie Sanders (I-Vt.) called for an immediate hearing before the Committee on Health, Education, Labor, and Pensions (HELP), of which he is the ranking member. "It's outrageous that Sec. Kennedy is trying to fire the CDC Director—after only a few weeks on the job—for her commitment to public health and vaccines," said Sanders. "Vaccines save lives. Period."
One former CDC staffer, who went unnamed, told Rolling Stone that what's happening now at the agency is "the work of a death cult."
According to Dr. Georges C. Benjamin, MD, executive director of the American Public Health Association, the ouster of Monarez, just weeks after her confirmation in the US Senate, "is yet another glaring sign of Secretary Kennedy’s failed leadership and reckless mismanagement. His tenure has been marked by chaos, disorganization, and a blatant disregard for science and evidence-based public health."
The episode, Benjamin continued, "underscores his administrative incompetence and his disdain for the expertise that the public and our public health agencies rely on. RFK Jr. must be removed from his position."
He wasn't the only one calling for Kennedy's immediate removal. "Fire him," declared Sen. Patty Murray (D-Wash.) in a social media post.
"We cannot let RFK Jr. burn what's left of the CDC and our other critical health agencies to the ground—he must be fired," Murray said in a separate statement. "I hope my Republican colleagues who have come to regret their vote to confirm RFK Jr. will join me in calling for his immediate termination from office."
Dr. Robert Steinbrook, the health research director for Public Citizen, said, "Ousting the first Senate-confirmed CDC director weeks into the start of her tenure makes absolutely no sense and underscores the destructive chaos at RFK Jr.'s Department of Health and Human Services."
"The CDC is being decapitated," warned Steinbrook. "This is an absolute disaster for public health."
Keep Reading
Show Less
Most Popular