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Nearly half of kids in the US are breathing unhealthy air; it's time for the EPA to return to its lifesaving mission of protecting their lungs.
Parents have a lot on their minds. I am a mom of a 3-year-old and a 7-year old and a pediatric pulmonologist. Like many other parents, I am constantly juggling the logistics of family life, school, and work. Keeping my children healthy and safe is a priority.
Food is one example. I try to ensure my children eat healthy, nutritious food that won’t make them sick or contribute to the formation of chronic disease, like some ultra-processed foods can. As the parent of a picky eater, finding healthy foods my children will actually eat can be challenging.
I know that parents do not need another thing to be concerned about. They certainly shouldn’t have to worry about the air their children breathe. But the American Lung Association’s recent “State of the Air” report found that nearly half of kids in the US are breathing unhealthy air. More specifically, the report found that 33.5 million children, or 46% of people under 18 years old in the US, live in an area that received a failing grade for at least one measure of air pollution. More than 7 million children in the United States (10% of all kids) live in a community with failing grades for all three measures studied in the report.
This is unacceptable, especially because studies show that infants, children, and teens as a group are more susceptible to the health impacts of air pollution, and that some of these harms can be lifelong. Compared with adults, infants and children breathe more air relative to their body size and they are frequently playing outside where they are exposed to outdoor air. The fact that the lungs continue to develop throughout childhood plays a role.
Children should not have to pay the price with their health so that polluting industries can maximize their profits.
In the past year, there has been an increasing amount of attention paid to preventing chronic disease in children—for good reason. We all want to set our children up for the healthiest lives possible. But the conversation about chronic disease prevention must include cleaning up air pollution. Air pollution exposure in childhood can cause long-term harm by impeding lung growth, contributing to new asthma cases, causing flareups in people with asthma and other lung conditions, increasing risk of respiratory infections and more.
Air pollution can even harm children before they are born. Air pollution is linked to preterm birth, low birth weight, lower lung capacity, and other adverse birth outcomes. That means that exposure to air pollution during pregnancy and childhood could even set a child up for a lifetime of poor lung health. As children grow into adulthood, breathing air pollution can cause respiratory and cardiovascular harm, asthma attacks, lung cancer, heart attacks, stroke, even early death.
So what is driving the ground-level ozone pollution and particle pollution reported on in “State of the Air?” There are many sources, but the main ones include diesel- and gasoline-powered vehicles, power plants and other industrial sources, emissions from the oil and gas industry, and wildfires. Higher temperatures can exacerbate this, as heat accelerates the production of ozone. While the US has made incredible progress in cleaning up air pollution over the past 50 years, the changing climate is making air pollution more likely to form and more difficult to clean up.
Here is more bad news: While half of the children in the US are breathing unhealthy air, the US Environmental Protection Agency (EPA) is working to roll back and repeal safeguards designed to reduce air pollution. In recent months, EPA announced a rule to weaken limits to protect children from mercury and other toxic pollutants from power plants, eliminated the standards to regulate emissions from vehicles, and delayed implementation of a rule to reduce pollution from oil and gas wells. On top of that, EPA recently decided to eliminate health-related data from its analyses of clean air measures, meaning that the costs of pollution to our kids, families, and communities will not be counted as policies are rolled back.
This is particularly upsetting, as I see what an impact air pollution can have on children and families in my day-to-day work as a pediatric pulmonologist. For decades, EPA has calculated the costs of air pollution to the health and livelihood of people, including asthma attacks and premature deaths. EPA is still including the cost to industry in their economic analyses, which means it will be easier to achieve further rollbacks of regulations while omitting the devastating costs to children and communities. Children should not have to pay the price with their health so that polluting industries can maximize their profits.
The good news is that federal clean air protections work when they are enforced. The Clean Air Act is regarded as one of the most successful public health laws in US history. For 55 years, it has protected children, families, and communities from harmful pollution and driven innovation toward a cleaner, healthier future. The Clean Air Act gives EPA the authority and responsibility to assess and clean up air pollution from vehicles, power plants, and industries across the nation. We rely on EPA to protect our lungs. I urge EPA to return to its lifesaving mission of protecting human health by reducing deadly air pollution instead of allowing more of it, and value people’s lives and the health costs of pollution in their rulemaking processes.
As I read the labels on foods, buckle my sons into their car seats, and put their helmets on before they jump onto scooters and bikes, I also check the air quality on my phone. I teach my patients and their parents to do the same. But there is only so much I—or any parent—can do to protect my kids from air pollution.
EPA must protect our air and value our kids’ health. All lungs, especially little lungs, are counting on it.
Committing $144 million to study microplastics while subsidizing fossil fuels by nearly $31 billion a year is like trying to clean up an oil spill with a spoon while the tanker is still spewing.
At a time when the science is clear, and action is overdue, the Trump administration’s STOMP initiative—aimed at measuring and removing microplastics from the human body—is a convenient distraction that delays real action. We do not need more studies to understand microplastics in our bodies. We need policies that prevent them from getting there in the first place.
For years, scientists have warned that we are breathing, eating, and drinking plastic. Microplastics—which contain more than 4,200 chemicals known to be hazardous to human health—are in our blood, lungs, and unborn babies.
And while there’s something validating about the Trump administration finally acknowledging this problem, putting microplastics on a watch list is not protection. Instead, this declared "war on microplastics" is a gift in disguise to the industries driving the crisis.
“Make America Healthy Again” was a rallying cry: Take on the corporate polluters, clean up our food supply, eliminate toxic chemicals, and hold the chemical industry accountable. The MAHA Report acknowledged that microplastics are found in "the blood and urine of American children and pregnant women,” and promised action from the Department of Health and Human Services (DHHS), the Environmental Protection Agency (EPA), and the National Institutes of Health (NIH).
The problem is that the only real way to fix it is to stop it at the source. That means taking on the fossil fuel industry driving plastic production—an industry to which this administration has shown deep loyalty.
That was the promise. But instead, the Trump administration gave us plastic straws and put single-use plastics back in our National Parks. They slashed the EPA's budget nearly in half—the very agency responsible for the new microplastics plan—and fired more than 1,000 of its scientists. They dismantled the agencies that protect us from chemical disasters and exposure to harmful hazards, like lead. They ramped up glyphosate production and appointed chemical-industry lobbyists to leadership roles within the EPA. They’re also weakening the Toxic Substances Control Act and rolling back protections on PFAS in drinking water.
While EPA Administrator Lee Zeldin claims the administration is holding itself “to the highest standards to protect the health of every American,” it continues to gut science, weaken laws, and hollow out the very institutions responsible for protecting public health—giving polluting industries a free pass to keep producing more.
Even MAHA advocates are beginning to see through the rhetoric. In a recent letter to the EPA, they urged:“The EPA must choose whether it will uphold a chemical status quo or honor the promise to make this country healthy again. The public is watching. Families are organizing. Scientists are sounding the alarm.”
Microplastics don’t just randomly end up in our bodies. They come from a system designed to produce endless plastic at any cost. That system is fueled by oil, gas, and coal. Nearly 99% of plastics are made from fossil fuels. Committing $144 million to study microplastics while subsidizing fossil fuels by nearly $31 billion a year is like trying to clean up an oil spill with a spoon while the tanker is still spewing.
The Trump administration has put a spotlight on a serious health crisis. The problem is that the only real way to fix it is to stop it at the source. That means taking on the fossil fuel industry driving plastic production—an industry to which this administration has shown deep loyalty. As Secretary of the US DHHS, Robert F. Kennedy, Jr., put it on Fox News: “A lesson we were all supposed to learn in kindergarten is that you clean up after yourself. You don't force the public to do it.”
The coming months will show whether this administration is serious about action or simply delivering lip service to a disillusioned MAHA ahead of the midterms. If the administration is really committed to making Americans healthy again, it must act where it matters: Set enforceable limits on microplastics in drinking water, restore strong chemical safety laws, halt new plastic production, rebuild the EPA and Centers for Disease Control and Prevention, and revoke the red-carpet access it has granted industry within regulatory agencies.
Above all, it could truly end the war on microplastics by backing a global plastics treaty that limits production in the first place.
Because you cannot detox a body you are still poisoning.
The US government is refusing to fulfill its fundamental obligation to protect public health and safety at home, and showing open disdain for the lives and well-being of people worldwide.
The White House recently announced what might be its most brazen attack on climate science yet. Roughlyo months ago, the administration rolled out plans to repeal the federal government’s “Endangerment Finding”—essentially, its authority under the Clean Air Act to regulate greenhouse gases as pollutants.
This 2009 finding by the Environmental Protection Agency (EPA) determined that the increase in public health and safety risks caused by climate change—such as extreme heat, wildfire smoke, ozone pollution, and catastrophic weather events such as hurricanes and flooding—justified regulating greenhouse gases as pollutants.
That’s the legal underpinning for everything from vehicle fuel economy standards to the requirement for power plants and factories to measure and report their emissions. Since 2009, the scientific basis for these rules has only grown stronger. This is borne out by successive studies by the Intergovernmental Panel on Climate Change (IPCC), the most authoritative global climate science institution.
The most recent report by the IPCC working group assessing the state of knowledge on climate science, a collaboration of 234 prominent scientists from across the world, found overwhelming evidence that the Earth’s atmosphere, oceans, and land have warmed rapidly since the start of the industrial era—and that the warming is attributable to emissions of carbon dioxide, methane, and other greenhouse gases.
The regime’s decision wasn’t driven solely by ignorance or stupidity. Fossil fuel oligarchs have essentially bribed the president (in response to his open solicitation, no less), and penetrated the highest ranks of government.
Another IPCC working group, consisting of 330 of the world’s leading scientists, found that more frequent and severe weather and climate extremes attributable to climate change, such as heatwaves on land and on oceans, droughts, and wildfires, have already resulted in “widespread adverse impacts” on “ecosystems, people, settlements, and infrastructure.”
In recent years, other studies have found that climate change made many severe weather events in the US and across the world likelier and more destructive, including Hurricanes Helene and Milton in the US in 2024, deadly flooding in Pakistan and a record-breaking heatwave in Iceland and Greenland in 2025, and devastating flooding in Southern Africa earlier this year.
The Trump regime has attempted to counter this overwhelming body of rigorous, peer-reviewed science with government-sponsored misinformation. It has published a report written by five handpicked scientists, purporting to show that there is too much uncertainty about human-caused climate change. Large numbers of scientists from a wide variety of disciplines have condemned this report as methodologically flawed and relying on cherry-picked evidence, and have provided a detailed rebuttal.
In typical fashion, however, the Trump regime has ignored mountains of incontrovertible evidence to race ahead with repealing the Endangerment Finding, giving themselves a legal fig leaf for their actions to enable expansion of polluting industries and dismantle environmental protections.
This is a direct attack on communities throughout the country who have lost their loved ones, their homes, and their livelihoods because of fossil-fueled wildfires, storms, and floods, and communities who will inevitably suffer similar disasters as a consequence of the regime’s refusal to address the threat of climate change.
It’s also an attack on communities experiencing, or increasingly likely to experience, similar disasters worldwide. It is nothing short of a declaration of war against humanity.
The regime’s decision wasn’t driven solely by ignorance or stupidity. Fossil fuel oligarchs have essentially bribed the president (in response to his open solicitation, no less), and penetrated the highest ranks of government. They’re getting the policy outcomes they want, enriching themselves at the expense of people and the planet.
The US government is refusing to fulfill its fundamental obligation to protect public health and safety at home, and showing open disdain for the lives and well-being of people worldwide. This is occurring in the broader context of a government that is practically at war with its own population, flagrantly violating basic human rights in pursuit of an extremist ideological agenda.
A government that refuses to fulfill its most basic responsibilities even as it assaults citizens and knowingly exposes people worldwide to serious harm is not a legitimate government. Governments worldwide need to recognize this reality, and do everything in their power to protect their own people, and stand up for human rights in the US.
This op-ed may be republished with attribution to InsideSources.com.